Objective: Physical restraint is frequently used in medical services,such as in mental health settings,intensive care units and nursing homes,but its nature varies in different institutions.By reviewing related litera...Objective: Physical restraint is frequently used in medical services,such as in mental health settings,intensive care units and nursing homes,but its nature varies in different institutions.By reviewing related literature,this study aims to clarify the concept of physical restraint in mental health nursing.Method: Three databases (PubMed,PsyclNFO and CINAHL) were retrieved,and Walker and Avant's concept analysis method was used to analyze the concept of physical restraint in mental health nursing.Results: Physical restraint is a coercive approach that enables the administration of necessary treatment by safely reducing the patient's physical movement.It should be the last option used by qualified personnel.Antecedents of physical restraint are improper behavior (violence and disturbance) of patients,medical assessment prior to implementation and legislation governing clinical usage.Consequences of physical restraint are alleviation of conflict,physical injury,mental trauma and invisible impact on the institution.Discussion: This study defined the characteristics of physical restraint in mental health nursing.The proposed concept analysis provided theoretical foundation for future studies.展开更多
This paper analyzes the current situation of college teachers’teaching organization ability based on teaching implementation by using the literature method and inductive deduction method,and summarizes the factors af...This paper analyzes the current situation of college teachers’teaching organization ability based on teaching implementation by using the literature method and inductive deduction method,and summarizes the factors affecting the teaching ability of college public physical education teachers,in order to provide references for the improvement of the teaching effect of college physical education,and help the implementation of the national strategy of healthy China and sports power.The teaching implementation of physical education teachers in colleges and universities is mainly affected by the drafting of teaching objectives,teaching design,teaching evaluation,and other factors.The teaching workload makes teachers tired of teaching preparation,teaching design fails to think deeply about the major and learning situation,teaching evaluation method is single,and other phenomena.In view of the problems in the implementation of the curriculum,it is proposed to participate in education and teaching training to update the educational concept,regularly carry out teaching and research activities to improve the teaching organization ability,and write teaching logs to improve the ability of sustainable development.展开更多
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
目的探讨基于快速康复理念的线上线下整体优化干预在伴肌少症老年全髋关节置换术(THA)患者中的应用效果。方法选取2021年4月—2023年4月收治的104例伴肌少症老年THA,根据干预方法不同分为对照组、观察组,各52例。对照组予以常规围手术...目的探讨基于快速康复理念的线上线下整体优化干预在伴肌少症老年全髋关节置换术(THA)患者中的应用效果。方法选取2021年4月—2023年4月收治的104例伴肌少症老年THA,根据干预方法不同分为对照组、观察组,各52例。对照组予以常规围手术期干预,在此基础上,观察组予以基于快速康复理念的线上线下整体优化干预。对比2组住院情况、不良事件发生率、依从性、视觉模拟评分法(VAS)、简易躯体执行能力测试量表(SPPB)、髋关节伤残和骨关节炎问卷(HOOS)、Harris髋关节功能及Barthel指数评分。结果观察组首次下床时间、首次排便时间、住院时间均短于对照组(P<0.01);观察组术后3 d、术后7 d VAS评分均低于对照组(P<0.05);观察组不良事件总发生率3.85%(2/52)低于对照组17.31%(9/52)(P<0.05);观察组总依从度96.15%(50/52)高于对照组78.85%(41/52)(P<0.01);术后1个月、3个月观察组SPPB、HOOS及Harris、Barthel指数评分均较对照组高(P<0.05)。结论基于快速康复理念的线上线下整体优化干预应用于伴肌少症老年THA患者中,可降低患者术后疼痛感,减少不良事件,提升依从性,促进髋关节及躯体功能好转,有助于患者预后恢复。展开更多
基金We acknowledge this paper was supported by the program of Key Specialty of TCM Nursing of Guangzhou City,which aims to enrich theoretical content of mental health nursing
文摘Objective: Physical restraint is frequently used in medical services,such as in mental health settings,intensive care units and nursing homes,but its nature varies in different institutions.By reviewing related literature,this study aims to clarify the concept of physical restraint in mental health nursing.Method: Three databases (PubMed,PsyclNFO and CINAHL) were retrieved,and Walker and Avant's concept analysis method was used to analyze the concept of physical restraint in mental health nursing.Results: Physical restraint is a coercive approach that enables the administration of necessary treatment by safely reducing the patient's physical movement.It should be the last option used by qualified personnel.Antecedents of physical restraint are improper behavior (violence and disturbance) of patients,medical assessment prior to implementation and legislation governing clinical usage.Consequences of physical restraint are alleviation of conflict,physical injury,mental trauma and invisible impact on the institution.Discussion: This study defined the characteristics of physical restraint in mental health nursing.The proposed concept analysis provided theoretical foundation for future studies.
基金Teaching reform project of Chongqing Three Gorges University(Project number:JGZC2111).
文摘This paper analyzes the current situation of college teachers’teaching organization ability based on teaching implementation by using the literature method and inductive deduction method,and summarizes the factors affecting the teaching ability of college public physical education teachers,in order to provide references for the improvement of the teaching effect of college physical education,and help the implementation of the national strategy of healthy China and sports power.The teaching implementation of physical education teachers in colleges and universities is mainly affected by the drafting of teaching objectives,teaching design,teaching evaluation,and other factors.The teaching workload makes teachers tired of teaching preparation,teaching design fails to think deeply about the major and learning situation,teaching evaluation method is single,and other phenomena.In view of the problems in the implementation of the curriculum,it is proposed to participate in education and teaching training to update the educational concept,regularly carry out teaching and research activities to improve the teaching organization ability,and write teaching logs to improve the ability of sustainable development.
文摘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.
文摘目的探讨基于快速康复理念的线上线下整体优化干预在伴肌少症老年全髋关节置换术(THA)患者中的应用效果。方法选取2021年4月—2023年4月收治的104例伴肌少症老年THA,根据干预方法不同分为对照组、观察组,各52例。对照组予以常规围手术期干预,在此基础上,观察组予以基于快速康复理念的线上线下整体优化干预。对比2组住院情况、不良事件发生率、依从性、视觉模拟评分法(VAS)、简易躯体执行能力测试量表(SPPB)、髋关节伤残和骨关节炎问卷(HOOS)、Harris髋关节功能及Barthel指数评分。结果观察组首次下床时间、首次排便时间、住院时间均短于对照组(P<0.01);观察组术后3 d、术后7 d VAS评分均低于对照组(P<0.05);观察组不良事件总发生率3.85%(2/52)低于对照组17.31%(9/52)(P<0.05);观察组总依从度96.15%(50/52)高于对照组78.85%(41/52)(P<0.01);术后1个月、3个月观察组SPPB、HOOS及Harris、Barthel指数评分均较对照组高(P<0.05)。结论基于快速康复理念的线上线下整体优化干预应用于伴肌少症老年THA患者中,可降低患者术后疼痛感,减少不良事件,提升依从性,促进髋关节及躯体功能好转,有助于患者预后恢复。
