今天推薦兒科護理方向的參考文獻3篇，醫學方向論文都會有中文摘要和英文摘要，作者查詢相關的前沿文獻，對論文發表還是至關重要的。

　　參考文獻一、2018—2023 年某醫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：中國消毒學雜志 2024 年第 41 卷第 12 期

　　中文摘要：目的 了解 2018— 2023 年某醫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，為臨床診療和醫院感染控制提供依據。方法 采用回顧性調查方法，收集并分析該醫院連續 6 年一季度兒科呼吸道感染住院患者臨床資料及細菌學檢測結果。結果 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、復方新諾明、頭孢菌素和阿奇霉素的耐藥率最高可達 89.3% ;大腸埃希菌和肺炎克雷伯菌對復方新諾明、慶大霉素和頭孢菌素的耐藥率可高達 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、復方新諾明和克林霉素耐藥率可達 100%。真菌以白念珠菌為主，占 78.53%。結論 該醫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，臨床合理使用抗菌藥物的同時，應針對性做好兒科住院環境消毒。

　　關鍵詞　兒童;呼吸道感染;病原菌;耐藥性

　　中圖分類號：R387

　　文獻標識碼：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

　　參考文獻二、兒科麻醉學專培引領構建麻醉學畢業后教育發展新格局

　　來源期刊：中國畢業后醫學教育 2024 年 第 8 卷 第 12 期 Chinese Journal of Graduate Medical Education Vol. 8 No. 12 2024

　　中文摘要：我國兒科麻醉學專科醫師規范化培訓(簡稱專培)實施以來，為促進麻醉學科人才培養，構建麻醉學畢業后教育發展新格局進行了嘗試。該文在總結國內外專科醫師培訓制度的基礎上，通過梳理兒科麻醉學專科醫師培養工作中的實踐與思考，提出我國麻醉學專培所面臨的挑戰和建議 , 旨在對麻醉科其他專科培訓的開展提供幫助，為推進麻醉科專培制度的不斷完善提供參考。

　　【關鍵詞】 兒科麻醉學;專科醫師規范化培訓

　　【中圖分類號】 G40 -034 ;R4

　　【文獻標識碼】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 ,俞衛鋒 ,黃宇光 .兒科麻醉學專培引領構建麻醉學畢業后教育發展新格局[J].中國

　　畢業后醫學教育 ,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

　　參考文獻三、基于醫藥轉診協作模式的兒科藥學門診精細化建設與實踐

　　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

　　網絡首發日期： 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.基于醫藥轉診協作模式的兒科藥學門診精細化建設與實踐[J/OL].中國醫院藥學雜志.

　　中文摘要：目的：總結醫藥轉診協作模式下北京大學第三醫院(下稱“我院”)兒科藥學門診的精細化建設與實踐經驗，為同類型門診提供參考。方法：構建醫藥轉診協作模式，完善兒科藥學門診軟硬件條件和精細化藥學服務模塊。收集就診患者數據、藥學門診服務數據，評估吸入裝置患教效果和服務滿意度。結果：我院兒科藥學門診開設 1 年，共計

　　700 例次患兒及家屬就診，每月平均就診量 58 例次，共有 19 名醫師轉診，296 例次(42.29%)完成了藥師服務費收費，就診時間中位數為 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%)復診。

　　最主要的就診疾病為呼吸系統疾病，最常開展患教內容為吸入裝置的使用。在就診藥學門診后，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顯著降低(P<0.05)，差異均具有統計學意義。醫護人員與患兒家屬對藥學門診服務的滿意度評價結果整體較好。結論：我院兒科藥學門診采用了醫藥轉診協作模式，構建了較為完備的藥學流程和精細化服務內容，成效顯著，為同類型門診的建設提供了有益借鑒。未來將逐步構建兒科亞專科藥學門診服務指南與路徑，提升信息化水平保障出診效率，促進兒科藥學門診的高質量發展。

　　關鍵詞 藥學門診;兒科;轉診;模式

　　中圖分類號 R9 文獻標志碼 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

　　以上就是兒科護理方向的參考文獻，很多期刊要求論文文獻有中英文結合，并且需要是3-5年的新穎文獻，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。

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