Sleep quality, distress, and coping strategies differ between male and female students. However, effects of gender on their relation have not been evaluated. Therefore, the primary aim of this study was to confirm gen...Sleep quality, distress, and coping strategies differ between male and female students. However, effects of gender on their relation have not been evaluated. Therefore, the primary aim of this study was to confirm gender differences on sleep quality, chronic distress, and various coping strategies, as well as to examine gender differences in their relation to each other. A cross-sectional online study including several sleep-related self-report measures was completed by 6379 German students. After excluding all cases with missing data on the variables gender, psychiatric disorder, and medication, the final sample consisted of 5889 students with a mean age of 23.10 years (SD = 2.67) for men and 22.64 years (SD = 2.56) for women. Data from the Pittsburgh Sleep Quality Index, the Trier Inventory for Chronic Stress, and the Proactive Coping Inventory were analyzed. Results showed that women reported to have a poorer sleep quality, a higher level of chronic distress, and use social support more often than men. The hypothesized model revealed gender differences on the model level. However, these differences only occurred between avoidance coping and distress, as well as between various coping strategies. The biological gender influenced each of those three variables, but barely their relation to each other. Participants’ gender role might explain gender differences in coping strategies and their impact on distress. Furthermore, the type of stressor and subjective or objective measured sleep parameters might show more gender differences on this relation. Conclusively, gender-specific trainings or interventions are not necessary, however, gender differences should be considered during the implementation process.展开更多
Aging adults with chronic conditions rely heavily on an informal network of caregivers to remain within their communities of choice. This reliance can take a significant toll on caregivers through the lens of physical...Aging adults with chronic conditions rely heavily on an informal network of caregivers to remain within their communities of choice. This reliance can take a significant toll on caregivers through the lens of physical and psychological problems, financial issues, and social isolation. These variables may then lead to less desirable outcomes for care recipients. This review highlights existing support services in their many forms, including: psychosocial interventions, environmental interventions, respite care, and health information technology as a method of delivery. Given the current trend with informal caregivers assuming increased responsibility in healthcare, programs and services supporting these caregivers must be understood and trialed to ensure that their needs are not overlooked.展开更多
文摘Sleep quality, distress, and coping strategies differ between male and female students. However, effects of gender on their relation have not been evaluated. Therefore, the primary aim of this study was to confirm gender differences on sleep quality, chronic distress, and various coping strategies, as well as to examine gender differences in their relation to each other. A cross-sectional online study including several sleep-related self-report measures was completed by 6379 German students. After excluding all cases with missing data on the variables gender, psychiatric disorder, and medication, the final sample consisted of 5889 students with a mean age of 23.10 years (SD = 2.67) for men and 22.64 years (SD = 2.56) for women. Data from the Pittsburgh Sleep Quality Index, the Trier Inventory for Chronic Stress, and the Proactive Coping Inventory were analyzed. Results showed that women reported to have a poorer sleep quality, a higher level of chronic distress, and use social support more often than men. The hypothesized model revealed gender differences on the model level. However, these differences only occurred between avoidance coping and distress, as well as between various coping strategies. The biological gender influenced each of those three variables, but barely their relation to each other. Participants’ gender role might explain gender differences in coping strategies and their impact on distress. Furthermore, the type of stressor and subjective or objective measured sleep parameters might show more gender differences on this relation. Conclusively, gender-specific trainings or interventions are not necessary, however, gender differences should be considered during the implementation process.
文摘目的:观察西维来司他钠治疗脓毒症伴急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)的效果。方法:将阳江市人民医院2023年6—12月收治的脓毒症伴ARDS患者总计60例,以随机数字表法分成两组,各30例,其中一组以常规治疗为对照组,另一组以常规治疗配合西维来司他钠治疗为研究组,均治疗7 d。比较两组血清学指标(炎症指标、血小板计数、血气指标),急性生理和慢性健康状况Ⅱ(acute physiology and chronic health evaluationⅡ,APACHEⅡ)评分、肺损伤评分,序贯器官衰竭估计(sequential organ failure assessment,SOFA)评分,机械通气时间及病死率。结果:治疗前,两组炎症指标、血气指标、血小板计数、APACHEⅡ评分、肺损伤评分、SOFA评分相比,差异均无统计学意义(P>0.05);治疗后,两组血清炎症指标、动脉血二氧化碳分压、APACHEⅡ评分、肺损伤评分、SOFA评分均较治疗前显著下降,且研究组均低于对照组,动脉血氧饱和度及血小板计数均较治疗前提升,研究组均高于对照组,差异均有统计学意义(P<0.05)。研究组机械通气时间短于对照组,差异有统计学意义(P<0.05)。两组的14 d病死率相比,差异无统计学意义(P>0.05)。结论:脓毒症伴急性呼吸窘迫综合征患者在接受西维来司他钠治疗,可显著减轻患者的血清炎症指标水平,改善血气指标,减轻肺损伤,缩短患者的机械通气时间,效果理想。
文摘Aging adults with chronic conditions rely heavily on an informal network of caregivers to remain within their communities of choice. This reliance can take a significant toll on caregivers through the lens of physical and psychological problems, financial issues, and social isolation. These variables may then lead to less desirable outcomes for care recipients. This review highlights existing support services in their many forms, including: psychosocial interventions, environmental interventions, respite care, and health information technology as a method of delivery. Given the current trend with informal caregivers assuming increased responsibility in healthcare, programs and services supporting these caregivers must be understood and trialed to ensure that their needs are not overlooked.
