Analysis of the Current Situation and Influencing Factors of Psychosocial Adaptation of Hemodialysis Patients

Objective:To investigate the current status and influencing factors of psychosocial adaptation of hemodialysis patients,and to provide a reference basis for the development of nursing interventions.Methods:435 hemodialysis patients from the hemodialysis centers of three tertiary A hospitals in Xi’an City were conveniently selected from April to August 2023,and were investigated using the General Information Questionnaire,the Psychosocial Adaptation to Disease Scale,the Fear of Disease Progression Simplification Scale,and the Personal Sense of Control Scale.Results:The psychosocial adaptation score of hemodialysis patients was(56.68±18.32);the results of multiple linear regression analysis showed that marital status,the form of payment for medical expenses,work status,degree of self-care in daily life,number of co-morbid chronic illnesses,fear of disease progression,and sense of personal mastery were the main influencing factors of psychosocial adaptation of hemodialysis patients.Conclusion:The psychosocial adaptation of hemodialysis patients is at the level of severe maladaptation,and healthcare professionals should formulate scientific and reasonable nursing intervention programs according to their influencing factors to enhance their psychosocial adaptation.

A review of intensified conditioning of personal micro-environments:Moving closer to the human body

Various systems and technologies have been developed in recent years to fulfil the growing needs of high-performance HVAC systems with better performance of energy efficiency,thermal comfort,and occupancy health.Intensified conditioning of human occupied areas and less intensified conditioning of surrounding areas are able to effectively improve the overall satisfaction by individual control of personalized micro-environments and also,achieve maximum energy efficiency.Four main concepts have been identified chronologically through the devel-opment of personal environmental conditioning,changing the intensified conditioning area closer to the human body and enhancing conditioning efforts,namely the task ambient conditioning(TAC)system,personal envi-ronmental control system(PECS),personal comfort system(PCS),and the personal thermal management(PTM)system.This review follows a clue of the concept progress and system evaluation,summarizes important findings and feasible applications,current gaps as well as future research needs.

“刑法中的行为”研究新视野

"刑法中的行为"是近代以来的刑法学者试图解决的一大难题。但是,现有行为理论都存在着难以克服的根本缺陷。运用马克思分析劳动过程的基本观点和方法来观察和抽象全部人类现实活动,通过对现有行为理论的剖析、拷问和批判,可以看到"行为应当是行为人控制或者应当控制客观条件作用于特定对象具体存在状态的过程";"刑法中的行为"并不是一个孤立存在,而是一个多维的有机整体。