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个性化干预模式在老年住院患者药物相关性跌倒知行力中的应用研究
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作者 李婉珍 区锦霞 +3 位作者 黄乐毅 覃艳勤 谢碧琴 吴库生 《伤害医学(电子版)》 2019年第1期11-16,共6页
目的通过个性化干预模式在提高老年住院患者对跌倒相关性药物知识的认知度,改善老年患者药物相关性跌倒的安全防范行为,减少药物相关性跌倒的发生。方法 2017年9月18日—2017年12月8日在5所三甲医院神经内科、骨科、肾内科、老年科住院... 目的通过个性化干预模式在提高老年住院患者对跌倒相关性药物知识的认知度,改善老年患者药物相关性跌倒的安全防范行为,减少药物相关性跌倒的发生。方法 2017年9月18日—2017年12月8日在5所三甲医院神经内科、骨科、肾内科、老年科住院的160例有服用降糖药、精神类药物或四种及以上高危易致跌倒药物的老年患者(年龄≥65岁),随机分为对照组和试验组,每组各80例,对照组按照常规入院防跌倒宣教,悬挂防跌倒温馨提示卡,常规发药及宣教;试验组在常规组的基础上通过详细告知患者易致跌倒药物的作用,在药袋上加盖防跌倒印章并告知标识的意义,发放彩色的所服用药物宣教单,告知患者服药后的跌倒防范注意事项,对患者进行全面评估,体格检查,根据病情及服药情况进行许可范围内的运动,包括增强肌肉力量的练习、步态练习和平衡练习,并在床头卡上做好特制的药物防跌倒标识,告知每班护士提醒、关注、干预患者的行为。使用3个五等级李克特量表,用于测量两组患者对药物相关性跌倒的认知、行为、状态的得分情况,通过独立样本t检验、卡方检验对两组干预后的结果进行评价。结果通过药袋上防跌倒印章的提醒,个性化的药物知识宣教和防范行为的落实,试验组80名住院老年患者的认知、行为、状态得分均高于对照组得分。结论此个性化干预模式可提高老年住院患者对药物相关性跌倒的知行力,可降低药物相关性跌倒的发生率,值得在今后的服药后的防跌倒宣教中进行推广,使更多的需长期服药或多药共服的慢性病老年患者受益。 展开更多
关键词 跌倒 药袋标识 健康宣教
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通过课堂观察提升教师课程知行力的探究
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作者 秦江 《地理教学》 北大核心 2020年第4期57-58,32,共3页
课堂是实施课程育人的主阵地,教师的教育观、课程观、课堂观、学生观等在课堂中的具体体现,反映了教师课程知行力的水平。本文以课程知行力的视角,探讨课堂观察的目的、内容和方法,并通过案例剖析的方式,为一线教师开展课堂观察,更新教... 课堂是实施课程育人的主阵地,教师的教育观、课程观、课堂观、学生观等在课堂中的具体体现,反映了教师课程知行力的水平。本文以课程知行力的视角,探讨课堂观察的目的、内容和方法,并通过案例剖析的方式,为一线教师开展课堂观察,更新教育观念和教学方式,提升课程知行力提供参考。 展开更多
关键词 课堂观察 课程 案例剖析
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新生活教育行知观探析 被引量:1
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作者 周志平 《生活教育》 2017年第12期8-12,共5页
行知观是生活教育的核心,在生活教育当代化和新生活教育探索中,构建新生活教育行知观是新生活教育探索的关键。文章回顾了陶行知对我国行知观发展的突破;论述了新生活教育的主要内容和突破的三个途径:整合、扩展和深化;阐述了新生活教... 行知观是生活教育的核心,在生活教育当代化和新生活教育探索中,构建新生活教育行知观是新生活教育探索的关键。文章回顾了陶行知对我国行知观发展的突破;论述了新生活教育的主要内容和突破的三个途径:整合、扩展和深化;阐述了新生活教育行知观的形成的三个原因及其学科价值和现实意义。 展开更多
关键词 生活教育 新生活教育 行知力
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新生活教育行知观探析
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作者 周志平 《福建陶研》 2018年第1期18-23,共6页
行知观是生活教育的核心,在生活教育当代化和新生活教育探索中,构建新生活教育行知观是新生活教育探索的关键。文章回顾了陶行知对我国行知观发展的突破;论述了新生活教育的主要内容和突破的三个途径:整合、扩展和深化;阐述了新生活教... 行知观是生活教育的核心,在生活教育当代化和新生活教育探索中,构建新生活教育行知观是新生活教育探索的关键。文章回顾了陶行知对我国行知观发展的突破;论述了新生活教育的主要内容和突破的三个途径:整合、扩展和深化;阐述了新生活教育行知观的形成的三个原因及其学科价值和现实意义。 展开更多
关键词 生活教育 新生活教育 行知力
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Pointing gesture in a bird- merely instrumental or a cognitively complex behavior? 被引量:1
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作者 Gisela KAPLAN 《Current Zoology》 SCIE CAS CSCD 北大核心 2011年第4期453-467,共15页
Gestures, particularly pointing, are regarded as important pre-speech acts. Intentional and referential pointing has been shown previously in humans and apes but not in songbirds, although some avian species show cogn... Gestures, particularly pointing, are regarded as important pre-speech acts. Intentional and referential pointing has been shown previously in humans and apes but not in songbirds, although some avian species show cognitive abilities rivaling those of apes, and their brain structures and functions show putative preconditions for referential gestural signaling (i.e. mirror neurons, links of vocal learning nuclei to discrete brain areas active during limb and body movements). The results reported are based on trials testing predator detection and responses to a taxidermic model of a wedge-tailed eagle by Australian magpies Gymnorhina tibicen. Magpies were subjected to three conditions of finding this model in their territory (open, sheltered and hidden). In the sheltered and bidden conditions, the discoverer simultaneously engaged in alarm calls and beak pointing, a behavior that has not been described previously. Other group members at once assembled and, after watching the first bird, adopted the same posture by pointing to the location of the intruder. The question is whether beak and body movements orienting towards important stimuli or events are instances of arousal, imitation or intentional communication. The latter presupposes that onlookers interpret the signal and respond by altering their own behavior appropriate to the original stimulus and not merely by imitating the first signaler. Evidence presented here indicates that the act of pointing may well be a complex cognitive behavior, i.e., an intentional and referential signal, showing that pointing is not limited to having hands and arms [Current Zoology 57 (4): 453-467, 2011]. 展开更多
关键词 POINTING BIRDS Cognition Communication Intentional signaling
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Evolved to adapt: A computational approach to animal innovation and creativity 被引量:2
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作者 Oren KOLODNY Shimon EDELMAN Arnon LOTEM 《Current Zoology》 SCIE CAS CSCD 2015年第2期350-367,共18页
The production of novel behavioral sequences that gives rise to animal innovation and creativity is one of the most intriguing aspects of behavioral evolution. Numerous studies have recently documented the abundance a... The production of novel behavioral sequences that gives rise to animal innovation and creativity is one of the most intriguing aspects of behavioral evolution. Numerous studies have recently documented the abundance and diversity of innova- tive and creative behaviors between and within species, yet the ability to innovate or to act creatively has mainly been described and quantified as a measure of animals' cognitive ability without explicit reference to cognitive mechanisms that may account for these behaviors. Here we discuss the creative process from a computational point of view and suggest such a mechanistic frame- work. In light of recent research on human creativity, animal learning, and animal problem solving, we suggest that animal crea- tivity is best understood as the production of context-appropriate novel behavioral sequences, which may be facilitated by the ability to learn the regularities in the environment and to represent them hierarchically, allowing for generalization. We present a cognitive framework that we recently developed, which employs domain-general mechanisms and has been used in the modeling of a range of sequential behaviors, from animal foraging to language acquisition, and apply it to behavioral innovation. In a series of simulations, we show how innovation and creative behavior can be produced by this learning mechanism, as it constructs a network representing the statistical regularities of the environment. We use the simulations to demonstrate the role of particular cognitive parameters in this process and to highlight the effects of the learning dynamics and individual experience on creativity 展开更多
关键词 CREATIVITY INNOVATION EVOLUTION Learning Animal innovation Behavioral evolution
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