BACKGROUND Liver abscess is a common clinical liver disease mainly caused by suppurative bacteria or amoebae,with early clinical signs of chills,high fever,jaundice,and other symptoms.Establishing its early diagnosis ...BACKGROUND Liver abscess is a common clinical liver disease mainly caused by suppurative bacteria or amoebae,with early clinical signs of chills,high fever,jaundice,and other symptoms.Establishing its early diagnosis is difficult,which may lead to misdiagnosis.AIM To observe the effects of psychological guidance combined with evidence-based health intervention in patients with liver abscess treated with ultrasound.METHODS A total of 120 patients with bacterial liver abscess admitted to our hospital from May 2018 to February 2021 were selected and divided into groups according to their intervention plan.RESULTS After the intervention,Self-Rating Depression Scale,Self-Rating Anxiety Scale,Self-Perceived Burden Scale(SPBS),and quality of life scores(physical functioning,role physical,bodily pain,general health,vitality,social functioning,role emotional,mental health)were lower than before the intervention in the two groups.The observation group had lower negative sentiment,SPBS,and quality of life scores than the control group.In the observation group,31 and 24 patients had good and general compliance,respectively,with a compliance rate of 91.67%,which was significantly higher than that in the control group.The observation group had significantly lower total incidence of incision infection,abdominal abscess,hemorrhage,and severe abdominal pain than the control group.CONCLUSION Three-dimensional psychological guidance combined with evidence-based health intervention in treating liver abscess can reduce patients’burden and negative emotions,improve patient compliance and quality of life,and reduce complications.展开更多
Objectives: To examine the factors associated with the intention to undergo “specific health guidance”. Methods: Self-reported questionnaire data were collected from 4861 health insurance union members of a company ...Objectives: To examine the factors associated with the intention to undergo “specific health guidance”. Methods: Self-reported questionnaire data were collected from 4861 health insurance union members of a company in Japan from August to September 2010. The information gathered included the intention to undergo “specific health guidance,” the Health Belief Model (HBM) subcomponents (perceived severity, susceptibility, benefit, and barriers), other factors related to undergoing specific health guidance, sex, and age. Perceived threat and net benefit were the main HBM components. Bivariate and multivariate logistic regression analyses were used to assess the associations between intention and the main HBM components, i.e., perceived threat and net benefit. We used two models with intention as the dependent variable;Model 1 used four HBM subcomponents, and Model 2 used perceived threat and net benefit as independent variables. Results: A total of 3457 individuals answered all variables (response rate;71.1%). Perceived severity (OR: 1.83, 95%CI: 1.59 - 2.10), benefit (OR: 6.91, 95%CI: 5.94 - 8.04), barriers (OR: 0.11, 95%CI: 0.09 - 0.13), perceived threat (OR: 1.52, 95%CI: 1.31 - 1.76), and net benefit (OR: 11.28, 95%CI: 9.60 - 13.25) were related to intention (all p < 0.01). Multivariate analysis showed that net benefit (OR: 11.23, 95%CI: 9.55 - 13.20) had a stronger correlation with intention than did perceived benefit (OR: 4.67, 95%CI: 3.95 - 5.51) and barriers (OR: 0.15, 95%CI: 0.13 - 0.18) (all p < 0.01). Conclusions: The results suggested that the main HBM components may predict health behavior better than the subcomponents. These results may effectively promote the benefits of, and reduce barriers to, programs aiming to increase participation in specific health guidance.展开更多
Objective: To inquire into the effect of systematic family nursing guidance on improving the Quality of Life for elderly patients with implanted cardiac pacemaker. Methods: 41 elderly patients in accordance with the c...Objective: To inquire into the effect of systematic family nursing guidance on improving the Quality of Life for elderly patients with implanted cardiac pacemaker. Methods: 41 elderly patients in accordance with the corresponding requirements were studied after offering systematic family nursing guidance and surveyed through the questionnaires about the QOL (quality of life) respectively 1 month, 3 months and 6 months after leaving hospital. Results: Compared with that of 1 month and 3 months after the operation, the questionnaire scores for 6 months after the operation were found to have significant improvement, and the differences were statistically significant. Conclusion: Systematic family nursing guidance can effectively improve the QOL for elderly patients with implanted cardiac pacemaker, which makes them spend their old age in comfort and happiness.展开更多
目的探讨知柏地黄丸联合健康指导对女童特发性中枢性性早熟(Idiopathic central precocious puberty,ICPP)的临床疗效。方法选取2021年12月—2022年12月期间河北省迁安市中医医院收治的80例ICPP女患儿,采用随机数字表法分为对照组和观察...目的探讨知柏地黄丸联合健康指导对女童特发性中枢性性早熟(Idiopathic central precocious puberty,ICPP)的临床疗效。方法选取2021年12月—2022年12月期间河北省迁安市中医医院收治的80例ICPP女患儿,采用随机数字表法分为对照组和观察组,每组各40例。对照组给予常规治疗,观察组在对照组基础上给予知柏地黄丸联合健康指导进行治疗,两组患儿均连续治疗24周。观察比较两组患儿临床疗效,治疗前后乳房发育情况,血清激素[血清黄体生成素(luteinizing hormone,LH)、雌激素(Estradiol,E_(2))、促卵泡成熟素(Follicle stimulating hormone,FSH)]、胰岛素样生长因子-1(Insulin-like growth factor-1,IGF-1)及类胰岛素生长因子结合蛋白-3(Recombinant insulin like growth factor binding protein 3,IGFBP-3)水平,卵巢容积、子宫容积、卵泡直径,骨龄/年龄及预测终身高。结果治疗后对照组患儿Ⅰ期、Ⅱ期及Ⅲ期分别为13、16、11例,Ⅱ期及Ⅲ期占比为67.5%,观察组患儿Ⅰ期、Ⅱ期及Ⅲ期分别为23、14、3例,Ⅱ期及Ⅲ期占比为42.5%,观察组Ⅱ期及Ⅲ期占比明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患儿E_(2)、LH及FSH水平均较治疗前降低,差异有统计学意义(P<0.05);且观察组E_(2)、LH及FSH水平均明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患儿血清IGF-1、IGFBP-3水平均较治疗前明显降低,差异有统计学意义(P<0.05);且观察组血清IGF-1、IGFBP-3水平均明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患儿卵巢容积、子宫容积及卵泡直径均较治疗前明显降低,差异有统计学意义(P<0.05);且观察组卵巢容积、子宫容积及卵泡直径均明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患儿BA/CA较治疗前明显降低,预测终身高较治疗前明显升高,差异有统计学意义(P<0.05);且观察组BA/CA明显低于对照组,预测终身高明显高于对照组,差异有统计学意义(P<0.05)。治疗后观察组总有效率94.59%(35/37)明显高于对照组81.58%(31/38),差异有统计学意义(P<0.05)。结论知柏地黄丸联合健康指导能够有效下调ICPP女患儿性激素及血清IGF-1、IGFBP-3水平,抑制第二性征发育,控制早熟症状,提高临床疗效,有利于提高女患儿身高生长潜能,改善成年终身高。展开更多
The severity of the current global mental health situation and the importance of maintaining psychological well-being call for more powerful,convenient,and efficient solutions for addressing psychological issues and r...The severity of the current global mental health situation and the importance of maintaining psychological well-being call for more powerful,convenient,and efficient solutions for addressing psychological issues and relieving mental stress.Physical activity not only effectively improves physical fitness and reduces negative emotions such as anxiety and depression but also increases the improvement of psychological health and sense of well-being.At the same time,physical activity interventions for mental health have unique advantages,including reducing the side effects of psychological interventions and increasing necessity,convenience,and cost-effectiveness,as well as flexible adaptability across multiple methods,groups,and age ranges,providing stronger support for relieving psychological stress and addressing psychological issues.Although physical activity is an important intervention measure in relieving psychological stress,its value and role in mental health care seem to have not yet received sufficient attention,and its potential remains to be further revealed.Given the significant advantages and effectiveness of physical activity in mental health intervention practices,it is necessary to stimulate its potential in relieving psychological stress through various means in future studies to better safeguard the public’s physical and mental health.Developing guidelines for physical activity for improved mental health,enhancing organic integration with other intervention measures,and providing necessary respect,encouragement,and support are important directions to consider.展开更多
文摘BACKGROUND Liver abscess is a common clinical liver disease mainly caused by suppurative bacteria or amoebae,with early clinical signs of chills,high fever,jaundice,and other symptoms.Establishing its early diagnosis is difficult,which may lead to misdiagnosis.AIM To observe the effects of psychological guidance combined with evidence-based health intervention in patients with liver abscess treated with ultrasound.METHODS A total of 120 patients with bacterial liver abscess admitted to our hospital from May 2018 to February 2021 were selected and divided into groups according to their intervention plan.RESULTS After the intervention,Self-Rating Depression Scale,Self-Rating Anxiety Scale,Self-Perceived Burden Scale(SPBS),and quality of life scores(physical functioning,role physical,bodily pain,general health,vitality,social functioning,role emotional,mental health)were lower than before the intervention in the two groups.The observation group had lower negative sentiment,SPBS,and quality of life scores than the control group.In the observation group,31 and 24 patients had good and general compliance,respectively,with a compliance rate of 91.67%,which was significantly higher than that in the control group.The observation group had significantly lower total incidence of incision infection,abdominal abscess,hemorrhage,and severe abdominal pain than the control group.CONCLUSION Three-dimensional psychological guidance combined with evidence-based health intervention in treating liver abscess can reduce patients’burden and negative emotions,improve patient compliance and quality of life,and reduce complications.
文摘Objectives: To examine the factors associated with the intention to undergo “specific health guidance”. Methods: Self-reported questionnaire data were collected from 4861 health insurance union members of a company in Japan from August to September 2010. The information gathered included the intention to undergo “specific health guidance,” the Health Belief Model (HBM) subcomponents (perceived severity, susceptibility, benefit, and barriers), other factors related to undergoing specific health guidance, sex, and age. Perceived threat and net benefit were the main HBM components. Bivariate and multivariate logistic regression analyses were used to assess the associations between intention and the main HBM components, i.e., perceived threat and net benefit. We used two models with intention as the dependent variable;Model 1 used four HBM subcomponents, and Model 2 used perceived threat and net benefit as independent variables. Results: A total of 3457 individuals answered all variables (response rate;71.1%). Perceived severity (OR: 1.83, 95%CI: 1.59 - 2.10), benefit (OR: 6.91, 95%CI: 5.94 - 8.04), barriers (OR: 0.11, 95%CI: 0.09 - 0.13), perceived threat (OR: 1.52, 95%CI: 1.31 - 1.76), and net benefit (OR: 11.28, 95%CI: 9.60 - 13.25) were related to intention (all p < 0.01). Multivariate analysis showed that net benefit (OR: 11.23, 95%CI: 9.55 - 13.20) had a stronger correlation with intention than did perceived benefit (OR: 4.67, 95%CI: 3.95 - 5.51) and barriers (OR: 0.15, 95%CI: 0.13 - 0.18) (all p < 0.01). Conclusions: The results suggested that the main HBM components may predict health behavior better than the subcomponents. These results may effectively promote the benefits of, and reduce barriers to, programs aiming to increase participation in specific health guidance.
文摘Objective: To inquire into the effect of systematic family nursing guidance on improving the Quality of Life for elderly patients with implanted cardiac pacemaker. Methods: 41 elderly patients in accordance with the corresponding requirements were studied after offering systematic family nursing guidance and surveyed through the questionnaires about the QOL (quality of life) respectively 1 month, 3 months and 6 months after leaving hospital. Results: Compared with that of 1 month and 3 months after the operation, the questionnaire scores for 6 months after the operation were found to have significant improvement, and the differences were statistically significant. Conclusion: Systematic family nursing guidance can effectively improve the QOL for elderly patients with implanted cardiac pacemaker, which makes them spend their old age in comfort and happiness.
文摘The severity of the current global mental health situation and the importance of maintaining psychological well-being call for more powerful,convenient,and efficient solutions for addressing psychological issues and relieving mental stress.Physical activity not only effectively improves physical fitness and reduces negative emotions such as anxiety and depression but also increases the improvement of psychological health and sense of well-being.At the same time,physical activity interventions for mental health have unique advantages,including reducing the side effects of psychological interventions and increasing necessity,convenience,and cost-effectiveness,as well as flexible adaptability across multiple methods,groups,and age ranges,providing stronger support for relieving psychological stress and addressing psychological issues.Although physical activity is an important intervention measure in relieving psychological stress,its value and role in mental health care seem to have not yet received sufficient attention,and its potential remains to be further revealed.Given the significant advantages and effectiveness of physical activity in mental health intervention practices,it is necessary to stimulate its potential in relieving psychological stress through various means in future studies to better safeguard the public’s physical and mental health.Developing guidelines for physical activity for improved mental health,enhancing organic integration with other intervention measures,and providing necessary respect,encouragement,and support are important directions to consider.
