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State Public Health Communications and Public Compliance during the Pre-election SARS-CoV-2 Pandemic: Interpreting the Effectiveness of Messaging Guidelines Utilizing Moral Foundations Theory 选举前SARS-CoV-2大流行期间的国家公共卫生传播与公众合规:利用道德基础理论解释信息传递指南的有效性
Q3 Nursing Pub Date : 2023-02-23 DOI: 10.2174/18749445-v16-230223-2022-157
Jim W Hall
State-level public health messaging during the pre-election coronavirus pandemic was very inconsistent. Moral motivational content of the messages, as characterized by moral foundations theory, may have contributed to the degree of compliance in particular states. More attention to this content might result in greater compliance and a lessening of the pandemic's severity. A comprehensive review of official state messaging in six U.S. states (California, Florida, Massachusetts, Mississippi, New York, and Texas) was reviewed for the number and distribution of moral foundations as described by moral foundations theory. A search was done for state-level data concerning compliance with mask-wearing and social distancing, the primary public precautionary measures during the pandemic. Rates of compliance by the state were compared with messaging content and analyzed for associations and correlations with the known partisan leanings of the states. Examples of messages with balanced moral foundations, which might be prospectively employed for greater acceptance, were presented. All data were gathered prior to the introduction of the first available vaccine. Message review and compliance data suggested that the quantity and proportion of coronavirus-related official messages and the utilization of a balanced combination of moral foundations were associated with higher levels of compliance with the recommended public health measures and lower infection rates. The political orientations of states did not align with the use of known conservative/liberal preferred moral foundations as previously established by Moral Foundations Theory. Adjusting messaging with attention to the balanced employment of moral foundations can lead to wider acceptance of and compliance with preventive public health measures.
在选举前的冠状病毒大流行期间,州一级的公共卫生信息非常不一致。以道德基础理论为特征的信息的道德动机内容可能有助于特定状态下的遵守程度。对这些内容的更多关注可能会提高合规性,减轻疫情的严重性。对美国六个州(加利福尼亚州、佛罗里达州、马萨诸塞州、密西西比州、纽约州和得克萨斯州)的官方州信息进行了全面审查,以了解道德基础理论所描述的道德基础的数量和分布。搜索了关于戴口罩和保持社交距离的州级数据,这是疫情期间的主要公共预防措施。将各州的遵守率与信息内容进行比较,并分析与各州已知党派倾向的关联和相关性。介绍了具有平衡道德基础的信息示例,这些信息可能会被前瞻性地用于更大程度的接受。所有数据都是在推出第一种可用疫苗之前收集的。信息审查和合规性数据表明,与冠状病毒相关的官方信息的数量和比例,以及道德基础的平衡组合的利用,与更高程度的遵守建议的公共卫生措施和更低的感染率有关。国家的政治取向与道德基础理论先前建立的已知保守/自由偏好道德基础的使用不一致。调整信息传递,注意道德基础的平衡使用,可以使人们更广泛地接受和遵守预防性公共卫生措施。
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引用次数: 0
Effect of Midwife-led Breastfeeding Counseling based on the Bandura's Model on Self-efficacy and Breastfeeding Performance: an educational trial study 基于Bandura模型的助产士主导母乳喂养咨询对自我效能感和母乳喂养绩效的影响:一项教育试验研究
Q3 Nursing Pub Date : 2023-02-21 DOI: 10.2174/18749445-v16-230221-2022-174
Seyed Aghdas Hosseini, K. Vakilian, A. Shabestari, Mostafa Nokani, A. Almasi
Breastfeeding Counseling in order to increasing Breastfeeding Performance. Exclusive breastfeeding (EBF) as a policy for increasing children's survival and decreasing the illnesses of children all over the world. The present study was designed to investigating the effect of Midwife-led Breastfeeding Counseling based on the Bandura's Model on Self-efficacy and Breastfeeding Performance. The present study was an educational trial with a pretest-posttest design and a control group. 60 women in intervention group received 4 session group counseling program based on Bandura's theoretical structures during pregnancy. After that the second stage of study was conducted between 1-3 days and 10-15 days after childbirth using the face-to-face method to meet the needs and concerns of mothers about breastfeeding. The control group received no counseling program and only received routine health care. showed that the awareness means in the intervention group was 25.6 and in the control group, it was 21.1, which showed a significant increase in the intervention group. In addition, it was indicated that the self-efficacy of the mothers increased by 18 units in the intervention group, and decreased by 1 unit in the control group after the intervention. findings showed that the attitudes of the intervention group increased by 11 units, and 4 units in the control group after the intervention. 54 mothers in the intervention group and 17 mothers in the control group only used breastfeeding for their babies. Breastfeeding self-efficacy is an appropriate theoretical model to perform interventions and should be considered to prolong breastfeeding and better performance.
母乳喂养咨询,以提高母乳喂养效果。纯母乳喂养(EBF)作为一项提高全世界儿童存活率和减少儿童疾病的政策。本研究旨在探讨基于班杜拉模型的助产士主导母乳喂养咨询对自我效能感和母乳喂养绩效的影响。本研究为教育试验,采用前测后测设计,并设对照组。干预组60名妇女在怀孕期间接受基于班杜拉理论结构的4次小组咨询。在此之后,第二阶段的研究在分娩后1-3天至10-15天进行,采用面对面的方法,以满足母亲对母乳喂养的需求和关注。对照组不接受心理咨询,只接受常规的健康护理。结果表明,干预组的认知均值为25.6,对照组的认知均值为21.1,干预组的认知均值明显提高。此外,干预组母亲的自我效能感在干预后提高了18个单位,对照组母亲的自我效能感在干预后降低了1个单位。结果显示,干预组的态度在干预后提高了11个单位,对照组提高了4个单位。干预组54名母亲和对照组17名母亲只对婴儿进行母乳喂养。母乳喂养自我效能感是进行干预的一个合适的理论模型,应该考虑延长母乳喂养和更好的表现。
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引用次数: 0
Potential Factors Associated with Stillbirth among Babies Born in Hospitals of North Shoa, Oromia, Ethiopia, 2021. Based On Cross-Sectional Study Design. 2021年在埃塞俄比亚奥罗米亚北部肖亚医院出生的婴儿中与死产相关的潜在因素基于横断面研究设计。
Q3 Nursing Pub Date : 2023-02-21 DOI: 10.2174/18749445-v16-230221-2022-169
Mogos Beya, Adugnaw Alemu, Dejene Edosa, Mathewos Mekonnen
Fetal death is one of the common adverse pregnancy outcomes. It occurs more than 7178 deaths at 28 weeks of gestation occur every day, making 2.6 million fetal deaths worldwide. The majority of these deaths occurred in developing countries, and 98% occurred in low and middle-income countries. To address the problem of stillbirth, the magnitude and determinants of stillbirth must be understood to help intervention be given to reduce fetal stillbirth. This study was facilitated by obtaining basic data on the factors influencing stillbirth. This will facilitate the development of better public health interventions to reduce these preventable fetal deaths and improve maternal health. This study aimed to assess the determinant factors of still-birth among babies born in hospitals in the North Shoa zone, Oromia, Ethiopia. The study was conducted among 348 babies born in the hospital of North Shoa Zone. Study subjects were selected by systematic sampling method from the list of babies born in hospitals in a three-month study period. Data were collected by using a pretested and structured questionnaire. Data were edited, cleaned, coded, entered, and analyzed using SPSS-21 statistical software. Bivariate and multivariate analysis was employed. Potential factors were having regular antenatal care, congenital malformation, and having a history of perinatal death was significantly associated with the stillbirth. The risk of stillbirth was associated with both modifiable and non-modifiable factors. Therefore, encourage regular ANC to follow up, minimizing the formation congenital malformation, and increase birth in the history of previous perinatal death are to prevent the risk of potential stillbirth.
胎儿死亡是常见的不良妊娠结局之一。它发生在怀孕28周时,每天有7178多人死亡,全球有260万胎儿死亡。其中大多数死亡发生在发展中国家,98%发生在中低收入国家。为了解决死产问题,必须了解死产的程度和决定因素,以帮助采取干预措施减少胎儿死产。这项研究是通过获得影响死胎因素的基本数据来促进的。这将有助于制定更好的公共卫生干预措施,以减少这些可预防的胎儿死亡并改善孕产妇健康。本研究旨在评估埃塞俄比亚奥罗米亚州北肖亚地区医院出生的婴儿死产的决定因素。这项研究是在北昭和区医院出生的348名婴儿中进行的。在为期三个月的研究期间,通过系统抽样方法从医院出生的婴儿名单中选择研究对象。数据是通过使用预先测试和结构化问卷收集的。使用SPSS-21统计软件对数据进行编辑、清理、编码、输入和分析。采用双变量和多变量分析。潜在因素包括定期产前护理、先天性畸形和有围产期死亡史与死产显著相关。死胎的风险与可改变和不可改变的因素有关。因此,鼓励定期ANC随访,尽量减少先天性畸形的形成,并增加出生前围产期死亡史,都是为了预防潜在死胎的风险。
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引用次数: 0
Utilization of Health Resources during the Coronavirus Pandemic in Israel: Meuhedet Health Services’ Real Data Analysis and Future Conclusions 以色列冠状病毒大流行期间卫生资源的利用:Meuhedet卫生服务的真实数据分析和未来结论
Q3 Nursing Pub Date : 2023-02-21 DOI: 10.2174/18749445-v16-230221-2022-163
S. Klang, S. Merling, Sigal Rosenberg, Galit Borchuk, M. Pugatch
To examine the utilization of health resources during the first year of the COVID-19 pandemic in Israel through the analysis of Meuhedet Health Services’ real-world database. The history of COVID-19 in Israel comprises three waves: from February to May 2020, from May to November 2020, and from November 2020 to April 2021. Restrictions imposed on the Israeli population included travel limitations and even lockdowns. Meuhedet Health Services, the third largest health management organization in Israel, manages all its medical data through computerized electronic files and has collected various types of health services data from 2018 to 2020. This paper compares the consumption of its services between two consecutive years. pandemic for Meuhedet Health Services using a real-world database. Electronic medical records from primary care physicians, laboratory tests, hospitalization medical histories, treatments in hospitals and institutes, visits to and treatments by community physicians, and prescriptions and medical equipment consumption were collected from 2018 to 2020. This research used aggregated, non-personalized, and decoded data from a cohort of insured persons, and the research was approved by all the relevant institutional Helsinki Committees. The data analysis compares the corresponding data in a chosen month of a year with the data in the same month of the previous year. The differences are then scaled by the data corresponding to the month of the previous year and the result multiplied by 100 and plotted. To analyze drug consumption, we use the fixed price of every drug in a year multiplied by the difference in consumption of the drug in question between the month of the current year and the same month of the previous year, multiplied by 100. A significant decrease was noted in hospitalization days, general hospital outpatient clinic visits, general hospital emergency room visits, and total numbers of visits to community physicians during the first lockdown in the first wave of the pandemic in comparison to 2019. At the end of the lockdown, however, a compensatory increase was noted in all services. In terms of drug consumption, the data show no differences in the effects of the different waves. Our findings reveal that the first wave of COVID-19 was a shock, with a significant reduction in the consumption of health services, but this decrease attenuated with the second wave, due to immediate management interventions and safety rules implemented in hospitals and clinics. People shun medical services during a fast-spreading epidemic that causes significant mortality. Since new variants of COVID-19 could be part of our lives for the next few years, we should learn how to continue living with the pandemic and develop alternative medical services to maintain health states. Digitization, remote services, telemedicine, and home care, including home hospitalization, should be part of the health services to cope
通过分析Meuhedet卫生服务的真实世界数据库,检查以色列COVID-19大流行第一年卫生资源的利用情况。2019冠状病毒病在以色列的历史包括三波:2020年2月至5月、2020年5月至11月和2020年11月至2021年4月。对以色列人口施加的限制包括旅行限制甚至封锁。Meuhedet Health Services是以色列第三大健康管理组织,通过计算机化电子文件管理其所有医疗数据,并收集了2018年至2020年各种类型的健康服务数据。本文对其连续两年的服务消费进行了比较。Meuhedet卫生服务使用真实世界的数据库。收集2018 - 2020年初级保健医生的电子病历、实验室检查、住院病史、医院和研究所的治疗情况、社区医生的就诊和治疗情况、处方和医疗设备消费情况。本研究使用了来自参保人群队列的汇总、非个性化和解码数据,该研究得到了赫尔辛基所有相关机构委员会的批准。数据分析是将一年中选定月份的相应数据与前一年同月的数据进行比较。然后用前一年对应月份的数据对差异进行缩放,并将结果乘以100绘制出来。为了分析药物消费,我们使用一年中每种药物的固定价格乘以该药物在当年当月与上一年同月之间的消费差异,再乘以100。与2019年相比,在第一波大流行的第一次封锁期间,住院天数、综合医院门诊就诊次数、综合医院急诊室就诊次数和社区医生就诊总数均显著减少。然而,在封锁结束时,所有服务部门都出现了补偿性增长。在药物消费方面,数据显示不同的波的影响没有差异。我们的研究结果表明,第一波COVID-19疫情是一种冲击,医疗服务消费大幅减少,但由于医院和诊所采取了及时的管理干预措施和安全规则,第二波疫情的减少幅度有所减弱。在造成大量死亡的快速蔓延的流行病期间,人们回避医疗服务。由于COVID-19的新变种可能在未来几年成为我们生活的一部分,我们应该学习如何继续与大流行共存,并开发替代医疗服务以保持健康状态。数字化、远程服务、远程医疗和家庭护理,包括家庭住院,应成为应对大流行情况的卫生服务的一部分。
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引用次数: 0
Mental Health Status and the Readiness of Nursing Students to Serve During the Covid-19 Pandemic Covid-19大流行期间护生心理健康状况与服务准备
Q3 Nursing Pub Date : 2023-02-21 DOI: 10.2174/18749445-v16-230221-2022-149
Leonora Paice, Naime Brajshori, Iliriana Alloqi Tahirbegolli, Antigona Dervishaj Ukehaxhaj, Blerta Kryeziu, Derya Yildiz, Flaka Hoti, Shkelzen Osmani, Bernard Tahirbegolli
This study aims to assess the state of mental health of nursing students in Kosovo and their willingness to provide professional health services for individuals at risk during the COVID-19 pandemic. In this cross-sectional survey, undergraduate nursing students from three higher education institutions in Kosovo participate from May 25, 2020, to June 5, 2020. Data was collected through a structured, anonymous, self-directed questionnaire, via the online platform-google forms. Questions about nursing knowledge, skills and competences, and willingness to work, if necessary, in healthcare facilities in Kosovo before graduation during the COVID-19 pandemic, were organised according to the Likert scale. Four hundred and seventy-two nursing students (82% female; and mean age 20.3±1.8 years) participated in the study. 18.2% of students required further evaluation for depression, 48.3% for anxiety and 30.7% for stress. 77.8% of students agreed that they had acquired sufficient knowledge, 80.6% that they had sufficient skills, and 75.9% that they had sufficient competences, during their studies, to work as nurses. Female students had higher stress (8.55±4.06) and anxiety scores (6.65±4.08) compared to their male counterparts (7.46±4.35; and 5.02±4.07; respectively) (p<0.05). There was no statistically significant difference among categories of stress, anxiety and depression, and nursing student’s willingness to work or not during COVID-19 pandemic (p>0.05). Most nursing students in Kosovo appear ready and willing to join qualified nurses in healthcare institutions, in delivering health services during COVID-19 pandemic.
本研究旨在评估科索沃护理专业学生的心理健康状况,以及他们在COVID-19大流行期间为面临风险的个人提供专业卫生服务的意愿。在这项横断面调查中,来自科索沃三所高等教育机构的本科护理专业学生参加了2020年5月25日至2020年6月5日的调查。数据是通过结构化的、匿名的、自我导向的问卷,通过在线平台——谷歌表格收集的。在COVID-19大流行期间,根据李克特量表组织了有关护理知识、技能和能力以及必要时毕业前在科索沃医疗机构工作的意愿的问题。472名护生(82%为女性;平均年龄(20.3±1.8岁)。18.2%的学生需要进一步评估抑郁,48.3%的学生需要进一步评估焦虑,30.7%的学生需要进一步评估压力。77.8%的学生认为他们在学习期间获得了足够的知识,80.6%的学生认为他们有足够的技能,75.9%的学生认为他们有足够的能力从事护士工作。女生的压力(8.55±4.06)和焦虑得分(6.65±4.08)高于男生(7.46±4.35);和5.02±4.07;) (p0.05)。科索沃的大多数护理专业学生似乎已经准备好并愿意加入医疗机构的合格护士行列,在COVID-19大流行期间提供卫生服务。
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引用次数: 0
Depression and Quality of Life among Women Hospitalized during Covid-19 Pandemic Covid-19大流行期间住院妇女的抑郁和生活质量
Q3 Nursing Pub Date : 2023-02-21 DOI: 10.2174/18749445-v16-230221-2022-104
A. Yusefi, E. R. Davarani, Z. Kavosi, G. Mehralian
The outbreak of the new coronavirus (Covid-19) can lead to the development of several mental disorders. Women are an important part of any society, and psychological factors can affect their quality of life. The present study aimed to investigate the depression level among hospitalized women and its relationship with their quality of life during the Covid-19 pandemic in 2021. This was a descriptive-analytical study conducted on 465 women admitted to public educational hospitals affiliated with the Minister of Health, Iran. The data collection tools were Goldberg Depression Scale and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) Questionnaire. Descriptive and inferential statistical methods were used to analyze the data by applying SPSS software version 23. According to the results, 48.60% of the women were mentally healthy. While 15.27% of them were more likely to develop depression, 13.12% of the others were borderline depressed. At the same time, 12.69% of the women who participated in the study suffered from a mild to moderate level of depression, 7.74% of women had moderate to severe depression, and 2.58% of the rest, tolerated severe depression. Other results show that the mean score of quality of life (QOL) of the women was 58.49A 11.51 (out of 120). Moreover, a significant and inverse correlation between depression and QOL was observed among the studied women (r=-0.564, P<0.001). Statistically significant relationships between depression and the variables of age (P=0.007), place of residence (P=0.04), marital status (P=0.006), level of education (P<0.001), and income level (P=0.03) were also observed. Moreover, there was also a statistically significant relationship between women's QOL and their marital status (P=0.02). According to the results, providing social support and establishing effective communication based on mutual interaction among hospitalized women and healthcare workers can be recommended to decrease their level of depressive disorder and enhance their QOL.
新型冠状病毒(新冠肺炎)的爆发可能导致多种精神障碍的发展。妇女是任何社会的重要组成部分,心理因素会影响她们的生活质量。本研究旨在调查2021年新冠肺炎大流行期间住院女性的抑郁水平及其与生活质量的关系。这是对465名入住伊朗卫生部长下属公立教育医院的妇女进行的描述性分析研究。数据收集工具为Goldberg抑郁量表和世界卫生组织生活质量BREF(WHOQOL-BREF)问卷。应用SPSS软件23版,采用描述性和推断性统计方法对数据进行分析。结果显示,48.60%的女性心理健康。15.27%的人更容易患上抑郁症,13.12%的人处于边缘抑郁状态。同时,12.69%的参与研究的女性患有轻度至中度抑郁症,7.74%的女性患有中度至重度抑郁症,其余2.58%的女性耐受重度抑郁症。其他结果显示,女性的生活质量(QOL)平均得分为58.49A 11.51(满分120分)。此外,在被研究的女性中,抑郁症与生活质量之间存在显著的负相关(r=-0.564,P<0.001)。抑郁症与年龄(P=0.007)、居住地(P=0.04)、婚姻状况(P=0.006)、教育水平(P<0.001)和收入水平(P=0.03)之间也存在显著的统计学关系。此外,女性的生活质量与婚姻状况之间也存在统计学上的显著关系(P=0.02)。结果表明,在住院女性和医护人员之间相互互动的基础上提供社会支持和建立有效的沟通可以降低她们的抑郁障碍水平,提高她们的生活质量。
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引用次数: 2
Is There a Vaccine to Save Public Healthcare from the Endemic of Privatization? One Doctor’s Healing Touch Says It All. 有没有疫苗可以将公共医疗从私有化的流行中拯救出来?一个医生的治愈之触说明一切。
Q3 Nursing Pub Date : 2023-02-16 DOI: 10.2174/18749445-v16-e230216-2022-162
B. T., S. Biju
Crumbling walls, cramped and crowded spaces, dirty floors, scurrying rodents, the long wait, and neglect - are these the first things that come to your mind when you think of a government health care facility? You would be surprised to know that there is a stellar exception to this disappointing picture, right here in our small state of Kerala in India. A grand reception, beautiful wall art, and a children’s play area- this is how the Punalur Taluk Hospital greets its visitors. If you are sceptical of the outer polish, then the quality of service offered and the inspiring work environment here are sure to convince you otherwise. All it took was one person’s unique vision and his unflinching commitment to it. Dr. Shahirshah is the man behind the scene. His relentless work and farsightedness have transformed the unassuming taluk hospital into a beacon of humanitarian healthcare. As the People’s Plan Campaign basks in the pink of its Silver Jubilee, Dr. Biju Terrence and Dr.Biju S.K., have a passionate conversation with Dr.Shah on how he developed a sustainable democratic public healthcare by integrating local people into its planning. Excerpts from the interview:
摇摇欲坠的墙壁、拥挤的空间、肮脏的地板、匆匆忙忙的啮齿动物、漫长的等待和忽视——当你想到政府医疗机构时,这些是你首先想到的吗?如果你知道这幅令人失望的画面中有一个明显的例外,你会感到惊讶,就在我们印度的喀拉拉邦。盛大的招待会、美丽的壁画和儿童游乐区——这就是Punalur Taluk医院迎接游客的方式。如果你对外表持怀疑态度,那么这里提供的服务质量和鼓舞人心的工作环境肯定会让你信服。所需要的只是一个人独特的愿景和他对愿景的坚定承诺。Shahirshah博士是幕后的人。他坚持不懈的工作和远见卓识将这家不起眼的塔鲁克医院变成了人道主义医疗的灯塔。在人民计划运动迎来银禧之际,Biju Terrence博士和Biju s.K.博士与Shah博士就他如何通过将当地人纳入计划来发展可持续的民主公共医疗进行了热烈的交谈。采访摘录:
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引用次数: 0
Assessment of Impact of Spasticity on Activities of Daily Living in Multiple Sclerosis Patients from Saudi Arabia: A Cross-sectional Study 评估痉挛对沙特阿拉伯多发性硬化症患者日常生活活动的影响:一项横断面研究
Q3 Nursing Pub Date : 2023-02-15 DOI: 10.2174/18749445-v16-e230111-2022-98
Mansour A Alghamdi, Khaled Abdulwahab Amer, Abdulrahman Ali S Aldosari, Razan Saeed Al-Maalwi, Sereen Dhafer Al-Muhsin, Arwa Abdulwahab Amer, Shahd Abdulhakeem Al hamdan, Ahmed H. Sakah, Mohammed Abadi Alsaleem, Laith N. AL Eitan
Introduction: Multiple sclerosis (MS) is a chronic progressive autoimmune disease with several symptoms, including spasticity. This study aimed to illustrate the impact of spasticity on the daily activities of MS patients. Subjects and Methods: A cross-sectional study was conducted using a self-administered questionnaire consisting of demographic, clinical characteristics, and MS spasticity scale. A total of 286 patients from Saudi Arabia participated in this study. Results: Muscle stiffness occurring due to spasticity in most cases does not bother the patient, except for muscle tightness (32.9%) and stiffness when staying in the same position for a long time (36.7%), which cause extreme discomfort to the patients. Five items of pain and discomfort have been reported to extremely bother the patients (28.0-33.6%). The highest percentage of patients claimed not to be affected by muscle spasm items (29.4%-66.1%), including activities of dressing and sleeping (36.7%-57.7%). More than 30% of the patients found spasticity to affect their walking speed and going up/downstairs. About 36% to 49% did not experience any difficulties with their body movements. The patients also did not exhibit any feelings of discomfort, except for irritation (30.4%) and nervousness (29.4%). Conclusion: MS patients are significantly affected by spasticity, and a considerable percentage of these patients experience problems with their movements and activities.
简介:多发性硬化症(MS)是一种慢性进行性自身免疫性疾病,有几种症状,包括痉挛。本研究旨在阐明痉挛对MS患者日常活动的影响。研究对象和方法:采用人口统计学、临床特征和多发性硬化症痉挛量表组成的自填问卷进行横断面研究。来自沙特阿拉伯的286例患者参与了本研究。结果:痉挛引起的肌肉僵硬在大多数情况下对患者没有影响,但肌肉紧绷(32.9%)和长时间保持同一体位时的肌肉僵硬(36.7%)会给患者带来极大的不适。有5项疼痛和不适对患者造成极大困扰(28.0 ~ 33.6%)。最高比例的患者声称不受肌肉痉挛项目的影响(29.4%-66.1%),包括穿衣和睡眠活动(36.7%-57.7%)。超过30%的患者发现痉挛影响了他们的行走速度和上下楼梯。约36%至49%的人在身体活动方面没有任何困难。除了刺激(30.4%)和紧张(29.4%)外,患者也没有表现出任何不适的感觉。结论:多发性硬化症患者明显受到痉挛的影响,其中相当大比例的患者在运动和活动方面存在问题。
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引用次数: 0
The COVID Effect: Making a Case for Uniform Accreditation among Healthcare Leadership 新冠肺炎的影响:为医疗保健领导层的统一认证提供理由
Q3 Nursing Pub Date : 2023-02-10 DOI: 10.2174/18749445-v16-e230208-2022-180
Huzaifa A. Shakir
The COVID pandemic has revealed much that we as a medical community did not know about a strain of the virus. More revealing, however, is what the COVID pandemic has revealed about the blueprint of our medical community and our society at large. Much was spoken and written in recent months about the failures of leadership at the international and state levels. Interestingly, online medical bulletins have also detailed the financial windfall for for-profit health systems such as HCA [1] as well as the staffing shortages and union challenges in other systems such as Tenet [2]. C-Suite leaders have shuffled from one facility to the next in the face of consolidation and a reset of organizational priorities. What is lacking from much of this debate and discussion, is hard and objective, accountability for the effects of the pandemic on hospital staff. As physicians on the front line of the worst pandemic in a century, doctors are still required to maintain active medical licenses, board certification, high-quality care, as well as an extremely high level of professionalism at work and outside. As a Cardiothoracic Surgeon, I would not perform heart or lung surgery without the necessary surgical equipment or supplies, such as suture, gauze, forceps. Why then during the height of the pandemic were providers forced to re-use masks, hats, and face shields? Why did the use of PAPR respirators require letters of appeal and training after the pandemic had already begun? While the lack of physical beds and ventilators along with poor staffing levels is also contributory, it is management’s lack of empathy and frontline presence which has led to widespread resignations as a result of depressed morale and burnout [3]. This can easily be chalked up to a “Tsunami”-like a phenomenon that nobody could have expected and, thus, nobody was prepared for. However, as a surgeon on call, there is a reasonable expectation that at some point, one will get a phone call for an emergency, and thus, should be prepared. Granted, the frequency of those emergencies will likely affect the desired consistency of the
新冠肺炎疫情揭示了我们作为医学界对一种病毒株所不了解的许多情况。然而,更具启发性的是,新冠肺炎疫情揭示了我们医学界和整个社会的蓝图。近几个月来,关于国际和国家层面领导层的失败,人们议论纷纷。有趣的是,在线医疗公告还详细介绍了HCA[1]等营利性医疗系统的意外之财,以及Tenet[2]等其他系统的人员短缺和工会挑战。面对整合和组织优先事项的重置,高管们已经从一个机构转移到另一个机构。这场辩论和讨论中缺乏的是对疫情对医院工作人员影响的严格和客观的问责。作为一个世纪以来最严重的疫情前线的医生,医生仍然需要保持有效的医疗执照、董事会认证、高质量的护理,以及在工作和外部极高的专业水平。作为一名心胸外科医生,如果没有必要的手术设备或用品,如缝合线、纱布、钳子,我不会进行心脏或肺部手术。为什么在疫情最严重的时候,供应商被迫重复使用口罩、帽子和面罩?为什么在疫情已经开始后,PAPR呼吸器的使用需要上诉信和培训?虽然缺乏物理床和呼吸机以及人员配备水平低下也是原因之一,但正是管理层缺乏同理心和一线存在,导致了士气低落和倦怠导致的广泛辞职[3]。这很容易被归结为“海啸”——就像一种没有人预料到的现象,因此,没有人做好准备。然而,作为一名随叫随到的外科医生,有一种合理的预期,即在某个时候,人们会接到紧急情况的电话,因此,应该做好准备。诚然,这些紧急情况的频率可能会影响
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引用次数: 0
Perceived Stress and Association with Sociodemographic, Interpersonal Relationship and COVID-19 Lockdown Related Stress in South Africa 南非的感知压力及其与社会人口、人际关系和COVID-19封锁相关压力的关系
Q3 Nursing Pub Date : 2023-01-16 DOI: 10.2174/18749445-v16-e230116-2022-106
M. Maepa, Atholl Kleinhans, A. Lentoor
COVID-19 pandemic was declared a global public health emergency in March 2020. South Africa, like many countries, was not spared from this pandemic. In March 2020, the president announced a nationwide lockdown with social restrictions aimed to curb the spread of the virus. Such lockdown restrictions disrupted the normal day to day life for South Africans, leading to personal stress. The current study aimed to explore perceived stress and lockdown related stress among South African adults during the first wave of COVID 19. This study was cross-sectional in nature, using a sample of 203 adult males and females who were selected using a convenience sampling method on online social media platforms such as WhatsApp and Facebook. Participants completed an online survey that assessed socio-demographic information, perceived stress and lockdown related stress. A significant statical difference between males and females regarding their experience of lockdown related stress t (281) = 1.35, p < .004 was found. Relationship status was also significant for lockdown related stress t (281) = -2.02, p< .001 and perceived stress t= (281) = -.08, p< .000. No significant statistical difference between young and older adults in their experience of lockdown related stress and perceived stress was found. Male participants reported more lockdown related stress, while female participants reported more perceived stress. There were no age differences in lockdown related stress and perceived stress. People without intimate relationships reported more lockdown related stress and perceived stress than people with intimate relationships.
新冠肺炎疫情于2020年3月被宣布为全球突发公共卫生事件。与许多国家一样,南非也未能幸免于这场疫情。2020年3月,总统宣布在全国范围内实施封锁,并采取社会限制措施,以遏制病毒的传播。这种封锁限制扰乱了南非人的正常日常生活,导致了个人压力。目前的研究旨在探索第一波新冠肺炎疫情期间南非成年人的感知压力和封锁相关压力。这项研究是横断面的,使用了203名成年男性和女性的样本,他们是在WhatsApp和Facebook等在线社交媒体平台上使用方便抽样方法选择的。参与者完成了一项在线调查,评估了社会人口统计信息、感知压力和与封锁相关的压力。男性和女性在经历封锁相关压力方面存在显著的统计学差异,t(281)=1.35,p<.004。与封锁相关的压力t(281)=-2.02,p<.001,感知压力t=(281)=-.08,p<.000的关系状态也很显著。年轻人和老年人在经历与封锁相关的压力和感知压力方面没有发现显著的统计差异。男性参与者报告了更多与封锁相关的压力,而女性参与者则报告了更多的感知压力。与封锁相关的压力和感知压力没有年龄差异。与有亲密关系的人相比,没有亲密关系的人群报告了更多与封锁相关的压力和感知压力。
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引用次数: 0
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Open Public Health Journal
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