Correlation between psychological traits and the use of smart medical services in young and middle-aged adults: An observational study

BACKGROUND Psychological problems affect economic development.However,there is a huge gap between mental health service resources and mental health service needs.Existing mental health service technology and platforms cannot meet all the diverse mental health needs of people.Smart medicine is a new medical system based online that can effectively improve the quality and efficiency of medical services and make mental health services accessible.AIM To explore the level of intelligent medical use among young and middle-aged people and its correlation with psychological factors.METHODS Convenience sampling was used to select 200 young and middle-aged patients with medical experience at the Third People's Hospital of Chengdu between January 2022 and January 2023 as the research subjects.The general condition Questionnaire,Eysenck Personality Questionnaire,Symptom Checklist-90,General Health Questionnaire,and Smart Medical Service Use Intention Questionnaire were used to collect data.Pearson’s correlation was used to analyze the correlation between the participants’willingness to use smart medical services and their personality characteristics,psychological symptoms,and mental health.RESULTS The results revealed that the mental health of young and middle-aged people was poor,and some had psycho-logical problems such as anxiety,depression,and physical discomfort.Familiarity,acceptance,and usage of smart healthcare in this population are at a medium level,and these levels correlate with psychological characteristics.Acceptance was positively correlated with E,and negatively correlated with P,anxiety,fear,anxiety/insomnia,and social dysfunction.The degree of use was negatively correlated with P,obsessive-compulsive symptoms,depression,anxiety,hostility,paranoia,and somatic symptoms.CONCLUSION The familiarity,acceptance,and usage of smart medical services among the middle-aged and young groups are related to various psychological characteristics.

Study on the association of multimorbidity with sleep and diet in young and middle-aged adults in Chongqing region,China

Background:The prevalence of multimorbidity is increasing,with a notable shift towards younger age groups.Methods:Convenience sampling was employed to select 15,988 young and middle-aged adults in Chongqing as the study population.The Apriori algorithm was used to identify the multimorbidity patterns within this population,while an unordered binary logistic regression model was applied to assess the association between sleep,diet and the risk of multimorbidity.Results:The study population had an average age of 39.2±10.1 years.Apriori association rules revealed that the most prevalent binary chronic disease multimorbidity pattern was dyslipidaemia+hypertension(14.78%),while the most common ternary chronic disease multimorbidity pattern was diabetes+dyslipidaemia+hypertension(9.66%).The logistic regression analysis revealed that a lower rating of sleep quality was associated with an elevated risk of multimorbidity(odds ratio(OR)=1.17,95%confidence interval(CI):1.01,1.36).Individuals who adhere to a meat-based diet(OR=1.45,95%CI:1.25,1.68)and those with elevated salt intake(OR=1.22,95%CI:1.01,1.47)were also observed to have an increased risk of multimorbidity.Additionally,a greater likelihood of multimorbidity was observed among those following a spicy diet(OR=1.3,95%CI:1.11,1.52)and consuming more oil(OR=1.16,95%CI:1.01,1.33).Conclusion:A poor sleep quality and a dietary preference for meat-based,salt,spicy and oils were found to be associated with an increased risk of multimorbidity progression among young and middle-aged populations.It is recommended that young and middle-aged adults should pay attention not only to sleep duration but also to sleep quality and improve dietary habits to reduce the likelihood of multimorbidity.

The Relationship between Mental Health Literacy and Subjective Well-Being of Young and Middle-Aged Residents: Perceived the Mediating Role of Social Support and Its Urban-Rural Differences

This study investigates mental health literacy among young and middle-aged urban and rural residents and the differences in mental health literacy,perceived social support and subjective well-being.From January to February 2022,620 participants(320 rural and 300 urban residents)from three provinces of China were selected by con-venience sampling.A general data questionnaire,mental health literacy scale,perceived social support scale and subjective well-being scale were administered.The mental health literacy scores of urban residents were 3.34±0.57 and those of rural residents were 2.73±0.79.The results of multiple regression analysis showed that the mental health literacy scores of rural residents were more significant than those of urban residents in terms of sex and age,while urban residents’mental health literacy scores were more significant than those of rural resi-dents in terms of monthly income.Mental health literacy,perceived social support and subjective well-being of young and middle-aged urban and rural residents were all positively correlated(P<0.01).While the level of mental health literacy is better among urban residents than rural residents,perceived social support plays a partial mediating role between mental health literacy and subjective well-being of both urban and rural residents,and should be the focus of researchers seeking to improve the level of well-being of residents.

Effect of Age and Sex on Stroke Mortality of Young and Middle-aged Adults in China,2002–2019,and Predictions to 2030

Objective This study aimed to examine the trends in stroke mortality among young and middle-aged adults in China.Methods Data were obtained from the China national vital registration system.Significant changes in mortality were assessed by Joinpoint regression.Age-period-cohort analysis was used to explain the reasons for the changes.Future mortality and counts were predicted by the Bayesian age-period-cohort model.Results Between 2002 and 2019,a total of 6,253,951 stroke mortality in young and middle-aged adults were recorded.The age-adjusted mortality rates(AAMRs)of women showed a downward trend.The annual percent changes(APC)were-3.5%(-5.2%,-1.7%)for urban women and-2.8%(-3.7%,-1.9%)for rural women.By contrast,the AAMRs per 100,000 for rural men aged 25–44 years continued to rise from 9.40 to 15.46.The AAMRS for urban men aged 25–44 years and urban and rural men aged 45–64years did not change significantly.Between 2020 and 2030,the projected stroke deaths are 1,423,584 in men and 401,712 in women.Conclusion Significant sex and age disparities in the trends of stroke mortality among young and middle-aged adults were identified in China.Targeted health policy measures are needed to address the burden of stroke in the young generation,especially for rural men,with a focus on the prevention and management of high risk factors.

Influencing factors of fatigue in young and middle-aged patients with coronary heart disease:a cross-sectional study

Objective:To examine the present state of fatigue in young and middle-aged patients with coronary heart disease(CHD)and to identify the elements that may be affecting it.Methods:From December 2020 to June 2021,240 young and middle-aged patients with CHD who were being treated in the cardiology department of a tertiary care hospital in Suzhou were chosen using a convenience sampling method in order to gather data on the patients’sociodemographic status,fatigue,social support,and stress.Results:Of the 240 disseminated questionnaires,220 valid responses were returned,resulting in an effective recovery rate of 91.67%.The frequency of exhaustion was 51.8%,and the fatigue score was(5.27±2.77).The stress score was(11.15±3.36),while the overall social support score was(39.13±4.72).Binary logistic regression analysis indicated that age,exercise,staying up late,stress,social support,high-sensitivity troponin T,high-density lipoprotein,and ejection fraction were independent risk factors for fatigue in young and middle-aged patients with CHD(P<0.05).Conclusions:Fatigue is more prevalent in young and middle-aged patients with CHD.Clinical nurses can create a unique management plan for patients based on their lifestyle and behavioral patterns,stress levels,social support,and clinical signs to reduce fatigue.

Association of fatigue with short-term prognosis in young and middle-aged patients with coronary heart disease

Background:To investigate the effect of fatigue on the short-term prognosis of young and middle-aged patients with coronary heart disease(CHD).Methods:A cross-sectional,observational survey was distributed at a tertiary hospital in Suzhou,China.Patients were assessed for fatigue and their prognosis was assessed at 3 and 6 months after discharge.General Information Questionnaire,Fatigue Scale and Seattle Angina Questionnaire(SAQ)were used for the survey.The Cox proportional hazard model was used to analyze the impact of fatigue on the occurrence of major adverse cardiac events(MACEs)at 3 and 6 months after discharge.Multiple linear regression models were used to analyze the effect of fatigue on health-related quality of life(HRQoL)at 3 and 6 months after discharge.Results:199 patients were followed up with in the end.43 patients(21.6%)with MACE three months after discharge had a total SAQ score of(399.76±39.61).The overall SAQ score was(425.14±22.66)and 52 patients(26.1%)experienced MACE six months after discharge.Fatigue was identified as a risk factor for MACE 6 months after discharge by the Cox proportional hazard model(HR=2.939,95%CI:0.177~0.655,P=0.001)and as an independent risk factor for quality of life 3 and 6 months after discharge by multiple linear regression(P<0.001).Conclusions:In individuals who are young or middle-aged and have coronary heart disease,fatigue is a risk factor for the short-term prognosis.It is advised that clinical professionals prioritize patient fatigue assessment and improve management of fatigue symptoms.

Factors associated with financial support in old age for young and middle-aged rural residents in China

This study examined the factors associated with financial support in old age from three primary mechanisms-personal savings,family support,and social insurance-to explore the implications for the future development of China's rural social welfare system.Cross-sectional surveys of 1392 young and middle-aged rural residents were conducted in July and August2012.The results showed that while social insurance was increasingly acceptable,personal savings and family support still had fundamental value.Combining the three mechanisms,the rural old-age welfare system presented nontraditional features.China's new rural endowment insurance is discussed as a means to address the need for financial support among the rural aging population.

Psychosocial Adaptation Level and Work Participation Rate of Young and Middle-aged Patients with Coronary Heart Disease after PCI

[Objectives]The research aimed to understand the psychosocial adjustment to illness of young and middle-aged patients with coronary heart disease after PCI and their participation situation in work.[Methods]210 young and middle-aged patients aged 18-59 years with coronary heart disease treated by PCI in a tertiary hospital of Suzhou from July of 2020 to November of 2022 were selected,and general information of patients in three days after operation was registered.Self-report psychosocial adjustment to illness scale(PAIS-SR)was used to investigate the psychosocial adjustment to illness of patients in 1,3 and 6 months after operation and the participation rate of work.[Results]The psychosocial adjustment to illness of young and middle-aged patients with coronary heart disease after PCI was different in gender,age,education level,marital status,hypertension,diabetes,postoperative cardiac color Doppler ultrasound results(left ventricular ejection fraction)and the number of stents(P<0.05).[Conclusions]The psychosocial adjustment to illness of young and middle-aged patients with coronary heart disease after PCI needs to be improved.The psychosocial adjustment to illness of men is higher than that of women.The older the age is,the lower the psychosocial adjustment to illness is.The psychosocial adjustment to illness of patients with high educational background is higher than those with low educational background,while the psychosocial adjustment to illness of married people is higher than unmarried people.The psychosocial adjustment to illness of patients with hypertension and/or diabetes is lower.

Correlation of blood uric acid level with the degree of anxiety as well as the neurotransmitter and cytokine secretion in young and middle-aged patients with anxiety disorder

Objective:To study the correlation of blood uric acid level with the degree of anxiety as well as the neurotransmitter and cytokine secretion in young and middle-aged patients with anxiety disorder.Methods: The young and middle-aged patients diagnosed with generalized anxiety disorder in our hospital between March 2015 and February 2018 were selected as the anxiety group, and the healthy subjects receiving physical examination during the same period were selected as the control group. Peripheral blood was collected to determine the contents of uric acid, neurotransmitters and cytokines, and Hamilton Anxiety Scale (HAMA) was adopted to judge the degree of anxiety.Results: The blood uric acid level of anxiety group was obviously higher than that of control group and the higher the HAMA scores, the more significant the rising of blood uric acid levels;serum 5-hydroxytryptamine (5-HT), norepinephrine (NE), dopamine (DA), interleukin-1α (IL-1α), IL-17 and interferon-γ (IFN-γ) contents of anxiety group were significantly higher than those of control group whereas neuropeptide Y (NPY), IL-4 and transforming growth factor-β (TGF-β) contents were significantly lower than those of control group;blood uric acid level of the anxiety group was positively correlated with 5-HT, NE, DA, IL-1 , IL-17 and IFN-γ contents, and negatively correlated with NPY, IL-4 and TGF-β contents.Conclusion: The rise of blood uric acid level in young and middle-aged patients with anxiety disorder is related to the aggravation of anxiety degree as well as the abnormal secretion of neurotransmitters and cytokines.

Experience of Treating Hypertension from Liver and Spleen Among Middle-Aged and Young Patients:A Summary

Qi deficiency of the spleen and stomach,transportation,phlegm and dampness generate endogenous and turbid phlegm that violates the position of yang clearance.As a result,dizziness cis resulted.The author believes that the incidence of middle-aged and young patients with hypertension is mostly related to the dysfunction of liver and spleen.Liver depression and qi stagnation is the beginning of the onset;spleen deficiency and dyskinesia is the norm of the onset;and liver and spleen imbalance is the origin of the onset.It is advocated that regulating the liver and spleen to restore the rise and fall,harmonizing qi and blood and preventing lesions are the main treatment methods for the treatment of middle-aged and young people’s hypertension,which is conducive to the development of more clinical diagnosis and treatment ideas for hypertension amomg middle-aged and young people.

19~<30岁男性官兵血清尿酸对肾脏功能的影响及因素分析

目的探索19~<30岁男性官兵血尿酸(SUA)对肾小球滤过率(eGFR)的影响及相关因素分析,为保障官兵健康提供理论依据。方法收集2022年该院体检的部队男性官兵年龄、体重指数和生化指标,并进行统计分析。结果相对于其他年龄段,19~<30岁官兵SUA浓度和高尿酸血症检出率最高(P≤0.001);此年龄段官兵SUA与eGFR呈负相关(r=-0.24,P<0.001);ROC分析显示,SUA浓度对eGFR受损有预测价值(AUC=0.661),SUA>503μmol/L时eGFR损害率显著增加;回归分析显示,SUA[校正比值比(OR)=1.003,95%可信区间(95%CI)1.001~1.006,P=0.018]和低密度脂蛋白胆固醇(LDL-C)(校正OR=1.585,95%CI1.145~2.193,P=0.005)是eGFR损害的独立危险因素,中介效应分析发现LDL-C介导了SUA导致eGFR损害效应的49.39%。结论部队19~<30岁男性官兵HUA检出率较高,SUA和LDL-C是其eGFR损害的独立危险因素,降低LDL-C可能预防HUA导致的肾损害。

单侧双通道内镜下修复青年战士腰椎峡部裂

目的探讨单侧双通道脊柱内镜技术(UBE)下修复结合经皮椎弓根钉内固定治疗青年战士腰椎峡部裂的手术技术及初步临床效果。方法回顾性分析2019年3月至2021年2月期间,武警湖北省总队医院骨科收治的18例青年武警战士腰椎峡部裂患者,术前影像学检查明确诊断,均为单纯型峡部裂或伴有轻度椎体滑脱,有明显下腰痛症状,严重影响生活及训练,无神经压迫症状及体征,经半年以上保守治疗效果不佳。采用UBE下峡部裂处清理,取髂骨植骨,经皮椎弓根钉固定,有滑脱者进行复位。术后3个月、6个月、1年门诊随访,采用视觉模拟评分(VAS)评价腰痛情况,Oswestry功能障碍指数(ODI)评价功能改善情况,并进行CT检查判断峡部愈合情况。结果所有患者均顺利完成手术,无严重手术并发症。腰痛VAS评分由术前(5.5±1.2)分减少至术后1年时(1.2±0.4)分,术前、术后1年比较差异有统计学意义(P<0.05);ODI评分由术前(25.1±1.3)分减少至术后1年时(5.4±1.6)分,术前、术后1年比较差异有统计学意义(P<0.05)。末次随访依据改良MacNab标准评价疗效,优14例,良3例,可1例,差0例,优良率为94.44%。腰椎CT示峡部裂植骨均骨性愈合,愈合后手术取出内固定。结论UBE下清理植骨结合经皮椎弓根钉固定治疗青年战士腰椎峡部裂,手术方式微创,愈合率高,效果好,技术可行。

悬吊运动疗法在青年军人膝关节前交叉韧带重建同期半月板缝合术后康复中的作用

目的探讨常规治疗方案的基础上配合悬吊运动疗法(sling exercise therapy,SET)对青年军人膝关节前交叉韧带(anterior cruciate ligament,ACL)重建同期半月板缝合术后膝关节功能障碍的康复疗效。方法回顾性分析2020年4月—2022年6月中部战区总医院行单侧膝关节ACL重建同期半月板缝合术后接受常规康复治疗的军队青年患者67例,男性66例,女性1例;年龄19~40岁,平均年龄27.1岁。按是否进行SET分为对照组(30例)和SET组(37例)。对照组男性29例,女性1例;年龄20~38岁,平均28.4岁;损伤部位:左膝16例,右膝14例;术后转至康复医学科的时间为8~28d,平均18.6d;康复训练前平衡分级Ⅰ级2例,Ⅱ级26例,Ⅲ级2例。SET组37例均为男性,年龄19~40岁,平均26.1岁;损伤部位:左膝14例,右膝23例;术后转至康复医学科的时间为8~30d,平均16.3d;SET训练前平衡分级Ⅰ级3例,Ⅱ级30例,Ⅲ级4例。对照组采取常规治疗方案,包括:关节松动术、肌力训练、超声波治疗、冷疗等;SET组在常规康复训练的基础上于手术后1个月开始融入SET(包括:开链训练、闭链训练及膝关节本体感觉训练)。比较两组患者膝关节训练前和训练后1、2个月视觉模拟评分(visual analogue scale,VAS)、关节活动度(range of motion,ROM)、膝关节功能(Lysholm评分);训练后2个月下肢平衡功能(Y-balance test,YBT)。结果两组患者年龄、性别、损伤部位、术后转至康复医学科时间、SET训练前平衡分级比较差异无统计学意义(P>0.05)。SET组训练后1、2个月VAS、ROM、Lyscholm评分均优于对照组[(2.2±0.4)分vs.(2.8±0.4)分、(1.1±0.4)分vs.(1.8±0.4)分;(119.5±8.2)°vs.(114.8±7.3)°、(134.1±8.2)°vs.(129.9±7.5)°;(74.8±4.6)分vs.(67.7±5.9)分、(82.7±4.6)分vs.(78.1±4.4)分],差异有统计学意义(P<0.05)。训练后2个月Y平衡测试,SET组正前侧、后内侧、后外侧伸出距离均优于对照组[(58.2±4.8)cm vs.(55.6±5.2)cm、(100.5±10.5)cm vs.(94.8±11.3)cm、(105.4±9.2)cm vs.(100.5±8.7)cm],差异有统计学意义(P<0.05)。两组患者均无感染、无神经损伤等不良反应。结论青年军人膝关节ACL重建同期半月板缝合术后的康复治疗中增加SET可有效缓解疼痛,扩大膝关节主动活动范围,改善膝关节功能,提高平衡功能,促进术后患者康复。

Sun Fengyan, a model for young and middle-aged professionals

APOPLEXY is generally acknowledgedin medical circles as a forceful killer.It resultsin ischemic damage of the nerve cells(a lackof blood supply).some of which die andothers of which survive.Can we stop thedeath ot these cells by medical means,or atleast raise the survival rate and rehabilitatethem?That is what Professor Sun Fengyanwith the Shanghai Medical SciencesUniversity is working on. Sun Fengyan was conferred a Doctor ofnerve pharmacologia in 1987 and three

中国青年军人社会期望现况凋查及其对情绪状态和心理健康的影响

目的研究青年军人社会期望在人口学资料上的差异,并探讨社会期望对青年军人情绪状态和心理健康的影响。方法选择驻京某陆军和武警部队850名官兵发放《Marlowe-Crowne社会期望量表》《症状自评量表》《状态特质焦虑量表》《流调中心用抑郁量表》《焦虑敏感性指数量表-3》和《军事应激反应性焦虑预测量表》等心理问卷,对其进行评估和分析。结果 1青年军人社会期望在性别、服役年限、军种(武警/陆军)、职别(士兵/士官/干部)以及籍贯等人口学维度上差异均无统计学意义(P>0.05),但是否独生子女和文化程度两个维度具有显著性差异(F=8.561,P=0.004;F=3.354,P=0.035),高中和中专学历军人社会期望值高于大学以上学历军人(LSD-t=1.086,P=0.021)。2低社会期望组在CESD、STAI、SMMU-A和ASI量表得分均显著高于高社会期望组(P<0.001)。3低社会期望组在SCL-90总分及各分量表得分均显著高于高社会期望组(P<0.001)。4社会期望与情绪状态和心理健康相关(P<0.01)。结论低学历军人和非独生子女军人对社会期望的依赖程度高于高学历和独生子女军人,而高社会期望的军人呈现较好的情绪状态和心理健康水平。

国际情绪图片系统在中国青年军人群体的初步应用

目的对国际情绪图片系统(international affective picture system,IAPS)在中国青年军人群体的应用进行初步评价。方法从国内修订的国际情绪图片系统选取300幅图片,对123名中国青年军人的愉悦度、唤醒度和优势度进行了自我报告的9点量表评分。结果评分稳定性、前后评分相关系数均在0.910以上(P<0.01),不同顺序组间各维度评分差异不明显(P>0.05)。②青年军人与一般人群三维度总体评分明显相关(P<0.01),相关系数依次为0.915、0.833、0.828,其唤醒度和优势度得分显著低于一般人群(P<0.01),愉悦度得分差别不明显(P>0.05)。③3种图片类型间各维度得分存在显著性差异(P<0.01),按正性→中性→负性的顺序,愉悦度和优势度均呈下降趋势,唤醒度呈"V"型变化趋势。结论IAPS在中国青年军人群体中评分稳定性较好,3个维度区分性较好,有较好的人群通用性。

青年军人情绪调节方式与焦虑的相关研究

目的探讨青年军人情绪调节方式与焦虑情绪之间的关系,为青年军人情绪调控训练提供实证研究依据。方法整群抽样418名青年军人,采用军人情绪调节方式量表和焦虑自评量表进行调查。结果青年军人焦虑总均分为(40.77±9.49)分,青年军人情绪调节方式使用频率的均分为自我安慰(3.47±0.68)分、行为抑制(3.12±0.66)分、情感求助(3.11±0.77)分、认知重视(2.78±0.73)分。青年军人焦虑水平与认知重视呈正相关(r=0.379,P<0.01),而与自我安慰、情感求助呈负相关(r=-0.329,P<0.01;r=-0.156,P<0.01)。回归分析结果显示,青年军人情绪调节方式对焦虑具有一定的预测力,能够预测军人焦虑22.2%的变异量,且认知重视对焦虑具有促进作用,自我安慰对焦虑具有抑制作用。不同焦虑水平下青年军人认知重视(F=8.125,P<0.001)、自我安慰(F=9.761,P<0.001)使用频率具有显著差异。结论认知重视、自我安慰是青年军人焦虑的重要影响因素,军队心理工作者应重视对军人认知重视、自我安慰等调节方式的引导和教育,以更好地帮助基层官兵调适情绪、促进心理健康。

410名青年战士维生素及矿物质营养状况调查与评价

目的了解部队青年战士维生素及矿物质营养状况,为膳食营养改善措施的制定提供科学依据。方法以某部队410名青年战士为研究对象,肘静脉采血,分离血清,原子吸收分光光度法测定血清钙、镁、铁、锌、硒含量;4 h尿负荷试验评价维生素B1、B2及维生素C的营养状况。结果 (1)血生化检测结果显示,调查对象血清钙及硒含量均低于正常参考值;血清镁含量处于正常范围的下限;血清铁、锌含量均处于正常值范围。(2)尿负荷试验结果显示,调查对象维生素B1缺乏者为19.27%,不足者为49.27%;维生素B2缺乏者为21.95%,不足者高达63.41%;维生素C不足者为31.22%。结论部队青年战士普遍存在硫胺素、核黄素、钙及微量元素硒营养不良等问题,应积极调整膳食结构、适量补充营养强化剂,以改善其营养状况。

青年军人心理健康特点与影响因素

应对方式、个性、生活事件和社会支持都是影响青年军人心理健康的重要因素。积极的应对方式、稳定和外倾的个性特征、正性生活事件和高的社会支持及利用度都十分有利于青年军人的心理健康。反之,常采用消极的应对方式、个性内向和不稳定、负性生活事件以及低的社会支持和利用度则易对军人的心理健康造成损害,使青年军人产生心理问题。