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Elder abuse. 虐待老人。
Pub Date : 2021-08-25 DOI: 10.1093/obo/9780195396607-0309
Margaret Gililland
Criminological concerns with the victimization of the elderly has developed parallel to, and independently of, the elder abuse debate. Criminologists have traditionally been concerned with the commission of acts against the older person in public as opposed to private space. A further hindrance to criminological enquiry is the practice of defining elder abuse in terms of victim needs, rather than of basic human rights. There has been no neat evolutionary process from positive treatment of the elderly, attributed to some golden age in the past to their increasing present victimization rates globally. Elder victimization is a long way from the simplistic notions of “granny battering.” There is general agreement among scholars that older people regularly suffer victimization in private space—in the household and in care institutions. They regularly experience multiple forms of abuse. One can attribute some of these experiences to major social changes as declining family support for older people diminishes and the proportion of young to old decreases. The World Health Organization (WHO) states that as the global population ages, the number of people aged sixty years and older is estimated to reach 1.2 billion worldwide by 2025. More pointedly, the longevity is also inextricably linked to the maltreatment of the global old. In particular, we have seen offenders apprehended in transgressions against the young, women, and ethnic minorities but have yet to see an active criminal justice response concerned with the experience of elder victimization. The discipline’s reluctance to recognize elder victimization is associated with it commonly being labeled as victimization by intimates, and to be understood through the lenses of psychology and psychiatry rather than through a criminal justice model. Care and individual needs of the elderly have been the traditional focus, rather than social justice, reason, and rights. Justice and rights involve choice and free will. Older people are not simply passive recipients of other people’s actions—they resist their victimization and often fight back. This article is a critical exposition of the sources available on elders abused as part of a larger account of the experience of older people worldwide. In particular, the reader is reminded that this article is limited due to publishing word constraints. Therefore, it provides a balanced, limited overview of the major literature and research available in the Western context. More pointedly, the literature cited here is intended to reflect on recent scholarship considered to have the potential of adding to the debate in criminology and elder victimization. Given that the study of elder abuse is still in its infancy in the discipline of criminology, this article is therefore necessarily interdisciplinary.
对老年人受害的犯罪学关注与虐待老年人的辩论平行发展,并独立发展。传统上,犯罪学家关注的是在公共场所对老年人实施的行为,而不是在私人空间。刑事调查的另一个障碍是根据受害者的需要而不是根据基本人权来界定虐待老人的做法。从对老年人的积极对待(归因于过去的某些黄金时代)到目前全球范围内老年人受害率的上升,并没有一个整齐的进化过程。老年人受害与“虐待奶奶”的简单概念相去甚远。学者们普遍认为,老年人经常在私人空间——家庭和护理机构——遭受伤害。他们经常遭受多种形式的虐待。人们可以将其中一些经历归因于重大的社会变化,如家庭对老年人的支持减少,年轻人对老年人的比例下降。世界卫生组织(世卫组织)指出,随着全球人口老龄化,到2025年,全球60岁及以上人口的数量估计将达到12亿。更明显的是,长寿也与全球老年人的虐待密不可分。特别是,我们已经看到罪犯因侵犯年轻人、妇女和少数民族而被捕,但尚未看到与老年人受害经历有关的积极的刑事司法反应。该学科不愿承认老年人受害与它通常被贴上亲密关系受害者的标签有关,并且通过心理学和精神病学的镜头而不是通过刑事司法模型来理解。老年人的关怀和个人需求一直是传统的焦点,而不是社会正义、理性和权利。正义和权利包括选择和自由意志。老年人不只是被动地接受别人的行为——他们抵制别人的伤害,并经常反击。这篇文章是一个关键的阐述,可获得的来源虐待老人作为一个更大的帐户的一部分,老年人的经验,全世界。特别提醒读者,由于出版字数的限制,本文内容有限。因此,它对西方背景下的主要文献和研究提供了一个平衡的、有限的概述。更有针对性的是,这里引用的文献旨在反映最近的学术研究,这些研究被认为有可能增加犯罪学和老年人受害的辩论。鉴于虐待老人的研究在犯罪学学科中仍处于起步阶段,因此这篇文章必然是跨学科的。
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引用次数: 511
Construction of core Competence Index System for nursing emergency personnel in infectious disease emergencies——thinking on nursing emergency rescue based on COVID-19 epidemic 传染病突发事件护理急救人员核心能力指标体系构建——基于COVID-19疫情的护理急救思考
Pub Date : 2021-01-01 DOI: 10.3760/cma.j.cn211501-20201103-04410
S. Yue, Z. Lijuan, Liang Jian, L. Xuehua
Objective To construct the index system of the core competence of nursing emergency personnel in the case of infectious disease outbreak, and to provide reference basis for the assessment and training of the core competence of nursing emergency personnel. Methods Based on the core competence indicators of nurses defined by the International Nurses' Association and the action framework of WHO's outbreak of infectious diseases as the theoretical framework, the item pool was summarized through semi- structured interviews and research group meetings, the Delphi expert letter consultation method was used to construct the indicator system, and the analytic hierarchy process and the average distribution method were used to determine the weight of indicators at all levels. Results Two rounds of Delphi expert letter consultation, 36 questionnaires were issued in each round, and the effective recovery rate was 86% (31) and 92% (33), respectively.Finally, it was determined that the core competence index system of nursing emergency personnel for infectious disease emergencies included 5 first-level indicators, 13 second- level indicators and 53 third- level indicators. The coefficient of variation ranged from 0 to 0.173, the weight ranged from 0.074 to 0.525, and the balanced combination weight ranged from 0.165 to 0.266. Conclusion The index system of the core competence of nursing emergency personnel in infectious disease emergencies is comprehensive and scientific, which can provide theoretical basis for evaluating and training the core competence of nursing emergency personnel in infectious disease emergencies. © 2021 Chinese Medical Journals Publishing House Co.Ltd. All rights reserved.
目的构建传染病暴发情况下护理急救人员核心能力指标体系,为护理急救人员核心能力的评估与培训提供参考依据。方法以国际护士协会定义的护士核心能力指标为基础,以WHO传染病暴发行动框架为理论框架,通过半结构化访谈和研究小组会议,总结项目池,采用德尔菲专家函询法构建指标体系;采用层次分析法和平均分布法确定各级指标的权重。结果进行2轮德尔菲专家函询,每轮发放问卷36份,有效回收率分别为86%(31份)和92%(33份)。最终确定传染病突发事件护理急救人员核心能力指标体系包括5个一级指标、13个二级指标和53个三级指标。变异系数范围为0 ~ 0.173,权重范围为0.074 ~ 0.525,平衡组合权重范围为0.165 ~ 0.266。结论传染病突发事件护理急救人员核心能力指标体系较为全面、科学,可为传染病突发事件护理急救人员核心能力的评价和培训提供理论依据。©2021中华医学期刊出版社有限公司版权所有。
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引用次数: 0
Heat reactions. 热的反应。
Pub Date : 2021-01-01 DOI: 10.1542/ppe_schmitt_130
E. Hammerschmidt
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引用次数: 3
A qualitative study on the cognition of the first group of nurses to protect against instrumentrelated stress injury in the novel coronavirus pneumonia 第一批护理人员对新型冠状病毒肺炎中器械相关应激损伤防护认知的定性研究
Pub Date : 2021-01-01 DOI: 10.3760/cma.j.cn211501-20200218-00461
G. Wenjun, W. Sujiao, N. Shuhong, L. Yi
Objective To explore the protective cognition of the first batch of nurses against novel coronavirus pneumonia on apparatus-related stress injury, so as to provide reference for formulating and implementing relevant training and improving management measures. Methods Using the phenomenological method of qualitative research, from January 20, 2020 to February 17, 2020, a half structured in-depth interview was conducted among the echelon nurses who completed the first batch of nurses against novel coronavirus pneumonia on apparatus-related stress injury. A total of 13 nurses in isolation wards were interviewed for the study. Results Using the method of Colaizzi phenomenology to analyze the interview data, the related knowledge cognition was low, the identification of risk factors was limited, the risk assessment was not carried out, the treatment measures were not timely, the awareness of protection was lacking, the management training was not perfect, and the medical protection materials were not enough. Conclusion The first batch of nurses to fight against novel coronavirus pneumonia had a low awareness of the prevention of medical device- related stress injury. Hospital managers should strengthen the training of related knowledge, improve management strategies, enhance the awareness of protection, and identify risk factors early, take preventive measures to ensure the safety and health of front-line medical staff in a timely manner. © 2021 Chinese Medical Journals Publishing House Co.Ltd. All rights reserved.
目的了解首批护理人员对新型冠状病毒肺炎对器械相关应激性损伤的防护认知情况,为制定和实施相关培训及改进管理措施提供参考。方法采用质性研究现象学方法,于2020年1月20日至2020年2月17日对完成第一批新型冠状病毒肺炎器械相关应激损伤护理的梯队护士进行半结构化深度访谈。本研究共采访了13名隔离病房的护士。结果采用Colaizzi现象学方法对访谈数据进行分析,发现相关知识认知水平低,危险因素识别有限,未开展风险评估,治疗措施不及时,防护意识缺失,管理培训不完善,医疗防护材料不足。结论第一批抗击新型冠状病毒肺炎的护士对医疗器械相关应激性损伤的预防意识较低。医院管理者应加强相关知识培训,完善管理策略,增强防护意识,及早识别危险因素,采取预防措施,及时保障一线医护人员的安全健康。©2021中华医学期刊出版社有限公司版权所有。
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引用次数: 0
Opportunity for service. 服务的机会。
Pub Date : 2020-12-29 DOI: 10.1002/whe.20942
Nyasha Junior
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引用次数: 2
The status and prediction factors of depression in acute stage after stroke 脑卒中后急性期抑郁的现状及预测因素
Pub Date : 2020-04-11 DOI: 10.3760/CMA.J.CN211501-20191101-03172
Yuting Tang, N. Zhu, Min Li, Li Wang
Objective Study on the incidence and related influencing factors of acute depression after stroke. Methods From September 2018 to February 2019, 338 stroke patients hospitalized in three hospitals in this city were selected.9-item Patient Health Questionnaire scale (PHQ-9) and Stroke Aphasic Depression Questionnaire-Hospital Version (SADQ-H) were used to evaluate the depression of patients. The related factors were evaluated by using the self-made general situation questionnaire and the social support rating scale (SSRS), simple intelligence state test table (MMSE), Barthel index rating scale to understand the influence of variables on post-stroke depression. Results The incidence of PSD was 59.09% in aphasia patients and 41.50% in non-aphasia patients.Multivariate logistic regression analysis showed that depression group and non-depression group have significant difference in family history of stroke (OR=0.455, P=0.025), BI index (OR=0.969, P=0), SSRS (OR=0.936, P=0.002), MMSE (OR=0.910, P=0.014). Conclusion The incidence of PSD is higher in the acute phase after stroke, the occurrence of PSD is related to family history of stroke, BI index, SSRS, MMSE, The early evaluation of the above factors can identify the high risk population of PSD as soon as possible, so as to take relevant measures to prevent and reduce the occurrence of PSD. Key words: Post-stroke depression; Incidence; Prediction
目的探讨脑卒中后急性抑郁的发生率及相关影响因素。方法选择2018年9月至2019年2月在我市3家医院住院的脑卒中患者338例。采用9项患者健康问卷(PHQ-9)和医院版脑卒中失语抑郁问卷(SADQ-H)对患者抑郁进行评估。采用自制一般情况问卷、社会支持评定量表(SSRS)、简易智力状态测验表(MMSE)、Barthel指数评定量表对相关因素进行评价,了解各变量对脑卒中后抑郁的影响。结果失语症患者PSD发生率为59.09%,非失语症患者为41.50%。多因素logistic回归分析显示,抑郁组与非抑郁组卒中家族史(OR=0.455, P=0.025)、BI指数(OR=0.969, P=0)、SSRS (OR=0.936, P=0.002)、MMSE (OR=0.910, P=0.014)差异均有统计学意义。结论卒中后急性期PSD发病率较高,PSD的发生与卒中家族史、BI指数、SSRS、MMSE有关,早期评价上述因素可尽早识别PSD的高危人群,从而采取相应措施预防和减少PSD的发生。关键词:脑卒中后抑郁;发病率;预测
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引用次数: 0
Present situation and enlightenment of continuing education of dental hygienists in America 美国口腔卫生员继续教育的现状及启示
Pub Date : 2020-04-11 DOI: 10.3760/CMA.J.CN211501-20190808-02236
Zhiguo Ding, Huaqiang Zhao, L. Tang, Gang Li, Qinghui Meng, Linqi Zhang
Introducing the continuing education of the dental hygienist in eight states of the U.S.,to understand the the category of practice,professional ability,curriculum, teaching methods and teaching evaluation standard. To analyze the continuing education in eight states to provide a reference for constructing a curriculum system that is suitable for China. Key words: Dental hygienist; Continuing education; curriculum; enlightenment
介绍美国八个州的口腔卫生员继续教育,了解其实践范畴、专业能力、课程设置、教学方法和教学评价标准。通过对八个州继续教育现状的分析,为构建适合中国国情的继续教育课程体系提供参考。关键词:口腔卫生员;继续教育;课程;启蒙运动
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引用次数: 1
Clinical application of the concept of enhanced recovery after surgery in perioperative nursing of patients with total hip replacement 增强术后恢复理念在全髋关节置换术患者围手术期护理中的临床应用
Pub Date : 2020-04-11 DOI: 10.3760/CMA.J.CN211501-20191208-03623
Miaomiao Liang, Lanfeng Guo, Lin Cong
Objective To explore the clinical effect of the concept of enhanced recovery after surgery (ERAS) in the perioperative nursing of patients with total hip replacement. Methods A total of 93 patients with hip osteoarthritis admitted from June 2017 to June 2018 were divided into routine nursing group and ERAS nursing group according to the random number table method. Patients in both groups were treated with unilateral total hip arthroplasty. Routine nursing group was treated with routine perioperative nursing, and ERAS nursing group was treated with ERAS concept. The ERAS nursing team was established, including a head nurse and an orthopedic physician, in addition to the regular nursing staff. The treatment, perioperative pain and nursing satisfaction of the two groups were compared. Results The first time of getting out of bed activity [(1.95 ± 0.45) days vs. (5.52 ± 2.52) days], the first time of defecation after operation [(1.34 ± 0.56) days vs. (2.15 ± 0.84) days], the time of hospitalization [(5.73 ± 1.65) days vs. (10.04 ± 2.14) days] in ERAS nursing group were shorter than those in routine nursing group, and the cost of hospitalization [(49 450.50 ± 880.52) yuan vs. (53 053.50 ± 780.50) yuan] was lower than that in routine nursing group, the differences were statistically significant (t=6.639-31.622, P < 0.05). The NRS scores of 24 hours [(3.35 ± 0.85) vs. (4.32 ± 1.05)], 48 hours [(2.65 ± 0.52) vs. (3.48 ± 0.54)] after operation and discharge [(1.74 ± 0.65) vs. (2.36 ± 0.53)] in the ERAS nursing group were lower than those of the routine nursing group, the differences were statistically significant (t=4.526, 4.856 and 4.456, P < 0.05). The nursing satisfaction rate of ERAS nursing group (95.7%, 45/47) was higher than that of routine nursing group (76.60%, 36/47), the difference was statistically significant (P<0.05). Conclusion The idea of ERAS has a good clinical effect in perioperative nursing of patients with total hip replacement. Key words: Enhanced recovery after surgery; Hip osteoarthritis; Hip replacement; Perioperative nursing
目的探讨ERAS理念在全髋关节置换术围手术期护理中的临床效果。方法将2017年6月~ 2018年6月收治的93例髋关节骨性关节炎患者按随机数字表法分为常规护理组和ERAS护理组。两组患者均行单侧全髋关节置换术。常规护理组采用常规围手术期护理,ERAS护理组采用ERAS理念治疗。除常规护理人员外,还成立了ERAS护理小组,包括一名护士长和一名整形外科医生。比较两组患者的治疗情况、围手术期疼痛及护理满意度。结果第一次起床活动[(1.95±0.45)和(5.52±2.52)天),第一次排便后操作[(1.34±0.56)和(2.15±0.84)天],住院的时候[(5.73±1.65)和(10.04±2.14)天]在时代护理组短比常规护理组,和住院成本[49(450.50±880.52)元与53(053.50±780.50)元)低于常规护理组,差异有统计学意义(t=6.639 ~ 31.622, P < 0.05)。ERAS护理组术后24小时NRS评分[(3.35±0.85)比(4.32±1.05)]、术后48小时[(2.65±0.52)比(3.48±0.54)]、出院后[(1.74±0.65)比(2.36±0.53)]均低于常规护理组,差异均有统计学意义(t=4.526、4.856、4.456,P < 0.05)。ERAS护理组护理满意率(95.7%,45/47)高于常规护理组(76.60%,36/47),差异有统计学意义(P<0.05)。结论ERAS理念在全髋关节置换术围手术期护理中具有良好的临床效果。关键词:增强术后恢复;髋关节骨关节炎;髋关节置换;围手术期护理
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引用次数: 0
Application of narrative nursing in parent-child conflict of a patient with chronic viral hepatitis b complicated with epilepsy 叙事性护理在1例慢性乙型肝炎合并癫痫患者亲子冲突中的应用
Pub Date : 2020-04-11 DOI: 10.3760/CMA.J.CN211501-20191031-03155
Zimei Zheng, Lili Li, Na He, Ni Gong, Dezhen Cui, Miaoxia Chen
Objective To study the intervention effect of narrative nursing on parent-child conflict in patients with chronic viral hepatitis b complicated with epilepsy. Methods In 1 case because of parent-child conflicts caused by frequent attacks, depression, and anorexia behavior of chronic hepatitis b patients with viral hepatitis with epilepsy care process, the application of narrative postmodernism theory model of nursing and the nursing of the five core technologies: somatization, rewrite, restore, definition file, ceremony and treatment during the stay in hospital for patients and their parents were conducted three narrative counseling, two telephone follow-up after discharge, psychological intervention to the parent-child conflict problem. Results Through narrative psychological intervention, no epileptic seizures caused by parent-child conflict occurred, depression was relieved, and no anorexia behavior was observed. Conclusion Narrative nursing can help to solve the parent-child conflict between patients and their parents and promote physical and mental recovery. Key words: Narrative nursing; Parent-child conflict; Chronic hepatitis b; Epilepsy
目的探讨叙事性护理对慢性乙型肝炎合并癫痫患者亲子冲突的干预效果。方法对1例因亲子冲突导致频繁发作、抑郁、厌食行为的慢性乙型病毒性肝炎伴癫痫患者的护理过程,应用叙事后现代主义护理理论模型及护理的五大核心技术:对患者及其父母在住院期间的躯体化、重写、还原、定义档案、仪式和治疗进行三次叙述性咨询,出院后两次电话随访,对亲子冲突问题进行心理干预。结果经叙事性心理干预,患儿未发生因亲子冲突引起的癫痫发作,抑郁症状得到缓解,无厌食行为。结论叙事性护理有助于解决患者与家长之间的亲子冲突,促进身心康复。关键词:叙事护理;亲子冲突;慢性乙型肝炎;癫痫
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引用次数: 0
Reliability and validity testing of Chinese version of Quality of Life in Adult Cancer Survivors scale 中文版成人癌症幸存者生活质量量表的信效度检验
Pub Date : 2020-04-11 DOI: 10.3760/CMA.J.CN211501-20191111-03309
Yanhui Wang, Ruishuang Zheng, Hanfei Cui, Fengqi Dong
Objective To test the reliability and validity of the Chinese version of the Quality of Life in Adult Cancer Survivors (QLACS) in Chinese cancer Survivors. Methods We translated the scale following the procedure of translation, integration and back translation. After modifying the scale and adapting it in Chinese culture, the reliability and validity of the QLACS scale was tested in a large sample of 222 cancer survivors. Results The Chinese version of QLACS had 47 items with a total of twelve domains. Principal component analysis resulted in an 8-factor structure of the explaining 74.393% of the seven generic domains′ variance, and an 5-factor structure of the explaining 71.937% of the five cancer-specific domains′ variance. The item level content validity index (I-CVI) was 0.89-1.00, and the total content average content validity index (S-CVI/) was 0.93. The Cronbach′s α coefficient for the total QLACS score was 0.935, and 0.933 for generic domains, and 0.865 for cancer-specific domains. Conclusions The Chinese version of QLACS appears to possess adequate validity, reliability and internal consistency. The newly translated Chinese version of QLACS may be used to assess the quality of cancer survivors in China. Key words: Cancer Survivors; Quality of Life; Evaluation; Scale; Reliability and Validity
目的检验中文版成人癌症幸存者生活质量(QLACS)在中国癌症幸存者中的信度和效度。方法按照翻译、整合、反译的程序对量表进行翻译。对QLACS量表进行修改并适应中国文化后,在222名癌症幸存者的大样本中进行信度和效度检验。结果中文版QLACS共有47个题项,共12个域。主成分分析结果表明,对7个基因域方差的解释为8因子结构,对7个基因域方差的解释为74.393%;对5个基因域方差的解释为5因子结构,对5个基因域方差的解释为71.937%。项目层面内容效度指数(I-CVI)为0.89 ~ 1.00,总内容平均内容效度指数(S-CVI/)为0.93。总体QLACS评分的Cronbach’s α系数为0.935,一般结构域为0.933,癌症特异性结构域为0.865。结论中文版质量质量评价量表具有足够的效度、信度和内部一致性。新翻译的中文版QLACS可用于评估中国癌症幸存者的质量。关键词:癌症幸存者;生活质量;评估;规模;信度和效度
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引用次数: 0
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The Journal of practical nursing
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