基于King达标理论的培训方案对临床护士叙事能力及人文关怀能力的影响

目的:探讨基于King达标理论构建临床护士叙事护理培训方案对临床护士叙事护理能力、人文关怀能力及共情能力的影响。方法:2023年3月—5月选取淄博市某三级甲等医院138名护士,采用随机数字表法分为试验组和对照组。对照组实施常规叙事护理培训,试验组在对照组的基础上实施基于King达标理论指导下的叙事护理方案。采用医学叙事能力量表(NCS)、关怀能力评价量表(CAI)、杰弗逊共情量表(JSE-HP)进行效果评价。结果:干预后,试验组护士NCS、CAI及JSE-HP得分均高于对照组,差异均有统计学意义(P<0.05)。结论:基于King达标理论构建的临床护士叙事培训方案可有效提高临床护士叙事护理能力、促进人文关怀能力并提升护士共情能力。

基于King达标理论的心肺康复训练对高血压合并冠心病患者心肺适能及血压的影响

目的 探讨基于King达标理论的心肺康复训练对高血压合并冠心病患者心肺适能及血压的影响。方法 采用随机数字表法将84例高血压合并冠心病患者分为对照组(n=42)和试验组(n=42)。对照组采用常规康复治疗,试验组在常规康复治疗基础上加入心肺康复训练,两组均持续12周。干预后,比较两组干预前后心功能(LVEF、FS、BNP、VO2max、AT、METS)、肺功能(FVC、FEV1/FVC)、血压及运动自我效能的变化。结果 与干预前比较,干预12周后,两组LVEF、FS、VO2max、AT、METS、FVC、FEV1/FVC水平及运动自我效能感得分较干预前升高,且试验组升高幅度均大于对照组(均P<0.001);两组血浆BNP、收缩压、舒张压水平均降低,且试验组降低幅度大于对照组(均P<0.05)。结论 基于King达标理论的心肺康复训练能够显著提高高血压合并冠心病患者的心肺功能,降低患者血压,增强机体运动功能,促进心血管疾病康复。

基于King互动达标理论在产科护士分层培训与教育中的应用及效果研究

目的 研究基于King互动达标理论在产科护士分层培训与教育中的应用及效果。方法 选取2021年1—12月本院正式在岗并在产科病区工作满1年及以上的N0-N4级护理人员64名为本次研究对象。依据随机化分组方法分成试验组和对照组,每组32名。试验组中的32名护理人员以King互动达标理论为基础的培训内容、并在317护APP平台接受培训。对照组中的32名护理人员接受教师讲解与示范操作式的传统护士分层与教育方式。对比两组的培训成绩、自主学习能力、注册护士核心能力。结果 教学后,试验组的培训成绩要高于对照组(P<0.05);试验组的自主学习能力明显优于对照组(P<0.05);试验组的注册护士核心能力明显强于对照组(P<0.05)。结论 基于King互动达标理论在产科护士分层培训与教育中的有效应用,可以在很大程度上强化护士的学习主观能动性,使不同层次的护士可以在培训与教育中收获更多理论知识与实践技能,提高培训成绩,强化学习能力与注册护士核心能力,增加晋升机会,减轻压力,增强职业归属感。

A Brief Discussion on the Development of the Silk-Weaving Industry Along the “Southern Silk Road” in Yunnan

Ancient Yunnan was one of the most significant regions along China’s ancient“Southern Silk Road.”During the Nanzhao period(738–902)of the late Tang Dynasty,Yunnan’s silk-weaving industry underwent a qualitative leap as skilled silk craftsmen from the Bashu area migrated to Yunnan and introduced mulberry planting,silkworm breeding,and advanced silk-weaving techniques from Sichuan to the region.Consequently,people in Yunnan gradually acquired expertise in brocade weaving and embroidery.Many even mastered complex silk-weaving techniques.The development and progress of the silk-weaving industry in the ancient Yunnan region were intricately linked to the economic function and value of silk as both a commodity and currency along the“Southern Silk Road.”The local government in ancient Yunnan was greatly motivated by the economic interests brought by the development of silk-related industries and recognized the significance of developing the local silk industry.They even initiated a campaign to capture skilled silk craftsmen from Sichuan,aiming to foster the growth of the silk-weaving industry in Yunnan.After years of dedicated efforts from the local government in ancient Yunnan,the region emerged as a significant hub for silk production along China’s ancient“Southern Silk Road.”Despite the devastation caused by the wars in other parts of the country,Yunnan’s silk industry continued to thrive and provide ample silk products to sustain trade along this renowned route.In the contemporary era,amidst the decline of the silk-weaving industry in eastern China,Yunnan has proposed an industrial development strategy known as“relocating the silk-weaving industry from east to west.”This involves introducing advanced silk production techniques from the eastern regions into Yunnan to enhance and enrich its local silk industry,thereby establishing it as a traditional national sector and securing a competitive position within the global silk market.The historical experience of Yunnan’s silk industry demonstrated that economic development opportunities can only be seized through proactive endeavors rather than passive anticipation.The modern Yunnan silk industry,which upholds its historical traditions,continues to actively engage in international high-end technical cooperation,thus ensuring the enduring vitality of the ancient“Southern Silk Road.”

King达标理论在慢性病家庭护理中应用的范围综述

目的 系统整合King达标理论在慢性病家庭护理中应用的相关研究,了解其目前的应用特征,分析其在家庭护理中的作用及不足,以期为今后相关研究的实施和推广提供参考。方法 采用范围综述的研究方法,系统检索PubMed、Embase、The Cochrane Library、Web of Science、中国知网、万方、维普以及中国生物医学文献数据库中有关King达标理论在慢性病家庭护理中应用的研究,检索时限均为建库至2024年2月2日,对最终纳入的文献进行数据提取、收集、总结并报告研究结果。结果 共纳入20项研究,从研究目的、研究对象、研究设计及结局指标等进行整理分析。结论 基于King达标理论的慢性病家庭护理方案具有积极的应用效果,但当前仍存在一些不足。未来研究应明确理论内涵,立足我国本土文化特征,朝研究方法多样化、应用形式多元化的方向发展,构建科学严谨的慢性病家庭护理干预方案及评价体系,进而形成符合我国国情的慢性病家庭护理模式。

Mutation Classification and Genetic Diversity Analysis of Triticum aestivum ssp. yunnanense King Based on Agronomic Traits

[Objective] The present study was conducted to provide basis for researches on breeding new wheat varieties and conserving rare species in Yunnan Province.[Method] 29 materials of Triticum aestivum ssp.yunnanense King（Yunnan Hulled Wheat）were taken for the research on classification and genetic diversity analysis based on 14 agronomic traits.[Result] Yunnan hulled wheat A14 could be an unnamed white seed variety,and other 28 materials were divided into 10 named mutation types;Yunnan hulled wheat was rich in variability of agronomic traits,in which the coefficient of variance（CV）of sterile spikelet number was the largest（22.59%）,while the CV of earing period was the lowest（3.71%）;the diversity indexes of seven qualitative characters ranged from 1.55-2.04.Moreover,the 29 Yunnan hulled wheat could be divided into 3 clusters by the UPGMA analysis.However,Yunnan hulled wheat varieties originating from similar mutation types did not completely cluster together.The genetic relationship was relatively close among A13（YT-35）,A14（YT-36）and A21（YT-37）,but the faster genetic relationship was observed between them and other Yunnan hulled wheat varieties.[Conclusion] Yunnan hulled wheat had an extensive genetic diversity in agronomic traits.

基于King达标理论风险管理对胃溃疡合并胃出血患者的并发症及生活质量影响

目的 探讨基于King达标理论风险管理对胃溃疡合并胃出血患者的并发症及生活质量的影响。方法 选取2022年4月至2023年4月我院收治的80例胃溃疡合并胃出血患者,按随机数字表法将患者分为对照组、研究组,各40例,研究组采用基于King达标理论风险管理,对照组予以常规护理。对比两组患者护理前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分改善情况及并发症发生率。结果 护理后,研究组胃溃疡合并胃出血患者SAS、SDS等不良心理评分低于对照组(P <0.05),生活质量评分高于对照组(P <0.05),研究组并发症发生率低于对照组(P <0.05)。结论 基于King达标理论风险管理能有效降低胃溃疡合并胃出血患者的并发症发生率,提高生活质量,改善患者不良心理。

基于King达标理论的综合护理干预在肺癌患者中的应用

目的 探究基于King达标理论的综合护理干预在肺癌中的应用价值。方法 选取100例围术期肺癌患者,按随机抽签法分为King组(n=50)和对照组(n=50)。对照组采取常规护理干预,King组在对照组基础上采取基于King达标理论的综合护理干预,2组均干预3个月。比较2组患者干预前后肺功能[最大通气量(MVV)、肺活量(VC)、用力肺活量(FVC)]及遵医行为(包括遵医用药、健康饮食、配合检查和适量活动4个方面)、自我护理能力测量量表(ESCA)、一般自我效能感表(GSES)、中文版自我超越量表(CSTS)和生活能力[Barthel指数(BI)]评分。结果 干预后King组患者MVV、VC和FVC水平均高于对照组(P<0.05或P<0.01);干预后King组患者遵医行为4个方面评分、GSES、CSTS、ESCA和BI评分均高于对照组(P<0.05或P<0.01或P<0.001)。结论基于King达标理论的综合护理干预应用于围术期肺癌患者中,能显著增强患者肺功能,改善患者遵医行为,提高患者自我管理能力和生活能力。

Geology and Geochemistry of K-feldspar Veins in Lamprophyre at the Zhenyuan Gold Deposit,Yunnan,Southwest China:Implications for Gold Mineralization

Lamprophyres typically appear in hydrothermal gold deposits.The relationship between lamprophyres and gold deposits is investigated widely.Some researchers suggest that the emplacement of lamprophyres triggers gold mineralization,whereas others hypothesize that the formation of lamprophyres increases the fertility of mantle sources and ore-forming fluids.K-feldspar veins,with ages between those of lamprophyres and gold deposits,appear in lamprophyres in Zhenyuan.Therefore,K-feldspar veins are ideal for investigating the relationship between lamprophyres and gold deposits.Phlogopite in K-feldspar veins has lower Mg#,Ni,and Cr contents and higher TiO2,Li,Ba,Sr,Sc,Zr,Nb,and Cs contents than phlogopite in lamprophyres.The in-situ Sr isotopic values of apatites(0.7063–0.7066)in K-feldspar veins are within the range for apatites(0.7064–0.7078)from lamprophyres.High large-ion lithophile element concentrations and low Nb and Ta concentrations in phlogopite from lamprophyres,in addition to high(87Sr/86Sr)i values of apatite(0.7064–0.7078),indicate that the magma parental to these phlogopite and apatite crystals is derived from an enriched mantle.Kfeldspar veins are genetically correlated with lamprophyres,whereas sulfide mineral assemblage and trace element compositions of pyrite in K-feldspar veins suggest that K-feldspar veins in lamprophyres are not directly related to gold mineralization of the Zhenyuan deposit.

King达标理论护理干预对运动区脑肿瘤患者术后肢体功能康复训练的影响

本文主要探究运动区脑肿瘤患者采取King达标理论护理干预在术后肢体功能康复训练方面的影响价值。方法 样本为我院2022.1-2023.12收录的78例运动区肿瘤患者,患者分为两组,对比护理效果。结果 治疗后实验组(King达标理论护理干预)运动功能评分、生活质量评分、康复优良率、护理满意度等指标数值明显优于对照组(常规护理干预)。结论 运动区肿瘤患者采取King达标理论护理干预模式,可以促进患者术后肢体功能快速康复,改善患者运动功能以及生存质量,实现护理满意度的提升。

King达标理论在心肌梗死患者介入治疗中的应用效果研讨

研讨King达标理论在心肌梗死患者介入治疗中的应用效果。方法:灵山县人民医院于2022年1月~2022年12月开展研究,共计60例心肌梗死患者参与,通过双盲法分为比照组(30例,普通护理)与理论组(30例,普通护理+King达标理论),观察其效果。结果 焦虑心理、抑郁心理、睡眠障碍、心脏风险事件发生率对比显示理论组护理后更低,生活质量、满意情况对比显示理论组护理后更高,P<0.05。结论 心肌梗死介入治疗中接受King达标理论后能够显著改善焦虑心率、抑郁心理,优化睡眠质量,提高生活质量,降低心脏风险事件发生率,让心肌梗死患者对于护理方案更加满意。

Epidemiological survey of cystic echinococcosis in southwest China:From the Qinghai-Tibet plateau to the area of Yunnan

BACKGROUND Echinococcosis is prevalent in 9 provinces in Western and Northern China.An epidemiological survey of echinococcosis in 2012 and 2016 showed cases of echinococcosis in Yunnan Province.AIM To understand the spatial distribution and epidemiological characteristics of echinococcosis in Yunnan for the prevention and control of echinococcosis and to reduce the risk of infection in Yunnan Province.METHODS Based on the China Information System for Disease Control and Prevention(CISDCP),echinococcosis cases reported from 36 hospitals and 34 Centers for Disease Control were investigated and epidemiologically analyzed from 2021 to 2022.The exclusion criteria included suspected cases,same case only counted once and cases not from Yunnan.A total of 705 cases were investigated,of which 397 cases were suitable for statistical analysis.In these 397 cases,epidemiological investigation was tracked in 187 cases.All data were inputted using double entry in the Excel database,with error correction by double-entry comparison.The data on echinococcosis cases in Yunnan Province were analyzed by ArcGIS 10.1 software to generate a density map of echinococcosis distribution.All statistical analyses were conducted using SPSS 17.0,including the chi-square test,linear regression test and logistic univariate and multivariate regression analyses.RESULTS A total of 397 cases were found in 89 counties in Yunnan Province.The number of cases in the top three prefectures were Dali(38.1%),Diqing(10.1%),and Kunming(8.3%),and the top five counties were Jianchuan(9.1%),Shangri La(8.3%),Eryuan(7.6%),Heqing(6.9%),and Dali Districts(5.0%).There were significant differences between the different areas.The case reporting rate by CISDCP(33.8%)was low;the first case was reported by CISDCP in 2002,and the highest number of cases was 50(2017).Confirmed and clinical cases accounted for 62.5%and 37.5%,respectively.However,90.9%of the cases of hydatid disease were reported by the hospital system,and only 9.1%of the cases of hydatid disease were found in the community through active screening.The difference between the two methods of case detection was statistically significant.Most of the cases of echinococcosis were found in farmers/herdsmen(75.1%)and students(9.1%).In addition,Han(43.6%)and Bai(26.2%)had a higher incidence of infection than other nationalities,and the liver(87.7%)and lung(6.8%)were the most common sites of cyst formation.Among the analyzed cases,187 were epidemiologically analyzed and the clinical symptoms were not obvious in the early stage in 47.1%of cases.The results of logistic regression analysis showed that the age group,education level,presence of dogs in the family(either previously or currently),and handwashing(occasionally or not)were factors related to echinococcosis infection.55.6%of cases were in endemic areas,and 44.4%of cases were in non-endemic areas.Among 83 cases in non-endemic areas,only 4 cases had been to endemic areas and had a history of living,working,travelling,or hunting in echinococcosis epidemic areas.CONCLUSION Cases of echinococcosis were reported throughout the entire Yunnan province,with the majority distributed in Western Yunnan,suggesting that echinococcosis control should be strengthened in this area.We suggest that an epidemiological investigation should be carried out in the future,based on the clues from newly discovered cases in hospitals or from the CISDCP.The newly discovered cases in the hospital provided clues to comprehensively determine the location of cases and where epidemic spot investigation should be conducted.

King达标理论下分阶段康复运动对经皮冠状动脉介入治疗术后患者运动行为的影响研究

目的探讨King达标理论下分阶段康复运动对经皮冠状动脉介入治疗术后患者运动行为的影响。方法采用便利抽样法选取2021年8月~2023年8月在本院进行经皮冠状动脉介入治疗术患者72例,信封法对研究人员进行分组隐匿,依据对应随机数字将患者分配至对照组(n=36)和观察组(n=36)。对照组采用常规康复护理,观察组采用King达标理论下分阶段康复运动。统计两组体力活动、运动依从性、有氧运动能力。结果干预前两组IPAQ评分比较差异不显著(P>0.05),干预6周后、12周后,观察组IPAQ评分高于对照组(P<0.05),观察组运动依从性94.44%高于对照组(P<0.05),干预前两组有氧运动能力比较差异不显著(P>0.05),干预6周后、12周后,观察组VO2AT、VO2peak均高于对照组(P<0.05)。结论King达标理论下分阶段康复运动可作为一种有效的康复护理干预手段,有助于改善经皮冠状动脉介入治疗术后患者的运动行为。

基于King达标理论的心理护理结合循证理论功能锻炼在强直性脊柱炎延续性护理中的应用价值

目的探讨基于King达标理论的心理护理结合循证理论功能锻炼在强直性脊柱炎延续性护理中的应用价值。方法选取2021年5月至2022年5月收治的126例强直性脊柱炎患者,根据护理方式不同将其分为对照组和观察组,各63例。对照组采用常规延续性护理,观察组在对照组基础上采用基于King达标理论的心理护理结合循证理论功能锻炼。比较两组的干预效果。结果干预后,观察组的指地距、枕墙距小于对照组,胸廓活动度大于对照组(P<0.05)。干预后,观察组的Bath强直性脊柱炎疾病活动性指数(BASDAI)、Bath强直性脊柱炎计量指数(BASMI)及Bath强直性脊柱炎功能性指数(BASFI)评分均低于对照组,坚韧、自强及乐观评分均高于对照组(P<0.05)。观察组的功能锻炼依从性优良率高于对照组(P<0.05)。结论基于King达标理论的心理护理结合循证理论功能锻炼用于强直性脊柱炎延续性护理中可促进患者脊柱功能改善,提高心理弹性,也能促进功能锻炼依从性提升。

King达标理论在不稳定心绞痛患者护理中的应用价值

目的:探讨King达标理论的综合护理模式在不稳定心绞痛中的应用效果。方法:选取70例不稳定心绞痛患者,按入院顺序分为King组(n=35)、对照组(n=35),对照组给予常规护理、King组在此基础上行King达标理论的综合护理模式。比较2组心绞痛改善情况、服药依从性。结果:干预后,King组SAQ评分与对照组相比,明显升高(P<0.05);干预后King组ITAQ评分升高幅度大于对照组(P<0.05)。结论:对不稳定心绞痛患者实施King达标理论的综合护理模式,能提高服药依从性,改善不稳定心绞痛症状。

Reanalysis on the Spectral Characteristics and Materials of Jade Jue Unearthed from Lijiashan Ancient Tomb in Yunnan Province, China

Jade ware Jue is one of the most fashionable ornament in ancient China from the Neolithic Age to the Han Dynasty.In this study,the remnants of jade ware Jue,from Lijiashan ancient tomb group have been tested and analyzed respectively.The samples through a light etch surface showing glass luster and those with a severe etch surface showing earthen luster.With the aid of X-ray fluorescence Spectrometer(X-ray Fluorescence)test and X-ray diffraction(XRD)detection,the results show that tremolite is not the main mineral of the sample.The main components of the tested samples with light erosion are antigorite and talc,although the main components of the samples with severe erosion are calcite containing calcium carbonate barium.Furthermore,the research on jade ware Jue in Yunnan culture has not only contributed to our further understanding of the jade objects from Yunnan culture and the variety of jade material located in the Yunnan Province.It also provides a basis for the trace of the history and culture through the distribution and evolution of burial hierarchy laws.At the same time,the microscopic observation of the tested samples manifested a residual trace of“string”at the perforation,which has played a critical role in restoring the wearing of jade ware Jue from the tombs of the ancient Yunnan State and the handicraft skills at that time.

King互助达标理论下精细化护理对妊娠期糖尿病患者自护能力及妊娠结局的影响

目的 探究King互助达标理论在精细化护理背景下,对妊娠期糖尿病(GDM)患者自我护理能力和妊娠结局的作用。方法 选取2020年6月—2023年3月南通大学附属南通妇幼保健院收治的60例GDM患者为研究对象,按随机数字表法分为两组,对照组(30例)采用常规护理,观察组(30例)采用King互助达标理论下的精细化护理,比较两组干预后自护能力和妊娠结局的差异。结果 干预后,观察组自我护理能力量表各维度评分均高于对照组(P<0.05)。观察组妊娠不良结局发生率低于对照组(P<0.05)。结论 结合King互助达标理论和精细化护理对GDM患者进行干预,能显著增强其自我护理能力,并有效减少不良妊娠结果的风险。

基于King互动达标理论对牙髓炎患者自我效能及口腔健康行为的影响

目的探究基于King互动达标理论对牙髓炎患者自我效能及口腔健康行为的影响。方法采用便利抽样法选取2020年5月-2022年6月中山市某医院收治的254例牙髓炎患者为本次研究对象,按随机数字表法分组,观察组127例,对照组127例。对照组常规护理,观察组基于King互动达标理论护理。比较牙科焦虑症状、自我效能、口腔健康行为及生活质量。结果干预后14 d,状态焦虑量表、特质焦虑量表评分,与干预前相比,观察组及对照组均降低,且观察组低于对照组(P<0.05);干预后14 d,正确刷牙自我效能、定期口腔就诊自我效能及正餐外尽量少吃零食评分,与干预前相比,观察组及对照组均提高,且观察组高于对照组,差异有统计学意义(P<0.05);干预后14 d,与干预前相比,观察组及对照组每日漱口水漱口次数及巴氏刷牙法增加,漱口时长延长,且观察组改善效果更佳,差异有统计学意义(P<0.05);干预后14 d,口腔生理功能、心理功能、疼痛与不适、行为影响评分与总分,与干预前相比,观察组及对照组均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论基于King互动达标理论可有效缓解患者焦虑情绪,提高口腔保健自我效能,改善健康行为,促进口腔健康生活质量的有效提升。

King目标实现理论指导下对慢性肾小球肾炎患者的护理

目的 探讨慢性肾小球肾炎后在King目标实现理论基础上开展护理工作对患者的影响。方法 取2021年12月-2022年12月本院诊疗的60例患慢性肾小球肾炎患者,依据本院标准随机分为对照组和观察组,每组30例,对照组患者常规护理,观察组患者施予King目标实现理论下的护理干预,对2组患者护理期间的3个观察指标进行统计分析。结果 King目标实现理论指导下护理的观察组患者在肾功能水平、焦虑抑郁情绪、积极应对方面均明显优于常规护理指导下护理的对照组患者,差异有统计学意义(P<0.05)。结论 施用于King目标实现理论下的护理干预,能强化慢性肾小球肾炎患者肾功能,改善不良情绪。

King互助达标理论下精细化护理结合分阶段健康教育在妊娠糖尿病患者中的应用

目的 探讨King互助达标理论下精细化护理结合分阶段健康教育在妊娠糖尿病(GDM)患者中的应用效果。方法 选取2022年1月至2023年5月郑州大学第三附属医院收治的100例GDM患者为研究对象,按照随机数字表法分为对照组、观察组,每组各50例。对照组给予分阶段健康教育,观察组在对照组基础上给予King互助达标理论下精细化护理结合分阶段健康教育,比较两组的护理效果。结果 观察组空腹血糖、餐后2 h血糖达标率均高于对照组(P <0.05);干预4周后,观察组自我管理能力评分高于对照组(P <0.05)。结论 King互助达标理论下精细化护理结合分阶段健康教育可提高GDM患者血糖达标率,改善患者自我管理能力,值得推广。