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Core competencies and perceived training needs of nurses in the background of Internet plus nursing service:a qualitative descriptive study
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作者 Qiang-Hui-Zi Zhang Wei-Wei Liu Zhen-Zhen Cheng 《Frontiers of Nursing》 2024年第2期181-190,共10页
Background:The Internet plus nursing service program is being piloted in China,which has become a new home nursing service model led by nurses.To enable safe and effective homecare service delivery,nurses working in t... Background:The Internet plus nursing service program is being piloted in China,which has become a new home nursing service model led by nurses.To enable safe and effective homecare service delivery,nurses working in the program need a high level of competency.However,the content of these core competencies and the training needs of nurses for Internet plus nursing services are still unknown.Aim:To describe nurses’perceptions of core competencies and training needs to work in the Internet plus nursing service program,thereby providing a reference for the development of training programs.Methods:A qualitative descriptive study using semi-structured interviews was conducted on 15 nurses with experience of working in the Internet plus nursing service program.Interviews were audio-recorded and transcribed verbatim,and the data were analyzed using thematic analysis.Results:Core competencies involved comprehensive assessment competence,direct care practice competence,health education and consulting competence,risk estimation and response competence,and communication competence.Training needs involved complex operational items,knowledge of chronic disease management,professional communication,risk identification and response,nursing standards,norms,and procedures,and utilization of information technology.Conclusions:The training system may be developed based on nurses’core competencies and their training needs to promote professional development of the Internet plus nursing service. 展开更多
关键词 core competence Internet plus nursing service NURSING qualitative study training needs
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The role of Core strength training on Basketball Players
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作者 Xu Tang 《International Journal of Technology Management》 2013年第9期51-53,共3页
Core strength training is mainly directed against the entire trunk and pelvic muscles, with special emphasis on training those in the deep small muscle group. Human torso plays an important role of rigid connection du... Core strength training is mainly directed against the entire trunk and pelvic muscles, with special emphasis on training those in the deep small muscle group. Human torso plays an important role of rigid connection during exercise. It can effectively converge and integrate the power of the body parts, which plays a strong leverage for the athletes of the coordinated development of motor skills. As far as basketball is concerned, strong core strength can be more stable, and cab fix basketball athlete' s body posture, integrating the body organically with the development of all aspects, and making the upper and lower extremities more coordinated with each other, helping improve athletic level. 展开更多
关键词 core strength training Basketball.
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Discussion on the Core Strength Training Method for 100-Meter Event in Track and Field Sports
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作者 Jiachen Bian 《Journal of Contemporary Educational Research》 2023年第12期203-208,共6页
In track and field sports,the 100-meter race is an extremely intense sport that requires effective training of athletes’core strength.From the perspective of adolescents,in order to enhance core strength,it is necess... In track and field sports,the 100-meter race is an extremely intense sport that requires effective training of athletes’core strength.From the perspective of adolescents,in order to enhance core strength,it is necessary to effectively fix the pelvic position in the process of exercise,so that the core stability,balance,and coordination of athletes can be improved.The training process of the 100-meter event is mainly an anaerobic metabolic exercise,it is necessary to ensure that athletes maintain a high level of physical readiness during the exercises and concentrate highly on their core strength,so that they can achieve excellent results.This paper analyzes the core strength training for the 100-meter event in track and field sports,discusses its importance,and puts forward specific training methods,hoping to provide guidelines for relevant researchers. 展开更多
关键词 Track and field sports 100-meter event core strength training methods
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Development of underwater wet welding experimental and divers training system 被引量:1
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作者 贾传宝 陈波 +2 位作者 王芳 殷子强 袁新 《China Welding》 EI CAS 2012年第4期43-48,共6页
Compared to traditional welding methods, the underwater wet welding is special with many different characteristics due to the unique aqueous environment. It is conducted completely under water by divers and unique wel... Compared to traditional welding methods, the underwater wet welding is special with many different characteristics due to the unique aqueous environment. It is conducted completely under water by divers and unique welding technology is required in the special operation environment. The operating levels of the divers are the key factor to acquire high quality welded joints. In this paper, an underwater wet welding experimental and divers training system is developed to serve divers training and conducting welding experiments. The system consists of life support system, signals real-time monitoring system and communicating system, etc. An underwater butt welding experiment based on welding electrodes is conducted, and the system works well. It proves that the system can guarantee divers welding safely and successfully and high quality weld seam is expected to be acquired. 展开更多
关键词 underwater wet welding DIVERS training system MONITORING flux-cored arc welding
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Effects of Plyometric and Explosive Speed Training on Recreational Marathoners
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作者 Christopher J. Lundstrom Morgan R. Betker Stacy J. Ingraham 《Journal of Sports Science》 2017年第1期1-13,共13页
BACKGROUND: Plyometric training has been shown to improve performance in distance running events up to 5-km, but little research has been done on this type of training for marathon (42.195-km) runners. The purpose ... BACKGROUND: Plyometric training has been shown to improve performance in distance running events up to 5-km, but little research has been done on this type of training for marathon (42.195-km) runners. The purpose of this study was to examine the effects of plyometric and explosive speed training (PLYO) on recreational marathoners. METHODS: Twenty-two subjects (ages 18-23), were randomized to either PLYO or core training (CORE) for a weekly session performed for 12 weeks, in addition to marathon training. Sprint, jump, and distance running performance variables were measured pre- and post-intervention. RESULTS: In the sprint tests, the PLYO group improved in both the 200-m run (P ≤ 0.001) and 60-m run (P = 0.004), and trended toward improvement in the 30-m fly (P = 0.051). The difference from CORE was significant only in the 200-m (P = 0.002). The CORE group did not change in any of the sprint or jump variables. The PLYO group was significantly different from the CORE group in the standing long jump (P = 0.024). There were no differences between groups in distance running performance. Both improved in 2-mile (3.219-km) time trial (p 〈 0.001), VO2MAX (P = 0.026 for CORE; P = 0.002 for PLYO), and running economy (P = 0.01). CONCLUSION: Weekly PLYO training improves sprint speed and maintains jumping ability in recreational marathoners, but does not augment improvements in distance running performance. 展开更多
关键词 Explosive training jumps training endurance performance concurrent training core training.
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Schroth疗法联合核心力量训练改善轻度青少年特发性脊柱侧凸患者的侧凸角度
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作者 张娟娟 蒋楠楠 +4 位作者 吴亚军 顾倩 何林飞 季勇鑫 刘苏 《中国组织工程研究》 CAS 北大核心 2025年第27期5876-5882,共7页
背景:青少年特发性脊柱侧凸明确的发病原因尚未可知,寻找解决青少年特发性脊柱侧凸的临床方法迫在眉睫。目的:探讨Schroth疗法联合核心力量训练对轻度青少年特发性脊柱侧凸的效果,为轻度青少年特发性脊柱侧凸的临床治疗提供更多依据。方... 背景:青少年特发性脊柱侧凸明确的发病原因尚未可知,寻找解决青少年特发性脊柱侧凸的临床方法迫在眉睫。目的:探讨Schroth疗法联合核心力量训练对轻度青少年特发性脊柱侧凸的效果,为轻度青少年特发性脊柱侧凸的临床治疗提供更多依据。方法:选择2022年7月至2024年1月在南通大学附属医院康复医学科与脊柱外科就诊的轻度青少年特发性脊柱侧凸患者110例作为研究对象,根据患者及家长意愿,分为试验组和对照组,每组55例。对照组观察随访,试验组进行Schroth疗法联合核心力量训练,每天45 min,坚持24周。比较两组患者治疗前后影像学参数、体表指标、三维超声成像角度和生活质量的差异。结果与结论:①治疗24周后,试验组主弯Cobb角、顶椎偏距、颈椎前凸角均较治疗前有显著改善(P<0.05),而对照组无显著差异(P>0.05);试验组主弯Cobb角、顶椎偏距明显优于对照组(P<0.05);②治疗24周后,试验组躯干旋转角度明显低于治疗前(P<0.05),而对照组无显著差异(P>0.05);试验组躯干旋转角度明显低于对照组(P<0.05);③治疗24周后,试验组三维超声成像椎板中心法角度明显减小(P<0.05),而对照组无显著差异(P>0.05);试验组三维超声成像椎板中心法角度明显低于对照组(P<0.05);④治疗24周后,在生活质量上,试验组的疼痛维度评分显著增高(P<0.05),试验组和对照组的自我形象维度评分均较治疗前显著增高(P<0.05),两组的心理健康维度评分较治疗前显著降低(P<0.05);疼痛、自我形象、心理健康和满意度维度评分,试验组均明显高于对照组(P<0.05);⑤提示Schroth疗法联合核心力量训练能改善轻度青少年特发性脊柱侧凸患者的主弯Cobb角、顶椎偏距、颈椎前凸角,降低躯干旋转角度,减少三维超声成像角度,提高生活质量,对轻度青少年特发性脊柱侧凸治疗有效。 展开更多
关键词 青少年特发性脊柱侧凸 Schroth疗法 核心力量训练 三维超声成像 生活质量
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Strategies for Core Strength Training in Free Combat Teaching
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作者 Yilong Xue Xin Xue 《Journal of Contemporary Educational Research》 2024年第12期187-192,共6页
Since free combat is a competitive sport that flexibly utilizes kicking,punching,wrestling,and holding techniques to defeat the opponent,a good core strength of athletes can help to improve the technical level,enhance... Since free combat is a competitive sport that flexibly utilizes kicking,punching,wrestling,and holding techniques to defeat the opponent,a good core strength of athletes can help to improve the technical level,enhance the quality of movements,and protect the joints and muscles.In order to carry out core strength training in free combat teaching with high quality,firstly,it is necessary for coaches to carry out simple training,centralized training,and extended training according to the basic planning of adaptation-stabilization-improvement.Secondly,it is also important to test the athlete’s physical and athletic qualities before implementing the specific training plan,optimize the training program,and carry out statistical analysis of the stage training data in order to achieve the best training effect. 展开更多
关键词 Free combat teaching core strength training Strategy
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生物反馈助力电刺激对慢性非特异性腰痛患者下肢步行功能的改善
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作者 郑翔 张明兴 +1 位作者 黄雅 单莎瑞 《中国组织工程研究》 CAS 北大核心 2025年第3期547-553,共7页
背景:国内外关于慢性非特异性腰痛生物反馈疗法和三维步态功能分析的相关研究已开展很多,但是对二者结合的研究少有报道。目的:利用三维步态分析采集步态参数数据,研究生物反馈助力电刺激对慢性非特异性腰痛患者步行能力的改变效果。方... 背景:国内外关于慢性非特异性腰痛生物反馈疗法和三维步态功能分析的相关研究已开展很多,但是对二者结合的研究少有报道。目的:利用三维步态分析采集步态参数数据,研究生物反馈助力电刺激对慢性非特异性腰痛患者步行能力的改变效果。方法:选择2021年6月至2022年9月在广东药科大学附属第一医院收治的60例慢性非特异性腰痛患者,男34例,女26例,年龄32-58岁。采用随机数字表法将60例患者分为对照组(n=30)与试验组(n=30),两组患者均接受腰部动态干扰电的常规治疗(20 min/次,1次/d,每周5次,持续治疗20次),对照组患者在常规治疗的基础上进行仰卧搭桥和俯卧搭桥的悬吊核心肌群训练(每周5次,持续治疗20次),试验组在对照组治疗的基础上进行生物反馈助力电刺激治疗(20 min/次,1次/d,每周5次,持续治疗20次)。比较分析两组患者治疗前后的腰痛评分、肌电信号平均值和步态参数。结果与结论:①两组患者治疗结束后的数字类比表评分、日本骨科协会(JOA)评分、Oswestry功能障碍指数均较治疗前明显改善(P<0.05),试验组治疗结束后的数字类比表评分、JOA评分、Oswestry功能障碍指数均优于对照组(P<0.05);②两组患者治疗结束后的腹直肌、臀大肌、竖脊肌表面肌电平均值均高于治疗前(P<0.05),试验组治疗结束后的腹直肌、臀大肌、竖脊肌表面肌电平均值均高于对照组(P<0.05);③两组患者治疗结束后的步宽、步速、步频、健患侧步长比值、健患侧支撑相比值、患健侧摆动相比值、健患侧髋关节及膝关节矢状面活动度和健患侧足偏角均优于治疗前(P<0.05),试验组治疗结束后的上述指标均优于对照组(P<0.05);④结果表明,生物反馈助力电刺激能明显缓解慢性非特异性腰痛,改善了患者下肢步行功能。 展开更多
关键词 三维步态 生物反馈助力电刺激 慢性非特异性腰痛 步行功能 核心稳定训练
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基于IP Core的数字电路综合实验
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作者 刘曦 《实验科学与技术》 2012年第2期45-47,共3页
目前IP core以及IP core的运用是行业技术发展的一大趋势。对EDA技术实验教学中的IP core的综合运用进行了探讨。所给出的例子都是利用Xilinx的ISE软件,在其FPGA(SPARTAN3A and SPARTAN3AN系列)芯片上实现了的。文中所讨论的基本要点,... 目前IP core以及IP core的运用是行业技术发展的一大趋势。对EDA技术实验教学中的IP core的综合运用进行了探讨。所给出的例子都是利用Xilinx的ISE软件,在其FPGA(SPARTAN3A and SPARTAN3AN系列)芯片上实现了的。文中所讨论的基本要点,对初学者如何理解设计重用和运用IP core来进行综合型实验设计是有所帮助的。 展开更多
关键词 知识产权核 现场可编程门阵列 工程实践 能力培养
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Reconstructing the 3D digital core with a fully convolutional neural network
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作者 Li Qiong Chen Zheng +4 位作者 He Jian-Jun Hao Si-Yu Wang Rui Yang Hao-Tao Sun Hua-Jun 《Applied Geophysics》 SCIE CSCD 2020年第3期401-410,共10页
In this paper, the complete process of constructing 3D digital core by fullconvolutional neural network is described carefully. A large number of sandstone computedtomography (CT) images are used as training input for... In this paper, the complete process of constructing 3D digital core by fullconvolutional neural network is described carefully. A large number of sandstone computedtomography (CT) images are used as training input for a fully convolutional neural networkmodel. This model is used to reconstruct the three-dimensional (3D) digital core of Bereasandstone based on a small number of CT images. The Hamming distance together with theMinkowski functions for porosity, average volume specifi c surface area, average curvature,and connectivity of both the real core and the digital reconstruction are used to evaluate theaccuracy of the proposed method. The results show that the reconstruction achieved relativeerrors of 6.26%, 1.40%, 6.06%, and 4.91% for the four Minkowski functions and a Hammingdistance of 0.04479. This demonstrates that the proposed method can not only reconstructthe physical properties of real sandstone but can also restore the real characteristics of poredistribution in sandstone, is the ability to which is a new way to characterize the internalmicrostructure of rocks. 展开更多
关键词 Fully convolutional neural network 3D digital core numerical simulation training set
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Analysis of Core Competency Required for the Managerial Work Force of Small and Medium Enterprises in Taiwan
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作者 Chien-Hua Shen Chun-Mei Chou +1 位作者 Hsi-Chi Hsiao Yu-Je Lee 《Journal of Software Engineering and Applications》 2013年第3期111-113,共3页
This study aims to probe into the core competencies, as should be possessed by the managerial work forces of firms, from the perspective of employers’ in small and medium enterprises. The findings can serve as refere... This study aims to probe into the core competencies, as should be possessed by the managerial work forces of firms, from the perspective of employers’ in small and medium enterprises. The findings can serve as references for planning core courses of employee training and labor employment. Based on the research purposes, this study adopted revised DACUM, conducted literature review, and applied a questionnaire survey. The subjects were the members of SMEs Honor Instructor Association of Ministry of Economic Affairs, Taiwan, and the Society of Management Science. Random sampling was used, with the number of employees as the units. The valid return rate was 24.2%. After testing goodness of fit of K-S single samples, this study found that a corporate management work force should have 11 items of core competencies, and 35 items of secondary competency. 展开更多
关键词 Small and MEDIUM ENTERPRISES ENTERPRISE training core COMPETENCY
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Discussion on the Cultivation of the Core Quality of Middle School Students’ Physical Education in Primary School Physical Education Teaching
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作者 Xin Li Bingyao Niu Yu Du 《Journal of Contemporary Educational Research》 2023年第7期30-34,共5页
In the context of quality education,a wider exploration of physical education has been carried out,but at the same time higher requirements have been put forward for school sports courses.It is essential to pay attent... In the context of quality education,a wider exploration of physical education has been carried out,but at the same time higher requirements have been put forward for school sports courses.It is essential to pay attention to the teaching and training of physical knowledge and skills in physical education training as well as cultivate the core physical literacy of primary school students.The core quality of physical education is the main part of the basic quality of primary and middle school students,which is of great significance to their learning and development.This article will explore the training methods of primary and middle school students’basic quality in school physical education courses for reference. 展开更多
关键词 Physical education core literacy training strategies Curriculum standards
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核心肌群训练联合经皮神经电刺激治疗产后非特异性下背痛的疗效观察 被引量:1
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作者 骆黎静 陈喜军 +4 位作者 段爱红 张宇迪 杨洋 周洁 卢丹 《中国康复》 2024年第1期22-26,共5页
目的:探讨核心肌群训练联合经皮神经电刺激(TENS)治疗产后非特异性下背痛(NLBP)的有效性。方法:选取2021年10月至2022年9月在首都医科大学附属北京妇产医院女性盆底功能障碍诊治中心就诊的产后NLBP患者共50例。采用随机数字表法分为观... 目的:探讨核心肌群训练联合经皮神经电刺激(TENS)治疗产后非特异性下背痛(NLBP)的有效性。方法:选取2021年10月至2022年9月在首都医科大学附属北京妇产医院女性盆底功能障碍诊治中心就诊的产后NLBP患者共50例。采用随机数字表法分为观察组和对照组,各25例。对照组给予针对下背部肌筋膜触发点的TENS治疗,观察组在此基础上联合核心肌群训练。在治疗前、治疗后和随访4周后,分别采用视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)以及爱丁堡产后抑郁量表(EPDS)进行疗效评价。结果:治疗后2组VAS评分、ODI指数均明显低于治疗前(P<0.05),且观察组明显低于对照组(P<0.05)。随访4周,对照组VAS评分、ODI指数明显高于治疗后(P<0.05),观察组VAS评分、ODI指数与治疗后比较无统计学差异。对照组治疗后EPDS评分与治疗前无统计学差异,而观察组治疗后及随访4周EPDS评分均显著低于治疗前(P<0.05)。结论:核心肌群训练联合TNES可有效改善产后NLBP患者的疼痛、功能障碍以及抑郁情绪状态,减少NLBP的复发。 展开更多
关键词 产后 非特异性下背痛 核心肌群训练 经皮神经电刺激
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核心稳定性训练对青少年散打运动员平衡能力和移动能力的影响研究 被引量:1
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作者 夏虹 姜飞 朱智越 《武术研究》 2024年第9期54-57,共4页
文章研究目的为探讨核心稳定性训练对青少年散打运动员的平衡能力和快速移动能力的影响,文章采用实验法在经过为期6周核心稳定性训练分析数据后得出结论:(1)核心稳定性训练可以有效提高青少年散打运动员的平衡性,可以提升运动员的躯干... 文章研究目的为探讨核心稳定性训练对青少年散打运动员的平衡能力和快速移动能力的影响,文章采用实验法在经过为期6周核心稳定性训练分析数据后得出结论:(1)核心稳定性训练可以有效提高青少年散打运动员的平衡性,可以提升运动员的躯干稳定性与膝踝关节稳定性。(2)核心稳定性训练可以有效提高青少年散打运动员快速移动的能力,能大大增强运动员在高速运动中做出快速变向与急停的能力,缩短在高速运动同时稳定身体后做出技术动作所需要的时间。 展开更多
关键词 核心稳定性训练 青少年 散打 平衡能力 移动能力
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课程思政背景下预防医学专业学生核心素养培养探究 被引量:1
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作者 鲁彦 张然 +3 位作者 周健 文少飞 庄传宁 于帆 《继续医学教育》 2024年第1期134-137,共4页
在“健康中国2030”时代背景及全球突发性公共卫生事件频发的影响下,我国对高质量的公共卫生与预防医学人才需求更加迫切,对高校培养“全面发展”的预防医学专业学生提出了更高的要求。立德树人的教育理念是我国高等教育的要求,课程思... 在“健康中国2030”时代背景及全球突发性公共卫生事件频发的影响下,我国对高质量的公共卫生与预防医学人才需求更加迫切,对高校培养“全面发展”的预防医学专业学生提出了更高的要求。立德树人的教育理念是我国高等教育的要求,课程思政教学是实现立德树人培养目标的有效途径,在预防医学专业课程中开展课程思政教学,是培养预防医学专业学生成为“全面发展的人”的重要途径。文章分析了课程思政在预防医学专业、学生学情和就业要求方面的迫切性和重要意义,并进一步提出了将立德树人理念融入预防医学人才培养全过程的具体路径,如建立课程思政目标完善专业培养方案,将立德树人理念融入教学各个环节做好课程建设,提升教师课程思政素养,升级教师角色为课程育人的实施者,实现课程思政课堂教学常态化,构建以知识、技能、素质为主的考核评价体系等,为培养适合新时代需求的公共卫生与预防医学人才提供可借鉴的思路和做法。 展开更多
关键词 立德树人 核心素养 课程思政 预防医学专业 人才培养 具体路径
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基于TIG模式的层级培训对妇幼医院急诊护士核心能力及岗位胜任力的影响 被引量:1
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作者 税丹 李楠 +2 位作者 贺晓春 周凤琼 向柳燕 《中国急救复苏与灾害医学杂志》 2024年第2期252-255,共4页
目的 探讨基于TIG模式的层级培训对妇幼医院急诊护士核心能力及岗位胜任力的影响。方法 选取2020年6月—2022年5月妇幼医院急诊护士68名,采用随机数字表法分为对照组(34名)和研究组(34名)。对照组采用传统培训,研究组采用基于TIG模式的... 目的 探讨基于TIG模式的层级培训对妇幼医院急诊护士核心能力及岗位胜任力的影响。方法 选取2020年6月—2022年5月妇幼医院急诊护士68名,采用随机数字表法分为对照组(34名)和研究组(34名)。对照组采用传统培训,研究组采用基于TIG模式的层级培训。对比两组护士培训结束时理论及操作考核成绩、核心能力及岗位胜任力。结果 研究组护士理论及操作考核成绩与对照组比较均明显升高,差异明显(P<0.05)。研究组护士岗位胜任力评估量表各维度评分与对照组比均明显升高,差异明显(P<0.05)。研究组护士核心能力量表各维度评分与对照组比均明显升高,差异明显(P<0.05)。结论 基于TIG模式的层级培训有助于提升妇幼医院急诊护士理论及操作考核成绩、核心能力、岗位胜任力。 展开更多
关键词 TIG模式 层级培训 妇幼医院 急诊 核心能力 岗位胜任力
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以胜任力为导向的神经内科住院医师培训体系的构建和探索
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作者 周立新 谭颖 +6 位作者 韩菲 姚明 罗林枝 倪俊 彭斌 崔丽英 朱以诚 《协和医学杂志》 CSCD 北大核心 2024年第4期973-980,共8页
住院医师培训是培养优秀临床医生的必经之路。基于《中国住院医师培训精英教学医院联盟住院医师核心胜任力框架共识》,北京协和医院神经病学系以核心胜任力为导向,建立分级评估体系和渐进的临床责任概念,逐步构建了具有“协和特色”的... 住院医师培训是培养优秀临床医生的必经之路。基于《中国住院医师培训精英教学医院联盟住院医师核心胜任力框架共识》,北京协和医院神经病学系以核心胜任力为导向,建立分级评估体系和渐进的临床责任概念,逐步构建了具有“协和特色”的神经内科住院医师培养体系。同时,克服神经病学教学难点,结合神经内科临床工作特点,传承与创新并进,开设了一系列可复制、能推广的神经内科住院医师培训特色课程,为我国神经内科住院医师培养体系建设提供了参考。 展开更多
关键词 住院医师培养 核心胜任力 神经病学 医学教育
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重复经颅磁刺激联合核心稳定训练对脑卒中患者平衡功能的影响研究 被引量:4
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作者 陈丹凤 黄小玉 +3 位作者 容健成 林鸿新 方建斌 黎芳燕 《中国康复》 2024年第3期135-140,共6页
目的:探讨重复经颅磁刺激(rTMS)联合核心稳定训练对脑卒中患者的治疗效果。方法:将符合标准的45例脑卒中偏瘫患者随机分为对照组、磁刺激组和联合组各15例。3组常规治疗相同,对照组进行假rTMS+核心稳定性训练;磁刺激组在常规康复治疗基... 目的:探讨重复经颅磁刺激(rTMS)联合核心稳定训练对脑卒中患者的治疗效果。方法:将符合标准的45例脑卒中偏瘫患者随机分为对照组、磁刺激组和联合组各15例。3组常规治疗相同,对照组进行假rTMS+核心稳定性训练;磁刺激组在常规康复治疗基础上增加健侧1Hz rTMS;联合组在常规康复治疗基础上增加健侧1Hz rTMS联合核心稳定训练。3组均持续干预3周。比较3组治疗前后的腹横肌(TrA)、腹内斜肌(IO)和腹外斜肌(EO)的厚度,同时进行Fugl-Myer运动功能(FMA)、Berg平衡量表(BBS)及改良Barthel指数(MBI)评定。结果:治疗3周后,3组FMA、BBS和MBI评分均较治疗前明显提高(均P<0.001);联合组和磁刺激组患侧TrA、IO及EO的厚度与治疗前相比均明显增加(均P<0.05),而对照组上述指标较治疗前增加差异无统计学意义。组间比较,联合组的FMA、患侧TrA厚度分别与磁刺激组比较,联合组的FMA、BBS、MBI、患侧TrA和患侧EO厚度分别与对照组比较,磁刺激组MBI与对照组比较,差异均有统计学意义(均P<0.05)。3组健侧TrA、IO和EO厚度组内及组间比较,差异均无统计学意义。结论:低频rTMS联合核心稳定性训练能明显提高患者运动功能和平衡功能,改善日常生活活动,值得在临床推广应用。 展开更多
关键词 重复经颅磁刺激 核心稳定训练 脑卒中 平衡功能 超声成像 腹部肌群
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针刺核心肌群联合康复训练治疗慢性非特异性腰痛的临床观察 被引量:1
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作者 杨靖 王红梅 +3 位作者 袁萍 申娟 刘敏 郝蓬亮 《广州中医药大学学报》 CAS 2024年第8期2075-2081,共7页
【目的】观察针刺核心肌群联合康复训练治疗慢性非特异性腰痛的临床疗效。【方法】将96例慢性非特异性腰痛患者随机分为观察组和对照组,每组各48例,对照组给予康复训练,观察组在对照组治疗的基础上,给予针刺核心肌群训练。2组患者均连... 【目的】观察针刺核心肌群联合康复训练治疗慢性非特异性腰痛的临床疗效。【方法】将96例慢性非特异性腰痛患者随机分为观察组和对照组,每组各48例,对照组给予康复训练,观察组在对照组治疗的基础上,给予针刺核心肌群训练。2组患者均连续治疗2周。治疗2周后,评价2组临床疗效,观察2组患者治疗前后腹横肌与多裂肌均方根(RMS)值的变化情况,以及Oswestry功能障碍指数评分、Roland-Morris功能障碍调查表评分、魁北克腰痛障碍量表评分的情况。比较2组患者治疗前后血清β-内啡肽、血清P物质、血清前列腺素E2水平的变化情况。治疗后随访5个月,评价2组患者的复发情况。【结果】(1)观察组总有效率为93.75%(45/48),对照组为81.25%(39/48)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的Oswestry功能障碍指数评分、Roland-Morris功能障碍调查表评分、魁北克腰痛障碍量表评分明显改善(P<0.05),且观察组在改善Oswestry功能障碍指数评分、Roland-Morris功能障碍调查表评分、魁北克腰痛障碍量表评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的腹横肌、多裂肌RMS值明显改善(P<0.05),且观察组在改善腹横肌、多裂肌RMS值方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者β-内啡肽、P物质、前列腺素E2水平均明显改善(P<0.05),且观察组在改善β-内啡肽、P物质、前列腺素E2水平方面均明显优于对照组,差异均有统计学意义(P<0.05)。(5)治疗后观察组复发率为6.25%(3/48),对照组为20.83%(10/48),观察组复发率明显低于对照组,差异有统计学意义(P<0.05)。【结论】针刺核心肌群联合康复训练治疗慢性非特异性腰痛,能明显改善患者的临床症状,改善患者β-内啡肽、P物质、前列腺素E2水平,临床疗效显著。 展开更多
关键词 针刺 慢性非特异性腰痛 核心肌群 康复训练 腰痛量表 疼痛介质 临床观察
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技能竞赛培育高职学生职业核心素养实践研究——以高职商务类实训项目为例 被引量:1
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作者 康蕊 《湖北开放职业学院学报》 2024年第4期76-78,共3页
随着经济社会的快速发展,企业对于人才的要求日益提高,高职院校培育学生职业核心素养成为教育教学改革的重要工作之一。本文运用技能竞赛培育学生职业核心素养以重构高职院校商务类课程教学内容,着重开展“赛、学、做”三位一体的商务... 随着经济社会的快速发展,企业对于人才的要求日益提高,高职院校培育学生职业核心素养成为教育教学改革的重要工作之一。本文运用技能竞赛培育学生职业核心素养以重构高职院校商务类课程教学内容,着重开展“赛、学、做”三位一体的商务活动实践实训课堂,为学生营造集理论性、实践性与操作性于一体的实践实训职业情境,提升高职商务活动实训教学质量,培养学生职业化思维、职业化行为、职业化技能以及职业化习惯,从而促进学生综合素质得到全面发展,满足商业企业对于高质量应用型人才的需求。 展开更多
关键词 技能竞赛 职业核心素养 商务类课程 实训项目 教学设计
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