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1.
J Nat Prod ; 77(12): 2590-4, 2014 Dec 26.
Artigo em Inglês | MEDLINE | ID: mdl-25427242

RESUMO

Three indole alkaloid glycosides, strobilanthosides A-C (1-3), two known indole alkaloid glucosides (4 and 5), and five phenylethanoid glycosides (8-10) were isolated from the aerial parts of Strobilanthes cusia. The structures of the new compounds were elucidated by spectrometric analysis, and the absolute configurations of 1 and 2 were established by ECD spectrocsopy. N'-ß-d-Glucopyranosylindirubin (5) showed weak antibacterial activity (MIC 62.5-125 µM) against Staphylococcus aureus.


Assuntos
Acanthaceae/química , Antibacterianos/isolamento & purificação , Medicamentos de Ervas Chinesas/isolamento & purificação , Glicosídeos/isolamento & purificação , Alcaloides Indólicos/isolamento & purificação , Antibacterianos/química , Antibacterianos/farmacologia , Medicamentos de Ervas Chinesas/química , Medicamentos de Ervas Chinesas/farmacologia , Glicosídeos/química , Glicosídeos/farmacologia , Alcaloides Indólicos/química , Alcaloides Indólicos/farmacologia , Testes de Sensibilidade Microbiana , Estrutura Molecular , Ressonância Magnética Nuclear Biomolecular , Staphylococcus aureus/efeitos dos fármacos
2.
Anim Nutr ; 17: 387-396, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38812497

RESUMO

A feeding trial was conducted to assess the impacts of dietary astaxanthin from wall-broken Haematococcus pluvialis (WBHPA) on the growth performance, antioxidant status, immune response, and intestinal health of rainbow trout (Oncorhynchus mykiss). Six experimental diets were formulated with various concentrations of WBHPA, ranging from 0 to 8.4 g/kg (containing 0 to 125 mg/kg astaxanthin). Each diet was fed to triplicate groups of rainbow trout (mean initial weight of 561 g) twice daily for 9 consecutive weeks. The survival rate and feed intake of fish exhibited no significant differences among the dietary groups (P > 0.05). Similarly, dietary inclusion of 25 to 100 mg/kg astaxanthin did not significantly affect the weight gain and daily growth coefficient (P > 0.05), but excessive inclusion of astaxanthin (125 mg/kg) slightly depressed these parameters (P < 0.05). Dietary inclusion of 25 to 50 mg/kg astaxanthin increased the activities of intestinal digestion and absorption enzymes (lipase, creatine kinase, and alkaline phosphatase), while the inclusion of 25 to 75 mg/kg astaxanthin improved the immune response of fish. Furthermore, regardless of inclusion level (25 to 125 mg/kg), dietary astaxanthin supplementation strengthened the intestinal mucosal barrier function and improved antioxidant activity, thereby promoting intestinal development. Conclusively, 25 to 75 mg/kg astaxanthin from WBHPA was recommended to be included in diets for rainbow trout.

3.
Oncol Rep ; 51(6)2024 06.
Artigo em Inglês | MEDLINE | ID: mdl-38639175

RESUMO

At present, the incidence of tumours is increasing on a yearly basis, and tumourigenesis is usually associated with chromosomal instability and cell cycle dysregulation. Moreover, abnormalities in the chromosomal structure often lead to DNA damage, further exacerbating gene mutations and chromosomal rearrangements. However, the non­SMC condensin I complex subunit G (NCAPG) of the structural maintenance of chromosomes family is known to exert a key role in tumour development. It has been shown that high expression of NCAPG is closely associated with tumour development and progression. Overexpression of NCAPG variously affects chromosome condensation and segregation during cell mitosis, influences cell cycle regulation, promotes tumour cell proliferation and invasion, and inhibits apoptosis. In addition, NCAPG has been associated with tumour cell stemness, tumour resistance and recurrence. The aim of the present review was to explore the underlying mechanisms of NCAPG during tumour development, with a view towards providing novel targets and strategies for tumour therapy, and through the elucidation of the mechanisms involved, to lay the foundation for future developments in health.


Assuntos
Proteínas de Ciclo Celular , Complexos Multiproteicos , Neoplasias , Humanos , Proteínas de Ciclo Celular/genética , Proteínas de Ligação a DNA/genética , Proteínas de Ligação a DNA/metabolismo , Adenosina Trifosfatases/metabolismo , Mitose , Neoplasias/genética
4.
J Nat Prod ; 76(4): 732-6, 2013 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-23544451

RESUMO

A new complex natural product with a C39 skeleton, named nudibaccatumone, and the known sesquiterpenes (+)-spathulenol, (-)-4ß,10α-aromadendranediol, and ent-T-muurolol, as well as the phenylpropanoid hydroxychavicol, were isolated from the aerial parts of Piper nudibaccatum. The structure and absolute configuration of nudibaccatumone were elucidated using spectroscopic methods and ECD calculations. A 1,8-Michael addition reaction and an intermolecular, inverse electron demand Diels-Alder reaction are proposed as the key steps in the biosynthesis of nudibaccatumone.


Assuntos
Medicamentos de Ervas Chinesas/isolamento & purificação , Fenilpropionatos/isolamento & purificação , Piper/química , Sesquiterpenos/isolamento & purificação , Candida albicans/efeitos dos fármacos , Ensaios de Seleção de Medicamentos Antitumorais , Medicamentos de Ervas Chinesas/química , Medicamentos de Ervas Chinesas/farmacologia , Escherichia coli/efeitos dos fármacos , Humanos , Testes de Sensibilidade Microbiana , Estrutura Molecular , Fenilpropionatos/química , Fenilpropionatos/farmacologia , Sesquiterpenos/química , Sesquiterpenos/farmacologia , Sesquiterpenos de Guaiano , Staphylococcus aureus/efeitos dos fármacos , Terpenos
5.
Planta Med ; 79(8): 693-6, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23576174

RESUMO

Two new mono- and four new dimeric alkenylphenols, namely sarmentosumols A to F (1-6), were isolated from the aerial parts of Piper sarmentosum. The structures of these compounds were determined through a detailed analysis of NMR and MS data. Their antimicrobial activity against Escherichia coli, Staphyloccocus aureus, and Candida albicans, and their cytotoxic activity against human myeloid leukemia (K562) and human lung adenocarcinoma (A549) cell lines were also evaluated. Except for sarmentosumol A (1), whose MIC on S. aureus was reported to be 7.0 µg/mL, none of the other newly discovered compounds exhibited antimicrobial property. The studied compounds did not possess any cytotoxic property.


Assuntos
Anti-Infecciosos/isolamento & purificação , Fenóis/isolamento & purificação , Piper/química , Anti-Infecciosos/química , Anti-Infecciosos/farmacologia , Linhagem Celular Tumoral , Dimerização , Ensaios de Seleção de Medicamentos Antitumorais , Humanos , Espectroscopia de Ressonância Magnética , Testes de Sensibilidade Microbiana , Fenóis/química , Fenóis/farmacologia , Espectrometria de Massas por Ionização por Electrospray
6.
Zhong Yao Cai ; 36(7): 1092-6, 2013 Jul.
Artigo em Zh | MEDLINE | ID: mdl-24417144

RESUMO

OBJECTIVE: To investigate the chemical constituents of Euphorbia helioscopia and their antitumor activities. METHODS: Normal phase silica gel, RP-18 silica gel and Sephadex LH-20 column chromatographies combined with recrystallization were used to isolate and purify the constituents. Their structures were identifided by spectroscopic methods, including 1H-NMR, 13C-NMR, ESI-MS and EI-MS. And the antitumor activities of some of chemical constituents in vitro were detected by sulphorhodamine B protein staining. RESULTS: Nine compounds were isolated and their structures were identified as euphohelioscopin A (1), euphoscopin (2), 9, 19-cyclolanost-23E-ene-3, 25-diol (3), euphoscopin C (4), euphornin A (5), euphoheliosnoid A (6), ent-kaurane-3-oxo-16beta, 17-diol (7), 9, 19-cyclolanost-25-ene-3beta, 22-diol (8) and helioscopinolide A(9) Compound 9 showed effect on inhibiting the cell proliferations of MCF-7 cell line. CONCLUSION: Compounds 3, 7, 8 and 9 are obtained from this plant for the first time, and compound 9 shows the potential antitumor activity.


Assuntos
Abietanos/isolamento & purificação , Abietanos/farmacologia , Medicamentos de Ervas Chinesas/isolamento & purificação , Medicamentos de Ervas Chinesas/farmacologia , Euphorbia/química , Abietanos/química , Antineoplásicos Fitogênicos/isolamento & purificação , Antineoplásicos Fitogênicos/farmacologia , Neoplasias da Mama/patologia , Proliferação de Células/efeitos dos fármacos , Medicamentos de Ervas Chinesas/química , Feminino , Humanos , Células MCF-7 , Espectroscopia de Ressonância Magnética , Estrutura Molecular , Plantas Medicinais/química
7.
Front Microbiol ; 14: 1292082, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38293559

RESUMO

Compound Chinese medicine (F1) is a traditional prescription in Chinese medicine that is commonly used to treat spleen deficiency diarrhea (SDD). It has demonstrated remarkable effectiveness in clinical practice. However, the precise mechanism by which it exerts its antidiarrheal effect is still unclear. This study aimed at investigating the antidiarrheal efficacy and mechanism of F1 on senna-induced secretory diarrhea (SDD). Senna was utilized to induce the development of a mouse model of senna-induced secretory diarrhea (SDD) in order to observe the rate of diarrhea, diarrhea index, blood biochemistry, and histopathological changes in the small intestine. Additionally, the levels of sodium and hydrogen exchange protein 3 (NHE3) and short-chain fatty acids (SCFAs) were determined using enzyme-linked immunosorbent assay (ELISA). The impact of F1 on the senna-induced SDD mouse models was evaluated by monitoring changes in the gut microbiota through 16S rRNA (V3-V4) sequencing. The results demonstrated that F1, a traditional Chinese medicine, effectively increased the body weight of SDD mice and reduced the incidence of diarrhea and diarrhea index. Additionally, F1 restored liver and kidney function, reduced the infiltration of inflammatory cells in intestinal tissue, and promoted the growth of intestinal villi. Furthermore, F1 was found to enhance the expression of NHE3 and SCFAs. It also increased the abundance of Firmicutes and Lactobacillus species, while decreasing the abundance of Proteobacteria and Shigella.

8.
Planta Med ; 78(1): 65-70, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21858757

RESUMO

Twelve isoquinoline alkaloids including two new nitro-containing tetrahydroprotoberberines, (-)-2,9-dihydroxyl-3,11-dimethoxy-1,10-dinitrotetrahydroprotoberberine (1) and (+)-4-nitroisoapocavidine (2), were isolated from the whole plant of Corydalis saxicola Bunting. The structures of the new compounds were established by spectroscopic analysis and chemical evidence. The inhibitory activity of these isolates against cholinesterase and canine parvovirus were evaluated. Compounds 1 and 1A, (+)-1-nitroapocavidine (5), berberine (8), palmatine (9), dehydrocavidine (10), and sanguinarine (11) showed potent inhibitory activity against acetylcholinesterase with IC(50) values of less than 10 µM, while only compound 1 possessed weak activity against canine parvovirus. Structure-activity studies demonstrated that the nitro substituents at ring A in the tetrahydroprotoberberines led to an increase in the anti-acetylcholinesterase activity.


Assuntos
Alcaloides de Berberina/farmacologia , Inibidores da Colinesterase/farmacologia , Corydalis/química , Parvovirus/efeitos dos fármacos , Extratos Vegetais/farmacologia , Acetilcolinesterase/metabolismo , Animais , Antivirais/química , Antivirais/isolamento & purificação , Antivirais/farmacologia , Alcaloides de Berberina/química , Alcaloides de Berberina/isolamento & purificação , Inibidores da Colinesterase/química , Inibidores da Colinesterase/isolamento & purificação , Cães , Estrutura Molecular , Extratos Vegetais/química , Relação Estrutura-Atividade
9.
Zhongguo Zhong Yao Za Zhi ; 37(15): 2286-8, 2012 Aug.
Artigo em Zh | MEDLINE | ID: mdl-23189735

RESUMO

OBJECTIVE: To study the chemical constituents of Periploca forrestii. METHOD: The constituents were separate using such various column chromatographic techniques as silica gel, RP-18 silica gel, MCI and Sephadex LH-20. Their structures were identified by such methods as spectral analysis. RESULT: Ten compounds were isolated and identified as periforgenin A-3-O-beta-digitoxopyranoside (1), beta-sitosterol (2), periforoside I (3), ursolic acid (4), periplogenin (5), periplocin (6), glycoside E (7), periplocoside M (8) , daucosterol (9), 2alpha, 3alpha, 23-trihydroxy-urs-12-en-28-oic acid (10). CONCLUSION: Compound 1 was a new cardiac glycoside and compound 8 was reported for the first time from this plant.


Assuntos
Cardiotônicos/química , Medicamentos de Ervas Chinesas/química , Glicosídeos/química , Periploca/química , Cardiotônicos/isolamento & purificação , Medicamentos de Ervas Chinesas/isolamento & purificação , Glicosídeos/isolamento & purificação , Estrutura Molecular
10.
J Nat Prod ; 74(3): 464-9, 2011 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-21192108

RESUMO

Phytochemical study of the roots of Trigonostemon thyrsoideum led to the isolation of four new oxygenated daphnane-type diterpenoids, trigonosins A-D (1-4), and two new modified daphnanes, trigonosins E and F (5 and 6). The structures and relative configurations were elucidated on the basis of extensive spectroscopic analysis, including 1D and 2D NMR experiments. All compounds isolated were evaluated for their cytotoxicity against HL-60, A549, and MCF-7 human cancer cell lines.


Assuntos
Antineoplásicos Fitogênicos/isolamento & purificação , Antineoplásicos Fitogênicos/farmacologia , Diterpenos/isolamento & purificação , Diterpenos/farmacologia , Medicamentos de Ervas Chinesas/isolamento & purificação , Medicamentos de Ervas Chinesas/farmacologia , Euphorbiaceae/química , Antineoplásicos Fitogênicos/química , Diterpenos/química , Ensaios de Seleção de Medicamentos Antitumorais , Medicamentos de Ervas Chinesas/química , Células HL-60 , Humanos , Estrutura Molecular , Ressonância Magnética Nuclear Biomolecular , Raízes de Plantas/química
11.
Bioorg Med Chem ; 17(19): 6937-41, 2009 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-19726199

RESUMO

By targeting multi-active sites of acetylcholinesterase (AChE), a series of huperzine A (Hup A) derivatives with various aromatic ring groups were designed and synthesized by Schiff reaction. They were evaluated as AChE and butyrylcholinesterase (BChE) inhibitors. Results showed very significant specificity that the group of imine derivatives could inhibit TcAChE and hAChE, but no inhibitory effect on hBChE was detected. The experiment was explained by a docking study. In the docking model, we confirmed that aromatic ring of Hup A derivatives played the pi-pi stacking against aminophenol residues of AChE, and the structure-activity relationship (SAR) was discussed.


Assuntos
Inibidores da Colinesterase/síntese química , Sesquiterpenos/síntese química , Acetilcolinesterase , Alcaloides , Butirilcolinesterase , Inibidores da Colinesterase/farmacologia , Simulação por Computador , Desenho de Fármacos , Humanos , Fármacos Neuroprotetores/síntese química , Ligação Proteica , Bases de Schiff/química , Sesquiterpenos/farmacologia , Relação Estrutura-Atividade
12.
J Nat Prod ; 72(6): 1151-4, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19422203

RESUMO

Eight new pyrrolidinoindoline alkaloids (1-8) were isolated from the whole plant of Selaginella moellendorfii. Their structures were determined by mass spectrometry, 1D and 2D NMR spectroscopy, and chemical interconversions. These alkaloids have a 3-carboxybut-2-enyl group at C-3a and two methyl groups at N-8. The possible biogenetic route from selaginellic acid (1) to neoselaginellic acid (6) was postulated and chemically mimicked. Tautomerization between 6 and 6a was observed. Selected compounds were evaluated for antibacterial, cytotoxic, and acetylcholinesterase inhibitory activities.


Assuntos
Medicamentos de Ervas Chinesas/isolamento & purificação , Alcaloides Indólicos/isolamento & purificação , Pirrolidinas/isolamento & purificação , Selaginellaceae/química , Inibidores da Colinesterase/química , Inibidores da Colinesterase/isolamento & purificação , Inibidores da Colinesterase/farmacologia , Ensaios de Seleção de Medicamentos Antitumorais , Medicamentos de Ervas Chinesas/química , Medicamentos de Ervas Chinesas/farmacologia , Escherichia coli/efeitos dos fármacos , Humanos , Alcaloides Indólicos/química , Alcaloides Indólicos/farmacologia , Testes de Sensibilidade Microbiana , Estrutura Molecular , Ressonância Magnética Nuclear Biomolecular , Pirrolidinas/química , Pirrolidinas/farmacologia , Staphylococcus aureus/efeitos dos fármacos
14.
Nanoscale ; 11(14): 6828-6837, 2019 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-30912563

RESUMO

Polymer composite films, particularly those based on polymers and layered nanomaterials, are attractive materials for exploiting the properties of multiple materials for applications in electronics and photonics. In this work, a beta-lead oxide quantum dot (ß-PbO QD)/polystyrene (PS) composite film is successfully fabricated by a solution blending method. The ß-PbO QDs are well-distributed within a ß-PbO QD/PS composite film and the composite film is transparent and flexible. Owing to the almost complete insolubility of both ß-PbO QDs and PS, the as-fabricated ß-PbO QD/PS composite film holds the nonlinear photonic response from 540 nm to 1060 nm under complete water immersion, confirming its excellent stability to high humidity. Additionally, the ß-PbO QD/PS composite film exhibits a considerable capacity for optical modulation owing to a strong nonlinear absorption coefficient compared with those of other two-dimensional (2D) materials. On the basis of a home-made ß-PbO QD/PS composite film saturable absorber, stable mode-locked pulses at 1060 nm are generated under humid conditions. It is anticipated that the ß-PbO QD/PS composite films enable the exploitation of new waterproof, flexible photonic devices based on functional 2D materials and polymers.

15.
Org Lett ; 21(13): 5051-5054, 2019 07 05.
Artigo em Inglês | MEDLINE | ID: mdl-31199154

RESUMO

Ochrocephalamines B-D (1-3), composed of fused quinolizidine and octahydroquinoline rings, were isolated from Oxytropis ochrocephala Bunge. Ochrocephalamine B (1) has a unique bridged tetracyclic ring skeleton fused with a lactam ring. The structures of 1-3 were elucidated using spectroscopic and computational approaches. Ochrocephalamine C (2) and D (3) demonstrated potent anti-HBV activities and are more potent against the secretion of HBeAg than that of HBsAg.


Assuntos
Alcaloides/química , Oxytropis/química , Modelos Moleculares , Conformação Molecular
16.
Nanoscale ; 11(30): 14383-14391, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31334535

RESUMO

Ultrafast photonics based on two-dimensional (2D) materials has been used to investigate light-matter interactions and laser generation, as well as light propagation, modulation, and detection. Here, 2D metal-phosphorus trichalcogenides, which are known for applications in catalysis and electrochemical storage, also exhibit advantageous photonic properties as nanoflakes that are only a few layers thick. By using an open-aperture Z-scan system, few-layer NiPS3 nanoflakes exhibited a large modulation depth of 56% and a low saturable intensity of 16 GW cm-2 at 800 nm. When NiPS3 nanoflakes were used as a saturable absorber at 1066 nm, highly stable mode-locked pulses were generated. Thus, these results revealed the nonlinear optical properties of NiPS3 nanoflakes which have potential photonics applications, such as modulators, switches, and thresholding devices.

17.
Org Lett ; 9(25): 5279-81, 2007 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-17994756

RESUMO

Hostasinine A (1), a benzylphenethylamine alkaloid with an unprecedented skeleton featuring a C-4-C-6 linkage and a nitrone moiety, was isolated from Hosta plantaginea. Its structure was established on the basis of spectroscopic data, and was further confirmed by single-crystal X-ray diffraction. The alkaloid was postulated biogenetically from haemanthidine via N-oxidation and aza-aldol-type condensation and was synthesized biomimetically. The inhibitory activities of 1 on acetylcholinesterase (AChE) and two tumor cell lines (K562 and A549) were also evaluated.


Assuntos
Alcaloides/química , Benzeno/química , Materiais Biomiméticos/síntese química , Hosta/química , Fenetilaminas/química , Ácidos/química , Materiais Biomiméticos/química , Estrutura Molecular , Fenetilaminas/síntese química
18.
Food Chem ; 228: 567-573, 2017 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-28317764

RESUMO

The mogrosides in the fruit of Siraitia grosvenori can serve as a sugar substitute for diabetics due to their sweetness, low calorie and positive effects on blood glucose level control. The present study was to purify the mogrosides from the fruit of S. grosvenori and evaluate their enhancement of glucose uptake rate in HepG2 cells in vitro. As a result, eighteen mogrosides were isolated, including six new ones and a known but new naturally occurring compound. The chemical structures of the new compounds were identified by 1D, 2D-NMR and HR-ESI-MS techniques, together with chemical methods. Compared to the positive control (metformin), all the obtained mogrosides showed equivalent or more potent effects on the glucose uptake in HepG2 cells in vitro. These results suggested the mogrosides in the fruit of S. grosvenori were worthy of further research to confirm their potential benefits for obese and diabetic patients.


Assuntos
Flavonóis/química , Frutas/química , Glucose/metabolismo , Glicosídeos/química , Triterpenos/química , Glucose/análise , Células Hep G2 , Humanos
19.
Biochimie ; 88(10): 1331-42, 2006 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16793192

RESUMO

Group IIA phospholipase A(2) (PLA(2)) are major components in Viperidae/Crotalidae venom. In the present study, a novel PLA(2) named promutoxin with Arg at the site 49 has been purified from the venom of Protobothrops mucrosquamatus by chromatography. It consists of 122 amino acid residues with a molecular mass of 13,656 Da assessed by MALDI-TOF. It has the structural features of snake venom group IIA PLA(2)s, but has no PLA(2) enzymatic activity. Promutoxin shows higher amino acid sequence identity to the K49 PLA(2)s (72-95%) than to D49 PLA(2)s (52-58%). Promutoxin exhibits potent myotoxicity in the animal model with as little as 1 microg of promutoxin causing myonecrosis and myoedema in the gastrocnemius muscle of mice. Promutoxin is also able to stimulate the release of IL-12, TNFalpha, IL-6 and IL-1beta from human monocytes, and induce IL-2, TNFalpha and IL-6 release from T cells, indicating that this snake venom group IIA PLA(2) is actively involved in the inflammatory process in man caused by snake venom poisoning.


Assuntos
Venenos de Crotalídeos/enzimologia , Citocinas/metabolismo , Fosfolipases A/química , Fosfolipases A/farmacologia , Sequência de Aminoácidos , Animais , Antibacterianos/farmacologia , Arginina , Sequência de Bases , Humanos , Dados de Sequência Molecular , Peso Molecular , Monócitos/efeitos dos fármacos , Monócitos/imunologia , Fosfolipases A/isolamento & purificação , Ratos , Ratos Wistar , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Linfócitos T/efeitos dos fármacos , Linfócitos T/imunologia
20.
Int J Nurs Stud ; 42(7): 723-31, 2005 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16084920

RESUMO

The purpose of this pilot project was to establish a discharge-planning model and evaluate its effectiveness. Orthopedic patients who scored 7 or above on a high-risk screening form were recruited for the project. Case managers served as discharge planners, and handled the following procedures: screening of patients, drawing up of the discharge plan, providing pre-discharge instructions, coordinating resources and services, and telephone follow-up. Results showed that discharge planning improved both the completion rate of pre-discharge instructions and patient satisfaction with discharge planning. It is suggested that, in future research, experimental studies could be used to examine the effectiveness of discharge planning. The study showed the importance of dedicated case managers for improving the effectiveness of discharge planning.


Assuntos
Administração de Caso , Alta do Paciente , Autocuidado , Idoso , Administração de Caso/organização & administração , Feminino , Humanos , Masculino , Modelos de Enfermagem , Satisfação do Paciente , Projetos Piloto , Avaliação de Programas e Projetos de Saúde , Taiwan
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