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Effects of Video Combined with the Teach-Back Method on the Respiratory Function Exercise of Patients Undergoing Thoracotomy 被引量:2
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作者 Heping Wu Juan Yuan Lihong Qiu 《Journal of Cancer Therapy》 2022年第5期243-251,共9页
Objective: To explore the effect of video combined with the teach-back method on respiratory function exercise in patients undergoing tumor thoracotomy. Methods: Eligible patients undergoing thoracotomy for tumor were... Objective: To explore the effect of video combined with the teach-back method on respiratory function exercise in patients undergoing tumor thoracotomy. Methods: Eligible patients undergoing thoracotomy for tumor were selected from the thoracic surgery at a level-A tertiary hospital between August 2021 and December 2021 and included in the control group and the observation group (40 patients in each group). To prevent two groups of patients from interacting with each other, the thoracic surgery ward I was distinguished as the control group, which was adopted by the routine instruction. Based on routine instruction, the thoracic surgery ward II conducted respiratory function exercise instruction by video combined with the teach-back method to compare the two groups’ compliance with respiratory function exercise, complication rates, and patient satisfaction. Results: The patient compliance with respiratory function exercise in the observation group was significantly higher (P < 0.05) and the rate of pulmonary complications in the observation group was lower (P < 0.05) than that in the control group, while the observation group had a high level of satisfaction (P Conclusion: Taking video combined with the teach-back method, an effective health education method, can improve the compliance of the respiratory function exercise of patients undergoing thoracotomy for tumor and promote the recovery of pulmonary function to reduce the incidence of postoperative pulmonary complications so as to improve patient satisfaction. 展开更多
关键词 Respiratory Function Exercise Video Education teach-back method
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Study on the Application Effects of the Teach-Back Method Combined with WeChat Tutorials on Chronic Disease Self-Management in Patients with Chronic Obstructive Pulmonary Disease(COPD)
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作者 Xiangli Zhang Junying Nie +1 位作者 Lu Liu Ying Li 《Journal of Contemporary Educational Research》 2023年第10期120-127,共8页
Objective:To study the application effects of teach-back method combined with WeChat education in patients with chronic obstructive pulmonary disease(COPD).Methods:Convenience sampling was used to select 103 patients ... Objective:To study the application effects of teach-back method combined with WeChat education in patients with chronic obstructive pulmonary disease(COPD).Methods:Convenience sampling was used to select 103 patients with COPD hospitalized in the department of respiratory medicine of a tertiary-level hospital from March to June 2021 as study subjects.Randomized grouping was carried out using the random number table method.The routine care was given in the control group,and the teach-back method combined with WeChat tutorials on the basis of routine care was applied in the intervention group.In the follow-up three months after discharge,the changes in pulmonary function,self-care ability,and quality of life of patients in the two groups were observed and compared.Results:After the intervention,the pulmonary function indexes of both groups improved significantly,and the improvement effect was more significant in the intervention group(P<0.05);after the intervention,the self-care ability scores of the patients in the intervention group were significantly higher than those of the control group(P<0.05);the quality-of-life scores of the patients in the two groups decreased at 3 months after discharge,and the scores of the patients in the intervention group were significantly lower than those of the patients in the control group(P<0.05).Conclusion:The teach-back method combined with WeChat education can effectively improve the pulmonary function,self-care ability,and quality of life of patients with COPD. 展开更多
关键词 teach-back method Chronic obstructive pulmonary disease Self-care capacity Quality of life
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Effects of King’s Theory of Goal Attainment Combined with Teach-Back Method on Improving Patients’ Standardization Rate of Eye Drop Use
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作者 Qiuying Huang Guilian Jie Xiaohong Liu 《Journal of Clinical and Nursing Research》 2024年第12期22-27,共6页
Objective:To explore the effect of King’s Theory of Goal Attainment combined with teach-back method on improving the standardization rate of eye drop use in patients.Methods:A total of 200 patients who used more than... Objective:To explore the effect of King’s Theory of Goal Attainment combined with teach-back method on improving the standardization rate of eye drop use in patients.Methods:A total of 200 patients who used more than two types of eye drops in the Department of Ophthalmology of our hospital were selected as the research subjects,and were randomly divided into an observation group and a control group.The control group was given routine health education,while the observation group was given King’s Theory of Goal Attainment combined with teach-back method on the basis of the control group.The standardization rate of eye drop use,knowledge awareness rate,and nursing satisfaction were compared between the two groups before and after the intervention.Results:After the intervention,the standardization rate of eye drop use,the awareness rate of eye drop knowledge,and the nursing satisfaction of the observation group were significantly higher than those of the control group(P<0.05).Conclusion:King’s Theory of Goal Attainment combined with teach-back method can effectively improve the standardization rate of eye drop use in patients,increase their awareness of eye drop knowledge,and improve nursing satisfaction,which is worthy of clinical application. 展开更多
关键词 King’s Theory of Goal Attainment teach-back method Eye drops Standardization rate
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预康复模式联合Teach-back方法对子宫肌瘤手术患者术前干预效果
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作者 高雅 马艳 +1 位作者 胡彦 郭爱玲 《中国计划生育学杂志》 2026年第1期78-82,88,共6页
目的:探讨预康复模式联合Teach-back方法对子宫肌瘤手术患者干预效果。方法:选取2024年2月—2025年9月在本院拟接受手术治疗的子宫肌瘤患者80例,随机数字表法划分为常规组(40例,采用常规护理)和联合组(40例,预康复模式联合Teach-back干... 目的:探讨预康复模式联合Teach-back方法对子宫肌瘤手术患者干预效果。方法:选取2024年2月—2025年9月在本院拟接受手术治疗的子宫肌瘤患者80例,随机数字表法划分为常规组(40例,采用常规护理)和联合组(40例,预康复模式联合Teach-back干预),比较两组术后情况、并发症、知识掌握程度、护理满意度,以及干预前后焦虑状态、日常生活自理能力、疼痛、匹兹堡睡眠质量指数(PSQI)变化情况。结果:干预后联合组术后下床活动时间、术后排气时间以及住院时间少于常规组,焦虑自评量表(SAS)评分、疼痛数字评分(NRS)、PSQI评分低于常规组,日常生活能力量表(ADL)评分以及知识掌握程度高于常规组(均P<0.05);联合组满意度(97.5%)和并发症(2.5%)与常规组(90.0%、10.0%)无差异(P>0.05)。结论:预康复模式联合Teach-back方法在子宫肌瘤手术患者术前应用成效显著,有助于促进患者术后恢复并改善生活质量。 展开更多
关键词 子宫肌瘤剔除术 预康复模式 teach-back 术后恢复 生活质量
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A New Inversion-free Iterative Method for Solving the Nonlinear Matrix Equation and Its Application in Optimal Control
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作者 GAO Xiangyu XIE Weiwei ZHANG Lina 《应用数学》 北大核心 2026年第1期143-150,共8页
In this paper,we consider the maximal positive definite solution of the nonlinear matrix equation.By using the idea of Algorithm 2.1 in ZHANG(2013),a new inversion-free method with a stepsize parameter is proposed to ... In this paper,we consider the maximal positive definite solution of the nonlinear matrix equation.By using the idea of Algorithm 2.1 in ZHANG(2013),a new inversion-free method with a stepsize parameter is proposed to obtain the maximal positive definite solution of nonlinear matrix equation X+A^(*)X|^(-α)A=Q with the case 0<α≤1.Based on this method,a new iterative algorithm is developed,and its convergence proof is given.Finally,two numerical examples are provided to show the effectiveness of the proposed method. 展开更多
关键词 Nonlinear matrix equation Maximal positive definite solution Inversion-free iterative method Optimal control
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基于思维导图的teach-back宣教对老年类风湿关节炎患者知信行和营养状态的影响
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作者 赵晓娜 陈梦娟 董晓博 《黑龙江医药科学》 2026年第1期98-99,102,共3页
目的:观察基于思维导图的teach-back宣教在老年类风湿关节炎患者中的应用价值及对知信行、营养状态的影响。方法:选取2022年12月至2024年12月洛阳市东方人民医院收治的62例老年类风湿关节炎患者为研究对象,根据便利抽样法将患者进行分组... 目的:观察基于思维导图的teach-back宣教在老年类风湿关节炎患者中的应用价值及对知信行、营养状态的影响。方法:选取2022年12月至2024年12月洛阳市东方人民医院收治的62例老年类风湿关节炎患者为研究对象,根据便利抽样法将患者进行分组,其中对照组(n=31)给予临床常规护理,观察组(n=31)在对照组基础上实施基于思维导图的teach-back宣教。比较干预前后两组知信行及营养状态的变化。结果:干预后两组知信行水平、血红蛋白(Hb)、白蛋白(ALB)均显著改善(P<0.05),且干预后观察组各项指标均高于对照组,差异有统计学意义(P<0.05)。结论:基于思维导图的teach-back宣教用于老年类风湿关节炎患者中,能增加常规护理的临床效果,通过改善患者知信行水平及疾病自我管理能力,提高营养状态。 展开更多
关键词 思维导图 teach-back宣教 老年类风湿关节炎 知信行 营养状态
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Crushing evolution in pebble bed based on a novel method:a crushable DEM study
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作者 Jian Wang Ming‑Zhun Lei +4 位作者 Ming‑Zong Liu Qi‑Gang Wu Zi‑Cong Cai Kai‑Song Wang Hai‑Shun Deng 《Nuclear Science and Techniques》 2026年第1期212-224,共13页
In this paper,a novel method for investigating the particle-crushing behavior of breeding particles in a fusion blanket is proposed.The fractal theory and Weibull distribution are combined to establish a theoretical m... In this paper,a novel method for investigating the particle-crushing behavior of breeding particles in a fusion blanket is proposed.The fractal theory and Weibull distribution are combined to establish a theoretical model,and its validity was verified using a simple impact test.A crushable discrete element method(DEM)framework is built based on the previously established theoretical model.The tensile strength,which considers the fractal theory,size effect,and Weibull variation,was assigned to each generated particle.The assigned strength is then used for crush detection by comparing it with its maximum tensile stress.Mass conservation is ensured by inserting a series of sub-particles whose total mass was equal to the quality loss.Based on the crushable DEM framework,a numerical simulation of the crushing behavior of a pebble bed with hollow cylindrical geometry under a uniaxial compression test was performed.The results of this investigation showed that the particle withstands the external load by contact and sliding at the beginning of the compression process,and the results confirmed that crushing can be considered an important method of resisting the increasing external load.A relatively regular particle arrangement aids in resisting the load and reduces the occurrence of particle crushing.However,a limit exists to the promotion of resistance.When the strain increases beyond this limit,the distribution of the crushing position tends to be isotropic over the entire pebble bed.The theoretical model and crushable DEM framework provide a new method for exploring the pebble bed in a fusion reactor,considering particle crushing. 展开更多
关键词 Crushing behavior Granular material Discrete element method Pebble bed Fractal theory
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A Deep Reinforcement Learning-Based Partitioning Method for Power System Parallel Restoration
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作者 Changcheng Li Weimeng Chang +1 位作者 Dahai Zhang Jinghan He 《Energy Engineering》 2026年第1期243-264,共22页
Effective partitioning is crucial for enabling parallel restoration of power systems after blackouts.This paper proposes a novel partitioning method based on deep reinforcement learning.First,the partitioning decision... Effective partitioning is crucial for enabling parallel restoration of power systems after blackouts.This paper proposes a novel partitioning method based on deep reinforcement learning.First,the partitioning decision process is formulated as a Markov decision process(MDP)model to maximize the modularity.Corresponding key partitioning constraints on parallel restoration are considered.Second,based on the partitioning objective and constraints,the reward function of the partitioning MDP model is set by adopting a relative deviation normalization scheme to reduce mutual interference between the reward and penalty in the reward function.The soft bonus scaling mechanism is introduced to mitigate overestimation caused by abrupt jumps in the reward.Then,the deep Q network method is applied to solve the partitioning MDP model and generate partitioning schemes.Two experience replay buffers are employed to speed up the training process of the method.Finally,case studies on the IEEE 39-bus test system demonstrate that the proposed method can generate a high-modularity partitioning result that meets all key partitioning constraints,thereby improving the parallelism and reliability of the restoration process.Moreover,simulation results demonstrate that an appropriate discount factor is crucial for ensuring both the convergence speed and the stability of the partitioning training. 展开更多
关键词 Partitioning method parallel restoration deep reinforcement learning experience replay buffer partitioning modularity
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An improved open-top dynamic chambers method for measuring the exchange fluxes of N_(2)O,NO and NH_(3) from farmland
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作者 Minhang Tan Yining Hu +6 位作者 Yifei Song Zixuan Huang Yujing Mu Junfeng Liu Chenglong Zhang Pengfei Liu Yuanyuan Zhang 《Journal of Environmental Sciences》 2026年第1期535-545,共11页
The application of nitrogen fertilizers in agricultural fields can lead to the release of nitrogen-containing gases(NCGs),such as NO_(x),NH_(3) and N_(2)O,which can significantly impact regional atmospheric environmen... The application of nitrogen fertilizers in agricultural fields can lead to the release of nitrogen-containing gases(NCGs),such as NO_(x),NH_(3) and N_(2)O,which can significantly impact regional atmospheric environment and con-tribute to global climate change.However,there remain considerable research gaps in the accurate measurement of NCGs emissions from agricultural fields,hindering the development of effective emission reduction strategies.We improved an open-top dynamic chambers(OTDCs)system and evaluated the performance by comparing the measured and given fluxes of the NCGs.The results showed that the measured fluxes of NO,N_(2)O and NH_(3)were 1%,2%and 7%lower than the given fluxes,respectively.For the determination of NH_(3) concentration,we employed a stripping coil-ion chromatograph(SC-IC)analytical technique,which demonstrated an absorption efficiency for atmospheric NH_(3) exceeding 96.1%across sampling durations of 6 to 60 min.In the summer maize season,we utilized the OTDCs system to measure the exchange fluxes of NO,NH_(3),and N_(2)O from the soil in the North China Plain.Substantial emissions of NO,NH_(3) and N_(2)O were recorded following fertilization,with peaks of 107,309,1239 ng N/(m^(2)·s),respectively.Notably,significant NCGs emissions were observed following sus-tained heavy rainfall one month after fertilization,particularly with NH_(3) peak being 4.5 times higher than that observed immediately after fertilization.Our results demonstrate that the OTDCs system accurately reflects the emission characteristics of soil NCGs and meets the requirements for long-term and continuous flux observation. 展开更多
关键词 Open-top dynamic chambers Nitrogen-containing gases Soil emissions North China Plain method evaluation
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Numerical Simulation of the Welding Deformation of Marine Thin Plates Based on a Temperature Gradient-thermal Strain Method
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作者 Lin Wang Yugang Miao +3 位作者 Zhenjian Zhuo Chunxiang Lin Benshun Zhang Duanfeng Han 《哈尔滨工程大学学报(英文版)》 2026年第1期122-135,共14页
Marine thin plates are susceptible to welding deformation owing to their low structural stiffness.Therefore,the efficient and accurate prediction of welding deformation is essential for improving welding quality.The t... Marine thin plates are susceptible to welding deformation owing to their low structural stiffness.Therefore,the efficient and accurate prediction of welding deformation is essential for improving welding quality.The traditional thermal elastic-plastic finite element method(TEP-FEM)can accurately predict welding deformation.However,its efficiency is low because of the complex nonlinear transient computation,making it difficult to meet the needs of rapid engineering evaluation.To address this challenge,this study proposes an efficient prediction method for welding deformation in marine thin plate butt welds.This method is based on the coupled temperature gradient-thermal strain method(TG-TSM)that integrates inherent strain theory with a shell element finite element model.The proposed method first extracts the distribution pattern and characteristic value of welding-induced inherent strain through TEP-FEM analysis.This strain is then converted into the equivalent thermal load applied to the shell element model for rapid computation.The proposed method-particularly,the gradual temperature gradient-thermal strain method(GTG-TSM)-achieved improved computational efficiency and consistent precision.Furthermore,the proposed method required much less computation time than the traditional TEP-FEM.Thus,this study lays the foundation for future prediction of welding deformation in more complex marine thin plates. 展开更多
关键词 Marine thin plate Welding deformation Numerical simulation Temperature gradient-thermal strain method Shell element
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Precision and trueness of a method for determing antimony content in groundwater using hydride generation-atomic fluorescence spectrometry
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作者 Bing-bing Liu Lin Zhang Ke Li 《Journal of Groundwater Science and Engineering》 2026年第1期49-58,共10页
At present,there is currently a lack of unified standard methods for the determination of antimony content in groundwater in China.The precision and trueness of related detection technologies have not yet been systema... At present,there is currently a lack of unified standard methods for the determination of antimony content in groundwater in China.The precision and trueness of related detection technologies have not yet been systematically and quantitatively evaluated,which limits the effective implementation of environmental monitoring.In response to this key technical gap,this study aimed to establish a standardized method for determining antimony in groundwater using Hydride Generation–Atomic Fluorescence Spectrometry(HG-AFS).Ten laboratories participated in inter-laboratory collaborative tests,and the statistical analysis of the test data was carried out in strict accordance with the technical specifications of GB/T 6379.2—2004 and GB/T 6379.4—2006.The consistency and outliers of the data were tested by Mandel's h and k statistics,the Grubbs test and the Cochran test,and the outliers were removed to optimize the data,thereby significantly improving the reliability and accuracy.Based on the optimized data,parameters such as the repeatability limit(r),reproducibility limit(R),and method bias value(δ)were determined,and the trueness of the method was statistically evaluated.At the same time,precision-function relationships were established,and all results met the requirements.The results show that the lower the antimony content,the lower the repeatability limit(r)and reproducibility limit(R),indicating that the measurement error mainly originates from the detection limit of the method and instrument sensitivity.Therefore,improving the instrument sensitivity and reducing the detection limit are the keys to controlling the analytical error and improving precision.This study provides reliable data support and a solid technical foundation for the establishment and evaluation of standardized methods for the determination of antimony content in groundwater. 展开更多
关键词 Mandel's h and k statistics Grubbs test Cochran test Repeatability limit Reproducibility limit method bias value
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Teach-back健康教育联合延续性功能锻炼对乳腺癌根治术后患者功能恢复及应对方式的影响 被引量:1
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作者 朱军丽 于秀娟 《妇儿健康导刊》 2025年第1期176-180,共5页
目的探讨Teach-back健康教育与延续性功能锻炼联合应用对乳腺癌根治术后患者功能恢复及应对方式的影响。方法选取2020年1月至2024年6月连云港市第二人民医院普外科60例乳腺癌根治术后患者,采用抽签法分为两组,各30例。对照组实施传统健... 目的探讨Teach-back健康教育与延续性功能锻炼联合应用对乳腺癌根治术后患者功能恢复及应对方式的影响。方法选取2020年1月至2024年6月连云港市第二人民医院普外科60例乳腺癌根治术后患者,采用抽签法分为两组,各30例。对照组实施传统健康宣教及出院随访护理干预,观察组实施Teachback健康教育联合出院后微信延续性功能锻炼干预,1个月后比较两组的肩关节活动度、疾病应对评分、上肢淋巴水肿发生率。结果观察组的上肢淋巴水肿发生率低于对照组(P<0.05);观察组干预后的肩关节活动度高于对照组(P<0.05);观察组干预后的疾病应对评分优于对照组(P<0.05)。结论Teach-back健康教育联合延续性功能锻炼干预能够转变乳腺癌根治术后患者的疾病应对方式,提升功能恢复效果,且上肢淋巴水肿发生风险更低,值得推广。 展开更多
关键词 乳腺癌根治术 teach-back健康教育 延续性功能锻炼 肩关节活动度 疾病应对 上肢淋巴水肿
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Teach-back联合清单式教学法在ICU进修护士带教中的应用
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作者 易金燕 杨丽 +3 位作者 钟博华 苏玉珑 覃东华 王英 《内科》 2025年第1期112-116,共5页
目的 探讨Teach-back联合清单式教学法在重症监护病房(ICU)进修护士带教中的应用效果。方法 选取60名在广西医科大学第一附属医院重症医学科进修的护士作为研究对象。将2020年6月至2021年12月入科的30名护士设为对照组,按传统人才培养... 目的 探讨Teach-back联合清单式教学法在重症监护病房(ICU)进修护士带教中的应用效果。方法 选取60名在广西医科大学第一附属医院重症医学科进修的护士作为研究对象。将2020年6月至2021年12月入科的30名护士设为对照组,按传统人才培养模式进行教学;将2022年1月至2023年6月入科的30名护士设为观察组,在传统人才培养模式基础上采用Teach-back联合清单式教学法进行教学。比较两组的一级质控合格率、理论考核得分、操作考核得分、教学满意度,以及胜任工作岗位所需时间。结果 观察组进修护士进修3个月后的理论考核得分、操作考核得分、教学满意度得分以及进修期间的一级质控合格率均高于对照组,胜任工作岗位所需时间短于对照组(均P<0.05)。结论 Teach-back联合清单式教学法可以有效提高ICU进修护士的理论知识与操作技能水平,提升教学满意度和护理工作质量,并缩短其胜任工作岗位所需时间。 展开更多
关键词 teach-back 清单式 教学方法 进修护士 重症监护病房 教学效果
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Teach-back健康教育模式在机器人辅助脊柱骨折手术中的应用 被引量:2
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作者 胡月 李琦 +3 位作者 李杰 张晓迪 王明星 朱蜀云 《机器人外科学杂志(中英文)》 2025年第6期968-972,共5页
目的:探讨Teach-back健康教育模式在机器人辅助脊柱骨折手术中的应用。方法:选取2022年1月—2023年8月首都医科大学附属北京朝阳医院行机器人辅助手术的脊柱骨折患者100例,按随机数表法将所有患者分为对照组(n=50,传统健康宣教)和观察组... 目的:探讨Teach-back健康教育模式在机器人辅助脊柱骨折手术中的应用。方法:选取2022年1月—2023年8月首都医科大学附属北京朝阳医院行机器人辅助手术的脊柱骨折患者100例,按随机数表法将所有患者分为对照组(n=50,传统健康宣教)和观察组(n=50,传统健康宣教联合Teach-back健康教育模式)。比较两组患者功能锻炼依从性、一般自我效能感量表(GSES)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、视觉模拟评分法(VAS)评分、功能独立性评定量表(FIM)评分及并发症发生情况。结果:与干预前相比,干预后两组患者功能锻炼依从性和GSES评分均升高,且观察组评分更高(P<0.05);与干预前相比,干预后两组患者SAS、SDS及VAS评分均降低,且观察组评分更低(P<0.05);与干预前相比,干预后两组患者FIM评分均升高,且观察组评分更高(P<0.05);与对照组相比,观察组并发症总发生率更低(P<0.05)。结论:Teach-back健康教育模式在机器人辅助脊柱骨折手术中的应用不仅可以提高患者功能锻炼依从性、自我效能感,还可改善其不良情绪,减轻疼痛症状,提高整体康复效果。 展开更多
关键词 teach-back健康教育模式 脊柱骨折 机器人辅助手术
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视频微课结合Teach-back在克罗恩病留置鼻肠管患者健康教育中的应用 被引量:2
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作者 蔡小莉 杨玲莉 +1 位作者 张诗怡 朱秀琴 《护理学杂志》 北大核心 2025年第5期89-93,共5页
目的探讨视频微课结合Teach-back教育模式在克罗恩病留置鼻肠管全肠内营养患者中的应用效果。方法采取便利抽样法,抽取2023年7月至2024年6月入住消化内科的90例克罗恩病留置鼻肠管全肠内营养患者为研究对象,按入院时间分为对照组49例和... 目的探讨视频微课结合Teach-back教育模式在克罗恩病留置鼻肠管全肠内营养患者中的应用效果。方法采取便利抽样法,抽取2023年7月至2024年6月入住消化内科的90例克罗恩病留置鼻肠管全肠内营养患者为研究对象,按入院时间分为对照组49例和干预组41例。对照组按照护理常规进行健康教育,干预组实施视频微课结合Teach-back教育模式。比较两组干预前后生活质量、营养相关指标和鼻肠管堵管率。结果随访6周,干预组生活质量各项得分及总分均高于对照组,血红蛋白、前白蛋白、白蛋白水平和身体质量指数高于对照组,堵管率显著低于对照组(均P<0.05)。结论视频微课结合Teach-back教育模式在克罗恩病全肠内营养患者护理中的应用可提高患者生活质量、改善营养状态、降低堵管率,有利于改善患者生存结局。 展开更多
关键词 克罗恩病 全肠内营养 视频微课 teach-back教育模式 健康教育 生活质量 出院随访 延续性护理
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Teach-back健康教育模式在慢性心力衰竭患者低钠饮食管理中的应用及效果评价 被引量:1
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作者 黎凤 于冉 +3 位作者 余爱云 曹萍萍 付宇 颜琼 《护理实践与研究》 2025年第6期829-835,共7页
目的探讨Teach-back健康教育模式在慢性心力衰竭患者低钠饮食管理中的应用效果。方法选择2022年10月—2023年9月江西省某医院心内科收治的114例慢性心力衰竭患者为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,各57例... 目的探讨Teach-back健康教育模式在慢性心力衰竭患者低钠饮食管理中的应用效果。方法选择2022年10月—2023年9月江西省某医院心内科收治的114例慢性心力衰竭患者为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,各57例。对照组采取常规护理干预实施低钠饮食管理,观察组应用Teach-back健康教育模式进行低钠饮食管理,两组干预期为3个月。比较两组患者干预前后的低钠饮食管理依从性和行为[低钠饮食问卷(DSRQ)]、自我管理能力(慢性病管理自我效能量表)及心力衰竭生活质量[明尼苏达心衰生活质量问卷(MLHFQ)]。结果干预前,两组患者低钠饮食管理依从性和行为、自我管理能力及心力衰竭生活质量比较差异均无统计学意义(P>0.05);干预后,观察组患者低钠饮食管理依从性和行为、自我管理能力的各维度评分及总分高于对照组,组间比较差异有统计学意义(P<0.05);心力衰竭生活质量各维度评分及总分低于对照组,组间比较差异有统计学意义(P<0.05)。结论应用Teach-back健康教育模式对慢性心力衰竭患者进行低钠饮食管理,可提高其低钠饮食知识及依从性,形成良好饮食行为,提高疾病自我管理能力并改善生活质量。 展开更多
关键词 teach-back模式 健康教育 慢性心力衰竭 低钠饮食管理 效果评价
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Effects of physical activity by the teach-back educational method on the physical ability and quality of life in hemodialysis patients:a clinical trial
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作者 Pegah Sharifian Arash Khalili Morteza Shamsizadeh 《Frontiers of Nursing》 2023年第2期223-231,共9页
Objective:To determine the effect of physical activity by using the teach-back educational method on hemodialysis patients’quality of life(QOL)and physical ability.Methods:This is a single-blind clinical trial study ... Objective:To determine the effect of physical activity by using the teach-back educational method on hemodialysis patients’quality of life(QOL)and physical ability.Methods:This is a single-blind clinical trial study involving a control group.A total of 90 patients who admitted to the dialysis centers of Beheshti and Besat hospitals in Hamadan were selected using a convenience sampling method and were randomly assigned to intervention(n=45)and control(n=45)groups.Data were collected using a demographic information checklist,a kidney disease QOL questionnaire,and a 6-minute-walk distance(6MWD)checklist.The patients’QOL questionnaire was completed,and the 6MWD was recorded before and at the end of the 2nd,4th,6th,8th,and 12th weeks of the intervention.In the intervention group,the patients were taught to perform physical activities with Pilates stretches in different resistances using the teach-back educational method during dialysis sessions for 12 weeks.Data were analyzed by using the independent t-test and chi-square test using SPSS-22 software.Results:Before the intervention,no differences were observed between the experimental and control groups in terms of demographic characteristics,QOL,and physical ability(P>0.05).The physical ability and QOL levels of patients exercising in the test group were higher than those in the control group after the intervention(P<0.05).Based on the results,the 2 groups significantly differed with regard to the scores of various dimensions of QOL and physical ability after the intervention(P<0.05).Conclusions:Physical activity by using the teach-back method can effectively increase physical ability and improve QOL of hemodialysis patients.Therefore,the recommendations and inclusion of exercise in the dialysis care plan can effectively promote patients’health. 展开更多
关键词 hemodialysis patients physical ability physical activity quality of life teach-back education
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Structural Modal Parameter Recognition and Related Damage Identification Methods under Environmental Excitations:A Review 被引量:5
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作者 Chao Zhang Shang-Xi Lai Hua-Ping Wang 《Structural Durability & Health Monitoring》 EI 2025年第1期25-54,共30页
Modal parameters can accurately characterize the structural dynamic properties and assess the physical state of the structure.Therefore,it is particularly significant to identify the structural modal parameters accordi... Modal parameters can accurately characterize the structural dynamic properties and assess the physical state of the structure.Therefore,it is particularly significant to identify the structural modal parameters according to the monitoring data information in the structural health monitoring(SHM)system,so as to provide a scientific basis for structural damage identification and dynamic model modification.In view of this,this paper reviews methods for identifying structural modal parameters under environmental excitation and briefly describes how to identify structural damages based on the derived modal parameters.The paper primarily introduces data-driven modal parameter recognition methods(e.g.,time-domain,frequency-domain,and time-frequency-domain methods,etc.),briefly describes damage identification methods based on the variations of modal parameters(e.g.,natural frequency,modal shapes,and curvature modal shapes,etc.)and modal validation methods(e.g.,Stability Diagram and Modal Assurance Criterion,etc.).The current status of the application of artificial intelligence(AI)methods in the direction of modal parameter recognition and damage identification is further discussed.Based on the pre-vious analysis,the main development trends of structural modal parameter recognition and damage identification methods are given to provide scientific references for the optimized design and functional upgrading of SHM systems. 展开更多
关键词 Structural health monitoring data information modal parameters damage identification AI method
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Study of the Transport Behavior of Multispherical Proppant in Intersecting Fracture Based on Discrete Element Method 被引量:1
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作者 Chengyong Peng JianshuWu +2 位作者 Mao Jiang Biao Yin Yishan Lou 《Energy Engineering》 EI 2025年第1期185-201,共17页
To analyze the differences in the transport and distribution of different types of proppants and to address issues such as the short effective support of proppant and poor placement in hydraulically intersecting fract... To analyze the differences in the transport and distribution of different types of proppants and to address issues such as the short effective support of proppant and poor placement in hydraulically intersecting fractures,this study considered the combined impact of geological-engineering factors on conductivity.Using reservoir production parameters and the discrete elementmethod,multispherical proppants were constructed.Additionally,a 3D fracture model,based on the specified conditions of the L block,employed coupled(Computational Fluid Dynamics)CFD-DEM(Discrete ElementMethod)for joint simulations to quantitatively analyze the transport and placement patterns of multispherical proppants in intersecting fractures.Results indicate that turbulent kinetic energy is an intrinsic factor affecting proppant transport.Moreover,the efficiency of placement and migration distance of low-sphericity quartz sand constructed by the DEM in the main fracture are significantly reduced compared to spherical ceramic proppants,with a 27.7%decrease in the volume fraction of the fracture surface,subsequently affecting the placement concentration and damaging fracture conductivity.Compared to small-angle fractures,controlling artificial and natural fractures to expand at angles of 45°to 60°increases the effective support length by approximately 20.6%.During hydraulic fracturing of gas wells,ensuring the fracture support area and post-closure conductivity can be achieved by controlling the sphericity of proppants and adjusting the perforation direction to control the direction of artificial fractures. 展开更多
关键词 Hydraulic fracturing discrete element method PROPPANT SPHERICITY CFD-DEM
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Teach-back健康教育模式在冠心病合并糖尿病患者目标血糖控制中的应用研究
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作者 李金萍 颜琼 +4 位作者 黄庭 雷秀兰 黎凤 范蕾 贺雅妮 《中国医药科学》 2025年第19期150-153,177,共5页
目的探讨Teach-back健康教育模式在冠心病合并糖尿病患者中对目标血糖控制的应用效果,评估该模式对患者血糖控制水平、自我管理能力及健康知识掌握情况的影响。方法选取2023年6月至2024年1月于南昌大学第一附属医院住院的120例冠心病合... 目的探讨Teach-back健康教育模式在冠心病合并糖尿病患者中对目标血糖控制的应用效果,评估该模式对患者血糖控制水平、自我管理能力及健康知识掌握情况的影响。方法选取2023年6月至2024年1月于南昌大学第一附属医院住院的120例冠心病合并糖尿病患者为研究对象,将120例患者按照随机数表法分为试验组(Teach-back健康教育模式)和对照组(常规健康教育),每组各60例。试验组患者在接受常规健康教育的基础上,进一步接受Teach-back健康教育模式干预,教育内容包括糖尿病与冠心病的病理生理基础、血糖控制目标、用药指导、饮食与运动管理等方面。为确保患者充分理解,每次教育后通过Teach-back方式反馈患者的理解情况,调整并重复关键教育内容。研究指标包括餐后2小时血糖(2hPG)、糖化血红蛋白(HbA1c)、空腹血糖(FPG)、自我管理能力评分及生活质量评分。结果干预12周后,试验组的2hPG、HbA1c和FPG低于对照组,差异有统计学意义(P<0.05)。试验组生活质量评分和自我管理能力评分高于对照组,差异有统计学意义(P<0.05)。结论Teach-back健康教育模式对冠心病合并糖尿病患者的血糖控制有显著改善作用,能够有效提升患者的自我管理能力和健康知识水平。 展开更多
关键词 teach-back健康教育模式 冠心病 糖尿病 血糖控制 自我管理
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