This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients f...This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients following percuta-neous coronary intervention.It further explores existing evidence and potential future research directions for MI in postoperative rehabilitation and chronic disease management.MI aims to facilitate behavioral change and promote healthier lifestyles by fostering a trusting relationship with patients and enhan-cing intrinsic motivation.Research has demonstrated its effectiveness in posto-perative recovery for oncological surgery,stroke,organ transplants,and gastroin-testinal procedures,as well as in managing chronic conditions such as diabetes,obesity,and periodontal disease.The approach is patient-centered,adaptable,cost-effective,and easily replicable,though its limitations include reliance on the therapist’s expertise,variability in individual responses,and insufficient long-term follow-up studies.Future research could focus on developing individualized and precise intervention models,exploring applications in digital health management,and confirming long-term outcomes to provide more compre-hensive support for patient rehabilitation.展开更多
Background and Purpose: In recent years, individual spirituality has been attracting attention, but little research has been conducted as it relates to family spirituality that applies this concept to the family and r...Background and Purpose: In recent years, individual spirituality has been attracting attention, but little research has been conducted as it relates to family spirituality that applies this concept to the family and relates to the meaning of the family’s existence in terms of the entire family. The purpose of this study was to clarify the attributes of family spirituality and the influencing factors of its decline. Methods: Regarding family spirituality, 1) a literature search was conducted using PubMed and reviews of 20 English-language articles;and 2) semi-structured interviews were conducted with 12 Japanese families having elderly members in the household. Data triangulation was performed for both, and a directed content analysis was conducted using Hohashi’s Concentric Sphere Family Environment Theory as the framework. Results: Attributes of family spirituality included 21 categories, such as “I think that my family exists for my children and grandchildren.” Factors influencing the decline in family spirituality included 20 categories in total, including 6 categories of risk/causal/promoting factors such as “lack of caring for family members”;11 categories of preventive/inhibitory/suppression factors such as “healthcare professionals not being close to the family”;and three categories of context-sensitive factors such as “death of a family member.” Conclusions/Implications for Practice: Family intervention requires nurses to understand the attributes of family spirituality and to control the influencing factors of a decline in family spirituality. Through such efforts, families will be able to discover the meaning of the existence of the family and maintain and improve their well-being.展开更多
[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after a...[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after amputation.[Methods]The patients with finger replantation due to fractures admitted from October 2024 to June 2025 were divided into either the control group or the observation group according to the random number table method,with 40 cases in each group.The control group received conventional perioperative care,while the observation group underwent motivational interviewing based on TTM framework on the basis of the control group.The psychological resilience and self-management levels of the two patient groups were then compared following their respective care interventions.[Results]The psychological resilience and self-management scores of the patients were significantly higher than those of the control group after the intervention,with the difference being statistically significant(P<0.05).[Conclusions]Motivational interviewing based on the TTM can effectively improve the psychological resilience and self-management in patients undergoing severed finger reimplantation,while effectively reducing the occurrence of vascular crisis.展开更多
The Master Intelligent interview is based on the Stimulus-Organism-Response(SOR)theory,this study integrates key constructs from the Technology Acceptance Model(TAM)and the Theory of Planned Behavior(TPB),namely attit...The Master Intelligent interview is based on the Stimulus-Organism-Response(SOR)theory,this study integrates key constructs from the Technology Acceptance Model(TAM)and the Theory of Planned Behavior(TPB),namely attitude and behavioral intention,to develop a dual-path model of how AI empowerment influences college graduates’acceptance of intelligent interview technology.Taking AI empowerment as the independent variable,perceived risk and attitude as mediating variables,and behavioral intention as the outcome variable,the study employs questionnaire surveys and structural equation modeling(SEM)for empirical analysis.The results show that AI empowerment exerts a significant positive impact on attitude,perceived risk,and behavioral intention.Both perceived risk and attitude play significant mediating roles between AI empowerment and behavioral intention.Interestingly,perceived risk does not suppress behavioral intention;instead,it positively promotes it through a“rational trade-off”mechanism.Moreover,perceived risk and attitude form a significant chain-mediated pathway,revealing a continuous psychological transmission mechanism of“rational cognition-emotional adjustment-behavioral decision-making”.This study enriches the theoretical framework of AI technology acceptance,extends the application of the SOR model to the context of intelligent recruitment,and provides valuable implications for optimizing university career guidance and enterprise recruitment systems.展开更多
Objective To determine the impact of scenario-based lecture and personalized video feedback on anesthesia residents'communication skills during preoperative visits.Methods A total of 24 anesthesia residents were r...Objective To determine the impact of scenario-based lecture and personalized video feedback on anesthesia residents'communication skills during preoperative visits.Methods A total of 24 anesthesia residents were randomly divided into a video group and a control group.Residents in both groups took part in a simulated interview and received a scenario-based lecture on how to communicate with patients during preoperative visits.Afterwards,residents in the video group received personalized video feedback recorded during the simulated interview.One week later all the residents undertook another simulated interview.The communication skills of all the residents were assessed using the Consultation and Relational Empathy measure(CARE)scale by two examiners and one standardized patient(SP),both of whom were blinded to the group allocation.Results CARE scores were comparable between the two groups before training,and significantly improved after training in both groups(all P<0.05).The video group showed significantly greater increase in CARE score after the training than the control group,especially assessed by the SP(t=6.980,P<0.001).There were significant correlations between the examiner-assessed scores and SP-assessed scores(both P=0.001).Conclusion Scenario-based lectures with simulated interviews provide a good method for training communication skills of anesthesia residents,and personalized video feedback can enhance their performance on showing empathy during preoperative interview.展开更多
Because of the difference and the particularity of oral test among reading,listening and writing,oral test should focus on the framework,the interviewer and the marking system.In addition,some instructions for oral in...Because of the difference and the particularity of oral test among reading,listening and writing,oral test should focus on the framework,the interviewer and the marking system.In addition,some instructions for oral interview and the training of assessors also play important roles in the test.In order to make the oral test-interview more successful,some other facts should be considered when having the test,such as the reliability,construct validity and authenticity.展开更多
Dr. Yeh-chong Chan （Y.C. Chan） is one of the earliest acupuncturists in the United States （US）. He served for seven years in the first acupuncture center in the US, which was established in Washington, D.C. in 197...Dr. Yeh-chong Chan （Y.C. Chan） is one of the earliest acupuncturists in the United States （US）. He served for seven years in the first acupuncture center in the US, which was established in Washington, D.C. in 1972. In 1979, he moved the clinic to Rockville, Maryland and continued to practice acupuncture there for over 30 years. He is a well-known licensed acupuncturist （LAc）, one of the developers of the acupuncture profession, and a scholar of acupuncture and traditional Chinese medicine （TCM）. He has treated two US Governors （In the US, the title Governor refers to the chief executive of each state or insular territory and the political and ceremonial head of the state.） and many sports stars. He is the author of books entitled Acupuncture Practice in the United States,展开更多
The Coronavirus disease(COVID-19)crisis is now present in China.It started in December,2019 and has,so far,led 213 individuals died and at least 9066 infected in China by local time 17:26,r January 30,2020.It has also...The Coronavirus disease(COVID-19)crisis is now present in China.It started in December,2019 and has,so far,led 213 individuals died and at least 9066 infected in China by local time 17:26,r January 30,2020.It has also spread to a number of Asian countries,as well as to Canada,France,Germany,and the United States.As a result,the Chinese government has put several major cities in Hubei Province on lockdown and has thrown plans for the Lunar New Year holiday into chaos for millions of people.On January 30,2020,the World Health Organization also declared the COVID-19 outbreak a global health emergency because it could spread to countries that are not prepared.展开更多
BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the w...BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the weight mainly include diet control,increase exercise and so on.Motivational interviewing(MI)could explore the patient’s internal state and make the patient realize his/her ambivalence,resulting in the change in his/her behavior.This process emphasizes respecting the patient’s autonomy.AIM To evaluate the effect of MI on the weight control of patients with OSAHS.METHODS A randomized controlled study was conducted in 100 obese OSAHS patients undergoing surgical treatment at Shengjing Hospital of China Medical University.The patients were divided into an intervention group and a control group,with 50 cases each.The control group was given routine health education after the operation;in addition to the regular health education,the intervention group was given MI according to a predetermined plan.Obesity-related indicators,postoperative complications,and the sleep status of both groups were evaluated before and 6 mo after the intervention.RESULTS Patients in the intervention group had significantly improved body weight,BMI,and waist and neck circumferences compared with patients in the control group(P<0.05).Regarding complications at 6 mo after operation,the incidence of cough and reflux in patients in the intervention group was significantly lower than that in the control group(P<0.05).In addition,the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were significantly lower than those in the control group,and the sleep status of patients in the intervention group was improved(P<0.05).CONCLUSION MI intervention has a significant advantage over postoperative routine health education.It can greatly change the lifestyle,further control the postoperative weight,reduce the occurrence of complications,improve the quality of sleep,and improve long-term postoperative efficacy in OSAHS patients.展开更多
Exactly 30 years ago,a benchmark study published in The Journal of the Ameican Medical Association(JAMA)titled"Physical fitness and all-cause mortality.A prospective study of healthy men and women"~1 sharpen...Exactly 30 years ago,a benchmark study published in The Journal of the Ameican Medical Association(JAMA)titled"Physical fitness and all-cause mortality.A prospective study of healthy men and women"~1 sharpened our view of the importance of physical fitness in health and helped create a new era of"exercise is medicine".展开更多
Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure ...Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure were recruited in this study from April 2014 to April 2015 from a hospital.Twenty-nine patients were in the intervention group,and 33 patients were in the control group.Patients in the intervention group received four sessions of motivational interviewing,whereas those in the control group received traditional health education.At 2,4,and 8 weeks post-discharge,the intervention group underwent telephone follow-up based on motivational interviewing,whereas the control group underwent routine telephone follow-up.Primary outcome was measured using the Self-care of Heart Failure Index at baseline and at 2 months postdischarge.Results:Before intervention,the self-care behaviours scores were 79.00±48.80 in the intervention group and 88.68±29.26in the control group.No statistically significant differences were found between two groups in scores for each subscale and total scale(P>0.05).After intervention,the scores of self-care behaviours in the two groups were both improved at 155.13±35.65 for the intervention group and 115.44±22.82 for the control group with statistically significance(P<0.01).The score of self-care behaviours increased by 76.13 point in the intervention group on average,whereas 26.76 point in the control group.There was significant difference between increases in scores of self-care behaviours in two groups(P<0.01).Conclusions:The self-care behaviours of patients with chronic heart failure could be improved effectively through motivational interviewing.展开更多
Since the outbreak of coronavirus disease 2019(COVID-19),the vast number of nurses have gone all out to fighting against the epidemic under the leadership of the Party Central Committee with the core of General Secret...Since the outbreak of coronavirus disease 2019(COVID-19),the vast number of nurses have gone all out to fighting against the epidemic under the leadership of the Party Central Committee with the core of General Secretary Xi Jinping,and they have attracted wide attention from the public.2020-the International Year of the Nurse and the Midwife-is a crucial year for Nursing,which marks the 200th anniversary of Florence Nightingale's birth,the founder of modern nursing.The theme for International Nurses Day in 2020 is Nurses:A Voice to Lead-Nursing the World to Health.In the special period of responding to the epidemic,how do Chinese nurses practice this theme?How to quickly mobilize nurses from different hospitals across the country to combat with the virus?How to take care of patients with nursing professional knowledge and expertise?For the answers,the Chinese Nursing Journals Publishing House(CNJPH)interviewed Professor Xinjuan Wu,President of the Chinese Nursing Association(CNA),Editor-in-Chief of Chinese Journal of Nursing,Director of the Nursing Department of Peking Union Medical College Hospital,who was awarded the Florence Nightingale Medal in 2011.展开更多
Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.De...Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.Design and methods:One hundred tenT2DMpatientswithpoor long-termglycemic control that were hospitalized in our institution were enrolled in this study and randomly assigned to receive eitherMI or routine diabetes education intervention.Patients'body mass index values,Homeostatic Model Assessment-Insulin Resistance(HOMA-IR)scores,and levels of glycated hemoglobin(HbA1C),triglycerides,high-and low-density lipoproteincholesterols,Summary of Diabetes Self-management Activities and Diabetes Specific Quality of Life assessments were recorded before and six months after intervention.Results:Baseline scores for all measurements did not differ between patients in the control and MI groups.Although MI resulted in a significant reduction of HbA1c and serum lipid levels compared with the baseline,the effect was not significantly different from the control intervention.However,the improvement in HOMA-IR scores was significantly greater in the MI group compared with the control intervention(2.8±2.8 vs.5.7±4.7;p=0.000).Moreover,MI significantly elevated diabetes self-management activities ratings compared with the control intervention(13.2±3.4 vs.10.9±4.3;p=0.004).Conclusion:Compared to routine diabetes education,MI is a more effective approach for improving HOMA-IR and self-management of T2DM patients with poor long-term glycemic control.展开更多
Teasing can be approached as a linguistic resource for examining the interpersonal issues of im/politeness and face,or as a discursive strategy for displaying relationships or constructing social identities.However,st...Teasing can be approached as a linguistic resource for examining the interpersonal issues of im/politeness and face,or as a discursive strategy for displaying relationships or constructing social identities.However,studies have underestimated the discursive constraints of teasing in specific contexts.Meanwhile,a majority of teasing studies were based on Western cultures and did not pay sufficient attention to the variety of teasing across cultures.By collecting data from two Chinese entertainment interviews,where the interviewer employs teasing frequently for performing institutional roles,this study examined how teasing functions to assist the interviewer to complete communicative goals,and explored the discursive constraints of teasing in media context.Data analysis exemplified how teasing helped the interviewer to manage an interview event,obtain the vip’s disclosure and seek audience involvement,helping to construct the interviewer’s professionality.Implications for understanding the discursive features of teasing in the Chinese media context were addressed.展开更多
Background Chinese medicine was brought to the UK more than three hundred years ago,but it has only gained acceptance and recognition among the British public in the last several decades.
Diabetes,mainly type 2 diabetes(T2D),is a major cause of blindness,kidney failure,heart attack,stroke,and lower limb amputation.Worldwide,the number of people with diabetes rose from 108 million in 1980 to 422 million...Diabetes,mainly type 2 diabetes(T2D),is a major cause of blindness,kidney failure,heart attack,stroke,and lower limb amputation.Worldwide,the number of people with diabetes rose from 108 million in 1980 to 422 million in 2014 and further to 537 million in 2021,and the prevalence has been rising more rapidly in low-and middle-income countries according to a report by the World Health Organization1 and the latest data from the International Diabetes Federation.2 The positive role of physical activity(PA)and exercise as a prevention and treatment medicine for T2D has been well documented,and both the American College of Sports Medicine(ACSM)and the American Diabetes Association(ADA)have issued position statements on the effects of PA and exercise on diabetes.展开更多
Expert Profile:Prof.Douglas R.MacFarlane is an Australian Laureate Fellow at Monash University's School of Chemistry and leader of the Energy Program in the Australian Centre for Electromaterials Science.He is the...Expert Profile:Prof.Douglas R.MacFarlane is an Australian Laureate Fellow at Monash University's School of Chemistry and leader of the Energy Program in the Australian Centre for Electromaterials Science.He is the Australian Academy of Science's Craig Medalist 2018 and winner of the Victoria Prize for Science and Innovation 2018.展开更多
文摘This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients following percuta-neous coronary intervention.It further explores existing evidence and potential future research directions for MI in postoperative rehabilitation and chronic disease management.MI aims to facilitate behavioral change and promote healthier lifestyles by fostering a trusting relationship with patients and enhan-cing intrinsic motivation.Research has demonstrated its effectiveness in posto-perative recovery for oncological surgery,stroke,organ transplants,and gastroin-testinal procedures,as well as in managing chronic conditions such as diabetes,obesity,and periodontal disease.The approach is patient-centered,adaptable,cost-effective,and easily replicable,though its limitations include reliance on the therapist’s expertise,variability in individual responses,and insufficient long-term follow-up studies.Future research could focus on developing individualized and precise intervention models,exploring applications in digital health management,and confirming long-term outcomes to provide more compre-hensive support for patient rehabilitation.
文摘Background and Purpose: In recent years, individual spirituality has been attracting attention, but little research has been conducted as it relates to family spirituality that applies this concept to the family and relates to the meaning of the family’s existence in terms of the entire family. The purpose of this study was to clarify the attributes of family spirituality and the influencing factors of its decline. Methods: Regarding family spirituality, 1) a literature search was conducted using PubMed and reviews of 20 English-language articles;and 2) semi-structured interviews were conducted with 12 Japanese families having elderly members in the household. Data triangulation was performed for both, and a directed content analysis was conducted using Hohashi’s Concentric Sphere Family Environment Theory as the framework. Results: Attributes of family spirituality included 21 categories, such as “I think that my family exists for my children and grandchildren.” Factors influencing the decline in family spirituality included 20 categories in total, including 6 categories of risk/causal/promoting factors such as “lack of caring for family members”;11 categories of preventive/inhibitory/suppression factors such as “healthcare professionals not being close to the family”;and three categories of context-sensitive factors such as “death of a family member.” Conclusions/Implications for Practice: Family intervention requires nurses to understand the attributes of family spirituality and to control the influencing factors of a decline in family spirituality. Through such efforts, families will be able to discover the meaning of the existence of the family and maintain and improve their well-being.
基金Supported by 2023 Shiyan Taihe Hospital Fund Project(2023JJXM024).
文摘[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after amputation.[Methods]The patients with finger replantation due to fractures admitted from October 2024 to June 2025 were divided into either the control group or the observation group according to the random number table method,with 40 cases in each group.The control group received conventional perioperative care,while the observation group underwent motivational interviewing based on TTM framework on the basis of the control group.The psychological resilience and self-management levels of the two patient groups were then compared following their respective care interventions.[Results]The psychological resilience and self-management scores of the patients were significantly higher than those of the control group after the intervention,with the difference being statistically significant(P<0.05).[Conclusions]Motivational interviewing based on the TTM can effectively improve the psychological resilience and self-management in patients undergoing severed finger reimplantation,while effectively reducing the occurrence of vascular crisis.
基金The 2025 Guizhou University of Finance and Economics University-level Project“Research on the‘Action-Learning’Strategy of Artificial Intelligence in Complex Tasks”(Project No.:2025BAZYSY287)。
文摘The Master Intelligent interview is based on the Stimulus-Organism-Response(SOR)theory,this study integrates key constructs from the Technology Acceptance Model(TAM)and the Theory of Planned Behavior(TPB),namely attitude and behavioral intention,to develop a dual-path model of how AI empowerment influences college graduates’acceptance of intelligent interview technology.Taking AI empowerment as the independent variable,perceived risk and attitude as mediating variables,and behavioral intention as the outcome variable,the study employs questionnaire surveys and structural equation modeling(SEM)for empirical analysis.The results show that AI empowerment exerts a significant positive impact on attitude,perceived risk,and behavioral intention.Both perceived risk and attitude play significant mediating roles between AI empowerment and behavioral intention.Interestingly,perceived risk does not suppress behavioral intention;instead,it positively promotes it through a“rational trade-off”mechanism.Moreover,perceived risk and attitude form a significant chain-mediated pathway,revealing a continuous psychological transmission mechanism of“rational cognition-emotional adjustment-behavioral decision-making”.This study enriches the theoretical framework of AI technology acceptance,extends the application of the SOR model to the context of intelligent recruitment,and provides valuable implications for optimizing university career guidance and enterprise recruitment systems.
基金National High Level Hospital Clinical Research Fund(2022-PUMCH-C-011).
文摘Objective To determine the impact of scenario-based lecture and personalized video feedback on anesthesia residents'communication skills during preoperative visits.Methods A total of 24 anesthesia residents were randomly divided into a video group and a control group.Residents in both groups took part in a simulated interview and received a scenario-based lecture on how to communicate with patients during preoperative visits.Afterwards,residents in the video group received personalized video feedback recorded during the simulated interview.One week later all the residents undertook another simulated interview.The communication skills of all the residents were assessed using the Consultation and Relational Empathy measure(CARE)scale by two examiners and one standardized patient(SP),both of whom were blinded to the group allocation.Results CARE scores were comparable between the two groups before training,and significantly improved after training in both groups(all P<0.05).The video group showed significantly greater increase in CARE score after the training than the control group,especially assessed by the SP(t=6.980,P<0.001).There were significant correlations between the examiner-assessed scores and SP-assessed scores(both P=0.001).Conclusion Scenario-based lectures with simulated interviews provide a good method for training communication skills of anesthesia residents,and personalized video feedback can enhance their performance on showing empathy during preoperative interview.
文摘Because of the difference and the particularity of oral test among reading,listening and writing,oral test should focus on the framework,the interviewer and the marking system.In addition,some instructions for oral interview and the training of assessors also play important roles in the test.In order to make the oral test-interview more successful,some other facts should be considered when having the test,such as the reliability,construct validity and authenticity.
文摘Dr. Yeh-chong Chan （Y.C. Chan） is one of the earliest acupuncturists in the United States （US）. He served for seven years in the first acupuncture center in the US, which was established in Washington, D.C. in 1972. In 1979, he moved the clinic to Rockville, Maryland and continued to practice acupuncture there for over 30 years. He is a well-known licensed acupuncturist （LAc）, one of the developers of the acupuncture profession, and a scholar of acupuncture and traditional Chinese medicine （TCM）. He has treated two US Governors （In the US, the title Governor refers to the chief executive of each state or insular territory and the political and ceremonial head of the state.） and many sports stars. He is the author of books entitled Acupuncture Practice in the United States,
文摘The Coronavirus disease(COVID-19)crisis is now present in China.It started in December,2019 and has,so far,led 213 individuals died and at least 9066 infected in China by local time 17:26,r January 30,2020.It has also spread to a number of Asian countries,as well as to Canada,France,Germany,and the United States.As a result,the Chinese government has put several major cities in Hubei Province on lockdown and has thrown plans for the Lunar New Year holiday into chaos for millions of people.On January 30,2020,the World Health Organization also declared the COVID-19 outbreak a global health emergency because it could spread to countries that are not prepared.
基金Supported by the School of Nursing Research Project at China Medical University,No.2017HL-21.
文摘BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the weight mainly include diet control,increase exercise and so on.Motivational interviewing(MI)could explore the patient’s internal state and make the patient realize his/her ambivalence,resulting in the change in his/her behavior.This process emphasizes respecting the patient’s autonomy.AIM To evaluate the effect of MI on the weight control of patients with OSAHS.METHODS A randomized controlled study was conducted in 100 obese OSAHS patients undergoing surgical treatment at Shengjing Hospital of China Medical University.The patients were divided into an intervention group and a control group,with 50 cases each.The control group was given routine health education after the operation;in addition to the regular health education,the intervention group was given MI according to a predetermined plan.Obesity-related indicators,postoperative complications,and the sleep status of both groups were evaluated before and 6 mo after the intervention.RESULTS Patients in the intervention group had significantly improved body weight,BMI,and waist and neck circumferences compared with patients in the control group(P<0.05).Regarding complications at 6 mo after operation,the incidence of cough and reflux in patients in the intervention group was significantly lower than that in the control group(P<0.05).In addition,the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were significantly lower than those in the control group,and the sleep status of patients in the intervention group was improved(P<0.05).CONCLUSION MI intervention has a significant advantage over postoperative routine health education.It can greatly change the lifestyle,further control the postoperative weight,reduce the occurrence of complications,improve the quality of sleep,and improve long-term postoperative efficacy in OSAHS patients.
文摘Exactly 30 years ago,a benchmark study published in The Journal of the Ameican Medical Association(JAMA)titled"Physical fitness and all-cause mortality.A prospective study of healthy men and women"~1 sharpened our view of the importance of physical fitness in health and helped create a new era of"exercise is medicine".
文摘Objectives:This study aimed to investigate the effect of motivational interviewing on the self-care behaviours in patients with chronic heart failure.Methods:Sixty-two hospitalized patients with chronic heart failure were recruited in this study from April 2014 to April 2015 from a hospital.Twenty-nine patients were in the intervention group,and 33 patients were in the control group.Patients in the intervention group received four sessions of motivational interviewing,whereas those in the control group received traditional health education.At 2,4,and 8 weeks post-discharge,the intervention group underwent telephone follow-up based on motivational interviewing,whereas the control group underwent routine telephone follow-up.Primary outcome was measured using the Self-care of Heart Failure Index at baseline and at 2 months postdischarge.Results:Before intervention,the self-care behaviours scores were 79.00±48.80 in the intervention group and 88.68±29.26in the control group.No statistically significant differences were found between two groups in scores for each subscale and total scale(P>0.05).After intervention,the scores of self-care behaviours in the two groups were both improved at 155.13±35.65 for the intervention group and 115.44±22.82 for the control group with statistically significance(P<0.01).The score of self-care behaviours increased by 76.13 point in the intervention group on average,whereas 26.76 point in the control group.There was significant difference between increases in scores of self-care behaviours in two groups(P<0.01).Conclusions:The self-care behaviours of patients with chronic heart failure could be improved effectively through motivational interviewing.
文摘Since the outbreak of coronavirus disease 2019(COVID-19),the vast number of nurses have gone all out to fighting against the epidemic under the leadership of the Party Central Committee with the core of General Secretary Xi Jinping,and they have attracted wide attention from the public.2020-the International Year of the Nurse and the Midwife-is a crucial year for Nursing,which marks the 200th anniversary of Florence Nightingale's birth,the founder of modern nursing.The theme for International Nurses Day in 2020 is Nurses:A Voice to Lead-Nursing the World to Health.In the special period of responding to the epidemic,how do Chinese nurses practice this theme?How to quickly mobilize nurses from different hospitals across the country to combat with the virus?How to take care of patients with nursing professional knowledge and expertise?For the answers,the Chinese Nursing Journals Publishing House(CNJPH)interviewed Professor Xinjuan Wu,President of the Chinese Nursing Association(CNA),Editor-in-Chief of Chinese Journal of Nursing,Director of the Nursing Department of Peking Union Medical College Hospital,who was awarded the Florence Nightingale Medal in 2011.
文摘Purpose:The aim of this study was to evaluate the impact of motivational interviewing(MI)on the quality of life and its related factors in type 2 diabetes mellitus(T2DM)patients with poor long-term glycemic control.Design and methods:One hundred tenT2DMpatientswithpoor long-termglycemic control that were hospitalized in our institution were enrolled in this study and randomly assigned to receive eitherMI or routine diabetes education intervention.Patients'body mass index values,Homeostatic Model Assessment-Insulin Resistance(HOMA-IR)scores,and levels of glycated hemoglobin(HbA1C),triglycerides,high-and low-density lipoproteincholesterols,Summary of Diabetes Self-management Activities and Diabetes Specific Quality of Life assessments were recorded before and six months after intervention.Results:Baseline scores for all measurements did not differ between patients in the control and MI groups.Although MI resulted in a significant reduction of HbA1c and serum lipid levels compared with the baseline,the effect was not significantly different from the control intervention.However,the improvement in HOMA-IR scores was significantly greater in the MI group compared with the control intervention(2.8±2.8 vs.5.7±4.7;p=0.000).Moreover,MI significantly elevated diabetes self-management activities ratings compared with the control intervention(13.2±3.4 vs.10.9±4.3;p=0.004).Conclusion:Compared to routine diabetes education,MI is a more effective approach for improving HOMA-IR and self-management of T2DM patients with poor long-term glycemic control.
基金supported by the Department of Education of Guangdong Province entitled innovation project “An Interpersonal Pragmatic Study of Humor in Chinese Broadcasting Context” (No.: 2017WQNCX042)Center for Linguistics and Applied Linguistics at Guandong Univerisity of Foreign Studies, China for the project of the frontier research and its theoretical innovation in interpersonal pragmatics (2018WZDXM006)+2 种基金China Scholarship Council (2018)participated in the Hungarian Academy funded MTA Lendulet (LP2017/5) project of Professor Dániel Z.Kádárthe support from the Chinese MOE Research Project of Humanities and Social Science (Project No.: 16JJD740006) conducted by Center for Linguistics and Applied Linguistics, Guangdong University of Foreign Studies.
文摘Teasing can be approached as a linguistic resource for examining the interpersonal issues of im/politeness and face,or as a discursive strategy for displaying relationships or constructing social identities.However,studies have underestimated the discursive constraints of teasing in specific contexts.Meanwhile,a majority of teasing studies were based on Western cultures and did not pay sufficient attention to the variety of teasing across cultures.By collecting data from two Chinese entertainment interviews,where the interviewer employs teasing frequently for performing institutional roles,this study examined how teasing functions to assist the interviewer to complete communicative goals,and explored the discursive constraints of teasing in media context.Data analysis exemplified how teasing helped the interviewer to manage an interview event,obtain the vip’s disclosure and seek audience involvement,helping to construct the interviewer’s professionality.Implications for understanding the discursive features of teasing in the Chinese media context were addressed.
基金supported by a 6-month grant given to the author by the China Scholarship CouncilZhejiang Planning Project of Philosophy and Social Science in year 2015 (Project code: 15NDJC24YB)
文摘Background Chinese medicine was brought to the UK more than three hundred years ago,but it has only gained acceptance and recognition among the British public in the last several decades.
文摘Diabetes,mainly type 2 diabetes(T2D),is a major cause of blindness,kidney failure,heart attack,stroke,and lower limb amputation.Worldwide,the number of people with diabetes rose from 108 million in 1980 to 422 million in 2014 and further to 537 million in 2021,and the prevalence has been rising more rapidly in low-and middle-income countries according to a report by the World Health Organization1 and the latest data from the International Diabetes Federation.2 The positive role of physical activity(PA)and exercise as a prevention and treatment medicine for T2D has been well documented,and both the American College of Sports Medicine(ACSM)and the American Diabetes Association(ADA)have issued position statements on the effects of PA and exercise on diabetes.
文摘Expert Profile:Prof.Douglas R.MacFarlane is an Australian Laureate Fellow at Monash University's School of Chemistry and leader of the Energy Program in the Australian Centre for Electromaterials Science.He is the Australian Academy of Science's Craig Medalist 2018 and winner of the Victoria Prize for Science and Innovation 2018.
