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Application of Nursing Intervention Based on Nel Noddings Care Theory for School-Aged Asthmatic Children. 基于Nel Noddings护理理论的护理干预在学龄哮喘儿童中的应用
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-28 DOI: 10.5993/AJHB.47.1.14
Xuelian Liu, Junying Du, Xiaoyan Liu, Na Tang

Objectives: The objective of this study was to examine the effect of nursing intervention based on Nel Noddings care theory on self-management behavior and symptomatic improvement in school-age asthmatic children in China. Methods: In this study, a sample of 100 school-aged children suffering from asthma was chosen, and divided into two groups: observation group and control group. Both groups received routine nursing but the observation group was combined with nursing intervention based on Nel Noddings theory.Results:The total scores of social psychologies, daily life, disease medicine and self-management in the observation group before intervention were similar to those in the control group. The self-management scores of the observation group after intervention were higher than those of the control group. The improvement time of wheezing and cough in the observation group was shorter than that in the control group. The total number of complete compliance and partial compliance in the observation group was higher than that in the control group. Conclusion: The application of nursing intervention based on Nel Noddings care theory to the nursing of school-age asthmatic children can improve the self-management ability of children, promote the recovery of cough, wheezing and other symptoms, and is of great significance to improve the compliance and nursing effect of children, with high popularization and application value.

目的:探讨基于奈尔·诺丁斯护理理论的护理干预对中国学龄哮喘儿童自我管理行为和症状改善的影响。方法:选取学龄期哮喘患儿100例,分为观察组和对照组。两组均采用常规护理,观察组采用Nel Noddings理论结合护理干预。结果:观察组干预前社会心理、日常生活、疾病医学、自我管理总分与对照组相近。观察组干预后的自我管理评分高于对照组。观察组喘息、咳嗽症状改善时间均短于对照组。观察组完全依从和部分依从的总人数均高于对照组。结论:将基于奈尔诺丁斯护理理论的护理干预应用于学龄期哮喘儿童的护理中,可提高儿童的自我管理能力,促进咳嗽、喘息等症状的恢复,对提高儿童的依从性和护理效果具有重要意义,具有较高的推广应用价值。
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引用次数: 1
Risk Management of Negative Online Public Opinion in a Tertiary Hospital Based on the Kaiser Model. 基于Kaiser模型的某三级医院网络负面舆情风险管理
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-28 DOI: 10.5993/AJHB.47.1.17
Jie Xiong, Gouri A Domnic Jacob, Jian Gong Xiong

Objectives: In this study, we analyzed negative online public opinion in tertiary hospitals and evaluated corresponding risk by applying the Kaiser Model. Methods: Through data and expert group discussion, combined with the hospital's actual negative online public opinion management, we determined the opinions posing higher risk. The hospital's risk questionnaire for negative opinion was designed based on the Kaiser Model. The whole hospital staff was then trained and investigated. An Excel worksheet was used for statistical analysis and risk calculation.Results: According to the ranking of risk value, the top 5 negative online public opinions were drug supply and demand, in-hospital parking, handling of public health emergencies, the service attitude of hospital guidance staff, and interpretation of medical insurance policies. Conclusion: The hospital needs to revise and improve the emergency response plan for negative online public opinion based on the analysis results and reports of opinion risks. This is helpful for strengthening hospital-level emergency training, improving the hospital's ability to manage negative opinion risks, and promoting the hospital to become passive about negative online public opinion.

目的:本研究运用Kaiser模型对三级医院网络负面舆情进行分析,并对其风险进行评估。方法:通过数据收集和专家小组讨论,结合医院网络负面舆情管理的实际情况,确定风险较高的舆情。医院的负面意见风险问卷是基于Kaiser模型设计的。然后对医院全体工作人员进行了培训和调查。采用Excel工作表进行统计分析和风险计算。结果:根据风险值排序,负面网络舆情排名前5位的分别是药品供求、院内停车、突发公共卫生事件处理、医院指导人员的服务态度、医疗保险政策解读。结论:医院需要根据分析结果和舆情风险报告,修改完善网络负面舆情应急预案。这有利于加强医院层面的应急培训,提高医院管理负面舆论风险的能力,促进医院对网络负面舆论的被动化。
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引用次数: 1
Consumer Health Behavior and Business Adaptation of Thai Street Food Vendors Under the Covid-19 Pandemic: A Case Study of Street Food Vendors In Lower Northeastern Thailand. 新冠肺炎疫情下泰国街头小吃摊贩的消费者健康行为与商业适应——以泰国下东北部街头小吃摊贩为例
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-28 DOI: 10.5993/AJHB.47.1.11
Adisak Suvittawat

Objective: Street food has been a Thai cultural experience valued by locals and visitors alike. The epidemic of covid-19 has affected the hospitality industry worldwide, including tiny and medium-sized enterprises (SME) eateries. Street food vendors unquestionably operate the least successful businesses among these food providers. The purpose of investigating the adaptation of street food vendors is to learn about new ways for small businesses to adjust regarding consumer health behavior (CHB) to survive under a crisis situation and discover new dimensions of business survival. Methods: This study questioned 400 street food vendors in the lower northeastern region of Thailand using a Likert scale questionnaire to collect data. Results: According to the findings of this study, the CHB influences the adoption of new business practices from the standpoint of consumers. Conclusion: This study's model is a substantial contribution to the corpus of knowledge. This study's practical consequences offer a path ahead for adopting a CHB-oriented street food company.

目的:街头小吃一直是当地人和游客都重视的泰国文化体验。2019冠状病毒病的流行影响了全球的酒店业,包括中小型企业(SME)餐馆。在这些食品供应商中,街头食品摊贩无疑经营得最不成功。调查街头食品摊贩的适应情况,旨在了解小企业在危机情况下调整消费者健康行为的新途径,发现企业生存的新维度。方法:采用李克特量表对泰国东北地区400名街头小吃摊贩进行问卷调查。结果:本研究发现,从消费者的角度来看,CHB会影响新商业行为的采用。结论:本研究的模型是对知识语料库的重大贡献。本研究的实际结果为采用以chb为导向的街头食品公司提供了一条前进的道路。
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引用次数: 0
Prevention of Scarring of Lung Parenchyma in COVID-19 Patients through Glucocorticoid Treatment. 糖皮质激素治疗预防新冠肺炎患者肺实质瘢痕形成
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-28 DOI: 10.5993/AJHB.47.1.19
Nurgul Bozkurt, Ata N Yalcin

Objective: The objective of this research was to determine the impact of glucocorticoid treatment on preventing scarring of lung parenchyma in COVID-19 patients by considering their health behavior. Methods: A sample of 65 Turkish patients who had pneumonia and were hospitalized between March/December 2020 were included in this research. The data for this research was collected after the consent of the hospital. The structural equation model approach was used in data analysis and empirical findings. Results: The research identified that the patients with appropriate health behavior were satisfied with their clinical treatment of scarring of lung parenchyma by the method of glucocorticoid treatment. The research also identified that the patient's health behavior was a significant indicator to improve their perception of the clinical treatment. Conclusion: This study has reliable theoretical implications that are significantly important in the literature because of the nature and uniqueness of the findings. However, this research also has some practical implications related to the patient's lungs mostly infected by COVID-19. Furthermore, the findings of this research can be generalized in a significant way because the respondents of this research belonged to a diverse population.

目的:本研究的目的是通过考虑患者的健康行为,确定糖皮质激素治疗对预防COVID-19患者肺实质瘢痕形成的影响。方法:本研究纳入了2020年3月至12月期间住院的65名土耳其肺炎患者。本研究的数据是在征得医院同意后收集的。采用结构方程模型方法进行数据分析和实证研究。结果:研究发现,采用糖皮质激素治疗肺实质瘢痕形成的患者对其临床治疗满意。研究还发现,患者的健康行为是提高其对临床治疗认知的重要指标。结论:由于研究结果的性质和独特性,本研究具有可靠的理论意义,在文献中具有重要意义。然而,这项研究也有一些与COVID-19主要感染患者肺部相关的实际意义。此外,本研究的结果可以概括在一个显著的方式,因为本研究的受访者属于一个多样化的人口。
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引用次数: 0
Evaluation of Post-Operative Patient Satisfaction and Rhinoplasty Decision Based on Pre-and PostOperative Images on Social Media. 基于社交媒体上的术前和术后图片评价术后患者满意度和隆鼻决策。
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-28 DOI: 10.5993/AJHB.47.1.20
Ömer Buhşem

Objective: The novel objective of this research was to evaluate post-operative patient satisfaction among Turkish patients who decided to have rhinoplasty by seeing their pre-operative and post-operative images on social media. Method: This research compared and evaluated the collected data from three patient groups, namely Group 1, Group 2, and Group 3 to investigate the satisfaction level of the patients after the first year of the surgery. Result: The study found that the number of patients who decided to get rhinoplasty done after looking at images from social media were similar to other groups according to surgeon's scores. However, it was determined that the patient satisfaction of those who came after looking at images from social media was lower by a large margin and their expectations were not met by rhinoplasty. Conclusion: This research presented a novel theoretical implication that was not determined and evaluated by other studies in prior studies. The contribution of this research has reliable justification to improve patient satisfaction based on their health behavior to improve their level of satisfaction with rhinoplasty.

目的:本研究的新目的是通过在社交媒体上看到土耳其鼻整形患者的术前和术后图像来评估患者术后满意度。方法:本研究对1组、2组、3组患者收集的资料进行比较评价,调查患者术后一年后的满意度。结果:研究发现,根据外科医生的评分,在看了社交媒体上的照片后决定做隆鼻手术的患者数量与其他组相似。然而,确定的是,那些在看了社交媒体上的照片后来就诊的患者的满意度大大降低,他们的期望也没有通过隆鼻手术达到。结论:本研究提出了一种新的理论含义,在以往的研究中没有被其他研究确定和评价。本研究的贡献有可靠的理由,以提高患者满意度为基础的健康行为,以提高他们对鼻整形术的满意度。
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引用次数: 0
Relationship between Heart Rate Variability and Postoperative Cognitive Dysfunction in Elderly Patients. 老年患者术后认知功能障碍与心率变异性的关系。
IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-28 DOI: 10.5993/AJHB.47.1.8
Xuelian Li, Xiren Deng, Zhiwei Huang, Ana Kowark, Mark Coburn, Guanpeng Zhang, Xiaoxia Duan

Objectives: Postoperative cognitive dysfunction (POCD) is objectively measurable after anesthesia and surgery. Lower heart rate variability (HRV) is associated with poorer cognitive performance, but the relationship between HRV and POCD remains unclear. Methods: Elderly patients who underwent total hip replacement under general anesthesia from the Department of Bone and Joint Surgery, Affiliated Hospital of Southwest Medical University were enrolled. Neuropsychological tests, standard deviation of the interbeat interval (SDNN, a parameter of HRV), and plasma concentrations of glial cell line-derived neurotrophic factors (GDNF) were performed one day before (T-1) and 7 days after (T7) surgery. Results: POCD occurred in 35% of patients on 7 days after surgery. Lower SDNN(T7) (OR=.91) and longer surgery time (OR=1.33) were associated with POCD. Compared with patients without POCD, there was higher variation SDNN (Δ SDNN) and plasma GDNF (ΔGDNF) in those with POCD from T-1 to T7 period. ΔGDNF is positively correlated with ΔSDNN (r = .61, p<.001). Conclusions: Lower SDNN (T7) was associated with POCD and might be used as a warning indicator for the risk of POCD.

目的:对麻醉和手术后的认知功能障碍(POCD)进行客观测量。较低的心率变异性(HRV)与较差的认知能力有关,但HRV与POCD之间的关系尚不清楚。方法:选取西南医科大学附属医院骨关节外科全麻下行全髋关节置换术的老年患者为研究对象。术前1天(T-1)和术后7天(t - 7)分别进行神经心理测试、心跳间隔标准差(SDNN, HRV参数)和血浆胶质细胞系源性神经营养因子(GDNF)浓度。结果:术后7天发生POCD的患者占35%。较低的SDNN(T7) (OR= 0.91)和较长的手术时间(OR=1.33)与POCD相关。与非POCD患者相比,POCD患者T-1 ~ T7期SDNN (Δ SDNN)和血浆GDNF (ΔGDNF)的变化更高。ΔGDNF与ΔSDNN呈正相关(r = 0.61, p)结论:低SDNN (T7)与POCD相关,可作为POCD风险的预警指标。
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引用次数: 0
Neuropsychological Changes in Pregnant Women with Preeclampsia/Eclampsia (PE-E): Health Behavior Implications 孕妇子痫前期/子痫(PE-E)的神经心理变化:健康行为的影响
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.5993/ajhb.47.5.2
Ufuk ATLIHAN, Ümit DERUNDERE, Meltem Duraklı ULUKÖK
Objectives: Preeclampsia/eclampsia (PE-E) is a significant cause of maternal morbidities and mortalities in many countries. To expand this topic, the prime aim of this study was to examine the linkage of neuropsychological changes with PE-E in pregnant women. In addition, this study also analyzed the impact of numerous health behavior on development of PE-E in pregnant women. Methods: Employing the quantitative methodology, the data was collected from 350 pregnant women from hospitals in Turkey.Results: The findings of study indicate that health behavior associated with negative psychological predictors indicate significant association with risk of PE-E in pregnant women. Accordingly, sadness,anxiety, depression, disgust and distress were found as negative and significant predictor of PE-E. Inaddition, the health behavior associated with positive psychological predictors like love, joy, happiness and acceptance were found positive predictor as they improved the healthcare behavior and reduced risk of PE-E in pregnant women. Conclusions: Consequently, the study indicated that pregnantwomen with neuropsychological distress have twice threat of development of PE-E as compared to normal pregnant women. This study has significant implications for health sector and recommends encouraging positive health behavior to avert effect of PE-E on pregnancy and birth outcomes.
目的:先兆子痫/子痫(PE-E)是许多国家孕产妇发病率和死亡率的一个重要原因。为了扩大这一主题,本研究的主要目的是检查孕妇的神经心理变化与PE-E的联系。此外,本研究还分析了多种健康行为对孕妇PE-E发展的影响。方法:采用定量方法,对土耳其各医院350例孕妇进行数据收集。结果:本研究结果表明,健康行为与孕妇PE-E发生风险显著相关。因此,悲伤、焦虑、抑郁、厌恶和痛苦是PE-E的负向显著预测因子。此外,与爱、快乐、幸福和接纳等正向心理预测因子相关的健康行为改善了孕妇的健康行为,降低了PE-E的风险。结论:因此,本研究表明,有神经心理困扰的孕妇发生PE-E的风险是正常孕妇的两倍。本研究对卫生部门具有重要意义,并建议鼓励积极的健康行为,以避免PE-E对妊娠和分娩结果的影响。
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引用次数: 0
Impact of Home-based Care and Institutionbased Care on Older Adults’ Health in China: A Comparative Analysis 家庭护理与机构护理对中国老年人健康影响的比较分析
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.5993/ajhb.47.5.3
Hua Tian, Jie Chen
Objective: This study compares between two types of care for older adults’ health, viz., home -based care and. Institution-based care in the context of China, and further explored the impact of each care type on their health. Methods: A fully aligned polygonal graphical indexing method, t-tests, logistic binary regression analysis were performed using SPSS for data analysis. Results: In both care types, females had higherincidence of one or more chronic disease than males, as well as anxiety. However, hypertension was the chronic disease with the highest incidence, higher in males than females. Care types had significant impact on variables like self-reported health (OR=0.329, [CI95%=0.107–1.010], p<0.05) and mental health (OR=0.567, [CI95%=0.364–0.881], p<0.05), but had no significant impact on the objective physical health (OR=1.010,[CI95%=0.577–1.767], p>0.05). Conclusion: Both the types of care of older adults showed a significant impact on the self-reported and mental health, but only a significant difference was made on their mental health. Information exchange and emotional communication through smart facilities and the Internet usability, such as eHealth training, intelligent old-age care may be good interventions to improve older adults’ health.
目的:本研究比较两种类型的老年人健康护理,即家庭护理和家庭护理。在中国机构型护理的背景下,进一步探讨了每种护理类型对其健康的影响。方法:采用全对齐多边形图形索引法,采用SPSS进行t检验和logistic二元回归分析。结果:在两种护理类型中,女性的一种或多种慢性疾病的发生率均高于男性,焦虑的发生率也高于男性。然而,高血压是发病率最高的慢性病,男性高于女性。护理类型对自我报告健康(OR=0.329, [CI95%= 0.107-1.010], p>0.05)和心理健康(OR=0.567, [CI95%= 0.364-0.881], p>0.05)有显著影响,但对客观身体健康(OR=1.010,[CI95%= 0.577-1.767], p>0.05)无显著影响。结论:两种护理方式对老年人的自我报告和心理健康均有显著影响,但对老年人的心理健康仅存在显著差异。通过智能设施和互联网可用性进行信息交流和情感沟通,如eHealth培训、智能养老等,可能是改善老年人健康的良好干预措施。
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引用次数: 0
Exploring Role of Metacognitive Components and their Awareness in Mental Health Behavior among Students of Higher Educational Institutions 元认知成分及其意识在高校学生心理健康行为中的作用探讨
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.5993/ajhb.47.5.4
Shirin Abdallah Alimour, Maryam Ahmad Abu Al Rish, Abdellateef Abdelhafez Alqawasmi
Objectives: Mental health is determined by the way students think, feel, behave and interact with peerssocially and professionally. Metacognition guides students’ cognitive thinking strategies to achieve academicsuccess as well as other cognitive health outcomes. It prevents any kind of psychological distress andregulate their emotive-cognition health behavior. The current research aimed to investigate the role ofmetacognitive components and awareness in relation to mental health conditions and identify potentialareas of strengths and weaknesses of students enrolled at Al Ain University (AAU). Methods: A descriptivestudy design was employed, involving 512 participants and the data was collected using the Meta-Cognitive Awareness Inventory. Results: The results demonstrate a notable insufficiency in metacognitivethinking skills among AAU students, which highlights the necessity of incorporating metacognitivelearning practices as effective health behavior among students. Conclusion: The research findings holdsignificant implications for optimizing educational practices and health behavior to enhance students’ metacognitive abilities. Educators and researchers can develop targeted health behavior and instructional strategies to promote metacognitive growth by identifying specific areas of strength and weakness. The results of this study contribute to the existing literature on metacognition and health behavior, providing valuable insights for fostering effective learning environments within higher education institutions (HEIs).
目的:心理健康是由学生的思维方式、感受方式、行为方式以及与同龄人的社交和专业互动方式决定的。元认知指导学生的认知思维策略,以获得学业成功和其他认知健康结果。它可以防止任何形式的心理困扰,调节他们的情绪认知健康行为。目前的研究旨在调查元认知成分和意识在心理健康状况中的作用,并确定在艾因大学(AAU)入学的学生的潜在优势和劣势。方法:采用描述性研究设计,共纳入512名被试,数据采用元认知意识量表收集。结果:研究结果表明,大学生在元认知思维技能方面存在显著不足,强调了将元认知学习作为学生有效健康行为的必要性。结论:本研究结果对优化教育实践和健康行为,提高学生元认知能力具有重要意义。教育工作者和研究人员可以制定有针对性的健康行为和教学策略,通过确定特定领域的优势和劣势来促进元认知的发展。本研究的结果对现有的元认知与健康行为的研究有一定的借鉴作用,为高等教育机构培养有效的学习环境提供了有价值的见解。
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引用次数: 0
Impact of Music Therapy on Athletes’ Health Sustainability: The Role of Positive Coaching and Health Literacy in Post COVID-19 Environment 音乐治疗对运动员健康可持续性的影响:积极指导和健康素养在新冠肺炎环境中的作用
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-01-01 DOI: 10.5993/ajhb.47.5.1
Aizhen Liu
Objective: This research is conducted to determine the relationship between music therapy and athletes’ health sustainability, while also determining the moderating role of positive coaching and the mediating role of mental health literacy. Methods: The final sample size of this research comprised 356 respondents, and data was collected from domestic-level soccer players in China. This research used Smart PLS for measurement model assessment and structural model assessment and determine the validity and reliability of the collected data. Results: The research highlights a significant and direct and indirect relationship between music therapy and athletes’ sustainable health. Mental health literacy is also seen positively mediating the relationship between music therapy and athletes’ health sustainability. Furthermore, this research also demonstrates that the moderating role of positive coaching is significant and strengthens the relationship between music therapy and athletes’ sustainable health. Conclusion: The research concludes that the relationship between music therapy and athletes’ mental health improves with the mental health literacy of athletes. The findings of this research are appropriate to enhance the body of knowledge.Furthermore, the study has some implications and recommendations for increased, health and performance.
目的:探讨音乐治疗对运动员健康可持续性的影响,以及积极教练的调节作用和心理健康素养的中介作用。方法:本研究的最终样本量为356名受访者,数据来自中国国内水平的足球运动员。本研究使用Smart PLS进行测量模型评估和结构模型评估,确定所收集数据的效度和信度。结果:音乐治疗与运动员持续健康存在显著的直接和间接关系。心理健康素养在音乐治疗与运动员健康可持续性之间也具有正向中介作用。此外,本研究还表明,积极教练的调节作用显著,并加强了音乐治疗与运动员持续健康之间的关系。结论:音乐治疗与运动员心理健康的关系随着运动员心理健康素养的提高而增强。本研究的发现对加强知识体系是适当的。此外,该研究对提高、健康和表现有一些启示和建议。
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引用次数: 0
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