基于语料库的中医药文化海外传播话语分析

基于大型在线语料库,采用批评话语分析方法剖析全球英语网络媒体对中医药文化的传播现状和传播问题.发现中医药文化的传播呈现国内热、国际冷,传播方热、接受端冷的现象;新加坡、美国、加拿大、英国、印度等国家是中医药文化的传播热土,中医康养、临床疗效、新冠肺炎防治等议题是传播的焦点;英媒对针灸、艾灸、拔罐持肯定态度,而质疑中医药...     

沟通技巧在骨科患者中的运用及研究

目的探讨运用沟通理论模式与骨科患者的沟通方式.方法将64例骨科患者分成两组,对实验组实施护患之间的沟通技巧,在沟通过程中发放健康教育处方、语言沟通、心灵沟通、注入关爱、多方支持等.结果两组病人在沟通满意度上差异有显著意义(P＜0.05).结论沟通技巧不仅能增进护患双方的沟通和理解,营造良好的护患氛围,也体现了"以人为本,以病人为中心"的人文关怀精神.     

Fear of cancer recurrence in lymphoma survivors: A descriptive study

Abstract

Objectives: Fear of cancer recurrence (FCR) is a common experience among cancer survivors and often persists after the termination of cancer treatments. The purpose of this paper was to evaluate FCR in survivors of Hodgkin’s and diffuse large B-cell lymphomas, given a high rate of survivorship in this patient population.

Research Approach: The parent study was a multi-site, cluster-randomized trial to assess a communication skills intervention: survivorship planning consultation (versus a time-attention control - wellness rehabilitation intervention) to promote transition to survivorship.

Participants & Methodological Approach: 199 patients enrolled in the study and completed a survivorship (or control) consultation one-month after receiving the news of their survivorship status; 141 of those patients (n?=?92 experimental arm, n?=?49 control arm) completed an interview at their 6-month follow-up consultation. In the interview, participants described frequency of FCR, causes of FCR, coping mechanisms, and specific things oncologists said to reduce FCR. Both qualitative and quantitative methods were utilized for analyzing participant responses.

Findings: The majority (88%) of participants reported experiencing FCR, with a higher number of participants in the experimental arm significantly more likely to endorse FCR compared to the control group participants. The main causes of FCR were having medical appointments and concerns about potential relapse and secondary cancers. Participants endorsed utilizing self-sufficient coping mechanisms. As well, participants reported that oncologists most frequently cited specific cure rates of lymphoma to reduce patients’ FCR.

Interpretation & Implications for Psychosocial Providers: Communication skills training programs should emphasize FCR in survivorship consultations.     

桌面虚拟化技术在影像存储与传输系统中的应用

以湘雅常德医院为例,阐述桌面虚拟化技术的内涵及原理,分析该技术在影像存储与传输系统调取图像以及安全与维护方面的优势,指出其应用能够提高影像调阅速度与医生工作效率,同时为系统工程师维护带来便利。     

Health literacy and cancer communication with older adults

OBJECTIVE: The physiological, cognitive, language and communicative changes that take place as we enter into old age have become quite well documented within the social scientific literature. Many of these changes lead in some way to a lessening of previous interactive abilities and competencies. The new mantra for gerontologists attempting to help older adults compensate for these potential losses is to develop strategies to maintain existing abilities as long as possible. METHODS: A literature review using online databases was performed. RESULTS: Older adults who are diagnosed with cancer or help care for an individual coping with cancer must confront a health care system that demands a high level of health literacy to successfully manage the disease. Older adults may be at a distinct disadvantage in their ability to successfully cope with cancer because of age-related physiological, cognitive, psychological and communicative factors. CONCLUSION: This paper highlights the relevant research findings and theoretical positioning that points not only to possible pragmatic dilemmas faced by those adapting to cancer but also highlights streams of research that scholars may wish to focus upon to better understand how older adults and their formal and informal caregivers can improve their cancer health literacy. PRACTICE IMPLICATIONS: Providers, patients, and caregivers must all participate in creating a health care environment of shared meaning and understanding of health messages tailored to the aging patient diagnosed with cancer. Health communication scholars have various theoretical, methodological, and pragmatic communication-based approaches that provide important contributions to the complexities of caring for the aging patient.     

听障者就医沟通需求初探

目的 了解听障者在门诊或病房就医时对医护-患沟通内容的需求,为编制临床沟通手语教材提供依据.方法 采用立意取样法和半结构式访谈法.共访谈了6名符合要求的昕障者,每位访谈持续20～40 min,访谈全程录像录音,由专人进行转录,对转录文本进行内容分析.结果 听障者的就医沟通需求可归结为3个主题:需要手语翻译、需要信息和知识及需要社会心理及情感支持.需要手语翻译是指需要懂手语的人协助就医和需要医护人员能用浅显易懂的日常用语代替专业术语,而所需要的知识和信息包括病情、药物治疗和自护活动3方面. 结论 听障者就医时存在明显的医护-患沟通障碍,临床急需懂得基本手语的医护人员,促进无障碍就医环境的建设.     

实习期护理学专业学生临床沟通事件的质性分析

目的明确实习期护理学专业学生(以下简称护生)临床沟通中存在的具体问题,为实习护生临床沟通能力培养提供依据与参考。方法以289名实习护生为研究对象,以半结构化问卷为调查工具,收集完整有效的实习护生临床沟通事件共93例,采用质性研究的内容分析法对收集的沟通事件进行分析汇总。结果实习护生临床沟通中存在的主要问题有缺乏主动沟通意识、自信心不足、缺乏沟通技巧、缺乏专业内涵、患者不信任态度。结论实习护生临床沟通培养应以培训沟通技巧、提升专业内涵为切入点,从而提高其主动沟通意识与沟通自信心,进而改变患者对护生的不信任态度。