目的 对计算机仿真方法在医疗船护理人力资源配置测算中的应用可行性和优化方案进行探究。 方法 采用多智能建模方法描述和分析不同主体行为对系统效果的影响，采用离散事件仿真对伤员在医疗船的流转过程进行描述和呈现。 结果 在5 d伤员流入400人情况下：0级海况下，54人护士编配方案可满足伤员护理需求；4级海况下，89人护士编配方案可满足伤员护理需求。 结论 本研究开发的具有开放面板、可视化的仿真模拟系统，为医疗船护理人力资源管理提供了全新方法和实验平台。护理管理者应综合考虑多主体的交互影响，通过对多主体指标参数预判，确定护理人力资源配置的最优方案。

ObjectiveTo analyze the status of predictive models for cognitive impairment after acute ischemic stroke and provide a reference for the development and application of related research. Methods The databases of PubMed, Web of Science, Ovid, EBSCOhost, CNKI, Wanfang and VIP were searched for literature on prediction models of cognitive impairment after acute ischemic stroke from the inception up to September 2022. Results A total of 8 prediction models were retrieved, including 4 domestic models and 4 abroad models, which were mainly used to predict whether cognitive impairment occurred in patients with mild acute ischemic stroke for 3 to 6 months. The risk factors included in the prediction model mainly included non-intervening factors such as general demographic data and imaging parameters. Predictive models were developed by multivariate logistic regression analysis and had not been applied to nursing work. Conclusions The predictive model of cognitive impairment after acute ischemic stroke has a good predictive effect, but the study is relatively simple. It is recommended to increase the study of intervenable factors, improve the study design, promote the application in nursing work, and provide a scientific reference for the identification, prevention and intervention of high-risk groups in combination with the actual clinical situation.

R473.82;R823

军事医学创新工程专项（18CXZ010）