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Integrating Digital Innovation Mechanisms in Digital Infrastructures: The Case of Digital Remote Care. 在数字基础设施中整合数字创新机制:以数字远程护理为例。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-26 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231200704
Anne Ks Ajer, Egil Øvrelid

Digital innovation (DIN) is crucial for managing the growth of resource use in the hospital sector and for providing citizens with services aligned with the requirements of the modern world. DIN includes the co-creation of novel services, such as digital remote care (DRC) solutions. The healthcare sector, with a plethora of applications, is an example of a large digital infrastructure. Our study aims to explore how DRC initiatives can be integrated in large-scale digital infrastructures. Our in-depth case study, which explores 72 different DRC trajectories at 9 hospital health trusts in Norway, reveals the dynamic interplay among 3 key mechanisms - idealistic entrepreneurship, anchoring and remote infrastructure. Our contribution to the DIN literature is a model that shows the interplay among these key mechanisms, which increases the innovation pace, improves the innovations' scalability and provides a robust organisation that constantly implements innovations. As a contributions to DRC practice, lessons learned to speed up the innovation pace are offered: (1) Create a DRC organisational structure. (2) Ensure financial predictability. (3) secure anchoring upward in the governance structure. (4) Make the remote infrastructure appropriate for integration with the current digital infrastructure. (5) Advocate the success across the organisation to spur others to innovate.

数字创新(DIN)对于管理医院部门资源使用的增长以及为公民提供符合现代世界要求的服务至关重要。DIN包括共同创建新型服务,如数字远程护理(DRC)解决方案。拥有大量应用程序的医疗保健部门是大型数字基础设施的一个例子。我们的研究旨在探索如何将DRC举措整合到大规模数字基础设施中。我们的深入案例研究探索了挪威9家医院健康信托基金的72种不同的DRC轨迹,揭示了理想主义创业、锚定和远程基础设施这三种关键机制之间的动态相互作用。我们对DIN文献的贡献是一个模型,它显示了这些关键机制之间的相互作用,从而加快了创新步伐,提高了创新的可扩展性,并提供了一个不断实施创新的强大组织。作为对DRC实践的贡献,我们提供了加快创新步伐的经验教训:(1)创建DRC组织结构。(2) 确保财务可预测性。(3) 在治理结构中向上稳固锚定。(4) 使远程基础架构适合与当前数字基础架构集成。(5) 倡导整个组织的成功,以激励其他人创新。
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引用次数: 0
Adolescent and Caregiver Perspectives on Family Navigation to Improve Healthcare Access and Use for Managing Pediatric Obesity. 青少年和护理人员对家庭导航的看法,以改善儿童肥胖的医疗保健机会和使用。
IF 2.8 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-26 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231200863
Geoff Dc Ball, Marcus G O'Neill, Mitchell Rath, Maryam Kebbe, Arnaldo Perez, Ian Zenlea, Josephine Ho

We interviewed families to explore their views on the role of family navigation (FN) to improve access to and use of health services for managing pediatric obesity. From March to December, 2020, we conducted individual, structured telephone interviews with adolescents with obesity (13-17 years old) and their caregivers from Edmonton and Calgary, Canada. Among our 37 participants (14 adolescents, 23 caregivers), most (n = 27; 73.0%) reported FN could improve their access to obesity management. Participants recommended several activities to support healthcare access and use, including appointment reminders, evening/weekend appointments, parking/transportation support, and in-clinic childcare, all of which help families to attend appointments over an extended period to support obesity management. Most participants preferred FN be offered by healthcare professional 'navigators' who were approachable, empathic, and compassionate since issues regarding health and obesity can be sensitive, emotional topics to discuss. Overall, families supported integrating FN into multidisciplinary pediatric obesity management to improve healthcare access and use by navigators who apply a range of practical strategies and relational skills to enhance long-term access and adherence to care.

我们采访了家庭,探讨他们对家庭导航(FN)在改善儿童肥胖管理中获得和使用医疗服务的作用的看法。2020年3月至12月,我们对肥胖青少年(13-17 岁)及其来自加拿大埃德蒙顿和卡尔加里的照顾者。在我们的37名参与者(14名青少年,23名护理人员)中,大多数(n = 27;73.0%)报告FN可以改善他们获得肥胖管理的机会。参与者推荐了一些支持医疗保健获取和使用的活动,包括预约提醒、晚间/周末预约、停车/交通支持和诊所儿童保育,所有这些都有助于家庭长期参加预约,以支持肥胖管理。大多数参与者更喜欢由平易近人、富有同情心的医疗专业“导航员”提供FN,因为与健康和肥胖有关的问题可能是需要讨论的敏感、情绪化的话题。总的来说,家庭支持将FN纳入多学科儿科肥胖管理,以改善导航仪获得医疗保健的机会和使用情况,导航仪应用一系列实用策略和关系技能来提高长期获得和坚持护理的能力。
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引用次数: 0
Healthcare Professionals' Resilience During the COVID-19 and Organizational Factors That Improve Individual Resilience: A Mixed-Method Study. 新冠肺炎期间医疗保健专业人员的复原力和提高个人复原力的组织因素:一项混合方法研究。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231198991
Raquel Simões de Almeida, Ana Costa, Inês Teixeira, Maria João Trigueiro, Artemisa Rocha Dores, António Marques

Healthcare workers are a susceptible population to be psychologically affected during health crises, such as the recent COVID-19 pandemic. Resilience has been pointed out in the literature as a possible protective factor against psychological distress in crisis situations. This can be influenced by internal and external factors, such as individual characteristics and organizational factors. Thus, this study aims to characterize the overall resilience levels among healthcare professionals in Portugal and to understand the perspectives of this healthcare workers regarding organizational factors that improve individual resilience. This is a mixed-method study: a first quantitative study using a cross-sectional design to administer the Resilience Scale for Adults (RSA) to 271 healthcare professionals (Mage 33.90, SD = 9.59 years, 90.80% female), followed by a qualitative study through 10 in-depth interviews. The mean score for the total RSA was 178.17 (SD = 22.44) out of a total of 231. Qualitative analysis showed 4 major themes on factors that enhance resilience: "Professional's Training," "Support and Wellbeing Measures," "Reorganization of Services" and "Professional Acknowledgment." The findings may contribute to the development of targeted interventions and support systems to enhance resilience and well-being among healthcare workers.

在最近的新冠肺炎大流行等健康危机期间,医护人员是易受心理影响的人群。文献中指出,在危机情况下,韧性可能是抵御心理困扰的一个保护因素。这可能受到内部和外部因素的影响,如个人特征和组织因素。因此,本研究旨在描述葡萄牙医疗保健专业人员的总体恢复力水平,并了解这些医疗保健工作者对提高个人恢复力的组织因素的看法。这是一项混合方法研究:首次使用横断面设计对271名医疗保健专业人员(Mage 33.90,SD = 9.59 年,90.80%为女性),然后通过10次深入访谈进行定性研究。总RSA的平均得分为178.17(SD = 22.44)。定性分析显示了关于增强复原力因素的4个主要主题:“专业人员培训”、“支持和福利措施”、“服务重组”和“专业认可”。这些发现可能有助于制定有针对性的干预措施和支持系统,以增强医护人员的复原力和幸福感。
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引用次数: 0
Acknowledging the Complexity of Antipsychotic Use in Long-Term Care During the COVID-19 Pandemic. 承认新冠肺炎大流行期间长期护理中抗精神病药物使用的复杂性。
IF 2.8 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231195211
Luke Andrew Turcotte, Caitlin McArthur, Jeff W Poss, George Heckman, Lori Mitchell, John Morris, Andrea D Foebel, John P Hirdes
that an increase in administration also occurred in the previous year among Alberta residents. Our analysis was a comparison of the pandemic period against the 2 most recent historical years and did not test for year-over-year trends. Interrupted time series analysis by Hoben et al 3 supports Dr. Quail’s argument that the inappropriate use of antipsychotic medications increased in the years leading up to the pandemic in Alberta. However, in alignment with our own findings, the rate of that increase accelerated significantly during the pandemic period. We offer supplemental analysis of pairwise comparisons back to 2013/2014 when Alberta was first included in the annual CIHI “Quick Stats” report (Figure 1). This illustrates that (1) the increase during the pandemic period was significant relative to all years since 2014/2015 and (2) the magnitude of the increase observed in recent years was largest during the pandemic period. Without question, a greater percentage of residents received inappropriate antipsychotic medications during the pandemic period.
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引用次数: 0
Evaluation of the Response Rates of Hospitals in the Prevention and Control of COVID-19 in Hamadan Province of Iran. 伊朗哈马丹省医院对预防和控制 COVID-19 的响应率评估。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-07-21 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231187825
Mohammad Ali Seif Rabiei, Fariba Keramat, Iraj Sedighi, Ebrahim Jalili, Mahshid Nikooseresht, Seyed Saman Talebi, Seyedeh Melika Kharghani Moghadam

The COVID-19 pandemic has challenged the capacity of health systems in various countries. This study was designed to evaluate the response rates of hospitals in the prevention and control of COVID-19 in Hamadan province, Iran. In this cross-sectional study, all 20 hospitals in Hamadan province were monitored in February 2020. The instrument used in this study was the WHO checklist, entitled "Infection prevention and control health-care facility response for COVID-19." In each hospital, the hospital infection control officials completed the checklists under the supervision of the hospital managers and were then provided to the project manager. Data analyzed by SPSS 22 software. There were 3482 hospital beds (the average beds of each hospital was 174) in the studied hospitals. Of 15 055 patients admitted to all hospitals, 2196 (14.6%) individuals were COVID-19 patients. The total average score obtained from the checklist was 62.25. Among 7 domains studied, the lowest scores belonged to 2 domains of "infrastructure and equipment" and "patient screening and triage." The scores of domains "IPC programs" and "visitors" were significantly higher in hospitals with ICU beds than other hospitals (P-value = .03 in both domains). A comparison between university-teaching hospitals with other hospitals and those in Hamadan city with other cities revealed no significant differences in any of the domains. The mean response rate (62.25) of hospitals in terms of COVID-19 in Hamadan province indicates their relative readiness to prevent and control the COVID19 pandemic. The shortage of infrastructure and equipment and screening and triage problems of patients were the main challenges of hospitals in managing the COVID-19 pandemic in Hamadan province, Iran.

COVID-19 大流行对各国卫生系统的能力提出了挑战。本研究旨在评估伊朗哈马丹省各医院在预防和控制 COVID-19 方面的响应率。在这项横断面研究中,于 2020 年 2 月对哈马丹省所有 20 家医院进行了监测。本研究使用的工具是世界卫生组织题为 "感染预防和控制医疗机构对 COVID-19 的反应 "的核对表。在每家医院,医院感染控制官员在医院经理的监督下填写核对表,然后将核对表提供给项目经理。数据由 SPSS 22 软件进行分析。研究医院共有 3482 张病床(每家医院的平均病床数为 174 张)。在所有医院收治的 15 055 名患者中,有 2196 人(14.6%)是 COVID-19 患者。核对表得出的总平均分为 62.25 分。在研究的 7 个领域中,得分最低的是 "基础设施与设备 "和 "患者筛查与分流 "两个领域。拥有重症监护病房床位的医院在 "IPC计划 "和 "访客 "两个领域的得分明显高于其他医院(两个领域的P值均为0.03)。将大学教学医院与其他医院以及哈马丹市的医院与其他城市的医院进行比较后发现,在任何领域都没有明显差异。哈马丹省各医院对 COVID-19 的平均回复率(62.25)表明,它们已做好预防和控制 COVID19 大流行的相对准备。基础设施和设备短缺以及病人筛查和分流问题是伊朗哈马丹省医院在管理 COVID-19 大流行方面面临的主要挑战。
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引用次数: 0
Quality of Municipal Long-Term Care in Different Models of Care: A Cross-Sectional Study From Norway. 不同护理模式下的市政长期护理质量:挪威的一项横断面研究。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-07-17 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231185537
Hanne Marie Rostad, Lisa Victoria Burrell, Marianne Sundlisæter Skinner, Ragnhild Hellesø, Maren Kristine Raknes Sogstad

The quality of care remains a critical concern for health systems around the globe, especially in an era of unprecedented financial challenges and rising demands. Previous research indicates large variation in several indicators of quality in the long-term care setting, highlighting the need for further investigation into the factors contributing to such disparities. As different ways of delivering long-term care services likely affect quality of care, the objectives of our study is to investigate (1) variation in structure, process and outcome quality between municipalities, and (2) to what extent variation in quality is associated with municipal models of care and structural characteristics. The study had a cross-sectional approach and we utilized data on the municipal level from 3 sources: (1) a survey for models of care (2) Statistics Norway for municipal structural characteristics and (3) the National Health Care Quality Indicator System. Descriptive statistics showed that the Norwegian long-term care sector performs better (measured as percentage or probability) on structure (85.53) and outcome (84.86) quality than process (37.85) quality. Hierarchical linear regressions indicated that municipal structural characteristics and model of care had very limited effect on the quality of long-term care. A deeper understanding of variation in service quality may be found at the micro level in healthcare workers' day-to-day practice.

医疗质量仍然是全球医疗系统关注的一个重要问题,尤其是在面临前所未有的财政挑战和需求不断增长的时代。以往的研究表明,在长期护理环境中,几项质量指标的差异很大,这凸显了进一步调查造成这种差异的因素的必要性。由于提供长期护理服务的不同方式可能会影响护理质量,我们的研究目标是调查:(1)不同城市之间在结构、过程和结果质量方面的差异;(2)质量差异在多大程度上与城市护理模式和结构特征有关。研究采用横截面方法,我们利用了来自三个方面的市级数据:(1)护理模式调查;(2)挪威统计局的市政结构特征;(3)国家医疗质量指标系统。描述性统计显示,挪威长期护理行业在结构质量(85.53)和结果质量(84.86)方面的表现(以百分比或概率衡量)优于过程质量(37.85)。层次线性回归表明,市政结构特征和护理模式对长期护理质量的影响非常有限。要更深入地了解服务质量的差异,可以从医护人员的日常实践这一微观层面入手。
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引用次数: 0
Healthcare Organizations Management: Analyzing Characteristics, Features and Factors, to Identify Gaps "Scoping Review". 医疗机构管理:分析特点、特征和因素,找出差距 "范围审查"。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-05-03 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231168130
Hatem H Alsaqqa

Background: Studying the organizational characteristics, factors and features in healthcare organizations will have its prompt in achieving the desired outcomes of the provided services. Addressing these variables, the subsequent study conducts a scoping review methodology to systematically evaluate existing information while focusing on conclusions and gaps representing organizational variables that have been shown to influence the management of healthcare organizations.

Methods: A scoping review was performed to shed the light on the healthcare organizations' characteristics, features and factors.

Results: Fifteen articles were included in the final analysis of this study. Among the relevant studies, 12 were research articles and 8 were quantitative studies. Continuity of care, organizational culture, patient trust, strategic factors and operational factors are among the explored features that have an impact in the management of healthcare organizations.

Conclusion: This review shows the gaps in the management practice and in the management studies that address healthcare organizations.

背景:研究医疗机构的组织特征、因素和特点将有助于实现所提供服务的预期结果。针对这些变量,随后的研究采用了范围综述方法,对现有信息进行系统评估,同时重点关注代表组织变量的结论和差距,这些变量已被证明会影响医疗机构的管理:方法:对医疗机构的特点、特征和因素进行了范围界定研究:本研究的最终分析包括 15 篇文章。在相关研究中,12 篇为研究文章,8 篇为定量研究。医疗服务的连续性、组织文化、患者信任、战略因素和运营因素等都是探讨的对医疗机构管理有影响的特征:本综述显示了针对医疗机构的管理实践和管理研究中存在的差距。
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引用次数: 0
Indigenous Cultural Safety Trainings for Healthcare Professionals Working in Ontario, Canada: Context and Considerations for Healthcare Institutions. 在加拿大安大略省工作的医疗保健专业人员的土著文化安全培训:医疗保健机构的背景和考虑因素。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-04-19 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231169939
Denise Webb, Sterling Stutz, Claire Hiscock, Andrea Bowra, Tenzin Butsang, Sharon Tan, Bryanna Scott-Kay, Angela Mashford-Pringle

Background: Racism and discrimination are realities faced by Indigenous peoples navigating the healthcare system in Canada. Countless experiences of injustice, prejudice, and maltreatment calls for systemic action to redress professional practices of health care professionals and staff alike. Research points to Indigenous cultural safety training in healthcare systems to educate, train, and provide non-Indigenous trainees the necessary skills and knowledge to work with and alongside Indigenous peoples using cultural safe practices grounded in respect and empathy.

Objective: We aim to inform the development and delivery of Indigenous cultural safety training within and across healthcare settings in the Canadian context, through repository of Indigenous cultural safety training examples, toolkits, and evaluations.

Methods: An environmental scan of both gray (government and organization-issued) and academic literature is employed, following protocols developed by Shahid and Turin (2018).

Synthesis: Indigenous cultural safety training and toolkits are collected and described according to similar and distinct characteristics and highlighting promising Indigenous cultural safety training practices for adoption by healthcare institutions and personnel. Gaps of the analysis are described, providing direction for future research. Final recommendations based on overall findings including key areas for consideration in Indigenous cultural safety training development and delivery.

Conclusion: The findings uncover the potential of Indigenous cultural safety training to improve healthcare experiences of all Indigenous Peoples. With the information, healthcare institutions, professionals, researchers, and volunteers will be well equipped to support and promote their Indigenous cultural safety training development and delivery.

背景:种族主义和歧视是加拿大土著居民在医疗保健系统中面临的现实问题。无数不公正、偏见和虐待的经历要求我们采取系统行动,纠正医疗保健专业人员和工作人员的专业做法。研究表明,医疗保健系统中的土著文化安全培训可以教育、培训非土著受训人员,并为他们提供必要的技能和知识,使他们能够利用基于尊重和同情的文化安全实践与土著人一起工作:我们旨在通过原住民文化安全培训范例、工具包和评估资料库,为加拿大医疗机构内和医疗机构间原住民文化安全培训的发展和实施提供信息:方法:按照沙希德和都灵(2018 年)制定的协议,对灰色文献(政府和组织发布的文献)和学术文献进行环境扫描:收集土著文化安全培训和工具包,并根据相似和不同的特点对其进行描述,突出有前途的土著文化安全培训实践,供医疗机构和人员采用。对分析中的不足之处进行了描述,为今后的研究提供了方向。根据总体研究结果提出最终建议,包括土著文化安全培训开发和实施中需要考虑的关键领域:研究结果揭示了土著文化安全培训在改善所有土著居民医疗保健体验方面的潜力。有了这些信息,医疗保健机构、专业人员、研究人员和志愿者将能够很好地支持和促进土著文化安全培训的开发和实施。
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引用次数: 0
Effectiveness of Exercise-Based Cardiac Rehabilitation for Heart Transplant Recipients: A Systematic Review and Meta-Analysis. 以运动为基础的心脏康复对心脏移植受者的效果:系统回顾与元分析》。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-03-22 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231161482
Rúben Costa, Emília Moreira, José Silva Cardoso, Luís Filipe Azevedo, João Alves Ribeiro, Roberto Pinto

Background: Heart Transplant (HTx) is the ultimate chance of life for end stage Heart Failure (HF). Exercise training has consistently shown the potential to improve functional capacity in various chronic heart diseases. Still, the evidence in HTx recipients is scarcer. This study aims to systematically review the literature to evaluate the effectiveness and safety of Exercise-based Cardiac Rehabilitation (EBCR) in HTx recipients and to identify possible moderators of success.

Methods: We conducted a systematic review and meta-analysis of randomized controlled trials on the effect and safety of EBCR in adult HTx recipients. The primary outcome was functional capacity, measured by Peak Oxygen Uptake (pVO2). We searched CENTRAL, MEDLINE, Embase, Scopus, and Web of Knowledge databases until December 2020, reviewed references of relevant articles and contacted experts. Usual care (UC), the different dosages of exercise regimens and alternative settings were allowed as comparators. A quantitative synthesis of evidence was performed using random-effects meta-analyses.

Results: A total of 11 studies with 404 patients were included. Nine studies comprising 306 patients compared EBCR with usual care. They showed that EBCR improved pVO2 compared to usual care (Mean Difference [MD] 3.03 mL/kg/min, 95% CI [2.28-3.77]; I 2 = 32%). In the subgroup analysis, including length of intervention and timing of enrollment after HTx, no significant moderator was found. Two trials, with 98 patients total, compared High Intensity Interval Training (HIIT) and Moderate Intensity Continuous Training (MICT). HIIT attained a significant edge over MICT (MD 2.23 mL/kg/min, 95% CI [1.79-2.67]; I 2 = 0%). No major adverse events associated with EBCR were reported.

Conclusion: We found moderate quality evidence suggesting EBCR has a significant benefit on functional capacity improvement HTx recipients at the short-term. HIIT showed superiority when compared to MICT. Research focusing long term outcomes and standardized protocols are needed to improve evidence on EBCR effectiveness.

背景:心脏移植(HTx)是终末期心力衰竭(HF)患者的最终生存机会。运动训练一直显示出改善各种慢性心脏病患者功能的潜力。然而,有关心脏移植受者的证据仍然较少。本研究旨在系统回顾相关文献,评估基于运动的心脏康复(EBCR)在心力衰竭患者中的有效性和安全性,并确定成功的可能调节因素:方法: 我们对有关心脏康复训练在成年高危人群中的效果和安全性的随机对照试验进行了系统回顾和荟萃分析。主要结果是以峰值摄氧量(pVO2)衡量的功能能力。我们检索了 CENTRAL、MEDLINE、Embase、Scopus 和 Web of Knowledge 等数据库(截至 2020 年 12 月),审阅了相关文章的参考文献并联系了专家。将常规护理(UC)、不同剂量的运动疗法和其他环境作为比较对象。采用随机效应荟萃分析法对证据进行了定量综合分析:结果:共纳入了 11 项研究,404 名患者。其中有 9 项研究将 EBCR 与常规护理进行了比较,共纳入 306 名患者。结果显示,与常规护理相比,EBCR 改善了 pVO2(平均差 [MD] 3.03 mL/kg/min,95% CI [2.28-3.77];I 2 = 32%)。在亚组分析中,包括干预时间的长短和 HTx 后的入组时间,均未发现显著的调节因素。有两项试验对高强度间歇训练(HIIT)和中等强度持续训练(MICT)进行了比较,共有98名患者参加。HIIT 明显优于 MICT(MD 2.23 mL/kg/min,95% CI [1.79-2.67];I 2 = 0%)。没有与 EBCR 相关的重大不良事件的报道:我们发现了中等质量的证据,表明 EBCR 在短期内对改善 HTx 受者的功能能力有显著益处。HIIT与MICT相比更具优势。需要开展以长期结果和标准化方案为重点的研究,以提高 EBCR 的有效性。
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引用次数: 0
Intimate Partner Violence Against Brazilian Mothers is Associated With Their Children's Lower Quality-of-Life Scores: A Cross-Sectional Study During the COVID-19 Pandemic. 巴西母亲遭受亲密伴侣暴力与其子女生活质量得分较低有关:COVID-19大流行期间的横断面研究。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-02-28 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231157550
Tainá Ribas Mélo, Luize Bueno de Araujo, Jainy da Costa Rosa, Maryana Arantes, Vera Lúcia Israel, Marcos Claudio Signorelli

The COVID-19 pandemic led to family and routine reorganization, triggering social problems. Women were further exposed to domestic violence, especially intimate partner violence (IPV), with consequences to their and their children's health. However, few Brazilian studies address the issue, especially considering the pandemic and its restrictive measures. The objective was to verify the relationship between mothers'/caregivers' IPV and their children's neuropsychomotor development (NPMD) and quality of life (QOL) during the pandemic. Seven hundred one female mothers/caregivers of children (0-12 years old) responded to the online epidemiological inquiry. NPMD was investigated with the Caregiver Reported Early Development Instruments (CREDI-short version); QOL, with the Pediatric Quality of Life Inventory (PedsQL™); and IPV, with the Composite Abuse Scale (CAS). The independence chi-square test was used, with Fisher's exact statistics, in SPSS Statistics 27®. Children whose mothers were exposed to IPV were 2.68 times as likely to have a "low" QOL score (χ2(1) = 13.144, P < .001; φ = 0.137). This indicates a possible environmental influence on the children's QOL, which may have been aggravated by strict social distancing during the COVID-19 pandemic.

COVID-19 大流行导致家庭和日常事务重组,引发了社会问题。妇女进一步遭受家庭暴力,特别是亲密伴侣暴力(IPV),对她们及其子女的健康造成了影响。然而,巴西很少有研究涉及这一问题,特别是考虑到这一流行病及其限制性措施。这项研究的目的是验证大流行期间母亲/照顾者的亲密伴侣暴力与其子女的神经心理运动发育(NPMD)和生活质量(QOL)之间的关系。701 名儿童(0-12 岁)的女性母亲/照顾者回复了在线流行病学调查。调查中使用了 "照顾者报告早期发展量表"(CREDI-简版),"儿科生活质量量表"(PedsQL™),以及 "综合虐待量表"(CAS)。在 SPSS Statistics 27® 中使用了独立性卡方检验和费雪精确统计。母亲遭受过 IPV 的儿童的 QOL 得分为 "低 "的可能性是其他儿童的 2.68 倍(χ2(1) = 13.144,P<0.05)。
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