Timing theory continuous nursing,resistance training:Rehabilitation and mental health of caregivers and stroke patients with traumatic fractures

BACKGROUND Stroke is the leading cause of adult lifelong disability worldwide.A stroke is an acute cerebrovascular disease with a variety of causes and corresponding clinical symptoms.Around 75%of surviving stroke patients experience impaired nerve function,and some suffer from traumatic fractures,which can lead to special care needs.AIM To determine the effect of timing theory continuous care,with resistance training,on the rehabilitation and mental health of caregivers and stroke patients with traumatic fractures.METHODS Between January 2017 to March 2021,we selected 100 hospital admissions with post-stroke hemiplegia complicated with a traumatic fracture.Two participant groups were created:(1)Control group:given resistance training;and(2)Observation group:given timing theory continuous care combined with resistance training.The degree of satisfaction and differences in bone and phosphorus metabolism indexes between the two groups were compared.The self-perceived burden scale(SPBS)and caregiver burden questionnaire were used to evaluate the psychological health of patients and caregivers.The Harris hip function score,ability of daily living(ADL)scale,and global quality of life questionnaire(GQOL-74)were used to evaluate hip function,ability of daily living,and quality of life.RESULTS Data were collected prior to and after intervention.Alkaline phosphatase(ALP),osteocalcin,and vitamin D3 in the observation group and control group increased after intervention(P<0.05),and carboxy-terminal peptide of type I collagenβSpecial sequence(β-CTX)decreased(P<0.05).ALP and osteocalcin in the observation group were higher than in the control group(P<0.05).There was no significant difference inβ-CTX and vitamin D3 between the two groups(P>0.05).The SPBS score of the observation group was lower and the ADL score was higher than the control group.The burden score was lower and the Harris hip function and GQOL-74 scores were higher than that of the control group(P<0.05).The observation group’s satisfaction rating was 94.00%,which was higher than the rating from the control group(P<0.05).CONCLUSION Timing theory continuous nursing with resistance training can reduce hip dysfunction in stroke patients with a traumatic fracture and enhance quality of life and mental health of patients and caregivers.

Peplau's interpersonal relationship theory combined with bladder function training on patients with prostate cancer

BACKGROUND Prostate cancer is a major disease impacting men’s health worldwide.Peplau,who is known as“the mother of psychiatric society,”developed an interpersonal relationship theory for nursing.Implementation of this theory in practice has been shown to positively impact patients’quality of life and reduce adverse symptoms after surgery.AIM To investigate the effects of a nursing model based on Peplau’s interpersonal relationship theory combined with bladder function training on patients with prostate cancer.METHODS Eighty-nine patients with prostate cancer who underwent transurethral resection of the prostate(TURP)participated in this study.These patients were admitted to The First Affiliated Hospital of Soochow University or Dushu Lake Hospital Affiliated to Soochow University between January 2020 and April 2021.Patients were randomized into either the Peplau nursing group(n=44)or a routine nursing group(n=45).The routine nursing group received routine care and bladder function training,while the Peplau care group received care that integrated concepts from the Peplau interpersonal relationship theory as well as bladder function training.The urinary incontinence symptoms of the two groups were recorded,and the respective International Prostate Symptom Scores(IPSS),Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being(FACIT-Sp)scores,and quality of life(QOL)scores for each group were compared before and after three months of nursing intervention.RESULTS During the intervention period,the duration of urinary incontinence,frequency,number and amount of urinary incontinence were significantly greater in the routine nursing group compared to the Peplau care group(P<0.05).The indicators of the routine nursing group were 7.13±2.42 days,8.23±2.75 times,and 1.24±0.42 L,while those of the Peplau care group were 4.74±1.85 d,4.21±1.26 times,and 0.56±0.11 L,respectively.After three months of intervention,the mean IPSS score of the routine nursing group was significantly reduced(P<0.05),while the mean FACIT-Sp and QOL scores were significantly increased(P<0.05).The mean IPSS score in the Peplau nursing group was significantly lower compared to the routine nursing group,while the FACIT-Sp and QOL scores were higher(P<0.05).CONCLUSION A nursing model based on Peplau’s interpersonal relationship theory combined with bladder function training can significantly improve prostate function and urinary symptoms,resulting in the restoration of physiological function and improvement in the QOL of patients with prostate cancer following TURP.

Research on Innovative Training of Localized STEM Teachers Grounded in Shared Commitment

The high-quality development of a country driven by talent necessitates comprehensive and practical STEM(Science,Technology,Engineering,and Mathematics)education.The goal of localizing STEM education is to cultivate comprehensive innovative technology talents that meet the needs of the new era.STEM teachers play a core role in this concept,and the quality of teacher training directly determines the development trend of STEM education and the quality of future talents in the country.Therefore,based on the current situation and existing problems in STEM teacher training,the shared commitment to“high-quality STEM teacher training”is employed as a guiding principle,highlighting the role of various elements in the STEM teacher training process.The practical path for STEM teacher training is proposed from four aspects:top-level design goal orientation,resource integration to solve supply imbalance,curriculum construction to improve the teaching system,and sustainable development to enhance professional ability.This study hopes to provide guidelines for innovative training of localized STEM teachers in China.

A Study of the English Learning in Language Training Institutions from the Perspective of Dornyei's DMC Theory

This paper will makes a theoretical exploration and explanation about the supporting mental power behind the successful progress the students make in language training institution from the perspective of motivation theory of D?rnyei's DMC theory from the aspect of goal/vision orientedness, a salient facilitative structure, and positive emotionality-the 3 main features of DMC theory. It tries to explore and describe the intense and sustained motivation phenomenon provided by learners who joined some intensive IELTS or TOEFL training courses, hoping to make useful implication and inspiration for future researchers and interested scholars.

Training theory and practice of crossing cultural awareness in college English teaching

English is the current most widely used international language of communication, with the improvement of China＇ s comprehensive national strength, participation in the exchange, cooperation and increase trade opportunities for the international community, particularly the WTO, Beijing ＇s successful Olympic bid, the Shanghai World Expo, several major events more and more people are realizing the importance of English practical applications. Now students acquire decent rules of successful communication in English, and this should be the starting point and final destination of English teaching. Therefore, in the process of teaching English, the penetration of the language and cultural knowledge, cross-cultural communication awareness training must cause concern and attention of English teachers to improve students ＇ intercultural communication content acumen, thus to improve students＇ English communication in practice capacity.

Theory of random energy analysis for train derailment

Three fundamental problems in the calculation of train derailment abroad and at home were pointed out and the solutions to these problems were presented. The theory of random energy analysis for train derailment was suggested. The main contents of this theory are as follows: geometric criterion of derailment; method of random energy analysis of transverse vibration of train track system; mechanism of derailment and energy increment criterion for derailment evaluation; calculation of the entire derailment course of train. This theory is used to calculate a case of freight train derailment, which corresponds to an actually occurring accident. Another derailment test, in which the train is judged not to be derailed, is calculated and the maximum vibration response is well correspond to the test results. And the effectiveness and practicability of the theory are proved by the two calculated cases.

A Brief Analysis of Multi-ball Training in Badminton

With the gradual improvement of badminton level in China,the research on the teaching and training methods of badminton has been further enriched.Badminton multi-ball training is an important training method which can improve the training intensity and the actual competition ability of the exerciser.It can comprehensively reflect the request of the opponent’s tactics,footwork and strain ability in the badminton event.In the course of training,the intensity of training load can be adjusted reasonably by controlling time,frequency and speed.Therefore,multi-ball training has gradually become a training mode widely used in badminton training.This article will briefly analyze the composition,classification,and function of multi-ball training,and according to the various forms and methods of badminton training at present,put forward appropriate suggestions on the application of multi-ball training in badminton,in order to improve the badminton multi-ball training theory.

Research on the Features of Combat Training

Combat training is a necessary requirement under the new situation to expand our military missions and tasks. For this principle of the requirements, it must not be mechanically rigid to be understood and implemented, we need to seriously understand and grasp the essence of the meaning. Overall, the primitive nature of the combat training, including realistic, confrontational, diversity and experimental features, can answer the question of what combat training is, why and how to do the fundamental issues from different angles, and explain the nature of the characteristics of combat training from general and universal of angle.

着眼未来教育家的教育博士培养模式构建

教育博士专业学位的设立是我国博士学位制度的一项重大创新,是培养造就未来教育家的重要途径,对建设教育强国具有先导性、基础性、战略性作用。构建一个既符合教育博士类别要求又能彰显教育博士规格质量的培养模式,是一个重大的理论与实践课题。本文结合东北师范大学的实践探索,从教育博士培养改革的时代之需、他山之石、理论之基、实践之径四个方面,阐释“目标导向、理实互构、三维协同”教育博士培养模式的理论内涵与实践路径,以期能为建构具有中国特色的教育博士培养模式提供参考和借鉴。

基于情绪ABC理论的正念训练对PCI患者的应用研究

目的探讨基于情绪ABC理论的正念干预对冠心病经皮冠状动脉介入治疗(PCI)术后患者的应用效果。方法选取2022年收治的80例冠心病PCI术后患者,随机分为试验组和对照组,每组40例。对照组给予心内科常规治疗与护理,试验组在常规护理的基础上给予基于情绪ABC理论的正念训练。分别于干预前、干预2个月后、干预6个月后评价患者的心肺功能[6 min步行距离(6 MWD)]、睡眠[匹兹堡睡眠质量指数(PSQI)]、焦虑抑郁[焦虑自评量表(SAS)、抑制自评量表(SDS)]、心脏不良事件的发生情况。结果干预前,2组患者6MWD、PSQI评分、SAS、SDS评分比较,差异均无统计学意义(P>0.05);干预2个月和6个月后,试验组6MWD、PSQI、SAS、SDS评分均优于对照组,差异有统计学意义(P<0.05);干预6个月后,2组患者心脏不良事件发生率比较,差异无统计学意义(P>0.05)。重复测量方差分析结果显示时间效应、组间效应、交互效应均有统计学意义(P<0.05)。结论基于情绪ABC理论的正念训练可提高患者的睡眠质量,改善负性情绪,提升心肺功能,值得临床推广应用。

美国一流大学博士生多元化职业能力培养体系研究

运用扎根理论,对麻省理工学院、芝加哥大学、加州大学伯克利分校、宾夕法尼亚大学、康奈尔大学和加州大学圣地亚哥分校的官网资料进行编码,分析得出美国一流大学博士生多元化职业能力培养体系,包括对接劳动力市场需求的高标准目标定位,基于关系网络的多维度保障机制,立足自我反思的全过程职业规划指导,兼顾学术性和实用性的全方位职业技能培训。我国高校应当切实履行博士生培养的主体责任,正视博士生对接社会需求的多样化职业选择趋势,加强系统思维,创建博士生多元化职业能力培养共同体,利益相关者协同加强学术型博士生多通道增强型培养体系建设。

高职院校实训类课程课程思政建设对策研究

现阶段,课程思政教学改革在广大高职院校中逐渐展开并取得了良好效果。作为高职院校人才培养重要组成部分的专业实训课程,实施课程思政教学改革势在必行。目前,高职院校实训类课程仍存在课程思政实施动力不足、思政元素的挖掘与融合不充分、实训教师的思政教学能力有待提升等问题。在大量调研、实证分析、文献查阅的基础上,论述了高职院校实训类课程课程思政建设的重要意义,分析出高职院校实训类课程课程思政建设的相关对策,为新时代高职院校实训类课程课程思政建设提供借鉴。

我国公安情报学学科建设核心议题述评

[目的/意义]通过客观观察公安情报学学科建设现状,尝试提出学科建设工作策略。[方法/过程]通过遴选与识读公安情报学学科建设主题核心文献,从学科定位、理论体系、学科建设工作方式等方面呈现公安情报学学科版图,从课程体系建设、人才培养方案、培养层次与方式、继续教育等方面呈现公安情报学人才培养现状。[结果/结论]公安情报学学科建设始终围绕国家安全需要与公安实战展开,专业知识体系有待完善、主干知识有待进一步厘定,学科建设现阶段应以基层急需人才培养为攻坚要点。

基于变革型领导力理论构建护士长领导力培训指标体系的研究

目的基于变革型领导力理论构建护士长领导力培训指标体系,为提高护士长变革型领导力提供培训参考。方法基于变革型领导力理论,结合半结构式访谈结果及文献分析,拟订护士长变革型领导力培训课程初稿,对山东省16名护理管理、教学管理专家进行两轮函询,修订后形成护士长领导力培训指标体系。结果两轮问卷有效回收率均为100%,专家权威系数分别为0.853、0.891,肯德尔和谐系数分别为0.135、0.364;第2轮函询各条目的变异系数为0.000~0.156。最终确定的培训指标体系包含4个一级指标、13个二级指标和45个三级指标。结论护士长变革型领导力培训指标体系构建过程科学、可靠,内容全面,培训目标明确,能够满足护士长对变革型领导力的培训需求,可促进变革型领导力的发展。

本科助产综合实训课程思政的教学设计与实践

在新时代背景下,对助产人才的培养不仅需加强专业技能方面的学习,更要全方位提升学生的思政素养。为了贯彻落实教育部关于高校课程思政建设精神,我校结合实际开展了助产综合实训课程,并在其中融入课程思政的设计与实践,在见习、实训、虚拟仿真实验等环节有机融入思政元素,以实现树立助产专业信念,强化助产护理责任担当,感悟生命的可贵,培养人文关怀品质,传承大爱无疆的精神的育人目标。该文简要介绍课程思政融入本科助产综合实训课程的切入点和方法,为今后进一步开展其他相关课程思政改革教学活动提供参考。

OBE理论下TPA阶梯教学对神经科医师培训效果及教学满意度的影响

目的探究成果导向教育(Outcome Based Education,OBE)理论下TPA阶梯教学对神经科医师培训效果及教学满意度的影响。方法随机选取2020年5月—2023年5月潍坊医学院附属医院接受规范化培训的52名神经科医师为研究对象,于2020年5月—2021年12月培训中采用传统教学法的26名医师为A组、于2022年1月—2023年5月培训中采用OBE理论下TPA阶梯教学的26名医师为B组,对比两组培训效果。结果教学后,B组理论考核成绩、实践能力考核成绩均高于A组,差异有统计学意义(P均<0.05);B组教学满意度(100.00%)高于A组(76.92%),差异有统计学意义(χ^(2)=4.710,P<0.05)。结论OBE理论下TPA阶梯教学的应用效果更理想,有助于提高神经科医师理论及实践能力考核成绩、教学满意度。

学术沙龙对中医基础理论专业研究生能力提升的实践与探索

学术沙龙是一种灵活的学术交流形式,新冠疫情背景下,线下的学术沙龙活动受到了极大的影响,但同时线上交流活动受到了前所未有的推动。各种会议应用被广泛用于线上交流,而智慧教学平台的诸多配套功能可对学术沙龙的内容及形式进行改善,在疫情期间,成为组织研究生交流、扩展教学的有力补充。从开始的无奈之举,到后来逐渐摸索出一系列线上活动的优势与长处,线上沙龙活动,不但在疫情期间帮助学生们更好地完成学业、增强了团体的凝聚力,而且也为教师提供了全新的学生活动实践经验,并在实践中摸索出中医药学知识推广的新思路。疫情过后,全国全面恢复正常秩序,线下的教学与学生活动也已经恢复如前。而线上教学平台已成为日常教学的有力补充,线上沙龙也得以保留,且大大丰富了线下沙龙的内容与活动形式,已经成为学术沙龙不可分割的一部分。

基于Snyder希望理论的护理干预联合膀胱控制训练对前列腺癌根治术后尿失禁患者的影响

目的探索基于Snyder希望理论的护理干预联合膀胱控制训练对前列腺癌根治术后患者尿失禁的影响。方法选取2022年4月至2023年4月江苏省如皋市中医院83名接受根治性前列腺癌手术的患者作为研究对象,通过随机信封抽签法将其分为对照组(42例)和干预组(41例)。对照组给予常规护理+膀胱控制训练,干预组则在对照组基础上加入基于Snyder希望理论的护理干预,干预时间为4周。干预前后对两组尿失禁情况、排尿功能评分[国际尿失禁问卷简表(ICIQ-SF)评分、扩展前列腺癌复合指数(EPIC-UIN)评分]、生活质量[尿失禁生活质量量表(I-QOL)]、心理状态[状态特质焦虑量表、贝克抑郁问卷(BDI-Ⅱ)]及术后并发症发生情况进行评估。结果干预组排尿次数、漏尿次数、排尿量及尿失禁评分均低于对照组,差异有统计学意义(P<0.05)。干预后,两组ICIQ-SF评分低于干预前,EPIC-UIN评分高于干预前,且干预组ICIQ-SF评分低于对照组,EPIC-UIN评分高于对照组,差异有统计学意义(P<0.05)。干预后,两组I-QOL各维度评分高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。干预后,两组状态焦虑量表、特质焦虑量表及BDI-Ⅱ评分低于干预前,且干预组低于对照组,差异有统计学意义(P<0.05)。干预组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论基于Snyder希望理论的护理干预联合膀胱控制训练能有效降低前列腺癌根治术后患者的尿失禁严重程度,提升排尿功能,提高生活质量,并减轻心理焦虑和抑郁症状,对临床实践具有重要应用价值。

基于时机理论的盆底肌训练在前列腺癌根治术患者中的应用

目的在机器人辅助腹腔镜下前列腺癌根治术患者中,探讨应用基于时机理论的盆底肌训练干预方法在其中的应用效果。方法选取2021年8月至2022年8月福建医科大学附属第一医院收治的112例行机器人辅助腹腔镜下前列腺癌根治术患者作为研究对象。对照组(n=57)给予常规干预措施,试验组(n=55)在常规干预措施的基础上采用基于时机理论盆底肌训练进行干预,持续干预1年。比较两组患者在术后各个时期的尿控能力、尿失禁康复率、盆底功能康复的效果。结果干预后在术后拔除导尿管当天、术后3个月及6个月时,试验组患者在尿控能力评分、尿失禁康复率、盆底功能康复评分等方面均优于对照组(P<0.05);术后12个月时两组患者的尿控能力评分、尿失禁康复率、盆底功能康复评分比较,差异无统计学意义(P>0.05)。结论基于时机理论盆底肌训练方法具有一定的科学性和可行性,且干预开始时机为术前,可持续至术后1年。在基线水平内可明显改善机器人辅助腹腔镜下前列腺癌根治术患者的术后尿失禁症状,提高尿失禁康复率,可促进患者术后尿控能力的早期康复。