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Correlations among workaholism, professional commitment and head nurses' care in nurses at a Class III Grade A hospital 某三甲医院护士长工作热情、专业承诺与护士长护理的相关研究
Pub Date : 2020-04-06 DOI: 10.3760/CMA.J.CN115682-20190728-02694
Na Qu, Wenying Jiang
Objective To understand the workaholism of clinical nurses, and analyze the correlations among workaholism, professional commitment and head nurses' care in nurses. Methods In March 2019, this cross-sectional investigation selected 600 registered nurses at Yantai Affiliated Hospital of Binzhou Medical University as subjects by convenience sampling. Nurses were investigated with the general information questionnaire, Work Addiction Risk Test (WART) , Measurement of Occupation Commitment and head nurses were investigated with the Satisfaction Evaluation Questionnaire about Humanistic Caring of Head-Nurses to Nurses. This study analyzed the correlations among workaholism, professional commitment and head nurses' care in nurses. A total of 600 questionnaires were sent out and 574 valid of them were collected with 95.7% for the valid recovery rate. Results Among 574 clinical nurses, the total score of WART was (53.25±7.84) with a moderate level of workaholism. The total scores of measurement of occupation commitment of nurses and head nurses' care were (74.38±10.31) and (151.27±24.75) respectively. Simple correlation showed that there were statistical differences in the scores of WART among nurses with different working lives, positional titles, education levels and marital status (P<0.05) . Pearson correlation analysis showed that workaholism of clinical nurses had a positive correlation with the professional commitment (r=0.437, P<0.01) and also had a positive correlation with head nurses' care (r=0.397, P<0.01) . Hierarchical regression indicated that the influencing factors of workaholism of clinical nurses included the working lives, positional titles, economic cost commitment and promoting personal development. Conclusions Clinical nurses have a moderate level of workaholism. The influencing factors of workaholism of clinical nurses are the working lives, positional titles, economic cost commitment and promoting personal development. Nursing managers should reasonably adjust the professional commitment and organization care according to clinical nurses' workaholism, and take measures to help clinical nurses copy with clinical work with a positive and healthy state. Key words: Nurses; Workaholism; Professional commitment; Humanistic care
目的了解临床护士的工作狂状况,分析护士工作狂与专业承诺、护士长护理的相关性。方法于2019年3月采用方便抽样的方法,选取滨州医科大学附属烟台医院注册护士600名作为横断面调查对象。采用一般信息问卷、工作成瘾风险测试、职业承诺量表对护士长进行调查,采用护士长对护士的人文关怀满意度评价问卷对护士长进行调查。本研究旨在分析护士长工作状态、专业承诺与护士长护理的相关关系。共发放问卷600份,回收有效问卷574份,有效回收率为95.7%。结果574名临床护士WART总分为(53.25±7.84)分,工作热情中等。护士职业承诺和护士长护理的测量总分分别为(74.38±10.31)分和(151.27±24.75)分。简单相关分析显示,不同工作年限、职称、文化程度、婚姻状况的护士的WART评分差异有统计学意义(P<0.05)。Pearson相关分析显示,临床护士的工作狂与专业承诺呈正相关(r=0.437, P<0.01),与护士长护理呈正相关(r=0.397, P<0.01)。层次回归分析表明,临床护士工作年限、职位、经济成本承担和促进个人发展是影响其工作工作狂的因素。结论临床护士具有中等程度的工作狂。影响临床护士工作狂的因素有工作年限、职称、经济成本承担和促进个人发展。护理管理者应根据临床护士的工作狂情况,合理调整职业承诺和组织护理,采取措施帮助临床护士以积极健康的状态参与临床工作。关键词:护士;工作狂;专业承诺;人文关怀
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引用次数: 0
Medical coping modes and influencing factors of 128 patients with COVID-2019 128例2019冠状病毒病患者的医疗应对方式及影响因素
Pub Date : 2020-04-03 DOI: 10.3760/CMA.J.CN115682-20200221-00933
Yuehao Shen, Zhifang Yuan, Ying Wang, Na-na Ma, Jianhui Wang, Y. Niu, Ya-Ting Zhu, Hui-zhong Lin, Yongming Yu, Wei Li, K. Yao, Yan-xia Li, Jiyun Yu, Qi Wang, Suyan Liu, Shuo Li, Mei Lin
Objective To explore the relationships between medical coping modes of patients with COVID-2019 and general information and social supports. Methods From January to February 2020, a total of 128 patients in a designated hospital in Wuhan with novel coronavirus pneumonia were investigated using the General Information Questionnaire and the Chinese version of the Medical Coping Modes Questionnaire(MCMQ) by convenient sampling. Pearson univariate analysis and multiple linear regression were used to analyze the relationship between the basic situation of patients with novel coronavirus pneumonia and coping modes. Results The scores of the face dimension and yield dimension of patients with COVID-2019 were lower than the norm model, while the avoidance dimension was higher than the norm model, and the differences were statistically significant (P<0.05). Support utilization and complexity were influencing factors of the face dimension (P<0.05). Support utilization and age were influencing factors of the yielding dimension (P<0.01). Subjective support, the complexity dimension of disease uncertainty and the number of confirmed patients in the family were influencing factors of the avoidance dimension (P<0.01). Conclusions Patients with COVID-2019 have poor medical coping modes, and they are prone to face the disease with a negative attitude. Patients are unwilling to face the disease and the tendency to yield to the disease is greater. And the older the patients, the less likely they are to succumb to the disease. The more patients diagnosed in the family, the less likely they are to avoid the disease. Patients with higher social supports and utilization have a more reasonable medical coping mode. This reminds medical staff to pay more attention to the psychological problems of patients in coping with COVID-2019 and improve their coping modes and methods. Key words: Corona virus disease 2019; Pneumonia; Medical coping modes; Disease uncertainty
目的探讨新冠肺炎患者医疗应对方式与一般信息和社会支持的关系。方法采用方便抽样的方法,对2020年1 - 2月武汉市某定点医院收治的128例新型冠状病毒感染的肺炎患者进行一般信息问卷和中文版《医疗应对方式问卷》调查。采用Pearson单因素分析和多元线性回归分析新型冠状病毒肺炎患者基本情况与应对方式的关系。结果2019冠状病毒肺炎患者面部维度和屈服维度得分低于常态模型,回避维度得分高于常态模型,差异均有统计学意义(P<0.05)。支持利用和复杂程度是影响面部维度的因素(P<0.05)。支架利用率和树龄是影响产量维数的因素(P<0.01)。主观支持度、疾病不确定性复杂性维度和家庭确诊人数是回避维度的影响因素(P<0.01)。结论新冠肺炎患者医疗应对方式较差,易以消极态度面对疾病。患者不愿面对疾病,向疾病屈服的倾向更大。患者年龄越大,死于这种疾病的可能性就越小。家庭中确诊的患者越多,他们就越不可能避免这种疾病。社会支持和社会利用程度越高的患者,其医疗应对方式越合理。这提醒医护人员在应对新冠肺炎时,要更加关注患者的心理问题,改进应对模式和方法。关键词:2019冠状病毒病;肺炎;医疗应对模式;疾病的不确定性
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引用次数: 1
Construction of public protective action decision model in a city with COVID-19 新型冠状病毒肺炎城市公共防护行动决策模型构建
Pub Date : 2020-03-31 DOI: 10.3760/CMA.J.CN115682-20200229-01208
Wei Li, Dongliang Yang, Haichen Wang, Hongmin Zhang, Kai Liu, Linyue Zhu, Cui Kong, Dandan Sun
Objective To explore the key influencing factors of public protective action from the angle of risk perception, protective cognition and authority trust so as to build the public protective action decision model in city with corona virus disease (COVID-19). Methods From 2ed February 2020 to 6th February 2020, we carried out cross-sectional investigation among 1 201 publics selected by convenience sampling with the "Wen Juan Xing" electronic questionnaire collection system. The investigation tool included the general information questionnaire and the COVID-19 public protective decision-making scale. SPSS 22.0 was used to data statistics and AMOS 23.0 was applied to explore correlations among four variables, risk perception, protective cognition, authority trust and protective action, so as to build the COVID-19 public protective action decision model. Results The structural equation model had a high level of goodness-of-fit, the direct effect of risk perception on protective action was 0.410; the direct effect of protective cognition on protective action was 0.070; the total effect of authority trust on protective action was 0.377. Conclusions In China, the public have good compliance of protective action. The model can effectively forecast the protective action of COVID-19 among city publics. Key words: COVID-19; Public protection decision-making; Model building
目的从风险感知、防护认知和权威信任的角度探讨城市公众防护行为的关键影响因素,构建新型冠状病毒病(COVID-19)城市公众防护行为决策模型。方法于2020年2月2日至2月6日,采用“文娟星”电子问卷收集系统,采用方便抽样法抽取1 201名公众进行横断面调查。调查工具包括一般信息问卷和COVID-19公共防护决策量表。采用SPSS 22.0进行数据统计,运用AMOS 23.0分析风险感知、防护认知、权威信任和防护行动四个变量之间的相关性,构建新型冠状病毒肺炎公众防护行动决策模型。结果结构方程模型具有较高的拟合优度,风险感知对保护行为的直接影响为0.410;保护认知对保护作用的直接影响为0.070;权威信任对保护行为的总影响为0.377。结论在中国,公众对保护行动的依从性较好。该模型能有效预测城市公众对新冠肺炎的防护行为。关键词:COVID-19;公共保护决策;模型建立
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引用次数: 0
Exploratory research of nursing distance education model under the epidemic situation of COVID-19 新冠肺炎疫情下护理远程教育模式的探索性研究
Pub Date : 2020-03-27 DOI: 10.3760/CMA.J.CN115682-20200226-01068
Ke Peng, Xiaoyan Zhang, Meiqi Meng, Y. Hao, Xiaohuan Li
Objective To explore the nursing distance education model under the epidemic situation of corona virus disease 2019 (COVID-19), and challenges of teachers and students so as to bring forth a proposal for future nursing education model reform. Methods The mixed research was used with methods of questionnaire survey and interview. In February 2020, we investigated the distance learning conditions and needs among 922 nursing undergraduates in School of Nursing, Beijing University of Chinese Medicine. Qualitative research of phenomenology was used to carry out semi-structured and in-depth interview among 14 nursing teachers. Data analysis was implemented with the method of Colaizzi phenomenological analysis. Results Among 922 nursing undergraduates, 95.99% of them could learn on line normally on the public platform, but there were still some students in mountain area limited by network conditions; 97.18% of them accepted the nursing distance education model proposed by our school. Qualitative interview of teachers extracted two themes, the key element to implement nursing distance education and challenges, inspiration of epidemic situation to nursing education reform. Conclusions In distance education model, teachers face challenges of idea, technology and resource; students are influenced by study habits, online learning ability and objective environment. In future, we can make a reform in the aspects of teachers, educational content and form, educational resources and platforms, education management. Key words: Students, nursing; Corona virus disease 2019; Epidemic situation; Education, distance; Nursing; Mixed research
目的探讨2019冠状病毒病(COVID-19)疫情下的护理远程教育模式及师生面临的挑战,为未来护理教育模式改革提出建议。方法采用问卷调查与访谈相结合的混合研究方法。本研究于2020年2月对北京中医药大学护理学院922名护理本科生的远程教育现状及需求进行了调查。采用现象学定性研究对14名护理教师进行半结构化和深度访谈。数据分析采用Colaizzi现象学分析方法。结果922名护理本科生中,95.99%的人能够在公共平台上正常在线学习,但仍有部分山区学生受网络条件限制;97.18%接受我校提出的护理远程教育模式。教师质性访谈抽取了两个主题,实施护理远程教育的关键因素和挑战,疫情对护理教育改革的启示。在远程教育模式下,教师面临着理念、技术和资源的挑战;学生受学习习惯、在线学习能力和客观环境的影响。今后可以从教师队伍、教育内容与形式、教育资源与平台、教育管理等方面进行改革。关键词:学生;护理;2019冠状病毒病;疫情;教育,距离;护理;混合的研究
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引用次数: 0
Evidence summary for preoperative breathing exercise management in lung cancer patients 癌症患者术前呼吸运动管理的证据总结
Pub Date : 2020-03-26 DOI: 10.3760/CMA.J.CN115682-20191017-03744
Jing-Zhi Yin, Fangfang Lyu, Lijuan Yang
Objective To retrieve and analyze the evidence of preoperative breathing exercise in lung cancer patients, and to summarize the best evidence so as to provide a reference for medical staff to manage preoperative breathing exercise of lung cancer patients. Methods Evidences on preoperative breathing exercise of lung cancer patients were retrieved in the UpToDate, Cochrane Library, PubMed from building database to 1st February 2019, such as guidelines, expert consensus, evidence summaries, systematic reviews, primary studies on evidence. Results A total of 8 evidences were included, one clinical decision, one guideline, three expert consensus, two systematic reviews and one primary study. Evidences of preoperative breathing exercise in lung cancer patients were mainly methods, intensity and frequency of breathing exercise. Conclusions The included evidences showed that it is benefit for lung cancer patients to do preoperative breathing exercise. Medical staff should formulate reasonable breathing exercise plan based on evidence and clinical situation to provide scientifically and effectively preoperative breathing exercise management for lung cancer patients. Key words: Breathing exercises; Lung cancer; Preoperative period; Evidence-based
目的检索和分析癌症患者术前呼吸训练的证据,总结最佳证据,为医护人员管理癌症患者术前的呼吸训练提供参考。方法从建立数据库到2019年2月1日,在UpToDate,Cochrane图书馆,PubMed中检索癌症患者术前呼吸练习的证据,如指南、专家共识、证据总结、系统综述、初步证据研究。结果共纳入8项证据,1项临床决策,1项指南,3项专家共识,2项系统综述和1项初步研究。癌症患者术前呼吸训练的证据主要是呼吸训练的方法、强度和频率。结论术前进行呼吸训练对癌症患者有益。医务人员应根据证据和临床情况制定合理的呼吸练习计划,为癌症患者术前呼吸练习提供科学有效的管理。关键词:呼吸练习;癌症;术前时期;基于证据
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引用次数: 0
Effects of continuous nursing based on mobile health platform on continuous treatment knowledge, attitude and behavior in discharged patients with venous thromboembolism 基于移动健康平台的持续护理对出院静脉血栓栓塞患者持续治疗知识、态度和行为的影响
Pub Date : 2020-03-26 DOI: 10.3760/CMA.J.CN115682-20190510-01609
Qian Yang, Li-ping Liu, Yao Wang, P. Huang
Objective To explore the effects of continuous nursing based on mobile health platform on continuous treatment knowledge, attitude and behavior in discharged patients with venous thromboembolism (VTE) . Methods From February 2017 to January 2018, this study selected 342 discharged VTE patients at a Class Ⅲ Grade A hospital in Chongqing as subjects by convenience sampling. All of patients were randomly divided into control group (n=169) and observation group (n=173) according to the admission number. Control group carried out the routine discharge health instruction, while observation group implemented continuous rehabilitation nursing instruction based on mobile health platform. The continuous treatment knowledge, attitude and behavior for VTE of patients between two groups were compared with the self-designed continuous treatment questionnaire for discharged VTE patients. Results A total of six months after intervention, the scores of VTE related knowledge, continuous treatment attitude and compliance of observation group were higher than those of control group with statistical differences (P<0.01) . Conclusions Continuous nursing instruction based on mobile health platform for discharged VTE patients is conducive to improving their continuous treatment knowledge, attitude as well as compliance. Key words: Venous thromboembolism; Rehabilitation nursing; Mobile health; Discharged patients; Continuous nursing; Knowledge, attitude, behavior; Health education
目的探讨基于移动健康平台的持续护理对出院静脉血栓栓塞(VTE)患者持续治疗知识、态度和行为的影响。方法选取2017年2月至2018年1月重庆市某Ⅲ三级甲等医院静脉血栓栓塞(VTE)出院患者342例为研究对象,采用方便抽样方法。所有患者根据入院编号随机分为对照组(169例)和观察组(173例)。对照组实施常规出院健康指导,观察组实施基于移动健康平台的持续康复护理指导。比较两组患者对静脉血栓栓塞持续治疗的知识、态度和行为与自行设计的静脉血栓栓塞出院患者持续治疗问卷。结果干预后6个月,观察组VTE相关知识、持续治疗态度、依从性得分均高于对照组,差异有统计学意义(P<0.01)。结论基于移动健康平台的VTE出院患者持续护理指导有利于提高患者持续治疗知识、态度和依从性。关键词:静脉血栓栓塞;康复护理;移动健康;出院病人;连续护理;知识、态度、行为;健康教育
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引用次数: 0
Application of neuro-linguistic programming in psychological intervention for patients with cervical cancer 神经语言规划在宫颈癌患者心理干预中的应用
Pub Date : 2020-03-26 DOI: 10.3760/CMA.J.CN115682-20190702-02339
Chenyang Li, Xiao-Gang Gong, Zhi-ming Shi
Objective To explore the application value of neuro-linguistic programming (NLP) in psychological intervention for patients with cervical cancer. Methods Totally 86 patients receiving chemotherapy for cervical cancer in Henan Provincial People's Hospital from July 2015 to December 2017 were selected by convenient sampling and divided into the observation group (n=43) and the control group (n=43) according to the random number table. Patients in the control group received conventional psychological intervention, while patients in the observation group received psychological intervention guided by NLP on this basis. The Symptom Checklist-90 (SCL-90) , Medical Coping Modes Questionnaire (MCMQ) and 36-Item Short Form Survey Instrument (SF-36) were used to evaluate the status, coping style and quality of life, and compare the compliance of the two groups of patients 3 months before and after intervention. Results The SCL-90 scores in somatization, interpersonal sensitivity, anxiety and depression of the observation group were lower than those of the control group after intervention, and the differences were statistically significant (P<0.05) . The MCMQ score in facing of the observation group was higher than that of the control group, while the scores in avoidance and yield of the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05) . The compliance of the observation group was better than that of the control group, and there was statistically significant difference between the two groups (P<0.05) . Conclusions NLP can ameliorate the negative emotions of patients with cervical cancer, change their coping styles, improve their treatment compliance and quality of life, which is of clinical significance. Key words: Cervical neoplasms; Neuro-linguistic programming; Psychological intervention; Negative emotion; Coping style
目的探讨神经语言规划(NLP)在宫颈癌患者心理干预中的应用价值。方法选取2015年7月至2017年12月在河南省人民医院接受宫颈癌化疗的患者86例,按随机数字表法分为观察组(n=43)和对照组(n=43)。对照组患者接受常规心理干预,观察组患者在此基础上接受NLP指导下的心理干预。采用症状自评量表(SCL-90)、医疗应对方式问卷(MCMQ)和36项简易问卷(SF-36)评估两组患者的状态、应对方式和生活质量,并比较干预前后3个月的依从性。结果干预后观察组患者躯体化、人际敏感、焦虑、抑郁的SCL-90得分均低于对照组,差异有统计学意义(P<0.05)。观察组患儿面对MCMQ得分高于对照组,回避和屈服得分低于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗依从性优于对照组,两组比较差异有统计学意义(P<0.05)。结论NLP能改善宫颈癌患者的负性情绪,改变其应对方式,提高其治疗依从性和生活质量,具有临床意义。关键词:宫颈肿瘤;神经语言程序学;心理干预;负面情绪;应对风格
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引用次数: 0
A longitudinal study of self-management ability in acute myocardial infarction patients after percutaneous coronary intervention 急性心肌梗死患者经皮冠状动脉介入治疗后自我管理能力的纵向研究
Pub Date : 2020-03-26 DOI: 10.3760/CMA.J.CN115682-20191106-04040
Ying Han, Xia He, Mei Lin
Objective To understand the development trajectory of self-management ability of acute myocardial infarction (AMI) patients after percutaneous coronary intervention (PCI) , to explore the predictive roles of perceived control force and hospital discharge readiness so as to provide a theoretical basis for working out the phased and personalized self-management plan. Methods From May to September 2018, this study selected 168 AMI inpatients with PCI of Cardiac Care Unit at a ClassⅢ Grade A general hospital in Tianjin as subjects by convenience sampling. All patients were investigated with the Self-management Scale for Patients Undergone Coronary Artery Stent Implantation, the Chinese Version of Control Attitudes Scale-revised and the Readiness for Hospital Discharge Scale. Data were collected at discharge (Time 1, T1) , 3 months (Time 2, T2) , 6 months (Time 3, T3) , 9 months (Time 4, T4) , 12 months (Time 5, T5) after discharge. Results Among 168 AMI patients, the scores of self-management ability in T1, T2, T3, T4 and T5 were (34.91±5.03) , (38.89±7.22) , (43.78±9.32) , (47.76±10.33) and (53.29±11.48) respectively. The scores of perceived control force and hospital discharge readiness in T1 were (20.63±6.70) and (59.85±21.42) respectively. Conditional model fit indexes all reached the standard. The development trajectory of self-management ability was a linear form and a significant rise. There were individual differences in the initial levels and development speeds. Perceived control force and hospital discharge readiness could positively predict the initial level of self-management ability. Perceived control force could positively predict the development speed of self-management ability. Conclusions Self-management ability of AMI inpatients after PCI shows a sustainable development which can be promoted by improving the perceived control force and hospital discharge readiness. Key words: Acute myocardial infarction; Self-management; Perceived control force; Hospital discharge readiness; Latent growth curve modeling
目的了解急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)后自我管理能力的发展轨迹,探讨感知控制力和出院准备的预测作用,为制定分阶段、个性化的自我管理计划提供理论依据。方法采用方便抽样的方法,选取天津市某三甲综合医院心脏监护室168例AMI PCI住院患者为研究对象。所有患者均采用冠状动脉支架植入患者自我管理量表、修订版控制态度量表和出院准备量表进行调查。在出院后(时间1,T1)、3个月(时间2,T2)、6个月(日期3,T3)、9个月(期限4,T4)、12个月(时段5,T5)收集数据。结果在168例AMI患者中,T1、T2、T3、T4和T5的自我管理能力得分分别为(34.91±5.03)、(38.89±7.22)、(43.78±9.32)、、(47.76±10.33)和(53.29±11.48)。T1患者的感知控制力和出院准备度得分分别为(20.63±6.70)和(59.85±21.42)。条件模型拟合指标均达到标准。自我管理能力的发展轨迹是线性的,并且显著上升。在初始水平和发育速度上存在个体差异。感知的控制力和出院准备度可以正向预测自我管理能力的初始水平。感知控制力可以正向预测自我管理能力的发展速度。结论AMI患者PCI术后的自我管理能力呈持续发展趋势,可通过提高控制力和出院准备来促进其自我管理能力的提高。关键词:急性心肌梗死;自我管理;感知控制力;出院准备情况;潜在增长曲线建模
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引用次数: 0
Systematic review on the effect of core stability training for the patients with non-specific low back pain 核心稳定性训练对非特异性腰痛患者疗效的系统评价
Pub Date : 2020-03-26 DOI: 10.3760/CMA.J.CN115682-20190807-02824
Yu Chen, Chunmei Luo, Juan Wang, Yawen Li, Ting Zeng
Objective To systematically evaluate the rehabilitation efficacy of core stability training versus general exercises or manual therapy in patients with non-specific low back pain. Methods The Medline, EMBASE, PubMed, Cochrane Central Register of Controlled Trials (CENTRAL) , PsycINFO, China Biology Medicine (CBM) , CNKI, VIP and Wanfang database were searched by computer, and the retrieval time was from the establishment of the database to 20th October, 2018. All randomized controlled trials (RCT) and clinical control studies of the rehabilitation effects of core stability training on patients with non-specific low back pain were collected. According to the inclusion and exclusion criteria, 2 researchers independently searched the literature, screened the literature and evaluated the quality of the included literature. And the data were extracted for Meta-analysis using Revman 5.3 software. Results A total of 14 articles were included, all of which were RCTs. The results of Meta-analysis showed that the comparison of pain improvement between core stability training group and general exercise training group was (Z=4.67, P 0.05) . Conclusions The core stability training group and manual therapy group can effectively reduce pain in patients with non-specific low back pain, and core stability training can promote the relief of dysfunction in patients with non-specific low back pain, and core stability training should be encouraged as part of musculoskeletal rehabilitation for patients with non-specific low back pain. Key words: Meta-analysis; Rehabilitation; Pain; Core stability training; Low back pain; Systematic review
目的系统评价核心稳定性训练对非特异性腰痛患者的康复效果。方法计算机检索Medline、EMBASE、PubMed、Cochrane Central Register of Controlled Trials (Central)、PsycINFO、China Biology Medicine (CBM)、CNKI、VIP、万方等数据库,检索时间为建库至2018年10月20日。收集所有关于核心稳定性训练对非特异性腰痛患者康复效果的随机对照试验(RCT)和临床对照研究。2名研究者根据纳入和排除标准独立检索文献,对文献进行筛选,评价纳入文献的质量。数据提取采用Revman 5.3软件进行meta分析。结果共纳入14篇文献,均为随机对照试验。meta分析结果显示,核心稳定性训练组与一般运动训练组疼痛改善的比较为(Z=4.67, P 0.05)。结论核心稳定性训练组和手法治疗组可有效减轻非特异性腰痛患者的疼痛,核心稳定性训练可促进非特异性腰痛患者功能障碍的缓解,应鼓励将核心稳定性训练作为非特异性腰痛患者肌肉骨骼康复的一部分。关键词:元分析;康复;疼痛;核心稳定性训练;腰痛;系统综述
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引用次数: 0
Effects of structured instructive feedback in nursing teaching with high-fidelity scenario simulation 结构指导性反馈在高保真情景模拟护理教学中的作用
Pub Date : 2020-03-26 DOI: 10.3760/CMA.J.CN115682-20191008-03604
Shuqin Xiao, Yanling Wang, Xinwei Feng
Objective To explore the effects of structured instructive feedback in nursing teaching with high-fidelity scenario simulation. Methods From August 2017 to June 2019, this study selected 70 nursing undergraduate students of Grade 2016 in experimental group and 62 nursing undergraduate students of Grade 2015 in control group by convenience sampling. Control group carried out the method of instructive feedback, while experimental group implemented method of structured instructive feedback. The effects were compared with the performance self-rating scale for nursing students on simulation training and examination results. Results At the end of the course, the score of the performance self-rating scale for nursing students on simulation training of students in experimental group was higher than that in control group with a statistical differences (P 0.05) . Conclusions Structured instructive feedback can improve the clinical skills of nursing and teaching effects, but there is still room for improvement. Key words: Education, nursing; Scenario simulation; Instructive feedback; Structure
目的探讨结构指导性反馈在高保真情景模拟护理教学中的作用。方法2017年8月至2019年6月,本研究采用方便抽样法,选取2016级护理本科生70人作为实验组,2015级护理本科生62人作为对照组。对照组采用指导性反馈的方法,实验组采用结构化的指导性反馈方法。将其与护理专业学生成绩自评量表对模拟训练和考试成绩的影响进行比较。结果实验组护生模拟训练成绩自评量表得分高于对照组,差异有统计学意义(P<0.05)。关键词:教育、护理;场景模拟;指导性反馈;结构
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引用次数: 0
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中华现代护理杂志
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