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.

About the Conflicts between the Unitary Quantum Theory and the Special and General Relativity Theories

The authors discuss contradictions between the principal branches of the modern physical picture of the universe. Space and time have been shown in the Unitary Quantum Theory (UQT) not to be connected one with the other, unlike in the Special Theory of Relativity. In UQT, time becomes Newtonian again, and the growth of the particle’s mass with growing speed proceeds from other considerations of physics. Unlike the quantum theory, the modern gravitation theory (the general theory of relativity) is not confirmed by experiments and needs to be considerably revised.

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.

Cold Nuclear Fusion in the Unitary Quantum Theory

The interaction of the charged particles in the new Unitary Quantum theory isconsidered. It is shown that the distance of approachment of deuterons to each other verystrongly depends on the phase of the wave function and not only upon the energy. This thesis isnot discussed in the conventional quantum theory. It can easily explain the experiments on thecold nuclear fusion.

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。

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。

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。

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。

黄河上游农牧民技能培训意愿影响因素研究

加快推动黄河上游地区共同富裕是国家战略的重中之重。赋予农牧民技能是促进乡村人才振兴和农业农村现代化的重要途径。研究农牧民接受培训的影响因素,提升农牧民技能对于农牧民增收致富具有重要意义。通过对黄河上游18个县农牧民进行技能培训的调查获得743份调查问卷和访谈资料。运用主成分分析得出年龄、参加技能培训经历、家庭人口数等因素对农民接受技能培训意愿相较于其他因素影响较大。进一步分析得出家人支持、现在所学过的技术培训与个人需要的契合、培训后会有赚钱的机会、所培训的内容在未来得到应用等与再次培训意愿存在显著正相关。提出了广泛开展技能培训的宣传、按需分类制订技能培训计划、巩固技能培训成果和建立长效培训机制等对策。

四海理论指导的针刺联合认知-运动双任务训练对中风后认知功能障碍患者感知控制及注意力的影响

目的:探讨四海理论指导的针刺联合认知-运动双任务训练对中风后认知功能障碍患者感知控制及注意力的影响。方法:将80例中风后认知功能障碍患者随机分为两组。对照组给予认知-运动双任务训练干预,研究组于对照组基础上联合四海理论指导的针刺治疗,比较两组患者感知控制及注意力情况。结果:治疗后两组患者疾病感知控制量表各维度评分均较治疗前降低,且研究组患者均低于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者数字符号测试(SDMT)量表评分、数字惊觉测试(DVT)量表评分、数字广度(DS)量表评分、简易智能精神状态检查量表(MMSE)及蒙特利尔认知评估量表(MoCA)评分均较治疗前升高,且研究组均高于对照组,差异具有统计学意义(P<0.05)。结论:四海理论指导的针刺联合认知-运动双任务训练治疗中风后认知功能障碍患者疗效确切,能够明显改善患者感知控制及注意力。