慢性阻塞性肺疾病健康教育的作用及面临的问题

将82例稳定期COPD患者随机分为两组,治疗组接受为期半年的健康教育,对照组不接受健康教育。观察半年前后两组的吸烟比例、呼吸困难评分、吸入治疗比例及正确率和半年内急性发作次数;并比较半年前后的生活质量评分、疗效评估和肺功能指标。发现：半年的健康教育可增加稳定期COPD患者的戒烟率,减少反复急性发作,从而提高生活质量。缺乏经济效益及未受到足够的重视和宣传,制约了健康教育的普及,因此发展社区卫生医疗服务势在必行。     

医学生之医学伦理素养教育剖辨

对医学生加强医学伦理素养教育是当前国内外医学教育的共识,但在教育的内容、方式和方法上却是各具特色.相对而言,我国医学院校对医学生的医学伦理素养教育尚处于不成熟的阶段,其表现就是教育过程中存在着诸多的问题、教学效果不甚理想.从医学伦理素养教育的现状入手,尝试分析我国医学伦理素养教育中的重点和难点问题.     

Productivity is not enough: A comparison of interactive and nominal brainstorming groups on idea generation and selection

The conclusion that nominal brainstorming groups outperform interactive brainstorming groups has been exclusively based on studies of idea generation. This study tested whether the productivity advantage of nominal groups would also result in better idea selection. Nominal and interactive groups performed a task that involved idea generation and selection. Idea generation and selection were strictly separated for half the groups, but were combined for the other half. Nominal groups generated more ideas than interactive groups, and the ideas generated by nominal groups were more original and less feasible than the ideas generated by interactive groups. However, there were no differences among conditions in quality of the selected ideas. Further, idea selection was not significantly better than chance. This suggests that high productivity in brainstorming is not sufficient to lead to better solutions.     

主动建构学习策略和自信的实验研究

目的:通过开设心理健康教育课,促进学生学习策略和自信心的形成。方法:采用问卷法和实验干预法对某中学初一学生进行为期八周的实验干预。结果:实验组学生在学习策略、自信方面的提高水平高于对照组学生,在自信方面,两组学生之间存在明显差异。结论:正确的学习策略和自信心可以主动建构。     

Resurgence Following Higher or Lower Quality Alternative Reinforcement

Resurgence is a temporary increase in a previously suppressed target behavior following a worsening in reinforcement conditions. Previous studies have examined how higher rates or magnitudes of alternative reinforcement affect suppression of the target behavior and subsequent resurgence. However, there has been no investigation of the effects of higher versus lower qualities of alternative reinforcement on resurgence. Using a three-phase resurgence preparation with rats, the present experiments examined the effects of an alternative reinforcer that was of higher (Experiment 1) or lower (Experiment 2) quality than the reinforcer that had previously maintained the target behavior. The results of both experiments showed greater reductions in target behavior with a higher quality alternative reinforcer and larger increases in target responding when a higher quality alternative reinforcer was removed. Along with prior findings with higher rates and magnitudes of alternative reinforcement, these findings suggest that variations in reinforcer dimensions that increase the efficacy of alternative reinforcement also tend to increase resurgence when alternative reinforcement is removed. The results are discussed in terms of the resurgence as choice in context model and in terms of potential clinical implications.     

姑息止痛治疗在悉尼

对中国北京与澳大利亚悉尼市姑息止痛治疗进行比较,发现并借鉴悉尼市的先进经验,改进国内姑息止痛治疗,减轻患者痛苦。用半年时间考察悉尼市各级医院的姑息治疗情况,重点是止痛治疗。内容包括姑息医学的医疗服务体系、姑息团队、药物止痛治疗、社区服务、家庭访问等,与北京的姑息止痛治疗现状进行比较,发现主要特点。悉尼市已形成健全的姑息医学服务系统,有专业的姑息止痛治疗团队长期从事止痛治疗。改善生活质量贯穿患者止痛治疗的始终,已形成个体化的止痛治疗模式。对生活质量的关注应贯穿姑息治疗的始终,止痛治疗需要个体化。     

儿童同伴关系对孤独感的影响

以571名小学三、四、五、六年级的儿童为被试,考察了儿童社会喜好、友谊质量、消极退缩、社交自我知觉与孤独感的关系,检验了不同水平同伴关系变量对孤独感的影响。结果表明,儿童的同伴关系(同伴接纳、友谊质量、社交自我知觉)能显著预测其孤独感体验,其中,处于同伴关系个体水平的社交自我知觉对孤独感的预测作用最大,其次分别为双向关系水平的友谊质量和群体接纳水平的同伴接纳,而处于人际交互水平的消极退缩在控制了其他水平同伴关系变量的影响下,并不能显著预测其孤独感体验。     

流动人口生殖健康服务质量评价的相关理论研究

开展城市流动人口的生殖健康服务质量评价研究对于促进我国流动人口生殖健康状况持续改进和公平地享有生殖健康服务具有重要意义。从生殖健康的相关基本理论,我国生殖健康服务的政策支持,卫生服务质量评价的经典理论,系统思想及系统论,流动人口的特征等几个方面进行了流动人口生殖健康服务评价的理论基础系统论述。     

Living with Multiple Endocrine Neoplasia Type 1: Decent Care-Insufficient Medical and Genetic Information A Qualitative Study of MEN 1 Patients in a Swedish Hospital

This qualitative study explores how 29 Swedish patients with Multiple Endocrine Neoplasia type 1 (MEN1) experience living with the condition, appraisal of the clinical follow-up program, and surveys their future expectations. The aim of this study is to build knowledge about this patient group in order to provide optimal care. The participants describe physical, psychological, and social limitations in their daily activities and how these limitations influence quality of life. Our findings indicate that a majority of patients have adjusted to their situation, describing themselves as being healthy despite physical symptoms and treatment. The participants received decent care in the clinical follow-up program, - however, greater effort should be put into patient information. These patients might benefit from genetic counseling. Health professionals involved should recognize their potential impact and influence on a patient’s ability to adjust to these circumstances. Antonovsky`s Sense of Coherence theory is used to discuss these findings.