期刊:
Frontiers in Psychology,2023年14:1150998 ISSN:1664-1078
通讯作者:
Zhu, SL
作者机构:
[Tang, Tao-Ran; Li, Hong] Hunan Univ Chinese Med, Sch Nursing, Changsha, Hunan, Peoples R China.;[Yang, Song-Chun; Wang, Mi; Ke, Xin-Chen; Zhang, Han-Yi; Su, Juan; Lin, Wen-Rui] Cent South Univ, Xiangya Hosp, Dept Dermatol, Changsha, Hunan, Peoples R China.;[Zhang, Cheng-Cheng] Cent South Univ, Sch Publ Hlth, Dept Social Med & Hlth Management, Changsha, Hunan, Peoples R China.;[Zhu, Shi-Lin] Hunan Univ Chinese Med, Affiliated Hosp 2, Changsha, Hunan, Peoples R China.
通讯机构:
[Zhu, SL ] H;Hunan Univ Chinese Med, Affiliated Hosp 2, Changsha, Hunan, Peoples R China.
关键词:
anxiety;depression;mental health service;skin disease;survey;web-based
摘要:
OBJECTIVE: The study aimed to analyze the current status and reasons for the neglect of the psychological need of patients with common skin diseases. METHODS: This cross-sectional study was conducted in China using an online self-assessment questionnaire distributed via social media. Demographic, clinical and psychological data were collected, and the main outcomes, i.e., depression (evaluated using the 9-item Patient Health Questionnaire, PHQ-9) and anxiety (evaluated using Generalized Anxiety Disorder-7, GAD-7). Multivariate regression analysis was used for the prediction of variates of mental health service seeking behaviors. RESULTS: A total of 1,010 patients participated in the survey, and 273 (27.0%) patients met the "with need" criteria, i.e., having the need for mental health intervention but not being treated. In the multivariate regression model, income (OR = 0.80, 95%CI: 0.65-0.99), duration of disease (OR = 0.68, 95%CI: 0.49-0.95) and suicide ideation (OR = 2.10, 95%CI: 1.14-3.87) were significant factors. For patients who did not receive mental health care, the lack of knowledge about the availability of mental health services, lack of knowledge of where to seek help, concerns about the side effects of treatment, failure to seek treatment for severe skin diseases, and absence of current psychological distress were associated with their need for psychological intervention. CONCLUSION: This study examined the current status of the need for psychological intervention and the reasons why the need was unmet in patients with skin diseases. Due to the confusion and a lack of knowledge about their mental health issues, mental health services are often underutilized.
期刊:
Frontiers in Psychiatry,2023年14:472 ISSN:1664-0640
作者机构:
[Cui, Mengjiao; Zhang, Yuanxing; Jin, Qiansheng] Nanjing Univ Chinese Med, Dept Neurosurg, Nanjing Drum Tower Hosp, Clin Coll, Nanjing, Jiangsu, Peoples R China.;[Cui, Mengjiao; Yuan, Ping; Zhang, Yuanxing; Jin, Qiansheng; Chen, Lu; Ji, Cuiling] Nanjing Univ, Nanjing Drum Tower Hosp, Dept Neurosurg, Affiliated Hosp,Med Sch, Nanjing, Jiangsu, Peoples R China.;[Qiu, Xichenhui] Shenzhen Univ, Hlth Sci Ctr, Shenzhen, Peoples R China.;[Zhang, Juanjuan] Hunan Univ Chinese Med, Liuyang Hosp Tradit Chinese Med, Affiliated Hosp 2, Dept Dermatol,Integrated Tradit Chinese & Western, Changsha, Hunan, Peoples R China.
关键词:
elderly people;Stroke;exercise adherence;influencing factor;home continuity care;qualitative study
摘要:
IntroductionEvidence has shown that stroke exercise rehabilitation is the most effective way to improve disease prognosis, but home exercise adherence in elderly patients with stroke is low due to they are more likely to have movement disorders, cognitive disorders, mental disorders, etc. Currently, most studies on exercise adherence in elderly patients with stroke are quantitative, and there is a lack of qualitative studies from the perspective of patients, caregivers, and medical staff. Considering the importance of home exercise adherence in elderly patients with stroke, the present study aimed to explore the influencing factors of home exercise adherence in them and summarize the potential ways to improve it. MethodsFrom October to December 2022, 9 medical staff, 12 elderly patients with stroke and 7 caregivers from a level A tertiary hospital and community health service center in Nanjing, Jiangsu Province were selected by the purposive sampling and were interviewed in a face-to-face semi-structured way. The data were analyzed and summarized by the phenomenological analysis of Colaizzi's method. ResultsThe influencing factors of home exercise adherence in elderly patients with stroke can be summarized into 3 themes and 8 subthemes. These were individual factors (physical impairment, exercise self-efficacy, and depression), family factors (caregiving ability and emotional support); and stroke rehabilitation environment (exercise prescription, monitoring and feedback, and organizational policy). ConclusionHome exercise adherence in elderly patients with stroke was influenced by many factors. Medical staff should assess the patient's physical function and depression, establish a multi-support system, formulate personalized exercise prescription, pay attention to the monitoring and feedback of home-based exercise rehabilitation, and improve the home-based rehabilitation model for stroke, so as to improve the home exercise adherence in elderly patients with stroke and promote the best rehabilitation effect.
期刊:
Frontiers in Psychiatry,2023年14 ISSN:1664-0640
通讯作者:
Lv, ZP
作者机构:
[Xie, Shuwen; Lv, Zhiping; Huang, Sha; Kuang, Shanshan; Xia, Ting; Zhou, Chuying; Wang, Yuhua; Chen, Qing; Lv, ZP] Southern Med Univ, Sch Tradit Chinese Med, Guangzhou, Peoples R China.;[Bi, Yanmeng] Jining Med Univ, Coll Integrated Tradit Chinese & Western Med, Jining, Peoples R China.;[Yan, Weixin] Guangzhou Univ Chinese Med, Affiliated Hosp 1, Guangzhou, Peoples R China.;[Wu, Shuhui] Hunan Univ Chinese Med, Affiliated Hosp 2, Changsha, Peoples R China.;[Kong, Wen] Guangzhou Hosp Integrated Chinese & Western Med, Guangzhou, Peoples R China.
通讯机构:
[Lv, ZP ] S;Southern Med Univ, Sch Tradit Chinese Med, Guangzhou, Peoples R China.
关键词:
major depressive disorder;voxel-mirrored homotopic connectivity;support vector machine;functional magnetic resonance imaging;resting-state
摘要:
ObjectiveTo explore the interhemispheric information synergy ability of the brain in major depressive disorder (MDD) patients by applying the voxel-mirrored homotopic connectivity (VMHC) method and further explore the potential clinical diagnostic value of VMHC metric by a machine learning approach.Methods52 healthy controls and 48 first-episode MDD patients were recruited in the study. We performed neuropsychological tests and resting-state fMRI scanning on all subjects. The VMHC values of the symmetrical interhemispheric voxels in the whole brain were calculated. The VMHC alterations were compared between two groups, and the relationship between VMHC values and clinical variables was analyzed. Then, abnormal brain regions were selected as features to conduct the classification model by using the support vector machine (SVM) approach.ResultsCompared to the healthy controls, MDD patients exhibited decreased VMHC values in the bilateral middle frontal gyrus, fusiform gyrus, medial superior frontal gyrus and precentral gyrus. Furthermore, the VMHC value of the bilateral fusiform gyrus was positively correlated with the total Hamilton Depression Scale (HAMD). Moreover, SVM analysis displayed that a combination of all clusters demonstrated the highest area under the curve (AUC) of 0.87 with accuracy, sensitivity, and specificity values of 86.17%, 76.74%, and 94.12%, respectively.ConclusionMDD patients had reduced functional connectivity in the bilateral middle frontal gyrus, fusiform gyrus, medial superior frontal gyrus and precentral gyrus, which may be related to depressive symptoms. The abnormality in these brain regions could represent potential imaging markers to distinguish MDD patients from healthy controls.
期刊:
Journal of Healthcare Engineering,2022年2022 ISSN:2040-2295
作者机构:
[Qin, Tian] Hunan Univ Chinese Med, Changsha 410000, Peoples R China.;[Qin, Tian] Hunan Univ Chinese Med, Hosp 2, Changsha 410000, Peoples R China.;[Sheng, Wang; Hu, Guoheng] Hunan Univ Chinese Med, Hosp 1, Changsha 410000, Peoples R China.
摘要:
To analyze the influencing factors of senile coronary heart disease patients complicated with frailty syndrome. A total of 80 elderly patients with coronary heart disease admitted to our hospital from March 2020 to March 2021 were selected as the research subjects. The Fried Frailty Symptom Scale was used to evaluate whether the 80 patients were complicated with frailty syndrome. According to the evaluation results, the patients were divided into a nonfrailty syndrome group (52 cases in total) and frailty syndrome group (28 cases in total). Clinical data of two groups of patients were collected, and multivariate logistic regression was used to analyze the influencing factors of senile coronary heart disease patients complicated with frailty syndrome. Among 80 patients, the incidence of frailty syndrome was 35.00% (28/80), including 18 cases in early frailty and 10 cases in frailty stage. Univariate analysis showed that age, body mass (BMI), diabetes mellitus, congestive heart failure, chronic renal insufficiency, chronic obstructive pulmonary disease (COPD), tumor, high uric acid hematic disease, arrhythmia, interleukin-6 (IL-6), c-reactive protein (CRP), fibrinogen (FIB), brain natriuretic peptide (BNP), uric acid (UA), serum creatinine (Scr), serum protein (ALB), white blood cell count (WBC), and neutrophil count were the possible risk factors for senile coronary heart disease complicated with frailty syndrome (P < 0.05). Multivariate logistic regression analysis showed that combined COPD, combined tumor, IL-6, BNP, UA, SCR, ALB, and neutrophil count were independent risk factors for senile CHD complicated with frailty syndrome (P < 0.05). Combined with COPD, combined with tumor, IL-6, BNP, UA, SCR, ALB, and neutron cell count are the influencing factors for senile coronary heart disease patients complicated with frailty syndrome. These factors can be used as the basis for the diagnosis of frailty syndrome and guide the clinical development of targeted diagnosis and treatment plan.