1.A Comparative Study on the Clinical Effects of Short-term and Long-term Spinal Cord Stimulation in Patients with Prolonged Disorders of Consciousness
Fengqiao SUN ; Hongchuan NIU ; Yi YANG ; Jianghong HE ; Yuanli ZHAO
Medical Journal of Peking Union Medical College Hospital 2025;16(2):307-313
To compare the therapeutic effects of short-term spinal cord stimulation (stSCS) and long-term spinal cord stimulation (ltSCS) on patients with prolonged disorders of consciousness(pDoC). Clinical data of patients with pDoC who underwent SCS surgery at Peking University International Hospital from January 2020 to December 2021 were retrospectively included. Patients were divided into the stSCS group and the ltSCS group based on the surgical approach. The Coma recovery scale-revised (CRS-R) was used to assess the level of consciousness before and 3 months after SCS treatment. Based on CRS-R scores, the clinical diagnosis of the patient's level of consciousenss was categorized into four levels: vegetative state, minimally conscious state minus (MCS-), MCS plus (MCS+), and emergence from the minimally conscious state(EMCS). Improvement in the clinical diagnostic level of consciousness was defined as effective treatment, and the therapeutic outcomes of the stSCS and ltSCS groups were compared. 44.8% of patients with pDoC showed improvement in their clinical diagnostic level of consciousness after SCS treatment. Compared to preoperative scores, the CRS-R scores at 3 months postoperatively were significantly increased in both the stSCS and ltSCS groups (both Both stSCS and ltSCS can significantly improve the level of consciousness in patients with pDoC. Compared to ltSCS, stSCS may achieve comparable short-term therapeutic outcomes.
2.Construction of core competency evaluation index system for emergency trauma specialist nurses
Fengqiao YANG ; Xiaoqin LI ; Yin WU
Chinese Journal of Modern Nursing 2023;29(31):4303-4309
Objective:To construct a core competency evaluation index system for emergency trauma specialist nurses.Methods:A research team was established in February 2022 to preliminarily draw up a pool of core competence evaluation indexes for emergency trauma specialist nurses through literature review and group discussion. From April to July 2022, 18 experts were selected and 2 rounds of Delphi expert letters were conducted to determine the content and weight of indexes. The effective recovery rate of questionnaires was used to reflect the positive degree of experts. Expert authority coefficient was adopted to reflect expert authority. Coefficient of variation and Kendall's harmony coefficient were used to reflect the degree of expert opinion coordination. The analytic hierarchy process was used to calculate the index weight.Results:The effective recovery rates were 88.89% and 100.00%, respectively. The expert authority coefficients were 0.947 and 0.960 respectively. After the second round of expert consultation, the variation coefficients of primary, secondary and tertiary indexes were 0-0.134, 0-0.141 and 0-0.184, respectively. The Kendall's harmony coefficients of primary, secondary and tertiary indexes were 0.204, 0.209 and 0.167, respectively (all P<0.01). Finally, the core competency evaluation index system for emergency trauma specialist nurses consisted of 6 first-level indexes, 23 second-level indexes and 80 third-level indexes. Conclusions:The core competency evaluation index system for emergency trauma specialist nurses is scientific and reliable, which can provide references for optimizing the training, development and assessment of emergency trauma specialist nurses.

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