BACKGROUND On January 22,2020,Macao reported its first case of coronavirus disease 2019(COVID-19)infection.By August 2021,the situation had escalated into a crisis of community transmission.In response,the government ...BACKGROUND On January 22,2020,Macao reported its first case of coronavirus disease 2019(COVID-19)infection.By August 2021,the situation had escalated into a crisis of community transmission.In response,the government launched a recruitment campaign seeking assistance and services of healthcare workers(HCWs)from the private sector throughout Macao.These participants faced concerns about their own health and that of their families,as well as the responsibility of maintaining public health and wellness.This study aims to determine whether the ongoing epidemic has caused them physical and psychological distress.AIM To examine the influence of COVID-19 on the sleep quality and psychological status of HCWs in private institutions in Macao during the pandemic.METHODS Data were collected from December 2020 to January 2022.Two consecutive surveys were conducted.The Pittsburgh Sleep Quality Index(PSQI)scale,Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)were employed as investigation tools.RESULTS In the first-stage survey,32%of HCWs experienced a sleep disorder,compared to 28.45%in the second-stage survey.A total of 31.25%of HCWs in the first-stage survey and 28.03%in the second had varying degrees of anxiety.A total of 50.00%of HCWs in the first-stage survey and 50.63%in the second experienced varying degrees of depression.No difference in PSQI scores,SAS scores,or SDS scores were observed between the two surveys,indicating that the COVID-19 epidemic influenced the sleep quality and psychological status of HCWs.The negative influence persisted over both periods but did not increase remarkably for more than a year.However,a positive correlation was observed between the PSQI,SAS,and SDS scores(r=0.428-0.775,P<0.01),indicating that when one of these states deteriorated,the other two tended to deteriorate as well.CONCLUSION The sleep quality,anxiety,and depression of HCWs in private institution in Macao were affected by the COVID-19 epidemic.While these factors did not deteriorate significantly,the negative effects persisted for a year and remained noteworthy.展开更多
BACKGROUND Epilepsy is a nervous system disease characterized by recurrent attacks,a long disease course,and an unfavorable prognosis.It is associated with an enduring therapeutic process,and finding a cure has been d...BACKGROUND Epilepsy is a nervous system disease characterized by recurrent attacks,a long disease course,and an unfavorable prognosis.It is associated with an enduring therapeutic process,and finding a cure has been difficult.Patients with epilepsy are predisposed to adverse moods,such as resistance,anxiety,nervousness,and anxiety,which compromise treatment compliance and overall efficacy.AIM To explored the influence of intensive psychological intervention on treatment compliance,psychological status,and quality of life(QOL)of patients with epilepsy.METHODS The clinical data of 105 patients with epilepsy admitted between December 2019 and July 2023 were retrospectively analyzed,including those of 50 patients who underwent routine intervention(control group)and 55 who underwent intensive psychological intervention(research group).Treatment compliance,psychological status based on the Self-Rating Anxiety Scale(SAS)and Depression Scale Self-Rating Depression Scale(SDS)scores,hope level assessed using the Herth Hope Scale(HHS),psychological resilience evaluated using the Psychological Resilience Scale,and QOL determined using the QOL in Epilepsy-31 Inventory(QOLIE-31)were comparatively analyzed.RESULTS Treatment compliance in the research group was 85.5%,which is significantly better than the 68.0%of the control group.No notable intergroup differences in preinterventional SAS and SDS scores were identified(P>0.05);however,after the intervention,the SAS and SDS scores decreased significantly in the two groups,especially in the research group(P<0.05).The two groups also exhibited no significant differences in preinterventional HHS,Connor-Davidson Resilience Scale(CD-RISC),and QOLIE-31 scores(P>0.05).After 6 months of intervention,the research group showed evidently higher HHS,CD-RISC,tenacity,optimism,strength,and QOLIE-31 scores(P<0.05).CONCLUSION Intensive psychological intervention enhances treatment compliance,psychological status,and QOL of patients with epilepsy.展开更多
AIM: To assess the effects of poor nutritional and psychological status on tolerance of cancer treatment and the recovery of physical performance status in patients with gastrointestinal cancer. METHODS: An epidemiolo...AIM: To assess the effects of poor nutritional and psychological status on tolerance of cancer treatment and the recovery of physical performance status in patients with gastrointestinal cancer. METHODS: An epidemiological survey with respect to nutritional and psychological status in patients with gastrointestinal cancer was conducted among 182 operated patients in four provincial-level hospitals from December 2005 to June 2006. The food frequency survey method, state-trait anxiety inventory (STAI) and depression status inventory (DSI) were used to obtain information about the diet and psychological status in the patients. Nutritional status in the participants was reflected by serum albumin (Alb), hemoglobin (HB) and body mass index (BMI). RESULTS: Alb, protein intake and anxiety were associated with the severity of side effects of treatment. The adjusted relative risk (RR) for Alb, protein intake and anxiety was 3.30 (95% CI: 1.08, 10.10, P = 0.03), 3.25 (95% CI: 1.06, 9.90, P = 0.04) and 1.48 (95% CI: 1.29, 1.70, P < 0.0001), respectively. Moreover, calorie intake, HB and depression were associated with the recovery of physical performance status in the patients. Adjusted relative risk was 2.12 (95% CI: 1.09, 4.03, P = 0.028), 2.05 (95% CI: 1.08, 3.88, P =0.026) and 1.07 (95% CI: 1.02, 1.12, P = 0.007), respectively. CONCLUSION: Both poor nutrition status and psychological status are independent risk factors for severe side effects of cancer treatment, and have impact on the recovery of physical performance status in patients after treatment.展开更多
Objective:The objective of the study is to investigate the psychological status of nursing staff both working on nonfront line and on the front line during the epidemic period of COVID‑19 and to analyze the influencin...Objective:The objective of the study is to investigate the psychological status of nursing staff both working on nonfront line and on the front line during the epidemic period of COVID‑19 and to analyze the influencing factors related to mental health state,as well as to provide targeted psychological intervening measures for nursing staff in the face of this major public health event.Methods:We used data from January 28,2019,to February 08,2020,on the number of cases who worked in the 3A‑level hospital as nonfront‑line nurses(n=29,54%)and those who worked in Wuhan infectious hospital as the front‑line supporters(n=25,46%)came from the 3A‑level hospital.The participants completed the symptom checklist 90,and the researchers recorded data on demographics,psychological status,and the influencing factors.Results:In our baseline scenario,we estimated that the total symptom index was 1.676±0.654 for nurses who worked on the front line,1.260±0.304 for those who worked as the front‑line reserve nurses,and was 1.486±0.647 for those who worked as the nonfront‑line nurses.The results of correlation analysis show that the factors related to the psychological status of nurses include age,professional title,marital status,and family support;different factors have different effects on psychological status.Conclusion:In the face of major public health emergencies,both front‑line nursing staff and nonfront‑line staff are confronted with different degrees of psychological stress,so effective psychological support should be given to improve the working efficiency and enthusiasm of nurses.展开更多
<div style="text-align:justify;"> <span style="font-family:Verdana;"><strong>Objective:</strong> So as to provide a theoretical basis for the future development of intervent...<div style="text-align:justify;"> <span style="font-family:Verdana;"><strong>Objective:</strong> So as to provide a theoretical basis for the future development of intervention measures to reduce the negative psychological mood of caregivers. To investigate the psychological status of the main caregivers for patients who were transferred out of ICU after craniocerebral tumor surgery and analyze their factors. <strong>Methods:</strong> 112 patients with cerebral tumor surgery were reviewed from sun yat-sen university cancer hospital. The research object is caregivers. The general data questionnaire, hospital anxiety depression scale and migration of ICU patients’ family members stress questionnaire scale investigation are collected. Multiple linear regression analysis in cerebral tumor patients with postoperative ICU transition out main factors influencing the psychological condition of the caregivers. <strong>Results:</strong> The anxiety and depression scores were (15.60 ± 5.83) and (38.73 ± 3.23) respectively. The results of multiple regression analysis showed that the gender, education level, relationship with the patient and family monthly income of the primary caregivers of the patients were the influencing factors of anxiety, depression and migration stress psychological state (P < 0.05). <strong>Conclusion:</strong> The main caregivers of patients who were transferred out of ICU after craniocerebral tumor surgery had relatively severe anxiety, depression and migration stress. Medical staff should pay attention to the psychological status of caregivers and take effective measures to promote their physical and mental health.</span> </div>展开更多
Objective:To investigate the psychological health status and influencing factors of the public during the epidemic of Covid-19 in Yichang,Hubei,and provide evidence for future psychological intervention.Methods:This s...Objective:To investigate the psychological health status and influencing factors of the public during the epidemic of Covid-19 in Yichang,Hubei,and provide evidence for future psychological intervention.Methods:This study used snowball sampling,SCL-90 scale,and SSRS to conduct a questionnaire survey of 563 residents.Results:The state of public mental health during the closure of Covid-19 was worse than the national norm.Gender,age,and culture have an impact on mental health.There was a significant correlation between social support and the level of mental health.The effects of various variables on the public mental state from big to small:objective support,gender,occupation.Conclusion:The psychological problems of the public during the closure of the city of Covid-19 deserve attention.According to different influencing factors,corresponding measures should be implemented to improve the public’s psychological endurance and respond to public health emergencies with a healthy mentality.展开更多
Background It is well known that patients with chronic hepatitis C virus(HCV)infection are experiencing both physical and psychological pressures.However,no previous studies have examined whether the psychological sta...Background It is well known that patients with chronic hepatitis C virus(HCV)infection are experiencing both physical and psychological pressures.However,no previous studies have examined whether the psychological state of HCV patients changes after treatment with direct-acting antivirals(DAAs).Methods A prospective cohort study was conducted using the following scales:1.The Hamilton Depression Rating Scale;2.The Montgomery Asberg Depression Rating Scale;3.Global Assessment of Functioning Scale;4.Life Event Checklist;5.Patient Health Questionnaire-9;6.Quick Inventory of Depressive Symptomatology;7.The 12-item Short Form Health Survey;8.Stigma;9.Subjective social status.Cohort members were included if they had HCV infection and were willing to receive DAAs therapy.Results Global Assessment of Functioning Scale score and subjective social status score were significantly different in HCV patients without DAAs treatment compared with HCV patients after treatment with DAAs(P<0.05).We found no significant differences in other scales.Conclusions The current findings suggested that there was no change in the psychological status of HCV patients after treatment with DAAs except for the patient's sense of their position.展开更多
BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication ins...BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication instructions.Home care ensures continued support after discharge.However,due to factors such as age,gender,culture,psychological status,and family support,the quality of home care varies significantly.Understanding these factors can help provide targeted guidance to improve the care of cancer patients.AIM To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.METHODS This investigative study was based on a medical records system.It investigated the relationship between psychological status,family support,and home care quality in 180 patients with cancer undergoing IVAP chemotherapy.Psychological status was assessed using the State Anxiety Inventory(S-AI);family support was assessed using the Perceived Social Support Scale(PSSS),and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Pearson’s correlation and Structural Equation Modeling were used to analyze the interplay between these factors.RESULTS The average S-AI score was 47.52±14.47,PSSS was 52.48±12.64,and EORTC QLQ-C30 was 70.09±17.32.A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores(r=-0.712).A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS,with a correlation coefficient of(r=0.744).The multiple linear regression analysis indicated that family social support,psychological status,and average monthly family income were the main factors influencing the variation in the quality of home care,explaining 71.9%of the variation.The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life,explaining 32.78%of the mediation effect.CONCLUSION Psychological status and family social support positively impacted cancer patients’home care quality,with psychology partially mediating this effect.展开更多
Background:A cluster of pneumonia cases were reported by Wuhan Municipal Health Commission,China in December 2019.A novel coronavirus was eventually identified,and became the COVID-19 epidemic that affected public hea...Background:A cluster of pneumonia cases were reported by Wuhan Municipal Health Commission,China in December 2019.A novel coronavirus was eventually identified,and became the COVID-19 epidemic that affected public health and life.We investigated the psychological status and behavior changes of the general public in China from January 30 to February 3,2020.Methods:Respondents were recruited via social media(WeChat)and completed an online questionnaire.We used the State-Trait Anxiety Inventory,Self-rating Depression Scale,and Symptom Checklist-90 to evaluate psychological status.We also investigated respondents’behavior changes.Quantitative data were analyzed by t-tests or analysis of variance,and classified data were analyzed with chi-square tests.Results:In total,608 valid questionnaires were obtained.More respondents had state anxiety than trait anxiety(15.8%vs 4.0%).Depression was found among 27.1%of respondents and 7.7%had psychological abnormalities.About 10.1%of respondents suffered from phobia.Our analysis of the relationship between subgroup characteristics and psychological status showed that age,gender,knowledge about COVID-19,degree of worry about epidemiological infection,and confidence about overcoming the outbreak significantly influenced psychological status.Around 93.3%of respondents avoided going to public places and almost all respondents reduced Spring Festival-related activities.At least 70.9%of respondents chose to take three or more preventive measures to avoid infection.The three most commonly used prevention measures were making fewer trips outside and avoiding contact(98.0%),wearing a mask(83.7%),and hand hygiene(82.4%).Conclusions:We need to pay more attention to public psychological stress,especially among young people,as they are likely to experience anxiety,depression,and psychological abnormalities.Different psychological interventions could be formulated according to the psychological characteristics of different gender and age groups.The majority of respondents followed specific behaviors required by the authorities,but it will take time to observe the effects of these behaviors on the epidemic.展开更多
BACKGROUND Severe acute pancreatitis(SAP)is a familiar critical disease in the intensive care unit(ICU)patients.Nursing staff are important spiritual pillars during the treatment of patients,and in addition to routine...BACKGROUND Severe acute pancreatitis(SAP)is a familiar critical disease in the intensive care unit(ICU)patients.Nursing staff are important spiritual pillars during the treatment of patients,and in addition to routine nursing,more attention needs be paid to the patient’s psychological changes.AIM To investigate the effects of psychological intervention in ICU patients with SAP.METHODS One hundred ICU patients with SAP were hospitalized in the authors’hospital between 2020 and 2023 were selected,and divided into observation and control groups per the hospitalization order.The control and observation groups received routine nursing and psychological interventions,respectively.Two groups are being compared,using the Self-rating Anxiety Scale(SAS),Self-Determination Scale(SDS),Acute Physiology and Chronic Health Evaluation(APACHE)Ⅱ,and 36-item Short Form Health Survey(SF-36)scores;nursing satisfaction of patients;ICU care duration;length of stay;hospitalization expenses;and the incidence of complications.RESULTS After nursing,the SDS,SAS,and APACHEⅡ scores in the experimental group were significantly lower than in the control group(P<0.05).The SF-36 scores in the observation group were significantly higher than those in the control group(P<0.05).The nursing satisfaction of patients in the experimental group was 94.5%,considerably higher than that of 75.6% in the control group(P<0.05).The ICU care duration,length of stay,and hospitalization expenses in the observation group were significantly lower than those in the control group,and the incidence of complications was lower(P<0.05).CONCLUSION For patients with SAP,the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.展开更多
Objective: To analyze the effect of psychological intervention in uremia patients during hemodialysis. Methods: A total of 70 patients undergoing hemodialysis in our hospital were selected, and all cases were screened...Objective: To analyze the effect of psychological intervention in uremia patients during hemodialysis. Methods: A total of 70 patients undergoing hemodialysis in our hospital were selected, and all cases were screened from patients with uremia from November 2019 to October 2021. The grouping method adopted is random drawing. Routine nursing (implemented in the control group) and combined with psychological nursing intervention (implemented in the observation group) were adopted respectively. The following related indicators were evaluated: psychological state, quality of life, compliance, and satisfaction. Results: For the mental state score, the scores of the observation group were higher than those of the observation group (P<0.05). Compared with the patients quality of life, compliance and satisfaction, the indicators of the observation group were better than those of the control group (P<0.05). The renal function index of observation group was higher than that of observation group (P<0.05). Conclusion: Uremia patients take hemodialysis treatment, not only need to carry out routine nursing, but also need to take psychological nursing, improve the psychological mood of patients. With the intervention of psychological nursing, patients compliance has been improved, and the treatment effect is remarkable. Psychological nursing on the basis of routine nursing, to provide patients with satisfactory services.展开更多
BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to ...BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery.展开更多
Epidemiological studies showed that night workers are at higher risk of developing chronic metabolic diseases.However,no study has investigated the changes in circadian rhythms caused by a combined effect of sleep and...Epidemiological studies showed that night workers are at higher risk of developing chronic metabolic diseases.However,no study has investigated the changes in circadian rhythms caused by a combined effect of sleep and diet in a real-life setting on cardiometabolic health,gut microbiota,and psychological status in healthy people.A 4-week step-wise misaligned-realigned controlled-feeding trial with a 2×2 factorial design(sleep and diet)was conducted on healthy young adults.At first,subjects experienced a one-week circadian rhythm misalignment with a high-fat fast-food diet,extended eating window,and delayed sleep schedules,then gradually transited to a complete circadian rhythm realignment with a high-fiber balanced diet,8-h timerestricted eating,and normal sleep schedules.Circadian rhythm misalignment led to significantly higher levels of fasting glucose and homeostatic model assessment for insulin resistance(HOMA-IR)of subjects compared to baseline and failed to recover to the baseline level in circadian rhythm realignments.Notably,the incremental area under the curve(iAUC)of postprandial glucose decreased with circadian rhythm adjustments as compared to that in circadian rhythm misalignment,suggesting circadian rhythm realignment by sleep or/and diet could partly restore glucose metabolism impaired by a short-term circadian rhythm misalignment.However,circadian rhythm changes did not result in overall perturbations of gut microbiota diversities.展开更多
BACKGROUND The intensive care unit(ICU)is a core hospital unit for critically ill patients.A high-intensity treatment environment,frequent invasive procedures,and isolation from family members often lead to severe psy...BACKGROUND The intensive care unit(ICU)is a core hospital unit for critically ill patients.A high-intensity treatment environment,frequent invasive procedures,and isolation from family members often lead to severe psychological stress reactions in patients,including anxiety,depression,and posttraumatic stress disorder.Studies have reported that up to 50%of patients in the ICU experience varying degrees of psychological disorders,leading to reduced treatment compliance and exacerbated metabolic disorders through neuroendocrine pathways,thereby negatively affecting prognosis.AIM To investigate the influence of psychological nursing interventions on psychological status and all-cause mortality among patients admitted to the ICU.METHODS Data were obtained from 100 patients with nutritional risk in the ICU of the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture,admitted from June 2021 to June 2023.They were randomly divided into two groups(n=50 each)based on nursing intervention:Control and study groups.At follow-up,the Zung Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS)were used.All-cause mortality and time to death were compared between the two groups.The relationship between psychological status and all-cause mortality was assessed using the Cox proportional hazards regression model.RESULTS There were no statistically significant differences in SAS and SDS scores between the two groups before the nursing intervention(P>0.05).However,after the psychological intervention,the SAS and SDS scores of the study group were significantly lower than those of the control group(P<0.05).The all-cause mortality rates in the study and control groups were 20%and 40%,respectively(P<0.05),indicating that psychological nursing interventions can significantly reduce all-cause mortality and improve clinical outcomes.Cox proportional hazards regression analysis revealed that a good psychological state reduced all-cause mortality(P<0.05).Nursing satisfaction in the study group was significantly higher than that in the control group(P<0.05),indicating a high level of recognition of the psychological intervention.CONCLUSION Psychological nursing interventions can effectively reduce the incidence of anxiety and depression in ICU patients with nutritional risk,improve their psychological state,reduce all-cause mortality,and improve their prognoses.展开更多
<span style="font-family:Verdana;"><strong>Objective:</strong></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span sty...<span style="font-family:Verdana;"><strong>Objective:</strong></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> To investigate whether a physical therapist trained through the Mechanical Diagnosis and Therapy (MDT) diploma program could guess psychological Patient Reported Outcome Measure (PROM) scores of individuals with low back pain (LBP) by taking patient history and completing a physical evaluation.</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Methods: </span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">Ten participants with LBP completed PROMs immediately before history taking and again after a physical evaluation. PROMs included the Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia (TSK), Hospital Anxiety and Depression Scale, and Pain Coping Strategy Questionnaire. A physical therapist who completed the MDT diploma program took the patients’ history and completed their physical evaluation. The therapist completed the same PROMs immediately after both history taking and physical evaluation. Correlations between patient and therapist scores were calculated using Spearman’s </span><i><span style="font-family:Verdana;">ρ</span></i><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Statistically significant positive correlations were detected in </span></span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">the PCS (</span><i><span style="font-family:Verdana;">ρ</span></i><span style="font-family:Verdana;"> = 0.65) and TSK (</span><i><span style="font-family:Verdana;">ρ</span></i><span style="font-family:Verdana;"> = 0.78) before history taking, and in the PCS (</span><i><span style="font-family:Verdana;">ρ</span></i><span style="font-family:Verdana;"> = 0.81) and TSK (</span><i><span style="font-family:Verdana;">ρ</span></i><span style="font-family:Verdana;"> = 0.74) after physical evaluation.</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Discussion: </span></b></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">The results are based on one MDT therapist and generalizability of the findings is limited. However, the current preliminary findings justify the need for further studies to explore effective post-graduate training to promote a patient centered approach.</span></span></span>展开更多
This paper is to analyze the novel in the following aspects： The Chinese-American cultural conflicts, the mother and daughter relations and sisters’ relations, the psychological critics, and the postcolonial identit...This paper is to analyze the novel in the following aspects： The Chinese-American cultural conflicts, the mother and daughter relations and sisters’ relations, the psychological critics, and the postcolonial identity. The novel is about multiple explanations of the aspects mentioned above. The writer confuses the Chinese culture, the relationship of the two sisters. Under the superficial description, the writer shows the psychological status of the main character and the practically existence of postcolonial identity and embodiment in the novel.展开更多
Objective: to study the implementation and effect of accelerated rehabilitation surgery in laparoscopic hepatectomy. Methods: the study period was from February 2019 to June 2021. A total of 116 patients with liver ca...Objective: to study the implementation and effect of accelerated rehabilitation surgery in laparoscopic hepatectomy. Methods: the study period was from February 2019 to June 2021. A total of 116 patients with liver cancer underwent laparoscopic hepatectomy. They were divided into accelerated group and control group by drawing lots. The former was given accelerated rehabilitation surgical nursing while the latter was given routine nursing. The postoperative rehabilitation, complications, psychological status and pain degree before and after nursing were compared. Results: the time of exhaust, getting out of bed and hospitalization in the acceleration group was shorter than that in the control group, with significant difference (P < 0.05). The total incidence of postoperative complications in the accelerated group was lower than that in the control group, with significant difference (p < 0.05). The scores of HAMA and HAMD in the accelerated group were significantly lower than those in the control group (P < 0.05). The pain scores of the accelerated group at 6h and 48h were significantly lower than those of the control group (p < 0.05). Conclusion: the implementation of the concept of accelerated rehabilitation surgery in laparoscopic hepatectomy can improve the operation safety and rehabilitation efficiency of patients, help patients to improve their psychological state and reduce perioperative discomfort and postoperative pain. It is a more suitable nursing plan for such patients.展开更多
Objective: to analyze the effect of regulating mind and regulating qi acupuncture on depression of liver qi stagnation type. Methods: 62 patients with depression of liver qi stagnation type were randomly selected from...Objective: to analyze the effect of regulating mind and regulating qi acupuncture on depression of liver qi stagnation type. Methods: 62 patients with depression of liver qi stagnation type were randomly selected from March 2021 to March 2022. They were divided into group A (oral Prozac) and group B (acupuncture for regulating mind and regulating qi) by double blind method, and the effects of the two groups were compared. Results: the effective rate of group B (96.77%), the score after treatment (psychological state, TCM syndrome) and the TESS score at 2, 4, 6, and 8 weeks of treatment were better than those of group A (P0.05). Conclusion: acupuncture therapy of regulating mind and regulating qi is effective and safe for patients with depression of liver qi stagnation type, which is worth popularizing.展开更多
Introduction:Physical inactivity among older adults represents a growing global concern.Understanding the characteristics and determinants of physical activity patterns(PAPs)is crucial for developing targeted physical...Introduction:Physical inactivity among older adults represents a growing global concern.Understanding the characteristics and determinants of physical activity patterns(PAPs)is crucial for developing targeted physical activity(PA)promotion strategies for diverse subgroups.Methods:This study analyzed data from 39,957 adults aged 60–79 years recruited from 31 Provinciallevel administrative divisions(PLADs)through the 2020 Chinese National Survey on Adults’Fitness.Participants completed comprehensive questionnaires and underwent physical fitness assessments.The selfadministered questionnaire captured demographic characteristics,living environment conditions,life satisfaction,and stress levels.PA was evaluated under normal conditions using a domain-specific questionnaire that measured weekly activity across leisure,occupational,transport,and home domains,along with sedentary behavior.Physical fitness measurements encompassed anthropometric parameters(height,weight,body fat percentage),cardiorespiratory fitness(lung capacity,2-minute step test),muscular strength(grip strength),flexibility(sit and reach test),functional capacity(30-second chair stand test),balance(one-leg standing with eyes-closed test),and neuromuscular function(reaction time test).K-means clustering analysis is used for identifying PAPs.Results:K-means clustering analysis identified three distinct PAPs among Chinese older adults:low activity(LA)cluster(n=21,291,53.3%),active leisure(AL)cluster(n=12,543,31.4%),and active home(AH)cluster(n=6,123,15.3%).The AL cluster demonstrated superior psychological status,physical fitness,and built environment conditions compared to both AH and LA clusters,while the AH cluster exhibited better physical fitness and built environment characteristics than the LA cluster.Conclusions:These findings reveal distinct PA profiles across various life domains among older adults.The observed inter-cluster differences suggest that targeted intervention strategies and policies may benefit different elderly subgroups,particularly through enhanced sociopsychological and built environment support,coupled with precise guidance for promoting physical health.展开更多
BACKGROUND Owing to age-related physiological declines,elderly patients undergoing radical gastrectomy(RG)often experience physical and psychological challenges.Hence,appropriate nursing strategies need to be identifi...BACKGROUND Owing to age-related physiological declines,elderly patients undergoing radical gastrectomy(RG)often experience physical and psychological challenges.Hence,appropriate nursing strategies need to be identified for optimizing patient outcomes.AIM To evaluate the effects of the Neuman Systems Model-guided stepped care intervention(NGSC)model on postoperative physical and psychological recovery in elderly patients with gastric cancer who underwent RG.METHODS In total,80 elderly patients(≥65 years old)who underwent RG at the Shanxi Fenyang Hospital between January 2023 and June 2024 were included and randomly divided as follows:Control group(n=40,those receiving conventional stepped care intervention);observation group(n=40,those receiving NGSC).Postoperative recovery indices,anxiety/depression scores(Self-Rating Anxiety Scale/Self-Rating Depression Scale),quality of life(36-item short form health survey),and adverse event rates were compared between the groups.RESULTS Compared with the control group,the observation group presented significantly shorter recovery times for first bowel sounds,ambulation,flatus,oral intake,catheter removal,and hospitalization(all P<0.05).Notably,in the observation group,Self-Rating Anxiety Scale/Self-Rating Depression Scale scores and the adverse event rate were significantly lower(all P<0.05),whereas 36-item short form health survey scores were higher(P<0.05),compared with those in the control group.CONCLUSION Overall,the findings of this study show that the proposed NGSC model accelerates postoperative recovery,alleviates psychological distress,improves quality of life,and reduces complications in elderly patients with gastric cancer who underwent RG,presenting potential for clinical application.展开更多
基金Supported by Specialized Subsidy Scheme for Macao Higher Education Institutions in the Area of Research in Humanities and Social Sciences,No.HSS-MUST-2020-04.
文摘BACKGROUND On January 22,2020,Macao reported its first case of coronavirus disease 2019(COVID-19)infection.By August 2021,the situation had escalated into a crisis of community transmission.In response,the government launched a recruitment campaign seeking assistance and services of healthcare workers(HCWs)from the private sector throughout Macao.These participants faced concerns about their own health and that of their families,as well as the responsibility of maintaining public health and wellness.This study aims to determine whether the ongoing epidemic has caused them physical and psychological distress.AIM To examine the influence of COVID-19 on the sleep quality and psychological status of HCWs in private institutions in Macao during the pandemic.METHODS Data were collected from December 2020 to January 2022.Two consecutive surveys were conducted.The Pittsburgh Sleep Quality Index(PSQI)scale,Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)were employed as investigation tools.RESULTS In the first-stage survey,32%of HCWs experienced a sleep disorder,compared to 28.45%in the second-stage survey.A total of 31.25%of HCWs in the first-stage survey and 28.03%in the second had varying degrees of anxiety.A total of 50.00%of HCWs in the first-stage survey and 50.63%in the second experienced varying degrees of depression.No difference in PSQI scores,SAS scores,or SDS scores were observed between the two surveys,indicating that the COVID-19 epidemic influenced the sleep quality and psychological status of HCWs.The negative influence persisted over both periods but did not increase remarkably for more than a year.However,a positive correlation was observed between the PSQI,SAS,and SDS scores(r=0.428-0.775,P<0.01),indicating that when one of these states deteriorated,the other two tended to deteriorate as well.CONCLUSION The sleep quality,anxiety,and depression of HCWs in private institution in Macao were affected by the COVID-19 epidemic.While these factors did not deteriorate significantly,the negative effects persisted for a year and remained noteworthy.
文摘BACKGROUND Epilepsy is a nervous system disease characterized by recurrent attacks,a long disease course,and an unfavorable prognosis.It is associated with an enduring therapeutic process,and finding a cure has been difficult.Patients with epilepsy are predisposed to adverse moods,such as resistance,anxiety,nervousness,and anxiety,which compromise treatment compliance and overall efficacy.AIM To explored the influence of intensive psychological intervention on treatment compliance,psychological status,and quality of life(QOL)of patients with epilepsy.METHODS The clinical data of 105 patients with epilepsy admitted between December 2019 and July 2023 were retrospectively analyzed,including those of 50 patients who underwent routine intervention(control group)and 55 who underwent intensive psychological intervention(research group).Treatment compliance,psychological status based on the Self-Rating Anxiety Scale(SAS)and Depression Scale Self-Rating Depression Scale(SDS)scores,hope level assessed using the Herth Hope Scale(HHS),psychological resilience evaluated using the Psychological Resilience Scale,and QOL determined using the QOL in Epilepsy-31 Inventory(QOLIE-31)were comparatively analyzed.RESULTS Treatment compliance in the research group was 85.5%,which is significantly better than the 68.0%of the control group.No notable intergroup differences in preinterventional SAS and SDS scores were identified(P>0.05);however,after the intervention,the SAS and SDS scores decreased significantly in the two groups,especially in the research group(P<0.05).The two groups also exhibited no significant differences in preinterventional HHS,Connor-Davidson Resilience Scale(CD-RISC),and QOLIE-31 scores(P>0.05).After 6 months of intervention,the research group showed evidently higher HHS,CD-RISC,tenacity,optimism,strength,and QOLIE-31 scores(P<0.05).CONCLUSION Intensive psychological intervention enhances treatment compliance,psychological status,and QOL of patients with epilepsy.
基金Supported by Foundation of Fujian Medical University, No.Js060017
文摘AIM: To assess the effects of poor nutritional and psychological status on tolerance of cancer treatment and the recovery of physical performance status in patients with gastrointestinal cancer. METHODS: An epidemiological survey with respect to nutritional and psychological status in patients with gastrointestinal cancer was conducted among 182 operated patients in four provincial-level hospitals from December 2005 to June 2006. The food frequency survey method, state-trait anxiety inventory (STAI) and depression status inventory (DSI) were used to obtain information about the diet and psychological status in the patients. Nutritional status in the participants was reflected by serum albumin (Alb), hemoglobin (HB) and body mass index (BMI). RESULTS: Alb, protein intake and anxiety were associated with the severity of side effects of treatment. The adjusted relative risk (RR) for Alb, protein intake and anxiety was 3.30 (95% CI: 1.08, 10.10, P = 0.03), 3.25 (95% CI: 1.06, 9.90, P = 0.04) and 1.48 (95% CI: 1.29, 1.70, P < 0.0001), respectively. Moreover, calorie intake, HB and depression were associated with the recovery of physical performance status in the patients. Adjusted relative risk was 2.12 (95% CI: 1.09, 4.03, P = 0.028), 2.05 (95% CI: 1.08, 3.88, P =0.026) and 1.07 (95% CI: 1.02, 1.12, P = 0.007), respectively. CONCLUSION: Both poor nutrition status and psychological status are independent risk factors for severe side effects of cancer treatment, and have impact on the recovery of physical performance status in patients after treatment.
基金Financial support and sponsorship This work was supported by the Lanzhou city science and technology project:Psychological Intervention Study of COVID‑19 Isolation and Protection Medical Workers by Mindfulness Behavior Delivery.
文摘Objective:The objective of the study is to investigate the psychological status of nursing staff both working on nonfront line and on the front line during the epidemic period of COVID‑19 and to analyze the influencing factors related to mental health state,as well as to provide targeted psychological intervening measures for nursing staff in the face of this major public health event.Methods:We used data from January 28,2019,to February 08,2020,on the number of cases who worked in the 3A‑level hospital as nonfront‑line nurses(n=29,54%)and those who worked in Wuhan infectious hospital as the front‑line supporters(n=25,46%)came from the 3A‑level hospital.The participants completed the symptom checklist 90,and the researchers recorded data on demographics,psychological status,and the influencing factors.Results:In our baseline scenario,we estimated that the total symptom index was 1.676±0.654 for nurses who worked on the front line,1.260±0.304 for those who worked as the front‑line reserve nurses,and was 1.486±0.647 for those who worked as the nonfront‑line nurses.The results of correlation analysis show that the factors related to the psychological status of nurses include age,professional title,marital status,and family support;different factors have different effects on psychological status.Conclusion:In the face of major public health emergencies,both front‑line nursing staff and nonfront‑line staff are confronted with different degrees of psychological stress,so effective psychological support should be given to improve the working efficiency and enthusiasm of nurses.
文摘<div style="text-align:justify;"> <span style="font-family:Verdana;"><strong>Objective:</strong> So as to provide a theoretical basis for the future development of intervention measures to reduce the negative psychological mood of caregivers. To investigate the psychological status of the main caregivers for patients who were transferred out of ICU after craniocerebral tumor surgery and analyze their factors. <strong>Methods:</strong> 112 patients with cerebral tumor surgery were reviewed from sun yat-sen university cancer hospital. The research object is caregivers. The general data questionnaire, hospital anxiety depression scale and migration of ICU patients’ family members stress questionnaire scale investigation are collected. Multiple linear regression analysis in cerebral tumor patients with postoperative ICU transition out main factors influencing the psychological condition of the caregivers. <strong>Results:</strong> The anxiety and depression scores were (15.60 ± 5.83) and (38.73 ± 3.23) respectively. The results of multiple regression analysis showed that the gender, education level, relationship with the patient and family monthly income of the primary caregivers of the patients were the influencing factors of anxiety, depression and migration stress psychological state (P < 0.05). <strong>Conclusion:</strong> The main caregivers of patients who were transferred out of ICU after craniocerebral tumor surgery had relatively severe anxiety, depression and migration stress. Medical staff should pay attention to the psychological status of caregivers and take effective measures to promote their physical and mental health.</span> </div>
文摘Objective:To investigate the psychological health status and influencing factors of the public during the epidemic of Covid-19 in Yichang,Hubei,and provide evidence for future psychological intervention.Methods:This study used snowball sampling,SCL-90 scale,and SSRS to conduct a questionnaire survey of 563 residents.Results:The state of public mental health during the closure of Covid-19 was worse than the national norm.Gender,age,and culture have an impact on mental health.There was a significant correlation between social support and the level of mental health.The effects of various variables on the public mental state from big to small:objective support,gender,occupation.Conclusion:The psychological problems of the public during the closure of the city of Covid-19 deserve attention.According to different influencing factors,corresponding measures should be implemented to improve the public’s psychological endurance and respond to public health emergencies with a healthy mentality.
基金supported by grants from the National Key Research and Development Program of Ministry of Science and Technology,(2022YFC2304400)High-level public health technical talents of Beijing Municipal Health Commission(Academic Leader-02-14)+1 种基金Beijing Hospitals Authority’s Ascent Plan(DFL20241701)Beijing Science and Technology New Star program cross-cooperation project(20230484455)
文摘Background It is well known that patients with chronic hepatitis C virus(HCV)infection are experiencing both physical and psychological pressures.However,no previous studies have examined whether the psychological state of HCV patients changes after treatment with direct-acting antivirals(DAAs).Methods A prospective cohort study was conducted using the following scales:1.The Hamilton Depression Rating Scale;2.The Montgomery Asberg Depression Rating Scale;3.Global Assessment of Functioning Scale;4.Life Event Checklist;5.Patient Health Questionnaire-9;6.Quick Inventory of Depressive Symptomatology;7.The 12-item Short Form Health Survey;8.Stigma;9.Subjective social status.Cohort members were included if they had HCV infection and were willing to receive DAAs therapy.Results Global Assessment of Functioning Scale score and subjective social status score were significantly different in HCV patients without DAAs treatment compared with HCV patients after treatment with DAAs(P<0.05).We found no significant differences in other scales.Conclusions The current findings suggested that there was no change in the psychological status of HCV patients after treatment with DAAs except for the patient's sense of their position.
文摘BACKGROUND Cancer patients with an implanted venous access port(IVAP)often manage their care at home during chemotherapy intervals,including maintaining the device,monitoring complications,and following medication instructions.Home care ensures continued support after discharge.However,due to factors such as age,gender,culture,psychological status,and family support,the quality of home care varies significantly.Understanding these factors can help provide targeted guidance to improve the care of cancer patients.AIM To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.METHODS This investigative study was based on a medical records system.It investigated the relationship between psychological status,family support,and home care quality in 180 patients with cancer undergoing IVAP chemotherapy.Psychological status was assessed using the State Anxiety Inventory(S-AI);family support was assessed using the Perceived Social Support Scale(PSSS),and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Pearson’s correlation and Structural Equation Modeling were used to analyze the interplay between these factors.RESULTS The average S-AI score was 47.52±14.47,PSSS was 52.48±12.64,and EORTC QLQ-C30 was 70.09±17.32.A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores(r=-0.712).A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS,with a correlation coefficient of(r=0.744).The multiple linear regression analysis indicated that family social support,psychological status,and average monthly family income were the main factors influencing the variation in the quality of home care,explaining 71.9%of the variation.The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life,explaining 32.78%of the mediation effect.CONCLUSION Psychological status and family social support positively impacted cancer patients’home care quality,with psychology partially mediating this effect.
基金This research was funded by the "Three Major"constructions emergency projects for the new coronavirus prevention and control in 2020 of Sun Yatsen University.
文摘Background:A cluster of pneumonia cases were reported by Wuhan Municipal Health Commission,China in December 2019.A novel coronavirus was eventually identified,and became the COVID-19 epidemic that affected public health and life.We investigated the psychological status and behavior changes of the general public in China from January 30 to February 3,2020.Methods:Respondents were recruited via social media(WeChat)and completed an online questionnaire.We used the State-Trait Anxiety Inventory,Self-rating Depression Scale,and Symptom Checklist-90 to evaluate psychological status.We also investigated respondents’behavior changes.Quantitative data were analyzed by t-tests or analysis of variance,and classified data were analyzed with chi-square tests.Results:In total,608 valid questionnaires were obtained.More respondents had state anxiety than trait anxiety(15.8%vs 4.0%).Depression was found among 27.1%of respondents and 7.7%had psychological abnormalities.About 10.1%of respondents suffered from phobia.Our analysis of the relationship between subgroup characteristics and psychological status showed that age,gender,knowledge about COVID-19,degree of worry about epidemiological infection,and confidence about overcoming the outbreak significantly influenced psychological status.Around 93.3%of respondents avoided going to public places and almost all respondents reduced Spring Festival-related activities.At least 70.9%of respondents chose to take three or more preventive measures to avoid infection.The three most commonly used prevention measures were making fewer trips outside and avoiding contact(98.0%),wearing a mask(83.7%),and hand hygiene(82.4%).Conclusions:We need to pay more attention to public psychological stress,especially among young people,as they are likely to experience anxiety,depression,and psychological abnormalities.Different psychological interventions could be formulated according to the psychological characteristics of different gender and age groups.The majority of respondents followed specific behaviors required by the authorities,but it will take time to observe the effects of these behaviors on the epidemic.
文摘BACKGROUND Severe acute pancreatitis(SAP)is a familiar critical disease in the intensive care unit(ICU)patients.Nursing staff are important spiritual pillars during the treatment of patients,and in addition to routine nursing,more attention needs be paid to the patient’s psychological changes.AIM To investigate the effects of psychological intervention in ICU patients with SAP.METHODS One hundred ICU patients with SAP were hospitalized in the authors’hospital between 2020 and 2023 were selected,and divided into observation and control groups per the hospitalization order.The control and observation groups received routine nursing and psychological interventions,respectively.Two groups are being compared,using the Self-rating Anxiety Scale(SAS),Self-Determination Scale(SDS),Acute Physiology and Chronic Health Evaluation(APACHE)Ⅱ,and 36-item Short Form Health Survey(SF-36)scores;nursing satisfaction of patients;ICU care duration;length of stay;hospitalization expenses;and the incidence of complications.RESULTS After nursing,the SDS,SAS,and APACHEⅡ scores in the experimental group were significantly lower than in the control group(P<0.05).The SF-36 scores in the observation group were significantly higher than those in the control group(P<0.05).The nursing satisfaction of patients in the experimental group was 94.5%,considerably higher than that of 75.6% in the control group(P<0.05).The ICU care duration,length of stay,and hospitalization expenses in the observation group were significantly lower than those in the control group,and the incidence of complications was lower(P<0.05).CONCLUSION For patients with SAP,the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.
文摘Objective: To analyze the effect of psychological intervention in uremia patients during hemodialysis. Methods: A total of 70 patients undergoing hemodialysis in our hospital were selected, and all cases were screened from patients with uremia from November 2019 to October 2021. The grouping method adopted is random drawing. Routine nursing (implemented in the control group) and combined with psychological nursing intervention (implemented in the observation group) were adopted respectively. The following related indicators were evaluated: psychological state, quality of life, compliance, and satisfaction. Results: For the mental state score, the scores of the observation group were higher than those of the observation group (P<0.05). Compared with the patients quality of life, compliance and satisfaction, the indicators of the observation group were better than those of the control group (P<0.05). The renal function index of observation group was higher than that of observation group (P<0.05). Conclusion: Uremia patients take hemodialysis treatment, not only need to carry out routine nursing, but also need to take psychological nursing, improve the psychological mood of patients. With the intervention of psychological nursing, patients compliance has been improved, and the treatment effect is remarkable. Psychological nursing on the basis of routine nursing, to provide patients with satisfactory services.
文摘BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery.
文摘Epidemiological studies showed that night workers are at higher risk of developing chronic metabolic diseases.However,no study has investigated the changes in circadian rhythms caused by a combined effect of sleep and diet in a real-life setting on cardiometabolic health,gut microbiota,and psychological status in healthy people.A 4-week step-wise misaligned-realigned controlled-feeding trial with a 2×2 factorial design(sleep and diet)was conducted on healthy young adults.At first,subjects experienced a one-week circadian rhythm misalignment with a high-fat fast-food diet,extended eating window,and delayed sleep schedules,then gradually transited to a complete circadian rhythm realignment with a high-fiber balanced diet,8-h timerestricted eating,and normal sleep schedules.Circadian rhythm misalignment led to significantly higher levels of fasting glucose and homeostatic model assessment for insulin resistance(HOMA-IR)of subjects compared to baseline and failed to recover to the baseline level in circadian rhythm realignments.Notably,the incremental area under the curve(iAUC)of postprandial glucose decreased with circadian rhythm adjustments as compared to that in circadian rhythm misalignment,suggesting circadian rhythm realignment by sleep or/and diet could partly restore glucose metabolism impaired by a short-term circadian rhythm misalignment.However,circadian rhythm changes did not result in overall perturbations of gut microbiota diversities.
文摘BACKGROUND The intensive care unit(ICU)is a core hospital unit for critically ill patients.A high-intensity treatment environment,frequent invasive procedures,and isolation from family members often lead to severe psychological stress reactions in patients,including anxiety,depression,and posttraumatic stress disorder.Studies have reported that up to 50%of patients in the ICU experience varying degrees of psychological disorders,leading to reduced treatment compliance and exacerbated metabolic disorders through neuroendocrine pathways,thereby negatively affecting prognosis.AIM To investigate the influence of psychological nursing interventions on psychological status and all-cause mortality among patients admitted to the ICU.METHODS Data were obtained from 100 patients with nutritional risk in the ICU of the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture,admitted from June 2021 to June 2023.They were randomly divided into two groups(n=50 each)based on nursing intervention:Control and study groups.At follow-up,the Zung Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS)were used.All-cause mortality and time to death were compared between the two groups.The relationship between psychological status and all-cause mortality was assessed using the Cox proportional hazards regression model.RESULTS There were no statistically significant differences in SAS and SDS scores between the two groups before the nursing intervention(P>0.05).However,after the psychological intervention,the SAS and SDS scores of the study group were significantly lower than those of the control group(P<0.05).The all-cause mortality rates in the study and control groups were 20%and 40%,respectively(P<0.05),indicating that psychological nursing interventions can significantly reduce all-cause mortality and improve clinical outcomes.Cox proportional hazards regression analysis revealed that a good psychological state reduced all-cause mortality(P<0.05).Nursing satisfaction in the study group was significantly higher than that in the control group(P<0.05),indicating a high level of recognition of the psychological intervention.CONCLUSION Psychological nursing interventions can effectively reduce the incidence of anxiety and depression in ICU patients with nutritional risk,improve their psychological state,reduce all-cause mortality,and improve their prognoses.
文摘<span style="font-family:Verdana;"><strong>Objective:</strong></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> To investigate whether a physical therapist trained through the Mechanical Diagnosis and Therapy (MDT) diploma program could guess psychological Patient Reported Outcome Measure (PROM) scores of individuals with low back pain (LBP) by taking patient history and completing a physical evaluation.</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Methods: </span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">Ten participants with LBP completed PROMs immediately before history taking and again after a physical evaluation. PROMs included the Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia (TSK), Hospital Anxiety and Depression Scale, and Pain Coping Strategy Questionnaire. A physical therapist who completed the MDT diploma program took the patients’ history and completed their physical evaluation. The therapist completed the same PROMs immediately after both history taking and physical evaluation. Correlations between patient and therapist scores were calculated using Spearman’s </span><i><span style="font-family:Verdana;">ρ</span></i><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Statistically significant positive correlations were detected in </span></span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">the PCS (</span><i><span style="font-family:Verdana;">ρ</span></i><span style="font-family:Verdana;"> = 0.65) and TSK (</span><i><span style="font-family:Verdana;">ρ</span></i><span style="font-family:Verdana;"> = 0.78) before history taking, and in the PCS (</span><i><span style="font-family:Verdana;">ρ</span></i><span style="font-family:Verdana;"> = 0.81) and TSK (</span><i><span style="font-family:Verdana;">ρ</span></i><span style="font-family:Verdana;"> = 0.74) after physical evaluation.</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Discussion: </span></b></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">The results are based on one MDT therapist and generalizability of the findings is limited. However, the current preliminary findings justify the need for further studies to explore effective post-graduate training to promote a patient centered approach.</span></span></span>
文摘This paper is to analyze the novel in the following aspects： The Chinese-American cultural conflicts, the mother and daughter relations and sisters’ relations, the psychological critics, and the postcolonial identity. The novel is about multiple explanations of the aspects mentioned above. The writer confuses the Chinese culture, the relationship of the two sisters. Under the superficial description, the writer shows the psychological status of the main character and the practically existence of postcolonial identity and embodiment in the novel.
文摘Objective: to study the implementation and effect of accelerated rehabilitation surgery in laparoscopic hepatectomy. Methods: the study period was from February 2019 to June 2021. A total of 116 patients with liver cancer underwent laparoscopic hepatectomy. They were divided into accelerated group and control group by drawing lots. The former was given accelerated rehabilitation surgical nursing while the latter was given routine nursing. The postoperative rehabilitation, complications, psychological status and pain degree before and after nursing were compared. Results: the time of exhaust, getting out of bed and hospitalization in the acceleration group was shorter than that in the control group, with significant difference (P < 0.05). The total incidence of postoperative complications in the accelerated group was lower than that in the control group, with significant difference (p < 0.05). The scores of HAMA and HAMD in the accelerated group were significantly lower than those in the control group (P < 0.05). The pain scores of the accelerated group at 6h and 48h were significantly lower than those of the control group (p < 0.05). Conclusion: the implementation of the concept of accelerated rehabilitation surgery in laparoscopic hepatectomy can improve the operation safety and rehabilitation efficiency of patients, help patients to improve their psychological state and reduce perioperative discomfort and postoperative pain. It is a more suitable nursing plan for such patients.
文摘Objective: to analyze the effect of regulating mind and regulating qi acupuncture on depression of liver qi stagnation type. Methods: 62 patients with depression of liver qi stagnation type were randomly selected from March 2021 to March 2022. They were divided into group A (oral Prozac) and group B (acupuncture for regulating mind and regulating qi) by double blind method, and the effects of the two groups were compared. Results: the effective rate of group B (96.77%), the score after treatment (psychological state, TCM syndrome) and the TESS score at 2, 4, 6, and 8 weeks of treatment were better than those of group A (P0.05). Conclusion: acupuncture therapy of regulating mind and regulating qi is effective and safe for patients with depression of liver qi stagnation type, which is worth popularizing.
基金Supported by the Fundamental Research Funds for the China Institute of Sport Science(grant No.23-21).
文摘Introduction:Physical inactivity among older adults represents a growing global concern.Understanding the characteristics and determinants of physical activity patterns(PAPs)is crucial for developing targeted physical activity(PA)promotion strategies for diverse subgroups.Methods:This study analyzed data from 39,957 adults aged 60–79 years recruited from 31 Provinciallevel administrative divisions(PLADs)through the 2020 Chinese National Survey on Adults’Fitness.Participants completed comprehensive questionnaires and underwent physical fitness assessments.The selfadministered questionnaire captured demographic characteristics,living environment conditions,life satisfaction,and stress levels.PA was evaluated under normal conditions using a domain-specific questionnaire that measured weekly activity across leisure,occupational,transport,and home domains,along with sedentary behavior.Physical fitness measurements encompassed anthropometric parameters(height,weight,body fat percentage),cardiorespiratory fitness(lung capacity,2-minute step test),muscular strength(grip strength),flexibility(sit and reach test),functional capacity(30-second chair stand test),balance(one-leg standing with eyes-closed test),and neuromuscular function(reaction time test).K-means clustering analysis is used for identifying PAPs.Results:K-means clustering analysis identified three distinct PAPs among Chinese older adults:low activity(LA)cluster(n=21,291,53.3%),active leisure(AL)cluster(n=12,543,31.4%),and active home(AH)cluster(n=6,123,15.3%).The AL cluster demonstrated superior psychological status,physical fitness,and built environment conditions compared to both AH and LA clusters,while the AH cluster exhibited better physical fitness and built environment characteristics than the LA cluster.Conclusions:These findings reveal distinct PA profiles across various life domains among older adults.The observed inter-cluster differences suggest that targeted intervention strategies and policies may benefit different elderly subgroups,particularly through enhanced sociopsychological and built environment support,coupled with precise guidance for promoting physical health.
文摘BACKGROUND Owing to age-related physiological declines,elderly patients undergoing radical gastrectomy(RG)often experience physical and psychological challenges.Hence,appropriate nursing strategies need to be identified for optimizing patient outcomes.AIM To evaluate the effects of the Neuman Systems Model-guided stepped care intervention(NGSC)model on postoperative physical and psychological recovery in elderly patients with gastric cancer who underwent RG.METHODS In total,80 elderly patients(≥65 years old)who underwent RG at the Shanxi Fenyang Hospital between January 2023 and June 2024 were included and randomly divided as follows:Control group(n=40,those receiving conventional stepped care intervention);observation group(n=40,those receiving NGSC).Postoperative recovery indices,anxiety/depression scores(Self-Rating Anxiety Scale/Self-Rating Depression Scale),quality of life(36-item short form health survey),and adverse event rates were compared between the groups.RESULTS Compared with the control group,the observation group presented significantly shorter recovery times for first bowel sounds,ambulation,flatus,oral intake,catheter removal,and hospitalization(all P<0.05).Notably,in the observation group,Self-Rating Anxiety Scale/Self-Rating Depression Scale scores and the adverse event rate were significantly lower(all P<0.05),whereas 36-item short form health survey scores were higher(P<0.05),compared with those in the control group.CONCLUSION Overall,the findings of this study show that the proposed NGSC model accelerates postoperative recovery,alleviates psychological distress,improves quality of life,and reduces complications in elderly patients with gastric cancer who underwent RG,presenting potential for clinical application.
