检索结果-南通市图书馆

What Is the personal experience of IBD Patients about Their Anti-TNF-Alpha Therapy?

Health 2017年第7期9卷 1007-1018页

作者： Agnes Milassin Mariann Rutka Agnes Anna Csontos Pal Miheller Karoly Palatka Monika Szucs Zoltan Szepes Anita Balint Renata Bor Anna Fabian Klaudia Farkas Ferenc Nagy Tamas Molnar First Department of Medicine University of SzegedSzegedHungary 2^(nd) Department of Medicine Semmelweis UniversityBudapestHungary 2^(nd) Department of Internal Medicine University of DebrecenDebrecenHungary Department of Medical Physics and Informatics University of SzegedSzegedHungary

AIM: To evaluate and compare the patients opinion on the two types of anti- TNF-α therapies in a Hungarian cohort of IBD patients. METHODS: This was a prospective, multicentre, questionnaire-based observational study carried out in three Hungarian tertiary centres. From April to September 2014, an anonymous questionnaire was distributed to patients diagnosed with ulcerative colitis (UC) or Crohn’s disease (CD), who have received infliximab (IFX) and/or adalimumab (ADA). The survey focused on the preferences of the two anti-TNF-α therapies on the basis of the efficacy, the administration routes and the side effects. RESULTS: 292 IBD patients, 216 CD, 75 UC and 1 indeterminate colitis patient completed the questionnaire. The mean duration of biological therapy was 1.7 (1 - 7) years. IFX treated patients noticed improvement of symptoms at 4 - 5 weeks while ADA treated patients noticed at 5 - 6 weeks. There was no difference between the patients’ satisfaction regarding the types of anti-TNF-α therapy if they received both. However, subcutaneous administration was preferred by ADA-treated patients previously receiving IFX (p = 0.007) compared to intravenous route and they did not intend to change the mode of therapy (p = 0.040). 90% of the patients, receiving only IFX or ADA were satisfied with their present therapy. The majority of patients (186/292, 63.7%) would not switch therapy. 63 of 291, 22% of the patients reported to have some concern with biological therapy—the majority (32/63, 50.8%) due to fear from side effects. CONCLUSION: Generally, patients preferred and would not change the present anti-TNF-α therapy, however, subcutaneous administration was preferred among those patients who had have experience with both.

关键词： Patient’s Satisfaction personal experience Questionnaire Anti-TNF-Alpha Therapy Patient’s Preference

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

家庭社会工作实践中个人经验与专业经验的关系探讨

引用

社会工作 2024年第1期

作者：丁瑜邱博文张凯婷

在中国社会工作语境下，家庭社会工作领域关注社工的个人经验与性别角色，对从事家庭项目的女社工往往有超越专业范畴的期待。本文不仅对社工专业性与个人经验间的关系与界限进行了具象化的描绘，从社工的细致回顾与反思中梳理其职业成... 详细信息

在中国社会工作语境下，家庭社会工作领域关注社工的个人经验与性别角色，对从事家庭项目的女社工往往有超越专业范畴的期待。本文不仅对社工专业性与个人经验间的关系与界限进行了具象化的描绘，从社工的细致回顾与反思中梳理其职业成长阶段，勾勒出当前实务环境中的“专业性”图景，还特别捕捉了性别因素影响下的特点与变化。对M市不同社会工作机构的家庭项目的研究发现，社工在处理不同工作内容时会根据情境调用两方面的经验，如何运用专业知识和个人经验、二者的界限如何均受工作年资的影响。处于职业发展中段以前的社工在两者的边界方面呈现部分重叠与单向渗透的特点；资历较深的社工认为两者应能互相转化，不分界限。女社工内化了传统女性气质塑造的性别形象与工作期待，其工作内容与方式以及对职业成长、个人经验和专业性关系的理解，都超越了工作本身，体现出女性与家庭、情感、关系的捆绑；她们的性别观念对其在工作中的公私界限产生了影响，但实际并未改变或打破它。

关键词：家庭社会工作个人经验专业经验界限性别 family social work personal experience professional expertise boundary gender

来源：人大复印报刊资料评论

在线全文

人大复印报刊资料

学校读者我要写书评

暂无评论

Lebanese Student’s experience of Benefits of High Fidelity Simulation in Nursing Education: A Qualitative Approach

引用

Open Journal of Nursing 2016年第10期6卷 853-862页

作者： Mirna A. Fawaz Ayman M. Hamdan-Mansour Adult Health Nursing Nursing Department Faculty of Health Sciences Beirut Arab University Beirut Lebanon Mental Health Nursing Community Health Department School of Nursing the University of Jordan Amman Jordan

Background: Simulation is perceived as an important part to the nursing clinical educational experience since it can offer a safe learning environment for the students’ clinical practice. Objective: The purpose of this study was to explore the Lebanese student’s experience of benefits of high fidelity simulation in nursing education. Design: A qualitative study using open-ended questionnaire. Setting: This study was implemented at private university in Lebanon between January and April 2015. Participants: A purposive sample was sought from those who have a simulated experience. Methods: Qualitative data were collected via interviews and analysed using a thematic approach. Findings: Four major themes were identified: “Bridging Theory to Clinical Practice”, “Developing Critical Thinking and Decision-making”, “Practicing Safely Leads to Enhancing Confidence”, “Teamwork Spirit and students’ motivation to earn and practice more”. Conclusion: Simulation was found to be an acceptable learning strategy for novice nursing students. The use of simulations is a useful and effective learning strategy. Students with a higher positive attitude towards the simulation experience displayed better learning outcomes. Thus, the integration of simulation into the learning experience of nursing students will bridge the gap between theory and practice;enhance their critical thinking and motivation aptitudes along with traditional clinical practice by sparing them a safe milieu.

关键词： High-Fidelity Simulation Nursing Students personal experience

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

创伤记忆：心理事实与文化表征

引用

文化研究 2015年第8期 110-119页

作者：赵静蓉

在心理学的层面上，创伤记忆具有个体性、亲历性和情绪性三个基本特征，其中亲历性是最核心的因素，亲历者具有感情和道德上的先天优势。记忆主体记忆创伤，最终是要克服创伤的消极体验，与现实生活正常相处。创伤记忆研究包含事实来源... 详细信息

在心理学的层面上，创伤记忆具有个体性、亲历性和情绪性三个基本特征，其中亲历性是最核心的因素，亲历者具有感情和道德上的先天优势。记忆主体记忆创伤，最终是要克服创伤的消极体验，与现实生活正常相处。创伤记忆研究包含事实来源和文化表征两个层面，只有在集体的或世界性的语境中考量个体创伤，后者才能从个体苦难上升为集体危机，从文学主题演变为哲学、伦理或道德主题，从身体、精神及社会创伤深化为“文化创伤”。媒体一方面把私人记忆转变成了公共话语，另一方面也把创伤记忆变成了日常生活。对待创伤记忆，我们必须保持三种态度：第一，对苦难保持同情和尊重；第二，对记忆的书写保持清醒和警惕；第三，有效区分记忆之客观真实性与主观真实性，辨别正确记忆和错误记忆的构成语境。

关键词：创伤记忆文化表征媒介亲历 traumatic memory cultural representation media personal experience

来源：人大复印报刊资料评论

在线全文

人大复印报刊资料

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：