老年脑梗死患者实施全科护理后的效果及对其心理状态的影响探究

石庆云(Qingyun Shi) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of General Practice Research (JGPR) Vol.1 No.1

Objective: To investigate the effects of general nursing on elderly stroke patients and its impact on their psychological state. Methods: A total of 88 elderly stroke patients were randomly divided into a control group and an observation group. The control group received standard nursing care, while the observation group received general nursing care in addition to the standard care. The Barthel Index, NIH Stroke Scale (NIHSS), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used to assess patients' activities of daily living, neurological function, psychological state, and nursing satisfaction. Results: The observation group showed significantly better scores in nursing effectiveness, psychological state, and nursing satisfaction compared to the control group (all P < 0.05). Conclusion: General nursing care for elderly stroke patients can effectively improve rehabilitation quality and self-care ability, reduce psychological stress, and enhance patient satisfaction, demonstrating significant clinical value. 目的:探讨老年脑梗死患者实施全科护理后的效果及对其心理状态的影响。方法:选取88 例老年脑梗死患者,随机分为对照组和观察组。对照组实施常规护理,观察组在常规护理基础上实施全科护理。通过巴塞尔指数(Barthel Index)、神经功能缺损评分(NIHSS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者的日常生活活动能力、神经功能、心理状态及护理满意度。结果:观察组的护理效果评分、心理状态评分及护理满意度均优于对照组(P 均<0.05)。结论:老年脑梗死患者实施全科护理可有效提升康复质量和生活自理能力,降低心理压力,增强患者满意度,具有较高的临床应用价值。

基于人文理念的全科护理在适龄初产妇产后母乳喂养应用的临床效果分析

王海燕(Haiyan Wang) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of General Practice Research (JGPR) Vol.1 No.1

Objective: To explore the application effect of general nursing based on humanistic concepts on postpartum breastfeeding in primiparas of appropriate age and its impact on serum prolactin levels. Methods: A total of 108 primiparas of appropriate age who delivered at our hospital from January 2021 to December 2022 were selected as study subjects and randomly divided into an experimental group and a control group. The control group received routine postpartum care, while the experimental group received general nursing care based on humanistic concepts in addition to the routine care. The time of milk secretion onset, breastfeeding rate, breastfeeding knowledge scores, and changes in serum prolactin levels were observed in both groups. Results: The breastfeeding rate in the experimental group was higher than that in the control group during the first three months of nursing (P<0.05), and the time of initial milk secretion was earlier in the experimental group (P<0.05). The experimental group also showed significantly higher scores in breastfeeding knowledge, feeding techniques, healthy diet, subjective norms, and confidence compared to the control group (P<0.05). After nursing care, the serum prolactin levels in the experimental group were higher than in the control group (P<0.05). Conclusion: General nursing based on humanistic concepts can effectively improve postpartum breastfeeding rates in primiparas of appropriate age, enhance breastfeeding knowledge, and increase serum prolactin levels, providing strong support for maternal and infant health. 目的:探讨基于人文理念的全科护理对适龄初产妇产后母乳喂养的应用效果及其对血清催乳素水平的影响。方法:选取2021 年1 月至2022 年12 月期间在我院分娩的108 例适龄初产妇为研究对象,随机分为试验组和对照组。对照组给予常规产后护理,试验组则在此基础上实施基于人文理念的全科护理。观察两组产妇的乳汁分泌时间、母乳喂养率、母乳喂养认知评分及血清催乳素含量变化。结果:试验组的母乳喂养率在护理第1-3 个月均高于对照组(P<0.05),泌乳初动时间早于对照组(P<0.05)。试验组的母乳喂养认知评分在喂养技巧、健康饮食、主观规范、自信心方面均明显高于对照组(P<0.05)。护理后,试验组的血清催乳素含量高于对照组(P<0.05)。结论:基于人文理念的全科护理能够有效提升适龄初产妇产后母乳喂养率,改善母乳喂养认知,提高血清催乳素水平,为母婴健康提供有力保障。

基于社区全科治疗原发性高血压的临床效果探究

张思涵(Sihan Zhang) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of General Practice Research (JGPR) Vol.1 No.1

Objective: To investigate the effects of community generalist treatment on blood pressure control and quality of life in patients with primary hypertension. Methods: A total of 72 patients with primary hypertension were randomly selected for the study and divided into a control group and an observation group, with 36 patients in each group. The control group received only medication treatment, while the observation group received a community generalist treatment intervention in addition to medication. The intervention included hypertension education, psychological intervention, dietary management, and lifestyle guidance. The effectiveness of the intervention was evaluated by comparing blood pressure fluctuations, psychological status, disease knowledge, and long-term follow-up results between the two groups. Results: After the intervention, the observation group showed significantly lower blood pressure values, HAMA, and HAMD scores compared to the control group (P<0.05). The observation group also demonstrated better disease knowledge (P<0.05). Long-term follow-up results indicated that the blood pressure control in the observation group was significantly better than in the control group (P<0.05). Conclusion: Community generalist treatment for primary hypertension can effectively improve patients' disease awareness and self-management abilities, significantly lower blood pressure levels, enhance quality of life, and reduce the incidence of complications, demonstrating good clinical efficacy and potential for broader application. 目的:探讨基于社区全科治疗对原发性高血压患者血压控制和生活质量的改善效果。方法:本研究随机选取72 例原发性高血压患者,分为对照组和观察组,每组36 例。对照组仅接受药物治疗,观察组在药物治疗基础上实施基于社区全科治疗的干预方案,包括高血压疾病宣教、心理干预、饮食管理和生活指导。通过比较两组患者的血压波动、心理状况、疾病知识掌握情况及远期随访结果,评估干预效果。结果:干预后,观察组的血压值、HAMA 和HAMD 评分均明显低于对照组(P<0.05),且观察组的疾病知识掌握情况优于对照组(P<0.05)。远期随访结果显示,观察组患者的血压控制情况明显优于对照组(P<0.05)。结论:基于社区全科治疗原发性高血压能有效提高患者对疾病的认知和自我管理能力,显著降低血压水平,改善生活质量,减少并发症发生,具有较好的临床效果和推广价值。

Research on the Role of Jinggangshan Spirit in Forging the Community Consciousness of the Chinese Nation

万芳(Fang WAN), 邱川宸(Chuanchen QIU) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2025 Journal of Chinese Marxism Studies (JCMS) Vol.2 No.8

The Third Plenary Session of the 20th Central Committee of the Communist Party of China (CPC) put forward the requirement to “improve and refine the institutional mechanisms for forging a strong sense of community with a shared future for the Chinese nation and enhance the cohesion of the Chinese nation.” As a vital component of the superstructure, the Jinggangshan Spirit—a shared belief and value system formed by the Party and the people during the Jinggangshan Revolutionary Struggle—bears an inseparable intrinsic connection with forging this community consciousness. Promoting the Jinggangshan Spirit is an inherent requirement for strengthening national unity, as the two are bound by a rigorous logical coupling. Using it as a vivid carrier and spiritual support, leveraging its roles in political guidance, historical inheritance, economic development and social guidance to strengthen the nation's foundation and soul, we can better implant the consciousness into all ethnic groups' souls and blood, sound its epochal clarion call, and provide an inexhaustible driver for the Chinese Dream of national rejuvenation. 党的二十届三中全会提出,“健全铸牢中华民族共同体意识制度机制,增强中华民族凝聚力”。井冈山精神是党和人民群众在井冈山斗争时期创造的共同信念与价值观念,作为上层建筑的重要内容,与铸牢中华民族共同体意识的有着密不可分的内在联系。弘扬井冈山精神是铸牢中华民族共同体意识的应有之义,两者有着严密的耦合逻辑。将井冈山精神作为铸牢中华民族共同体意识的生动载体和精神支撑,运用井冈山精神的政治引领作用、历史传承作用、经济发展作用、社会引导作用,为中华民族培根铸魂,更能将中华民族共同体意识铸入各民族人民的灵魂融入血液,才能唱响铸牢中华民族共同体意识的时代强音,也是实现中华民族伟大复兴的中国梦,铸牢中华民族共同体意识的不竭动力。

Analysis and Comments on Zhang Wei’s Anthology of Women’s Articles of Han, Wei and Six Dynasties

QIAN Hao ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2025 Journal of Sinological Studies(JSS) Vol.2 No.3

In the third year of Xuantong era (1911) in Qing dynasty, Zhang Wei, a female anthologist, who was born in a cultural family in Haiyan, Zhejiang Province, finished the compiling of Anthology of Women’s Articles of Han, Wei and Six Dynasties. This anthology remedied the deficiency that before its publication, the anthologies of female literary works seldom focused on the historical period of Han, Wei and Six Dynasties. This anthology uses “women” (Nü Zi) to describe female litterateurs, rather than “female celebrities”, “family ladies”, “chamber ladies” which were consistently used by anthologist in Ming and Qing dynasties. It reflects Zhang Wei’s attempts to equate female and male and her pursuance of gender equality. Zhang Wei divided the selected female literary works into two general groups depends on whether a work was composed with rhyme. Afterwards, she put those works into 22 small categories, which made the anthology came out with a precise layout and appropriate classifications. Those female litterateurs in this anthology possessed diverse identities. They got achievements in politics or academics. This anthology also selected some special works, which are about female litterateurs’ views on the same gender, these articles reflects the valuable opinions of female characters and individualities by female litterateurs of Han, Wei and Six dynasties. 清宣统三年(1911),出身浙江海盐文化世家的女性选家张维编成《汉魏六朝女子文选》。是部选本弥补了此前女性文学选本较少着眼于汉魏六朝的缺憾。张维以“女子”一词描述女性文学家,而不沿袭明清选家常用之“名媛”、“闺阁”、“闺秀”等称谓,体现出张维力图以女性与男性並置,追求性别平等的动机。张维将所选汉魏六朝女性文学作品分为有韵、无韵两大类,继而又细分出二十二小类,体例严谨,分类精当。《汉魏六朝女子文选》所选女性角色多元,于政治、治学诸多领域皆有建树。是部选本亦选钞了不少汉魏六朝女性观照女性之作,呈现出彼时女性论述女性人格与品质的诸多真知灼见。

A Comparative Study of Disadvantaged Groups' Education in China and Spain from the Perspective of Educational Equity

屈慧宇(Huiyu QU), 何婉琦(Wanqi HE), 龚天薏(Tianyi GONG), 夏娟(Juan XIA) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2025 Journal of Sinological Studies(JSS) Vol.2 No.11

This study focuses on the issues of educational support and equity for disadvantaged groups in China and Spain. From the perspective of educational equity theory, it conducts a systematic comparative analysis of the support strategies adopted by the two countries in rural education, ethnic minority education, and special education. The research finds that China promotes urban-rural educational equity through resource-oriented policies such as the “Special Post Plan”, “Two Exemptions and One Subsidy”, and “Internet + Education”, while Spain guarantees the educational integration of immigrant and special-needs children by relying on inclusive education legislation and an intercultural curriculum system. At the social participation level, China integrates resources through policy support and public welfare organizations, whereas Spain empowers parents through legal means, enabling them to participate in school management and encouraging enterprises to invest in education. This study mainly adopts literature research and comparative research methods. It not only briefly summarizes the current status of educational equity in China and Spain but also aims to provide some insights for promoting the optimization of educational equity policies and the balanced allocation of educational resources in both countries through comparative research. 本文聚焦与中国与西班牙弱势群体教育支持与公平性问题,从教育公平理论视角出发,对于中国与西班牙在农村、少数族裔、特殊教育领域的支持策略进行系统性比较研究分析。研究发现中国通过“特岗计划”、“两免一补”、“互联网+教育”等资源倾斜政策推进城乡教育均衡,西班牙则依托全纳教育立法于跨文化课程体系,保障移民和特殊儿童的教育融合。在社会参与层面,中国借助政策支持和公益组织进行资源整合,而西班牙则通过法律赋权于家长,让家长参与学校管理并鼓励企业教育投入。本文主要采用文献研究法、比较研究法进行研究,即是对于中国与西班牙的教育公平现状进行简单总结,同时也希望通过比较研究的方式,在推动双方优化教育公平政策,促进教育资源均衡配置方面提供些许思路。

Yanbian Experience: Feasibility of Oral History Research on Film Commentators in Ethnic Minority Areas of New China

郭文佳(Wenjia GUO) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2025 Journal of Sinological Studies(JSS) Vol.2 No.1

Since the establishment of the People's Republic of China, film commentators in ethnic minority areas have played a crucial role in border propaganda work. However, there is still a lack of information collected on this group. In order to comprehensively organize and conduct in-depth research on the relevant materials of translated film commentators, we plan to try our best to analyze their historical evolution, current situation, and future trends from the perspective of minority language dubbing, combined with media memory in the context of globalization. By carefully reviewing relevant literature, the unique value of oral history methods in excavating such historical memories is clarified, and further elaborated on how minority language dubbing exhibits unique characteristics and functions in different regions and cultural spaces. Research has found that oral history studies can not only deeply explore and inherit the valuable historical experience of dubbing in ethnic minority languages, but also effectively promote the exchange and integration of local and global cultures, providing innovative communication strategies and sources of wisdom for building and strengthening the sense of community of the Chinese nation. 自新中国成立以来,少数民族地区译制片电影解说员在边疆宣教工作中扮演了至关重要的角色,然而,关于这一群体的资料搜集至今仍显不足。为全面整理和深入研究译制片电影解说员的相关资料,拟尽力从少数民族语配音的角度出发,结合全球化语境下的媒介记忆,系统分析其历史演进、当前状况及未来趋势。通过细致梳理相关文献,明确口述史方法在挖掘此类历史记忆中的独特价值,并进一步阐述少数民族语配音如何在不同地域与文化空间中展现出独特的特点与功能。研究发现,口述史研究不仅能够深刻挖掘并传承少数民族语配音的宝贵历史经验,还能有效促进本土文化与全球文化的交流与融合,为构建和强化中华民族共同体意识提供富有创新性的传播策略与智慧源泉。

机械通气优化策略对ARDS 患者预后的改善作用

郭会丽(Huili Guo) ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2024 Journal of General Practice Research (JGPR) Vol.1 No.1

Objective: To evaluate the survival outcomes of mechanical ventilation in improving the prognosis of patients with Acute Respiratory Distress Syndrome (ARDS). Methods: A comprehensive search of electronic databases, including PubMed, EMBASE, Cochrane Database, and Chinese Cochrane Clinical Trials Database, as well as the Chinese Biomedical Literature Database, was conducted. Relevant literature, citation lists, professional journals, academic conferences, and theses were manually screened. This study aimed to compare the therapeutic effects of different PEEP levels in mechanical ventilation strategies on ARDS patients. Results: Analysis of five studies revealed that three experiments combined low tidal volume with PEEP, while the control group used conventional tidal volume and low PEEP, classified as Group A. The other two groups used high PEEP, classified as Group B. Summarized analysis of the two groups showed that the strategy of low tidal volume combined with PEEP significantly reduced mortality and the incidence of barotrauma in Group A. Compared to Group B, high PEEP alone did not have a significant impact on mortality and the incidence of barotrauma. Conclusion: Current evidence suggests that the strategy of combining low tidal volume with high PEEP has a positive effect on ARDS patients. However, the exact benefits of high PEEP alone require further research to be confirmed. 目的:针对机械通气对ARDS 患者预后的改善生存效果进行评估分析。方法:通过电子数据库检索,包括PubMed、EMBASE、Cochrane Database 以及中国Cochrane 临床对照试验数据库和中国生物医学文献数据库。手动筛选相关文献的全文、引用列表、专业期刊、学术会议、论文等。以此获取到对不同PEEP 水平机械通气策略研究中对ARDS 患者治疗效果的对比分析。结果:通过纳入5 项研究的分析,得出其中3 项实验都是以小潮气量和PEEP 相结合的方式,其中对照组采用的是常规潮气量和低PEEP 结合的方式,并将这一组归纳为A 组,而另外两组则采用高PEEP的方式,将其归纳为B 组。针对两组汇总分析后,得出相应的数据资料,其中小潮气量加PEEP的策略明显降低了A 组患者的死亡率、气压伤风发生率。和B 组相比较,高PEEP 并未对死亡率和气压伤发生率造成较为显著的影响。结论:在当前现有的证据提示中,可以发现,小潮气量与高PEEP 相结合的通气策略对ARDS 患者有积极影响,但对于高PEEP 独立作用的确切效益,仍需进一步研究证实。

The Cultural Mission: Research on the Central Essence, Generation Mechanism and Main Functions

LONG Xiaoyan ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2025 Journal of Chinese Marxism Studies (JCMS) Vol.2 No.4

The “cultural mission” is a major theoretical and practical innovation. To better bear the cultural mission in the new era, it is necessary to study its core meaning, generating mechanism and main functions. It can be seen that: to continue to promote cultural prosperity is its driving mission, to build a strong cultural country is its functional mission, and to realize the modern power of Chinese civilization is its purposeful mission, which together constitute the core essence; historical evolution and environmental changes, theoretical iterations and objective laws, social needs and people's expectations, and international vision and global responsibility are all intertwined to form the generating mechanism;distinctive orientation function, powerful aggregation function, and unique identification function are the value manifestation. In the future,it will continue to inject cultural power into the great cause of revitalization. “新时代的文化使命”是重大的理论创新与实践创新。为更好地担负新时代的文化使命,有必要对其核心要义、生成机制及主要功能展开研究,可知:继续推动文化繁荣是其动力性使命,建设文化强国是其功能性使命,感悟中华文明现代力量是其目的性使命,三者共同构成“新时代的文化使命”的核心要义;历史演进与环境变迁、理论迭代与客观规律、社会需求与民众期待和国际视野与全球责任相互交织,共同构成“新时代的文化使命”的生成机制;鲜明的导向功能、强大的聚合功能、独特的标识功能是“新时代的文化使命”的价值彰显。未来,“新时代的文化使命”将继续为复兴伟业注入文化力量。

The Rebirth of New Students: A Collision Between Marxism and Traditional Chinese Culture During the Yan'an Period

PENG Yuanan ACADEMIC FRONTIERS PUBLISHING GROUP(AFP) 2025 Journal of Chinese Marxism Studies (JCMS) Vol.2 No.4

Since its founding, the Communist Party of China has continuously engaged in discourse construction, gradually establishing a discourse power that aligns with the realities of the Chinese revolution and fits China's specific national conditions. This has promoted the establishment of Marxist theory as a guiding principle and led to the creation of an Sinicized Marxist discourse system. During the Yan' an period, the Communist Party of China actively organized the exploration and utilization of cultural resources, enriching cultural content. In response to questions such as how to use excellent traditional Chinese culture to boost national spirit, achieve self-reliance and strength for the Chinese people, and how to grasp future development directions, it proposed applying Marxism as a theoretical reference in social practice and cultural criticism. This led to the collision between Marxism and excellent traditional Chinese culture, promoting their organic integration and forming new democratic cultural theory. Guided by this methodology, the Communist Party of China has achieved remarkable success in cultural construction. These explorations and practices offer important practical insights for the Communist Party of China today, under the guidance of Xi Jinping's cultural thought, to consolidate the foundation of cultural confidence in the “second combination” and broaden the paths for cultural development in the new era. 中国共产党在成立之后便不断开展话语叙事,逐步构建起了贴合中国革命实际、符合中国具体国情的话语权,推动了马克思主义理论指导地位的确立,创立了中国化的马克思主义话语体系。在延安时期,中国共产党积极组织挖掘文化资源,丰富文化内容,面对如何利用中华优秀传统文化提振民族精神、实现中国人民自立自强以及如何把握未来发展方向等问题,提出了将马克思主义作为理论借鉴运用到实际的社会实践与文化批判中,产生了马克思主义与中华优秀传统文化的碰撞,促进了二者的有机结合,形成了新民主主义文化理论。中国共产党以此方法论为导向,在文化建设方面取得了卓越的成就。这些探索与实践,对于当前中国共产党在习近平文化思想的引领下,于“第二个结合”中夯实文化自信根基,拓宽新时代文化发展路径具有重要的现实启示。