Analysis of the Effect of Family-Centered Empowerment Model(FCEM)Health Education Through WeChat on Medication Compliance and Blood Pressure of Elderly Hypertensive Patients in Rural Areas

Objective: To validate the effectiveness of a Family-Centered Empowerment Model (FCEM) health education through WeChat on medication compliance and blood pressure among elderly hypertensive patients in rural areas. Methods: One hundred and two rural elderly hypertensive patients aged 65-80 years were selected and randomly divided into an experimental and control group of 51 each. The control group implemented conventional health education, and the experimental group implemented FCEM health education through WeChat platform for 4 consecutive weeks. The Therapeutic Adherence Scale for Hypertensive Patients (TASHP) scores and blood pressure measurements were compared between and within the two groups. Results: After the intervention, there were significant differences in medication compliance and blood pressure between the two groups (P < 0.001). In the control group, before and after the intervention, there was a significant difference in medication compliance (P < 0.001), but no significant difference in blood pressure (P > 0.05). In the experimental group, there were significant differences in medication compliance and blood pressure before and after the intervention (P < 0.001). Conclusion: The FCEM health education through an online social platform significantly improved medication compliance and led to effective blood pressure control in rural elderly hypertensive patients. Therefore, as an effective, safe, and economical model, it is also necessary to explore its effectiveness in improving health problems in other chronic diseases and other age groups.

Multi-mode process monitoring based on a novel weighted local standardization strategy and support vector data description

There are multiple operating modes in the real industrial process, and the collected data follow the complex multimodal distribution, so most traditional process monitoring methods are no longer applicable because their presumptions are that sampled-data should obey the single Gaussian distribution or non-Gaussian distribution. In order to solve these problems, a novel weighted local standardization(WLS) strategy is proposed to standardize the multimodal data, which can eliminate the multi-mode characteristics of the collected data, and normalize them into unimodal data distribution. After detailed analysis of the raised data preprocessing strategy, a new algorithm using WLS strategy with support vector data description(SVDD) is put forward to apply for multi-mode monitoring process. Unlike the strategy of building multiple local models, the developed method only contains a model without the prior knowledge of multi-mode process. To demonstrate the proposed method's validity, it is applied to a numerical example and a Tennessee Eastman(TE) process. Finally, the simulation results show that the WLS strategy is very effective to standardize multimodal data, and the WLS-SVDD monitoring method has great advantages over the traditional SVDD and PCA combined with a local standardization strategy(LNS-PCA) in multi-mode process monitoring.

Family empowerment and quality of life of parents raising children with Developmental Disabilities in 78 Japanese families

Objectives: The families of these children experience distress both at the time of diagnosis and afterward.A top priority is to understand family empowerment,family function,and family members' quality of life (QoL) and to effectively support these families in Japan.The objective of this study was to assess the actual conditions of families living with children having DDs and to explore the factors associated with family empowerment and parents' QoL.Methods: We surveyed ninety-three parents (78 mothers,15 fathers) from 78 families which lived with children with DDs in the capital region of Japan.We assessed two main outcomes using the Japanese versions of the following instruments: Family Empowerment Scale (FES),World Health Organization Quality of Life 26 (WHOQOL26),and other six outcomes.Correlation and multiple regression analyses were conducted.Results: No medication,cooperation with child rearing,assistance from a developmental support center,solved problems related to child rearing,and higher scores in Problem Solving contributed to higher FES scores.Higher WHOQOL26 scores were related to being a full-time housewife,higher self-esteem,no developmental support,a broad emotional support network,higher scores in Problem Solving and Role Function,and lower scores in Affective Reaction and General Function.Conclusions: We revealed that family empowerment and QoL of parents rearing children with DDs in Japan were affected by various subscales of family function and other family attributes.Effective interventions for improving family empowerment and QoL should be researched in the future.

Family empowerment and associated factors in Japanese families raising a child with severe motor and intellectual disabilities

Objectives:Family caregivers raising children with severe motor and intellectual disabilities(SMID)experience the enormous burden of care.The concept of family empowerment is one of the important assessment indexes of family nursing from the perspective of providing comprehensive support for these families.The objective of this study was to identify the factors associated with the empowerment of families raising a child with SMID in Japan.Methods:We conducted a nationwide questionnaire survey involving 1659 primary caregivers raising a child with SMID through 89 special schools.We assessed the main outcomes using the Family Empowerment Scale(FES).We then conducted a multiple linear regression analysis to reveal the factors associated with family empowerment.Results:In total,1362 primary caregivers were included in our study.Our results show that factors contributing to high FES scores are higher age of the primary caregiver,higher education,greater recognition of regional support,lower childcare burden,higher utilization of home visit services,higher usage of a childcare institution,higher household income,and stronger family bonding.Conclusion:Healthcare professionals should carefully assess the state of family empowerment of the primary caregivers who are younger and those who have low education,low household income,high childcare burden,and fragile bonding with the family.Second,they should encourage such families to use regional support resources for childcare.That is,policy makers should consider ways to promote home visits and institutional services for the care of children with SMID,aiming especially for the provision of well-coordinated care and services.

Disadvantageous Position,Exclusion and Empowerment： Social Integration of Marginal Groups

Marginalized groups,affected by the stigma of the label,have low intra-individual self-efficacy,lack external support in social life,and are often excluded in the economic,political and social relations,which is not conducive to social justice and stability. In the perspective of empowerment theory,the marginalized groups need to be integrated into the society on individual,interpersonal,and political levels. On the individual empowerment level,self-efficacy is to be enhanced in the marginalized groups to promote their self-acceptance;on the interpersonal empowerment level,social resources for the marginalized groups are to be expanded through self-help groups so as to build an extensive social support network; on the political empowerment level,it is advocated to improve the relevant legislation and policy support. Social workers and various social parties should work together to create a good environment for the social integration of marginalized groups.

制造业企业数字能力指数的构建与测算——来自中国制造业上市公司的经验证据

对制造业企业数字能力进行重新界定,并以此为基础构建包括4个一级指标、8个二级指标及20个三级指标的制造业企业数字能力指数评价指标体系,以主客观综合赋权法形成数字能力指数测算模型。并以沪深两市2012-2021年制造业上市公司为研究样本进行指数测算,从总体、区域、行业和所有制四个维度分析中国制造业企业数字能力的演变特征。研究结论如下:(1)企业数字能力指数包含数字支撑能力、数字应用能力、数字赋能能力和数字创新能力四个维度。从指标赋权来看,四个维度中数字支撑能力权重占比最大,数字创新能力权重占比最小。(2)数字能力指数强调主客观综合赋权法,被用于指导和测算制造业企业数字能力,评估企业在数字化转型方面的程度和水平,了解企业在智能制造方面的潜力,提升生产效率,帮助制造业企业识别能力短板,更好地培育与提升数字能力。(3)制造业企业数字能力指数呈现整体偏低、从东南沿海向西部内陆逐渐降低、高科技制造业行业数字能力指数较高、民营制造业企业数字能力指数较高等异质性。

层级式心理支持联合赋权理论健康教育在血液透析患者中的应用

目的:探讨层级式心理支持联合赋权理论健康教育应用于血液透析(HD)患者中的效果。方法:选取2022年11月—2023年10月厦门大学附属第一医院收治的101例HD患者,以随机数字表法分成干预组(n=51)与对照组(n=50)。对照组采用常规干预,干预组采用层级式心理支持联合赋权理论健康教育。比较两组疾病知识知晓情况、负性情绪、自我护理能力。结果:干预后,两组HD健康知识问卷各项目知晓率均高于干预前,且干预组均高于对照组,差异均有统计学意义(P<0.05)。干预后,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于干预前,且干预组均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组自我护理能力测定量表(ESCA)各项评分均高于干预前,且干预组均高于对照组,差异均有统计学意义(P<0.05)。结论:层级式心理支持联合赋权理论健康教育应用于HD患者中,能够提高疾病知识知晓情况,改善负性情绪及自我护理能力。

基于改进SPA的舰船保障性评估

论文构建了舰船保障性评估指标体系,引入评分标度改进属性层次模型(AHM),运用熵权法和MEREC(Method Based on the Removal Effects of Criteria)改进CRITIC赋权法,运用CM-TOPSIS综合主客观权重。结合改进集对分析法,建立了舰船保障性评估模型,并通过实例验证了该模型的合理性和有效性。

自我-家庭-环境赋权管理模式对老年T2DM患者自我效能、社会支持及生活质量的影响

目的探究自我-家庭-环境赋权管理模式对老年2型糖尿病(Type 2 Diabetes Mellitus,T2DM)患者自我效能、社会支持及生活质量的影响。方法将2022年11月—2023年11月山东省泰安荣军医院收治的68例老年T2DM患者纳入研究,根据患者治疗期间接受的不同护理方式进行分组,常规护理组(31例)接受T2DM常规护理,赋权管理组(37例)接受自我-家庭-环境赋权管理模式。对比两组血糖水平、用药依从性、自我效能评分、社会支持评分和生活质量评分。结果赋权管理组患者的空腹血糖、餐后2 h血糖水平均低于常规护理组,差异有统计学意义(P均<0.05)。赋权管理组患者的用药应从性高于常规护理组,差异有统计学意义(P<0.05)。赋权管理组患者的糖尿病自我效能量表各维度评分及总分均高于常规护理组,差异有统计学意义(P均<0.05)。赋权管理组患者的社会支持评定量表各维度评分及总分均高于常规护理组,差异有统计学意义(P均<0.05)。赋权管理组患者的生活质量量表各维度评分及总分均高于常规护理组,差异有统计学意义(P均<0.05)。结论自我-家庭-环境赋权管理模式能有效降低老年T2DM患者的血糖水平,提高用药依从性、自我效能、社会支持及生活质量。

家庭赋权护理模式对初产妇母乳喂养自我效能及喂养率的影响

目的:探究家庭赋权护理模式对初产妇母乳喂养自我效能及喂养率的实际影响效果。方法:以宜春市妇幼保健院妇产科于2021年5月—2022年9月进行建档分娩的100例初产妇作为本研究对象,以随机数字表法将其分为对照组和试验组,各50例。对照组进行常规护理,而试验组实施家庭赋权护理模式。对比分析两组初产妇母乳喂养家庭支持情况、母乳喂养的自我效能情况及母乳喂养率。结果:护理前,两组初产妇的母乳喂养家庭支持问卷各评分、中文版母乳喂养自我效能简式量表(BSES-SF)评分对比,差异均无统计学意义(P>0.05);产后2个月,试验组母乳喂养家庭支持问卷各评分均高于对照组(P<0.05);产后2个月,试验组中文版BSES-SF评分高于对照组,差异有统计学意义(P<0.05)。产后1、2个月,试验组的母乳喂养率分别为88.00%、90.00%,均明显高于对照组的母乳喂养率,差异均有统计学意义(P<0.05)。结论:家庭赋权护理模式可获得家庭对初产妇母乳喂养的支持,提升自我效能和母乳喂养率。

支持性社区氛围对消费者公民行为的影响——基于消费者增权视角

基于SOR理论探讨支持性社区氛围对消费者公民行为的影响,采用问卷调查方法收集有效问卷350份并进行实证分析。结果显示:支持性社区氛围正向影响消费者公民行为;消费者增权在支持性社区氛围对消费者公民行为的影响中起部分中介作用;主动性人格正向调节消费者增权和消费者公民行为之间的关系,还调节消费者增权的中介作用。

基于营商环境视角的企业合规赋能路径探析

近年来,为应对国内企业海外经营活动的合规需求,我国行政监管部门逐步引进合规制度,在形式和内容上均取得了一定的合规效果。但合规制度在本土化和中国化的过程中面临着制度建构进程中的各种阵痛。国内以行政机关为主导的制度落地模式,使合规制度面临制度保障不足、企业自主合规动力缺乏及公共法律服务乏善可陈的困境。营商环境与企业合规具有主体和目标的一致性,发挥其体制性机制性因素,以“法治化”“市场化”“便利化”“数字化”原则为企业合规的高质量发展提供路径。通过优化法治环境、市场环境、公共服务环境和数字环境,最终在制度供给、激活企业动力、提供公共法律服务和数字赋能方面,不断打造与企业合规互生共长的营商环境,从而唤醒企业合规自主性,实现企业的可持续发展。

高血压患者健康赋权现状及其相关影响因素分析

目的:探讨高血压患者健康赋权现状及其相关影响因素。方法:选取2021年8月至2022年8月于我院住院的80例高血压患者,采用慢性疾病健康赋权量表评估患者的健康赋权水平,采用自制基线资料调查问卷、社会支持评定量表调查并收集相关资料,比较不同特征高血压患者的健康赋权评分,采用线性回归分析影响高血压患者健康赋权水平的因素。结果:80例患者的健康赋权评分为(97.58±9.56)分,处于中等水平。不同年龄、高血压分级、文化程度、心理弹性、社会支持度的高血压患者健康赋权评分比较,差异有统计学意义(P<0.05);不同性别、付费方式、居住地的高血压患者健康赋权评分比较,差异无统计学意义(P>0.05)。线性回归分析结果显示,年龄≥60岁、高血压分级3级、文化程度高中及以下、心理弹性较差、社会支持度低下是高血压患者健康赋权水平较低的危险因素(P<0.05)。结论:高血压患者健康赋权为中等水平,年龄≥60岁、高血压分级3级、高中及以下、心理弹性较差、社会支持度低下是该类患者健康赋权水平较低的危险因素,对此临床应加强对老年及病情严重的高血压患者病情观察及照护,积极开展高血压相关健康知识宣教、心理疏导,并引导患者家人给予患者更多的支持,以促进患者健康赋权水平的提升。

家属赋权结合心理支持护理在脑胶质瘤患者中的应用研究

目的分析将家属赋权与心理支持相结合的护理模式应用于脑胶质瘤患者的效果。方法选择河南省人民医院于2021年1月至2023年6月期间收治的86例脑胶质瘤患者,利用随机数字表法分为对照组(常规护理)和试验组(家属赋权+心理支持护理),各43例。对比两组护理效果。结果护理后,试验组心理状态优于对照组,差异有统计学意义(P<0.05)。护理后,试验组患者及其家属健康知识掌握各项评分高于对照组,差异有统计学意义(P<0.05)。护理后,试验组服药依从率(97.67%)高于对照组(83.72%),差异有统计学意义(P<0.05)。护理后,试验组自护能力评分高于对照组,差异有统计学意义(P<0.05)。护理后,试验组的生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论将家属赋权护理和心理支持护理相结合并应用于脑胶质瘤患者中可发挥极大效果,可有效提升患者生活质量,加强疾病预后,具有重要临床应用价值。

数字赋能高职院校思想政治教育的路径研究

在高职院校的思政工作中,数字赋能提供了全新的教育手段,不断推动着高校院校思政工作教育理念和教育手段的创新。文章分析数字赋能高职院校思想政治教育的优势,探讨数字赋能高职院校思想政治教育存在的问题,指出数字赋能高职院校思想政治教育要以问题为导向,建立精准的数字价值赋能系统;以技术为支撑,搭建数字化教育平台;以软件为载体,丰富数字化教学内容;以网络为基础,构建线上线下相结合的教学模式;以事实为依据,积极发挥新媒体的引领作用。

感知社会支持在老年人治疗负担和慢性病患者赋能间的中介作用

目的 :分析老年人感知社会支持在治疗负担与慢性病患者赋能间的中介效应。方法 :采用便利抽样法,于2021年1月—8月采用治疗负担问卷、感知社会支持量表、慢性病患者赋能量表对青岛市市区内的6家养老机构的460例老年人进行问卷调查。结果 :老年人治疗负担与感知社会支持呈负相关(P<0.001),与慢性病患者赋能呈负相关(P<0.001),感知社会支持与慢性病患者赋能呈正相关(P<0.001)。Bootstrap检验结果显示,感知社会支持在治疗负担与慢性病患者赋能间起部分中介效应,占总效应的51.98%。结论 :治疗负担不仅直接作用于慢性病患者赋能,还通过感知社会支持间接影响慢性病患者赋能,建议据此制定有针对性的干预措施帮助老年人正确面对治疗负担。

在线品牌社区社会支持对顾客创造力影响机制研究

顾客通过在线品牌社区参与企业创新活动过程中,社区提供的社会支持能强化顾客心理授权和创新激情,进而提升顾客创造力。笔者基于社会支持和认知-情感人格系统(CAPS)理论,在构建在线品牌社区社会支持对顾客创造力影响模型的基础上,利用对523位具有在线品牌社区创新活动参与经历顾客的问卷调查数据,采用多元回归和Bootstrap分析方法,从在线情境下社会支持的信息支持和情感支持两个最主要维度检验社会支持对顾客创造力的直接影响以及其间顾客心理授权和创新激情的中介路径。检验结果证实:顾客参与在线品牌社区创新活动情境下,社区提供的信息性和情感性社会支持对顾客创造力均有显著的正向影响;顾客心理授权在信息性和情感性社会支持影响顾客创造力的过程中具有中介作用;顾客创新激情在信息性和情感性社会支持影响顾客创造力的过程中具有中介作用。本研究拓展了社会支持等理论的应用范畴,丰富了顾客在线创新和顾客创造力等相关研究文献,为在线品牌社区通过提供有效的社会支持提升顾客创造力提供了理论依据。

领导支持对校长职业倦怠的影响:心理授权和上级满意度的中介作用

研究采用问卷法对426名中小学校长进行调查研究,探讨了领导支持与校长职业倦怠的关系,考察了校长心理授权、校长对上级满意度在领导支持与校长职业倦怠之间所起的中介作用。研究结果显示:(1)领导支持与校长心理授权及校长对上级满意度呈显著正相关;领导支持、校长心理授权和校长对上级满意度与职业倦怠呈显著负相关;(2)领导支持显著负向预测校长职业倦怠;校长心理授权和对上级满意度分别在领导支持影响校长职业倦怠中单独发挥中介作用,且校长心理授权和对上级满意度在领导支持影响校长职业倦怠中发挥链式中介作用。

从性别和发展视角看积极生育支持政策

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