目的观察动机性访谈联合行为塑造技术(motivational interview and behavior shaping,MI-BS)在2型糖尿病患者中的应用效果。方法选择2020年1-9月笔者所在医院收治的2型糖尿病患者90例为研究对象,以摸球法将其分为对照组、观察组,各45例...目的观察动机性访谈联合行为塑造技术(motivational interview and behavior shaping,MI-BS)在2型糖尿病患者中的应用效果。方法选择2020年1-9月笔者所在医院收治的2型糖尿病患者90例为研究对象,以摸球法将其分为对照组、观察组,各45例,对照组按2型糖尿病常规教育模式施教,观察组在此基础之上加用动机性访谈+行为塑造技术干预,比较2组干预后的健康管理行为依从度及血糖控制指标。结果干预后观察组健康管理行为依从度评分显著高于对照组(t=10.155,P<0.001),血糖控制指标显著优于对照组(P<0.001)。结论采用MI-BS可显示促进2型糖尿病的健康管理行为依从度,改善其血糖控制效果。展开更多
A self-developed elasto-plastic finite element program was used to analyze the construction sequence of high rock slope's stabilization in a coal-coking plant, and the result was compared with that employing the u...A self-developed elasto-plastic finite element program was used to analyze the construction sequence of high rock slope's stabilization in a coal-coking plant, and the result was compared with that employing the ultimate equilibrium method. Based on the results of finite element analysis, the stress contour graphs and displacement vector graphs at different construction steps were obtained, and the behavior of the slope during stabilization construction process was analyzed quantitatively. Based on the analysis of safety factors of three different schemes of stabilization and two different construction schemes, the assessment of stability and bracing design of the construction process were performed. The results show that the original reinforcement design is improper; the stability of the rock slope is controlled by a developed structural plane, the stability factor after excavation is less than 1, and the free surface should be braced in time; for stability, the construction sequence should adopt that bracing follows excavation step by step up to down; the local slide occurred during the construction process agrees with the dangerous slide determined by the numerical analysis, which proves the validity and rationality of the adopted method.展开更多
文摘目的观察动机性访谈联合行为塑造技术(motivational interview and behavior shaping,MI-BS)在2型糖尿病患者中的应用效果。方法选择2020年1-9月笔者所在医院收治的2型糖尿病患者90例为研究对象,以摸球法将其分为对照组、观察组,各45例,对照组按2型糖尿病常规教育模式施教,观察组在此基础之上加用动机性访谈+行为塑造技术干预,比较2组干预后的健康管理行为依从度及血糖控制指标。结果干预后观察组健康管理行为依从度评分显著高于对照组(t=10.155,P<0.001),血糖控制指标显著优于对照组(P<0.001)。结论采用MI-BS可显示促进2型糖尿病的健康管理行为依从度,改善其血糖控制效果。
基金Scientific and Technological Support and Guidance Plan Projects of Zhejiang Province(Grant No.2008C23019)
文摘A self-developed elasto-plastic finite element program was used to analyze the construction sequence of high rock slope's stabilization in a coal-coking plant, and the result was compared with that employing the ultimate equilibrium method. Based on the results of finite element analysis, the stress contour graphs and displacement vector graphs at different construction steps were obtained, and the behavior of the slope during stabilization construction process was analyzed quantitatively. Based on the analysis of safety factors of three different schemes of stabilization and two different construction schemes, the assessment of stability and bracing design of the construction process were performed. The results show that the original reinforcement design is improper; the stability of the rock slope is controlled by a developed structural plane, the stability factor after excavation is less than 1, and the free surface should be braced in time; for stability, the construction sequence should adopt that bracing follows excavation step by step up to down; the local slide occurred during the construction process agrees with the dangerous slide determined by the numerical analysis, which proves the validity and rationality of the adopted method.
