Information-motivation-behavioral guided nursing for stroke patients with pulmonary dysfunction:A randomized controlled trial

BACKGROUND Patients with stroke frequently experience pulmonary dysfunction.AIM To explore the effects of information-motivation-behavioral(IMB)skills modelbased nursing care on pulmonary function,blood gas indices,complication rates,and quality of life(QoL)in stroke patients with pulmonary dysfunction.METHODS We conducted a controlled study involving 120 stroke patients with pulmonary dysfunction.The control group received routine care,whereas the intervention group received IMB-model-based nursing care.Various parameters including pulmonary function,blood gas indices,complication rates,and QoL were assessed before and after the intervention.RESULTS Baseline data of the control and intervention groups were comparable.Post-intervention,the IMB model-based care group showed significant improvements in pulmonary function indicators,forced expiratory volume in 1 sec,forced vital capacity,and peak expiratory flow compared with the control group.Blood gas indices,such as arterial oxygen pressure and arterial oxygen saturation,increased significantly,and arterial carbon dioxide partial.pressure decreased significantly in the IMB model-based care group compared with the control group.The intervention group also had a lower complication rate(6.67%vs 23.33%)and higher QoL scores across all domains than the control group.CONCLUSION IMB model-based nursing care significantly enhanced pulmonary function,improved blood gas indices,reduced complication rates,and improved the QoL of stroke patients with pulmonary dysfunction.Further research is needed to validate these results and to assess the long-term efficacy and broader applicability of the model.

Advances in the Study of Psychological Stress and Eating Behavior in Children and Adolescents

With the rapid development and change in society,children and adolescents are facing more and more psychological pressure,which comes not only from academic performance and interpersonal relationships but also from family environment,social expectations and other aspects.Psychological stress not only affects the mental health of children and adolescents but is also closely related to their eating behavior.Therefore,exploring the relationship between psychological stress and eating behaviors is of great significance in promoting the physical and mental health development of children and adolescents.Based on this,the study reviewed the research progress on the relationship between psychological stress and eating behavior of children and adolescents in recent years.The relationships between psychological stress and general eating behaviors,abnormal eating behaviors and eating disorders were successively reviewed,and the related physiological mechanisms were explored with a view to providing a scientific basis for mental health education and eating behavior intervention for children and adolescents.

Study of The Technical Index of Online Learning Behavior Analysis of Nursing Majors on The Superstar Platform Based on The Kirkpatrick Evaluation Model

Objective:To analyze the technical indexes of students’online learning behavior analysis based on Kirkman’s evaluation model,sort out the basic indexes of online learning behavior,and extract scientific and efficient evaluation indexes of online learning effect through statistical analysis.Methods:The online learning behavior data of Physiology of nursing students from 2021-2023 and the first semester of 22 nursing classes(3 and 4)were collected and analyzed.The preset learning behavior indexes were analyzed by multi-dimensional analysis and a correlation analysis was conducted between the indexes and the final examination scores to screen for the dominant important indexes for online learning effect evaluation.Results:The study found that the demand for online learning of nursing students from 2021-2023 increased and the effect was statistically significant.Compared with the stage assessment results,the online learning effect was statistically significant.Conclusion:The main indicators for evaluating and classifying online learning behaviors were summarized.These two indicators can help teachers predict which part of students need learning intervention,optimize the teaching process,and help students improve their learning behavior and academic performance.

The Research Comment on Organic Food Consumer Behavior

Since the development of organic food,to a great extent,depends on the needs of consumers,the studies on the consumer behavior of organic food would have far-reaching significance to the development of the whole organic food industry. The recent studies in this field mainly include the following four aspects: the consumers' recognition of organic food; the consumers' attitude towards organic food; the consumers' purchase of organic food; the consumers' willingness to pay. The paper would review the recent domestic and foreign studies on the four aspects mentioned above,aiming to provide references to the researches in this field.

Research on the Model of Consumer Health Information Seeking Behavior via Social Media

Purpose: We aim to create a model of consumer health information seeking behavior via social media, then to have a better understand of it. After that further efforts should be made to provide targeted recommendations for media managers to promote health communication via social media. Methods: Our custom model was derived from literature review, empirical research was tested by the use of questionnaire investigation, and then the collected data were analyzed by structural equation model tool SmartPLS. Finally, the custom model was modified according to the experimental results of SmartPLS. Results: A total of 239 (66.39%) of the respondents were female and 121 (33.61%) were male. The maximum of two stages of age were 18 - 29 (70.56%), 30 - 39 (13.89%). Wechat (60.28%), QQ Zone (55.22%), Micro-blog (48.89%) were the most commonly used social media to obtain health information. About 44.72% of respondents used social media to obtain health information multiple times a day. The whole numerical values of AVE, cronbach’s alpha, CR and square roots of AVE were above the benchmarks of themselves and showed great reliability and validity. All the 11 hypotheses had obvious statistical significance, the P-value of eight path coefficients exhibited <0.001, one path coefficient exhibited <0.01 and two path coefficients exhibited <0.05. Conclusions: A suitable model of consumer health information seeking behavior via social media was created and some inner relationships were found. Namely, gratification of health information and its platform had a positive effect on attitudes toward health information seeking behavior. Health information literacy and health status were proved to have a significant influence on attitudes toward health information seeking behavior, subject norms and perceived behavioral control respectively. In addition, attitudes toward the health information seeking behavior, subject norms and perceived behavioral control were proved to positively associate with health information seeking behavior intention.

RESEARCH ON THE COMPLICATED DYNAMICAL BEHAVIORS OF NONLINEAR ECOSYSTEMS(Ⅱ)

This paper is a further study of reference [1]. In this paper, we mainly discuss the complicated dynamical behaviors resulting from a simple one-dimensional model of nonlinear ecosystems: fixed point motion, periodic motion and chaotic motion etc., and briefly discuss the universality of the complicated dynamical behaviors, which can be described by the first and the second M. Feigenbaun. constants. At last, we discuss the 'one-side lowering phenomenon' due to near unstabilization when the nonlinear ecosystem approaches bifurcation points from unbifurcation side. It is of important theoretical and practical meanings both in the development and utilization of ecological resources ar.d in the design and management of artifilial ecosystems.

The expansion and limitation of behavioral finance research methods

Behavioral finance inherits the standard research methods in the finance, and it makes outstanding contribution to leading the experimental research into the field of finance. It uses the cognitive science as the method guide to expand its scientific research tools. On one hand, the intelligent development of the cognitive science provides an important and effective means of a tool for the behavioral finance research; on the other hand, precisely because behavioral finance theories of progress makes a certain extent, dependent on the modem cognitive science research results and thus the development of cognitive science, its results application and limitation will be confined to a direct impact on the development of behavioral finance. That is why we need an in-depth study of the new method of behavioral finance research and grasps their limitations.

Avian brood parasitism — a growing research area in behavioral ecology (part Ⅱ)

正We are pleased to publish the second special issue on avian brood parasitism and to be responsible guest editors for the two special issues of Chinese Birds (Vol. 3, No. 4, 2012 and Vol. 4, No. 1, 2013), entitled "Avian Brood Parasitism - A Growing Research Area in Behavioral Ecology". The first issue was published in December 2012. The goal of the two special issues is to publish accumulated knowledge and some of the recent developments

Hanoi Public TransportmTransformation by Management Using Action Research and Behavior Setting Theory

After the economic reforms in Vietnam, the number of motorbikes surged while public transport lost its passengers. No funds for investment available TRAMOC （Transport Management and Operation Centre）, the Transport Management and Operation Center started the experiment of transforming Hanoi Public Transport by management based on action research, introducing some interventions, which had shown to be effective in Europe. Phase I of the experimental approach was carried out with the smallest company that operated Line 32. The number of daily passengers surged from 1,700 to 8,000. In Phase II, the experiment was extended to the whole net. In 2001, there were 35,000 passengers per day, in 2010, there were 1 million; this is an increase of 3,000%. The result surpassed by far the expectations. The key for understanding the surprising results is the mode choice. 53% of the users are riders by choice; they have access to a car or motorbike. Simulation of the decisions as rational choice based on time needed for trips was proved to be quite accurate. Behavior was analyzed in the frame of behavior setting theory, which brings together urban structure and the design of the transport system. Success with introducing public transport needs a self-reliant leadership, which works with people in their real life situation. An urban transport system is part of the organized behavior of the people, who make use of the technical opportunities offered.

AI赋能视角下的信息行为研究--2023年信息行为研究年会综述

2023年12月23—24日,2023年信息行为研究年会在北京大学召开,来自全国70多所高校的200余位知名专家学者和学生参加了会议。本次年会以“AI赋能视角下的信息行为研究”为主题,设置了主旨报告、专题讨论、海报展示、分论坛报告、眼动追踪工作坊等环节,围绕信息行为研究领域在新一代人工智能(AI)技术浪潮下的理论创新、方法应用、情境拓展、人本关怀、社会发展等方面进行深入研讨。文章综述了与会者的学术成果与主要观点,为信息行为研究的发展与创新提供理论启迪与研究指引。

消费者生理和行为暴露参数研究进展

随着经济发展,日常使用的消费品成为普通人群接触化学污染物的重要来源之一。为保障消费者人身健康安全,更好地开展消费品安全暴露风险评估,本文聚焦消费品中化学危害源暴露评估中的消费者特异参数,介绍了体重、呼吸速率、皮肤表面积等生理参数和消费者行为参数的研究方法和进展,分析各种研究方法的优势和不足,对现有消费品安全有关暴露参数的数据可用性进行评述,并展望了暴露参数研究的发展方向。

吸烟和轻中度饮酒与社区老年男性认知功能相关性研究

目的探讨吸烟和轻中度饮酒与社区老年男性认知功能的相关性。方法采用中国纵向老龄队列数据库,纳入其中1201名社区老年男性(不含重度饮酒者),根据自我汇报的吸烟饮酒史将其分为吸烟饮酒组(n=332)、不吸烟但饮酒组(n=126)、吸烟但不饮酒组(n=308)、不吸烟不饮酒组(n=435),应用北京版蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)评估认知功能。采用双因素方差分析比较认知功能的差异,多因素线性回归模型分析认知功能下降的风险因素。结果主效应分析提示,轻中度饮酒对MoCA总分(F=6.076,P=0.014)、MoCA命名(F=11.179,P=0.001)和MoCA抽象(F=7.718,P=0.006)的影响具有统计学意义,轻中度饮酒者比不饮酒者的MoCA总分(22.50±5.27 vs.23.30±5.28)、MoCA命名(2.41±0.85 vs.2.58±0.76)、MoCA抽象(0.93±0.84 vs.1.10±0.82)更低。吸烟对MoCA总分(F=0.234,P=0.628)、MoCA命名(F=0.110,P=0.741)和MoCA抽象(F=1.335,P=0.248)的影响无统计学意义,吸烟和轻中度饮酒对MoCA评分的影响不存在交互作用(P>0.05)。多因素线性回归分析结果显示,无轻中度饮酒史与MoCA命名呈正相关(B=0.125,P=0.008)。对非痴呆者进行分层分析显示,无轻中度饮酒史与MoCA总分(B=0.550,P=0.011)、MoCA命名(B=0.134,P=0.002)呈正相关。结论吸烟和轻中度饮酒对社区老年男性认知功能无明显的相互影响,轻中度饮酒可能与总体认知功能和命名功能下降相关。

磺胺类药物水环境行为及水生生物毒性研究进展

磺胺类药物(SAs)在水环境中普遍存在,大部分SAs以母体分子或代谢产物形式排放到环境中,地表水、地下水、海水甚至饮用水中都能检测到低浓度的SAs。因SAs排放量大、环境假性持久性强等特点,其对水生态环境和人类健康构成潜在风险。针对SAs在水环境中的归趋问题,总结了SAs在水环境中吸附、迁移、转化、降解、生物富集等典型行为规律,进一步分析SAs对水生植物、水生动物及水生微生物产生的毒性效应。结果表明:SAs在水环境中行为的研究多集中在环境介质表面的吸附特性与规律,而对SAs依赖水动力条件的迁移转化和生物富集规律研究较少;SAs在环境介质表面的吸附主要以阳离子交换和分子结合的形式发生,吸附质表面的电荷密度是决定吸附量的重要因素;SAs在水环境中广泛存在,虽然浓度水平较低,但对水生生物造成的负面影响会产生潜在的生态风险,主要表现为干预水生植物的生长发育过程,造成水生动物的特征性畸形,干扰水中微生物的群落结构与功能,最终会对整个水环境及其循环造成宏观的影响。未来应加强SAs在水环境中衰减过程的浓度和贡献率研究以及对水生生物毒性标准化测试,以期深入研究SAs生态毒理学、解决SAs污染问题。

计划行为理论视角下中青年结直肠癌幸存者重返工作障碍的质性研究

目的基于计划行为理论(TPB)探究中青年结直肠癌(CRC)幸存者重返工作的障碍因素,旨在为该人群重返工作支持方案的制订提供参考依据。方法采用目的抽样法,选取2023年3—5月重庆医科大学附属第一医院胃肠外科CRC术后患者作为研究对象。根据TPB拟定访谈提纲,对16名中青年CRC幸存者进行半结构式访谈,应用Colaizzi 7步法进行资料分析。结果提炼出中青年CRC幸存者重返工作的障碍因素,包括3种类别和10个主题:行为态度(认知偏差、负面情绪、患者角色强化);主观规范(家庭支持不足、社会包容欠佳、负面事件影响);知觉行为控制(身体状态欠佳、认知功能障碍、返岗知识缺乏、自护能力不足)。结论医务人员应帮助中青年CRC幸存者纠正对重返工作的错误认知,疏导其负面情绪,同时相关部门应整合多方资源,强化社会支持,并开展职业康复指导,以促进CRC幸存者顺利重返工作,实现社会功能的整体康复。

孤独症谱系障碍RUBI-PT方案的改编及适应性调查

目的·探究“行为干预研究单位孤独症网络家长培训”[the Research Units in Behavioral Intervention(RUBI)Autism Network Parent Training,RUBI-PT]方案的中国本土化改编并对其适应性进行调查。方法·按照文化改编的4个步骤对RUBI-PT方案进行改编,包括信息收集、初步改编设计、初步改编测试、进一步调整。信息收集阶段邀请了6位儿科专家和2位心理治疗师进行6次焦点小组访谈,并根据专家意见从语言、治疗形式、治疗设置等方面对RUBI-PT方案进行初步改编;初步改编测试阶段招募了16位孤独症谱系障碍(autism spectrum disorder,ASD)患儿的家长,分2批参加线上RUBI-PT,结束后收集项目反馈问卷并行适应性调查分析,最后根据测试结果进行方案的进一步调整。结果·RUBI-PT的初步改编方案由个体培训调整为团体培训,包含8次核心技能课程,采用线上会议形式实施。初步测试结果显示,家长对于上课进度、上课过程、课后作业完成情况、作业点评情况的满意度分别为90%、80%、100%和100%;课程难度方面,第7次课(功能性沟通训练)和第8次课(教授技能)的难度最大。依据上述调查结果和专家小组意见完成进一步调整,最终形成本土化RUBI-PT的改编方案。结论·经过改编和适应性调查,形成了适用于中国ASD儿童家庭的家长行为训练策略即RUBI-PT。

基于行为研究法的健康管理在脊柱外科围术期患者中的应用

目的:探讨基于行为研究法的健康管理在脊柱外科围术期患者中的应用效果。方法:选取2021年1月1日~2022年12月31日脊柱外科收治的88例患者作为研究对象,按照单双号法随机分为管理组和常规组各44例,常规组采用脊柱外科常规围术期护理,管理组在常规组基础上采用基于行为研究法的健康管理。比较两组深静脉血栓形成(DVT)发生率、DVT风险[采用Caprini风险评估量表]、血栓相关指标[包括D-二聚体(D-D)、纤维蛋白原(Fg)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)]、疾病认知(采用骨科手术患者深静脉血栓认知水平问卷)、生活质量[采用生活质量综合评定问卷(GQOL-74)]。结果:管理组DVT发生率低于常规组(P<0.05);术后1、3 d,两组Caprini风险评估量表评分均低于术后即刻(P<0.05),且管理组低于常规组(P<0.01);术后3 d,两组D-D、Fg、PT、APTT均低于术后1 d(P<0.05),且管理组低于常规组(P<0.05);干预后,两组疾病认知水平、GQOL-74评分均高于干预前(P<0.05),且管理组高于常规组(P<0.05)。结论:基于行为研究法的健康管理能降低脊柱外科手术患者围术期DVT发生风险,提升患者疾病相关知识认知水平,改善生活质量。

基于深度学习的学生学习行为规制路径研究

由于自身和外部环境因素的影响,在线上线下混合式教学中,学生会出现一些问题学习行为,而问题学习行为必将弱化学习效果,无法实现深度学习。通过线上线下混合式教学中的学生学习行为,总结教学过程中普遍存在的三个问题:学习目标价值偏离,线上即时引导面临挑战;线下教学模式依赖固化,线上即时指导存在障碍;评价未适用混合式教学,评价结果效用缺位。在此基础上,以规制学生学习行为为目标,提出价值引导、任务驱动及立体评价三个机制。在三个规制机制的指导下,把课程的教学设计作为一种学术研究,在《隧道工程》教学中针对性地创设不同的规制措施,并观测学生的反馈效果。再通过发放问卷调查课程教学的效用,结果表明,该教学设计可以有效增强学生知识习得和优化学习行为,有效促进深度学习的实现。

行为改变轮理论的国内外应用现状

本研究概述行为改变轮理论在国内外的应用现状,探讨其在临床护理领域中的应用与启示,以期为国内研究者应用该理论提供参考。通过检索国内外行为改变轮理论相关研究文献,从行为改变轮理论的内中外3层框架、9大功能、7大政策、国内外应用效果及启示等方面进行综述。发现基于行为改变轮理论的干预方案对患者的依从性、自我管理、疾病相关知识和正向情绪都具有良好的结局。行为改变轮理论为行为改变干预方案的构建提供系统的理论指导,对于临床护理干预有重要的参考价值.

行为研究法视角下的快速康复护理在腹腔镜胆囊结石手术病人中的应用

目的:探讨基于行为研究法的快速康复干预在腹腔镜胆囊结石手术病人中的应用效果。方法:2021年8月—2022年8月选取腹腔镜胆囊结石手术病人104例为研究对象,采用随机数字表法将病人分为观察组(n=52)和对照组(n=52),对照组行常规护理,观察组实施基于行为研究法的快速康复干预,比较两组干预前后健康管理行为、术后康复情况及生活质量。结果:两组干预后健康行为量表(HPLP)评分、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分比较差异有统计学意义(P<0.001)。观察组首次下床活动时间、术后首次排气时间、恢复正常饮食时间、拔除腹腔引流管时间及住院时间均较对照组缩短,差异有统计学意义(P<0.001),观察组术后12 h疼痛视觉模拟评分(VAS)、并发症发生率及术后6个月结石复发率低于对照组,差异有统计学意义(P<0.05)。结论:基于行为研究法的快速康复干预能有效提升腹腔镜胆囊结石手术病人健康管理行为,促进病人术后康复,并能预防结石复发,改善病人生活质量。

社会遵从视角下的移动政务用户转移行为

探究移动政务用户转移行为的驱动因素和驱动路径对促进移动政务良性发展、优化政务环境具有重要意义。文章从社会遵从视角构建转移行为驱动因素的分析框架,采用PLS结构方程分析和模糊集定性比较分析的混合研究方法,探究影响移动政务用户转移行为的驱动因素及组态效应。研究发现:移动政务用户转移行为可归因于政府支持、群体规范、转移认知的共同作用,其中政府支持与群体规范通过用户的转移认知正向影响转移意愿与转移行为;移动政务用户转移行为存在多重并发和殊途同归的因果路径,即政府驱动型和群体遵从型。