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Effect of cognitive behavior therapy training and psychological nursing on the midwifery process in the delivery room
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作者 Qin Shi Jie Wang +1 位作者 Dan Zhao Ling-Yan Gu 《World Journal of Psychiatry》 SCIE 2023年第12期1053-1060,共8页
BACKGROUND The severe physical and psychological impact of pain on the physical and mental health of women during labor leads to increased risks and complications during childbirth,presenting a major public health con... BACKGROUND The severe physical and psychological impact of pain on the physical and mental health of women during labor leads to increased risks and complications during childbirth,presenting a major public health concern.Some studies have shown that cognitive behavioral therapy(CBT)has a positive effect on maternal psychology during delivery,reducing stress and shortening labor time.Thus,CBT training for mothers and delivery room staff may be beneficial in minimizing complications and adverse effects during natural birth.AIM To investigate the clinical effects of CBT training and psychological care during delivery,and their therapeutic effects on women in labor.METHODS This study used a retrospective analysis and included 140 mothers admitted to the maternity ward between January 2021 and January 2023.The study subjects were randomized into two groups:control(n=70)and observation(n=70).Routine care,CBT training,and psychological care were provided to mothers in both groups.Psychological status scores,delivery time,and satisfaction with care pre-and post-delivery were compared,and the incidence of complications after receiving care was analyzed between the two groups.RESULTS Although the psychological state of both groups improved significantly in the late stages of labor,the psychological state scores of the mothers in the observation group were significantly lower than those of the mothers in the control group(P<0.05).The duration of labor and incidence of complications in the observation group were significantly lower than those in the control group(P<0.05).The mothers in the observation group were significantly more satisfied with nursing care during the course of labor than those in the control group(P<0.05).CONCLUSION CBT training and psychological care for mothers in the midwifery process can effectively improve anxiety and depression,shorten labor duration,reduce postnatal complications,and improve nursing satisfaction and nurse-patient relationships.Its clinical application is effective and has popularization value,providing a new way to protect maternal mental health. 展开更多
关键词 Cognitive behavior therapy Cognitive behavior therapy training psychological care CHILDBIRTH Mental health
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Effect of Resistance Training,Aerobic Exercise Before Doula-Assisted Delivery on the Psychological Well-Being and Labor Duration of Parturients
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作者 Jing Zhou Sha Tang +2 位作者 Li Zhou Cong Jiang Wenjian Fan 《Journal of Clinical and Nursing Research》 2023年第6期118-123,共6页
Objective:To investigate the impact of resistance training and aerobic exercise before doula-assisted delivery on the psychological well-being and labor duration of parturients.Methods:105 cases of parturients who gav... Objective:To investigate the impact of resistance training and aerobic exercise before doula-assisted delivery on the psychological well-being and labor duration of parturients.Methods:105 cases of parturients who gave birth in our hospital from February 2021 to April 2023 were included in this study.The patients were divided into a control group of 52 cases and an observation group of 53 cases.The patients in the control group received no particular intervention before delivery and only received doula assistance.The patients in the observation group received resistance training,aerobic exercise,and doula assistance prior to giving birth.After delivery,the mothers were observed for 2 hours in the delivery room and then returned to the maternal and infant ward.The observation indicators of the two groups were compared.Results:In comparison to the control group,the observation group exhibited shorter durations in the first,second,and third stages of labor,as well as the total delivery time.Additionally,the amount of postpartum blood loss at 2 hours was smaller in the observation group.The rate of cesarean section was lower,and the rate of vaginal natural delivery was higher in the observation group.Following the intervention,both groups of postpartum women showed decreased SAS and SDS scores compared to before the intervention.Moreover,the observation group had lower scores than the control group.These differences were all statistically significant(P<0.05).Conclusion:Resistance training and aerobic exercise before doula-assisted delivery can effectively improve the psychological state of parturients,shorten labor duration,increase the rate of natural vaginal delivery,and reduce pain and postpartum hemorrhage. 展开更多
关键词 Doula assistance Resistance training Aerobic exercise PARTURIENT psychological state Labor duration
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Effect and Significance of Comprehensive Training in Infection Prevention and Control on the Psychological Health of Oral Health Staff
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作者 Zijian Wu Manli Zhang 《Journal of Clinical and Nursing Research》 2023年第3期81-95,共15页
Background:Oral health staff have close contact with patients in the process of diagnosis and treatment,and it is inevitable for them to come into contact with patients’secretions.Therefore,oral health staff are at g... Background:Oral health staff have close contact with patients in the process of diagnosis and treatment,and it is inevitable for them to come into contact with patients’secretions.Therefore,oral health staff are at greater risk of infectious diseases in their daily work,and their psychological health is also greatly challenged.Objective:To study the effect and significance of comprehensive training in infection prevention and control on the psychological health of oral health staff.Methods:We selected 400 oral health staff from a tertiary stomatological hospital in Guangzhou,China in this study.The respondents were randomly divided into an intervention group and a control group.After the first round of investigation,the intervention group received comprehensive training in prevention and control of infection for three months,while the control group received no intervention.Results:The comprehensive training in infection prevention and control improved the respondents’psychological health and job satisfaction.Further strengthening infection prevention and control training for oral health staff will increase their self-confidence,improve their mental health,and increase their job satisfaction.Conclusion:For oral health staff,it is particularly important to formulate an effective and operable preventive and control training program and then implement it in a standardized manner. 展开更多
关键词 Oral health staff Infection prevention Infection control psychological health Comprehensive training Job satisfaction
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Psychological stress and long-term blood pressure variability of military young males:The cardiorespiratory fitness and hospitalization events in armed forces study 被引量:1
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作者 Yen-Po Lin Chia-Hao Fan +3 位作者 Kun-Zhe Tsai Ko-Hwan Lin Chih-Lu Han Gen-Min Lin 《World Journal of Cardiology》 2020年第12期626-633,共8页
BACKGROUND Acute stress might increase short-term heart rate variability and blood pressure variability(BPV);however,chronic stress would not alter short-term BPV in animal models.AIM To examine the association of psy... BACKGROUND Acute stress might increase short-term heart rate variability and blood pressure variability(BPV);however,chronic stress would not alter short-term BPV in animal models.AIM To examine the association of psychological stress with long-term BPV in young male humans.METHODS We prospectively examined the association of chronic psychological stress with long-term BPV in 1112 healthy military males,averaged 32.2 years from the cardiorespiratory fitness and hospitalization events in armed forces study in Taiwan.Psychological stress was quantitatively evaluated with the Brief Symptom Rating Scale(BSRS-5),from the least symptom of 0 to the most severe of 20,and the five components of anxiety,insomnia,depression,interpersonal sensitivity,and hostility(the severity score in each component from 0 to 4).Longterm BPV was assessed by standard deviation(SD)for systolic and diastolic blood pressure(SBP and DBP),and average real variability(ARV),defined as the average absolute difference between successive measurements of SBP or DBP,across four visits in the study period from 2012 to 2018(2012-14,2014-15,2015-16,and 2016-18).RESULTS The results of multivariable linear regressions showed that there were no correlations of the BSRS-5 score with SDSBP,SDDBP,ARVSBP,and ARVDBP after adjusting for all the covariates[β(SE):-0.022(0.024),-0.023(0.026),-0.001(0.018),and 0.001(0.020),respectively;P>0.05 for all].In addition,there were also no correlations between each component of the BSRS score and the long-term BPV indexes.CONCLUSION Our findings suggest that chronic psychological stress might not be associated with long-term BPV in military young male humans. 展开更多
关键词 Long-term blood pressure variability military psychological stress Young males Brief Symptom Rating Scale Average real variability
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Epidemiological investigation of military training injuries for sea trainingand parachuting training
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作者 龙泳 李远贵 +5 位作者 李良寿 邹声听 朱文强 谢小平 常耀明 杨洪源 《Journal of Medical Colleges of PLA(China)》 CAS 2000年第3期196-199,共4页
Objective: To study epidemiological characteristics of the military training injuries (MTI) during parachuting training of the air force and sea training of the navy. Methods:The subjects of this study were 1382, incl... Objective: To study epidemiological characteristics of the military training injuries (MTI) during parachuting training of the air force and sea training of the navy. Methods:The subjects of this study were 1382, including 971 navy soldiers (300 recruits and 671 soldiers) and 411 for force recruits. Navy: Each of injured soldiers was investigated by the trained battalion surgeon; Air force: When the parachuting training finished , two doctors in specific field screened and investigated them one by one. Results: The incidence of injury in for force recruits was 16.3% and in navy recruits was 18. 7%. The incidence of navy soldiers was 5.5%, which was significantly lower than that of navy recruits. There was a peak of incidence in the 2nd training month of navy recruits. The peak of incidence of navy soldiers was in 1st training month. The incidence of air force maintained at a high level except 2nd training month. The incidences of lower legs and ankles were higher than those of other sites in navy with percentage of 42.9% and 17.9% respectively. The incidences of ankles and lumbar region were higher than those of other sites in air force with percentage of 26.9% and 23.9% respectively. Incidence of acute traumatic injuries was highest during special course. Conclusion: The result showed the incidence of injury in sea and parachuting training varied. Different preventive measures should be adopted during special training. 展开更多
关键词 military training INJURY SEA training PARACHUTING training EPIDEMIOLOGICAL investigation
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Related Factors of the Influence on Mental Symptoms of the Recruits in the Basic Military Training 被引量:1
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作者 Li Hong-zheng Lei Mei-ying Zhao Dong-hai Zhao Li-qiong Liu Geng Zhou Hong-kui Qin Mei Li Jie-feng Wen Jian Huang Pin-de Li Yi Wang Chuang Wang Zhou-ran 《Psychology Research》 2012年第4期260-265,共6页
关键词 军事训练 心理特点 症状 心理健康教育 SCL-90 心理特征 生活事件 路径分析
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Physical and psychological condition of senior people in a residential care facility. The effects of an aerobic training
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作者 Emanuela Rabaglietti Liubicich Monica Emma Ciairano Silvia 《Health》 2010年第7期773-780,共8页
The present study is aimed at investigating the changes between pre-test and post-test, after having introduced an aerobic programme of physical activity (one session, each of 45’ per week for 15 weeks, over a span o... The present study is aimed at investigating the changes between pre-test and post-test, after having introduced an aerobic programme of physical activity (one session, each of 45’ per week for 15 weeks, over a span of roughly four months, delivered by specially trained instructor), in the psychological situation (perception of general health, feelings of geriatric depression) and physical condition (activities of daily living, physical performance in terms of balance and gait, weight, and body mass index–BMI) of a group of senior citizens slightly compromised at Mini Mental State Examination (MMSE: median 23) and living in a residential care facility in northern Italy. The 36-Item Short Form Health Survey Questionnaire (SF-36), the Geriatric Depression Scale (GDS), the Italian short version of Barthel's Index of Activities of Daily Living (BADL), the Tinetti Assessment Tool were administered to 18 old men and women (median age 85.50 years). The findings (we used non- parametric statistical techniques) showed that: 1) general health perception, feelings of depression, and activities of daily were stable;2) general physical performance, and particularly the balance, increased between pre-test and post-test, while weight, BMI and waist circumference decreased. These results underline the importance, especially in the case of women, of participating at an aerobic training delivered by experienced instructors for the physical condition of senior citizens, also when they are slightly cognitively compromised. 展开更多
关键词 SENIOR PEOPLE training PHYSICAL and psychological CONDITION
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Effect of Psychological Education Combined with Progressive Muscle Relaxation Training on the Symptom Cluster and Rehospitalization Rate of Elderly Patients with Coronary Heart Disease 被引量:1
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作者 Jing Wang Rui Li +7 位作者 Yi-Lin Wang Jing Li Jia Meng Yan Su Xiao-Jing Du Yan Wang Gui-Ping Sun Yan-Ling Li 《Journal of Clinical and Nursing Research》 2022年第2期120-125,共6页
Objective:To investigate the effect of psychological education combined with progressive muscle relaxation training on the symptom cluster and rehospitalization of elderly patients with coronary heart disease.Methods:... Objective:To investigate the effect of psychological education combined with progressive muscle relaxation training on the symptom cluster and rehospitalization of elderly patients with coronary heart disease.Methods:This study is a longitudinal randomized controlled study involving 140 elderly patients with coronary heart disease.The patients were divided into two groups:an intervention group and a control group,with 70 cases in each group,via random number table.The patients in the control group received routine nursing,whereas those in the intervention group received psychological education combined with progressive muscle relaxation training for 4 weeks on the basis of routine nursing.The effect of the intervention was evaluated before intervention,at the end of 1 month,3 months,and 6 months after intervention.Results:At the end of 1 month,3 months,and 6 months,the sleep,fatigue,anxiety,and functional status of the patients in the intervention group were significantly better than those of the control group,with statistical significance difference(P<0.05).The rehospitalization rate of the intervention group was lower than that of the control group,and the difference was statistically significant(X2=10.685,P=0.001).Conclusion:Psychological education combined with progressive muscle relaxation training is effective in alleviating the symptom cluster of elderly patients with coronary heart disease and reducing their rehospitalization rate;thus,it should be popularized. 展开更多
关键词 psychological education Progressive muscle relaxation training ELDERLY Coronary heart disease(CHD) Sleep disorders FATIGUE ANXIETY Functional status
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A Missing Step: The Value of Psychological Mindedness Training during Psychiatry Residency
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作者 Mark Cogburn Nahrain Raihan +1 位作者 Hannah Scott Hannah Cogburn 《Open Journal of Psychiatry》 2022年第1期73-77,共5页
Psychiatry residents, who lack psychological mindedness, struggle to understand the multiple determinants of behavior, or the numerous meanings of a single symptom. This is unfortunate because most psychiatry resident... Psychiatry residents, who lack psychological mindedness, struggle to understand the multiple determinants of behavior, or the numerous meanings of a single symptom. This is unfortunate because most psychiatry resident interns feel that they are finally among the group where they belong… like-minded physicians who share a fascination with human nature and a desire to grasp all the nuances and complexities of human behavior. This paper provides a framework for psychiatry departments to train residents along a continuum of psychological mindedness. The authors explain the concept of psychological mindedness, explore the pros and cons of acquiring psychological mindedness, and a scientific basis for its use in general psychiatry. A new model is included to capture any resident’s ability to become psychologically minded, with direction for Program Director’s to possibly develop growth in a resident’s psychological mindedness over four years of training. 展开更多
关键词 psychological Mindedness PSYCHIATRY Residents House Officers PSYCHOTHERAPY training
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The effect of military training on anxiety symptoms in Chinese recruits
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作者 Li Hongzheng Lei Meiying Zhao Donghai Zhao Liqiong Ye Changqing Zhou Hongkui Liu Gen Qin Mei Li Jiefeng Wen Jian Huang Pinde 《重庆医学》 CAS CSCD 北大核心 2012年第36期3814-3816,3819,共4页
Objective To investigate the prevalence of anxiety symptoms in army recruits and the effect of military training on anxiety.Methods A cluster sampling of 1431 new army recruits was conducted.The anxiety level of recru... Objective To investigate the prevalence of anxiety symptoms in army recruits and the effect of military training on anxiety.Methods A cluster sampling of 1431 new army recruits was conducted.The anxiety level of recruits was determined by Beck Anxiety Inventory(BAI) and Adult EPQ questionnaires prior to,one month after,and two months after entering basic military training.Self compiled biographic variables of the recruits were collected before the training.Results The highest BAI score(32.71±7.87) was observed 2 days before training,followed by 1 month after training(31.49±7.75) and 2 months after training(29.87±6.95).BAI score before training correlated with neuroticism and extraversion of recruits,the psychological trauma,suicide feeling and frequency of exercise before recruiting.A significant decrease in the percentage of severe symptom of wobbliness in legs,instability to relax,racing heart,dizziness,fear of the worst happening and trembling hands was observed after 1 month and/or 2 months of military training.Conclusion A higher BAI score and percentage of severe anxiety symptoms were observed before the training which correlated with psychological characteristics of recruits as well as the psychological experience before entering training.A combination of early psychological interference and physical exercise could reduce the anxiety. 展开更多
关键词 英文摘要 编辑工作 学术论文 重庆医疗
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Application of Psychological Training in the Teaching of College Sports
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作者 Zhidong Yin Mei Meng +1 位作者 Min Li Jia Wang 《Journal of Zhouyi Research》 2014年第2期64-66,共3页
关键词 心理训练 体育教学 应用 高校 培训课程 咨询机构 训练课程 课程内容
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基于RoBERTa-Span-Attack的标签指针网络军事命名实体识别
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作者 罗兵 张显峰 +1 位作者 段立 陈琳 《海军工程大学学报》 CAS 北大核心 2024年第1期76-82,93,共8页
军事领域文本中存在大量军事实体信息,准确识别这些信息是军事文本信息提取和构建军事知识图谱的基础性任务。首先,提出了一种基于RoBERTa预训练模型、跨度和对抗训练的标签指针网络的融合深度模型(RoBERTa-Span-Attack),用于中文军事... 军事领域文本中存在大量军事实体信息,准确识别这些信息是军事文本信息提取和构建军事知识图谱的基础性任务。首先,提出了一种基于RoBERTa预训练模型、跨度和对抗训练的标签指针网络的融合深度模型(RoBERTa-Span-Attack),用于中文军事命名实体识别;然后,采用了一种基于Span的标签指针网络,同时完成实体的起止位置和类别的识别任务;最后,在模型训练过程中加入对抗训练策略,通过添加一些扰动来生成对抗样本进行训练。在军事领域数据集上的实验结果表明:所提出的军事领域命名实体识别模型相较于BERT-CRF、BERT-Softmax和BERT-Span,在识别准确度上具有更优的效果。 展开更多
关键词 军事命名实体识别 预训练模型 跨度 标签指针网络 对抗训练
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精神心理方向护理硕士专业学位研究生临床实践培养方案的构建
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作者 王倩 陈琼妮 +5 位作者 汪健健 卢璐璐 李乐之 梁敉宁 何莉 蔡怡文 《中华护理教育》 CSCD 2024年第2期189-197,共9页
目的 构建精神心理方向护理硕士专业学位研究生临床实践培养方案。方法 基于文献回顾和专家讨论,形成精神心理方向护理硕士专业学位研究生临床实践培养方案初稿。选取来自北京、长沙、武汉、南京、上海、广州、成都、合肥、南昌的13名... 目的 构建精神心理方向护理硕士专业学位研究生临床实践培养方案。方法 基于文献回顾和专家讨论,形成精神心理方向护理硕士专业学位研究生临床实践培养方案初稿。选取来自北京、长沙、武汉、南京、上海、广州、成都、合肥、南昌的13名专家作为函询对象,于2022年10月—12月采用专家函询法对其进行2轮函询。结果 2轮专家函询的专家积极系数均为100%;专家权威系数分别为0.94、0.96;肯德尔协调系数分别为0.251和0.418(P<0.001)。最终构建的精神心理方向护理硕士专业学位研究生临床实践培养方案由7个模块(培养目标、培养内容、培养方式、培养时间、考核内容及占比、带教师资、实践基地)、36个一级条目、67个二级条目、103个三级条目构成。结论 本研究构建的精神心理方向护理硕士专业学位研究生临床实践培养方案科学、可信,可为我国精神心理方向护理硕士专业学位研究生临床实践能力的培养提供参考。 展开更多
关键词 精神心理 护理硕士专业学位 临床实践 培养方案 德尔菲法
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多感官刺激联合多领域认知训练对阿尔茨海默病患者精神行为症状的影响
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作者 乔雨晨 常红 +3 位作者 范凯婷 于海婷 魏娜 王金丽 《军事护理》 CSCD 北大核心 2024年第5期77-80,89,共5页
目的探讨多感官刺激联合多领域认知训练对阿尔茨海默病患者(Alzheimer’s disease,AD)精神行为症状的影响。方法便利抽样选取2023年2-4月某医院神经内科病房收治的AD患者共94例,对照组予常规护理,试验组在此基础上实施多感官刺激联合多... 目的探讨多感官刺激联合多领域认知训练对阿尔茨海默病患者(Alzheimer’s disease,AD)精神行为症状的影响。方法便利抽样选取2023年2-4月某医院神经内科病房收治的AD患者共94例,对照组予常规护理,试验组在此基础上实施多感官刺激联合多领域认知训练。干预前后采用神经精神量表(neu-ropsychiatric inventory,NPI)、科恩-曼斯菲尔德激越行为量表(Cohen-Mansfield agitation inventory,CMAI)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)和汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评价两组患者的精神行为、情绪变化。结果试验组患者在接受干预后的NPI、CMAI、HAMA和HAMD评分明显低于对照组(均P<0.05)。结论对AD患者实施多感官刺激联合多领域认知训练,可有效降低其激越行为的发生率,改善焦虑和抑郁等负面情绪。 展开更多
关键词 阿尔茨海默病 认知训练 多感官刺激 精神行为症状
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腰肌劳损的中医药治疗研究进展
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作者 陈婷婷 付本升 +1 位作者 丁宇 钟毓贤 《中国疗养医学》 2024年第5期59-62,共4页
腰肌劳损是一种由腰部肌肉、筋膜、韧带等软组织损伤导致的炎症性疾病,临床常表现为反复发作不同程度的腰骶部酸胀痛,可向臀部放射,活动受限,多在扭转、久坐久立及天气变化时加重,通常在短暂休息或改变体位后,疼痛得到一定程度的缓解。... 腰肌劳损是一种由腰部肌肉、筋膜、韧带等软组织损伤导致的炎症性疾病,临床常表现为反复发作不同程度的腰骶部酸胀痛,可向臀部放射,活动受限,多在扭转、久坐久立及天气变化时加重,通常在短暂休息或改变体位后,疼痛得到一定程度的缓解。本病的病理机制主要与肌组织及其附着点处的过度牵拉,导致局部反应性炎症、局部组织变性有关。近年来,中西医在本病的治疗方面均取得了显著进展,乙酰氨基酚、阿司匹林、塞来昔布等非甾体类抗炎药以及镇痛药效果较好,但存在不良反应,而中药内服、外敷、推拿、艾灸、康复锻炼等中医疗法效果显著,作用时间久,不容易复发,深受患者喜爱。腰肌劳损在军事训练伤中较为常见,管理者与临床医生也开展了系列研究。 展开更多
关键词 腰肌劳损 中医疗法 军事训练伤 研究进展
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基于感恩和心理弹性的团体心理训练对大学生生命意义感和幸福感的影响
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作者 张鹏 彭李 +3 位作者 许辰 张文墨 刘洋 李敏 《陆军军医大学学报》 CAS CSCD 北大核心 2024年第9期969-977,共9页
目的 探讨感恩、心理弹性、生命意义感和心理幸福感之间的关系,以及基于感恩和心理弹性的团体心理训练对大学生生命意义感和幸福感的影响。方法 利用某高校大学生心理健康课,采用整群抽样法抽取某校某学员队学员138人,随机分成干预组(70... 目的 探讨感恩、心理弹性、生命意义感和心理幸福感之间的关系,以及基于感恩和心理弹性的团体心理训练对大学生生命意义感和幸福感的影响。方法 利用某高校大学生心理健康课,采用整群抽样法抽取某校某学员队学员138人,随机分成干预组(70人)和对照组(68人)。干预组接受连续5周,每周1次,每次2 h的团体心理训练,对照组暂不接受训练(下学期参加同一内容培训)。使用自编人口统计学量表、生命意义感量表(Meaning in Life Questionnaire, MLQ)、感恩问卷(Gratitude Questionnaire, GQ)、简版心理弹性量表(10-item Connor-Davidson Resilience Scale, CD-RISC-10)、心理幸福感量表(Ryff’s Scales of Psychological Well-Being, RPWB),在干预前(T1)、干预结束时(T2)、干预结束后1个月(T3)分别对2组成员进行评估。用T1时数据分析各变量之间的关系。结果 (1)感恩、心理弹性、生命意义感和心理幸福感两两正相关(P<0.01),生命意义感在感恩和心理幸福感之间起中介作用;生命意义感在心理弹性和心理幸福感之间起中介作用。(2)训练前两组人口统计学信息和各项心理指标差异均无统计学意义。干预后感恩、心理弹性、生命意义感和心理幸福感的时间与分组交互效应显著;T2和T3时干预组的感恩、心理弹性、生命意义感和心理幸福感水平均显著高于对照组(P<0.01);干预组T2、T3时的感恩、心理弹性、生命意义感和心理幸福感得分均显著高于T1时(P<0.01);干预组T2和T3时感恩、心理弹性、生命意义感、心理幸福感得分差异无统计学意义。结论 生命意义感能够部分中介感恩和心理弹性对心理幸福感的影响。基于感恩和心理弹性的团体心理训练能显著提升大学生感恩、心理弹性、生命意义感和心理幸福感水平,且具有持续效果。 展开更多
关键词 感恩 心理弹性 生命意义感 心理幸福感 团体心理训练 大学生
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军事训练致少见或罕见部位应力性骨折的回顾性分析
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作者 高超 张联合 +2 位作者 王丹丹 姚泽林 陈帅 《武警医学》 CAS 2024年第2期93-97,共5页
目的探讨军事训练中少见或罕见部位应力性骨折的发生规律。方法以“应力性骨折或疲劳性骨折”为关键词在图片存储与传输系统(PACS)上查询2018-01-01至2023-05-31确诊的军人应力性骨折,收集并分析患者的一般资料(性别、年龄及身份)、临... 目的探讨军事训练中少见或罕见部位应力性骨折的发生规律。方法以“应力性骨折或疲劳性骨折”为关键词在图片存储与传输系统(PACS)上查询2018-01-01至2023-05-31确诊的军人应力性骨折,收集并分析患者的一般资料(性别、年龄及身份)、临床资料(现病史、体格检查及临床表现)及影像学资料(X线、CT及MRI图像)。所有病例图像均由两名高年资影像医师独立阅片,如有不一致结果相互协商后取得一致意见。纳入标准:(1)现役军人;(2)除外胫骨、跖骨、腓骨及股骨四个常见部位;(3)军事训练中发病,无明确外伤;(4)以少见或罕见部位疼痛为第一临床症状就诊,病程1 d至1年;(5)X线/CT可见骨折征象,或MRI可见骨膜或骨髓水肿伴或不伴骨折线。结果共收集军人应力性骨折682例,其中少见/罕见部位应力性骨折49例,占比7.2%。49例中,新兵35例,占比(71.4%)最高。男47例(95.9%),女2例(4.1%)。年龄18~44岁,中位年龄21岁,平均(22.41±4.78)岁。病程≤1个月16例(32.6%),>1个月且≤3个月26例(53.1%),>3个月7例(14.3%)。49例,按发病部位整理如下:下肢20例,骨盆11例,腰椎4例,上肢6例,其他8例。24例经X线/CT确诊,16例经MRI确诊,9例经CT+MRI确诊。11例合并常见部位应力性骨折。7例两侧对称性发病。8例累及≥2个少见/罕见部位。结论军事训练中少见/罕见部位应力性骨折常有特定的训练模式、特定的发病部位和较典型的影像学特征,值得进一步研究学习。 展开更多
关键词 应力性骨折 少见/罕见部位 影像学特征 军事训练
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增强现实技术及其在军事训练中的应用
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作者 蒋小勇 张志勇 +1 位作者 张博 鲁赢 《计算机仿真》 2024年第3期1-3,56,共4页
增强现实技术是新兴计算机仿真技术的代表之一。上述技术既保留了现实世界的真实感,又将虚拟信息无缝地融入其中,对现实世界起到了辅助增强的作用。它的特性与军事训练基于现实、面向实战的需求十分吻合。因此,系统地梳理了增强现实关... 增强现实技术是新兴计算机仿真技术的代表之一。上述技术既保留了现实世界的真实感,又将虚拟信息无缝地融入其中,对现实世界起到了辅助增强的作用。它的特性与军事训练基于现实、面向实战的需求十分吻合。因此,系统地梳理了增强现实关键技术及特点,在此基础上以应用射击训练、班组战术训练和装备维修训练这三种典型军事训练科目为例,分析了以上科目中依然存在的瓶颈问题,研究了如何针对性地融入增强现实技术,理论阐明了应用后对训练效果的提升作用。 展开更多
关键词 增强现实 军事训练 应用射击 班组战术 装备维修
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老年早期肺癌患者术前预康复感知的质性研究
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作者 张蕊 夏露 +1 位作者 吴美 程云 《护理学杂志》 CSCD 北大核心 2024年第2期19-22,共4页
目的了解老年早期肺癌患者对术前预康复的感知,为制定术前预康复方案提供依据。方法采用描述性质性研究方法,以目的抽样法选取术前接受过预康复健康教育的老年早期肺癌患者15例进行半结构式深入访谈,并以内容分析法归纳和提炼主题。结... 目的了解老年早期肺癌患者对术前预康复的感知,为制定术前预康复方案提供依据。方法采用描述性质性研究方法,以目的抽样法选取术前接受过预康复健康教育的老年早期肺癌患者15例进行半结构式深入访谈,并以内容分析法归纳和提炼主题。结果提炼出4个主题:术前预康复的意向(态度积极、愿意尝试接受、缺乏行为动机)、术前预康复的益处(利于适应手术、改善术后结局)、术前预康复障碍(环境设施障碍、安全问题、准备时间不足)、术前预康复需求(信息咨询需求、完善方案需求、联系支持需求)。结论老年早期肺癌患者对术前预康复有积极接受的倾向,术前预康复有助于加速术后康复。医护人员应开展个性化教育促进患者实施术前预康复、构建适老化术前预康复方案、完善联系支持体系,以提高术前预康复的适宜性。 展开更多
关键词 老年人 肺癌 预康复 健康教育 运动训练 营养支持 心理支持 质性研究
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Effect of nursing on postoperative respiratory function and mental health of lung cancer patients
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作者 Xiang Yang Dan Yin Shi-Qing Chen 《World Journal of Clinical Cases》 SCIE 2024年第5期922-930,共9页
BACKGROUND Both pulmonary rehabilitation training and psychological care have been shown to have a positive effect on the postoperative recovery of patients with lung cancer.However,few studies have combined the two t... BACKGROUND Both pulmonary rehabilitation training and psychological care have been shown to have a positive effect on the postoperative recovery of patients with lung cancer.However,few studies have combined the two to explore their combined effect.Therefore,this study aimed to investigate the effects of pulmonary rehabil-itation training combined with psychological care on postoperative respiratory function and mental health in lung cancer patients.AIM To investigate effect of nursing on postoperative respiratory function and mental health of lung cancer patients.METHODS 122 cases of lung cancer patients who underwent surgical treatment in our hospital and were treated in our department from January 2022 to April 2023 were selected and randomly divided into the control group and observation group.The control group performed the routine care intervention.The obser-vation group was given pulmonary rehabilitation training and psychological care based on conventional nursing interventions.Forced expiratory volume,forced vital capacity.Maximum ventilatory volume(MVV)in one second was measured,and the patient's 6-min walking distance and dyspnoea index scale were used to assess the patient's respiratory condition.The Connor-Davidson resilience scale(CD-RISC),self-rating anxiety scale(SAS),and self-rating depression scale(SDS)were used to evaluate the mental health of the patients.RESULTS There was no difference between the two groups regarding age,gender,education level,surgical procedure,type of pathology,and treatment(P>0.05).After treatment,MVV,6-min walking distance,toughness,strength,optimism,and total CD-RISC scores were significantly higher in the observation group(P<0.05),dyspnoea scores,SAS,and SDS scores were substantially lower in the control group compared to the observation group(P<0.05).CONCLUSION Pulmonary rehabilitation training combined with psychological care for patients after lung cancer resection could improve lung function,enhance daily activities,effectively relieve negative emotions such as anxiety and depression,and reduce complications. 展开更多
关键词 Pulmonary rehabilitation training psychological care Lung cancer Postoperative care Respiratory function
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