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Swimming Training and Nanoformulation of Traditional Herbal Medicines Recovered Sensory-Motor Impairment by Modulating the Molecular Signaling Pathway in Rat Brain Tumor Models 游泳训练和中药纳米配方通过调节大鼠脑肿瘤模型的分子信号通路恢复感觉运动损伤
Pub Date : 2023-02-05 DOI: 10.5812/modernc-131461
Fariba Farajizadeh, F. Taghian, Khosro Jalali Dehkordi, Rezvan Mirsafaei Rizi
Background: Glioblastoma (GBM) is one of the most aggressive tumors, health-threatening, and resistant to available treatment approaches for people worldwide. Objectives: This study aimed to evaluate effects of swimming training and a supplement comprising four nanoliposome herbal extracts in a rat model with mid-brain tumor. Methods: In this experimental study, 56-male-Wistar rats (230 ± 20 g) were divided into eight groups (n = 7): Normal group, model group, model + exe group, model + lipo, model + extract, model + lipo-extract, model + extract-exe, model + lipo-extract + exe. Mid-brain tumor model was induced by injection of the C6 glioma cell line (5 × 105 cell suspension) using stereotaxic techniques in the substantia nigra area of rats. Consumption of nanoformulation of herbals extract (100 mg/kg/day), crude extract (100 mg/kg/day), and swimming training (30 min, 3 days/week) were performed for six weeks. P53, Hras, IL-10, and Casp8 were studied by bioinformatics analysis. We assessed the relative expression of genes in the mid-brain tumor via the quantitative Real-Time PCR (qRT-PCR) method. Beam test and sciatic functional index assessed nerve function and motor coordination. Results: In-silico analysis highlighted substantial genes with significant differential expression compared to healthy status as biomarkers in pathogenesis conditions. The expression level of the P53 and Hras increased with swimming training and nanoliposomes enriched complex complement. Besides, the expression of the IL-10 and Casp8 decreased with swimming training and nanoliposomes enriched complex complement. Conclusions: Our findings show that swimming training and nanoliposome-enriched combined supplements in rats can possibly be considered effective complementary medicine for motor impairment recovery induced by the brain tumor in the substantia nigra area.
背景:胶质母细胞瘤(GBM)是世界范围内最具侵袭性、威胁健康且对现有治疗方法具有耐药性的肿瘤之一。目的:本研究旨在评价游泳训练和含有四种纳米脂质体草药提取物的补充剂对中脑肿瘤大鼠模型的影响。方法:将56只雄性wistar大鼠(230±20 g)分为8组(n = 7):正常组、模型组、模型+脂肪组、模型+提取物组、模型+脂肪提取物组、模型+提取物-exe组、模型+脂肪提取物-exe组、模型+脂肪提取物-exe组。采用立体定向技术在大鼠黑质区注射C6胶质瘤细胞系(5 × 105细胞悬液)诱导中脑肿瘤模型。服用纳米配方草药提取物(100 mg/kg/d),粗提取物(100 mg/kg/d),并进行游泳训练(30分钟,每周3天),为期6周。采用生物信息学方法研究P53、Hras、IL-10和Casp8。我们通过实时荧光定量PCR (qRT-PCR)方法评估基因在中脑瘤中的相对表达。梁试验和坐骨功能指数评估神经功能和运动协调性。结果:计算机分析突出了与健康状态相比表达显著差异的大量基因作为发病条件的生物标志物。P53和Hras的表达水平随着游泳训练和纳米脂质体复合物补体的富集而升高。此外,IL-10和Casp8的表达随着游泳训练和纳米脂质体复合物补体的富集而降低。结论:我们的研究结果表明,游泳训练和富含纳米脂质体的联合补充可能是大鼠黑质区肿瘤引起的运动损伤恢复的有效补充药物。
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引用次数: 0
Relationship Between Nomophobia Levels and Personality Traits of Nursing Students: A Multicenter Study 护生无恐惧症与人格特质的关系:一项多中心研究
Pub Date : 2023-02-04 DOI: 10.5812/modernc-132269
Nesibe Gunay Molu, S. İçel, Arzu Aydoğan
Background: Nomophobia, short for no mobile phobia, is the fear of being without a smartphone. Nomophobia is common, especially in the young population, with an increase in the use of technology in society. Objectives: This study aimed to determine the nomophobia levels of nursing students and the relationship between nomophobia and personality traits. Methods: This multicenter, descriptive, and relational study was carried out in three different universities. The students were reached via the Web-Anket application within June to July 2021. The nursing department students in Turkey (n = 818) constituted the research population. No sample selection was performed in the study, and all students who accepted to participate and met the inclusion criteria were included in the study. The study was conducted on 424 nursing students. The data were collected via an online personal information form, Nomophobia Questionnaire, and 10-Item Personality Inventory (TIPI). Percentage, mean ± standard deviation, analysis of variance, and Pearson correlation coefficient tests were used to analyze the data. Results: The mean age of the participants was 20.5 ± 1.8 years. Moreover, 84.7% of the participants were female. Additionally, 93.2% of the subjects lived with their parents, and 63.0% reported that the monthly income of the family was equal to monthly expenditures. It was shown that 31.1% of the students had mild nomophobia; nevertheless, 52.6% and 16.3% of the students had moderate and severe nomophobia, respectively. The total nomophobia score was observed to be 74.17 ± 25.53. The TIPI subdimensions’ mean scores were 9.87 ± 2.29, 8.83 ± 2.33, 8.66 ± 2.82, 10.66 ± 2.65, and 9.34 ± 3.04 for openness to experience, agreeableness, emotional stability, conscientiousness, and extroversion, respectively. This study revealed that students’ smartphone usage purposes and personality traits were related to their nomophobia levels. Conclusions: More than half of the nursing students had a moderate level of nomophobia. There is a relationship between the purpose of smartphone use and students’ personality traits with their nomophobia levels.
背景:Nomophobia(无手机恐惧症)是对没有智能手机的恐惧。随着社会中技术使用的增加,无手机恐惧症很常见,尤其是在年轻人中。目的:了解护生的无客恐惧症水平及其与人格特质的关系。方法:在三所不同的大学进行多中心、描述性和相关性研究。这些学生是在2021年6月至7月期间通过Web-Anket应用程序联系到的。研究人群为土耳其护理系学生(n = 818)。本研究不进行样本选择,所有接受参与并符合纳入标准的学生均被纳入本研究。研究对象为424名护理专业学生。数据通过在线个人信息表、Nomophobia问卷和10项人格量表(TIPI)收集。采用百分数、均数±标准差、方差分析和Pearson相关系数检验对数据进行分析。结果:患者平均年龄20.5±1.8岁。此外,84.7%的参与者是女性。此外,93.2%的受访者与父母同住,63.0%的受访者表示家庭月收入等于月支出。结果表明,31.1%的学生有轻度无恐惧症;然而,52.6%和16.3%的学生分别有中度和重度无恐惧症。无恐惧症总分为74.17±25.53分。经验开放性、宜性、情绪稳定性、责任心和外向性的TIPI子维度平均得分分别为9.87±2.29、8.83±2.33、8.66±2.82、10.66±2.65和9.34±3.04。这项研究表明,学生使用智能手机的目的和个性特征与他们的“无手机恐惧症”程度有关。结论:半数以上护生存在中等程度的无恐惧症。使用智能手机的目的和学生的个性特征以及他们的无手机恐惧症水平之间存在一定的关系。
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引用次数: 2
Investigating Occupation, Ejection Fraction, and Comorbidity Factors with Quality of Life in Heart Failure Patients: A Cross-Sectional Study in Indonesia 调查职业、射血分数和共病因素对心衰患者生活质量的影响:印度尼西亚的一项横断面研究
Pub Date : 2023-01-29 DOI: 10.5812/modernc-132251
Cut Husna, Halfiah Halfiah, M. Marlina
Background: Heart disease causes functional disorders that can cause the sufferer to experience fatigue and dyspnea, leading to low quality of life. Various factors related to the quality of life of heart failure patients include occupation and ejection fraction. The number of heart failure patients treated at Aceh government hospital is still high in 2021, as well as the incidence of recurrent hospitalization. Objectives: This study aimed to determine the relationship between occupation, ejection fraction, and heart failure patients' quality of life. Methods: The study used a quantitative research approach with a cross-sectional design. The sample was 154 heart failure patients who visited the Cardiac Polyclinic of a provincial hospital in Banda Aceh, Indonesia. Data on patient occupation, ejection fraction, and comorbidity factors were obtained from the sociodemographic and clinical characteristics of the respondents. Then, the patient’s quality of life was measured by the Minnesota Living with Heart Failure (MLHF) questionnaire. The chi-square test and logistic regression (with a significance level α = 0.05) were used in data analysis in this study. Results: The results of the study found a significant direct correlation between patient occupation (P = 0.001), ejection fraction (P = 0,001), and an inverse correlation of comorbidity factors (P = 0.001) with quality of life (α = 0.05). The multivariate analysis using logistic regression found that the dominant factor, ejection fraction, was associated with the quality of life of heart failure patients with OR: 12.033, followed by comorbidity factors (OR: 3.565) and occupation (OR: 1.819). Conclusions: The quality of life of heart failure patients is strongly associated with the ejection fraction in heart failure patients; therefore, maintaining the ejection fraction is needed to improve the quality of life.
背景:心脏病引起功能障碍,可使患者感到疲劳和呼吸困难,导致生活质量下降。影响心衰患者生活质量的因素包括职业和射血分数。2021年,在亚齐政府医院接受治疗的心力衰竭患者人数仍然很高,反复住院的发生率也很高。目的:本研究旨在确定职业、射血分数与心力衰竭患者生活质量之间的关系。方法:采用横断面设计的定量研究方法。样本为154名在印度尼西亚班达亚齐省医院心脏综合门诊就诊的心力衰竭患者。从受访者的社会人口学和临床特征中获得患者职业、射血分数和合并症因素的数据。然后,通过明尼苏达州心力衰竭患者生活问卷(MLHF)测量患者的生活质量。本研究资料分析采用卡方检验和logistic回归(显著性水平α = 0.05)。结果:研究结果发现患者职业(P = 0.001)、射血分数(P = 0.001)与生活质量呈显著正相关,合并症因素(P = 0.001)与生活质量呈显著负相关(α = 0.05)。多因素logistic回归分析发现,与心力衰竭患者生活质量相关的主要因素是射血分数,OR为12.033,其次是合并症因素(OR为3.565)和职业(OR为1.819)。结论:心力衰竭患者的生活质量与心力衰竭患者的射血分数密切相关;因此,维持射血分数是提高生活质量的必要条件。
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引用次数: 0
Assessment of Stressors in Parents of Premature Neonates Hospitalized at NICU of Ali-Ibn-Abitaleb Hospital of Rafsanjan, Iran, in 2021: A Cross-sectional Study 2021年在伊朗拉夫桑詹Ali-Ibn-Abitaleb医院NICU住院的早产儿父母压力源评估:一项横断面研究
Pub Date : 2023-01-27 DOI: 10.5812/modernc-131902
Narjes Soltani, R. Derakhshan, A. Moghadam, T. Sadeghi
Background: The hospitalization of premature neonates in the neonatal intensive care unit (NICU) is very stressful for parents. Objectives: This study aimed to assess the stressors in parents of premature neonates hospitalized at the NICU in Ali-Ibn-Abitaleb Hospital of Rafsanjan, Kerman, Iran, within November 2020 to September 2021. Methods: This cross-sectional descriptive study was conducted at the NICU of Ali-Ibn-Abitaleb Hospital of Rafsanjan. A total of 204 parents with premature neonates admitted to the NICU were selected by the convenience sampling method. The data collection tool was a demographic data form and the Parental Stress Scale: Neonatal Intensive Care Unit. The data were analyzed using descriptive and analytic statistic tests, such as the one-sample t-test, by SPSS software (version 22). Results: The most stressful item was in the “sights and sounds” domain belonging to “sudden alarm noises” for both parents, and “needles and tubes put in” in the “neonate’s behavior” domain. The major causes of stress in “parental role alterations” subscales were relevant to “feeling helpless about how to help neonate” and “being separated from neonate” in fathers and mothers, respectively. The comparison of parental stress scores in the total scale for mothers and fathers showed that mothers had higher stress scores in “sights and sounds” and “neonate’s behavior” domains; however, fathers’ scores were higher in “parental role alterations” without any significant differences (P > 0.05). Conclusions: Parents of premature neonates deal with NICU stress levels. Nurses’ manners concerning parents play a major role in handling the stressed situation.
背景:早产儿在新生儿重症监护病房(NICU)的住院对父母来说压力很大。目的:本研究旨在评估2020年11月至2021年9月期间在伊朗拉夫桑詹Ali-Ibn-Abitaleb医院NICU住院的早产儿父母的压力源。方法:本横断面描述性研究在拉夫桑詹Ali-Ibn-Abitaleb医院NICU进行。采用方便抽样法对204例入住新生儿重症监护病房的早产儿父母进行调查。数据收集工具是人口统计数据表和父母压力量表:新生儿重症监护病房。数据分析采用描述性和分析性统计检验,如单样本t检验,采用SPSS软件(版本22)。结果:对父母双方来说,“视觉和听觉”领域的压力最大,属于“突然的报警噪音”领域,“针头和管子插入”领域属于“新生儿行为”领域。“父母角色转换”分量表中压力的主要成因分别与父亲和母亲“对如何帮助新生儿感到无助”和“与新生儿分离”有关。父母压力总分比较显示,母亲在“视觉与听觉”和“新生儿行为”领域的压力得分较高;父亲在“父母角色转换”方面得分较高,但差异无统计学意义(P > 0.05)。结论:早产儿父母应对新生儿重症监护病房压力水平。护士对父母的态度在处理压力情况中起着重要作用。
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引用次数: 0
Identification of the Isolation Compliance and SARS-CoV-2 Infection Status Among Nurses and Doctors Working in Intensive Care Units During the Pandemic in Turkey 大流行期间土耳其重症监护病房护士和医生隔离依从性和SARS-CoV-2感染状况的研究
Pub Date : 2023-01-24 DOI: 10.5812/modernc-132392
Ayşe Berivan SAVCI BAKAN, H. Alay, Sibel İba Yılmaz
Background: Infections associated with healthcare services spread not only among patients but also among healthcare professionals. The risk of transmission is higher in intensive care units (ICUs). Objectives: This study aimed to identify the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection status and compliance with isolation precautions among doctors and nurses working in ICUs during the pandemic. Methods: This cross-sectional study was conducted from March to May 2021 in three different status hospitals (i.e., Education and Research Hospital, University Research Hospital, and City Hospital) in two cities in eastern Turkey. The sample size was calculated at 205 individuals who were selected using the sampling method with a known population. Participants were included in the sample using the convenience sampling method. The data were collected through the sociodemographic form and compliance with isolation precautions scale (Cronbach’s alpha = 0.85, explained variance ratio = 50.50%, Kaiser-Meyer-Olkin = 0.872, Bartlett’s test: P < 0.05). The data were analyzed in SPSS software (version 18) using descriptive and inference statistics. Results: The participants’ average age was 29.95 ± 7.16 years. Moreover, 66.3% of the participants were females, and 77.6% were nurses. The doctors and nurses displayed good compliance with isolation precautions (77.6% [n = 159] and 22.4% [n = 46] of the participants were nurses and doctors, respectively). Furthermore, 40% of the ICU healthcare professionals had a SARS-CoV-2 infection diagnosis, and a significant relationship was observed between having this diagnosis and the diagnosis of other individuals who were sharing the same house (P < 0.001). In addition, statistically significant relationships were observed between having a SARS-CoV-2 infection diagnosis and the duration of working with SARS-CoV-2 patients, hand hygiene and related attitudes, removing masks in common areas, implementing procedures producing aerosols, and inadequacies in the use of protective equipment during close contact with SARS-CoV-2 patients (P > 0.05). Conclusions: The transmission of SARS-CoV-2 in healthcare workers was not related to the interventions they made in the hospital. Healthcare workers should pay attention to domestic contamination.
背景:与卫生保健服务相关的感染不仅在患者中传播,而且在卫生保健专业人员中传播。在重症监护病房(icu)传播的风险更高。目的:了解疫情期间重症监护病房医护人员SARS-CoV-2感染情况及隔离防护依从性。方法:本横断面研究于2021年3月至5月在土耳其东部两个城市的三家不同地位的医院(即教育和研究医院、大学研究医院和城市医院)进行。样本量以205人计算,这些人是用已知人口的抽样方法选择的。采用方便抽样法将参与者纳入样本。通过社会人口学形式和隔离预防依从性量表收集数据(Cronbach’s alpha = 0.85,解释方差比= 50.50%,Kaiser-Meyer-Olkin = 0.872, Bartlett检验:P < 0.05)。数据在SPSS软件(版本18)中使用描述性统计和推理统计进行分析。结果:患者平均年龄29.95±7.16岁。66.3%为女性,77.6%为护士。医生和护士对隔离预防措施的依从性较好(77.6% [n = 159]为护士,22.4% [n = 46]为医生)。此外,40%的ICU医护人员诊断为SARS-CoV-2感染,并且观察到这种诊断与与同一房屋的其他个体的诊断之间存在显着关系(P < 0.001)。此外,SARS-CoV-2感染诊断与SARS-CoV-2患者工作时间、手卫生及相关态度、在公共区域佩戴口罩、执行产生气溶胶的程序以及与SARS-CoV-2患者密切接触时防护装备使用不足之间存在统计学意义的关系(P > 0.05)。结论:SARS-CoV-2在医护人员中的传播与他们在医院采取的干预措施无关。医护人员应注意家庭污染。
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引用次数: 0
Efficacy of Internet-based Cognitive Behavioral Therapy for Mental Health, Post-traumatic Stress Disorder, and Obsessive-compulsive Disorder in Students with COVID-19 Anxiety 基于互联网的认知行为疗法对新冠肺炎焦虑学生心理健康、创伤后应激障碍和强迫症的疗效观察
Pub Date : 2023-01-20 DOI: 10.5812/modernc-131399
F. Bagheri Sheykhangafshe, A. Fathi-Ashtiani, Vahid Savabi Niri, Mahlagha Jahani Zangir, Zeynab Bourbour
Background: The COVID-19 pandemic has aroused fear and anxiety in many people worldwide. Objectives: The study was conducted to measure the efficacy of internet-based cognitive-behavioral therapy (ICBT) for mental health, post-traumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD) in students with COVID-19 anxiety. Methods: This semi-experimental study was conducted as a pre-post-test with a control group. The statistical population of the research included the students of the Tarbiat Modares University in the academic year 2021. To collect the required data, 30 students with COVID-19 anxiety were randomly allocated to control (n = 30) and experimental (n = 30) groups. The data collection tools included a questionnaire on COVID-19 anxiety, mental health, PTSD, and OCD. Following the pre-test, ICBT was implemented in eight 90-minute sessions for the experimental group. To analyze the data, SPSS software version 24 and the multivariate covariance analysis were used. Results: It was revealed that ICBT could significantly increase mental health (M = 54.26, F = 33.38) and reduce PTSD (M = 67.20, F = 30.43) and OCD (M = 116.13, F = 19.11) in students with COVID-19 anxiety (P < 0.01). Conclusions: In general, it can be acknowledged that ICBT has promoted mental health and reduced PTSD and OCD. Accordingly, it is suggested to hold workshops and virtual programs by psychologists for students with COVID-19 anxiety.
背景:新冠肺炎大流行在全球范围内引起了许多人的恐惧和焦虑。目的:研究基于互联网的认知行为疗法(ICBT)对新冠肺炎焦虑学生心理健康、创伤后应激障碍(PTSD)和强迫症(OCD)的疗效。方法:采用半实验的方法进行前后测试,并设对照组。本研究的统计人群包括2021学年Tarbiat Modares大学的学生。为收集所需数据,将30名患有COVID-19焦虑的学生随机分为对照组(n = 30)和实验组(n = 30)。数据收集工具包括关于COVID-19焦虑、心理健康、创伤后应激障碍和强迫症的问卷调查。在预测试之后,ICBT被分为8个90分钟的时间段对实验组进行。数据分析采用SPSS软件24版,采用多变量协方差分析。结果:ICBT能显著提高新冠肺炎焦虑学生的心理健康水平(M = 54.26, F = 33.38),降低PTSD (M = 67.20, F = 30.43)和OCD (M = 116.13, F = 19.11) (P < 0.01)。结论:总的来说,ICBT促进了心理健康,减少了PTSD和OCD。因此,建议针对新型冠状病毒感染症(COVID-19)焦虑的学生,举办心理咨询师的研习班和虚拟课程。
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引用次数: 0
Examining the Solution-focused Thinking and Hope Levels of Turkish Midwifery Students During Distance Education: A Cross-sectional Study 检查解决方案为中心的思维和希望水平的土耳其助产学生在远程教育:横断面研究
Pub Date : 2023-01-19 DOI: 10.5812/modernc-131139
N. Kaya, Handan Guler
Background: The uncertainty caused by the COVID-19 pandemic has adversely affected the physical and psychosocial health of each individual in the community. Although the psychosocial impact of COVID-19 has been studied in different populations, psychosocial factors (such as solution-focused thinking (SFT) and hope) have not been previously studied in midwifery students. Objectives: This study aimed to determine the SFT and hope levels of midwifery students after distance education applied due to the COVID-19 pandemic. Methods: This descriptive cross-sectional study was conducted in June 2020 in the Midwifery Department of the Health Sciences Faculty of Ondokuz Mayıs University, Turkey. The research data were collected using a student identification form (SIF), Solution-focused Inventory (SFI), and Dispositional Hope Scale (DHS). The data were analyzed using SPSS version 20. The compliance of the variables to normal distribution was evaluated using the Kolmogorov-Smirnov test. Mean, SD, number and percentage values, t-test, analysis of variance (ANOVA), and Pearson correlation were used in the analysis of the data. P values less than 0.05 were considered statistically significant. Results: The average age of students was 20.78 ± 1.97 years. The SFI total score mean was 49.63 ± 5.72, and the mean scores of the subdimension of problem disengagement, goal orientation, and resource activation were 12.97 ± 3.55, 17.68 ± 3.17, and 18.97 ± 3.25, respectively. The mean total score for DHS was 48.53 ± 7.18, and the mean scores of the alternative ways thought and acting thinking subdimensions were 24.75 ± 3.86 and 23.78 ± 3.99, respectively. A high level of positive correlation was found between SFI and DHS (r = 0.432; P < 0.001). Conclusions: Students who have higher SFT have higher levels of hope. For this reason, as future health professionals, an SFT approach that allows midwifery students to cope with mental disorders to serve in extraordinary situations should be added to educational curricula (such as the solution-focused midwifery course).
背景:COVID-19大流行造成的不确定性对社区中每个人的身体和心理健康产生了不利影响。虽然已经在不同人群中研究了COVID-19的社会心理影响,但以前没有在助产学学生中研究过社会心理因素(如以解决方案为中心的思维(SFT)和希望)。目的:了解因新冠肺炎疫情而申请远程教育的助产专业学生的SFT和希望水平。方法:这项描述性横断面研究于2020年6月在土耳其Ondokuz Mayıs大学健康科学学院助产系进行。研究数据采用学生识别表(SIF)、解决方案重点量表(SFI)和性格希望量表(DHS)收集。数据采用SPSS version 20进行分析。使用Kolmogorov-Smirnov检验评估变量对正态分布的依从性。资料分析采用均数、标准差、数字和百分比值、t检验、方差分析(ANOVA)和Pearson相关分析。P值小于0.05认为有统计学意义。结果:学生平均年龄为20.78±1.97岁。SFI总分均值为49.63±5.72,问题脱离子维度均值为12.97±3.55,目标取向子维度均值为17.68±3.17,资源激活子维度均值为18.97±3.25。DHS的平均总分为48.53±7.18分,替代方式思维和行动思维子维度的平均得分分别为24.75±3.86分和23.78±3.99分。SFI与DHS呈高度正相关(r = 0.432;P < 0.001)。结论:SFT越高的学生希望水平越高。因此,作为未来的卫生专业人员,应在教育课程(例如以解决方案为重点的助产课程)中增加一种SFT方法,使助产学生能够应对精神障碍,以便在特殊情况下服务。
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引用次数: 2
Exploring Different Aspects of Nursing Leadership: An Integrative Review of Qualitative Studies 探索护理领导的不同方面:质性研究的综合回顾
Pub Date : 2023-01-19 DOI: 10.5812/modernc-130402
Ana Luiza Ferreira Aydogdu
Context: Leadership is the process of influencing people to achieve common goals. In all nurses' roles, leadership is emphasized since nurse leaders' attitudes influence nurses’ job satisfaction and retention and, consequently, the quality of care. Objective: This study aimed to explore the scientific literature concerning different aspects of leadership in nursing. Methods: This is an integrative review of qualitative studies in which four electronic databases (Medline, PubMed, Scopus, and Google Scholar) were searched. Articles published in the last ten years (2013 - 2022) were searched by titles using the descriptors "qualitative," "leadership," and "nursing" linked by the Boolean Operator AND. The search carried out in July 2022 was not limited by the publication language. A total of 63 studies were identified, and 11 original primary research articles were included. The quality of articles was assessed using the Critical Appraisal Skills Program (CASP). Qualitative content analysis was performed to analyze the obtained data. Results: The results were organized into three categories: (1) the importance of nursing leadership and leaders' roles; (2) ethical leadership; and (3) nursing leadership education. Personal characteristics of nurse leaders and leadership skills were indicated as factors influencing staff nurses’ attitudes and reflecting on the quality of care. Training in nursing leadership since the early years of nursing education is essential for future nursing leaders. Conclusions: Nurse leaders influence other team members and patients; consequently, nursing leadership impacts the quality of care. Therefore, training on leadership should be addressed in nursing schools in undergraduate and postgraduate courses and health institutions through continuing education.
背景:领导是影响人们实现共同目标的过程。在所有的护士角色中,领导都是强调的,因为护士领导的态度会影响护士的工作满意度和留任率,从而影响护理质量。目的:本研究旨在探讨护理领导各方面的科学文献。方法:这是对四个电子数据库(Medline、PubMed、Scopus和Google Scholar)进行的定性研究的综合综述。过去十年(2013 - 2022)发表的文章通过使用布尔运算符and连接的描述符“定性”,“领导力”和“护理”进行标题搜索。在2022年7月进行的搜索不受出版物语言的限制。共纳入63项研究,包括11篇原始研究文章。文章质量采用关键评估技能程序(CASP)进行评估。对所得数据进行定性含量分析。结果:结果分为三类:(1)护理领导的重要性及领导角色;(2)道德领导;(3)护理领导教育。护士领导的个人特征和领导技能是影响员工护理态度和反映护理质量的因素。从早期护理教育开始的护理领导培训对未来的护理领导至关重要。结论:护士领导影响其他团队成员和患者;因此,护理领导影响护理质量。因此,应在护理学校的本科和研究生课程以及卫生机构中通过继续教育进行领导能力培训。
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引用次数: 1
Assessing Validity and Reliability of the Persian Version of Coronavirus Anxiety Scale (CAS) Among Healthcare Workers 波斯版冠状病毒焦虑量表(CAS)在医护人员中的效度和信度评估
Pub Date : 2023-01-18 DOI: 10.5812/modernc-130238
Nasim Kamalahmadi, S. Akhlaghi, Saeedeh Hajebi Khaniki, Jamshid Jamali, Hosein Mohaddes Ardabili, F. Farhoudi
Background: There is a limited number of psychometric tools for measuring the psychological impacts of COVID-19 on healthcare workers (HCWs). The Coronavirus Anxiety Scale (CAS) is a brief questionnaire that identifies dysfunctional anxiety induced by the COVID-19 pandemic. Method: The authors translated the CAS into Persian and assessed its validity and reliability among Iranian HCWs. First, they calculated the content validity index (CVI) and the content validity ratio (CVR) based on six psychiatrists’ assessments. Then, 10 medical interns modified the questionnaire for face validity. In addition, 30 psychiatric residents contributed to the test-retest method to evaluate the intergroup correlation coefficient (ICC). Finally, they examined confirmatory factor analysis (CFA) for construct validity, based on the responses of participants to the scale, and they used Cronbach's alpha coefficient to assess the internal consistency. Results: 185 healthcare workers filled out the Persian version of the CAS. In the assessment of the content validity, all five questions of the CAS had CVI > 0.79 and CVR > 0.99, and all were statistically approved. The construct validity showed that the scale is one-dimensional. The internal consistency (Cronbach’s α= 0.878) and test-retest stability (ICC= 0.931) were accepted. Conclusions: After the localization of the questionnaire, no items were added or subtracted. The CAS presented adequate reliability and validity among Iranian HCWs. Therefore, future epidemiologic studies can consider it a valid scale for HCWs.
背景:用于测量COVID-19对医护人员(HCWs)心理影响的心理测量工具数量有限。冠状病毒焦虑量表(CAS)是一份简短的问卷,用于识别由COVID-19大流行引起的功能失调焦虑。方法:将CAS翻译成波斯语,并对其在伊朗医护人员中的效度和信度进行评估。首先,他们根据6位精神科医生的评估计算了内容效度指数(CVI)和内容效度比(CVR)。然后,10名医学实习生对问卷进行了人脸效度的修改。此外,30名精神科住院医师参与了重测法评估群体间相关系数(ICC)。最后,他们根据参与者对量表的反应,检验了验证性因子分析(CFA)的结构效度,并使用Cronbach's alpha系数来评估内部一致性。结果:185名医护人员填写了波斯语版CAS。在内容效度评估中,CAS的5道题CVI均> 0.79,CVR均> 0.99,均获得统计学认可。构念效度显示量表是一维的。采用内部一致性(Cronbach’s α= 0.878)和重测稳定性(ICC= 0.931)。结论:问卷本地化后,没有增加或减少任何项目。CAS在伊朗重型武器中表现出足够的信度和效度。因此,未来的流行病学研究可以认为它是一个有效的卫生保健工作者量表。
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引用次数: 0
Medication Adherence and Perception of Satisfaction in the Healthcare of Children with Mental Disorders 精神障碍儿童保健中的药物依从性与满意度感知
Pub Date : 2023-01-17 DOI: 10.5812/modernc-130650
Lina Díaz Castro, Paloma Suárez Brito
Background: Medication non-adherence among children with mental disorders (MD) is frequent. Objectives: This research examines the association between medication adherence (MA) in children with MD and the perception of satisfaction with the healthcare received. Methods: A cross-sectional, descriptive, and analytical study was carried out; the survey method was applied to 800 participants who attended from January 2018 to January 2020 at two Children's Psychiatric Hospitals in Mexico City. The Morisky-Green test was applied. Moreover, the patient's perception of their improvement and the reasons for their satisfaction were investigated. A Spearman's correlation analysis was performed between adherence and variables on the patient's perception of improvement. Results: Sample of 400 dyads (400 children and their 400 caregivers), children's sample included 63% boys (n = 252). The most prevalent diagnoses were hyperkinetic disorder, with 51% and 34% with depression. Of the sample, 27% adhered to pharmacological treatment. Statistically significant positive correlations were found between adherence and perception of improvement with the functioning variable (rs = 0.550, P < 0.001, and improvement with quality of life (rs = 0.206, P < 0.001). Conclusions: Adherence to treatment in children is related to satisfaction in care, and satisfaction is directly related to improvement in functionality and quality of care.
背景:精神障碍(MD)患儿药物依从性不遵医嘱的情况很常见。目的:本研究探讨MD患儿的药物依从性(MA)与对所接受医疗保健服务的满意度之间的关系。方法:采用横断面、描述性和分析性研究;该调查方法应用于2018年1月至2020年1月在墨西哥城两家儿童精神病院就诊的800名参与者。采用Morisky-Green检验。此外,还调查了患者对其改善的感觉和满意度的原因。对依从性与患者感觉改善的变量进行Spearman相关分析。结果:样本共400对(400名儿童及其400名照顾者),儿童样本中男孩占63% (n = 252)。最普遍的诊断是多动障碍,51%和34%的人患有抑郁症。样本中,27%坚持药物治疗。依从性和感知改善与功能变量(rs = 0.550, P < 0.001)以及改善与生活质量(rs = 0.206, P < 0.001)之间存在统计学显著正相关。结论:儿童治疗依从性与护理满意度相关,而满意度与护理功能和质量的改善直接相关。
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引用次数: 0
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Modern Care Journal
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