Objective:This study aimed to evaluate and validate the performance of a Chinese version of a Likerttype death anxiety scale for colorectal cancer patients.Methods:This study assessed the death anxiety of 50 colorecta...Objective:This study aimed to evaluate and validate the performance of a Chinese version of a Likerttype death anxiety scale for colorectal cancer patients.Methods:This study assessed the death anxiety of 50 colorectal cancer patients,which were selected by convenience sampling method,by using the Chinese version of a Likert-type Templer death anxiety scale(CL-TDAS)on the first day of admission.Results:Most of the respondents finished the entire scale in 3e5 min,and the recovery rate was 94.0%.Cronbach's a indicated that the internal consistency was 0.821 for the complete 15 items,and the correlation between the CL-TDAS and the C-TDAS(non-Likert-type)was 0.79(P<0.05).The structural validity of the CL-TDAS revealed that the scale items accounted for>63.78%of the total variability,and that the four-component structure of the data well fitted the model.The mean score of the CL-TDAS was 36.16±9.99(first day of admission).Conclusion:The CL-TDAS showed reliable performance and can thus be a promising instrument for evaluating the death anxiety of cancer patients.Death anxiety varied for different periods and different genders.展开更多
Objective:Recent research has documented psychological distress in advanced breast cancer(ABC)patients,but few studies have examined how death anxiety is affected by the symptom burden.Therefore,this study aims to exp...Objective:Recent research has documented psychological distress in advanced breast cancer(ABC)patients,but few studies have examined how death anxiety is affected by the symptom burden.Therefore,this study aims to explore the association among symptom burden,death anxiety and psychological distress(depression and anxiety)in ABC patients.Methods:This cross-sectional study used the Death and Dying Anxiety Scale(DADDS),9-item Patient Health Questionnaire(PHQ-9),General Anxiety Disorder-7(GAD-7)and MD Anderson Symptom Inventory(MDASI)to assess death anxiety,depression,anxiety,and symptom burden,respectively.Bias-corrected bootstrapping methods were used to estimate indirect effects and 95%confidence intervals.Results:Two hundred ABC patients completed the questionnaires.All of the respondents were females,with a mean age of 50±10 years.Initial correlation analyses revealed significant associations of death anxiety with depression(r=0.57,P<0.001),anxiety(r=0.60,P<0.001)and symptom burden(r=0.43,P<0.001).Moreover,depression(r=0.53,P<0.001)and anxiety(r=0.45,P<0.001)were significantly correlated with symptom burden.An analysis using Hayes’PROCESS macro revealed the partial effecting role of death anxiety in the relationship between depression and symptom burden,and between anxiety and symptom burden(contributions to the total effect of 0.247 and 0.469,respectively).Conclusions:This study provides insight into the relationship between death anxiety and symptom burden.The results suggest that interventions addressing death anxiety may be more effective for alleviating the depression and anxiety experienced by ABC patients with a symptom burden.展开更多
Higher vocational college students are suffering foreign language anxiety in their English learning. Actually, negative cor-relation exists between foreign language anxiety and PRETCO-B scores. Foreign language anxiet...Higher vocational college students are suffering foreign language anxiety in their English learning. Actually, negative cor-relation exists between foreign language anxiety and PRETCO-B scores. Foreign language anxiety debilitates English learning.It ishoped that the finding will be of value to the English teaching and learning in higher vocational colleges.展开更多
Objective:To explore the effect of psychological nursing combined with biofeedback on the rehabilitation of patients with anxiety disorders.Methods:100 patients with anxiety disorders in our hospital from January to D...Objective:To explore the effect of psychological nursing combined with biofeedback on the rehabilitation of patients with anxiety disorders.Methods:100 patients with anxiety disorders in our hospital from January to December 2021 were randomly divided into two groups:control group(n=50)and study group(n=50).The control group was given routine nursing,while the study group was given psychological nursing combined with biofeedback.The changes of self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,symptom score,and quality of life of the two groups were compared before and after nursing.Results:Before nursing,there was no significant difference in the scores of SAS and SDS between the two groups,but after nursing,the scores of SAS and SDS in the study group were lower than those in the control group,and the degree of improvement in the study group was higher than that of the control group.Before nursing,there was no significant difference in the scores of symptoms between the two groups(P>0.05),but after nursing,the scores of stress,crying spells,tremor,and general discomfort in the study group were lower than those of the control group(P<0.05).Besides,before nursing,there was no significant difference in the quality of life between the two groups(P>0.05),but after nursing,the scores of physical function,psychological activity,social ability,and material life in the study group were higher than those in the control group(P<0.05).Moreover,the degree of improvement after nursing in the study group was better than that of the control group.Conclusion:Psychological nursing combined with biofeedback to promote the rehabilitation of patients with anxiety disorders effectively improves the negative emotion of patients,reduces stress,depression,tremor,and general discomfort,and improve the overall quality of life.Therefore,it is worth further popularization.展开更多
目的:心力衰竭(heart failure,HF)是住院患者死亡的重要原因。本研究旨在探究营养炎症风险评分(nutrition-inflammation risk score,NIRS)及其列线图模型对老年心力衰竭患者30d死亡率的预测价值。方法:本研究回顾性分析2018年1月至2020...目的:心力衰竭(heart failure,HF)是住院患者死亡的重要原因。本研究旨在探究营养炎症风险评分(nutrition-inflammation risk score,NIRS)及其列线图模型对老年心力衰竭患者30d死亡率的预测价值。方法:本研究回顾性分析2018年1月至2020年6月,青岛市胶州中心医院收治的老年HF患者。根据患者30d的存活情况,分为死亡组和存活组。采用单因素分析和多因素Logistic回归构建NIRS和死亡预测模型。采用ROC分析、校准曲线和决策曲线评估老年HF患者死亡预测列线图模型的预测能力、校准能力和临床净获益。结果:本研究共纳入797例老年HF患者,164例(20.6%)老年HF患者在30d内死亡。NIRS由预后营养指数(prognosis nutrition index,PNI)、HGB-白蛋白-淋巴细胞-血小板(hemoglobin,albumin,lymphocyte,platelet,HALP)评分、单核细胞-高密度脂蛋白比值(monocyte to high density lipoprotein ratio,MHR)和CRP-白蛋白比值(C-reaction protein to albumin ratio,CAR)组成。多因素Logstic回归结果表明,NIRS(OR=11.867,95%CI:7.681~18.333,P<0.001)、高血压(OR=1.935,95%CI:1.18~3.175,P<0.001)和慢性阻塞性肺疾病(OR=4.306,95%CI:2.611~7.1,P<0.001)是老年HF患者30d死亡的危险因素。此外,老年HF患者30d死亡列线图模型ACU为0.855;校准曲线显示该模型预测概率与实际概率基本吻合;决策曲线显示该模型净获益良好。结论:INRS是老年HF患者30d死亡的独立预测因素。此外,老年HF患者30d死亡列线图模型可个体化预测老年HF患者30d内的死亡风险,帮助临床医生早期识别死亡高风险个体。展开更多
There is a dearth of evidence-based data on how psychological distress and death anxiety symptoms experienced by cancer patients and caregivers are treated in developing regions. This article sheds light on the report...There is a dearth of evidence-based data on how psychological distress and death anxiety symptoms experienced by cancer patients and caregivers are treated in developing regions. This article sheds light on the report of the findings from a 2016 study that revealed a rational-emotive behavioral intervention helped a select group of cancer patients and their family caregivers to manage problematic assumptions, psychological distress, and death anxiety symptoms in Nigeria.Based on my experience as a co-investigator and corresponding author of this previous study, I addressed the challenges of conducting such a study and the implications for future research in this article. This article encourages future researchers to replicate the study and endeavor to overcome the limitations of the previous study. Funders were also encouraged to ensure increased access to funds for conducting similar studies with cancer patients and their family caregivers in developing countries and other parts of the world.展开更多
Background: The Ministry of Public Management, Home Affairs, Posts and Telecommunications announced that the proportion of elderly people aged 65 or over in the total population of Japan reached a record high of 26.7%...Background: The Ministry of Public Management, Home Affairs, Posts and Telecommunications announced that the proportion of elderly people aged 65 or over in the total population of Japan reached a record high of 26.7% in the present Japan. Aims: This paper aimed to clarify from acute ward nurses’ concepts of life and death in Japan. Methods: Questionnaires were distributed to 720 nurses working in acute care hospital A in the Kansai area in Japan. Distribution destinations were all wards except for operating rooms and outpatient clinics. We initially classified the 27 items from Hirai et al.’s death and life scale into the initial seven factors (via promax rotation). Operational Definition: In my analysis, I relied considerably on the seven-point Likert scale of the Concept of life and death. Ethical Considerations: The present study was approved by the Tottori University Ethics Review Committee (1603 A 156). Results: The initial factor analysis revealed that 10 of the 27 items were inadequate. Thus, a second analysis was conducted on the remaining 17 items. The KMO analysis produced a value of 0.8. A Bartlett’s test produced a significant result (p Consideration: The first factor comprised all subscales except for the “death avoidance” subscale, which fit better within the fourth factor. These factors included “A comprehensive view of life and death” “Sharing the fate of death and liberation” “Death fear, anxiety, and avoidance”, and “Liberation from life and a world after death”.展开更多
Background:Anxiety is a common comorbidity associated with chronic obstructive pulmonary disease(COPD),but no well-recognized method can provide effective relief.Liuzijue Qigong(LQG)is a traditional Chinese fitness me...Background:Anxiety is a common comorbidity associated with chronic obstructive pulmonary disease(COPD),but no well-recognized method can provide effective relief.Liuzijue Qigong(LQG)is a traditional Chinese fitness method,based on breath pronunciation.This study aimed to examine the efficacy of LQG to relieve anxiety in COPD patients and to explore the factors that influence anxiety,including whether LQG is effective during the coronavirus disease 2019(COVID-19)outbreak.Methods:We conducted an open-label,randomized,controlled,clinical trial.A total of 60 patients with stable COPD were randomly assigned to two groups.Both groups were given routine medical treatment,and the patients in the pulmonary rehabilitation(PR)group were given an extra intervention in the form of LQG,performed for 30 minutes each day for 12 weeks.Data collection was performed at baseline and 12 weeks(during the COVID-19 epidemic).The primary outcomes were the self-rating anxiety scale(SAS)scores,and the secondary outcomes were relevant information during the epidemic and analyses of the related factors that influenced SAS scores during the COVID-19 outbreak.Results:Compared with baseline,patients in both groups demonstrated varying degrees of improvements in their SAS scores(all P<0.01).An analysis of covariance,adjusted for baseline scores,indicated that the SAS scores improved more dramatically in the PR group than in the control group(F=9.539,P=0.004).During the outbreak,the SAS scores for sleep disorder were higher than all other factors,reaching 1.38±0.67,and the scores for“I can breathe in and out easily”for the PR group were lower than the scores for the control group(Z=−2.108,P=0.035).Significant differences were identified between the two groups for the categories“How much has the outbreak affected your life”,“Do you practice LQG during the epidemic”and“Do you practice other exercises during the epidemic”(all P<0.05).Compared with current reports,LQG had a relatively high adherence rate(80.95%).A multiple linear regression analysis revealed multiple predictors for SAS scores during the outbreak:group(b=−3.907,t=−3.824,P<0.001),COPD assessment test score(b=0.309,t=2.876,P=0.006),SAS score at baseline(b=0.189,t=3.074,P=0.004),and living in a village(b=4.886,t=2.085,P=0.043).Conclusion:LQG could effectively reduce the risks of anxiety among COPD patients,even during the COVID-19 outbreak.For those COPD patients with high COPD assessment test and high baseline SAS scores or who live in villages,we should reinforce the management and intervention of psychological factors during the epidemic.展开更多
Introduction: Our aim was to identify the risk factors of clinical birth asphyxia and subsequent newborn death in the presence of nuchal cord in a sub-Saharan Africa setting. Methodology: It was a six-months’ case-co...Introduction: Our aim was to identify the risk factors of clinical birth asphyxia and subsequent newborn death in the presence of nuchal cord in a sub-Saharan Africa setting. Methodology: It was a six-months’ case-control study involving 117 parturients whose babies presented with a nuchal cord at delivery. The study was carried out at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroon, from January 1st to June 30th 2013. Results: The risk factors of clinical birth asphyxia identified were: first delivery, absence of obstetrical ultrasound during pregnancy, nuchal cord with more than one loop, duration of second stage of labor more than 30 minutes during vaginal delivery. The risk factors for newborn death from clinical birth asphyxia in the presence of nuchal cord were: maternal age Conclusion: We recommend a systematic obstetrical ultrasound before labor, so as to detect the presence of a nuchal cord, its tightness and the number of loops. Also, cesarean section should be considered when a nuchal cord is associated with first delivery, tightness or multiple looping.展开更多
文摘Objective:This study aimed to evaluate and validate the performance of a Chinese version of a Likerttype death anxiety scale for colorectal cancer patients.Methods:This study assessed the death anxiety of 50 colorectal cancer patients,which were selected by convenience sampling method,by using the Chinese version of a Likert-type Templer death anxiety scale(CL-TDAS)on the first day of admission.Results:Most of the respondents finished the entire scale in 3e5 min,and the recovery rate was 94.0%.Cronbach's a indicated that the internal consistency was 0.821 for the complete 15 items,and the correlation between the CL-TDAS and the C-TDAS(non-Likert-type)was 0.79(P<0.05).The structural validity of the CL-TDAS revealed that the scale items accounted for>63.78%of the total variability,and that the four-component structure of the data well fitted the model.The mean score of the CL-TDAS was 36.16±9.99(first day of admission).Conclusion:The CL-TDAS showed reliable performance and can thus be a promising instrument for evaluating the death anxiety of cancer patients.Death anxiety varied for different periods and different genders.
基金the Beijing Municipal Health and Scientific and Technological Achievements and Appropriate Technology Promotion Projects in China(No.2018-TG-48)。
文摘Objective:Recent research has documented psychological distress in advanced breast cancer(ABC)patients,but few studies have examined how death anxiety is affected by the symptom burden.Therefore,this study aims to explore the association among symptom burden,death anxiety and psychological distress(depression and anxiety)in ABC patients.Methods:This cross-sectional study used the Death and Dying Anxiety Scale(DADDS),9-item Patient Health Questionnaire(PHQ-9),General Anxiety Disorder-7(GAD-7)and MD Anderson Symptom Inventory(MDASI)to assess death anxiety,depression,anxiety,and symptom burden,respectively.Bias-corrected bootstrapping methods were used to estimate indirect effects and 95%confidence intervals.Results:Two hundred ABC patients completed the questionnaires.All of the respondents were females,with a mean age of 50±10 years.Initial correlation analyses revealed significant associations of death anxiety with depression(r=0.57,P<0.001),anxiety(r=0.60,P<0.001)and symptom burden(r=0.43,P<0.001).Moreover,depression(r=0.53,P<0.001)and anxiety(r=0.45,P<0.001)were significantly correlated with symptom burden.An analysis using Hayes’PROCESS macro revealed the partial effecting role of death anxiety in the relationship between depression and symptom burden,and between anxiety and symptom burden(contributions to the total effect of 0.247 and 0.469,respectively).Conclusions:This study provides insight into the relationship between death anxiety and symptom burden.The results suggest that interventions addressing death anxiety may be more effective for alleviating the depression and anxiety experienced by ABC patients with a symptom burden.
基金financially supported by Shanghai Clinical Center for Mental Disorders(2014)the Medical Guidance Program of Shanghai Science and Technology Committee(No.15411961400)
文摘Higher vocational college students are suffering foreign language anxiety in their English learning. Actually, negative cor-relation exists between foreign language anxiety and PRETCO-B scores. Foreign language anxiety debilitates English learning.It ishoped that the finding will be of value to the English teaching and learning in higher vocational colleges.
文摘Objective:To explore the effect of psychological nursing combined with biofeedback on the rehabilitation of patients with anxiety disorders.Methods:100 patients with anxiety disorders in our hospital from January to December 2021 were randomly divided into two groups:control group(n=50)and study group(n=50).The control group was given routine nursing,while the study group was given psychological nursing combined with biofeedback.The changes of self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,symptom score,and quality of life of the two groups were compared before and after nursing.Results:Before nursing,there was no significant difference in the scores of SAS and SDS between the two groups,but after nursing,the scores of SAS and SDS in the study group were lower than those in the control group,and the degree of improvement in the study group was higher than that of the control group.Before nursing,there was no significant difference in the scores of symptoms between the two groups(P>0.05),but after nursing,the scores of stress,crying spells,tremor,and general discomfort in the study group were lower than those of the control group(P<0.05).Besides,before nursing,there was no significant difference in the quality of life between the two groups(P>0.05),but after nursing,the scores of physical function,psychological activity,social ability,and material life in the study group were higher than those in the control group(P<0.05).Moreover,the degree of improvement after nursing in the study group was better than that of the control group.Conclusion:Psychological nursing combined with biofeedback to promote the rehabilitation of patients with anxiety disorders effectively improves the negative emotion of patients,reduces stress,depression,tremor,and general discomfort,and improve the overall quality of life.Therefore,it is worth further popularization.
文摘目的:心力衰竭(heart failure,HF)是住院患者死亡的重要原因。本研究旨在探究营养炎症风险评分(nutrition-inflammation risk score,NIRS)及其列线图模型对老年心力衰竭患者30d死亡率的预测价值。方法:本研究回顾性分析2018年1月至2020年6月,青岛市胶州中心医院收治的老年HF患者。根据患者30d的存活情况,分为死亡组和存活组。采用单因素分析和多因素Logistic回归构建NIRS和死亡预测模型。采用ROC分析、校准曲线和决策曲线评估老年HF患者死亡预测列线图模型的预测能力、校准能力和临床净获益。结果:本研究共纳入797例老年HF患者,164例(20.6%)老年HF患者在30d内死亡。NIRS由预后营养指数(prognosis nutrition index,PNI)、HGB-白蛋白-淋巴细胞-血小板(hemoglobin,albumin,lymphocyte,platelet,HALP)评分、单核细胞-高密度脂蛋白比值(monocyte to high density lipoprotein ratio,MHR)和CRP-白蛋白比值(C-reaction protein to albumin ratio,CAR)组成。多因素Logstic回归结果表明,NIRS(OR=11.867,95%CI:7.681~18.333,P<0.001)、高血压(OR=1.935,95%CI:1.18~3.175,P<0.001)和慢性阻塞性肺疾病(OR=4.306,95%CI:2.611~7.1,P<0.001)是老年HF患者30d死亡的危险因素。此外,老年HF患者30d死亡列线图模型ACU为0.855;校准曲线显示该模型预测概率与实际概率基本吻合;决策曲线显示该模型净获益良好。结论:INRS是老年HF患者30d死亡的独立预测因素。此外,老年HF患者30d死亡列线图模型可个体化预测老年HF患者30d内的死亡风险,帮助临床医生早期识别死亡高风险个体。
文摘There is a dearth of evidence-based data on how psychological distress and death anxiety symptoms experienced by cancer patients and caregivers are treated in developing regions. This article sheds light on the report of the findings from a 2016 study that revealed a rational-emotive behavioral intervention helped a select group of cancer patients and their family caregivers to manage problematic assumptions, psychological distress, and death anxiety symptoms in Nigeria.Based on my experience as a co-investigator and corresponding author of this previous study, I addressed the challenges of conducting such a study and the implications for future research in this article. This article encourages future researchers to replicate the study and endeavor to overcome the limitations of the previous study. Funders were also encouraged to ensure increased access to funds for conducting similar studies with cancer patients and their family caregivers in developing countries and other parts of the world.
文摘Background: The Ministry of Public Management, Home Affairs, Posts and Telecommunications announced that the proportion of elderly people aged 65 or over in the total population of Japan reached a record high of 26.7% in the present Japan. Aims: This paper aimed to clarify from acute ward nurses’ concepts of life and death in Japan. Methods: Questionnaires were distributed to 720 nurses working in acute care hospital A in the Kansai area in Japan. Distribution destinations were all wards except for operating rooms and outpatient clinics. We initially classified the 27 items from Hirai et al.’s death and life scale into the initial seven factors (via promax rotation). Operational Definition: In my analysis, I relied considerably on the seven-point Likert scale of the Concept of life and death. Ethical Considerations: The present study was approved by the Tottori University Ethics Review Committee (1603 A 156). Results: The initial factor analysis revealed that 10 of the 27 items were inadequate. Thus, a second analysis was conducted on the remaining 17 items. The KMO analysis produced a value of 0.8. A Bartlett’s test produced a significant result (p Consideration: The first factor comprised all subscales except for the “death avoidance” subscale, which fit better within the fourth factor. These factors included “A comprehensive view of life and death” “Sharing the fate of death and liberation” “Death fear, anxiety, and avoidance”, and “Liberation from life and a world after death”.
基金This study was supported by National Natural Science Foundation of China(No.81673900).
文摘Background:Anxiety is a common comorbidity associated with chronic obstructive pulmonary disease(COPD),but no well-recognized method can provide effective relief.Liuzijue Qigong(LQG)is a traditional Chinese fitness method,based on breath pronunciation.This study aimed to examine the efficacy of LQG to relieve anxiety in COPD patients and to explore the factors that influence anxiety,including whether LQG is effective during the coronavirus disease 2019(COVID-19)outbreak.Methods:We conducted an open-label,randomized,controlled,clinical trial.A total of 60 patients with stable COPD were randomly assigned to two groups.Both groups were given routine medical treatment,and the patients in the pulmonary rehabilitation(PR)group were given an extra intervention in the form of LQG,performed for 30 minutes each day for 12 weeks.Data collection was performed at baseline and 12 weeks(during the COVID-19 epidemic).The primary outcomes were the self-rating anxiety scale(SAS)scores,and the secondary outcomes were relevant information during the epidemic and analyses of the related factors that influenced SAS scores during the COVID-19 outbreak.Results:Compared with baseline,patients in both groups demonstrated varying degrees of improvements in their SAS scores(all P<0.01).An analysis of covariance,adjusted for baseline scores,indicated that the SAS scores improved more dramatically in the PR group than in the control group(F=9.539,P=0.004).During the outbreak,the SAS scores for sleep disorder were higher than all other factors,reaching 1.38±0.67,and the scores for“I can breathe in and out easily”for the PR group were lower than the scores for the control group(Z=−2.108,P=0.035).Significant differences were identified between the two groups for the categories“How much has the outbreak affected your life”,“Do you practice LQG during the epidemic”and“Do you practice other exercises during the epidemic”(all P<0.05).Compared with current reports,LQG had a relatively high adherence rate(80.95%).A multiple linear regression analysis revealed multiple predictors for SAS scores during the outbreak:group(b=−3.907,t=−3.824,P<0.001),COPD assessment test score(b=0.309,t=2.876,P=0.006),SAS score at baseline(b=0.189,t=3.074,P=0.004),and living in a village(b=4.886,t=2.085,P=0.043).Conclusion:LQG could effectively reduce the risks of anxiety among COPD patients,even during the COVID-19 outbreak.For those COPD patients with high COPD assessment test and high baseline SAS scores or who live in villages,we should reinforce the management and intervention of psychological factors during the epidemic.
文摘Introduction: Our aim was to identify the risk factors of clinical birth asphyxia and subsequent newborn death in the presence of nuchal cord in a sub-Saharan Africa setting. Methodology: It was a six-months’ case-control study involving 117 parturients whose babies presented with a nuchal cord at delivery. The study was carried out at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroon, from January 1st to June 30th 2013. Results: The risk factors of clinical birth asphyxia identified were: first delivery, absence of obstetrical ultrasound during pregnancy, nuchal cord with more than one loop, duration of second stage of labor more than 30 minutes during vaginal delivery. The risk factors for newborn death from clinical birth asphyxia in the presence of nuchal cord were: maternal age Conclusion: We recommend a systematic obstetrical ultrasound before labor, so as to detect the presence of a nuchal cord, its tightness and the number of loops. Also, cesarean section should be considered when a nuchal cord is associated with first delivery, tightness or multiple looping.
