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 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
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
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
目的探讨社区自助小组活动对居家脑卒中患者心理状态、生活质量、社会支持水平、社区性日常生活的影响。方法选取2016年1月—2018年12月在绵竹市人民医院出院的脑卒中患者。采用随机数表法将患者随机均分为试验组(社区自助康复)和对照...目的探讨社区自助小组活动对居家脑卒中患者心理状态、生活质量、社会支持水平、社区性日常生活的影响。方法选取2016年1月—2018年12月在绵竹市人民医院出院的脑卒中患者。采用随机数表法将患者随机均分为试验组(社区自助康复)和对照组。在干预前及干预6个月后分别对两组采用Zung抑郁自评量表、Zung焦虑自评量表、生活质量量表(Stroke-Specific Quality of Life Scale,SS-QOL)、社会支持量表(Social Support Rating Scale,SSRS)、社区性日常生活活动量表进行评定。结果共纳入患者130例。其中,试验组63例,对照组67例。两组的年龄、性别,抑郁、焦虑、SS-QOL、SSRS、社区性日常生活活动评分等基线资料比较,差异无统计学意义(P>0.05)。干预6个月后,组间比较结果显示,两组的抑郁、焦虑、SS-QOL评分比较,差异均有统计学意义(P<0.05);两组的SSRS、社区性日常生活活动评分比较,差异无统计学意义(P>0.05)。组内比较结果显示,试验组干预后抑郁、焦虑评分均低于干预前(P<0.05);对照组干预后的焦虑评分高于干预前(P<0.05),抑郁评分干预前后比较无统计学意义(P>0.05),两组干预后的SSRS、社区性日常生活活动评分均高于干预前;试验组干预后的SS-QOL高于干预前(P<0.05);对照组干预前后SS-QOL比较差异无统计学意义(P>0.05)。结论社区自助小组活动可改善脑卒中患者心理状态,提高其生活质量、社区性日常生活活动能力及社会支持水平,但对社区性日常生活能力的提升效果不优于单纯的居家康复指导。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
目的通过证据图谱方法系统描述和评估关于结直肠癌造口患者自助干预的相关研究证据。方法计算机检索中国生物医学数据库、中国知网、万方、维普、PubMed、Web of Science、Cochrane Library、Embase数据库,检索时间从建库至2024年7月,...目的通过证据图谱方法系统描述和评估关于结直肠癌造口患者自助干预的相关研究证据。方法计算机检索中国生物医学数据库、中国知网、万方、维普、PubMed、Web of Science、Cochrane Library、Embase数据库,检索时间从建库至2024年7月,获取结直肠癌患者自助干预随机对照试验和系统评价/Meta分析。采用ROB 1.0和AMSTAR 2工具对纳入研究进行质量评价,按《护理结局分类》对结局指标进行分类,采用气泡图综合呈现干预类型、干预途径、研究结论等信息。结果纳入47篇文献,其中42篇为随机对照试验,5篇为系统评价/Meta分析。随机对照试验分为3种干预类型和11种自助干预方法:3篇完全自我管理干预,13篇单纯自助干预,以及26篇引导自助干预;干预方法主要是网络自助如微信、肠造口专用管理软件、多媒体等,结局指标主要为生活质量(24篇)、造口相关并发症(19篇)、自我护理能力(16篇)等;多数研究显示自助干预在结直肠癌造口患者中有效,仅有3篇无明显效果。系统评价/Meta分析干预类型均为引导自助干预:干预方法为电话、互联网等,结局指标主要为自我管理能力、生活质量、焦虑抑郁等;3篇研究显示自助干预在结直肠癌造口患者中有效,2篇无明显效果。结论证据图谱结果显示通过手机、互联网等自助干预能有效提高肠造口患者的自我管理能力,减少造口并发症的发生率,但不同干预类型、干预时间效果各异。未来需开展高质量研究,结合大数据等技术,构建精准智能干预体系,并注重持久效果。展开更多
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 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.
文摘目的探讨社区自助小组活动对居家脑卒中患者心理状态、生活质量、社会支持水平、社区性日常生活的影响。方法选取2016年1月—2018年12月在绵竹市人民医院出院的脑卒中患者。采用随机数表法将患者随机均分为试验组(社区自助康复)和对照组。在干预前及干预6个月后分别对两组采用Zung抑郁自评量表、Zung焦虑自评量表、生活质量量表(Stroke-Specific Quality of Life Scale,SS-QOL)、社会支持量表(Social Support Rating Scale,SSRS)、社区性日常生活活动量表进行评定。结果共纳入患者130例。其中,试验组63例,对照组67例。两组的年龄、性别,抑郁、焦虑、SS-QOL、SSRS、社区性日常生活活动评分等基线资料比较,差异无统计学意义(P>0.05)。干预6个月后,组间比较结果显示,两组的抑郁、焦虑、SS-QOL评分比较,差异均有统计学意义(P<0.05);两组的SSRS、社区性日常生活活动评分比较,差异无统计学意义(P>0.05)。组内比较结果显示,试验组干预后抑郁、焦虑评分均低于干预前(P<0.05);对照组干预后的焦虑评分高于干预前(P<0.05),抑郁评分干预前后比较无统计学意义(P>0.05),两组干预后的SSRS、社区性日常生活活动评分均高于干预前;试验组干预后的SS-QOL高于干预前(P<0.05);对照组干预前后SS-QOL比较差异无统计学意义(P>0.05)。结论社区自助小组活动可改善脑卒中患者心理状态,提高其生活质量、社区性日常生活活动能力及社会支持水平,但对社区性日常生活能力的提升效果不优于单纯的居家康复指导。
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.
