目的了解理论域框架在慢性病患者行为改变中的应用现状,以期为国内慢性病管理干预策略的制订和完善提供思路。方法以澳大利亚JBI循证卫生保健中心范围综述指南为方法学框架,系统检索PubMed、Embase、CINAHL、Web of Science、Cochrane L...目的了解理论域框架在慢性病患者行为改变中的应用现状,以期为国内慢性病管理干预策略的制订和完善提供思路。方法以澳大利亚JBI循证卫生保健中心范围综述指南为方法学框架,系统检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、中国知网、万方、维普和中国生物医学数据库。检索时限为建库至2025年4月28日。结果共纳入72篇文献,其中质性研究54篇,量性研究9篇及混合研究9篇,学者对理论域框架的应用以设计访谈提纲、编码访谈资料、开发调查问卷为主,重点关注的疾病类型为慢性病,包括糖尿病、心脑血管疾病、癌症等,健康相关行为集中在饮食健康、运动锻炼、用药管理、遵医和预防保健行为等方面,与行为改变关联较强的理论域依次为环境与资源、社会影响、知识和结果信念。结论理论域框架可帮助研究者全面、深入地识别影响慢性病患者行为改变的决定性因素,促进干预措施的制订和完善,以适应不同患者的个性化需求,为慢性病防治提供创新方法论支持。展开更多
目的:以理论域框架为基础,系统综述乳腺癌病人辅助内分泌治疗(AET)依从性的行为心理学影响因素。方法:检索PubMed、Web of Science、EMbase、CINAHL、Cochrane Library、中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据库(WanFa...目的:以理论域框架为基础,系统综述乳腺癌病人辅助内分泌治疗(AET)依从性的行为心理学影响因素。方法:检索PubMed、Web of Science、EMbase、CINAHL、Cochrane Library、中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据库(WanFang Data)、维普数据库(VIP)9个数据库中涉及乳腺癌AET病人依从性行为心理学影响因素的中英文文献。由2名研究者独立筛选文献并提取资料。采用Nvivo 14软件进行数据分析,以理论域框架的14个理论域为一级节点对行为心理学影响因素相关文本进行编码,使用主题分析法凝练二级节点。结果:共纳入50篇文献,获得297个编码点,归纳获得30个二级节点,分布于12个理论域。环境和资源、情感、社会影响是编码点最多的3个理论域;身体状况是对病人依从性影响最多的因素。结论:乳腺癌病人AET依从性的行为心理学影响因素涉及理论域框架的多个理论域,且各因素间可能存在交互作用关系,可探索多种因素对依从性的作用路径以更精准、高效地进行行为干预。展开更多
Background: Dementia is a condition with progressive cognitive dysfunction and manifestation of both behavioral and psychosocial symptoms. Non-pharmacological measures such as music therapy are gaining importance sinc...Background: Dementia is a condition with progressive cognitive dysfunction and manifestation of both behavioral and psychosocial symptoms. Non-pharmacological measures such as music therapy are gaining importance since efficacy and safety of people with dementia have been questionable for pharmacological measures. Patient’s response to music is persistent even in the later stage of dementia. Aim: This rapid review aims to identify, analyze, evaluate, and summarize the best available evidence on the effectiveness of music-based therapeutic interventions among people with dementia. Method: CINAHL Cochrane Library, internet websites of rapid review producers, and reference lists were searched to identify articles for inclusion. Two reviewers independently screened the literature search results. Effectiveness, music-based therapeutic intervention, dementia, Alzheimer’s disease, systematic review and systematic review with meta-analysis terms were used to abstract data from included studies. Main Findings: 11 SRs and SRs with meta-analysis were reviewed which revealed positive effect of music therapy on five major outcomes with 9 studies effect on behavioral outcome, 6 studies with positive effect on psychosocial outcome reducing anxiety, 6 with improved cognition, 1 study revealed with improved quality of life and 1 study revealed effect on physiological outcomes. Conclusion: Music therapy has positive effect on treatment of dementia but further studies with larger sample size and specified to single intervention should be conducted to provide generalisable and precise results on this topic.展开更多
The purpose of this systematic review was to examine the effectiveness of cognitive behavior therapy (CBT) in minimizing the depressive symptoms and improving quality of life in heart failure (HF) patients with depres...The purpose of this systematic review was to examine the effectiveness of cognitive behavior therapy (CBT) in minimizing the depressive symptoms and improving quality of life in heart failure (HF) patients with depression. This systematic review was conducted in accordance with the Joanna Briggs Institute methodology for systematic reviews of effectiveness evidence. This review only considered randomized controlled trial, assessing the effectiveness of CBT as a treatment for depression in adults (aged above 18) with HF, compared with usual care, which may include medications. This systematic review includes five RCTs involving 379 HF patients with depression (CBT = 192;Control = 187). Two RCTs compared CBT versus usual care using BDI, and no statistically significant differences were observed in reduction of depression after three months of the intervention (MD ?0.92, 95% CI ?1.89 to ?0.05) (p = 0.06). However, a significant difference of depression level was identified between CBT and control groups in a meta-analysis of two RCTs after 6-months of intervention measured by Hamilton Depression Scale (HAM-D) (MD ?3.34, 95% CI ?5.00 to ?1.68) (p = 0.0001) with moderate heterogeneity (I2 = 43%). Quality of life was assessed at three months between intervening groups undergoing CBT and the control group with usual care in two RCTs. A statistically significant improvement was observed in the Minnesota Living with Heart Failure Questionnaire (MLHFQ) in the CBT group compared with usual care (MD ?9.44, 95% CI ?13.02 to ?5.87) (p < 0.0001). The key finding of this review is that CBT is likely to be helpful in improving the depressive symptoms and quality of life in HF patients with depression. Moreover, long-term continued CBT sessions may help in minimizing the depression level and improving the QoL.展开更多
目的:系统分析各类医生薪酬支付方式对医疗服务提供行为及结果的影响。方法:采用范畴综述法,以Web of Science和中国知网、维普及万方为数据源,“医生”“薪酬”“支付方式”和“医生行为”等为主题词,检索到相关文献2255篇,通过制定严...目的:系统分析各类医生薪酬支付方式对医疗服务提供行为及结果的影响。方法:采用范畴综述法,以Web of Science和中国知网、维普及万方为数据源,“医生”“薪酬”“支付方式”和“医生行为”等为主题词,检索到相关文献2255篇,通过制定严格的筛选程序最终纳入70篇相关研究。结果:按项目支付激励医生提供足量服务,但易导致过度医疗;固定薪水与按人头支付有助于控制成本,但易引发服务不足;DRG/DIP在医疗服务数量与质量方面的优势随患者病情加重而减弱。混合支付方式能够有效平衡医疗服务数量与成本,而按绩效支付在医疗质量提升方面总体表现突出。结论:医生薪酬单一支付方式难以实现医疗服务提供行为及结果最优化,且质量导向不足,多种支付方式与质量激励相融合的混合支付体系亟待构建。同时,建议深化医保结余薪酬转化机制改革,充分落实公立医院分配自主权,加快建立与医保支付和绩效考核协同的医生薪酬混合支付方式。展开更多
With the rise of live streaming on social media, platforms like Facebook, Instagram, and YouTube have become powerful business tools. They enable users to share live videos, fostering direct connections between busine...With the rise of live streaming on social media, platforms like Facebook, Instagram, and YouTube have become powerful business tools. They enable users to share live videos, fostering direct connections between businesses and their customers. This critical literature review paper explores the impact of live streaming on businesses, focusing on its role in attracting and satisfying consumers by promoting products tailored to their needs and wants. It emphasizes live streaming’s crucial role in engaging customers, a key to business growth. The study also provides viable strategies for businesses to leverage live streaming for growth and customer engagement, underscoring its importance in the business landscape.展开更多
文摘目的了解理论域框架在慢性病患者行为改变中的应用现状,以期为国内慢性病管理干预策略的制订和完善提供思路。方法以澳大利亚JBI循证卫生保健中心范围综述指南为方法学框架,系统检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、中国知网、万方、维普和中国生物医学数据库。检索时限为建库至2025年4月28日。结果共纳入72篇文献,其中质性研究54篇,量性研究9篇及混合研究9篇,学者对理论域框架的应用以设计访谈提纲、编码访谈资料、开发调查问卷为主,重点关注的疾病类型为慢性病,包括糖尿病、心脑血管疾病、癌症等,健康相关行为集中在饮食健康、运动锻炼、用药管理、遵医和预防保健行为等方面,与行为改变关联较强的理论域依次为环境与资源、社会影响、知识和结果信念。结论理论域框架可帮助研究者全面、深入地识别影响慢性病患者行为改变的决定性因素,促进干预措施的制订和完善,以适应不同患者的个性化需求,为慢性病防治提供创新方法论支持。
文摘Background: Dementia is a condition with progressive cognitive dysfunction and manifestation of both behavioral and psychosocial symptoms. Non-pharmacological measures such as music therapy are gaining importance since efficacy and safety of people with dementia have been questionable for pharmacological measures. Patient’s response to music is persistent even in the later stage of dementia. Aim: This rapid review aims to identify, analyze, evaluate, and summarize the best available evidence on the effectiveness of music-based therapeutic interventions among people with dementia. Method: CINAHL Cochrane Library, internet websites of rapid review producers, and reference lists were searched to identify articles for inclusion. Two reviewers independently screened the literature search results. Effectiveness, music-based therapeutic intervention, dementia, Alzheimer’s disease, systematic review and systematic review with meta-analysis terms were used to abstract data from included studies. Main Findings: 11 SRs and SRs with meta-analysis were reviewed which revealed positive effect of music therapy on five major outcomes with 9 studies effect on behavioral outcome, 6 studies with positive effect on psychosocial outcome reducing anxiety, 6 with improved cognition, 1 study revealed with improved quality of life and 1 study revealed effect on physiological outcomes. Conclusion: Music therapy has positive effect on treatment of dementia but further studies with larger sample size and specified to single intervention should be conducted to provide generalisable and precise results on this topic.
文摘The purpose of this systematic review was to examine the effectiveness of cognitive behavior therapy (CBT) in minimizing the depressive symptoms and improving quality of life in heart failure (HF) patients with depression. This systematic review was conducted in accordance with the Joanna Briggs Institute methodology for systematic reviews of effectiveness evidence. This review only considered randomized controlled trial, assessing the effectiveness of CBT as a treatment for depression in adults (aged above 18) with HF, compared with usual care, which may include medications. This systematic review includes five RCTs involving 379 HF patients with depression (CBT = 192;Control = 187). Two RCTs compared CBT versus usual care using BDI, and no statistically significant differences were observed in reduction of depression after three months of the intervention (MD ?0.92, 95% CI ?1.89 to ?0.05) (p = 0.06). However, a significant difference of depression level was identified between CBT and control groups in a meta-analysis of two RCTs after 6-months of intervention measured by Hamilton Depression Scale (HAM-D) (MD ?3.34, 95% CI ?5.00 to ?1.68) (p = 0.0001) with moderate heterogeneity (I2 = 43%). Quality of life was assessed at three months between intervening groups undergoing CBT and the control group with usual care in two RCTs. A statistically significant improvement was observed in the Minnesota Living with Heart Failure Questionnaire (MLHFQ) in the CBT group compared with usual care (MD ?9.44, 95% CI ?13.02 to ?5.87) (p < 0.0001). The key finding of this review is that CBT is likely to be helpful in improving the depressive symptoms and quality of life in HF patients with depression. Moreover, long-term continued CBT sessions may help in minimizing the depression level and improving the QoL.
文摘目的:系统分析各类医生薪酬支付方式对医疗服务提供行为及结果的影响。方法:采用范畴综述法,以Web of Science和中国知网、维普及万方为数据源,“医生”“薪酬”“支付方式”和“医生行为”等为主题词,检索到相关文献2255篇,通过制定严格的筛选程序最终纳入70篇相关研究。结果:按项目支付激励医生提供足量服务,但易导致过度医疗;固定薪水与按人头支付有助于控制成本,但易引发服务不足;DRG/DIP在医疗服务数量与质量方面的优势随患者病情加重而减弱。混合支付方式能够有效平衡医疗服务数量与成本,而按绩效支付在医疗质量提升方面总体表现突出。结论:医生薪酬单一支付方式难以实现医疗服务提供行为及结果最优化,且质量导向不足,多种支付方式与质量激励相融合的混合支付体系亟待构建。同时,建议深化医保结余薪酬转化机制改革,充分落实公立医院分配自主权,加快建立与医保支付和绩效考核协同的医生薪酬混合支付方式。
文摘With the rise of live streaming on social media, platforms like Facebook, Instagram, and YouTube have become powerful business tools. They enable users to share live videos, fostering direct connections between businesses and their customers. This critical literature review paper explores the impact of live streaming on businesses, focusing on its role in attracting and satisfying consumers by promoting products tailored to their needs and wants. It emphasizes live streaming’s crucial role in engaging customers, a key to business growth. The study also provides viable strategies for businesses to leverage live streaming for growth and customer engagement, underscoring its importance in the business landscape.
