高中生物教学中渗透“健康教育”的有效策略研究

伴随着新课改的推进,越来越多的社会人士开始关注高中学生核心素养的培养。高中生物教师想要有效落实该项工作,则可以在教学的环节中,巧妙运用问题驱动法、互动探究法、实验实践法以及拓展学习法来渗透“健康教育”,并在这一教育活动的渗透中,逐步培养高中生的健康思维,培养高中生积极向上的心态,进而为高中生生物核心素养的培养以及身心的健康成长提供更为有效的保障。

传统文化与小学“健康教育”的整合

现代独生子女普遍存在自高自大、不懂得关爱他人、唯我独尊的心理.与人交往中,其表现为不能与人为善,做事更是缺少守时守信的观念.因此,良好的行为习惯更应该从小养成,并付诸行动.只有将传统文化与小学“健康教育”整合起来,才能实现对学生良好行为习惯与个性品质的培养.

基于“健康小屋”的跨理论模型健康教育结合饮食调护对消化性溃疡患者胃肠激素水平、健康行为及疾病进展恐惧的影响

目的探究基于“健康小屋”的跨理论模型健康教育结合饮食调护在消化性溃疡患者中的应用效果。方法选择我院2020年1月至2021年2月收治的120例消化性溃疡患者,根据护理方案不同将其分为对照组和观察组,各60例。对照组接受常规护理,观察组在对照组护理基础上加施基于“健康小屋”的跨理论模型健康教育结合饮食调护。比较两组的干预效果。结果干预后,观察组的胃泌素(GAS)、胃动素(MTL)水平均高于对照组,血管活性肠肽(VIP)水平低于对照组(P<0.05)。干预后,观察组的规律作息、遵医服药、饮食控制评分均高于对照组(P<0.05)。干预后,观察组的疾病进展恐惧量表(FoP-Q)各维度评分均低于对照组(P<0.05)。结论基于“健康小屋”的跨理论模型健康教育结合饮食调护可调节消化性溃疡患者胃肠激素水平,改善其健康行为,缓解其疾病进展恐惧。

潍坊市城市社区“健康教育大街”效果评价

[目的]评价健康教育大街活动在城市社区健康教育中的效果。[方法]2003 年 8 月至 2004 年 8 月,在潍坊市城区的胜利大街、北宫大街开展了以卫生知识、卫生行为为主要内容的效果观察。[结果]教育组 1 948 人、对照组 1 945人,卫生知识得分与25项卫生知识知晓率,教育后教育组高于对照组,教育组教育后高于教育前(P<0 01);早晚刷牙、1人1巾1杯、勤剪指甲、不乱扔垃圾、不随地吐痰、不吸烟、经常锻炼身体的形成率也呈同样的趋势。[结论]开展健康教育大街活动后,教育对象的卫生知识明显提高,卫生行为得到形成。

高校实施俱乐部型体育教学的现状与对策

通过调查与分析高校实施俱乐部型体育教学的现状,提出了改革对策:一是要建立一支适应现代体育教学师资队伍,二是要健全与加强体育教学俱乐部组织管理,三是要以“健康教育”为主,增设“健康”教学内容,四是要以学生为主体,让学生自由选择项目、上课时间和任课教师,五是要充分引导学生进行健康的自我投资。

An Evaluation of STD/AIDS Health Education among Female Sex Workers in Entertainment Establishments in Jingjiang City

Objective: To explore effective ways of conducting STD/AIDS health education among female commercial sex workers in entertainment establishments and to promote implementation of an 100% condom use programme. Methods: In-depth interviews were carried out to collect qualitative information about demographic characteristics, STD/AIDS knowledge, attitude and risk behaviors of female sex workers. Female sex workers were selected by sampling and were given baseline survey and assessment after intervention. Based on the results of the interviews, a questionnaire was developed, and intervention measures were determined. These measures included face-to-face interviewing, counseling, and distribution of STD/AIDS information and condoms. Results: 196 and 182 female sex workers of the same population were interviewed separately before and after intervention. STDs/AIDS knowledge had significantly increased after one year's intervention (P <0.01). Knowledge increased in both the intervention group and the non-intervention group but the increase was more significant among sex workers who received the intervention. Risk behaviors remained at baseline levels in both groups. Conclusion: STD/AIDS health education among female sex workers in entertainment establishments was effective and may benefit society, but the strategies need to be adjusted to the female sex workers' lifestyles, particularly their high rates of mobility and high-risk behaviors.

“健康第一”教育理念下体育学科研究生思想教育的着力点

"健康第一"教育理念是提高学生综合素养、培养社会主义建设者和接班人的重要理念,是落实以人民为中心的发展思想,"做身体健康的民族"的具体要求。在这一理念指导下,专业体育教师的需求大量增加,为体育学科研究生带来很大机遇。对体育学科研究生思想教育需要在"育"上着力,具体为树立职业自信,增强"育"的意识;坚定理想信念,把握"育"的方向;引导角色定位,做好"育"的准备;提升核心素养,成就"育"的本领。

Comparison of an SMS text messaging and phone reminder to improve attendance at a health promotion center:A randomized controlled trial

Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to im-prove attendance rates at a health promotion center. Methods: A total of 1 859 participants who had scheduled appointments in the health promotion center of our hospital from April 2007 to May 2007 were enrolled in the study and randomly assigned into 3 groups: control (no reminder) group,SMS text messaging reminder group and telephone reminder group. Attendance rates and costs of interventions were collected. Results: A total of 1848 participants were eligible for analysis. Attendance rates of control,SMS and telephone groups were 80.5%,87.5% and 88.3%,respectively. The attendance rates were significantly higher in SMS and telephone groups than that in the control group,with odds ratio 1.698,95% confidence interval 1.224 to 2.316,P=0.001 in the SMS group,and odds ratio 1.829,95% confidence interval 1.333 to 2.509,P<0.001 in the telephone group. However,there was no difference between the SMS group and the telephone group (P=0.670). The cost effectiveness analysis showed that the cost per attendance for the SMS group (0.31 Yuan) was significantly lower than that for the telephone group (0.48 Yuan). Conclusion: SMS and telephone are effective reminders for improving attendance rate at a health promotion center. SMS reminder may be more cost-effective compared with the telephone reminder.

Self-care actions for the maintenance of the arteriovenous fistula:An integrative review

Objective:To identify self-care actions for the maintenance of arteriovenous fistula of renal patients.Method:An integrative review study was conducted and literature were searched in Medline/PubMed,Scopus,CINAHL LILACS,BDENF and SciELO Library databases using the descriptors chronic renal insufficiency,arteriovenous fistula,self-care,and knowledge.The inclusion criteria were that the documents be written in Portuguese,English,and Spanish,full text available,published in the last five years,and that they address the research question.Reflection articles,theses,dissertations,editorials of nonscientific journals,and research studies that did not follow the necessary methodological rigor were excluded.Data were analyzed with the IRAMUJTEQ software.Results:Fifteen articles were selected and comprised the final sample.Seven classes of self-care actions emerged from the text segments analysis and grouped into three categories:(1)Self-care actions that maintain the arteriovenous fistula;(2)Self-care actions for the prevention and the monitoring of complications with arteriovenous fistula;(3)Self-care actions directed at the perioperative period of arteriovenous fistula preparation.Conclusion:The results allowed us to identify important care for the maintenance of arteriovenous fistula functionality.The self-care actions identified in this study can guide a nursing care policy for implementation with protocols that help identify problems related to self-care actions and,thus,subsidize the development of actions aimed at the renal patient.However,more studies with high levels of evidence that identify self-care actions with arteriovenous fistula and the factors involved in its implementation are needed.

A comprehensive health education plus monitoring support program for older adults with knee osteoarthritis coexisting with overweight and type 2 diabetes

Objectives:To examine the patient outcomes of a comprehensive health education plus village health volunteer monitoring support program on older adults with knee osteoarthritis who are overweight and have type 2 diabetes.Methods:Quasi-experimental,two-group,pretest-posttest design was applied.Using random geographic cluster sampling,older adults who met the inclusion criteria were assigned to two groups,62 in the intervention group and 71 in the control group.The intervention group received the comprehensive health education plus village health volunteer monitoring support program.The control group received only the comprehensive health education program.Study outcomes,including blood glucose level,knee pain and range of motion,body weight,physical ability(Timed Up and Go Test),fatigue,depressive symptoms,quality of sleep,and quality of life,were assessed at baseline,3 months,and 6 months after enrollment and analyzed using descriptive statistics and multivariate analysis of variance.Results:One hundred and ten participants completed the study(55 participants in each group).Most patient outcomes in the two groups showed general improvement with statistical significance(P<0.001):pain decreased,physical ability improved,less depressive symptoms and fatigue,quality of life and sleep improved.The interaction effect(the group and time)demonstrated statistically significant differences between the intervention and control groups on pain,knee range of motion,and fatigue according to each time follow-up(P<0.001).Conclusions:The comprehensive health education plus village health volunteer monitoring support program promotes good patient outcomes in this population.The integrated health education resource and support for older adults with knee osteoarthritis and type 2 diabetes is an effective,non-surgical treatment that highlights professional nursing roles and non-professional rolesdvillage health volunteers.Nurses should consider implementing a health education plus monitoring support program to mitigate the effects of chronic diseases and improve patients’quality of life.

Comparative efficacy of social media delivered health education on glycemic control: A meta-analysis

Objective:To compare outcomes associated with patient education about glycemic control via group chat versus patient education as usual among individuals with diabetes in China.Methods:We searched the following databases both in English and in Chinese languages:PubMed,CNKI,Wanfang database,VIP database,and CBM for articles published up to Jan 1,2018.The studies were screened by two independent reviewers.Using criteria from the risk of bias assessment tool developed by Cochrane Collaboration to assess the risk of bias of eligible studies.A meta-analysis of studies was performed using comprehensive meta-analysis version 3.0.Results:Twenty-five unique randomized clinical trials,including 2,838 patients,were identified.The education delivered via group chat had large overall pooled effect sizes in improving glucose control measured by hemoglobin A1c[Hedges'g=-0.81,95%CI:(-0.98,-0.64)],fasting blood glucose[Hedges'g=-1.11,95%CI:(-1.37,-0.85)],and 2 h postprandial blood glucose[Hedges'g=-0.98,95%CI:(-1.20,-0.76)].Additionally,patient education delivered via group chat has shown consistently superior outcomes in glucose control in short-term(0-3 months),mid-term(3-6 months)and longer-term(6-12 months).Conclusions:Educational interventions via group chat had a superior outcome in blood glucose control compared to education as usual in China.Educational interventions via group chat had superior shortterm,mid-term,and longer-term outcomes in blood glucose control compared to education as usual in China.

Effects of drug relief hospital-based AIDS educational methods on drug users

The objective of this study is to explore a potentially effective training method for the hospital professionals to educate drug users and to enhance their knowledge of HIV infection. One hundred and sixty one subjects, who came from 13 different provinces and were admitted in a drug relief hospital in Beijing, were recruited for this study. The average age of these subjects was 35.21±6.24 year old. The average numbers of years for drug addiction were 7 years, and the average numbers of drug relief treatment received in the past was 5.5 times. The level of AIDS knowledge of these subjects, including pathogenic factors, source of infection, route of transmission and preventive measures, were evaluated before and after receiving the AIDS educational training to these drug users. Our results showed that there was a statistically significant increase (P<0.01) in the knowledge of HIV infection and prevention among these subjects. Positive attitude and behavioral tendencies toward HIV prevention were also improved. Therefore, it is imperative for the medical professionals to incorporate AIDS education into drug relief treatment to achieve the maximum effect on the knowledge of AIDS and improvement of positive attitudes and behaviors toward HIV prevention among drug users.

Physically literate and physically educated:A rose by any other name?

In the 2013 release of the U.S. National Physical Education Standards the term ＂physically literate＂ replaced ＂physically educated＂. Un- fortunately, most discourse within the profession about the term physically literate occurred primarily after its adoption. While we agree with the spirit and intent of the term, we feel it is essential to discuss not only what has been potentially gained but also lost. In our paper, we illustrate the similarity of the terms physically educated and physically literate and essentially, from a definitional perspective, find little difference--but are these terms interchangeable？ We provide a critical review of the standards and conclude that the change to physical literacy has produced a shift away from psychomotor outcomes to cognitive outcomes. Our concerns about this are many, but most importantly they are about the need to emphasize the ＂physical＂ in physical education （PE）. It is our belief that the key to elevating the profession and maintaining and increasing support for PE is in its ability to promote and provide physical activity. Without physical activity and physical fitness as main outcomes, PE increases its vulnerability to extinction as a standard part of the U.S. K-12 education curriculum.

Influencing of students＇ health status and physical education

Schools and parents should pay attention to health education for students＇ health awareness and good health habits, to establish a correct concept of health. School mental health education should be the first place; school should create a positive learning environment for students to get knowledge and skills of exercising. Especially in the nine years of compulsory education stage, we should ensure necessary physical exercise, reasonable arrangements for extracurricular activities to improve students＇ physical fitness. We should improve the school＇ s sports facilities, and create a good campus atmosphere. Schools should actively carry out extra-curricular sports activities, improve the level of quality of physical education teachers, develop students＇ sports consciousness, and improve material conditions for the students to create a good learning environment, meanwhile, we should increase the content of education, and enrich the content of physical education to enable students to select and reach more sports.

Economic and Social Impact of China’s Aging Population and Public Policy Response

In mapping out China’s future development,policymakers must bear in mind the challenges from a falling birthrate and aging society.Based on previous demographic censuses and original data of large sample surveys,this study employed an indirect method for estimating China’s total fertility rate(TFR)and a demographic forecast method based on the parity progression ratio(PPR).Our analysis details the socioeconomic implications behind demographic change,and we have proposed public policy countermeasures.The findings include:(i)China’s ultra-low fertility rate over the past three decades has led to an increasingly aging society,and China’s future fertility rate is likely to continue to decrease.(ii)Around 2024,China’s total population is expected to peak at 1.407 billion,followed by chronic negative population growth at an accelerating pace.By 2050,China’s newborn population will shrink to 8.73 million and the aging population will increase to roughly 30%of the total population resulting in the total dependency ratio above 50%.(iii)With a falling birthrate and aging society,China will face unprecedented challenges with respect to education,employment,and pension.(iv)As a public policy response,China should remove birth control altogether.If the fertility rate continues to stall,policymakers should consider issuing policies to encourage birth and create a birth-friendly society for all birth cycles.

A family nurse-led intervention for reducing health services’utilization in individuals with chronic diseases:The ADVICE pilot study

Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.

Tunga penetrans A Silent Setback to Development in Kenya

Tungiasis is an ectoparasitic skin disease caused by the penetration of the female sand flea, Tungapenetrans, into the epidermis of the host. Through an intensive literature review, poor hygiene, poverty, social neglect, ignorance, and poor cultural beliefs were found to promote jigger infestation in Kenya. The research revealed the vicious cycle of poverty, low educational standards, low self-esteem/stigmatization, violation of civil rights, HIV/AIDS and secondary infections as the effects of the infestation. Fumigation, on-host treatment of animals, proper hygiene, and health education are the suggested control measures. Generally, one needs to be physically, emotionally and socially sound to appropriately deliver the much needed services of national development. The jigger infestation negatively impacts on these aspects of human health, hampering the wholesome participation in nation building by both the infected and the affected. As a country, the Jigger menace is frustrating Kenya＇s attempts to achieve the Millennium Development Goal on poverty reduction by the year 2015, as well as reducing the pace of national development.

Interprofessional education in nursing: The impact of collaboration between physical and mental health care professionals

Objectives:lnterprofessional collaboration in the training of nursing and psychology students helps provide students of both disciplines with the ability and competences they need to best attend to their patients.This study implemented and analyzed a method for developing the competences of each discipline in a scenario of joint clinical simulation that incorporates mental and physical health simultaneously,and measured the caring ability of the participating students.Methods:Participants took a self-applied survey measuring their own caring ability.After,a clinical simulation was performed where nursing students performed clinical interviews on psychology students,who acted as standardized patients.Caring abilities were measured in the nursing students,and the psychology students implemented an intervention service measuring caring ability and brief-debrief simulation by coaching to nursing students.Results:The results indicated that the self-applied questionnaire of caring ability resulted in scores significantly higher than what was measured by observers.Conclusions:The results contribute to the development of protocols,training and collaborative work practices in interprofessional education,which allow the scaling of these competences.