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Factors Associated With Hypertension among Age Groups of 18 Years and Above In, Southwestern, Ethiopia, 2020: A Community Based Cross-Sectional Study 埃塞俄比亚西南部,2020年18岁及以上年龄组高血压相关因素:一项基于社区的横断面研究
Pub Date : 2020-01-01 DOI: 10.36648/2049-5471.17.7.218
Kebadnew Mulatu, Tensaykahsay
Background: Hypertension is one of the major noncommunicable chronic diseases in the globe which is now changed from a relative rarity to a major public health problem. Because now a day's, globally cardiovascular disease accounts for approximately 17 million deaths a year, nearly one-third of the total death. Of these, complications of hypertension account for 9.4 million deaths worldwide every year. Hypertension is responsible for at least 45% of deaths due to heart disease, and 51% of deaths due to stroke. The study aimed to assess the magnitude and associated factors of hypertension among the age group of 18 years and above in Southwest, Ethiopia, 2020. Method: A community based cross-sectional study was conducted. A total of 356 adults were recruited for the study. A pre-tested and structured questionnaire was used to collect the data. Both bivariate and multivariate logistic regressions were carried out to assess the association of independent variables with hypertension and P-value <0.05 was considered as significant. Result: A total of 351 participants were included in the analysis. About 17.7% of the respondents had elevated their Blood pressure. Sex (AOR = 6.7, 95% CI 2.10-21.53), age (AOR= 2.6, 95% CI.1.07-7.40), and body mass index (BMI), (AOR=2.8, 95% CI. 1.14-6.93 and AOR=8.5, 95%CI.1.68-42.45), and vigorous physical exercise (AOR=3.9, 95% CI. 1.40-11.13) were significantly associated with hypertension. Conclusions and recommendation: The study showed that the overall prevalence of hypertension was higher in the study area which was comparatively higher in men than females. The study also showed that BMI, sex, age, and engaging in vigorous physical exercise were found to be significant factors that influence hypertension in the study area. Community-based screening programs should be established for hypertension in this community.
背景:高血压是全球主要的非传染性慢性病之一,现已从一种相对罕见的疾病转变为一个主要的公共卫生问题。因为现在每天,全球心血管疾病每年造成大约1700万人死亡,几乎占总死亡人数的三分之一。其中,高血压并发症每年在全世界造成940万人死亡。高血压导致至少45%的心脏病死亡,51%的中风死亡。本研究旨在评估2020年埃塞俄比亚西南部18岁及以上年龄组高血压的程度及相关因素。方法:以社区为基础进行横断面调查。这项研究共招募了356名成年人。使用预先测试和结构化的问卷来收集数据。采用双变量和多变量logistic回归评估自变量与高血压的相关性,p值<0.05为显著性。结果:共有351名参与者被纳入分析。约17.7%的受访者血压升高。性别(AOR= 6.7, 95% CI 2.10-21.53)、年龄(AOR= 2.6, 95% CI 1.07-7.40)和体重指数(BMI) (AOR=2.8, 95% CI)。1.14 ~ 6.93, AOR=8.5, 95%CI.1.68 ~ 42.45),剧烈体育锻炼(AOR=3.9, 95%CI。1.40-11.13)与高血压显著相关。结论与建议:研究表明,研究区高血压总体患病率较高,且男性高于女性。研究还发现,BMI、性别、年龄和从事剧烈体育锻炼是影响研究地区高血压的重要因素。应在该社区建立以社区为基础的高血压筛查项目。
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引用次数: 4
Nursing Assistance to Patient with Cerebral Haemorrhage 脑出血病人的护理协助
Pub Date : 2019-01-01 DOI: 10.21767/2049-5471.1000186
Ana Juana Tambasco
About 25% of strokes for elderly patients are due to acute cerebral hemorrhage. Consequently, treatments to improve prognosis should be identified. The aim of the present study is to identify a clinical nursing pathway for patients with acute cerebral hemorrhage, improving the clinical effects and nursing satisfaction and reducing adverse reactions.
大约25%的老年中风患者是由急性脑出血引起的。因此,应确定改善预后的治疗方法。本研究旨在探索急性脑出血患者的临床护理路径,提高临床疗效和护理满意度,减少不良反应。
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引用次数: 0
An Assurance of Insurance: Should Living Kidney Donors be Required to have Health Insurance? 保险保证:活体肾脏捐赠者是否需要有健康保险?
Pub Date : 2019-01-01 DOI: 10.21767/2049-5471.1000184
Jordan A. Siegel, A. Humar, Hannah Cheng, Andrew Krane, N. Ahmed, A. Tevar, P. Gianaros, J. Steel
Background: The aims of the study were to examine if living donors followed the recommended UNOS medical visits postsurgery examinations and to assess if medical outcomes after donating a kidney were different by insurance status. Methods: Data was collected from the medical records of 680 consecutive living kidney donors between January 2010 and June 2015. Results: Significant predictors of having health insurance included higher levels of education (p=0.007) and being married (p=0.031). Post-surgical visits were lower for those without insurance at six months (43% versus 77%; p=0.029) and one year (35% versus 77%, p<0.001) than those with insurance. A robust trend was observed whereas lack of health insurance was predictive of higher systolic blood pressure (p=0.05). Significant predictors of higher systolic blood pressure included being older (p<0.001), male (p<0.001); and non-Caucasian (p=0.012). Significant predictors of higher diastolic blood pressure were being male (p<0.001) and non- Caucasian (p=0.020); and prior drug use (p=0.003). Conclusion: Development of interventions to improve postsurgical follow up for kidney donors without insurance is warranted to potentially reduce poor health outcomes such as hypertension post kidney donation.
背景:本研究的目的是检查活体捐赠者是否遵循了UNOS推荐的手术后医疗访问检查,并评估捐赠肾脏后的医疗结果是否因保险状况而不同。方法:收集2010年1月至2015年6月680例连续活体肾供者的病历资料。结果:拥有健康保险的显著预测因子包括较高的教育水平(p=0.007)和已婚(p=0.031)。没有医疗保险的患者术后6个月的回访率较低(43%对77%;P =0.029)和1年(35%对77%,P <0.001)。无健康保险可预测收缩压升高,这一趋势明显(p=0.05)。收缩压升高的显著预测因素包括:年龄较大(p<0.001)、男性(p<0.001);非白种人(p=0.012)。男性(p<0.001)和非白种人(p=0.020)是舒张压升高的显著预测因子;既往用药(p=0.003)。结论:发展干预措施以改善无保险肾供者的术后随访,有可能减少肾供者术后高血压等不良健康结果。
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引用次数: 0
Piloting an Interactive Theater Program to Promote Intimate Partner Violence Awareness among Refugees Resettled In the United States 试点一个互动戏剧项目,以提高在美国重新定居的难民对亲密伴侣暴力的认识
Pub Date : 2019-01-01 DOI: 10.36648/2049-5471.16.3.194
Shakur S, Avondet C, S. K, Panahi S, Griffiths A, Izampuye E, K. A
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引用次数: 1
Perspectives from Students in the Native American Summer Research Internship Program 美国原住民暑期研究实习计划学生的观点
Pub Date : 2019-01-01 DOI: 10.36648/2049-5471.16.3.195
Jones M, K. A, Elizabeth Levitt S, Juarez N, Holsti M
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引用次数: 0
Health Benefit Manifestation of Improved Sleep, Physical Exercise and Selective Diets 改善睡眠、体育锻炼和选择性饮食的健康益处表现
Pub Date : 2019-01-01 DOI: 10.36648/2049-5471.1000193
T. Archer, M. Ricciardi
The conflicting and vicarious demands of occupations schedules, stressful life situations, unrestricted dietary habits, sedentary life-styles and metabolic compromization present some of the hazards that culminate in individuals’ sleep problems whether de facto experience, physiological expressions of health parameters or disorder/drug-related. Interventional therapies aimed at the avoidance of damaging insulin resistance and type II diabetes conditions extend the physical exercise benefits by their influences upon skeletal muscle tissue, with in addition exercise training inducing profound effects on adipose tissue. Regular exercise precludes nocturnal disturbance with associations to reductions in the prevalence of sleep disorders, i.e. most particularly obstructive sleep apnea and thereby improving sleep efficiency and integrity among, and across, most age-groups. In obstructive sleep apnea patients, dysregulated cardiovascular health, that may or may not counteract the elevated oxidative stress, proinflammatory development and sympathetic activation may alleviated through selective regimes of physical exercise. The presence of major gender difference in the quality and sufficiency of healthy sleep reinforces the requirement for selective life-styles to combat the encroachment of sleep inadequacy as a health hazard. Proper assessment of somatic and psychological health variables requires major planning and preparation.
职业安排、紧张的生活环境、不受限制的饮食习惯、久坐不动的生活方式和代谢妥协等相互冲突和替代的需求,构成了一些危害,最终导致个人的睡眠问题,无论是事实上的经历、健康参数的生理表达还是与疾病/药物相关的。旨在避免破坏性胰岛素抵抗和II型糖尿病的介入治疗通过对骨骼肌组织的影响扩大了体育锻炼的益处,此外,运动训练还对脂肪组织产生了深远的影响。有规律的锻炼可以排除夜间干扰,从而减少睡眠障碍的患病率,特别是阻塞性睡眠呼吸暂停,从而提高大多数年龄组的睡眠效率和睡眠完整性。在阻塞性睡眠呼吸暂停患者中,心血管健康失调可能会或可能不会抵消氧化应激升高,促炎发展和交感神经激活可能会通过选择性的体育锻炼机制得到缓解。在健康睡眠的质量和充足性方面存在着重大的性别差异,因此需要有选择的生活方式,以对抗睡眠不足对健康的危害。对身体和心理健康变量的适当评估需要进行重大规划和准备。
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引用次数: 0
Comparison between Highly-Talented and Low- Talented Nurses on their Characteristics and Quality of Nursing Care 高、低水平护士护理特点与护理质量的比较
Pub Date : 2019-01-01 DOI: 10.36648/2049-5471.16.2.190
Hanan Alnuqaidan, Muayyad M. Ahmad
Purpose: This study aims to compare between highly-talented and low-talented nurses in regard to the quality of nursing care they provide as perceived by the nurses themselves. Methods: A descriptive comparative design was used to recruit all the available Kuwaiti nurses (N=72 nurses) from the 6 medical regions in Kuwait. Nurses’ talent was measured by using the self-assessment Nurse Competence Scale, the Gardner Career Commitment Scale, and the Nurses’ Contribution Scale. The quality of care was measured by the Nurses’ Assessment of Quality Scale. Results: 43 (59.7%) nurses were highly-talented. The findings revealed that there were no significant differences between the low-talented and the highly-talented nurses in terms of their characteristics. However, the quality of nursing care was better among the group of highly-talented nurses. Conclusion: One way to assess talent in nursing is by assessing the competence, the commitment, and the contribution of the nurses.
目的:本研究旨在比较高才能护士与低才能护士对护理质量的自我感知。方法:采用描述性比较设计,从科威特6个医疗区招募所有科威特护士(72名)。采用护士能力自评量表、加德纳职业承诺量表和护士贡献量表对护士的才能进行测评。护理质量采用护士质量评定量表进行测量。结果:高素质护士43名(59.7%)。结果显示,低才能护士与高才能护士在特质上无显著差异。而高素质护士组的护理质量较好。结论:评价护理人才的方法之一是评价护士的能力、投入和贡献。
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引用次数: 6
Death without God: Nonreligious Perspectives on End-of-Life Care 没有上帝的死亡:临终关怀的非宗教观点
Pub Date : 2019-01-01 DOI: 10.36648/2049-5471.16.3.196
Helen Dempsey-Henofer
Nonreligious people are underrepresented in the literature guiding end-of-life care. Moreover, much of what is written about nonreligious patients is written from a religious perspective. To address this deficit, the author conducted descriptive research by surveying online social media group participants using a quantitative questionnaire and qualitative feedback (N=263). Participants responded from closed social media groups for nonreligious people. Survey questions and responses offer insight into a nonreligious end-of-life dyad on the interrelated perceptions and experiences of nonreligious people regarding end-of-life healthcare. Participants responded to questions that assessed individual worldview description, openness to hospice services, feelings regarding chaplain services, expectations regarding fear of death, feelings on religious phrases, experiences of marginalization associated with their nonreligious affiliation, and perspectives regarding healthcare providers’ competency providing care for nonreligious people. Though not comprehensive, the survey results indicate common experiences and perspectives, which can in- form end-of-life practitioners providing care to this population. Through qualitative feedback, survey participants shared their experiences in healthcare settings and expressed a desire for healthcare professionals to be more aware of the needs of nonreligious people. Both the quantitative responses and qualitative feedback of participants is used to inform practice implications and recommendations made for caring for the whole nonreligious person.
在指导临终关怀的文献中,非宗教人士的代表性不足。此外,很多关于非宗教患者的文章都是从宗教的角度来写的。为了解决这一缺陷,作者通过使用定量问卷和定性反馈对在线社交媒体群体参与者进行了描述性研究(N=263)。参与者来自非宗教人士的封闭社交媒体群。调查问题和回答提供了对非宗教人士关于临终医疗保健的相互关联的看法和经验的见解。参与者回答的问题评估了个人世界观描述、对临终关怀服务的开放程度、对牧师服务的感受、对死亡恐惧的期望、对宗教短语的感受、与他们的非宗教信仰相关的边缘化经历,以及对医疗保健提供者为非宗教人士提供护理的能力的看法。虽然不全面,调查结果表明共同的经验和观点,这可以在形式上的临终关怀从业者提供给这一人群。通过定性反馈,调查参与者分享了他们在医疗保健环境中的经验,并表达了希望医疗保健专业人员更多地了解非宗教人士的需求。参与者的定量反应和定性反馈都被用来告知实践的含义和建议,以照顾整个非宗教人士。
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引用次数: 0
Investigation of Socioeconomic Inequalities in Health-Related Quality of Life across Europe: A Systematic Review 欧洲健康相关生活质量的社会经济不平等调查:系统回顾
Pub Date : 2019-01-01 DOI: 10.36648/2049-5471.16.3.197
Ellina P, Middleton N, L. E., Kouta C
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引用次数: 4
Prevalence and Factors Related to Tobacco Use in Adolescent Students 青少年学生吸烟的流行及相关因素
Pub Date : 2019-01-01 DOI: 10.21767/2049-5471.1000188
G. R. Zarallo, María Zoraida Clavijo Chamorro, A. Luque, Rocío Mendo Condón
Introduction: Tobacco use is a major public health problem, a cause of premature and preventable morbidity and mortality, which often begins in adolescence. Objective: To analyze the prevalence and associated factors related to tobacco consumption among secondary, high school and university students of Caceres (Spain). Methods: Descriptive cross-sectional study. The sample consisted of secondary, high school and university students from the city of Caceres, over 14 years old. Sociodemographic and consumption data and factors related to tobacco were collected. For the bivariate analysis Chi square was used for the qualitative variable. Results: 209 students have participated. The prevalence of tobacco consumption was usually 27.8%, 27.8% occasional and 44.5% were not consumers. The female gender with 30.6% and 20-24 years, those that contain the highest proportion of smokers. The factors related to starting smoking were other reasons (44%), tendency (16.4%) and relaxation (18.1%), which shows statistically significant differences (p<0.005). Almost all smokers, whether habitual or casual, have thought about stopping smoking (47.4%) or maybe they could try it (37.1%). Conclusion: The rate of tobacco users is high among students. This suggests the need to implement health education programs to prevent and reduce the rate of tobacco use since adolescence, to prevent them from adopting or maintaining this habit in adulthood, since a high percentage of smokers have thought in quitting smoking.
烟草使用是一个重大的公共卫生问题,是导致过早和可预防的发病和死亡的原因,通常始于青春期。目的:分析西班牙卡塞雷斯市中学生和大学生烟草消费的流行情况及相关因素。方法:描述性横断面研究。样本包括来自卡塞雷斯市的14岁以上的中学生、高中生和大学生。收集了与烟草有关的社会人口和消费数据及因素。对于双变量分析,使用卡方作为定性变量。结果:共有209名学生参与。吸烟流行率为通常27.8%,偶尔27.8%,非吸烟者44.5%。其中女性占30.6%,20-24岁人群中吸烟者所占比例最高。与开始吸烟相关的因素为其他原因(44%)、倾向(16.4%)和放松(18.1%),差异有统计学意义(p<0.005)。几乎所有的吸烟者,无论是习惯性的还是偶然的,都想过戒烟(47.4%)或者他们可以尝试一下(37.1%)。结论:大学生吸烟率较高。这表明有必要实施健康教育计划,以防止和减少青少年以来的烟草使用率,防止他们在成年后养成或保持这种习惯,因为吸烟者中有很高比例的人曾考虑过戒烟。
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引用次数: 1
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Diversity and equality in health and care
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