Socio-Economic and Health Indicators’ Relation to Self-Assessed Health: A Case Study of Phai Tha Pho, Phichit Province, Thailand

Background: Self-assessed health (SAH) is used as a common method of sociology research to understand the implications of self-reported health and the link to social factors like education, income, and occupation. The paper explores the impact of socio-economic and health indicators on self-assessed health in the middle-aged to the senior population in a rural community in Thailand. Methods: Primary data were collected after conducting a randomized sampling for 100 people using direct interviews in two locations within the sub-district of Phai Tha Pho, Thailand. The target demographic was the middle-age to elderly population. A logit model was applied to the collected samples. Results: The study highlights that higher education, income, and sleep are high predictors for positive SAH while high blood sugar level has significant adverse effects on SAH. Detection of metabolic syndrome further indicates degraded overall health perception over time. Conclusion: The study demonstrated the relationship between socio-economic indicators and illnesses alongside individual SAH in rural Thailand. Accordingly, policies have been proposed that include targeted subsidies for healthy food alternatives, promoting work-rest balance at all levels, and an expansion of sub-district education up to secondary school. SAH can be performed regularly and expanded across communities including areas of low-income living due to its low implementation costs. It could also be used as a tool to support the government’s public health initiatives complementing the existing five-year direct health check-up programme. A comparative study of SAH across regions is recommended for future research.

Dilemmas and Optimization of Third-Party Assessment System in Chinese Fair Competition Review

The current predominant self-review mechanism by policy-making bodies suffers from deficiencies such as insufficient motivations, limited review capabilities, and weak external supervision. Third-party assessment, characterized by independence and specialization, is designed to mitigate these shortcomings. However, the implementation of third-party assessment faces challenges too. This paper intends to improve the third-party assessment system and to realize the legislative purpose of the system. Based on social research, discussions and exchanges with relevant parties, and the existing research results, this paper analyzes the challenges and possible optimization measures for the third-party assessment. The challenges include repulsion from policy-making bodies, insufficient independence of assessment bodies, disparity of assessment quality, and limited application of assessment outcomes. Possible optimization measures include promoting fair competition culture, increasing the acceptance of third-party assessment from policy-making bodies, enhancing the quality of third-party assessment, clarifying the relationship between policy-making bodies and assessment bodies, ensuring the independence of third-party assessments, and promoting the application of assessment results.

Waterlogging risk assessment based on self-organizing map(SOM)artificial neural networks:a case study of an urban storm in Beijing

Due to rapid urbanization, waterlogging induced by torrential rainfall has become a global concern and a potential risk affecting urban habitant's safety. Widespread waterlogging disasters haveoccurred almost annuallyinthe urban area of Beijing, the capital of China. Based on a selforganizing map(SOM) artificial neural network(ANN), a graded waterlogging risk assessment was conducted on 56 low-lying points in Beijing, China. Social risk factors, such as Gross domestic product(GDP), population density, and traffic congestion, were utilized as input datasets in this study. The results indicate that SOM-ANNis suitable for automatically and quantitatively assessing risks associated with waterlogging. The greatest advantage of SOM-ANN in the assessment of waterlogging risk is that a priori knowledge about classification categories and assessment indicator weights is not needed. As a result, SOM-ANN can effectively overcome interference from subjective factors,producing classification results that are more objective and accurate. In this paper, the risk level of waterlogging in Beijing was divided into five grades. The points that were assigned risk grades of IV or Vwere located mainly in the districts of Chaoyang, Haidian, Xicheng, and Dongcheng.

Re-examining Geos Neighbourhood for Its Energy Self-sustained Ability Through Ecological Footprints, Net Energy, and Life Cycle Assessment Tools

There are mounting evidences that human consume significant quantities of resources and have a major impact on the environment. Some research indicates that since the 1980s human demands on the biosphere have exceeded its regen-errative capacity. One way to solve this problem is to minimize the inappropriate ex-ploitation from environment. This essay wil focus on energy self-sustained project, which is a specific way to reduce energy requirements. Energy self-sustained project refers to that energy production is equal to the amount consumed. Three concepts are quoted in the fol-lowing to assess whether the project achieve zero-energy or not. First, ecological footprint, which provides an indication of the human load on the biosphere, is uti-lized to measure the inputs and outputs of the bioregion, which is also beneficial for defining the potential energy. Another one is life cycle assessment, which evaluates environmental load that relates to the entire life periodic system of a product, is helpful to measure the products used in the energy self sustained project. In addi-tion, net energy, and gross resource abundance, definitions for selection, or hierar-chy of different energy resources, can evaluate the new energy resources in project. Geos Neighbourhood, located in colorado, was planned as the largest net-zero energy neighbourhood in the United States. To meet the energy self sustainability, earth and sun power completely sustain the community＇s energy needs, and re-place al fossil fuels. Compared with the traditional communities, Geos Neighbour-hood minimize the adverse impact on the environment. As tools for assessment, ecological footprint, life circle assessment, and net energy, are al used to analyse the planning and design principles in the neighbourhood. By the research, the de-sign principles and energy use in Geos Neighbourhood wil be re-examined that whether the zero energy project achieves the reduction of ecological footprint, and energy self sustainability. In addition, life circle assessment wil re-examine the ma-terials used in the community also. Final y, the concept of ＇net energy＇ wil test solar energy and earth power which is the major energy used in Geos Neighbour-hood.

The Impact of Repeated Death Conference Participation on Nurses’ Terminal Care and Nursing in Death Conference Using the Death Conference Nursing Self-Assessment Sheet

Background: Increasing the number of DC (Death Conference) experiences, nurses are expected to improve the quality of nurses’ terminal care and developing nursing minds. Therefore, there is a need for further evidence on the impact of repeated DC experiences on nurses’ terminal care. Aim: This study aims to clarify the impact of repeated DC experiences on nurses’ terminal care and nursing in DC using the prepared Death Conference Nursing Self-Assessment Sheet. Method: The study is approved by the Ethics Review Board of St. Mary’s College, Chukyo Gakuin University, and the hospital where the survey was conducted. This study was an observational and cross-sectional study using an anonymous, self-completed questionnaire composed of the newly created Death Conference Nursing Self-Assessment Sheet. Its evaluation items in the Death Conference Nursing Self-Assessment sheet consist of four categories (Cooperation, Future direction of nursing, Specific measures for nursing, and Feeling of the nurse) and 14 questions. The questionnaires were conducted on 144 nurses in the ER, ICU, and Palliative Care Ward (Hospice Ward) in a general hospital in Japan. For analysis, JMP ver.14.2 was used to perform Fisher’s exact test, Wilcoxon/Mann Whitney test, univariate, and multivariate logistic regression analysis. Results: Thirty-four participants (23.6%) who answered the number of DC experiences were included in the final analysis. Seventeen nurses had DC experiences, and 17 had no experience. There were significant differences in all of the above categories impacting nurses’ terminal care and nursing in DC. Conclusion: Repeated DC affected nurses’ terminal care and nursing in DC using the Death Conference Nursing Self-Assessment Sheet. In the future, verification of the reliability, validity of the questionnaire, and more evidence of the way of terminal concerns by raising the quality of DC for developing nursing minds will be needed.

Development of a Self-Assessment Questionnaire for Nurses’ Risk-Taking Behavior in Medication

Purpose: The purpose of this study was to prepare a self-assessment questionnaire for nurses’ risk-taking behavior (RTB) in medication and to develop a reliable and valid questionnaire. Method: In the first study, a draft of the self-evaluation questionnaire for nurses’ RTB in medication was prepared based on the literature study and qualitative analysis of important case information included in the Project to Collect Medical Near-miss/Adverse Event Information Annual Report of the Ministry of Health, Labor and Welfare. Following the studies, face validity was confirmed, and a questionnaire survey was conducted for nurses who oversee medication nationwide to verify the reliability and validity. Result: The number of subjects was 586 (valid response rate: 94.1%). Item analysis and exploratory factor analysis showed that 4 factors and 12 items for the RTBs in daily life and 4 factors and 20 items for RTBs in medication could be extracted. Confirmatory factor analysis confirmed the fit of the hypothetical model obtained by exploratory factor analysis. In addition, Cronbach’s α coefficient was 0.888. Thus, high reliability and validity were obtained. A correlation was found by comparing the total scores of each RTB factor with the incident/accident group, and a standard for self-evaluation value could be established (p < 0.01). Conclusions: We were able to develop a self-assessment questionnaire for nurses’ risk-taking behavior in medication. This questionnaire will be used by nurses to find out their trends.

Differences in Self-Assessment Regarding Eating Behaviors among Female University Students Living in Japan, Korea, and Austria

Objective: To investigate cross-cultural differences in self-assessments of eating behaviors of female university students who bear responsibility for their own eating behaviors and who will, in the future, likely determine a family’s eating style. Design: A cross-cultural comparison. Setting: Japan, South Korea, and Austria. Subjects: Female university students from Japan (n = 276), Korea (n = 103), and Austria (n = 127). The survey comprised a questionnaire containing ten sections about eating behaviors (eating habits, regular meal times, and frequency of food intake) and eating attitudes. Results: Eating behaviors and attitudes differed significantly among the three cultures. Japanese students practiced healthier eating behaviors than did Korean and Austrian students, on the basis of their variety of food intake and regular consumption of three meals, but rated themselves lower on healthy eating behaviors. Austrian students tended to have more independent attitudes toward eating and food preparation (e.g., “I want to eat only my favorite dishes”) than Japanese or Korean students. Conclusions: Effects of cultural differences in psychological processes, such as self-cognition, emotion, motivation, and values, on self-assessment of eating behaviors is suggested.

追随力视角下员工创新形成机制研究——组织自尊和心理授权的作用

基于追随力视角和自我验证理论,通过构建有调节的中介模型,探究员工追随力对创新行为的影响作用,并讨论组织自尊的中介效应和心理授权的调节效应。根据486份有效样本数据分析,研究结果表明,组织自尊在员工追随力与创新行为间发挥显著中介作用,心理授权在正向调节员工组织自尊与创新行为的同时也调节了组织自尊的中介作用。研究结果补充追随力视角相关研究,强调追随行为在领导过程中的同等重要性,对探索员工追随力对创新行为的作用机制和边界效应具有一定的理论意义,同时也为企业在甄选和培养员工以及日常管理实践上提供一定指导作用。

家庭医生服务能力自我评估调查问卷的开发与应用

目的:开发并应用家庭医生服务能力自我评估调查问卷。方法:选取我国8469名已经或即将从事家庭医生工作的基层卫生机构医生为研究对象,采用自行开发的家庭医生服务能力自我评估调查问卷对其进行调查。结果:基本医疗服务能力7项职责中,家庭医生具备承担常见病、多发病诊治职责能力的比例最高,为94.69%,社区康复服务和合理用药、用械职责能力的比例相对较高,分别为90.94%和90.75%。基层医生具备承担危急重症应急处置、医疗服务协同等职责能力的比例较低,分别为53.74%和56.68%。73.27%的家庭医生基本医疗服务能力得分≥4分,东、中、西部地区的家庭医生基本医疗服务能力得分≥4分者分别占73.72%、77.03%、67.49%。农村地区的家庭医生基本医疗服务能力得分≥4分者占74.62%,高于城市地区(70.63%)。全科医生基本医疗服务能力得分为7分者占比最高(27.48%),执业医师占比为19.99%。结论:本研究构建的家庭医生服务能力自我评估调查问卷可行性和可靠性较高,家庭医生服务能力自我评估调查问卷的应用有利于识别基层医生服务能力短板,能够反映家庭医生实际能力水平,符合基层工作实际情况,城乡家庭医生和不同类别的家庭医生基本医疗服务能力存在差别。

父母教养方式对大学生心理危机的影响:感知校园氛围与自尊的链式中介作用

目的:基于生态系统理论,探究父母教养方式(积极教养方式和消极教养方式)对大学生心理危机的影响以及感知校园氛围与自尊的中介作用。方法:采用便利抽样法,于2023年9-12月选取黑龙江省某大学650名在校大学生为研究对象。采用简式父母养育方式问卷、感知校园氛围量表、自尊量表、大学生心理危机筛查量表进行问卷调查。采用Pearson相关分析探讨各量表得分的相关性。采用AMOS 24.0进行链式中介模型的构建,采用Bootstrap方法进行中介效应检验。结果:积极教养方式对心理危机的总效应显著[β=-0.509,95%CI(-0.573,-0.442),P<0.001];积极教养方式对心理危机的间接效应,即感知校园氛围、自尊的中介效应显著[β=-0.258,95%CI(-0.323,-0.199),P<0.001];积极教养方式对心理危机的直接效应显著[β=-0.252,95%CI(-0.336,-0.161),P<0.001]。消极教养方式对心理危机的总效应显著[β=0.475,95%CI(0.409,0.538),P<0.001];消极教养方式对心理危机的间接效应,即感知校园氛围、自尊的中介效应显著[β=0.252,95%CI(0.196,0.312),P<0.001];消极教养方式对心理危机的直接效应显著[β=0.223,95%CI(0.135,0.309),P<0.001]。两个链式中介模型均属于部分中介模型。结论:感知校园氛围与自尊在父母教养方式与大学生心理危机之间起链式中介作用。学校及精神卫生服务部门可对大学生心理危机影响因素进行及时干预,以减少和预防大学生心理危机的发生。

新生代员工资质过剩感对越轨创新行为的影响——一个被调节的多中介模型

随着数字经济蓬勃发展,新兴数字技术在传统领域的应用不断深入,给企业数字化转型带来巨大创新潜能和机会。新生代员工在创新过程中面临“创新悖论”,导致自发性越轨创新行为的发生。根据自我调节理论和自我一致性理论,基于332份调查问卷,构建一个被调节的多中介模型,探讨新生代员工资质过剩感对越轨创新的影响。结果表明,资质过剩感正向影响员工越轨创新行为;角色宽度自我效能感、消极情绪分别在认知和情绪路径上对资质过剩感与越轨创新间的关系起到部分中介作用;心理安全感正向调节角色宽度自我效能感、消极情绪与员工越轨创新间的关系。研究结果有助于厘清新生代员工资质过剩感与越轨创新间的作用机制和边界条件,为有效发挥新生代员工资质过剩感的作用、适当引导员工越轨创新行为、促进组织管理实践提供人力资源的辨识与思考。

双元护理干预模式对烟雾病患者术后心理健康及康复效果的影响

目的探讨双元护理模式对烟雾病患者术后疾病不确定感、心理弹性、自护能力和康复情况的影响。方法将116例烟雾病患者按随机数字表法分为观察组和对照组,各58例。对照组围术期给予常规护理,观察组采用双元护理干预模式,观察住院全程。比较入院时及出院时两组患者Mishel疾病不确定感量表(MUIS-A)、心理弹性量表(CD-RISC)、自护能力量表(ESCA)评分及术后并发症发生率、康复情况。结果两组患者出院时MUIS-A各维度评分及总分均较入院时降低,且观察组低于对照组(P<0.05或0.01)。两组患者出院时CD-RISC、ESCA各维度评分及总分均较入院时升高,且观察组高于对照组(P<0.05或0.01)。观察组患者术后并发症总发生率低于对照组(P<0.05),术后住院时间少于对照组(P<0.01)。结论双元护理干预模式应用于烟雾病术后护理有利于减轻患者疾病不确定感,提升心理弹性和自护能力,对减少术后并发症的发生,促进患者康复具有积极作用。

认知行为干预对固定矫正器正畸患者心理负担和自护能力的影响

目的:探讨认知行为干预对固定矫正器正畸患者心理负担和自护能力的影响。方法:选取2020年1月-2021年1月某院收治的90例固定矫正器正畸患者为研究对象,按照入院先后分为对照组和观察组,每组各45例;对照组采取常规干预,观察组采取认知行为干预;对比两组治疗依从性,干预前后心理负担[汉密尔顿焦虑自评量表(HAMA)、汉密尔顿抑郁自评量表(HAMD)]、舒适度和疼痛情况[Kolcaba简化舒适状况量表、视觉模拟评分法(VAS)]、自护能力[自我护理能力量表(ESCA)]及自我效能[口腔保健自我效能量表(SESS)]。结果:两组治疗依从性比较,观察组高于对照组(χ^(2)=5.404,P<0.05)。干预后,两组HAMA、HAMD评分均下降(P<0.05),且观察组均低于对照组(t=-8.993,-7.187;P<0.05);干预后,两组Kolcaba量表评分均升高(P<0.05),且观察组均高于对照组(t=10.804,P<0.05);两组VAS评分均降低(P<0.05),且观察组均低于对照组(t=-15.429,P<0.05);干预后,两组自我概念、健康知识水平、自我护理技能、自我护理责任感及ESCA量表总分均高于干预前(P<0.05),且观察组均高于对照组(t=6.692,3.663,5.640,5.183;P<0.05);干预后,两组口腔就诊、正确刷牙、平衡饮食得分均高于干预前(P<0.05),且观察组均高于对照组(t=4.295,7.013,7.427;P<0.05)。结论:对固定矫正器正畸患者采用认知行为干预效果显著,可提高治疗依从性,减轻心理负担,缓解疼痛,提高舒适度、自护能力和口腔保健自我效能。

产房家庭协同护理对初产妇心理状况、分娩自我效能及母婴结局的影响

目的:探讨产房家庭协同护理对初产妇心理状况、分娩自我效能及母婴结局影响.方法:选取2020年5月-2021年12月在本院产检并分娩的初产妇为研究对象,按随机数字表法分为观察组和对照组各60例.对照组临产进入产房后常规护理与指导,观察组在对照组的基础上实施家庭成员协同护理.对比分析两组产妇干预前后SAS、SDS评分,分娩自我效能评分,分娩方式,产时VAS评分、产程时间及母婴结局之间的差异.结果:干预后观察组对象SAS评分、SDS评分下降显著,且低于对照组(P<0.05);结果效能、期望效能、自我效能总分提高,且高于对照组(均P<0.05);阴道分娩率显著高于对照组(91.7%比73.3%),中转剖宫产率低于对照组(8.3%比26.7%),差异有统计学意义(P<0.05).观察组经阴道分娩对象产时VAS评分、第一、二产程时间、产后2h出血量及新生儿Apgar评分均明显好于对照组(P<0.05).结论:产房家庭成员协同护理干预可有效改善初产妇心理状况,提高分娩自我效能,降低产时疼痛水平,缩短产程时间,促进阴道分娩,改善母婴结局.

孤独症谱系障碍患儿父母心理适应与心理弹性及自我效能的关系

目的探讨孤独症谱系障碍(ASD)患儿父母心理适应与心理弹性及自我效能的关系。方法通过随机取样法选取2021年10月至2022年4月期间在郑州大学第三附属医院接受治疗的316例ASD患儿及其父亲或母亲316名作为研究对象。采用一般资料调查问卷、心理适应量表(PAS)、心理弹性量表(CD-RISC)以及一般自我效能感量表(GSES)对所有ASD患儿父亲或母亲进行调查,应用Spearman相关性分析法评价ASD患儿父亲或母亲心理适应与心理弹性及自我效能的关系,采用多元线性回归分析ASD患儿父亲或母亲心理适应的影响因素。结果ASD患儿父亲或母亲PAS量表总分为(59.71±6.38)分、CD-RISC量表总分为(62.44±5.87)分、GSES量表总分为(20.45±4.16)分;Spearman相关性分析法分析结果显示,ASD患儿父亲或母亲PAS量表各维度得分及总分与CD-RISC量表各维度得分及总分、GSES量表总分均呈正相关(P<0.05);多元线性回归分析结果显示,心理弹性、自我效能、与患儿关系、父亲或母亲年龄均是ASD患儿父亲或母亲心理适应的影响因素(P<0.05)。结论ASD患儿父亲或母亲心理适应、心理弹性、自我效能处于中等水平,心理弹性、自我效能、与患儿关系、父亲或母亲年龄是ASD患儿父亲或母亲心理适应的影响因素,临床应加强对影响因素的关注并采取有效干预,提升ASD患儿父亲或母亲心理适应水平。

目标管理理论干预对冠心病合并心衰患者心理负担和应对行为的影响

目的:分析目标管理理论干预对冠心病合并心衰患者心理负担和应对行为的影响。方法:将2021年3月—2023年3月某院收治的80例冠心病合并心衰患者随机分为两组。对照组40例采取常规临床干预,干预组40例予以目标管理理论的干预。比较两组干预前后的心理负担、自我管理行为及应对方式,评价两组的治疗依从性及生活质量。结果:干预后两组心理负担均减轻,且干预组的心理负担轻于对照组(Z=4.641,P<0.05);干预后干预组的自我管理行为量表中日常生活管理行为、疾病医学管理行为、情绪认知管理评分均高于对照组(t=4.410,4.660,6.267,P<0.05);干预后干预组的简易应对方式问卷(SCSQ)中积极应对评分高于对照组,消极应对评分低于对照组(t=5.505,-5.625,P<0.05);干预组的治疗依从性优于对照组(χ2=4.501,P<0.05);干预后干预组的生活质量测定量表(WHOQOL-BREF)中各维度评分高于对照组(t=6.819,8.072,6.848,3.684,P<0.05)。结论:对冠心病合并心衰患者施于目标管理理论干预可有效减轻患者的心理负担,提升患者的自我管理行为,改善患者的应对方式,提高患者的治疗依从性及生活质量。

轨道交通“网-源-储-车”协同供能技术体系

为降低轨道交通系统牵引能耗,轨道交通“网-源-储-车”协同供能技术通过可再生能源的就地消纳,构建新型协同供能技术体系,实现跨时空高效用能.针对此新型供电系统结构,本文全面分析协同供能系统的物理架构、信息架构和社会架构的基本组成及类型特征;在此基础上,围绕资产能源化的基本概念,总结“荷-源”时空匹配评估方法与优化技术,并从系统角度阐述多源融合技术、保护重构、弹性评估等重要技术体系;重点分析“网-源-储-车”协同的高效能与高弹性的能源自洽技术,并基于人工智能和信息技术构建多层级能量管控系统,实现不同能量流的高效耦合,保障系统安全稳定经济运行.本文系统性地总结了轨道交通“网-源-储-车”协同供能系统的架构特征、评估优化、安全运维及协同运行等关键技术,阐述协同供能系统的技术组成体系,为协同供能系统的工程实践提供相应参考.

父母对青少年抑郁症患者非自杀性自伤行为心理体验的质性研究

目的探讨父母对青少年抑郁症患者非自杀性自伤行为的心理感受,为制定针对性家庭干预措施提供参考。方法对15名经历过非自杀性自伤行为的住院青少年抑郁症患者的父母进行访谈,采用Colaizzi 7步分析法分析、归纳、提炼主题。结果青少年抑郁症患者父母对孩子非自杀性自伤行为的心理体验归纳为5个主题:自伤前部分重心聚焦工作,忽视孩子情感需求;暴露初期言语过激无法自己,抱怨自责情感脆弱;治疗前期内心焦虑思绪徘徊,害怕暴露不愿求医;治疗期无奈降低自身期望,努力改变迎合孩子;恢复期思想矛盾决择困难,担心孩子未来成长。结论青少年抑郁症患者父母对孩子非自杀性自伤行为心理体验复杂,家庭因素对青少年的行为有重要影响,应引导父母给孩子提供正确的家庭支持。

分级心理护理联合认知行为护理在心脏瓣膜手术患者中的应用效果

目的:观察分级心理护理联合认知行为护理在心脏瓣膜手术患者中的应用效果。方法:回顾性分析2021年7月至2022年6月在本院接受心脏瓣膜手术治疗的86例患者的临床资料,根据护理方法不同分为观察组和对照组,每组43例。对照组采用常规护理,观察组在对照组基础上采用分级心理护理联合认知行为护理,比较两组心理韧性、自我护理能力及生命质量。结果:护理后,两组中文心理韧性量表、自我护理能力测定量表及生活质量综合评定问卷-74评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用分级心理护理联合认知行为护理,可提高心脏膜手术患者的心理韧性、自我护理能力及生命质量,其护理效果优于单纯常规护理。