Objectives: Understanding the role of Self-Help Group (SHG) in light of the evolving dynamics of sex work needs to be delved into to strategize HIV interventions among FSWs in India. This paper aims to study the HIV p...Objectives: Understanding the role of Self-Help Group (SHG) in light of the evolving dynamics of sex work needs to be delved into to strategize HIV interventions among FSWs in India. This paper aims to study the HIV program outcome among the FSWs associated with SHGs and FSWs not associated with SHGs in Thane, Maharashtra. Study Design: This cross-sectional study was undertaken from the Behavioral Tracking Survey (BTS) conducted among 503 FSWs in Thane in 2015. Two-stage probability based conventional sampling was done for selection of brothel and bar based FSWs, while Time Location Cluster (TLC) sampling was done for home, lodge and street based sex workers. Methods: Bivariate and multivariate logistic regression were performed to compare and contrast between FSWs associated with SHG and those not associated with SHG with respect to the utilization of HIV related services by them. “Condom use”, “consistent condom use”, “contact with peer-educators”, “counseling sessions” and “HIV testing” were chosen as indicators on HIV service utilization. Results: 8% (38) of FSWs are registered with SHG;92% aged ≥25 years, 47% illiterate, and 71% are currently married. The likelihood of utilizing HIV services including, knowledge on HIV/AIDS and its mode of transmission (OR: 5.54;CI: 1.87 - 16.60;p Conclusions: Considering the improved HIV program outcomes among FSWs associated with SHG, HIV interventions among FSWs could consider facilitating the formation of SHGs with FSWs as one of the key strategies to empower the community for ensuring better program outcomes.展开更多
This study examines the transformative role of self-help groups(SHGs)in the socioeconomic development of rural women in Cooch Behar District,India,and their contribution toward achieving Sustainable Development Goals(...This study examines the transformative role of self-help groups(SHGs)in the socioeconomic development of rural women in Cooch Behar District,India,and their contribution toward achieving Sustainable Development Goals(SDGs)of the United Nations.In this study,we explored the effect of SHGs on rural women by specifically addressing SDGs,such as no poverty(SDG 1),zero hunger(SDG 2),good health and well-being(SDG 3),quality education(SDG 4),and gender equality(SDG 5).Given this issue,a cross-sectional survey and comparison analyses are needed to assess the socioeconomic development of rural women and their awareness level before and after the participation of rural women in SHGs.The survey conducted as part of this study was divided into three sections,namely,demographic characteristics,socioeconomic development,and awareness level,with each focusing on different aspects.A group of 400 individuals who were part of SHGs completed the questionnaire survey form.The results showed that the participation of rural women in SHGs significantly improved their socioeconomic development and awareness level,as supported by both mean values and t test results.Memberships in SHGs and microcredit programs were the major elements that boosted the socioeconomic development of rural women,which also achieves SDGs 1,2,3,4,and 5.This study revealed that participation in SHGs and related financial services significantly aided rural women in economically disadvantaged communities in accumulating savings and initiating entrepreneurial ventures.Moreover,participation in SHGs was instrumental in enhancing the self-confidence,self-efficacy,and overall self-esteem of rural women.Finally,doing so enabled them to move more freely for work and other activities and to make family and common decisions.展开更多
Objective:To investigate the current status quo of health self-help behavior of elderly in a community and its influencing factors using a semi-structured interview in a qualitative study.Methods:A phenomenological me...Objective:To investigate the current status quo of health self-help behavior of elderly in a community and its influencing factors using a semi-structured interview in a qualitative study.Methods:A phenomenological method is employed for purposive sampling and snowball sampling methods.The elderly(>60 years old),who had lived in the Minhang District of Shanghai for>5 years,with an annual residence duration≥10 months,were selected.Data were collected in person by a semi-structured and an in-depth interview;the topics were identified according to data arrangement,analysis,and coding.Results:A total of 10 subjects were enrolled,from Pujiang Town,Minhang District of Shanghai.The cohort constituted of 7 males and 3 females,aged 60-68 years,with an average of(63.40±9.19)years.After data arrangement and analysis,the following topics were obtained:(1)various forms of health self-help behaviors existed among elderly in the community;(2)some factors influenced the health self-help behavior among the elderly in the community;(3)a deviation was observed in the health self-help behavior among the elderly in the community.Conclusion:The health self-help behaviors of the elderly in the community should be rectified to carry out self and the environmental establishment of the health self-help behaviors of the elderly in the community,as well as,to guide and develop the personalized health self-help behavior program.展开更多
Objective:To evaluate the nursing effect of self-help mindfulness therapy for patients with depression.Methods:120 cases of depression patients admitted to the Department of Psychosomatic Disorders of our hospital bet...Objective:To evaluate the nursing effect of self-help mindfulness therapy for patients with depression.Methods:120 cases of depression patients admitted to the Department of Psychosomatic Disorders of our hospital between January 2020 and January 2023 were selected.After being grouped by the random draw method,60 cases in the observation group adopted self-help mindfulness therapy and 60 cases in the control group adopted conventional nursing care,the nursing effects were subsequently compared.Results:Before nursing,there was no difference in the comparison of clinical symptom scores,rumination scores,positive psychological scores,and self-esteem scores between the two groups(P>0.05).After nursing,the clinical symptom scores of the observation group were lower than those of the control group;the rumination scores were lower than those of the control group;the positive psychological scores were higher than those of the control group;and the self-esteem scores were higher than those of the control group,and all of them were statistically significant(P<0.05).Conclusion:Self-help mindfulness therapy can improve the clinical symptoms of patients with depression and their rumination,and enhance their positive psychological state and self-esteem level,which has high nursing advantages.展开更多
BACKGROUND Esophageal cancer is a clinically common malignant tumor of the digestive sys-tem.In 2022,it ranked fifth among the leading causes of cancer-related deaths in China.Its predominant symptom is dysphagia,and ...BACKGROUND Esophageal cancer is a clinically common malignant tumor of the digestive sys-tem.In 2022,it ranked fifth among the leading causes of cancer-related deaths in China.Its predominant symptom is dysphagia,and approximately 30%–40%of patients are prone to developing postoperative recurrent stenosis,necessitating repeated esophageal dilation,which significantly affects patients’quality of life.The self-dilation technique,performed by patients,enables preventive esophageal dilation and aims to reduce the frequency of recurrent stenosis.CASE SUMMARY We report the case of a 61-year-old man who underwent repeated esophageal di-lations following endoscopic submucosal dissection.During his eighth hospital admission,a multidisciplinary management team was established to implement an evidence-based self-help balloon dilation technique,facilitate early identifi-cation of nursing concerns and complications,and provide transitional care fo-llowing discharge.The patient reported a high level of satisfaction during the hospital stay.During the 6-month follow-up after discharge,the patient’s quality of life improved,with a substantial reduction in dysphagia.The esophageal stric-ture was successfully dilated from 5 mm to 6 mm,the interval between readmi-ssions was prolonged,and the patient’s weight increased from 49 kg to 50 kg.CONCLUSION The establishment of a multidisciplinary case management team,combined with the implementation of a self-help balloon dilation technique,early identification and management of nursing issues and complications,and person-alized extended care,can significantly enhance patient satisfaction during hospitalization,improve quality of life,and extend the interval between readmissions.These strategies can provide valuable practical guidance for the clinical treatment and nursing of patients with recurrent esophageal stenosis.展开更多
The prevalence of limb amputation is increasing globally as a devastating experience that can physically and psychologically affect the lifestyle of a person. The residual limb pain and phantom limb pain are common di...The prevalence of limb amputation is increasing globally as a devastating experience that can physically and psychologically affect the lifestyle of a person. The residual limb pain and phantom limb pain are common disabling sequelae after amputation surgery. Assistive devices/technologies can be used to relieve pain in people with amputation. The existing assistive devices/technologies for pain management in people with amputation include electrical nerve block devices/technologies, TENS units, elastomeric pumps and catheters, residual limb covers, laser systems, myoelectric prostheses and virtual reality systems, etc. There is a great potential to design, fabricate, and manufacture some portable, wireless, smart, and thin devices/technologies to stimulate the spinal cord or peripheral nerves by electrical, thermal, mechanical, and pharmaceutical stimulus. Although some preliminary efforts have been done, more attention must be paid by researchers, clinicians, designers, engineers, and manufacturers to the post amputation pain and its treatment methods.展开更多
Objective This study aimed to understand the real-life experiences of Tibetans in China with dysfunction in the process of accepting assistive device services and to provide a reference for service quality improvement...Objective This study aimed to understand the real-life experiences of Tibetans in China with dysfunction in the process of accepting assistive device services and to provide a reference for service quality improvement and policy formulation.Methods Semi-structured personal interviews were used to collect data.Ten Tibetans with dysfunction representing three categories of different economic level areas in Lhasa,Xizang were selected to participate in the study by purposive sampling method from September to December 2021.The data were analyzed using Colaizzi’s seven-step method.Results The results present three themes and seven sub-themes:identification of tangible benefits from assistive devices(enhancing self-care ability for persons with dysfunction,assisting family members with caregiving and promoting harmonious family relationships),problems and burdens(difficulty in accessing professional services and cumbersome processes,not knowing how to use it correctly,psychological burden:fear of falling and stigmatization),and needs and expectations(providing social support to reduce the cost of use,enhancing the accessibility of barrier-free facilities at the grassroots level and improving the environment for the use of assistive devices).Conclusion A proper understanding of the problems and challenges faced by Tibetans with dysfunction in the process of accepting assistive device services,focusing on the real-life experiences of people with functional impairment,and proposing targeted suggestions for improving and optimizing the user experience can provide reference and basis for future intervention studies and related policy formulation.展开更多
Accurate poverty alleviation is a useful practice conducted by the Communist Party of China to lead the poor people out of poverty and achieve the goal of building a well-off society in an all-round way. The remarkabl...Accurate poverty alleviation is a useful practice conducted by the Communist Party of China to lead the poor people out of poverty and achieve the goal of building a well-off society in an all-round way. The remarkable achievements have been made since its launching. However,the impoverished people and some poverty-stricken workers' mentality as well as the scarcity of people's mind patterns have become the obstacle to accurate poverty alleviation work. This will require the strengthening of ideological leadership,the implementation of " getting rid of poverty",the combination of both hard and soft governance and spiritual poverty,the formation of an overall linkage mechanism,and the lifting of material poverty by spiritual poverty alleviation.展开更多
Substance use disorder has a damaging effect on the family members of alcoholics and drug users.On the other hand,the reactions and behaviours of family members may negatively influence a person with substance use dis...Substance use disorder has a damaging effect on the family members of alcoholics and drug users.On the other hand,the reactions and behaviours of family members may negatively influence a person with substance use disorder.The behaviours of significant others of a person with substance use disorder that contribute to the maintenance of substance use disorder are called enabling.This study aimed to explore enabling behaviours of wives of persons with substance use disorder in Chapter 8 of Alcoholic Anonymous’Big Book by utilising qualitative content analysis.Alcoholics Anonymous(AA)is one of the most commonly used programs for recovery from alcoholism.The current study sought to help mental health professionals get a better understanding of the views and premises of the AA program in reference to enabling behaviours of wives by conducting a qualitative content analysis of the AA Big Book.The study also discusses the healthy behaviours suggested by the authors of the Big Book and the comprehensiveness of the text for the readers.展开更多
The goal of this research was to observe which features, according to the users’ point of view, might influence the use of pillboxes. Older adults were surveyed in order to test different pillboxes and report their o...The goal of this research was to observe which features, according to the users’ point of view, might influence the use of pillboxes. Older adults were surveyed in order to test different pillboxes and report their observations about their difficulties. Both the individuals and the pillboxes themselves have characteristics that might influence successful use, such as difficulty remembering medication names and lack of hand strength and the complexity of the pillboxes’ alarm system and opening mechanism. Pillboxes can be effective in helping older adults take their medication provided they are designed according to both dosage prescription and the user’s functional capacity.展开更多
You can’t open a newspaper or turn on a TV in China without hearing about the rise of China,but,it’s easy to forget that China is a changed nation where successes aren’t simply dictated by the central authorities a...You can’t open a newspaper or turn on a TV in China without hearing about the rise of China,but,it’s easy to forget that China is a changed nation where successes aren’t simply dictated by the central authorities anymore.Today,there are any number of Chinese citizens changing the world in constructive and fascinating ways—scientists,entrepreneurs,journalists,activists,and so many more.This issue,we discuss six very special展开更多
文摘Objectives: Understanding the role of Self-Help Group (SHG) in light of the evolving dynamics of sex work needs to be delved into to strategize HIV interventions among FSWs in India. This paper aims to study the HIV program outcome among the FSWs associated with SHGs and FSWs not associated with SHGs in Thane, Maharashtra. Study Design: This cross-sectional study was undertaken from the Behavioral Tracking Survey (BTS) conducted among 503 FSWs in Thane in 2015. Two-stage probability based conventional sampling was done for selection of brothel and bar based FSWs, while Time Location Cluster (TLC) sampling was done for home, lodge and street based sex workers. Methods: Bivariate and multivariate logistic regression were performed to compare and contrast between FSWs associated with SHG and those not associated with SHG with respect to the utilization of HIV related services by them. “Condom use”, “consistent condom use”, “contact with peer-educators”, “counseling sessions” and “HIV testing” were chosen as indicators on HIV service utilization. Results: 8% (38) of FSWs are registered with SHG;92% aged ≥25 years, 47% illiterate, and 71% are currently married. The likelihood of utilizing HIV services including, knowledge on HIV/AIDS and its mode of transmission (OR: 5.54;CI: 1.87 - 16.60;p Conclusions: Considering the improved HIV program outcomes among FSWs associated with SHG, HIV interventions among FSWs could consider facilitating the formation of SHGs with FSWs as one of the key strategies to empower the community for ensuring better program outcomes.
文摘This study examines the transformative role of self-help groups(SHGs)in the socioeconomic development of rural women in Cooch Behar District,India,and their contribution toward achieving Sustainable Development Goals(SDGs)of the United Nations.In this study,we explored the effect of SHGs on rural women by specifically addressing SDGs,such as no poverty(SDG 1),zero hunger(SDG 2),good health and well-being(SDG 3),quality education(SDG 4),and gender equality(SDG 5).Given this issue,a cross-sectional survey and comparison analyses are needed to assess the socioeconomic development of rural women and their awareness level before and after the participation of rural women in SHGs.The survey conducted as part of this study was divided into three sections,namely,demographic characteristics,socioeconomic development,and awareness level,with each focusing on different aspects.A group of 400 individuals who were part of SHGs completed the questionnaire survey form.The results showed that the participation of rural women in SHGs significantly improved their socioeconomic development and awareness level,as supported by both mean values and t test results.Memberships in SHGs and microcredit programs were the major elements that boosted the socioeconomic development of rural women,which also achieves SDGs 1,2,3,4,and 5.This study revealed that participation in SHGs and related financial services significantly aided rural women in economically disadvantaged communities in accumulating savings and initiating entrepreneurial ventures.Moreover,participation in SHGs was instrumental in enhancing the self-confidence,self-efficacy,and overall self-esteem of rural women.Finally,doing so enabled them to move more freely for work and other activities and to make family and common decisions.
文摘Objective:To investigate the current status quo of health self-help behavior of elderly in a community and its influencing factors using a semi-structured interview in a qualitative study.Methods:A phenomenological method is employed for purposive sampling and snowball sampling methods.The elderly(>60 years old),who had lived in the Minhang District of Shanghai for>5 years,with an annual residence duration≥10 months,were selected.Data were collected in person by a semi-structured and an in-depth interview;the topics were identified according to data arrangement,analysis,and coding.Results:A total of 10 subjects were enrolled,from Pujiang Town,Minhang District of Shanghai.The cohort constituted of 7 males and 3 females,aged 60-68 years,with an average of(63.40±9.19)years.After data arrangement and analysis,the following topics were obtained:(1)various forms of health self-help behaviors existed among elderly in the community;(2)some factors influenced the health self-help behavior among the elderly in the community;(3)a deviation was observed in the health self-help behavior among the elderly in the community.Conclusion:The health self-help behaviors of the elderly in the community should be rectified to carry out self and the environmental establishment of the health self-help behaviors of the elderly in the community,as well as,to guide and develop the personalized health self-help behavior program.
文摘Objective:To evaluate the nursing effect of self-help mindfulness therapy for patients with depression.Methods:120 cases of depression patients admitted to the Department of Psychosomatic Disorders of our hospital between January 2020 and January 2023 were selected.After being grouped by the random draw method,60 cases in the observation group adopted self-help mindfulness therapy and 60 cases in the control group adopted conventional nursing care,the nursing effects were subsequently compared.Results:Before nursing,there was no difference in the comparison of clinical symptom scores,rumination scores,positive psychological scores,and self-esteem scores between the two groups(P>0.05).After nursing,the clinical symptom scores of the observation group were lower than those of the control group;the rumination scores were lower than those of the control group;the positive psychological scores were higher than those of the control group;and the self-esteem scores were higher than those of the control group,and all of them were statistically significant(P<0.05).Conclusion:Self-help mindfulness therapy can improve the clinical symptoms of patients with depression and their rumination,and enhance their positive psychological state and self-esteem level,which has high nursing advantages.
文摘BACKGROUND Esophageal cancer is a clinically common malignant tumor of the digestive sys-tem.In 2022,it ranked fifth among the leading causes of cancer-related deaths in China.Its predominant symptom is dysphagia,and approximately 30%–40%of patients are prone to developing postoperative recurrent stenosis,necessitating repeated esophageal dilation,which significantly affects patients’quality of life.The self-dilation technique,performed by patients,enables preventive esophageal dilation and aims to reduce the frequency of recurrent stenosis.CASE SUMMARY We report the case of a 61-year-old man who underwent repeated esophageal di-lations following endoscopic submucosal dissection.During his eighth hospital admission,a multidisciplinary management team was established to implement an evidence-based self-help balloon dilation technique,facilitate early identifi-cation of nursing concerns and complications,and provide transitional care fo-llowing discharge.The patient reported a high level of satisfaction during the hospital stay.During the 6-month follow-up after discharge,the patient’s quality of life improved,with a substantial reduction in dysphagia.The esophageal stric-ture was successfully dilated from 5 mm to 6 mm,the interval between readmi-ssions was prolonged,and the patient’s weight increased from 49 kg to 50 kg.CONCLUSION The establishment of a multidisciplinary case management team,combined with the implementation of a self-help balloon dilation technique,early identification and management of nursing issues and complications,and person-alized extended care,can significantly enhance patient satisfaction during hospitalization,improve quality of life,and extend the interval between readmissions.These strategies can provide valuable practical guidance for the clinical treatment and nursing of patients with recurrent esophageal stenosis.
基金supported by the Janbazan Medical and Engineering Research Center(JMERC).
文摘The prevalence of limb amputation is increasing globally as a devastating experience that can physically and psychologically affect the lifestyle of a person. The residual limb pain and phantom limb pain are common disabling sequelae after amputation surgery. Assistive devices/technologies can be used to relieve pain in people with amputation. The existing assistive devices/technologies for pain management in people with amputation include electrical nerve block devices/technologies, TENS units, elastomeric pumps and catheters, residual limb covers, laser systems, myoelectric prostheses and virtual reality systems, etc. There is a great potential to design, fabricate, and manufacture some portable, wireless, smart, and thin devices/technologies to stimulate the spinal cord or peripheral nerves by electrical, thermal, mechanical, and pharmaceutical stimulus. Although some preliminary efforts have been done, more attention must be paid by researchers, clinicians, designers, engineers, and manufacturers to the post amputation pain and its treatment methods.
基金This research was funded by The National Key Research and Development Program of China(No.2020YFC2005900)The Key Research and Development Program Jointly Implemented by Sichuan and Chongqing(No.cstc2020jscx-cylhX002).
文摘Objective This study aimed to understand the real-life experiences of Tibetans in China with dysfunction in the process of accepting assistive device services and to provide a reference for service quality improvement and policy formulation.Methods Semi-structured personal interviews were used to collect data.Ten Tibetans with dysfunction representing three categories of different economic level areas in Lhasa,Xizang were selected to participate in the study by purposive sampling method from September to December 2021.The data were analyzed using Colaizzi’s seven-step method.Results The results present three themes and seven sub-themes:identification of tangible benefits from assistive devices(enhancing self-care ability for persons with dysfunction,assisting family members with caregiving and promoting harmonious family relationships),problems and burdens(difficulty in accessing professional services and cumbersome processes,not knowing how to use it correctly,psychological burden:fear of falling and stigmatization),and needs and expectations(providing social support to reduce the cost of use,enhancing the accessibility of barrier-free facilities at the grassroots level and improving the environment for the use of assistive devices).Conclusion A proper understanding of the problems and challenges faced by Tibetans with dysfunction in the process of accepting assistive device services,focusing on the real-life experiences of people with functional impairment,and proposing targeted suggestions for improving and optimizing the user experience can provide reference and basis for future intervention studies and related policy formulation.
文摘Accurate poverty alleviation is a useful practice conducted by the Communist Party of China to lead the poor people out of poverty and achieve the goal of building a well-off society in an all-round way. The remarkable achievements have been made since its launching. However,the impoverished people and some poverty-stricken workers' mentality as well as the scarcity of people's mind patterns have become the obstacle to accurate poverty alleviation work. This will require the strengthening of ideological leadership,the implementation of " getting rid of poverty",the combination of both hard and soft governance and spiritual poverty,the formation of an overall linkage mechanism,and the lifting of material poverty by spiritual poverty alleviation.
文摘Substance use disorder has a damaging effect on the family members of alcoholics and drug users.On the other hand,the reactions and behaviours of family members may negatively influence a person with substance use disorder.The behaviours of significant others of a person with substance use disorder that contribute to the maintenance of substance use disorder are called enabling.This study aimed to explore enabling behaviours of wives of persons with substance use disorder in Chapter 8 of Alcoholic Anonymous’Big Book by utilising qualitative content analysis.Alcoholics Anonymous(AA)is one of the most commonly used programs for recovery from alcoholism.The current study sought to help mental health professionals get a better understanding of the views and premises of the AA program in reference to enabling behaviours of wives by conducting a qualitative content analysis of the AA Big Book.The study also discusses the healthy behaviours suggested by the authors of the Big Book and the comprehensiveness of the text for the readers.
文摘The goal of this research was to observe which features, according to the users’ point of view, might influence the use of pillboxes. Older adults were surveyed in order to test different pillboxes and report their observations about their difficulties. Both the individuals and the pillboxes themselves have characteristics that might influence successful use, such as difficulty remembering medication names and lack of hand strength and the complexity of the pillboxes’ alarm system and opening mechanism. Pillboxes can be effective in helping older adults take their medication provided they are designed according to both dosage prescription and the user’s functional capacity.
文摘You can’t open a newspaper or turn on a TV in China without hearing about the rise of China,but,it’s easy to forget that China is a changed nation where successes aren’t simply dictated by the central authorities anymore.Today,there are any number of Chinese citizens changing the world in constructive and fascinating ways—scientists,entrepreneurs,journalists,activists,and so many more.This issue,we discuss six very special
