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Ayurveda Medicinal Herbs and Their Role in Sars-Cov-2 Pandemic’s Positive and Progressive Outcome Manifestation 阿育吠陀草药及其在Sars-Cov-2大流行的积极进展结局表现中的作用
Pub Date : 2023-07-10 DOI: 10.32789/publichealth.2022.1004
B. Nesamany, A. Cheng, D. Klokol, J. See, M. Chan, M. Wong
The massive loss of human lives resulting from the SARS-CoV-2 infection shifted the focus to glaring data that pointed to fatality among humans with poor immunity and comorbidity. In these subjects, the SARS-CoV-2’s pathophysiology manifestation was seen to be significantly more alarming than that in subjects who had no comorbidities or major immunity issues. This presented an overdue wake-up call to mankind to actively participate in strengthening immunity, overall wellness maintenance which allows comorbidity management or better, prevention. Food as the major source to serve nutritional needs appears to be a compromised phenomenon. SARS-CoV-2 pandemic presented a harsh reminder that now is the best time to be inclusive of herbs to human lifestyle alongside physical activities and hygiene. This led to an enlarged worldwide interest in traditional medicine. Traditional Indian medicine, Ayurveda, stands as the most ancient yet living tradition, garnered spotlight for being positively and progressively contributing its therapies aiding SARS-CoV-2 pandemic. These further gains weight with more research and a science-based approach. It is inevitable that it still requires more research and evidence-based efforts to fill the prevalent gap. This review was conducted to gain insight into Ayurveda herbal inclusion to SARS-CoV-2 infection management and the outcomes captured. This review aims to encapsulate the efforts documented and explorative data made available. The hope is for this review to make available the option, probability of an inclusive solution that may be considered to co-stand with allopathy in efforts taken to improve human immunity as a prophylaxis measure, at a larger scale. The review led to a hopeful acceptance of Ayurveda medicinal herbs and their role in SARS-CoV-2 management as positive and reassuring. Keywords: Ayurveda, Covid-19, pandemic, alternative medicine
SARS-CoV-2感染造成的大量人员死亡,将焦点转移到那些表明免疫力低下和合并症患者死亡的明显数据上。在这些受试者中,SARS-CoV-2的病理生理表现明显比没有合并症或重大免疫问题的受试者更令人担忧。这给人类敲响了一个姗姗来迟的警钟,要积极参与增强免疫力,全面维护健康,从而实现合并症的管理或更好的预防。食物作为满足营养需求的主要来源似乎是一种妥协的现象。SARS-CoV-2大流行严峻地提醒我们,现在是将草药纳入人类生活方式以及体育活动和卫生的最佳时机。这导致全世界对传统医学的兴趣扩大。印度传统医学阿育吠陀(Ayurveda)是最古老但仍然存在的传统,因其积极和逐步地为治疗SARS-CoV-2大流行做出贡献而受到关注。通过更多的研究和以科学为基础的方法,这些会进一步增加体重。不可避免的是,它仍然需要更多的研究和基于证据的努力来填补普遍的差距。本综述旨在深入了解阿育吠陀草药纳入SARS-CoV-2感染管理和捕获的结果。本综述的目的是概括已记录的工作和已获得的探索性数据。希望这次审查能够提供一种选择,即一种包容性解决方案的可能性,这种解决方案可以考虑与对抗疗法共同努力,在更大范围内提高人体免疫力,作为一种预防措施。这项审查使人们有希望接受阿育吠陀草药及其在SARS-CoV-2管理中的作用,认为它们是积极和令人放心的。关键词:阿育吠陀,新冠肺炎,大流行,替代医学
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引用次数: 0
A Qualitative Study on Burnout and Compassion Fatigue among Counselors and Therapists 心理咨询师与治疗师职业倦怠与同情疲劳的质性研究
Pub Date : 2023-07-10 DOI: 10.32789/publichealth.2022.1007
Anjali Grewal, Mrinmoy Roy
Therapists and counselors are at high risk of developing secondary trauma, burnout, and compassion fatigue. Continuous exposure to the trauma and pain of patients can have a negative impact on the wellbeing of therapists. Burnout is a state of mental, physical, and emotional exhaustion brought on by accumulated stress. Compassion fatigue is a condition in which someone becomes numb to the suffering of others and is unable or less able to display empathy towards them. The World Health Organization defines burnout as an occupational phenomenon that should not be applied to describe experiences in other areas of life. Burnout is included in the International Classification of Diseases 11 as an occupational phenomenon resulting from unmanaged, chronic workplace stress. Professional burnout is a multidimensional condition that includes exhaustion, detachment, and professional efficiency (Maslach burnout inventory). When counselors and therapists experience burnout, their patients are also negatively affected. Understanding the extent and incidence of burnout and compassion fatigue among therapists and counselors is the study's principal goal. A qualitative method-based study including therapists and counselors based in Bangalore, India. Detailed, semi-structured face-to-face (online) interviews were conducted through open ended questions with the help of an interview guide based on social situation, economic situation, and personal characteristics. A thematic analysis was undertaken. The majority of them explained difficulties faced in compartmentalizing work and personal life in the initial years of work, economic and family responsibilities associated with burnout, empathizing with clients more due to similar personal experiences, increased workload, and the Jesus complex. Keywords: burnout, compassion fatigue, counselor, therapists, exhaustion
治疗师和咨询师有很高的风险发展为继发性创伤、倦怠和同情疲劳。持续接触病人的创伤和痛苦会对治疗师的健康产生负面影响。倦怠是一种由累积的压力引起的精神、身体和情感上的疲惫状态。同情疲劳是指一个人对他人的痛苦变得麻木,不能或更少地对他们表现出同情。世界卫生组织将职业倦怠定义为一种职业现象,不应用于描述生活其他领域的经历。职业倦怠被列入《国际疾病分类》11,是一种因长期工作压力而导致的职业现象。职业倦怠是一种多维状态,包括疲惫、超然和职业效率(Maslach职业倦怠量表)。当咨询师和治疗师经历倦怠时,他们的病人也会受到负面影响。了解治疗师和咨询师中倦怠和同情疲劳的程度和发生率是本研究的主要目标。一项基于定性方法的研究,包括印度班加罗尔的治疗师和咨询师。详细的、半结构化的面对面(在线)访谈是在基于社会状况、经济状况和个人特征的访谈指南的帮助下,通过开放式问题进行的。进行了专题分析。他们中的大多数解释了在最初几年工作和个人生活分开时面临的困难,与倦怠相关的经济和家庭责任,由于相似的个人经历而更多地同情客户,工作量增加,以及耶稣情结。关键词:倦怠,同情疲劳,咨询师,治疗师,疲劳
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引用次数: 0
Braving Uncertainty in the Quest for a Cure: Cancer Care Access During the COVID-19 National Lockdown 勇敢地寻求治愈的不确定性:在COVID-19国家封锁期间获得癌症护理
Pub Date : 2023-07-10 DOI: 10.32789/publichealth.2022.1012
Dindi Kuru
This paper examines cancer care access during the nationwide lockdown due to COVID-19 in two states of India’s northeast. A semi-structured interview was conducted by purposive sampling of fifteen participants with cancers of the oral, lungs, stomach, breast and cervix, six key informant oncologists and four Non-Governmental Organizations (NGOs) facilitating cancer services. Ethical clearances were received from the study institutes. The data was coded and transcribed verbatim on emerging themes. The emerging themes were treatment delay, financial constraint, alternative medicine and bridging gaps by NGOs. Whereas, if financial status hampered access, harassment on availing care was encountered with choosing herbal medication in fear of chemotherapy, surgery and testimonials of relatives. However, support through NGO collaborations enhanced care efficiency for the health systems and cancer patients alike during the challenging times due to the COVID-19 pandemic. Lessons learnt during the COVID-19 pandemic extend beyond the functioning of a robust health system. Collaboration via sectors became pronounced during this uncertainty, thus, emerging resource pooling and zeal to take charge of one’s health. Cancer institutes could magnify these lessons on strengthening health systems for combating unforeseen pandemics. Keywords: cancer, COVID-19, India
本文研究了印度东北部两个邦因COVID-19而全国封锁期间的癌症护理获取情况。我们进行了一项半结构化的访谈,有目的的抽样调查了15名患有口腔癌、肺癌、胃癌、乳腺癌和子宫颈癌的受访者、6名主要的信息提供者肿瘤学家和4家提供癌症服务的非政府机构。从研究机构获得了伦理许可。对新出现的主题进行了逐字编码和转录。新出现的主题是治疗延误、财政紧张、替代医学和非政府组织弥合差距。然而,如果经济状况阻碍了获得护理,则在选择草药时遇到骚扰,因为害怕化疗,手术和亲属的证明。然而,在COVID-19大流行带来的挑战时期,通过非政府组织合作提供的支持提高了卫生系统和癌症患者的护理效率。在2019冠状病毒病大流行期间汲取的经验教训超出了强大卫生系统的运作。在这种不确定性期间,各部门之间的合作变得明显,因此出现了资源集中和负责个人健康的热情。癌症研究机构可以放大这些经验教训,加强卫生系统,抗击不可预见的流行病。关键词:癌症,COVID-19,印度
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引用次数: 0
Cost Analysis of the Blood Collection at the Patient’s Home Compared with the Blood Collection at the Hospital 患者在家采血与医院采血的成本分析
Pub Date : 2023-07-10 DOI: 10.32789/publichealth.2022.1010
Tarit Taerakul, K. Pongpirul, Sathit Niramitmahapanya, Ithirit Chaowaleard, Panida Yuphet, Krisana Arsayot
The cost data of the home blood collection project was compared with the current blood collection service. Using direct and indirect cost data from full cost data, including output data for the number of outpatient services, and assessing the cost per unit cost or average cost of services together with the standard costing method of calculating the cost of medical services. Only the cost per unit of medical technology services, medical record and statistics services, and finance and accounting services were calculated. The cost per visit for blood collection services was 21.37 USD. The direct non-medical costs of the blood collection service at the hospital were 30.62 USD. The cost structure of the blood collection at the hospital is mostly fixed (95% of the total cost) and only 5 percent is variable, while the home service can save the cost by about 50% (the cost at the hospital is 30.62 USD, compared to 15.34 USD at home). So, the blood collection at home can reduce the patient's cost burden by 50 percent and the hospital’s cost by 5 percent, as well as being able to respond to the policy of reducing congestion in hospitals during the pandemic situation. Keywords: home lab service, Rajavithi Hospital, new normal, cost analysis
将家庭采血项目的成本数据与目前的采血服务进行比较。利用全成本数据中的直接和间接成本数据,包括门诊次数的产出数据,结合计算医疗服务成本的标准成本计算方法,评估单位服务成本或平均服务成本。仅计算医疗技术服务、病案统计服务和财务会计服务的单位成本。每次采血服务的费用为21.37美元。医院采血服务的直接非医疗费用为30.62美元。在医院采血的成本结构大多是固定的(占总成本的95%),只有5%是可变的,而在家服务可以节省约50%的成本(在医院的成本为30.62美元,而在家的成本为15.34美元)。因此,在家采血可以减少病人50%的成本负担,医院5%的成本负担,并且能够在疫情期间响应减少医院拥挤的政策。关键词:家庭实验室服务,拉贾维提医院,新常态,成本分析
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引用次数: 0
Environmental Health Risk Assessment Carcinogen and Non-Carcinogen Analysis: Arsenic in Rice 环境健康风险评估:致癌物与非致癌物分析:稻米中的砷
Pub Date : 2023-07-10 DOI: 10.32789/publichealth.2022.1008
D. Islamiati, D. A. Putri
Rice is the staple food of most Indonesian people. The process of planting rice using pesticides can cause contamination, one of which is arsenic contamination. Arsenic is a heavy metal that can cause various health problems such as disorders of the nervous system, respiratory system, digestive system, cardiovascular and kidney. This study aims to assess the health risks of both carcinogenic and non-carcinogenic risks due to consumption of rice containing arsenic. This research uses environmental health risk analysis method. The sample in this study amounted to 9 samples of rice which were analyzed by the Inductively Coupled Plasma (ICP) method. The sample of respondents was 96 people who were taken by purposive sampling method. Through this study, it was found that the average concentration of arsenic was 0.01 mg/kg, the respondent's body weight was 45.74 kg, the frequency of exposure was 365 days, the intake rate of 200 grams and the duration of exposure adjusted for each respondent's exposure. The final result of the calculation of the carcinogenic analysis (ECR) was 1.02 X 10-4 and the non-carcinogenic analysis (RQ) was 0.29. The results of these two analyzes indicate that the consumption of rice containing arsenic is still within safe limits. Continuous efforts should be made to keep arsenic concentrations within safe limits. Keywords: Pesticides, rice, Arsenic, EHRA
大米是大多数印尼人的主食。使用农药种植水稻的过程中会造成污染,其中之一就是砷污染。砷是一种重金属,可引起神经系统、呼吸系统、消化系统、心血管和肾脏等各种健康问题。本研究旨在评估食用含砷大米的致癌风险和非致癌风险。本研究采用环境健康风险分析方法。采用电感耦合等离子体(ICP)法对9个水稻样品进行了分析。调查对象为96人,采用目的抽样法。通过本研究发现,砷的平均浓度为0.01 mg/kg,被调查者的体重为45.74 kg,暴露频率为365天,摄入量为200克,并根据每个被调查者的暴露调整暴露时间。最终计算的致癌分析(ECR)结果为1.02 X 10-4,非致癌分析(RQ)结果为0.29。这两项分析结果表明,含砷大米的消费量仍在安全范围内。应继续努力将砷浓度控制在安全范围内。关键词:农药,水稻,砷,EHRA
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引用次数: 0
“It Is Food for The Soul...”: An Investigation on The Malaysian Intensive Care Nurses’ Perceptions of Spiritual Care “这是心灵的食粮……:马来西亚重症监护护士对精神关怀认知的调查
Pub Date : 2023-07-10 DOI: 10.32789/publichealth.2022.1006
A. A. Baharudin, M. S. Nurumal
Evidence shows that critically ill patients and their family members have spiritual needs in the intensive care unit. Spirituality is an abstract concept in the clinical field. Its subjective nature makes the aspects of care that are provided by the clinicians suboptimal. This article is a preliminary report of a qualitative study that was conducted to explore the perceptions of the intensive care nurses on spirituality and the care that they gave to the patients and their family members. Interviews were conducted with nurses who worked in a 25-bed intensive care unit of a tertiary government hospital in Malaysia. Data from the discussions was recorded and transcribed. Thematic analysis was used to generate codes and themes. A total of 18 nurses were included in this study. The central theme, interfaith connection, emerged through three themes: 1) Spirituality and illness are interconnected to healing; 2) Classification of spiritual care interventions in the intensive care unit; and 3) Intercepting barriers. Conclusions Nurses deemed spiritual care beneficial to critically ill patients and their family members. Barriers to spiritual care can be overcome with a model of spirituality. Further research is needed to explore the experiences of the critically ill patients and their family members in receiving care in the intensive care unit, particularly in addressing their spiritual needs and ensuring their mental health. Further studies should also include the perceptions of other professionals in intensive care in order to develop a concise model of spirituality and spiritual care in the intensive care context. Keywords: Nursing, health, spirituality, religion, critical care, mental health
有证据表明,危重病人及其家属在重症监护室有精神需求。灵性在临床领域是一个抽象的概念。它的主观性使得临床医生提供的护理方面不够理想。本文是一项质性研究的初步报告,旨在探讨重症监护护士对灵性的认知以及他们对病人及其家属的护理。对在马来西亚一家三级政府医院的25个床位的重症监护室工作的护士进行了访谈。讨论的数据被记录下来并转录。主题分析用于生成代码和主题。本研究共纳入18名护士。中心主题,跨信仰的联系,通过三个主题出现:1)精神和疾病与治疗有关;2)重症监护病房精神护理干预措施的分类;3)拦截障碍物。结论护士认为精神关怀对危重病人及其家属有益。精神关怀的障碍可以通过灵性模式来克服。需要进一步的研究来探索危重病人及其家属在重症监护室接受护理的经历,特别是在满足他们的精神需求和确保他们的心理健康方面。进一步的研究还应包括重症监护其他专业人员的看法,以便在重症监护背景下建立一个简明的灵性和精神护理模型。关键词:护理,健康,灵性,宗教,重症监护,心理健康
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引用次数: 0
The Impact of the COVID-19 Pandemic on Child Health: A Case Study in Japan 新冠肺炎疫情对儿童健康的影响:以日本为例
Pub Date : 2023-07-10 DOI: 10.32789/publichealth.2022.1005
N. Yamano
This study examines the impact of COVID-19 on child and parent health and the institutes’ support for children with difficulties during the pandemic in Japan. Two surveys were implemented from October to November 2020. The “Parents and Children” survey included questions about demographic and household characteristics, the impact of COVID-19 on work and daily life, applications for financial support, relations with children and partners, and health conditions. The final sample comprised 2,582 parents with a child aged 0–18 and 1,032 children aged 9–18. The “Institutions” survey included questions about the impact of COVID-19 on services and cooperation with other related institutions. The final sample comprised 2,298 institutions responsible for education or healthcare services. The response rate was relatively high compared with similar surveys: 53.0% for maternal and child health divisions and 56.5% for child consultation centers. The parents’ and children’s survey revealed that around 90% of children felt stressed during the pandemic. The institutions’ survey revealed that child consultation centers received a greater number of inquiries about children’s sexual behavior problems and game addiction. A preventive social work approach is required to give a greater level of support to all children, even in unusual situations like the COVID-19 pandemic. Keywords: COVID-19, social work, child health
本研究考察了COVID-19对儿童和父母健康的影响,以及各机构在日本大流行期间为有困难的儿童提供的支持。2020年10月至11月进行了两次调查。“父母与子女”调查的问题包括人口和家庭特征、COVID-19对工作和日常生活的影响、经济支持申请、与子女和伴侣的关系以及健康状况。最后的样本包括2582名0-18岁孩子的父母和1032名9-18岁孩子的父母。“机构”调查的问题包括COVID-19对服务的影响以及与其他相关机构的合作。最后的样本包括2298个负责教育或医疗服务的机构。与同类调查相比,回复率相对较高:妇幼保健部门的回复率为53.0%,儿童咨询中心的回复率为56.5%。父母和儿童的调查显示,大约90%的儿童在大流行期间感到压力。这些机构的调查显示,儿童咨询中心收到了更多关于儿童性行为问题和游戏成瘾的咨询。需要采取预防性社会工作方法,为所有儿童提供更高水平的支持,即使在COVID-19大流行等异常情况下也是如此。关键词:COVID-19,社会工作,儿童健康
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引用次数: 0
Analyzing the Effectiveness of Vaccination as a Preventive Measure in Combating COVID-19 and Recommendations for Future Health Emergencies in India 分析疫苗接种作为预防措施在抗击COVID-19中的有效性以及对印度未来突发卫生事件的建议
Pub Date : 2023-07-10 DOI: 10.32789/publichealth.2022.1003
Avani Saraswat, Tejal Varekar
In order to mitigate the impact of the COVID-19 pandemic, India launched the world’s most extensive vaccination drive. Almost 1.9 billion vaccination doses were given until May 13, 2022, since the beginning of the drive, with 1 billion people vaccinated for the first dose and 0.87 billion people for the second dose. The objective of the study is to analyze the impact of vaccination on the control of SARS-CoV-2 infection. The secondary data was obtained by the World Health Organization for COVID-19 cases and the Ministry of Health and Family Welfare for vaccination from January 22, 2022, to May 13, 2022. Exponential regression was performed for total cumulative vaccinations (18 years and older received at least one dose) as an independent variable and the rate of COVID infection (0.1million per week) as a dependent variable. The p-value is 0.001, with a negative slope emphasizing that the correlation is significant for the selected time period. Further, the predictive model with R2 = 0.96 shows the model is best fitted. The mathematical model supports the role of vaccination in decreasing cases of COVID-19. Predicting the rate of occurrence of infection against the backdrop of a vaccination drive can be a valuable tool for assessing vaccine effectiveness and planning for future actions. Keywords: COVID-19, vaccination, health emergencies, preventive measures
为了减轻COVID-19大流行的影响,印度发起了世界上最广泛的疫苗接种运动。自运动开始以来,截至2022年5月13日,已接种了近19亿剂疫苗,其中10亿人接种了第一剂疫苗,8.7亿人接种了第二剂疫苗。本研究的目的是分析疫苗接种对控制SARS-CoV-2感染的影响。次要数据由世界卫生组织和卫生和家庭福利部获得,用于2022年1月22日至2022年5月13日的疫苗接种。将总累积疫苗接种(18岁及以上接种至少一剂)作为自变量,将COVID感染率(每周10万)作为因变量,进行指数回归。p值为0.001,负斜率强调相关性在选定的时间段内是显著的。预测模型R2 = 0.96表明模型拟合最佳。该数学模型支持疫苗接种在减少COVID-19病例中的作用。在疫苗接种运动的背景下预测感染发生率可成为评估疫苗有效性和规划未来行动的宝贵工具。关键词:COVID-19,疫苗接种,突发卫生事件,预防措施
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引用次数: 0
Assessing Health Care Students' Knowledge, Attitude, and Preparedness Towards Monkeypox 评估卫生保健学生对猴痘的知识、态度和准备
Pub Date : 2023-07-10 DOI: 10.32789/publichealth.2022.1013
Reddem Jalaja Reddy, Mrinmoy Roy, T. G. Teja, Dr. R. Sarala
During the covid-19 pandemic, many people don’t know the causes, effects, and modes of transmission of the new virus, and the entire world is in a panic state. According to the World Health Organization (WHO), monkeypox is currently on the rise and has spread to Africa. An orthopoxviral based zoonotic illness known as monkeypox causes a smallpox-like vesicular pustular illness in humans. The evolution of monkeypox, epidemiology, with a focus on the number of confirmed, likely, and/or potential cases, age at presentation, mortality, and geographic distribution of cases across West and Central Africa, has been discovered through systematic analysis of the research and published literature. Healthcare practitioners worldwide are attempting to become familiar with the varied clinical manifestations and therapy for this infection, and public health organizations are also seeking to contain the current outbreak. Keywords: Monkeypox; epidemiology; pandemic; preparedness; mortality
在2019冠状病毒病大流行期间,许多人不知道这种新病毒的病因、影响和传播方式,整个世界都处于恐慌状态。据世界卫生组织(WHO)称,猴痘目前呈上升趋势,并已蔓延到非洲。猴痘是一种基于正痘病毒的人畜共患疾病,在人类中引起一种类似天花的水疱性脓疱疾病。通过对研究和已发表文献的系统分析,发现了猴痘的演变、流行病学,重点是确诊、可能和/或潜在病例的数量、发病年龄、死亡率以及西非和中非病例的地理分布。世界各地的医疗从业者都在努力熟悉这种感染的各种临床表现和治疗方法,公共卫生组织也在努力控制当前的疫情。关键词:猴痘;流行病学;大流行;准备;死亡率
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引用次数: 0
Self-care Behavior and Associated Factors among Type 2 Diabetes Mellitus Patients with Peripheral Neuropathy Symptoms: A Mixed-Methods Study 伴有周围神经病变症状的2型糖尿病患者的自我护理行为及其相关因素:一项混合方法研究
Pub Date : 2023-07-10 DOI: 10.32789/publichealth.2022.1001
Laode Saltar, J. Sahar, Etty Rekawati
This study aimed to explore perceptions, experiences, barriers, and support in performing self-care and to find out the factors associated with the self-care behavior of type 2 diabetes mellitus (T2DM) patients with symptoms of peripheral neuropathy. This exploration study used a two-phase sequential mixed-methods approach. A total of 12 participants were involved in Phase 1 (the qualitative study), with data analysis using the Colaizzi model steps. A total of 118 patients with T2DM were involved in Phase 2. Bivariate data analysis used Spearman correlation tests with a 95% confidence interval and significance set at p<0.05. Five themes were found in Phase 1 of the study: perceptions of diabetes self-management, blood sugar control efforts, blood sugar control barriers, perceived disturbances, and social support. A total of 59% of diabetes self-care behaviors were below the median. Significant correlations were found between diabetes self-care behavior and self-efficacy (p =0.000; r =0.662), quality of life (p =0.003; r =0.270), and family support (p =0.000; r =0.490). The self-care behavior of T2DM patients with symptoms of peripheral neuropathy was mostly poor. Self-efficacy, quality of life, and family support were related to self-care behavior. Appropriate, accessible, and sustainable program support is needed from policymakers to improve self-care behavior and related factors in T2DM patients with symptoms of peripheral neuropathy. Keywords: type 2 diabetes mellitus, peripheral neuropathy, self-care behavior, mixed-methods study
本研究旨在探讨伴有周围神经病变症状的2型糖尿病(T2DM)患者自我护理的认知、经历、障碍和支持,并探讨影响其自我护理行为的因素。本探索性研究采用两阶段顺序混合方法。第一阶段(定性研究)共有12名参与者参与,数据分析采用Colaizzi模型步骤。2期试验共纳入118例T2DM患者。双变量数据分析采用Spearman相关检验,95%置信区间和显著性设置为p<0.05。在第一阶段的研究中发现了五个主题:糖尿病自我管理的认知、血糖控制的努力、血糖控制的障碍、感知的干扰和社会支持。共有59%的糖尿病患者自我护理行为低于中位数。糖尿病患者自我护理行为与自我效能感呈显著相关(p =0.000;R =0.662)、生活质量(p =0.003;R =0.270),家庭支持(p =0.000;r = 0.490)。伴有周围神经病变症状的T2DM患者自我护理行为多较差。自我效能感、生活质量和家庭支持与自我照顾行为相关。决策者需要适当的、可获得的和可持续的项目支持来改善伴有周围神经病变症状的T2DM患者的自我保健行为和相关因素。关键词:2型糖尿病,周围神经病变,自我保健行为,混合方法研究
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引用次数: 0
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Conference Proceedings of the 4th International Conference on Public Health and Well-being
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