BACKGROUND Post-intensive care syndrome(PICS)is a term used to describe a constellation of new or worsened dysfunctions in the physical,cognitive,or mental health status of critically ill patients after their discharg...BACKGROUND Post-intensive care syndrome(PICS)is a term used to describe a constellation of new or worsened dysfunctions in the physical,cognitive,or mental health status of critically ill patients after their discharge from the intensive care unit(ICU).These dysfunctions persist beyond the acute phase of illness and have a significant impact on both the patient and their family.Connect,Introduce,Communicate,Ask,Respond,Exit(CICARE)communication advocates that patients should be respected and accepted when receiving medical services.Clinicians should attach importance to the communication mode of feelings,including connection,introduction,communication,ask,response,and exit 6 steps.AIM To assess the impact of CICARE communication on the reduction of anxiety,depression,and post-traumatic stress disorder(PTSD)symptoms in patients transitioning from the ICU to other care settings.METHODS This prospective,randomized,controlled study was performed between October 2021 and March 2023.Intensive Care Unit Memory Tool was used to evaluate patients’ICU memory.The Hospital Anxiety and Depression Scale was employed to determine the presence of anxiety or depression symptoms.Impact of Event Scale-Revised was utilized to assess the presence of PTSD.All data were processed and analyzed using R language software version 4.1.0.The measurement data were expressed as mean±SD,and the t test was used.The count data were analyzed by theχ2 test and expressed as[n(%)].RESULTS In total,248 subjects were included in this study.Among them,206 were successfully followed up for three months after transfer from the ICU,and 42 cases were lost to follow-up.There was no significant difference in the composition of ICU memory between the two groups.The application of the CICARE communication nursing model combined with the motivational psychological intervention nursing model,as well as the adoption of only the motivational psychological intervention nursing model,demonstrated favorable effects on PICS.Both groups of patients showed a reductio展开更多
In the framework of D6rnyei＇s L2 Motivational Self System （hereafter abbreviated as L2MSS）, this paper makes an empirical survey among learners of English in China, investigating the parameters of the three interna...In the framework of D6rnyei＇s L2 Motivational Self System （hereafter abbreviated as L2MSS）, this paper makes an empirical survey among learners of English in China, investigating the parameters of the three internal components of L2MSS among learners of various L2 proficiency levels. It is found that the strongest predictor among the three internal components of L2MSS contributing to the L2 Learning Motivation is closely related to learners＇ L2 proficiency levels. For lower-level L2 learners, the strongest predictor of L2 Learning Motivation is Second Language Learning Experience （hereafter abbreviated as SLLE）, while for higher-level L2 learners, the strongest predictor is their Ideal L2 Self. Furthermore, the overall picture of the parameters of the three internal components of L2MSS across various groups of L2 proficiency levels shows a regular pattern. That is, with the increase of L2 proficiency, the self dimension （Ideal 1.2 Self and Ought-to L2 Self, especially the former） plays an increasingly important role in its contribution to L2 Learning Motivation while the SLLE plays a decreasingly important role in the contribution to L2 Learning Motivation.展开更多
BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynam...BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynamic fluctuation of patients undergoing interventional surgery,which is not conducive to the smooth and safe operation of interventional surgery.Therefore,it is very important to implement effective nursing intervention in the operating room.AIM To explore the intervention effect of motivational psychological nursing combined with programmed nursing on compliance and bad mood of patients in interventional operating room.METHODS A total of 98 patients in the interventional operating room of our hospital from October 2019 to March 2021 were randomly divided into study group(n=49)and control group(n=49).The control group took routine nursing.However,the study group took motivational psychological nursing combined with procedural nursing on the basis of the control group.Statistics were made on rehabilitation compliance,Positive and Negative Affect Schedule of bad mood,Simplified Coping Styles Questionnaire score of coping style and satisfaction of intervention between the two groups before and after intervention.RESULTS The rehabilitation compliance of the study group(95.92%)was higher than that of the control group(81.63%)(P<0.05).After intervention,the scores of upset,fear,irritability,tension and fear in the study group were respectively,which were lower than those in the control group(P<0.05).After intervention,the score of positive coping in the study group was higher than that in the control group.However,the score of negative coping in the study group was lower than that in the control group(P<0.05).The intervention satisfaction of the study group(93.88%)was higher than that of the control group(79.59%)(P<0.05).CONCLUSION The intervention of motivational psychological nursing combined with procedural nursing can improve the rehabilitation compliance,and alleviate the bad mood.In addition,it can ch展开更多
The high rate of relapse among heroin users remains a significant public concern in China. In the present study, we utilized a Motivation-Skill-Desensitization-Mental Energy (MSDE) intervention and evaluated its effec...The high rate of relapse among heroin users remains a significant public concern in China. In the present study, we utilized a Motivation-Skill-Desensitization-Mental Energy (MSDE) intervention and evaluated its effects on abstinence and mental health. Eighty-nine male heroin users in a drug rehabilitation center were enrolled in the study. The participants in the MSDE intervention group (n=46) received MSDE intervention, which included motivational interviewing, coping skills training, eye movement desensitization and reprocessing, and mindfulness-based psychotherapy. The participants in the control group (h=43) received a series of lectures on skills training. A significant increase in Contemplation Ladder score (P<0.001) and decreases in scores on the Obsessive Compulsive Drug Use Scale (P<0.001), Beck Depression Inventory (P<0.001), and Aggression Questionnaire (P=O.O33) were found immediately after intervention. Compared to the control group, the MSDE intervention group reported significantly higher abstinence rates (P=0.027) and retention rates (P<0.001) at follow-up. Overall, the MSDE intervention, which uses a combined strategy for relapse prevention, could be a promising approach for preventing relapse among heroin users in China.展开更多
Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework ...Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework for UC diagnosis and treatment.However,standard procedures and the medical content focused upon medical consultations in UC patients has not yet been defined.Moreover,UC is a complex disease,given that patient characteristics and patient needs have been proven to vary during clinical consultation since establishing the diagnosis and upon the course of the disease.In this article,we have discussed the key elements and specific objectives to consider in medical consultation,such as diagnosis,first visits,follow-up visits,active disease patients,patients on topical therapies,new treatment initiation,refractory patients,extra-intestinal manifestations,as well as challenging situations.The key elements have been mentioned to comprise effective communication techniques,motivational interviewing(MI),as well as information and educational aspects,or organizational issues.The key elements to be implemented in daily practice were reported to comprise several general principles like duly prepared consultations,in addition to honesty and empathy with patients,as well as effective communication techniques,MI,information and educational points,or organizational issues.The role of other healthcare professionals such as specialized nurses,psychologists,or the use of checklists was also discussed and commented on.展开更多
How enterprises overcome the digital divide in a digital economy is a topic related to efficiency and fairness.The formation of the digital divide has showcased a certain level of objectivity and is also influenced by...How enterprises overcome the digital divide in a digital economy is a topic related to efficiency and fairness.The formation of the digital divide has showcased a certain level of objectivity and is also influenced by the characteristics of enterprises themselves.Based on the model that expands the information and communication technology(ICT)access,concept,we explored the digital divide’s formation logic of the digital divide and feasible ways to cross it.Our findings shed light on its formation logic,which includes elements of the subjective will of enterprises to transform,the fear of transformation,the dependence on development paths,and the cost of using digital technology,all of which have contributed to disparities in enterprises’motivational access.In addition,differences in the construction of digital infrastructure,financial strengths,business models,and heterogeneity in cluster networks have led to differences in enterprises’material access.The absorptive capacity of enterprises has affected their skill access,while the management capability influences the application access of enterprises.We also found that crossing the digital divide requires the joint efforts of governments,markets,and enterprises in the four access dimensions.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 posto展开更多
Motivation is a key factor that influences the outcome of second language(L2)learning.Chinese as a second language(CSL)learners,however,may experience demotivation in their Chinese learning process which will,more oft...Motivation is a key factor that influences the outcome of second language(L2)learning.Chinese as a second language(CSL)learners,however,may experience demotivation in their Chinese learning process which will,more often than not,reduce their learning interest and eventually affect their learning effect,therefore,it is necessary to enhance the learners’motivation level.This article first reviews the research literature in motivation in general,then discusses the CSL learners’demotivation in their Chinses learning process studying in China.Finally,it introduces motivational strategies to activate CSL learners’motivation in learning Chinese.展开更多
Lying flat(Tang Ping)is a prevalent way of life in contemporary countries throughout the world.It is an avoidance behavior chosen by individuals in response to limited social resources and ongoing harsh social competi...Lying flat(Tang Ping)is a prevalent way of life in contemporary countries throughout the world.It is an avoidance behavior chosen by individuals in response to limited social resources and ongoing harsh social competition.Previous studies have demonstrated that the phenomena of“lying flat”has a major negative effect on student learning.In order to investigate the impact of educational innovation on the phenomenon of“lying flat”,we will observe students’learning behaviors under the traditional education model and innovative teaching methods in our Bali teaching practice to determine the causes of“lying flat”and the means to improve educational innovation.The study found that“lying flat”is caused not just by students’discontent with their level difference,but also by the conflict between external resources and internal pressure.In addition,educational reforms on three levels,including further stratified education,strengthening teacher education and promoting effective communication between students and teachers,and employing online resources to promote students’interest in learning,can ameliorate the phenomenon of pupils“lying flat”.This study contends that educational innovation can have a positive effect on the phenomena of“lying flat”.展开更多
This study aims to explore the effects of motivational beliefs on non-English majors’ use of motivational regulation strategies by establishing a structural equation model. The survey of 301 sophomores indicated that...This study aims to explore the effects of motivational beliefs on non-English majors’ use of motivational regulation strategies by establishing a structural equation model. The survey of 301 sophomores indicated that(1)three motivational beliefs,self-efficacy,mastery goal orientation and task value correlated positively and significantly with each other;(2)all of them had direct and positive effects on the use of motivational regulation strategies and could predict 53% variance of the use of motivational regulation strategies;(3)self-efficacy had the largest direct and positive effects,mastery goal orientation’s effects were the second,and task value’s effects were the third.展开更多
A survey carried out among 286 left-behind children in a middle school through the lens of L2 Motivational Self System presents that although left-behind children possess low level of English learning motivation,they ...A survey carried out among 286 left-behind children in a middle school through the lens of L2 Motivational Self System presents that although left-behind children possess low level of English learning motivation,they are favorably disposed towards studying English.Among the three dimensions of L2 Motivational Self System in this survey,L2 Learning Experience influences English learning motivation of left-behind children most and Ideal L2 Self with Ought-to L2 Self ranks the second in affecting their motivation.Practicalimplications are also provided.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
Age is an important factor in foreign language learning. Different age groups have different characteristics. Knowing these characteristics may help the learners to increase their learning speed and achievement. This ...Age is an important factor in foreign language learning. Different age groups have different characteristics. Knowing these characteristics may help the learners to increase their learning speed and achievement. This paper focuses on the similarities and differences of different age groups in learning a foreign language from physical, cognitive, affective, motivational and linguistic domains. Teachers can take corresponding methods in foreign language teaching in accordance with special characteristics of the age group being taught so as to obtain the best result in language classroom.展开更多
Most college students are passionate and excited about attending college English as freshman.As time goes by,they become bored and poorly motivated in attending the English class.In this paper,the motivational strateg...Most college students are passionate and excited about attending college English as freshman.As time goes by,they become bored and poorly motivated in attending the English class.In this paper,the motivational strategies that can be applied in college English teaching will be discussed from four perspectives.These strategies may provide useful references for college English teachers who want to motivate students to get involved in English study.展开更多
Successfully implementing a plant-based diet is attain-able for patients, but the likelihood of achieving long-term,dietary maintenance can be increased by follow-up andsupport from practitioners. Practitioners, in pa...Successfully implementing a plant-based diet is attain-able for patients, but the likelihood of achieving long-term,dietary maintenance can be increased by follow-up andsupport from practitioners. Practitioners, in particular physi-cians, are seen as nutrition authorities,and are thereforewell-positioned to deliver dietary advice and nutritionalprescriptions.展开更多
It is acknowledged that teachers' instruction and guidance play an important role in students' improvements of schooling. A number of teachers, however, regard effectively responding to students' papers as...It is acknowledged that teachers' instruction and guidance play an important role in students' improvements of schooling. A number of teachers, however, regard effectively responding to students' papers as a touchy issue. In order to address this problem, this essay will review some of the major studies on teachers' response to students' writing in a historical way and, from these studies, some beneficial methods will be suggested, such as a process approach, collaborative ways of writing and motivational techniques.展开更多
This paper aims to explore motivational variations in different teenage English learner groups in Chinese context.Drawing on L2 Motivational Self System as the theoretical framework,combining You and Dornyei’s resear...This paper aims to explore motivational variations in different teenage English learner groups in Chinese context.Drawing on L2 Motivational Self System as the theoretical framework,combining You and Dornyei’s research with my professional teaching experience,this paper found that students who learn English for the purpose of passing the exam,ought-to L2self dimension is the highest,with L2 learning experience and ideal L2 self following behind.Students who tend to live or study abroad,ideal L2 self is the best predictor,followed by L2 learning experience and ought-to L2 self.This indicates that teachers should improve teaching methods,apply motivational strategies in the classroom,and encourage and help students to use selfmotivating strategies to motivate themselves.展开更多
Partenariat Santé (PS) launched in Québec in 2016, is inspired from the Cardiovascular Health Awareness Program (CHAP) and consists of a free session held in the community by students coming from different h...Partenariat Santé (PS) launched in Québec in 2016, is inspired from the Cardiovascular Health Awareness Program (CHAP) and consists of a free session held in the community by students coming from different health sciences programs. The program’s mission is to make available early detection of modifiable CVD risk factors, raise awareness of participants about their impact on CVDs, and promote healthy life changes. In order to gather information to optimize the implementation of this program and eventually to enlarge its implementation to other sites, the first objective of this study was to explore the characteristics of the adult population participating in the PS program and to identify the risk factors they want to modify. The second objective was to evaluate one month later the effective implementation of the action plan elaborated during the motivational interview. The third objective was to evaluate the satisfaction of the participants with the PS program. One hundred ten subjects who attended PS sessions during this period were enrolled in the study. About 30% of participants have blood pressure values ≥ 140/90 mmHg and 40% present a waist circumference associated with higher risk profile. The behaviors to be changed mostly targeted by the participants were physical inactivity and nutrition. A motivational interview was conducted with the elaboration of an action plan to support the behavioral/outcomes changes. Sixty participants (54.5%) completed the questionnaire in the one-month follow-up. Forty-one (68.3%) participants revealed that they had put their action plans into practice, while 63.3% claimed that they mostly reached their objectives. Motivation remains high after one month for participants who put their action plans in place (7.8 ± 1.9 versus 7.4 ± 1.6;p = 0.214), whereas it decreased significantly for those who did not (6.8 ± 2.1 versus 5.8 ± 2.0;p = 0.029). The majority of them agreed that PS program was useful (75%) and led them to change their lifestyle related to cardiovascular hea展开更多
An empirical survey among 219 school students in the framework of L2 Motivational Self System found that Ideal L2 Self,Ought-to L2 Self and L2 Learning Experience in the System make different contributions to L2 motiv...An empirical survey among 219 school students in the framework of L2 Motivational Self System found that Ideal L2 Self,Ought-to L2 Self and L2 Learning Experience in the System make different contributions to L2 motivation respectively and L2 Learning Experience is the largest contributor to L2 motivation for primary and middle school students.The pedagogical implications are also suggested.展开更多
文摘BACKGROUND Post-intensive care syndrome(PICS)is a term used to describe a constellation of new or worsened dysfunctions in the physical,cognitive,or mental health status of critically ill patients after their discharge from the intensive care unit(ICU).These dysfunctions persist beyond the acute phase of illness and have a significant impact on both the patient and their family.Connect,Introduce,Communicate,Ask,Respond,Exit(CICARE)communication advocates that patients should be respected and accepted when receiving medical services.Clinicians should attach importance to the communication mode of feelings,including connection,introduction,communication,ask,response,and exit 6 steps.AIM To assess the impact of CICARE communication on the reduction of anxiety,depression,and post-traumatic stress disorder(PTSD)symptoms in patients transitioning from the ICU to other care settings.METHODS This prospective,randomized,controlled study was performed between October 2021 and March 2023.Intensive Care Unit Memory Tool was used to evaluate patients’ICU memory.The Hospital Anxiety and Depression Scale was employed to determine the presence of anxiety or depression symptoms.Impact of Event Scale-Revised was utilized to assess the presence of PTSD.All data were processed and analyzed using R language software version 4.1.0.The measurement data were expressed as mean±SD,and the t test was used.The count data were analyzed by theχ2 test and expressed as[n(%)].RESULTS In total,248 subjects were included in this study.Among them,206 were successfully followed up for three months after transfer from the ICU,and 42 cases were lost to follow-up.There was no significant difference in the composition of ICU memory between the two groups.The application of the CICARE communication nursing model combined with the motivational psychological intervention nursing model,as well as the adoption of only the motivational psychological intervention nursing model,demonstrated favorable effects on PICS.Both groups of patients showed a reductio
基金supported by the Humanity and Social Sciences Planning Fund Sponsored by Chinese Ministry of Education(Grant No.10YJAZH048)
文摘In the framework of D6rnyei＇s L2 Motivational Self System （hereafter abbreviated as L2MSS）, this paper makes an empirical survey among learners of English in China, investigating the parameters of the three internal components of L2MSS among learners of various L2 proficiency levels. It is found that the strongest predictor among the three internal components of L2MSS contributing to the L2 Learning Motivation is closely related to learners＇ L2 proficiency levels. For lower-level L2 learners, the strongest predictor of L2 Learning Motivation is Second Language Learning Experience （hereafter abbreviated as SLLE）, while for higher-level L2 learners, the strongest predictor is their Ideal L2 Self. Furthermore, the overall picture of the parameters of the three internal components of L2MSS across various groups of L2 proficiency levels shows a regular pattern. That is, with the increase of L2 proficiency, the self dimension （Ideal 1.2 Self and Ought-to L2 Self, especially the former） plays an increasingly important role in its contribution to L2 Learning Motivation while the SLLE plays a decreasingly important role in the contribution to L2 Learning Motivation.
文摘BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynamic fluctuation of patients undergoing interventional surgery,which is not conducive to the smooth and safe operation of interventional surgery.Therefore,it is very important to implement effective nursing intervention in the operating room.AIM To explore the intervention effect of motivational psychological nursing combined with programmed nursing on compliance and bad mood of patients in interventional operating room.METHODS A total of 98 patients in the interventional operating room of our hospital from October 2019 to March 2021 were randomly divided into study group(n=49)and control group(n=49).The control group took routine nursing.However,the study group took motivational psychological nursing combined with procedural nursing on the basis of the control group.Statistics were made on rehabilitation compliance,Positive and Negative Affect Schedule of bad mood,Simplified Coping Styles Questionnaire score of coping style and satisfaction of intervention between the two groups before and after intervention.RESULTS The rehabilitation compliance of the study group(95.92%)was higher than that of the control group(81.63%)(P<0.05).After intervention,the scores of upset,fear,irritability,tension and fear in the study group were respectively,which were lower than those in the control group(P<0.05).After intervention,the score of positive coping in the study group was higher than that in the control group.However,the score of negative coping in the study group was lower than that in the control group(P<0.05).The intervention satisfaction of the study group(93.88%)was higher than that of the control group(79.59%)(P<0.05).CONCLUSION The intervention of motivational psychological nursing combined with procedural nursing can improve the rehabilitation compliance,and alleviate the bad mood.In addition,it can ch
基金This study was funded by the National Natural Science Foundation of China (No.30872175,No.81573236).
文摘The high rate of relapse among heroin users remains a significant public concern in China. In the present study, we utilized a Motivation-Skill-Desensitization-Mental Energy (MSDE) intervention and evaluated its effects on abstinence and mental health. Eighty-nine male heroin users in a drug rehabilitation center were enrolled in the study. The participants in the MSDE intervention group (n=46) received MSDE intervention, which included motivational interviewing, coping skills training, eye movement desensitization and reprocessing, and mindfulness-based psychotherapy. The participants in the control group (h=43) received a series of lectures on skills training. A significant increase in Contemplation Ladder score (P<0.001) and decreases in scores on the Obsessive Compulsive Drug Use Scale (P<0.001), Beck Depression Inventory (P<0.001), and Aggression Questionnaire (P=O.O33) were found immediately after intervention. Compared to the control group, the MSDE intervention group reported significantly higher abstinence rates (P=0.027) and retention rates (P<0.001) at follow-up. Overall, the MSDE intervention, which uses a combined strategy for relapse prevention, could be a promising approach for preventing relapse among heroin users in China.
文摘Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework for UC diagnosis and treatment.However,standard procedures and the medical content focused upon medical consultations in UC patients has not yet been defined.Moreover,UC is a complex disease,given that patient characteristics and patient needs have been proven to vary during clinical consultation since establishing the diagnosis and upon the course of the disease.In this article,we have discussed the key elements and specific objectives to consider in medical consultation,such as diagnosis,first visits,follow-up visits,active disease patients,patients on topical therapies,new treatment initiation,refractory patients,extra-intestinal manifestations,as well as challenging situations.The key elements have been mentioned to comprise effective communication techniques,motivational interviewing(MI),as well as information and educational aspects,or organizational issues.The key elements to be implemented in daily practice were reported to comprise several general principles like duly prepared consultations,in addition to honesty and empathy with patients,as well as effective communication techniques,MI,information and educational points,or organizational issues.The role of other healthcare professionals such as specialized nurses,psychologists,or the use of checklists was also discussed and commented on.
文摘How enterprises overcome the digital divide in a digital economy is a topic related to efficiency and fairness.The formation of the digital divide has showcased a certain level of objectivity and is also influenced by the characteristics of enterprises themselves.Based on the model that expands the information and communication technology(ICT)access,concept,we explored the digital divide’s formation logic of the digital divide and feasible ways to cross it.Our findings shed light on its formation logic,which includes elements of the subjective will of enterprises to transform,the fear of transformation,the dependence on development paths,and the cost of using digital technology,all of which have contributed to disparities in enterprises’motivational access.In addition,differences in the construction of digital infrastructure,financial strengths,business models,and heterogeneity in cluster networks have led to differences in enterprises’material access.The absorptive capacity of enterprises has affected their skill access,while the management capability influences the application access of enterprises.We also found that crossing the digital divide requires the joint efforts of governments,markets,and enterprises in the four access dimensions.
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 posto
基金This article is supported by the following projects:A Study on Individual Differences in Chinese Learning Needs and the Effect of Chinese Learning of International Students in Anhui Province(Grant No.SK2020A0034)A Study on the Effective Input and Output of Multimodal Synergy in College English Audio-video Classroom(Grant No.acjyyb2022078).
文摘Motivation is a key factor that influences the outcome of second language(L2)learning.Chinese as a second language(CSL)learners,however,may experience demotivation in their Chinese learning process which will,more often than not,reduce their learning interest and eventually affect their learning effect,therefore,it is necessary to enhance the learners’motivation level.This article first reviews the research literature in motivation in general,then discusses the CSL learners’demotivation in their Chinses learning process studying in China.Finally,it introduces motivational strategies to activate CSL learners’motivation in learning Chinese.
文摘Lying flat(Tang Ping)is a prevalent way of life in contemporary countries throughout the world.It is an avoidance behavior chosen by individuals in response to limited social resources and ongoing harsh social competition.Previous studies have demonstrated that the phenomena of“lying flat”has a major negative effect on student learning.In order to investigate the impact of educational innovation on the phenomenon of“lying flat”,we will observe students’learning behaviors under the traditional education model and innovative teaching methods in our Bali teaching practice to determine the causes of“lying flat”and the means to improve educational innovation.The study found that“lying flat”is caused not just by students’discontent with their level difference,but also by the conflict between external resources and internal pressure.In addition,educational reforms on three levels,including further stratified education,strengthening teacher education and promoting effective communication between students and teachers,and employing online resources to promote students’interest in learning,can ameliorate the phenomenon of pupils“lying flat”.This study contends that educational innovation can have a positive effect on the phenomena of“lying flat”.
基金sponsored by the Teaching Reform Project of Fujian Agricultural and Forestry University(111110011)(111416211)Foreign Language Teaching and Research Project of Foreign Languege Teaching and Research Press(2017121302)
文摘This study aims to explore the effects of motivational beliefs on non-English majors’ use of motivational regulation strategies by establishing a structural equation model. The survey of 301 sophomores indicated that(1)three motivational beliefs,self-efficacy,mastery goal orientation and task value correlated positively and significantly with each other;(2)all of them had direct and positive effects on the use of motivational regulation strategies and could predict 53% variance of the use of motivational regulation strategies;(3)self-efficacy had the largest direct and positive effects,mastery goal orientation’s effects were the second,and task value’s effects were the third.
文摘A survey carried out among 286 left-behind children in a middle school through the lens of L2 Motivational Self System presents that although left-behind children possess low level of English learning motivation,they are favorably disposed towards studying English.Among the three dimensions of L2 Motivational Self System in this survey,L2 Learning Experience influences English learning motivation of left-behind children most and Ideal L2 Self with Ought-to L2 Self ranks the second in affecting their motivation.Practicalimplications are also provided.
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Age is an important factor in foreign language learning. Different age groups have different characteristics. Knowing these characteristics may help the learners to increase their learning speed and achievement. This paper focuses on the similarities and differences of different age groups in learning a foreign language from physical, cognitive, affective, motivational and linguistic domains. Teachers can take corresponding methods in foreign language teaching in accordance with special characteristics of the age group being taught so as to obtain the best result in language classroom.
文摘Most college students are passionate and excited about attending college English as freshman.As time goes by,they become bored and poorly motivated in attending the English class.In this paper,the motivational strategies that can be applied in college English teaching will be discussed from four perspectives.These strategies may provide useful references for college English teachers who want to motivate students to get involved in English study.
文摘Successfully implementing a plant-based diet is attain-able for patients, but the likelihood of achieving long-term,dietary maintenance can be increased by follow-up andsupport from practitioners. Practitioners, in particular physi-cians, are seen as nutrition authorities,and are thereforewell-positioned to deliver dietary advice and nutritionalprescriptions.
文摘It is acknowledged that teachers' instruction and guidance play an important role in students' improvements of schooling. A number of teachers, however, regard effectively responding to students' papers as a touchy issue. In order to address this problem, this essay will review some of the major studies on teachers' response to students' writing in a historical way and, from these studies, some beneficial methods will be suggested, such as a process approach, collaborative ways of writing and motivational techniques.
文摘This paper aims to explore motivational variations in different teenage English learner groups in Chinese context.Drawing on L2 Motivational Self System as the theoretical framework,combining You and Dornyei’s research with my professional teaching experience,this paper found that students who learn English for the purpose of passing the exam,ought-to L2self dimension is the highest,with L2 learning experience and ideal L2 self following behind.Students who tend to live or study abroad,ideal L2 self is the best predictor,followed by L2 learning experience and ought-to L2 self.This indicates that teachers should improve teaching methods,apply motivational strategies in the classroom,and encourage and help students to use selfmotivating strategies to motivate themselves.
文摘Partenariat Santé (PS) launched in Québec in 2016, is inspired from the Cardiovascular Health Awareness Program (CHAP) and consists of a free session held in the community by students coming from different health sciences programs. The program’s mission is to make available early detection of modifiable CVD risk factors, raise awareness of participants about their impact on CVDs, and promote healthy life changes. In order to gather information to optimize the implementation of this program and eventually to enlarge its implementation to other sites, the first objective of this study was to explore the characteristics of the adult population participating in the PS program and to identify the risk factors they want to modify. The second objective was to evaluate one month later the effective implementation of the action plan elaborated during the motivational interview. The third objective was to evaluate the satisfaction of the participants with the PS program. One hundred ten subjects who attended PS sessions during this period were enrolled in the study. About 30% of participants have blood pressure values ≥ 140/90 mmHg and 40% present a waist circumference associated with higher risk profile. The behaviors to be changed mostly targeted by the participants were physical inactivity and nutrition. A motivational interview was conducted with the elaboration of an action plan to support the behavioral/outcomes changes. Sixty participants (54.5%) completed the questionnaire in the one-month follow-up. Forty-one (68.3%) participants revealed that they had put their action plans into practice, while 63.3% claimed that they mostly reached their objectives. Motivation remains high after one month for participants who put their action plans in place (7.8 ± 1.9 versus 7.4 ± 1.6;p = 0.214), whereas it decreased significantly for those who did not (6.8 ± 2.1 versus 5.8 ± 2.0;p = 0.029). The majority of them agreed that PS program was useful (75%) and led them to change their lifestyle related to cardiovascular hea
文摘An empirical survey among 219 school students in the framework of L2 Motivational Self System found that Ideal L2 Self,Ought-to L2 Self and L2 Learning Experience in the System make different contributions to L2 motivation respectively and L2 Learning Experience is the largest contributor to L2 motivation for primary and middle school students.The pedagogical implications are also suggested.
