Effects of physical activity by the teach-back educational method on the physical ability and quality of life in hemodialysis patients:a clinical trial

Objective:To determine the effect of physical activity by using the teach-back educational method on hemodialysis patients’quality of life(QOL)and physical ability.Methods:This is a single-blind clinical trial study involving a control group.A total of 90 patients who admitted to the dialysis centers of Beheshti and Besat hospitals in Hamadan were selected using a convenience sampling method and were randomly assigned to intervention(n=45)and control(n=45)groups.Data were collected using a demographic information checklist,a kidney disease QOL questionnaire,and a 6-minute-walk distance(6MWD)checklist.The patients’QOL questionnaire was completed,and the 6MWD was recorded before and at the end of the 2nd,4th,6th,8th,and 12th weeks of the intervention.In the intervention group,the patients were taught to perform physical activities with Pilates stretches in different resistances using the teach-back educational method during dialysis sessions for 12 weeks.Data were analyzed by using the independent t-test and chi-square test using SPSS-22 software.Results:Before the intervention,no differences were observed between the experimental and control groups in terms of demographic characteristics,QOL,and physical ability(P>0.05).The physical ability and QOL levels of patients exercising in the test group were higher than those in the control group after the intervention(P<0.05).Based on the results,the 2 groups significantly differed with regard to the scores of various dimensions of QOL and physical ability after the intervention(P<0.05).Conclusions:Physical activity by using the teach-back method can effectively increase physical ability and improve QOL of hemodialysis patients.Therefore,the recommendations and inclusion of exercise in the dialysis care plan can effectively promote patients’health.

Association of spiritual well-being with quality of life among undergraduate nursing students

Objective:The study was conducted with the aim of determining the spiritual well-being(SWB)of nursing students and its association with quality of life(QOL).Materials and Methods:A cross-sectional analytical study was conducted with a sample size of 504 nursing students collected from January 2023 to March 2023 in the nursing institutes of Khyber Pakhtunkhwa,Pakistan,using convenient sampling techniques.A Spiritual Health and Life-Orientation Measure(SHALOM)questionnaire for SWB and K-27 QOL(K-27 QOL)instrument were used for data collection that contains three parts.Results:The number of female participants was in the majority(50.4%)compared to male nurses(49.6%).The overall mean score of SWB of the students was 3.79±0.48,while the mean K-27 QOL score was 3.73±0.57.There were significant differences between the groups of gender(P=0.001),while no significant difference within the groups of semester(P=0.061)and college status(0.285).In QOL,there were significant differences within the groups of semester(P=0.000)and college status(P=0.036)while no significant difference in gender category(P=0.480).SHALOM score is positively and moderately correlated with QOL score(r=0.597,P<0.05).Conclusion:Spiritual practices are one of the important factors that are associated positively with QOL,therefore to enhance the QOL,it will require spiritual practices.

Exploration and Practice of Life Education Curriculum Based on Embodied Cognition Theory

In recent years,the suicide rate of adolescents has been increasing year by year,and life and health problems have become the most important in education.It is urgent to promote the construction of the curriculum of life education effectively.In view of the“vacuity”and“fragmented”state of traditional life education,this paper combs the teaching objectives,teaching contents,teaching methods,and teaching evaluation of life education from the perspective of embodied cognition theory,to explore the construction of positive experience of life education curriculum.

Effect of Intervention Educational Programs on Improving Quality of Life among Overweight/Obese University Students in Gaza Strip

Background: Overweight and obesity are among the most frequently encountered multi-factorial disorders in most populations of the world. In addition, to its health impacts, overweight/obesity leads to many health problems which reflect on the university students’ physical, psychological, social and environmental aspects of their quality of life. The study aim was to evaluate the effect of an educational program on improving quality of life of overweight/obese university students in Gaza strip. Materials and Methods: quasi-experimental nonequivalent pretest-posttest control group design utilized in this study 74 and 69 students in the intervention and control group respectively. The study conducted at Islamic university of Gaza and data were collected in two stages before and after five months from the application of the educational program, using interviewing questionnaire and world health organization quality of life-BREF instrument;pre-post test and body mass index were calculated. Results: the study results revealed that overall students’ knowledge for posttest was significantly higher than pretest (p-value ≤ 0.05). Overall, mean score of quality of life after the program was significantly (p-value = 0.001) greater than before and greater than control group for all domains. Conclusion: The study concluded that the health educational intervention program had positive effects on knowledge, practices and attitudes regarding overweight/obesity with improving university students’ mean score of quality of life.

The Effect of a Psycho-Educational Intervention on Quality of Life of Patients with Advanced Lung Cancer Undergoing Chemotherapy

Objective: Cancer patients undergoing chemotherapy commonly experience depression and anxiety, which, along with adverse effects of chemotherapy, inevitably compromise quality of life (QOL) of the patients. The aim of this study was to investigate the effect of a psycho-educational intervention on the quality of life (QOL) of patients with advanced lung cancer undergoing chemotherapy. Methods: Two hundred in-patients with unresectable advanced lung cancer undergoing chemotherapy in Shanxi Cancer Hospital from January to October 2013 were randomized into the intervention group (n = 100) and the control group (n = 100). Patients in the intervention group received a purposely designed and nurse-delivered psycho-educational intervention in addition to routine caring and chemotherapy, whereas those in the control group underwent chemotherapy and routine caring only. QOL of patients was assessed according to QOL instrument for lung cancer (QLICP-LU). The impact of the psycho-educational intervention on QOL was analyzed using independent-sample t test and χ2 test. Results: The psychological, physical, and social function, and the overall QOL scores were significantly improved in patients who received the psycho-educational intervention compared with those in the control group. Conclusions: A nurse-delivered psycho-educational intervention is a useful strategy to improve QOL of patients with advanced lung cancer undergoing chemotherapy.

Educational Software Development Life Cycle Stages

Technological innovations have revolutionized the educational technology into various dimensions. Educational processes without educational technology have no value in this modern world. In education domain, the educational software has simplified the processes in greater extend. A implemented while developing such educational software. In particu proper lar, the development methodology has to be software developed to enrich these education processes should follow a development strategy to motivate the end users to utilize the hypermedia potentials. The software development life cycle （SDLC） has different phases in designing such educationa technology and assists the end users to benefit from the modern technology. This study identifies the various factors to be considered at each phase of the SDLC while developing educational software. Also, this study proposes some suggestions to be followed in ESDLC with respect to educational processes perspectives. The core idea of this study is to identify the various issues in implementing such educational software in day to day teaching and learning processes.

An Analysis of Children's Educational View of Charles Dickens in Oliver Twist

Charles Dickens—the greatest representative of English critical realism writer in the 19th century.The age when he lived and his own experience contributed to his more attention to the low-class people of the society and children's education.His first work of critical realism Oliver Twist is also not exceptional which shows attention of the children's education,compassion and concerning about children's growth in the novel.The author argues from the view of pedagogy to analyze the causes of the tragic fate of five secondary typical characters(Monks,Dick,Noah,Dodger and Charley)to reveal children's educational view of Charles Dickens—the harmony of family relationships,the humanization of school system and the fraternity of social system in Oliver Twist.At the same time,the author would study that children educational view of Charles Dickens's influence on the children's education in our country,especially for the education of delinquent children in modern society.

Survey and Countermeasures on Current Situation of Life Education for College Students in Local Normal Colleges and Universities

Life education is the precondition of all education.This paper explored the current situation of life education for college students in local normal colleges and universities through questionnaire survey,and traced the history of life education in the world and China.Combined with history and reality,it analyzed the current problems of life education for college students mainly in three aspects,namely,the lack of connectivity in the educational process,the excessive productization of education,and the fragmentation of life education.Finally,it came up with pertinent recommendations in line with these problems.

医学生“生命关怀与死亡教育”课程的设计与实施

目的:基于医学生的需求设计并开展了“生命关怀与死亡教育”课程,初步评价其效果,以期为国内其他医学院校开展生死教育课程提供参考。方法:以“围死亡期”为时间框架,课程主线贯穿理论内容及实践主题活动,通过“行走的课堂”体验式实践教学方式带领医学生直面生死真实场景,提高照护理念和产生照护行动。结果:课程内容包括“生命与关怀”和“死亡与告别”两大理论授课主题及“生命之旅”“照护力量”“自我关怀”“死亡之思”“告别之日”五大实践授课主题。课程初步实践效果好,多方相关利益人群给予课程高度评价。结论:该课程设计合理,实施方案明确、清晰,在一定程度上满足了医学生对生死教育的学习需求,能够促进医学生对生死问题在思想上的自知和照护行动上的自觉,可推广性强,能够为各医学院校开展生死教育课程提供参考。

实境教学在线上国际中文思政教育中的效应研究

在技术赋能、模式创新的教育数字化转型时代,基于情境学习和实境学习理论的实境教学成为线上国际中文教学的新型教学模式。提炼并展示中华优秀传统文化是国际中文思政教育的主要方式,而实境教学模式可以通过镜头将博大精深的中华优秀传统文化展现在学习者面前,引发学习者对中华优秀传统文化的兴趣,加深其对中文学习的渴望,将思政教育融合在线上国际中文教学之中。这在《四合院》一课的实境教学实践中得到了验证。实境教学模式的有效性、广泛性、融合性、扩展性可以充分将语言知识和各种传统文化元素融合在一起,将思政教育潜移默化、润物无声地融入语言教学中,且教学效果显著,受到海外中文学习者的欢迎。由此可见,实境教学是对海外中文学习者进行思政教育,培养知华、友华、爱华的中华优秀传统文化传播者的有效途径。

终身教育视域下高校教育管理体制改革探析

随着时代的进步与发展,人们越来越重视教育,并逐渐树立起终身教育的观念,以保证能够具备终身发展的能力与素质。作为学习与工作两者间切换和衔接的重要阶段,高校教育在终身教育体系中具有重要的作用。但当前高校教育管理体制存在教育管理理念相对滞后、教育管理方式单调僵化、教育管理缺乏监管机制等不适应终身教育发展的问题,必须通过树立终身教育理念、建立学分银行制度、提升教育管理透明度、发挥信息技术的优势、完善高校终身教育体系监督机制等措施,促进高校教育管理体制的改革和完善,以期在终身教育体系中发挥其应有的作用。

基于大学生生命教育理念的教学模式在本科危重症护理教学中的应用

目的:探讨基于大学生生命教育理念的教学模式在本科危重症护理教学中的应用效果。方法:采用整群抽样法,选取2022年9月学习危重症护理课程的护理本科1班学生63人为观察组,采用基于大学生生命教育理念的教学模式;护理本科2班学生64人为常规组,采用传统教学模式;比较2组课程考核成绩、批判思维能力评分、临床决策能力评分、核心急救能力评分以及对教学效果的满意度。结果:观察组基础理论考核成绩、综合操作技能考核成绩、批判性思维能力评分、临床决策能力评分、核心急救能力各维度得分以及对教学效果的满意度评分均高于常规组(P<0.01)。结论:在本科危重症护理教学中实施基于大学生生命教育理念的教学模式可促进学生掌握课程知识,培养批判思维能力与临床决策能力,提升核心急救能力,提高学生对教学的满意度。

“双减”背景下家校合作实施生命教育的困境与路径

学业负担过重已成为青少年自杀率上升的重要原因,生命教育的实施到了紧要关头。“双减”政策为生命教育“返场”提供了契机,家校合作是实施生命教育的关键之举,其必要性包括响应教育改革、扫除教育盲点、破解教育难题、促进终身教育。然而在实施过程中存在着一定困境,主要体现在家校合作“育分”观念根深蒂固、“家弱校强”合作格局难破解、家校育人素养差异大、家校“以人为本”初心迷失,致使生命教育边缘化、学校化、低效化、生态恶化。基于“双减”背景,突破家校合作实施生命教育的现有困境,积极探索路径,推动我国中小学生命教育从“应然”走向“实然”。

Learning from the Film “Mitorishi (Transition Doula)”—Application to Understanding the End-of-Life in a Gerontological Nursing Practice Course in Japan

Purpose: This study aims to detail what nursing students learned from watching the film “Mitorishi”, which was used among the teaching materials in a gerontological nursing practice course in nursing education in Japan, and demonstrate the applicability of using the film as an element relevant to the teaching of end-of-life care in Japan. Methods: The participants were fourth-year nursing students at University A who had watched the film “Mitorishi” during the course, had submitted a report on what they learned, and provided informed consent to the study participation. The reports submitted by the participants were used as data and analyzed qualitatively using the content analysis approach. Results: The analysis identified the following five categories (number of codes): Characteristics of life during the final days (9), Importance of views on life and death (3), Importance of end-of-life care (3), Assistance in preparation for the final days of life (13), and Understanding the profession of transition doula (9). Discussion: The five categories show that the students have learned about the “role of nurses at the time of end-of-life care” while “visualizing end-of-life care” and learning “preparedness for end-of-life care”. These findings suggest that using the film “Mitorishi” in the teaching curriculum is effective for learning about end-of-life care for older people.

“局部解剖学”课程为依托的医学生生命教育

医学生是未来肩负救死扶伤神圣使命的特殊群体,对医学生进行生命教育具有重要意义。本研究分析在医学院校开展生命教育必要性的基础上,以局部解剖学课程为例,就生命教育的可行性和以大体老师为载体的融合课堂内教学与课堂外实践的生命教育实施途径进行探讨和阐述,并对生命教育的效果进行初步分析。研究表明,生命教育不仅使医学生建立正确的生死观,学会敬畏生命,还极大地激发学生的内驱力,提高学习成绩。在局部解剖学教学过程中融入生命教育,不仅是将生命教育与医学专业课程相结合的一次大胆尝试,也为其他医学专业课程开展生命教育提供思路和借鉴。

思想政治教育促进残疾人精神生活共同富裕的时代意蕴和实践理路

精神生活的共同富裕是共同富裕的重要内容,残疾人作为社会成员的重要组成部分,与全国人民一道实现精神生活共同富裕是我国社会主义制度的必然要求。从现实角度来看,应更加注重思想政治教育促进残疾人精神生活共同富裕的先导性作用。思想政治教育促进残疾人精神生活的共同富裕是中国式现代化的目标使然,是全体人民共同富裕的理想应然,是科学社会主义在中国不断向好发展的逻辑必然。思想政治教育不仅为促进残疾人精神生活共同富裕提供理论指导,同时也为其提供科学的实践方向指引和精神动力支持。

多元化教育干预对颅内动脉瘤患者术后心理状态和依从性的影响

目的:探究多元化教育干预对颅内动脉瘤患者术后心理状态和依从性的影响。方法:选取2021年1-12月某院收治的93例颅内动脉瘤患者,随机分为对照组(n=47)和观察组(n=46),对照组给予常规干预,观察组给予多元化教育干预。比较两组心理状态[焦虑自评量表(SAS)和抑郁自量表(SDS)]、疾病不确定感[Mishel制定的疾病不确定感量表(MUIS)]、希望水平[中文版Herth希望量表(HHI)]、依从性及生活质量[生活质量综合评定问卷(GQOLI-74)]。结果:干预后相较于对照组,观察组SAS评分和SDS评分明显较低(t=-6.345,-4.613;P<0.001),MUIS各维度评分明显较低(t=-7.619,-5.704,-5.191,-3.784;P<0.001),HHI各维度评分明显较高(t=9.718,10.298,3.866;P<0.001),合理膳食、规范用药、规律作息、有氧运动依从性均明显较高(χ^(2)=12.106,7.710,10.831,8.868;P<0.05),GQOLI-74各维度评分明显较高(t=5.811,5.881,7.221,5.809,7.650;P<0.001)。结论:多元化教育干预可明显改善颅内动脉瘤患者术后心理状态,降低疾病不确定感,增强希望水平,提高依从性,提升生活质量。

硕士研究生《生命科学综合》课程思政建设的创新探索

适应新时期要求,培养高素质创新型研究生,实现价值重塑、知识传授和能力提升的“三位一体”培养目标,是基础医学教学面临的重大课题。《生命科学综合》课程是研究生的必修课,课程以集成方式将基础医学包含的核心课程优化融合在一起,由多学科教师以讲座的形式授课。在了解目前研究生课程思政的教学现状和存在问题的基础上,建立了课程思政教学改革机制。通过分析基础医学《生命科学综合》课程特点,挖掘课程思政元素,春风化雨般地将思政元素融入课程教学方案、课堂教学、课程的考核和学生的调研以及教师的日常培训和考核中,引导学生树立正确的世界观、人生观和价值观,达到润物细无声的育人效果。

通识课“基本生命科学导论实验”教学实践与探索

生命科学是一门理论和实践相结合且应用性强的实验型学科,与人类生存与生活最为密切。通识教育是一种大学教育理念和教育模式,旨在提高学生的综合素质,促进学生的全面发展。以通识课程体系为契机,课程组教师积极探索并建设生命科学实验通识课程,不断地调整、改进与完善课程设置与教学模式,为培养具有生命科学知识和素养且具有一定实践能力的复合创新型人才奠定了基础,为高校实验教学中心通识课程开设和实验教学改革提供了经验。

生命教育课程的定位与知识建构

生命教育是一种以塑造人生观为目的的教育活动,是从“敬畏生命”的伦理学基础上提出来的,并在环境保全和生物多样性保护的热潮中得到发展。生命教育既可作为一种教育理念,也可作为一门专属课程。作为教育理念,宜采用融合式教学方式,渗透在其他学科的教育活动中;作为专属课程,宜以生命科学为载体,将所有教育内容连接成一个具有内在逻辑的有机整体。通过生命的多样和独特、生命的脆弱和顽强等知识进行生理层面的生命教育,通过生命的和谐、生命的责任等知识进行社会层面的生命教育,通过生命的价值、生命的意义等知识进行精神层面的生命教育。