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“I Am Getting Healthier”. Perceptions of Urban Aboriginal and Torres Strait Islander People in a Chronic Disease Self-Management and Rehabilitation Program
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作者 Alison Nelson Kyly Mills +1 位作者 Samara Dargan Chantel Roder 《Health》 CAS 2016年第6期538-547,共10页
Chronic disease is a main contributor to the disproportionately high burden of illness experienced by Aboriginal and Torres Strait Islander Australians. However, there are very few programs addressing chronic disease ... Chronic disease is a main contributor to the disproportionately high burden of illness experienced by Aboriginal and Torres Strait Islander Australians. However, there are very few programs addressing chronic disease self-management and rehabilitation which are designed specifically for urban Aboriginal and Torres Strait Islander people. This paper aims to explore client and staff perceptions of the Work It out Program, a chronic disease rehabilitation and self-management program designed for urban Aboriginal and Torres Strait Islander people. The study used a mixed methods approach to explore the success, barriers and self-reported outcomes of the program. Quantitative data were collected through a structured survey, comprising social and demographic data. Qualitative data were collected through interviews using Most Significant Change theory. Twenty-eight participants were recruited, 6 staff and 22 clients (M = 7, F = 21) with an age range between 21 and 79 years of age (Mean = 59.00, SD = 17.63). Interviews were completed in 2013 across four Work It out locations in Southeast Queensland. Semi-structured interviews were conducted either individually or in groups of two or three, depending on the participants’ preference. Thematic analysis of the data revealed six main themes;physical changes, lifestyle improvements, social and emotional well-being, perceptions about the successful features of the program, perceived barriers to the program and changes for the future. This exploratory study found that clients and staff involved in the Work It out Program perceived it as an effective self-management and rehabilitation program for urban Aboriginal and Torres Strait Islander Australians. Further evaluation with a larger sample size is warranted in order to establish further outcomes of the program. 展开更多
关键词 Indigenous health Chronic Disease SELF-management rehabilitation
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Effect of health Qigong on rehabilitation of stroke patients:A systematic review and meta‑analysis
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作者 Fengguang GUAN Qiulu JI 《Journal of Integrative Nursing》 2023年第1期15-20,共6页
Objective:The objective of this study is to evaluate the effects of health Qigong on the rehabilitation of hemiplegic patients after stroke.Methods:The randomized controlled trials on health Qigong intervention in reh... Objective:The objective of this study is to evaluate the effects of health Qigong on the rehabilitation of hemiplegic patients after stroke.Methods:The randomized controlled trials on health Qigong intervention in rehabilitation after stroke were searched in eight databases:PubMed,Cochrane Library,Embase,Web of Science,CBM,CNKI,Wanfang Database,and VIP Database from the inception to February 2022,and the data were analyzed using RevMan 5.3 software.Results:A total of 17 studies involving 1146 hemiplegic patients after stroke were included.Meta‑analysis results showed that the motor function and activities of daily living in the intervention group were better than those in the control group at different intervention times(intervention time<3 months and 3 months–24 weeks)(P<0.01).When the intervention time was<3 months,the improvement of balance function in the intervention group was better than that in the control group(P<0.01).However,when the intervention time was 3 months–24 weeks,there was no significant difference in the balance function between the intervention group and the control group(P=0.10).Conclusion:Health Qigong has a positive effect on the improvement of motor function and activities of daily living in hemiplegic patients after stroke,but the improvement of balance function is not sure.Due to the low overall quality of the included literature and the heterogeneity of some research results,more rigorous randomized controlled trials are needed to verify its efficacy. 展开更多
关键词 health Qigong META-ANALYSIS motor function rehabilitation STROKE systematic review traditional Chinese medicine
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Research on the Development Strategy of Panxi Sunshine Health and Wellness Homestays and Hotels Based on Traditional Chinese Medicine Health Preservation
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作者 Zihui Zhao Zhengnan Wuyu +1 位作者 Sicen Liu Chuibiao Zeng 《Proceedings of Business and Economic Studies》 2024年第3期114-119,共6页
This study is the first phase of research results from the student innovation project“Yunqiao Sunshine Health and Wellness Homestay”group at Chengdu Normal University.By analyzing the current state of the Sunshine H... This study is the first phase of research results from the student innovation project“Yunqiao Sunshine Health and Wellness Homestay”group at Chengdu Normal University.By analyzing the current state of the Sunshine Health and Wellness Tourism Area economy in the Panxi region of Sichuan,local policies,and the current state of Sunshine Health and Wellness homestays and hotels,this paper proposes the possibility of developing Sunshine Health and Wellness homestays and hotels through traditional Chinese medicine(TCM)health preservation methods.It also proposes development strategies for such hotels through a market survey SWOT analysis. 展开更多
关键词 Traditional Chinese medicine health preservation Sunshine health and Wellness Tourism Area Homestays and hotels STRATEGY
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Understanding the etiology of mental health problems in postrehabilitation COVID-19 patients:Insights and strategies for effective intervention
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作者 Hai-Sheng Hu Bao-Qing Sun 《World Journal of Clinical Cases》 SCIE 2024年第23期5308-5312,共5页
In this editorial,we comment on an article by Alhammad et al that was published in a recent issue of the World Journal of Clinical Cases(Manuscript No.:91134).We specifically focus on the mental health problems caused... In this editorial,we comment on an article by Alhammad et al that was published in a recent issue of the World Journal of Clinical Cases(Manuscript No.:91134).We specifically focus on the mental health problems caused by coronavirus disease 2019(COVID-19),their mechanisms,and targeted rehabilitation strategies.Severe acute respiratory syndrome coronavirus 2,via its spike protein,binds to angiotensin-converting enzyme 2 and other receptors prior to infiltrating diverse cells within the central nervous system,including endothelial cells,neurons,astrocytes,and oligodendrocytes,thereby contributing to the development of mental illnesses.Epidemiological data from 2020 underscored the global upsurge in major depressive and anxiety disorders by 27.6%and 25.6%,respectively,during the pandemic.The commented research show that 30%of post-intensive care unit discharge patients with COVID-19 in the Arabic region exhibited Hospital Anxiety and Depression Scale scores that were indicative of anxiety and depression.While acknowledging psychosocial factors,such as grief and loss,it is crucial to recognize the potential neurological impact of the virus through various mechanisms.Accordingly,interventions that encompass dietary measures,health supplements,and traditional Chinese medicine with neuroprotective properties are necessary.This editorial underscores the urgency to implement comprehensive rehabilitation approaches to address the intricate interplay between COVID-19 and mental well-being. 展开更多
关键词 COVID-19 Mental health rehabilitation therapy Chronic COVID-19 syndrome Social medicine
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Skin health management concept of integrated medicine study
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作者 Jun Meng 《TMR Theory and Hypothesis》 2021年第1期425-430,共6页
Integrated medicine is not only a new methodology,but also a new view of medicine.In the face of the growing needs of the people for skin health management,modern dermatology should establish the concept of integrated... Integrated medicine is not only a new methodology,but also a new view of medicine.In the face of the growing needs of the people for skin health management,modern dermatology should establish the concept of integrated medicine.The existing skin health management in China is still based on the medical concept of"professional refinement and specialist differentiation",and still fails to solve many negative effects caused by the fragmentation of medical knowledge and the mechanization of clinical medical practice.Therefore,based on the concept of integrated medicine,this paper puts forward a new concept of skin health management integrated medicine.However,in order to establish this brand-new integrated medical view of skin health management,we should focus on the medicine for the diagnosis and treatment of skin diseases,the physical and mental health management of skin patients,the integration of traditional Chinese medicine and western medicine for the diagnosis and treatment of skin diseases,the combination of prevention and treatment of skin diseases,the cooperation of medical and nursing care for the health management of skin diseases,and the development of skin health care industry,speed up the skin disease health management integration of medical practice and other aspects. 展开更多
关键词 Skin disease health management Integrated medicine
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Health Preservation Methods Of Tibetan Medicine
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作者 DING LINGHUI 《China's Tibet》 1996年第2期28-29,共2页
Health Preservation Methods Of Tibetan MedicineHealthPreservationMethodsOfTibetanMedicine¥DINGLINGHUITibet,a... Health Preservation Methods Of Tibetan MedicineHealthPreservationMethodsOfTibetanMedicine¥DINGLINGHUITibet,aregionknownastheR... 展开更多
关键词 TIBETAN medicine METHODS Of preservation health
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Preventive online and offline health management intervention in polycystic ovary syndrome
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作者 Rui Liu Min Li +3 位作者 Pei Wang Man Yu Zheng Wang Guang-Zhong Zhang 《World Journal of Clinical Cases》 SCIE 2022年第10期3060-3068,共9页
BACKGROUND Polycystic ovary syndrome(PCOS) is characterized by hyperandrogenism, hyperinsulinemia, ovarian polycystic changes, and irregular ovulation, often occurring in women of childbearing age for whom it can be a... BACKGROUND Polycystic ovary syndrome(PCOS) is characterized by hyperandrogenism, hyperinsulinemia, ovarian polycystic changes, and irregular ovulation, often occurring in women of childbearing age for whom it can be a cause of infertility. Hypothalamus-pituitary-ovarian axis dysregulation is important in the pathogenesis of PCOS and the associated chronic excess of sex hormones can lead to cardiovascular and cerebrovascular diseases, diabetes, and malignancies such as endometrial cancer, and breast cancer. At present, most scholars agree that lifestyle interventions in conjunction with drug treatment can help PCOS patients achieve their goals of successful pregnancy and childbirth.AIM To investigate the clinical effect of an online and offline(O2O) preventive health management model on PCOS with kidney deficiency and phlegm dampness.METHODS A total of 82 patients with PCOS of the kidney deficiency and phlegm dampness type who were admitted to Beijing Luhe Hospital Affiliated to Capital Medical University from April 2019 to June 2020 were randomly divided into two groups. The treatment group was treated with oral Diane-35 for 3 mo and received preventive O2O medical health management for 6 mo(including eating and living, exercise, drug management). The control group was treated with oral Diane-35 for 3 mo and completed outpatient health education. The traditional Chinese medicine(TCM) syndrome score, acne score, hair score, sex hormone level and clinical effects were compared between the two groups before and after the intervention. RESULTS After treatment, the TCM syndrome score, acne score, and serum luteinizing hormone/follicle stimulating hormone level were significantly lower in the treatment group than in the control group(P < 0.05). After 3 mo of treatment, the TCM syndrome curative effect index in the treatment group was 97.30% compared to 54.05% in the control group(P < 0.05), whereas the total treatment effect in the treatment group was 91.89%, compared to 54.05% in the control group(P < 0.05).CONCLUSION An integrated therapeutic approach incorporating medication, TCM methods and social media is more effective than standard treatment for PCOS. 展开更多
关键词 Preventive treatment of disease Online and offline mode health management Kidney deficiency and phlegm dampness type Chinese traditional medicine Polycystic ovary syndrome
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Research Progress in Integrated Chinese and Western Medicine Health Management for School-Age Children with Asthma
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作者 Hanlu Zhang Le Wang +2 位作者 Sha Wang Nannan Ma Li Mei 《Journal of Clinical and Nursing Research》 2024年第7期85-90,共6页
Objective:The purpose of this study is to investigate the application of Chinese and Western medicine in the health management of school-age children with asthma and its research progress,with a view to providing a mo... Objective:The purpose of this study is to investigate the application of Chinese and Western medicine in the health management of school-age children with asthma and its research progress,with a view to providing a more comprehensive and effective management strategy for the clinic.Methods:Using the method of literature review,this study systematically searched and analyzed the relevant studies on the combination of Chinese and Western medicine in the health management of school-aged children with asthma in recent years,focusing on Chinese medicine treatment,Western medicine treatment,and the combined health management of Chinese and Western medicine.Results:Chinese medicine treatment,Western medicine treatment,and the health management mode of combining Chinese and Western medicine showed unique advantages in school-age asthmatic children.Through the comprehensive use of Chinese medicine’s diagnosis and treatment,Chinese medicine conditioning,Chinese medicine characteristic therapy,and Western medicine’s modern medical methods,it not only effectively relieved asthma symptoms but also significantly improved the quality of life of the children.At the same time,this management mode also focuses on the psychological guidance and family care of the children,forming an all-round and multi-level health management system.Conclusion:The health management strategy of combining Chinese and Western medicine has a broad application prospect in school-age asthmatic children,and its specific interventions and mechanisms of action should be further studied to provide more scientific and systematic guidance for clinical practice. 展开更多
关键词 School-age children with asthma Chinese medicine treatment Western medicine treatment health management
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Research on the Dissemination and Development of Traditional Chinese Medicine Dietotherapy Culture
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作者 Chaohong Wu Yajun Li 《Journal of Contemporary Educational Research》 2022年第4期114-120,共7页
The traditional Chinese medicine(TCM)culture has seen an unprecedented rise in popularity across the world in recent years,as China’s international stature has improved,and its cultural soft power has grown.At the sa... The traditional Chinese medicine(TCM)culture has seen an unprecedented rise in popularity across the world in recent years,as China’s international stature has improved,and its cultural soft power has grown.At the same time,people are becoming more aware of all kinds of respiratory and cerebrovascular diseases,along with other health-concerning factors.Therefore,people are gradually casting their eyes on TCM dietotherapy culture,which has been studied by the Chinese people for thousands of years and has made indelible contributions to the prevention and treatment of diseases and the Chinese nation’s longevity.However,its principle of action,prevention and control efficacy,as well as standards have been questioned;thus,its development prospects are of concern to the people.On this basis,this study explores the development status,transmission channels,and development prospects of TCM dietotherapy culture. 展开更多
关键词 DIETOTHERAPY Traditional Chinese medicine health preservation
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Challenges and Possibilities for the Household Medicine Lease (HML) System Viewed in Light of CRM: HML-Based Everyday Self-Medication in Ubiquitous Network Society
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作者 Masaru Furukawa Shutaro Takashima 《Computer Technology and Application》 2011年第7期501-512,共12页
关键词 客户关系管理 管理系统 网络社会 CRM 租赁业 会展 药疗 医学
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社区中医养生保健服务能力提升策略研究
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作者 武丽丽 温媛媛 王硕 《中国卫生标准管理》 2024年第7期168-171,共4页
社区卫生服务中心是提升中医药服务水平、满足多元化就医需求和推动中医药参与居民养生保健的重要载体。文章通过实地调查、实证分析的方法,在山东省烟台市、东营市开展社区中医养生保健服务能力的调查。发现居民对健康管理和中医养生... 社区卫生服务中心是提升中医药服务水平、满足多元化就医需求和推动中医药参与居民养生保健的重要载体。文章通过实地调查、实证分析的方法,在山东省烟台市、东营市开展社区中医养生保健服务能力的调查。发现居民对健康管理和中医养生保健服务的整体认知水平有待提升,但随着中医药特色服务与宣教的开展,居民对保健养生和慢性病治疗等服务的需求旺盛;社区卫生服务中心开展中医养生保健服务存在供需失衡的现象;居民对中医养生保健服务的满意度较高。文章从做好中医药文化宣传与推广、增加社区中医养生保健服务项目供给、培养中医养生保健服务技术技能人员等3个方面提出具体举措,为提升社区卫生服务中心中医养生保健服务能力提供参考建议。 展开更多
关键词 社区卫生服务中心 中医药服务 健康管理 中医养生保健服务 供需失衡 提升策略
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中医眼健康管理模式在干眼患者中的应用研究
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作者 汪娟 高娜 +3 位作者 黄慧 黄群 肖西立 游旭利 《四川中医》 2024年第6期178-181,共4页
目的:讨论中医特色眼健康管理模式对干眼患者的效果观察。方法:选择2023年6月~2023年10月在我院就诊的80例干眼患者按就诊先后顺序进行随机编号,单号为对照组、双号为观察组。其中对照组采用常规治疗与护理,观察组则进行中医眼健康管理... 目的:讨论中医特色眼健康管理模式对干眼患者的效果观察。方法:选择2023年6月~2023年10月在我院就诊的80例干眼患者按就诊先后顺序进行随机编号,单号为对照组、双号为观察组。其中对照组采用常规治疗与护理,观察组则进行中医眼健康管理,均进行为期四周的观察,从患者症状、治疗效果、患者满意度等方面进行比较。结果:观察组的症状改善、治疗效果、患者满意度均高于对照组(P<0.05)。结论:中医特色眼健康管理模式从中医整体观念出发,可以有效改善干眼患者症状,提高患者满意度及依从性,增进干眼患者对自身疾病的了解及对自身眼部健康管理的主动性,进而有助于干眼患者疾病的恢复,提高临床治疗效果。 展开更多
关键词 中医 眼健康管理 干眼
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运用中华优秀传统文化资源开展中医养生学课程思政的探索与思考
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作者 徐亚静 李梦醒 《成都中医药大学学报(教育科学版)》 2024年第1期11-13,63,共4页
课程思政是当前各方高度关注的理论和实践问题,也是高校思想政治工作的新理念、新要求。以博大精深的中国传统文化为背景,以中国古代哲学和中医基本理论为深厚底蕴的中医养生学,具有融入课程思政的天然优势。深耕和挖掘各个教学环节可... 课程思政是当前各方高度关注的理论和实践问题,也是高校思想政治工作的新理念、新要求。以博大精深的中国传统文化为背景,以中国古代哲学和中医基本理论为深厚底蕴的中医养生学,具有融入课程思政的天然优势。深耕和挖掘各个教学环节可能涉及的中国传统文化,在传授知识与技能、传播思想与观点、体现思政育人目标的同时,还能达到改善教学环节、增强教学效果、完善教学目的、增强学生文化自信、促进学生素质全面发展的目的。 展开更多
关键词 传统文化 中医养生学 课程思政
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新型冠状病毒感染疫情中医肺养生康复思路探讨 被引量:1
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作者 邹吉宇 吕晓东 +10 位作者 庞立健 臧凝子 张春辉 尹文浩 高天奇 李德众 何书博 贾科伟 张馨月 宋丹君 李景泽 《中华中医药学刊》 CAS 北大核心 2024年第2期9-12,共4页
新型冠状病毒感染(corona virus disease 2019,COVID-19)(简称新冠感染)疫情中医肺养生康复以“辨质养生”“辨症/证康复”等中医理论基础为支撑,凭借中医养生康复“形神兼顾,标本同治”“三因制宜,辨证论治”“疗养结合,调节康复”优势... 新型冠状病毒感染(corona virus disease 2019,COVID-19)(简称新冠感染)疫情中医肺养生康复以“辨质养生”“辨症/证康复”等中医理论基础为支撑,凭借中医养生康复“形神兼顾,标本同治”“三因制宜,辨证论治”“疗养结合,调节康复”优势,以“五脏相关,以肺为要”“肺体金魄,形神共养”“天人合一,杂合以治”为整体原则,采用鼻部保养、肠道调护、中药、针灸、按摩、气功等基本方法,缩短患者康复时间、有序回归社会,结合当前新冠恢复期特点建立多方法多途径科学全面的新冠感染中医肺养生康复方案以充分发挥中医药全程深度介入新冠疫情工作的重大作用。 展开更多
关键词 中医肺养生康复 新型冠状病毒感染 辨质养生 辨症/证康复
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曾国藩病证与养生观点浅析
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作者 潘志强 《中医药文化》 2024年第2期126-134,共9页
以《曾国藩家书》和《曾国藩日记》为蓝本,从医学视角梳理困扰曾国藩一生的主要病证及其养生理念。研究发现,曾国藩素体怕热、易疲倦、不寐、盗汗,其体质倾向于阴虚质或气虚质或气阴两虚质。皮肤疮癣是困扰曾国藩一生的最主要病证;青年... 以《曾国藩家书》和《曾国藩日记》为蓝本,从医学视角梳理困扰曾国藩一生的主要病证及其养生理念。研究发现,曾国藩素体怕热、易疲倦、不寐、盗汗,其体质倾向于阴虚质或气虚质或气阴两虚质。皮肤疮癣是困扰曾国藩一生的最主要病证;青年时期因身心压力诱发了耳鸣;中老年后深受目疾与早衰的影响,突出表现为疲乏、目蒙、尿频、眩晕等肝肾精血亏虚证。养生方面,其主张规律性饮食与作息、调节情绪的自然法道养生观,反对以药补体、以药养生的方式。曾国藩一生的病证与养生观点可为个人健康管理提供启示。 展开更多
关键词 曾国藩 中医药 养生 病证 《曾国藩家书》 《曾国藩日记》
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中医药融入公共卫生应急管理体系面临的若干困境与对策研究 被引量:1
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作者 王卓怡 孙婷婷 +2 位作者 江艳菊 倪娅 岳远雷 《中国医学伦理学》 北大核心 2024年第3期366-372,共7页
中医药在抗击新发突发传染病等情况中具有特殊优势和独立价值。发挥中医药在公共卫生应急管理领域的功效,需要明确中医药融入公共卫生应急管理体系的必要性,分析将中医药融入公共卫生应急管理体系中的障碍、隐患与伦理风险。通过优化中... 中医药在抗击新发突发传染病等情况中具有特殊优势和独立价值。发挥中医药在公共卫生应急管理领域的功效,需要明确中医药融入公共卫生应急管理体系的必要性,分析将中医药融入公共卫生应急管理体系中的障碍、隐患与伦理风险。通过优化中医药融入公共卫生应急管理体系的法律制度,完善中医药防治重大疫情的卫生应急管理体制、机制建设,提升中医药防治疫病的临床科研技术力度,加强中医药学科教育及人才队伍建设,基于中西结合的背景,推进中医药融入国家公共卫生应急管理体系。 展开更多
关键词 中医药 公共卫生 应急管理 伦理 法治
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中医导引术在绝经前后诸证中的应用研究
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作者 贾凡 代金刚 +7 位作者 陈彤 郁悦 赵红玉 朱诗琴 张娜娜 张武凡 王超颖 刘新敏 《世界中医药》 CAS 北大核心 2024年第5期662-665,共4页
中医导引术采用形体运动、呼吸吐纳、精神调节相结合的方法,从精、气、神对人体进行调节,具有调整机体阴阳状态、防病治病、延年益寿等作用。绝经前后诸证,是指妇女在围绝经期,出现烘热汗出、面红潮热、烦躁易怒、手足心热、耳鸣心悸、... 中医导引术采用形体运动、呼吸吐纳、精神调节相结合的方法,从精、气、神对人体进行调节,具有调整机体阴阳状态、防病治病、延年益寿等作用。绝经前后诸证,是指妇女在围绝经期,出现烘热汗出、面红潮热、烦躁易怒、手足心热、耳鸣心悸、头晕目眩、失眠健忘、精神倦怠、腰背酸痛、月经紊乱等症状,对围绝经期女性的生理和心理均有不良影响。中医导引术是绝经前后诸证的中医特色治疗方法,不仅可以改善围绝经期女性的局部身体症状,还有助于调节机体气血、脏腑、阴阳,使机体达到整体相对平衡的状态。 展开更多
关键词 中医导引法 绝经前后诸证 围绝经期 疾病治疗 养生康复 调身 调息 调神
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远程心脏康复——数字健康技术在心血管疾病管理中的应用与挑战
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作者 庄洪波 刘刚 许丹焰 《广西医学》 CAS 2024年第6期808-814,共7页
数字健康技术主要包括可穿戴设备、移动医疗技术、人工智能、机器学习、云计算、健康大数据分析等。远程心脏康复基于数字健康技术在家庭或社区环境中提供心脏康复服务,打破了传统心脏康复的局限,可显著提高心血管疾病患者对康复治疗的... 数字健康技术主要包括可穿戴设备、移动医疗技术、人工智能、机器学习、云计算、健康大数据分析等。远程心脏康复基于数字健康技术在家庭或社区环境中提供心脏康复服务,打破了传统心脏康复的局限,可显著提高心血管疾病患者对康复治疗的参与度和依从性,优化医疗资源配置,为心血管疾病管理提供新的解决方案。本文通过探讨远程心脏康复的发展历程、核心技术、实施模式、效果评估、面临的挑战与解决方案,以及展望其未来发展,以期为心血管疾病管理提供新的视角和策略。 展开更多
关键词 远程心脏康复 数字健康技术 心血管疾病 疾病管理 应用 挑战 综述
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数字化治疗依从性技术在肺结核患者服药管理中的应用效果评价
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作者 张晗 王丽霞 +4 位作者 魏玉石 赵瑞 王新旗 刘年强 王森路 《中国防痨杂志》 CAS CSCD 北大核心 2024年第2期158-164,共7页
目的:评价数字化治疗依从性技术(digital treatment adherence technologies, DAT)的实施效果,以进一步提高新疆维吾尔自治区(以下简称“新疆”)昌吉州结核病患者治疗及服务管理质量。方法:采取回顾性研究方法,从中国疾病预防控制中心... 目的:评价数字化治疗依从性技术(digital treatment adherence technologies, DAT)的实施效果,以进一步提高新疆维吾尔自治区(以下简称“新疆”)昌吉州结核病患者治疗及服务管理质量。方法:采取回顾性研究方法,从中国疾病预防控制中心“结核病管理信息系统”和“易督导”网站中导出2021年1月1日至2023年3月31日登记现住址为“新疆维吾尔自治区昌吉州5县2市”且完成治疗疗程的活动性肺结核患者相关临床资料。根据患者管理方式,将2021年1月1日至12月31日登记为肺结核但未使用“易督导”管理系统的403例患者纳入传统方式管理组(传统组),将2022年1月1日至2023年3月31日登记为肺结核且使用“易督导”管理系统的313例患者纳入DAT管理组(DAT组),DAT使用率为89.68%(313/349),再根据使用电子工具的不同将DAT组分为电子药盒管理组[药盒组;81例(25.88%)]和微信公众号管理组[微信组;232例(74.12%)]。分析传统组和DAT组患者人口学特征、服药依从性及治疗效果,以及DAT组使用DAT的情况及不同地区的管理情况。结果:微信组在≥60岁年龄组[30.60%(71/232)]和农牧民[40.95%(95/232)]的占比均明显低于药盒组[77.78%(63/81)和76.54%(62/81)],差异均有统计学意义(χ2=54.780,P=0.000;χ2=32.666,P=0.000)。传统组总体服药率[97.78%(99 053/101 299)]和规则服药率[96.03%(387/403)]均优于DAT组[分别为93.23%(62 601/67 146)和85.62%(268/313)],药盒组总体服药率[95.89%(15 808/16 486)]优于微信组[92.37%(46 793/50 660)],差异均有统计学意义(χ2=2162.210、24.481、244.306,P值均=0.000),但微信组规则服药率[84.48%(196/232)]与药盒组[88.89%(72/81)]差异无统计学意义(χ2=0.947,P=0.331)。DAT组的治疗成功率[95.85%(300/313)]、第2/3个月末查痰率[99.36%(311/313)]和痰菌阴转率[98.76%(159/161)]与传统组[分别为94.29%(380/403)、98.26%(396/403)和97.83%(271/277)]的差异均无统计学意义(χ2=0.891,P=0.345;χ2=0.941,P=0.332;χ2=0.106,P=0.744),但微信组治疗成功率[98.28%(228/232)]高于药盒组[88.89%(72/81)],差异有统计学意义(χ2=11.036,P=0.001)。DAT组不同地区规则服药率介于61.22%(30/49)~97.30%(36/37),差异有统计学意义(χ2=39.320,P=0.000)。结论:新疆昌吉州各县(市)接受使用DAT管理的肺结核患者比例较高,且以接受微信公众号管理为主,可更准确地反映患者服药情况,管理效果也与传统管理方式一致。应针对不同县市、不同管理方式、不同年龄、不同职业人群制定不同的DAT管理措施,以提高规则服药率,并逐步在新疆地区推广应用。 展开更多
关键词 结核 病例管理 结果与过程评价(卫生保健) 手机微信APP 电子药盒
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赵孟頫书札中的医事
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作者 冯涵 陈启兰 张纪达 《浙江中医药大学学报》 CAS 2024年第5期637-641,共5页
[目的]挖掘宋元时期艺术家赵孟頫尺牍书札中的医事活动。[方法]以历史文献学考据法和文本分析法,参考现有文献资料,根据年代顺序对书札进行排序,总结归纳其中有关中医中药的内容,分析推测赵孟頫患不同病时相应的病因、药方和疗效,以及... [目的]挖掘宋元时期艺术家赵孟頫尺牍书札中的医事活动。[方法]以历史文献学考据法和文本分析法,参考现有文献资料,根据年代顺序对书札进行排序,总结归纳其中有关中医中药的内容,分析推测赵孟頫患不同病时相应的病因、药方和疗效,以及当时的社会医疗习惯;通过书札中记载的赵孟頫与亲友间的人际交往和人情往来,探究宋元时期士大夫阶层和统治者对医学的态度。[结果]赵孟頫生前多次患病,其本人具有优秀的医学素养,不但能够依据疾病症状自行诊断开方,也会给亲友以用药建议,而且他与亲友之间交流经验药方,互相赠送养生药食,许多是药食同源之物,其药方大都源自官修医书,从侧面印证了宋元人民会通过食疗来预防和治疗疾病,展现了儒生士大夫阶层习医亲医的社会风尚和统治者重医的政治态度。[结论]赵孟頫的尺牍书札,作为实物史料,为中医中药文化的研究提供了新的切入口。 展开更多
关键词 赵孟頫 中医药文化 儒医 书信 士大夫 食疗养生
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