Life Review the Impact of Combined Watson Care Theory Intervention on Psychological Status and Quality of Life in Patients with Terminal Lung Cancer

Objective: To analyze the impact of combined Watson care theory intervention on the psychological state and quality of life in patients with terminal lung cancer. Methods: 72 patients with terminal lung cancer admitted from March 2021 to January 2024 were selected, which were divided into research group (life review combined with Watson care theory intervention) and control group (conventional intervention), with 36 cases each. Compare the nursing effect between the two groups. Results: The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) scores were significantly lower than those of the control group, and the quality of life score was significantly higher than that of the control group (P < 0.05). Conclusion: Life review combined with Watson care theory intervention can improve the psychological state and improve the quality of life of patients with terminal lung cancer.

Effectiveness Life Review on Life Satisfaction among Adolescents under the Supervision of Qazvin Well-Being Center

Objective: The aim of this study was to determine Effectiveness Life Review on Life Satisfaction among Adolescents under the Supervision of Qazvin Well-being Center 2012-2013. Method: This study was a quasi-experimental research including experimental and control groups with a pretest-posttest design. The statistical population consisted of all 12 - 18 years old male students who were nurtured in Qazvin Well-being Center, among whom 16 individuals were selected through applying purposive sampling method and were randomly divided into experimental and control groups with equal number of subjects. The investigation was done using Diener’s (1985) Satisfaction with Life Scale (SWLS) Questionnaire. The experimental group received life review therapy in 6 sessions (90 minutes per session). Data were analyzed by using Analysis of Covariance (ANCOVA), using SPSS software. Results: Results indicated that life review therapy was effective in increasing male adolescents’ life satisfaction living in the welfare center. Conclusion: Life review therapy improves quality of life and life satisfaction;therefore, this treatment can be used as an effective method to improve the living conditions of young people.

Efficacy of the structured life review and the short-term life review on the spiritual well-beingof terminally ill cancer patients

GOALS: The aims of this study were to evaluate the treatment efficacy of the structured life review interviews and the Short-Term Life Review on the spiritual well-being of terminally ill cancer patients, in order to improve patients’ quality of life. SUBJECTS and METHODS: Participants were patients in palliative care units in Japan. In the study 1, the structured life review interviews were conducted with 12 patients. They completed the QOL scale of the SELT-M (Skalen zur Erfassung von Lebens qualitat bei Tumor- kranken–Modified Version) questionnaire before and after the interviews. In the study 2, the Short-Term Life Review was conducted with 30 patients. They reviewed their lives in the first session and they confirmed the contents in the album based on the life review in the second session. Duration of the treatment was one week. Measurement instruments included Func- tional Assessment Chronic Illness Therapy- Spiritual (FACIT-Sp). RESULTS: After the structured life review, the mean overall QOL score and Spirituality subscale score of the SELT-M significantly increased, from 2.57 ± 0.61 to 3.58 ± 1.0 (p=0.013) and 2.57 ± 0.61 to 3.14 ± 2.25 (P=0.023), respectively. After the Short-Term Life Review, the mean FACIT-Sp scores significantly increased from 16 ± 8.2 to 24 ± 7.1. CONCLUSION: Both the structured life review and the Short-Term Life Review may be effective in improving the spiritual well-being of terminally ill cancer patients, being higher feasibility for the Short-Term Life Review. We need to use these therapies understanding characteristics of each therapy.

Simple Life Review for Terminally Ill Cancer Patients with Low Cognitive Function

Objective: The aims of the study were to develop a Simple Life Review Interview as psychotherapy for terminally ill cancer patients with slight cognitive impairment, and to examine the feasibility and effects of this approach on spiritual well-being and quality of life. Methods: The participants were 5 terminally ill cancer patients in a palliative care unit. They completed questionnaires for the Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp) scale, Good Death Inventory (Hope, Burden, Human Relationship, Respect as an Individual), and Distress and Impact Thermometer. Results: The Simple Life Review Interview consisted of viewing a DVD and reviewing the patient's life using questions that are applicable to terminally ill cancer patients with slight cognitive impairment. Overall, the FACIT-Sp score and the scores for Hope, Human Relationship, and Respect as an Individual on the Good Death Inventory increased, while the Burden score and the Distress and Impact Thermometer score decreased. However, there were some exceptions to these results. Conclusion: The Simple Life Review is feasible for terminally ill cancer patients with some cognitive impairments, and might be effective for improving spiritual well-being, Good Death, and psychological distress in these patients.

Effectiveness of Music-Based Therapeutic Intervention on People with Dementia: A Rapid Review

Background: Dementia is a condition with progressive cognitive dysfunction and manifestation of both behavioral and psychosocial symptoms. Non-pharmacological measures such as music therapy are gaining importance since efficacy and safety of people with dementia have been questionable for pharmacological measures. Patient’s response to music is persistent even in the later stage of dementia. Aim: This rapid review aims to identify, analyze, evaluate, and summarize the best available evidence on the effectiveness of music-based therapeutic interventions among people with dementia. Method: CINAHL Cochrane Library, internet websites of rapid review producers, and reference lists were searched to identify articles for inclusion. Two reviewers independently screened the literature search results. Effectiveness, music-based therapeutic intervention, dementia, Alzheimer’s disease, systematic review and systematic review with meta-analysis terms were used to abstract data from included studies. Main Findings: 11 SRs and SRs with meta-analysis were reviewed which revealed positive effect of music therapy on five major outcomes with 9 studies effect on behavioral outcome, 6 studies with positive effect on psychosocial outcome reducing anxiety, 6 with improved cognition, 1 study revealed with improved quality of life and 1 study revealed effect on physiological outcomes. Conclusion: Music therapy has positive effect on treatment of dementia but further studies with larger sample size and specified to single intervention should be conducted to provide generalisable and precise results on this topic.

Patient participation in relation to life style changes—A literature review

The objective of this literature review was to identify and examine research where Patient Participation was used as a part of intervention targeting general life style among patients who comes in contact with a nurse. A literature search were conducted and included papers where judged by the researcher using recommendation from The Danish Centre for Clinical Guidelines. Analysis of the papers was carried out using Per?kyl? and Ruusuvauoris five components of Patient Participation as a theoretical template. It was concluded that the clinical effects of Patient Participation still needs to be clarified.

Sorafenib for advanced renal cell carcinoma in real-life practice: a literature review

Sorafenib is a new treatment indicated for patients with advanced renal cell carcinoma who have failed prior cytokine-based therapy or are considered unsuitable for such therapy. Although treatment with sorafenib under ‘ideal trial conditions’ has been extensively studied, registration and reimbursement authorities are also interested in the behavior of sorafenib in real-life practice. This study aims to conduct a literature review of the dosage and treatment duration;safety, tolerability and effectiveness;costs and cost-effectiveness of sorafenib in routine clinical care. Studies were identified by searching PubMed, Embase, Centre for Reviews and Dissemination databases, Cochrane Database of Systematic Reviews, and EconLit up to November 2010. The literature search included articles published in peer-reviewed journals, congress abstracts, and internal studies of Bayer Schering Pharma. Eight studies were included. An open-label study observed stable disease for at least eight weeks in 80% of patients. The most common drug-related adverse events were hand-foot skin reaction, rash, hypertension, and fatigue. Although treatment with sorafenib led to fewer dose reductions, it was also associated with a shorter treatment duration, less time to pro-gression and a shorter survival time as compared to sunitinib. Monthly health care costs were lower with sorafenib as compared to sunitinib. A post-marketing surveillance study showed that patients rated the tolerability and effectiveness of sorafenib as very good, good or sufficient. In conclusion, the current evidence is too limited to derive conclusions and existing studies suffer from methodological shortcomings.

Review of Oil and Gas Development Life Cycle Project Management (LCPM)

The effective implementation of the project management plays a core roll in avoiding bad project use effect and waste of funds, caused by asset management planning and design errors or equipment selection errors;meanwhile, it can effectively improve the operational efficiency of enterprise assets, lower operating costs and save resources. In June 1974, A. Gordon published a paper “3L Economics Concept” as the starting point, on the “Building and Quantity Surveying”, which is organized by the Royal Institution of Chartered Surveyors. In this paper, a review of domestic and foreign research, from 1974 to 2015, on the total life cycle management progress will be given, and then a comment on it will be established. After detailed investigation and analysis of related materials, we can draw a conclusion: the study of the oil and gas development project lifecycle management is just beginning now. Hence, building the whole life cycle planning index system in line with the characteristics of oil and gas development project is very necessary.

ePROMs in the End of Life and in Making Ethical Decisions. An Integrative Review with Narrative

Background: Patient-reported outcome measures (PROMS) are essential tools in clinical practice and research to assess patients’ needs from their unique perspectives. They allow the healthcare team to monitor patient status and concerns outside the clinical setting. However, the real innovation in this field is its digitization: electronic patient-reported outcome measures (ePROMs). Aims: This review aimed to get an overview of whether these new technologies are being used to aid palliative care teams in their daily struggle to provide comfort to their patients. Methods: We conducted a systematic review of articles retrieved from PubMed and Web of Science, up to November 2021. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. The search strategy yielded 242 records, of which 13 met the predefined inclusion and exclusion criteria. In addition, relevant information related to ePROMs was extracted from each study. Results: Outcomes were grouped into the quality of life assessment, symptom burden and simple assessments, and the decision to introduce Palliative Cures (PC). In 61.5% of cases, ePROMs positively impacted patients’ quality of life. Furthermore, in 46.15% of cases, ePROMs led Primary Care (PC) teams to make an ethical decision;the same relative value as in the circumstances did not define the direction in ethical terms. Conclusion: Remind professionals and patients that these tools exist and can be applied in many situations. If used correctly, they can provide patients with a better quality of life and more complete information for professionals.

2023年度生命科学部科学基金项目评审工作综述

本文总结了2023年度生命科学部各类科学基金项目评审情况,梳理了本年度科学基金深化改革的实施情况,并提出下一年度项目评审的工作思路。

Patients’ Involvement in Decision Making at End of Life—A Systematic Review of Literature

Background: involving patient in end of life decision is important to understand their wishes and preferences to help health care providers in improving the quality of dying and minimizing suffering. Aim: the aim of this review was to provide a detailed examination of the available literature related to patients’ involvement in decision making at end of life. Design: a systematic review following the PRISMA protocol was used, the review protocol was registered on PROSPERO: CRD42019128556. Data sources: we conducted a literature search in two electronic databases “CINAHL and Medline” during March-April 2019. The retrieved articles were included if they were: research reports or literature review;examined patient involvement in end-of-life discussions;full text publications, written in English and published from 2000-2019. Results: a total of (22) articles were included in the review;there was diversity in the purposes and design approach of the retrieved studies. The available literature explored patient’s involvement at end-of-life decision making through;describing current practices;understanding perspectives of end of life discussions;investigating the impact and identifying the barriers and facilitators of patients’ involvement in end of life discussions. Conclusion: involvement in end-of-life discussions improved the recognition of patients’ wishes, improved death experience, and decreased posttraumatic stress, depression, and anxiety among family members. Despite the documented benefits, some barriers against patient’s involvement in end-of-life decisions were recognized;lack of awareness;lack of education, training and experience;concerns about ethical and legal issues;and personal preferences of doctors or nurses were among the most commonly identified barriers.

骨质疏松症患者生活质量评估工具的研究

骨质疏松症(OP)是老年人常见的慢性疾病,其引发的脆性骨折、疼痛等并发症严重威胁患者的生活质量,目前国内对OP患者生活质量测评研究较少。本文通过文献复习,阐述各评估工具适用人群、测评内容、特点、应用情况及优势与不足,旨在为OP患者生活质量评估工具的研制及应用提供参考。

老年血液透析病人慢性共病状态研究进展

就老年人慢性共病状态、老年慢性共病的原因、老年血液透析现状、老年血液透析病人常见慢性共病、老年血液透析慢性共病对病人的危害等方面的研究进行总结,以便临床工作人员关注老年血液透析病人慢性共病,探讨护理对策。

衰弱老年人的人体成分及相关研究进展

衰弱是个体应激时依赖性和(或)死亡率增加的临床状态,可能导致失能、失智、跌倒、死亡等不良后果,是一种老年综合征。它是一个动态的过程,个人可在不同状态间转换。人体成分如肌肉、脂肪、水分等会随着疾病的发生、发展而发生动态变化。该文概括了衰弱老年人人体成分具有低肌肉质量、高内脏脂肪量、低相位角等特点,总结人体成分分析对衰弱识别及管理的作用。对老年人进行人体成分分析,评估其与机体状况及临床表现的相关联系,通过调整营养、水分摄入、增加运动、改善生活方式等综合干预,可能使部分衰弱状态逆转,从而提高老年人的生活质量并降低非必需的医疗费用。

生命回顾疗法在老年人中应用的研究进展

对生命回顾疗法的概念内涵、理论框架、评价指标、实施应用和国内外研究现状及其对老年人的影响进行综述,以期为生命回顾疗法在老年人中进一步广泛应用提供一定的借鉴意义,从而提高老年人生活质量。

乳腺癌幸存者症状负担的研究进展

对乳腺癌幸存者症状负担概念、测评工具、症状负担现状及影响因素等方面进行综述,以期为我国医务人员对乳腺癌幸存者的症状负担进行针对性评估及管理提供参考。

应用Rodgers演化概念分析法界定怀旧疗法

目的:通过概念分析界定怀旧疗法的概念,了解其演变历程。方法:系统检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、EMbase、CINAHL和PsycINFO数据库,以Rodgers演化概念分析法为指导框架进行概念分析。结果:共纳入1963—2021年发表的文献34篇,主要领域为心理、护理、人文、社会工作。怀旧疗法有7个相关概念[怀旧(renimiscence)、怀旧(nostalgia)、自传体记忆、口述历史、叙事疗法、尊严疗法、人生故事干预]、3种属性、3个前置因子,且不同类型的怀旧疗法干预后结局存在差别。结论:厘清相关概念、属性、前置因子及结局有利于帮助临床工作者设计、开展怀旧疗法,减少概念误用,为发展标准化而又有创新性的怀旧方案奠定基础。

肛瘘病人生活质量评估工具的研究进展

对现有肛瘘病人生活质量评估工具进行综述,概述肛瘘病人普适性、疾病特异性生活质量评估工具的主要内容及应用现状,分析评估工具的特点及局限性,旨在为临床选择恰当的评估工具提供借鉴,为研发符合我国文化背景的肛瘘病人生活质量评估工具提供参考。

智慧医疗技术在生命末期病人生存期评估中应用的研究进展

对智慧医疗技术在生命末期病人生存期评估中的应用进行综述,介绍了智慧医疗技术在生命末期病人生存期评估中的应用形式与实施现状,并对其应用困境进行分析,为在生命末期病人生存期评估中更好地应用智慧医疗技术提供参考。

老年厌食症与衰弱相关性的研究进展

老年厌食症(AA)是一种复杂的老年综合征,在老年人中很常见,在居家居民中患病率高达25%,在医院人群中为62%,在养老院人群中为85%。但是AA在临床上的诊治率并不高,很多情况下,AA被认为是正常衰老的一部分。相关研究表明AA和营养不良、衰弱相关。该文结合国内外相关文献对老年性厌食症与衰弱的相互关系进行综述,及早给予必要的干预,可减少衰弱的发生,改善老年人的生存质量。