目的总结国内外乳腺癌相关淋巴水肿患者报告结局的特异性评估工具,分析工具的内容及特征,为工具的选择及开发提供参考。方法采用范围综述的研究方法和步骤,以PRISMA-ScR报告清单为指导,全面检索PubMed、Web of Science、Cochrane Librar...目的总结国内外乳腺癌相关淋巴水肿患者报告结局的特异性评估工具,分析工具的内容及特征,为工具的选择及开发提供参考。方法采用范围综述的研究方法和步骤,以PRISMA-ScR报告清单为指导,全面检索PubMed、Web of Science、Cochrane Library、Embase、OpenGrey、万方、维普和中国知网数据库。提取工具的基本特征(工具名称、构建基础、构建方法、维度内容、信效度及工具特点等)。结果共纳入26篇文献,含15种工具,可分为5大类即症状体验、生活质量、疾病感知、自护能力和患者纺织品装备满意度。结论乳腺癌相关淋巴水肿患者报告结局特异性评估工具正处于起步阶段,部分工具仍需进一步研究与验证,临床选择工具时需从多维考虑,工具的开发应遵照相关标准,提高工具的准确性。展开更多
目的:探讨门诊空巢老人的焦虑、抑郁现状及主观幸福感水平,并分析其相关影响因素。方法:本研究为横断面研究,连续性选择重庆医药高等专科学校附属第一医院门诊就诊的空巢老年肿瘤患者作为研究对象,分别采用焦虑自评特征量表(Self-Rating...目的:探讨门诊空巢老人的焦虑、抑郁现状及主观幸福感水平,并分析其相关影响因素。方法:本研究为横断面研究,连续性选择重庆医药高等专科学校附属第一医院门诊就诊的空巢老年肿瘤患者作为研究对象,分别采用焦虑自评特征量表(Self-Rating Anxiety Scale,SAS)和老年抑郁量表(Geriatric Depression Scale,GDS)对患者的焦虑、抑郁情绪进行现况调查,采用纽芬兰纪念大学幸福度量表(Memorial University of Newfoundland Scale of Happiness,MUNSH)对患者的主观幸福感进行评估,采用多元线性回归模型分析焦虑、抑郁及主观幸福感的影响因素。结果:门诊空巢老人焦虑症状检出率29.25%;抑郁症状检出率51.89%,其中轻度抑郁42例、中重度抑郁13例。主观幸福感水平得分20~22分,中位得分4分,平均分(3.78±8.77)分,明显低于国内常模,差异有统计学意义(t=-38.965,P<0.001)。门诊空巢老人的主观幸福感与焦虑、抑郁情绪之间均呈负相关关系,差异有统计学意义(P<0.05)。对门诊空巢老人焦虑情绪有影响的因素(按影响程度排序)为所患慢病种数和睡眠情况;对门诊空巢老人抑郁情绪有影响的因素(按影响程度排序)为所患慢病种数、睡眠情况和娱乐活动情况;对门诊空巢老人主观幸福感有影响的因素(按影响程度排序)为焦虑、抑郁和睡眠情况。结论:门诊空巢老年肿瘤患者的焦虑和抑郁的发生率较高,主观幸福感水平较低,老人的主观幸福感与焦虑和抑郁情绪呈显著负相关,而且慢病种数和睡眠情况影响门诊空巢老人的焦虑情绪;慢病种数、睡眠情况和娱乐活动情况影响其抑郁情绪;而影响门诊空巢老人的主观幸福感的因素有焦虑、抑郁和睡眠情况。展开更多
The substructure of pollen exine in Cedrus deodara (Roxb.) Loud, and Metasequoia glyptostroboides Hu et Cheng has been examined with an atomic force microscope (AFM). The results indicate that the exine substructure u...The substructure of pollen exine in Cedrus deodara (Roxb.) Loud, and Metasequoia glyptostroboides Hu et Cheng has been examined with an atomic force microscope (AFM). The results indicate that the exine substructure units containing sporopollenin in two species are similar in shape, which are granular, but slightly different in size. In Cedrus the substructure unit of pollen exine appears to be 56-99 nm long and 42-74 nm wide, while in Metasequoia it appears to be 81-118 nm long and 43-98 nm wide. It has been observed that the subunits of pollen exine in Cedrus arranged tightly to form short-rod-like or spheroidal pollen exine units, several or more than ten of which formed an island-like structure. There are various spaces among these island-like structures which are interconnected to occupy the entire pollen exine. In Metasequoia, the subunits of pollen exine also arranged tightly with a distribution tendency of cluster of 3-10, however, no obvious boundary exists among these clusters. From our展开更多
文摘目的总结国内外乳腺癌相关淋巴水肿患者报告结局的特异性评估工具,分析工具的内容及特征,为工具的选择及开发提供参考。方法采用范围综述的研究方法和步骤,以PRISMA-ScR报告清单为指导,全面检索PubMed、Web of Science、Cochrane Library、Embase、OpenGrey、万方、维普和中国知网数据库。提取工具的基本特征(工具名称、构建基础、构建方法、维度内容、信效度及工具特点等)。结果共纳入26篇文献,含15种工具,可分为5大类即症状体验、生活质量、疾病感知、自护能力和患者纺织品装备满意度。结论乳腺癌相关淋巴水肿患者报告结局特异性评估工具正处于起步阶段,部分工具仍需进一步研究与验证,临床选择工具时需从多维考虑,工具的开发应遵照相关标准,提高工具的准确性。
文摘目的:探讨门诊空巢老人的焦虑、抑郁现状及主观幸福感水平,并分析其相关影响因素。方法:本研究为横断面研究,连续性选择重庆医药高等专科学校附属第一医院门诊就诊的空巢老年肿瘤患者作为研究对象,分别采用焦虑自评特征量表(Self-Rating Anxiety Scale,SAS)和老年抑郁量表(Geriatric Depression Scale,GDS)对患者的焦虑、抑郁情绪进行现况调查,采用纽芬兰纪念大学幸福度量表(Memorial University of Newfoundland Scale of Happiness,MUNSH)对患者的主观幸福感进行评估,采用多元线性回归模型分析焦虑、抑郁及主观幸福感的影响因素。结果:门诊空巢老人焦虑症状检出率29.25%;抑郁症状检出率51.89%,其中轻度抑郁42例、中重度抑郁13例。主观幸福感水平得分20~22分,中位得分4分,平均分(3.78±8.77)分,明显低于国内常模,差异有统计学意义(t=-38.965,P<0.001)。门诊空巢老人的主观幸福感与焦虑、抑郁情绪之间均呈负相关关系,差异有统计学意义(P<0.05)。对门诊空巢老人焦虑情绪有影响的因素(按影响程度排序)为所患慢病种数和睡眠情况;对门诊空巢老人抑郁情绪有影响的因素(按影响程度排序)为所患慢病种数、睡眠情况和娱乐活动情况;对门诊空巢老人主观幸福感有影响的因素(按影响程度排序)为焦虑、抑郁和睡眠情况。结论:门诊空巢老年肿瘤患者的焦虑和抑郁的发生率较高,主观幸福感水平较低,老人的主观幸福感与焦虑和抑郁情绪呈显著负相关,而且慢病种数和睡眠情况影响门诊空巢老人的焦虑情绪;慢病种数、睡眠情况和娱乐活动情况影响其抑郁情绪;而影响门诊空巢老人的主观幸福感的因素有焦虑、抑郁和睡眠情况。
文摘The substructure of pollen exine in Cedrus deodara (Roxb.) Loud, and Metasequoia glyptostroboides Hu et Cheng has been examined with an atomic force microscope (AFM). The results indicate that the exine substructure units containing sporopollenin in two species are similar in shape, which are granular, but slightly different in size. In Cedrus the substructure unit of pollen exine appears to be 56-99 nm long and 42-74 nm wide, while in Metasequoia it appears to be 81-118 nm long and 43-98 nm wide. It has been observed that the subunits of pollen exine in Cedrus arranged tightly to form short-rod-like or spheroidal pollen exine units, several or more than ten of which formed an island-like structure. There are various spaces among these island-like structures which are interconnected to occupy the entire pollen exine. In Metasequoia, the subunits of pollen exine also arranged tightly with a distribution tendency of cluster of 3-10, however, no obvious boundary exists among these clusters. From our