Effect of information-motivation-behavioral skills model based perioperative nursing on pain in patients with gallstones

BACKGROUND The incidence of cholecystolithiasis is on the rise.Use of information,motivation,and behavioral skills can play a positive role in promoting changes in individual health behaviors.However,reports on the effects of information-motivationbehavioral(IMB)skills model based high-quality nursing as a perioperative nursing intervention for patients with gallstones are nonexistent.AIM To explore the application of IMB skills model based high-quality nursing in patients with gallstones.METHODS Two hundred and sixteen patients with cholecystolithiasis treated at our hospital from January 2022 to January 2023 were enrolled and divided into a control,highquality,and combined nursing groups,with 72 patients in each group.The control,high-quality,and combination groups received conventional,high-quality,and IMB skills model based perioperative nursing services,respectively.Differences in clinical indicators,stress levels,degree of pain,emotional state,and quality of life were observed,and complications and nursing satisfaction among the three groups were evaluated.RESULTS After nursing,the time to recovery of gastrointestinal function in the high-quality and combined nursing groups was significantly shorter than that of the control group,with the recovery of gastrointestinal function being the fastest in the combined nursing group(P<0.05).After nursing intervention,cortisol and norepinephrine levels in the high-quality and combined nursing groups were closer to normal than those of the control group 24 h after surgery,with the combined nursing group having the closest to normal levels(P<0.05).After 3 and 7 d of intervention,the patients’pain significantly improved,which was more prominent in the highquality and combination groups.Meanwhile,the pain score in the combination group was significantly lower than those of the control and high-quality nursing groups(P<0.05).After nursing intervention,the emotional states of all patients improved,and the scores of patients in the combination group were significantly lower than those of the control and high-quality nursing groups.The quality of life of patients in the high-quality and combined nursing groups significantly improved after nursing intervention compared to that of the control group,with the combined nursing group having the highest quality of life score.After intervention,the incidence of complications in the high-quality and combination groups was significantly lower than that of the control group(P<0.05),but the difference between the combination and high-quality nursing groups was not significant.Nursing satisfaction of patients in the high-quality and combination groups was significantly higher than that of the control group,with the nursing satisfaction being the highest in the combination group(P<0.05).CONCLUSION IMB skills model based nursing can improve surgical stress levels,degrees of pain,emotional state,quality of life,and nursing satisfaction of patients with gallstones and reduce the incidence of complications.

Effect of health education based on information-motivationbehavioral skills model on patients with unilateral vestibular dysfunction

BACKGROUND Vestibular dysfunction(VH)is a common concomitant symptom of late peri-pheral vestibular lesions,which can be trauma,poisoning,infection,heredity,and neurodegeneration,but about 50%of the causes are unknown.The study uses the information-motivation-behavioral skills(IMB)model for health education,effectively improve the quality of life,increase their self-confidence,reduce anxiety and depression,and effectively improve the psychological state of patients.AIM To explore the effect of health education based on the IMB model on the degree of vertigo,disability,anxiety and depression in patients with unilateral vestibular hypofunction.METHODS The clinical data of 80 patients with unilateral vestibular hypofunction from January 2019 to December 2021 were selected as the retrospective research objects,and they were divided into the control group and the observation group with 40 cases in each group according to different nursing methods.Among them,the control group was given routine nursing health education and guidance,and the observation group was given health education and guidance based on the IMB model.The changes in self-efficacy,anxiety and depression,and quality of life of patients with unilateral VH were compared between the two groups.RESULTS There was no significant difference in General Self-Efficacy Scale(GSES)scale scores between the two groups of patients before nursing(P>0.05),which was comparable;after nursing,the GSES scale scores of the two groups were higher than those before nursing.The nursing group was higher than the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the scores of Hospital Anxiety and Depression Scale(HADS)and anxiety and depression subscales between the two groups before nursing(P>0.05).After nursing,the HADS score,anxiety,and depression subscale scores of the two groups of patients were lower than those before nursing,and the nursing group was lower than the control group,and the difference was statistically significant(P<0.05).After nursing,the Dizziness Handicap Inventory(DHI)scale and DHI-P,DHI-E and DHI-F scores in the two groups were decreased,and the scores in the nursing group were lower than those in the control group,and the difference was statistically significant(P<0.05).CONCLUSION Health education based on the IMB model can effectively improve patients'quality of life,increase self-efficacy of patients with unilateral vestibular hypofunction,enhance patients'confidence,enable patients to resume normal work and life as soon as possible,reduce patients'anxiety and depression,and effectively improve patients'psychological status.

Health education intervention and its impact on patients with unilateral vestibular dysfunction:An information-motivation-behavioral model approach

Unilateral vestibular dysfunction is a one-sided impairment of vestibular function in one ear.Incorporating health education in treatment and rehabilitation plans can improve vestibular function,keep negative emotions at bay,and reduce the extent of the condition.This letter investigates the impact of the informationmotivation-behavioral skills model as a medium for health education on patient outcomes.While offering encouraging observations,there are certain limitations,such as the study’s retrospective design,small sample size,use of subjective measures,and lack of longer follow-ups that challenge the cogency of the study.The study is a step toward transforming vestibular dysfunction treatment through health education.

A Cross-sectional Study Assessing Predictors of Essential Medicines Prescribing Behavior Based on Information-motivation-behavioral Skills Model among County Hospitals in Anhui, China

Background： The self-consciousness and practicality of preferentially prescribed essential medicines （EMs） are not high enough in county hospitals. The purposes of this study were to use the information-motivation-behavioral skills （IM B） model to identify the predictors of essential medicines prescribing behavior （EMPB） among doctors and to examine the association between demographic variables, IMB, and EMPB. Methods： A cross-sectional study was carried out to assess predictive relationships among demographic variables and IM B model variables using an anonymous questionnaire administered in nine county hospitals of Anhui province. A structural equation model was constructed for the I MB model to test the instruments using analysis of moment structures 17.0. Results： A total of 732 participants completed the survey. The average age of the participants was 37.7 ± 8.9 years old （range： 22-67 years old）. The correct rate of information was 90.64%. The average scores of the motivation and behavioral skills were 45.46 a： 7.34 （hundred mark system： 75.77） and 19.92 ± 3.44 （hundred mark system： 79.68）, respectively. Approximately half（50.8%） of respondents reported that the proportion of EM prescription was below 60%. The final revised model indicated a good fit to the data （x^2/df= 4.146, goodness of fit index = 0.948, comparative fit index = 0.938, root mean square error of approximation = 0.066）. More work experience （β = 0.153, P 〈 0.001 ） and behavioral skills （β = 0.449, P 〈 0.001 ） predicted more EMPB. Higher income predicted less information （β = -0.197, P 〈 0.001） and motivation （β =0.204, P 〈 0.001 ）. Behavioral skills were positively predicted by information （β = 0.135, P 〈 0.001 ） and motivation （β = 0.742, P 〈 0.001 ）. Conclusion： The present study predicted some factors of EMPB, and specified the relationships among the model variables. The utilization rate of EM was not high enough. Motivation and behavior skills were crucial factors affecting EMPB. The influence of demographic variables, such as income and work experience, on EMPB should be fully appreciated. Comprehensive intervention measures should be implemented from multiple perspectives.

Adherence in CABG Patients: An Empirical Test of a Health Behavior Model

To benefit from a Coronary Artery Bypass Graft Surgery (CABG), patients must adhere to their therapeutic regimen. To test the extent of which the Information-Motivation-Behavioral Skills (IMB) model constructs explain the variability in adherence behaviors in CABG patients, and also to examine the relationship between the IMB model constructs, CABG patients (N = 152) were randomly assigned to either an intervention group, or a standard care control group. They completed pretest measures, and were reassessed later. Although perfect replication of the IMB model’s predicted pathways was not achieved in this study, support for several of these pathways was demonstrated. The estimated model for adherence-demonstrated good fit of the data. Motivation was a significant predictor of adherence behavior in CABG patients. These findings suggest that IMB model-based intervention that improves motivation can enhance adherence. Therefore, CABG patients’ education programs should mainly target motivation in order to affect adherence behavior.

本科层次职业技术教育:一种新模式的探索

研究通过设计和实施系统性的本科层次职业技术教育模式,以提升学生的职业技能和实际应用能力。研究方法包括文献综述、案例分析和实证研究,结合国内外职业教育发展的经验和理论基础,提出了一种基于实践的教育模式。该模式强调实践与理论相结合,通过跨学科的实践方法和项目化教学,培养学生的综合能力和实际操作技能。同时,研究引入了能力本位教育理念,强调通过实际操作和项目成果评估学生的职业能力,而非传统的笔试和理论考试。这种模式不仅为学生提供了多样化的学习机会和职业培训,还能满足国家对高技能人才的需求,提高中国高等教育的整体水平和国际竞争力。研究发现,综合性和实用性的本科层次职业技术教育模式能够有效提升教育质量,培养适应现代职业需求的高素质人才。在高等教育研究和政策制定方面,建议政府制定支持本科层次职业技术教育的政策,提供必要的资金和资源;高校应加强与企业合作,提供实习和实践机会;教师应提升职业素养和教学能力,采用小班教学和多样化教学方式。研究的不足之处在于数据样本和案例分析相对有限,跨学科学习和研究在实际操作中面临挑战,本科层次职业技术教育模式的长期效果尚需进一步评估。未来研究应完善评价体系,创新课程模式,加强国际交流与合作,推动国内本科层次职业技术教育与国际接轨,提升教育质量和竞争力。

基于ACSI模型的高职技能型课程在线教学满意度影响因素研究

当今线上教学已经成为“常态”,高职技能型课程实施线上教学存在较多难点。为了探究高职技能型课程在线教学的影响因素,基于ACSI模型,结合技能型课程线上教学特点,构建技能型课程在线教学满意度模型和技能型课程在线教学满意度量表。采用问卷调查收集数据,利用SPSS软件对量表的信度和效度进行检验;利用AMOS24软件对模型进行检验。结果表明:学生期望会正向影响质量感知;学生期望和质量感知都会正向影响学生满意,质量感知和学生满意都会正向影响学生持续使用意愿。基于此,从学校和教师两个层面提出提高高职技能型课程在线教学满意度的措施。

基于潜在风险的管理模式对小儿外科门诊医生专业技能的影响研究

目的探讨基于潜在风险的管理模式在小儿外科门诊中的应用效果及对医生专业技能的影响。方法选取2021年9月—2022年8月潍坊市人民医院小儿外科门诊医生29名为对照组;2022年9月—2023年8月同一批小儿外科门诊医生29名为观察组。对照组采用常规管理,观察组联合基于潜在风险的管理模式,比较两组专业技能、迷你临床评估(Mini Clinical Evaluation,mini-CEX)及满意度。结果观察组药品清点、健康体检、病历记录、医患沟通、治疗方案决定及消毒隔离得分高于对照组,差异有统计学意义(P均<0.05);观察组mini-CEX得分高于对照组,差异有统计学意义(P<0.05);观察组管理方法、技能提升、绩效考核、定期培训及考核方法满意度高于对照组,差异有统计学意义(P均<0.05)。结论基于潜在风险的管理模式用于小儿外科门诊中效果显著,能提高医生专业技能及综合素质水平,可获得较高的管理满意度。

技能型社会成熟度模型研究

技能型社会是百年未有之大变局下党和政府提出的新的社会发展理念与战略。在技能型社会建设中,内涵不清、评价不完善等问题阻碍着目标的实现。开发技能型社会成熟度模型,对及时评价技能型社会建设现状和能力,发现问题并优化改进具有重大意义。在文献研究的基础上,以成熟度模型理论为基石,借鉴欧洲技能指数,通过政策分析与文献研究提炼出技能型社会的核心要素和促进要素,应用成熟度模型的级别划分和行为特征,紧扣我国技能型社会建设“建什么”“怎么建”和“建成什么样”三个根本问题,创建了包含3个核心要素、4个促进要素和5个成熟度等级的技能型社会成熟度模型。不但丰富了技能型社会评价理论,提供了新的工具,也可为技能型社会建设决策和实施提供参考依据。

自闭症儿童言语和非言语社交沟通技能的游戏式干预模式

社交沟通障碍是自闭症谱系障碍儿童的核心障碍之一,本文介绍了五种可以改善自闭症谱系障碍儿童社交沟通技能的游戏式干预模式。在精准康复理念的指导下,掌握这些方法有利于针对自闭症谱系障碍儿童的社交沟通问题"对症下药",实现个性化治疗方案指导下的处方性治疗,在解决问题的同时保证自闭症谱系障碍儿童身心的健康发展,并为我国自闭症谱系障碍儿童康复领域的家长、临床工作者和研究者提供借鉴、开拓思路。

3D打印模型在骶骨肿瘤教学中的运用及效果评价

目的 评估3D打印模型在住院医师骶骨肿瘤教学中的效果。方法 选取2019年9月至2023年8月北京大学人民医院骨肿瘤科轮转的60名专业型硕士研究生作为研究对象,采用区组随机化的方法将其分为案例教学(CBL)组(30例)、3D打印结合CBL组(30例)。CBL组采用CBL模式教学;3D打印结合CBL组在CBL组的基础上增加3D打印模型。课程结束后,比较两组问卷调查结果及教学质量。结果 3D打印结合CBL组满意度高于CBL组,差异有统计学意义(P<0.05)。3D打印结合CBL组调查问卷各维度(该课程是否有助于理解骶骨周围的解剖结构、该课程是否有助于提高综合能力、该课程是否有助于理解骶骨肿瘤知识与手术内容的联系、该课程是否可以增加医学兴趣、该课程的学习过程是否愉快轻松、该课程是否提高了你的自主学习能力)评分及总分高于CBL组,差异有统计学意义(P<0.05)。3D打印结合CBL组理论考核成绩及临床实践技能考核成绩高于CBL组,差异有统计学意义(P<0.05)。结论 在骶骨肿瘤的教学过程中,采用3D打印模型能够显著提升学生的学习动力、理论和实践能力,使学生更深入地掌握骶骨肿瘤知识。

CICARE沟通模式联合情景教学在新护士规范化培训中的应用

目的:探讨CICARE沟通模式联合情景教学在新护士规范化培训中的应用效果。方法:对89名参加规范化培训的新护士采用CICARE沟通模式联合情景教学的培训方案进行教学,比较培训前后89名新护士的临床沟通能力,并在结课后收集新护士对教学的评价。结果:培训后,新护士的临床沟通能力中团队沟通能力、困难情景沟通能力及情感感知能力等维度得分明显高于培训前(P<0.001);92.13%的新护士表示通过培训有助于沟通技巧的提高,91.01%的新护士表示有助于临床适应能力的提高,93.26%的新护士希望继续采用该教学模式。结论:使用CICARE沟通模式联合情景教学进行培训,有效地提升了新护士的沟通能力,教学满意度较高。

基于信息-动机-行为技巧模型的护理干预在肾母细胞瘤患儿中的应用

目的:探讨基于信息-动机-行为技巧(IMB)模型的护理干预在肾母细胞瘤患儿中的应用效果。方法:选取2019年1月-2022年8月收治的肾母细胞瘤患儿60例,采用计算机软件RandA1.0分为对照组(30例)和观察组(30例)。对照组采用常规护理,观察组采用基于IMB模型的护理干预。比较两组患儿家属心理状态、患儿护理依从性、生活质量以及家属护理满意度。结果:干预前,两组焦虑评分、抑郁评分比较,差异无统计学意义(P>0.05);出院当天,两组患儿家长焦虑评分、抑郁评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组患儿总依从率高于对照组,差异有统计学意义(P<0.05)。干预前,两组患儿生理功能、心理功能、社会功能以及躯体功能等生活质量指标评分比较,差异无统计学意义(P>0.05);干预一个月,两组患儿各项生活质量指标评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组患儿家长满意度高于对照组,差异有统计学意义(P<0.05)。结论:基于IMB模型的护理干预在肾母细胞瘤患儿中可缓解家长的心理状态,提高患儿护理依从性,改善其生活质量。

EBT视域下飞行签派员DRM能力评估模型构建研究

为构建一个具有客观性、定量性的签派资源管理能力评估体系,改善国内民航飞行签派员胜任力不足的现状,笔者以本单位正常履职的飞行签派员为研究样本,基于循证训练“实证数据”理论,开展构建签派资源管理能力定量评估体系的研究。结合国内外民航管理机构、培训机构对飞行签派员签派资源管理技能的要求,提炼飞行签派员应具有的签派资源管理技能评估指标,咨询专家级样本后初步建立评估指标库。为保证评估数据的客观全面,选取基于组织学习的动态自评、基于合作关系度的同级互评和基于人力资源管理模型的领导评估作为数据源,运用层次分析法与熵权法主客观相结合的方式确定了各评估指标权重。最后,依据循证训练“岗位胜任力框架”从航空公司管理层角度,建立了基于柯氏模型的签派资源管理能力的评估体系,提出保障签派资源管理训练课程教学效果的方法。

高职院校诩扬“三种精神”的路径研究——基于技能型社会建设背景

劳动精神、劳模精神、工匠精神是构建技能型社会的精神向度和本质要求,赋能技能型社会建设。技能型社会是三种精神的“培育皿”和“扩音器”,滋养培育三种精神。高职院校是构建技能型社会的物质载体,也是诩扬三种精神的主阵地,承担着培育技能型人才的重要使命。因此,以厘清技能型社会和三种精神的作用关系为基础,以三种精神的概念历程和辩证关系为前提,探寻高职院校大力诩扬三种精神的路径。具体来说,高职院校的办学理念与育人目标彰显三种精神,实践教学和课程体系融入三种精神,思政教育和创业教育培育三种精神,加之“引”“培”并举吸纳具有三种精神素养的教师,营造富含三种精神的校园文化,以期培育高素质技能型人才,服务技能型社会的成功建设。

盆底教学中基于盆底模型结合问题导向教学法的应用效果

目的探究盆底模型结合基于问题的教学方法(Problem Based Learning,PBL)在盆底教学中的应用效果。方法选取2023年1月—2024年1月在永州市中心医院妇科纳入观察组的50名医学生为研究对象,按照教学方法不同分为两组,常规组的25名医学生接受常规盆底教学模式,观察组25名医学生接受基于盆底模型结合PBL教学法。比较两组实习生考试成绩(专业理论及临床实践技能成绩)、临床思维能力(系统思维、循证思维、批判性思维)及教学满意度(教学模式、提高诊疗思维能力、激发学习兴趣、提高自学能力、提高问题分析解决能力)。结果观察组专业理论成绩为(96.17±1.01)分、临床实践技能成绩为(96.06±1.02)分均高于常规组的(95.21±1.02)分、(95.14±1.13)分(t=3.344、3.022,P均<0.05)。观察组的各项临床思维能力、教学满意度评分均高于常规组,差异有统计学意义(P均<0.05)。结论盆底模型结合PBL教学法应用于盆底教学中,可提高实习生考试成绩、教学满意度及临床思维能力。

一种鼓膜穿刺模型及其在耳鼻咽喉科教学实践中的应用

目的设计一种鼓膜穿刺模型,并将该模型应用到教学中,探讨其在鼓膜穿刺术培训中的价值。方法利用简易装置设计一种鼓膜穿刺模型,将该模型应用于鼓膜穿刺术培训。选取的培训对象为海军军医大学2019级八年制无军籍学员37人,将学员随机分入实验教学组和常规教学组,其中实验教学组18人,常规教学组19人。两组同时进行常规理论授课,理论授课结束后进行临床见习;临床见习结束后,实验教学组进行鼓膜穿刺模型实践操作4学时,常规教学组观看鼓膜穿刺教学视频4学时。课程结束后,分别对两组行综合能力自我评估和手术操作考核评估。结果教学效果评价显示,实验教学组综合能力自我评估得分显著高于常规教学组[(88.22±3.04)分比(77.95±2.87)分,P<0.01],实验教学组专业学习兴趣、实践操作能力显著高于常规教学组(均P<0.01);实验教学组手术操作考核评估得分显著高于常规教学组[(73.72±3.30)分比(65.68±2.95)分,P<0.01],实验教学组在解剖结构熟悉情况、操作熟练程度均显著高于常规教学组(均P<0.01)。结论该鼓膜穿刺模型,设计简便,将其应用于临床教学中,可显著提高鼓膜穿刺术成功率,降低不良事件发生率,提高教学效果。

基于内容和网络平台的语言实训模式

基于内容和网络平台的语言实训模式具有5个特色。①基础语言教学课程的教学内容不再以通用英语为主体,而是由经过统一规划的、专题化、数字化和网络化的特殊用途英语为主体。②专业课程的教学内容也经过统一规划,实现了专题化、数字化和网络化。③上述课程内容经过词频软件检测,严格控制了实训资源中生词的出现量,从而保障了实训资源的可读性和吸引力。④模式通过网络资源不断更新的需求促进了教师职业发展。⑤模式通过研究性学习促进学生在掌握专业知识的同时提高了语言综合应用技能。

基于有序PROBIT模型的企业参与职业教育的动机偏好与差异性分析

由于不完全市场中的工资挤压效应,企业参与职业教育的行为会随着技术进步有由成本偏好性向技术技能偏好性转移的倾向,但其过程受到企业个体性因素的影响。在问卷调研的基础上,利用有序probit模型对当前我国企业参与技能培训的偏好及个体性差异进行了分析。结果表明,我国企业参与技能培训的行为在整体层面显示出显著的技术技能偏好属性,相反成本偏好属性却并不明显。同时,企业规模、核心生产要素等企业个性特征对企业参与技能培训的行为也有影响,使不同类型的企业参与技能培训表现出偏好性的个体性差异。

采用“金字塔模型”护理软技能问卷调查高职护生结果分析

目的加深对高职护生护理软技能现状研究的了解,提高其培养效果。方法采用"金字塔模型"构建护理软技能问卷,包括应用层、修炼层和天赋层3个维度17个因子。采用该问卷对某高职院校二年级430名护生进行护理软技能现状调查。结果护生护理软技能现状总分(53.71±4.34)分;3个维度中应用层得分最高,修炼层次之,天赋层最低;17个因子中沟通技能因子得分最高,性格因子得分最低。结论二年级护生的护理软技能现状总体不佳,护理教师应采取针对性措施,提高护生的护理软技能。