Effect of health education based on information-motivationbehavioral skills model on patients with unilateral vestibular dysfunction

BACKGROUND Vestibular dysfunction(VH)is a common concomitant symptom of late peri-pheral vestibular lesions,which can be trauma,poisoning,infection,heredity,and neurodegeneration,but about 50%of the causes are unknown.The study uses the information-motivation-behavioral skills(IMB)model for health education,effectively improve the quality of life,increase their self-confidence,reduce anxiety and depression,and effectively improve the psychological state of patients.AIM To explore the effect of health education based on the IMB model on the degree of vertigo,disability,anxiety and depression in patients with unilateral vestibular hypofunction.METHODS The clinical data of 80 patients with unilateral vestibular hypofunction from January 2019 to December 2021 were selected as the retrospective research objects,and they were divided into the control group and the observation group with 40 cases in each group according to different nursing methods.Among them,the control group was given routine nursing health education and guidance,and the observation group was given health education and guidance based on the IMB model.The changes in self-efficacy,anxiety and depression,and quality of life of patients with unilateral VH were compared between the two groups.RESULTS There was no significant difference in General Self-Efficacy Scale(GSES)scale scores between the two groups of patients before nursing(P>0.05),which was comparable;after nursing,the GSES scale scores of the two groups were higher than those before nursing.The nursing group was higher than the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the scores of Hospital Anxiety and Depression Scale(HADS)and anxiety and depression subscales between the two groups before nursing(P>0.05).After nursing,the HADS score,anxiety,and depression subscale scores of the two groups of patients were lower than those before nursing,and the nursing group was lower than the control group,and the difference was statistically significant(P<0.05).After nursing,the Dizziness Handicap Inventory(DHI)scale and DHI-P,DHI-E and DHI-F scores in the two groups were decreased,and the scores in the nursing group were lower than those in the control group,and the difference was statistically significant(P<0.05).CONCLUSION Health education based on the IMB model can effectively improve patients'quality of life,increase self-efficacy of patients with unilateral vestibular hypofunction,enhance patients'confidence,enable patients to resume normal work and life as soon as possible,reduce patients'anxiety and depression,and effectively improve patients'psychological status.

Impact of stage-specific limb function exercises guided by a selfmanagement education model on arteriovenous fistula maturation status

BACKGROUND The exercise of limb function is the most economical and safe method to promote the maturation of arteriovenous fistula(AVF).However,due to the lack of a uni-fied exercise standard in China,many patients have insufficient awareness of the importance of AVF,leading to poor effectiveness of limb function exercise.The self-management education model can effectively promote patients to take pro-active health-related actions.This study focuses on the characteristics of patients during the peri-AVF period and conducts a phased limb function exercise under the guidance of the self-management education model to observe changes in fac-tors such as the maturity of AVF.AIM To assess the impact of stage-specific limb function exercises,directed by a self-management education model,on the maturation status of AVFs.METHODS This study is a randomized controlled trial involving 74 patients with forearm AVFs from the Nephrology Department of a tertiary hospital in Sichuan Province,China.Patients were randomly divided into an observation group and a control group using a random number table method.The observation group underwent tailored stage-specific limb func-tion exercises,informed by a self-management education model which took into account the unique features of AVF at various stages,in conjunction with routine care.Conversely,the control group was given standard limb function exercises along with routine care.The assessment involves the maturity of AVFs post-intervention,post-operative complications,and the self-management level of the fistula in both groups patients.Analyses were conducted using SPSS version 23.0.Count data were represented by frequency and percentage and subjected to chi-square test comparisons.Measurement data adhering to a normal distribution were presented as mean±SD.The independent samples t-test was utilized for inter-group comparisons,while the paired t-test was used for intra-group comparisons.For measurement data not fitting a normal distribution,the median and interquartile range were presented and analyzed using the Wilcoxon rank sum test.RESULTS At the 8-wk postoperative mark,the observation group demonstrated significantly higher scores in AVF symptom recognition,symptom prevention,and self-management compared to the control group(P<0.05).However,the variance in symptom management scores between the observation and control groups lacked statistical signi-ficance(P>0.05).At 4 wk after the operation,the observation group displayed a superior vessel diameter and depth from the skin of the drainage vessels in comparison to the control group(P<0.05).While the observation group did manifest elevated blood flow rates in the drainage vessels relative to the control group,this distinction was not statistically significant(P>0.05).By the 8-wk postoperative interval,the observation group outperformed the control group with notable enhancements in blood flow rates,vessel diameter,and depth from the skin of drainage vessels(P<0.01).Seven days following the procedure,the observation group manifested significantly diminished limb swelling and an overall reduced complication rate in contrast to the control group(P<0.05).The evaluation of infection,thrombosis,embolism,arterial aneurysm stenosis,and incision bleeding showed no notable differences between the two groups(P>0.05).By the 4-wk postoperative juncture,complications between the observation and control groups were statistically indistinguishable(P>0.05).CONCLUSION Stage-specific limb function exercises,under the guidance of a self-management education model,amplify the capacity of AVF patients to discern and prevent symptoms.Additionally,they expedite AVF maturation and miti-gate postoperative limb edema,underscoring their efficacy as a valuable method for the care and upkeep of AVF in hemodialysis patients.

Evaluation of the effects of health education interventions for hypertensive patients based on the health belief model

BACKGROUND Hypertension is a major risk factor for cardiovascular disease and stroke,and its prevalence is increasing worldwide.Health education interventions based on the health belief model(HBM)can improve the knowledge,attitudes,and behaviors of patients with hypertension and help them control their blood pressure.AIM To evaluate the effects of health education interventions based on the HBM in patients with hypertension in China.METHODS Between 2021 and 2023,140 patients with hypertension were randomly assigned to either the intervention or control group.The intervention group received health education based on the HBM,including lectures,brochures,videos,and counseling sessions,whereas the control group received routine care.Outcomes were measured at baseline,three months,and six months after the intervention and included blood pressure,medication adherence,self-efficacy,and perceived benefits,barriers,susceptibility,and severity.RESULTS The intervention group had significantly lower systolic blood pressure[mean difference(MD):-8.2 mmHg,P<0.001]and diastolic blood pressure(MD:-5.1 mmHg,P=0.002)compared to the control group at six months.The intervention group also had higher medication adherence(MD:1.8,P<0.001),self-efficacy(MD:12.4,P<0.001),perceived benefits(MD:3.2,P<0.001),lower perceived barriers(MD:-2.6,P=0.001),higher perceived susceptibility(MD:2.8,P=0.002),and higher perceived severity(MD:3.1,P<0.001)than the control group at six months.CONCLUSION Health education interventions based on the HBM effectively improve blood pressure control and health beliefs in patients with hypertension and should be implemented in clinical practice and community settings.

Relationship between clinical belonging,professional identity,and nursing information ability among nursing interns:Model construction

BACKGROUND Clinical belonging refers to the feeling that clinical medical staff feel recognized and accepted by others or groups.The level of clinical belonging of nursing interns affects students’learning motivation and confidence,which in turn affects their clinical practice behavior.AIM To explore the effects of professional identity and nursing information ability on clinical belonging among nursing interns and establish a relationship model for these factors.METHODS The researchers used the convenience sampling method to select 682 nursing interns from China.The survey was conducted using a general information questionnaire,clinical sense of belonging scale,nursing information ability self-assessment scale,and a nursing student professional identity questionnaire.The mediating effect of nursing information ability between their professional identity and clinical sense of belonging was analyzed using SPSS 21.0 and the path analysis in structural equation modeling.RESULTS The total scores of clinical belonging,professional identity,and nursing information ability of nursing interns were(104.29±13.11)points,(57.89±7.16)points,and(70.29±6.20)points,respectively.Nursing information ability had a direct effect on the clinical sense of belonging(effect value=0.46,P<0.05).Occupational identity had a direct effect(effect value=0.52,P<0.05)and an indirect effect(effect value=0.21,P<0.05)on clinical belonging.CONCLUSION Nursing administrators in nursing colleges and hospitals should take effective measures to improve the professional identity and nursing information ability of nursing interns,as well as the clinical sense of belonging among nursing interns.

Integrating the health belief model into health education programs in a clinical setting

The article demonstrates that health belief model(HBM)-based health education in hypertensive patients effectively improves blood pressure control and medication adherence at 3 months and 6 months.The HBM addresses perceived barriers,benefits,susceptibility,severity,and self-efficacy,leading to better health behaviors.HBM-based education has been effective in various contexts,including managing chronic diseases,promoting cancer screenings,and preventing infectious diseases.However,the model has limitations,such as cultural applicability and addressing complex health behaviors influenced by environmental factors.Future research should integrate HBM with other theories and conduct longitudinal studies to assess long-term impacts.Despite these limitations,HBM-based education significantly improves patient outcomes,highlighting its potential in health education and promotion when appropriately adapted and implemented.This reinforces the model's value in designing effective health interventions and advancing public health.

Health education intervention and its impact on patients with unilateral vestibular dysfunction:An information-motivation-behavioral model approach

Unilateral vestibular dysfunction is a one-sided impairment of vestibular function in one ear.Incorporating health education in treatment and rehabilitation plans can improve vestibular function,keep negative emotions at bay,and reduce the extent of the condition.This letter investigates the impact of the informationmotivation-behavioral skills model as a medium for health education on patient outcomes.While offering encouraging observations,there are certain limitations,such as the study’s retrospective design,small sample size,use of subjective measures,and lack of longer follow-ups that challenge the cogency of the study.The study is a step toward transforming vestibular dysfunction treatment through health education.

Application of Patient Simulators Combined with Internet plus Scenario Simulation Teaching Models on Intravenous Infusion Nursing Education in China

Objective: To explore the effectiveness of applying patient simulators combined with Internet Plus scenario simulation teaching models on intravenous (IV) infusion nursing education, and to provide scientific evidence for the implementation of advanced teaching models in future nursing education. Methods: Enrolled 60 nurses who took the IV infusion therapy training program in our hospital from January 2022 to December 2023 for research. 30 nurses who were trained in traditional teaching models from January to December 2022 were selected as the control group, and 30 nurses who were trained with simulation-based teaching models with methods including simulated patients, internet, online meetings which can be replayed and scenario simulation, etc. from January to December 2023 were selected as the experimental group. Evaluated the learning outcomes based on the Competency Inventory for Nursing Students (CINS), Problem-Solving Inventory (PSI), comprehensive learning ability, scientific research ability, and proficiency in the theoretical knowledge and practical skills of IV infusion therapy. Nursing quality, the incidence of IV infusion therapy complications and nurse satisfaction with different teaching models were also measured. Results: The scientific research ability, PSI scores, CINS scores, and comprehensive learning ability of the experimental group were better than those of the control group (P 0.05), and their assessment results of practical skills, nursing quality of IV infusion therapy during training, and satisfaction with teaching models were all better than those of the control group with statistical significance (P < 0.05). The incidence of IV infusion therapy complications in the experimental group was lower than that in the control group, indicating statistical significance (P < 0.05). Conclusions: Teaching models based on patient simulators combined with Internet Plus scenario simulation enable nursing students to learn more directly and practice at any time and in any place, and can improve their proficiency in IV infusion theoretical knowledge and skills (e.g. PICC catheterization), core competencies, problem-solving ability, comprehensive learning ability, scientific research ability and the ability to deal with complicated cases. Also, it helps provide high-quality nursing education, improve the nursing quality of IV therapy, reduce the incidence of related complications, and ensure the safety of patients with IV therapy.

Towards a New Model of Teacher Training in Europe

The current situation of European educational systems leads to the lack of historical precedents,considering that it implies the end of educational systems based on exclusion,configuring a new conception of educational systems that we are still not able to appreciate at their true value,because we were educated by and in the previous educational system.Lacking other references,we inevitably tend to compare current problems with previous situations,without understanding that the generalization of education to 100%of the population implies a qualitative change that modifies the objectives,forms of work,and the very essence of the educational system.This stage change,marked by the acceleration of social changes,including the pandemic situation,explains why,despite the best educational system so far,teachers with the best levels of training and a financial and material endowment unimaginable until recently,try a sense of crisis and a general feeling of confusion is manifested among the teachers and parents of the children,seeing that education is no longer what it used to be(Esteve,1998).The key to defuse this apparent paradox is in the tendency to judge the new education system by the mentality and standards of the former selective education,in which most of the adults present were educated.Thus,although we continue to apply to the new general education situation the parameters of the previous situation,in which the selective system excluded every year the students who had behavior problems in the class or had difficulties regarding the mastery of certain educational subjects(Esteve,1998).In this way,we are currently criticizing the school failure of a percentage of our students,without realizing that their schooling itself is a success,because,although their level is low,they had no level before.One speaks of a low educational level,when,in reality,the educational level is increasing—the general level of the people and the individual level of the best students(Baudelot&Establet,1990).Indeed,it is true that in our education systems there are students with a very low educational level,although even so,it is a success that they have some education because they used to be on the streets;and,in any case,the current education system produces a higher percentage of students with higher levels than the best students of the 90s.The main element of change,the most substantial transformation,is the elimination of exclusion,today having access to secondary education,alongside students with an excellent level.Thousands of children who were previously expelled from it,thus comply with the European measures of access to education for all children and young people.The previous educational system can be compared to a hospital from which the sickest were kicked out,and those who created behavioral problems were eliminated through the selective mechanisms of the system.However,teaching today is qualitatively different from what it was 20-30 years ago.First of all,because working with a homogeneous group of children as a result of the selection or dealing with all the children in a country,with social and personal problems,is not the same thing.That is why many general education teachers are social workers rather than teachers;and the new configuration of our educational systems requires secondary teachers to assume diverse educational roles rather than the traditional one of intellectual training.History cannot go backwards;to have better quality educational systems,the solution is not to return to the exclusionary system.Society asks teachers to make an effort to integrate;but,during this time,our society must support and revalue the activity of teachers in order not to put them in front of impossible tasks.The transition from a selective to a general education was based on the increase/amplification of compulsory schooling.For the first time in history,European educational systems have assumed the role of declaring secondary education compulsory.This decision implies a new stage,a definitive break from the previous reality in which secondary education was reserved for those who later attend a university.

A Study on the Educational Model of Connecting Vocational and Undergraduate Education in Finance and Accounting Majors

This article studies the educational mode connecting vocational education and undergraduate education in finance and accounting majors,in response to the weak cultural foundation and poor course integration faced by current vocational school graduates after entering vocational undergraduate education.By adopting empirical research methods and selecting vocational college students majoring in finance and accounting and ordinary high school students as research objects,this study implements a series of teaching reform measures and conducts tracking surveys on the short-term and long-term effects of educational reforms.As a result,it was found that in the final survey of graduation destinations,34 vocational and technical college students were engaged in related work in their majors,accounting for 45.9%of all vocational and technical college students.This proves that the proposed transitional education model can effectively enhance the cultural foundation of vocational college students and provide new ideas for the cultivation of talents in finance and accounting majors.

A Study of a Moral Dilemma Stories Teaching Model Focusing on the Development of Higher-Order Thinking --"Synthetic polymers" as an example

Cultivating students'higher-order thinking is one of the important goals of modern education,and innovative teaching model is an effective way to achieve this goal.Aiming at the inadequacy of the existing moral dilemma stories approach in the transformation of knowledge and behavior,this research constructs a new Project Based Learning-Ethical Dilemma Stories(PBL-EDS)Teaching Model applicable to China's secondary education stage based on the innovative features of the moral dilemma stories approach on the core competencies,taking the chemistry subject as an example to carry out practice,and puts forward suggestions for the implementation of the teaching model.Chemistry as an example to carry out the practice,and suggestions are made for the implementation of the teaching model.

Research and Practice of the Blended Teaching Model of BOPPPS Teaching Method Under the Background of Digital Education: Taking Operations Research Course as an Example

The rapid development of digital education provides new opportunities and challenges for teaching model innovation.This study aims to explore the application of the BOPPPS(Bridge-in,Objective,Pre-assessment,Participatory learning,Post-assessment,Summary)teaching method in the development of a blended teaching model for the Operations Research course under the background of digital education.In response to the characteristics of the course and the needs of the student group,the teaching design is reconstructed with a student-centered approach,increasing practical teaching links,improving the assessment and evaluation system,and effectively implementing it in conjunction with digital educational technology.This teaching model has shown significant effectiveness in the context of digital education,providing valuable experience and insights for the innovation of the Operations Research course.

The Model of“Post,Course,Competition,Certificate”Integrated Education for Electronic Information Engineering Technology Major in Higher Vocational Colleges

The core education function of higher vocational colleges is to train technical talents with high quality,so as to meet the needs of talents in the development stage of our society.Under the guidance of talent training,higher vocational colleges need to pay attention to establishing an all-round and three-dimensional education model,and promote innovation of higher vocational education on the basis of this.It is also a way to promote the innovation of higher vocational education to vigorously promote the construction of“post,course,competition,certificate”mode in the construction of education mode.Through the construction of“post,course,competition,certificate”mode,the education mode of higher vocational colleges is gradually improved,so as to strengthen the effectiveness of talent training in higher vocational colleges.Therefore,in this paper,the author puts forward some suggestions to promote the construction of the integrated education mode of the electronic information engineering technology major in higher vocational colleges,so as to help improve the talent training level of higher vocational colleges.

General dynamic model for educational assembling-type robot and its fast simulation algorithm

To realize automatic modeling and dynamic simulation of the educational assembling-type robot with open structure, a general dynamic model for the educational assembling-type robot and a fast simulation algorithm are put forward. First, the educational robot system is abstracted to a multibody system and a general dynamic model of the educational robot is constructed by the Newton-Euler method. Then the dynamic model is simplified by a combination of components with fixed connections according to the structural characteristics of the educational robot. Secondly, in order to obtain a high efficiency simulation algorithm, based on the sparse matrix technique, the augmentation algorithm and the direct projective constraint stabilization algorithm are improved. Finally, a numerical example is given. The results show that the model and the fast algorithm are valid and effective. This study lays a dynamic foundation for realizing the simulation platform of the educational robot.

On the Models of the Bilingual Education and Their Implementation Conditions

This paper carefully probes into the main models of the bilingual education in the world, deeply analyses the conditions and requirements on the implementation of the bilingual education in our schools, and clearly differentiates TEFL and TESL as well as bilingual education. The writer thinks that in China we teach English as a foreign language instead of a second language, that the bilingual education is the supreme level of the foreign language acquisition, and that the final goal of the bilingual education is to make learners simultaneously think and use Chinese and English in both ways as well as communicate with one another in two languages according to the situational context. Therefore, it is not easy to practice the bilingual education in a country like China, which is still poor in the English language context. But the situation will change as China enters WTO and the globalization speeds up.

人工智能大语言模型在基层医疗卫生服务中的应用与挑战

基层医疗系统是实现健康公平的关键。我国面临医疗资源分布不平衡、基层医生数量短缺以及慢性病防治形势不容乐观的严峻挑战。人工智能大语言模型在医疗系统中发挥出了强大优势,本文深入探讨了大模型在基层医疗系统中的应用及其面临的挑战,提出应进一步深化大模型的应用,以辅助基层医生常见病诊疗,推动智能化健康教育和慢性病管理,托底“老少边穷”地区基层卫生服务,激发全科医学的飞跃性发展,并推进大模型在全科诊疗与基层卫生服务中的产业化,为健康中国建设提供重要支撑。

昆明市金马社区儿童友好空间需求满意度评价与策略研究

满足儿童活动空间需求从而促进儿童健康发展是建设儿童友好城市的重要途径,同时也有助于昆明市绿美社区的可持续发展。聚焦绿美社区内儿童友好型空间的需求满意度,对昆明市金马社区花园范围内4岁—14岁儿童及其随行者的调查问卷进行分析,结合相关文献和专家建议构建3个需求类别8项指标的Kano-IPA模型。并提出活动创新化增强场地互动性、主题在地化突显空间地域性、体验多元化增强空间秩序性的优化策略。

Exploration and Practice of the B-SLIM Model in Guangxi

After China's entry into the WTO,the interchange and communication between China and the international community has increased,which exerts great influence on pushing forward the modernization and construction of the various industries in China and requires a large number of people with good command of English.Under these circumstances,English education becomes extremely important.Guangxi,an old revolutionary base area inhabited by minority ethnic groups,is falling behind with its economy,culture and education in comparison with eastern regions of China.A number of English teachers,especially those in middle schools of the rural areas,are provided with little education and few opportunities for advanced study;most of them lack the new teaching ideas,models or methods which could replace the traditional teaching model that centers on the teacher and textbook.As a result,students can't give full play to their subjective initiative with low communication and application capability in English.To confer impetus to English language teaching reform,researchers and scholars have made great efforts in experimenting various teaching models with the hope to find a language teaching model which can meet the demands of the new era and B-SLIM model put forward by Dr.Olenka Bilash is such a model.

职业本科背景下园林模型对园林设计初步课程的重要作用

职业本科背景下园林专业更加注重培养学生实践应用能力,园林模型设计制作一定程度上弥补了教学实践的不足,在多元化教学设计中发挥着重要作用。针对职业本科背景下园林专业的人才培养目标,尝试对《园林设计初步》课程的特点、地位、存在的不足、园林模型的重要性以及如何在课程中融入园林模型等多方面,进行课程教学的探索,为高校《园林设计初步》等启蒙性课程的教学创新提供一定的参考。

Comparison and Contrast of the Acculturation Model and the Socio-educational Model

This paper deals with the main contents and characteristics of two foreign language learning models:the Acculturation Model and the Socio-educational Model.Their similarities and differences are compared and analyzed.The discussion of the two models has some important implications for our foreign language learning.

Developing a curriculum model of English teaching for master's degree nursing education in a Chinese medicine university

Objective:English for Specific Purpose(ESP)is the essence for developing scientific research capacity,which is a core component for postgraduate education.The objective of this article is to develop a curriculum model for ESP of Master's level nursing education in a Chinese medicine university.Method:A three-year action research approach with continuous reflection and modification was used to develop an ESP curriculum based on the RICH model.A total of 78 students of Master's Science in Nursing enrolled in 2016-2018 and three course teachers in Nanjing University of Chinese Medicine participated in the study.The ESP curriculum based on the RICH model involved research-based learning topics(R),integrated curriculum(Ⅰ),cooperative learning methods(C),and humanistic outcome(H).Results:The passing rate of the students was 100%,the excellent rate was 79.5%,with an average score of 83.16±3.43.All students were satisfied with the ESP course design and acknowledged the process of"growing up under the pressure".Four students have published five articles in the journals included by Science Citation Index(SCI).Conclusions:The study exerted a positive effect on the ESP teaching and learning and provided new ideas for the ESP curriculum integration of Master's Science in Nursing in China.