Objectives This study aimed to assess the level of resilience and related factors among patients with coronary heart disease.Methods A cross-sectional was used to determine the factors associated with the level of res...Objectives This study aimed to assess the level of resilience and related factors among patients with coronary heart disease.Methods A cross-sectional was used to determine the factors associated with the level of resilience.A convenience sampling technique was used to recruit 134 patients with coronary heart disease who attended the out-patients cardiology clinics at two leading public hospitals in Jordan from July to September 2017.The Connor-Davidson Resilience Scale(CD-RISC)was used to collect the data via a face-to-face structured interview.Mann-Whitney U test and Kruskal Wallis test were used to analyze the data.Results The results showed a moderate level of resilience among patients with coronary heart diseases.Patients who reported having no history of a cardiac procedure reported a higher total resilience score(69.50[63.25,75.00]vs.65.50[58.00,72.00])and a higher score in dimension 1,“personal competence,high standards,and tenacity”than their counterparts(22.00[18.50,26.00]vs.21.00[15.75,23.00])(P<0.05).Dimension 3“positive acceptance of change and secure relationships”score was higher for employed patients than retired patients(15.00[14.00,16.00]vs.14.00[12.00,15.00])(P<0.05).However,no significant associations were found between other socio-demographic characteristics and resilience levels across the five dimensions.Conclusion Identifying the resilience level and related factors among patients with cardiac problems should be integrated into the comprehensive plan of care to improve patient quality of life,enhance effective coping strategies,improve mental health and well-being,and prevent further disease complications.展开更多
Background End-of-life care is not usually a priority in cardiology departments. We sought to evaluate the changes in end-of-life care after the introduction of a do-not-resuscitate （DNR） order protocol. Methods ＆ ...Background End-of-life care is not usually a priority in cardiology departments. We sought to evaluate the changes in end-of-life care after the introduction of a do-not-resuscitate （DNR） order protocol. Methods ＆ Results Retrospective analysis of all deaths in a cardiology department in two periods, before and after the introduction of the protocol. Comparison of demographic characteristics, use of DNR orders, and end-of-life care issues between both periods, according to the presence in the second period of the new DNR sheet （Group A）, a conven- tional DNR order （Group B） or the absence of any DNR order （Group C）. The number of deaths was similar in both periods （n = 198 vs. n = 197）. The rate of patients dying with a DNR order increased significantly （57.1% vs. 68.5%; P = 0.02）. Only 4% of patients in both periods were aware of the decision taken about cardiopulmonary resuscitation. Patients in Group A received the DNR order one day earlier, and 24.5% received it within the first 24 h of admission （vs. 2.6% in the first period; P 〈 0.001）. All patients in Group A with an implantable cardioverter defibrillator （ICD） had shock therapies deactivated （vs. 25.0% in the first period; P = 0.02）. Conclusions The introduction of a DNR order protocol may improve end-of-life care in cardiac patients by increasing the use and shortening the time of registration of DNR orders. It may also contribute to increase ICD deactivation in patients with these orders in place. However, the introduction of the sheet in late stages of the disease failed to improve patient participation.展开更多
Objectives:This study aimed to translate the revised 17-item Diabetes Distress Scale(DDS17,2017)into mandarin(simplified)Chinese and validate the Chinese version of DDS17(C-DDS17,2021)among adult patients with type 2 ...Objectives:This study aimed to translate the revised 17-item Diabetes Distress Scale(DDS17,2017)into mandarin(simplified)Chinese and validate the Chinese version of DDS17(C-DDS17,2021)among adult patients with type 2 diabetes in China.Methods:A scale translation and cross-sectional validation study was conducted.The DDS17 was translated into mandarin(simplified)Chinese through a five-step process:authorization,forward translation,synthesis,back translation,and amendment.During this session,59 patients assessed the understandability and readability of the translated scale.From June 7 to September 4,2021,a cross-sectional study that adhered to the COSMIN checklist was conducted with 400 individuals with type 2 diabetes from three Class A tertiary comprehensive hospitals in Beijing,China.The content,construct,convergent,discriminant validity,and reliability(Cronbach’s a coefficient and item-total correlation coefficients)of the C-DDS17 were evaluated.This study was a part of a project registered in the Chinese Clinical Trial Registry(no.ChiCTR2100047071).Results:Among the participants,33.3%(133/400)of them experienced moderate to high diabetes distress.The content validity indices of the C-DDS17 equaled 1.00.The scale yielded a four-factor structure.The average variances extracted were 0.42e0.57,which was lower than squared correla-tions.Cronbach’s a coefficient was 0.88 for the overall scale and ranged from 0.76 to 0.81 for sub-scales.Corrected item-total correlation coefficients ranged from 0.42 to 0.61.The eighth item(“Feeling that I am often failing with my diabetes routine”)was better fit to physician distress than regimen distress but had little influence on the validation results.Conclusions:The C-DDS17 is a reliable and valid instrument for assessing diabetes distress in patients with type 2 diabetes.It is a promising instrument for early identification and management of diabetes distress in clinical practice and trials.展开更多
Depression is a common medical problem and is more prevalent among patients with coronary artery disease. Whether early detection and treatment of depression will enhance cardiovascular outcome is uncertain. Obviously...Depression is a common medical problem and is more prevalent among patients with coronary artery disease. Whether early detection and treatment of depression will enhance cardiovascular outcome is uncertain. Obviously, the safety and efficacy of the anti-depression drugs is an important link. This article reviews the patho-physiologic and behavioural links between depression and cardiovascular disease progression, the treatment of depression, and the potential benefits of anti-depressants in patients with coronary disease.展开更多
Purpose： To analyze the influence of psychological nursing to the treatment and recovery of elderly patients. Method： It conducts different care methods according to different psychological problems and disease type...Purpose： To analyze the influence of psychological nursing to the treatment and recovery of elderly patients. Method： It conducts different care methods according to different psychological problems and disease types. Result： Through effective psychological care, it can promote the recovery of patients＇ diseases. Conclusion： Implementing effective psychological care to the patients is good for the treatment and recovery of diseases, which shortens the time of effectively controlling diseases.展开更多
The prevalence of irritable bowel syndrome （IBS） and associated factors, especially psychological and lifestyle factors, in nurses in China have not been investigated previously. The aims of this study were to asses...The prevalence of irritable bowel syndrome （IBS） and associated factors, especially psychological and lifestyle factors, in nurses in China have not been investigated previously. The aims of this study were to assess the prevalence of IBS in nurses, to evaluate whether factors, such as psychological disorders, are associated with IBS, and to determine whether psychological disorders can influence the severity of symptoms of IBS and quality of life （QOL）. A cross-sectional study was conducted for Chinese nurses from November 2012 to February 2013. Partici- pants were asked to complete questionnaires. The prevalence of IBS was 17.4%. The revised symptom checklist 90 （SCL-90-R） scores were significantly higher for nurses with IBS than for those without IBS （P〈0.001）, and no difference in scores between IBS subtypes was found （F=1.893, P=-0.142）. The scores of QOL for nurses with and without IBS were 77.18±21.93 and 88.44±11.89 （P〈0.001）, respectively. Psychological disorders did not show statistically significant correlations with severity of symptoms of IBS or QOL. Alcohol consumption, low level of exercise, and psychological disorders were risk factors for IBS. In summary, nurses in China show a high prevalence of IBS. Psy- chological disorders and some related lifestyle factors are probably responsible for the development of IBS in nurses.展开更多
基金This work was supported by the Deanship of Research at Jordan University of Science and Technology(Research Grant No:245/2017).
文摘Objectives This study aimed to assess the level of resilience and related factors among patients with coronary heart disease.Methods A cross-sectional was used to determine the factors associated with the level of resilience.A convenience sampling technique was used to recruit 134 patients with coronary heart disease who attended the out-patients cardiology clinics at two leading public hospitals in Jordan from July to September 2017.The Connor-Davidson Resilience Scale(CD-RISC)was used to collect the data via a face-to-face structured interview.Mann-Whitney U test and Kruskal Wallis test were used to analyze the data.Results The results showed a moderate level of resilience among patients with coronary heart diseases.Patients who reported having no history of a cardiac procedure reported a higher total resilience score(69.50[63.25,75.00]vs.65.50[58.00,72.00])and a higher score in dimension 1,“personal competence,high standards,and tenacity”than their counterparts(22.00[18.50,26.00]vs.21.00[15.75,23.00])(P<0.05).Dimension 3“positive acceptance of change and secure relationships”score was higher for employed patients than retired patients(15.00[14.00,16.00]vs.14.00[12.00,15.00])(P<0.05).However,no significant associations were found between other socio-demographic characteristics and resilience levels across the five dimensions.Conclusion Identifying the resilience level and related factors among patients with cardiac problems should be integrated into the comprehensive plan of care to improve patient quality of life,enhance effective coping strategies,improve mental health and well-being,and prevent further disease complications.
文摘Background End-of-life care is not usually a priority in cardiology departments. We sought to evaluate the changes in end-of-life care after the introduction of a do-not-resuscitate （DNR） order protocol. Methods ＆ Results Retrospective analysis of all deaths in a cardiology department in two periods, before and after the introduction of the protocol. Comparison of demographic characteristics, use of DNR orders, and end-of-life care issues between both periods, according to the presence in the second period of the new DNR sheet （Group A）, a conven- tional DNR order （Group B） or the absence of any DNR order （Group C）. The number of deaths was similar in both periods （n = 198 vs. n = 197）. The rate of patients dying with a DNR order increased significantly （57.1% vs. 68.5%; P = 0.02）. Only 4% of patients in both periods were aware of the decision taken about cardiopulmonary resuscitation. Patients in Group A received the DNR order one day earlier, and 24.5% received it within the first 24 h of admission （vs. 2.6% in the first period; P 〈 0.001）. All patients in Group A with an implantable cardioverter defibrillator （ICD） had shock therapies deactivated （vs. 25.0% in the first period; P = 0.02）. Conclusions The introduction of a DNR order protocol may improve end-of-life care in cardiac patients by increasing the use and shortening the time of registration of DNR orders. It may also contribute to increase ICD deactivation in patients with these orders in place. However, the introduction of the sheet in late stages of the disease failed to improve patient participation.
文摘Objectives:This study aimed to translate the revised 17-item Diabetes Distress Scale(DDS17,2017)into mandarin(simplified)Chinese and validate the Chinese version of DDS17(C-DDS17,2021)among adult patients with type 2 diabetes in China.Methods:A scale translation and cross-sectional validation study was conducted.The DDS17 was translated into mandarin(simplified)Chinese through a five-step process:authorization,forward translation,synthesis,back translation,and amendment.During this session,59 patients assessed the understandability and readability of the translated scale.From June 7 to September 4,2021,a cross-sectional study that adhered to the COSMIN checklist was conducted with 400 individuals with type 2 diabetes from three Class A tertiary comprehensive hospitals in Beijing,China.The content,construct,convergent,discriminant validity,and reliability(Cronbach’s a coefficient and item-total correlation coefficients)of the C-DDS17 were evaluated.This study was a part of a project registered in the Chinese Clinical Trial Registry(no.ChiCTR2100047071).Results:Among the participants,33.3%(133/400)of them experienced moderate to high diabetes distress.The content validity indices of the C-DDS17 equaled 1.00.The scale yielded a four-factor structure.The average variances extracted were 0.42e0.57,which was lower than squared correla-tions.Cronbach’s a coefficient was 0.88 for the overall scale and ranged from 0.76 to 0.81 for sub-scales.Corrected item-total correlation coefficients ranged from 0.42 to 0.61.The eighth item(“Feeling that I am often failing with my diabetes routine”)was better fit to physician distress than regimen distress but had little influence on the validation results.Conclusions:The C-DDS17 is a reliable and valid instrument for assessing diabetes distress in patients with type 2 diabetes.It is a promising instrument for early identification and management of diabetes distress in clinical practice and trials.
文摘Depression is a common medical problem and is more prevalent among patients with coronary artery disease. Whether early detection and treatment of depression will enhance cardiovascular outcome is uncertain. Obviously, the safety and efficacy of the anti-depression drugs is an important link. This article reviews the patho-physiologic and behavioural links between depression and cardiovascular disease progression, the treatment of depression, and the potential benefits of anti-depressants in patients with coronary disease.
文摘Purpose： To analyze the influence of psychological nursing to the treatment and recovery of elderly patients. Method： It conducts different care methods according to different psychological problems and disease types. Result： Through effective psychological care, it can promote the recovery of patients＇ diseases. Conclusion： Implementing effective psychological care to the patients is good for the treatment and recovery of diseases, which shortens the time of effectively controlling diseases.
基金Project supported by the National Natural Science Foundation of China(No.81070299)
文摘The prevalence of irritable bowel syndrome （IBS） and associated factors, especially psychological and lifestyle factors, in nurses in China have not been investigated previously. The aims of this study were to assess the prevalence of IBS in nurses, to evaluate whether factors, such as psychological disorders, are associated with IBS, and to determine whether psychological disorders can influence the severity of symptoms of IBS and quality of life （QOL）. A cross-sectional study was conducted for Chinese nurses from November 2012 to February 2013. Partici- pants were asked to complete questionnaires. The prevalence of IBS was 17.4%. The revised symptom checklist 90 （SCL-90-R） scores were significantly higher for nurses with IBS than for those without IBS （P〈0.001）, and no difference in scores between IBS subtypes was found （F=1.893, P=-0.142）. The scores of QOL for nurses with and without IBS were 77.18±21.93 and 88.44±11.89 （P〈0.001）, respectively. Psychological disorders did not show statistically significant correlations with severity of symptoms of IBS or QOL. Alcohol consumption, low level of exercise, and psychological disorders were risk factors for IBS. In summary, nurses in China show a high prevalence of IBS. Psy- chological disorders and some related lifestyle factors are probably responsible for the development of IBS in nurses.
