基于核心能力的助产专业实训课程建设研究

从护士核心能力出发,构建以核心能力为本位的助产专业实训课程体系,并以此为基础,对助产专业实训课程进行设计,从而将护士核心能力培养落实到具体教学中。     

高职助产专业高级助产学教学改革探讨

目的通过对高职助产专业高级助产学教学改革,达到助产生"三早"、"三不断线"的教学目的。方法将高级助产学划分为生理产科、病理产科和产科手术及产科护理技术3个模块,分别设置在第一、二、三学期进行教学,实施三段式教学即立体柱状教学。结果经过对3届助产专业学生实施专业核心课程教学改革,使学生在知识目标、能力目标及情感目标方面得到全面的提升。结论高职助产专业是在特定职业范围内具有特殊专长的一个高等护理教育层次,应突出"专才"教育,以培养从事临床助产及母婴保健工作的高等技术应用型助产专门人才为培养目标。     

安徽省助产士核心胜任力及其影响因素的调查研究

目的调查安徽省助产士的核心胜任力现状,并分析其影响因素,为助产专业的发展提供参考。方法采用一般资料调查表、助产士核心胜任力量表、自我效能量表对安徽省二级以上医院的291名助产士进行问卷调查。结果助产士核心胜任力得分为（170.40±29.13）分,占总分的77.5%。其中分娩期保健能力、产后保健能力及公共卫生保健能力得分较高,但孕前保健能力、孕期保健能力及新生儿保健能力得分较低。单因素分析显示:参加工作时间、从事工作年限、职称、学历、最近一年的岗位及自我效能对助产士核心胜任能力的影响差异均有统计学意义（P < 0.05~P < 0.01）。多元回归分析发现,从事助产年限、职称及自我效能感影响着助产士核心胜任能力的提高（P < 0.05）。结论安徽省助产士核心胜任力水平处于中等偏上水平,仍有进一步提升的空间。为满足孕产妇及家属日益增长的服务需求,教育者应进一步完善助产专业教育和在职培训,促进助产士核心胜任力的全面提高。     

从长沙市助产技术人力资源现状谈助产专业建设的必要性

目的 方法我们对长沙市乡级及乡级以上能开展助产服务的178家医疗机构进行调查.结果 产士主要集中在省级医院占34.05%,乡级医院仅占6.09%.从事助产服务的医生与护士+助产士之比省级医院1:0.98,乡级医院1:0.10,97.49%的助产士第一学历为中专学历或中专以下的学历,助产士中所学专业为助产专业占41.58%,中初级职称占93.19%.结论 加强助产专业建设,是社会发展的需要,是提高国民人口素质的需要,高素质的助产士社会市场前景广阔.     

助产行业人才现状及知识技能需求调研报告

目的通过助产行业人才现状及需求调查,从宏观上把握卫生服务行业人才现状,为助产专业课程设置及教学安排提供依据。方法向医院发放助产专业人才需求调查问卷,走访产科护士长。结果二、三级医院在编助产士床护比均未达到配备标准;二、三级医院中20~39岁助产士所占比例最高;三级医院现有助产士本科学历者所占比例最高,职称以护师比例最高。结论未来3年,各级医院助产士需求量大,对助产士护理、助产专科知识与技能要求是第一位的,学校课程设置及教学安排要重点关注专业核心课程。     

某高职院助产专业人才培养现状调查分析

目的了解临床专家对我校助产专业毕业生综合能力的评价以及实习生对助产专业课程设置与教学环节的满意度,分析其影响因素,为助产专业教学改革提供依据。方法采用自制调查问卷对我院2016级助产专业实习生及用人单位进行调查。结果用人单位对我院助产专业毕业生各项能力给予高度评价,学生对学校教学整体满意。结论进一步优化课程设置,加强助产专业理论与实践教学,提高人才培养质量。     

协同教学模式在助产专业课程的教学效果研究

目的:探讨协同教学模式在助产专业课程的开设效果。方法:选取2018年到我科实习的31名学生为对照组,采用常规助产教学;选取2019年到我科实习的35名学生为实验组,在常规护理教学的基础上进行协同教学,对两组学生进行操作及理论成绩,助产核心胜任能力进行教学评价。结论:将协同教学模式应用于助产专业学生培养过程中,提高了助产专业学生的核心胜任能力、理论成绩、实践技能,为助产专业学生核心胜任能力培养提供有益借鉴。     

高职助产教学改革初探

我国助产专业当前仍以中专教育为主,临床助产士与产妇之比远低于国际标准。在我国大力发展职业教育的形势下,培养高素质的高职助产人员是符合我国国情需要的。高职助产专业在教学中除体现助产士的专业教育的同时,更应体现高职教育培养应用型、技术型专业人才的特点。本文以高职助产教育的发展需求入手,从教学课程设置、教学课时进度等方面,浅谈自己对高职助产教学改革体会。     

我国高等医学助产专业教育历史、现状与展望

回顾我国助产专业教育的历史,对比国内外高等医学助产专业教育的现状,认为我国助产专业办学层次滞后,专业定位不明,国内对高学历助产专业人才需求量大。中国未来助产专业发展的趋势是成立学术团体和学会,定期召开学术研究会,从专业教育和临床实践两大方面开展课题的合作研究。按照国际助产士的理念开展系列循证研究,积极探索出适合中国国情的助产专业体系,使中国早日成为国际助产士联盟正式会员。     

中职助产专业临床课程实训教学存在的问题和对策

针对我校助产专业,通过向学生发放调查问卷,从讲解示范、实训指导、实训评价、实训组织、实训总结5个方面分析当今中职助产专业临床课程实训教学中存在的问题,并提出具体的对策,最终促进人才培养质量的提高。     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.