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A relaçãoentre a obesidade e o diabetes mellitus tipo 2 2型糖尿病患者与肥胖患者的关系较为密切
Pub Date : 2023-05-30 DOI: 10.37118/ijdr.26768.05.2023
Introdução: A obesidade é uma doença crônica, multifatorial, caracterizada pelo acúmulo excessivo de gordura corporal, definida pelo índice de massa corporal maior ou igual a 30. O diabetes mellitus tipo 2 é um distúrbio metabólico crônico, caracterizado pela perda progressiva da sensibilidade à insulina, levando a dificuldade em controlar níveis glicêmicos. Nesse contexto, ambas patologias apresentam elevado número de casos no mundo, assim como no Brasil, e repercutem em elevado impacto socioeconômico.Objetivo: O intuito principal desse estudo foi definir a obesidade e diabetes mellitus tipo 2, assim como estabelecer suas relações. Metodologia: Essa pesquisa trata-se de uma revisão da literatura narrativa, qualitativa, cujos artigos científicos foram buscados nas bases de dados: Electronic Library Online (SciELO), Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS) e PubMed. Os Descritores em Ciências da Saúde (DeCS) utilizados foram: obesidade, síndrome metabólica e diabetes mellitus tipo 2. Resultados e discussão: A maioria dos estudos demonstrou que a obesidade é o principal fatore relacionado à resistência à insulina, sendo um risco independente para o desenvolvimento de diabetes tipo 2. Além disso, o sobrepeso e obesidade são responsáveis por aproximadamente 44% dos casos de diabetes, logo, necessitam de tratamento adequado para evitar complicações. Conclusão: O tratamento da obesidade visa prevenir agravos, como o diabetes mellitus tipo 2, já que apresentam associação significativa entre elas. Nesse sentido, dieta equilibrada com diminuição de aporte calórico, associada a exercícios físicos e fármacos direcionados ao respectivo problema de saúde, quando indicados, podem melhorar o controle dessa situação.
简介:肥胖是一种慢性多因素疾病,以体脂过度积累为特征,以体重指数大于或等于30为定义。2型糖尿病是一种慢性代谢紊乱,其特征是胰岛素敏感性的进行性丧失,导致血糖水平难以控制。在这种情况下,这两种疾病在世界范围内以及在巴西都有大量病例,并产生了很高的社会经济影响。摘要目的:本研究的主要目的是界定肥胖与2型糖尿病之间的关系。方法:本研究是一项定性的叙述性文献综述,其科学文章检索数据库:在线电子图书馆(SciELO)、拉丁美洲和加勒比健康科学文献(LILACS)和PubMed。使用的健康科学描述符为:肥胖、代谢综合征和2型糖尿病。结果与讨论:大多数研究表明,肥胖是与胰岛素抵抗相关的主要因素,是发展为2型糖尿病的独立风险。此外,超重和肥胖约占糖尿病病例的44%,因此需要适当的治疗以避免并发症。结论:肥胖治疗的目的是预防2型糖尿病等疾病,因为它们之间有显著的相关性。从这个意义上说,均衡的饮食,减少热量的摄入,结合体育锻炼和针对各自健康问题的药物,当指示时,可以改善对这种情况的控制。
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引用次数: 0
Estudo retrospectivo sobre idh e a prevalência de fissuras labiopalatinas 人类发展指数与唇腭裂患病率的回顾性研究
Pub Date : 2023-05-30 DOI: 10.37118/ijdr.26678.05.2023
As malformações anatômicas faciais mais comuns são as fissuras labiais e/ou palatinas, caracterizadas por fusão incompleta de processos maxilares e palatinos. A realização de um pré natal completo é importante para prevenir e diagnosticar precocemente essas malformações. Sabe-se que um dos pilares do IDH é a saúde, por isso, buscou-se por meio deste trabalho, correlacionar a prevalência de fissuras labiopalatinas e o IDH da cidade natal dos pacientes. Para isso, analisou-se prontuários médicos de um serviço de saúde no sul de Minas Gerais, entre o período de 1991-2021, de forma a retirar dados importantes, tais como naturalidade, sexo, zona de moradia, entre outros. Ao todo, foram analisados 1264 prontuários, sendo que a maioria dos pacientes era natural de cidades com IDH alto e da zona urbana. Devido a heterogeneidade da oferta de serviços de saúde no Brasil, não é possível afirmar que todos os pacientes receberam os devidos cuidados pré gestacional e pré natal. Por isso, o IDH esteve mais relacionado à oferta de serviços de saúde para reparo das formações.
最常见的面部解剖畸形是唇腭裂,其特征是上颌和腭突不完全融合。进行完整的产前检查对于预防和早期诊断这些畸形很重要。众所周知,人类发展指数的支柱之一是健康,因此,本研究试图将唇腭裂患病率与患者家乡的人类发展指数联系起来。为此,我们分析了1991-2021年期间米纳斯吉拉斯州南部一家保健服务机构的医疗记录,以提取重要数据,如自然、性别、居住地区等。总共分析了1264份医疗记录,其中大多数患者来自人类发展指数高的城市和城市地区。由于巴西提供保健服务的异质性,不可能说所有病人都得到了适当的产前和产前护理。因此,人类发展指数更多地与提供保健服务以修复培训有关。
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引用次数: 0
Photobiomodulation applied to chronic obstructive pulmonary disease (copd): a review 光生物调节在慢性阻塞性肺疾病(copd)中的应用综述
Pub Date : 2023-05-30 DOI: 10.37118/ijdr.26779.05.2023
Photobiomodulation is the use of visible and infrared light through light emitting diodes - LED without thermal and cytotoxic reactions.It was carried out a literature review with this studyto understand photobiomodulation applied to Chronic Obstructive Pulmonary Disease - COPD.It was carried out a survey in January 2023, in the SciELO, Lilacs, Pubmed, Medline and Google Scholar databases. With the descriptors “Low-level light therapy” AND “Chronic obstructive pulmonary disease” AND “Phototherapy” and in English “Low-level light therapy” AND “Pulmonary Disease, Chronic Obstructive” AND “Phototherapy”. It was selected 04 papers after applying the inclusion criteria. From the analysis of the data, it was possible to verify that 50% of the papers said that photobiomodulation improved the functional capacity of the muscles of the lower limbs in patients with COPD.In addition, 25% of the selected studies demonstrated improvement in pulmonary ventilatory mechanics and elastance, restoration of the balance between pro-inflammatory and anti-inflammatory cytokines, reduction in collagen deposition in the airways and decrease in interstitial tissue thickening. We conclude that photobiomodulation is an effective, low-cost, easy-to-adhesion and promising resource in the rehabilitation process of patients with COPD, for reversing the evolutionary processes of the disease and improving functionality.
光生物调节是利用可见光和红外光通过发光二极管- LED无热和细胞毒性反应。为了了解光生物调节在慢性阻塞性肺疾病(COPD)中的应用,本研究进行了文献综述。这项调查于2023年1月在SciELO、Lilacs、Pubmed、Medline和Google Scholar数据库中进行。附有“弱光疗法”及“慢性阻塞性肺病”及“光疗”的描述语,并以英文标示“弱光疗法”及“慢性阻塞性肺病”及“光疗”。应用纳入标准筛选出04篇论文。通过对数据的分析,可以验证50%的论文认为光生物调节改善了COPD患者下肢肌肉的功能能力。此外,25%的选定研究显示肺通气力学和弹性改善,促炎和抗炎细胞因子之间的平衡恢复,气道胶原沉积减少,间质组织增厚减少。我们认为光生物调节在COPD患者康复过程中是一种有效、低成本、易于粘附和有前景的资源,可以逆转疾病的进化过程并改善功能。
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引用次数: 0
Social and non-social factors influencing access to healthcare in ekiti and kogi states of Nigeria 影响尼日利亚埃基蒂州和科吉州获得保健服务的社会和非社会因素
Pub Date : 2023-05-30 DOI: 10.37118/ijdr.26786.05.2023
This study examined social and non-social factors affecting healthcare access in Ekiti and Kogi States of Nigeria. These two States represent a cultural plurality of Nigeria. Ekiti State is homogeneously Yoruba while Kogi State is heterogeneous home to at least five ethnic groups. The study adopts a descriptive research design using a quantitative method to conduct a comparative study between Ekiti and Kogi States. The study population involves all adults 18 years and above who are aware to engage in health-seekingbehaviour. The sample size for this study is eight hundred and fifty-six (856) respondents. Multi-stage sampling techniques were adopted in selecting the respondents for the study. Analysis was done using a special package social sciences (SPSS version 21) and it is presented in frequency percentage. Findings show that Kogi State has more female respondents. While Ekiti State has more respondents having above secondary school education. Kogi State also has more respondents with diverse ethnic identities and engaged in self-employed occupations. About 30% of Kogi State respondents were either widowed or divorced. Income level did not show a significant difference. Analysis of social factors of healthcare access indicated that level of education, ethnic identity, type of education, marital status and religion had a significant influence on access to healthcare. Findings on the social factors showa more significant influence in Ekiti State than Kogi State. Also, waiting time, health personnel shortage and frequent strikes were the most significant non-social factors of healthcare access in Ekiti State. In Kogi State, availability of health facilities, personnel shortage and waiting time were the most significant non-social factors of healthcare access. It was concluded that educational status and quality of health personnel are significant predictors of healthcare access. In Kogi State, the physical availability of health facilities is equally a unique non-social factor. As a result, the study recommends that Government should establish additional modern healthcare institutions to make healthcare accessibility easier for the users, and Professional staff should be recruited to various healthcare institutions to avoid patient delay and poor service delivery.
本研究考察了影响尼日利亚埃基蒂州和科吉州医疗保健获取的社会和非社会因素。这两个州代表了尼日利亚的文化多元性。埃基蒂州是同质的约鲁巴人,而科吉州则是至少五个民族的异质家园。本研究采用描述性研究设计,采用定量方法对埃基蒂州和科吉州进行比较研究。研究人群包括所有18岁及以上的成年人,他们意识到要从事寻求健康的行为。本研究的样本量为856(856)名受访者。在选择调查对象时采用了多阶段抽样技术。分析是使用一个特殊的软件包社会科学(SPSS版本21),它是在频率百分比提出。调查结果显示,科吉州的女性受访者更多。而埃基蒂州有更多的受访者接受过中学以上教育。科吉州也有更多具有不同种族身份和从事自营职业的受访者。大约30%的科吉州受访者不是丧偶就是离婚。收入水平差异不显著。卫生保健可及性的社会因素分析表明,教育程度、民族认同、教育类型、婚姻状况和宗教对卫生保健可及性有显著影响。关于社会因素的调查结果显示,埃基蒂州比科吉州的影响更大。此外,等待时间、保健人员短缺和频繁罢工是影响埃基蒂州获得保健服务的最重要的非社会因素。在科吉州,保健设施的可用性、人员短缺和等待时间是影响获得保健服务的最重要的非社会因素。结论:卫生人员的教育程度和素质是卫生服务可及性的重要预测因子。在科吉州,卫生设施的实际可用性同样是一个独特的非社会因素。因此,研究建议政府应建立更多的现代医疗机构,让使用者更容易获得医疗服务,并应在各医疗机构招聘专业人员,以避免病人延误和服务质量差。
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引用次数: 0
A comparative study of a personal and relational insight supervision model (prism) vs supervision as usual for relationship difficulties 个人与关系洞察监督模式(棱镜)与关系困难常规监督的比较研究
Pub Date : 2023-05-30 DOI: 10.37118/ijdr.26756.05.2023
P. Ioannidis
This study aimed to investigate the effectiveness of a structured clinical supervision program designed to enhance therapists' understanding of their own relational experiences and their potential impact on the therapeutic process. The study included 30 therapists who were assigned to either the intervention group or a control group, taking into consideration their demographics and experience levels to ensure balanced groups. Pre- and post-intervention assessments measured self-awareness, reflexivity, therapist self-efficacy, and perceived effectiveness in working with clients presenting relationship difficulties. Clients' satisfaction with therapy and therapeutic alliance were also assessed. Results indicated significant improvements in self-awareness, reflexivity, therapist self-efficacy, and perceived effectiveness among therapists in the experimental group, as well as significant improvements in client outcomes (client satisfaction and therapeutic alliance).
本研究旨在探讨一个结构化的临床监督项目的有效性,该项目旨在提高治疗师对自身关系经验及其对治疗过程的潜在影响的理解。这项研究包括30名治疗师,他们被分配到干预组或对照组,考虑到他们的人口统计和经验水平,以确保小组的平衡。干预前和干预后的评估测量了自我意识、反身性、治疗师自我效能和在处理出现关系困难的来访者时的感知有效性。评估患者对治疗的满意度和治疗联盟。结果显示实验组在自我意识、自反性、治疗师自我效能和感知有效性方面有显著改善,在来访者结果(来访者满意度和治疗联盟)方面也有显著改善。
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引用次数: 0
Assessment of functional group in herbal formulation sathakuppai chooranam through fourier transform infrared spectroscopy 傅里叶变换红外光谱法评价中药复方沙塔古柏的官能团
Pub Date : 2023-05-30 DOI: 10.37118/ijdr.26780.05.2023
Background: The Sathakuppai chooranam is a single herbal medicine used in the treatment of Kumbavatham (Periarthritis). Objective: This study is aimed to evaluating the morphology and elemental charecterization of the Sathakuppai chooranam. Materials and methods: The ingredients were collected and purified and the drug was prepared as per Siddha literature Siddha Vaithiya Pathartha Guna vilakkam. It is subjected into characterisation through FT-IR analysis. Results: The FT-IR characterization showed the presence of functional groups like O-H stretching (carboxylic acid, alcohol molecule), N-H stretching (amine salt),C-H stretching (alkene), N-H stretching (amine salt), C-H stretching (alkene),C=C stretching (conjugate alkene, cyclic alkene,alpha beta unsaturated ketone), N=H bending (amine),O-H bending (carboxylic acid, alcohol),C-O stretching (alkyl aryl ether, primary alcohol), C-N stretching (amine), S=O stretching (sulfoxide), C=C bending (alkene), C-Br stretching (halo compund)which ensures the therapeutic effect of drug. Conclusion: The instrumental analysis FT-IR study for Sathakuppai chooranam shows the presence of functional groups through the stretch and bends which is responsible for its functional activity. The functional groups present in Sathakuppai Chooranam have analgesic, anti-inflammatory activities. This will ensure the efficacy and therapeutic effect of Sathakuppai Chooranam. This study forms the base for the pharmaceutical analysis of the Sathakuppai Chooranam.
背景:Sathakuppai chooranam是一种用于治疗周炎的单一草药。前言:目的:研究沙塔古派草的形态和元素特征。材料和方法:根据悉达文献Siddha Vaithiya Pathartha Guna vilakkam收集并纯化成分,制备药物。它是通过FT-IR分析进行表征的。结果:FT-IR表征表明,O-H拉伸(羧酸、醇分子)、N-H拉伸(胺盐)、C-H拉伸(烯烃)、N-H拉伸(胺盐)、C-H拉伸(烯烃)、C=C拉伸(共轭烯烃、环烯烃、α - β不饱和酮)、N=H弯曲(胺)、O-H弯曲(羧酸、醇)、C-O拉伸(烷基芳基醚、伯醇)、C-N弯曲(胺)、S=O拉伸(亚砜)、C=C弯曲(烯烃)等官能团的存在。C-Br拉伸(光晕化合物),保证药物的治疗效果。结论:利用FT-IR对沙塔库派朱拉南进行了仪器分析,发现其伸展和弯曲处存在官能团,这是其功能活性的主要原因。其中的官能团具有镇痛、抗炎作用。这将确保沙塔库派祖拉南的疗效和治疗效果。本研究为沙塔库派朱拉南的药理分析奠定了基础。
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引用次数: 0
Ocorrência e repercussões clínicas de lesão por pressão em pacientes hospitalizados 住院病人压力损伤的发生及临床影响
Pub Date : 2023-05-30 DOI: 10.37118/ijdr.26707.05.2023
O objetivo da pesquisa é analisar na literatura a ocorrência e repercussões clínicas de lesões por pressão em pacientes hospitalizados. Trata-se de um estudo do tipo revisão integrativa da literatura. O levantamento dos dados ocorreu na LILACS, BDENF, SCIELO e MEDLINE. A amostra final foi composta por 32 artigos. Em análise da prevalência de LPP em nível de mundo, o Brasil apresentou resultados significativos com total de 69%. Ficou evidenciado a utilização de práticas, como: falta de cuidado, não observância na mudança de decúbito e diminuição na qualidade assistencial, que desestruturavam o protocolo na prevenção ou diminuição do tempo de lesões por pressão, visto que traz gastos desnecessários ao ambiente de saúde, se não for evitável, e maiores riscos ao cuidado ao paciente, já que estado nutricional, estado neurológico, déficit hemodinâmico são fatores que culminam em aumentar as chances de adquirir LPP. Deve-se salientar que em analise evidenciou- se que os pacientes hospitalizados haviam alguma comorbidade já instalada sendo que a mais listada foi a insuficiência respiratória aguda. O estudo apresentou resultados positivos, já que ficou evidenciado que apenas uma das patrícias existentes de prevenção de LPP não é suficiente.
本研究的目的是分析文献中压力损伤在住院患者中的发生和临床影响。这是一项综合文献综述类型的研究。数据收集在紫丁香,BDENF, SCIELO和MEDLINE。最后的样本包括32篇文章。在对世界范围内LPP患病率的分析中,巴西的结果显著,总计为69%。证明的使用实践,如:粗心大意,不遵守在卧位的变化,减少福利,品质让desestruturavam规定在预防或减少损伤时间的压力,由于医疗环境带来不必要的支出,如果不能避免,而最大、照顾病人,营养状况,神经,d是血流动力学因素最终获得LPP几率增加。值得注意的是,在分析中,住院患者已经出现了一些共病,其中最常见的是急性呼吸衰竭。这项研究显示了积极的结果,因为它表明,只有一种现有的预防LPP的方法是不够的。
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引用次数: 0
Development of steel for hot stamping of 22mnb5 steel by joule effect heating 焦耳效应热冲压22mnb5钢用钢的研制
Pub Date : 2023-05-24 DOI: 10.37118/ijdr.26547.05.2023
With the increase in demand and development of the automobile sector, where it becomes important to improve the efficiency of energy consumption of vehicles, one can observe the need for materials that are both light and have high mechanical strengths. The Ultra High Strength Steel (UHSS), which include TWIP (Twinning-Induced-Plasticity) and Hot Stamping are characterized by unique microstructures and metallurgical properties that allow car manufacturers to meet the diverse functional requirements of vehicles. Boron steel is suitable for mechanical hot forming. In the last few years, hot stamped parts have occupied a prominent place in the bodies of bodies due to being in line with the demands mentioned above. There is a lot of research under development for this technology, be it in materials, means of production, coatings and applications. Currently, there is a patent that generates a technological restriction for the processing of hot stamping; in which it is to use boron steel with Al-Si metallic coating and heating the blank to be hot stamped through a radiation furnace. The objective of this work is to use a new processing alternative through another metallic diffusion coating of Fe-Zn and heating of the blank to be hot stamped by Joule effect; generating an industrial experiment and prototyping for characterization. The results showed the feasibility of using boron steel with Fe-Zn diffusion coating in hot forming applications by heating by Joule effect, with good surface quality, meets the mechanical properties and microstructure, without cracks in the steel, excellent adhesion of the paint layer and good resistance to corrosion.
随着需求的增加和汽车行业的发展,提高汽车的能源消耗效率变得非常重要,人们可以观察到对轻质和高机械强度材料的需求。超高强度钢(UHSS),包括TWIP(孪生诱导塑性)和热冲压,具有独特的显微组织和冶金性能,使汽车制造商能够满足车辆的各种功能要求。硼钢适用于机械热成形。近年来,由于符合上述要求,热冲压件在阀体中占有突出的地位。在材料、生产手段、涂料和应用方面,这项技术正在进行大量的研究。目前有一项专利对热冲压工艺产生了技术限制;其中,它是使用硼钢与Al-Si金属涂层和加热的毛坯被热冲压通过辐射炉。本工作的目的是利用另一种金属Fe-Zn扩散涂层和焦耳效应加热热冲压毛坯的新工艺替代方案;生成工业实验和原型表征。结果表明,利用焦耳效应加热,在热成形应用中采用Fe-Zn扩散涂层的硼钢是可行的,具有良好的表面质量,满足力学性能和显微组织,钢中无裂纹,涂层附着力好,耐腐蚀性能好。
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引用次数: 0
Congruence, personality and centrality in small organization social networks 小组织社会网络中的一致性、个性与中心性
Pub Date : 2023-05-24 DOI: 10.37118/ijdr.26681.05.2023
Objective: To analyze the associations between congruence, personality and centrality in two intra-organizational networks: search for support and selection of professional teams. Originality: Investigate how person-environment adaptation works in work groups using social networks. Method: 61 professionals linked to a tertiary sector organization participated. The Vocational Interest Scale (VIS) and the Occupational Classification Inventory Revised (OCI-R) were used to estimate congruence, and the Next Big Five Inventory (BFI-2) was used to measure personality, as well as centrality measures using the Social Networks Analysis. Results: Congruence was positively associated with Out Closeness Centrality (OCC) for the two investigated networks. Only in the support network were found negative associations between Agreeableness and Out Closeness Centrality (OCC) and also between Neuroticism and In Degree Centrality (IDC) and In Closeness Centrality (ICC). Limitations and implications are at the end of the study.
目的:分析两种组织内部网络:寻求支持网络和专业团队选择网络中一致性、个性和中心性的关系。独创性:研究使用社会网络的工作小组中人与环境的适应如何起作用。方法:61名与第三产业组织有联系的专业人士参与。采用职业兴趣量表(VIS)和职业分类修正量表(OCI-R)来评估一致性,采用下一个大五量表(BFI-2)来衡量人格,并采用社会网络分析来衡量中心性。结果:在两个被调查的网络中,一致性与外接近中心性(OCC)呈正相关。只有在支持网络中,亲和性与外向亲密中心性(OCC)之间存在负相关,神经质与内向程度中心性(IDC)和亲近中心性(ICC)之间也存在负相关。局限性和启示是在研究的最后。
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引用次数: 0
Fatores que interferem na qualidade do sono dos idosos: analisando as evidências cientifícas 影响老年人睡眠质量的因素:科学证据分析
Pub Date : 2023-04-30 DOI: 10.37118/ijdr.26666.04.2023
Objetivo: descrever os fatores de risco que interferem no sono dos idosos, a luz das evidências cientificas. Métodos:revisão integrativa realizada na literatura nacional e internacional, através de levantamentos bibliográficos utilizando, periódicos indexados no Portal BVS e biblioteca eletrônica SciELO, a partir dos descritores idoso, sono e privação do sono, por meio da estratégia PVO. Com 11 artigos selecionados, por possuírem relevância a temática. Resultados: Os fatores de risco associados a má qualidade do sono, são inúmeros mais se prevalece aqueles associados a problemas mentais, além do gênero feminino, doenças crônicas cardíacas, a hospitalização, a dor, a síndrome metabólica, a fragilidade se apresentam com mais frequência na literatura.Os artigos selecionados, demostram que as condições de saúde mental, interferem na qualidade do sono, principalmente por que ocasiona despertares noturno, sonolência diária, deixando o idoso mais vulnerável a acidentes. O sexo feminino tem risco mais elevado em comparação ao masculino, e para aqueles que apresentem maior fragilidade aumenta as chances de sonos prejudicados. Considerações Finais:Verificou-se, que pesquisar fatores que interferem na qualidade do sono dos idosos, é de grande relevância, para elaborar ações no tocante de reduzir a má qualidade de sono dos idosos.
摘要目的:根据科学证据,探讨影响老年人睡眠的危险因素。方法:通过文献调查,利用vhl门户网站和SciELO电子图书馆索引的期刊,通过PVO策略对老年人、睡眠和睡眠剥夺的描述符进行综合综述。选择了11篇文章,因为它们与主题相关。结果:与睡眠质量差相关的危险因素很多,如果与精神问题相关的危险因素普遍存在,除了女性,慢性心脏病,住院,疼痛,代谢综合征,虚弱在文献中更常见。选定的文章表明,心理健康状况干扰睡眠质量,主要是因为它导致夜间醒来,日常困倦,使老年人更容易发生事故。与男性相比,女性的风险更高,对于那些更脆弱的人来说,睡眠受损的几率会增加。最后考虑:研究影响老年人睡眠质量的因素,对于制定减少老年人睡眠质量差的行动是非常重要的。
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引用次数: 0
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International Journal of Drug Development and Research
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