BACKGROUND Colorectal cancer(CRC)has become the third leading cancer with the third highest occurrence rate and the second highest death ratio globally.Its incidence and mortality rates have been increasing annually i...BACKGROUND Colorectal cancer(CRC)has become the third leading cancer with the third highest occurrence rate and the second highest death ratio globally.Its incidence and mortality rates have been increasing annually in recent years,posing a serious threat to global public health.Digestive endoscopy technology can not only be used for the diagnosis of CRC,but it can also be used in determining the depth of infiltration in early CRC.There are significant deficiencies in care measures in this area.METHODS A total of 120 CRC patients were randomly and equally divided into a control group and an observation group.The patients in the control group received basic routine nursing care,and the patients in the observation group received sys-tematic digestive endoscopy center nursing care.The patients'compliance and nursing satisfaction were observed and recorded,as well as the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Visual Analogue Scale(VAS)scores.RESULTS After care,the SAS and SDS scale scores of patients in both groups significantly decreased compared to before care(P<0.05).The VAS scale scores significantly increased for each group compared to before examination(P<0.05).The SAS,SDS and VAS scale scores of the observation group were significantly lower than those of the control group after nursing care(P<0.05),and compliance and satisfaction of nursing care were significantly higher than those of the control group(P<0.05).CONCLUSION Digestive endoscopy center nursing can effectively intervene in and improve the psychological state and pain level of CRC patients,suggesting it is a valuable approach to adopt in the clinic.展开更多
A research study collected intensive longitudinal data from cancer patients on a daily basis as well as non-intensive longitudinal survey data on a monthly basis. Although the daily data need separate analysis, those ...A research study collected intensive longitudinal data from cancer patients on a daily basis as well as non-intensive longitudinal survey data on a monthly basis. Although the daily data need separate analysis, those data can also be utilized to generate predictors of monthly outcomes. Alternatives for generating daily data predictors of monthly outcomes are addressed in this work. Analyses are reported of depression measured by the Patient Health Questionnaire 8 as the monthly survey outcome. Daily measures include numbers of opioid medications taken, numbers of pain flares, least pain levels, and worst pain levels. Predictors are averages of recent non-missing values for each daily measure recorded on or prior to survey dates for depression values. Weights for recent non-missing values are based on days between measurement of a recent value and a survey date. Five alternative averages are considered: averages with unit weights, averages with reciprocal weights, weighted averages with reciprocal weights, averages with exponential weights, and weighted averages with exponential weights. Adaptive regression methods based on likelihood cross-validation (LCV) scores are used to generate fractional polynomial models for possible nonlinear dependence of depression on each average. For all four daily measures, the best LCV score over averages of all types is generated using the average of recent non-missing values with reciprocal weights. Generated models are nonlinear and monotonic. Results indicate that an appropriate choice would be to assume three recent non-missing values and use the average with reciprocal weights of the first three recent non-missing values.展开更多
<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Many factors influence the expressions of pain in pr...<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Many factors influence the expressions of pain in primiparous women aside from contractions of the uterus. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> This study aimed to describe the level labor pain, level of labor pain behaviors based on cultural pain behaviors at 3 - 4 cm of cervical dilation or the beginning of the active phase of labor among primiparous Muslim women in Indonesia. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> This was a study with 42 primiparous Muslim women who gave birth in the labor room at Bhinneka Bhakti Husada Hospital and Community Health Center Pamulang, Indonesia from June until January 2017. The women were asked to describe on a 100 mm Visual Analogue Scale the intensity of level of labor pain in their abdomen during the last contractions at 3 - 4 cm of cervical dilation, and Pain Behaviors Observation Scale to observe pain behaviors. Descriptive statistics were used to analyze the data. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The findings showed that the mean score of level of labor pain at 3 - 4 cm of cervical dilation was 86.38 (SD = 4.47) and most participants experienced high level of labor pain (97.6%). The expression of cultural labor pain behaviors including saying praises to Allah, </span><i><span style="font-family:Verdana;">Asma</span></i><span style="font-family:Verdana;">’</span><i><span style="font-family:Verdana;">aul husna</span></i><span style="font-family:Verdana;">, reciting the Qur’an, </span><i><span style="font-family:Verdana;">sholawat</span></i><span style="font-family:Verdana;">.</span></span></span></span>展开更多
Background and Purpose: Walking difficulties are defined as any reduction in speed, balance, or change of gait, causing limited ambulation. These difficulties are a common problem in older adults and may greatly affec...Background and Purpose: Walking difficulties are defined as any reduction in speed, balance, or change of gait, causing limited ambulation. These difficulties are a common problem in older adults and may greatly affect their quality of life (QOL) and restrict their personal independence and participation. This study aimed to determine the effect of intermittent pneumatic compression (IPC) on lower leg pain, walking capacity, functional mobility, ankle range of motion (AROM), and QOL of community-dwelling older people with walking difficulties. Methods: In this randomized controlled trial, 34 eligible participants with self-reported lower limb pain and limited ambulation were randomized either to the intermittent pneumatic compression intervention group (IPCIG) or static compression control group (SCCG). The IPCIG and SCCG were trained to receive IPC and SC respectively for both lower legs and instructed to continue the application independently at home for 15 minutes per session, 2 sessions a day, 7 days per week for 4 weeks independently at the home. Outcome measures of lower leg pain, AROM, walking capacity, and functional mobility were assessed at baseline and at the first, second, third, and fourth weeks after randomization. Quality of life was assessed at baseline and immediately after the intervention. Results and Discussion: IPCIG showed a more significant improvement compared to the SCCG at the post-interventional stage for QOL and all the subscales. The findings show that “80% improved QOL” is 53% higher with the application of IPC than with SC for 4 weeks. The IPCIG showed a more significant improvement in the 6-minute walk test (6 MWT) at the third and fourth weeks compared to the SCCG. A pairwise comparison of mean values of 6 MWT over 4 weeks within the IPCIG showed a significant difference between all the weeks. Pairwise comparisons between groups at each time point showed that the IPCIG showed a more significant improvement in the timed up and go (TUG) test at the third and fourth weeks compared to the SCCG. Pairwise comparison of mean values of TUG test within the IPCIG showed a significant difference over 4 weeks, except between the second and third weeks, fourth week, and third and fourth weeks. The IPCIG showed a more significant improvement in lower leg pain between all weeks except the first week compared to the SCCG. Pairwise comparison of mean values of lower leg pain over 4 weeks within the IPCIG showed a significant difference among all weekly outcomes except between 1 and 2 weeks. The IPCIG showed a more significant improvement in left and right ankle dorsiflexion ROM at the third and fourth weeks compared to the SCCG. Conclusions: The IPC was effective in reducing lower leg pain and increasing the AROM and improving the walking capacity, functional mobility level, and QOL of community-dwelling older people with walking disabilities. Walking disability in old age is a common condition requiring physical therapy. Intermittent pneumatic compression can be used as a physical therapy modality for this patient group.展开更多
文摘BACKGROUND Colorectal cancer(CRC)has become the third leading cancer with the third highest occurrence rate and the second highest death ratio globally.Its incidence and mortality rates have been increasing annually in recent years,posing a serious threat to global public health.Digestive endoscopy technology can not only be used for the diagnosis of CRC,but it can also be used in determining the depth of infiltration in early CRC.There are significant deficiencies in care measures in this area.METHODS A total of 120 CRC patients were randomly and equally divided into a control group and an observation group.The patients in the control group received basic routine nursing care,and the patients in the observation group received sys-tematic digestive endoscopy center nursing care.The patients'compliance and nursing satisfaction were observed and recorded,as well as the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Visual Analogue Scale(VAS)scores.RESULTS After care,the SAS and SDS scale scores of patients in both groups significantly decreased compared to before care(P<0.05).The VAS scale scores significantly increased for each group compared to before examination(P<0.05).The SAS,SDS and VAS scale scores of the observation group were significantly lower than those of the control group after nursing care(P<0.05),and compliance and satisfaction of nursing care were significantly higher than those of the control group(P<0.05).CONCLUSION Digestive endoscopy center nursing can effectively intervene in and improve the psychological state and pain level of CRC patients,suggesting it is a valuable approach to adopt in the clinic.
文摘A research study collected intensive longitudinal data from cancer patients on a daily basis as well as non-intensive longitudinal survey data on a monthly basis. Although the daily data need separate analysis, those data can also be utilized to generate predictors of monthly outcomes. Alternatives for generating daily data predictors of monthly outcomes are addressed in this work. Analyses are reported of depression measured by the Patient Health Questionnaire 8 as the monthly survey outcome. Daily measures include numbers of opioid medications taken, numbers of pain flares, least pain levels, and worst pain levels. Predictors are averages of recent non-missing values for each daily measure recorded on or prior to survey dates for depression values. Weights for recent non-missing values are based on days between measurement of a recent value and a survey date. Five alternative averages are considered: averages with unit weights, averages with reciprocal weights, weighted averages with reciprocal weights, averages with exponential weights, and weighted averages with exponential weights. Adaptive regression methods based on likelihood cross-validation (LCV) scores are used to generate fractional polynomial models for possible nonlinear dependence of depression on each average. For all four daily measures, the best LCV score over averages of all types is generated using the average of recent non-missing values with reciprocal weights. Generated models are nonlinear and monotonic. Results indicate that an appropriate choice would be to assume three recent non-missing values and use the average with reciprocal weights of the first three recent non-missing values.
文摘<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Many factors influence the expressions of pain in primiparous women aside from contractions of the uterus. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> This study aimed to describe the level labor pain, level of labor pain behaviors based on cultural pain behaviors at 3 - 4 cm of cervical dilation or the beginning of the active phase of labor among primiparous Muslim women in Indonesia. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> This was a study with 42 primiparous Muslim women who gave birth in the labor room at Bhinneka Bhakti Husada Hospital and Community Health Center Pamulang, Indonesia from June until January 2017. The women were asked to describe on a 100 mm Visual Analogue Scale the intensity of level of labor pain in their abdomen during the last contractions at 3 - 4 cm of cervical dilation, and Pain Behaviors Observation Scale to observe pain behaviors. Descriptive statistics were used to analyze the data. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The findings showed that the mean score of level of labor pain at 3 - 4 cm of cervical dilation was 86.38 (SD = 4.47) and most participants experienced high level of labor pain (97.6%). The expression of cultural labor pain behaviors including saying praises to Allah, </span><i><span style="font-family:Verdana;">Asma</span></i><span style="font-family:Verdana;">’</span><i><span style="font-family:Verdana;">aul husna</span></i><span style="font-family:Verdana;">, reciting the Qur’an, </span><i><span style="font-family:Verdana;">sholawat</span></i><span style="font-family:Verdana;">.</span></span></span></span>
文摘Background and Purpose: Walking difficulties are defined as any reduction in speed, balance, or change of gait, causing limited ambulation. These difficulties are a common problem in older adults and may greatly affect their quality of life (QOL) and restrict their personal independence and participation. This study aimed to determine the effect of intermittent pneumatic compression (IPC) on lower leg pain, walking capacity, functional mobility, ankle range of motion (AROM), and QOL of community-dwelling older people with walking difficulties. Methods: In this randomized controlled trial, 34 eligible participants with self-reported lower limb pain and limited ambulation were randomized either to the intermittent pneumatic compression intervention group (IPCIG) or static compression control group (SCCG). The IPCIG and SCCG were trained to receive IPC and SC respectively for both lower legs and instructed to continue the application independently at home for 15 minutes per session, 2 sessions a day, 7 days per week for 4 weeks independently at the home. Outcome measures of lower leg pain, AROM, walking capacity, and functional mobility were assessed at baseline and at the first, second, third, and fourth weeks after randomization. Quality of life was assessed at baseline and immediately after the intervention. Results and Discussion: IPCIG showed a more significant improvement compared to the SCCG at the post-interventional stage for QOL and all the subscales. The findings show that “80% improved QOL” is 53% higher with the application of IPC than with SC for 4 weeks. The IPCIG showed a more significant improvement in the 6-minute walk test (6 MWT) at the third and fourth weeks compared to the SCCG. A pairwise comparison of mean values of 6 MWT over 4 weeks within the IPCIG showed a significant difference between all the weeks. Pairwise comparisons between groups at each time point showed that the IPCIG showed a more significant improvement in the timed up and go (TUG) test at the third and fourth weeks compared to the SCCG. Pairwise comparison of mean values of TUG test within the IPCIG showed a significant difference over 4 weeks, except between the second and third weeks, fourth week, and third and fourth weeks. The IPCIG showed a more significant improvement in lower leg pain between all weeks except the first week compared to the SCCG. Pairwise comparison of mean values of lower leg pain over 4 weeks within the IPCIG showed a significant difference among all weekly outcomes except between 1 and 2 weeks. The IPCIG showed a more significant improvement in left and right ankle dorsiflexion ROM at the third and fourth weeks compared to the SCCG. Conclusions: The IPC was effective in reducing lower leg pain and increasing the AROM and improving the walking capacity, functional mobility level, and QOL of community-dwelling older people with walking disabilities. Walking disability in old age is a common condition requiring physical therapy. Intermittent pneumatic compression can be used as a physical therapy modality for this patient group.
