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Factors Affecting Japanese HPV-Vaccination: Findings from the Semi-Structured Interviews with Adolescent Girls and Caregivers
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作者 Rie Wakimizu Kaori Nishigaki +4 位作者 Hiroshi Fujioka Koji Maehara Haruo Kuroki Tadashi Saito Katsuya Uduki 《Health》 2014年第13期1602-1615,共14页
The objective of the present study was to qualitatively assess the obstructive and facilitative factors affecting adolescent girls and their caregivers when the adolescent had received or was considering receiving the... The objective of the present study was to qualitatively assess the obstructive and facilitative factors affecting adolescent girls and their caregivers when the adolescent had received or was considering receiving the Human Papilloma Virus (HPV) vaccination. Using these data, we propose recommendations for medical and nursing staff concerned with HPV vaccination. Participants were 20 adolescent girls (aged 10 - 19 years) and their caregivers, who had visited any of the 3 pediatric clinics in the Tokyo metropolitan area during a specified period since HPV vaccination began in Japan. The girls and their caregivers were separately interviewed by 2 child and/or family nursing care specialists with a semi-structured interview. The responses were qualitatively analyzed by 2 specialists, and the obstructive and facilitative factors affecting participants’ decision to receive HPV vaccination were extracted from the responses. Among the 20 sets of participants, 7 adolescents had completed HPV vaccination, 9 were going to receive vaccination, and 4 had not received any vaccination. The obstructive/facilitative factors related to considering or receiving HPV vaccination and actual vaccination were extracted and 4 main categories of factors were identified. Facilitators toward HPV-vaccination of daughters included clear future self-image and visions, fear Cervical Cancer (CC) and desire to escape from CC, having discussion with mothers about HPV-vaccination and CC, and to have a boyfriend. Barriers toward vaccination included the mothers’ reluctance to explain the sexual matters about HPV-vaccination to their daughters and difficulty with find the appropriate clinic or hospital to HPV-vaccination. Relevant factors about vaccination included positive family attitudes toward vaccination, having family system allowing consultation and having a public financial support for vaccination for daughters. Our conceptual model adapted from the Katz, et al. conceptual framework integrated the key barriers and facilitators as factors within each of four domains. These four domains have an important link. Especially, the environmental factors and the structural and sociocultural factors domain affect the individual adolescent and the caregiver factors domain, respectively. The results of present study suggest that medical/nursing activities centered on promoting HPV vaccination in Japan should comprehensively cover CC/vaccination/sex education in an integrated fashion, while schools and public health centers should provide opportunities for caregivers and adolescents to jointly participate in awareness education on HPV vaccination. 展开更多
关键词 Adolescents CAREGIVERS HPV VACCINATION Japan Qualitative Study semi-structured interview
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Face-Saving Strategies in the Chinese Context:A Case Study of Post-match Interviews With Table Tennis Athletes
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作者 WANG Wenjing ZHI Yuying 《Journal of Literature and Art Studies》 2026年第1期31-35,共5页
Post-match interview is a medium for athletes to showcase their impressions.This paper focus on the discourse of a post-match interview by Chinese athletes in the sport of table tennis at the 2024 Paris Olympics using... Post-match interview is a medium for athletes to showcase their impressions.This paper focus on the discourse of a post-match interview by Chinese athletes in the sport of table tennis at the 2024 Paris Olympics using the face-saving theory as the main framework introduced by Brown and Levinson(1987).In addition,theoretical extensions(Gu,1990;Mao,1994;Gao,1996)are also used to explain conceptions of face in the Chinese context.This study adopts a qualitative case study approach to investigating how athletes construct and maintain their face.It specifically analyzes the positive face,negative face,and redressive strategies.The findings indicate that Chinese athletes commonly adopt strategies such as emphasizing collective honor,humor,and indirect expressions to address face issues.These strategies are related to the collectivist values that are embedded in Chinese culture.This study extends the application of face theory to the under-explored domain of sports discourse and offers insights for future studies in sports communication and intercultural pragmatics. 展开更多
关键词 face-saving theory post-match interview positive face negative face
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Lossless Mapping from Semi-Structured Data to Structured Data 被引量:2
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作者 李文武 金远平 童咪娜 《Journal of Southeast University(English Edition)》 EI CAS 2002年第1期46-53,共8页
Most semi-structured data are of certain structure regularity. Having beenstored as structured data in relational database (RDB), they can be effectively managed by databasemanagement system (DBMS). Some semi-structur... Most semi-structured data are of certain structure regularity. Having beenstored as structured data in relational database (RDB), they can be effectively managed by databasemanagement system (DBMS). Some semi-structured data are difficult to transform due to theirirregular structures. We design an efficient algorithm and data structure for ensuring losslesstransformation. We bring forward an approach of schema extraction through data mining, in whichdifferent kinds of elements are transformed respectively and lossless mapping from semi-structureddata to structured data can be achieved. 展开更多
关键词 semi-structured data DTD RDB schema mapping overflow data
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Semi-structured Data Extraction and Schema Knowledge Mining
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作者 陈恩红 WANG Xufa 《High Technology Letters》 EI CAS 2001年第1期1-5,共5页
A semi structured data extraction method to get the useful information embedded in a group of relevant web pages and store it with OEM(Object Exchange Model) is proposed. Then, the data mining method is adopted to dis... A semi structured data extraction method to get the useful information embedded in a group of relevant web pages and store it with OEM(Object Exchange Model) is proposed. Then, the data mining method is adopted to discover schema knowledge implicit in the semi structured data. This knowledge can make users understand the information structure on the web more deeply and thourouly. At the same time, it can also provide a kind of effective schema for the querying of web information. 展开更多
关键词 semi-structured data SCHEMA Data extraction.
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Motivational interviewing in postoperative rehabilitation and chronic disease management: Current findings and future research directions 被引量:1
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作者 Bing-Ren Zhang Xiao Yang 《World Journal of Psychiatry》 SCIE 2025年第1期26-31,共6页
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
关键词 Chronic disease management Motivational interviewing PATIENT-CENTERED Postoperative rehabilitation Treatment adherence
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Attributes of Family Spirituality and Influencing Factors of Its Decline: Data Triangulation of Literature and Family Interviews
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作者 Naohiro Hohashi Mikio Watanabe 《Open Journal of Nursing》 2025年第2期93-110,共18页
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
关键词 Family Spirituality Influencing Factor Concentric Sphere Family Environment Theory Literature Review Family interview Data Triangulation
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Transtheoretical Model-based Motivational Interviewing Improves Psychological Resilience and Self-management in Patients Undergoing Finger Replantation
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作者 Wenjie WANG Na WANG Dongyun ZHANG 《Medicinal Plant》 2025年第5期67-69,共3页
[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
关键词 Finger replantation Psychological resilience SELF-MANAGEMENT Transtheoretical model(TTM) Motivational interviewing
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Acceptance of Intelligent Interviews by College Graduates Under AI Empowerment:An SEM Approach
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作者 Yujing Wan 《Proceedings of Business and Economic Studies》 2025年第6期53-60,共8页
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
关键词 AI empowerment Master Intelligent interview Technology Acceptance Model Perceived risk Structural Equation Modeling
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动机性访谈心理干预对重睑手术患者体象认知、心理状态及自我感受负担的影响
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作者 许慧 吴洋洋 刘凌云 《中国健康心理学杂志》 2026年第3期430-435,共6页
目的:观察动机性访谈心理干预对重睑手术患者体象认知、心理状态及自我感受负担的影响。方法:选取2021年1月至2024年12月在某院接受重睑手术的150例患者,采用随机数字表法分为两组。常规组采用常规心理干预,访谈组采用动机性访谈心理干... 目的:观察动机性访谈心理干预对重睑手术患者体象认知、心理状态及自我感受负担的影响。方法:选取2021年1月至2024年12月在某院接受重睑手术的150例患者,采用随机数字表法分为两组。常规组采用常规心理干预,访谈组采用动机性访谈心理干预。比较两组体象障碍自评量表(BIRS)评分、医院焦虑抑郁量表(HADS)评分、总体幸福感量表(GWB)评分、自我感受负担量表(SPBS)评分。结果:治疗前组间BIRS评分比较,差异不具有统计学意义(t=-0.104,P>0.05)。两组干预后BIRS评分均较干预前低,同时访谈组低于常规组(t=10.087,P<0.05),差异具有统计学意义。治疗前组间HADS评分比较,差异不具有统计学意义(t=0.474,0.226,0.255;P>0.05)。两组干预后HADS总分及HADS-A评分、HADS-D评分均较干预前低,同时访谈组低于常规组(t=12.442,12.939,7.313;P<0.05),差异具有统计学意义。治疗前组间GWB评分比较,差异不具有统计学意义(t=0.628,0.229,0.148,0.132,0.103,0.102,0.498;P>0.05)。两组干预后GWB总分以及对生活满足和兴趣、对健康的担心、精力、忧郁或愉快的心境、对情感和行为的控制、松弛与紧张评分均较干预前高,同时访谈组高于常规组(t=-3.745,-6.196,-3.419,-2.574,-3.369,-4.406,-10.256;P<0.05),差异具有统计学意义。治疗前组间SPBS评分比较,差异不具有统计学意义(t=-0.242,0.188,-0.228;P>0.05)。两组干预后身体负担评分、情感负担评分、经济负担评分均较干预前低,同时访谈组低于常规组(t=4.916,5.772,7.266;P<0.05),差异具有统计学意义。结论:动机性访谈心理干预可改善重睑手术患者体象认知与心理状态,减轻自我感受负担,为临床重睑手术患者提供有效干预方法,提升整形外科护理质量。 展开更多
关键词 动机性访谈 心理干预 重睑手术 体象认知 心理状态 自我感受负担
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师范生家校合作能力培养的课程实践研究
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作者 刘建金 张倩 《广东第二师范学院学报》 2026年第1期39-52,共14页
家校合作成效对学生的身心发展具有重要影响。教师的家校合作能力是其专业素养的重要组成部分,直接影响合作成效。当前学界在师范生家校合作能力培养的理论与实践研究方面仍显不足。本研究以本科师范生为对象,借助《家庭教育学》课程探... 家校合作成效对学生的身心发展具有重要影响。教师的家校合作能力是其专业素养的重要组成部分,直接影响合作成效。当前学界在师范生家校合作能力培养的理论与实践研究方面仍显不足。本研究以本科师范生为对象,借助《家庭教育学》课程探索其家校合作能力的培养路径,并通过《中小学职前教师家校合作能力量表》及访谈反思报告等方式评估课程实施效果。结果显示,经过16周课程学习,师范生的家校合作能力显著提升,对合作持更积极态度,并深刻理解教师态度与沟通技能在家校合作中的关键作用。本研究可为系统化培养师范生协同育人能力提供可复制的课程范式与实证依据。 展开更多
关键词 师范生 家校合作 课程设计 访谈
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医学专家口述史访谈策略与技巧——基于北京协和医院“协和记忆”项目实践
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作者 王璐 董琳 李苑菁 《现代医院》 2026年第1期21-23,27,共4页
近年来,口述历史作为一种重要的历史学研究方法,已从传统史学领域拓展至医学史等专业领域,成为许多医疗机构记录学科发展、保存机构记忆的重要手段。在口述史料的采集过程中,深度访谈作为核心环节,其深度、广度、温度直接影响着史料的... 近年来,口述历史作为一种重要的历史学研究方法,已从传统史学领域拓展至医学史等专业领域,成为许多医疗机构记录学科发展、保存机构记忆的重要手段。在口述史料的采集过程中,深度访谈作为核心环节,其深度、广度、温度直接影响着史料的质量和学术价值,通过专业化的访谈互动,个体记忆得以更好转化为系统性的历史叙事。文章基于北京协和医院“协和记忆”口述历史项目实践,聚焦口述史访谈这一特殊场域,探讨医学专家口述史采集中的设问策略与提问技巧,旨在通过科学规范的访谈方法,挖掘更具学术价值与社会意义的医学口述史料。 展开更多
关键词 医学口述史 口述史料 口述访谈 协和记忆
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中美大学的阶段差异性对于高等教育强国建设的启示——基于中美大学校长访谈录文本的话语分析
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作者 宣勇 杨凯良 《中国高教研究》 北大核心 2026年第3期11-20,共10页
基于学术访谈语料库的话语分析能够检视话语的核心话题域。不同文化之间的话语比较,可以识别甚或揭示出深层的共性和差异。运用NVivo 15软件对《回望——大学校长口述》与《坚守与革新——美国一流大学校长访谈录》两书主体构建成的语... 基于学术访谈语料库的话语分析能够检视话语的核心话题域。不同文化之间的话语比较,可以识别甚或揭示出深层的共性和差异。运用NVivo 15软件对《回望——大学校长口述》与《坚守与革新——美国一流大学校长访谈录》两书主体构建成的语料库进行话语分析。从斯皮尔曼等级相关系数的结果来看,两书的共同热词有较大的相似性,然而非共同热词所反映出来的差异也很显著。基于詹姆斯·保罗·吉的话语分析框架,重点对“问题”“合作”“发展”三个编码节点进行了语言学分析和批判话语分析。结合两书具体的话语分析发现,核心差异表现在中美大学办学中校长角色定位、价值追求和战略选择方面。差异的原因在于访谈形式、校长遴选方式、大学所处历史文化和政治经济制度及发展阶段的区别。中美大学的阶段差异性对于高等教育强国建设带来如下启示:第一,遵循普遍规律,走好中国道路;第二,把握阶段特征,聚焦大学能力建设;第三,推进分类评价,提升治理效能。 展开更多
关键词 中美大学 阶段差异性 高等教育强国建设 校长 访谈录 话语分析
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内蒙古自治区武川县2024年严重精神障碍患者管理现状分析
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作者 林恒娜 蔡利萍 《疾病预防控制通报》 2026年第1期70-74,共5页
目的分析内蒙古自治区武川县严重精神障碍患者的管理现状,为进一步完善管理策略提供依据。方法收集武川县2012年1月1日至2024年12月31日登记在册的严重精神障碍患者基本信息进行定量分析,并采用自拟的调查提纲进行一对一定性访谈。结果... 目的分析内蒙古自治区武川县严重精神障碍患者的管理现状,为进一步完善管理策略提供依据。方法收集武川县2012年1月1日至2024年12月31日登记在册的严重精神障碍患者基本信息进行定量分析,并采用自拟的调查提纲进行一对一定性访谈。结果截至2024年12月,武川县严重精神障碍患者报告患病率为8.03‰;与2018年相比,规范管理率由65.00%提高至97.38%(χ^(2)=263.025)、面访率由72.57%提高至97.30%(χ^(2)=182.300)、服药率由89.32%提高至98.30%(χ^(2)=53.272)、规律服药率由35.54%提高至93.05%(χ^(2)=546.196),差异均有统计学意义(P<0.001)。精神分裂症患者的构成比最高,为73.77%。女性、农村地区、45~60岁、小学及以下文化程度、农民、贫困、在婚、无家族史的患者构成比均较高。不同性别患者间地区分布、年龄、文化程度、职业、婚姻状况、疾病种类、家族史等构成差异均有统计学意义(P<0.05)。定性访谈显示,社区医生在患者管理中面临政策短板、经费不足和人身安全问题,患者家庭则面临经济压力、照护负担和社会歧视等问题。结论近年来武川县严重精神障碍患者管理工作取得较大进展,但在政策支持、部门协作、经费保障、监护人支持等方面仍存在不足,需进一步改进与完善。 展开更多
关键词 武川县 严重精神障碍 管理现状 定量分析 定性访谈
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基于Snyder希望理论的动机性访谈护理在结肠癌术后患者中的应用效果
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作者 赵云云 景利娜 崔保宁 《中国民康医学》 2026年第7期176-179,共4页
目的:观察基于Snyder希望理论的动机性访谈护理在结肠癌术后患者中的应用效果。方法:回顾性分析2021年1月至2023年4月该院收治的100例结肠癌术后患者的临床资料,按护理方案不同将其分为研究组、对照组各50例。对照组采用常规护理,研究... 目的:观察基于Snyder希望理论的动机性访谈护理在结肠癌术后患者中的应用效果。方法:回顾性分析2021年1月至2023年4月该院收治的100例结肠癌术后患者的临床资料,按护理方案不同将其分为研究组、对照组各50例。对照组采用常规护理,研究组在对照组基础上采用基于Snyder希望理论的动机性访谈护理。比较两组胃肠功能恢复指标(肛门首次排气时间、肠鸣音恢复时间、首次排便时间、首次进食时间)水平、术后疼痛程度[数字评分法(NRS)]评分、护理前后自我效能[中文版癌症自我管理效能感量表(C-SUPPH)]评分和希望水平[中文版Herth希望量表(C-HHI)]评分。结果:研究组肛门首次排气时间、肠鸣音恢复时间、首次排便时间、首次进食时间均短于对照组,差异有统计学意义(P<0.05);术后3 d,两组NRS评分均低于术后2 h,且研究组低于对照组,差异有统计学意义(P<0.05);护理后,两组自我决策、自我减压、正性态度等C-SUPPH评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);护理后,两组积极行动、与他人保持亲密关系、对现实和未来的态度等C-HHI评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用Snyder希望理论的动机性访谈护理可提高结肠癌术后患者自我效能和希望水平评分,以及改善胃肠功能指标水平和降低术后疼痛程度评分的效果优于单纯常规护理。 展开更多
关键词 Snyder希望理论 动机性访谈护理 结肠癌 术后 自我效能 希望水平
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基于InterView框架柔性表格组件的设计与实现
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作者 孟繁军 李慧哲 林民 《合肥工业大学学报(自然科学版)》 CAS CSCD 北大核心 2011年第2期229-231,236,共4页
文章介绍了一种基于Qt的InterView框架的柔性表格组件,可以在表格单元中显示、编辑汉字错字字形数据;解决了一般表格组件无法在表格中对错字字形、位图和标注文本的统一布局和交互处理等问题,并在建立汉字错字字形描述数据库的交互界面... 文章介绍了一种基于Qt的InterView框架的柔性表格组件,可以在表格单元中显示、编辑汉字错字字形数据;解决了一般表格组件无法在表格中对错字字形、位图和标注文本的统一布局和交互处理等问题,并在建立汉字错字字形描述数据库的交互界面中取得了较好效果。该组件对建立统一布局的复杂交互界面、提高人机交互的友好性和可操作性具有实际意义。 展开更多
关键词 interview框架 定制组件 自定义类型
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野生平菇产纤维素酶发酵条件的优化
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作者 王君 陈琳 +3 位作者 白家梁 朱亚男 宋立立 胡高爽 《中国饲料》 北大核心 2026年第1期51-58,共8页
纤维素是可再生资源,来源广泛,但利用率却偏低。平菇等一些腐生型微生物可以产生纤维素酶、漆酶等将其降解。本试验选用实验室保藏的一种野生平菇菌株,通过单因素试验探究培养基成分及发酵条件对平菇产纤维素酶能力的影响。选出影响较... 纤维素是可再生资源,来源广泛,但利用率却偏低。平菇等一些腐生型微生物可以产生纤维素酶、漆酶等将其降解。本试验选用实验室保藏的一种野生平菇菌株,通过单因素试验探究培养基成分及发酵条件对平菇产纤维素酶能力的影响。选出影响较大的三个因素即温度、磷酸盐浓度、发酵天数。然后以纤维素酶酶活力为评价指标,进行响应面试验。结果表明:平菇产酶发酵的最佳条件为温度20℃,磷酸盐浓度0.2%,发酵天数5 d,接种量10%,转速150 r/min,装液量50 mL,pH 7,在此条件下平菇产纤维素酶的酶活力为12.6375 U/mL。此次试验结果可为后续研究平菇产纤维素酶能力提供一定的理论依据。 展开更多
关键词 纤维素酶 单因素试验法 响应面试验法 平菇
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以人为本药学服务理论特征与收费政策前瞻研究
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作者 闫婷 伍琳 +2 位作者 李蕴琪 钱文沁 陈永法 《中国医院管理》 北大核心 2026年第3期68-73,共6页
以人为本药学服务是“十五五”时期我国整合型健康服务体系建设的关键抓手之一。在哥德堡模型的指导下,阐释了以人为本药学服务至少应具备有效的“药—患”沟通、规范的服务流程指南和科学、系统的循证决策这3大理论特征。进而结合对关... 以人为本药学服务是“十五五”时期我国整合型健康服务体系建设的关键抓手之一。在哥德堡模型的指导下,阐释了以人为本药学服务至少应具备有效的“药—患”沟通、规范的服务流程指南和科学、系统的循证决策这3大理论特征。进而结合对关键利益主体的深度访谈,前瞻性探讨了人本整合服务转型背景下药学服务收费政策构建的关键维度。最后提出培育支持性的政策环境、完善药师队伍培养、搭建跨部门协同治理框架的支持策略。 展开更多
关键词 以人为本药学服务 理论特征 收费政策 半结构化访谈
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叙事访谈对抑郁障碍患者自杀意念的影响
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作者 冯丽娜 蔡壮 +7 位作者 邱莲 宋艳颖 宋佳起 沈杨 郜肖肖 胡娜 仝景慧 邵静 《临床精神医学杂志》 2026年第1期44-47,共4页
目的:通过随机对照研究,评估叙事访谈对抑郁障碍患者自杀意念的影响。方法:共纳入符合《国际疾病分类》第10版抑郁障碍诊断标准患者140例,随机分为研究组和对照组各70例。研究组以团体小组形式进行叙事访谈,每周2次,时间1 h,共8次,历时... 目的:通过随机对照研究,评估叙事访谈对抑郁障碍患者自杀意念的影响。方法:共纳入符合《国际疾病分类》第10版抑郁障碍诊断标准患者140例,随机分为研究组和对照组各70例。研究组以团体小组形式进行叙事访谈,每周2次,时间1 h,共8次,历时4周。访视点分别为基线、4周末、8周末。采用自杀意念自评量表(self-rating idea of suicide scale,SIOSS)评估患者自杀意念情况。用混合设计重复测量方差分析进行比较。结果:测评时间主效应显著,两组SIOSS总分随治疗时间显著下降(P<0.001)。测评时间与治疗分组存在显著交互效应。简单效应分析显示,在4周末时,研究组与对照组的SIOSS估算得分的组间差异具有显著性,研究组得分显著低于对照组(P=0.002)。结论:叙事访谈能有效降低患者的自杀意念,提高患者治疗效果,降低患者自杀风险。 展开更多
关键词 叙事访谈 抑郁 自杀意念
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求职面试互动中结盟的身份建构功能
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作者 李欣芳 冉永平 《外语研究》 北大核心 2026年第1期15-22,F0003,共9页
互动中的立场表达与交际者身份建构密切相关,但现有文献对立场如何转化为身份建构资源缺乏深入考察。针对面试类交际,相关研究较少探讨互动过程中涌现的身份现象。本研究以真实情境中的求职面试为语料,结合互动身份建构理论,考察求职者... 互动中的立场表达与交际者身份建构密切相关,但现有文献对立场如何转化为身份建构资源缺乏深入考察。针对面试类交际,相关研究较少探讨互动过程中涌现的身份现象。本研究以真实情境中的求职面试为语料,结合互动身份建构理论,考察求职者寻求与面试官建立结盟的过程以及结盟的身份建构功能。本研究发现,求职者基于认知、情感和评价等三种立场类型,通过多种话语和互动策略寻求与面试官结盟,有效提升了彼此立场的相似性,拉近了人际关系,从而建构了有利于自己获取面试成功的积极身份。本研究旨在揭示互动中的结盟促进身份建构的语用机制,为理解身份建构的个体交互本质提供新的分析路径。 展开更多
关键词 求职面试 立场 结盟 身份建构 语用机制
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综合医院护理人员重大传染病疫情应急准备内容体系的构建
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作者 张怡宁 黄静 +5 位作者 高凤莉 蔡娟 李含 魏征 韩桂杰 李海超 《护理管理杂志》 2026年第3期251-256,共6页
目的 构建科学、实用的综合医院护理人员传染病疫情应急准备内容体系。方法 在文献检索、质性研究的基础上形成专家函询问卷,通过两轮德尔菲专家函询,形成综合医院护理人员传染病疫情应急准备内容体系。结果 两轮专家积极系数分别为93.... 目的 构建科学、实用的综合医院护理人员传染病疫情应急准备内容体系。方法 在文献检索、质性研究的基础上形成专家函询问卷,通过两轮德尔菲专家函询,形成综合医院护理人员传染病疫情应急准备内容体系。结果 两轮专家积极系数分别为93.75%、100%,两轮专家权威系数分别为0.942、0.954,一级、二级、三级指标的肯德尔和谐系数分别为0.086、0.177、0.123(P<0.05)。结论 形成的综合医院护理人员传染病应急准备内容体系具有科学性和可靠性,内容合理,能够为医院应对重大传染病疫情培养和储备应急护理人员提供依据。 展开更多
关键词 德尔菲法 护理人员 传染病 应急准备 半结构化访谈 培训
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