A Bibliometric Study on The Application of Progressive Muscle Relaxation Training in The Nursing Field in China

Objective:To systematically analyze the research status and application of progressive muscle relaxation training(PMRT)in the nursing field in China,and provide a reference basis for scientific research in this field.Methods:The bibliometric method was adopted in“progressive muscle relaxation training”or“PMRT,”and“nursing.”The established database was included in the China National Knowledge Infrastructure(CNKI)and the Wanfang Medical Network.The relevant articles in the Chinese Science and Technology Periodical Database(VIP)were analyzed.Results:A total of 169 literatures were included.The journals,years,and regions of literature publication were uneven,mainly originating from the eastern region(43.19%),and listed the application of progressive muscle relaxation training in the field of nursing in China.Intervention literature information was mainly dominated by experimental studies(97%).Conclusion:The related research and application of progressive muscle relaxation training in nursing in China is increasing,but there is a lack of objective evaluation of outcome indicators and a short intervention period.Further research should be conducted in the future to effectively guide the development of PMRT in the field of nursing in China.

Effects of Progressive Muscle Relaxation Training on Anxiety, Depression, and Quality of Life in Patients with Cerebral Small Vessel Disease

Objective:To explore the effects of progressive muscle relaxation training on anxiety,depression,and quality of life in patients with cerebral small vessel disease(CSVD).Methods:Sixty-one patients with CSVD in the Department of Neurology of a tertiary hospital were divided into an observation group(28 patients)and a control group(33 patients)by lottery method.The control group received conventional nursing care,while the observation group received progressive muscle relaxation training interventions in addition to the conventional care.The Hamilton Anxiety Scale(HAMA),the Hamilton Depression Scale(HAMD),and the Stroke-Specific Quality of Life Scale(SS-QOL)were used to compare the effects before the intervention,7 days after the intervention,and 30 days after the intervention.Results:Over time,at different time points after the intervention,the anxiety and depression scores of patients with CSVD in the observation group were significantly lower than those in the control group(P<0.05).The quality of life scores were significantly higher in the observation group compared to the control group(P<0.05),and these differences were statistically significant.Conclusion:Progressive muscle relaxation training can improve anxiety and depression in patients with cerebral small vessel disease and can effectively enhance their quality of life.

Effectiveness of progressive resistance training in improving muscle strength in myasthenia gravis:a single subject study design

Background:To investigate the effectiveness of the progressive resistance training(PRT)using thera band in improving muscle strength in myasthenia gravis(MG).Methods:In this prospective study,12 MG patients with generalised stable disease performed progressive resistance training with thera band for four times per week for 24 weeks.The isometric muscle force of shoulder abductors,biceps brachii and knee extensors using handheld dynamometer,Myasthenia Gravis Composite(MGC)score,Quantitative myasthenia gravis score(QMG),were assessed before and after the training period.Results:Progressive resistance training was well tolerated,and the isometric muscle strength was significantly improved in shoulder abductors,biceps brachii and knee extensors(P<0.05).The disease course(QMG and MGC)was slowed down and improved(P<0.05).Conclusion:Progressive resistance training is effective in improving muscle strength specifically in most affected muscles in MG.

Effects of Progressive Muscle Relaxation Training Combined with Emotion Nursing of Traditional Chinese Medicine on Motor Function and Quality of Life in Patients with Cerebral Stroke Complicated with Hemiplegia

OBJECTIVE: To explore the effects of progressive muscle relaxation training combined with emotion nursing of traditional Chinese medicine(TCM) on the motor function and quality of life in patients with cerebral stroke complicated with hemiplegia. METHODS: A total of 100 cases of patients with cerebral stroke complicated with hemiplegia who were admitted to Rehabilitation Medicine Department of Suzhou Municipal Hospital from May 2016 to May 2017 were selected and randomly divided into study group(50 cases) and control group(50 cases), and they were nursed for 1 month. Control group was given routine nursing, and study group was given progressive muscle relaxation training combined with TCM emotion nursing on the basis of routine nursing. The scores of all items were obtained by nurses through questionnaires, and the motor function and quality of life were analyzed and compared between the 2 groups. RESULTS: After nursing, the scores of muscle strength, Barthel index(BI) and Fugl-Meyer motor function scales in study group were higher than those in control group(P < 0.05). The facing scores of coping style in study group were higher than those in control group, and the avoidance score and yielding score were lower than those in control group(P < 0.05). The scores of depression and anxiety in study group were lower than those in control group(P < 0.05). The scores of items in SF-36 life scale in study group were higher than those in control group(P < 0.05). CONCLUSION: Progressive muscle relaxation training combined with TCM emotion nursing is conducive to the recovery of motor function and improvement of quality of life in patients with cerebral stroke complicated with hemiplegia.

Effect of Psychological Education Combined with Progressive Muscle Relaxation Training on the Symptom Cluster and Rehospitalization Rate of Elderly Patients with Coronary Heart Disease

Objective:To investigate the effect of psychological education combined with progressive muscle relaxation training on the symptom cluster and rehospitalization of elderly patients with coronary heart disease.Methods:This study is a longitudinal randomized controlled study involving 140 elderly patients with coronary heart disease.The patients were divided into two groups:an intervention group and a control group,with 70 cases in each group,via random number table.The patients in the control group received routine nursing,whereas those in the intervention group received psychological education combined with progressive muscle relaxation training for 4 weeks on the basis of routine nursing.The effect of the intervention was evaluated before intervention,at the end of 1 month,3 months,and 6 months after intervention.Results:At the end of 1 month,3 months,and 6 months,the sleep,fatigue,anxiety,and functional status of the patients in the intervention group were significantly better than those of the control group,with statistical significance difference(P<0.05).The rehospitalization rate of the intervention group was lower than that of the control group,and the difference was statistically significant(X2=10.685,P=0.001).Conclusion:Psychological education combined with progressive muscle relaxation training is effective in alleviating the symptom cluster of elderly patients with coronary heart disease and reducing their rehospitalization rate;thus,it should be popularized.

The usefulness and significance of assessing rapidly progressive spermatozoa

It is possible and clinically relevant to distinguish between slow and rapid progressive spermatozoa in basic semen analysis. This is discussed in light of the different purposes of semen analysis for the subfertile couple and the male patient. The two groups of progressive spermatozoa should be distinguished to help ensure that pertinent information available in the semen sample is not neglected.

分层递进教学模式在普外科住院医师规范化培训中的应用探索

住院医师规范化培训是促进我国医学规范化发展,提高整体医疗卫生水平的重要途径。分层递进模式是国家对住院医师规范化培训工作提出的新要求,旨在满足不同阶段学员的诉求,有力地保障规范化培训的教学质量。普外科作为外科系统中的最大专科,具有技能操作多,知识涉及面广、学员人数多且能力水平不一等特点。分层递进教学模式在普外科的临床教学中具有重要的现实意义,是满足不同水平轮转学员要求的重要方式,也是各教学基地积极探索的重要领域。目前多家住培基地对分层递进教学模式进行了积极的尝试和探索,但有不同的认识和看法。北京朝阳医院普外科通过入科教育来摸清学员特点,在“三基”培训、科研能力培养、医德医风教育、出科考核内容等方面探索分层递进的具体措施并总结经验,希望能为分层递进教学工作的开展提供一定的参考。

乡村振兴背景下“三阶递进”模式在农民培育中的构建和应用

要实现我国农业的现代化,确保国家粮食安全和重要农产品有效供给,就需要打造一支高素质农民队伍。基于此,江苏农牧科技职业学院创新育人体制、机制,通过构建培育资源包、开发培育模块、固化培训流程、建立质量保障体系等一系列做法,为乡村振兴培养“懂技术、善经营、会管理”的高素质农民。发展生态农业对高素质农民的需求,采用“三阶递进”高素质农民培育模式进行培育,取得了较好的培育效果,形成了高素质农民培育范式,为模式的完善和进一步推广奠定了基础。

以家庭为中心的智谋训练在腹膜透析患者中的应用研究

目的探讨以家庭为中心的智谋训练在腹膜透析患者中的应用效果。方法在构建以家庭为中心的腹膜透析患者智谋训练方案的基础上,2021年1月—12月选取固定在本院肾内科接受随访的106例腹膜透析患者作为研究对象,采用随机数字表法将其分为对照组(n=53)和试验组(n=53)。对照组实施常规护理,试验组给予常规护理结合以家庭为中心的智谋训练,比较干预前、干预8周后两组智谋、疾病进展恐惧、腹膜透析病耻感水平。结果干预8周后,试验组智谋总分为(85.17±16.48)分,高于对照组的(73.87±18.45)分(P<0.05);试验组疾病进展恐惧总分为(33.85±4.72)分,低于对照组的(37.15±5.36)分(P<0.05);试验组病耻感总分为(56.87±16.66)分,低于对照组的(64.09±16.65)分(P<0.05)。结论以家庭为中心的智谋训练能有效提高腹膜透析患者的智谋水平,降低其疾病进展恐惧与病耻感水平。

基于递进式培养的电气节能虚仿平台开发

以抽油机的电气节能改造、注水泵的变频调速、海上钻井平台电力系统的无功补偿为主体,结合现场实际工况,设计开发了典型石油钻采设备电气节能技术虚拟仿真平台。实验过程施行“知识—能力—素质”的递进式培养,在掌握石油石化行业典型的电气节能技术的基础上,通过该平台进行电机选型、设计控制电路、分析设备耗能等各种实验模拟操作与分析,并能准确评价节能方案的可行性与经济性。

西部地方综合性大学化学拔尖创新人才“进阶式”贯通培养模式的探索与实践

西北大学立足于地方综合性大学的特点,针对西部地方高校化学拔尖人才贯通培养过程中存在的主要教学问题,凝练了“化材灯火”奋斗精神,明晰了“价值引领-思维涵养-精神塑造”“三聚焦”立德铸魂实施新路径,构建了“立体化课程体系-系统化专业训练-开放化创新实践”“三化一中心”人才培养体系和“学校-学院-社会-导师-学生”五位一体质量保障体系,形成了独具特色的化学拔尖创新人才“进阶式”贯通培养新模式,满足了本硕博不同学位类型、不同专业基础创新人才培养的需要,有力支撑了西部经济社会发展。本文介绍了西北大学化学研究生教育改革的举措和成效。

超声医学科住院医师分级分段递进式培训模式的初步探索

医学硕士专业学位研究生培养和住院医师规范化培训(简称住培)并轨,使得超声医学科专业住院医师呈现出更加复杂的教育背景,这给超声医学科住培工作带来了很大挑战。如何不断改进教学方法,优化教学内容,提升超声实践操作能力,培养高素质的超声医学人才成为了超声医学科住培中亟待解决的问题。上海交通大学医学院附属新华医院针对目前超声医学科培训现状,在住培中采取了分级分段的递进式培训新模式,制订不同年级不同阶段的培训计划、培训内容和考核方法。经过初步探索发现,分级分段递进式培训新模式在超声住院医师中取得了较好的培训效果,受到住院医师一致好评,提高了住院医师的学习积极性和主动性,值得在住培教学中推广应用。

腰肌劳损的中医药治疗研究进展

腰肌劳损是一种由腰部肌肉、筋膜、韧带等软组织损伤导致的炎症性疾病,临床常表现为反复发作不同程度的腰骶部酸胀痛,可向臀部放射,活动受限,多在扭转、久坐久立及天气变化时加重,通常在短暂休息或改变体位后,疼痛得到一定程度的缓解。本病的病理机制主要与肌组织及其附着点处的过度牵拉,导致局部反应性炎症、局部组织变性有关。近年来,中西医在本病的治疗方面均取得了显著进展,乙酰氨基酚、阿司匹林、塞来昔布等非甾体类抗炎药以及镇痛药效果较好,但存在不良反应,而中药内服、外敷、推拿、艾灸、康复锻炼等中医疗法效果显著,作用时间久,不容易复发,深受患者喜爱。腰肌劳损在军事训练伤中较为常见,管理者与临床医生也开展了系列研究。

探讨渐进性康复训练配合预见性干预对乳腺癌术后患者上肢功能的影响

目的观察渐进性康复训练配合预见性干预对乳腺癌术后患者上肢功能的影响。方法100例乳腺癌术后患者,以随机数字表法分成对照组和研究组,各50例,对照组实施以常规的康复指导,研究组实施以渐进性康复训练配合预见性干预。比较两组干预前后的患侧肢体关节活动度、上肢运动功能、日常生活能力、自我干预能力及生活质量评分,术后并发症发生情况。结果两组干预患侧肢体后各方向活动度较干预前增加,研究组前屈、后伸、内旋、外旋、内收、外展活动度分别为(158.96±13.55)、(56.36±2.77)、(89.05±10.96)、(88.34±2.95)、(58.76±2.95)、(162.34±10.18)°,与对照组的(147.10±10.96)、(49.00±3.62)、(83.75±7.36)、(81.02±3.11)、(54.34±2.76)、(156.84±12.43)°相比更高,具有显著的差异性(P<0.05)。两组干预后上肢运动功能、日常生活能力、自我干预能力及生活质量较干预前增加,研究组上肢运动功能、日常生活能力、自我干预能力及生活质量评分分别为(52.58±6.61)、(91.15±3.99)、(94.43±3.11)、(92.26±3.42)分,高于对照组的(48.17±5.62)、(87.02±4.74)、(89.43±4.11)、(87.08±4.03)分,具有显著的差异性(P<0.05)。研究组患者术后并发症发生率6.00%低于对照组的22.00%,具有显著的差异性(P<0.05)。结论乳腺癌术后患者开展渐进性康复训练配合预见性干预,可改善患侧肢体的上肢各方向活动度,提升术后上肢运动功能、日常生活能力、自我干预能力及生活质量,减少术后并发症的发生。

分层递进模式在营养专科护士培养中的探索

目前,临床营养治疗已成为疾病治疗的重要部分,营养方案的有效实施离不开专业的护理,培养合格的营养专科护士是提高临床营养治疗质量的关键环节。然而,国内目前在营养专科护士的培养方面仍存在一些问题,如学员起点差异大、教学活动积极性不高、临床带教师资力量不足等。分层递进培养模式是在差异视角的导引下,根据培养对象的学历、职称、工作科室、工作年限的不同,设置并实施递进上升的阶段性培训目标。其核心目的是提高营养专科护士的临床专业能力、领导与管理能力、职业人文特质、指导与协作能力、专业发展能力。本文针对营养专科护士培养的特点,探讨了营养专科护士分层递进培训的一系列方案和措施,旨在为提高营养专科护士培训效果提供参考。

工程类学生工程实践能力递进式提升策略与实践

以工科院校机械类专业课程教学为例,分析了工程类学生的工程实践能力与理论教学、实践教学之间的关系,从理论教学、实验教学及理论与实践教学融合三个方面,提出了在新工科背景下提高学生工程实践能力的递进式提升人才培养策略和具体措施。实践表明,该策略可以积极有效地提升学生的工程实践能力和综合素质。

智能化膝关节康复仪联合渐进性肌肉放松训练对胫骨平台骨折术后患者膝关节功能的影响

目的回顾性分析智能化膝关节康复仪联合渐进性肌肉放松训练(PMRT)对胫骨平台骨折术后患者疼痛及膝关节功能的影响。方法收集2021年1月至2023年8月南阳市第一人民医院西区医院收治的86例胫骨平台骨折患者病历资料,根据不同治疗方案将患者分为两组,其中行PMRT治疗的43例为对照组,行PMRT+智能化膝关节康复仪治疗的43例为联合组。对比两组康复指标、疼痛程度[视觉模拟评分法(VAS)评估]、肿胀程度、舒适度[Kolcaba简化舒适度量表(GCQ)评估]、下肢功能[下肢功能评定量表(LEFS)评估]、膝关节功能[美国特种外科医院膝关节评分(HSS)评估]与躯体活动能力[躯体生活自理量表(PSMS)评估]。结果联合组患肢肌肉舒缩活动恢复时间、镇痛药使用时间、骨折愈合时间分别为(20.30±3.43)h、(4.62±0.32)d、(14.52±1.80)周,短于对照组的(25.90±2.64)h、(6.34±0.76)d、(16.68±1.64)周,差异有统计学意义(P<0.05);干预2周、4周后联合组VAS评分、PSMS评分、肿胀程度分别为(2.79±0.46)分、(1.40±0.35)分、(13.05±1.50)分、(10.05±1.10)分、(3.05±0.52)cm、(2.16±0.28)cm,低于对照组的(3.25±0.53)分、(1.91±0.40)分、(14.54±2.07)分、(12.64±1.17)分、(3.66±0.65)cm、(3.25±0.53)cm,GCQ、LEFS、HSS评分分别为(65.32±3.90)分、(78.60±4.98)分、(38.98±4.05)分、(45.30±3.64)分、(30.63±2.51)分、(45.81±3.04)分,高于对照组的(63.08±4.12)分、(75.62±5.23)分、(35.63±3.82)分、(41.28±4.09)分、(28.90±2.04)分、(41.30±3.47)分,差异有统计学意义(P<0.05)。结论胫骨平台骨折术后使用智能化膝关节康复仪联合PMRT干预可缓解疼痛及肿胀,促进骨折愈合,改善下肢、膝关节功能及躯体自理生活能力。

分层递进培养模式在胸心外科住院医师规范化培训中的应用

目的探索分层递进培养模式在胸心外科住院医师规范化培训(简称住培)中的效果。方法选取2022年3月至2023年3月在苏州大学附属第二医院胸心外科轮转的90名住院医师为研究对象,其中观察组46人,对照组44人。观察两组住院医师出科后的考核理论成绩、专科技能操作成绩以及主观学习感受。结果观察组住院医师的出科考核理论成绩、专科技能操作成绩以及主观学习感受均显著高于对照组,差异有统计学意义(均P<0.05)。结论分层递进式培养模式在胸心外科住培的应用中显示出了明显的优越性,提高了住院医师的专业知识和临床技能水平,是一种值得进一步探索和推广的教学模式。

基于OBE评价的嵌入式系列课程改革与实践

新形势下电子信息领域亟需高端化、多样化嵌入式方面人才,而工程教育认证的OBE理念以其及时反馈、先进性成为高校学生能力培养的重要机制。基于OBE形成性评价机制对嵌入式系列课程存在的问题进行了分析,提出了“3+3”嵌入式系列课程的贯通培养体系,并将递进式协同案例教学方式实践于学生能力培养过程中。实践结果表明,新方法的应用促进了嵌入式系列课程间的贯通与衔接,促进了学生的学习兴趣,增强了学生的实践动手能力。