Chinese Wine Culture influences people’s attitudes toward alcohol.The current study focuses on exploring the main features of a localized digital alcohol consumption intervention mini-program to address the difficult...Chinese Wine Culture influences people’s attitudes toward alcohol.The current study focuses on exploring the main features of a localized digital alcohol consumption intervention mini-program to address the difficulties of abstinence for native drinkers,as a promising way for long-term management of rehabilitation from alcohol use disorder.A mixed-method approach was used in this study.The self-report quantitative questionnaire recruited three groups of participants:89 drinkers,67 drinkers’relatives,and 30 medical staff.The focus group qualitative interview inspected 36 participants’perspectives on the core topics,including 21 drinkers,4 drinkers’relatives,and 11 medical staff.The results of combining the quantitative study and qualitative study indicated that the top difficulties of abstinence for native drinkers are the strong craving from the inside,the environmental influence,and the psychological health status,especially emotional states.Correspondingly,the most desired main features in an alcohol consumption digital intervention tool are the daily track of drinking conditions and craving level,periodic feedback reports that can share with others,and mood improvement training.Moreover,the top factors that influence participants’intention to use/recommend the tool are whether the tool is effective,whether the user experience is good,and whether the tool can replenish the deficiency of the current alcohol treatment.Future work needs to balance what patients want and what others around them expect,so that potential users can benefit best from the digital intervention tool in the context of Chinese culture.展开更多
Objective: To explore the impact of the WeChat platform continuity of care model based on the KAP (knowledge, attitudes, and practices) theory on the self-management of stroke patients with hypertension after discharg...Objective: To explore the impact of the WeChat platform continuity of care model based on the KAP (knowledge, attitudes, and practices) theory on the self-management of stroke patients with hypertension after discharge from the hospital. Methods: 62 stroke patients with hypertension discharged from the rehabilitation department of a tertiary A hospital in Nanning City, Guangxi Zhuang Autonomous Region, from October 2022 to April 2023 were sampled by convenience sampling method. Patients discharged from Rehabilitation I were included in the control group, and conventional nursing care was used;while patients discharged from Rehabilitation II were included in the observation group, and WeChat platform continuity of nursing care model based on the KAP theory was implemented. The intervention effect of the two groups was compared. Results: After 4 and 12 weeks of intervention, the diastolic and systolic blood pressure of the patients in the observation group were lower than those in the control group (P < 0.05);after 12 weeks of intervention, the rate of medication adherence and the score of adherence to hypertension treatment in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: The application of the WeChat platform continuity of care model based on KAP theory to stroke patients with hypertension can improve blood pressure, medication adherence rate, hypertension treatment adherence, and overall enhance the self-management level of these patients.展开更多
基金the National Natural Science Foundation of China(No.82171484)the Interdisciplinary Program of Shanghai Jiao Tong University(No.YG2023ZD25)。
文摘Chinese Wine Culture influences people’s attitudes toward alcohol.The current study focuses on exploring the main features of a localized digital alcohol consumption intervention mini-program to address the difficulties of abstinence for native drinkers,as a promising way for long-term management of rehabilitation from alcohol use disorder.A mixed-method approach was used in this study.The self-report quantitative questionnaire recruited three groups of participants:89 drinkers,67 drinkers’relatives,and 30 medical staff.The focus group qualitative interview inspected 36 participants’perspectives on the core topics,including 21 drinkers,4 drinkers’relatives,and 11 medical staff.The results of combining the quantitative study and qualitative study indicated that the top difficulties of abstinence for native drinkers are the strong craving from the inside,the environmental influence,and the psychological health status,especially emotional states.Correspondingly,the most desired main features in an alcohol consumption digital intervention tool are the daily track of drinking conditions and craving level,periodic feedback reports that can share with others,and mood improvement training.Moreover,the top factors that influence participants’intention to use/recommend the tool are whether the tool is effective,whether the user experience is good,and whether the tool can replenish the deficiency of the current alcohol treatment.Future work needs to balance what patients want and what others around them expect,so that potential users can benefit best from the digital intervention tool in the context of Chinese culture.
文摘Objective: To explore the impact of the WeChat platform continuity of care model based on the KAP (knowledge, attitudes, and practices) theory on the self-management of stroke patients with hypertension after discharge from the hospital. Methods: 62 stroke patients with hypertension discharged from the rehabilitation department of a tertiary A hospital in Nanning City, Guangxi Zhuang Autonomous Region, from October 2022 to April 2023 were sampled by convenience sampling method. Patients discharged from Rehabilitation I were included in the control group, and conventional nursing care was used;while patients discharged from Rehabilitation II were included in the observation group, and WeChat platform continuity of nursing care model based on the KAP theory was implemented. The intervention effect of the two groups was compared. Results: After 4 and 12 weeks of intervention, the diastolic and systolic blood pressure of the patients in the observation group were lower than those in the control group (P < 0.05);after 12 weeks of intervention, the rate of medication adherence and the score of adherence to hypertension treatment in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: The application of the WeChat platform continuity of care model based on KAP theory to stroke patients with hypertension can improve blood pressure, medication adherence rate, hypertension treatment adherence, and overall enhance the self-management level of these patients.
文摘目的探讨基于老年综合评估(comprehensive geriatric assessment,CGA)的全程“微信”个案健康管理模式在体检老年人中的应用成效,旨在提升老年人健康行为能力。方法采用随机对照试验方法,选取2022年7月至2023年6月于本院特需医疗中心门诊体检的老年人100例,采用随机数字表法将其分为对照组和试验组各50例。两组均进行CGA,对照组采用常规健康管理,试验组实施基于CGA的全程“微信”个案健康管理。分别在干预前、干预3个月、6个月和12个月时比较两组老年人的健康行为能力自评量表(self-rated abilities for health practices scale,SRAHP)评分;分别在干预前、干预12个月时比较两组老年人衰弱状况量表(fatigue,resistance,ambulation,illnesses,&loss of weight scale,FRAIL)、微型营养评定简表(mini nutritional assessment-short form,MNA-SF)评分;比较干预后两组老年人跌倒发生率。结果所有患者均完成研究。重复测量方差分析结果显示,两组SRAHP总分在时间主效应、组间主效应与交互效应均有统计学显著性(F_(时间)=193.451,P<0.001;F_(组间)=23.661,P<0.001;F_(交互)=29.970,P<0.001),进一步分析发现,干预6个月和12个月时试验组SRAHP总分高于对照组(均P<0.001);干预12个月时试验组患者衰弱程度与营养状况优于对照组(均P<0.05);跌倒发生率试验组低于对照组(P<0.05)。结论基于CGA的全程“微信”个案健康管理模式能有效提高体检老年人健康行为能力,改善衰弱和营养状况,降低跌倒发生率,可为老年健康管理提供参考。
