目的:本研究旨在探讨感知父母冲突与青少年生活满意度的关系,并且探讨领悟社会支持在两者关系中起到的中介作用。采用子女感知父母婚姻冲突量表、学生生活满意度量表、领悟社会支持量表进行问卷调查法,对甘肃省兰州市数所中学的初二到...目的:本研究旨在探讨感知父母冲突与青少年生活满意度的关系,并且探讨领悟社会支持在两者关系中起到的中介作用。采用子女感知父母婚姻冲突量表、学生生活满意度量表、领悟社会支持量表进行问卷调查法,对甘肃省兰州市数所中学的初二到高三共400名学生进行样本收集,通过数据分析揭示三者之间的内在关联。结果:1) 青少年感知父母冲突和生活满意度呈显著负相关;生活满意度与领悟社会支持呈显著正相关;青少年感知父母冲突与领悟社会支持呈显著负相关;2) 领悟社会支持在青少年感知父母冲突和其生活满意度之间起到中介作用。本研究为青少年心理健康教育和家庭关系改善提供了理论依据,为教育工作者和家长提供相关的科学干预策略,从而促进青少年构建稳固和谐的家庭关系,并构建积极有效的社会支持网络,加强其心理健康的整体状况,从而为他们的全面发展奠定坚实基础。Objective: This study aims to explore the relationship between perceived parental conflict and adolescent life satisfaction, and to explore the mediating role of perceived social support in the relationship between the two. A questionnaire survey was conducted using the Children’s Perceived Parental Marriage Conflict Scale, Student Life Satisfaction Scale, and Perceived Social Support Scale. A sample of 400 students from grade two to grade three in several high schools in Lanzhou City, Gansu Province was collected, and data analysis was conducted to reveal the intrinsic correlation between the three. The results showed that: 1) there was a significant negative correlation between adolescent perception of parental conflict and life satisfaction;There is a significant positive correlation between life satisfaction and perceived social support;The adolescent’s comprehension of social support is notably diminished in correlation with their heightened awareness of parental discord, indicating a substantial inverse relationship;2) Understanding social support plays a mediating role between adolescent perception of parental conflict and their life satisfaction. This study provides a theoretical basis for adolescent mental health education and family relationship improvement, and provides relevant scientific intervention strategies for educators and parents, thereby promoting the construction of stable and harmonious family relationships among adolescents, and building a positive and effective social support network to enhance their overall mental health status, laying a solid foundation for their comprehensive development.展开更多
随着人工智能技术的快速发展,其在医学教育领域的应用逐渐深入。CIPP(context input process product,CIPP)理论作为一种综合性的教学设计和评价模型,为AI技术在医学教学评价中的应用提供了理论基础。该研究旨在探讨AI如何基于CIPP理论...随着人工智能技术的快速发展,其在医学教育领域的应用逐渐深入。CIPP(context input process product,CIPP)理论作为一种综合性的教学设计和评价模型,为AI技术在医学教学评价中的应用提供了理论基础。该研究旨在探讨AI如何基于CIPP理论赋能医学教学评价,深入分析背景、输入、过程和结果四个方面,分析AI在不同阶段的应用实践,并讨论AI在赋能医学教学评价中面临的挑战、问题,以及未来发展趋势。展开更多
目的:探讨医学生父母心理控制与社会适应的关系及其自尊在其中的中介作用。方法:采用父母心理控制量表、社会适应量表和自尊量表对甘肃某医学院校415名医学生进行测量。结果:父母心理控制与医学生社会适应显著相关,然后自尊在父母心理...目的:探讨医学生父母心理控制与社会适应的关系及其自尊在其中的中介作用。方法:采用父母心理控制量表、社会适应量表和自尊量表对甘肃某医学院校415名医学生进行测量。结果:父母心理控制与医学生社会适应显著相关,然后自尊在父母心理控制与医学生社会适应之间起部分中介作用。结论:通过提高自尊水平,有利于提升医学生的社会适应能力以及有利于降低父母心理控制的影响。对策:首先多方协作构建社会支持网络系统。其次学校可以通过各种活动创建特色校园文化环境,最后,医学生需提高个人心理韧性,从而达到通过提高自尊水平,降低父母心理控制,增加社会适应的目的。Objective: To study the relationship between psychological control and social adaptation and the mediating role of self-esteem. Methods: Parental psychological control scale, social adaptation scale and self-esteem scale were used for 415 medical students in a medical school in Gansu. Results: Parental psychological control was significantly associated with the social adaptation of medical students, and then self-esteem played a partial mediating role between parental psychological control and the social adaptation of medical students. Conclusion: By improving self-esteem, it can improve medical students’ social adaptability and reduce the impact of parents’ psychological control. Countermeasures: First, multi-party cooperation is needed to build a social support network system. Secondly, schools can create a characteristic campus cultural environment through various activities. Finally, medical students need to improve their personal psychological resilience, so as to achieve the purpose of improving their self-esteem level, reducing their parents’ psychological control and increasing their social adaptation.展开更多
[目的]系统评价我国DRG/DIP支付方式改革对医疗机构医疗服务能力的实施效果。[方法]计算机检索PubMed、Embase、Web Of Science、CNKI、CBM、WanFang Data、VIP数据库,并按照纳入标准与排除标准,对所有通过搜索得到的文献进行甄别筛选,...[目的]系统评价我国DRG/DIP支付方式改革对医疗机构医疗服务能力的实施效果。[方法]计算机检索PubMed、Embase、Web Of Science、CNKI、CBM、WanFang Data、VIP数据库,并按照纳入标准与排除标准,对所有通过搜索得到的文献进行甄别筛选,将符合研究的文献进行质量评价,采用主题综合法对纳入研究范围的文献进行综合分析,形成1个核心主题和3项评价指标。[结果]共纳入10篇文献研究,文献质量得分均为14分及以上,共计716,721例研究对象。系统评价结果显示,与未实施DRG/DIP组相比,实施DRG/DIP组的CMI值(P<0.05)、总权重上升,DRG组数增多。[结论]DRG/DIP支付制度的实施能够有效提升医疗机构医疗服务能力,但仍存在上升空间,应优化病案首页质量体系、发挥CMI指标评价作用、提升服务质量及患者满意度,以推动医疗机构长远发展。展开更多
[目的]系统评价我国DRG支付方式改革对医疗服务绩效的影响,为我国医保支付方式改革提供参考。[方法]检索Web of Science、PubMed、Embase、CNKI、WanFang Data、VIP和CBM数据库,搜集DRG支付方式改革对医疗服务绩效影响的实证研究文献,...[目的]系统评价我国DRG支付方式改革对医疗服务绩效的影响,为我国医保支付方式改革提供参考。[方法]检索Web of Science、PubMed、Embase、CNKI、WanFang Data、VIP和CBM数据库,搜集DRG支付方式改革对医疗服务绩效影响的实证研究文献,根据纳入排除标准筛选并提取数据,采用主题综合法对纳入文献进行综合分析,形成3个核心主题和6项评价指标。[结果]共纳入13篇文献,其中7篇ITS研究,5篇BA研究,1篇RCT研究。结果显示,DRG实施后,医疗服务能力、效率、质量和安全水平均有所提高。医院的CMI指数、DRG组数和DRG总权重数均呈增加趋势,医疗服务能力增加;时间消耗指数和费用消耗指数均呈下降趋势,医疗服务效率提高;低风险组死亡率降低,医疗服务质量和安全水平提高。[结论]DRG有利于提高医疗服务绩效,进而提高医院的精细化管理水平。但存在与国考绩效评价体系之间衔接不足的问题。展开更多
文摘目的:本研究旨在探讨感知父母冲突与青少年生活满意度的关系,并且探讨领悟社会支持在两者关系中起到的中介作用。采用子女感知父母婚姻冲突量表、学生生活满意度量表、领悟社会支持量表进行问卷调查法,对甘肃省兰州市数所中学的初二到高三共400名学生进行样本收集,通过数据分析揭示三者之间的内在关联。结果:1) 青少年感知父母冲突和生活满意度呈显著负相关;生活满意度与领悟社会支持呈显著正相关;青少年感知父母冲突与领悟社会支持呈显著负相关;2) 领悟社会支持在青少年感知父母冲突和其生活满意度之间起到中介作用。本研究为青少年心理健康教育和家庭关系改善提供了理论依据,为教育工作者和家长提供相关的科学干预策略,从而促进青少年构建稳固和谐的家庭关系,并构建积极有效的社会支持网络,加强其心理健康的整体状况,从而为他们的全面发展奠定坚实基础。Objective: This study aims to explore the relationship between perceived parental conflict and adolescent life satisfaction, and to explore the mediating role of perceived social support in the relationship between the two. A questionnaire survey was conducted using the Children’s Perceived Parental Marriage Conflict Scale, Student Life Satisfaction Scale, and Perceived Social Support Scale. A sample of 400 students from grade two to grade three in several high schools in Lanzhou City, Gansu Province was collected, and data analysis was conducted to reveal the intrinsic correlation between the three. The results showed that: 1) there was a significant negative correlation between adolescent perception of parental conflict and life satisfaction;There is a significant positive correlation between life satisfaction and perceived social support;The adolescent’s comprehension of social support is notably diminished in correlation with their heightened awareness of parental discord, indicating a substantial inverse relationship;2) Understanding social support plays a mediating role between adolescent perception of parental conflict and their life satisfaction. This study provides a theoretical basis for adolescent mental health education and family relationship improvement, and provides relevant scientific intervention strategies for educators and parents, thereby promoting the construction of stable and harmonious family relationships among adolescents, and building a positive and effective social support network to enhance their overall mental health status, laying a solid foundation for their comprehensive development.
文摘随着人工智能技术的快速发展,其在医学教育领域的应用逐渐深入。CIPP(context input process product,CIPP)理论作为一种综合性的教学设计和评价模型,为AI技术在医学教学评价中的应用提供了理论基础。该研究旨在探讨AI如何基于CIPP理论赋能医学教学评价,深入分析背景、输入、过程和结果四个方面,分析AI在不同阶段的应用实践,并讨论AI在赋能医学教学评价中面临的挑战、问题,以及未来发展趋势。
文摘目的:探讨医学生父母心理控制与社会适应的关系及其自尊在其中的中介作用。方法:采用父母心理控制量表、社会适应量表和自尊量表对甘肃某医学院校415名医学生进行测量。结果:父母心理控制与医学生社会适应显著相关,然后自尊在父母心理控制与医学生社会适应之间起部分中介作用。结论:通过提高自尊水平,有利于提升医学生的社会适应能力以及有利于降低父母心理控制的影响。对策:首先多方协作构建社会支持网络系统。其次学校可以通过各种活动创建特色校园文化环境,最后,医学生需提高个人心理韧性,从而达到通过提高自尊水平,降低父母心理控制,增加社会适应的目的。Objective: To study the relationship between psychological control and social adaptation and the mediating role of self-esteem. Methods: Parental psychological control scale, social adaptation scale and self-esteem scale were used for 415 medical students in a medical school in Gansu. Results: Parental psychological control was significantly associated with the social adaptation of medical students, and then self-esteem played a partial mediating role between parental psychological control and the social adaptation of medical students. Conclusion: By improving self-esteem, it can improve medical students’ social adaptability and reduce the impact of parents’ psychological control. Countermeasures: First, multi-party cooperation is needed to build a social support network system. Secondly, schools can create a characteristic campus cultural environment through various activities. Finally, medical students need to improve their personal psychological resilience, so as to achieve the purpose of improving their self-esteem level, reducing their parents’ psychological control and increasing their social adaptation.
文摘[目的]系统评价我国DRG/DIP支付方式改革对医疗机构医疗服务能力的实施效果。[方法]计算机检索PubMed、Embase、Web Of Science、CNKI、CBM、WanFang Data、VIP数据库,并按照纳入标准与排除标准,对所有通过搜索得到的文献进行甄别筛选,将符合研究的文献进行质量评价,采用主题综合法对纳入研究范围的文献进行综合分析,形成1个核心主题和3项评价指标。[结果]共纳入10篇文献研究,文献质量得分均为14分及以上,共计716,721例研究对象。系统评价结果显示,与未实施DRG/DIP组相比,实施DRG/DIP组的CMI值(P<0.05)、总权重上升,DRG组数增多。[结论]DRG/DIP支付制度的实施能够有效提升医疗机构医疗服务能力,但仍存在上升空间,应优化病案首页质量体系、发挥CMI指标评价作用、提升服务质量及患者满意度,以推动医疗机构长远发展。
文摘[目的]系统评价我国DRG支付方式改革对医疗服务绩效的影响,为我国医保支付方式改革提供参考。[方法]检索Web of Science、PubMed、Embase、CNKI、WanFang Data、VIP和CBM数据库,搜集DRG支付方式改革对医疗服务绩效影响的实证研究文献,根据纳入排除标准筛选并提取数据,采用主题综合法对纳入文献进行综合分析,形成3个核心主题和6项评价指标。[结果]共纳入13篇文献,其中7篇ITS研究,5篇BA研究,1篇RCT研究。结果显示,DRG实施后,医疗服务能力、效率、质量和安全水平均有所提高。医院的CMI指数、DRG组数和DRG总权重数均呈增加趋势,医疗服务能力增加;时间消耗指数和费用消耗指数均呈下降趋势,医疗服务效率提高;低风险组死亡率降低,医疗服务质量和安全水平提高。[结论]DRG有利于提高医疗服务绩效,进而提高医院的精细化管理水平。但存在与国考绩效评价体系之间衔接不足的问题。
