基于社区全科治疗原发性高血压的临床效果探究

张思涵(Sihan Zhang) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of General Practice Research (JGPR) Vol.1 No.1

Objective: To investigate the effects of community generalist treatment on blood pressure control and quality of life in patients with primary hypertension. Methods: A total of 72 patients with primary hypertension were randomly selected for the study and divided into a control group and an observation group, with 36 patients in each group. The control group received only medication treatment, while the observation group received a community generalist treatment intervention in addition to medication. The intervention included hypertension education, psychological intervention, dietary management, and lifestyle guidance. The effectiveness of the intervention was evaluated by comparing blood pressure fluctuations, psychological status, disease knowledge, and long-term follow-up results between the two groups. Results: After the intervention, the observation group showed significantly lower blood pressure values, HAMA, and HAMD scores compared to the control group (P<0.05). The observation group also demonstrated better disease knowledge (P<0.05). Long-term follow-up results indicated that the blood pressure control in the observation group was significantly better than in the control group (P<0.05). Conclusion: Community generalist treatment for primary hypertension can effectively improve patients' disease awareness and self-management abilities, significantly lower blood pressure levels, enhance quality of life, and reduce the incidence of complications, demonstrating good clinical efficacy and potential for broader application. 目的:探讨基于社区全科治疗对原发性高血压患者血压控制和生活质量的改善效果。方法:本研究随机选取72 例原发性高血压患者,分为对照组和观察组,每组36 例。对照组仅接受药物治疗,观察组在药物治疗基础上实施基于社区全科治疗的干预方案,包括高血压疾病宣教、心理干预、饮食管理和生活指导。通过比较两组患者的血压波动、心理状况、疾病知识掌握情况及远期随访结果,评估干预效果。结果:干预后,观察组的血压值、HAMA 和HAMD 评分均明显低于对照组(P<0.05),且观察组的疾病知识掌握情况优于对照组(P<0.05)。远期随访结果显示,观察组患者的血压控制情况明显优于对照组(P<0.05)。结论:基于社区全科治疗原发性高血压能有效提高患者对疾病的认知和自我管理能力,显著降低血压水平,改善生活质量,减少并发症发生,具有较好的临床效果和推广价值。

基于人文理念的全科护理在适龄初产妇产后母乳喂养应用的临床效果分析

王海燕(Haiyan Wang) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of General Practice Research (JGPR) Vol.1 No.1

Objective: To explore the application effect of general nursing based on humanistic concepts on postpartum breastfeeding in primiparas of appropriate age and its impact on serum prolactin levels. Methods: A total of 108 primiparas of appropriate age who delivered at our hospital from January 2021 to December 2022 were selected as study subjects and randomly divided into an experimental group and a control group. The control group received routine postpartum care, while the experimental group received general nursing care based on humanistic concepts in addition to the routine care. The time of milk secretion onset, breastfeeding rate, breastfeeding knowledge scores, and changes in serum prolactin levels were observed in both groups. Results: The breastfeeding rate in the experimental group was higher than that in the control group during the first three months of nursing (P<0.05), and the time of initial milk secretion was earlier in the experimental group (P<0.05). The experimental group also showed significantly higher scores in breastfeeding knowledge, feeding techniques, healthy diet, subjective norms, and confidence compared to the control group (P<0.05). After nursing care, the serum prolactin levels in the experimental group were higher than in the control group (P<0.05). Conclusion: General nursing based on humanistic concepts can effectively improve postpartum breastfeeding rates in primiparas of appropriate age, enhance breastfeeding knowledge, and increase serum prolactin levels, providing strong support for maternal and infant health. 目的:探讨基于人文理念的全科护理对适龄初产妇产后母乳喂养的应用效果及其对血清催乳素水平的影响。方法:选取2021 年1 月至2022 年12 月期间在我院分娩的108 例适龄初产妇为研究对象,随机分为试验组和对照组。对照组给予常规产后护理,试验组则在此基础上实施基于人文理念的全科护理。观察两组产妇的乳汁分泌时间、母乳喂养率、母乳喂养认知评分及血清催乳素含量变化。结果:试验组的母乳喂养率在护理第1-3 个月均高于对照组(P<0.05),泌乳初动时间早于对照组(P<0.05)。试验组的母乳喂养认知评分在喂养技巧、健康饮食、主观规范、自信心方面均明显高于对照组(P<0.05)。护理后,试验组的血清催乳素含量高于对照组(P<0.05)。结论:基于人文理念的全科护理能够有效提升适龄初产妇产后母乳喂养率,改善母乳喂养认知,提高血清催乳素水平,为母婴健康提供有力保障。

老年脑梗死患者实施全科护理后的效果及对其心理状态的影响探究

石庆云(Qingyun Shi) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of General Practice Research (JGPR) Vol.1 No.1

Objective: To investigate the effects of general nursing on elderly stroke patients and its impact on their psychological state. Methods: A total of 88 elderly stroke patients were randomly divided into a control group and an observation group. The control group received standard nursing care, while the observation group received general nursing care in addition to the standard care. The Barthel Index, NIH Stroke Scale (NIHSS), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used to assess patients' activities of daily living, neurological function, psychological state, and nursing satisfaction. Results: The observation group showed significantly better scores in nursing effectiveness, psychological state, and nursing satisfaction compared to the control group (all P < 0.05). Conclusion: General nursing care for elderly stroke patients can effectively improve rehabilitation quality and self-care ability, reduce psychological stress, and enhance patient satisfaction, demonstrating significant clinical value. 目的:探讨老年脑梗死患者实施全科护理后的效果及对其心理状态的影响。方法:选取88 例老年脑梗死患者,随机分为对照组和观察组。对照组实施常规护理,观察组在常规护理基础上实施全科护理。通过巴塞尔指数(Barthel Index)、神经功能缺损评分(NIHSS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者的日常生活活动能力、神经功能、心理状态及护理满意度。结果:观察组的护理效果评分、心理状态评分及护理满意度均优于对照组(P 均<0.05)。结论:老年脑梗死患者实施全科护理可有效提升康复质量和生活自理能力,降低心理压力,增强患者满意度,具有较高的临床应用价值。

机械通气优化策略对ARDS 患者预后的改善作用

郭会丽(Huili Guo) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of General Practice Research (JGPR) Vol.1 No.1

Objective: To evaluate the survival outcomes of mechanical ventilation in improving the prognosis of patients with Acute Respiratory Distress Syndrome (ARDS). Methods: A comprehensive search of electronic databases, including PubMed, EMBASE, Cochrane Database, and Chinese Cochrane Clinical Trials Database, as well as the Chinese Biomedical Literature Database, was conducted. Relevant literature, citation lists, professional journals, academic conferences, and theses were manually screened. This study aimed to compare the therapeutic effects of different PEEP levels in mechanical ventilation strategies on ARDS patients. Results: Analysis of five studies revealed that three experiments combined low tidal volume with PEEP, while the control group used conventional tidal volume and low PEEP, classified as Group A. The other two groups used high PEEP, classified as Group B. Summarized analysis of the two groups showed that the strategy of low tidal volume combined with PEEP significantly reduced mortality and the incidence of barotrauma in Group A. Compared to Group B, high PEEP alone did not have a significant impact on mortality and the incidence of barotrauma. Conclusion: Current evidence suggests that the strategy of combining low tidal volume with high PEEP has a positive effect on ARDS patients. However, the exact benefits of high PEEP alone require further research to be confirmed. 目的:针对机械通气对ARDS 患者预后的改善生存效果进行评估分析。方法:通过电子数据库检索,包括PubMed、EMBASE、Cochrane Database 以及中国Cochrane 临床对照试验数据库和中国生物医学文献数据库。手动筛选相关文献的全文、引用列表、专业期刊、学术会议、论文等。以此获取到对不同PEEP 水平机械通气策略研究中对ARDS 患者治疗效果的对比分析。结果:通过纳入5 项研究的分析,得出其中3 项实验都是以小潮气量和PEEP 相结合的方式,其中对照组采用的是常规潮气量和低PEEP 结合的方式,并将这一组归纳为A 组,而另外两组则采用高PEEP的方式,将其归纳为B 组。针对两组汇总分析后,得出相应的数据资料,其中小潮气量加PEEP的策略明显降低了A 组患者的死亡率、气压伤风发生率。和B 组相比较,高PEEP 并未对死亡率和气压伤发生率造成较为显著的影响。结论:在当前现有的证据提示中,可以发现,小潮气量与高PEEP 相结合的通气策略对ARDS 患者有积极影响,但对于高PEEP 独立作用的确切效益,仍需进一步研究证实。

Investigative Analysis of the Identity of the Four-Eared Mythical Creature in the Portrait Bricks of the Jin Dynasty Tomb at Foyemiaowan: Also Discussing the Heterologous Homology of Tomb Murals Between Hexi Corridor and Goguryeo During the Jin Dynasties

王绍之(Shaozhi WANG) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of Sinological Studies(JSS) Vol.1 No.1

高校数字化劳动观教育的特征、内涵与路径

吴海礁(Haijiao Wu) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of Educational Studies (JES) Vol.1 No.2

数字技术尤其是人工智能技术的发展日新月异,深刻地影响着人的生存方式、学习方式、工作方式和娱乐方式,必将给教育带来一场深刻变革,信息化的多元性也在冲击着高校大学生的世界观、价值观和人生观的形成。本文旨在探讨数字时代新劳动观内涵、加强高校新劳动观教育的必要性、教育现状、教育策略以及实践探索等方面,为加强高校的新劳动观教育的相关研究提供一定的参考。

“大思政课”背景下社会实践项目化管理研究

元彦梅(Yanmei Yuan) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of Educational Studies (JES) Vol.1 No.2

“大思政课”理念的提出,拓展了大学生社会实践的深度和广度,随着大学生社会实践的广泛开展,实践思政充分利用社会资源,形式日益丰富、覆盖面日益拓展,但是距离思政课建设“思想性、理论性和亲和力、针对性的统一”的内涵式发展仍然存在一定差距。把项目管理模式运用到大学生社会实践管理活动,坚持学生主体性和教师主导性相统一、思政小课堂和社会大课堂相结合、问题导向和目标导向相结合、开放性和管理性相结合,可以有效推动思政课内涵式发展。为充分发挥社会实践项目化管理的积极作用,必须坚持守正创新持续优化思政课社会实践项目化管理体系。

高等职业教育产教融合制度构建与教师教育一体化实践研究

封硕(Shuo Feng) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of Educational Studies (JES) Vol.1 No.2

本研究聚焦高等职业教育产教融合制度构建与教师教育一体化实践,旨在探索推进产教深度融合的有效路径。文章首先总结了高等职业教育产教融合的实践模式与经验,随后深入分析了当前产教融合面临的制度障碍,包括政策协调机制不健全、责权利界定不清晰以及利益相关者合作动力不足等问题。在此基础上,提出了产教融合制度构建的策略,包括健全“政府引导、行业参与、企业主导”的政策制度,厘清各方权责边界,创新资源共享与利益分配机制等,文章探讨了高等职业教育教师教育一体化的实践策略,涵盖校企协同培养双师型教师、强化教师实践教学能力以及构建分类评价与激励机制等方面。本研究旨在为推动高等职业教育产教融合高质量发展提供理论指导和实践参考。

基于“智能+”心理健康生态圈构建高校心理育人体系新样态

周婷(Ting Zhou) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of Educational Studies (JES) Vol.1 No.2

随着信息时代的到来和生活节奏的加快,青少年群体尤其是高校学生的心理健康问题日益受到社会关注。本文从布朗芬布伦纳的生态系统理论出发,提出“智能+”的心理健康生态圈模型,以促进高校心理育人体系的创新发展。通过分析当前心理健康教育的局限性和人工智能技术在心理健康领域的应用潜力,提出了一个整合生态系统理论的高校心理育人体系新样态,强调了内循环和外循环系统的相互作用与协同,以实现对学生心理健康更全面、更精准的评估和干预。本文的研究成果不仅为高校心理健康教育提供了新的视角和方法,也为未来相关领域的研究指明了方向。

基于核心素养的初中跨学科主题式学习的设计模式与实践研究

张华锋(Huafeng Zhang) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of Educational Studies (JES) Vol.1 No.2

核心素养在当前世界各国的教育改革中越来越受到重视,我国也在加紧研究关于核心素养的课程改革,核心素养教育目标的实现必须依托于课程改革。课程是核心素养实现的一个载体,学科融合课程旨在以灵活、开放的课程架构,富有弹性的课程发展模式,学科融合课程设置对于发展学生的核心素养具有重大意义,同时给我国基础教育课程改革提供借鉴。教育部颁布的《基础课程教育改革纲要(试行)》中明确提出“科目统整”和“建立课本知识与学生生活、社会发展联系”的精神和思想,借助丰富的硬件软件教学资源进行学科融合教学。但在实践中发现,目前的国内中学中很少开展学科融合教学活动,个别涉及学科融合的教育也是停留在简单的机械整合层次,并未能真正发挥学科融合教学优势,促使学生全面发展。所以现阶段在中学开展学科融合教学是很有必要的,而如何确立有效的学科融合教学模式便是我们亟待解决的问题。