中国养老服务问题解析及其路径改进

在人口老龄化、经济发展、老年人需求多样化背景下,中国养老服务市场呈现出多样化需求现状,其中也存在一些需求无法得到满足的问题。在探讨如何解决养老服务问题的过程中,发达国家采取以经济性和社会性为标识,以企业化运营的管理方式,这些形式可以为我国的养老服务发展提供借鉴,使以社会企业形式所提供的养老服务同政府、营利性组织、非营利性组织所提供的养老服务相配合,共同促进我国养老服务体系的发展。     

舒适护理在子宫肌瘤围手术期的应用

目的探讨子宫肌瘤围手术期实施舒适护理措施。方法对102例子宫肌瘤患者分别在术前、术中、术后实施舒适护理措施。结果所有患者经过精心治疗和护理,术后均痊愈出院。结论舒适护理作为整体护理的延伸和拓展,注重“以人为本”的护理理念,从患者的角度来考虑患病过程中的心理、家庭和社会因素对患者的治疗和康复的影响,实施护理措施,可以有效减轻患者的病程,有利于提高患者术后的生活质量。     

《一九四二》：生命的反思

作家刘震云根据自己创作的小说《温故一九四二》改编的电影《一九四二》上映后,在国内引起强烈的反响。这部对生命与历史抱持着尊重与客观态度的影片让国人重新反思,对那段不曾经历的历史,对那些不应忘记的人,如今的我们能做些什么。影片围绕“人”的主题,从历史中延展的生命维度、人的栖居——故乡家园的概念、人的信仰三个方面对生命本体进行了描述。生命个体始终是值得被尊重的,假如他没有在存在的时候被尊重,至少也要在记忆中被留存。反思生命是回归到对艺术创作核心问题的探讨,对生命存在的相关思索是艺术创作永恒的命题。     

从魏晋体育文学看魏晋体育

将魏晋时期较为成熟的文学样式诗、赋、文、小说中涉及＂体育＂的部分划定为＂体育文学＂,从中窥探当时体育的发展状况。指出魏晋＂体育文学＂呈现了当时军事、侠士、射猎、走狗、登高、垂钓、棋弈、击壤、养生等体育形态,但这不是简单的再现,而是将现实中的体育活动与历史、人性、生命本体、社会存在等进行了紧密的联系,开辟了更广阔的文化空间。     

Factors associated with physical activity referral completion and health outcomes

Abstract

Participant socio-demographic characteristics and referral reason were investigated in relation to completion and health outcomes in a Primary Care Physical Activity Referral Scheme using a prospective population-based longitudinal design. Participants (n = 1735) were recruited over a 2-year period. A three-stage binary logistic regression analysis identified the factors associated with the outcomes of completion (model 1), body mass reduction (model 2) and blood pressure reduction (model 3). Participant's age, gender, ethnicity, occupation and referral reason were the independent variables for model 1, with the variables of completion added in model 2 and completion and body mass reduction added in model 3. Logistic regression analysis revealed that increasing age is associated with the likelihood of completion (Odds Ratio, OR = 1.019; Confidence Interval, CI = 1.008–1.030; P = 0.001). Participants with a pulmonary condition are less likely to complete (OR = 0.546; CI = 0.346–0.860; P < 0.01) compared to those referred for cardiovascular conditions. For ethnicity, in comparison to the white category, patients in the mixed category are significantly more likely to achieve a reduction in body mass (OR = 3.991; CI = 1.191–13.373; P < 0.05). Those who complete are more likely to achieve a reduction in body mass (OR = 3.541; CI = 2.721–4.608; P < 0.001). When compared to the unemployed category, the skilled manual category had an increased likelihood of achieving a reduction in blood pressure (OR = 1.875; CI = 1.044–3.227; P < 0.05). Participants who completed also demonstrated an increased likelihood of a reduction in blood pressure (OR = 1.680; CI = 1.250–2.003; P < 0.001). Furthermore, those participants who achieved a reduction in body mass had an increased likelihood of achieving a reduction in blood pressure (OR = 1.292; CI = 1.008–1.641; P < 0.05). Completion is associated with health outcomes of reduced body mass and blood pressure.     

Teaching care ethics: conceptual understandings and stories for learning

An ethic of care acknowledges the centrality of the role of caring relationships in moral education. Care ethics requires a conception of ‘care’ that differs from the quotidian use of the word. In order to teach care ethics more effectively, this article discusses four interrelated ways that teachers’ understandings of care differ from care ethics: (1) conflating the term of reference ‘care’ with its quotidian use; (2) overlooking the challenge of developing caring relationships; (3) tending toward monocultural understandings of care; and (4) separating affect and intellect. Awareness of these conceptions of care supports teacher educators to teach care ethics in more meaningful and relevant ways. We explore stories and their dramatization as a medium to facilitate effective and in-depth teaching of care ethics.     

The evolution of student identity: A case of caveat emptor

Engaging students has been seen as the key to promoting their achievement in higher education institutions. However, there is an important stage prior to this: the development of a positive student identity which influences students’ motivation to engage. As the student body has evolved from full-time, on-campus students entering university straight from school to embrace adult, part-time and online learners who are also in employment, the transition to a student identity has become less transparent. To encourage part-time students undertaking an undergraduate degree in Social and Health Care Management to engage with each other, the course team piloted peer assessment within the programme for a year. This paper informs the debate by providing insight into the students’ approach to learning and attainment. It is argued that the culture of compliance and the technocratic approach to task completion increasingly required within the social care and learning sector is antithetical to deep learning. For students to make the transition they need to commit to a student identity in which participation in reflection and critical debate are valued. The challenge is for universities to enable this by addressing the barriers and stimulating a positive identity for non-traditional students.     

一种伙伴关系的建构:我国老年人长期照护问题研究

随着我国人口老龄化和高龄化程度的增加,尤其是在人口流动不断加速和空巢化现象突出的情况下,如何建构起能够满足老年人护理需求的服务体系,不仅是家庭问题,也是社会问题和市场问题,甚至是政治问题。通过对我国老龄化现状及老年人服务供给中存在问题的分析,建设从家庭、社会(社区)、政府和市场四个维度打造一个全方位的多维服务空间,以满足老年人的长期护理需求;这种多维空间的服务模式,事实上也是一种"伙伴关系"的建构,它具有现实可能性与实践的必要性,并可以探索出一种良好的合作机制。