目的探讨短期结构式心理教育干预对小耳畸形外耳再造术患者疼痛、依从性及心理弹性的影响。方法选取2020年6月至2021年6月在中国人民解放军空军军医大学第一附属医院接受治疗的小耳畸形患者120例作为研究对象。依据随机数字表法将其分...目的探讨短期结构式心理教育干预对小耳畸形外耳再造术患者疼痛、依从性及心理弹性的影响。方法选取2020年6月至2021年6月在中国人民解放军空军军医大学第一附属医院接受治疗的小耳畸形患者120例作为研究对象。依据随机数字表法将其分为观察组与对照组,每组各60例。围手术期对照组实施常规护理干预,观察组采用短期结构式心理教育干预。比较两组各期术后患者不同时间点疼痛程度;干预前后比较两组心理情况、依从性。结果两组各期术后2、24及36 h视觉模拟评分法(VAS)评分主体内效应比较与主体间效应比较,差异均有统计学意义(P<0.05),两组组内各期术后VAS评分比较,差异均有统计学意义(P<0.05);组间比较,观察组各期术后2、24及36 h VAS评分均低于对照组,差异均有统计学意义(P<0.05);两组心理弹性量表(CD-RISC)评分高于干预前,焦虑自评量表(SAS)及抑郁自评量表(SDS)评分低于干预前,且观察组CD-RISC评分高于对照组,SAS及SDS评分低于对照组,差异均有统计学意义(P<0.05);观察组依从性优于对照组,差异有统计学意义(P<0.05)。结论短期结构式心理教育干预可显著缓解小耳畸形患者术后疼痛,并提高其心理弹性及依从性。展开更多
This article described the changes in consumption of finished petroleum products in China since 2008, referring to the international economic environment that has reversed the consumption of finished oil products, and...This article described the changes in consumption of finished petroleum products in China since 2008, referring to the international economic environment that has reversed the consumption of finished oil products, and China's domestic economic situation and oil pricing policy and major factors related with changes in industrial sectors. This article, by making projections on future market trends, has estimated that in the foreseeable future the domestic finished oil products market will be glutted with oil products that will exceed the demand.展开更多
The E1 Nifio-Southern Oscillation (ENSO) phenomenon in the tropical Pacific has been a focus of ocean and climate studies in the last few decades. Recently, the short-term climate variability in the tropical Indian ...The E1 Nifio-Southern Oscillation (ENSO) phenomenon in the tropical Pacific has been a focus of ocean and climate studies in the last few decades. Recently, the short-term climate variability in the tropical Indian Ocean has attracted increasingly more attention, especially with the proposition of the Indian Ocean Dipole (IOD) mode. However, these phenomena are often stud- ied separately without much consideration of their interaction. Observations reveal a striking out-of-phase relationship between zonal gradients of sea surface height anomaly (SSHA) and sea surface temperature anomaly (SSTA) in the tropical Indian and Pacific Oceans. Since the two oceans share the ascending branch of the Walker cells over the warm pool, the variation within one of them will affect the other. The accompanied zonal surface wind anomalies are always opposite over the two basins, thus producing a tripole structure with opposite zonal gradients of SSHA/SSTA in the two oceans. This mode of variability has been referred to as Indo-Pacific Tripole (IPT). Based on observational data analyses and a simple ocean-atmosphere coupled model, this study tries to identify the characteristics and physical mechanism of IPT with a particular emphasis on the rela- tionships among ENSO, IOD, and IPT. The model includes the basic oceanic and atmospheric variables and the feedbacks between them, and takes into account the inter-basin connection through an atmospheric bridge, thus providing a valuable framework for further research on the short-term tropical climate variability.展开更多
文摘目的探讨短期结构式心理教育干预对小耳畸形外耳再造术患者疼痛、依从性及心理弹性的影响。方法选取2020年6月至2021年6月在中国人民解放军空军军医大学第一附属医院接受治疗的小耳畸形患者120例作为研究对象。依据随机数字表法将其分为观察组与对照组,每组各60例。围手术期对照组实施常规护理干预,观察组采用短期结构式心理教育干预。比较两组各期术后患者不同时间点疼痛程度;干预前后比较两组心理情况、依从性。结果两组各期术后2、24及36 h视觉模拟评分法(VAS)评分主体内效应比较与主体间效应比较,差异均有统计学意义(P<0.05),两组组内各期术后VAS评分比较,差异均有统计学意义(P<0.05);组间比较,观察组各期术后2、24及36 h VAS评分均低于对照组,差异均有统计学意义(P<0.05);两组心理弹性量表(CD-RISC)评分高于干预前,焦虑自评量表(SAS)及抑郁自评量表(SDS)评分低于干预前,且观察组CD-RISC评分高于对照组,SAS及SDS评分低于对照组,差异均有统计学意义(P<0.05);观察组依从性优于对照组,差异有统计学意义(P<0.05)。结论短期结构式心理教育干预可显著缓解小耳畸形患者术后疼痛,并提高其心理弹性及依从性。
文摘This article described the changes in consumption of finished petroleum products in China since 2008, referring to the international economic environment that has reversed the consumption of finished oil products, and China's domestic economic situation and oil pricing policy and major factors related with changes in industrial sectors. This article, by making projections on future market trends, has estimated that in the foreseeable future the domestic finished oil products market will be glutted with oil products that will exceed the demand.
文摘The E1 Nifio-Southern Oscillation (ENSO) phenomenon in the tropical Pacific has been a focus of ocean and climate studies in the last few decades. Recently, the short-term climate variability in the tropical Indian Ocean has attracted increasingly more attention, especially with the proposition of the Indian Ocean Dipole (IOD) mode. However, these phenomena are often stud- ied separately without much consideration of their interaction. Observations reveal a striking out-of-phase relationship between zonal gradients of sea surface height anomaly (SSHA) and sea surface temperature anomaly (SSTA) in the tropical Indian and Pacific Oceans. Since the two oceans share the ascending branch of the Walker cells over the warm pool, the variation within one of them will affect the other. The accompanied zonal surface wind anomalies are always opposite over the two basins, thus producing a tripole structure with opposite zonal gradients of SSHA/SSTA in the two oceans. This mode of variability has been referred to as Indo-Pacific Tripole (IPT). Based on observational data analyses and a simple ocean-atmosphere coupled model, this study tries to identify the characteristics and physical mechanism of IPT with a particular emphasis on the rela- tionships among ENSO, IOD, and IPT. The model includes the basic oceanic and atmospheric variables and the feedbacks between them, and takes into account the inter-basin connection through an atmospheric bridge, thus providing a valuable framework for further research on the short-term tropical climate variability.