通讯机构:
[Wei, N ] W;Wuhan Polytech Univ, Coll Med & Hlth Sci, Dept Rehabil Sci, Wuhan, Hubei, Peoples R China.
关键词:
Dynapenia;anthropometric measurements;cut-off values;receiver operating characteristic curve analysis;the five times sit-to-stand test
摘要:
PURPOSE: This study evaluated whether anthropometric measurements and the five times sit-to-stand test could be used to identify dynapenia. The cut-off values of accurate screening tools for identifying dynapenia were also established. MATERIALS AND METHODS: This was a cross-sectional study conducted on individuals ≥ 60 years old (N = 529). All participants underwent handgrip strength measurement, anthropometric measurements and the five times sit-to-stand test. The participants whose handgrip strength was < 28 kg for men and < 18 kg for women were considered to have dynapenia. The association between the recorded variables and dynapenia was determined using logistic regression, and cut-off values were established by performing the Receiver Operating Characteristic curve analysis. RESULTS: The prevalence of dynapenia was 35.42% in men and 25.61% in women. For males, both calf circumference (≤ 35.2 cm) and the five times sit-to-stand test (≥ 14.6 s) could be used as accurate tools for dynapenia. For females, only the five times sit-to-stand test (≥ 11.8 s) had sufficient accuracy to be used as a screening tool for dynapenia. CONCLUSIONS: The five times sit-to-stand test was an accurate screening tool for identifying dynapenia. The calf circumference could be only used as a screening tool in males.
摘要:
Objectives: This study aimed to investigate the associations between social isolation, loneliness, and motoric cognitive risk syndrome (MCR) among older adults in China.Methods: Data were obtained from the China Health and Retirement Longitudinal Study in the 2011 and 2015 waves. Social isolation and loneliness were measured by an index and an item, and MCR was defined as subjective cognitive complaints and slow gait. Multivariable logistic regression analyses were performed to examine the associations between social isolation, loneliness, and MCR by gender.Results: Of 3251 eligible participants, the incidence of MCR was 10.03%. Social isolation and loneliness were not significantly associated with incident MCR in men. Loneliness was positively associated with incident MCR in women (OR: 1.45, 95% CI: 1.05, 2.01), while social isolation was not.Conclusions: Loneliness is associated with incident MCR among female older adults in China. More attention is advised to be paid to loneliness among female older adults, to hold promise for the prevention and reduction of MCR.
摘要:
AIMS: This study aimed to evaluate the correlation between parental attachment, resilience, postpartum traumatic stress disorder (PTSD), and maternal-infant bonding at 1 to 3 months postpartum. The mediation effect of resilience and PTSD on the postpartum parental attachment and maternal-infant bond was also evaluated. DESIGN: A cross-sectional research design was used. METHODS: A total of 400 postpartum women examined at a tertiary hospital in Wuhan from January 2021 to June 2021 were enrolled in the study. At about 1 to 3 months after giving birth, the women were asked to complete the Postpartum Bonding Questionnaire (PBQ), Connor-Davidson Resilience scale(CD-RISC), PTSD CheckList-Civilian version (PCL-C), and the Parental Bonding Instrument (PBI). The data were summarized using descriptive statistics. Mediation analyse and the Spearman correlation (r) were used to correlate the resilience and PTSD questionnaire scores. RESULTS: The care attachment dimension was significantly associated with resilience (r = 0.24, p < 0.01), PTSD (r = - 0.27, p < 0.01), and maternal-infant bonding (r = 0.10, p < 0.01), and the overprotection attachment dimension was significantly associated with resilience (r = - 0.11, p < 0.01), PTSD (r = 0.33, p < 0.01), and maternal-infant bonding (r = 0.16, p < 0.01). Resilience and PTSD can mediate the relationship between attachment and maternal-infant bonding. CONCLUSION: Parental attachment, resilience, and PTSD significantly affect maternal-infant bonding at 1 to 3 months postpartum. IMPACT: This study demonstrated that new interventions aimed at addressing PTSD symptoms and improving resilience might increase parental attachment and maternal-infant bonding after birth. However, further research is required to evaluate the success of these interventions.
期刊:
Disaster Medicine and Public Health Preparedness,2023年16(6):2458-2463 ISSN:1935-7893
通讯作者:
Wang, ZM
作者机构:
[Gao, Xudong] Wuhan Polytechn Univ, Coll Med & Hlth Sci, Wuhan, Peoples R China.;[Wang, Zhimin; Wang, ZM; Tan, Lingling] Univ South China, Dept Nursing, Affiliated Hosp 2, Hengyang, Peoples R China.;[Kong, Chan] Huazhong Univ Sci & Technol, Tongji Hosp, Gen Med Dept, Tongji Med Coll, Wuhan, Peoples R China.;[Fan, Hongru] Huazhong Univ Sci & Technol, Hosp Wuhan 1, Dept Cardiovasc Dis, Wuhan, Peoples R China.;[Zhang, Juan] Huazhong Univ Sci & Technol, Hosp Wuhan 2, Dept Nursing, Wuhan, Peoples R China.
通讯机构:
[Wang, ZM ] U;Univ South China, Dept Nursing, Affiliated Hosp 2, Hengyang, Peoples R China.
关键词:
bereavement;grief counseling;COVID-19;health care workers
摘要:
Objectives: This research aimed to examine health care workers' grief counseling for bereaved families of Coronavirus disease 2019 (COVID-19) victims in China. Our research may provide a new opportunity to stimulate development of grief counseling in China.Methods: A cross-sectional survey was conducted with 724 health care workers selected by convenience sampling from seven hospitals in Wuhan. Data collection tools included a sociodemographic questionnaire, the skills of grief counseling scale (SGCS), and the attitudes of grief counseling scale (AGCS).Results: The average SGCS score was 18.96±4.66, whose influencing factors consisted of sense of responsibility, frequency of contact with bereaved families, and relevant training (P<0.05). The average AGCS score was 33.36±8.70, whose influencing factors consisted of other grief counseling skills, communication skills, education background, and relevant training (P<0.05).Conclusions: The skills and attitudes toward grief counseling among health care workers combating COVID-19 were at a lower level in Wuhan, China, indicating the need to build a comprehensive grief counseling system, establish a standardized training course, and strengthen the popularization of grief counseling services to the public.
期刊:
International Journal of Environmental Research and Public Health,2022年19(15) ISSN:1661-7827
通讯作者:
Feng Ding
作者机构:
[Gao, Xudong] Wuhan Polytech Univ, Coll Med & Hlth Sci, Dept Nursing, Wuhan 430023, Peoples R China.;[Ding, Feng] Wuhan Univ, Sch Informat Management, Lib & Informat Sci, Wuhan 430072, Peoples R China.;[Ai, Ting] Wuhan Polytech Univ, Coll Med & Hlth Sci, Psychol Counseling Ctr, Wuhan 430023, Peoples R China.
通讯机构:
[Feng Ding] L;Library and Information Science, School of Information Management, Wuhan University, Wuhan 430072, China
关键词:
COVID-19;elderly people;information avoidance;information overload;health information
摘要:
Abstract: Background: A worrying phenomenon has emerged in recent years: a growing number of people have stopped seeking coronavirus disease 2019 (COVID-19) information and have started deliberately avoiding it. Even though the virulence of COVID-19 has now weakened, the proportion of severe illnesses and deaths in elderly people is still much higher than in other age groups. However, no study has focused on this topic. This is the first study to explore the level of COVID-19 information avoidance among elderly people, and to identify the barriers and potential factors associated therewith. Methods: Convenience sampling was used to recruit 907 elderly people in Wuhan, China. Data collection measures included a sociodemographic questionnaire, health information avoidance scale, information overload scale, general self-efficacy scale, and health anxiety inventory. Results: A total of 72.3% of elderly participants reported COVID-19 information avoidance. Regarding COVID-19-related information reading habits, 44.5% of the elderly only read the title, 16.0% merely skimmed through the content, and 22.9% skipped all relevant information. The most common reasons for this result were information overload (67.5%), underestimation of the infection risk (58.1%), and uselessness of information (56.4%). The main factors associated with COVID-19 information avoidance were recorded as information overload, age, health anxiety, and children (p < 0.05). Conclusions: China should strengthen its health communication regarding COVID-19 in accordance with the characteristics of elderly people, adopt more attractive publicity methods on traditional media, improve censorship about health information, and pay more attention to the childless elderly and the elderly aged 80 and above. Keywords: COVID-19; elderly people; information avoidance; information overload; health information
摘要:
BACKGROUND: Social participation (SP) may be an effective measure for decreasing frailty risks. This study investigated whether frequency and type of SP is associated with decreased frailty risk among Chinese middle-aged and older populations. METHODS: Data were derived from the China Health and Retirement Longitudinal Study (CHARLS). Frailty was assessed using the Rockwood's Cumulative Deficit Frailty Index. SP was measured according to frequency (none, occasional, weekly and daily) and type (interacting with friends [IWF]; playing mah-jong, chess, and cards or visiting community clubs [MCCC], going to community-organized dancing, fitness, qigong and so on [DFQ]; participating in community-related organizations [CRO]; voluntary or charitable work [VOC]; using the Internet [INT]). Smooth curves were used to describe the trend for frailty scores across survey waves. The fixed-effect model (N = 9,422) was applied to explore the association between the frequency/type of SP and frailty level. For baseline non-frail respondents (N = 6,073), the time-varying Cox regression model was used to calculate relative risk of frailty in different SP groups. RESULTS: Weekly (β = - 0.006; 95%CI: [- 0.009, - 0.003]) and daily (β = - 0.009; 95% CI: [- 0.012, - 0.007]) SP is associated with lower frailty scores using the fixed-effect models. Time-varying Cox regressions present lower risks of frailty in daily SP group (HR = 0.76; 95% CI: [0.69, 0.84]). SP types that can significantly decrease frailty risk include IWF, MCCC and DFQ. Daily IWF and daily DFQ decreases frailty risk in those aged < 65years, female and urban respondents, but not in those aged ≥ 65years, male and rural respondents. The impact of daily MCCC is significant in all subgroups, whereas that of lower-frequent MCCC is not significant in those aged ≥ 65years, male and rural respondents. CONCLUSION: This study demonstrated that enhancing participation in social activities could decrease frailty risk among middle-aged and older populations, especially communicative activities, intellectually demanding/engaging activities and community-organized physical activities. The results suggested very accurate, operable, and valuable intervening measures for promoting healthy ageing.
期刊:
Journal of Psychosocial Nursing and Mental Health Services,2021年59(11):18-+ ISSN:0279-3695
通讯作者:
Tan, Lingling
作者机构:
[Kong, Chan] Huazhong Univ Sci & Technol, Tongji Hosp, Dept Nursing, Tongji Med Coll, Wuhan, Peoples R China.;[Zhang, Juan; Wang, Zhimin; Tan, Lingling] Univ South China, Dept Nursing, Hosp 2, 35 Jiefang Ave, Hengyang 421000, Hunan, Peoples R China.;[Gao, Xudong] Wuhan Polytech Univ, Coll Hlth Sci & Nursing, Wuhan, Peoples R China.;[Fan, Hongru] First Hosp Wuhan, Dept Cardiovasc Dis, Wuhan, Peoples R China.;[Wang, Jing] Fourth Hosp Wuhan, Dept Neurosurg, Wuhan, Peoples R China.
通讯机构:
[Tan, Lingling] U;Univ South China, Dept Nursing, Hosp 2, 35 Jiefang Ave, Hengyang 421000, Hunan, Peoples R China.
摘要:
This is the first study to assess nurses' attitudes and skills regarding grief counseling for bereaved family members of patients who died from coronavirus disease 2019 (COVID-19) in Wuhan, China. Using a cross-sectional design, 412 nurses selected through convenience sampling completed a demographic characteristics survey, Attitudes of Grief Counseling Scale, (AGCS) and Skills of Grief Counseling Scale (SGCS). Average AGCS score was 32.89 (SD = 9.46), with an overall percentage rate score of 65.6%. Factors influencing attitudes toward grief counseling included other grief counseling skills, educational level, communication skills, and training related to grief counseling (p < 0.05). Average SGCS score was 18.81 (SD = 4.25), with an overall percentage rate score of 58.7%. Factors influencing skills of grief counseling included responsibilities and roles, frequency of contact with the bereaved, and positive view of grief counseling (p < 0.05). Nurses' attitudes and skills regarding grief counseling were low, indicating an urgent need to improve grief counseling.
摘要:
Aim To identify the intention of Chinese pregnant women to undertake physical activity (PA) using the theory of planned behaviour. Design A cross-sectional survey. Methods From April - October 2017, a cross-sectional questionnaire was completed by 746 pregnant women from the Health Birth Cohort in Wuhan, China. The theory of planned behaviour variables as well as sociodemographic characteristics was recorded, and the Pregnancy PA Questionnaire was together used to assess their PA during pregnancy. Results Only 11.3% of the women met the international guideline. The intention to undertake PA was found it to be positive in 63.9% of pregnant women. Structural equation modelling analysis revealed that behavioural attitudes, subjective norms, and perceived behavioural control (PBC) influenced PA by directly influencing the behaviour intention. Both behavioural attitude and subjective norms influenced PA by indirectly affecting the behaviour. Overall, the model described 60% variance of the behavioural intention to undertake PA during pregnancy. Conclusion PBC was confirmed to be a prominent factor in determining behavioural intention to undertake PA during pregnancy. Pregnant women should be helped and appropriately guided by health providers to overcome barriers to PA. Effect This study investigates the effect of perceived behavioural control (PBC) on the intention to undertake physical activity (PA). The findings suggest that nurses' and midwives' attention should be focused on how to promote the improvement of perceived behavioural control ability of pregnant women to improve pregnant women's PA intention. The attitude of pregnant women on taking up PA and their ability to control behaviours can be improved with support from family or healthcare providers.
作者机构:
[Wei, Ning] Wuhan Polytech Univ, Coll Hlth Sci & Nursing, Dept Rehabil Sci, Room309, Wuhan, Hubei, Peoples R China.;[Wei, Ning] Hong Kong Polytech Univ, Dept Rehabil Sci, ST828, Hong Kong, Hong Kong, Peoples R China.;[Ng, Gabriel Y. F.] Hong Kong Polytech Univ, Dept Rehabil Sci, QT510a, Hong Kong, Hong Kong, Peoples R China.
通讯机构:
[Wei, Ning] W;[Wei, Ning] H;Wuhan Polytech Univ, Coll Hlth Sci & Nursing, Dept Rehabil Sci, Room309, Wuhan, Hubei, Peoples R China.;Hong Kong Polytech Univ, Dept Rehabil Sci, ST828, Hong Kong, Hong Kong, Peoples R China.