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贾春华 《世界科学技术-中医药现代化》2011,13(1):47-51
本文简要回顾了中医认识病因的方法,并以“六淫”中的风为例,系统分析中医病因的隐喻特征,认为风之所以成为致病因素、有如此致病特征,是古代中医学家将人们对自然界风的认识移植到中医理论之中,从认知语言学的角度看是一种“隐喻认知”,是以我们熟悉的事物说明我们不熟悉事物的一种方式,作为病因概念的六淫是一种概念隐喻。 相似文献
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目的 应用Walker和Avant的经典概念分析法分析跌倒恐惧的概念内涵。方法 系统检索中国知网、万方数据库、维普数据库、PubMed、Web of Science等数据库,采用Walker与Avant提出的概念分析法对纳入的41篇文献进行分析。结果 老年人跌倒恐惧的定义属性包括以下几个方面:①与跌倒呈非必然关系;②情绪机制:对跌倒的担忧或持久关注;③认知机制:避免跌倒的低自我效能感;④特定于某些环境、情景之中;⑤并不一定存在精神病学内涵;⑥受过去经验、他人经验、社会说服的影响;⑦并非完全呈负面影响。 结论 鉴于跌倒恐惧的高发生率和不良后果,临床医护人员应认识到跌倒恐惧的存在及其重要性,通过早期识别高风险人群构建并开展针对性的护理计划,为降低老年人跌倒恐惧发挥积极作用。 相似文献
444.
Rationale
Healthcare research exploring the lived experiences of health care professionals from different disciplines, such as nursing, medicine, and allied health, has repeatedly highlighted many methodological challenges, especially in understanding the individual human experience within complex systems. In response, complexity theory and phenomenological approaches emerged and evolved in ways that potentially offered researchers frameworks to inform an understanding of the individual human experience. However, while these two theoretical approaches inform a method of inquiry, there is a gap in understanding the phenomenon of ‘being’ and how this is embodied within complex systems such as the healthcare system.The Aims and Objectives
The aim of this paper is to present an integrated theoretical framework, namely complex adaptive phenomenology (CAP). CAP aims to address this inquiry gap by offering a structured conceptual framework wherein complexity theory and phenomenology are complementary but multi-dimensional. The key objective of CAP was to synthesize and integrate two methods of inquiry that examine the relational aspects of ‘being’, that is the gestalt of perception, action, and context, The authors argue that CAP is well-suited to complex research contexts such as healthcare. The framework focuses on the reciprocal, co-constructive relationships extant between perception, meaning, context, and action that shape experiences of ‘being’ within complex systems. Complexity theory's connectionist orientation explains the relationships that are formative of the experience of being, while phenomenology explores the manifestations of these formative relationships by attending to the notion of ‘being’ itself.Conclusion
The authors propose that an integrated framework, of phenomenology and complexity theory, can provide a platform for deeper understandings of the experiences of health professionals and contribute to healthcare scholarship. 相似文献445.
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Niccolò Simonelli Tatiana Bolgeo Paolo Iovino Roberta Di Matteo Antonio Maconi Ercole Vellone 《Research in nursing & health》2023,46(1):37-47
Self-care performed by patients and the caregiver contribution to this self-care are essential for improving cardiovascular outcomes; however, so far, no studies have sufficiently investigated this field in Italy. This paper describes a research protocol of a multi-center longitudinal study designed to investigate the self-care of patients affected by coronary heart disease (CHD), the caregiver's contribution to this self-care, the predictors of patient and caregiver self-care, the mediating role of self-efficacy, and the self-care outcomes. Data collection will be performed across seven Italian inpatient settings at baseline and 3 and 6 months from enrollment. Multilevel modeling and actor partner interdependence models will be implemented on a sample of 330 patient–caregiver dyads to adjust for the interdependence of measurements. The study received approval from an ethics committee in Italy and was financed in January 2021 by a grant from the Solidal Foundation in Alessandria. This research will advance the knowledge about the self-care process in CHD. The results will guide research and clinical practice by identifying variables sensitive to educational interventions. 相似文献