This article analyzes the application of co-management in establishing and zoning nature reserves, explains two types of participatory models, explains the main content and steps required to implement a co-management ...This article analyzes the application of co-management in establishing and zoning nature reserves, explains two types of participatory models, explains the main content and steps required to implement a co-management program, and suggests future direction of co-management. In China, great progress has been achieved since 1956 when the first nature reserve was established. However, conflicts between nature reserve officials and community members, and differences be-tween conservation and utilization of natural resources suggest that the traditional community affair model is unfit to some de-gree. A more workable and economically sustainable model is recommended. Co-management appears to be the preferred management model. International conservation organizations have carried out projects in Chinese nature reserves in recent years, and co-management is thought to be an effective approach to resolve conflicts coming from community and to improve nature reserves management.展开更多
BACKGROUND Pediatric asthma is a significant public health issue that impacts the quality of life of children globally.Traditional management approaches focus on symptom control and medication adherence but often over...BACKGROUND Pediatric asthma is a significant public health issue that impacts the quality of life of children globally.Traditional management approaches focus on symptom control and medication adherence but often overlook the comprehensive educational needs of patients and their families.A multifaceted health education approach may offer a more holistic strategy in managing pediatric asthma,especially in outpatient settings.AIM To evaluate the efficacy of a comprehensive health education strategy in improving disease management,medication adherence,and quality of life among children with asthma in outpatient settings.METHODS In total,100 pediatric patients with severe asthma were enrolled from January 2021 to November 2022 and randomly allocated to a control group(n=50)or an observation group(n=50).The control group received standard nursing care,including basic nursing interventions and health education upon admission.In contrast,the observation group was exposed to a broad spectrum of health education methodologies,including internet-based hospital systems,social media channels,one-on-one verbal education,informational brochures,slide present ations,telephone check-ins,animated videos,and illustrated health education manuals.Data on asthma management knowledge,symptom control,quality of life[St.George’s Respiratory Questionnaire(SGRQ)],treatment adherence,and nursing satisfaction were collected and analyzed.RESULTS The scores of the observation group in knowledge areas,such as medication,home care,disease understanding,symptom management,prevention strategies,and nutritional guidance,were significantly higher than those of the control group(P<0.05).In addition,the observation group exhibited greater symptom control,improved quality of life based on their SGRQ scores,and higher treatment adherence post-intervention(P<0.05).Nursing satisfaction was also rated higher in the observation group across all evaluated areas(P<0.05).CONCLUSION Implementing a diversified health education approach in pediatric asthma management significantly enhances disease understanding,symptom management,and treatment adherence,leading to improved quality of life for affected children.These findings underscore the importance of multifaceted clinical health education in augmenting disease awareness and facilitating continuous improvements in asthma control rates,highlighting the potential benefits of incorporating comprehensive educational strategies into pediatric asthma care protocols.展开更多
The Crested Ibis(Nipponia Nippon) is endemic to Qinling Mountains of China and was once abundant over vast areas of north-east of Asia habitat.During the 20th century,however,the population declined greatly in numbers...The Crested Ibis(Nipponia Nippon) is endemic to Qinling Mountains of China and was once abundant over vast areas of north-east of Asia habitat.During the 20th century,however,the population declined greatly in numbers.Habitat quality used to be the main threat to this species but recent actions by the government and wildlife protection organizations have brought this under control.With the establishment of Crested Ibis Nature Reserve in China,conflicts between socio-economic development and Crested Ibis conservation have become more acute.How do we deal with the relation between Crested Ibis conservation and community development? In this study,the Crested Ibis Nature Reserve co-management model namely "companies + farmers + Nature Reserve" model is proposed and evaluated with demonstration investigation methods,including continuous six-year fixed-site socio-economic development data of surrounding community,company sales revenue data and monitored data of Crested Ibis Nature Reserve.The results show that farmers' income and conservation awareness increased greatly from 2003 to 2008;company sales revenue has increased by about 20% annually in the recent years;management level has noticeably improved in Nature Reserve,the scope of Crested Ibis habitat has expanded 50 hm2;chemical composition of habitat reduced year after year;and the number of Crested Ibis had been growing annually.At the end,the success of the model is evaluated,and problems in implementation of the model are discussed from the following aspects:management system,co-management concept,economic base of partners,marketing mechanism,technical capacity and so on.展开更多
The Parkinson＇s disease （PD）-associated protein DJ-1 is considered a multifunctional protein involved in oxidative stress responses. Although a large variety of functions has been attributed to DJ- 1, currently no ...The Parkinson＇s disease （PD）-associated protein DJ-1 is considered a multifunctional protein involved in oxidative stress responses. Although a large variety of functions has been attributed to DJ- 1, currently no consensus has been found on its effective cellular activity. Indeed, the protein has been described as a transcriptional modulator, a regulator of mitochondrial activity, a stabilizer of the nuclear factor erythroid 2-related factor （Nrf2）, a chaperone, a pro- tease, and a glutathione （GSH）-independent glyoxalase （Ariga et al., 2013）. Very recently, the additional participation of the protein to carbonvl stress defense has been emereing （Richarme et al., 2015）.展开更多
In this paper, the structure characteristics of open complex giant systems are concretely analysed in depth, thus the view and its significance to support the meta synthesis engineering with manifold knowledge models...In this paper, the structure characteristics of open complex giant systems are concretely analysed in depth, thus the view and its significance to support the meta synthesis engineering with manifold knowledge models are clarified. Furthermore, the knowledge based multifaceted modeling methodology for open complex giant systems is emphatically studied. The major points are as follows: (1) nonlinear mechanism and general information partition law; (2) from the symmetry and similarity to the acquisition of construction knowledge; (3) structures for hierarchical and nonhierarchical organizations; (4) the integration of manifold knowledge models; (5) the methodology of knowledge based multifaceted modeling.展开更多
Multifaceted asymmetric radiation from the edge(MARFE) movement which can cause density limit disruption is often encountered during high density operation on many tokamaks. Therefore, identifying and predicting MARFE...Multifaceted asymmetric radiation from the edge(MARFE) movement which can cause density limit disruption is often encountered during high density operation on many tokamaks. Therefore, identifying and predicting MARFE movement is meaningful to mitigate or avoid density limit disruption for the steady-state high-density plasma operation. A machine learning method named random forest(RF) has been used to predict the MARFE movement based on the density ramp-up experiment in the 2022’s first campaign of Experimental Advanced Superconducting Tokamak(EAST). The RF model shows that besides Greenwald fraction which is the ratio of plasma density and Greenwald density limit, dβp/dt,H98and d Wmhd/dt are relatively important parameters for MARFE-movement prediction. Applying the RF model on test discharges, the test results show that the successful alarm rate for MARFE movement causing density limit disruption reaches ~ 85% with a minimum alarm time of ~ 40 ms and mean alarm time of ~ 700 ms. At the same time, the false alarm rate for non-disruptive and non-density-limit disruptive discharges can be kept below 5%. These results provide a reference to the prediction of MARFE movement in high density plasmas, which can help the avoidance or mitigation of density limit disruption in future fusion reactors.展开更多
In Cambodia,fishery co-management is an important process to transfer authority and ownership to the communities along the Tonle Sap Lake to manage fishery.This paper aims to determine why the co-management of small-s...In Cambodia,fishery co-management is an important process to transfer authority and ownership to the communities along the Tonle Sap Lake to manage fishery.This paper aims to determine why the co-management of small-scale fishery has not been implemented satisfactorily in the Tonle Sap Lake of Cambodia.The research was primarily based on a household survey among 404 house-holds for quantitative data,equally divided between the Cham(202 households)and Khmer(202 households).Participatory process was also applied to collect qualitative data from key stake-holders.We found that limited interaction among the involved stakeholders,i.e.,unequal distribution of authority and resources co-management,has impeded implementation.The engagement of fisherfolk was influenced by dependence on fishery,law enforcement,and events organized by the communities.While the Khmer had better opportunities to participate in planning at the provincial and district levels,the Cham were only engaged in local development activities initiated by their people.However,the latter evinced a higher rate of satisfaction due to their access tofishery resources and to a large quantity of fishing gear.In the future,efforts should be made to:(1)improve resource and authority sharing among all key stakeholders;(2)urgently resolve issues pertinent to capacity building,insufficient budgets for commune councils(CoCs)and community fishery(CFi);and(3)urge law enforcement regarding illegal fishing.展开更多
Small-scale fisheries play a crucial role in providing fish protein for both consumers and coastal communities in Togo.However,the fishermen’s revenue is relatively low compared to their expectations.Assessing change...Small-scale fisheries play a crucial role in providing fish protein for both consumers and coastal communities in Togo.However,the fishermen’s revenue is relatively low compared to their expectations.Assessing changes in the technical efficiency is crucial for decision-making,particularly in light of the depletion of natural resources and the need for structural improvements.This study examines the technical efficiency of small-scale fishermen at the new fishing port in Lome.The primary data were collected through a cross-sectional survey of 82 randomly selected fishermen.The data were analyzed using descriptive method.Subsequently,a Stochastic Frontier Analysis(SFA)was employed to identify the factors contributing to the inefficiency of these small-scale fisher-men.The results indicate that only two variables,namely the fishing hours per month and boat ownership(being a skipper),have a statistically significant positive impact on the fishermen’s monthly income.The inefficiency model derived from the SFA regression showed that fishery subsidies and cooperative membership positively influence technical efficiency,whereas the duration of fishing trip(number of days at sea and number of trips per month)and boat length negatively influence efficiency.Overall,the results suggest that the government should review fishery subsidy policies to enhance fishermen’s technical efficiency while ensuring the sustainability of fisheries.Additionally,we identify another key area for potential policy interventions,which includes promoting and supporting cooperative membership among the fishermen.This could provide social support,an organiza-tional structure for communication,co-management,and collective decision-making.展开更多
Biodiversity mainstreaming remains among the most persistent gaps in global environmental governance.China’s national park reforms provide a large-scale empirical test of mainstreaming in practice.By unifying fragmen...Biodiversity mainstreaming remains among the most persistent gaps in global environmental governance.China’s national park reforms provide a large-scale empirical test of mainstreaming in practice.By unifying fragmented protected areas,consolidating governance mandates,aligning cross-sector policies,and formalizing inclusive stewardship,the reforms have delivered measurable gains in flagship species recovery,ecosystem service resilience,and community participation.Yet its transformative potential is constrained by limited penetration into non-conservation sectors,uneven adaptive capacity,and incomplete social integration.We distill three transferable principles-coherence,consolidation,and co-production-and outline instruments to embed biodiversity imperatives beyond protected areas into infrastructure,agriculture,and regional planning.Achieving the Kunming-Montreal Global Biodiversity Framework will require moving beyond isolated conservation enclaves toward integrated policy ecologies that can durably reconcile biodiversity outcomes with equitable human well-being.展开更多
BACKGROUND Cox health behavior interventions combined with psychological care have the potential to improve recovery outcomes and psychological well-being in patients with hypertensive cerebral hemorrhage accompanied ...BACKGROUND Cox health behavior interventions combined with psychological care have the potential to improve recovery outcomes and psychological well-being in patients with hypertensive cerebral hemorrhage accompanied by mental disorders.AIM To explore the impact of combining the Cox Health Behavior Interaction Model with multifaceted psychological nursing in patients with hypertensive intracerebral hemorrhage(ICH)complicated by mental disorders and to provide a reference for the nursing intervention in patients with hypertensive ICH.METHODS Overall,128 patients with hypertensive ICH complicated by mental disorders who were admitted to the Affiliated Hospital of Nantong University between January 2022 and December 2024 were divided into groups using a random number table.The control group(n=64)received multifaceted psychological nursing,and the observation group(n=64)received the Cox Health Behavior Interaction Model intervention based on multifaceted psychological nursing.The mental state,psychological resilience,self-efficacy,and quality of life of the two groups were compared.RESULTS Post-intervention,the mental states of anxiety and depression in the observation group(38.82±3.67 points and 35.14±2.75 points,respectively)were lower than those in the control group(46.96±5.12 points and 41.36±3.71 points,respectively),and the psychological resilience levels(tenacity,self-improvement,and optimism)were higher than those in the control group(P<0.05).Postintervention,the General Self-Efficacy Scale score in the observation group(31.75±2.75 points)was higher than that in the control group(26.76±2.93 points),and the physical health-and social and mental health-related quality of life were both higher than those in the control group(P<0.05).CONCLUSION Combining the Cox Health Behavior Interaction Model with multifaceted psychological nursing for patients with hypertensive ICH and mental disorders relieves anxiety and depression and improves resilience,self-efficacy,and quality of life.展开更多
Objectives:Recently,the global esports industry has experienced remarkable growth,leading to an expansion in the scale and influence of professional player communities.However,despite this outward growth,systems to pr...Objectives:Recently,the global esports industry has experienced remarkable growth,leading to an expansion in the scale and influence of professional player communities.However,despite this outward growth,systems to protect players’mental health remain inadequate.Comprehensive analysis of structural risk factors,including performance pressure,public evaluation,and career instability,remains insufficient.This study,aimed to explore stressors encountered by esports athletes,coping strategies,and the role of social support systems in safeguarding mental health.Using the transactional model of stress and coping,the job demands–resources model,and social support theory,the study adopts an integrated perspective to examine challenges faced by athletes in the competitive esports environment.Methods:A qualitative case study was conducted involving in-depth interviews and nonparticipant observations with 11 esports athletes who competed at national or international levels,as well as two team managers.Thematic analysis identified recurring patterns in the data,and credibility was ensured through triangulation and cross-review among researchers.Results:Esports athletes experience multiple interacting stressors,including performance demands,emotional strain duringmatches,and continuous evaluation on socialmedia.In response,they employed coping strategies—problem-focused,emotion-focused,and avoidance-based,which provided temporary relief but often led to burnout and self-regulation failure owing to absence of support systems.Social support networks had ambivalent effects:while offering comfort,they also intensified pressure through negative feedback and high expectations from fans and online communities.Conclusion:The findings show that mental health issues among esports athletes are not only related to individual factors but are closely linked to performance-driven structures,competitive environments,and social relationships.This study integrates the transactional model of stress and coping,the JobDemands–Resourcesmodel,and social support theoryto provide comprehensive analysis.It also offers practical recommendations,including psychological counseling,emotional labor programs,and improved communication with families and fan communities.展开更多
文摘This article analyzes the application of co-management in establishing and zoning nature reserves, explains two types of participatory models, explains the main content and steps required to implement a co-management program, and suggests future direction of co-management. In China, great progress has been achieved since 1956 when the first nature reserve was established. However, conflicts between nature reserve officials and community members, and differences be-tween conservation and utilization of natural resources suggest that the traditional community affair model is unfit to some de-gree. A more workable and economically sustainable model is recommended. Co-management appears to be the preferred management model. International conservation organizations have carried out projects in Chinese nature reserves in recent years, and co-management is thought to be an effective approach to resolve conflicts coming from community and to improve nature reserves management.
基金Self-raised project of Health and Health Commission of Guangxi Zhuang Autonomous Region,NO.Z-A20220429Guangxi Natural Science Foundation,NO.2020JJA140193.
文摘BACKGROUND Pediatric asthma is a significant public health issue that impacts the quality of life of children globally.Traditional management approaches focus on symptom control and medication adherence but often overlook the comprehensive educational needs of patients and their families.A multifaceted health education approach may offer a more holistic strategy in managing pediatric asthma,especially in outpatient settings.AIM To evaluate the efficacy of a comprehensive health education strategy in improving disease management,medication adherence,and quality of life among children with asthma in outpatient settings.METHODS In total,100 pediatric patients with severe asthma were enrolled from January 2021 to November 2022 and randomly allocated to a control group(n=50)or an observation group(n=50).The control group received standard nursing care,including basic nursing interventions and health education upon admission.In contrast,the observation group was exposed to a broad spectrum of health education methodologies,including internet-based hospital systems,social media channels,one-on-one verbal education,informational brochures,slide present ations,telephone check-ins,animated videos,and illustrated health education manuals.Data on asthma management knowledge,symptom control,quality of life[St.George’s Respiratory Questionnaire(SGRQ)],treatment adherence,and nursing satisfaction were collected and analyzed.RESULTS The scores of the observation group in knowledge areas,such as medication,home care,disease understanding,symptom management,prevention strategies,and nutritional guidance,were significantly higher than those of the control group(P<0.05).In addition,the observation group exhibited greater symptom control,improved quality of life based on their SGRQ scores,and higher treatment adherence post-intervention(P<0.05).Nursing satisfaction was also rated higher in the observation group across all evaluated areas(P<0.05).CONCLUSION Implementing a diversified health education approach in pediatric asthma management significantly enhances disease understanding,symptom management,and treatment adherence,leading to improved quality of life for affected children.These findings underscore the importance of multifaceted clinical health education in augmenting disease awareness and facilitating continuous improvements in asthma control rates,highlighting the potential benefits of incorporating comprehensive educational strategies into pediatric asthma care protocols.
基金supported by State Forestry Administration (China) Research and Development Plan(Grant NoSD0639)the Community Comanagement Project of WWF-China
文摘The Crested Ibis(Nipponia Nippon) is endemic to Qinling Mountains of China and was once abundant over vast areas of north-east of Asia habitat.During the 20th century,however,the population declined greatly in numbers.Habitat quality used to be the main threat to this species but recent actions by the government and wildlife protection organizations have brought this under control.With the establishment of Crested Ibis Nature Reserve in China,conflicts between socio-economic development and Crested Ibis conservation have become more acute.How do we deal with the relation between Crested Ibis conservation and community development? In this study,the Crested Ibis Nature Reserve co-management model namely "companies + farmers + Nature Reserve" model is proposed and evaluated with demonstration investigation methods,including continuous six-year fixed-site socio-economic development data of surrounding community,company sales revenue data and monitored data of Crested Ibis Nature Reserve.The results show that farmers' income and conservation awareness increased greatly from 2003 to 2008;company sales revenue has increased by about 20% annually in the recent years;management level has noticeably improved in Nature Reserve,the scope of Crested Ibis habitat has expanded 50 hm2;chemical composition of habitat reduced year after year;and the number of Crested Ibis had been growing annually.At the end,the success of the model is evaluated,and problems in implementation of the model are discussed from the following aspects:management system,co-management concept,economic base of partners,marketing mechanism,technical capacity and so on.
文摘The Parkinson＇s disease （PD）-associated protein DJ-1 is considered a multifunctional protein involved in oxidative stress responses. Although a large variety of functions has been attributed to DJ- 1, currently no consensus has been found on its effective cellular activity. Indeed, the protein has been described as a transcriptional modulator, a regulator of mitochondrial activity, a stabilizer of the nuclear factor erythroid 2-related factor （Nrf2）, a chaperone, a pro- tease, and a glutathione （GSH）-independent glyoxalase （Ariga et al., 2013）. Very recently, the additional participation of the protein to carbonvl stress defense has been emereing （Richarme et al., 2015）.
文摘In this paper, the structure characteristics of open complex giant systems are concretely analysed in depth, thus the view and its significance to support the meta synthesis engineering with manifold knowledge models are clarified. Furthermore, the knowledge based multifaceted modeling methodology for open complex giant systems is emphatically studied. The major points are as follows: (1) nonlinear mechanism and general information partition law; (2) from the symmetry and similarity to the acquisition of construction knowledge; (3) structures for hierarchical and nonhierarchical organizations; (4) the integration of manifold knowledge models; (5) the methodology of knowledge based multifaceted modeling.
基金This work is supported by the National MCF Energy R&D Program of China(Grant Nos.2018YFE0302100 and 2019YFE03010003)the National Natural Science Foundation of China(Grant Nos.12005264,12105322,and 12075285)+3 种基金the National Magnetic Confinement Fusion Science Program of China(Grant No.2022YFE03100003)the Natural Science Foundation of Anhui Province of China(Grant No.2108085QA38)the Chinese Postdoctoral Science Found(Grant No.2021000278)the Presidential Foundation of Hefei institutes of Physical Science(Grant No.YZJJ2021QN12).
文摘Multifaceted asymmetric radiation from the edge(MARFE) movement which can cause density limit disruption is often encountered during high density operation on many tokamaks. Therefore, identifying and predicting MARFE movement is meaningful to mitigate or avoid density limit disruption for the steady-state high-density plasma operation. A machine learning method named random forest(RF) has been used to predict the MARFE movement based on the density ramp-up experiment in the 2022’s first campaign of Experimental Advanced Superconducting Tokamak(EAST). The RF model shows that besides Greenwald fraction which is the ratio of plasma density and Greenwald density limit, dβp/dt,H98and d Wmhd/dt are relatively important parameters for MARFE-movement prediction. Applying the RF model on test discharges, the test results show that the successful alarm rate for MARFE movement causing density limit disruption reaches ~ 85% with a minimum alarm time of ~ 40 ms and mean alarm time of ~ 700 ms. At the same time, the false alarm rate for non-disruptive and non-density-limit disruptive discharges can be kept below 5%. These results provide a reference to the prediction of MARFE movement in high density plasmas, which can help the avoidance or mitigation of density limit disruption in future fusion reactors.
文摘In Cambodia,fishery co-management is an important process to transfer authority and ownership to the communities along the Tonle Sap Lake to manage fishery.This paper aims to determine why the co-management of small-scale fishery has not been implemented satisfactorily in the Tonle Sap Lake of Cambodia.The research was primarily based on a household survey among 404 house-holds for quantitative data,equally divided between the Cham(202 households)and Khmer(202 households).Participatory process was also applied to collect qualitative data from key stake-holders.We found that limited interaction among the involved stakeholders,i.e.,unequal distribution of authority and resources co-management,has impeded implementation.The engagement of fisherfolk was influenced by dependence on fishery,law enforcement,and events organized by the communities.While the Khmer had better opportunities to participate in planning at the provincial and district levels,the Cham were only engaged in local development activities initiated by their people.However,the latter evinced a higher rate of satisfaction due to their access tofishery resources and to a large quantity of fishing gear.In the future,efforts should be made to:(1)improve resource and authority sharing among all key stakeholders;(2)urgently resolve issues pertinent to capacity building,insufficient budgets for commune councils(CoCs)and community fishery(CFi);and(3)urge law enforcement regarding illegal fishing.
基金sponsored by the Ministry of Agriculture and Rural Af-fairs of the People’s Republic of China(Grant No CARS-48).
文摘Small-scale fisheries play a crucial role in providing fish protein for both consumers and coastal communities in Togo.However,the fishermen’s revenue is relatively low compared to their expectations.Assessing changes in the technical efficiency is crucial for decision-making,particularly in light of the depletion of natural resources and the need for structural improvements.This study examines the technical efficiency of small-scale fishermen at the new fishing port in Lome.The primary data were collected through a cross-sectional survey of 82 randomly selected fishermen.The data were analyzed using descriptive method.Subsequently,a Stochastic Frontier Analysis(SFA)was employed to identify the factors contributing to the inefficiency of these small-scale fisher-men.The results indicate that only two variables,namely the fishing hours per month and boat ownership(being a skipper),have a statistically significant positive impact on the fishermen’s monthly income.The inefficiency model derived from the SFA regression showed that fishery subsidies and cooperative membership positively influence technical efficiency,whereas the duration of fishing trip(number of days at sea and number of trips per month)and boat length negatively influence efficiency.Overall,the results suggest that the government should review fishery subsidy policies to enhance fishermen’s technical efficiency while ensuring the sustainability of fisheries.Additionally,we identify another key area for potential policy interventions,which includes promoting and supporting cooperative membership among the fishermen.This could provide social support,an organiza-tional structure for communication,co-management,and collective decision-making.
基金supported by Joint Research Project of Chinese Academy of Sciences and Qinghai Provincial People’s Government on Three-River-Source National Park(E2X2931601)the National Natural Science Foundation of China(42230510)the Second Qinghai-Tibet Plateau Scientific Expedition and Research Program(2019QZKK0401).
文摘Biodiversity mainstreaming remains among the most persistent gaps in global environmental governance.China’s national park reforms provide a large-scale empirical test of mainstreaming in practice.By unifying fragmented protected areas,consolidating governance mandates,aligning cross-sector policies,and formalizing inclusive stewardship,the reforms have delivered measurable gains in flagship species recovery,ecosystem service resilience,and community participation.Yet its transformative potential is constrained by limited penetration into non-conservation sectors,uneven adaptive capacity,and incomplete social integration.We distill three transferable principles-coherence,consolidation,and co-production-and outline instruments to embed biodiversity imperatives beyond protected areas into infrastructure,agriculture,and regional planning.Achieving the Kunming-Montreal Global Biodiversity Framework will require moving beyond isolated conservation enclaves toward integrated policy ecologies that can durably reconcile biodiversity outcomes with equitable human well-being.
文摘BACKGROUND Cox health behavior interventions combined with psychological care have the potential to improve recovery outcomes and psychological well-being in patients with hypertensive cerebral hemorrhage accompanied by mental disorders.AIM To explore the impact of combining the Cox Health Behavior Interaction Model with multifaceted psychological nursing in patients with hypertensive intracerebral hemorrhage(ICH)complicated by mental disorders and to provide a reference for the nursing intervention in patients with hypertensive ICH.METHODS Overall,128 patients with hypertensive ICH complicated by mental disorders who were admitted to the Affiliated Hospital of Nantong University between January 2022 and December 2024 were divided into groups using a random number table.The control group(n=64)received multifaceted psychological nursing,and the observation group(n=64)received the Cox Health Behavior Interaction Model intervention based on multifaceted psychological nursing.The mental state,psychological resilience,self-efficacy,and quality of life of the two groups were compared.RESULTS Post-intervention,the mental states of anxiety and depression in the observation group(38.82±3.67 points and 35.14±2.75 points,respectively)were lower than those in the control group(46.96±5.12 points and 41.36±3.71 points,respectively),and the psychological resilience levels(tenacity,self-improvement,and optimism)were higher than those in the control group(P<0.05).Postintervention,the General Self-Efficacy Scale score in the observation group(31.75±2.75 points)was higher than that in the control group(26.76±2.93 points),and the physical health-and social and mental health-related quality of life were both higher than those in the control group(P<0.05).CONCLUSION Combining the Cox Health Behavior Interaction Model with multifaceted psychological nursing for patients with hypertensive ICH and mental disorders relieves anxiety and depression and improves resilience,self-efficacy,and quality of life.
文摘Objectives:Recently,the global esports industry has experienced remarkable growth,leading to an expansion in the scale and influence of professional player communities.However,despite this outward growth,systems to protect players’mental health remain inadequate.Comprehensive analysis of structural risk factors,including performance pressure,public evaluation,and career instability,remains insufficient.This study,aimed to explore stressors encountered by esports athletes,coping strategies,and the role of social support systems in safeguarding mental health.Using the transactional model of stress and coping,the job demands–resources model,and social support theory,the study adopts an integrated perspective to examine challenges faced by athletes in the competitive esports environment.Methods:A qualitative case study was conducted involving in-depth interviews and nonparticipant observations with 11 esports athletes who competed at national or international levels,as well as two team managers.Thematic analysis identified recurring patterns in the data,and credibility was ensured through triangulation and cross-review among researchers.Results:Esports athletes experience multiple interacting stressors,including performance demands,emotional strain duringmatches,and continuous evaluation on socialmedia.In response,they employed coping strategies—problem-focused,emotion-focused,and avoidance-based,which provided temporary relief but often led to burnout and self-regulation failure owing to absence of support systems.Social support networks had ambivalent effects:while offering comfort,they also intensified pressure through negative feedback and high expectations from fans and online communities.Conclusion:The findings show that mental health issues among esports athletes are not only related to individual factors but are closely linked to performance-driven structures,competitive environments,and social relationships.This study integrates the transactional model of stress and coping,the JobDemands–Resourcesmodel,and social support theoryto provide comprehensive analysis.It also offers practical recommendations,including psychological counseling,emotional labor programs,and improved communication with families and fan communities.
