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。

Diffraction of an ultrashort pulsed beam with arbitrary polarization state from a volume holographic grating in LiNbO3 crystals

Based on a modified coupled wave theory of Kogelnik, we have studied the diffraction of an ultrashort pulsed beam with an arbitrary polarization state from a volume holographic grating in photorefractive LiNbO3 crystals. The results indicate that the diffracted intensity distributions in the spectral and temporal domains and the diffraction efficiency of the grating are both changed by the polarization state and spectral bandwidth of the input pulsed beam. A method is given of choosing the grating parameters and input conditions to obtain a large variation range of the spectral bandwidth of the diffracted pulsed beam with an appropriate diffraction efficiency. Our study presents a possibility of using a volume holographic grating recorded in anisotropic materials to shape a broadband ultrashort pulsed beam by modulating its polarization state.

Time-dependent density functional theoretical studies on the photo-induced dynamics of an HCI molecule encapsulated in C60 under femtosecond laser pulses

By using first-principles simulations based on time-dependent density functional theory, the chemical reaction of an HCl molecule encapsulated in C60 induced by femtosecond laser pulses is observed. The H atom starts to leave the Cl atom and is reflected by the C60 wall. The coherent nuclear dynamic behaviors of bond breakage and recombination of the HCl molecule occurring in both polarized parallel and perpendicular to the H-Cl bond axis are investigated. The radial oscillation is also found in the two polarization directions of the laser pulse. The relaxation time of the H-Cl bond lengths in transverse polarization is slow in comparison with that in longitudinal polarization. Those results are important for studying the dynamics of the chemical bond at an atomic level.

Dynamics of molecular alignment steered by a few-cycle terahertz laser pulse

The field-free alignment of molecule Cl CN is investigated by using a terahertz few-cycle pulse(THz FCP)based on the time-dependent density matrix theory.It is shown that a high degree of molecular alignment can be obtained by changing the matching number of the THz FCPs in the adiabatic regime and the non-adiabatic regime.The matching number can affect both the maximum value of the alignment and the time at which it is achieved.It is also found that a higher degree of alignment can be achieved by using the THz FCP at lower intensity and there exists an optimal threshold of molecular alignment with the increase of the field amplitude.Also found is the frequency sensitive region in which the degree of maximum alignment can be enhanced greatly by modulating the center frequencies of different THz FCPs.The investigation demonstrates that comparing with a THz single-cycle pulse,a better result of the field-free alignment can be created by a THz FCP at a constant rotational temperature of molecule.

The Hyperbolic Two Temperature Semiconducting Thermoelastic Waves by Laser Pulses

A novel model of a hyperbolic two-temperature theory is investigated to study the propagation the thermoelastic waves on semiconductor materials.The governing equations are studied during the photo-excitation processes in the context of the photothermal theory.The outer surface of o semiconductor medium is illuminated by a laser pulse.The generalized photo-thermoelasticity theory in two dimensions(2D)deformation is used in many models(Lord–Shulman(LS),Green–Lindsay(GL)and the classical dynamical coupled theory(CD)).The combinations processes between the hyperbolic two-temperature theory and photo-thermoelasticity theory under the effect of laser pulses are obtained analytically.The harmonic wave technique is used to obtain the exact solutions of the main physical fields under investigation.The mechanical,thermal and recombination plasma loads are applied at the free surface of the medium to obtain the complete solutions of the basic physical fields.Some comparisons are made between the three thermoelastcity theories under the electrical effect of thermoelectric coupling parameter.The influence of hyperbolic two-temperature,two-temperature and one temperature parameters on the distributions of wave propagation of physical fields for semiconductor silicon(Si)medium is shown graphically and discussed.

High-order harmonic generation of the cyclo[18]carbon molecule irradiated by circularly polarized laser pulse

High-order harmonic generation of the cyclo[18]carbon(C_(18) ) molecule under few-cycle circularly polarized laser pulse is studied by time-dependent density functional theory. Compared with the harmonic emission of the ring molecule C_(6)H_(6) having similar ionization potential, the C_(18) molecule has higher efficiency and cutoff energy than C_(6)H_(6) with the same laser field parameters. Further researches indicate that the harmonic efficiency and cutoff energy of the C_(18) molecule increase gradually with the increase of the laser intensity of the driving laser or decrease of the wavelength, both are larger than those of the C_(6)H_(6) molecule. Through the analysis of the time-dependent evolution of the electronic wave packets, it is also found that the higher efficiency of harmonic generation can be attributed to the larger spatial scale of the C_(18) molecule,which leads to a greater chance for the ionized electrons from one atom to recombine with others of the parent molecule.Selecting the suitable driving laser pulse, it is demonstrated that high-order harmonic generation in the C_(18) molecule has a wide range of applications in producing circularly polarized isolated attosecond pulse.

King互助达标理论下精细化护理结合门诊随访对脑肿瘤术后患者的影响

目的探讨King互助达标理论下精细化护理结合门诊随访护理对脑肿瘤术后患者并发症、心理状态的影响。方法选取2021年3月至2023年1月在无锡市第二人民医院接受脑肿瘤手术治疗的90例患者进行回顾性研究,根据护理方式不同分为对照组和试验组,每组45例。对照组男27例,女18例,年龄(45.08±5.37)岁,采用常规护理模式;试验组男22例,女23例,年龄(36.49±4.09)岁,采用King互助达标理论下精细化护理结合门诊随访护理。两组均干预2个月。比较两组患者术后1周内的并发症发生情况,干预前后的自我效能感、睡眠质量、心理状况,出院后护理满意度。采用t检验、χ^(2)检验进行统计分析。结果试验组患者并发症总发生率低于对照组[6.67%(3/45)比26.67%(12/45)],差异有统计学意义(χ^(2)=6.48,P<0.05);干预后,试验组患者一般自我效能感量表(GSES)、匹兹堡睡眠质量指数(PSQI)评分均优于对照组[(41.03±4.96)分比(34.85±3.66)分、(4.22±2.11)分比(7.06±2.30)分],焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组[(41.40±2.64)分比(53.42±3.98)分、(43.98±3.11)分比(54.17±3.45)分],差异均有统计学意义(t=6.73、6.10、16.88、14.72,均P<0.05);试验组患者护理满意度高于对照组[95.56%(43/45)比73.33%(33/45)],差异有统计学意义(χ^(2)=8.46,P<0.05)。结论King互助达标理论下精细化护理结合门诊随访护理可有效降低脑肿瘤术后患者的并发症发生率,改善睡眠质量并减轻抑郁和焦虑情绪,对患者心理状况有积极影响。

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。

King互动达标理论康复护理对脑卒中患者的影响

目的:探究以King互动达标理论为指导的康复护理干预对脑卒中患者的影响。方法:选取四平市中心人民医院2023年2月-2024年1月收治的98例脑卒中患者为研究对象,以密闭信封法将其分为对照组及观察组,各49例。对照组采用常规护理,观察组采用以King互动达标理论为指导的康复护理。两组均干预2个月,比较两组患者的锻炼积极性、负性情绪、认知功能及生活质量。结果:干预后,观察组的锻炼积极性评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组的汉密尔顿焦虑量表评分、汉密尔顿抑郁量表评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组的简易智能精神状态检查量表评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组的世界卫生组织生活质量评定量表中各维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:以King互动达标理论为指导的康复护理能提高脑卒中患者的锻炼积极性,疏解其负性情绪,改善患者认知能力,提高其生活质量。

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。

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。

THE INFLUENCE OF CARDIOVASCULAR DYNAMICCOUPLING ON THE BLOOD PULSE WAVE PROPAGATION IN HUMAN BODY

For the first lime, the pressure and flow pulse wave propagation phenomenon is studied in this paper on the basis of he cardiovascular dynamic coupling. E(t)-R model is adopted for left ventricle and T-Y tube model for systemic arteries. Furthermore, impulse response method and Fourier analysis method are employed After reasonable cardiovascular parameters and their value have been selected, the pressure and flow waveforms ape obtained at any poing along the systemic arteries. The results fit measured data well. In addition, the influences of cardiovascular parameters on pulse wave propagation are studied. The work is useful in practice.

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。

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。

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。

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。

King互动达标护理在妊娠糖尿病病人院外胰岛素泵管理中的应用

[目的]探讨King互动达标理论在妊娠糖尿病病人院外胰岛素泵管理中的应用效果。[方法]将26例妊娠糖尿病病人按出院时间顺序分为对照组12例和观察组14例,对照组采用常规护理模式行院外胰岛素泵治疗和随访,观察组应用King达标理论的目标设定和互动达标指导护士与病人进行院外胰岛素泵管理,比较两组病人出院后病人胰岛素泵操作技术掌握情况、胰岛素泵相关不良事件发生情况和血糖等。[结果]观察组病人部分胰岛素泵操作技术掌握能力优于对照组,大剂量漏注射、过度紧张发生率和餐后2h血糖低于对照组,差异有统计学意义(P<0.05)。[结论]King互动达标理论应用于妊娠糖尿病病人院外胰岛素泵管理中能提高病人胰岛素泵操作能力,改善病人血糖水平,降低胰岛素泵相关不良事件的发生率。

King互动达标理论在改善腰椎间盘突出症患者知信行状态中的效果分析

目的:探讨King互动达标理论对改善腰椎间盘突出症患者知识-态度-行为的效果。方法:运用King互动达标理论,由互动达标小组对150例腰椎间盘突出症患者实施6个月的互动达标干预。采用自主研制的腰椎间盘突出症患者知信行评估问卷,对实施互动达标干预前后患者的知识-态度-行为进行调查。结果:实施互动达标干预后患者知信行总分以及对腰椎间盘突出症知识的知晓率、态度均较干预前明显提高(P<0.01),不良行为较前明显下降(P<0.01)。结论:通过运用King互动达标理论对腰椎间盘突出症患者实施护理,能使患者正确认识腰椎间盘突出症,采取健康的行为方式促进疾病康复,有效改善腰椎间盘突出症患者的知识-态度-行为状态。