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211.
为了了解初治肺结核患者服药依从性状况及影响因素,采用分层整群随机抽样方法抽取样本,利用自制调查表和Morisky依从性量表获取数据信息,并用SPSS 16.0软件进行统计分析.参与调查的578例初治肺结核患者中,依从性低组为194例,占33.6%,依从性正常组为384例,占66.4%.影响服药依从性的主要因素为职业、治疗时期、生活满意度、病情严重程度等(P<0.05).可见初治肺结核患者不规则服药受多方面因素影响,应加强各方督导,提高服药依从性. 相似文献
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Esther Yuet Ying Lau Mark Lawrence Wong Benjamin Rusak Yeuk Ching Lam Yun Kwok Wing Chia-huei Tseng 《Psychology & health》2013,28(10):1196-1213
AbstractObjective: To examine how risk-related decision making might be associated with habitual sleep variables, including sleep variability, sleep duration and perceived sleep need in young adults cross-sectionally and longitudinally.Design: 166 participants completed a 7-day protocol with sleep and risk-related decision-making measures at baseline (T1) and 12 months later (T2).Results: Habitual short sleep duration (averaging < 6?h nightly) was identified in 11.0% in our sample. After controlling for baseline demographic factors and risk-taking measures, self-reported sleep need at T1 interacted with habitual short sleep in predicting risk taking at follow-up (F8,139=9.575, adjusted R2=.431, p<.001). T1 greater perceived sleep need predicted more risk taking among short sleepers, but decreased risk taking among normal sleepers at T2. Variable sleep timing was cross-sectionally correlated with making more Risky choices at baseline and fewer Safe choices after loss at follow up.Conclusions: Young adults with variable sleep timing and those with short sleep duration coupled with high perceived sleep need were more likely to take risks. The moderating effects of perceived sleep need suggest that individual differences may alter the impact of sleep loss and hence should be measured and accounted for in future studies. 相似文献
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Effects of explicit instructions, metacognition, and intrinsic motivation on creative homework performance were examined in 303 Chinese 10th-grade students. Models that represent hypothesized relations among these constructs and trait covariates were tested using structural equation modelling. Explicit instructions geared to originality were positively related to originality of homework, but not to fluency/flexibility of homework. Participants with high intrinsic motivation for creative work scored higher on originality as well as fluency/flexibility of homework, whereas intrinsic motivation for challenging work had an inverse effect on creative homework. Theoretical claims on the relation between explicit instructions and metacognitive activities and between the latter and creative performance were not supported by this study. The degree of explicitness of instructions and the nature of the tasks were discussed in relation to the findings on the effect of explicit instructions. Further, the difference of creative process involved in the production of original versus fluent/flexible creative performance and the difference in the two types of intrinsic motivation and their effects on creative performance were discussed based on various studies including brain activities. Implications of the findings for the Chinese education system were discussed. 相似文献
215.
Hee Yun Lee Hyun Sook Yoon Ji Young Yoon Jong Hee Kwon Eun Soo Park Ryun Nam 《Journal of aggression, maltreatment & trauma》2014,23(1):45-66
This study examines whether elderly Koreans recognize a scenario of intimate partner violence as such and whether they would seek help in the given situation of elder mistreatment (EM). Two cohorts of Korean elders (one immigrant and one Korea-based), each numbering 124 participants, were recruited using a quota sampling strategy. The study used a mixed method approach, employing a hypothetical scenario, and patriarchy theory informed the study. Findings revealed low perception of the vignette as EM and low help-seeking intention in both cohorts. Among the immigrant cohort, intention to seek help was greater among respondents who were female, demonstrated lower adherence to traditional values, and perceived the vignette as EM. Among the Korea-based cohort, the only significant factor was recognition of the scenario as EM. Development of culturally competent and geographically specific practice and intervention is urgently needed, particularly among elders who have greater adherence to traditional cultural values. 相似文献
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随着社会生产力的提升和商品经济的发展,全球经济进入品牌时代。经济全球化的发展将使我国医疗机构进一步与国际接轨、参与竞争,医院“品牌建设”势在必行。从品牌的价值、医疗市场的竞争以及我国医院“品牌建设”的现状入手,重点讨论品牌经营战略。 相似文献
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设计项目参数、被试得分已知的测验情境,在两、三、四参数Logistic加权模型下进行能力估计,发现被试得分等级之间的能力步长存在着均匀的步长间距,被试得分能较好的反映多级记分的分数加权作用。两参数Logistic加权模型下会出现被试参数估计扰动现象,猜测现象会导致能力高估现象,失误现象会导致能力低估现象;三参数Logistic加权模型c型下能力高估现象未出现或不明显;三参数Logistic加权模型γ型下能力低估现象未出现或不明显;四参数Logistic加权模型下被试能力高估现象和低估现象都未出现或不明显,四参数Logistic加权模型是被试能力稳健性估计较好的方法。 相似文献
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福柯运用考古学的研究方法,绘制了医学“祛主体性”谱系,从古典医学的构型中人是不存在的,再到现代临床医学知识型将主体客体化,证实人的有限性,深度剖析主体是由各种关系所建构,揭示了近代西方哲学中将人作为知识源头的先验主体,价值承载的自由主体是不存在的。当想象福柯是否会像拉康那样将主体性理论釜底抽薪的时候,他却吊诡地杀了个回马枪,重新回到古希腊罗马伦理学,开启了拯救主体的行动,完成了从主体解构再到主体重构的华丽转身。同时也为“祛主体性”的医学如何为人类提供“终极关怀”开辟了新的思考路径。
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