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Mucocele: A case report with brief review 粘液囊肿:1例报告并简要回顾
Pub Date : 2021-06-30 DOI: 10.46811/apjnh/4.1.5
Kalpna Thakur, Lucky Jindal, Nitish Bhat
Mucocele is a clinical term that basically includes two phenomenon i.e. mucus extravasation and mucus retention. Cysts arising in connection with minor salivary glands are common and about 90 per cent of cases are of the mucous extravasation type. These lesions are typically painless, dome-shaped, and fluctuant; they appear blue in colour secondary to the presence of mucin under the mucosa. The vesicular appearance created by the superficial nature of the mucin spillage, causes a separation of the epithelium from the connective tissue. The pathologist must be aware of this lesion and should not mistake it microscopically for a vesiculo-bullous lesion, especially mucous membrane pemphigoid. Here, we present a case report on mucocele with a brief review.
黏液囊肿是一个临床术语,主要包括黏液外溢和黏液潴留两种现象。与小唾液腺有关的囊肿是常见的,约90%的病例是粘液外渗型。这些病变通常无痛,呈圆顶状,呈波动;它们呈蓝色,继发于粘膜下的粘蛋白。由黏液溢出的浅表性质造成的水疱外观,导致上皮与结缔组织分离。病理学家必须意识到这种病变,不应在显微镜下将其误认为是囊泡-大泡病变,特别是粘膜类天疱疮。在此,我们报告一例粘液囊肿并作简要回顾。
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引用次数: 0
A Quasi-Experiment on the Effectiveness of Cardiac Rehabilitation in Quality of Life of Cardiac Patients with the Caregivers’ Involvement 护理者参与下心脏康复对心脏病患者生活质量影响的准实验
Pub Date : 2021-06-30 DOI: 10.46811/apjnh/4.1.3
Ruthpackiavathy Rajen Durai, Khairuddin Idris, Oteh Maskon, Muhammad Hibatullah Romli, Najibah Abdul Razak
Introduction: Coronary Heart Disease can result in impaired quality of life which can inhibit an early recovery with successful outcomes for cardiac patients. Objective: To investigate the effect of a structured cardiac education and early intervention cardiac rehabilitation program on quality of life in cardiac patients involving caregivers. Method: A quasi experimental study with a purposive sampling was carried out where 132 acute coronary syndrome patients hospitalized for treatment were recruited and allocated to the experiment and control group with and without caregivers. A structured educational intervention and cardiac rehabilitation was initiated for the experimental group with and without caregivers. The outcome was measured using the World Health Organization Quality Of Life-BREF (WHOQOL-BREF) instrument.Results: Data was measured with repeated measures ANOVA between baseline, discharge and follow-up between the intervention and control group with p<0.05 There was a statistically significant difference in QOL in both the groups with and without caregivers in the following domains: psychological health (F=3.784, p=0.002); social relationship (F=4.267, p=0.000) and environment (F=3.578, p=0.004). There was not a statistically significant difference between both the groups in the physical health domain (F=1.316, p=0.266).Conclusion: The results indicated that a structured cardiac educational intervention and cardiac rehabilitation with the involvement of the caregivers have significant effects on the quality of life of cardiac patients. The findings provide useful evidence to improve health outcomes of acute coronary syndrome patients involving the caregivers.
简介:冠心病可导致生活质量受损,这可能会抑制心脏患者的早期康复和成功的结果。目的:探讨结构化心脏教育和早期干预心脏康复方案对护理人员参与的心脏病患者生活质量的影响。方法:采用目的抽样的准实验研究方法,招募住院治疗的急性冠状动脉综合征患者132例,分为有护理人员和无护理人员两组。实验组在有和没有护理人员的情况下进行了结构化的教育干预和心脏康复。使用世界卫生组织生活质量(WHOQOL-BREF)仪器测量结果。结果:干预组与对照组基线、出院、随访数据采用重复测量方差分析(repeated measures ANOVA),差异有统计学意义(p<0.05)。有照顾者组与无照顾者组在心理健康方面的生活质量差异有统计学意义(F=3.784, p=0.002);社会关系(F=4.267, p=0.000)和环境(F=3.578, p=0.004)。两组在体质健康方面差异无统计学意义(F=1.316, p=0.266)。结论:有组织的心脏教育干预和护理人员参与的心脏康复对心脏病患者的生活质量有显著影响。研究结果为改善护理人员参与的急性冠脉综合征患者的健康状况提供了有益的证据。
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引用次数: 0
Advancements in Protein based Nano Particulate system for treatment of Pulmonary Infections- A Review 蛋白质纳米颗粒系统治疗肺部感染的研究进展
Pub Date : 2021-06-30 DOI: 10.46811/apjnh/4.1.4
Praveen Tahilani, D P Chatterjee
In addition to the so-called small molecule drugs, proteins and peptides are of increasing interest forpharmacotherapy, due to several advantageous properties. In general, those compounds are administered parenterally. However, non-invasive routes of administration represent a great part of research. Amongst others is the pulmonary application of proteins and peptides for local delivery in the case of pulmonary diseases, such as idiopathic pulmonary fibrosis, where the alveolar epithelium is affected. To ensure an intracellular delivery, nano particles in a size range of 150 nm will be prepared via charge-mediated coacervation, characterized for their physicochemical properties and loaded with several model-proteins. The material used for nano particle preparation was chosen to be positively and negatively charged starch derivatives, which were synthesized from potato starch. Although nano particles in that size range are known to show an increased cell uptake, they do not show a high deposition in the deep lung. Thus, an advanced carrier system consisting of a fast dissolving micro particle matrix with embedded starch nano particles will be developed and characterized. Due to its aerodynamic properties, that carrier system must be able to deposit a high fraction of the applied dose in the deep lung (~50%), while at the same time demonstrating (in in vitro models) the ability to facilitate uptake of starch nano particles into cells of the alveolar epithelium after fast dissolution of the micro particle matrix.
除了所谓的小分子药物外,蛋白质和多肽由于具有一些有利的特性而越来越受到药物治疗的关注。一般来说,这些化合物是通过肠道给药的。然而,非侵入性给药途径是研究的重要组成部分。其中包括在肺部疾病,如特发性肺纤维化,肺泡上皮受到影响的情况下,用于局部递送的蛋白质和肽的肺应用。为了确保细胞内递送,将通过电荷介导的凝聚制备尺寸在150纳米范围内的纳米颗粒,其物理化学性质具有特点,并装载了几种模型蛋白。纳米粒子制备的材料选择了以马铃薯淀粉为原料合成的带正电和负电的淀粉衍生物。虽然已知该尺寸范围内的纳米颗粒会增加细胞摄取,但它们在深肺中并未显示出高沉积。因此,一种由快速溶解的微颗粒基质和嵌入淀粉纳米颗粒组成的先进载体体系将被开发和表征。由于其空气动力学特性,该载体系统必须能够在肺深部沉积高剂量(~50%),同时(在体外模型中)显示在微颗粒基质快速溶解后,促进淀粉纳米颗粒进入肺泡上皮细胞的能力。
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引用次数: 0
General Health, Dental Status & Perceived Dental Treatment Needs of An Elderly Population in India 一般健康,牙科状况和感知牙科治疗需求的老年人口在印度
Pub Date : 2021-06-30 DOI: 10.46811/apjnh/4.1.2
Utkarsh Shishodia, Sukreeti Krishan, Subham Sharma, Vaibhav Anand, Mohit Kaushik
Objectives: This pilot study determined the general and dental health status; perceived medical and dental treatment needs of an elderly population dwelling in residential homes in Himachal Pradesh (India).Method: Subjects were chosen from OPD of Department of Prosthodontics & Implantology, Himachal institute of dental sciences, Paonta sahib, (H.P) between April 2020 – April 2021. (N=133, female: 71 and male: 62) were involved in this study. A detailed questionnaire was prepared and dental examinations were conducted. Information was collected related to age, education levels, financial status, current physical functional status, general health, mental health, previous dental history, current dental status, oral hygiene practices and denture hygiene of these elderly people. The prevalence of edentulism, the presence and type of dental prostheses, dental and denture status and denture cleanliness were further evaluated.Results: The three most prevalent reported general health problems were associated with Genito-urinary problems (24%) followed by cardiovascular (18%) and respiratory problems (14%) varying significantly between genders, with males suffering more from cardiovascular problems than females (p < 0.05). Females showed significantly higher gastrointestinal and orthopaedic problems than males (p < 0.05). Females were more frequently edentulous than males but denture hygiene was significantly better in females than in males (p < 0.05). Brushing frequency did not significantly increase denture hygiene (p = 0.6). More than one-third of the subjects had not been to the dentist within the previous 5–10 years, mainly due to lack of demand, followed by the cost of the dental care and fear. More than two-thirds of denture-wearing subjects wore their dentures only during eating.
目的:本初步研究确定一般和牙齿健康状况;喜马偕尔邦(印度)居住在住宅中的老年人口的医疗和牙科治疗需求。方法:研究对象于2020年4月- 2021年4月在喜马偕尔口腔科学研究所口腔修复与种植科门诊就诊。(N=133,女性71例,男性62例)。准备了详细的调查问卷,并进行了牙科检查。收集这些老年人的年龄、受教育程度、经济状况、目前身体机能状况、一般健康状况、心理健康状况、既往牙齿病史、目前牙齿状况、口腔卫生习惯和假牙卫生等相关信息。进一步评估全牙症的患病率、义齿的存在和类型、牙齿和义齿的状况以及义齿的清洁度。结果:报告的三种最普遍的健康问题与生殖-泌尿系统问题(24%)有关,其次是心血管问题(18%)和呼吸系统问题(14%),性别差异显著,男性患心血管问题的比例高于女性(p < 0.05)。女性出现的胃肠道和骨科问题明显高于男性(p < 0.05)。女性无牙率高于男性,但义齿卫生状况明显好于男性(p < 0.05)。刷牙频率对义齿卫生无显著影响(p = 0.6)。超过三分之一的调查对象在过去5-10年内没有看过牙医,主要原因是缺乏需求,其次是牙科护理费用和恐惧。超过三分之二的戴假牙的人只在吃饭的时候戴假牙。
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引用次数: 0
A current update on viral classification, diagnosis and available treatment of COVID-19 COVID-19病毒分类、诊断和可用治疗的最新情况
Pub Date : 2021-06-30 DOI: 10.46811/apjnh/4.1.1
Gift Eyareosowo Oden, Himmat Singh, Santosh Kumar Singh, Abhay Raizada, Gaurav Gupta
In December of 2019, an outbreak of a disease began at Wuhan, China and would later be named the coronavirus disease2019 (covid-19) by the World Health Organization and further declared a global pandemic. Since the onset of this disease, the pattern of day to day activities had been disrupted in a bid to curb this menace to society. This paper work touches on basic viral classification, as well as structure of the severe acute respiratory syndrome coronavirus 2, the main causative agent of covid-19. This review work also sheds light on symptoms associated with this disease, mode of transmission, method of diagnosis and medications available in treating the symptoms. Potential vaccines available in India are also discussed here.
2019年12月,中国武汉爆发了一场疾病,后来被世界卫生组织命名为2019冠状病毒病(covid-19),并进一步宣布全球大流行。自从这种疾病出现以来,为了遏制这种对社会的威胁,日常活动的模式被打乱了。本文对covid-19的主要病原体——严重急性呼吸综合征冠状病毒2的基本病毒分类及其结构进行了探讨。这项审查工作还揭示了与该病相关的症状、传播方式、诊断方法和治疗症状的可用药物。本文还讨论了印度可能提供的疫苗。
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引用次数: 0
Trainings to train nursing teachers helping nursing students learn ethics: feedback of the participants 培训护师帮助护生学习师德的培训:参与者的反馈
Pub Date : 2020-12-30 DOI: 10.46811/apjnh/3.2.3
Piryani Rano Mal, Piryani Suneel
Introduction: Short-duration trainings for nursing faculty members in different contexts including ethics have been shown positive effect on faculty. The objective of the present study was to assess the feedback of the participant faculty members of “Trainings to train nursing teachers helping nursing students learn ethics.” Methodology: The training of four credits hours to train nursing teachers helping nursing students learn ethics was organized in October 22, 2019 at Universal College of Medical Sciences, Bhairahawa Nepal. Fifteen nursing faculty members participated in the training. At the end of training feedback was taken from the participants using validated semi-structured questionnaire. Descriptive analysis was done using IBM SPSS version 21.Results: The rating of participants on training on scale 1-10 for usefulness (7.33±1.17), content (7.40±1.06), relevance (7.93± 0.70), facilitation (7.67± 0.98) and overall (7.93± 0.70) was notable. Their confidence level to conduct and facilitate “Think-Pair-Share” interactive session (3.68±0.69) and “Scenario-based Group-Work Discussion” (3.76±0.83) enhanced after training rated on Like rt scale 1-5(5= highly confident, 4= very confident, 3=confident, 2= to some extent confident 1= not confident). Participants rated session on “teaching clinical nursing ethics” an extremely important session (3.76±0.83) on Like rt scale 1-4 (4= extremely important, 3= moderately important, 2= slightly important, 1= not important). The participants mentioned that training environment was conducive and friendly, sessions were interactive and content was useful. They suggested to increase credit hours of training, conduct pre and post-test and include more scenario in curriculum of training. They committed for what was learnt will apply for teaching ethics to nursing students and in clinical nursing practice too. Conclusion: The rating of participants on the training was notable; the perception of participants was positive regarding training and training enhanced their confidence to teach ethics to students. This is obvious from their commitment.
导言:短期护理师资培训在不同的背景下,包括道德表现出积极的影响。摘要本研究的目的是评估参与“护生师德培训”的教师的反馈。方法:2019年10月22日,在尼泊尔巴伊拉哈瓦医科大学组织了四学分的培训,以培训护理教师帮助护生学习伦理学。15名护理人员参加了培训。在培训结束时,使用经过验证的半结构化问卷从参与者那里获得反馈。使用IBM SPSS version 21进行描述性分析。结果:参与者在1-10量表上对训练的有用性(7.33±1.17)、内容(7.40±1.06)、相关性(7.93±0.70)、促进性(7.67±0.98)和总体(7.93±0.70)评分显著。培训后,他们对开展和推动“思考-配对-分享”互动会话(3.68±0.69)和“基于场景的小组工作讨论”(3.76±0.83)的信心水平提高了(按Like rt量表1-5打分,5=高度自信,4=非常自信,3=自信,2=一定程度自信1=不自信)。在Like rt量表1-4(4=极其重要,3=中等重要,2=略重要,1=不重要)中,被试认为“临床护理伦理教学”环节是极其重要的环节(3.76±0.83)。与会者提到,培训环境有益和友好,课程互动,内容有用。他们建议增加培训学时,进行前后测试,并在培训课程中加入更多的场景。他们承诺所学到的东西将应用于护理学生的道德教学和临床护理实践。结论:被试对训练的评价显著;参与者对培训的看法是积极的,培训增强了他们向学生教授道德的信心。从他们的承诺中可以明显看出这一点。
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引用次数: 0
Formulation of Nanostructured lipid particles 纳米结构脂质颗粒的配方
Pub Date : 2020-12-30 DOI: 10.46811/apjnh/3.2.4
Kavita Rani, Amit Kumar J. Raval, Dinesh Kaushik, Rajesh Khathuriya
Lipid nanocarriers are developed as an alternative to polymeric nanoparticles, liposomes and emulsions. NLCs are the second generation lipid carriers developed to overcome problems associated with Solid Lipid Nanoparticles and are utilized in various therapeutic approaches. NLCs were used for the delivery of lipophilic drugs .Biocompatible nature of lipids is responsible for its development as a good drug delivery. It was found to be having excellent characteristics over other lipid formulations.
脂质纳米载体是聚合物纳米颗粒、脂质体和乳液的替代品。NLCs是第二代脂质载体,旨在克服固体脂质纳米颗粒相关的问题,并用于各种治疗方法。脂质的生物相容性使其成为一种良好的给药材料。人们发现它比其他脂质制剂具有优异的特性。
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引用次数: 0
Case control study to assess the determinants of pregnancy induced hypertension among the antenatal mothers in Rajiv Gandhi women and children hospital at Puducherry 病例对照研究,评估普杜切里拉吉夫甘地妇女和儿童医院产前母亲中妊娠高血压的决定因素
Pub Date : 2020-12-30 DOI: 10.46811/apjnh/3.2.2
Margaret A, Manjubala Dash
Background: Hypertensive disorders of pregnancy are a major health problem to the world and is found to be the major cause of maternal morbidity and mortality accounting for nearly 10-15% 0f maternal deaths. Objective:To assess the determinants of Pregnancy induced hypertension. Methods: A case control study was conducted among pregnant women at Rajiv Gandhi Women and Children Hospital, Puducherry. 63 women with PIH were selected as cases and 63 normotensive pregnant women were taken as controls. The cases were selected by purposive sampling and the controls by simple random sampling. The tool consists of a self structured questionnaire which consists of the socio demographic factors and various other determinants assumed as a risk factor for PIH and some required information was also obtained from the case records. Statistics: The odds ratio and Chi-square test was used to determine the risk and association between PIH and the determinants respectively.Results: Primigravida (OR=2.826), multiple pregnancy (OR=2.629), presence of pedal edema (OR=54.836), family history of diabetes (OR=2.969), family history of hypertension (OR=5.5) Overweight (OR=2.12) and obesity (OR=6.52) were found to be significant risk factors of PIH. There was statistically significant association with history of abortion, parity, presence of pedal edema, use of contraceptives, family history of diabetes, family history of hypertension, prepregnancy Body mass index and PIH.
背景:妊娠期高血压疾病是全世界的一个主要健康问题,是孕产妇发病和死亡的主要原因,占孕产妇死亡的近10-15%。目的:探讨妊高征的影响因素。方法:对印度普杜切里市拉吉夫甘地妇女儿童医院的孕妇进行病例对照研究,选择63例妊高征孕妇为病例,63例血压正常孕妇为对照。病例采用目的抽样,对照组采用简单随机抽样。该工具由一份自结构问卷组成,其中包括社会人口因素和各种其他决定因素,这些因素被认为是PIH的风险因素,并从病例记录中获得一些必要的信息。统计学:分别采用优势比和卡方检验确定PIH与决定因素之间的风险和相关性。结果:原发性妊高征(OR=2.826)、多胎妊娠(OR=2.629)、足部水肿(OR=54.836)、糖尿病家族史(OR=2.969)、高血压家族史(OR=5.5)、超重(OR=2.12)、肥胖(OR=6.52)是妊高征的重要危险因素。流产史、胎次、足部水肿、避孕药具使用、糖尿病家族史、高血压家族史、孕前体重指数和PIH有统计学意义。
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引用次数: 0
Formulation and Optimization of Biodegradable Periodontal Chips Containing Metronidazole and Levofloxacin 甲硝唑左氧氟沙星生物降解牙周片的制备及优化
Pub Date : 2020-12-30 DOI: 10.46811/apjnh/3.2.5
Pyare Lal, A.S. William Arputha Sundar, Yogendra Singh
This research aimed to developintrapocket,biodegradablechips ofpoly(d,l-lactide-co-glycolide) (PLGA) loaded with Metronidazole (MZ) and levofloxacin (LF),for sustained release local drug delivery in periodontal pocket to treat periodontitis. Metronidazole and levofloxacin are widely employed for the treatment of periodontitis,but high oral dose and resistance development after long-term oral administration limit their use, hence local delivery is a good approach. The chips were prepared by solvent casting technique using diethyl phthalate as plasticizer. Their physical characteristics, such as drug content,surface pH, swelling index, and folding endurance, exhibited results within limit. Further, FTIR and DSCstudies revealed stability of chips and compatibility between drugs and excipients.In vitro release in McIlvainebuffer pH 7.8 was of sustained nature assisted by the burst effect. Design-Expert® (11.0.4) software was used to study the effect of polymer & plasticizer on release of drugs Polymer concentrationsnegatively affected drug release and positively affected T90 (time for releasing 90% of the drug) due toaltered matrix density. In contrast, the plasticizer concentration increases membrane permeability andhence increased drug release, lowering T90. Forvarious response variables,polynomial mathematical models were generated usingmultiple regression analysis, and found to be statistically significant (????<0.05).The antibacterial efficacy of films was tested on Pseudomonas spp. Bacteroides spp., indicatinggood antibacterial activity. Optimized formulations were further used for preparing optimized biodegradable, Metronidazole-Levofloxacin sustained release chip. Conclusively, the films of MZ and LF were successful tools for the management ofperiodontitis.
本研究旨在开发一种内包装、可生物降解的聚(d,l-丙交酯-羟基乙酸酯)(PLGA)芯片,载以甲硝唑(MZ)和左氧氟沙星(LF),用于牙周袋局部缓释给药治疗牙周炎。甲硝唑和左氧氟沙星被广泛用于治疗牙周炎,但口服剂量大,长期口服产生耐药性限制了其使用,局部给药是一种较好的方法。以邻苯二甲酸二乙酯为增塑剂,采用溶剂铸造法制备了硅片。其物理特性,如药物含量、表面pH值、溶胀指数、折叠耐力等均在限定范围内。此外,FTIR和dsc研究揭示了芯片的稳定性以及药物和赋形剂之间的相容性。在pH值为7.8的McIlvainebuffer中,在爆发效应的帮助下,体外释放具有持续性。采用Design-Expert®(11.0.4)软件研究聚合物和增塑剂对药物释放的影响。由于基质密度的改变,聚合物浓度对药物释放有负面影响,而对T90(90%药物释放时间)有积极影响。相反,增塑剂浓度增加了膜的通透性,从而增加了药物释放,降低了T90。对于各响应变量,采用多元回归分析生成多项式数学模型,发现具有统计学意义(????<0.05)。对膜对假单胞菌和拟杆菌的抑菌效果进行了测试,表明膜具有良好的抑菌活性。进一步利用优化后的配方制备了优化后的可生物降解甲硝唑-左氧氟沙星缓释芯片。综上所述,MZ和LF片是治疗牙周炎的成功工具。
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引用次数: 0
Identification of the relationship between nursing students’ kolb learning styles and problem-solving skills 护生kolb学习方式与问题解决能力之关系
Pub Date : 2020-12-30 DOI: 10.46811/apjnh/3.2.1
S. Şahan, Ayşegül Yıldız, S. Şahin
Introduction: In order to maintain nursing care in the most effective and quality way in There lationship between patient and nurse and nurses to manage this dynamic process, problem solving skills must be developed. Individuals in the learning environment are people who are independent from each other and have different characteristics and share the same environment. Objectives: To determine the learning styles of individuals and to manage the education process. Method: This study was planned to determine There lationship between the learning styles and problem solving skills of the students who received nursing education. The universe of There search consisted of 130 students in İzmir Bakırçay University Faculty of Health Sciences Nursing Department. In the study, the data were collected between 1-29 February 2020. Results: It was determined that 26.9% of the students participating in the study were male and 73.1% were female. It was observed that 33.8% of the students had learning style that parses, 22.3% changes, 28.5% assimilates and 15.4% places. It was determined that the problem solving skills of the students were moderate according to the score they received from the problem solving inventory (X = 82,09). There was a significant relationship between participants' general problem solving approach levels and Kolb learning style groups (p = 0.04). Conclusion: It is thought that the education given to students' learning styles will support their problem solving skills and the success rate will increase.
为了在病人和护士之间保持最有效和高质量的护理关系,护士必须培养解决问题的能力来管理这一动态过程。学习环境中的个体是相互独立、具有不同特征、共享同一环境的人。目的:确定个人的学习风格和管理教育过程。方法:本研究旨在探讨护理教育学生的学习风格与解决问题能力之间的关系。搜索对象为İzmir Bakırçay大学健康科学学院护理系130名学生。在这项研究中,数据是在2020年2月1日至29日期间收集的。结果:确定参与研究的学生中男性占26.9%,女性占73.1%。研究发现,33.8%的学生有解析式学习风格,22.3%的学生有变化式学习风格,28.5%的学生有同化式学习风格,15.4%的学生有地方式学习风格。根据问题解决量表的得分,确定学生的问题解决能力为中等水平(X = 82,09)。一般问题解决方法水平与Kolb学习风格组之间存在显著相关(p = 0.04)。结论:通过对学生学习方式的教育,可以提高学生的问题解决能力,提高学生的问题解决成功率。
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引用次数: 0
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Asian Pacific Journal of Nursing and Health Sciences
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