BACKGROUND The treatment of heart failure not only needs to relieve the clinical symptoms and improve the quality of life for patients but also needs to select scientific and reasonable ways to prevent or delay the pr...BACKGROUND The treatment of heart failure not only needs to relieve the clinical symptoms and improve the quality of life for patients but also needs to select scientific and reasonable ways to prevent or delay the progression of the disease,thus reducing the mortality and hospitalization rate.Although the previous regimen can effectively relieve symptoms in the early stage of treatment,long-term use may cause adverse events,such as arrhythmia,and even increase mortality.Therefore,conventional treatment cannot meet the actual health needs of patients,and scientific nursing intervention is very necessary.AIM To investigate the application of self-care based on full-course individualized health education (FCIHE) and its influencing factors in patients with chronic heart failure (CHF).METHODS We enrolled CHF patients who were admitted to our center between September 2015 and June 2016 and divided them into an intervention group (n = 50) and control group (n = 50) using a random number table.Routine nursing care was applied to the control group,and FCIHE was offered to the intervention group.The self-care behavior,6-min walking distance (6MWD),and 36-item short form health survey (SF-36) scores were compared between the two groups.The influencing factors of the self-care were also analyzed.RESULTS The 6MWD was not significantly different between the two groups at admission (P > 0.05);however,at 3 and 6 mo after discharge,6MWD was significantly increased,and it was significantly longer in the intervention group (P < 0.05).The scores for self-care behavior showed no significant difference at admission between the two groups (P > 0.05);however,at 3 and 6 mo after discharge,the total scores for self-care maintenance,management,confidence,and behavior of the intervention group were significantly higher than those of the control group (P < 0.05).There were no significant differences in the SF-36 scores at admission (P > 0.05);however,at 3 mo and 6 mo after discharge,the scores for all eight subscales,including physical functioning,role limitations due to physical problems,bodily pain,general health perceptions,vitality,social functioning,role-limitations due to emotional problems,and mental health,were significantly higher in the intervention group (P < 0.05).As shown by logistic regression analysis,the influencing factors of self-care mainly included age,cardiac function class,and education background (odds ratio > 1;all P < 0.05).CONCLUSION FCIHE improved self-care behavior and cardiac function in CHF patients.Age,cardiac function,and education level affected the implementation of self-care among CHF patients.展开更多
In-service structural health monitoring（SHM） technologies are critical for the utilization of composite aircraft structures. We developed a Lamb wave-based in-service SHM technology using built-in piezoelectric actu...In-service structural health monitoring（SHM） technologies are critical for the utilization of composite aircraft structures. We developed a Lamb wave-based in-service SHM technology using built-in piezoelectric actuator/sensor networks to monitor delamination extension in a full-scale composite horizontal tail. The in-service SHM technology combine of damage rapid monitoring（DRM） stage and damage imaging diagnosis（DID） stage allows for real-time monitoring and long term tracking of the structural integrity of composite aircraft structures. DRM stage using spearman rank correlation coeffi cient was introduced to generate a damage index which can be used to monitor the trend of damage extension. The DID stage based on canonical correlation analysis aimed at intuitively highlighting structural damage regions in two-dimensional images. The DRM and DID stages were trialed by an in-service SHM experiment of CFRP T-joint. Finally, the detection capability of the in-service SHM technology was verified in the SHM experiment of a full-scale composite horizontal tail. Experimental results show that the rapid monitoring method effectively monitors the damage occurrence and extension tendency in real time; damage imaging diagnosis results are consistent with those from the failure model of the composite horizontal tail structure.展开更多
目的:比较赣南医科大学以及中美其他6所高校的公共卫生硕士(Master of public health,MPH)培养方案的异同,并分析赣南医科大学全日制MPH培养模式,为赣南医科大学制定MPH培养方案提供依据。方法:采用案例分析法分析中美高校MPH培养模式,...目的:比较赣南医科大学以及中美其他6所高校的公共卫生硕士(Master of public health,MPH)培养方案的异同,并分析赣南医科大学全日制MPH培养模式,为赣南医科大学制定MPH培养方案提供依据。方法:采用案例分析法分析中美高校MPH培养模式,运用SWOT分析法确定赣南医科大学全日制MPH培养方面的优势、劣势、机会和挑战。结果:通过文献研究对比,发现美国全日制MPH培养模式更为成熟、灵活和多样化,并具有创新性。美国培养模式的目标明确清晰,可以根据学生的实际情况来安排学习任务和学制调整。此外,美国的课程设置体系较为完善和灵活,实用性较强。同时,社会实践形式多样化,给予学生更大的自主权。赣南医科大学MPH培养模式分析发现其优势在于专业理论课程设置,注重专业技能的培养,但实习基地较为单一,仅为医院和疾控中心。在毕业考核形式上相对单一,仅为毕业论文,缺乏对公共卫生具有指导意义的要求。结论:赣南医科大学需要进一步完善MPH培养模式,加强公共卫生与实践基地基础建设并增加资源和资金投入,细化培养目标,并建立健全的创新管理制度和评价机制。展开更多
基金Supported by the Program of Qiqihar Science and Technology Plan,No.SFGG-201534
文摘BACKGROUND The treatment of heart failure not only needs to relieve the clinical symptoms and improve the quality of life for patients but also needs to select scientific and reasonable ways to prevent or delay the progression of the disease,thus reducing the mortality and hospitalization rate.Although the previous regimen can effectively relieve symptoms in the early stage of treatment,long-term use may cause adverse events,such as arrhythmia,and even increase mortality.Therefore,conventional treatment cannot meet the actual health needs of patients,and scientific nursing intervention is very necessary.AIM To investigate the application of self-care based on full-course individualized health education (FCIHE) and its influencing factors in patients with chronic heart failure (CHF).METHODS We enrolled CHF patients who were admitted to our center between September 2015 and June 2016 and divided them into an intervention group (n = 50) and control group (n = 50) using a random number table.Routine nursing care was applied to the control group,and FCIHE was offered to the intervention group.The self-care behavior,6-min walking distance (6MWD),and 36-item short form health survey (SF-36) scores were compared between the two groups.The influencing factors of the self-care were also analyzed.RESULTS The 6MWD was not significantly different between the two groups at admission (P > 0.05);however,at 3 and 6 mo after discharge,6MWD was significantly increased,and it was significantly longer in the intervention group (P < 0.05).The scores for self-care behavior showed no significant difference at admission between the two groups (P > 0.05);however,at 3 and 6 mo after discharge,the total scores for self-care maintenance,management,confidence,and behavior of the intervention group were significantly higher than those of the control group (P < 0.05).There were no significant differences in the SF-36 scores at admission (P > 0.05);however,at 3 mo and 6 mo after discharge,the scores for all eight subscales,including physical functioning,role limitations due to physical problems,bodily pain,general health perceptions,vitality,social functioning,role-limitations due to emotional problems,and mental health,were significantly higher in the intervention group (P < 0.05).As shown by logistic regression analysis,the influencing factors of self-care mainly included age,cardiac function class,and education background (odds ratio > 1;all P < 0.05).CONCLUSION FCIHE improved self-care behavior and cardiac function in CHF patients.Age,cardiac function,and education level affected the implementation of self-care among CHF patients.
基金Funded by the National Natural Science Foundation of China(Nos.11172053 and 91016024)the New Century Excellent Talents in University(NCET-11-0055)the Fundamental Research Funds for the Central Universities(DUT13ZD(G)06)
文摘In-service structural health monitoring（SHM） technologies are critical for the utilization of composite aircraft structures. We developed a Lamb wave-based in-service SHM technology using built-in piezoelectric actuator/sensor networks to monitor delamination extension in a full-scale composite horizontal tail. The in-service SHM technology combine of damage rapid monitoring（DRM） stage and damage imaging diagnosis（DID） stage allows for real-time monitoring and long term tracking of the structural integrity of composite aircraft structures. DRM stage using spearman rank correlation coeffi cient was introduced to generate a damage index which can be used to monitor the trend of damage extension. The DID stage based on canonical correlation analysis aimed at intuitively highlighting structural damage regions in two-dimensional images. The DRM and DID stages were trialed by an in-service SHM experiment of CFRP T-joint. Finally, the detection capability of the in-service SHM technology was verified in the SHM experiment of a full-scale composite horizontal tail. Experimental results show that the rapid monitoring method effectively monitors the damage occurrence and extension tendency in real time; damage imaging diagnosis results are consistent with those from the failure model of the composite horizontal tail structure.
文摘目的:比较赣南医科大学以及中美其他6所高校的公共卫生硕士(Master of public health,MPH)培养方案的异同,并分析赣南医科大学全日制MPH培养模式,为赣南医科大学制定MPH培养方案提供依据。方法:采用案例分析法分析中美高校MPH培养模式,运用SWOT分析法确定赣南医科大学全日制MPH培养方面的优势、劣势、机会和挑战。结果:通过文献研究对比,发现美国全日制MPH培养模式更为成熟、灵活和多样化,并具有创新性。美国培养模式的目标明确清晰,可以根据学生的实际情况来安排学习任务和学制调整。此外,美国的课程设置体系较为完善和灵活,实用性较强。同时,社会实践形式多样化,给予学生更大的自主权。赣南医科大学MPH培养模式分析发现其优势在于专业理论课程设置,注重专业技能的培养,但实习基地较为单一,仅为医院和疾控中心。在毕业考核形式上相对单一,仅为毕业论文,缺乏对公共卫生具有指导意义的要求。结论:赣南医科大学需要进一步完善MPH培养模式,加强公共卫生与实践基地基础建设并增加资源和资金投入,细化培养目标,并建立健全的创新管理制度和评价机制。
