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Navy Sailors Health Behavior: A Multi-Factor Analysis of Circadian Rhythm on Naval Operational Capability. 海军水兵健康行为:昼夜节律对海军作战能力的多因素分析。
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-30 DOI: 10.5993/AJHB.47.2.14
Hu Li, Yingxue Liu

Objective: The objective of this research was to determine the impact of circadian rhythm disorders on sleep disorders, fatigue and health problems of navy sailors from the perspective of their health behavior. During its voyage, navy crews have obvious problems such as sleep disorders and fatigue, among which the circadian rhythm disorder was the most common. Warning system, special environment at sea, pressure and other factors can lead to the occurrence of circadian rhythm disorders. Methods: The primary data was used in this research with a sample size of 278 and Smart PLS was used for statistical analysis. Results: According to empirical data, the impact of circadian rhythm disorders was significant on sleep disorders, fatigue and health problems of navy sailors. The research is novel in the literature because very few studies have discussed the circadian rhythm disorders in the context of navy sailors. Conclusion: The research implications in the theory are reliable to enhance the body of knowledge of circadian in the significant way. Furthermore, the study has some practical implications to work on to enhance the practices to improve the health of navy sailors during their long time in the sea.

目的:从海军水兵健康行为的角度,探讨昼夜节律紊乱对水兵睡眠障碍、疲劳及健康问题的影响。在航行过程中,海军船员存在明显的睡眠障碍、疲劳等问题,其中以昼夜节律紊乱最为常见。预警系统、海上特殊环境、压力等因素均可导致昼夜节律紊乱的发生。方法:采用原始资料,样本量278例,采用Smart PLS进行统计分析。结果:根据实证数据,昼夜节律紊乱对海军水兵睡眠障碍、疲劳和健康问题有显著影响。这项研究在文献中是新颖的,因为很少有研究讨论海军水手的昼夜节律紊乱。结论:该理论的研究意义对增强生理节律知识体系具有重要意义。此外,本研究对加强海军水兵长期在海上的健康训练具有一定的实际意义。
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引用次数: 0
Analysis of Influencing Factors and Demand Forecast of Single Disease Demand in Chinese Public Hospitals. 我国公立医院单一疾病需求影响因素分析及需求预测
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-30 DOI: 10.5993/AJHB.47.2.18
Xi Zhai, Shi-Qiao Zhang

Objectives: In this study, we examine influencing factors and demand forecast of single disease demand in Chinese public hospitals. Methods: We conducted a preliminary screening of the literature, according to a literature search strategy and inclusion and exclusion criteria. Related Chinese and English articles between 2000 and 2022 were searched in the Chinese National Knowledge Infrastructure, Wanfang, PubMed, and Elsevier databases and Google Scholar. The Jadad literature scoring mechanism was used, and Stata/SE version 12.0 software was used to perform a meta-analysis of the effect size of literature statistics. The outcome index was the 2-week visit rate. Results: We included 13 articles for meta-analysis. Their combined effect size and 95% confidence interval for chronic disease, age, gender, economic factors, medical insurance form and education level were 3.43 (2.26, 5.51), 2.53 (1.74, 3.68), 1.3 (1.16, 1.46), 2.31 (1.16, 4.61), 3.2 (2.98, 3.45) and 1.35 (1.14, 1.6), respectively. Results revealed that for patients with chronic diseases, those>60 years of age and families with better economic conditions and higher levels of education correlated with a higher demand for medical services among families with medical insurance for urban residents. Conclusion: Using meta-analysis, we analyzed the factors that affect the demand for medical services in China. From demographic and economic factors, national medical insurance policies and residents' health status, we analyzed the relationship between patients with a single disease and other factors. With respect to the influence of medical service demand, relevant departments should take effective measures to increase medical service demand according to the influencing factor of the 2-week visit rate and simultaneously provide scientific theoretical guidance for medical reform.

目的:探讨我国公立医院单一疾病需求的影响因素及需求预测。方法:根据文献检索策略和纳入、排除标准对文献进行初步筛选。在中国国家知识基础设施、万方、PubMed和爱思唯尔数据库和谷歌学术检索中检索了2000年至2022年的相关中英文文章。采用Jadad文献评分机制,采用Stata/SE version 12.0软件对文献统计效应量进行meta分析。结果指标为2周访视率。结果:我们纳入了13篇文章进行meta分析。慢性疾病、年龄、性别、经济因素、医疗保险形式、文化程度的综合效应量和95%可信区间分别为3.43(2.26、5.51)、2.53(1.74、3.68)、1.3(1.16、1.46)、2.31(1.16、4.61)、3.2(2.98、3.45)和1.35(1.14、1.6)。结果显示,在慢性病患者中,60岁以上、经济条件较好、受教育程度较高的家庭对城镇居民医保家庭的医疗服务需求较高。结论:采用meta分析方法,对影响中国医疗服务需求的因素进行了分析。从人口、经济因素、国家医保政策、居民健康状况等方面分析单一疾病患者与其他因素的关系。对于医疗服务需求的影响,相关部门应根据2周就诊率的影响因素,采取有效措施增加医疗服务需求,同时为医改提供科学的理论指导。
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引用次数: 0
Education Changes Child Health Behavior in China: A Mediating Role of Information Technology. 教育改变中国儿童健康行为:信息技术的中介作用
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-30 DOI: 10.5993/AJHB.47.2.20
Yulian Zhu, Liwei Gu, Jianying Li

Objectives: In this study, we aimed to explore the impact of education in changing child health behavior in China and mediating role of information technology. Methods: The theoretical framework of this study incorporated variables including mental health literacy, health education, information technology, and health behavior. This is a quantitative study that has utilized secondary data for determining the results. Based on the cross-sectional data collection method, 778 responses were considered for structural equation modeling. Smart PLS 3 was used to validate the research hypotheses. Results: We found that health education and mental health literacy have a substantial impact on Chinese child health behavior. Furthermore, our data also revealed that the mediating role of information technology is useful for children's health behavior enhancement. Conclusions: The health behavior of children is influenced by education and information technology mediates the health education-health behavior relationship.

目的:本研究旨在探讨教育对中国儿童健康行为的影响以及信息技术的中介作用。方法:本研究的理论框架包括心理健康素养、健康教育、信息技术和健康行为等变量。这是一项定量研究,利用二手数据来确定结果。基于截面数据收集方法,考虑778个响应进行结构方程建模。使用Smart PLS 3来验证研究假设。结果:健康教育和心理健康素养对中国儿童健康行为有显著影响。此外,我们的数据还揭示了信息技术对儿童健康行为增强的中介作用。结论:儿童健康行为受教育影响,信息技术在健康教育与健康行为之间起中介作用。
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引用次数: 0
The Effect of COVID-19 Awareness on the Hygiene Behaviors of Individuals in the Region of Northern Cyprus. 北塞浦路斯地区COVID-19意识对个人卫生行为的影响
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-30 DOI: 10.5993/AJHB.47.2.17
Afet Arkut, Saime Ulucayli

Objectives: The ability to cope with diseases and the methods of protection from infections has become an essential part of everyday life. The magnitude of the changes caused by the pandemic goes well beyond economic, psychological and sociological realms, and creates a new life cycle. This study, aims to determine the effect of individual awareness related to COVID-19 on individuals' hygiene behaviors. Methods: This was a descriptive, cross-sectional scale based study carried out between May and September 2021 in the 6 different districts of Northern Cyprus. The results come from 403 participants. A socio-demographic form and the COVID-19 Awareness and Hygiene Scales are applied to the participants. Results: We found a positive and statistically significant correlation between the general scores of participants from the COVID-19 Awareness Scale and COVID-19 Hygiene Scale. As the participants' scores in the COVID-19 Awareness Scale increased, so did their scores of the COVID-19 Hygiene Scale. Conclusions: Individuals' awareness related to COVID-19 had a positive effect on their hygiene behaviors during the pandemic. Accordingly, the acquisition of proper hygiene behaviors by individuals should be one of the most important strategic measures that societies should take against infectious diseases.

目标:应对疾病的能力和预防感染的方法已成为日常生活的重要组成部分。这一大流行病造成的变化之大,远远超出了经济、心理和社会领域,并创造了一个新的生命周期。本研究旨在确定与COVID-19相关的个人意识对个人卫生行为的影响。方法:这是一项描述性的、基于横断面量表的研究,于2021年5月至9月在北塞浦路斯的6个不同地区进行。调查结果来自403名参与者。对参与者采用社会人口统计表格和COVID-19意识和卫生量表。结果:参与者的COVID-19认知量表和COVID-19卫生量表的一般得分之间存在正相关且有统计学意义。随着参与者在COVID-19意识量表中的得分增加,他们在COVID-19卫生量表中的得分也增加了。结论:个体的新冠肺炎相关意识对其大流行期间的卫生行为有积极影响。因此,个人养成适当的卫生行为应该是社会应对传染病采取的最重要的战略措施之一。
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引用次数: 0
Relationships Between Types of Leisure Activities and Mental Health among Older Adults With Diabetes During the COVID-19 Pandemic. COVID-19大流行期间老年糖尿病患者休闲活动类型与心理健康之间的关系
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-30 DOI: 10.5993/AJHB.47.2.3
Jungjoo Lee, Areum Han, Junhyoung Kim, Se-Hyuk Park

Objective: Three types of leisure activities such as sedentary, social, and leisure-time physical activity (LTPA) have been identified as essential factors that influence mental health outcomes among older adults with diabetes. In this study, we aimed to investigate what types of leisure activities are associated with mental health outcomes among older adults with diabetes during the COVID-19 pandemic. Methods: We used 2020 Health and Retirement Study (HRS) data. We extracted 310 records from 3266 individuals diagnosed with diabetes and conducted a hierarchical regression analysis to investigate the research question. Results: LTPA was the strongest predictor of reduced loneliness and stress and increased happiness and life satisfaction among older adults with diabetes. Discussion: Our findings highlight the relationship between different types of leisure activities and mental health for older adults with diabetes during the COVID-19 pandemic. Data suggest that LTPA, social leisure, and sedentary leisure reduce loneliness and stress and improve happiness and life satisfaction.

目的:三种类型的休闲活动,如久坐、社交和休闲时间的身体活动(LTPA)已被确定为影响老年糖尿病患者心理健康结果的重要因素。在这项研究中,我们旨在调查在COVID-19大流行期间,哪些类型的休闲活动与老年糖尿病患者的心理健康结果相关。方法:采用2020年健康与退休研究(HRS)数据。我们从3266名糖尿病患者中提取了310份记录,并进行了层次回归分析来调查研究问题。结果:LTPA是老年糖尿病患者孤独感和压力减少、幸福感和生活满意度增加的最强预测因子。讨论:我们的研究结果强调了2019冠状病毒病大流行期间不同类型的休闲活动与老年糖尿病患者心理健康之间的关系。数据显示,LTPA、社交休闲和久坐休闲可以减少孤独感和压力,提高幸福感和生活满意度。
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引用次数: 1
Effect of the Online Friendship Network on Internet Game Frequency and Time Among University Students in the Republic of Korea. 韩国大学生网络交友对网络游戏频率和时间的影响
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-30 DOI: 10.5993/AJHB.47.2.9
Sungmin Son, Byoungjin Jeon, Hyeongmin Kim

Objective: In this study, we analyzed the effects of online friendship networks on Internet game frequency and time among university students.Methods: Our participants were 34 university students. Online friendship networks were analyzed by social network analysis and degree, closeness, and betweenness centrality. Internet game frequency showed the average frequency of playing Internet games during a week and Internet game time indicated the average time during the day. Results: The Out-degree centrality of online friendship networks, and Out-closeness centrality and Internet game time showed positive (+) correlations. In addition, analysis of causal relationships showed that only Out-degree centrality had a positive (+) effect on Internet game time. Conclusion: To prevent immersion in games and their negative effects, we recommend persons form relationship networks with other friends who have positive goals such as hobbies, leisure activities, and learning.

目的:本研究分析网络友谊网络对大学生网络游戏频率和时间的影响。方法:研究对象为34名大学生。通过社会网络分析和程度、亲密度和中间性中心性对在线友谊网络进行分析。网络游戏频率表示一周内玩网络游戏的平均频率,网络游戏时间表示一天的平均时间。结果:网络友谊网络的外向度中心性、外向亲密中心性与网络游戏时间呈正(+)相关。此外,因果关系分析表明,只有Out-degree中心性对网络游戏时间有正(+)影响。结论:为了防止沉浸在游戏中及其负面影响,我们建议玩家与其他拥有积极目标(如爱好、休闲活动和学习)的朋友建立关系网络。
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引用次数: 0
Association Between Quality of Sleep and Self- Reported Health with Burnout in Employees: Does Increasing Burnout Lead to Reduced Work Performance Among Employees. 睡眠质量与员工自我报告的健康与倦怠之间的关系:倦怠是否会导致员工工作绩效下降?
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-30 DOI: 10.5993/AJHB.47.2.1
Muhammad Awais Bhatti, Mohammad Alnehabi

Objectives: To determine the effect of quality of sleep (SL) and self-reported health (SRH) on burnout (BO) and whether burnout, in turn, impacts work performance (WP) among employees of the Higher Educational Institutions (HEI's). Methods: Data was collected using the survey method using questionnaire items adapted from the literature. The final sample consisted of 138 employees. A two-step procedure was conducted using AMOS by first employing confirmatory factory analysis followed by structural equation modeling. Results: The results supported the hypotheses proposed in the study as SL positively and significantly impacted employee burnout. Similarly, SRH was found to have a significant positive association with BO while BO significantly and negatively affected WP. Conclusion: Employees' work performance reduces with increased burnout which is aggravated due to poor sleep quality and self-reported health; hence, the study provides insightful contribution for managers and workers to focus on improving work performance by reducing burnout.

目的:探讨睡眠质量(SL)和自我报告健康(SRH)对高校员工职业倦怠(BO)的影响,以及职业倦怠是否反过来影响工作绩效(WP)。方法:采用问卷调查法收集资料,问卷内容改编自文献。最后的样本包括138名员工。采用AMOS进行了两步程序,首先采用验证性工厂分析,然后采用结构方程建模。结果:研究结果支持本研究的假设,语言学习对员工职业倦怠有显著的正向影响。同样,SRH与BO显著正相关,而BO显著负向影响WP。结论:员工的工作绩效随倦怠程度的增加而降低,而睡眠质量差和自述健康状况加重了倦怠程度;因此,该研究为管理者和员工关注通过减少倦怠来提高工作绩效提供了有见地的贡献。
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引用次数: 1
Does Procrastination Have a Cultural or a Neurological Source? Evidence of its Mediating Role in the Relationship Between Psychological Capital and Academic Adjustment. 拖延症有文化根源还是神经根源?心理资本在学业适应与心理资本关系中的中介作用。
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-30 DOI: 10.5993/AJHB.47.2.11
Batel Hazan-Liran

Objective: I examined the relationships between psychological capital (PsyCap), academic adjustment, and tendency toward procrastination in 3 groups of students in higher education-an ethnocultural minority group (Israeli Arabs), a neurotypical ethnocultural majority group (Israeli Jews), and an ethnocultural majority group diagnosed with learning disabilities (Israeli Jews with learning disabilities). The goal was to deepen and expand understanding of the factors that affect academic adjustment. Methods: Overall, 449 post-secondary students enrolled in various academic institutions in Israel participated in the study. The data were collected using an online Qualtrics questionnaire. Results: First, I hypothesized a positive relationship between PsyCap and academic adjustment and a negative relationship between those 2 variables and academic procrastination. This hypothesis was fully corroborated. Second, I hypothesized that students from an ethnic minority group and majority students with a diagnosed neurological disability would present lower levels of PsyCap and academic adjustment and higher levels of academic procrastination than a majority neurotypical group. The hypothesis was only partially confirmed. Third, I hypothesized that the higher the PsyCap, the lower the degree of academic procrastination and, in turn, the higher the academic adjustment. The hypothesis was confirmed. Conclusion: The findings can help support the design of academic assistance programs to improve the integration into higher learning of students who belong to special groups.

目的:研究了3组高等教育学生——民族文化少数群体(以色列阿拉伯人)、典型民族文化多数群体(以色列犹太人)和被诊断为学习障碍的民族文化多数群体(有学习障碍的以色列犹太人)的心理资本(PsyCap)、学业适应和拖延倾向之间的关系。目的是加深和扩大对影响学业适应的因素的理解。方法:总共有449名在以色列不同学术机构就读的大专学生参与了这项研究。数据是通过在线质量调查问卷收集的。结果:首先,我假设心理cap与学业适应呈正相关,这两个变量与学业拖延呈正相关。这一假设得到了充分证实。其次,我假设来自少数族裔群体的学生和被诊断为神经障碍的大多数学生的心理cap和学业适应水平较低,而学习拖延的水平高于大多数神经正常群体。这个假设只得到部分证实。第三,我假设心理上限越高,学业拖延的程度越低,反过来,学业调整的程度越高。这个假设得到了证实。结论:本研究结果可为特殊群体学生的学业援助计划设计提供支持,以提高特殊群体学生的高等教育融合水平。
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引用次数: 0
Effects of Group Prenatal Health Care Combined with Happiness Training on Delivery Mode and Maternal Role Adaptation in Elderly Primiparous Women: A Study for Improvements in Patients Health Behavior. 团体产前保健结合幸福训练对高龄初产妇分娩方式和产妇角色适应的影响:改善患者健康行为的研究
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-30 DOI: 10.5993/AJHB.47.2.16W
Shuangqin Zhang, Ziqiang Qian, Yingchun Zhao, Xuemei Yu, Chuanliang Cheng, Qing Li

Objective: This study aimed to explore the effects of group prenatal health care combined with happiness training on delivery mode and maternal role adaptation in elderly primiparous women. Methods: A total of 110 elderly primiparous women who were expected to deliver in hospital from January 2020 to December 2021 were selected and assigned to two equal size groups: Group A and Group B. Results:After the nursing intervention, the natural delivery rate of Group A was 85.45%, significantly higher than that of Group B at 52.73% (P<0.05). The initial feeding time and first lactation time of Group A were significantly shorter than those of Group B, and the 48-hour lactation volume was higher than that of Group B (P<0.05). The RAQ scores of Group A, including maternal role happiness score, the baby's impact on the mother's life score, baby's daily living care ability score, and maternal role belief score, were all higher than those of Group B (P<0.05). The GWB score of Group A was significantly higher than that of Group B, while the EPDS score was significantly lower than that of Group B (P<0.05). Conclusion: Group prenatal health care combined with happiness training can improve the delivery mode of elderly primiparous women, help them adapt better to their maternal role, and enhance their subjective sense of well-being.

目的:探讨团体产前保健结合幸福训练对老年初产妇分娩方式和产妇角色适应的影响。方法:选取2020年1月~ 2021年12月住院待产高龄产妇110例,随机分为两组:A组和B组。结果:护理干预后,A组自然分娩率为85.45%,明显高于B组的52.73% (p)。团体产前保健结合幸福感培训,可以改善老年初产妇的分娩方式,帮助其更好地适应产妇角色,增强其主观幸福感。
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引用次数: 0
An Evaluation Index System for Core Competencies of Specialist Nurses in Pediatric Emergency Care. 儿科急诊专科护士核心能力评价指标体系
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-30 DOI: 10.5993/AJHB.47.2.2
Yi Tao, Xiaoping Jiang, Wenjing Li, Mei Feng, Li Zhang

Objective: We aimed to construct an evaluation index system for the core competencies of specialist nurses in pediatric emergency care using the Delphi method. Methods: We preliminarily defined 3 levels of evaluation indices for the core competencies in this nursing specialty through literature review and qualitative analysis. We conducted 2 rounds of expert consultation (using the Delphi method) to screen, revise, and finalize the indices. Results: Two rounds of inquiry sufficiently defined the evaluation index system for the core competencies. The evaluation index system consists of 70 tertiary indices, 17 secondary indices, and 6 primary indices. The authority coefficients of the 2 rounds were 0.859 and 0.876, respectively, and the effective response rates of both rounds was 100%. Conclusion: The proposed evaluation index system is reliable, comprehensive, and professional, providing a quantifiable basis for the evaluation and appraisal of the core competencies in this area of nursing specialization.

目的:运用德尔菲法构建儿科急诊专科护士核心能力评价指标体系。方法:通过文献综述和定性分析,初步确定该护理专业核心能力的3个层次评价指标。我们进行了2轮专家咨询(采用德尔菲法)来筛选、修改和确定指标。结果:两轮调查充分界定了核心能力的评价指标体系。评价指标体系由70个三级指标、17个二级指标和6个一级指标组成。两轮的权威系数分别为0.859和0.876,两轮的有效有效率均为100%。结论:所建立的评价指标体系可靠、全面、专业,为护理专业核心能力的评价和评价提供了可量化的依据。
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引用次数: 2
期刊
American journal of health behavior
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