Analysis of the Effect of Comfort Care in The Perioperative Care of Patients with Hysteromyomectomy and its Influence on Self-Care Ability

Objective:To analyze the effect of perioperative comfort care for patients with hysteromyomectomy(HYS).Methods:Seventy cases of HYS patients admitted to our hospital from October 2022 to October 2023 were randomly selected and divided into Group A(control group,35 cases,conventional care)and Group B(observation group 35 cases,comfort care).The effects of the two groups before and after nursing care were compared.Results:The self-rating anxiety(SAS)scores,exercise of self-care agency(ESCA)scores,and nursing satisfaction scores at the time of discharge of Group B were better than in Group A after nursing care(P<0.05).Conclusion:Perioperative comfort care for HYS patients improved the patient’s adverse emotions,self-care ability,and nursing satisfaction.

Analysis of the Application Effect of Family Collaborative Care Model on Elderly Patients with Type 2 Diabetes Mellitus and the Situation of Self-Care Ability

Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.

Dynamic interaction nursing intervention on functional rehabilitation and self-care ability of patients after aneurysm surgery

BACKGROUND Nursing practices based on the dynamic interaction model have been shown to be superior to generic nursing practices.However,whether this model is effective in patients recovering from intracranial aneurysm surgery is not well studied.AIM To investigate the effect of nursing based on a dynamic interaction model on functional rehabilitation of patients after aneurysm surgery.METHODS A total of 86 cases in our hospital with intracranial aneurysm from April 2019 to April 2021,were selected and divided into the study group and the control group,with 43 patients in each group.The control group received routine nursing,and the research group received nursing intervention based on a dynamic interaction model.The daily living ability(activities of daily living,ADL),cognitive function(Simple Intelligent Mental State Scale,MMSE),quality of life(Generic Quality of Life Inventory-74,GQOL-74),self-care ability(Exercise of Self-Care Agency scale),incidence of complications,and nursing satisfaction were recorded before and after intervention.RESULTS Before intervention,ADL(52.09±6.44),MMSE(18.03±4.11),and GQOL-74(53.68±4.34)scores in the study group were not significantly different from those in the control group(ADL:50.97±7.32,MMSE:17.59±3.82,GQOL-74:55.06±3.98)(P>0.05).After intervention,ADL(86.12±5.07),MMSE(26.64±2.66),and GQOL-74(83.13±5.67)scores in the study group were higher than those in the control group(ADL:79.81±6.35,MMSE:24.51±3.00,and GQOL-74:77.96±6.27)(P<0.05).Before intervention,self-concept(17.46±4.44),self-care skills(25.22±4.20),self-care knowledge(22.35±4.74),and self-care responsibility(15.06±3.29)scores in the study group was similar to those in the control group(self-concept:16.89±5.53,self-care skills:24.59±4.46,self-care knowledge:21.80±3.61,and self-care responsibility:14.83±3.11)(P>0.05).After the intervention,self-concept(26.01±3.18),self-care skills(37.68±6.05),self-care knowledge(45.56±5.83),and self-care responsibility(22.01±3.77)scores in the study group were higher than those in the control group(self-concept:22.97±3.46,self-care skills:33.02±5.65,selfcare skills knowledge:36.81±5.54,and self-care responsibility:17.97±3.56 points)(P<0.05).The incidence of complications in the study group(4.65%)was lower than that in the control group(18.60%)(P<0.05).Nursing satisfaction in the study group(95.35%)was higher than that in the control group(81.40%)(P<0.05).CONCLUSION Nursing intervention based on a dynamic interaction model can improve postoperative cognitive function,daily living ability,self-care ability,quality of life,and patient satisfaction,while reducing the risk of complications.

Effect of continuing nursing on self-care ability of diabetic patients:A meta-analysis

Objective:To evaluate the effect of continuing nursing on self-care ability of diabetic patients.Methods:Meta-analysis was used to search multiple Chinese and English databases,and relevant randomized controlled trials were collected.After reviewing the literature quality,RevMan 5.2 software was used for data analysis.Results:A total of 8 randomized controlled trials(RCTs)were included.The results showed that the self-care ability of the continuing care observation group was significantly higher than that of the control group [WMD = 17.88,95%CI(17.30,18.47),P<0.001].Conclusion:Continuing nursing shows superiority in improving self-care ability of diabetic patients.

Research on the Intervention of Visual Cue Strategy on Self-Care Ability of Children with Autism

The formation of self-care ability is the first step for children with autism to enter the society,and it is also a prerequisite and guarantee for their independent survival.This study aimed to explore the impact of visual cue strategies on the self-care ability of children with autism.Based on the ABA design of a single case study,this research conducted a four-month intervention on a seven-year-old child with autism via visual cue strategy as independent variables and sock-wearing skills as dependent variables,in order to explore the effect of visual cue strategy on self-care ability of children with autism.It turned out that visual cue strategy exerts a positive immediate sustained effect and social validity on the self-care ability of children with autism.Lastly,suggestions were provided for future related research based on the research process,results,and limitations.

The Impact of Risk-Based Cancer Care Planning on the Complications and Self-Care Ability of Cervical Cancer Patients Undergoing Radiotherapy

Objective:To explore the impact of the application and implementation of risk-based cancer care planning in patients with cervical cancer radiotherapy on the complications and self-care ability of patients.Method:This study recruited selected patients who came for cervical cancer radiotherapy in a tertiary hospital in Xianyang City,Shaanxi Province from November 2020 to November 2021.One hundred patients were recruited.Nursing management was carried out,and cancer care planning under the concept of conventional care and risk were applied.The effects of different nursing methods on patients were compared and analyzed.Results:The patients in the experimental group had higher scores of self-care ability and lower complication rate.All data were significantly different from those of the control group(P<0.05),and the nursing effect on the experimental group was better.Conclusion:The application and implementation of the risk-based cancer care planning in patients who received cervical cancer radiotherapy has significant clinical effects,which is beneficial to reduce the incidence of patients’adverse reactions and promote patient recovery.

Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

Analysis of the Role of Cognitive Behavioral Therapy on Self-Care in Thyroid Cancer Patients

Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects.Using the random number table method,they were divided into a control group and an experimental group,each consisting of 72 cases.The control group received routine nursing intervention,while the experimental group received cognitive behavioral therapy based on standard nursing practices.The self-care ability(self-concept,self-efficacy,self-care skills,health knowledge level),coping style(confrontation,avoidance,and surrender),and quality of life(psychological function,social function,material life,physical function)of both groups before and after the intervention were compared.Results:In comparison to the pre-intervention period,the experimental group exhibited significantly higher self-care ability,quality of life,and confrontation scores after the intervention,as opposed to the control group.Additionally,the avoidance and surrender scores were lower in the experimental group than in the control group,with these differences proving to be statistically significant(P<0.01).Conclusion:The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients,aid in better disease coping,and improve their overall quality of life.This approach is deserving of further promotion.

Exploring the Influences of Continuous Self-Management Education on the Self-Care Skills and Health Behavior of Patients with PICC Intubation

Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The period from August 2018 to August 2020 was used as the research time range,and the random number table method was used as the basis for grouping.80 patients with malignant tumors who regularly performed fixed catheter maintenance care in the PICC clinic of our hospital were admitted in the experimental group(given PICC specialist nursing,and implemented continuous self-management education),and 80 patients with PICC tube malignant tumors discharged from the superior hospital during this time range served as the control group(return to the original catheterization hospital from time to time or perform catheter maintenance care in the nursing clinic of our hospital).The self-care ability scores,health behavior scores,and complications during intubation between both groups were analyzed.Results:(1)There was no significant difference in self-care ability score and healthy behavior score between groups before the intervention,P>0.05;the self-care ability score and health behavior score of the research group were better than the control group after intervention,P<0.05;(2)After investigation,the incidence of complications in the research group(2.50%)was lower than that of the control group(10.00%),but there was no difference between the groups,P>0.05.Conclusion:Continuous self-management education has good effects on improving the self-care ability of tumor patients with PICC intubation.It can urge patients to maintain good health behaviors and reduce complications.It is worthy of promotion.

The Effect of O2O Education Combined with Peer Education Management Model in Patients with Chronic Obstructive Pulmonary Disease

Objective:To explore the effect of online-to-offline(O2O)education combined with the peer education management model in patients with chronic obstructive pulmonary disease(COPD).Methods:Using convenience sampling,72 patients with COPD who were hospitalized in the respiratory medicine department of a tertiary-level hospital from March to December 2021 were selected as study subjects.Randomized grouping was carried out using the random number table method,the control group was given routine COPD health education in the department,and the intervention group applied O2O trinity health management combined with peer education on the basis of routine care.After 6 months of follow-up after discharge,the two groups were observed and compared for changes in pulmonary function,depression status,self-care ability,and quality of life.Results:At 3 and 6 months after the intervention,the lung function indexes and depression status of the two groups of patients improved significantly,and the improvement effect was more significant in the intervention group(P<0.05);after the intervention,the self-care ability scores of the patients in the intervention group were significantly higher than those of the control group(P<0.05);the quality-of-life scores of the two groups of patients decreased at 3 months after discharge,in which the quality-of-life scores in the intervention group was significantly lower than that of the control group(P<0.05).Conclusion:O2O education combined with the peer education management model can effectively improve the lung function of patients with COPD,depression,self-care ability,and quality of life.

基于区域经济学基本假定的区域竞争力形成机制解释

尽管区域竞争力的形成是一系列因素综合作用的结果,然而其中具有决定性意义的要素却是区域的资源禀赋、集聚经济以及转移成本。因为这三个具体要素通过对区域产业发展差异性的影响,进而又能在相当程度上决定一个区域的比较优势及企业的竞争优势,并最终形成一个区域自身的竞争力。

老年人的资源禀赋与养老方式选择--基于CLASS2012数据的实证检验

选择何种方式进行养老,是老年人依据自身资源禀赋状况做出的一种理性选择。基于可能影响老年人养老方式选择的个体特质禀赋、经济禀赋和自理能力禀赋,采用2012年中国老年社会追踪调查(CLASS)的相关数据,检验老年人资源禀赋对其养老方式选择(居家养老或机构养老)的影响,分析表明:女性老年人、年龄较小的老年人和收入较高的老年人更倾向于选择机构养老,而老年人自理能力禀赋对其养老方式选择的影响不显著。因此,老年人对机构养老的需求呈上升趋势。一是要从供给侧满足老年人多样化的养老方式需求,提升居家养老服务质量,增加养老机构数量,构建"三位一体"的新型养老模式;二是也应该密切关注老年人的资源禀赋状况,尤其要保障老年人的收入水平。

知识特性、创业导向对大学衍生创业绩效的影响——一个被调节的中介效应模型

大学衍生创业是加速母体大学创新性科技成果转化的重要途径,大学知识特性、创业导向、综合创业能力和资源禀赋状况都会对衍生创业绩效产生影响。基于实证调查数据,构建了一个被调节的中介效应模型,检验了大学知识特性、创业导向与衍生创业绩效间作用机理,结果发现:知识特性、创业导向都有利于大学衍生创业绩效提升;创业能力在创业导向与大学衍生创业绩效间起中介作用;资源禀赋正向调节创业导向、创业能力与大学衍生创业绩效间关系。

垂直专业化、人力资本与我国的技术创新能力——基于工业行业动态面板的实证研究

本文利用我国1999～2010年的行业面板数据,从工业行业和行业技术水平的角度实证分析了垂直专业、人力资本与中国工业企业技术创新之间的关系。结果表明:垂直专业化促进了20个工业行业和13个制造业技术创新活动的提高,并用垂直专业化的滞后变量验证了其结果的稳健性;从行业技术水平的角度看,垂直专业化也促进了劳动资源密集型、低中技术制造业和高技术制造业技术创新能力的提高;人力资本及其吸收能力显著提升了各行业工业企业的技术创新。

家庭资源禀赋、创业能力与环境友好型技术采用意愿——基于家庭农场视角

笔者基于家庭农场视角和西南地区27个茶叶主产县895户农户调查数据,采用有序logistic模型分析了户主创业能力和农户家庭资源禀赋对环境友好型技术采用意愿的影响。研究结果表明,户主创新意识、学习能力、创业机会识别能力、进取意识、人际关系协调能力、风险承受能力越强、情商越高,环境友好型技术采用意愿越强烈;户主文化程度、茶叶生产专业化程度、技术培训、本人或亲友担任村社干部、参加订单农业等家庭资源禀赋特征对环境友好型技术采用意愿也具有显著正向影响。

基于主成分法的中部省份技术能力测算及评价

技术能力是创新要素、创新环境与创新主体之间在创新过程中的相互作用,创新要素的差异决定了技术能力的不同。中部地区各个省份要素禀赋各异,技术能力也参差不齐。文章基于主成分分析方法,科学地选取评价指标,对中部区域技术能力进行科学地测算。研究表明:在中部区域,湖北省、河南省和湖南省的技术能力高于中部平均水平,位居前三位,而其他地区则低于平均水平,这需要中部各个省份要增加投入、引进人才、改革创新环境,积极培育创新主体,以加大技术能力的培育,构筑竞争优势。

我国中西部典型城市群产业升级的机会甄别与基本路径——基于产品空间理论的研究

在中国区域经济发展不平衡的背景下,如何加快产业升级已经成为现阶段中西部地区经济发展中面临的一个紧迫问题,为此,合理进行产业升级的机会甄别与路径选择成为重要需求。本文基于产品空间理论构建了产业升级分析框架,据此设计产业升级识别方法并判别潜在优势产业与生产能力禀赋,对中西部典型城市群的产业升级态势进行梳理,甄别未来产业升级的机会,探索潜在的产业升级基本路径。结果表明:武汉、长株潭、成渝和中原城市群等典型中西部城市群处于相对边缘的产品空间位置,由此成为影响产业升级的重要瓶颈,导致现状生产能力禀赋对于产业升级具有较大约束,具有便捷升级能力的潜在机会有限。基于此,促进中西部城市群产业升级的基本路径需要选择有利于缩小产品空间距离与加速显性比较优势扩散的产业作为发展重点。本文结论表明,初始产品空间格局是影响区域产业升级的重要基础,这直接决定了潜在比较优势产业数量、类型以及升级过程中面临的潜在难度,并由此进一步指示了实现较快产业升级所要遵循的基本路径。

老龄化背景下确保养老保险偿付能力的思考

2 0 0 0年 ,我国已基本进入老龄化社会。老龄化加剧了我国业已存在的养老金偿付困境 ,给我国的养老保险制度提出了严峻的挑战。如何采取措施化解老龄危机 ,提高养老保险的偿付能力已成为当前迫切需要解决的问题。本文对此进行了一些探讨。

农户养老保险参保水平选择的影响因素研究——对成都市农户的抽样调查分析

"新农保"制度全覆盖之后,面临着"人员全覆盖"的挑战,而缴费水平和档次的设置是影响农户参保行为的重要因素。目前,大多数参保农民都选择最低缴费档次,反映出政策预期与实际情况存在差异。对成都市农户的抽样调查分析表明:养老保险需求、预期保障收益以及缴费能力是决定参保农户选择缴费档次的关键因素;当前大多数农户倾向于选择最低的缴费档次,主要由于农户对养老保险制度的预期收益较低和缴费补贴激励不足,而年龄、教育、健康、家庭抚养比以及经济收入状况等因素不同程度地影响着农户的参保意愿和参保水平的选择。因此,农村养老保险制度的改革,应该进一步优化缴费档次设置,更加重视群体特征差异,并在保证公平性的基础上适当提高补贴标准。

WTO与我国农业保护政策

从中国农业现状着眼,根据中国农业的要素禀赋、出口产品的竞争力状况和现有的保护政策,我们要结合WTO农业协议,在调整农产品结构发挥比较优势的同时,进行必要的政策调整,以切实加强农业的保护力度,使弱质农业尽快适应激烈的竞争环境。