HAPA理论背景下大学生锻炼行为与锻炼效果的干预研究

以健康行动过程取向理论为理论背景,对644名在校大学生进行教育干预实验研究.干预措施包括课堂和课下指导、微信等即时通信工具宣传、发放健康行为宣传册等,干预时间为10周.在干预前后共进行了两次问卷调查、三次身体素质测试.结果:①根据HAPA阶段划分,大学生大部分处于健康锻炼行为无意向和意向阶段,仅有14.1％处于行动阶段;②干预对大学生锻炼行为意向水平和体育锻炼等级具有积极影响;③干预对大学生身体素质整体水平有积极影响;④锻炼自我效能作为社会认知变量在健康行为过程取向理论的各个阶段都发挥重要作用.建议通过提高个体锻炼自我效能感和制订合适的锻炼计划增加大学生中参加有规律的体育锻炼人数比例.     

专业型学生社团导师制实效性评价指标体系研究

根据专业型学生社团的性质和相应原则,构建教师指导动机、指导能力、指导行为和过程绩效以及产出绩效五个方面的评价指标,并通过问卷调查和探索性因子分析,对问卷的信度和效度进行了检验,提取了五个公因子,以各公因子的方差贡献率占累积方差贡献率的比重作为权重进行加权汇总,得出评价对象的综合得分。     

Library tools at the nurses' station: exploring information-seeking behaviors and needs of nurses in a war veterans nursing home

Objectives:Analyze the information-seeking practices and identify the information and education needs of nurses in a war veterans nursing home. Develop an online toolkit for use at the nurses'' stations to meet nurses'' health information needs.Methods:Investigators employed mixed methods to determine the health information needs of the participating nurses at the skilled nursing facility using an online questionnaire and in-person observations. Resulting data was compared to determine how nurses'' self-reported data corresponded with investigator observations.Results:Twenty-seven out of a total of thirty-five nurses responded to the online questionnaire. The study principal investigator also observed a total of twelve nurses working across all shifts. The online questionnaire asked nurses to identify when they need health information for an acute clinical scenario. Nurses self-reported feeling most confident in assessing falls and pain, followed by medication adherence and skin integrity. Issues most frequently encountered during observation of nurses were falls, interventions surrounding cognitive ability or dementia, and use of antibiotics. Nurses reported and were observed to consult colleagues most frequently, followed by drug handbooks and relying on nursing experience.Conclusion:Nurses in skilled nursing facilities will benefit from ready online access to current drug handbooks as well as information resources surrounding commonly encountered clinical issues and stated needs. An outcome of this project is an online toolkit site using a LibGuide created specifically for this purpose. Researchers purchased laptop computers that were installed at each of the nurses'' stations to provide ready access to the toolkit site.     

智障儿童情绪识别特征的理论解释与具身干预

智障儿童的情绪识别能力存在基本情绪识别困难、各类识别任务表现不同、情绪加工方式偏好和特定性综合征差异四个主要特征.在解释智障儿童情绪识别主要特征时,传统认知理论的认知-智力局限假说和情绪特异性假说均孤立地看待身体与大脑,属于身心二元论.具身认知理论则强调身体及所处环境在情绪识别中的重要作用,从情绪体验、情绪刺激和加工方...     

我国农民医疗保健事业发展沿革、现状及对策--衡阳农民医疗保健问题调查的思考

农村医疗卫生事业曾经有过较好的发展,但好景不长。目前,农村医疗卫生状况令人堪忧。农民看病难,形势严峻。要推进农村和谐社会建设,必须大力推行农村合作医疗制度改革。全面提升农民医疗保健水平。     

Community Consultation in Developing Museum Projects: A Case Study Using the Repertory Grid Technique

Good community consultation is a powerful tool in developing new museum projects and exhibitions, facilitating a more effective delivery of service to a diverse public. Existing techniques for both user and community consultation are limited with front end evaluation particularly undeveloped in the sector, often providing no meaningful base by which to compare project outcomes. Tension exists between government, which values quantitative data, and researchers who argue qualitative methods are more appropriate for evaluating community projects. This article reports a pilot study using the repertory grid technique to examine a ‘socially excluded’, ethnically diverse local community's perceptions, expectations and previous experiences of similar projects, to provide a benchmark against which to compare outcomes. This research formed part of the front end evaluation for a New Deal for Community's Project run by Sheffield Galleries and Museums Trust. The repertory grid technique was developed in psychological studies as a means of understanding respondents' own world views, and is particularly helpful in working with people with poor language skills. Although this study only used the technique qualitatively, it can be used to combine both quantitative and qualitative data, providing more robust data for evidence-based policy decisions. Using the repertory grid technique, respondents were able to list both perceived and practical barriers to participation in projects. The technique also enabled them to articulate what would motivate them to become involved in future projects. The repertory grid technique has significant potential for use in community consultation and project evaluation as a means of understanding local residents' perceptions and its visual representation means that its findings can be easily understood by participants, policy-makers and practitioners.     

中西结合治疗子宫颈炎疗效观察及体会

子宫颈炎是妇科常见病、多发病.为探讨中西结合治疗子宫颈炎的方法,近几年来,使用以黄柏粉为主的七味中药加西药红霉素局部治疗子宫颈炎患者300例,其中急性子宫颈炎80例,治愈率为100%,慢性子宫颈炎220例,治愈率为82%,收到了良好的治疗效果.而且这种治疗方法无不良反应,病人乐于接受,优于其它子宫颈炎的治疗方法.     

关键反应训练法干预自闭症儿童主动提问技能的个案研究

为探讨关键反应训练法对自闭症儿童主动提问技能的干预效果,采用单一被试研究中的跨行为多基线实验设计对一名自闭症儿童的物品主动提问、人物主动提问、地点主动提问等三个主动提问技能进行干预。研究结果表明关键反应训练法对自闭症儿童主动提问技能具有立即效果、维持效果和类化效果。为此,可以应用关键反应训练法对自闭症儿童进行训练。     

12周惯性哑铃练习对轻度认知损害老年人的干预效果

目的观察12周惯性哑铃练习对轻度认知损害(MCI)老年人认知功能、身体活动能力、生活质量和睡眠质量的影响,并探讨认知改善与其他功能改变之间的关系。方法将45名MCI老年人随机分为干预组(n=22)和对照组(n=23)。干预组受试者进行惯性哑铃练习(3次/周,60 min/次,持续12周),对照组不进行运动干预。结果 12周后,干预组受试者阿尔茨海默病评定量表-认知部分(ADAS-Cog)总分/指令得分、蒙特利尔认知评估量表(MoCA)评分、起立行走计时(TUG)和SF-36健康调查问卷(SF-36)心理总得分均显著改善(均P<0.05)。与对照组相比,干预组受试者ADAS-Cog总分/单词回忆得分/注意力得分、简明精神量表(MMSE)评分、TUG和匹兹堡睡眠指数(PSQI)的改善程度均具有显著差异(P<0.05或P=0.05)。偏相关分析结果显示,SF-36心理总得分改变(r=-0.712)、PSQI改变(r=-0.380)与认知改善程度均呈显著负相关。结论 12周惯性哑铃练习可显著提高MCI老年人的认知功能,并对其移动能力、生活质量和睡眠质量具有积极影响,且心理和睡眠改变程度可能影响认知功能的改善效果。     

肌筋膜疼痛综合征诱因及外治手段研究进展

不良生活习惯和伤后康复不佳导致的肌筋膜疼痛综合征已经成为当前影响人们生活质量的因素之一。本文运用文献资料法,梳理肌筋膜疼痛综合征的诱因及外治(非内服药物治疗)手段,探究其干预手段的疗效,由病因入手,研究最佳干预方法。综合研究表明:(1)肌筋膜疼痛综合征病因包括:骨骼肌及筋膜外伤、风寒入侵机体、慢性劳损、局部肌筋膜慢性炎症损伤等;(2)目前对肌筋膜疼痛综合征康复的方法主要以针刺和温和灸为主,本文纳入针刺治疗和温和灸治疗有效率高达89.5%和100%;(3)其发病的常见部位为腰背部及肩颈部,不同部位、不同病因的肌筋膜疼痛综合征应采取不同的治疗方式,复合治疗方法比单一手段干预效果更佳。