Application of Structured Health Education and Combined 5A Nursing Model in Self-control of Vulnerable Chronic Diseases: Take Coronary Heart Disease as an Example

Objective:To explore the intervention effect of the Structured Health Education course and 5A nursing model for self-control of elderly patients with coronary heart disease.Methods:Using the random sampling method,124 elderly CAD patients admitted to the First Affiliated Hospital of Bengbu Medical University were randomly divided into an experimental group and a control group.The control group line routine health education,experimental group take structured health education combined with 5A nursing before and after the intervention using a coronary heart disease assessment questionnaire,coronary heart disease self-control scale evaluation of two groups of intervention,compare two groups before and after intervention blood pressure,blood sugar,body mass index,lipid index level and complications within 8 months after discharge.Results:After the course intervention,the disease cognition and self-behavior of the experimental group were higher than that of the control group,and the differences were statistically significant(all P<0.1).Conclusion:This course is suitable for elderly patients with coronary heart disease.The 5A model improves the cognitive and management ability of elderly patients to a certain extent,which is worthy of clinical application.

Self-Control Training Decreased Intensity of Penalty Toward Previous Offender

Previous studies have found that self-control training was effective in improving an individual’s self-control,which plays an important role in inhibiting negative emotions.However,it is unclear whether self-control training can facilitate refraining from retaliation.This study randomly assigned participants(N=55)to a training condi-tion(building self-control by avoiding sweets)or a control condition.Before and after training,participants com-pleted the Transgression-Related Interpersonal Motivations Inventory-18(TRIM-18)and a modified Taylor aggression task once each.Participants in the training condition inflicted more low-intensity penalties on the pre-vious offender compared to control participants.Participants in the training condition reported lower revenge scores after training than before training.These results provide preliminary support that providing people who wish to forgive self-control training might promote forgiveness.

Effects of Continuous Non-Invasive Blood Pressure Monitoring on Intraoperative Hemodynamics and Postoperative Myocardial Injury in Craniotomy:Comparison Between Groups Based on Self-Control and Propensity Score Matching

Objective:To explore the effect of continuous non-invasive blood pressure monitoring on intraoperative hemodynamics and postoperative myocardial injury in craniotomy.Methods:120 cases of elective craniotomy were divided into the self-control group(continuous non-invasive blood pressure monitoring and intermittent cuff non-invasive blood pressure monitoring,CNAP group)and propensity score matching group(only intermittent cuff non-invasive blood pressure measurement in previous craniotomy,PSM group);Goal-directed hemodynamic management in CNAP group included heart rate(HR),blood pressure(BP),stroke volume(SV),stroke variability(SVV),and systemic vascular resistance index(SVRI).The main index is to compare the troponin level within 72 hours after operation between the CNAP group and the PSM group;The secondary indicators are the comparison of the hemodynamic conditions between the CNAP group and the PSM at 10 specific time points.Results:The incidence of postoperative myocardial injury in the CNAP group was significantly lower than that in the PSM group(12%vs.30%,P=0.01);in the CNAP group hypotensive episodes(6 vs.3,P=0.01),positive balance of fluid therapy(700 vs.500 mL,P<0.001),more use of vasoactive drugs(29 vs.18,P=0.04),more stable hemodynamics medical status(P=0.03)were recorded.Conclusion:The hemodynamic management strategy based on continuous non-invasive blood pressure monitoring can reduce the incidence of myocardial injury after elective craniotomy and maintain a more stable hemodynamic state.

Influence of temperature on the transformation and self-control of energy during sandstone damage:Experimental and theoretical research

The surrounding rock in tunnelling engineering and coal mining will sometimes be exposed to high temperature. Rock failure is the result of energy dissipation, and the study of the evolution and transformation behavior of energy is of great significance for the in-depth understanding of the deformation and failure of rock after high temperature. This study analyzed the intrinsic connection between mechanical properties and acoustic emission(AE) energy under temperature effect. Based on the energy dissipation and release theory, the distribution and transformation of energy was analyzed, and the energy selfincentive and self-inhibition(EII) model was further established. The main findings are that temperature effect affects the confidence interval trend and the value of AE energy rate, which is related to the change in mechanical properties. The ability of sandstone to store elastic strain energy after exposure to high temperature is independent of the mechanical properties. In this study, the ratio of dissipated energy to elastic energy is used to characterize the stable state of the sandstone system, which can be used as the energy indicator of rock failure precursor. During the absorption, storage, and release of energy before the peak stress, there exists self-incentive and self-inhibition of energy(control behavior).

The Relationship between College Students’ Online Game Addiction, Family Function and Self-Control

Objective: To study the status of online game addiction, self-control ability and family function, analyze the influence factors and the relationship between them. Methods: The questionnaire of online game addiction, family function and self-control ability was used to investigate some college students. Results: 1) The detection rate of college students’ online game addiction is 40%. There are significant differences in sex, grade and only child in online game addiction. 2) There are significant differences in self-control ability and family function between online game addicts and non-addicts. 3) Self-control ability and family function have a significant predictive effect on online game addiction. Conclusion: College students’ online game addiction is affected by their self-control ability and family function, and it can be alleviated by improving their self-control ability and family function.

Depression Among Arab Students in Israel： The Contribution of Religiosity, Happiness, Social Support and Self-control

This study examines the correlation ~mong a number of personal and environmental resources that can recluce u^pz-~on, These are： religiosity, happiness, social support, and self-controL The participants in the study consisted of 219 Arab students from teacher training colleges in the Triangle region in central Israel. The findings indicate that all the resources that were examined contribute to reducing the level of depression; in other words, significant negative correlations were found between the level of religiosity, happiness, social support and self-control on the one hand, and the level of depression on the other hand. These findings are consistent with those of other studies conducted elsewhere in the world on different populations CChristian and lewish, as well as Muslim）. The present study and its findings are, however, the first to address the understanding of depression among the populace in question. The findings were discussed in accordance with a number of different theories.

Coherent Neuron Activity in Frontal Cortex, n. Accumbens and dorsomedial Striatum during Impulsive and Self-control Behavior in Cats

Cats placed in the situation of a choosing between a high-value time-delayed and a low-value immediate food rewards elected to wait for the preferred reward or to obtain the worse reward quickly. On the basis of the selected behavior strategy the cats were classified into three groups - self-control ones, choosing predominantly a delayed high-value food reward, impulsive, choosing predominantly an immediate low-value food reward, and ambivalent - with mixed types of reactions. The correlated firing between simultaneously recorded neurons in prefrontal cortex (PFC), n. accumbens (NAcb) and dorsomedial striatum (DMStr) during choice behavior task was studied. It was revealed that a total number of NAcb functional neuron interactions at cats showing self-control reactions exceeded that of observed at ambivalent and impulsive cats. The number of PFC and DMStr functional correlated firing at impulsive and ambivalent cats was more significant than at cats capable to self-control. Observed correlated firing between PFC and NAcb neurons (fronto-accumbal interactions) progressively increased with the shift of behavior to impulsiveness and decreased with self-control behavior. Our results demonstrate that performance of impulsive and self-control behavior alters the correlation structure of neural firing in PFC, NAcb, DMStr and suggest the key role of local PFC, NAcb, DMStr networks in realization of choice behavior.

The Effect of Exercise Duration on Mobile Phone Dependence among College Students: The Mediating Role of Self-Control

This research focused on the social concern of college students5 participation in physical exercise and mobile phone dependence.The research model and hypotheses in this study were constructed based on the self-control theory and by reviewing previous research.This research distributed questionnaires to 207 college students from a university in Guangzhou,China to obtain relevant data.Mediation analysis was employed to test the four hypotheses drawn from empirical and conceptual research.The results of this research showed that first,the longer the exercise duration of college students,the higher the level of their self-control,thus exercise duration has a significant positive impact on self-control.Second,increasing the exercise duration of college students had no effect on their mobile phone dependence.Third,the higher the level of selfcontrol,the lower the dependence on mobile phones,thus signifying that self-control has significantly negative impact on mobile phone dependence.Fourth,self-control plays a mediating role in the effect of exercise duration on mobile phone dependence.In conclusion,the longer the exercise duration of college students,the higher the level of self-control,in which it is able to significantly reduce the dependence on mobile phones.

Effect of self-modeling and self-controlled feedback on the performance of professional swimmers and waterpolo players

Self-modeling(SM)and self-control(SC)feedback can be presented as two solutions for learning improvement.Therefore,the aim of the present study was to investigate the effects of SM and SC feedback on 100-m freestyle performance of professional swimmers and waterpolo players.25 elite male swimmers and waterpolo players,were randomly assigned to four groups:swimmer group with SM,swimmer group with SM and SC feedback,waterpolo players group with SM,and waterpolo players group with SM and SC feedback.100-m freestyle times and performance were recorded.SM and SC feedback for the participants were utilized at the acquisition stage.The device used included a Lenovo B570 laptop and an Exilim ZR200 canon camcorder.SM and SC feedback presented to the swimmers and waterpolo players led to improved speed and results,and the effect of presenting SM with SC feedback to swimmers had better results.In conclusion,the present study indicates that SC modeling of watching video is a suitable method for professional swimmers.Water polo trainers can also use SM and SC feedback to enhance their players'swimming technique.

The analysis of the adherence of liver transplant recipients to immunosuppressant treatment, their self-control, and self-management in the post-transplantation period

Background and amis:In our study,it was aimed to investigate the adherence of liver transplant recipients to immunosuppressant therapy,their self-control,and their self-management in the post-transplantation period.Methods:The sample of this descriptive and cross-sectional study was composed of liver transplant recipients.The personal information form,Immunosuppressant Therapy Adherence Scale,and the Liver Self-Control and SelfManagement Scale were used to collect data,and descriptive statistical methods,independent samples t-test and one-way analysis of variance analysis was used to analyze the collected data.Results:In light of the data collected in this study,it was identified that,of all recipients,73.6%were 45–64 years old,72.5%were male,25.2%were workers,and 44.6%had equivalent income and expenses.It was observed that the recipients did not fully adhere to the immunosuppressant therapy regimen,and their self-control and selfmanagement levels were below the medium level.Conclusion:The social support system of liver transplant recipients is very important.Recipients with a good social support system can receive caregiver support from their relatives,thereby supporting their self-control and selfmanagement.Both liver transplant patients and the people providing care to them should be simultaneously provided with training programs and given information,and both groups should be supported in treatment and care processes.

大学生自杀行为影响因素的分类决策树分析

为了识别大学生自杀行为的风险和保护因素。对在校大学生实施感恩问卷、自我控制双系统量表、自杀问卷及人口学信息调查,获得有效数据11288份,进行分类决策树分析。结果显示:大学生近一年内自杀意念发生率17.1%,近半年内自杀行为发生率3.8%。分类决策树分析发现,自杀意念为根节点,感恩、冲动、控制、家庭阶层、是否独生均为重要的子节点(AUC=0.959)。结论:自杀意念是大学生自杀行为最重要的近端风险因素,冲动为中端风险因素,感恩特质和适度控制分别为远端保护因素;低社会家庭阶层、中高阶层家庭的非独生子女大学生由自杀意念转变自杀行为的风险较高。

网络成瘾对大学生学业压力的影响:睡眠质量与自我控制的中介作用

本研究基于资源保存理论,运用日志法调查了153名大学生,采用多水平结构方程模型,探讨了睡眠质量和自我控制在网络成瘾与大学生学业压力关系间的中介机制。结果发现:(1)早期测量的网络成瘾能够预测后来测量的总体学业压力、睡眠质量和自我控制水平;(2)自我控制能够独立中介网络成瘾与学业压力间的关系;(3)睡眠质量和自我控制能够序列中介网络成瘾与学业压力间的关系。本研究结果提示,可以通过预防和干预网络成瘾减轻大学生感知的学业压力,对于有学业压力的网络成瘾大学生,可以通过提高睡眠质量等方式增强其自我控制资源,来缓解他们的学业压力。

体操游戏干预促进幼儿自我控制和运动协调能力的实验研究

目的:检验体操游戏干预对幼儿自我控制、运动协调的影响。方法:以杭州市某幼儿园两个园区的114名3~5岁幼儿为实验对象(其中实验组58人),采用准实验不等同比较组前后测设计,对实验组进行为期10周、每周2次、每次20~30 min的体操游戏干预,同时对照组进行户外身体活动,干预前后测量幼儿的认知自控、行为自控和运动协调能力。结果:2(时间)×2(实验处理)重复测量方差分析显示,认知自控的交互作用显著(F=6.72,P<0.05,η_(p)^(2)=0.064),行为自控的变化不具有统计学意义(F=0.15,P>0.05,η_(p)^(2)=0.002);精细动作、运动协调总分的交互作用非常显著(F_(精细动作)=12.48,P<0.001,η_(p)^(2)=0.11;F_(运动协调总分)=10.76,P<0.001,η_(p)^(2)=0.099),定位和抓取的交互作用显著(F=5.93,P<0.05,η_(p)^(2)=0.057),动静态平衡的变化不具有统计学意义(F=1.10,P>0.05,η_(p)^(2)=0.011)。结论:体操游戏干预能够促进幼儿认知自我控制和运动协调能力及精细动作、手眼协调能力的发展。

神经质人格对护理本科生手机成瘾倾向的影响:压力知觉和自我控制的链式中介作用

背景手机成瘾对大学生产生许多不利影响,如抑郁、焦虑、注意力涣散、认知障碍和睡眠障碍等。护理本科生是临床护理工作的重要后备力量,其不良的心理健康状况对未来的护理工作质量和护患关系具有重要影响。目的探究神经质人格与护理本科生手机成瘾倾向的关系,通过构建链式中介模型,考查压力知觉和自我控制在神经质人格与手机成瘾倾向之间的作用路径。方法于2023年2月―3月,采用方便抽样法,选取陕西省西安市10所高校共900名护理本科生为研究对象。采用艾森克人格问卷简式量表中国版(EPQ-RSC)中的神经质分量表、压力知觉量表(PSS)、自我控制量表(SCS)以及手机成瘾倾向量表(MPATS)分别评定护理本科生的神经质人格、主观压力、自我控制能力和手机成瘾倾向。运用SPSS宏程序Process 4.1中的model 6检验压力知觉和自我控制在护理本科生神经质人格与手机成瘾倾向之间的中介作用。结果①在900名护理本科生中,检出存在手机成瘾倾向者314人(34.89%)。②护理本科生EPQ-RSC神经质分量表评分与PSS总评分和MPATS总评分均呈正相关(r=0.400、0.287,P均<0.01),与SCS总评分呈负相关(r=-0.364,P<0.01);MPATS总评分与PSS总评分呈正相关(r=0.362,P<0.01),与SCS总评分呈负相关(r=-0.468,P<0.01);SCS总评分与PSS总评分呈负相关(r=-0.515,P<0.01)。③压力知觉和自我控制分别在神经质人格与手机成瘾倾向之间起部分中介作用(间接效应值分别为0.056、0.065,效应量分别为19.72%、22.89%);压力知觉-自我控制在神经质人格与手机成瘾倾向之间起链式中介作用(间接效应值为0.064,效应量为22.54%)。结论神经质人格、压力知觉和自我控制是护理本科生手机成瘾倾向的重要影响因素,神经质人格不仅直接影响护理本科生手机成瘾倾向,还可以通过压力知觉和自我控制的链式中介作用间接影响其手机成瘾倾向。

康德的德行概念并非自制——基于《道德形而上学》“德行论导论”的论证

关于康德的德行概念与亚里士多德的自制概念的关系大体上有三种观点:德行只能算作自制;德行不只是自制;德行可以理解为自制。通过对《道德形而上学》“德行论导论”的疏解可知,两者存在明显差异。目的学说方面,德行以定言令式为根据,以自己的完善和他人的幸福为质料,以普遍法则为至上原则;自制以最高善为根据,以幸福为质料,以正确的逻各斯为原则。意向学说方面,康德认为人有对义务概念的易感性的主观条件,且德行是承担义务的唯一能力,但德行义务不止一种,相关于法则,具有先验性;亚氏认为,人可以出于意愿去行为,但德行只有一种,相关于中道,可从经验中学习。康德认为,人对德行的拥有不是义务而是目的,仿佛是德行拥有人;亚氏认为,应当通过克服不自制来拥有自制;德行要求驯服自己的激情,驾驭自己的情欲,自制则要求抑制感官欲望,控制自然需求和痛苦。方法论方面,德行不能靠习惯养成,要以问答法进行理论练习,以修行法进行实践练习;自制则要求掌握真正的知识,学会明智,要在习惯中养成,在实践中完善。因此,德行并非自制。

营商环境法治化三维论

市场秩序稳定公平、规则透明公开、法治公正、投资可预期的营商环境,是投资主体实现投资自由便利制度的核心价值所现。推进政府职能新定位,强化“放管服”,放宽市场主体准入等,是优化营商环境的基本环节。自由度是主体最活跃的动力源和策源地,政府确保“中立地位”,促进主体公平竞争和实施反垄断,维护所有市场主体都享有平等、自由、公平竞争机制。便利度是彰显政府向市场主体提供快速实现自由度的便捷化、快捷化和效率化的社会效应程度,核心在于强化市场主体获得从商活动权利能力的快捷、简便、高效行为状态等。创新度是市场主体实现自由度与便利度融合发展处于动态的追求状态,显现了优化营商环境持续创新的法治动力。政府干预与市场调节有机协同调控,做大主体自由度,提升主体更多便利度,促进营商环境的持续创新优化。自由、便利与创新,已成为优化营商环境的路径选择,创新成为优化营商环境的否定之否定规律。自由度、便利度与创新度的辩证关系价值,成为引导探寻优化营商环境的立足点、突破点和发力点。

亲挫折思想与大学生抑郁焦虑压力的关系:链式中介效应

目的:从儒家式应对的角度,探讨亲挫折思想与大学生抑郁、焦虑、压力的关系以及内部心理机制。方法:采用儒家式应对问卷、抑郁-焦虑-压力自评量表、自我损耗量表和自我控制量表对788名在读大学生进行问卷调查。结果:1亲挫折思想与大学生抑郁、焦虑、压力呈显著负相关(r=-0.49,-0.48,-0.50;P<0.001),与自我损耗呈显著负相关(r=-0.47,P<0.001),与自我控制呈显著正相关(r=0.53,P<0.001);2中介效应检验表明,亲挫折思想对大学生抑郁、焦虑、压力的直接效应显著,效应值分别为-0.15、-0.14、-0.14;自我损耗在亲挫折思想与大学生抑郁、焦虑、压力之间起单独中介作用,中介效应值分别为-0.18、-0.17、-0.16;自我控制在亲挫折思想与大学生抑郁、焦虑、压力之间起单独中介作用,中介效应值分别为-0.08、-0.08、-0.11;自我损耗和自我控制也存在链式中介作用,中介效应值分别为-0.05、-0.06、-0.08。结论:亲挫折思想既可以直接预测大学生抑郁、焦虑、压力,也可以通过自我损耗和自我控制的独立中介效应以及自我损耗→自我控制的链式中介效应间接影响大学生抑郁、焦虑、压力。

青少年智能手机成瘾对无意识拖延的影响:注意控制的中介作用和手机自我扩展的调节作用

采用问卷调查法,以武汉市两所高中866名学生为研究对象,考察青少年智能手机成瘾对其无意识拖延的影响及作用机制。结果发现:(1)智能手机成瘾正向预测无意识拖延;(2)注意控制在智能手机成瘾和无意识拖延间起部分中介作用;(3)手机自我扩展调节了智能手机成瘾对注意控制的影响。具体而言,智能手机成瘾对高手机自我扩展的青少年分心抵抗的负面影响更大。结果支持拖延的元认知模型,提供了一定的理论和现实启发。

分子生物学方法在提高综合医院传染性肺结核发现率中的作用

目的 了解综合医院使用Xpert技术诊断传染性肺结核和耐药肺结核的现状和问题,以便更好地发挥综合医院在肺结核发现中的前哨作用。方法 采用自身前后对照的研究方法,对比分析综合医院使用Xpert检查和未使用Xpert检查患者2组之间的病原学阳性患者比例、利福平耐药肺结核患者发现、肺结核和利福平耐药肺结核患者诊断时间等指标。共有171例肺结核患者纳入本次研究,其中研究组为使用Xpert检查的52例患者,对照组为未使用Xpert检查的119例患者。采用Wilcoxon秩和检验和χ^(2)检验(Fisher精确检验)分析组间差异。结果 研究组中综合医院诊断的病原阳性肺结核比例(41/52,78.85%)明显高于对照组(65/119,54.62%),差异有统计学意义(P<0.05)。研究组中综合医院诊断的疑似病例比例(2/52,3.85%)明显低于对照组(24/119,20.17%)。研究组中肺结核诊断时间为1 d,明显短于对照组(4 d)差异有统计学意义(P<0.05)。研究组共有3例利福平耐药肺结核患者,在综合医院就诊时全部得到明确诊断,利福平耐药诊断时间为1 d;对照组中有1例利福平耐药患者,综合医院未能发现。研究组同时接受痰涂片和Xpert检查的52例患者中,Xpert检出结核分枝杆菌比例(40/52,76.92%)明显高于痰涂片检查(25/52,48.07%),差异有统计学意义(P<0.05)。结论 Xpert技术能够显著提高肺结核病的诊断率、早期发现传染性肺结核和利福平耐药肺结核患者,建议将其纳入医保报销范围,加快在综合医院推广应用。

互联网自我管理模式对2型糖尿病患者血糖控制和自我管理水平的影响

目的探讨基于互联网的自我管理模式对2型糖尿病(T2DM)患者血糖控制和自我管理水平的影响。方法选取我院2021年6月至2022年12月收治的138例T2DM患者,经随机数字表法分为试验组(n=69)及对照组(n=69),对照组予以常规健康管理,试验组予以基于互联网的自我管理模式。比较两组血糖、血压及体重控制情况、干预前后代谢指标、自我管理水平[采用中文版糖尿病自我管理活动问卷(SDSCA)]及生活质量[采用糖尿病生存质量量表(DSQL)]。结果干预后,两组糖化血红蛋白、空腹血糖(FPG)、餐后2 h血糖、舒张压、收缩压、体质量指数均低于干预前,且试验组低于对照组(P<0.05);两组低密度脂蛋白胆固醇、总胆固醇及甘油三酯均低于干预前,且试验组低于对照组(P<0.05);两组足部护理、血糖监测、运动及饮食等维度评分均高于干预前,且试验组高于对照组(P<0.05);两组治疗、社会关系、心理、生理功能等维度评分均低于干预前,且试验组低于对照组(P<0.05)。结论基于互联网的自我管理模式有利于T2DM患者控制血糖、血压及体重控制,能改善患者代谢指标,提高管理水平及生活质量。