目的:探讨大学生暴力电子游戏接触与人际沟通的关系以及心理健康在暴力电子游戏接触与人际沟通间的中介效应.方法:采用暴力接触程度问卷、大学生人际沟通能力和大学生心理健康量表对678名大学生进行问卷调查.结果:大学生人际沟通能力得分为(179.62±24.05)分、暴力电子游戏接触得分为6.33(2.00,11.33)分、心理健康得分为(6.68±1.57)分;人际沟通总分与暴力电子游戏接触总分、心理健康总分均呈负相关(r值分别为-0.235,-0.278,均P<0.01),心理健康总分与暴力电子游戏接触总分呈正相关(r=0.216,P<0.01);心理健康在大学生暴力电子游戏接触与人际沟通之间起部分中介作用,效应值为-0.050,占总效应的29.07％.结论:暴力电子游戏接触对大学生人际沟通产生直接消极的影响,相反高水平心理健康作为保护性因子可缓冲暴力电子游戏对人际沟通的消极影响.

病人积极度与腰椎术后功能恢复之间具有相关性,对增加病人健康行为,提高康复锻炼依从性,改善功能障碍程度,促进良好康复结局具有显著作用.在此对腰椎手术病人积极度的研究现状、测量工具、影响因素及干预措施进行综述,以期为后续提高腰椎手术病人积极度水平提供参考.

慢性心力衰竭是威胁全球人类健康的主要疾病,患病率持续上升,而自我管理是患者控制心力衰竭进展及维持健康的重要方法,照顾者在自我管理中亦发挥着重要作用.文章从心衰患者-照顾者二元自我管理的影响因素、评价工具、干预措施三方面进行综述,旨在为我国从二元视角开展心力衰竭自我管理研究提供参考.

目的 深入了解全膝关节置换术(TKA)患者术前结果期望管理的体验,为优化术前结果期望管理策略提供参考.方法 采用目的抽样方法,选取2021年11月-2021年12月河南省某三级甲等医院骨外科11例接受TKA的患者进行半结构式深度访谈,采用Colaizzi 7步分析法进行资料归纳并提炼主题.结果 TKA患者的术前结果期望管理体验归纳为3个主题,包括术前结果期望的形成与建立(躯体症状困扰、信息影响下的疾病认知、外在因素的驱动),结果期望管理中的问题与应对(结果期望偏差、以问题为中心的应对、以情绪为中心的应对),结果期望管理中的需求(信息支持、医疗支持、社会支持).结论 患者对术前结果期望管理的认知一般,存在术前结果期望偏差和应对不足,医疗机构应充分重视患者对术前结果期望管理,提高患者疾病认知,优化患者的术前结果期望,协助患者建立有效应对策略,满足患者对信息、医疗和社会支持的需求,提高患者对结果期望的管理能力,改善结果期望管理过程中的体验,促进术前结果期望的实现.

Objective:To explore the application effect of dyadic intervention scheme based on dyadic disease management theory and Information, Knowledge, Attitude, and Practice model in the discharge preparation of elderly stroke patients and family caregivers.Methods:The 92 pairs of elderly stroke patients and their caregivers hospitalized in the Department of Neurology in People′s Hospital of Zhengzhou University were conveniently selected. The non synchronous control method quasi experimental research was adopted. Totally 46 pairs of subjects who met the criteria for admission and discharge from May to July 2022 were set as the control group, and routine nursing was carried out; from August to October 2022, 46 pairs of subjects who met the criteria for admission and emission were set as the observation group to implement the dyadic intervention program. The scores of discharge readiness, self-efficacy and unplanned readmission rate of patients between the two groups were compared, and the scores of caregiver readiness, self-efficacy and caregiver stress between the two groups were compared.Results:Finally, 85 pairs of subjects completed the study, with 42 pairs in the control group and 43 pairs in the observation group. On discharge day, the total scores of discharge readiness and caregiver readiness in the observation group were (95.19 ± 4.47), (23.02 ± 2.20) points, respectively, which were higher than those in the control group (85.71 ± 5.31), (19.57 ± 1.65) points, with statistically significant differences ( t=8.91,8.16, both P<0.01); the self-efficacy levels of patients in the observation group at discharge and one month after discharge, as well as those of caregivers at discharge and one month after discharge were (73.86 ± 4.87), (75.91 ± 4.51), (75.67 ± 4.99), (79.21 ± 4.90) points, respectively, higher than those in the control group (71.62 ± 5.19), (73.33 ± 4.91), (73.48 ± 4.24), (75.48 ± 4.24) points, with statistically significant differences ( t values were from 2.05 to 3.75, all P<0.05); the pressure levels of caregivers in the observation group at discharge and one month after discharge were (7.51 ± 2.48), (6.28 ± 1.99) points, respectively, lower than those in the control group (8.76 ± 2.55), (7.45 ± 2.36) points, with statistically significant differences ( t=-2.29, -2.48, both P<0.05); the unplanned readmission rate of patients in the observation group one month after discharge was 7.0% (3/43), lower than the control group′s 23.8% (10/42), with statistically significant difference ( χ2=4.65, P<0.05). Conclusions:The implementation of dyadic intervention on elderly stroke patients and caregivers can make their discharge preparation process more adequate, thus reducing the caregiver′s care pressure, reducing the unplanned readmission rate of patients, and improving their health outcomes.

介绍二元疾病管理理论的起源与核心要素,简述影响二元疾病管理的风险性因素和保护性因素,并从减少非一致性评价、促进疾病管理行为、优化身心健康状况三方面描述了该理论在慢性病护理二元组中的应用,同时分析了该理论在护理二元组中的应用挑战,旨在为我国开展该领域的相关研究提供参考.

从中枢敏化的定义及慢性肌肉骨骼疼痛病人中枢敏化的研究现状、不良结局、评估工具、影响因素、干预策略等方面进行综述,旨在为慢性肌肉骨骼疼痛病人实施针对性的干预措施提供参考.

目的:探讨移动式骨科悬吊牵引装置在骨折病人中的应用效果.方法:选取2020年3月—2021年1月在河南省某三级甲等医院骨科三病区住院并行牵引术的骨折病人160例作为研究对象,采用随机数字表法将病人分为试验组和对照组,每组80例.对照组使用传统牵引床及牵引架进行牵引,试验组应用移动式骨科悬吊牵引装置进行牵引.比较两组牵引有效率、护理人员操作耗时、病人舒适度、病人疼痛程度.结果:试验组牵引有效率为93.75％,高于对照组(78.75％);病人舒适度得分为(101.70±5.75)分,高于对照组[(76.33±4.48)分];护理人员操作耗时为(6.92±0.48)min,短于对照组[(11.64±0.33)min];数字等级评分量表评分低于对照组,差异均有统计学意义(P<0.05).结论:使用移动式骨科悬吊牵引装置对骨折病人进行牵引,能够提高牵引有效性,减轻病人疼痛,提高病人舒适度,缩短护理人员操作耗时.

目的:探讨老年髋关节置换术患者行微视频快转模式对术后髋关节脱位的预防效果。方法:选取2021年4月至2021年9月河南省人民医院收治老年髋关节置换术患者80例，随机分为对照组和实验组，每组40例。对照组行常规围术期护理+延续性护理，实验组行微视频快转模式，观察两组患者术后髋关节脱位发生率、髋关节功能、疼痛情况及生活质量。结果:实验组髋关节脱位发生率明显低于对照组，差异有统计学意义( P＝0.040)；实验组术后42 d Harris评分和老年髋部骨折功能恢复评分均高于对照组，视觉模拟评分(VAS)低于对照组，世界卫生组织生活质量评定量表(WHOQOL-BREF)评分和改良Barthel指数(MBI)评分均高于对照组，差异有统计学意义( P<0.05)。 结论:老年髋关节置换术患者行微视频快转模式，有助于术后髋关节脱位的预防，促进患者髋关节功能恢复，改善患者生活质量。

Objective: To investigate the cognition degree of male nursing students to HPV and nine-valent vaccine and the influencing factors of male willingness to receive nine-valent HPV vaccine. Methods: Qualitative research semi-structured interview was conducted on male nursing students, and phenomenological research method was used to record, ran scribe, encode and classify the interview data and extract the topic. The number of interviews was determined according to the information saturation. Results: Seven themes were summarized in this study, which were mainly divided into two aspects. The promotion of vaccination includes two aspects: self-benefit and benefit of others. The prevention of vaccination mainly includes low awareness rate, feminization of vaccine information, high cost and safety and effectiveness. Conclusion: Male nursing students have low cognition degree and inoculation intention to human papillomavirus and nine-valent vaccine, so it is necessary to further strengthen publicity and carry out college education to improve vaccination.