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Clinical effect of enhanced recovery after surgery based on multidisciplinary collaboration model in postoperative gastric cancer surgery 认领 引用 被引量：3
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作者 Yan-Hua Tang Jie Zhang 《World Journal of Gastrointestinal Surgery》 SCIE 2025年第7期179-187,共9页
BACKGROUND Surgical resection is the primary treatment for gastric cancer,but it often leads to slow recovery,high complications,and poor psychological health.The effectiveness of enhanced recovery after surgery(ERAS)... BACKGROUND Surgical resection is the primary treatment for gastric cancer,but it often leads to slow recovery,high complications,and poor psychological health.The effectiveness of enhanced recovery after surgery(ERAS)as a new nursing model postsurgery remains uncertain.AIM To investigate the clinical effect of accelerated recovery nursing program based on multidisciplinary collaboration model in gastric cancer surgery.METHODS A total of 120 patients who underwent radical gastrectomy at our hospital from January 2023 to December 2024 were included in the study.They were divided into two groups of 60 each:The control group,which received routine care,and the study group,which received ERAS based on multidisciplinary collaboration.Both groups received care until discharge.We compared gastrointestinal recovery,psychological status,Short Form 36 Health Survey scores,Pittsburgh Sleep Quality Index,complications,and nursing satisfaction between the two groups.RESULTS The study group had significantly shorter defecation time,bowel sound recovery time,and flatus time compared to the control group(P<0.05).The Hamilton Anxiety Scale and Hamilton Depression Rating Scale scores were also significantly lower in the study group(P<0.05).Additionally,the study group reported better sleep quality(P<0.05)and had fewer postoperative complications.Their Short Form 36 Health Survey scores and nursing satisfaction were higher than those of the control group,with all differences being statistically significant(P<0.05).CONCLUSION The ERAS based on multidisciplinary collaboration in patients undergoing radical gastrectomy can accelerate postoperative recovery,reduce the occurrence of complications,and improve psychological state,quality of life,sleep quality and nursing satisfaction. 展开更多
关键词 Radical gastrectomy for gastric cancer Multidisciplinary collaboration Enhanced recovery after surgery Gastrointestinal function recovery Quality of life Nursing satisfaction
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The Impact of Operating Room Nursing Pathway Under Multidisciplinary Collaboration on Postoperative Complications in Lung Cancer Patients 认领 引用
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作者 Jingjing Liu Bo Sheng 《Science International Innovative Medicine》 2025年第5期6-11,共6页
Objective:To explore the impact of operating room nursing pathway under multidisciplinary collaboration on postoperative complications in lung cancer patients.Methods:A total of 60 lung cancer patients undergoing surg... Objective:To explore the impact of operating room nursing pathway under multidisciplinary collaboration on postoperative complications in lung cancer patients.Methods:A total of 60 lung cancer patients undergoing surgical treatment in 2024 were enrolled and randomly divided into the control group(receiving routine nursing care)and the observation group(adopting multidisciplinary collaborative nursing pathway).The incidence of postoperative complications and length of postoperative hospital stay were compared between the two groups.Results:The total incidence of complications in the observation group was 3.33%,which was significantly lower than 23.33%in the control group(P=0.023).Meanwhile,the postoperative hospital stay of the observation group was remarkably shortened compared with that of the control group[(7.2±1.3)days vs.(9.5±1.6)days,P<0.001].Conclusion:This nursing model effectively reduces the risk of postoperative complications and accelerates the rehabilitation process through preoperative comprehensive assessment,intraoperative multidisciplinary coordination and postoperative joint intervention,which is worthy of clinical promotion and application. 展开更多
关键词 Lung Cancer Multidisciplinary Collaboration Operating Room Nursing Pathway Postoperative Complications Enhanced Recovery After Surgery
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Design and Application of Preoperative Checklist for Coronary Interventional Surgery Based on Multidisciplinary Collaboration 认领 引用
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作者 Lan Wang Yanling Liu +1 位作者 Wenya Tang Wenjuan Yang 《Journal of Clinical and Nursing Research》 2025年第12期159-164,共6页
Objective:To design a preoperative checklist for coronary interventional surgery based on multidisciplinary collaboration,and verify its effect on improving the completeness rate of preoperative preparation,surgical p... Objective:To design a preoperative checklist for coronary interventional surgery based on multidisciplinary collaboration,and verify its effect on improving the completeness rate of preoperative preparation,surgical punctuality,and medical staff satisfaction.Methods:A multidisciplinary team was established involving the Department of Cardiology,Anesthesiology,Clinical Laboratory,and Interventional Surgery.Referring to the latest clinical guidelines and nursing standards,a preoperative checklist covering 8 core modules and 61 sub-items was formulated,including“1 day before surgery+day of surgery”and“doctor+nurse+patient+family member”.A total of 213 patients undergoing coronary interventional surgery in our hospital from August 2023 to February 2024(observation group)were selected to apply the checklist.The completeness rate of preoperative preparation and the on-time operation start rate were compared with 197 patients(control group)before the checklist application.The satisfaction of 34 medical staff was evaluated using a Likert 5-point scale.Results:The overall completeness rate of preoperative preparation in the observation group reached 95.72%(78.17%in the control group),among which the completeness rates of 6 sub-items such as medication,health education,and laboratory examinations reached 100%,and the completeness rate of consumables and equipment preparation was 97.1%;the on-time operation start rate was 97.3%;the satisfaction of the medical team with the checklist was 94.12%,which was significantly higher than that of the control group(82.61%),with statistically significant differences(p<0.05).Conclusion:The preoperative checklist for coronary interventional surgery designed through multidisciplinary collaboration can significantly improve the quality of preoperative preparation and surgical efficiency,and is highly recognized by the medical team,providing practical reference for perioperative safety management of interventional diagnosis and treatment. 展开更多
关键词 Coronary interventional surgery Preoperative checklist Multidisciplinary collaboration Perioperative management
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Application of Multidisciplinary Collaboration in Shortening the Treatment Time of Acute Stroke Patients 认领 引用
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作者 LIU Zhimin 《外文科技期刊数据库（文摘版）医药卫生》 2021年第7期435-436,共2页
Objective: by using multidisciplinary cooperation in the rescue of patients with acute stroke, this paper analyzes how to effectively apply multidisciplinary writing to provide comprehensive support for the rescue and... Objective: by using multidisciplinary cooperation in the rescue of patients with acute stroke, this paper analyzes how to effectively apply multidisciplinary writing to provide comprehensive support for the rescue and treatment of patients. Methods: a total of 90 patients with cerebral apoplexy in our hospital from January 2020 to January 2021 were selected as subjects. The control group was treated with conventional emergency treatment, and the observation group was treated with multidisciplinary cooperative treatment. The treatment time and related indicators of the patients were compared. Results: From the point of satisfaction, the observation group was 91.11%, the control group was 80.00%, with statistical difference. In addition, the duration of DTCT in the observation group was shorter, and the reporting time of DTCT was also shorter than that in the control group, and the overall duration of first aid was shorter, which was statistically significant. In addition, the average length of hospital stay of the observation patients was (26.57±6.52), which was lower than that of the control group (33.25±7.21), and the difference was statistically significant (P ＜ 0.05). Conclusion: multidisciplinary cooperation in the emergency treatment of acute stroke patients can optimize the treatment process, save the time for patients, analyze the treatment plan of the disease from multiple perspectives, and better serve the emergency rescue patients. It has significant clinical application value and can be widely promoted. 展开更多
关键词 multidisciplinary collaboration stroke treatment process nursing
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Effect of multidisciplinary closed-loop care on pregnancy outcomes in anxiety and depression 认领 引用 被引量：1
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作者 Tian-Tian Shen Ya-Juan Zhang Qiu-Xia Xie 《World Journal of Psychiatry》 SCIE 2026年第2期348-356,共9页
BACKGROUND Perinatal anxiety and depression are prevalent conditions associated with significant health risks.Investigating the efficacy of a multidisciplinary approach combined with a closed-loop psychological interv... BACKGROUND Perinatal anxiety and depression are prevalent conditions associated with significant health risks.Investigating the efficacy of a multidisciplinary approach combined with a closed-loop psychological intervention is essential for improving related outcomes.AIM To evaluate the clinical value of a multidisciplinary closed-loop intervention in improving pregnancy outcomes and promoting postpartum recovery in pregnant women with anxiety and depression.METHODS We conducted a randomized controlled trial involving 240 pregnant women with anxiety and depressive symptoms who received regular prenatal care at Shanghai Songjiang Maternal and Child Health Hospital between January 2024 and January 2025.Participants were randomized to an intervention group(multidisciplinary closed-loop intervention)or a control group(routine care).Delivery outcomes,maternal and neonatal complications,and postpartum pelvic floor function were compared.RESULTS The intervention group exhibited significantly lower rates of cesarean section(31.7%vs 44.2%,P<0.05),adverse maternal outcomes(15%vs 32.5%,P<0.01),and adverse neonatal outcomes(6.7%vs 15.8%,P<0.05).Additionally,the intervention group demonstrated higher rates of normal labor progression(96.3%vs 86.5%,P<0.05)and intact perineum(50.0%vs 32.8%,P<0.05),alongside superior pelvic floor muscle recovery.CONCLUSION This integrated multidisciplinary closed-loop intervention model effectively improves maternal and infant outcomes and enhanced postpartum recovery in women experiencing perinatal anxiety and depression. 展开更多
关键词 Pregnancy outcomes Closed-loop psychological intervention Multidisciplinary collaboration Psychological dysfunction Pregnant women
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Innovation and Practice of a Multidisciplinary Team Teaching Model for Subarachnoid Hemorrhage Led by the Department of Neurology 认领 引用
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作者 Qiang Zhang Zhi Li Wei Gong 《Journal of Contemporary Educational Research》 2026年第2期131-138,共8页
Objective:To establish a neurology-led multidisciplinary team(MDT)teaching model for subarachnoid hemorrhage(SAH),addressing prominent specialty barriers and fragmented clinical thinking in traditional teaching,and to... Objective:To establish a neurology-led multidisciplinary team(MDT)teaching model for subarachnoid hemorrhage(SAH),addressing prominent specialty barriers and fragmented clinical thinking in traditional teaching,and to enhance the diagnostic and therapeutic capabilities of resident and visiting physicians in managing SAH.Methods:A total of 56 physicians who participated in SAH diagnostic and therapeutic training in the neurology department of our hospital from January 2024 to June 2025 were selected and divided into an observation group(28 physicians,using the MDT innovative teaching model)and a control group(28 physicians,using the traditional specialty teaching model).The observation group,centered on neurology,integrated resources from emergency surgery,neuroradiology,neurointensive care unit,rehabilitation medicine,and other disciplines to construct a four-dimensional teaching system of“theoretical foundation-simulated practice-clinical practice-review and optimization,”incorporating AI-assisted diagnostic tools and standardized diagnostic and therapeutic approaches.The control group adopted the traditional model of classroom lectures combined with bedside teaching.The application effects of the two teaching models were compared through theoretical assessments,clinical skill operation scores,case analysis ability evaluations,and teaching satisfaction surveys.Results:The observation group achieved significantly higher average scores than the control group in theoretical assessment(89.63±4.25 vs.82.15±5.38),clinical skill operation(91.37±3.81 vs.83.46±5.12),and case analysis ability(90.24±4.16 vs.81.79±5.43),with statistically significant differences(P<0.05).The overall satisfaction with the teaching model was also higher in the observation group compared to the control group,with statistically significant differences(P<0.05).Conclusion:The neurology-led MDT innovative teaching model for SAH can effectively break down specialty barriers,enhance physicians’interdisciplinary collaboration abilities and SAH diagnostic and therapeutic levels,demonstrating significant teaching effects and warranting promotion and application in clinical teaching. 展开更多
关键词 Neurology Subarachnoid hemorrhage Multidisciplinary collaboration Teaching model Clinical teaching
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Perioperative multidisciplinary nursing model for endoscopic gastric submucosal dissection development and effect evaluation 认领 引用
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作者 Yu-Ping Qian Hui Cai +3 位作者 Shu-Yin Tang Hong-Ping Zhou Qian Han Hui-Ming Tu 《World Journal of Gastrointestinal Surgery》 SCIE 2026年第2期319-330,共12页
BACKGROUND Endoscopic submucosal dissection(ESD)has become the standard endoscopic treatment for early gastric cancer(EGC),offering high en bloc resection and curative resection rates.However,despite its minimally inv... BACKGROUND Endoscopic submucosal dissection(ESD)has become the standard endoscopic treatment for early gastric cancer(EGC),offering high en bloc resection and curative resection rates.However,despite its minimally invasive nature,ESD is still associated with potential complications such as bleeding,perforation,and delayed recovery,which can prolong hospital stays and affect patient outcomes.While advancements in digestive endoscopy have improved procedural precision and safety,perioperative care remains a critical factor influencing recovery.Conventional nursing models often lack coordination across specialties and fail to address the comprehensive needs of EGC patients undergoing ESD.In contrast,multidisciplinary team(MDT)approaches have demonstrated efficacy in improving care quality and patient satisfaction in oncology settings.Yet,the application and effectiveness of a structured perioperative MDT nursing model specifically tailored for ESD patients with EGC have not been fully explored.Therefore,developing and validating an evidence-based MDT nursing protocol is essential to optimize perioperative management and enhance clinical outcomes in this patient population.AIM To construct ESD for patients with EGC assisted by digestive endoscopy,the perioperative MDT nursing model for ESD treatment was adopted,and its effect was evaluated.METHODS A total of 99 patients diagnosed with EGC in our hospital from April 2022 to April 2025 were prospectively selected as the observation group research subjects to receive the MDT nursing mode.Another 99 patients were selected in a 1:1 ratio as the control group to receive the conventional nursing mode.Both groups received ESD treatment.The recovery of intestinal rumbling sounds after surgery,the time of first getting out of bed for activities,the average length of hospital stay,and the satisfaction situation were compared between the two groups.RESULTS Intergroup comparisons revealed that the observation group patients had significantly better outcomes in terms of time to bowel sound recovery(12.53±1.21)hours,first time out of bed activity(23.53±2.34)hours,length of hospital stay(6.63±0.46)days,and overall complication rate(3.03%),along with a significantly higher satisfaction rate of 100%compared to 80.81%in the control group(P<0.05).CONCLUSION MDT can significantly promote the recovery of EGC patients after ESD treatment assisted by digestive endoscopy,improve the treatment effect of patients,and increase patient satisfaction.It is worthy of clinical promotion and application. 展开更多
关键词 Digestive endoscopy Endoscopic submucosal dissection Early gastric cancer Multidisciplinary collaborative nursing Clinical effect
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Application Research of Multidisciplinary Collaborative Nursing Model in the Diagnosis and Treatment of Pulmonary Small Nodules 认领 引用
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作者 LIU Hui 《外文科技期刊数据库（文摘版）医药卫生》 2026年第5期134-138,共5页
Objective: To evaluate the efficacy of the multidisciplinary collaborative nursing model in the diagnosis and treatment of pulmonary small nodules. Methods: A total of 60 patients with pulmonary small nodules admitted... Objective: To evaluate the efficacy of the multidisciplinary collaborative nursing model in the diagnosis and treatment of pulmonary small nodules. Methods: A total of 60 patients with pulmonary small nodules admitted to our hospital from January 20 25 to December 20 25 were enrolled and randomly assigned using a computerized randomization table. The control group (n=30) received conventional nursing care, while the observation group (n=30) received the multidisciplinary collaborative nursing model. The nursing outcomes between the two groups were compared. Results: The FEV values in the observation group showed significant improvement compared to those in the control group.1/FVC､PEF､FEV1All parameters were significantly higher than those in the control group, while the duration of thoracic drainage, hospital stay length, and hospitalization costs were all lower; anxiety and depression scores were lower; quality of life was higher; and nursing satisfaction was greater (P<0.05). Conclusion: Multidisciplinary collaborative nursing plays a significant role in improving pulmonary function, reducing complications, lowering hospitalization costs, alleviating negative emotions, and enhancing satisfaction among patients with pulmonary nodules. 展开更多
关键词 pulmonary nodules multidisciplinary collaborative nursing model diagnosis and treatment application efficacy
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Multidisciplinary collaborative enhanced recovery after surgery nursing in patients with colorectal cancer:A comparative study 认领 引用 被引量：1
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作者 Li-Fen You Ping Zhang Qin-Qin Zhang 《World Journal of Gastrointestinal Oncology》 SCIE 2025年第8期247-255,共9页
BACKGROUND Prolonged recovery following colorectal cancer(CRC)surgery can result in physiological discomfort and psychological stress,underscoring the importance of effective perioperative care to enhance patient outc... BACKGROUND Prolonged recovery following colorectal cancer(CRC)surgery can result in physiological discomfort and psychological stress,underscoring the importance of effective perioperative care to enhance patient outcomes.AIM To evaluate the impact of multidisciplinary collaborative enhanced recovery after surgery(ERAS)nursing on patients undergoing CRC surgery.METHODS This study included 100 patients who underwent CRC surgery between August 2022 and August 2024.Patients were divided into two groups based on the perioperative nursing approach.The control group(n=50)received conventional nursing care,whereas the observation group(n=50)received multidisciplinary collaborative ERAS nursing.Postoperative recovery time,disease perception,pain levels,coping strategies,self-management efficacy,and quality of life were compared between the two groups.RESULTS Compared with the control group,the observation group exhibited significantly shorter times to ambulation,gastrointestinal motility,first meal intake,and hospital stay(P0.05).After nursing,both groups showed improvements in disease perception scores,self-management efficacy,and quality of life scores,along with reductions in pain levels and coping strategy scores,except for the confrontative and venting dimensions.The observation group demonstrated significantly greater improvements in these scores,with significant intergroup and intragroup differences(P<0.05).CONCLUSION Multidisciplinary collaborative ERAS nursing can facilitate postoperative recovery in patients with CRC,enhance disease cognition,alleviate pain,and encourage active coping,thereby improving self-management efficacy and quality of life. 展开更多
关键词 Multidisciplinary collaboration Enhanced recovery after surgery nursing Colorectal cancer surgery Disease perception Coping strategies Quality of life
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Multidisciplinary Collaborative and Refined Nursing for a Patient with Severe Toxic Epidermal Necrolysis 认领 引用
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作者 Ran Wang Junhua Liang +2 位作者 Juanjuan Ning Zhenzhen Yuan Shuping Gao 《Journal of Clinical and Nursing Research》 2025年第11期80-86,共7页
This paper summarizes the nursing experience of a 75-year-old patient who developed exfoliative dermatitis-type drug eruption induced by cold medicine and progressed to toxic epidermal necrolysis(TEN).The core nursing... This paper summarizes the nursing experience of a 75-year-old patient who developed exfoliative dermatitis-type drug eruption induced by cold medicine and progressed to toxic epidermal necrolysis(TEN).The core nursing measures included(1)Establishing a multidisciplinary team and implementing bundled care led by trauma specialist nurses;(2)Precise wound management using the“three-stage debridement method”and silver ion dressings;(3)Implementing multimodal analgesia based on dynamic pain assessment;(4)Strengthening fluid,electrolyte,and nutritional management;and(5)Providing individualized psychological support.After 14 days of treatment and nursing,the patient’s wounds were completely epithelialized,infection indicators returned to normal,pain was effectively controlled,and the patient was discharged successfully.No serious complications were observed during the 6-month follow-up.For elderly critically ill patients with TEN,constructing a systematic nursing model based on multidisciplinary collaboration and centered on trauma care is crucial for improving patient outcomes. 展开更多
关键词 Toxic epidermal necrolysis Exfoliative dermatitis-type drug eruption Multidisciplinary collaboration Critical care nursing Wound management
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Application Effect of the Multidisciplinary Team(MDT)Teaching Model in Otolaryngology Anesthesia for Standardized Residency Training 认领 引用
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作者 Jiangjing Li Xin Wang 《Journal of Contemporary Educational Research》 2025年第12期247-252,共6页
Objective:To explore the application effect of the multidisciplinary team(MDT)teaching model in otolaryngology anesthesia for standardized residency training(referred to as“residency training”),and to provide practi... Objective:To explore the application effect of the multidisciplinary team(MDT)teaching model in otolaryngology anesthesia for standardized residency training(referred to as“residency training”),and to provide practical evidence for optimizing the residency training system in otolaryngology anesthesia.Methods:A total of 65 residency physicians in otolaryngology anesthesia at our hospital from March 2024 to March 2025 were selected and divided into an observation group(32 physicians)and a control group(33 physicians)using the random number table method.The control group adopted the traditional single-disciplinary teaching model,while the observation group adopted a multidisciplinary collaborative teaching model involving the departments of anesthesiology,otolaryngology,imaging,and nursing.The theoretical assessment scores,clinical operation skill scores,case comprehensive analysis ability scores,teaching satisfaction,and the incidence of anesthesia-related complications in patients were compared between the two groups.Results:The theoretical assessment scores,clinical operation skill scores,and case comprehensive analysis ability scores in the observation group were significantly higher than those in the control group(all P<0.001).The teaching satisfaction in the observation group was significantly higher than that in the control group(P=0.035<0.05).Among the 102 patients under the care of residency physicians in the observation group,the incidence of anesthesia-related complications was 3.13%.Among the 106 patients under the care of residency physicians in the control group,the incidence of anesthesia-related complications was 15.15%.The incidence of complications in the observation group was significantly lower than that in the control group(χ2=9.250,P=0.002).Conclusion:The MDT teaching model in otolaryngology anesthesia can effectively enhance the theoretical knowledge,clinical operational skills,and comprehensive case analysis abilities of resident physicians in training.It also improves teaching satisfaction and reduces the incidence of anesthesia-related complications in patients,making it worthy of promotion and application in resident training programs. 展开更多
关键词 Otolaryngology anesthesia Multidisciplinary collaboration Standardized residency training Teaching effectiveness
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Stimulating peripheral nerves to alleviate disease symptoms program:A new perspective on regulating the cardiac system 认领 引用
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作者 Jiamian Zhang Heng Zhang +2 位作者 Hongyi Cheng Hang Sun Kun Liu 《Journal of Traditional Chinese Medical Sciences》 CAS CSCD 2026年第1期70-76,共7页
To systematically elucidate the central role of the cardiac autonomic nervous system(ANS)in maintaining cardiovascular homeostasis,analyze the pathological mechanisms underlying its dysregulation,integrate multidiscip... To systematically elucidate the central role of the cardiac autonomic nervous system(ANS)in maintaining cardiovascular homeostasis,analyze the pathological mechanisms underlying its dysregulation,integrate multidisciplinary research findings from the U.S.stimulating peripheral nerves to alleviate disease symptoms(SPARC)program,and evaluate the unique advantages and current limitations of acupuncture in modulating cardiac ANS function,ultimately proposing novel strategies for the prevention and treatment of cardiovascular diseases.A systematic literature review was conducted to synthesize current knowledge on the fundamental regulatory mechanisms of the cardiac ANS,the SPARC program's innovative contributions to neuroanatomy and neural pathway mapping,as well as clinical and experimental evidence supporting acupuncture's modulation of the ANS.The SPARC program has made significant progress in elucidating the anatomical organization and neural circuitry of the cardiac ANS through interdisciplinary collaboration,offering novel insights and methodological frameworks for studying cardiac autonomic regulation.Acupuncture,as a cornerstone of traditional medicine,has demonstrated both specificity and multi-target regulatory effects on the cardiac ANS through clinical and experimental studies.However,challenges remain,including an incomplete mechanistic understanding,technical limitations in research methodologies,and difficulties in translating findings into clinical practice.Future research on acupuncture should build upon its inherent strengths while advancing its integration with modern scientific and technological approaches.Strengthening interdisciplinary collaboration and leveraging artificial intelligence can open new frontiers in mechanistic exploration and technological innovation.These efforts will facilitate the internationalization of acupuncture research and contribute innovative perspectives and therapeutic strategies for cardiovascular disease prevention and treatment. 展开更多
关键词 Cardiac autonomic nervous system SPARC program Acupuncture Mechanistic understanding Multidisciplinary collaboration
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Exploring Urban Design Teaching under the Framework of the Discipline of Human Settlements 认领 引用
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作者 Mingxia LIANG Guorong LUO +1 位作者 Ping LEI Ting JIANG 《Asian Agricultural Research》 2026年第6期41-42,45,共2页
In the new era,urban design should focus not only on traditional spatial form-making,but also on human needs,sustainable development,and culture.Therefore,the core of urban design today is the human settlements.In thi... In the new era,urban design should focus not only on traditional spatial form-making,but also on human needs,sustainable development,and culture.Therefore,the core of urban design today is the human settlements.In this context,the teaching of urban design courses in universities needs to be actively reformed to cultivate talents who better meet the demands of social development.To this end,profound changes should be made throughout the entire process of course implementation,including teaching objectives,content,and methods.This paper explores these issues,hoping to cultivate new-type urban design talents equipped with systematic thinking,humanistic care,and practical innovation capabilities through the reform of teaching objectives,content,and methods. 展开更多
关键词 Sciences of human settlements Urban design Teaching in higher education institutions Systematic thinking Multidisciplinary collaboration Teaching reform
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Research Progress on Integrated Continuous Management of Chronic Non-healing Wounds 认领 引用
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作者 Mei Wang Fang Li +2 位作者 Chunli Yang Yaohan Ai Fang Wang 《Journal of Clinical and Nursing Research》 2026年第5期265-271,共7页
Chronic non-healing wounds are common and intractable clinical conditions with long healing cycles and high treatment difficulty,which impose heavy physical and psychological burdens on patients and increase pressure ... Chronic non-healing wounds are common and intractable clinical conditions with long healing cycles and high treatment difficulty,which impose heavy physical and psychological burdens on patients and increase pressure on the medical system.Integrated continuous management is a new medical management model that integrates prevention,assessment,intervention,rehabilitation and follow-up of chronic non-healing wounds.It emphasizes multidisciplinary collaboration,connection between diagnosis,treatment and nursing,and linkage between in-hospital and out-of-hospital care,providing systematic and comprehensive guarantee for wound healing.This paper reviews the connotation,significance,clinical practice points,current research status,existing problems and future development directions of integrated continuous management of chronic non-healing wounds,sorts out the field of chronic non-healing wound management,provides reference for clinical relevant management,and promotes the improvement and perfection of chronic non-healing wound management modes. 展开更多
关键词 Chronic non-healing wounds Integrated management Continuous management Wound care Multidisciplinary collaboration
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Combinative Algorithms for the Multidisciplinary Collaborative Simulation of Complex Mechatronic Products Based on Major Step and Convergent Integration Step 认领 引用 被引量：8
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作者 LIANG Silue ZHANG Heming WANG Hongwei 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2011年第3期355-363,共9页
Multidisciplinary collaborative simulation （MCS） is an important area of research in the domain of multidisciplinary design optimization （MDO）.Although previous research for MCS has to some extent addressed some i... Multidisciplinary collaborative simulation （MCS） is an important area of research in the domain of multidisciplinary design optimization （MDO）.Although previous research for MCS has to some extent addressed some issues like using of multiple tools,integration stability,control of step size,data synchronization,etc,further work is still necessary to study how to achieve improved precision.A theoretical model is formulated to describe and analyze the integration process of MCS.A basic algorithm with equal major steps is proposed based on the model,along with two methods of implementation for the model,namely the serial method and the parallel method.A further algorithm based on convergent integration step is proposed,which has a more flexible strategy for run-time integration.The influence of interpolation techniques on simulation performance is studied as well.Simulations of the performance of various algorithms with different interpolation techniques are performed for both a simple numerical example and a complex mechatronic product.The novel algorithm based on convergent integration step,when used with a high-order interpolation technique,has better performance in terms of precision and efficiency.The innovation of this paper is mainly on the validation of high precision of the proposed convergent integration step algorithm. 展开更多
关键词 mechatronic product multidisciplinary collaborative simulation multi-rate integration convergent integration step
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Benefits of multidisciplinary collaborative care team-based nursing services in treating pressure injury wounds in cerebral infarction patients 认领 引用 被引量：13
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作者 You-Hua Gu Xun Wang Si-Si Sun 《World Journal of Clinical Cases》 SCIE 2022年第1期43-50,共8页
BACKGROUND Cerebral infarction patients need to be bedridden for long periods of time often resulting in pressure injuries,which may represent a serious threat to patients'life and health.An effective nursing prog... BACKGROUND Cerebral infarction patients need to be bedridden for long periods of time often resulting in pressure injuries,which may represent a serious threat to patients'life and health.An effective nursing program should be adopted for timely intervention in patients with pressure wounds.AIM To explore the value of nursing services based on a multidisciplinary collaborative treatment team in patients with pressure injury wounds following cerebral infarction.METHODS Patients with cerebral infarction pressure injury wounds in our hospital from December 2016 to January 2021 were selected and divided into one study group and one control group based on the simple random number table method.The control group was treated with conventional nursing care(CNC),and the study group was treated with care services based on multidisciplinary collaborative care(MDCC).The Pressure Ulcer Scale for Healing(PUSH),healing effect,Self-Perceived Burden Score(SPBS),and satisfaction with the intervention were calculated before and after 2 and 4 wk of intervention in both groups.RESULTS Sixty-two patients were enrolled,and 31 patients were assigned to each group.The results of the interventions were as follows:(1)There was no significant difference between the PUSH scores of the MDCC group(11.19±2.46)and CNC group(12.01±2.79)before the intervention(P>0.05),and the PUSH scores were lower after 2 and 4 wk of intervention in the MDCC group(6.63±1.97 and 3.11±1.04)than in the CNC group(8.78±2.13 and 4.96±1.35 points)(P<0.05);(2)The rate of wound healing in the MDCC group(96.77%)was higher than that in the CNC group(80.65%)(P<0.05);(3)There was no significant difference between the SPBS scores of emotional factors(21.15±3.11),economic factors(9.88±2.15),and physical factors(8.19±2.23)in the two groups before the intervention.The scores of emotional factors(13.51±1.88),economic factors(6.38±1.44),and physical factors(5.37±1.08)were lower in the MDCC group than in the CNC group(16.89±2.05,7.99±1.68 and 7.06±1.19)after 4 wk of intervention(P<0.05);and(4)Satisfaction with the intervention was higher in the MDCC group(93.55%)than in the CNC group(74.19%)(P<0.05).CONCLUSION Interventions for patients with cerebral infarction pressure wounds based on an MDCC treatment team can effectively reduce patients'self-perceived burden,improve pressure wound conditions,facilitate wound healing,and increase patient satisfaction with the intervention. 展开更多
关键词 Multidisciplinary collaborative treatment team Pressure injury wounds from cerebral infarction Pressure Ulcer Scale for Healing score Self-Perceived Burden Score Healing effect
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Application of multidisciplinary collaborative nursing with family care for enhanced recovery after surgery in children with inguinal hernia 认领 引用 被引量：7
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作者 Xiu-Mei Wang Qiang Hou 《World Journal of Gastrointestinal Surgery》 SCIE 2023年第9期1932-1940,共9页
BACKGROUND Perioperative nursing can reduce the stress reaction and improve the prognosis of children.AIM To elucidate the influence of multidisciplinary collaborative nursing for enhanced recovery after surgery(ERAS)... BACKGROUND Perioperative nursing can reduce the stress reaction and improve the prognosis of children.AIM To elucidate the influence of multidisciplinary collaborative nursing for enhanced recovery after surgery(ERAS)with family care in perioperative nursing children with an inguinal hernia and its impact on the prognosis.METHODS The data of 100 children with inguinal hernia were retrospectively analyzed.The participants were divided into three groups according to different nursing methods:Groups A(n=38),B(n=32),and C(n=30).Group A received multidisciplinary collaborative ERAS nursing combined with family care nursing;Group B received multidisciplinary collaborative nursing for ERAS;and Group C received routine nursing.The postoperative recovery results of the three groups were compared,including intraoperative blood loss and postoperative feeding time,time of getting out of bed,hospitalization time,and defecation time.Furthermore,the incidence of common complications was also compared between the three groups.RESULTS There was less intraoperative blood loss in Groups A and B than in Group C(P0.05).Each index had no statistical significance between Groups A and B(P>0.05).The incidence of urinary retention,infection,hematoma,and hernia recurrence in Group A was less than that in Group C(P0.05).CONCLUSION The application of multidisciplinary collaborative nursing combined with family care in the perioperative care of children with an inguinal hernia for ERAS may promote postoperative rehabilitation for children and reduce the incidence of complications. 展开更多
关键词 Multidisciplinary collaborative Enhanced recovery after surgery Family care Perioperative nursing Prognosis Postoperative complications
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021-Multidisciplinary Collaboration Model for Pain Management in Pancreatic Cancer:Nursing Practices and Experience Summary 认领 引用
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作者 Yanan Sun 《Journal of Pancreatology》 2025年第S1期S6-S6,共1页
Objective:This study aims to explore the application effect of the multidisciplinary collaboration model in pain management of pancreatic cancer,summarize the nursing experiences of the oncology department and the pai... Objective:This study aims to explore the application effect of the multidisciplinary collaboration model in pain management of pancreatic cancer,summarize the nursing experiences of the oncology department and the pain management department,and provide a scientific basis for pain nursing of pancreatic cancer.Methods:A retrospective analysis was conducted on the clinical data of 40 patients with advanced pancreatic cancer admitted to the Oncology Department of Beijing Friendship Hospital,Capital Medical University from November 2024 to March 2025.All patients were included in the multidisciplinary collaboration pain management model,which was composed of multiple disciplines,including the oncology department,the pain management department,the surgical department,and the nursing team.Through regular multidisciplinary consultations,individualized pain management plans were developed for patients,including drug therapy,nerve block,and minimally invasive interventional therapy.The nursing team of the oncology department was responsible for pain assessment,patient education,psychological support,and prevention of complications.The Visual Analogue Scale(VAS)was used to assess the degree of pain,the Quality of Life Scale(QOL)was used to evaluate the quality of life of patients,and the patient satisfaction and the occurrence of complications were recorded.Results:Among the 40 patients,30 patients(75.0%)achieved effective pain relief.The VAS score decreased significantly from(7.2±1.3)before treatment to(3.1±0.9)(P<0.01);the QOL score increased significantly from(45.6±8.7)before treatment to(68.9±10.2)(P<0.01).The patient satisfaction rate reached 90.0%,and the complication rate was 12.5%,mainly including infection and bleeding,all of which were effectively managed.Under the multidisciplinary collaboration model,the nursing teams of the oncology department and the pain management department provided comprehensive and continuous pain management services for patients through accurate pain assessment and personalized nursing interventions,significantly improving the pain control effect and the quality of life of patients.Conclusion:The multidisciplinary collaboration model has significant advantages in pain management of pancreatic cancer.By integrating multidisciplinary resources,it provides individualized pain treatment plans and comprehensive nursing support for patients,effectively relieving pain symptoms and improving the quality of life.The nursing team of the oncology department plays an important role in this model,providing comprehensive and continuous pain nursing services for patients through measures such as accurate assessment,psychological support,and prevention of complications. 展开更多
关键词 retrospective analysis scientific basis pancreatic cancer multidisciplinary collaboration model pain management oncology department pain nursing pancreatic cancersummarize nursing experiences
Endoscopic management of infected necrotizing pancreatitis:Advancing through standardization 认领 引用 被引量：2
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作者 Yan Zeng Jun-Wen Zhang Jian Yang 《World Journal of Gastroenterology》 SCIE CAS 2025年第20期18-31,共14页
Infected necrotizing pancreatitis(INP)remains a life-threatening complication of acute pancreatitis.Despite advancements such as endoscopic ultrasound(EUS)-guided drainage,lumen-apposing metal stents,and protocolized ... Infected necrotizing pancreatitis(INP)remains a life-threatening complication of acute pancreatitis.Despite advancements such as endoscopic ultrasound(EUS)-guided drainage,lumen-apposing metal stents,and protocolized step-up strate-gies,the clinical practice remains heterogeneous,with variability in endoscopic strategies,procedural timing,device selection,and adjunctive techniques contri-buting to inconsistent outcomes.This review synthesizes current evidence to contribute to a structured framework integrating multidisciplinary team decision-making,advanced imaging(three-dimensional reconstruction,contrast-enhanced computed tomography/magnetic resonance imaging),EUS assessment,and biomarker-driven risk stratification(C-reactive protein,procalcitonin)to optimize patient selection,intervention timing,and complication management.Key stan-dardization components include endoscopic assessment and procedural strate-gies,optimal timing of intervention,personalized approaches for complex pan-creatic collections,and techniques to reduce the number of endoscopic debride-ments and mitigate complications.This work aims to enhance clinical outcomes,minimize practice heterogeneity,and establish a foundation for future research and guideline development in endoscopic management of INP. 展开更多
关键词 Infected necrotizing pancreatitis Endoscopic management Perioperative management Standardized management Multidisciplinary collaboration
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An extended HLA multilayer federation integration architecture for multidisciplinary collaborative simulation 认领 引用
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作者 唐树才 《High Technology Letters》 EI CAS 2009年第4期429-433,共5页
The development of complex products is essentially concerned with multidisciplinary knowledge. Running on Internet, integration based on muhilayer federation architecture and dynamic reuse of simulation resources are ... The development of complex products is essentially concerned with multidisciplinary knowledge. Running on Internet, integration based on muhilayer federation architecture and dynamic reuse of simulation resources are the major difficulties for complex product collaborative design and simulation. Since the traditional Run-Time Infrastructure （RTI） is not good at supporting these new requirements, an extended high level architecture （HLA） multilayer federation integration architecture （MLFIA）, based on the resource management federation （RMF） and its supporting environment based Service-oriented architecture （SOA） and HLA （SOHLA） are proposed, The idea and realization of two key technologies, the dynamic creation of simulation federation based on RMF, TH RTI, an extensible HLA runtime infrastructure （RTI）, used at Internet are emphasized. Finally, an industry case about multiple unit （MU） is given. 展开更多
关键词 complex product SOA-Based HLA （SOHLA） multilayer federation integration architecture （MLFIA） multidisciplinary collaborative simulation resource management federation （RMF）
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