Jessica L Unick, Christine A Pellegrini, Shira I Dunsiger, Kathryn E Demos, J Graham Thomas, Dale S Bond, Jennifer Webster, Rena R Wing
Objective: Given that low early (4 weeks) weight loss (WL) predicts longer-term WL, the purpose of this study was to identify factors associated with poor early WL.
Methods: 438 adults with overweight/obesity participating in an Internet-delivered behavioral WL program provided weights at baseline and 4 weeks. Participants were stratified by percent WL at 4 weeks: LOW: <2% WL, MEDIUM: 2 to <4% WL, HIGH: ≥4% WL and groups were compared on baseline variables (demographics, physical activity, and psychosocial measures) and 4-week intervention adherence.
Results: 37.4%, 40.9%, and 21.7% of participants had LOW, MEDIUM, and HIGH early WL respectively. LOW was more likely to be female compared to HIGH and less likely to be non-Hispanic White compared to MEDIUM and HIGH (p's<0.05). After controlling for demographic differences, LOW had lower baseline physical activity compared to HIGH and watched fewer video lessons, self-monitored calorie intake and weight on fewer days, and were less likely to achieve the exercise goal compared to MEDIUM and HIGH (p's<0.05).
Conclusion: Findings can inform future adaptive interventions which tailor treatment based upon early WL to improve WL outcomes for more individuals.
{"title":"Characterization of early non-responders within behavioral weight loss treatment.","authors":"Jessica L Unick, Christine A Pellegrini, Shira I Dunsiger, Kathryn E Demos, J Graham Thomas, Dale S Bond, Jennifer Webster, Rena R Wing","doi":"10.5993/ajhb.48.1.1","DOIUrl":"10.5993/ajhb.48.1.1","url":null,"abstract":"<p><strong>Objective: </strong>Given that low early (4 weeks) weight loss (WL) predicts longer-term WL, the purpose of this study was to identify factors associated with poor early WL.</p><p><strong>Methods: </strong>438 adults with overweight/obesity participating in an Internet-delivered behavioral WL program provided weights at baseline and 4 weeks. Participants were stratified by percent WL at 4 weeks: LOW: <2% WL, MEDIUM: 2 to <4% WL, HIGH: ≥4% WL and groups were compared on baseline variables (demographics, physical activity, and psychosocial measures) and 4-week intervention adherence.</p><p><strong>Results: </strong>37.4%, 40.9%, and 21.7% of participants had LOW, MEDIUM, and HIGH early WL respectively. LOW was more likely to be female compared to HIGH and less likely to be non-Hispanic White compared to MEDIUM and HIGH (p's<0.05). After controlling for demographic differences, LOW had lower baseline physical activity compared to HIGH and watched fewer video lessons, self-monitored calorie intake and weight on fewer days, and were less likely to achieve the exercise goal compared to MEDIUM and HIGH (p's<0.05).</p><p><strong>Conclusion: </strong>Findings can inform future adaptive interventions which tailor treatment based upon early WL to improve WL outcomes for more individuals.</p>","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: The purpose of this study was to investigate the awareness status of coronavirus disease 2019 (COVID-19) among different populations and to explore the influencing factors of COVID-19 awareness. Methods: We used a questionnaire and stratified cluster sampling to collect data from 3580 residents in different communities in Jinyuan District, Shanxi Province between January 1, 2022 and June 30, 2022. We used SPSS (v.21.0) for statistical analysis of our data. We used constituent ratios to analyze general information and the chi-square test and multiple logistic regression to analyze awareness factors. Results: We achieved a feedback rate of 97.77%. The general awareness rate of COVID-19 was 73.14%. Risk factors that influenced the awareness status of the residents included age of over 50 years old, working in industries such as farming, an educational level of less than than college, and living in rural areas. Conclusion: The factors that influence awareness of COVID-19 include occupation, age, education status and area of residence.
{"title":"Analysis of Awareness Status and Factors Influencing Different Populations towards Public Health Emergencies during the COVID-19 Pandemic","authors":"Ling Wang, Jingying Li, Jing Zhao, Rong Shi, Lijuan Wang, Haiyun Yuan, YuHong Xue, HaitaoLu, Fang Chen, Xinqian Shi, Xiaojun Ren, Lifen Liang","doi":"10.5993/ajhb.47.5.17","DOIUrl":"https://doi.org/10.5993/ajhb.47.5.17","url":null,"abstract":"Objectives: The purpose of this study was to investigate the awareness status of coronavirus disease 2019 (COVID-19) among different populations and to explore the influencing factors of COVID-19 awareness. Methods: We used a questionnaire and stratified cluster sampling to collect data from 3580 residents in different communities in Jinyuan District, Shanxi Province between January 1, 2022 and June 30, 2022. We used SPSS (v.21.0) for statistical analysis of our data. We used constituent ratios to analyze general information and the chi-square test and multiple logistic regression to analyze awareness factors. Results: We achieved a feedback rate of 97.77%. The general awareness rate of COVID-19 was 73.14%. Risk factors that influenced the awareness status of the residents included age of over 50 years old, working in industries such as farming, an educational level of less than than college, and living in rural areas. Conclusion: The factors that influence awareness of COVID-19 include occupation, age, education status and area of residence.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139280005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charis R. Davidson, Mary Kramer, Cecelia Schaefer, StacyScherer
Objectives: Despite substantial progress in reducing the burden of tobacco use in the United States (US), it remains the leading cause of preventable disease in the US. University campuses can play a pivotal role by implementing high quality tobacco-free campus policies. Methods: In preparation for updating the tobacco policy at a Midwestern university we carried out a photovoice project to incorporate student voices into the policy revision process. Participants (N=17) used disposable cameras to collect photographs and engaged in discussion groups about their experiences. Researchers analyzed focus group transcripts using a constant comparative approach. Results: Overall, 24 participants attended at least one photovoice session. They were mostly female (N=21) and mostly non-Hispanic white (N=12). Themes from the focus group discussion included effects of tobacco use on campus, negative opinions about current tobacco policy, concerns about how tobacco use affects the university, and tensions between nonsmokers and smokers. Photovoice images and captions created by participants were displayed on campus and presented to decision-makers. Conclusions: Despite limited knowledge about tobacco products and policy, many participants expressed strong opinions about the effects of policy on their student experience. Involving students in the policy process is an important step to improve implementation of tobacco policy changes.
{"title":"Student Perspectives on Campus Tobacco Policy: A Photovoice Study","authors":"Charis R. Davidson, Mary Kramer, Cecelia Schaefer, StacyScherer","doi":"10.5993/ajhb.47.5.20","DOIUrl":"https://doi.org/10.5993/ajhb.47.5.20","url":null,"abstract":"Objectives: Despite substantial progress in reducing the burden of tobacco use in the United States (US), it remains the leading cause of preventable disease in the US. University campuses can play a pivotal role by implementing high quality tobacco-free campus policies. Methods: In preparation for updating the tobacco policy at a Midwestern university we carried out a photovoice project to incorporate student voices into the policy revision process. Participants (N=17) used disposable cameras to collect photographs and engaged in discussion groups about their experiences. Researchers analyzed focus group transcripts using a constant comparative approach. Results: Overall, 24 participants attended at least one photovoice session. They were mostly female (N=21) and mostly non-Hispanic white (N=12). Themes from the focus group discussion included effects of tobacco use on campus, negative opinions about current tobacco policy, concerns about how tobacco use affects the university, and tensions between nonsmokers and smokers. Photovoice images and captions created by participants were displayed on campus and presented to decision-makers. Conclusions: Despite limited knowledge about tobacco products and policy, many participants expressed strong opinions about the effects of policy on their student experience. Involving students in the policy process is an important step to improve implementation of tobacco policy changes.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139279850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: In this study, we systematically evaluated the effectiveness and safety of rehabilitation nursing in the treatment of patients with acute myocardial infarction (AMI), and its effect on improving the cardiac function and exercise tolerance of AMI patients. Methods: All relevant published articles were searched through a computer-based retrieval of PubMed, Embase, Biosis Previews, Cochrane Library, Web of Science, China National Knowledge Internet, China Biomedical Literature Service System, Weipu Information Chinese Periodical Service Platform and Wanfang databases since their establishment. Randomized controlled trials on rehabilitation nursing and exercise intervention for patients with AMI were included, and the Cochrane risk-of-bias tool was used for quality evaluation. After quality evaluation and data extraction, we conducted statistical analysis using RevMan 5.3. Results: A total of 15 English articles were included. The meta-analysis showed that the left ventricular ejection fraction (mean difference [MD] = 5.76, 95% confidence interval [CI]: 4.55-6.97, p < .00001), left ventricular end-diastolic diameter (MD = 6.81, 95% CI: 8.17-5.45, p < .00001) and 6-minute walking distance (MD = 2.41, 95% CI: 3.42-1.40, p < .00001) showed statistically significant differences between the rehabilitation nursing group and the control group (p < .0001). However, no statistically significant difference was found in systolic blood pressure (MD = 2.29, 95% CI: 2.53-7.12, p = 0.35). Conclusion: Early rehabilitation nursing can effectively improve cardiac function and exercise tolerance in patients with AMI. It has a degree of guiding significance for improving the quality of life of patients with MI and reducing complications.
{"title":"Effect of Early Rehabilitation Nursing on Patients with Myocardial Infarction: A Meta-analysis","authors":"Yuehua Chen, Xiaoting Zhu, Zhufeng Zhang, Keye Li","doi":"10.5993/ajhb.47.5.19","DOIUrl":"https://doi.org/10.5993/ajhb.47.5.19","url":null,"abstract":"Objectives: In this study, we systematically evaluated the effectiveness and safety of rehabilitation nursing in the treatment of patients with acute myocardial infarction (AMI), and its effect on improving the cardiac function and exercise tolerance of AMI patients. Methods: All relevant published articles were searched through a computer-based retrieval of PubMed, Embase, Biosis Previews, Cochrane Library, Web of Science, China National Knowledge Internet, China Biomedical Literature Service System, Weipu Information Chinese Periodical Service Platform and Wanfang databases since their establishment. Randomized controlled trials on rehabilitation nursing and exercise intervention for patients with AMI were included, and the Cochrane risk-of-bias tool was used for quality evaluation. After quality evaluation and data extraction, we conducted statistical analysis using RevMan 5.3. Results: A total of 15 English articles were included. The meta-analysis showed that the left ventricular ejection fraction (mean difference [MD] = 5.76, 95% confidence interval [CI]: 4.55-6.97, p < .00001), left ventricular end-diastolic diameter (MD = 6.81, 95% CI: 8.17-5.45, p < .00001) and 6-minute walking distance (MD = 2.41, 95% CI: 3.42-1.40, p < .00001) showed statistically significant differences between the rehabilitation nursing group and the control group (p < .0001). However, no statistically significant difference was found in systolic blood pressure (MD = 2.29, 95% CI: 2.53-7.12, p = 0.35). Conclusion: Early rehabilitation nursing can effectively improve cardiac function and exercise tolerance in patients with AMI. It has a degree of guiding significance for improving the quality of life of patients with MI and reducing complications.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139279990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Junhyoung Kim, Yongseop Kim, Jungjoo Lee, Seokmin Oh, Marcia Ory
Objectives: Research demonstrates the efficacy of virtual reality (VR) based interventions in enhancing the physical, mental, and cognitive functioning of older adults. Yet, little research has investigated the effects of an immersive nature-based VR (INVR) program on the mental health and quality-of-life of older people living with dementia (PLWD) who reside in memory care unit facilities. In this study, we tested the effects of an INVR program on depression, emotional health, and quality-of-life among older PLWD. Methods: Employing a 5-week randomized clinical trial, INVR group participants (N=16) participated in a total of 10 nature-based sessions lasting 30-40 minutes while the control group (N=16) received usual care. We conducted a pretest-posttest analysis to investigate changes in 3 outcome variables after participation in the INVR program. Results: Overall, the INVR intervention group reported lower depression scores and higher emotional health and quality-of-life scores than the control group. Conclusion: This finding suggests that participation in an INVR program can be effective in reducing depressive symptoms and promoting emotional health and quality-of-life among the older PLWD.
{"title":"Efficacy of An Immersive Nature-based Virtual Reality Program on Depression, Emotional Health, and Qualityof-Life among Care Facility Residents with Alzheimer’s Disease (AD) and its Related Dementias (ADRD)","authors":"Junhyoung Kim, Yongseop Kim, Jungjoo Lee, Seokmin Oh, Marcia Ory","doi":"10.5993/ajhb.47.5.18","DOIUrl":"https://doi.org/10.5993/ajhb.47.5.18","url":null,"abstract":"Objectives: Research demonstrates the efficacy of virtual reality (VR) based interventions in enhancing the physical, mental, and cognitive functioning of older adults. Yet, little research has investigated the effects of an immersive nature-based VR (INVR) program on the mental health and quality-of-life of older people living with dementia (PLWD) who reside in memory care unit facilities. In this study, we tested the effects of an INVR program on depression, emotional health, and quality-of-life among older PLWD. Methods: Employing a 5-week randomized clinical trial, INVR group participants (N=16) participated in a total of 10 nature-based sessions lasting 30-40 minutes while the control group (N=16) received usual care. We conducted a pretest-posttest analysis to investigate changes in 3 outcome variables after participation in the INVR program. Results: Overall, the INVR intervention group reported lower depression scores and higher emotional health and quality-of-life scores than the control group. Conclusion: This finding suggests that participation in an INVR program can be effective in reducing depressive symptoms and promoting emotional health and quality-of-life among the older PLWD.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139279874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The indications for cesarean section fall into two classes; absolute, where there is no choice, and relative, where there is a choice of method of delivery, but cesarean section (CS) appears to offer the best chance of safety for both mother and child. This research aim is to investigate the incidence and indications used for CS in Sulaimaniyah Maternity Teaching Hospital considering women health behavior. Methods: This descriptive-analytical, cross-sectional study was carried out from October 1st to December 31st, 2020. The study included 790 pregnant women who had delivered by elective or emergency CS during the study period. Data were collected from women directly using a well-designed questionnaire on the same day or the day after the surgery and a review of the case sheet was done for collected information such as indications, and types of CS (elective or emergency) along with health behavior which was written in the operative note. Also, an ultrasound report was used for the calculation of gestational age. Results: The incidence of CS was 34.6% and common indications of CS were having a previous CS (22.1%), failure of progress (11.9%), and fetal distress (10% Conclusions: The study concluded that CS was common in the study region, and the rate was two times higher than the WHO recommendation in which the previous CS, failure of progress, and fetal distress were the commonest indications of CS. Our study also creates awareness among mothers which can influence health behavior by not choosing cesarean delivery unless it is medically necessary and not to accept physicians??? decisions to do a CS without asking critical questions about the indication.
{"title":"A Cross-sectional Analytic Study on Rate and Indication of Caesarean Section in Sulaimaniyah City, Republic of Iraq: A Study From the Perspective of Women Health Behavior","authors":"Atiya Kareem Mohammed","doi":"10.5993/ajhb.47.4.14","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.14","url":null,"abstract":"Objective: The indications for cesarean section fall into two classes; absolute, where there is no choice, and relative, where there is a choice of method of delivery, but cesarean section (CS) appears to offer the best chance of safety for both mother and child. This research aim is to investigate the incidence and indications used for CS in Sulaimaniyah Maternity Teaching Hospital considering women health behavior. Methods: This descriptive-analytical, cross-sectional study was carried out from October 1st to December 31st, 2020. The study included 790 pregnant women who had delivered by elective or emergency CS during the study period. Data were collected from women directly using a well-designed questionnaire on the same day or the day after the surgery and a review of the case sheet was done for collected information such as indications, and types of CS (elective or emergency) along with health behavior which was written in the operative note. Also, an ultrasound report was used for the calculation of gestational age. Results: The incidence of CS was 34.6% and common indications of CS were having a previous CS (22.1%), failure of progress (11.9%), and fetal distress (10% Conclusions: The study concluded that CS was common in the study region, and the rate was two times higher than the WHO recommendation in which the previous CS, failure of progress, and fetal distress were the commonest indications of CS. Our study also creates awareness among mothers which can influence health behavior by not choosing cesarean delivery unless it is medically necessary and not to accept physicians??? decisions to do a CS without asking critical questions about the indication.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: In this paper, we discuss the spatial aggregation and evolution of COVID-19 in China and identify the risk factors affecting the spread of the disease. The aim is to provide insights that can be used to implement timely and effective interventions in the face of similar infectious diseases in the future and to ensure the safety of people around the world. Methods: We used spatial statistics and measurement methods to analyze the spatial aggregation and evolution of COVID-19 in China. We carried out spatial visualization mapping and spatial statistical analysis on the data of the epidemic. Various risk factors of COVID-19 spread at the provincial level in China were comprehensively discussed by combining geographic detector and spatial Dubin model. Results: The analysis revealed the spatial aggregation and evolution patterns of COVID-19 in China and the risk factors affecting the spread of the disease, including population density, transportation network, and climate factors. The geographic detector and spatial Dubin model were effective in identifying the risk factors, and the results provide valuable insights for implementing timely and effective interventions. Conclusions: We emphasize the importance of timely and effective interventions in the face of infectious diseases such as COVID-19. Our results can raise awareness of prevention and control and respond to potential outbreaks of similar infectious diseases in the future. The study provides a deep understanding of COVID-19 and its spatial patterns, and the insights gained can safeguard both lives and property worldwide.
{"title":"Spatial Statistical Analysis and Risk Factor Identification of COVID-19 in China","authors":"Jinyang Liu, Boping Tian","doi":"10.5993/ajhb.47.4.5","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.5","url":null,"abstract":"Objectives: In this paper, we discuss the spatial aggregation and evolution of COVID-19 in China and identify the risk factors affecting the spread of the disease. The aim is to provide insights that can be used to implement timely and effective interventions in the face of similar infectious diseases in the future and to ensure the safety of people around the world. Methods: We used spatial statistics and measurement methods to analyze the spatial aggregation and evolution of COVID-19 in China. We carried out spatial visualization mapping and spatial statistical analysis on the data of the epidemic. Various risk factors of COVID-19 spread at the provincial level in China were comprehensively discussed by combining geographic detector and spatial Dubin model. Results: The analysis revealed the spatial aggregation and evolution patterns of COVID-19 in China and the risk factors affecting the spread of the disease, including population density, transportation network, and climate factors. The geographic detector and spatial Dubin model were effective in identifying the risk factors, and the results provide valuable insights for implementing timely and effective interventions. Conclusions: We emphasize the importance of timely and effective interventions in the face of infectious diseases such as COVID-19. Our results can raise awareness of prevention and control and respond to potential outbreaks of similar infectious diseases in the future. The study provides a deep understanding of COVID-19 and its spatial patterns, and the insights gained can safeguard both lives and property worldwide.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hongmei Xie, Li Ke, Xue Han, Shouyong Zhang, Pingping Song, Pingping Zhang, Chunmei Yan, YuXia Ding, Yan Liu
Objective: This study aimed to evaluate the effects of fine cooperation program of doctor-nurse integration on wound healing, patient's psychological state and pain degree of patients with chronic wounds. Methods: A total of 100 patients with chronic wounds who were treated with conventional wound management from March 2016 to December 2018 were enrolled as a control group, while another 100 patients with chronic wounds who were treated with the fine cooperation program of doctor-nurse integration during January to October 2020 were selected as an observation group. Nursing satisfaction, general conditions (waiting time for dressing change, hospitalization time, and wound healing time) and wound healing grade were observed, and the pain degree (scored by the simplified McGill scale) and psychological state [evaluated by Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS)] were compared between before intervention and on Day 5 of intervention. Results: The nursing satisfaction was higher and the waiting time for dressing change, hospitalization time and wound healing time were shorter in the observation group than those in the control group (P<0.05). On Day 5 of intervention, the present pain intensity, Visual Analogue Scale, pain rating index, SDS and SAS scores are seen declined in both groups compared with those before intervention, and they were lower in the observation group than those in the control group (P<0.05). The observation group had a higher wound healing grade than that of the control group (P<0.05). Conclusion: The fine cooperation program of doctor-nurse integration can shorten the waiting time for dressing change and hospitalization time.
{"title":"Evaluating The Effects of Fine Cooperation Program and Doctor-Nurse Integration on Patients with Chronic Wounds","authors":"Hongmei Xie, Li Ke, Xue Han, Shouyong Zhang, Pingping Song, Pingping Zhang, Chunmei Yan, YuXia Ding, Yan Liu","doi":"10.5993/ajhb.47.4.1","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.1","url":null,"abstract":"Objective: This study aimed to evaluate the effects of fine cooperation program of doctor-nurse integration on wound healing, patient's psychological state and pain degree of patients with chronic wounds. Methods: A total of 100 patients with chronic wounds who were treated with conventional wound management from March 2016 to December 2018 were enrolled as a control group, while another 100 patients with chronic wounds who were treated with the fine cooperation program of doctor-nurse integration during January to October 2020 were selected as an observation group. Nursing satisfaction, general conditions (waiting time for dressing change, hospitalization time, and wound healing time) and wound healing grade were observed, and the pain degree (scored by the simplified McGill scale) and psychological state [evaluated by Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS)] were compared between before intervention and on Day 5 of intervention. Results: The nursing satisfaction was higher and the waiting time for dressing change, hospitalization time and wound healing time were shorter in the observation group than those in the control group (P<0.05). On Day 5 of intervention, the present pain intensity, Visual Analogue Scale, pain rating index, SDS and SAS scores are seen declined in both groups compared with those before intervention, and they were lower in the observation group than those in the control group (P<0.05). The observation group had a higher wound healing grade than that of the control group (P<0.05). Conclusion: The fine cooperation program of doctor-nurse integration can shorten the waiting time for dressing change and hospitalization time.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: The purpose of this study was to assess the COVID-19 vaccination willingness and the factors associated with vaccination hesitancy in Bulgarian patients with epilepsy. Methods: We included 103 (53 women and 50 men) Bulgarian patients with epilepsy. They completed a validated questionnaire about socio-demographic and epilepsy-related characteristics, history of COVID-19 disease and COVID-19 vaccination, attitudes towards vaccines, and sources of information about COVID-19 disease and vaccination. Results: One-third of the participants were vaccinated against COVID-19. The vaccination was associated with higher seizure severity p<.0015 (☓ 2 =5.95) and consultations with medical staff about vaccines p<.05 (☓ 2 =7.58). All of the vaccinated participants confirmed that vaccines were useful for most people without causing long-term adverse events or complications (p<.001, ☓ 2 =44.29), that vaccination was the only way to gain immunity apart from acquiring the disease itself (p<.001, ☓ 2 =23.97) and that vaccination was also useful in healthy people with no existing disease (p<.001, ☓ 2 =83.29). Conclusion: The results from our study suggest the need of a more active and directed to patients with epilepsy approach with provision of reliable information to the medical staff and general population.
{"title":"Attitudes of Bulgarian Patients with Epilepsy to COVID-19 Vaccination","authors":"Ekaterina Viteva","doi":"10.5993/ajhb.47.4.10","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.10","url":null,"abstract":"Objectives: The purpose of this study was to assess the COVID-19 vaccination willingness and the factors associated with vaccination hesitancy in Bulgarian patients with epilepsy. Methods: We included 103 (53 women and 50 men) Bulgarian patients with epilepsy. They completed a validated questionnaire about socio-demographic and epilepsy-related characteristics, history of COVID-19 disease and COVID-19 vaccination, attitudes towards vaccines, and sources of information about COVID-19 disease and vaccination. Results: One-third of the participants were vaccinated against COVID-19. The vaccination was associated with higher seizure severity p<.0015 (☓ 2 =5.95) and consultations with medical staff about vaccines p<.05 (☓ 2 =7.58). All of the vaccinated participants confirmed that vaccines were useful for most people without causing long-term adverse events or complications (p<.001, ☓ 2 =44.29), that vaccination was the only way to gain immunity apart from acquiring the disease itself (p<.001, ☓ 2 =23.97) and that vaccination was also useful in healthy people with no existing disease (p<.001, ☓ 2 =83.29). Conclusion: The results from our study suggest the need of a more active and directed to patients with epilepsy approach with provision of reliable information to the medical staff and general population.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zeng Hui, Li Yaonan, Zhang Shuang, Zhang Zhengyi, Jian Huihui
Objective: Our aim was to determine the impact of health literacy on the Chinese population's regulation of emotions and the outcomes of such control. Methods: We collected cross-sectional data from the Chinese community (N=1,267) using a Likert scale questionnaire. We employed SPSS to check data normality and made estimations using confirmatory factor analysis and exploratory factor analysis via AMOS. Results: Health literacy significantly influences regulation of emotions. We found that emotions influence mental well-being, forming strong arguments, social relationships, and positive arguments. Conclusions: The Chinese government should provide health literacy opportunities to the public to have a favorable influence on health behavior. Training for the promoting health literacy is important to influence community health behavior. The regulated emotions in the Chinese community can be a way forward to improve health status. Similarly, regulated emotions help to improve arguments for better social relationships.
{"title":"The Chinese Population's Regulation of Emotions for a Healthy Life","authors":"Zeng Hui, Li Yaonan, Zhang Shuang, Zhang Zhengyi, Jian Huihui","doi":"10.5993/ajhb.47.4.11","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.11","url":null,"abstract":"Objective: Our aim was to determine the impact of health literacy on the Chinese population's regulation of emotions and the outcomes of such control. Methods: We collected cross-sectional data from the Chinese community (N=1,267) using a Likert scale questionnaire. We employed SPSS to check data normality and made estimations using confirmatory factor analysis and exploratory factor analysis via AMOS. Results: Health literacy significantly influences regulation of emotions. We found that emotions influence mental well-being, forming strong arguments, social relationships, and positive arguments. Conclusions: The Chinese government should provide health literacy opportunities to the public to have a favorable influence on health behavior. Training for the promoting health literacy is important to influence community health behavior. The regulated emotions in the Chinese community can be a way forward to improve health status. Similarly, regulated emotions help to improve arguments for better social relationships.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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