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Stress, stressors, stress responses and coping strategies among student nurses in Anambra State, South-East Nigeria 尼日利亚东南部阿南布拉州学生护士的压力、压力源、压力反应和应对策略
Pub Date : 2023-03-06 DOI: 10.25082/ahb.2023.01.003
A. Afonne, N. Agbakoba, C. Nwankwo
The study was a cross-sectional survey, aimed at assessing the level of perceived stress, common sources of perceived stress, physio-psycho-social responses and coping strategies to stress among student nurses undergoing training in Anambra State, Nigeria. A multistage sampling technique method was adopted for the study in which 183 student nurses from 4 different institutions were surveyed. Perceived stress scale (PSS) was used to determine the respondent’s level of stress and sources of stress. Physio-psycho-social response scale (PPSRS) was used to ascertain the respondent’s physio-psycho-social well-being, while coping behaviour inventory (CBI) was used to assess the respondents coping strategies. Results showed that 77.66 % of the participants had moderate level of perceived stress (mean score range 1.34-2.66), while 8.83 % had high level of stress (mean score range 2.67-4.00) and 13.51 % low stress level (mean score range 0-1.33). The major source of stress for most of the students was from assignments and workload. The overall mean PPSRS indicated a best health status for most of the institutions. The scores for all the institutions fell within the moderate use of the coping strategies, and the most common coping strategy adopted by the students was problem-solving behaviour. It is recommended that institutions and nurse educators should adopt measures to reduce stress on the students, by giving out assignments at the commencement of a course to give ample time for students to accomplish the academic tasks.
该研究是一项横断面调查,旨在评估在尼日利亚阿南布拉州接受培训的学生护士的感知压力水平、感知压力的常见来源、生理-心理-社会反应和应对压力的策略。本研究采用多阶段抽样方法,对来自4所不同院校的183名护生进行调查。感知压力量表(PSS)用于确定被调查者的压力水平和压力来源。采用生理心理社会反应量表(PPSRS)评估被调查者的生理心理社会幸福感,采用应对行为量表(CBI)评估被调查者的应对策略。结果显示,77.66%的被试具有中等水平的感知压力(平均得分范围1.34 ~ 2.66),8.83%的被试具有高水平的感知压力(平均得分范围2.67 ~ 4.00),13.51%的被试具有低水平的感知压力(平均得分范围0 ~ 1.33)。对大多数学生来说,压力的主要来源是作业和工作量。总体平均PPSRS表明,大多数机构的健康状况最好。各院校学生在应对策略的使用上得分均在中等水平,学生最常用的应对策略是解决问题行为。建议院校和护理教育工作者采取措施减轻学生的压力,在课程开始时布置作业,让学生有充足的时间完成学术任务。
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引用次数: 0
Assessment of the dietary pattern and serum zinc concentrations of adults in Umuahia North Local Government Area, Abia State 阿比亚州Umuahia北部地方政府区成人饮食模式和血清锌浓度评估
Pub Date : 2023-02-27 DOI: 10.25082/ahb.2023.01.002
Peace Nkennaya Ugbonta, A. C. Obi-Okaro, N. Ezeama
Dietary pattern is a parameter that assesses the general profile of food and nutrient consumption which is characterized on the basis of the usual eating habits. This study was conducted to assess the dietary pattern and serum zinc concentrations of adults in Umuahia North Local Government Area, Abia State. To achieve this, a cross-sectional analytical study design was conducted on a designed questionnaire distributed amongst 252 respondents to collate data on their socio-demographic characteristics on age, sex, marital status, religion, occupation, and educational levels. Food Frequency Questionnaire (FFQ) was also carried out to assess adults’ dietary patterns daily, weekly, sometimes and none, on some foods such as cereals, vegetables, legumes, milk & dairy, meat, fish & seafood, eggs, roots, and tubers. Serum zinc was conducted on 50 volunteered adults from the study area. Serum zinc levels present in the collected blood samples were analyzed with the aid of an Atomic Adsorption Spectrophotometer (AAS). Data obtained was analyzed with the aid of SPSS software on mean, standard deviation, t-test, and ANOVA for the hypothesis. Serum zinc deficiency was defined as a zinc level of less than 46 ug/dl from a reference book. The mean concentrations of serum zinc of healthy adults conducted were recorded as male 49.566 ± 19.384, female 24.017±6.999, 38.025±24.862 (18-25years ), 37.305±18.263 (26-40years) and 39.294±19.446 (41-55years) respectively. The results revealed that serum zinc concentrations in the participating healthy adults were within the reference level of 46 ug/dl, and also statistically significant at a p-value of 0.01 for the alternate hypothesis. Also, the relationship test of association between dietary pattern and serum zinc concentration is statistically significant as their p-value was less than 0.05 (0.027). Also, the tests confer with the alternate hypothesis that the association between dietary pattern and serum zinc concentration of adults in Umuahia North LGA is statistically significant. This study, therefore, recommends that studies should be carried out in other areas where symptoms of zinc deficiency are evident.
饮食模式是评估食物和营养消耗总体概况的参数,其特征是基于通常的饮食习惯。本研究旨在评估阿比亚州Umuahia北部地方政府地区成人的饮食模式和血清锌浓度。为了实现这一目标,对252名受访者分发的设计问卷进行了横断面分析研究设计,以整理其年龄、性别、婚姻状况、宗教、职业和教育水平等社会人口特征的数据。食物频率问卷(FFQ)也被用于评估成年人每天、每周、有时和不吃一些食物的饮食模式,如谷物、蔬菜、豆类、牛奶和奶制品、肉、鱼和海鲜、鸡蛋、根和块茎。研究人员对来自研究地区的50名成人志愿者进行了血清锌检测。用原子吸附分光光度计(AAS)分析所收集的血样中锌的含量。利用SPSS软件对所得数据进行均值、标准差、t检验和方差分析。根据参考书,血清锌缺乏被定义为锌水平低于46微克/分升。健康成人血清锌平均浓度分别为男性49.566±19.384、女性24.017±6.999、38.025±24.862(18-25岁)、37.305±18.263(26-40岁)和39.294±19.446(41-55岁)。结果显示,参与研究的健康成人血清锌浓度在46 ug/dl的参考水平内,并且对于备用假设也具有统计学意义,p值为0.01。饲粮模式与血清锌浓度的相关性检验也具有统计学意义,p值均小于0.05(0.027)。此外,这些试验也证实了另一种假设,即在Umuahia北部LGA成人的饮食模式和血清锌浓度之间的关联具有统计学意义。因此,这项研究建议在锌缺乏症状明显的其他地区进行研究。
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引用次数: 2
Determinants of knowledge, attitudes, and preventive practices for COVID-19 infection in Goma, DRC 刚果民主共和国戈马市COVID-19感染知识、态度和预防措施的决定因素
Pub Date : 2022-12-21 DOI: 10.25082/ahb.2023.01.001
Willy Missumba Kakozi, B. Katembo, Pierrot Mazirane, Patricia Mishika Lukusa, Edo Baluntu, Espérance Makombe, Claudine Munyatwari Bahire, Justin Murabazi, O. Mukuku, Zacharie Kibendelwa Tsongo, S. Wembonyama
Purpose: In view of the resurgence of confirmed COVID-19 cases in the North Kivu province, particularly in Goma city, the epicenter of the disease, it is necessary to study the knowledge, attitudes, and practices of the population of Goma city on COVID-19 infection.Methods: A cross-sectional study was conducted from July 15 to August 15, 2021. A 3-degree cluster survey was conducted in Goma city, in the Democratic Republic of the Congo. Bivariate and multivariate analyzes were performed by the STATA 15 software.Results: 1,194 individuals responded to the survey and had heard of COVID-19; 74.62% of the respondents had good knowledge, 77.39% had a positive attitude, and 45.48% practiced preventive measures against COVID-19. Determinants of good knowledge were the age groups 30-39 years and 40-49 years, secondary and higher/university educational levels, and not having suffered from COVID-19. Determinants of positive attitude were female sex, having a professional occupation, having a family member or close relative who had suffered from COVID-19, and living in the Karisimbi municipality. Determinants of better practice were female sex, secondary and higher/university educational levels, not having a professional occupation, and having a family member or close relative who had suffered from COVID-19.Conclusion: To effectively control this epidemic, it is essential to strengthening risk communication with full community participation. This strategy must be coupled with measures to make prevention methods available to the benefit of the entire population.
目的:鉴于在北基伍省,特别是在疫情中心戈马市,COVID-19确诊病例再次出现,有必要研究戈马市人口对COVID-19感染的知识、态度和做法。方法:于2021年7月15日至8月15日进行横断面研究。在刚果民主共和国戈马市进行了3度聚类调查。采用STATA 15软件进行双变量和多变量分析。结果:1194人参与了调查,并听说过COVID-19;74.62%的受访者对新冠肺炎有良好的认识,77.39%的受访者对新冠肺炎有积极的态度,45.48%的受访者采取了预防措施。良好知识的决定因素是年龄在30-39岁和40-49岁之间,中等及以上/大学教育程度,并且没有患过COVID-19。积极态度的决定因素是女性、有专业职业、有患有COVID-19的家庭成员或近亲,以及居住在卡里辛比市。更好做法的决定因素是女性、中等和高等/大学教育水平、没有专业职业,以及有家庭成员或近亲患有COVID-19。结论:加强风险沟通,加强社区全面参与,是有效控制疫情的关键。这一战略必须与使预防方法惠及全体人民的措施相结合。
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引用次数: 1
Isolated but not alone: the response to the pandemic in the story of PAGs from the Italian case history to the Global Health Summit "Rome Declaration" 孤立但不孤立:从意大利病例史到全球卫生首脑会议《罗马宣言》,在pag故事中应对大流行
Pub Date : 2022-04-30 DOI: 10.25082/ahb.2022.01.002
M. Votta, M. Cardillo, Michaela Papavero
Struggling with practical problems such as the sudden cancellation of scheduled visits and exams and a sense of abandonment and uncertainty. This is how the "ordinary" patients lived the period of the health emergency in Italy. At the same time, civic and rights protection associations, since the beginning, have been active with a sense of responsibility, creativity, and energy, often revealing themselves to be the only point of reference and the only service available to citizens. This is the double side of the coin, in the implications of the pandemic on chronic and rare patients, which emerged from the XVIII National Report on Chronic Policies of Cittadinanzattiva, presented on October 13th, 2020, and entitled: "Isolated but not alone: the response to the pandemic in the story of Patients Advocacy Groups (PAGs)". The Report arised from the story of 34 Italian associations of patients with chronic and rare diseases who adhered to the National Coalition of Associations for Patients suffering Chronic Diseases (CnAMC) of Cittadinanzattiva. This experience thanks to Active Citizenship Network was first socialized on the occasion of the 15th European Patients’ Rights Day held on May 5th & 6th, 2021, and then brought to the attention of the leaders of the G20 and other states, gathered together with the heads of international and regional organizations on the occasion of the Global Health Summit held in Rome on May 21, 2021.
与实际问题作斗争,比如突然取消预定的拜访和考试,以及被抛弃和不确定的感觉。这就是“普通”病人在意大利突发卫生事件期间的生活方式。与此同时,公民维权协会从一开始就以一种责任感、创造力和活力活跃起来,经常显示出自己是公民唯一的参考点和唯一的服务。这是硬币的两面,大流行对慢性和罕见患者的影响来自于2020年10月13日提交的第十八届Cittadinanzattiva慢性政策国家报告,题为:“孤立但不孤独:患者倡导团体(PAGs)故事中的大流行应对”。该报告源于34个意大利慢性和罕见疾病患者协会的故事,这些协会加入了Cittadinanzattiva全国慢性疾病患者协会联盟(CnAMC)。积极公民网络的这一经验首先在2021年5月5日和6日举行的第15届欧洲患者权利日之际进行了社交,然后在2021年5月21日在罗马举行的全球卫生峰会上,与国际和地区组织的负责人聚集在一起,提请二十国集团领导人和其他国家领导人注意。
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引用次数: 0
Financially-rich game: A stress reliever that behaves intelligently based on the performance and health condition of player 财务丰富的游戏:一种基于玩家表现和健康状况的智能行为的压力释放器
Pub Date : 2019-10-30 DOI: 10.25082/ahb.2019.02.004
Ibrahim Hussein Ahmed, Kashif Nazar Khan, T. Jonathan, Nathan Obomufok Ikpeetim, Shoaib Arshad
Health is affected by the financial, environmental and work conditions. In this paper, we have proposed an algorithm to be used in a game so that it could behave intelligently for stress relieving and health care rather than in a traditional leisure. Our study explores the efficacy of intelligent games to keep the interest of a user in computer usage that helps in the reduction of stress. The games keep track of a user’s actions and decide intelligently which best next level should be provoked to the user for keeping his/her interest in the game. In several experiments it has been observed that after playing stress relief game, users become less distracted by rejection, help releasing their stress and anxiety.
健康受到财政、环境和工作条件的影响。在本文中,我们提出了一种算法,用于游戏中,使其能够智能地表现压力缓解和医疗保健,而不是传统的休闲。我们的研究探讨了智能游戏在保持用户对电脑使用的兴趣方面的功效,这有助于减轻压力。游戏会追踪用户的行为,并明智地决定下一个关卡应该如何刺激用户,以保持他们对游戏的兴趣。在几个实验中,我们观察到,在玩了减压游戏后,用户变得不那么容易被拒绝而分心,有助于释放他们的压力和焦虑。
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引用次数: 1
Digital health solutions to fight pain awarded at the European level 数字健康解决方案,以对抗疼痛在欧洲一级授予
Pub Date : 2019-10-22 DOI: 10.25082/ahb.2019.02.003
Manuel Amadori, Daniela Quaggia, M. Votta
In 2017, Active Citizenship Network (ACN) launched the second edition of the bi-annual research-project conducted at the European level and entitled “EU Civic Prize on Chronic Pain - Collection of good practices”. This initiative aims to provide evidence of existing good practices in terms of struggle against pain across Europe. In particular, this second edition allowed ACN to give continuity to the successful collection of good practices in the struggle against pain that was started in 2015, as well as to expand the “agora” of operators of good practices on pain, encouraging the exchange of experiences among health professionals, healthcare providers, institutions, civic associations and patient advocacy groups. This article describes the main results of the second edition of the research: 40 good practices gathered from several EU countries and 4 winning best practices. The latter are all mobile apps and thus demonstrate the growing role of digital health in the treatment of chronic pain. The full research has been published in the Report entitled “Collecting Good Practices European Civic Prize on Chronic Pain Second Edition”, edited by Cittadinanzattiva Onlus (all rights reserved).
2017年,积极公民网络(ACN)启动了在欧洲层面进行的两年一次的研究项目的第二版,题为“欧盟慢性疼痛公民奖-良好做法收集”。这一倡议旨在提供证据,证明在整个欧洲与疼痛作斗争的现有良好做法。特别是,该第二版使ACN能够延续2015年开始的成功收集的与疼痛作斗争的良好做法,并扩大疼痛良好做法经营者的“集大成者”,鼓励卫生专业人员、医疗保健提供者、机构、民间协会和患者倡导团体之间交流经验。本文描述了该研究第二版的主要成果:从几个欧盟国家收集的40个良好实践和4个获奖最佳实践。后者都是移动应用程序,因此表明数字健康在慢性疼痛治疗中的作用越来越大。完整的研究成果发表在Cittadinanzattiva Onlus编辑的题为“收集欧洲慢性疼痛良好实践公民奖第二版”的报告中(版权所有)。
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引用次数: 0
Nutritional habits and lifestyle in a population of cancer patients in the south of Italy 意大利南部癌症患者的营养习惯和生活方式
Pub Date : 2019-08-30 DOI: 10.25082/AHB.2019.02.002
R. Mauro, M. Capellupo, F. Talarico, Gianluca Raffaele, Nicola Pelle, A. Gallucci, S. Molica, Rosanna Mirabelli, Antonio Molè
The research involved a sample of 150 patients with a diagnosis of cancer, with the aim of assessing food habits and lifestyle. Smoking, physical activity and diet have been observed so as to seek for possible correlation with cancer. Patients involved had different types of cancer: data regarding correlation between diet and gastrointestinal cancer have been specifically assessed. Surprisingly, most patients, who declared to follow Mediterranean diet, instead, by actually analysing type and quantities of specific food , followed a different pattern. Therefore, in a population of South of Italy, one of the places which gave birth to Mediterranean diet, the protective effect of this kind of diet against many diseases is now at risk. Furthermore, a statistically significant correlation between nutritional pattern and gastrointestinal cancer has been found.
这项研究选取了150名被诊断为癌症的患者作为样本,目的是评估他们的饮食习惯和生活方式。研究人员观察了吸烟、体育活动和饮食,以寻找与癌症的可能联系。所涉及的患者患有不同类型的癌症:有关饮食与胃肠道癌症之间相关性的数据已被专门评估。令人惊讶的是,大多数声称遵循地中海饮食的患者,实际上通过分析特定食物的种类和数量,遵循了不同的模式。因此,在意大利南部,地中海饮食的发源地之一,这种饮食对许多疾病的保护作用现在处于危险之中。此外,还发现营养模式与胃肠道癌症之间存在统计学上显著的相关性。
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引用次数: 0
The Self-Compassionate Coping Measure (4 items): Psychometric features and relationships with depression and anxiety in adults 自我同情应对量表(4项):成人抑郁、焦虑的心理测量特征及其关系
Pub Date : 2019-06-28 DOI: 10.25082/ahb.2019.02.001
N. Garnefski, V. Kraaij
Self-compassion refers to a positive, kind attitude of a person toward oneself when confronted with difficulties. A self-compassionate coping style may buffer against the development of psychological problems. Aim was to introduce a new, 4-item measure for Self-compassion and to test its psychometric properties. In addition, its relationships with Neff’s Self Compassion Scale (SCS) and with the HADS depression and anxiety scales were studied, in an adult general population sample. The results showed that the SCCM had a high reliability, confirming internal validity. In addition, the SCCM was strongly related to all subscales and total score of the SCS, suggesting construct validity. Finally, also strong relationships were found with symptoms of depression and anxiety, suggesting criterion validity. The SCCM might therefore be considered a valuable and reliable tool in the study of self-compassion associated with mental-health problems, while it also might provide us with targets for intervention.
自我同情指的是一个人在面对困难时对自己的一种积极、善良的态度。自我同情的应对方式可以缓冲心理问题的发展。目的是为自我同情引入一种新的四项测量方法,并测试其心理测量特性。此外,研究了其与Neff自我同情量表(SCS)和HADS抑郁焦虑量表的关系。结果表明,SCCM具有较高的信度,证实了内部效度。此外,SCCM与SCS的所有分量表和总分呈显著正相关,说明了建构效度。最后,还发现抑郁和焦虑症状之间存在密切关系,表明标准的有效性。因此,SCCM可能被认为是研究与心理健康问题相关的自我同情的一个有价值和可靠的工具,同时它也可能为我们提供干预的目标。
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引用次数: 3
Analysis of information flows of passive mobility 被动流动信息流分析
Pub Date : 2019-05-28 DOI: 10.25082/ahb.2019.01.006
Giuseppe Andrea De Biase, Annamaria Ruberto
The health mobility is a right of the citizens that they can turn to any structure, without territorial restrictions, to look for an answer to their needs. Often produces inappropriateness and increases costs without affecting the quality of care. The purpose of this work is to study in depth the phenomenon of passive hospital mobility of Calabrian citizens through detailed and comparative analysis relating to the years 2014 and 2015, and the analysis of inappropriateness.
保健流动是公民的一项权利,他们可以不受地域限制地求助于任何机构,寻求满足其需要的办法。往往产生不适当和增加成本,而不影响护理质量。这项工作的目的是通过对2014年和2015年的详细和比较分析,以及对不当性的分析,深入研究卡拉布里亚公民被动医院流动的现象。
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引用次数: 0
Misdiagnosed behavior change revealing fatal primitive intra-cerebral echinococcosis 误诊行为改变揭示致命的原始脑内包虫病
Pub Date : 2019-05-27 DOI: 10.25082/AHB.2019.01.005
S. Bouomrani, Karama Regaïeg, N. Belgacem, Oussema Souissi, M. Guermazi, S. Krimi
Central nervous system involvement in hydatidosis is rare compared to other somatic localizations: 1-5%. It is schematically divided into two major types: cerebral involvement and spinal involvement. The brain is a rare localization of hydatid cyst accounting for only 2% of all hydatid disease. The psychiatric manifestations revealing cerebral hydatidosis remain exceptional and often unrecognized and neglected by practitioners despite their potential severity. We report two original observations of fatal cerebral hydatidosis revealed by behavior change (psychomotor agitation, aggressiveness, persecutory delusion, and auditory and visual hallucinations) insufficiently explored in two women aged 45 and 17. The possibility of cerebral hydatidosis must always be evoked in front of any psychiatric symptomatology that remains unexplained in endemic areas for echinococcosis.
与其他躯体定位相比,包虫病的中枢神经系统受累是罕见的:1-5%。它大致分为两种主要类型:脑受累和脊髓受累。脑包虫病是一种罕见的包虫病,仅占所有包虫病的2%。揭示脑包虫病的精神病学表现仍然是例外的,尽管其潜在的严重性,但往往不被从业者认识和忽视。我们报告了两个由行为改变(精神运动性躁动、攻击性、迫害性妄想、听觉和视觉幻觉)揭示的致命性脑包虫病的原始观察结果,但对两名年龄分别为45岁和17岁的女性进行了充分的研究。在棘球蚴病流行地区,任何尚未解释的精神症状都必须引起脑包虫病的可能性。
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引用次数: 1
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Advances in Health and Behavior
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