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Objective@#To study the application effect of information-based health education WeChat platform on the cognition, attitude and behavior of pelvic floor muscle training (pelvic floor muscle training, PFMT) of puerpera, in order to provide an effective intervention method and scientific basis to improve the compliance level of PFMT.@*Methods@#Full-term birth 329 cases of vaginal delivery have been chosen from August to September in 2017 in Beijing Obstetrics and Gynecology Hospital, Capital Medical University. They were divided into 3 groups: control group, audio group, video group by computer random digital table method. The number of the cases of the corresponding groups were 108,113, 108 cases. Control group was given general postpartum health education, audio group and video group were given continuation of voice remind audio guide and continuation of voice remind video guide respectively from postpartum 1 week to 7 weeks. The compliance level of PFMT of the three groups would be evaluated before and after the intervention.@*Results@#The KAP(Knowledge, Altitude and Practice, KAP) scores of PFMT of control group, audio group and video group were 9.0(7.0,10.0), 11.0(8.0,12.0), 12.0 (11.0,13.0) points, respectively. There were significant differences between the video group and the control group, between the video group and the audio group and between the audio group and the control group (Z =-4.302, -10.233, -6.429, P<0.01). Comparison of the PFMT scores before and after the three groups, there was a visibility significant statistical difference in KAP scores (Z =-5.596, -11.762. -15.061, P< 0.01).@*Conclusions@#The maternals' knowledge level and physical activity level of PFMT are relatively low. Health care workers should enhance their knowledge about PFMT and improve their understanding of PFMT. WeChat platform to continue voice remind audio guide and continue voice remind video guide way of health education, could improve the KAP level of maternal PFMT and adherence. The KAP level of video guide health education is superior to the audio guide way of health education, which has clinical significance, and is worth popularizing.
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Objective To study the application effect of information-based health education WeChat platform on the cognition, attitude and behavior of pelvic floor muscle training (pelvic floor muscle training, PFMT) of puerpera, in order to provide an effective intervention method and scientific basis to improve the compliance level of PFMT. Methods Full-term birth 329 cases of vaginal delivery have been chosen from August to September in 2017 in Beijing Obstetrics and Gynecology Hospital, Capital Medical University. They were divided into 3 groups: control group, audio group, video group by computer random digital table method. The number of the cases of the corresponding groups were 108,113, 108 cases. Control group was given general postpartum health education, audio group and video group were given continuation of voice remind audio guide and continuation of voice remind video guide respectively from postpartum 1 week to 7 weeks . The compliance level of PFMT of the three groups would be evaluated before and after the intervention. ResuLts The KAP(Knowledge, Altitude and Practice, KAP) scores of PFMT of control group, audio group and video group were 9.0(7.0,10.0), 11.0(8.0,12.0), 12.0 (11.0,13.0) points, respectively. There were significant differences between the video group and the control group, between the video group and the audio group and between the audio group and the control group (Z=-4.302,-10.233,-6.429, P<0.01). Comparison of the PFMT scores before and after the three groups, there was a visibility significant statistical difference in KAP scores (Z=-5.596,-11.762.-15.061, P<0.01). ConcLusions The maternals′knowledge level and physical activity level of PFMT are relatively low. Health care workers should enhance their knowledge about PFMT and improve their understanding of PFMT. WeChat platform to continue voice remind audio guide and continue voice remind video guide way of health education, could improve the KAP level of maternal PFMT and adherence. The KAP level of video guide health education is superior to the audio guide way of health education, which has clinical significance, and is worth popularizing.
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Objective To retrospectively analyze the etiology and prognosis of the children and adolescents with situational syncope in a single center.Methods There were 4 274 cases of children and adolescents [aged from 2 to 18 years old,the average age being (10.82 ± 3.13)years old],male 2 208 cases,female 2 066 cases with ortho-static intolerance syndromes,such as unexplained syncope or symptoms of presyncope,etc,who were treated at Children's Syncope Outpatient Department or Inpatient Department in the Second Xiangya Hospital,Central South University from January 2000 to November 2017.All subjects underwent detailed history investigation,careful physical examinations, routine 12-lead electrocardiogram,Holter electrocardiogram(ECG),chest X-ray,echocardiography,electroencephalo-gram(EEG)and head computerized tomography(CT)or magnetic resonance imaging(MRI),blood biochemical exami-nation (including fasting glucose,myocardial enzymes)and organic diseases in the heart,brain,blood vessels were ex-cluded,but the cause of syncope was still not clear.The head-up tilt table test (HUTT)was performed after the pa-tients or/and the families wrote the informed consent agreement.Results A total of 177 (4.14%)patients with situa-tional syncope were diagnosed among 4 274 cases.Etiology included the abdominal musecle exercise (35.59%,63/177 cases),urination (24.29%,43/177 cases),bathing (9.60%,17/177 cases),defecation (7.34%,13/177 cases), singing (5. 08%,9/177 cases),rides (4.52%,8/177 cases),blood-injection-injury phobia (3.95%,7/177 ca-ses),swallowing (3.39%,6/177 cases),and hair-grooming (2. 82%,5/177 cases),syncope during acupuncture treatment (2. 26%,4/177 cases),and cough (1.13%,2/177 cases). The common positions were upright position (84.18%,149/177 cases),squatting to standing position (8.47%,15/177 cases),sitting position (5.08%,9/177 cases),and squatting position (2.26%,4/177 cases).HUTT positive rate was 69.49%(123/177 cases),common type of hemodynamic were the vasodepressive type of vasovagal syncope (45.20%,80/177 cases),mixed type of vaso-vagal syncope (19.77%,35/177 cases),postural orthostatic tachycardia syndrome (3.39%,6/177 cases)and the cardiac suppressive type of vasovagal syncope (1.13%,2/177 cases).In 35 cases of situational syncope,the number of children and adolescents with syncope was significantly reduced by health education and upstanding training.By the first follow-up review,the cases were reduced from (2.69 ± 1.81)times to (0.59 ± 0.96)times after healthy edu-cation of 2-16 weeks [(4.97 ± 3.16)weeks].By the second follow-up review,3 out of 8 cases did not faint,3 cases fainted 1 time,1 case fainted 2 times,and 1 case fainted 4 times.The outcomes of the first reexamination of HUTT in 16 cases were negative,and other 3 cases were negative by twice visit.Conclusions The etiology of children and adoles-cents are flag-raising(abdominal muscle exercise),urination,bathing,defecation,singing,riding,blood-injection-injury phobia,swallowing,hair -grooming,syncope during acupuncture treatment and coughing. Healthy education is good for situational syncope.
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Objective:To investigate the demands for cardiac rehabilitation information in patients with coronary atherosclerotic heart disease (CHD) and influential factors.Methods:Information demands for cardiac rehabilitation in CHD patients were surveyed by questionnaire and the influential factors were analyzed by one-way ANOVA and multi-factor analysis of variance.Results:The score of demands for cardiac rehabilitation information in CHD patients was 3.86±0.53.Among them,the most urgent top 5 items were:drug knowledge,diagnosis and treatment,basic knowledge of the heart,emergency and safety and nutrition knowledge.The top 3-demand modes were:communication with medical workers,movies or videos to take home,and lectures.The score of demands for cardiac rehabilitation information was different in different age groups.The highest score was in the patients with age less than 60.There were different demands in different characteristic groups.Conclusion:The most urgent need and mode are drug knowledge and communication with medical workers,respectively.With the age increase,the demands for patients' cardiac rehabilitation information decrease.An individualized health education strategy should be developed according to the characteristics of CHD patients.
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Objetivo: Avaliar o conhecimento dos professores de 1ª a 4ª série de escolas públicas do município de Manaus-AM, sobre avulsão dentária. Método: Foram entrevistados 311 profissionais, de todas as zonas de Manaus, por meio de formulário padronizado, contendo perguntas fechadas, abertas e de múltipla escolha sobre avulsão dentária, reimplante e procedimentos necessários para favorecer o prognóstico em casos de dentes avulsionados. Após a entrevista, foi entregue um folder sobre os corretos procedimentos de urgência a serem adotados frente aos casos de avulsão dentária, possibilitando transformar os professores da rede pública de ensino em agentes multiplicadores de conhecimento. Resultados: 57,1% dos professores possuíam apenas formação de ensino médio e 49,8% tinham experiência profissional entre 1 e 5 anos. Dos professores que realizaram treinamento de primeiros socorros (29,9%), apenas 12,9% obtiveram informações sobre traumatismo alvéolo-dentário. 66,9% não souberam distinguir os dentes decíduos dos permanentes e 61,7% apenas dariam uma toalha para o aluno morder em caso de traumatismo, não dispensando a atenção necessária ao elemento avulsionado. Apenas 5,5% realizariam o reimplante do elemento dentário no local do acidente. A maioria (55,9%) considerou que a procura do atendimento deve ser imediata, 51,1% escolheria o dentista como profissional mais qualificado para estes casos e 58,8% escolheria a água da torneira como meio de conservação ideal para o dente avulsionado. Conclusão: Não se observou conhecimento adequado dos professores entrevistados em relação aos procedimentos de urgência a serem adotados frente à avulsão dentária, demonstrando a necessidade da inclusão deste tema na matriz curricular destes profissionais e também da realização de campanhas de educação em saúde, melhorando assim o prognóstico do reimplante dentário.
Objective: To evaluate the knowledge of 1st-4th grade teachers form municipal public schools of the city of Manaus/AM about tooth avulsion.Method: Three hundred and eleven professionals from all regions of the city of Manaus/AM were interviewed using a standardized form containing closed, open and multi plechoice questions about tooth avulsion, tooth replantation and the procedures necessary to improve the prognosis in cases of avulsed teeth. After the interview, a folder containing information about the correct urgency procedures to be adopted in case of tooth avulsion was handed to the participants, in an attempt to make elementary public school teachers capable of spreading this knowledge. Results: 57.1% of the teachers had only high school education and 49.8% had 1 to 5 years of professional experience. From the teachers that attended first-aid training (29.9%), only 12.9% had previous information on dento-alveolar trauma. 66.9% could not distinguish primary from permanent teeth, and 61.7% would only give a towel for the student to bite in case of dental trauma, not dispensing the necessary attention to the avulsed tooth. Only 5.5% would replant the avulsed tooth at the site of the accident. Most teachers (55.9%) responded that immediate dental care is necessary, 51.1% considered the dentist as the most qualified professional for these cases, and 58.8% would choose tap water as the ideal storage medium for the avulsed tooth. Conclusion: The interviewed teachers did not have adequate knowledge of the urgency procedures to be adopted in case of tooth avulsion, demonstrating the need of incorporating this subject to the curriculum of these professionals and performing health educational campaigns to improve the frequency and prognosis of replanted teeth.
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Humans , Male , Female , Adult , Middle Aged , Tooth Socket , Tooth Avulsion/diagnosis , Health Education , Replantation/methods , Public Health , Emergency Medical Services , Tooth Injuries/diagnosis , Data Interpretation, StatisticalABSTRACT
Este manuscrito, baseado em revisão de literatura, convida à reflexão sobre a importância da discussão das questões ecológicas na formação do profissional de saúde. Entre os aspectos considerados fundamentais, inclui-se a revisão da Agenda 21 e as interações entre os processos produtivos, o consumo, as inovações tecnológicas e a degradação da saúde e do meio ambiente. A proposta central desta discussão é a sensibilização para incorporar o debate sobre a relação entre ambiente e saúde nos currículos dos diversos cursos da área da saúde, incluindo graduação e pós-graduação. Considera-se que essas reflexões no espaço acadêmico são formas potenciais de promover a responsabilização dos futuros profissionais de saúde no exercício da cidadania, destacando o comprometimento presente e futuro com a existência e com as condições e a qualidade de vida dos indivíduos, da sociedade e do planeta.
Based on a literature review, this paper invites the reader to reflect on the importance of ecological issues as part of undergraduate training in health. Key aspects include a review of Agenda 21 and the interactions between industrial processes, consumption, technological innovations, and degradation of health and the environment. The central proposal in this discussion is sensitization to incorporate the debate on the relationship between the environment and health into the curriculum in various health courses at both the undergraduate and graduate levels. Such reflections in the academic sphere are potential ways to foster responsibility by future health professionals in their exercise of citizenship, highlighting current and future commitment to life and the living conditions and quality of life for individuals, society, and the planet.
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Universities , Environmental Health Education , Health Education , Health PersonnelABSTRACT
Objective To observe the effect of healthy education on BMD and the risk of bone fracture in pa- tients with primary osteoporosis.Methods 628 patients with primary osteoporosis were randomly divided into two groups under the same conditions,and healthy education were conducted in treated group but were not conducted in control group.Two years later,BMD and the rates of bone fractures were collected and analysed.Results Compared with control groups,the bone loss was significantly lower at the feroral neck,Ward's triangle and the great trochanter,and the risk of bone fractures was remarkably reduced in treated group(P
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Objective: To investigate the function of healthy education in early enteral nutrition after operation.Methods: 72 patients of upper digestive tract operation were divided into test group(n=36)and control group(n=36).The education about enteral nutrition knowledge was intensified in test group. Results: The degree of grasping enteral nutrition knowledge and the time of receiving enteral nutrition were increased in test group.The complications of EN were decreased in test group.Conclusion: It is helpful to intensify the healthy education in early enteral nutrition after operation.
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Objective:To investigate the possibility and the usefulness of group psychological guidance in mental health education course. Methods:Two classes of the same grade were chosen,one was group psychological guidance class,and the other as control. SCL-90 was used to measure the effect of group instruction. Results:after group intervention, the study group decreased more in SCL-90 total score than control (24.5?7.2/13.4?2.5,t=6.24,P
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In the interpersonal communication conflict is one of the social interactions that occurs frequently.Negative emotion influences the lif estudy and health condition of college students.The psychological healthy education of college students should improve their psychological health condition level through changing their unreasonable belief,decreasing the emotional sensitivity to conflicts,analyzing the emotion to conflicts corretcly so on.