期刊文献+
共找到3,143篇文章
< 1 2 158 >
每页显示 20 50 100
A Large-Scale Group Decision Making Model Based on Trust Relationship and Social Network Updating
1
作者 Rongrong Ren Luyang Su +2 位作者 Xinyu Meng Jianfang Wang Meng Zhao 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第1期429-458,共30页
With the development of big data and social computing,large-scale group decisionmaking(LGDM)is nowmerging with social networks.Using social network analysis(SNA),this study proposes an LGDM consensus model that consid... With the development of big data and social computing,large-scale group decisionmaking(LGDM)is nowmerging with social networks.Using social network analysis(SNA),this study proposes an LGDM consensus model that considers the trust relationship among decisionmakers(DMs).In the process of consensusmeasurement:the social network is constructed according to the social relationship among DMs,and the Louvain method is introduced to classify social networks to form subgroups.In this study,the weights of each decision maker and each subgroup are computed by comprehensive network weights and trust weights.In the process of consensus improvement:A feedback mechanism with four identification and two direction rules is designed to guide the consensus of the improvement process.Based on the trust relationship among DMs,the preferences are modified,and the corresponding social network is updated to accelerate the consensus.Compared with the previous research,the proposedmodel not only allows the subgroups to be reconstructed and updated during the adjustment process,but also improves the accuracy of the adjustment by the feedbackmechanism.Finally,an example analysis is conducted to verify the effectiveness and flexibility of the proposed method.Moreover,compared with previous studies,the superiority of the proposed method in solving the LGDM problem is highlighted. 展开更多
关键词 Large-scale group decision making social network updating trust relationship group consensus feedback mechanism
下载PDF
Consensus model of social network group decision-making based on trust relationship among experts and expert reliability
2
作者 WANG Ya CAI Mei JIAN Xinglian 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2023年第6期1576-1588,共13页
Due to people’s increasing dependence on social networks,it is essential to develop a consensus model considering not only their own factors but also the interaction between people.Both external trust relationship am... Due to people’s increasing dependence on social networks,it is essential to develop a consensus model considering not only their own factors but also the interaction between people.Both external trust relationship among experts and the internal reliability of experts are important factors in decision-making.This paper focuses on improving the scientificity and effectiveness of decision-making and presents a consensus model combining trust relationship among experts and expert reliability in social network group decision-making(SN-GDM).A concept named matching degree is proposed to measure expert reliability.Meanwhile,linguistic information is applied to manage the imprecise and vague information.Matching degree is expressed by a 2-tuple linguistic model,and experts’preferences are measured by a probabilistic linguistic term set(PLTS).Subsequently,a hybrid weight is explored to weigh experts’importance in a group.Then a consensus measure is introduced and a feedback mechanism is developed to produce some personalized recommendations with higher group consensus.Finally,a comparative example is provided to prove the scientificity and effectiveness of the proposed consensus model. 展开更多
关键词 social network group decision-making(SN-GDM) trust relationship expert reliability consensus model probabilistic linguistic term set(PLTS).
下载PDF
Research on the path of effective management of participation in joint-venture railway companies by China railway group
3
作者 Shaoni Zhou Zhitian Zhou Chenxia Kang 《Railway Sciences》 2024年第4期530-539,共10页
Purpose-Following the regional restructuring,the number of joint-venture railway companies in which the Group participates has significantly increased.This paper aims to explore the challenges faced by China Railway G... Purpose-Following the regional restructuring,the number of joint-venture railway companies in which the Group participates has significantly increased.This paper aims to explore the challenges faced by China Railway Group in managing participation in joint-venture railway companies.The study seeks to propose specific approaches to ensure the effective management of these companies,thereby maximizing the benefits of the regional restructuring and supporting the development of a strong transportation country and a modern infrastructure system.Design/methodology/approach-Based on the change in the shareholding relationship between China Railway Group and the joint-venture railway companies,and considering the current situation of the regional restructuring of these companies,as well as the insights from existing literature and typical case studies,this paper proposes some specific paths for effective management of joint-stock railway companies which China Railway Group participated in.Findings-The problems in participation management are the unclear dual leadership role of the party committee,the lack of discourse power,the lack of synergy between shareholders,the increasing risk of sustainable operation of the loss-making companies and the role of dispatched personnel is not fully played.Based on the theories,combined with the existing research and practical cases,the paper proposed specific approaches,such as perfecting top-level system design,maintaining the discourse power,carrying out differentiated management,arranging personnel rationally,arranging shareholders synergy,and innovating methods to provide references for China Railway Group’s subsequent management of joint venture railway companies.Originality/value-This paper contributes to the existing literature by providing a comprehensive analysis of the challenges faced by China Railway Group in managing participation in joint-venture railway companies following the regional restructuring.The study offers novel insights and practical recommendations for addressing these challenges.The findings can serve as valuable references for China Railway Group’s subsequent management of joint-venture railway companies which participated in,as well as for other stateowned enterprises facing similar challenges in managing their joint ventures. 展开更多
关键词 China railway group Joint venture railway companies Participated relationship Effective management
下载PDF
Relationship between self-directed learning readiness, learning attitude, and self-efficacy of nursing undergraduates 被引量:4
4
作者 Li-Na Meng Xiao-Hong Zhang +3 位作者 Meng-Jie Lei Ya-Qian Liu Ting-Ting Liu Chang-De Jin 《Frontiers of Nursing》 CAS 2019年第4期341-348,共8页
Objective: The purposes of this study were to analyze the influencing factors of self-directed learning readiness(SDLR) of nursing undergraduates and explore the impacts of learning attitude and self-efficacy on nursi... Objective: The purposes of this study were to analyze the influencing factors of self-directed learning readiness(SDLR) of nursing undergraduates and explore the impacts of learning attitude and self-efficacy on nursing undergraduates.Methods: A total of 500 nursing undergraduates were investigated in Tianjin, with the Chinese version of SDLR scale, learning attitude questionnaire of nursing college students, academic self-efficacy scale, and the general information questionnaire.Result: The score of SDLR was 149.99±15.73. Multiple stepwise regressions indicated that academic self-efficacy, learning attitude, attitudes to major of nursing, and level of learning difficulties were major influential factors and explained 48.1% of the variance in SDLR of nursing interns.Conclusions: The score of SDLR of nursing undergraduates is not promising. It is imperative to correct students' learning attitude, improve self-efficacy, and adopt appropriate teaching model to improve SDLR. 展开更多
关键词 self-directed learning readiness nursing undergraduates learning attitude academic self-efficacy relationship
下载PDF
THE RELATIONSHIP BETWEEN THE INVASION OF PARAPHARYNGEAL SPACES AND THE INVOLVEMENT OF CERVICAL NODES AND POSTERIOR GROUP CRANIAL NERVES IN NASOPHARYNGEAL CARCINOMA 被引量:1
5
作者 卢泰祥 张恩罴 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1992年第1期65-70,共6页
Two hundred cates of nasopharyngeal carcinoma (NPC) admitted to this department from Feb. 1985 to May. 1988 were analysed according to the CT scanning and clinical findings of the primary lesions prior to radiotherapy... Two hundred cates of nasopharyngeal carcinoma (NPC) admitted to this department from Feb. 1985 to May. 1988 were analysed according to the CT scanning and clinical findings of the primary lesions prior to radiotherapy. The results showed that involvement of parapharyngeal space was very common in NPC, about 80% (160/200 cases) ; particularly unilateral or bilateral retro-styloid spaces, about 69.5% (139/200 cases). It was proposed that patients with NPC had a high Incidence of ipsilateral cervical node metastasis. Contralateral cervical node metastasis was rare. The development of cervical node metastasto in NPC has two modes: one Is direct Infiltration of the retro-stylold space by the lesion; the other Is along the nasopharyngeal lymphatic rete. The data also showed that patients with NPC who presented symptoms of Ⅸ- Ⅲ cranial nerve paralyses always had ipsilateral or bilateral retro- styloid space Infiltrations. 展开更多
关键词 NPC THE relationship BETWEEN THE INVASION OF PARAPHARYNGEAL SPACES AND THE INVOLVEMENT OF CERVICAL NODES AND POSTERIOR group CRANIAL NERVES IN NASOPHARYNGEAL CARCINOMA line
下载PDF
MULTIRESOLUTION ANALYSIS, SELF-SIMILAR TILINGS AND HAAR WAVELETS ON THE HEISENBERG GROUP 被引量:2
6
作者 刘和平 刘宇 王海辉 《Acta Mathematica Scientia》 SCIE CSCD 2009年第5期1251-1266,共16页
In this article, the properties of multiresolution analysis and self-similar tilings on the Heisenberg group are studied. Moreover, we establish a theory to construct an orthonormal Haar wavelet base in L^2(H^d) by ... In this article, the properties of multiresolution analysis and self-similar tilings on the Heisenberg group are studied. Moreover, we establish a theory to construct an orthonormal Haar wavelet base in L^2(H^d) by using self-similar tilings for the acceptable dilations on the Heisenberg group. 展开更多
关键词 Heisenberg group multiresolution analysis WAVELETS self-similar tilings
下载PDF
Female Sex Workers and Their Association with Self-Help Groups in Thane, Maharashtra, India: A Comparative Analysis in the Context of HIV Program Outcome 被引量:1
7
作者 Awdhesh Yadav Saravanamurthy P. Sakthivel +2 位作者 Shaikh Tayyaba Uma Shah Ashok Agarwal 《World Journal of AIDS》 2016年第4期186-196,共11页
Objectives: Understanding the role of Self-Help Group (SHG) in light of the evolving dynamics of sex work needs to be delved into to strategize HIV interventions among FSWs in India. This paper aims to study the HIV p... Objectives: Understanding the role of Self-Help Group (SHG) in light of the evolving dynamics of sex work needs to be delved into to strategize HIV interventions among FSWs in India. This paper aims to study the HIV program outcome among the FSWs associated with SHGs and FSWs not associated with SHGs in Thane, Maharashtra. Study Design: This cross-sectional study was undertaken from the Behavioral Tracking Survey (BTS) conducted among 503 FSWs in Thane in 2015. Two-stage probability based conventional sampling was done for selection of brothel and bar based FSWs, while Time Location Cluster (TLC) sampling was done for home, lodge and street based sex workers. Methods: Bivariate and multivariate logistic regression were performed to compare and contrast between FSWs associated with SHG and those not associated with SHG with respect to the utilization of HIV related services by them. “Condom use”, “consistent condom use”, “contact with peer-educators”, “counseling sessions” and “HIV testing” were chosen as indicators on HIV service utilization. Results: 8% (38) of FSWs are registered with SHG;92% aged ≥25 years, 47% illiterate, and 71% are currently married. The likelihood of utilizing HIV services including, knowledge on HIV/AIDS and its mode of transmission (OR: 5.54;CI: 1.87 - 16.60;p Conclusions: Considering the improved HIV program outcomes among FSWs associated with SHG, HIV interventions among FSWs could consider facilitating the formation of SHGs with FSWs as one of the key strategies to empower the community for ensuring better program outcomes. 展开更多
关键词 Female Sex Workers self-Help group HIV Thane EMPOWERMENT
下载PDF
FINITE p-GROUPS WHICH CONTAIN A SELF-CENTRALIZING CYCLIC NORMAL SUBGROUP
8
作者 郝成功 靳竹萱 《Acta Mathematica Scientia》 SCIE CSCD 2013年第1期131-138,共8页
For any prime p, all finite noncyclic p-groups which contain a self-centralizing cyclic normal subgroup are determined by using cohomological techniques. Some applications are given, including a character theoretic de... For any prime p, all finite noncyclic p-groups which contain a self-centralizing cyclic normal subgroup are determined by using cohomological techniques. Some applications are given, including a character theoretic description for such groups. 展开更多
关键词 finite p-group self-centralizing cyclic normal subgroup 2-nilpotent group cohomology group irreducible complex character
下载PDF
Self-Organized Detection of Relationships in a Network
9
作者 Qurban A. Memon 《International Journal of Communications, Network and System Sciences》 2010年第3期303-310,共8页
Multistate operations within a network result in high-dimensional, multivariate temporal data, and are useful for systems, which monitor access to network entities like resources, objects, etc. Efficient self organiza... Multistate operations within a network result in high-dimensional, multivariate temporal data, and are useful for systems, which monitor access to network entities like resources, objects, etc. Efficient self organization of such multi-state network operations stored in databases with respect to relationships amongst users or between a user and a data object is an important and a challenging problem. In this work, a layer is proposed where discovered relationship patterns amongst users are classified as clusters. This information along with attributes of involved users is used to monitor and extract existing and growing relationships. The correlation is used to help generate alerts in advance due to internal user-object interactions or collaboration of internal as well as external entities. Using an experimental setup, the evolving relationships are monitored, and clustered in the database. 展开更多
关键词 relationship NETWORK NETWORK Access self-ORGANIZATION in Networks relationship CLUSTERING
下载PDF
The Presence of an Exercise Instructor or Group Members Affects Physical Self-Concept and Physical Self-Esteem: An Experimental Study in the Elderly
10
作者 Jens Kleinert Fabian Pels Leslie Podlog 《Health》 2014年第13期1616-1627,共12页
Background: Physical self-concept and physical self-esteem are important sources of general self-esteem and overall health. Evidence indicates that exercise leads to an enhancement in physical self-concept and physica... Background: Physical self-concept and physical self-esteem are important sources of general self-esteem and overall health. Evidence indicates that exercise leads to an enhancement in physical self-concept and physical self-esteem. Until now however, it remained unclear whether the beneficial effects of exercise were impacted by different types of exercise environments. Thus, the purpose of this study was to experimentally investigate, whether the presence or absence of an instructor or other group members influenced elder adults’ physical self-concept and esteem. Method: Participants were 46 women and 20 men (Mean age 65.4, SD = 4.36) who were randomly assigned to one of four experimental groups differing across two factors—group versus no-group and instructor versus no-instructor. Participants took part in an 8-week-walking program with a comparable number of training sessions across the four experimental groups. Physical self-concept and physical self-esteem were assessed both pre and post exercise intervention. Results: Descriptively, the highest improvement in physical self-concept and esteem were observed in the instructor/no-group and the no-instructor/group condition. Between these two conditions, no significant difference of change was observed. Moreover, no improvement was observed when both instructor and group were present. Conclusion: Effects of either instructor presence or group presence may be explained by mechanisms of social integration and social support. An unexpected absence of effects on self-concept and esteem under the instructor/group condition are explained with reference to an individual’s cognitive dissonance caused by the need to adapt to different exercise oriented goals or attitudes of the instructor and the group members which might hinder the positive development of the self. 展开更多
关键词 PHYSICAL self-ESTEEM PHYSICAL self-CONCEPT Social Environment EXERCISE group INSTRUCTOR
下载PDF
Group training on the improvement of college students'career decision-making self-efficacy
11
作者 Jin-liang Wang Da-jun Zhang Jing-jin Shao 《Health》 2010年第6期551-556,共6页
A group training was conducted on 17 college students to improve their career decision-making self-efficacy (CDMSE). The result showed that there was significant difference between the pre-test and the post-test for t... A group training was conducted on 17 college students to improve their career decision-making self-efficacy (CDMSE). The result showed that there was significant difference between the pre-test and the post-test for the experimental group (n = 17), whereas no significant difference was found between the pre-test and the post- test for the control group (n = 17). In the pre-test, there was no significant difference between the experimental group and the control group, and obvious difference between the two groups was found in the post-test. This indicated that the group training was effective on improving the CDMSE of the college students whose scores of CDMSE were below 27% point of the total students. 展开更多
关键词 College Student group TRAINING ATTRIBUTION TRAINING CAREER DECISION-MAKING self-EFFICACY
下载PDF
Expression of Snail in bladder urothelial carcinoma and its relationship with E-cadherin and a subset of T cell groups
12
作者 张墨 《外科研究与新技术》 2011年第4期247-247,共1页
Objective To investigate the expression of Snail in bladder urothelial carcinoma and evaluate its relationship with E-cadherin and a subset of T cell groups. Methods Immunohistochemical method was used to detect the e... Objective To investigate the expression of Snail in bladder urothelial carcinoma and evaluate its relationship with E-cadherin and a subset of T cell groups. Methods Immunohistochemical method was used to detect the expression of Snail and E-cadherin proteins in tissue 展开更多
关键词 Expression of Snail in bladder urothelial carcinoma and its relationship with E-cadherin and a subset of T cell groups cell
下载PDF
研究生导学关系现状及其对学业自我效能感的影响
13
作者 陈予 王若瑶 +2 位作者 陈子晨 迪丽热巴·地力夏提 李晨曦 《未来与发展》 2024年第9期34-38,共5页
导学关系的建立是人才培养过程中的重要环节,文章以天津市3所高校786名硕士、博士研究生为研究对象进行调查,结果发现:1)自编的用于测量导学关系的《师生亲近度量表》具有较好的信度和效度,运用该量表测量出当前研究生导学关系处于略高... 导学关系的建立是人才培养过程中的重要环节,文章以天津市3所高校786名硕士、博士研究生为研究对象进行调查,结果发现:1)自编的用于测量导学关系的《师生亲近度量表》具有较好的信度和效度,运用该量表测量出当前研究生导学关系处于略高于中等的水平,距离构建紧密和谐的师生关系还有一定的发展空间。2)当前研究生的学业自我效能感整体而言处于略高于中等的水平,与理想的研究生学习状态还有较大的差距。3)导学关系的亲近水平对研究生的学业自我效能感有显著影响。结合前两条结论,提示导学关系的亲近水平对研究生的学业自我效能感的影响机制需要进一步研究,以便探明如何通过导学关系亲近度的促进来改善学业状态,提升学业自我效能感。 展开更多
关键词 导学关系 亲近度 学业自我效能感
下载PDF
巴林特小组活动对护理人员职业倦怠感负性情绪及自我效能的影响
14
作者 杨福娟 方晓霞 +2 位作者 乔红伟 蔡楠楠 张洁 《临床心身疾病杂志》 CAS 2024年第3期157-160,共4页
目的探讨巴林特小组活动对呼吸与危重症医学科护理人员职业倦怠感、负性情绪及自我效能的影响。方法将64名护理人员随机均分为对照组和试验组。对照组护理人员给予心理健康讲座,试验组护理人员在对照组基础上给予巴林特小组活动。采用... 目的探讨巴林特小组活动对呼吸与危重症医学科护理人员职业倦怠感、负性情绪及自我效能的影响。方法将64名护理人员随机均分为对照组和试验组。对照组护理人员给予心理健康讲座,试验组护理人员在对照组基础上给予巴林特小组活动。采用相应的量表评估两组护理人员干预前后的职业倦怠感、负性情绪及自我效能状况。结果干预后试验组护理人员中文版职业倦怠量表(MBI)总分及情绪衰竭、去个性化维度评分均低于干预前和对照组,个人成就感维度评分高于干预前和对照组(P<0.01);干预后试验组护理人员焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于干预前和对照组,一般自我效能感量表(GSES)评分高于干预前和对照组(P<0.01)。结论巴林特小组活动能够提高呼吸与危重症医学科护理人员的自我效能感,改善其职业倦怠感及负性情绪状况。 展开更多
关键词 巴林特小组 护理人员 职业倦怠感 负性情绪 自我效能
下载PDF
Mini-CEX联合MDT在急诊科住院医师规范化培训中的应用效果 被引量:1
15
作者 王川江 刘景仑 +1 位作者 周发春 罗娜 《中国继续医学教育》 2024年第4期114-119,共6页
目的探讨迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)联合多学科综合治疗协作组(multidisciplinary team,MDT)在急诊科住院医师规范化培训中的运用效果。方法选择于医院急诊科进行规范化培训的住院医师,2022年6—8... 目的探讨迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)联合多学科综合治疗协作组(multidisciplinary team,MDT)在急诊科住院医师规范化培训中的运用效果。方法选择于医院急诊科进行规范化培训的住院医师,2022年6—8月进行规范化培训者为传统培训组,2022年9—11月进行规范化培训者为Mini-CEX联合MDT组。传统培训组35名,给予常规教学方式教学,Mini-CEX联合MDT组35名,给予Mini-CEX联合MDT教学,教学完成后评估规范化培训住院医师的理论成绩及实际操作技能,教学前、后通过Mini-CEX考核规范化培训住院医师的问诊能力、临床诊断、操作能力、查体能力、治疗方案、沟通能力,给予评判性思维能力量表-中文版(critical thinking disposition inventory—Chinese version,CTDI-CV)、学生自主学习能力评价量表评价,比较2组教学满意度。结果Mini-CEX联合MDT组理论知识、实际操作技能评分较传统培训组高,差异有统计学意义(P<0.001);Mini-CEX联合MDT组问诊能力、临床诊断、操作能力、查体能力、治疗方案、沟通能力评分较传统培训组高,差异有统计学意义(P<0.001);Mini-CEX联合MDT组CTDI-CV评分较传统培训组低,自主学习能力评分、教学满意度较传统培训组高,差异有统计学意义(P<0.001)。Mini-CEX联合MDT组教学满意度(97.14%)较传统培训组高(85.71%),差异有统计学意义(P<0.05)。结论在急诊科住院医师规范化培训中运用Mini-CEX联合MDT教学,可提升规范化培训住院医师理论及实践操作成绩,提升其综合临床能力、评判性思维能力、自学能力及教学满意度。 展开更多
关键词 急诊科 住院医师规范化培训 多学科综合治疗协作组 迷你临床演练评估 综合临床能力 评判性思维能力 自学能力
下载PDF
照片艺术治疗在高职大学生自我意识完善与发展中的应用研究 被引量:1
16
作者 秦喆 张喆 王超 《潍坊工程职业学院学报》 2024年第2期71-79,共9页
目的:以高职大学生为对象,以照片艺术治疗活动为介质,探讨其对促进高职大学生自我意识完善与发展的影响。方法:实验时间分为两个阶段,分别是:2022年3月至6月和2023年3月至6月,通过发布招募信息,学生主动报名,采取随机分组的方式分为实验... 目的:以高职大学生为对象,以照片艺术治疗活动为介质,探讨其对促进高职大学生自我意识完善与发展的影响。方法:实验时间分为两个阶段,分别是:2022年3月至6月和2023年3月至6月,通过发布招募信息,学生主动报名,采取随机分组的方式分为实验组(20人)和控制组(20人)。主要观察指标为:自我接纳问卷、自尊量表、自我调控能力问卷、自我认同量表、田纳西自我概念量表。实验组接受8次照片艺术治疗团体心理辅导;控制组不接受任何实验处理。结果:实验组成员经过照片艺术治疗团体心理辅导后其自我意识发生了显著的提升(p<0.05),相较于控制组也呈现出显著性差异(p<0.05)。此外,四周后的追踪结果显示照片艺术治疗团体辅导对学生自我意识的完善与发展方面仍具有持续作用(p<0.05),但这取决于学生通过团体辅导对照片治疗的理念和方法内化于心、外化于行的效果。结论:照片艺术治疗是促进高职大学生自我意识完善与发展的有效途径。 展开更多
关键词 照片治疗 艺术治疗 团体辅导 高职大学生 自我意识
下载PDF
明代《弇山园记》中的意象单元结构关系及空间营造研究 被引量:1
17
作者 崔陇鹏 马文慧 《园林》 2024年第2期79-85,共7页
弇山园是晚明第一名园,其园林空间营造具有模块化、组团化的特征。先对王世贞《弇山园记》中的意象单元进行提取并完成空间单元的图示化转译,以求更清晰地展现每个意象单元所呈现的具体空间特征及意境营造。其次运用“解离—重构”的研... 弇山园是晚明第一名园,其园林空间营造具有模块化、组团化的特征。先对王世贞《弇山园记》中的意象单元进行提取并完成空间单元的图示化转译,以求更清晰地展现每个意象单元所呈现的具体空间特征及意境营造。其次运用“解离—重构”的研究方法,完成“意象单元、空间单元、空间组团”这一园林系统的建构,进而实现对弇山园意象单元结构关系及空间营造的研究。该研究对于明代园林的传承借鉴以及当代的景观设计具有重要意义,亦为古典园林空间研究提供了新思路。 展开更多
关键词 弇山园 意象单元 空间组团 结构关系
下载PDF
接纳与承诺团体干预对维持性血液透析糖尿病肾病患者营养状况的影响
18
作者 张晓丽 赵雪 +3 位作者 董晓艳 常玲玲 贾玉臻 刘敏 《护理实践与研究》 2024年第1期98-105,共8页
目的研究接纳与承诺团体干预对糖尿病肾病维持性血液透析患者营养状况的影响,为提高患者的生活质量、延长其生存时间提供心理干预方法。方法选取2022年7—10月在山东省某三级甲等综合医院行血液透析的糖尿病肾病63例患者为研究对象,按... 目的研究接纳与承诺团体干预对糖尿病肾病维持性血液透析患者营养状况的影响,为提高患者的生活质量、延长其生存时间提供心理干预方法。方法选取2022年7—10月在山东省某三级甲等综合医院行血液透析的糖尿病肾病63例患者为研究对象,按照组间资料具有可比性的原则分为观察组31例和对照组32例。对照组接受常规的健康教育和心理指导,观察组在对照组基础上实施接纳与承诺团体干预。比较两组患者糖尿病肾病维持性血液透析营养管理知信行评分、营养不良-炎症评分(MIS),检查两组患者血磷、血钙、白蛋白、C反应蛋白(CRP)指标。结果透析3个月后,观察组患者营养管理知信行评分均高于对照组,差异具有统计学意义(P<0.05)。透析3个月后,观察组MIS评分低于对照组,差异具有统计学意义(P<0.05)。透析3个月后,观察组患者血钙高于对照组,血磷低于对照组,白蛋白及CRP优于对照组,差异具有统计学意义(P<0.05)。结论接纳与承诺疗法通过接纳、认知解离、体验当下、以己为景、澄清价值观和承诺行动6个过程,利用正念、隐喻、知识传授及有氧运动等方法,可以提高糖尿病肾病维持性血液透析患者营养管理知信行水平和营养管理依从性,改善营养状况,维持钙磷代谢平衡。 展开更多
关键词 接纳与承诺团体干预 糖尿病肾病 维持性血液透析 营养状况 自我管理
下载PDF
群体决策可靠性的分层反馈与多级度量
19
作者 庞继芳 寇斌 +1 位作者 宋鹏 王宝丽 《重庆邮电大学学报(自然科学版)》 CSCD 北大核心 2024年第3期543-552,共10页
为了提高群体决策质量,获得更加可靠的决策结果,结合语言环境下考虑专家自信度的异构多属性群决策问题,建立了群体决策可靠性的分层反馈机制与多级度量模型。利用三支决策思想将各方案各属性下对应子群体中的专家按照自信度的高、中、... 为了提高群体决策质量,获得更加可靠的决策结果,结合语言环境下考虑专家自信度的异构多属性群决策问题,建立了群体决策可靠性的分层反馈机制与多级度量模型。利用三支决策思想将各方案各属性下对应子群体中的专家按照自信度的高、中、低划分成三类,进而,依次从子群体的专家构成、自信度以及共识度3个层次对决策可靠性进行量化分析,建立由粗到细、逐层细化的反馈机制,为决策过程的可靠性调整和控制提供途径;综合考虑子群体中高、中自信度专家的占比以及自信度和共识度等影响因素,构建多级可靠性度量模型,并形成针对方案级决策和整体决策的两级可靠性判定规则,有效提升决策结果的可解释性。在此基础上,提出一种可靠性驱动的异构多属性群决策方法,通过供应商选择实例分析并验证了所提方法的可行性和有效性。 展开更多
关键词 多属性群决策 专家自信度 决策可靠性 群体共识度 三支决策
下载PDF
自我管理团体模式对社区精神分裂症患者社会功能的干预
20
作者 陈婷婷 梁哲 +2 位作者 张燕华 赵姣文 胡晓龙 《中国健康心理学杂志》 2024年第9期1291-1296,共6页
目的:探讨自我管理团体模式干预对社区精神分裂症患者社会功能的介入效果。方法:选择上海市某区日间康复中心稳定期精神分裂症患者110例,随机分干预组和对照组各55例。除药物治疗外,对照组只接受日间康复中心提供的工娱活动及社区常规随... 目的:探讨自我管理团体模式干预对社区精神分裂症患者社会功能的介入效果。方法:选择上海市某区日间康复中心稳定期精神分裂症患者110例,随机分干预组和对照组各55例。除药物治疗外,对照组只接受日间康复中心提供的工娱活动及社区常规随访,干预组在上述常规服务外接受结构化的自我管理团体服务。干预按地缘分5个团体分组分批次完成,每个团体每周1节,共10节。在干预前及干预第5周、第10周及干预结束2个月后,对两组样本进行阳性和阴性症状量表(PANSS)、社会功能缺陷筛选量表(SDSS)和精神分裂症患者自我管理量表(SSMIS)评估,比较两组患者的病情、社会功能和自我管理能力情况。结果:至研究结束,干预组完成52例,对照组完成53例。研究前后,干预组在PANSS、SDSS和SSMIS的服药依从、药物管理、利用资源及支持、自我效能维度的评分差异均有统计学意义(P<0.05),对照组仅在PANSS阴性症状及SSMIS的服药依从、精神症状管理、维持日常生活及社会功能评分上前后差异有统计学意义(P<0.05)。重复测量方差分析结果显示,研究前后,两组的PANSS量表评分在时间效应、分组效应与时间效应的交互作用有统计学意义(F=28.14,10.28;P<0.001),在组间效应无统计学意义(P>0.05)。两组的SDSS量表评分仅在时间效应有统计学意义(F=5.57,P<0.01)。两组的SSMIS量表评分在时间效应、分组效应与时间效应的交互作用有统计学意义(F=12.99,5.83;P<0.01)。简单效应分析结果显示,干预组PANSS、SDSS评分随着干预时间的增长而下降,SSMIS量表评分随着干预时间增长而上升(均P<0.05)。以组别为自变量的干预效应分析表明,干预组与对照组仅在干预第10周的PANSS总分差异及在干预2个月后的PANSS及SDSS总分差异有统计学意义(P<0.05)。结论:运用自我管理团体模式有助于社区精神分裂症患者改善精神症状与社会功能,提升疾病自我管理能力。 展开更多
关键词 自我管理团体 精神分裂症 社会功能 社区
下载PDF
上一页 1 2 158 下一页 到第
使用帮助 返回顶部