Dynamic interaction nursing intervention on functional rehabilitation and self-care ability of patients after aneurysm surgery

BACKGROUND Nursing practices based on the dynamic interaction model have been shown to be superior to generic nursing practices.However,whether this model is effective in patients recovering from intracranial aneurysm surgery is not well studied.AIM To investigate the effect of nursing based on a dynamic interaction model on functional rehabilitation of patients after aneurysm surgery.METHODS A total of 86 cases in our hospital with intracranial aneurysm from April 2019 to April 2021,were selected and divided into the study group and the control group,with 43 patients in each group.The control group received routine nursing,and the research group received nursing intervention based on a dynamic interaction model.The daily living ability(activities of daily living,ADL),cognitive function(Simple Intelligent Mental State Scale,MMSE),quality of life(Generic Quality of Life Inventory-74,GQOL-74),self-care ability(Exercise of Self-Care Agency scale),incidence of complications,and nursing satisfaction were recorded before and after intervention.RESULTS Before intervention,ADL(52.09±6.44),MMSE(18.03±4.11),and GQOL-74(53.68±4.34)scores in the study group were not significantly different from those in the control group(ADL:50.97±7.32,MMSE:17.59±3.82,GQOL-74:55.06±3.98)(P>0.05).After intervention,ADL(86.12±5.07),MMSE(26.64±2.66),and GQOL-74(83.13±5.67)scores in the study group were higher than those in the control group(ADL:79.81±6.35,MMSE:24.51±3.00,and GQOL-74:77.96±6.27)(P<0.05).Before intervention,self-concept(17.46±4.44),self-care skills(25.22±4.20),self-care knowledge(22.35±4.74),and self-care responsibility(15.06±3.29)scores in the study group was similar to those in the control group(self-concept:16.89±5.53,self-care skills:24.59±4.46,self-care knowledge:21.80±3.61,and self-care responsibility:14.83±3.11)(P>0.05).After the intervention,self-concept(26.01±3.18),self-care skills(37.68±6.05),self-care knowledge(45.56±5.83),and self-care responsibility(22.01±3.77)scores in the study group were higher than those in the control group(self-concept:22.97±3.46,self-care skills:33.02±5.65,selfcare skills knowledge:36.81±5.54,and self-care responsibility:17.97±3.56 points)(P<0.05).The incidence of complications in the study group(4.65%)was lower than that in the control group(18.60%)(P<0.05).Nursing satisfaction in the study group(95.35%)was higher than that in the control group(81.40%)(P<0.05).CONCLUSION Nursing intervention based on a dynamic interaction model can improve postoperative cognitive function,daily living ability,self-care ability,quality of life,and patient satisfaction,while reducing the risk of complications.

An enhanced functional ability questionnaire(faVIQ) to measure the impact of rehabilitation services on the visually impaired

AIM: To develop a short,enhanced functional ability Quality of Vision(faVIQ) instrument based on previous questionnaires employing comprehensive modern statistical techniques to ensure the use of an appropriate response scale,items and scoring of the visual related difficulties experienced by patients with visual impairment. · METHODS: Items in current quality-of-life questionnaires for the visually impaired were refined by a multi-professional group and visually impaired focus groups. The resulting 76 items were completed by 293 visually impaired patients with stable vision on two occasions separated by a month. The faVIQ scores of 75 patients with no ocular pathology were compared to 75 age and gender matched patients with visual impairment. ·RESULTS: Rasch analysis reduced the faVIQ items to 27. Correlation to standard visual metrics was moderate(r =0.32-0.46) and to the NEI-VFQ was 0.48. The faVIQ was able to clearly discriminate between age and gender matched populations with no ocular pathology and visual impairment with an index of 0.983 and 95% sensitivity and 95% specificity using a cut off of 29.·CONCLUSION: The faVIQ allows sensitive assessment of quality-of-life in the visually impaired and should support studies which evaluate the effectiveness of low vision rehabilitation services.

Cerebral arterial blood flow,attention,and executive and cognitive functions in depressed patients after acute hypertensive cerebral hemorrhage

BACKGROUND Intracerebral hemorrhage mainly occurs in middle-aged and elderly patients with hypertension,and surgery is currently the main treatment for hypertensive cerebral hemorrhage,but the bleeding caused by surgery will cause damage to the patient's nerve cells,resulting in cognitive and motor dysfunction,resulting in a decline in the patient's quality of life.AIM To investigate associations between cerebral arterial blood flow and executive and cognitive functions in depressed patients after acute hypertensive cerebral hemorrhage.METHODS Eighty-nine patients with depression after acute hypertensive cerebral hemorrhage who were admitted to our hospital between January 2019 and July 2021 were selected as the observation group,while 100 patients without depression who had acute hypertensive cerebral hemorrhage were selected as the control group.The attention span of the patients was assessed using the Paddle Pin Test while executive function was assessed using the Wisconsin Card Sorting Test(WCST)and cognitive function was assessed using the Montreal Cognitive Assessment Scale(MoCA).The Hamilton Depression Rating Scale(HAMD-24)was used to evaluate the severity of depression of involved patients.Cerebral arterial blood flow was measured in both groups.RESULTS The MoCA score,net scores I,II,III,IV,and the total net score of the scratch test in the observation group were significantly lower than those in the control group(P<0.05).Concurrently,the total number of responses,number of incorrect responses,number of persistent errors,and number of completed responses of the first classification in the WCST test were significantly higher in the observation group than those in the control group(P<0.05).Blood flow in the basilar artery,left middle cerebral artery,right middle cerebral artery,left anterior cerebral artery,and right anterior cerebral artery was significantly lower in the observation group than in the control group(P<0.05).The basilar artery,left middle cerebral artery,right middle cerebral artery,left anterior cerebral artery,and right anterior cerebral artery were positively correlated with the net and total net scores of each part of the Paddle Pin test and the MoCA score(P<0.05),and negatively correlated with each part of the WCST test(P<0.05).In the observation group,the post-treatment improvement was more prominent in the Paddle Pin test,WCST test,HAMD-24 score,and MoCA score compared with those in the pre-treatment period(P<0.05).Blood flow in the basilar artery,left middle cerebral artery,right middle cerebral artery,left anterior cerebral artery,and right anterior cerebral artery significantly improved in the observation group after treatment(P<0.05).CONCLUSION Impaired attention,and executive and cognitive functions are correlated with cerebral artery blood flow in patients with depression after acute hypertensive cerebral hemorrhage and warrant further study.

Research on the Ability of Vocabulary Metaphor Cultivation

It is a trend that theories of metaphor are applied in the field of foreign language teactung. It is also necessary for foreign language teaching to enrich itself by adopting of metaphor. Based on metaphors＇ definition and functions, this paper looks into the methods of improving and cultivating on language learners＇ metaphor awareness.

On the hydro－spectrum of deep wells and the response ability of well－aquifer system

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The Reliability and Validity of Toe Grip Strength as an Index of Physical Development in 4- to 5-Year-Old Children

Studies on TGS （toe-grip strength） are currently proliferating as a result of the development of the dynamometer. The purpose of the present study was to investigate the reliability and validity of TGS as a physical function in preschool aged children. The participants were 153 preschoolers. Each participant was measured in terms of his or her TGS and completed a MAT （motor ability test）. The reliability of the measurements was investigated via Pearson＇s r and Cronbach＇s a through a test-retest method, as well as a Bland-Altman plot. The validity of the TGS value was investigated by measuring the correlation between TGS and each component of the MAT, the principal component analysis, and a two-way layout ANOVA with general linear model （gender and age）. All reliability coefficients were more than 0.70. Though all components of the MAT relating to TGS were found to be significant （P 〈 0.05）, these correlations were weak. However, TGS was found to be a physical function that relating to the lower limbs and develops with aging. Therefore, TGS was found to be a highly reliable measure of physical function performance in preschoolers.

Application of Functional Training in College Volleyball Teaching

Volleyball Teaching in Colleges and universities is faced with multiple challenges, such as the teaching content is simple, the training method is single, the students’ physical quality is poor, the physical condition of the physical condition is the guarantee of volleyball technology. This research is on body function training on volleyball teaching methods of this technology in the project, the function of training system into the volleyball technique teaching, through the method of experimental teaching method to verify the function of training to the technical level of the student volleyball has been effectively improved.

基于最佳证据总结的康复护理在脑卒中偏瘫患者中的应用

目的 本研究探讨基于最佳证据总结的康复护理方案在脑卒中偏瘫患者中的应用,并进行分析。方法 选取医院2022年1—12月收治的脑卒中偏瘫患者120例,按照组间基线资料均衡可比的原则分为对照组和观察组,每组60例。对照组给予常规康复护理,观察组在常规康复护理基础上给予基于最佳证据总结的康复护理。比较两组患者干预前后神经功能缺损程度、肌张力、运动功能、日常生活能力和负性情绪。结果 干预前,两组患者的神经功能缺损程度(NIHSS)评分、肌张力(Ashwoth)评分、上肢运动功能(UL-FMA)评分、下肢运动功能(FMA-L)评分、日常生活能力(MBI)评分、焦虑情绪(HAMA)评分、抑郁情绪(HAMD)评分比较差异均无统计学意义(P>0.05)。干预后,观察组患者神经缺损程度的评分低于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者肌张力和运动功能评分优于对照组,差异有统计学意义(P<0.05)。干预后,观察组日常生活能力评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组焦虑、抑郁评分低于对照组,差异有统计学意义(P<0.05)。结论 基于最佳证据总结的康复护理可减轻脑卒中偏瘫患者神经功能缺损程度,改善肌张力,提升运动功能和日常生活能力,并可缓解负性情绪,促进身心康复。

思政元素融入复变函数与积分变换课程的教学案例研究

为培养新时代中国社会主义的建设者和接班人,贯彻落实立德树人的根本任务,在复变函数与积分变换的教学过程中自然地融入课程思政元素,建立该课程的课程思政教学案例库是势在必行的。首先,深入挖掘思政元素与数学专业知识的结合点。其次,对线上线下混合教学模式进行课程思政设计。最后,形成适合本课程的课程思政教学案例。通过对课程思政案例的教学实践,教育引导学生成为热爱祖国、富有理想、视野宽广、德才兼备的创新型人才。

功能材料领域研究生多学科交叉融合培养探索与实践

面向高质量的资源保障和人民群众的美好生态环境需要,积极探索新时代功能材料领域研究生的培养模式,向社会输送大批具有家国情怀、多学科交叉融合、能解决重大问题的创新人才显得尤为重要。通过将思想政治工作贯穿教育全过程,树立材料学科自信,实现“立鸿鹄志、做奋斗者”的价值塑造;强化矿物资源、环境、材料等多学科交叉,以及科教、产教融合,实现“人才培养链”与“科研创新链”双链合一;以重点科研项目为载体,引领研究生全程实践,提高科研综合素质;着重培养学生的创新精神、创新能力、实践能力,全力培养学术创新精英和产业创新领袖,形成多学科交叉融合培养功能材料领域研究生的模式。该培养模式已经取得良好的人才培育效果。

作业疗法联合减重平板步行训练对脑卒中偏瘫患者平衡与功能性步行能力的影响

目的:探讨作业疗法联合减重平板步行训练对脑卒中偏瘫患者平衡与功能性步行能力的影响。方法:选取2019年7月—2021年6月河南科技大学第一附属医院新区医院康复医学科收治的90例脑卒中偏瘫患者作为研究对象,采用随机数表法分为试验组(常规康复护理)与对照组(作业疗法联合联合减重平板步行训练),每组各45例。比较两组患者干预前及干预3个月的平衡功能与功能性步行能力。结果:干预3个月,试验组患者Berg平衡量表(BBS)、功能性步行量表(FAC)评分显著高于对照组,差异有统计学意义(t=23.279、5.555,P<0.05);试验组患者脑卒中专用生活质量量表(SS-QOL)各项评分显著高于对照组,差异有统计学意义(t=8.424、8.637、26.306、5.162、7.579、15.302、8.918、8.080、20.745、10.862、1.397、6.806,P<0.05)。结论:作业疗法联合减重平板步行训练可有效提高脑卒中偏瘫患者平衡功能及功能性步行能力,有利于改善患者的生活质量。

不同水平英语学习者词块使用的结构与功能特点

基于《中国英语能力等级量表》评价学习者语言水平,使用语料驱动的方法考察中国英语学习者写作文本中词块的使用情况,特别是不同水平英语学习者词块使用的结构与功能特点。研究结果表明:语言能力影响词块使用的准确性和多样性;词块结构方面,低水平学生倾向使用更多比例的动词词块和较少比例的短语词块,相对接近会话语篇特征,而高水平学生则倾向使用更多比例的短语词块和较少比例的动词词块,相对接近学术语篇特征;词块功能方面,立场词块和信息指示词块呈现学生水平越高使用比例越低的趋势,而语篇组织词块则呈现学生水平越高使用比例越高的趋势。研究发现对中国不同水平英语学习者语言特征的描述提供了实验证据,也为语言自动评价提供启示。

乌鲁木齐市社区老年人衰弱现状及其影响因素

目的探讨乌鲁木齐市社区老年人衰弱现状及其影响因素。方法采用便利抽样法,选取新疆乌鲁木齐市水磨沟区的223例老年人作为研究对象,采用基本信息资料调查问卷、ADLs量表、MMSE量表、GDS-15量表、SSRS量表和SF-36量表进行问卷调查,应用单因素分析和二分类logistic回归分析老年衰弱人群的影响因素。结果社区老年人群衰弱发生率为12.11%(27/223)。单因素分析结果显示:衰弱与非衰弱患者年龄、家庭收入、医疗费用支付方式、患疾病种类、SSRS得分、GDS-15得分及SF-36量表中的情感职能、社会功能得分比较差异有统计学意义(P均<0.05)。二分类logistic回归分析结果显示,年龄、患疾病种类(≥2种)、抑郁是衰弱发生的危险因素(P均<0.05),家庭收入(≥2000元)、医保、社会支持(客观支持、主观支持和对社会支持的利用度)、情感职能、社会功能是衰弱发生的保护因素(P均<0.05)。结论乌鲁木齐市社区老年人衰弱发生率较高,年龄、患疾病种类、抑郁、家庭收入、医保、社会支持、情感职能、社会功能是衰弱发生的影响因素。

奥塔戈运动在老年急性脑卒中患者中的应用效果

目的:探讨奥塔戈运动在老年急性脑卒中患者中的应用效果。方法:回顾性选取2022年6月—2023年6月广州市第一人民医院急诊科收治的83例老年急性脑卒中患者为研究对象。根据护理方法的不同将其分为对照组(41例)和观察组(42例)。对照组给予常规护理,观察组在对照组基础上给予奥塔戈运动。比较两组干预前后认知功能、运动功能及平衡能力,干预后依从性及满意度。结果:干预后,两组定向力、记忆、语言、回忆及注意和计算评分均升高,观察组定向力、记忆、语言、回忆及注意和计算评分均高于对照组,差异有统计学意义(P<0.05)。干预后,两组上肢简易Fugl-Meyer运动功能量表(FMA)、下肢FMA、Holden步行功能分级量表(FAC)及Berg平衡量表(BBS)评分均升高,观察组上肢FMA、下肢FMA、FAC及BBS评分均高于对照组,差异有统计学意义(P<0.05)。观察组遵医治疗、定期复查及生活管理依从率和干预方法、服务态度及症状改善满意度均高于对照组,差异有统计学意义(P<0.05)。结论:奥塔戈运动用于老年急性脑卒中患者中,有助于改善患者认知功能,提高运动功能和平衡能力,可获得较高的依从性及满意度。

基于IMB技巧模型的护理干预对卒中后认知障碍患者的影响

目的探讨在卒中后认知障碍(PSCI)患者干预期间采用基于信息-动机-行为(IMB)技巧模型下的护理干预效果。方法以洛阳某三甲医院神经内科收治的PSCI患者为研究对象,2022-02—2022-06接收的80例患者为对照组,采取常规护理干预模式;以2022-07—2022-11接收的80例患者为干预组,实施基于IMB技巧模型下的护理干预模式。对比2组患者干预前后认知功能(MMSE、MoCA评分)、自理能力(BI)、焦虑和抑郁情况(HAMA、HAMD评分)。结果干预后干预组MoCA、MMSE评分均优于对照组(MMSE评分:22.18±4.25比27.12±4.72,t=5.349,P<0.05;MoCA评分:22.23±4.37比26.77±5.25,t=4.327,P<0.05),BI高于对照组(BI:56.49±5.17比64.52±6.28,t=5.892,P<0.05),HAMD、HAMA评分均低于对照组(HAMA评分:7.51±2.42比5.23±1.63,t=8.532,P<0.05;HAMD评分:5.69±1.48比3.28±1.40,t=8.925,P<0.05)。结论基于IMB技巧模型下的护理干预可有效实现对PSCI患者认知功能、日常生活能力及心理状态的提升,值得推广。

医养结合护理模式在老年患者髋关节置换术后的应用效果

目的探讨以医养结合为主体的中医护理模式在老年髋关节置换术后患者中的应用效果。方法便利抽取2021年4月至2022年4月在佛山市中医院关节外科行髋关节置换术的63例患者作为对照组,2022年5月至2023年5月的64例行髋关节置换术的患者作为观察组。对照组在术后采用常规的康复护理训练方案,观察组在对照组基础上,采用医养结合为主体的中医康复护理方案,干预1、3个月后评估两组的髋关节功能、恐动症、日常活动能力评分。结果干预1、3个月后,观察组的髋关节功能评分、恐动症评分、日常活动能力评分均高于对照组,差异有统计学意义(P<0.05)。结论基于医养结合的中医护理模式有助于提高老年髋关节置换术后患者髋关节功能和降低恐动症水平,并提升患者的日常生活能力,值得临床推广。

基于莱温守恒模式的护理对急性脑梗死患者自我管理能力及神经功能的干预效果

目的探讨基于莱温守恒模式的护理干预对急性脑梗死患者自我管理能力及神经功能的影响。方法选择医院2021年3月—2022年6月收治的138例急性脑梗死患者,按照组间基线资料可比的原则分为对照组和观察组,各69例。对照组实施常规护理模式干预,观察组在对照组基础上采用基于莱温守恒模式的护理干预,干预6周。比较两组护理满意度、自我管理能力、神经功能[神经功能缺损评分表(NIHSS)]、肢体运动功能[运动功能评分量表(Fugl-Meyer)]及心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果护理干预后,观察组患者护理满意率为92.75%,与对照组的79.71%对比,差异有统计学意义(P<0.05)。护理干预前,两组自我管理能力、神经功能、肢体运动功能及心理状态比较,差异无统计学意义(P>0.05);护理干预后,观察组自我管理能力各维度评分、肢体运动功能评分均高于对照组,差异有统计学意义(P<0.05);而观察组患者神经功能评价量表各项评分、SAS评分、SDS评分则低于对照组,差异有统计学意义(P<0.05)。结论基于莱温守恒模式的护理干预对急性脑横死患者效果更佳,可使患者负性情绪得到有效缓解,自我管理能力得到提高,还可有效改善患者神经功能,提高护理满意度。

老年性聋患者认知功能初探

目的探究老年性聋患者的听力异常与认知功能是否具有相关性,为认知功能减退的听力学干预提供参考。方法本研究纳入100名老年性聋患者,均进行纯音测听、言语识别能力评估后行简易精神智能状态量表(mini-mental stateexamination,MMSE)评估。结果本研究中,男性46例,女性54例,患者平均年龄为71.20±6.86岁,60~69岁组MMSE得分27.64±2.57;70~79岁组26.56±2.14,≥80岁组23.1±2.12,3组之间比较均具有统计学意义(P<0.05),其中每两组之间比较均具有显著差异(P<0.05)。轻度听力损失组MMSE得分28.50±2.38,中度听力损失组26.29±2.60,中重度听力损失组26.13±3.06,重度听力损失组27.17±2.59,极重度听力损失组26.25±2.55,各组之间比较无统计学差异(P>0.05)。低言语识别能力组24.25±2.51,高言语识别能力组26.34±2.73。老年性聋患者言语识别能力越低,其MMSE得分越低,且两组之间差异具有显著性(P<0.05)。结论年龄越大、听力损失程度越重以及言语识别能力越低下,老年性聋患者的认知功能越容易受到影响。

脑电生物反馈联合LSP干预训练在高功能孤独症谱系障碍患儿中的前瞻性随机对照研究

目的探讨脑电生物反馈(neurofeedback,NFB)联合学习风格简介(learning style profile,LSP)干预训练在高功能孤独症谱系障碍(high-functioning autism,HFA)患儿中的应用。方法前瞻性选择2022年2月—2024年2月收治的86例HFA患儿为研究对象,采用随机数字表法分为对照组和观察组,行双盲试验,每组各43例。对照组给予LSP干预训练,观察组在对照组基础上给予NFB干预,两组均干预6个月。比较两组患儿干预前、干预6个月时孤独症行为评定量表(Autism Behavior Checklist,ABC)、孤独症疗效评定量表(Autism Treatment Evaluation Checklist,ATEC)、社交反应量表(Social Responsiveness Scale,SRS)、儿童生存质量量表(Pediatric Quality of Life,PedsQL)评分差异;分析HFA患儿PedsQL评分与ABC、ATEC、SRS评分的相关性。结果干预6个月后,观察组ABC、ATEC、SRS评分低于对照组,PedsQL评分高于对照组(P<0.05);HFA患儿PedsQL评分与ABC、ATEC、SRS评分呈负相关(分别r=-0.238、-0.381、-0.219,P<0.001)。结论NFB联合LSP能够有效改善HFA患儿临床症状及社交能力,控制患儿病情发展,提升患儿生活质量。

健康操与认知任务训练在帕金森伴认知障碍患者中的应用

目的探讨健康操结合认知任务训练在帕金森合并轻度认知障碍(Parkinson's disease with mild cognitive impairment,PD-MCI)患者中的应用效果。方法选取南通市第四人民医院2021年9月—2023年3月收治的PD-MCI患者90例,依照随机分配原则分为2组,各45例。对照组采取常规健康教育及常规训练,观察组在上述基础上采取健康操结合认知任务训练,为期6个月。对比2组干预前后认知功能[蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)、简易精神状态检查量表(mini-mental state examination,MMSE)评分]、跌倒风险[修订版跌倒效能量表(modified fall efficacy scale,MFES)评分]、运动功能[帕金森综合评分量表3(unified Parkinson's disease rating scale-Ⅲ,UPDRS-Ⅲ)评分]、平衡能力[起立-行走测试(timed up and go test,TUG)]。结果干预后,观察组MoCA、MMSE评分分别为(23.81±2.30)分、(23.59±1.80)分,较干预前升高,且高于对照组的(20.13±2.55)分、(20.78±2.32)分(P<0.05)。干预后,2组MFES评分较干预前升高,观察组为(7.34±0.59)分,高于对照组的(6.42±0.77)分(P<0.05);2组UPDRS-Ⅲ评分较干预前下降,观察组为(16.52±2.21)分,低于对照组的(18.15±2.04)分(P<0.05)。干预后,2组单任务TUG、双任务TUG时间均较干预前缩短,观察组为(11.44±0.70)s、(18.39±1.44)s,短于对照组的(13.54±1.26)s、(21.26±1.53)s(P<0.05)。结论健康操结合认知任务训练在PD-MCI患者中应用效果良好,能改善患者认知功能和运动功能,提高平衡能力,降低跌倒风险。