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Improving well-being in dementia care for clients and carers 改善痴呆症患者和护理人员的福祉
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-09-23 DOI: 10.1108/JPMH-05-2020-0039
Rhonda Riachi, Sally Markwell
Purpose This paper aims to highlight the results and emerging themes from a study concerning the effect of communication techniques that were tailored to each client in relation to the extent of their dementia. Dementia was viewed by the care workers primarily as a memory disability. Design/methodology/approach A short qualitative study of the communication techniques of care workers in England, who had received training in dementia care and some training in the SPECAL® method (Specialised Early Care for Alzheimer’s),was conducted through semi-structured interviews. Resulting data were analysed using a constructivist grounded theory approach. Findings Continued application of the SPECAL techniques appeared to reinforced clients’ sense of well-being and produced benefits for care workers’ own well-being. Research limitations/implications This small qualitative study suggests there can be beneficial effects for both clients and the care team when care workers tailor their communication behaviour to the needs of people with dementia. Further research on communication techniques in dementia care is needed and how these benefits might be translated into institutional settings. Originality/value Few research studies have been made of the SPECAL dementia care method, and this study was the first to look explicitly at the communication techniques that the care workers used with clients. Public health professionals are less likely to be aware of the SPECAL method.
目的本文旨在强调一项研究的结果和新出现的主题,该研究涉及针对每位客户的沟通技巧对其痴呆程度的影响。护理人员认为痴呆症主要是一种记忆障碍。设计/方法/方法通过半结构化访谈对英国护理人员的沟通技术进行了简短的定性研究,这些护理人员接受了痴呆症护理培训和SPECAL®方法(阿尔茨海默病早期专业护理)的一些培训。使用基于建构主义的理论方法对结果数据进行分析。研究结果SPECAL技术的持续应用似乎增强了客户的幸福感,并为护理人员自身的幸福感带来了好处。研究局限性/影响这项小型定性研究表明,当护理人员根据痴呆症患者的需求调整沟通行为时,可能会对客户和护理团队产生有益影响。需要进一步研究痴呆症护理中的沟通技术,以及如何将这些好处转化为机构环境。独创性/价值很少有人对SPECAL痴呆症护理方法进行研究,这项研究是第一次明确研究护理人员与客户使用的沟通技术。公共卫生专业人员不太可能知道SPECAL方法。
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引用次数: 0
Self-esteem among college students: the intersectionality of psychological distress, discrimination and gender 大学生自尊:心理困扰、歧视与性别的交叉性
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-09-21 DOI: 10.1108/JPMH-05-2020-0033
Monideepa B. Becerra, Devin Arias, Leah Cha, B. Becerra
Purpose The purpose of this study was to assess the prevalence of low self-esteem among college students and how exogenous and endogenous factors, such as experiences of discrimination and psychological distress, respectively, impact such an outcome. Design/methodology/approach General education courses were used to conduct a quantitative cross-sectional study among undergraduate college students. The primary outcome variable of interest in this study was self-esteem, which was measured using the Rosenburg’s self-esteem scale. Primary independent variable was psychological distress (measured using Kessler 6 scale). Discrimination experiences were measured using the Everyday Discrimination Scale (EDS). Descriptive, bivariate and multiple linear regressions were conducted to find associations among such variables. Findings Among 308 young adults in this study, psychological distress was significantly related to low self-esteem (s = −6.50, p < 0.001). In addition, increasing EDS score (s = −0.37, p = 0.019) and women gender (s = −1.29, p = 0.038) were also associated with low self-esteem. Research limitations/implications The study was cross-sectional and thus cannot provide causal relationship. The self-reported data is susceptible to recall bias. College students continue to face negative social experiences that impact their self-esteem, and discrimination plays a substantial role. Practical implications Gender-specific self-esteem coaching is needed among college students with psychological distress and among those with experiences of discrimination. Social implications The results of the current study provide information for understanding the role of discrimination and psychological well-being on self-esteem of college students, and thus further address the importance of social determinants of health and well-being. Originality/value This study provides a unique insight into the disparities faced by college students. Understanding self-esteem at the individualistic and collectivistic levels will allow for the planning and implementation of comprehensive interventions that address gender differences and psychological distress that will increase the positive health outcomes and decrease the negative health outcomes.
目的本研究的目的是评估大学生低自尊的普遍性,以及内外因素,如歧视经历和心理困扰,如何分别影响这一结果。设计/方法/方法通识教育课程被用于在本科生中进行定量的横断面研究。本研究感兴趣的主要结果变量是自尊,该变量使用Rosenburg自尊量表进行测量。主要自变量是心理困扰(使用Kessler 6量表测量)。使用日常歧视量表(EDS)测量歧视经历。进行描述性、双变量和多元线性回归,以找出这些变量之间的关联。研究结果在本研究的308名年轻人中,心理困扰与低自尊显著相关(s=-6.50,p<0.001)。此外,EDS评分增加(s=-0.37,p=0.019)和女性性别增加(s=-1.29,p=0.038)也与低自尊有关。研究局限性/影响该研究是横断面的,因此无法提供因果关系。自我报告的数据容易受到回忆偏差的影响。大学生继续面临影响他们自尊的负面社会经历,歧视起着重要作用。实际意义在有心理困扰的大学生和有歧视经历的大学生中,需要针对性别的自尊辅导。社会影响当前研究的结果为理解歧视和心理健康对大学生自尊的作用提供了信息,从而进一步探讨了健康和幸福的社会决定因素的重要性。独创性/价值这项研究对大学生面临的差异提供了独特的见解。了解个人主义和集体主义层面的自尊将有助于规划和实施综合干预措施,解决性别差异和心理困扰,从而增加积极的健康结果,减少消极的健康结果。
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引用次数: 4
Medical students’ attitudes towards mental health disclosure: a qualitative study 医学生心理健康信息披露态度的质性研究
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-09-21 DOI: 10.1108/JPMH-05-2020-0051
R. Christy
In 2013, the General Medical Council conducted research into best practice for supporting medical students with mental health concerns, producing a document outlining University’s duty of care. It also outlined reasons as to why medical students are susceptible to mental illness. The purpose of this paper is to explore what factors affected medical students' disclosure of mental health problems and their help-seeking behaviour today and if these differed from the GMC’s findings from 2013.,A questionnaire was issued to all University of Glasgow medical student year groups. In total, 72 people responded. All responses were then analysed by the primary researcher using Mayring’s six-step approach of systematic, rule guided qualitative text analysis.,Four main barriers to disclosure were revealed: fear of repercussions, medical student “expectations”, judgement and lack of support. Respondents feared being deemed unfit to practise, displaying “weakness” or being treated differently. They believed support provided was inadequate or inaccessible. Less than half felt the Medical School made mental health support easily available and only 11% were even aware of the GMC document. Respondents believed medical students were psychologically vulnerable due to Medical School environment, work load, “expectations” and course content. They perceived the Medical School was “a pressure cooker” for mental health problems and yet student well-being was not prioritised.,The research highlighted some key areas that universities should address, such as promoting support services available, recognising the unique stresses of the medical curriculum and the need for provision of resources that can be accessed without fear, stigmatisation or uncertainty.
2013年,总医学委员会对支持有心理健康问题的医科学生的最佳做法进行了研究,并编写了一份概述大学照顾义务的文件。报告还概述了医学生易患精神疾病的原因。本文的目的是探讨什么因素影响医学生的心理健康问题的披露和他们寻求帮助的行为,如果这些不同于GMC从2013年的调查结果。向格拉斯哥大学医学院所有年级的学生发放了一份调查问卷。总共有72人做出了回应。然后由主要研究者使用Mayring的系统性、规则指导的定性文本分析的六步方法分析所有回复。披露的四个主要障碍是:害怕后果、医学生的"期望"、判断和缺乏支持。受访者担心被认为不适合行医、表现出“弱点”或受到区别对待。他们认为所提供的支助不足或难以获得。不到一半的人认为医学院容易提供心理健康支持,只有11%的人甚至知道GMC文件。受访者认为,由于医学院的环境、工作量、“期望”和课程内容,医学生在心理上很脆弱。他们认为医学院是心理健康问题的“高压锅”,但学生的健康并没有被优先考虑。该研究强调了大学应该解决的一些关键领域,例如促进提供支持服务,认识到医学课程的独特压力,以及提供可以在没有恐惧、污名化或不确定性的情况下获得的资源的需求。
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引用次数: 2
Quality of life among patients with common mental disorders attending monk healers and primary care clinics in Thailand 泰国僧侣治疗师和初级保健诊所的常见精神障碍患者的生活质量
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-09-11 DOI: 10.1108/jpmh-01-2020-0003
S. Pengpid, K. Peltzer
Purpose Common mental disorders are not only highly prevalent in primary health-care settings but also negatively affect patients’ quality of life (QoL). This study aims to assess the levels of QoL among patients with common mental disorders seeking care from a monk healer or primary care setting and to determine the comparative QoL of users in two different types of care settings in Thailand. Design/methodology/approach Consecutively attending clients or patients (N = 1251) of three faith healing or three health centres were assessed with measures of depression, anxiety and somatization disorder and QoL. Findings The overall QoL was 67.8 and among the four QoL domains, social QoL was the highest (72.3), followed by physical QoL (69.4), environmental QoL (64.8) and psychological QoL (64.6). In adjusted linear regression analyses, sociodemographic factors, such as higher educational level, being employed, having high debt and consulting a health centre, were associated with higher overall QoL. Compared to being a client with a monk healer, patients at a health centre had a higher overall QoL, environmental and psychological QoL. Having a general anxiety or major depressive disorder was negatively associated with overall QoL and all four QoL sub-domains, whereas somatization disorder was not associated with any QoL sub-domains. Originality/value To the best of the authors’ knowledge, this is the first study to investigate QoL in common mental disorder attenders with a monk healer in comparison with primary care patients. Primary care patients with a common mental disorder had significantly higher overall QoL (p
目的常见精神障碍不仅在初级卫生保健机构非常普遍,而且对患者的生活质量(QoL)产生负面影响。本研究旨在评估从僧侣治疗师或初级保健机构寻求护理的常见精神障碍患者的生活质量水平,并确定在泰国两种不同类型的护理机构中用户的比较生活质量。设计/方法/方法连续参加三个信仰治疗中心或三个健康中心的客户或患者(N = 1251),评估抑郁、焦虑、躯体化障碍和生活质量。结果学生的总体生活质量为67.8分,其中社会生活质量最高(72.3分),其次是身体生活质量(69.4分)、环境生活质量(64.8分)和心理生活质量(64.6分)。在调整后的线性回归分析中,社会人口因素,如高等教育水平、就业、高负债和向保健中心咨询,与较高的总体生活质量有关。与僧侣治疗师相比,健康中心的患者总体生活质量、环境和心理生活质量更高。患有一般性焦虑或重度抑郁障碍与总体生活质量和所有四个生活质量子域呈负相关,而躯体化障碍与任何生活质量子域均无相关性。原创性/价值据作者所知,这是第一个调查僧侣治疗的普通精神障碍患者与初级保健患者生活质量的研究。有常见精神障碍的初级保健患者的总体生活质量显著较高(p
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引用次数: 1
Guest Editorial 客座编辑
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-09-10 DOI: 10.1108/jpmh-09-2020-108
J. Ashton, Heather Edwards
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引用次数: 0
Exploring barriers to sexual transmitted infections (STIs) and HIV testing among young black sub-Sahara African (BSSA) communities in diaspora, UK 在散居的撒哈拉以南非洲(BSSA)社区中探索性传播感染(STIs)和艾滋病毒检测的障碍
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-08-24 DOI: 10.1108/jpmh-05-2020-0038
Shinga Nicole Nyashanu, M. Nyashanu, M. Ekpenyong
Purpose: Sexual transmitted infections (STIs) are associated with high stigma leading to poor sexual health-seeking behaviour and mental health problems. Although human immunodeficiency virus (HIV) prevention has generally been successful in many communities across the world, statistics for young people have remained relatively low, especially among most affected communities such as the black sub-Sahara African (BSSA) communities. This paper aims to explore the barriers to STIs and HIV testing among young BSSA communities living in the UK. Design/methodology/approach: The research study used an explorative qualitative approach. The study included 6 focus groups comprising 10 people each (N = 60), and 12 one-to-one follow-up interviews were held with the research participants. Two one-to-one follow-up interviews were held from each focus group (N = 12). Findings: The study found that perceived risk taking, perceived HIV test embarrassment, sexual health professionals’ attitudes, perceived HIV as death sentence, limited educational awareness and general HIV stigma prevented research participants from testing and impacted on their mental health well-being. Originality/value: There is a need to increase sexual health and mental health education awareness among young BSSA communities. More importantly culturally sensitive interventions to reduce the impact of HIV stigma need to be rolled out in different diverse communities. This study is the first of its kind to look at the barriers affecting young BSSA communities in accessing sexual health testing services in the UK.
目的:性传播感染(STIs)与高耻辱感有关,导致不良的性健康寻求行为和心理健康问题。尽管人类免疫缺陷病毒(HIV)的预防在世界各地的许多社区普遍取得了成功,但年轻人的统计数字仍然相对较低,尤其是在受影响最严重的社区,如撒哈拉以南非洲黑人社区。本文旨在探讨英国年轻BSSA社区中性传播感染和艾滋病毒检测的障碍。设计/方法/方法:研究采用了探索性定性方法。该研究包括6个焦点小组,每组10人(N=60),并对研究参与者进行了12次一对一的随访访谈。每个焦点小组进行了两次一对一的随访访谈(N=12)。研究结果:研究发现,感知的风险承担、感知的艾滋病毒检测尴尬、性健康专业人员的态度、感知的艾滋病被判死刑、有限的教育意识和普遍的艾滋病污名阻碍了研究参与者进行检测,并影响了他们的心理健康。独创性/价值:有必要提高年轻BSSA社区的性健康和心理健康教育意识。更重要的是,需要在不同的不同社区推广对文化敏感的干预措施,以减少艾滋病毒污名化的影响。这项研究是同类研究中的第一项,旨在了解英国年轻BSSA社区在获得性健康检测服务方面的障碍。
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引用次数: 0
Increases of suicide rates in Kansas: results from 2009-2018 堪萨斯州自杀率上升:2009-2018年的结果
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-08-24 DOI: 10.1108/jpmh-04-2020-0027
J. Lloyd, David Oakley
Purpose The purpose of this study is to evaluate the increase in suicide rates for Kansas residents, as well as quantify the difference in suicide rates between men and women across the State of Kansas. Design/methodology/approach To evaluate increases in suicide rates, a joinpoint regression analysis was conducted to calculate the annual percentage change in suicide rates. To evaluate differences between sex characteristics, a one-way analysis of variance was conducted. Findings Results of a joinpoint regression analysis found that the annual percentage change in the suicide rates of Kansas did increase significantly between 2009 and 2018. Furthermore, the rate of suicide increase among women was greater than the suicide rate increases of men. Originality/value The value of this study provides context to the suicide literature that could allow for better local and statewide policy decisions.
本研究的目的是评估堪萨斯州居民自杀率的上升,以及量化堪萨斯州男性和女性自杀率的差异。设计/方法/方法为了评估自杀率的增加,进行了联结点回归分析来计算自杀率的年度百分比变化。为了评估性别特征之间的差异,进行了单向方差分析。一项联合点回归分析的结果发现,2009年至2018年期间,堪萨斯州自杀率的年百分比变化确实显著增加。此外,女性自杀率的上升幅度大于男性。独创性/价值本研究的价值为自杀文献提供了背景,可以为更好的地方和全州政策决策提供依据。
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引用次数: 0
Association of shift work with depression and anxiety in middle-aged adults: a large cross-sectional study among Iranian industrial manufacturing employees 中年人轮班工作与抑郁和焦虑的关系:伊朗工业制造业雇员的一项大型横断面研究
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-08-12 DOI: 10.1108/jpmh-12-2019-0103
Z. Alizadeh, H. Roohafza, A. Feizi, N. Sarrafzadegan
Purpose This study aimed to examine the association of shift work with depression and anxiety in a large sample of formal and contractual employees of a mill steel company, Isfahan, Iran. Design/methodology/approach This cross-sectional study was performed in 2014 among 3,060 formal and contractual employees of a mill steel company Isfahan, Iran, randomly selected from 16,000 people. Data gathering was done by some validated Iranian version of self-administered questionnaires including, International Physical Activity – Short Form, Effort–Reward Imbalance, Hospital Anxiety and Depression Scale. Logistic regression was used as the main statistical method. Findings The results showed individuals in the rotating shift compared with day shift had a higher risk of depression (OR: 1.43; 95% CI: 1.12–1.84). Whereas after adjustment for various confounders, this relationship was not significant (OR: 1.19; 95% CI: 0.81–1.76). Anxiety was not associated with shift work, both in crude and adjusted models (OR: 1.08; 95% CI: 0.81–1.44) and (OR: 0.90; 95% CI: 0.67–1.19), respectively. Research limitations/implications Owing to the cross-sectional design of this study, cause–effect relationships could not be inferred from our findings. All the data used in the present analysis were collected by self-administered questionnaires. Practical implications Although our findings did not show significant association between shift work and mental health, further studies are suggested for obtaining informative data worldwide in this regard among workforce particularly among industrial employees. Originality/value Few studies have addressed the effects of shift work on mental health among industrial employees worldwide, and there is no study in developing countries.
本研究的目的是在伊朗伊斯法罕一家钢铁公司的正式员工和合同制员工的大样本中研究轮班工作与抑郁和焦虑的关系。这项横断面研究于2014年在伊朗伊斯法罕一家钢铁公司的3060名正式和合同员工中进行,随机选择了16,000人。数据收集是通过一些经过验证的伊朗版自我管理问卷完成的,包括国际体育活动-简短形式,努力-奖励不平衡,医院焦虑和抑郁量表。采用Logistic回归作为主要统计方法。结果显示,与白班相比,轮班的个体患抑郁症的风险更高(OR: 1.43;95% ci: 1.12-1.84)。然而,在对各种混杂因素进行调整后,这种关系并不显著(OR: 1.19;95% ci: 0.81-1.76)。在粗糙模型和调整模型中,焦虑与轮班工作无关(OR: 1.08;95% CI: 0.81-1.44)和(OR: 0.90;95% CI: 0.67-1.19)。由于本研究采用的是横断面设计,因此无法从我们的研究结果中推断出因果关系。本分析中使用的所有数据都是通过自我管理的问卷收集的。虽然我们的研究结果没有显示轮班工作与心理健康之间的显著关联,但建议进一步研究,以获得全球劳动力特别是工业雇员在这方面的信息数据。很少有研究涉及轮班工作对全球工业雇员心理健康的影响,在发展中国家也没有研究。
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引用次数: 0
Public and patient involvement in research on ageing and dementia 公众和患者参与衰老和痴呆研究
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-08-10 DOI: 10.1108/jpmh-06-2020-0064
J. Ashton, C. Aldus, P. Richmond, H. Allen
Purpose This paper aims to assess the current state, and various methods, of public and patient involvement, particularly but not exclusively in research on ageing and dementia. Design/methodology/approach Interviews were carried out with a researcher, who has had a leading role in research on dementia; a public contributor with extensive relevant experience; and a member of the research design service with responsibility for patient and public involvement. Findings All those involved in the research can benefit considerably from public and patient involvement and it can make a significant difference to the course of a project. The importance of choosing an appropriate method of involvement is discussed and planning for it in both financial terms and time allowed. Examples are given of successful studies. Research limitations/implications Those who took part in the interviews were chosen for their record in furthering public and patient involvement in research. There is no attempt to compare their views with those of the wider research community. Practical implications The various ways in which patients and the public are involved in relevant research is a guide to those designing projects and those who may want to explore opportunities for involvement. Social implications Social implications include being able to influence research projects, contributors of all ages find they are valued. Originality/value The format of the paper is original, eliciting material from three viewpoints on research and involvement.
本文旨在评估公众和患者参与的现状和各种方法,特别是但不限于衰老和痴呆症的研究。设计/方法/方法与一名在痴呆症研究中起主导作用的研究人员进行了访谈;具有丰富相关经验的公众贡献者;也是研究设计服务的一员,负责病人和公众的参与。所有参与研究的人都可以从公众和患者的参与中受益匪浅,这对项目的进程有很大的影响。讨论了选择适当的参与方法的重要性,并在财务和时间允许的情况下进行了规划。文中还列举了一些成功的研究实例。研究的局限性/意义选择参与访谈的人是根据他们在促进公众和患者参与研究方面的记录。没有人试图将他们的观点与更广泛的研究界的观点进行比较。实际意义患者和公众参与相关研究的各种方式对那些设计项目的人和那些可能想要探索参与机会的人来说是一个指南。社会影响社会影响包括能够影响研究项目,所有年龄段的贡献者都发现他们受到重视。原创性/价值论文的格式是原创的,从研究和参与的三个角度引出材料。
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引用次数: 0
A case study of tri-morbidity 三发病的个案研究
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-08-06 DOI: 10.1108/jpmh-05-2020-0047
E. Player, Emily Clark, Heidi Gure-Klinke, Jennifer Walker, N. Steel
PurposeThe purpose of this paper is to highlight the vulnerability of individuals living with tri-morbidity and the complexity of care required to serve this patient group, moreover to consider how a life course approach may assist.Design/methodology/approachThis paper uses a case study of a death of a young male adult experiencing homelessness and tri-morbidity in the UK and comparison of the mortality data for homeless adults in the UK with the general population. A synopsis of the mental health and health inclusion guidance for vulnerable adults is used.FindingsThis paper found the importance of considering a life course approach and the impact of negative life events on individuals living with tri-morbidity and also the role of specialist services to support the complex needs of vulnerable adults including the importance of multi-disciplinary working and holistic care.Research limitations/implicationsThe research implications of this study are to consider how individuals living with tri-morbidity fit in to evidence-based care.Practical implicationsThe practical implication is to consider that those living with tri-morbidity have extra-ordinary lives often with a high concentration of negative life events. Therefore, an extra-ordinary approach to care maybe needed to ensure health inequalities are reduced.Social implicationsThis paper is an important case highlighting health inequalities, specifically mortality, in the homeless population.Originality/valueThis paper is an original piece of work, with real cases discussed but anonymised according to guidance on reporting death case reports.
本文的目的是强调患有三种疾病的个体的脆弱性,以及为这一患者群体提供服务所需的护理的复杂性,此外还考虑了生命历程方法如何提供帮助。设计/方法/方法本文使用了一个案例研究,一个年轻的男性成年人在英国经历无家可归和三重发病率的死亡,并将英国无家可归的成年人的死亡率数据与一般人群进行比较。使用了弱势成人心理健康和健康包容指南的摘要。研究结果:本文发现了考虑生命历程方法的重要性和负面生活事件对患有三重疾病的个体的影响,以及专家服务的作用,以支持弱势成年人的复杂需求,包括多学科工作和整体护理的重要性。研究局限性/意义本研究的研究意义是考虑患有三种疾病的个体如何适应循证护理。实际意义实际意义是考虑到那些患有三种疾病的人的生活通常是不寻常的,负面生活事件高度集中。因此,可能需要一种特别的护理方法来确保减少卫生不平等现象。这篇论文是一个重要的案例,突出了无家可归人口的健康不平等,特别是死亡率。原创性/价值本文是一篇原创作品,根据死亡病例报告报告指南,对真实案例进行了讨论,但匿名。
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引用次数: 1
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Journal of Public Mental Health
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