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  • <p>Effects of cluster nursing on cleanliness of intestinal preparation, adverse reactions and nursing satisfaction in patients with colonoscopy based on evidence-based theory</p>

    Subjects: Nursing >> Nursing submitted time 2024-01-26

    Abstract: Objective To explore the application effect of cluster nursing based on evidence-based theory in patients with enteroscopy, and to observe its effect on intestinal preparation cleanliness, adverse reactions and nursing satisfaction. Methods 126 patients who underwent enteroscopy in our hospital from March 2020 to March 2023 were randomly divided into control group (n = 63) and observation group (n = 63). Patients in the observation group were given cluster nursing based on evidence-based theory. Intestinal cleanliness, enteroscopy time, success rate, changes of stress index before and after examination, occurrence of adverse reactions and patient satisfaction were compared between the two groups. Results compared with the control group, the intestinal cleanliness, success rate and patient satisfaction of the observation group were higher, the time of enteroscopy was shorter, and the incidence of adverse reactions was lower (P < 0.05). The stress index after examination in both groups was higher than that before examination (P < 0.05). Compared with the control group, the stress index of the observation group was lower than that of the control group(P<0.05). Conclusion Cluster nursing based on evidence-based theory can improve intestinal preparation cleanliness and patient satisfaction, reduce patients' stress reaction and reduce the incidence of adverse reactions.

  • 考虑客户感知和资源效率的汽车机电维修瓶颈设备调度

    Subjects: Computer Science >> Integration Theory of Computer Science submitted time 2018-05-02 Cooperative journals: 《计算机应用研究》

    Abstract: The goals of improving system efficiency and customer satisfaction can be achieved effectively through a rational scheduling for bottleneck machine in motor vehicle maintenance workshop. On the one hand, the promotion of system efficiency can be achieved by optimizing the make-span() ; on the other hand, customer satisfaction is affected by subjective factor, it’s necessary to do customer satisfaction into consideration while establishing an objective function of the scheduling problem. Combined with Behavioral Science Theory, the paper mixed people’s bounded rationality into service resources scheduling problem related to the customer. Firstly, take customer expected waiting time as a reference point by virtue of value function in the prospect theory, then establish customer dissatisfaction function towards waiting time. On the base of it, establish a multi-objective mathematical model combined with the objective of resource efficiency, assignment of tasks and resource constraints. Secondly, design genetic algorithm which is corresponding to the scheduling problem and then solve it. Ultimately, verify the feasibility and validity of model and algorithm by simulating example.

  • The Summarization and Clinical complication of National training project of backbone of Traditional Chinese Medicine Nursing

    Subjects: Nursing >> Nursing submitted time 2023-10-15

    Abstract: Objectve: This article aims to summarize the learning situation of the national training program for Traditional Chinese Medicine (TCM) nursing backbone talents, and shows the clinical observation and further consideration of the effective integration, which combines the learning Traditional Chinese Medicine nursing techniques with Yang Xu Han ‘Ning type of primary dysmenorrhea.Methods Through the systematic theoretical and practical studying at these four characteristics of Traditional Chinese Medicine training bases, meanwhile make full use of the department’s advantages, and observe the VAS before and after treatment,evaluated the clinical effect in the two groups by modified Ren-Meridian moxibustion united with Shou Gong application on Yang Xu Han ‘Ning type of primary dysmenorrhea.Results After the innovation with TCM nursing technology and clinical observation , The total efficiency in the treatment group(90%) was obviously higher 56.7% in the control group, it was statistically significant(P<0.05).Conclusion It indicates that national training program for Traditional Chinese Medicine nursing backbone talents will helpfully cultivate a group of high-quality Chinese medicine nurses with strong theoretical foundation、 rich experience、and innovative spirit. Besides, it obviously enhances the whole nursing group’s dialectical thinking and nursing skills of Traditional Chinese Medicine, and promotes various Traditional Chinese Medicine nursing operations, and demonstrates these advantages in Traditional Chinese Medicine nursing by giving play to the leading role of the backbone talents. Lastly, it can promote healthy and sustainable development of Traditional Chinese Medicine nursing.

  • 降雨过程中土壤物理结皮入渗情况及当量孔径的变化研究

    Subjects: Geosciences >> Geography submitted time 2024-03-01 Cooperative journals: 《干旱区研究》

    Abstract: Pore size in the soil physical crust directly affects soil water infiltration and gas exchange. However,few studies have investigated the changes in pore size within the soil physical crust during rainfall events. Thisstudy has utilized Lou soil as the research object and artificial rainfall simulations, with microdisk infiltrationapparatus to study the infiltration of the soil physical crust under different rainfall intensities and the pore sizechanges. The results show that under the pressure head of − 0.5 cm, the infiltration rate of the structural crustdecreases with the rainfall duration and then increases after 20 min. As rainfall progresses, the proportion of largepores in the two types of crusts begins to decrease, and the proportion of medium pores increases. The proportionof small pores in the structural crust decreases at 20 min, and the proportion of medium pores in the sedimentarycrust remains unchanged at 10 min. The average pore size for the two types of crusts was found to decrease withthe extension of the rainfall duration. During the increase in the negative pressure head, the effective infiltrationcapacity of the soil crust decreased. When the soil crust developed completely, the infiltration rate tended to bestable.

  • 亲子关系和父母教育卷入对青少年抑郁、自伤和自杀意念的影响:挫败感和人生意义感的作用

    Subjects: Psychology >> Social Psychology submitted time 2023-03-27 Cooperative journals: 《心理学报》

    Abstract: Because of their high incidence as well as high risk, adolescent psychological problems have been a constant pressing topic of governmental, psychological, sociological, and medical interest for research. Adolescent depression, self-injury, and suicidal ideation not only have serious impacts on an individual social functioning, the burden of disease and economic pressures caused by self-harming incidents also make it vital to explore the factors affecting these behaviors and their developmental mechanisms. Ecosystem theory emphasizes the role and significance of the environment in the process of individual development, believing that individual development is the result of one’s interactions with the surrounding environment. As the innermost structure in the ecosystem, family is the environment that is most relevant for individuals, having the greatest influence. In this study, two important components of the parent-child subsystem parent-child relationship (child) and educational involvement (parent) were introduced to explore their combined effects on adolescent depression, self-injury, and suicidal ideation from a binary perspective. The roles of frustration and sense of meaning in life were also investigated from an integrated motivational-volitional model perspective. The current study built a moderated mediation model exploring the combined effects of the parent-child relationship on adolescent depression, self-injury, and suicidal ideation. A total of 930 middle school students (501 boys, 429 girls; average age = 15.24 ± 1.66 years) and their parents participated in this investigation. After given their informed consent, both parents and students completed the Short Form of Center for Epidemiological Studies Depression Scale, the Deliberate Self-Harm Inventory, the Four-item Depressive Symptom Index ? Suicidality Subscale, the Parent-Child Intimacy Questionnaire, Parental Involvement in Primary School Children Education, the Defeat Scale, and the Chinese Meaning in Life Questionnaire. SPSS 26.0, AMOS 23.0, and Mplus 7.0 were used to analyze the data. The results indicated that: (1) Compared to individuals with a low parent-child relationship and low educational involvement, adolescents with a high parent-child relationship and high educational involvement had lower levels of defeat. Compared to adolescents with a low parent-child relationship and high educational involvement, individuals with a high parent-child relationship and low educational involvement showed lower levels of defeat; (2) Defeat partially mediated the relationship between the parent-child relationship and educational involvement and adolescent depression, self-injury, and suicidal ideation; (3) The second half of the mediation model was moderated by meaning in life, that is, with the increase of meaning in life, the effect of defeat on depression, self-injury, and suicidal ideation gradually decreased. Based on ecosystem theory and integrated motivational-volitional model, and using innovative polynomial regression and response surface analysis, the current study investigated the influence of the parent-child relationship and parents' educational involvement on adolescent depression, self-injury, and suicidal ideation, as well as the mediating and moderating effects of defeat and meaning in life. The results providing additional evidence for the relevant developmental theories of depression, self-injury, and suicidal ideation. This study also offers more insight into potential psychological crisis behavioral interventions.

  • The effects of the parent-child relationship and parental educational involvement on adolescent depression, self-injury, and suicidal ideation: The roles of defeat and meaning in life

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2022-06-23

    Abstract:

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    Because of their high incidence as well as high risk, adolescent psychological problems have been a constant pressing topic of governmental, psychological, sociological, and medical interest for research. Adolescent depression, self-injury, and suicidal ideation not only have serious impacts on an individual social functioning, the burden of disease and economic pressures caused by self-harming incidents also make it vital to explore the factors affecting these behaviors and their developmental mechanisms. Ecosystem theory emphasizes the role and significance of the environment in the process of individual development, believing that individual development is the result of one’s interactions with the surrounding environment. As the innermost structure in the ecosystem, family is the environment that is most relevant for individuals, having the greatest influence. In this study, two important components of the parent-child subsystem parent-child relationship (child) and educational involvement (parent) were introduced to explore their combined effects on adolescent depression, self-injury, and suicidal ideation from a binary perspective. The roles of frustration and sense of meaning in life were also investigated from an integrated motivational-volitional model perspective.

    The current study built a moderated mediation model exploring the combined effects of the parent-child relationship on adolescent depression, self-injury, and suicidal ideation.  A total of 930 middle school students (501 boys, 429 girls; average age = 15.24 ± 1.66 years) and their parents participated in this investigation. After given their informed consent, both parents and students completed the Short Form of Center for Epidemiological Studies Depression Scale, the Deliberate Self-Harm Inventory, the Four-item Depressive Symptom Index – Suicidality Subscale, the Parent-Child Intimacy Questionnaire, Parental Involvement in Primary School Children Education, the Defeat Scale, and the Chinese Meaning in Life Questionnaire. SPSS 26.0, AMOS 23.0, and Mplus 7.0 were used to analyze the data.

    The results indicated that: (1) Compared to individuals with a low parent-child relationship and low educational involvement, adolescents with a high parent-child relationship and high educational involvement had lower levels of defeat. Compared to adolescents with a low parent-child relationship and high educational involvement, individuals with a high parent-child relationship and low educational involvement showed lower levels of defeat; (2) Defeat partially mediated the relationship between the parent-child relationship and educational involvement and adolescent depression, self-injury, and suicidal ideation; (3) The second half of the mediation model was moderated by meaning in life, that is, with the increase of meaning in life, the effect of defeat on depression, self-injury, and suicidal ideation gradually decreased.

    Based on ecosystem theory and integrated motivational-volitional model, and using innovative polynomial regression and response surface analysis, the current study investigated the influence of the parent-child relationship and parents' educational involvement on adolescent depression, self-injury, and suicidal ideation, as well as the mediating and moderating effects of defeat and meaning in life. The results providing additional evidence for the relevant developmental theories of depression, self-injury, and suicidal ideation. This study also offers more insight into potential psychological crisis behavioral interventions.

  • The Impact of Parent-Child Relationship on Adolescent Social Adjustment Following Childhood Trauma: Moderation by HPA Axis Multilocus Profile Score

    Subjects: Psychology >> Developmental Psychology submitted time 2024-04-21

    Abstract: Adolescence has been conceptualized as a second ’sensitive period,’ marked by neuroendocrine developmental changes that heighten sensitivity to the environment. Faced with an increase in stressful life events, particularly those involving interpersonal relationships, there is a continuous rise in the incidence of internalizing and externalizing issues during adolescence, which negatively impacts personality development, academic performance, and physical health. Prior research consistently supports that positive and healthy interpersonal relationships significantly enhance adolescents’ social adaptability and levels of well-being. Conversely, negative interpersonal relationships, especially those characterized by danger and hostility, lead individuals to develop negative cognitive patterns and self-assessments, thereby increasing the risk of psychological crises. Additionally, certain genetic traits also influence the adolescent social adjustment. Although the risk of social adjustment is influenced by multiple factors, the potential for interactions between genetics and the environment remains promising, garnering attention from researchers in psychology, psychiatry, and epigenetics. Given this backdrop, this study aims to explore the moderating role of genetic risk in different forms of environmental stress and adolescent social adjustment (including depressive symptoms, prosocial behavior, and self-injure) through the assessment of multilocus genetic variations and the measurement of a critical environmental risk factor, namely, parent-child relationship.
    Using questionnaires and DNA typing techniques, 700 adolescents (14.15 ± 0.63 years old) were selected from a junior high school in Hunan Province by whole group sampling. After obtaining informed consent from the school, parent and participants, they completed Parent-child Intimacy Questionnaire, Childhood trauma scale, Short Form of the Center for Epidemiological Studies Depression Scale Prosocial Tendencies Measures and Deliberate Self-Harm Inventory. The genetic samples were sent to a professional biotechnology company for DNA extraction and typing. In study 2: The participants recruited in Study 1 via an experimental flyer. They completed emotional Stroop task and dictator games.
    The results indicate the following: 1) HPA axis MGPS was only associated with mother-child relationship, and there were significant bidirectional correlations between parent-child relationships, Childhood trauma, depressive symptoms, prosocial behavior, and self-injure. 2) Utilizing the multilocus genetic profile score (MGPS) approach, in the context of the depression equation, whether in the father-child relationship model or the mother-child relationship model, the interaction effect between parent-child relationships and Childhood trauma strengthens as the HPA axis system’s MGPS increases. 3) The interaction effect of G×E×E was found to impact adolescent prosocial behavior only in the mother-child relationship model. Furthermore, this interaction becomes significant when the standard deviation of the MGPS exceeds -0.14. 4) No G × E × E triadic interaction was detected in the parent-student relationship model. Subsequent binary interaction test between Childhood trauma and MGPS revealed that as MGPS increased, the impact of Childhood trauma on adolescents self-injure increased. 5) Results from three sensitivity analyses also demonstrate that multigene hereditary research exhibits greater efficacy and stability. 6) Supplementary evidence indicates the presence of the main effect of parent-child relationships in accuracy and response time for emotional words. Additionally, the interaction effect of G×E×E was identified in the mother-child relationship model.
    In conclusion, this study demonstrates that the HPA axis multilocus genetic profile score moderates the adolescent stress sensitivity. Specifically, the HPA axis MGPS moderates the interaction between Childhood trauma and parent-child relationships, affecting adolescent social adjustment. Moreover, individuals with high genetic sensitivity exhibit a pattern consistent with the differential susceptibility model, wherein they display lower levels of depressive symptoms, self-injure, and higher prosocial behavior in positive environments, while the reverse holds true in adverse environments.