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Research and Practice on the Progressive Training Model of Meizhou Hakka Cuisine Cooking Talents Based on the Integration of Industry and Education and Work-Study Alternation
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作者 Ganhong Chen Yong Liu +1 位作者 Pingping Luo Weirun Liang 《Journal of Contemporary Educational Research》 2025年第9期275-281,共7页
The development of Meizhou Hakka cuisine relies on the role of professional cooking talents.Higher vocational colleges serve as the platform for cultivating cooking talents.Among various training models,the implementa... The development of Meizhou Hakka cuisine relies on the role of professional cooking talents.Higher vocational colleges serve as the platform for cultivating cooking talents.Among various training models,the implementation of the progressive talent training model featuring the integration of industry and education and work-study alternation is conducive to carrying out talent cultivation activities,improving the effectiveness of professional talent development,and effectively meeting the needs of market development.From the perspective of Meizhou Hakka cuisine cooking talents,this paper analyzes the problems existing in the implementation of the industry-education integration and work-study alternation model,and puts forward specific practical strategies for talent cultivation.The purpose is to enhance the training effect of Hakka cuisine cooking talents and provide reference for the subsequent optimization of professional teaching. 展开更多
关键词 Integration of industry and education Work-study alternation Meizhou Hakka cuisine progressive talent training
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A Multi-Layer Progressive Analysis Method for Collision Energy Flow in Rail Trains
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作者 Jingke Zhang Tao Zhu +4 位作者 Xiaorui Wang Bing Yang Shoune Xiao Guangwu Yang Yuru Li 《Chinese Journal of Mechanical Engineering》 2025年第5期425-439,共15页
The huge impact kinetic energy cannot be quickly dissipated by the energy-absorbing structure and transferred to the other vehicle through the car body structure,which will cause structural damage and threaten the liv... The huge impact kinetic energy cannot be quickly dissipated by the energy-absorbing structure and transferred to the other vehicle through the car body structure,which will cause structural damage and threaten the lives of the occupants.Therefore,it is necessary to understand the laws of energy conversion,dissipation and transfer during train collisions.This study proposes a multi-layer progressive analysis method of energy flow during train collisions,considering the characteristics of the train.In this method,the train collision system is divided into conversion,dissipation,and transfer layers from the perspective of the train,collision interface,and car body structure to analyze the energy conversion,dissipation and transfer characteristics.Taking the collision process of a rail train as an example,a train collision energy transfer path analysis model was established based on power flow theory.The results show that when the maximum mean acceleration of the vehicle meets the standard requirements,the jerk may exceed the allowable limit of the human body,and there is a risk of injury to the occupants of a secondary collision.The decay rate of the collision energy along the direction of train operation reaches 79%.As the collision progresses,the collision energy gradually converges in the structure with holes,and the structure deforms when the gathered energy is greater than the maximum energy the structure can withstand.The proposed method helps to understand the train collision energy flow law and provides theoretical support for the train crashworthiness design in the future. 展开更多
关键词 train Cllision Multi-Layer progression Energy Flow Energy Conversion Energy Dissipation Energy Transfer
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Effects of Progressive Muscle Relaxation Training Combined with Emotion Nursing of Traditional Chinese Medicine on Motor Function and Quality of Life in Patients with Cerebral Stroke Complicated with Hemiplegia 被引量:11
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作者 Liu Yun 《World Journal of Integrated Traditional and Western Medicine》 2019年第1期55-59,共5页
OBJECTIVE: To explore the effects of progressive muscle relaxation training combined with emotion nursing of traditional Chinese medicine(TCM) on the motor function and quality of life in patients with cerebral stroke... OBJECTIVE: To explore the effects of progressive muscle relaxation training combined with emotion nursing of traditional Chinese medicine(TCM) on the motor function and quality of life in patients with cerebral stroke complicated with hemiplegia. METHODS: A total of 100 cases of patients with cerebral stroke complicated with hemiplegia who were admitted to Rehabilitation Medicine Department of Suzhou Municipal Hospital from May 2016 to May 2017 were selected and randomly divided into study group(50 cases) and control group(50 cases), and they were nursed for 1 month. Control group was given routine nursing, and study group was given progressive muscle relaxation training combined with TCM emotion nursing on the basis of routine nursing. The scores of all items were obtained by nurses through questionnaires, and the motor function and quality of life were analyzed and compared between the 2 groups. RESULTS: After nursing, the scores of muscle strength, Barthel index(BI) and Fugl-Meyer motor function scales in study group were higher than those in control group(P < 0.05). The facing scores of coping style in study group were higher than those in control group, and the avoidance score and yielding score were lower than those in control group(P < 0.05). The scores of depression and anxiety in study group were lower than those in control group(P < 0.05). The scores of items in SF-36 life scale in study group were higher than those in control group(P < 0.05). CONCLUSION: Progressive muscle relaxation training combined with TCM emotion nursing is conducive to the recovery of motor function and improvement of quality of life in patients with cerebral stroke complicated with hemiplegia. 展开更多
关键词 progressive muscle relaxation training EMOTION NURSING of traditional Chinese Medicine Cerebral stroke COMPLICATED with HEMIPLEGIA Rehabilitation therapy
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Effectiveness of progressive resistance training in improving muscle strength in myasthenia gravis:a single subject study design 被引量:1
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作者 Ravneet Singh Thwisha Tharunika Srinivasa Rao 《TMR Non-Drug Therapy》 2023年第1期31-39,共9页
Background:To investigate the effectiveness of the progressive resistance training(PRT)using thera band in improving muscle strength in myasthenia gravis(MG).Methods:In this prospective study,12 MG patients with gener... Background:To investigate the effectiveness of the progressive resistance training(PRT)using thera band in improving muscle strength in myasthenia gravis(MG).Methods:In this prospective study,12 MG patients with generalised stable disease performed progressive resistance training with thera band for four times per week for 24 weeks.The isometric muscle force of shoulder abductors,biceps brachii and knee extensors using handheld dynamometer,Myasthenia Gravis Composite(MGC)score,Quantitative myasthenia gravis score(QMG),were assessed before and after the training period.Results:Progressive resistance training was well tolerated,and the isometric muscle strength was significantly improved in shoulder abductors,biceps brachii and knee extensors(P<0.05).The disease course(QMG and MGC)was slowed down and improved(P<0.05).Conclusion:Progressive resistance training is effective in improving muscle strength specifically in most affected muscles in MG. 展开更多
关键词 myasthenia gravis progressive resistance training muscle strength exercise training
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Effects of Progressive Muscle Relaxation Training on Anxiety, Depression, and Quality of Life in Patients with Cerebral Small Vessel Disease 被引量:1
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作者 Chengwen Shi Feifan Zhao +3 位作者 Yingshuo Wang Chengxuan Liu Aiyu Mao Siqi Jin 《Journal of Clinical and Nursing Research》 2024年第5期283-292,共10页
Objective:To explore the effects of progressive muscle relaxation training on anxiety,depression,and quality of life in patients with cerebral small vessel disease(CSVD).Methods:Sixty-one patients with CSVD in the Dep... Objective:To explore the effects of progressive muscle relaxation training on anxiety,depression,and quality of life in patients with cerebral small vessel disease(CSVD).Methods:Sixty-one patients with CSVD in the Department of Neurology of a tertiary hospital were divided into an observation group(28 patients)and a control group(33 patients)by lottery method.The control group received conventional nursing care,while the observation group received progressive muscle relaxation training interventions in addition to the conventional care.The Hamilton Anxiety Scale(HAMA),the Hamilton Depression Scale(HAMD),and the Stroke-Specific Quality of Life Scale(SS-QOL)were used to compare the effects before the intervention,7 days after the intervention,and 30 days after the intervention.Results:Over time,at different time points after the intervention,the anxiety and depression scores of patients with CSVD in the observation group were significantly lower than those in the control group(P<0.05).The quality of life scores were significantly higher in the observation group compared to the control group(P<0.05),and these differences were statistically significant.Conclusion:Progressive muscle relaxation training can improve anxiety and depression in patients with cerebral small vessel disease and can effectively enhance their quality of life. 展开更多
关键词 progressive muscle relaxation training Cerebral small vessel disease(CSVD) ANXIETY DEPRESSION Quality of life
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Effect of Psychological Education Combined with Progressive Muscle Relaxation Training on the Symptom Cluster and Rehospitalization Rate of Elderly Patients with Coronary Heart Disease 被引量:1
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作者 Jing Wang Rui Li +7 位作者 Yi-Lin Wang Jing Li Jia Meng Yan Su Xiao-Jing Du Yan Wang Gui-Ping Sun Yan-Ling Li 《Journal of Clinical and Nursing Research》 2022年第2期120-125,共6页
Objective:To investigate the effect of psychological education combined with progressive muscle relaxation training on the symptom cluster and rehospitalization of elderly patients with coronary heart disease.Methods:... Objective:To investigate the effect of psychological education combined with progressive muscle relaxation training on the symptom cluster and rehospitalization of elderly patients with coronary heart disease.Methods:This study is a longitudinal randomized controlled study involving 140 elderly patients with coronary heart disease.The patients were divided into two groups:an intervention group and a control group,with 70 cases in each group,via random number table.The patients in the control group received routine nursing,whereas those in the intervention group received psychological education combined with progressive muscle relaxation training for 4 weeks on the basis of routine nursing.The effect of the intervention was evaluated before intervention,at the end of 1 month,3 months,and 6 months after intervention.Results:At the end of 1 month,3 months,and 6 months,the sleep,fatigue,anxiety,and functional status of the patients in the intervention group were significantly better than those of the control group,with statistical significance difference(P<0.05).The rehospitalization rate of the intervention group was lower than that of the control group,and the difference was statistically significant(X2=10.685,P=0.001).Conclusion:Psychological education combined with progressive muscle relaxation training is effective in alleviating the symptom cluster of elderly patients with coronary heart disease and reducing their rehospitalization rate;thus,it should be popularized. 展开更多
关键词 Psychological education progressive muscle relaxation training ELDERLY Coronary heart disease(CHD) Sleep disorders FATIGUE ANXIETY Functional status
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A Bibliometric Study on The Application of Progressive Muscle Relaxation Training in The Nursing Field in China
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作者 Chengwen Shi Feifan Zhao +4 位作者 Yingshuo Wang Chengxuan Liu Aiyu Mao Siqi Ji Ruixiao Lu 《Journal of Clinical and Nursing Research》 2024年第4期14-21,共8页
Objective:To systematically analyze the research status and application of progressive muscle relaxation training(PMRT)in the nursing field in China,and provide a reference basis for scientific research in this field.... Objective:To systematically analyze the research status and application of progressive muscle relaxation training(PMRT)in the nursing field in China,and provide a reference basis for scientific research in this field.Methods:The bibliometric method was adopted in“progressive muscle relaxation training”or“PMRT,”and“nursing.”The established database was included in the China National Knowledge Infrastructure(CNKI)and the Wanfang Medical Network.The relevant articles in the Chinese Science and Technology Periodical Database(VIP)were analyzed.Results:A total of 169 literatures were included.The journals,years,and regions of literature publication were uneven,mainly originating from the eastern region(43.19%),and listed the application of progressive muscle relaxation training in the field of nursing in China.Intervention literature information was mainly dominated by experimental studies(97%).Conclusion:The related research and application of progressive muscle relaxation training in nursing in China is increasing,but there is a lack of objective evaluation of outcome indicators and a short intervention period.Further research should be conducted in the future to effectively guide the development of PMRT in the field of nursing in China. 展开更多
关键词 progressive muscle relaxation training Nursing practice BIBLIOMETRICS
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Progress Made in Drilling Workers Training Pattern 被引量:1
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《China Oil & Gas》 CAS 1997年第2期81-81,共1页
关键词 progress Made in Drilling Workers training Pattern
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New Progress of Early Rehabilitation Training for Patients with Mechanical Ventilation in ICU
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作者 GEMengqi 《外文科技期刊数据库(文摘版)医药卫生》 2022年第8期145-148,共4页
Critical care medicine department is the most important department in hospital. Most of the patients in this department are in critical condition, and most of them will be accompanied by respiratory failure. The intro... Critical care medicine department is the most important department in hospital. Most of the patients in this department are in critical condition, and most of them will be accompanied by respiratory failure. The introduction and application of mechanical ventilation can greatly improve the survival rate of ICU patients, but continuous mechanical ventilation will also bring some adverse effects to patients, such as affecting ICU acquisition and prolonging ICU stay time, which has a serious impact on their later life quality. A large number of clinical practices have proved that early rehabilitation training for ICU patients with mechanical ventilation can prevent complications, and at the same time, it can effectively shorten the time of mechanical ventilation, which is of great help to the rehabilitation of ICU patients with mechanical ventilation. This article summarizes and analyzes the application measures of early rehabilitation training in ICU patients with mechanical ventilation from various angles, so as to provide reliable reference for the application of early rehabilitation training. 展开更多
关键词 ICU patients with mechanical ventilation early rehabilitation training new progress
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The usefulness and significance of assessing rapidly progressive spermatozoa 被引量:16
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作者 Lars Bjorndahl 《Asian Journal of Andrology》 SCIE CAS CSCD 2010年第1期33-35,共3页
It is possible and clinically relevant to distinguish between slow and rapid progressive spermatozoa in basic semen analysis. This is discussed in light of the different purposes of semen analysis for the subfertile c... It is possible and clinically relevant to distinguish between slow and rapid progressive spermatozoa in basic semen analysis. This is discussed in light of the different purposes of semen analysis for the subfertile couple and the male patient. The two groups of progressive spermatozoa should be distinguished to help ensure that pertinent information available in the semen sample is not neglected. 展开更多
关键词 male factor infertility manual sperm motility assessment quality control rapidly progressive spermatozoa referencevalues semen analysis staff training
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后训练量化方法综述(特邀)
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作者 张俊娜 王泓尊 丁春涛 《计算机工程》 北大核心 2026年第1期33-60,共28页
后训练量化(PTQ)是一种高效的模型压缩方法,它无需重新训练模型,只需少量(或无需)无标签校准数据即可将高精度浮点模型的参数转换为低比特整数表示。该方法在显著降低存储与计算开销的同时能够最大限度地保留原始模型的推理精度,因而受... 后训练量化(PTQ)是一种高效的模型压缩方法,它无需重新训练模型,只需少量(或无需)无标签校准数据即可将高精度浮点模型的参数转换为低比特整数表示。该方法在显著降低存储与计算开销的同时能够最大限度地保留原始模型的推理精度,因而受到学术界与工业界的广泛关注。从PTQ的量化步骤、方法分类、工具生态、应用进展4个维度,系统总结PTQ的研究进展。首先,构建了量化流程框架,涵盖动态范围统计、量化参数计算、权重与激活量化、误差优化和模型生成等步骤;其次,提出一个完整的量化方法分类体系,从量化粒度、位宽、校准方法到结构导向量化;再次,分析了支持PTQ规模化应用的工具生态,探讨了其在硬件适配和工程部署中的应用价值;最后,总结了PTQ方法的融合与应用进展,并指出PTQ方法在实践中面临的挑战,尤其是跨模态一致性、极低比特语义崩塌与硬件适配等难题。这些实践挑战的总结不仅揭示了当前技术的局限性,也为未来研究提供了重要方向。本综述为学术界与工业界提供了PTQ方法的参考框架,助力推动人工智能在资源受限场景中的广泛应用。 展开更多
关键词 后训练量化 后训练量化步骤 后训练量化方法分类 工具生态 应用进展
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全髋关节置换术后下肢不等长患者渐进性阻力训练的疗效
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作者 陈果 斯焱 +10 位作者 虞多多 王一臣 韩杰 毕梦娜 张上上 李钟 易林洪 鲁丽莎 张占磊 叶晔 张鹏 《成都医学院学报》 2026年第1期143-147,共5页
目的探讨髋关节发育不良(DDH)患者行全髋关节置换术(THA)后存在下肢不等长(LLD)时,围术期渐进性阻力训练(PRT)对其肌力、步态、平衡及髋关节功能的影响。方法选取2020年1月至2023年12月于四川省骨科医院行THA并接受围术期PRT的DDH患者7... 目的探讨髋关节发育不良(DDH)患者行全髋关节置换术(THA)后存在下肢不等长(LLD)时,围术期渐进性阻力训练(PRT)对其肌力、步态、平衡及髋关节功能的影响。方法选取2020年1月至2023年12月于四川省骨科医院行THA并接受围术期PRT的DDH患者70例为研究对象。根据术后LLD分为LLD<10 mm组和LLD 10~20 mm组,每组35例。两组术前、术后均接受PRT干预,于术前1周及术后3、6、12个月通过等速肌力测试、步态分析、平衡能力测试及Harris髋关节评分(HHS)评估患者肌力、步态、平衡和髋关节功能恢复情况。结果术后3、6、12个月,LLD<10 mm组屈髋、髋外展、髋内收肌力及步态、平衡功能均优于LLD 10~20 mm组(P<0.05)。术后12个月,两组HHS评分比较,差异无统计学意义(P>0.05)。术后各时间点,两组在肌力、步态、平衡和髋关节功能方面的指标均较术前改善(P<0.05)。结论对于行THA术后LLD 10~20 mm的DDH患者,其屈髋、髋外展、髋内收肌群肌力、步态及平衡功能恢复均较LLD<10 mm的患者延缓,但PRT干预仍可促进其功能改善。THA术中精确重建下肢长度均衡,对患者术后步态及髋关节功能的恢复具有重要意义。 展开更多
关键词 髋关节发育不良 渐进性阻力训练 步态分析 下肢不等长 全髋关节置换术
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分层递进教学在神经外科规培生教育中的应用探索
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作者 张风林 陈峰 +2 位作者 黄晓松 王浩蘅 骆纯 《卫生职业教育》 2026年第4期52-55,共4页
神经外科是医学领域中专业性强、技术含量高的学科,对医师的理论知识水平和临床实践能力均有极高要求。传统的“一刀切”教学模式难以满足不同层次规培生的学习需求,而分层递进教学体系的引入为该问题的解决提供了新思路。系统探讨分层... 神经外科是医学领域中专业性强、技术含量高的学科,对医师的理论知识水平和临床实践能力均有极高要求。传统的“一刀切”教学模式难以满足不同层次规培生的学习需求,而分层递进教学体系的引入为该问题的解决提供了新思路。系统探讨分层递进教学在神经外科规培生教育中的应用价值,从理论基础到实践路径,从教学设计到效果评价,分析该模式如何依据规培生的年级、能力水平及学习需求实施差异化培养,以提升教学质量与培训效果,构建适用于神经外科规培教育的分层递进教学体系,并为神经外科人才培养提供可参考的实施策略。 展开更多
关键词 分层递进 神经外科 规范化培训
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渐进抗阻训练结合多维度强化干预在股骨颈骨折关节置换术患者中的应用效果
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作者 刘天连 蔡素娇 刘幼虹 《中外医学研究》 2026年第2期127-130,共4页
目的:探究渐进抗阻训练结合多维度强化干预在股骨颈骨折(FNF)关节置换术患者中的应用效果。方法:选取2023年2月—2024年8月莆田九十五医院收治的80例FNF关节置换术患者为研究对象,随机分为两组,每组各40例。对照组予以常规护理,观察组... 目的:探究渐进抗阻训练结合多维度强化干预在股骨颈骨折(FNF)关节置换术患者中的应用效果。方法:选取2023年2月—2024年8月莆田九十五医院收治的80例FNF关节置换术患者为研究对象,随机分为两组,每组各40例。对照组予以常规护理,观察组增加渐进抗阻训练结合多维度强化干预。对比两组疼痛程度、负性情绪、髋关节功能、并发症。结果:干预1个月,两组视觉模拟评分法、汉密尔顿焦虑与抑郁量表评分均降低,观察组较低,两组哈里斯(Harris)髋关节功能评分均升高,观察组较高,差异有统计学意义(P<0.05)。观察组并发症较对照组少,差异有统计学意义(P<0.05)。结论:多维度强化干预、渐进抗阻训练联用可减轻FNF关节置换术患者的疼痛程度、负性情绪,提高髋关节功能,降低并发症发生率。 展开更多
关键词 股骨颈骨折 关节置换术 渐进抗阻训练 多维度强化干预 疼痛 并发症
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激励式信念干预联合渐进式训练对膝关节置换术后的临床护理价值
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作者 吴小英 王娟 黄琳凤 《中外医学研究》 2026年第1期144-147,共4页
目的:探讨激励式信念干预联合渐进式训练对膝关节置换术后的临床护理价值。方法:选取2022年6月—2024年6月南平市第一医院进行膝关节置换手术的80例患者为研究对象,并通过硬币投掷法将患者分为对照组和观察组,每组各40例。其中对照组予... 目的:探讨激励式信念干预联合渐进式训练对膝关节置换术后的临床护理价值。方法:选取2022年6月—2024年6月南平市第一医院进行膝关节置换手术的80例患者为研究对象,并通过硬币投掷法将患者分为对照组和观察组,每组各40例。其中对照组予以术后常规干预,观察组采用激励式信念干预联合渐进式训练,两组均干预至术后3个月。比较两组干预前后膝关节功能采用骨关节炎指数量表(WOMAC)及膝关节评分量表(HSS)、运动恐惧水平采用恐动症评分量表(TSK)及康复锻炼依从性。结果:干预后,两组在多项指标上均获改善,但观察组效果更优,差异有统计学意义(P<0.05)。关节功能两组WOMAC量表各维度评分及心理状态运动恐惧水平均降低,且观察组低于对照组,HSS评分则高于对照组,差异有统计学意义(P<0.05);两组康复锻炼依从性均提升,且观察组在主动锻炼参与度、心理与身体依从性3个维度评分均明显高于对照组,差异有统计学意义(P<0.05)。结论:激励式信念干预联合渐进式训练用于膝关节置换术后,可减轻患者运动恐惧,提高康复锻炼依从性,改善膝关节功能。 展开更多
关键词 膝关节置换术 激励式信念干预 渐进式训练 膝关节功能 运动恐惧水平
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进阶式早期肺康复训练在ICU重症肺部感染患者中的应用研究
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作者 吴馨 郑娟 +2 位作者 兰娜 刘宏波 张建生 《中国现代药物应用》 2026年第4期163-166,共4页
目的 探究重症加强护理病房(ICU)重症肺部感染患者采取进阶式早期肺康复训练的应用效果,旨在为患者的早期康复提供依据。方法 60例ICU重症肺部感染患者,以随机数字表的方式分为对照组和研究组,每组30例。对照组行常规护理及康复训练,研... 目的 探究重症加强护理病房(ICU)重症肺部感染患者采取进阶式早期肺康复训练的应用效果,旨在为患者的早期康复提供依据。方法 60例ICU重症肺部感染患者,以随机数字表的方式分为对照组和研究组,每组30例。对照组行常规护理及康复训练,研究组行进阶式早期肺康复训练。对比两组康复进程、肺功能指标、炎症因子水平及并发症发生情况。结果 干预后,和对照组的(4.72±0.79)d、(5.16±1.49)d、(12.26±3.15)d、(19.89±2.20)d、(2.15±0.29)L、(1.71±0.23)L、(79.53±8.01)%、(0.42±0.05)ng/ml、(26.81±6.60)pg/ml、(18.71±4.90)pg/ml相比,研究组症状缓解时间(3.71±0.66)d、机械通气时间(4.01±1.25)d、入住ICU时间(8.69±2.41)d、住院时间(17.30±2.01)d更短,用力肺活量(FVC)(2.60±0.30)L、第1秒用力呼气容积(FEV1)(2.22±0.20)L、FEV1/FVC(85.39±7.68)%更高,血清降钙素原(PCT)(0.30±0.02)ng/ml、白细胞介素-6(IL-6)(18.41±5.71)pg/ml、肿瘤坏死因子-α(TNF-α)(12.20±4.01)pg/ml更低(P<0.05)。研究组并发症发生率的6.67%要对比照组的30.00%低(P<0.05)。结论 对ICU重症肺部感染患者实行进阶式早期肺康复训练,可改善患者肺功能,减轻炎症反应,同时也能降低并发症发生率,促进早日康复,可推广应用。 展开更多
关键词 重症肺部感染 进阶式早期肺康复训练 肺功能 炎症因子
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自主神经功能评估导向的渐进式呼吸训练对糖尿病胃轻瘫患者胃排空功能的干预效果
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作者 刘凌云 《新乡医学院学报》 2026年第1期61-65,72,共6页
目的探讨自主神经功能评估导向的渐进式呼吸训练对糖尿病胃轻瘫患者胃动力障碍及自主神经功能异常的干预效果。方法选择郑州大学第一附属医院于2020年6月至2023年10月收治的糖尿病胃轻瘫患者100例作为观察对象,将100例患者按照随机数字... 目的探讨自主神经功能评估导向的渐进式呼吸训练对糖尿病胃轻瘫患者胃动力障碍及自主神经功能异常的干预效果。方法选择郑州大学第一附属医院于2020年6月至2023年10月收治的糖尿病胃轻瘫患者100例作为观察对象,将100例患者按照随机数字表法分为对照组和观察组,每组50例,排除失访的8例,最终每组各纳入46例。观察组实施为期8周的自主神经功能评估导向呼吸训练,包含膈式呼吸(第1~2周)、节律调控呼吸(第3~4周)及复合式呼吸(第5~8周)三阶段渐进方案,每周5次。对照组接受常规呼吸指导。通过胃排空闪烁扫描评估固体胃排空时间,Ewing自主神经功能评分系统监测副交感神经活性,并记录症状严重指数(GCSI)和心率变异性(HRV)参数。分别于干预前、干预8周后检测代谢控制指标。结果2组患者干预前固体胃排空时间、胃窦收缩幅度、相邻的正常窦性心搏间期差值的均方根(RMSSD)、高频功率(HF)、Ewing评分、GCSI总分、恶心发作频率、糖化血红蛋白(HbA1c)、血糖波动系数(MAGE)比较差异均无统计学意义(P>0.05)。与干预前比较,2组患者干预后的固体胃排空时间显著缩短,胃窦收缩幅度显著提高(P<0.05)。对照组患者干预后HF显著高于干预前(P<0.05)。与干预前比较,观察组患者干预后RMSSD、HF显著提高,Ewing评分、GCSI总分、恶心发作频率、HbA1c、MAGE显著降低(P<0.05)。与对照组比较,观察组患者干预后胃排空时间、Ewing评分、GCSI总分、恶心发作频率、HbA1c、MAGE显著降低,胃窦收缩幅度、RMSSD、HF显著增高(P<0.05)。对照组患者肌肉酸痛1例(2.2%),头晕2例(4.3%),不良反应总发生率为6.5%(3/46);观察组患者肌肉酸痛8例(17.4%),头晕2例(4.3%),过度通气2例(4.3%),不良反应总发生率为26.1%(12/46)。观察组患者的不良反应总发生率高于对照组(χ^(2)=4.423,P<0.05),2组均未出现严重不良反应。结论消化内科护士主导的、以自主神经功能评估为导向的渐进式呼吸训练,能改善糖尿病胃轻瘫患者的胃动力障碍,改善临床症状,为护理人员提升非药物管理水平提供可量化的实践依据。 展开更多
关键词 糖尿病胃轻瘫 自主神经功能评估 渐进式呼吸训练 胃动力障碍 副交感神经调节
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基于TBL的分层教学模式在神经内科住院医师规范化培训中的应用 被引量:2
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作者 伍嫦珠 王恩 +3 位作者 柯绍发 虞丹 王凤 胡晓飞 《中国毕业后医学教育》 2025年第1期24-27,共4页
目的探讨基于团队的学习(team-based learning,TBL)的分层教学模式在神经内科住院医师规范化培训(简称住培)中的应用效果。方法选取2021年7月—12月及2022年7月—12月在浙江省台州医院神经内科轮转的住院医师119人为研究对象,2021年为... 目的探讨基于团队的学习(team-based learning,TBL)的分层教学模式在神经内科住院医师规范化培训(简称住培)中的应用效果。方法选取2021年7月—12月及2022年7月—12月在浙江省台州医院神经内科轮转的住院医师119人为研究对象,2021年为观察组,采取分层递进TBL教学法;2022年为对照组,采取传统教学法。比较两组在教学满意度及综合能力考核两方面的培训效果。结果在教学满意度评价方面,指导医师、教学秘书对观察组的满意度评价高于对照组,差异有统计学意义(P<0.05),观察组对科室满意度评价高于对照组,差异有统计学意义(P<0.05)。综合能力考核方面,观察组的SOAP、理论成绩、体格检查、临床思维和病史采集考核的成绩高于对照组,差异有统计学意义(P<0.05)。结论基于TBL的分层教学模式在神经内科住培中的应用可以满足不同层次住院医师的要求,提高总体满意度及考核成绩,增强住院医师主动学习及临床思维能力。 展开更多
关键词 神经内科 住院医师规范化培训 基于团队的学习 分层递进
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基于Mini-CEX评估三轮分层递进培养模式下住院医师产科轮转效果 被引量:2
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作者 朱好 徐嬿 +2 位作者 陆烨敏 宁程程 徐焕 《中国毕业后医学教育》 2025年第1期20-23,45,共5页
目的探讨三轮分层递进培养模式在产科轮转住院医师教学中的效果。方法纳入于复旦大学附属妇产科医院产科轮转的2020级和2021级66名住院医师,2021级住院医师(n=36)接受三轮分层递进培养,2020级住院医师(n=30)接受两轮阶段性培养,采用迷... 目的探讨三轮分层递进培养模式在产科轮转住院医师教学中的效果。方法纳入于复旦大学附属妇产科医院产科轮转的2020级和2021级66名住院医师,2021级住院医师(n=36)接受三轮分层递进培养,2020级住院医师(n=30)接受两轮阶段性培养,采用迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)方法在每轮培养结束时评估住院医师的产科临床能力,比较2020级和2021级Mini-CEX测评结果,收集住院医师每次测评后反馈信息、考官和住院医师对考核的满意度。结果2020级住院医师在病史采集、人文关怀、整体表现方面较首次测评有提高(均P<0.05)。2021级住院医师在三轮测评中各方面均有提高(均P<0.05)。其中通过多次阶段性评估和不断反馈,两组住院医师第一轮Mini-CEX测评差异无统计学意义(P>0.05),最后一轮Mini-CEX测评中2021级住院医师在病史采集、诊疗思路和整体表现方面得分更高,差异有统计学意义(均P<0.05)。不同轮转程度的住院医师测评后反馈的侧重点有所不同,住院医师和考官对考核的满意度均达到100%。结论三轮分层递进培养模式在住院医师产科轮转中效果明显,值得在临床教学中应用和推广。 展开更多
关键词 迷你临床演练评估 形成性评价 分层递进 住院医师规范化培训 产科
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分层进阶培养模式在妇产科住院医师规范化培训中的探索与实践 被引量:1
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作者 何丽丹 吴建波 +2 位作者 王金华 谢新平 陈丽红 《中国高等医学教育》 2025年第3期34-36,共3页
住院医师规范化培训作为医学生毕业后教育的重要内容,对于培养合格临床医师具有重要意义。系统性、规范化和科学合理的培训是确保医学生成为合格住院医师的关键举措。福建医科大学附属第一医院自2010年开展住院医师规范化培训以来,始终... 住院医师规范化培训作为医学生毕业后教育的重要内容,对于培养合格临床医师具有重要意义。系统性、规范化和科学合理的培训是确保医学生成为合格住院医师的关键举措。福建医科大学附属第一医院自2010年开展住院医师规范化培训以来,始终致力于教学创新与改革。医院积极探索实施以岗位胜任力为导向的分层进阶式培养模式,从基础医学知识、临床诊疗思维、医学教学能力和科研创新能力四大核心模块入手,开展了富有成效的实践探索,并取得显著成果。 展开更多
关键词 妇产科 住院医师规范化培训 分层进阶式培养
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