Objectives:Globally,informal caregivers caring for cancer patients meet challenges within their caregiving role,which significantly influence their quality of life.This qualitative systematic review aimed to analyze h...Objectives:Globally,informal caregivers caring for cancer patients meet challenges within their caregiving role,which significantly influence their quality of life.This qualitative systematic review aimed to analyze how cancer caregiving influence the quality of life of informal caregivers and the management strategies of informal caregivers for their role as cancer caregivers.Methods:Following the enhancing transparency in reporting the synthesis of qualitative research(ENTREQ)statement,Wanfang database,the China National Knowledge Infrastructure(CNKI),CINAHL,MEDLINE,PubMed,Cochrane Library,PsycARTICLES and PsycINFO,and grey literature in English and Chinese from 1 May 2009 to 31 December 2019 were searched.Quality of included studies was assessed by the Critical Appraisal Skills Programme(2018)Qualitative Checklist and thematic synthesis was conducted.Results:Of the 8,945 studies identified,6 studies met the inclusion criteria.One analytical theme relating to the QoL of informal caregivers following cancer caregiving was identified:"challenges of caregiving".In terms of the management strategies to the role of cancer caregivers,two analytical themes were identified:"self-adjustment"and"seeking for formal and informal support".Conclusions:Cancer caregiving influences informal caregivers'QoL significantly and informal caregivers develop diverse coping strategies to deal with the difficulties occurred while balancing the relationship between their own lives and caregiving.However,professional and policy support remain inadequate for informal caregivers that require the need for improvement in terms of health care professionals and policymakers.展开更多
AIM:To investigate the role of psychological characteristics as risk factors for oesophageal adenocarcinoma(OAC),as well as the reflux-mediated precursor pathway.METHODS:An all-Ireland population-based case-control st...AIM:To investigate the role of psychological characteristics as risk factors for oesophageal adenocarcinoma(OAC),as well as the reflux-mediated precursor pathway.METHODS:An all-Ireland population-based case-control study recruited 230 reflux oesophagitis(RO),224 Barrett's oesophagus(BO) and 227 OAC patients and 260 controls.Each case/control group completed measures of stress,depression,self-efficacy,self-esteem,repression and social support.A comparative analysis was undertaken using polytomous logistic regression adjusted for potential confounders.RESULTS:Compared to controls,OAC patients were almost half as likely to report high stress levels over their lifetime(P = 0.010,OR 0.51;95%CI:0.29-0.90)and 36% less likely to report having experienced depression(OR 0.64;95%CI:0.42-0.98).RO patients reported significantly higher stress than controls particularly during middle-and senior-years(P for trends < 0.001).RO patients were 37% less likely to report having been highly emotionally repressed(OR 0.63;95%CI:0.41-0.95).All case groups(OAC,RO and BO) were more likely than controls to report having had substantial amounts of social support(OR 2.84;95%CI:1.63-4.97;OR 1.97;95%CI:1.13-3.44 and OR 1.83;95%CI:1.03-3.24,respectively).CONCLUSION:The improved psychological profile of OAC patients may be explained by response shift.The role of psychological factors in the development of OAC requires further investigation.展开更多
In the face offierce competition in the social environment,mental health problems gradually get the attention of the public,in order to achieve accurate mental health data analysis,the construction of music education ...In the face offierce competition in the social environment,mental health problems gradually get the attention of the public,in order to achieve accurate mental health data analysis,the construction of music education is based on emotional tendency analysis of psychological adjustment function model.Design emotional tendency analysis of music education psychological adjustment function architecture,music teaching goal as psychological adjust-ment function architecture building orientation,music teaching content as a foundation for psychological adjust-ment function architecture and music teaching process as a psychological adjustment function architecture building,music teaching evaluation as the key of building key regulating function architecture,Establish a core literacy oriented evaluation system.Different evaluation methods were used to obtain the evaluation results.Four levels of psychological adjustment function model of music education are designed,and the psychological adjust-ment function of music education is put forward,thus completing the construction of psychological adjustment function model of music education.The experimental results show that the absolute value of the data acquisition error of the designed model is minimum,which is not more than 0.2.It is less affected by a bad coefficient and has good performance.It can quickly converge to the best state in the actual prediction process and has a strong con-vergence ability.展开更多
The present study analyzes the psychological adaptation of parents with children having congenital disabilities. The study included 83 men and 96 women, who were parents of children with severe spina bifida, cerebral ...The present study analyzes the psychological adaptation of parents with children having congenital disabilities. The study included 83 men and 96 women, who were parents of children with severe spina bifida, cerebral palsy, cleft lip and cleft palate. The Millon Index of Personality Styles was used to identify the most distinctive personality styles of parents caring for a child with a chronic disability and parental psychological adjustment. We also investigated if personality profiles differ by gender, and educational and socioeconomic level. The personality styles identified may serve as indicators of the way parents adapt to the child with a congenital disability. The results also suggest that a child’s disability has a differential impact on men and women. Gender issues are evaluated, as well as any repercussions these may have on women.展开更多
目的探究聆听、建立、应用、提高、反馈、强化(LEARNS)健康教育在甲状腺癌患者中的应用效果。方法选取2021年1月至2023年6月就诊于郑州大学第一附属医院的90例甲状腺癌患者作为研究对象,按随机数表法分为观察组和对照组各45例。对照组...目的探究聆听、建立、应用、提高、反馈、强化(LEARNS)健康教育在甲状腺癌患者中的应用效果。方法选取2021年1月至2023年6月就诊于郑州大学第一附属医院的90例甲状腺癌患者作为研究对象,按随机数表法分为观察组和对照组各45例。对照组患者给予常规健康教育,观察组患者于此基础上给予LEARNS健康教育,干预至出院后1个月,比较两组患者的术后康复及术后1 d视觉模拟量表(VAS)评分,以及术后1 d和干预后的吞咽功能[洼田饮水试验、吞咽功能评估表(GUSS)]、颈部活动度及肩关节功能评价量表评分,并采用心理健康调查表(MHI-38)(由心理痛苦分量表、心理幸福感分量表构成)评价两组患者干预前后的心理调适能力。结果观察组患者术后1 d VAS评分为(2.96±0.45)分,明显低于对照组的(3.47±0.62)分,恢复进食时间、住院时间分别为(5.36±1.67)h、(4.12±1.56)d,明显短于对照组的(9.67±2.28)h、(6.77±2.00)d,差异均有统计学意义(P<0.05);干预后,观察组患者的洼田饮水试验评分为(1.45±0.20)分,明显低于对照组的(1.67±0.36)分,GUSS评分为(19.58±1.87)分,明显高于对照组的(18.67±2.20)分,差异均有统计学意义(P<0.05);干预后,观察组患者的颈部向健侧屈、向患侧屈、前屈及后伸活动度分别为(38.21±4.20)°、(35.64±4.36)°、(41.24±5.33)°、(35.16±3.54)°,明显高于对照组的(33.67±5.13)°、(31.25±4.65)°、(38.20±4.54)°、(32.00±3.12)°,差异均有统计学意义(P<0.05);干预后,观察组患者肩部功能量表中的肩关节活动范围、疼痛、日常生活能力、肌力评分分别为(25.47±4.15)分、(29.10±4.62)分、(35.26±5.10)分、(5.12±0.62)分,明显高于对照组的(21.56±3.98)分、(26.03±5.10)分、(31.06±4.78)分、(4.68±0.53)分,差异均有统计学意义(P<0.05);干预后,观察组患者心理痛苦分量表中焦虑、抑郁、行为/情绪失控评分分别为(15.39±3.44)分、(8.53±2.40)分、(14.33±3.50)分,明显低于对照组的(20.36±3.20)分、(11.35±2.55)分、(19.45±4.55)分,心理幸福感分量表中总正性情感、情感纽带、生活满意度评分分别为(50.53±4.70)分、(9.80±2.50)分、(5.50±1.62)分,明显高于对照组的(42.65±5.43)分、(7.13±2.01)分、(4.13±1.10)分,差异均有统计学意义(P<0.05)。结论LEARNS健康教育有助于加速甲状腺癌患者康复进程,增强心理调适能力,促进吞咽及肩颈功能早期康复,具有一定的临床应用价值。展开更多
文摘Objectives:Globally,informal caregivers caring for cancer patients meet challenges within their caregiving role,which significantly influence their quality of life.This qualitative systematic review aimed to analyze how cancer caregiving influence the quality of life of informal caregivers and the management strategies of informal caregivers for their role as cancer caregivers.Methods:Following the enhancing transparency in reporting the synthesis of qualitative research(ENTREQ)statement,Wanfang database,the China National Knowledge Infrastructure(CNKI),CINAHL,MEDLINE,PubMed,Cochrane Library,PsycARTICLES and PsycINFO,and grey literature in English and Chinese from 1 May 2009 to 31 December 2019 were searched.Quality of included studies was assessed by the Critical Appraisal Skills Programme(2018)Qualitative Checklist and thematic synthesis was conducted.Results:Of the 8,945 studies identified,6 studies met the inclusion criteria.One analytical theme relating to the QoL of informal caregivers following cancer caregiving was identified:"challenges of caregiving".In terms of the management strategies to the role of cancer caregivers,two analytical themes were identified:"self-adjustment"and"seeking for formal and informal support".Conclusions:Cancer caregiving influences informal caregivers'QoL significantly and informal caregivers develop diverse coping strategies to deal with the difficulties occurred while balancing the relationship between their own lives and caregiving.However,professional and policy support remain inadequate for informal caregivers that require the need for improvement in terms of health care professionals and policymakers.
文摘AIM:To investigate the role of psychological characteristics as risk factors for oesophageal adenocarcinoma(OAC),as well as the reflux-mediated precursor pathway.METHODS:An all-Ireland population-based case-control study recruited 230 reflux oesophagitis(RO),224 Barrett's oesophagus(BO) and 227 OAC patients and 260 controls.Each case/control group completed measures of stress,depression,self-efficacy,self-esteem,repression and social support.A comparative analysis was undertaken using polytomous logistic regression adjusted for potential confounders.RESULTS:Compared to controls,OAC patients were almost half as likely to report high stress levels over their lifetime(P = 0.010,OR 0.51;95%CI:0.29-0.90)and 36% less likely to report having experienced depression(OR 0.64;95%CI:0.42-0.98).RO patients reported significantly higher stress than controls particularly during middle-and senior-years(P for trends < 0.001).RO patients were 37% less likely to report having been highly emotionally repressed(OR 0.63;95%CI:0.41-0.95).All case groups(OAC,RO and BO) were more likely than controls to report having had substantial amounts of social support(OR 2.84;95%CI:1.63-4.97;OR 1.97;95%CI:1.13-3.44 and OR 1.83;95%CI:1.03-3.24,respectively).CONCLUSION:The improved psychological profile of OAC patients may be explained by response shift.The role of psychological factors in the development of OAC requires further investigation.
基金supported by Shandong Provincial Social Science Planning Research Project“Research on Inheritance and Innovation of Shandong Wooden Clappers Culture”(20CCXJ26).
文摘In the face offierce competition in the social environment,mental health problems gradually get the attention of the public,in order to achieve accurate mental health data analysis,the construction of music education is based on emotional tendency analysis of psychological adjustment function model.Design emotional tendency analysis of music education psychological adjustment function architecture,music teaching goal as psychological adjust-ment function architecture building orientation,music teaching content as a foundation for psychological adjust-ment function architecture and music teaching process as a psychological adjustment function architecture building,music teaching evaluation as the key of building key regulating function architecture,Establish a core literacy oriented evaluation system.Different evaluation methods were used to obtain the evaluation results.Four levels of psychological adjustment function model of music education are designed,and the psychological adjust-ment function of music education is put forward,thus completing the construction of psychological adjustment function model of music education.The experimental results show that the absolute value of the data acquisition error of the designed model is minimum,which is not more than 0.2.It is less affected by a bad coefficient and has good performance.It can quickly converge to the best state in the actual prediction process and has a strong con-vergence ability.
文摘The present study analyzes the psychological adaptation of parents with children having congenital disabilities. The study included 83 men and 96 women, who were parents of children with severe spina bifida, cerebral palsy, cleft lip and cleft palate. The Millon Index of Personality Styles was used to identify the most distinctive personality styles of parents caring for a child with a chronic disability and parental psychological adjustment. We also investigated if personality profiles differ by gender, and educational and socioeconomic level. The personality styles identified may serve as indicators of the way parents adapt to the child with a congenital disability. The results also suggest that a child’s disability has a differential impact on men and women. Gender issues are evaluated, as well as any repercussions these may have on women.
文摘目的探究聆听、建立、应用、提高、反馈、强化(LEARNS)健康教育在甲状腺癌患者中的应用效果。方法选取2021年1月至2023年6月就诊于郑州大学第一附属医院的90例甲状腺癌患者作为研究对象,按随机数表法分为观察组和对照组各45例。对照组患者给予常规健康教育,观察组患者于此基础上给予LEARNS健康教育,干预至出院后1个月,比较两组患者的术后康复及术后1 d视觉模拟量表(VAS)评分,以及术后1 d和干预后的吞咽功能[洼田饮水试验、吞咽功能评估表(GUSS)]、颈部活动度及肩关节功能评价量表评分,并采用心理健康调查表(MHI-38)(由心理痛苦分量表、心理幸福感分量表构成)评价两组患者干预前后的心理调适能力。结果观察组患者术后1 d VAS评分为(2.96±0.45)分,明显低于对照组的(3.47±0.62)分,恢复进食时间、住院时间分别为(5.36±1.67)h、(4.12±1.56)d,明显短于对照组的(9.67±2.28)h、(6.77±2.00)d,差异均有统计学意义(P<0.05);干预后,观察组患者的洼田饮水试验评分为(1.45±0.20)分,明显低于对照组的(1.67±0.36)分,GUSS评分为(19.58±1.87)分,明显高于对照组的(18.67±2.20)分,差异均有统计学意义(P<0.05);干预后,观察组患者的颈部向健侧屈、向患侧屈、前屈及后伸活动度分别为(38.21±4.20)°、(35.64±4.36)°、(41.24±5.33)°、(35.16±3.54)°,明显高于对照组的(33.67±5.13)°、(31.25±4.65)°、(38.20±4.54)°、(32.00±3.12)°,差异均有统计学意义(P<0.05);干预后,观察组患者肩部功能量表中的肩关节活动范围、疼痛、日常生活能力、肌力评分分别为(25.47±4.15)分、(29.10±4.62)分、(35.26±5.10)分、(5.12±0.62)分,明显高于对照组的(21.56±3.98)分、(26.03±5.10)分、(31.06±4.78)分、(4.68±0.53)分,差异均有统计学意义(P<0.05);干预后,观察组患者心理痛苦分量表中焦虑、抑郁、行为/情绪失控评分分别为(15.39±3.44)分、(8.53±2.40)分、(14.33±3.50)分,明显低于对照组的(20.36±3.20)分、(11.35±2.55)分、(19.45±4.55)分,心理幸福感分量表中总正性情感、情感纽带、生活满意度评分分别为(50.53±4.70)分、(9.80±2.50)分、(5.50±1.62)分,明显高于对照组的(42.65±5.43)分、(7.13±2.01)分、(4.13±1.10)分,差异均有统计学意义(P<0.05)。结论LEARNS健康教育有助于加速甲状腺癌患者康复进程,增强心理调适能力,促进吞咽及肩颈功能早期康复,具有一定的临床应用价值。
