BACKGROUND Owing to the particularities of their physical characteristics,older patients undergoing surgery under general anesthesia experience great surgical traumas.Thus,exploring more refined and individualized nur...BACKGROUND Owing to the particularities of their physical characteristics,older patients undergoing surgery under general anesthesia experience great surgical traumas.Thus,exploring more refined and individualized nursing approaches is an urgent need to mitigate the negative effects of surgery on such patients.AIM To analyze the influence of preoperative comprehensive education on anxiety,depression,pain,and sleep in older patients who underwent surgery under general anesthesia.METHODS In total,163 older adults who underwent surgery under general anesthesia between June 2022 and November 2023 were selected,77 of them received routine nursing care(control group),and 86 received preoperative comprehensive education(research group).Subsequently,comparative analyses were performed from the following perspectives:Surgical indicators(operation time,time to complete regain of consciousness,and temperature immediately after the procedure and upon recovery from anesthesia)before and after nursing care;negative emotions[self-rating anxiety scale(SAS)/self-rating depression scale(SDS)];pain severity[visual analog scale(VAS)];sleep quality[Pittsburgh sleep quality index(PSQI)];incidence of sleep disturbances(difficulties in falling asleep for the first time,falling asleep again after waking up frequently at night,falling asleep again after waking up early,and falling asleep all night);and incidence of adverse events(airway obstruction,catheter detachment,aspiration,and asphyxia).RESULTS The research group had significantly lower operation time and time to complete regain of consciousness than the control group after nursing care and markedly better recovery of postoperative body temperature and body temperature at awakening.In addition,more notable decreases in SAS,SDS,VAS,and PSQI scores were observed in the research group than in the control group.Furthermore,the incidence rate of sleep disturbance(8.14%vs 29.87%)and adverse events(4.65%vs 19.48%)were lower in the research group than in the control group.CONCLUSION Preoperative comprehensive education in older patients who underwent surgery under general anesthesia can improve postoperative indicators,effectively reduce the occurrence of anxiety and depression,alleviate postoperative pain,and improve sleep quality.展开更多
In an effort to ensure that Institutions of Higher Learning provide quality Comprehensive Sexuality Education (CSE) and Sexual and Reproductive Health (SRH) at the level of Universities and Colleges, indeveloping coun...In an effort to ensure that Institutions of Higher Learning provide quality Comprehensive Sexuality Education (CSE) and Sexual and Reproductive Health (SRH) at the level of Universities and Colleges, indeveloping countries such as Zambia, some universities have engaged in offering programmes and services in CSE and SRH. However, the provision of such programmes has had some limitations in terms of resources to ensure quality delivery. As a result, there was a need to examine the provision of CSE and SRH in a resource constrained Mukuba University. The study has three research objectives: 1) to examine the CSE and SRH programmes and services that are available at Mukuba University;2) to determine the actual resources available for the University to ensure quality provision of CSE and SRH to students;3) to use views and opinions of students and academics to examine the extent to which the CSE and SRH are reflected as standards by UNESCO and universities and colleges. The study took a pragmatic philosophy stance and convergent parallel research design of mixed methods;the primary approach is qualitative which will be analysed using thematic analysis, while the quantitative approach was secondary and the data was analysed using descriptive statistics. The study envisaged some implications that include the rise in communicable diseases such as Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS), gender based violence, general lack of information on matters relating to CSE and SRH among students at Mukuba University. The policy implication is that policy makers will be able to formulate policies that address the needs and challenges of students in providing quality CSE and SRH programmes and services for a university that is constrained with resources. The study found that there was a need to contextualize the quality provision of CSE and SRH at an institutional level, for instance, Mukuba University has created an enabling environment for quality provision of CSE and SRH activities and programmes through training of the stakeholders. Further, it was found that in any successful programme, it is expected to meet certain challenges that might in some cases make it difficult to implement the programme as envisaged. In other words, this study has revealed that there are some drawbacks as well as lessons that Mukuba University could learn from other universities that offer CSE and SRH. The study provides a synergistic conceptual model that could be used in the implementation of CSE and SRH in colleges and universities for sustainability. It is hoped that this study has proved that even with limited resources a university can provide CSE and SHR programmes and services without depending on support from other external funders and cooperating partners.展开更多
Objective: The experiment will implement comprehensive health education and nursing program for urology patients, and make statistical analysis of the actual effect after application. Methods: For the treatment of 120...Objective: The experiment will implement comprehensive health education and nursing program for urology patients, and make statistical analysis of the actual effect after application. Methods: For the treatment of 120 cases of urology patients, the samples selected from January 2020 to December 2021 patients, and according to the order of divided into two groups, control group for routine nursing, observation group for comprehensive health education nursing program, compare the results. Results: In the SF-36 quality of life scale, patients in the observation group scored higher, and their personal feelings in various aspects of daily life were higher than those in the control group (P0.05). At the same time, in the emotional management of patients, through appropriate intervention, the observation group patients psychological state is good, the impact of anxiety and depression on individuals is weakened, and the score is lower in the professional scale evaluation, compared with the control group, the difference is large (P 0.05). Finally, there was a difference in the disease knowledge mastery rate between the two groups. The observation group (91.67%) was significantly higher than the control group (68.33%), with statistical significance (P 0.05). Conclusion: urology disease problem affects the patients healthy life, and because of the location privacy, in the treatment of patients unable to contend with in the process, even avoid treatment, unable to effectively solve this can lead to disease, eventually cause more serious consequences, so we must strengthen the health education, rehabilitation treatment for patients, and provide support to establish a correct concept of diseases.展开更多
With the issuance and promotion of "Education Informatization 2.0 Action Plan" issued by the Ministry of Education, the new era has given a new mission to education informatization, and has also advanced mod...With the issuance and promotion of "Education Informatization 2.0 Action Plan" issued by the Ministry of Education, the new era has given a new mission to education informatization, and has also advanced modern teaching informatization from 1.0 to 2.0 era. At the core of the teaching reform, classroom teaching has ushered in an unprecedented change driven by big data. In the classroom teaching under the information environment, information technology can be effectively used to realize the reform of teaching methods, means and content, which is conducive to the construction of an efficient English classroom. At the same time, the article analyzes the significance and existing problems of the application of modern information technology in the current English classroom teaching of secondary education, and puts forward corresponding countermeasures to the problems, so as to promote the progress of information technology in classroom teaching and strengthen the reform of classroom teaching.展开更多
"Ideological and political education"is an essential implementation for moral cultivation,which promotes the basic principles of"three comprehensive education".Its teaching effectiveness is related..."Ideological and political education"is an essential implementation for moral cultivation,which promotes the basic principles of"three comprehensive education".Its teaching effectiveness is related to the overall improvement of the quality of talent cultivation;hence it widely attracts the attention of the academic community.In order to combine professional architectural courses with ideological and political education,and at the same time to realize the innovative teaching concept of collaborative education,teachers in higher education institutions continue to explore and practice their ways,constantly innovate and optimize their knowledge and education systems.展开更多
Introduction： this work narrates the experience of the implementation of CSE （Comprehensive Sexual Education） in Argentina, at the Faculty of Humanities, Arts and Social Sciences of the Autonomous University of E...Introduction： this work narrates the experience of the implementation of CSE （Comprehensive Sexual Education） in Argentina, at the Faculty of Humanities, Arts and Social Sciences of the Autonomous University of Entre Ríos, within the “School Program of Comprehensive Sexual Education” （SPCSE） developed at compulsory schooling in the voices of teachers and the school management team. Aims： The aims of this paper are to share some of the issues that characterize the SPCSE modality, some progress and obstacles of its implementation, as well as to value the experiences of those who carry out the CSE, in order to know what happens when it comes to the classroom. Methods： it was qualitative, through the use of questionnaires to 13 elementary teachers and in-depth interviews with 5 key informants for the role they played in the management. They were analyzed and relevant data were selected, central ideas were elaborated and relationships and reflections derived from this process. Results： As obstacles or initial resistances, training, relationship with families, school practices, among others, predominated. As potentialities, those who embraced the CSE see it as enriching on a personal and professional level, not only in relation to the contents and the predisposition for learning, but also in the construction of more affective relationships. Conclusions： We recognize the great transformation potential of the CSE. Its implementation requires a systemic and sustainable change. In this sense, those of us who are part of this program are highly committed to developing strategies to face the difficulties and weaknesses in order to meet the needs of each school community. In order that the respect for human rights is visible and real, they are principles and convictions that are supported by the policies of the faculty.展开更多
基金Supported by the Autonomous Region Key R&D Program Project“Research on the Prevention and Treatment System and Key Technologies of Elderly Related Diseases",No.2022B03009-4.
文摘BACKGROUND Owing to the particularities of their physical characteristics,older patients undergoing surgery under general anesthesia experience great surgical traumas.Thus,exploring more refined and individualized nursing approaches is an urgent need to mitigate the negative effects of surgery on such patients.AIM To analyze the influence of preoperative comprehensive education on anxiety,depression,pain,and sleep in older patients who underwent surgery under general anesthesia.METHODS In total,163 older adults who underwent surgery under general anesthesia between June 2022 and November 2023 were selected,77 of them received routine nursing care(control group),and 86 received preoperative comprehensive education(research group).Subsequently,comparative analyses were performed from the following perspectives:Surgical indicators(operation time,time to complete regain of consciousness,and temperature immediately after the procedure and upon recovery from anesthesia)before and after nursing care;negative emotions[self-rating anxiety scale(SAS)/self-rating depression scale(SDS)];pain severity[visual analog scale(VAS)];sleep quality[Pittsburgh sleep quality index(PSQI)];incidence of sleep disturbances(difficulties in falling asleep for the first time,falling asleep again after waking up frequently at night,falling asleep again after waking up early,and falling asleep all night);and incidence of adverse events(airway obstruction,catheter detachment,aspiration,and asphyxia).RESULTS The research group had significantly lower operation time and time to complete regain of consciousness than the control group after nursing care and markedly better recovery of postoperative body temperature and body temperature at awakening.In addition,more notable decreases in SAS,SDS,VAS,and PSQI scores were observed in the research group than in the control group.Furthermore,the incidence rate of sleep disturbance(8.14%vs 29.87%)and adverse events(4.65%vs 19.48%)were lower in the research group than in the control group.CONCLUSION Preoperative comprehensive education in older patients who underwent surgery under general anesthesia can improve postoperative indicators,effectively reduce the occurrence of anxiety and depression,alleviate postoperative pain,and improve sleep quality.
文摘In an effort to ensure that Institutions of Higher Learning provide quality Comprehensive Sexuality Education (CSE) and Sexual and Reproductive Health (SRH) at the level of Universities and Colleges, indeveloping countries such as Zambia, some universities have engaged in offering programmes and services in CSE and SRH. However, the provision of such programmes has had some limitations in terms of resources to ensure quality delivery. As a result, there was a need to examine the provision of CSE and SRH in a resource constrained Mukuba University. The study has three research objectives: 1) to examine the CSE and SRH programmes and services that are available at Mukuba University;2) to determine the actual resources available for the University to ensure quality provision of CSE and SRH to students;3) to use views and opinions of students and academics to examine the extent to which the CSE and SRH are reflected as standards by UNESCO and universities and colleges. The study took a pragmatic philosophy stance and convergent parallel research design of mixed methods;the primary approach is qualitative which will be analysed using thematic analysis, while the quantitative approach was secondary and the data was analysed using descriptive statistics. The study envisaged some implications that include the rise in communicable diseases such as Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS), gender based violence, general lack of information on matters relating to CSE and SRH among students at Mukuba University. The policy implication is that policy makers will be able to formulate policies that address the needs and challenges of students in providing quality CSE and SRH programmes and services for a university that is constrained with resources. The study found that there was a need to contextualize the quality provision of CSE and SRH at an institutional level, for instance, Mukuba University has created an enabling environment for quality provision of CSE and SRH activities and programmes through training of the stakeholders. Further, it was found that in any successful programme, it is expected to meet certain challenges that might in some cases make it difficult to implement the programme as envisaged. In other words, this study has revealed that there are some drawbacks as well as lessons that Mukuba University could learn from other universities that offer CSE and SRH. The study provides a synergistic conceptual model that could be used in the implementation of CSE and SRH in colleges and universities for sustainability. It is hoped that this study has proved that even with limited resources a university can provide CSE and SHR programmes and services without depending on support from other external funders and cooperating partners.
文摘Objective: The experiment will implement comprehensive health education and nursing program for urology patients, and make statistical analysis of the actual effect after application. Methods: For the treatment of 120 cases of urology patients, the samples selected from January 2020 to December 2021 patients, and according to the order of divided into two groups, control group for routine nursing, observation group for comprehensive health education nursing program, compare the results. Results: In the SF-36 quality of life scale, patients in the observation group scored higher, and their personal feelings in various aspects of daily life were higher than those in the control group (P0.05). At the same time, in the emotional management of patients, through appropriate intervention, the observation group patients psychological state is good, the impact of anxiety and depression on individuals is weakened, and the score is lower in the professional scale evaluation, compared with the control group, the difference is large (P 0.05). Finally, there was a difference in the disease knowledge mastery rate between the two groups. The observation group (91.67%) was significantly higher than the control group (68.33%), with statistical significance (P 0.05). Conclusion: urology disease problem affects the patients healthy life, and because of the location privacy, in the treatment of patients unable to contend with in the process, even avoid treatment, unable to effectively solve this can lead to disease, eventually cause more serious consequences, so we must strengthen the health education, rehabilitation treatment for patients, and provide support to establish a correct concept of diseases.
文摘With the issuance and promotion of "Education Informatization 2.0 Action Plan" issued by the Ministry of Education, the new era has given a new mission to education informatization, and has also advanced modern teaching informatization from 1.0 to 2.0 era. At the core of the teaching reform, classroom teaching has ushered in an unprecedented change driven by big data. In the classroom teaching under the information environment, information technology can be effectively used to realize the reform of teaching methods, means and content, which is conducive to the construction of an efficient English classroom. At the same time, the article analyzes the significance and existing problems of the application of modern information technology in the current English classroom teaching of secondary education, and puts forward corresponding countermeasures to the problems, so as to promote the progress of information technology in classroom teaching and strengthen the reform of classroom teaching.
文摘"Ideological and political education"is an essential implementation for moral cultivation,which promotes the basic principles of"three comprehensive education".Its teaching effectiveness is related to the overall improvement of the quality of talent cultivation;hence it widely attracts the attention of the academic community.In order to combine professional architectural courses with ideological and political education,and at the same time to realize the innovative teaching concept of collaborative education,teachers in higher education institutions continue to explore and practice their ways,constantly innovate and optimize their knowledge and education systems.
文摘Introduction： this work narrates the experience of the implementation of CSE （Comprehensive Sexual Education） in Argentina, at the Faculty of Humanities, Arts and Social Sciences of the Autonomous University of Entre Ríos, within the “School Program of Comprehensive Sexual Education” （SPCSE） developed at compulsory schooling in the voices of teachers and the school management team. Aims： The aims of this paper are to share some of the issues that characterize the SPCSE modality, some progress and obstacles of its implementation, as well as to value the experiences of those who carry out the CSE, in order to know what happens when it comes to the classroom. Methods： it was qualitative, through the use of questionnaires to 13 elementary teachers and in-depth interviews with 5 key informants for the role they played in the management. They were analyzed and relevant data were selected, central ideas were elaborated and relationships and reflections derived from this process. Results： As obstacles or initial resistances, training, relationship with families, school practices, among others, predominated. As potentialities, those who embraced the CSE see it as enriching on a personal and professional level, not only in relation to the contents and the predisposition for learning, but also in the construction of more affective relationships. Conclusions： We recognize the great transformation potential of the CSE. Its implementation requires a systemic and sustainable change. In this sense, those of us who are part of this program are highly committed to developing strategies to face the difficulties and weaknesses in order to meet the needs of each school community. In order that the respect for human rights is visible and real, they are principles and convictions that are supported by the policies of the faculty.
