今天推薦兒科護(hù)理方向的參考文獻(xiàn)3篇，醫(yī)學(xué)方向論文都會有中文摘要和英文摘要，作者查詢相關(guān)的前沿文獻(xiàn)，對論文發(fā)表還是至關(guān)重要的。

　　參考文獻(xiàn)一、2018—2023 年某醫(yī)院兒科住院患者冬季呼吸道感染病原菌分布及耐藥性分析

　　文章來源：中國消毒學(xué)雜志 2024 年第 41 卷第 12 期

　　中文摘要：目的 了解 2018— 2023 年某醫(yī)院兒科住院患者冬季呼吸道感染的病原菌分布特征及耐藥性變遷，為臨床診療和醫(yī)院感染控制提供依據(jù)。方法 采用回顧性調(diào)查方法，收集并分析該醫(yī)院連續(xù) 6 年一季度兒科呼吸道感染住院患者臨床資料及細(xì)菌學(xué)檢測結(jié)果。結(jié)果 5 751 例患者呼吸道中分離出病原菌 2 599 株，革蘭陰性菌以流感嗜血桿菌(38.72%)、大腸埃希菌(24.34%)和肺炎克雷伯菌(10.19%)為主。流感嗜血桿菌對氨芐西林、復(fù)方新諾明、頭孢菌素和阿奇霉素的耐藥率最高可達(dá) 89.3% ;大腸埃希菌和肺炎克雷伯菌對復(fù)方新諾明、慶大霉素和頭孢菌素的耐藥率可高達(dá) 77.0%。革蘭陽性菌以金黃色葡萄球菌(62.52%)和肺炎鏈球菌(30.72%)為主，其中耐甲氧西林金黃色葡萄球菌占 64.4%。肺炎鏈球菌對紅霉素、復(fù)方新諾明和克林霉素耐藥率可達(dá) 100%。真菌以白念珠菌為主，占 78.53%。結(jié)論 該醫(yī)院兒科冬季呼吸道感染的病原菌對多種抗菌藥物耐藥性較強(qiáng)，臨床合理使用抗菌藥物的同時，應(yīng)針對性做好兒科住院環(huán)境消毒。

　　關(guān)鍵詞　兒童;呼吸道感染;病原菌;耐藥性

　　中圖分類號：R387

　　文獻(xiàn)標(biāo)識碼：A

　　文章編號：1001-7658(2024)12-0921-04

　　DOI：10.11726/j.issn.1001-7658.2024.12.012

　　英文摘要：Abstract Objective　To understand the distribution characteristics of pathogens and drug resistance changes of winter respiratory tract infections of pediatric inpatients in a hospital from 2018 to 2023, so as to provide a reference for clinical diagnosis and treatment and nosocomial infection control. Methods A retrospective survey method was used to collect and analyze the clinical data and bacteriological test results of hospitalized patients with pediatric respiratory tract infections in the first quarter of 6 consecutive years. Results 2 599 strains of the pathogen were isolated from the respiratory tract of 5 751 patients, and the Gram-negative bacteria were Haemophilus influenzae (38.72%), Escherichia coli (24.34%) and Klebsiella pneumoniae (10.19%). H. influenzae showed resistance to ampicillin, cotrimoxazole,cephalosporin, and azithromycin by up to 89.3%, and E. coli and K. pneumoniae to cotrimoxazole, gentamicin, and cephalosporin by up to 77.0%. Gram-positive bacteria were mainly Staphylococcus aureus (62.52%) and Streptococcus pneumoniae (30.72%), of which methicillin-resistant S. aureus accounted for 64.4%. S. pneumoniae showed resistance

　　to erythromycin, cotrimoxazole, and clindamycin by up to 100%. Fungi mainly was C. albicans, accounting for 78.53%.Conclusion The pathogens of winter respiratory tract infections in the pediatric department of this hospital are highlyresistant to a variety of antimicrobial drugs. While the rational use of antibacterial drugs, pediatric inpatient environment disinfection should be targeted.

　　Keywords children; respiratory infections; pathogens; drug resistance

　　參考文獻(xiàn)二、兒科麻醉學(xué)專培引領(lǐng)構(gòu)建麻醉學(xué)畢業(yè)后教育發(fā)展新格局

　　來源期刊：中國畢業(yè)后醫(yī)學(xué)教育 2024 年 第 8 卷 第 12 期 Chinese Journal of Graduate Medical Education Vol. 8 No. 12 2024

　　中文摘要：我國兒科麻醉學(xué)專科醫(yī)師規(guī)范化培訓(xùn)(簡稱專培)實(shí)施以來，為促進(jìn)麻醉學(xué)科人才培養(yǎng)，構(gòu)建麻醉學(xué)畢業(yè)后教育發(fā)展新格局進(jìn)行了嘗試。該文在總結(jié)國內(nèi)外專科醫(yī)師培訓(xùn)制度的基礎(chǔ)上，通過梳理兒科麻醉學(xué)專科醫(yī)師培養(yǎng)工作中的實(shí)踐與思考，提出我國麻醉學(xué)專培所面臨的挑戰(zhàn)和建議 , 旨在對麻醉科其他專科培訓(xùn)的開展提供幫助，為推進(jìn)麻醉科專培制度的不斷完善提供參考。

　　【關(guān)鍵詞】 兒科麻醉學(xué);專科醫(yī)師規(guī)范化培訓(xùn)

　　【中圖分類號】 G40 -034 ;R4

　　【文獻(xiàn)標(biāo)識碼】A

　　【文章編號】 2096 -4293 (2024 )12 -945 -04

　　DOI: 10 .3969 / j.issn.2096 -4293 .2024 .12 .015

　　本文著錄格式: 朱波 ,俞衛(wèi)鋒 ,黃宇光 .兒科麻醉學(xué)專培引領(lǐng)構(gòu)建麻醉學(xué)畢業(yè)后教育發(fā)展新格局[J].中國

　　畢業(yè)后醫(yī)學(xué)教育 ,2024 ,8 (12 ):945 -948 .

　　英文摘要：【Abstract】 Since the implementation of the standardized fellowship training(SFT) program for pediatric anesthesiologists in China, a bold attempt has been pioneered to promote the cultivation of talents and to construct a new pattern of post-graduation medical education in anesthesiology. In this article, we summarize the differences of the fellowship training systems for pediatric anesthesiologists at home and abroad, sort out the practice and experiences accumulated in the SFT program, and propose the challenges faced by SFT in China, soas to be helpful for the development of other SFT programs in anesthesiology and to provide reference for promoting the continuous improvement of the post-graduation medical education in China.

　　【Key words】 pediatric anesthesia; standardized fellowship training

　　參考文獻(xiàn)三、基于醫(yī)藥轉(zhuǎn)診協(xié)作模式的兒科藥學(xué)門診精細(xì)化建設(shè)與實(shí)踐

　　作者： 周鵬翔，周薇，楊毅恒，劉玲，邢燕，李靈慧，鮑慧玲，曹廣娜，劉維，程

　　吟楚，劉芳，韓彤妍，趙榮生

　　收稿日期： 2024-03-29

　　網(wǎng)絡(luò)首發(fā)日期： 2024-12-24

　　引用格式： 周鵬翔，周薇，楊毅恒，劉玲，邢燕，李靈慧，鮑慧玲，曹廣娜，劉維，程

　　吟楚，劉芳，韓彤妍，趙榮生.基于醫(yī)藥轉(zhuǎn)診協(xié)作模式的兒科藥學(xué)門診精細(xì)化建設(shè)與實(shí)踐[J/OL].中國醫(yī)院藥學(xué)雜志.

　　中文摘要：目的：總結(jié)醫(yī)藥轉(zhuǎn)診協(xié)作模式下北京大學(xué)第三醫(yī)院(下稱“我院”)兒科藥學(xué)門診的精細(xì)化建設(shè)與實(shí)踐經(jīng)驗(yàn)，為同類型門診提供參考。方法：構(gòu)建醫(yī)藥轉(zhuǎn)診協(xié)作模式，完善兒科藥學(xué)門診軟硬件條件和精細(xì)化藥學(xué)服務(wù)模塊。收集就診患者數(shù)據(jù)、藥學(xué)門診服務(wù)數(shù)據(jù)，評估吸入裝置患教效果和服務(wù)滿意度。結(jié)果：我院兒科藥學(xué)門診開設(shè) 1 年，共計(jì)

　　700 例次患兒及家屬就診，每月平均就診量 58 例次，共有 19 名醫(yī)師轉(zhuǎn)診，296 例次(42.29%)完成了藥師服務(wù)費(fèi)收費(fèi)，就診時間中位數(shù)為 11 min(含特殊裝置患教：13 min;不含特殊裝置患教：8 min)，79 例次(11.83%)復(fù)診。

　　最主要的就診疾病為呼吸系統(tǒng)疾病，最常開展患教內(nèi)容為吸入裝置的使用。在就診藥學(xué)門診后，患兒對于裝置使用的錯誤率均顯著下降，呼氣、吸氣與屏氣的宣教次數(shù)顯著降低(P<0.05)，差異均具有統(tǒng)計(jì)學(xué)意義。醫(yī)護(hù)人員與患兒家屬對藥學(xué)門診服務(wù)的滿意度評價結(jié)果整體較好。結(jié)論：我院兒科藥學(xué)門診采用了醫(yī)藥轉(zhuǎn)診協(xié)作模式，構(gòu)建了較為完備的藥學(xué)流程和精細(xì)化服務(wù)內(nèi)容，成效顯著，為同類型門診的建設(shè)提供了有益借鑒。未來將逐步構(gòu)建兒科亞專科藥學(xué)門診服務(wù)指南與路徑，提升信息化水平保障出診效率，促進(jìn)兒科藥學(xué)門診的高質(zhì)量發(fā)展。

　　關(guān)鍵詞 藥學(xué)門診;兒科;轉(zhuǎn)診;模式

　　中圖分類號 R9 文獻(xiàn)標(biāo)志碼 A

　　英文摘要：Abstract OBJECTIVE To summarize and analyze the refined construction and practical experience of pediatric pharmacymanaged clinic using the medicine referral collaboration model, and to provide reference for the similar type of clinic.

　　METHODS The medicine referral collaboration model was constructed to improve the hardware and software conditions of the pediatric pharmacy outpatient clinic and the refined pharmacy service model. We collected data from patients attending the clinic, pharmacy outpatient service data, and assessed the effect of inhalation device patien t education and servicesatisfaction.

　　RESULTS One year after the opening of the pediatric pharmacy-managed clinic in our hospital, a total of 700 children and their families visited the clinic, with an average of 58 visits per month. A total of 19 physici an conducted referrals.296 cases (42.29%) completed the charge for pharmacist services. The median time of visit was 11 minutes (with

　　special device education: 13 minutes; without special device education: 8 minutes). 79 cases (11.83%) completed repeated visits. The predominant disease was respiratory, and the most frequent teaching was about the use of inhalation devices. Afte rvisiting the pharmacy clinic, the error rate of the children regarding the use of the device was significantly reduced, and t henumber of teachings on expiration, inhalation and breath-holding was significantly reduced (P<0.05), with a statistically significant difference.

　　151 healthcare professionals and families of the children satisfied the services provided by the pharmacy-managed clinic.

　　CONCLUSION The pediatric pharmacy-managed clinic of our hospital has adopted the collaborative model of medicine referral and constructed a more complete pharmacy process and refined service content, which is effective and provides a useful reference for the construction of the similar type of clinic. In the future, we will gradually build the service guidelines and pathways of pediatric subspecialty pharmacy clinic, improve the level of informationization to ensure the efficiency of consultation, and promote the high-quality development of pediatric pharmacymanaged clinic.

　　Key words pharmacist-managed clinics; pediatrics; referral; model

　　以上就是兒科護(hù)理方向的參考文獻(xiàn)，很多期刊要求論文文獻(xiàn)有中英文結(jié)合，并且需要是3-5年的新穎文獻(xiàn)，這樣更有參考價值，研究也不會過時，一定要針對情況找到合適自己的文獻(xiàn)。