目的:探讨基于考克斯健康行为互动模式的康复护理(Cox health behavior interaction model;Cox-IMCHB)在肝硬化失代偿期患者中的应用效果。方法:选取本院2019年6月~2021年11月的门诊患者共计106例,对其进行前瞻性分析,用简单随机数字表...目的:探讨基于考克斯健康行为互动模式的康复护理(Cox health behavior interaction model;Cox-IMCHB)在肝硬化失代偿期患者中的应用效果。方法:选取本院2019年6月~2021年11月的门诊患者共计106例,对其进行前瞻性分析,用简单随机数字表法均分为观察组(n=53例)和对照组(n=53例),分别给予基于Cox健康行为互动模式的康复护理和常规康复护理干预。对比两组患者护理前后的自我护理能力测定量表(Exercise of Self—Care Agency Scale;ESCA)、简明健康调查表(The medical outcomes study 36-item short from health survey;SF-36))评分变化。结果:与护理前相较,两组患者ESCA量表评分(健康知识水平、自我概念、自我责任感、自我护理技能及总分)均升高,且观察组高于对照组,差异具有统计学意义(P<0.05);护理后,两组的躯体健康(Physical Function;PF)、生理职能(Role-Physical;RP)、躯体疼痛(Bodily Pain;BP)、社会功能(Social function;SF)等评分均较护理前升高,且观察组的各项评分明显高于对照组,差异具有统计学意义(P<0.05)。结论:基于考克斯健康行为互动模式的康复护理在肝硬化失代偿期患者中的应用,可提高患者自我管理能力,改善患者生活质量,有助于患者早日回归社会,因此可在临床推广使用。展开更多
The Al-Cu wheel adopting the new Al alloy was prepared by the liquid-die forging,and the mechanical properties,composition distribution,microstructure and fracture behavior were investigated.The results showed that se...The Al-Cu wheel adopting the new Al alloy was prepared by the liquid-die forging,and the mechanical properties,composition distribution,microstructure and fracture behavior were investigated.The results showed that serious Cu segregation was found in the wheel specimen;the microstructure of the Al-Cu wheel was comprised of the casting microstructure and a small amount of the deformed microstructure;the best heat treatment and water quenching system were found to solution treated at(530±5)℃ for 4 h followed by(535±5)℃ for 24 h and aging treated at(155±5)℃ for 4 h;the fracture morphologies of the samples heated under T 6 and T 5-1 heat treatment showed flat,tough nest,and poor plastic characteristics;the fracture morphologies of the samples heated under T 4 heat treatment exhibited complete resilience,but no residual metallographic characteristic;the sample treated under T 4 protocol had the best elongation;the fracture failure was mainly due to the formation of the CuAl_(2)(θ)phases;and the fracture mechanism of the Al-Cu wheel was intergranular fracture.展开更多
文摘目的:探讨基于考克斯健康行为互动模式的康复护理(Cox health behavior interaction model;Cox-IMCHB)在肝硬化失代偿期患者中的应用效果。方法:选取本院2019年6月~2021年11月的门诊患者共计106例,对其进行前瞻性分析,用简单随机数字表法均分为观察组(n=53例)和对照组(n=53例),分别给予基于Cox健康行为互动模式的康复护理和常规康复护理干预。对比两组患者护理前后的自我护理能力测定量表(Exercise of Self—Care Agency Scale;ESCA)、简明健康调查表(The medical outcomes study 36-item short from health survey;SF-36))评分变化。结果:与护理前相较,两组患者ESCA量表评分(健康知识水平、自我概念、自我责任感、自我护理技能及总分)均升高,且观察组高于对照组,差异具有统计学意义(P<0.05);护理后,两组的躯体健康(Physical Function;PF)、生理职能(Role-Physical;RP)、躯体疼痛(Bodily Pain;BP)、社会功能(Social function;SF)等评分均较护理前升高,且观察组的各项评分明显高于对照组,差异具有统计学意义(P<0.05)。结论:基于考克斯健康行为互动模式的康复护理在肝硬化失代偿期患者中的应用,可提高患者自我管理能力,改善患者生活质量,有助于患者早日回归社会,因此可在临床推广使用。
基金Project(2019 YFC 1511400)supported by the National Key Technologies R&D Program of China。
文摘The Al-Cu wheel adopting the new Al alloy was prepared by the liquid-die forging,and the mechanical properties,composition distribution,microstructure and fracture behavior were investigated.The results showed that serious Cu segregation was found in the wheel specimen;the microstructure of the Al-Cu wheel was comprised of the casting microstructure and a small amount of the deformed microstructure;the best heat treatment and water quenching system were found to solution treated at(530±5)℃ for 4 h followed by(535±5)℃ for 24 h and aging treated at(155±5)℃ for 4 h;the fracture morphologies of the samples heated under T 6 and T 5-1 heat treatment showed flat,tough nest,and poor plastic characteristics;the fracture morphologies of the samples heated under T 4 heat treatment exhibited complete resilience,but no residual metallographic characteristic;the sample treated under T 4 protocol had the best elongation;the fracture failure was mainly due to the formation of the CuAl_(2)(θ)phases;and the fracture mechanism of the Al-Cu wheel was intergranular fracture.
