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Illness Narratives: Creative Drama Within 疾病叙事:内在的创造性戏剧
Pub Date : 2013-07-01 DOI: 10.4018/IJUDH.2013070105
Pragya Pandey Joshi, Ankur Joshi, Saket Kale, J. S. Meena, Nivedita Kale
An illness narrative is constructed when a person engages with both internal dialogues with himself and in interactions with the others during their journey; these can be transformed into dramatic script for social and self –beneficence. This paper explores whether process-centered creative drama could be the optimum modality for this dramatization. It also suggests that this process can be captured to assist the ill person, their care-givers, and others in understanding the dynamic process of illness.
当一个人在旅途中与自己进行内部对话并与他人互动时,就会构建一个疾病叙事;这些可以转化为戏剧性的剧本,以造福社会和自我。本文探讨了以过程为中心的创造性戏剧是否可以成为这种戏剧化的最佳形式。它还表明,这一过程可以被捕获,以帮助病人、他们的照顾者和其他人了解疾病的动态过程。
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引用次数: 1
Meditation Painting and Pain Management: A Self Study 冥想、绘画和疼痛管理:一项自学
Pub Date : 2013-07-01 DOI: 10.4018/IJUDH.2013070101
Lisa Raye Garlock
This article chronicles an art therapist’s experience of having osteoarthritis in both right and left trapeziometacarpal joints and subsequent surgery which provided the opportunity to use art making to manage pain during the recovery period. Meditative painting was used whenever pain was experienced post-surgery, and two series of twelve seven-inch paintings were created. Simple criteria were set and followed for at least three weeks post-surgery, and the questions asked were: Will meditative painting relieve post-surgery pain? Can meditative painting be used to reduce or eliminate the need for pain medication? Are there patterns in the artwork that can be seen in the healing process? It was found that meditative painting minimized pain to the extent that pain medication was unnecessary. Patterns were seen in both series that may illustrate aspects of the healing process.
本文记录了一位艺术治疗师的经历,他患有左右斜跖关节骨关节炎,随后进行了手术,为在恢复期使用艺术制作来控制疼痛提供了机会。每当手术后经历疼痛时,就会使用冥想画,并创作了两个系列,共12幅7英寸的画作。研究人员设定了简单的标准,并在术后至少三周内遵循这些标准,他们被问到的问题是:冥想绘画能缓解术后疼痛吗?冥想绘画可以用来减少或消除对止痛药的需求吗?在艺术作品中是否有可以在治疗过程中看到的模式?研究发现,冥想绘画可以将疼痛降到最低程度,以至于不需要止痛药。在这两个系列中可以看到模式,可以说明愈合过程的各个方面。
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引用次数: 2
European Collaboration of Healthcare and Art with Focus on Social Inclusion and Wellbeing 欧洲医疗保健和艺术合作,重点是社会包容和福祉
Pub Date : 2013-07-01 DOI: 10.4018/IJUDH.2013070103
A. Jensen
This article examines the health benefits, for healthcare service users with various disabilities, of participating in a European collaborative art project. The first section describes the organisations involved and the background for the project. The findings – based on evaluations, testimonies and interviews – suggest that the project promoted wellbeing; stimulated a changed notion of social identity; and also contributed to social engagement and inclusion. The second section starts with considering the role of the Community Learning Programme at Tate Modern Gallery in delivering inclusive workshops, and evaluates it with respect to service users’ needs; this section concludes by questioning the social role of galleries and museums and explores how these could contribute significantly to the health and wellbeing of local communities by promoting arts and health programmes.
本文研究了参加欧洲合作艺术项目对各种残疾的医疗保健服务用户的健康益处。第一部分描述了所涉及的组织和项目的背景。基于评估、证词和访谈的调查结果表明,该项目促进了幸福感;激发了社会身份观念的改变;也促进了社会参与和包容。第二部分首先考虑泰特现代美术馆社区学习计划在提供包容性讲习班方面的作用,并根据服务用户的需求对其进行评估;本节最后对画廊和博物馆的社会作用提出了质疑,并探讨了它们如何通过促进艺术和健康项目为当地社区的健康和福祉做出重大贡献。
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引用次数: 2
Mentoring in Medical Colleges: Bringing Out the Best in People 医学院校的指导:激发人们最好的一面
Pub Date : 2013-07-01 DOI: 10.4018/IJUDH.2013070108
J. Modi, T. Singh
Mentoring is known to promote development of professional skills irrespective of the discipline. It is a natural phenomenon that emanates from the desire of a senior and experienced individual to give and the need of an inexperienced novice to grow. Mutual trust, faith and respect while working towards a shared vision of objectives and achievements are the main driving force of a mentoring relationship. It requires the mentor to give selflessly and the mentee to accept graciously while conveying his needs and being an active partner in the process. A mentor is looked upon as a guide, confidante, counselor, teacher, friend, supporter, and much more in professional and career development as well as psychosocial or personal aspects. The mentee is expected to take a proactive role in guiding and managing the process. Despite a clear need for mentoring during and after medical school, very few medical schools in India foster this relationship. Most have student advisor programs or counseling cells that are oriented primarily to problem solving. There is also a lack of full understanding of the roles of a mentor or a mentee even though the terms are used rather frequently. A mentoring relationship could be formally established as a part of an institutional or departmental mentoring program, long term or short term, with a specific purpose; or, for overall career progression, individual or in a small group. Also, the mentees’ requirements at different stages of training and career may decide the type of mentoring relationship. The needs of a first year medical undergraduate student are different from those of a final year student or a postgraduate resident. There is an imminent need to train the medical school faculty in mentoring skills and orient the students to ‘mentor-mentee relationship’.
众所周知,无论学科如何,指导都能促进专业技能的发展。这是一种自然现象,源于资深和有经验的个人给予的愿望,以及缺乏经验的新手成长的需要。相互信任、信仰和尊重,同时努力实现共同的目标和成就,是师徒关系的主要推动力。它要求导师无私地给予,被指导者优雅地接受,同时传达他的需求,并在这个过程中成为一个积极的合作伙伴。在专业和职业发展以及社会心理或个人方面,导师被视为向导、知己、顾问、老师、朋友、支持者等等。学员应在指导和管理过程中发挥积极主动的作用。尽管在医学院期间和毕业后明显需要指导,但印度很少有医学院培养这种关系。大多数学校都有学生顾问项目或主要以解决问题为导向的咨询小组。尽管经常使用这些术语,但对导师或学员的角色也缺乏充分的理解。师徒关系可以作为机构或部门师徒计划的一部分正式建立,有长期或短期,有特定的目的;或者,对于整体的职业发展,个人或小组。此外,学员在不同的培训阶段和职业生涯中的需求可能会决定师徒关系的类型。医学本科一年级学生的需求与最后一年级学生或研究生住院医师的需求不同。迫切需要培训医学院的教师指导技能,并使学生适应“师徒关系”。
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引用次数: 8
The Meaningful Use of Information Therapy (Ix®): From Ix to Patient Response (Px) 信息治疗的有意义使用(Ix®):从Ix到患者反应(Px)
Pub Date : 2013-04-01 DOI: 10.4018/IJUDH.2013040101
D. W. Kemper, M. Mettler
Information Therapy (Ix), getting the right information to the right person at the right time in order to help the person make an informed health decision, is a field that is constantly evolving. Over the past decade, several changes –particularly technological and policy-based developments -- have helped to advance the model. This paper traces the evolution of Information Therapy from a good idea to one that has been widely adopted by clinicians. This paper emphasizes the use of the electronic medical record (EMR) in delivering information therapy prescriptions directly to patients. Patient Response (Px) is proposed as the next phase in the evolution of Information Therapy and patient-centered care.
信息治疗(Ix),在正确的时间向正确的人提供正确的信息,以帮助人们做出明智的健康决定,是一个不断发展的领域。在过去的十年中,一些变化,特别是技术和政策方面的发展,帮助推进了这一模式。本文追溯了信息治疗从一个好主意到被临床医生广泛采用的演变过程。本文强调使用电子病历(EMR)将信息治疗处方直接传递给患者。患者反应(Px)被认为是信息治疗和以患者为中心的护理发展的下一个阶段。
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引用次数: 2
Assistive Computing Technology for Enabling Differently-Abled Population in India: A User Driven Intervention 辅助计算技术使不同的残疾人口在印度:用户驱动的干预
Pub Date : 2013-04-01 DOI: 10.4018/IJUDH.2013040104
Indrajit Bhattacharya, Anandhi Ramachandran, Nekram Upadhyay, Megha Sharma
As per the WHO, nearly 10% of the world’s population suffers from some form of disability or impairment. The situation in developing countries is worse with growing population, aging, high prevalence of chronic diseases and vehicular accidents. It is pertinent to build institutional mechanisms for rehabilitation to help patients become self-sufficient and resource earners. Efforts are being made globally for the adoption of ‘Assistive computing technologies’ (ACT) for providing a user-driven healthcare intervention for rehabilitation of differently-abled (disabled) population. However, its adoption in India where nearly 12% of the population is disabled is abysmally low. This paper examines the feasibility of using ACT in India and explores the factors affecting its adoption. As a pilot study, the use of ACT was reviewed amongst disabled patients with spinal injuries being treated at a large private hospital in New Delhi. The study revealed that adoption of ACT by rural population is low compared to urban. Language barrier, cost and lack of awareness among the community were the main barriers to use. It was also highlighted by the respondents during the study that very few doctors and physiotherapists treating physically disabled were aware of ACT.
根据世界卫生组织的数据,世界上近10%的人口患有某种形式的残疾或损伤。发展中国家的情况更糟,人口增长、老龄化、慢性病和交通事故高发。建立康复的体制机制,帮助患者自力更生,自力更生。全球正在努力采用“辅助计算技术”(ACT),为不同能力(残疾)人群的康复提供用户驱动的医疗干预。然而,在残疾人占人口近12%的印度,它的采用率非常低。本文考察了在印度使用ACT的可行性,并探讨了影响其采用的因素。作为一项试点研究,审查了在新德里一家大型私立医院接受治疗的脊髓损伤残疾患者使用联合疗法的情况。研究显示,与城市人口相比,农村人口采用ACT的比例较低。语言障碍、费用和社区缺乏意识是使用的主要障碍。在研究期间,答复者还强调,治疗身体残疾的医生和物理治疗师很少了解ACT。
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引用次数: 0
Information Therapy (Ix) and Information Prescription: A Systematic Review 信息治疗(九)与信息处方:系统综述
Pub Date : 2013-04-01 DOI: 10.4018/IJUDH.2013040102
V. Z. Gavgani, F. Shokraneh
To systematically review the observational and control trial evidence on information prescription and information therapy. The Cochrane Library and the medical databases of MEDLINE (1946 to10 April, 2012), and EMBASE (1974 to10 April, 2012) were searched with Ovid SP. The authors included only those studies that are related to the prescription of specific health information for specific patient as a complementary medicine. Therefore, they excluded the traditional patient education studies that are based on background information rather than being foreground, evidence- based and decision focused. The authors identified 232 papers and based on the criteria 34 full texts were screened and finally 18 were reviewed in this study systematically. Six papers were randomized control trials (RCTs) and 12 were observation studies. Most of the studies focused on satisfaction and knowledge as their primary outcomes. None of the studies examined the side effects of information intervention. Only one study focused on the health related primary outcomes and showed no significant change in pain and bowl movement (BMs) among children. This review found considerable research gaps in the study of information prescription outcomes. There is need for cohort studies and RCTs with rigorous control of confounding factors to figure out the impact of information prescription and information therapy on patient care.
系统回顾信息处方和信息治疗的观察性和对照性试验证据。Ovid SP检索了Cochrane图书馆、MEDLINE医学数据库(1946年至2012年4月10日)和EMBASE医学数据库(1974年至2012年4月10日)。作者只纳入了那些与特定患者的特定健康信息处方相关的研究,作为补充药物。因此,他们排除了传统的基于背景信息的患者教育研究,而不是基于前景、证据和决策的研究。本研究共收录了232篇论文,根据标准筛选了34篇全文,最后对其中18篇进行了系统综述。6篇为随机对照试验(RCTs), 12篇为观察性研究。大多数研究将满意度和知识作为主要结果。没有一项研究调查了信息干预的副作用。只有一项研究关注与健康相关的主要结果,并显示儿童的疼痛和碗状运动(BMs)没有显著变化。本综述发现在信息处方结果的研究中存在相当大的研究空白。需要通过严格控制混杂因素的队列研究和随机对照试验来研究信息处方和信息治疗对患者护理的影响。
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引用次数: 6
eSelf or Computerized Self Network: A Tool for Individual Empowerment & Implementation of Optimal Healthcare 自我或计算机化自我网络:个人赋权和实现最佳医疗保健的工具
Pub Date : 2013-04-01 DOI: 10.4018/IJUDH.2013040103
Fereydoon Baradaran Bagheri
Empowering individuals is carried out through improving self-knowledge and self-awareness and maximization of their autonomous self-regulatory potential. In order to improve individual self-knowledge the author needs to provide evidence-based and need-oriented information to individuals and help them to process and self-reflect this information This paper attempts to describe a conceptual system, called Electronic-Self or Computerized Self Network, encompassing Medical Informatics Systems, Personal Informatics System, and Optimal Health Care Providers and explain how such a system can be considered as a practical solution. eSelf a complex adaptive system and based complexity sciences rules. eSelf strategy for individual empowerment based on each individual should be in personal health context play two role philosopher and scientist in personal health information processing and embodied self awareness.
赋予个人权力是通过提高自我认识和自我意识,最大限度地发挥其自主自我调节潜力来实现的。为了提高个体的自我认知,作者需要向个体提供基于证据和需求导向的信息,并帮助他们处理和自我反思这些信息。本文试图描述一个概念系统,称为电子自我或计算机化自我网络,包括医疗信息系统,个人信息系统和最佳医疗服务提供者,并解释如何将这样一个系统视为一个实用的解决方案。自身是一个复杂的自适应系统,基于复杂性科学的规则。以个体为基础的自我赋权策略应在个人健康语境中扮演哲学家和科学家在个人健康信息处理和具身自我意识两个角色。
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引用次数: 2
Cloud Computing: A Feasible Platform for ICT Enabled Health Science Libraries in India 云计算:印度信通技术卫生科学图书馆的可行平台
Pub Date : 2013-04-01 DOI: 10.4018/IJUDH.2013040108
Mayank J Trivedi, Vishnu Suthar
Libraries are increasingly adopting cloud computing, a new technology model for Information Technology (IT) services. Cloud computing is of interest to health care professionals as well as health consumers. Health Science libraries maintain more control over the applications and data repositories that contain sensitive, private information about patrons. Provision and maintenance of infrastructure for web-based digital library presents several challenges. It allows them to avoid locally hosting multiple servers, housing massive equipment and constantly dealing with hardware failure, software installs, upgrades and compatibility issues. This paper describes the concept, current status of cloud computing and its application in health science libraries. Then it proposed to improve current user service via cloud computing.
图书馆越来越多地采用云计算这一信息技术(IT)服务的新技术模式。医疗保健专业人员和医疗保健消费者都对云计算感兴趣。健康科学图书馆对包含有关用户的敏感私人信息的应用程序和数据存储库保持更多的控制。为基于网络的数字图书馆提供和维护基础设施提出了一些挑战。它允许他们避免在本地托管多个服务器,容纳大量设备,并不断处理硬件故障,软件安装,升级和兼容性问题。本文介绍了云计算的概念、现状及其在卫生科学图书馆中的应用。然后提出通过云计算来改善当前的用户服务。
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引用次数: 2
Assessing the Perception of Pain and Distress of Female Patients Undergoing Routine Urethral Catheterization in Cesarean Delivery 评估女性剖宫产例行导尿术患者的疼痛感和窘迫感
Pub Date : 2013-04-01 DOI: 10.4018/IJUDH.2013040109
Negar Taleschian Tabrizi, Z. Torabi, P. Bastani, M. Mokhtarkhani, Neda Madani, N. Parnian, S. Hajebrahimi
Urethral catheterization is a common procedure performed commonly before some elective surgeries, often without consideration of the pain and negative perception among women. Owing to patient complaints and the fact that catheterization is not always necessary; a descriptive cross-sectional study was carried out from January to March 2012 at Tabriz University of Medical Sciences hospital. One hundred healthy women who were catheterized before undergoing cesarean delivery were interviewed to assess the perception of pain and distress, determining the association between these two factors. This issue has rarely been investigated in previous studies. This study also aimed to evaluate the efficiencies of the Wong-Baker and 0–10 numerical rating scales. The authors results indicate that although the patients did not initially have a good understanding of the pain scales, when they were given additional explanation, a positive correlation between the two scales (p
导尿是一种常见的程序,通常在一些选择性手术之前进行,通常不考虑疼痛和女性的负面看法。由于病人的抱怨和导尿并不总是必要的;2012年1月至3月在大不里士医科大学医院进行了一项描述性横断面研究。研究人员对100名健康妇女进行了访谈,这些妇女在接受剖宫产前接受了导尿管导尿,以评估她们对疼痛和痛苦的感知,并确定这两个因素之间的关系。这一问题在以往的研究中很少被研究。本研究还旨在评估Wong-Baker和0€10数值评定量表的效率。作者的结果表明,虽然患者最初对疼痛量表没有很好的理解,但当他们得到额外的解释时,两种量表之间存在正相关(p
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引用次数: 4
期刊
International Journal of User-Driven Healthcare
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