BACKGROUND Stroke patients often experience psychological distress,which can impact their intimate relationships with spouses,subsequently influencing their treatment and recovery.Physical activity is considered a key...BACKGROUND Stroke patients often experience psychological distress,which can impact their intimate relationships with spouses,subsequently influencing their treatment and recovery.Physical activity is considered a key rehabilitation method for stroke patients.This paper aims to analyze whether psychological distress affects intimate relationship between spouses through physical activity.AIM To explore the mediating effect of physical activity between psychological distress and intimate relationship in stroke patients.METHODS A total of 256 stroke patients who underwent treatment at the First People’s Hospital of Shangqiu between July 2021 and July 2022 were enrolled in this study.The participants completed questionnaires,including the Kessler Psychological Distress Scale(K10),the Quality of Relationship Index(QRI),International Physical Activity Questionnaire,and a general information questionnaire.Data analysis were performed using SPSS 23.0.The Harman test was employed to detect common method deviations,and Spearman correlation was used for correlation analysis.The mediating effect was assessed using Process 3.4.1,with significance testing of the regression coefficients conducted using the bias-corrected percentile Bootstrap method(5000 iterations,95%confidence interval).Statistical significance was set at P<0.05.RESULTS The results showed that patients scored an average of 21.61±6.44 points on the K10,32.40±6.19 points on the QRI;the median physical activity level according to the International Physical Activity Questionnaire was 1861(566,2846)MET·min/w.The level of physical activity(the physical activity intensity of the patients reflected by the Interna-tional Physical Activity Questionnaire-Long Form scale)negatively correlated with psychological distress and intimacy(P<0.05),and positively correlated with each other(P<0.05),with the correlation stronger at lower physical activity levels compared to higher ones.The mediating effect of physical activity between psychological distress and intimate relationship was calculated to be 40.23%.Bootstrap analysis further validated the results.The mediating effect of psychological distress on intimate relationships through physical activity level was-0.284,with a confidence interval of-0.409 to-0.163,excluding 0,confirming a significant mediating effect of psychological distress on intimate relationships.CONCLUSION Physical activity significantly affects relationship between psychological distress and intimate relationships among stroke patients.Addressing the role of physical activity may have implications for improving patient outcomes and rehabilitation strategies.展开更多
The Israeli-Palestinian Conflict,also be called Arab-Israeli conflict,is a touchstone for the twentieth and twenty-fifirst centuries.The“Five Relationships Culture”is a theory developed by the Chinese people from th...The Israeli-Palestinian Conflict,also be called Arab-Israeli conflict,is a touchstone for the twentieth and twenty-fifirst centuries.The“Five Relationships Culture”is a theory developed by the Chinese people from their own origin and roots,from experience awareness,through conceptual reflection,and then theory construction.The perspective of cultural reconciliation of Palestinian-Israeli conflict provided by the“Five Relationships Culture”Theory may be a relatively unique explanation.展开更多
Amy Tan, as the second generation of immigrants, deeply senses the differences between Sino-American cultures. Her great success The Joy Luck Club explores the conflicts between mothers and daughters, showing the trou...Amy Tan, as the second generation of immigrants, deeply senses the differences between Sino-American cultures. Her great success The Joy Luck Club explores the conflicts between mothers and daughters, showing the troubles in such families.展开更多
Doctor-patient relationship is a very important relationship between doctor and patient and patient’s family member.In interpersonal communication,non-aggressive discourse often leads to conflicting response.It is th...Doctor-patient relationship is a very important relationship between doctor and patient and patient’s family member.In interpersonal communication,non-aggressive discourse often leads to conflicting response.It is the most common doctor–patient relationship between doctor and patient.There are limited studies on non-aggressive conflicting response.Language used is the most important basis in conflicting response to non-aggressive discourse.Language and culture are broad and diverse.Different speech methods and language content lead to different response.Based on this,this paper explains response to non-aggressive conflict talk between doctor and patient in the perspective of ecolinguistics,to provide reference.展开更多
"Moby Dick"is an in-depth spiritual exploration about beliefs,religion,fate and nature with multi-layered meanings.This novel is based on a whale-hunting adventure,which turns out to be actually a vengeance-..."Moby Dick"is an in-depth spiritual exploration about beliefs,religion,fate and nature with multi-layered meanings.This novel is based on a whale-hunting adventure,which turns out to be actually a vengeance-seeking voyage.The plot is very simple,yet the meaning behind it is far from simple.Applying symbolism,Melville depicts a hostile relationship between men and nature,which is spotlighted by the conflict between Captain Ahab and Moby Dick.This thesis deals with the relationship between men and nature as presented in the novel,the symbolic meaning that Melville intends to convey and his attitude towards the ideal relationship between men and nature.展开更多
目的全面了解脑卒中患者与照顾者家庭亲密关系变化过程中的体验,为制订脑卒中患者及照顾者二元应对干预方案提供参考。方法检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、知网、万方、维普等中英文数据库,筛选关于脑...目的全面了解脑卒中患者与照顾者家庭亲密关系变化过程中的体验,为制订脑卒中患者及照顾者二元应对干预方案提供参考。方法检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、知网、万方、维普等中英文数据库,筛选关于脑卒中患者或照顾者家庭亲密关系变化体验相关的质性研究,检索时限为建库至2023年1月。结果共纳入14篇研究,提炼出34个研究结果,最终归纳形成7个新类别,综合出3个整合结果:亲密关系变化过程中负性体验突出;亲密关系变化的适应困境;积极适应关系变化,获得正性体验。结论护理人员应加强对脑卒中患者与照顾者家庭亲密关系变化的动态评估,识别关系变化过程中的未满足需求,促进多元支持系统的建立,引导家庭亲密关系平稳转变。展开更多
Truly opposite is defined by identity of units with complementary anatomy or structure to form a pair,e.g.male and female.Complementary or corresponding structure or form permits reciprocal function of these units or...Truly opposite is defined by identity of units with complementary anatomy or structure to form a pair,e.g.male and female.Complementary or corresponding structure or form permits reciprocal function of these units or“opposites”.Focus on“Identity”or“function”determines one’s view as to whether these units are“opposites”or“complementary”.“Identity”is unique&exclusive,whereas,function requires inclusivity,specificity&reciprocal interaction,contributed to by both units to form a dynamic partnership or pair.Contextual interaction matters as it permits an inclusive view.Inclusion&awareness of surroundings that impact on relationships and/or personal interaction is represented here by a surrounding circle or sense of purpose and represents the extension of immediate context involving both units in a paired relationship of structural complementary units within their encompassing surroundings or contextual field.Contextual reference is the ethical key to understanding situations&circumstance so serves as the key to ethics,morality&relationships.The Relationship Equation,E=1=m.c-1,provides a simple model of understanding usually viewed as complex relationships.It offers an approach to solving identity issues by viewing these as complementary and functional rather than as opposites.In place of identity as the focus it introduces context and reciprocal interaction of complementary units of a pair.Identity as part of a whole transfers the focus from self to other or both and to an awareness of higher purpose in the Oneness of function of Creation as(m.c-1)=E=1.Environmental influence is taken into account by viewing the Eco-social environment or Eco-society as important.Impact of environment on one or other unit in a pair or on both&vice versa affects relationships.Resilience&adaptation to environmental change leads to evolution when the pair thrives better in this new Eco-social environment.Being part of a functional whole,as a functional unit or as a functioning pair,adds purpose and reason for the Creation,all of Creation,including self,as one is included in all!Application of the Relationship Equation is relevant to health&wellbeing,parenting,biology,law&health law,political science,society&evolution.It is also valuable when utilized as a resolution tool as it offers functional outcomes and sense of purpose on the basis of objectivity,trust and truth to overcome conflict arising from a highly sensitized identity-oriented focus.Contextual&reciprocal units in functional pairs replace self as the basic functional principle of the whole of existence.Application of this understanding has preventive as well as therapeutic relevance.It may be used as a guide in upbringing,parenting and child care as well as conflict resolution in personal,social&political scenarios locally,nationally,internationally,globally&universally.It is the“happinewness”key.展开更多
基金The study procedures were approved by the First People’s Hospital of Shangqiu(2021-125-29).
文摘BACKGROUND Stroke patients often experience psychological distress,which can impact their intimate relationships with spouses,subsequently influencing their treatment and recovery.Physical activity is considered a key rehabilitation method for stroke patients.This paper aims to analyze whether psychological distress affects intimate relationship between spouses through physical activity.AIM To explore the mediating effect of physical activity between psychological distress and intimate relationship in stroke patients.METHODS A total of 256 stroke patients who underwent treatment at the First People’s Hospital of Shangqiu between July 2021 and July 2022 were enrolled in this study.The participants completed questionnaires,including the Kessler Psychological Distress Scale(K10),the Quality of Relationship Index(QRI),International Physical Activity Questionnaire,and a general information questionnaire.Data analysis were performed using SPSS 23.0.The Harman test was employed to detect common method deviations,and Spearman correlation was used for correlation analysis.The mediating effect was assessed using Process 3.4.1,with significance testing of the regression coefficients conducted using the bias-corrected percentile Bootstrap method(5000 iterations,95%confidence interval).Statistical significance was set at P<0.05.RESULTS The results showed that patients scored an average of 21.61±6.44 points on the K10,32.40±6.19 points on the QRI;the median physical activity level according to the International Physical Activity Questionnaire was 1861(566,2846)MET·min/w.The level of physical activity(the physical activity intensity of the patients reflected by the Interna-tional Physical Activity Questionnaire-Long Form scale)negatively correlated with psychological distress and intimacy(P<0.05),and positively correlated with each other(P<0.05),with the correlation stronger at lower physical activity levels compared to higher ones.The mediating effect of physical activity between psychological distress and intimate relationship was calculated to be 40.23%.Bootstrap analysis further validated the results.The mediating effect of psychological distress on intimate relationships through physical activity level was-0.284,with a confidence interval of-0.409 to-0.163,excluding 0,confirming a significant mediating effect of psychological distress on intimate relationships.CONCLUSION Physical activity significantly affects relationship between psychological distress and intimate relationships among stroke patients.Addressing the role of physical activity may have implications for improving patient outcomes and rehabilitation strategies.
文摘The Israeli-Palestinian Conflict,also be called Arab-Israeli conflict,is a touchstone for the twentieth and twenty-fifirst centuries.The“Five Relationships Culture”is a theory developed by the Chinese people from their own origin and roots,from experience awareness,through conceptual reflection,and then theory construction.The perspective of cultural reconciliation of Palestinian-Israeli conflict provided by the“Five Relationships Culture”Theory may be a relatively unique explanation.
文摘Amy Tan, as the second generation of immigrants, deeply senses the differences between Sino-American cultures. Her great success The Joy Luck Club explores the conflicts between mothers and daughters, showing the troubles in such families.
基金This thesis is sponsored by the Postgraduate Scientific Research Project of Beijing International Studies University. Project Number: 2019GS14ZD02。
文摘Doctor-patient relationship is a very important relationship between doctor and patient and patient’s family member.In interpersonal communication,non-aggressive discourse often leads to conflicting response.It is the most common doctor–patient relationship between doctor and patient.There are limited studies on non-aggressive conflicting response.Language used is the most important basis in conflicting response to non-aggressive discourse.Language and culture are broad and diverse.Different speech methods and language content lead to different response.Based on this,this paper explains response to non-aggressive conflict talk between doctor and patient in the perspective of ecolinguistics,to provide reference.
文摘"Moby Dick"is an in-depth spiritual exploration about beliefs,religion,fate and nature with multi-layered meanings.This novel is based on a whale-hunting adventure,which turns out to be actually a vengeance-seeking voyage.The plot is very simple,yet the meaning behind it is far from simple.Applying symbolism,Melville depicts a hostile relationship between men and nature,which is spotlighted by the conflict between Captain Ahab and Moby Dick.This thesis deals with the relationship between men and nature as presented in the novel,the symbolic meaning that Melville intends to convey and his attitude towards the ideal relationship between men and nature.
文摘目的全面了解脑卒中患者与照顾者家庭亲密关系变化过程中的体验,为制订脑卒中患者及照顾者二元应对干预方案提供参考。方法检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、知网、万方、维普等中英文数据库,筛选关于脑卒中患者或照顾者家庭亲密关系变化体验相关的质性研究,检索时限为建库至2023年1月。结果共纳入14篇研究,提炼出34个研究结果,最终归纳形成7个新类别,综合出3个整合结果:亲密关系变化过程中负性体验突出;亲密关系变化的适应困境;积极适应关系变化,获得正性体验。结论护理人员应加强对脑卒中患者与照顾者家庭亲密关系变化的动态评估,识别关系变化过程中的未满足需求,促进多元支持系统的建立,引导家庭亲密关系平稳转变。
文摘Truly opposite is defined by identity of units with complementary anatomy or structure to form a pair,e.g.male and female.Complementary or corresponding structure or form permits reciprocal function of these units or“opposites”.Focus on“Identity”or“function”determines one’s view as to whether these units are“opposites”or“complementary”.“Identity”is unique&exclusive,whereas,function requires inclusivity,specificity&reciprocal interaction,contributed to by both units to form a dynamic partnership or pair.Contextual interaction matters as it permits an inclusive view.Inclusion&awareness of surroundings that impact on relationships and/or personal interaction is represented here by a surrounding circle or sense of purpose and represents the extension of immediate context involving both units in a paired relationship of structural complementary units within their encompassing surroundings or contextual field.Contextual reference is the ethical key to understanding situations&circumstance so serves as the key to ethics,morality&relationships.The Relationship Equation,E=1=m.c-1,provides a simple model of understanding usually viewed as complex relationships.It offers an approach to solving identity issues by viewing these as complementary and functional rather than as opposites.In place of identity as the focus it introduces context and reciprocal interaction of complementary units of a pair.Identity as part of a whole transfers the focus from self to other or both and to an awareness of higher purpose in the Oneness of function of Creation as(m.c-1)=E=1.Environmental influence is taken into account by viewing the Eco-social environment or Eco-society as important.Impact of environment on one or other unit in a pair or on both&vice versa affects relationships.Resilience&adaptation to environmental change leads to evolution when the pair thrives better in this new Eco-social environment.Being part of a functional whole,as a functional unit or as a functioning pair,adds purpose and reason for the Creation,all of Creation,including self,as one is included in all!Application of the Relationship Equation is relevant to health&wellbeing,parenting,biology,law&health law,political science,society&evolution.It is also valuable when utilized as a resolution tool as it offers functional outcomes and sense of purpose on the basis of objectivity,trust and truth to overcome conflict arising from a highly sensitized identity-oriented focus.Contextual&reciprocal units in functional pairs replace self as the basic functional principle of the whole of existence.Application of this understanding has preventive as well as therapeutic relevance.It may be used as a guide in upbringing,parenting and child care as well as conflict resolution in personal,social&political scenarios locally,nationally,internationally,globally&universally.It is the“happinewness”key.
