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。

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。

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达标理论在慢性病家庭护理中应用的范围综述

目的 系统整合King达标理论在慢性病家庭护理中应用的相关研究,了解其目前的应用特征,分析其在家庭护理中的作用及不足,以期为今后相关研究的实施和推广提供参考。方法 采用范围综述的研究方法,系统检索PubMed、Embase、The Cochrane Library、Web of Science、中国知网、万方、维普以及中国生物医学文献数据库中有关King达标理论在慢性病家庭护理中应用的研究,检索时限均为建库至2024年2月2日,对最终纳入的文献进行数据提取、收集、总结并报告研究结果。结果 共纳入20项研究,从研究目的、研究对象、研究设计及结局指标等进行整理分析。结论 基于King达标理论的慢性病家庭护理方案具有积极的应用效果,但当前仍存在一些不足。未来研究应明确理论内涵,立足我国本土文化特征,朝研究方法多样化、应用形式多元化的方向发展,构建科学严谨的慢性病家庭护理干预方案及评价体系,进而形成符合我国国情的慢性病家庭护理模式。

Localized Theoretical Analysis of Thermal Performance of Individually Finned Heat Pipe Heat Exchanger for Air Conditioning with Freon R404A as Working Fluid

This work contributes to the improvement of energy-saving in air conditioning systems. The objective is to apply the thermal efficiency of heat exchangers for localized determination of the thermal performance of heat exchangers with individually finned heat pipes. The fundamental parameters used for performance analysis were the number of fins per heat pipe, the number of heat pipes, the inlet temperatures, and the flow rates of hot and cold fluids. The heat exchanger under analysis uses Freon 404A as a working fluid in an air conditioning system for cooling in the Evaporator and energy recovery in the Condenser. The theoretical model is localized and applied individually to the Evaporator, Condenser, and heat exchanger regions. The results obtained through the simulation are compared with experimental results that use a global approach for the heat exchanger. The thermal quantities obtained through the theoretical model in the mentioned regions are air velocity, Nusselt number, thermal effectiveness, heat transfer rate, and outlet temperature. The comparisons made with global experimental results are in excellent agreement, demonstrating that the localized theoretical approach developed is consistent and can be used as a comprehensive analysis tool for heat exchangers using heat pipes.

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。

Localized Theoretical Analysis of Thermal Performance of Individually Finned Heat Pipe Heat Exchanger for Air Conditioning with Freon R404A as Working Fluid

This work contributes to the improvement of energy-saving in air conditioning systems. The objective is to apply the thermal efficiency of heat exchangers for localized determination of the thermal performance of heat exchangers with individually finned heat pipes. The fundamental parameters used for performance analysis were the number of fins per heat pipe, the number of heat pipes, the inlet temperatures, and the flow rates of hot and cold fluids. The heat exchanger under analysis uses Freon 404A as a working fluid in an air conditioning system for cooling in the Evaporator and energy recovery in the Condenser. The theoretical model is localized and applied individually to the Evaporator, Condenser, and heat exchanger regions. The results obtained through the simulation are compared with experimental results that use a global approach for the heat exchanger. The thermal quantities obtained through the theoretical model in the mentioned regions are air velocity, Nusselt number, thermal effectiveness, heat transfer rate, and outlet temperature. The comparisons made with global experimental results are in excellent agreement, demonstrating that the localized theoretical approach developed is consistent and can be used as a comprehensive analysis tool for heat exchangers using heat pipes.

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。

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达标理论护理干预对运动区脑肿瘤患者术后肢体功能康复训练的影响

本文主要探究运动区脑肿瘤患者采取King达标理论护理干预在术后肢体功能康复训练方面的影响价值。方法 样本为我院2022.1-2023.12收录的78例运动区肿瘤患者,患者分为两组,对比护理效果。结果 治疗后实验组(King达标理论护理干预)运动功能评分、生活质量评分、康复优良率、护理满意度等指标数值明显优于对照组(常规护理干预)。结论 运动区肿瘤患者采取King达标理论护理干预模式,可以促进患者术后肢体功能快速康复,改善患者运动功能以及生存质量,实现护理满意度的提升。

King达标理论在心肌梗死患者介入治疗中的应用效果研讨

研讨King达标理论在心肌梗死患者介入治疗中的应用效果。方法:灵山县人民医院于2022年1月~2022年12月开展研究,共计60例心肌梗死患者参与,通过双盲法分为比照组(30例,普通护理)与理论组(30例,普通护理+King达标理论),观察其效果。结果 焦虑心理、抑郁心理、睡眠障碍、心脏风险事件发生率对比显示理论组护理后更低,生活质量、满意情况对比显示理论组护理后更高,P<0.05。结论 心肌梗死介入治疗中接受King达标理论后能够显著改善焦虑心率、抑郁心理,优化睡眠质量,提高生活质量,降低心脏风险事件发生率,让心肌梗死患者对于护理方案更加满意。

Impact of asymptomatic infected individuals on epidemic transmission dynamics in multiplex networks with partial coupling

The theory of network science has attracted great interest of many researchers in the realm of biomathematics and public health,and numerous valuable epidemic models have been developed.In previous studies,it is common to set up a one-to-one correspondence between the nodes of a multi-layer network,ignoring the more complex situations in reality.In the present work,we explore this situation by setting up a partially coupled model of a two-layer network and investigating the impact of asymptomatic infected individuals on epidemics.We propose a self-discovery mechanism for asymptomatic infected individuals,taking into account situations such as nucleic acid testing in the community and individuals performing self-antigen testing during the epidemic.Considering these factors together,through the microscopic Markov chain approach(MMCA)and extensive Monte Carlo(MC)numerical simulations,we find that the greater the coupling between the networks,the more information dissemination is facilitated.In order to control the epidemics,more asymptomatic infected individuals should be made aware of their infection.Massive adoption of nucleic acid testing and individual adoption of antigenic self-testing can help to contain epidemic outbreaks.Meanwhile,the epidemic threshold of the proposed model is derived,and then miscellaneous factors affecting the epidemic threshold are also discussed.Current results are conducive to devising the prevention and control policies of pandemics.

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。

Gut microbiota modulating therapy for diabetes mellitus should be individualized

In this editorial,we commented on two articles published online in August and September 2024 in the World Journal of Diabetes,which focused on modifying the gut microbiota(GM)to prevent or delay the progression of diabetes mellitus(DM)and DM-related complications.Numerous studies,many of which are animal studies,have indicated the potential role of GM in the pathogenesis of DM.However,the detailed causality and mechanisms between GM and DM have not been fully clarified.Although there have been some reports of a potential role of modifying the GM in treating DM,most lack long-term observations and are not mechanistic.Additionally,the GM and its role in DM might vary among individuals;therefore,GM-targeted interventions should be individualized to realize their therapeutic potential.

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。

Opinion consensus incorporating higher-order interactions in individual-collective networks

In the current information society, the dissemination mechanisms and evolution laws of individual or collective opinions and their behaviors are the research hot topics in the field of opinion dynamics. First, in this paper, a two-layer network consisting of an individual-opinion layer and a collective-opinion layer is constructed, and a dissemination model of opinions incorporating higher-order interactions(i.e. OIHOI dissemination model) is proposed. Furthermore, the dynamic equations of opinion dissemination for both individuals and groups are presented. Using Lyapunov's first method,two equilibrium points, including the negative consensus point and positive consensus point, and the dynamic equations obtained for opinion dissemination, are analyzed theoretically. In addition, for individual opinions and collective opinions,some conditions for reaching negative consensus and positive consensus as well as the theoretical expression for the dissemination threshold are put forward. Numerical simulations are carried to verify the feasibility and effectiveness of the proposed theoretical results, as well as the influence of the intra-structure, inter-connections, and higher-order interactions on the dissemination and evolution of individual opinions. The main results are as follows.(i) When the intra-structure of the collective-opinion layer meets certain characteristics, then a negative or positive consensus is easier to reach for individuals.(ii) Both negative consensus and positive consensus perform best in mixed type of inter-connections in the two-layer network.(iii) Higher-order interactions can quickly eliminate differences in individual opinions, thereby enabling individuals to reach consensus faster.

Exploration of cardiac rehabilitation nursing for elderly patients with myocardial infarction based on individualized cardiac rehabilitation

BACKGROUND Myocardial infarction is a high-risk condition prevalent among the elderly population,often leading to adverse clinical manifestations such as reduced cardiopulmonary function,anxiety,and depression post-surgery.Consequently,cardiac rehabilitation holds immense importance in mitigating these complications.AIM To evaluate the effect of individualized cardiac rehabilitation on blood pressure variability(BPV)and baroreflex sensitivity(BRS)in elderly patients with myocardial infarction.METHODS A cohort of 74 elderly patients diagnosed with myocardial infarction and admitted to our hospital between January 2021 and January 2022 were subjected to random selection.Subsequently,all patients were divided into two groups,namely the research group(n=37)and the control group(n=37),utilizing the number table method.The control group received conventional drug treatment and nursing guidance intervention,while the study group underwent individualized cardiac rehabilitation in addition to the interventions received by the control group.All patients were continuously intervened for 12 wk,and the BPV of these two groups in the 1st wk(T0),the 4th wk(T1)and the 12th wk(T2)were compared,BRS,changes in cardiopulmonary function measures,and adverse cardiovascular events.RESULTS Of 24 h diastolic BPV,24 h systolic BPV,carbon dioxide ventilation equivalent slope of the research group were lower than those of the control group at T1 and T2,BRS,peak heart rate and systolic blood pressure product,1 min heart rate recovery were higher than those of the control group,and the incidence of adverse events in the research group was lower than that of the control group,the difference was statistically significant(P<0.05).CONCLUSION In this study,we found that after individualized cardiac rehabilitation in elderly patients with myocardial infarction,BPV and BRS can be effectively improved,cardiac function is significantly enhanced,and a better prognosis is obtained.

Prevalence and Individual-Level Determinants of Uptake of Three or More Doses of Sulphadoxine-Pyrimethamine for Intermittent Preventive Treatment of Malaria in Pregnancy in Busia County, Kenya

Background: Malaria in pregnancy causes maternal anemia, low birth weight, intrauterine growth retardation, and preterm deliveries. In malaria-endemic regions in Kenya, percentage of pregnant women hospitalized with malaria reach up to 60%. WHO recommends at least three doses of sulphadoxine pyrimethamine for Intermittent Preventive Treatment of Malaria in Pregnancy (IPTp) antenatally. This study sought to ascertain the prevalence and individual-level factors influencing the uptake of IPTp-SP3+. Methods: A facility-based cross-sectional study at Busia County Referral Hospital. 384 mothers were consecutively sampled at the maternity unit during delivery. Semi-structured questionnaires were used to collect data. Odds ratio (OR) and adjusted OR were used to determine statistical significance of individual factors influencing uptake of three or more IPTp-SP. Results: 43.0% of participants took IPTp-SP3+. Individual factors that affected the uptake of IPTp-SP3+ included starting ANC visits in the first trimester (adjusted odds ratio (aOR) = 2.1, 95% CI: 1.23 – 3.67, p = 0.046), having more than four ANC visits (aOR = 3.1, 95% CI: 1.49 – 6.50, p = 0.002), having a higher monthly income (aOR = 2.6, 95% CI: 1.24 – 5.36, p = 0.012), being aware of the advantages of IPTp-SP medications (aOR = 3.7, 95% CI: 1.40 – 9.74, p = 0.008), and having a positive attitude toward ANC services (aOR = 3.2, 95% CI: 1.61 – 6.31, p = 0.001). Conclusion: Less than half of the pregnant mothers are complyingIPTp-SP3+. There should be aggressive efforts by the County and National Ministries of Health promoting initiation of ANC attendance early and attendance of all the recommended eight visits together with ensuring availability of the drugs.

An Experimental Study on the Effectiveness of Individualized Online Intervention for Mental Health Literacy of Community Residents

Background:Understanding how to improve mental health literacy is conducive to maintaining and promoting individuals’mental health and well-being.However,to date,interventions for mental health literacy primarily depend on traditional education and contact interventions,which have limitations with regard to pertinence and individualization.Artificial intelligence(AI)and big data technology have influenced mental health services to be more intellectual and digital,and they also provide greater technical convenience for individualized interventions for promoting mental health literacy.However,there is relatively little research on the effectiveness of individualized online intervention for mental health literacy in the literature.This study aims to fill this void.To verify whether individualized online intervention can improve the level of mental health literacy.Methods:We conducted a pretest–post-test control experiment.The participants were recruited from a large community located in central China.A total of 152 participants completed the research.We use mixed linear model estimation and paired t-tests to analyze the data.Results:Individualized online intervention can effectively improve the mental health literacy level of participants.Specifically,we found that compared with the control group,the mental health literacy in the experimental group was significantly improved after receiving individualized online intervention.Likewise,the mental health literacy of the control group has also improved after receiving individualized online intervention.In addition,we compared the mental health literacy level of the experimental group at Time 3 to those at Time 2 and found that the mental health literacy level at Time 3 had not decreased one month later.This shows that individualized online intervention was not only momentarily effective,but also had long-term efficacy.Conclusion:This study illustrates that the individualized online intervention has both great momentary and long-term effectiveness in improving community residents’mental health literacy.

King达标理论在不稳定心绞痛患者护理中的应用价值

目的:探讨King达标理论的综合护理模式在不稳定心绞痛中的应用效果。方法:选取70例不稳定心绞痛患者,按入院顺序分为King组(n=35)、对照组(n=35),对照组给予常规护理、King组在此基础上行King达标理论的综合护理模式。比较2组心绞痛改善情况、服药依从性。结果:干预后,King组SAQ评分与对照组相比,明显升高(P<0.05);干预后King组ITAQ评分升高幅度大于对照组(P<0.05)。结论:对不稳定心绞痛患者实施King达标理论的综合护理模式,能提高服药依从性,改善不稳定心绞痛症状。