作者机构：
[钟丽娜; 陈艳萍; 谷利凤] Department of Respiratory Medicine, Hunan Children's Hospital, Changsha, 410007, China;[谭小艳; 易敏] School of Nursing, Hunan University of Chinese Medicine, Changsha, 410208, China;[谢鑑辉] Department of Nursing, Hunan Children′s Hospital, Changsha, 410007, China;[刘花艳] Department of Respiratory Medicine, Hunan Children's Hospital, Changsha, 410007, China, School of Nursing, Hunan University of Chinese Medicine, Changsha, 410208, China
通讯机构：
[Chen, Y.] D;Department of Respiratory Medicine, China
摘要：
Objective: To examine physical activity（PA） of post-percutaneous coronary intervention（PCI） patients and explore the demographic, clinical, and social psychological characteristics associated with PA levels. Methods: A total of 246 post-PCI patients from the Peking University Third Hospital in Beijing, China, were included in this crosssectional study through convenience sampling. Data were collected from a self-repor ted questionnaire. PA was categorized into low, moderate, or high levels. The ordinal multinomial logistic regression model was used to estimate the relationship among demographic, medical, and psychosocial characteristics. Results: The overall prevalence of low, moderate, and high PA was 20%, 70%, and 10%, respectively. For the domain-specific PA patterns, most par ticipants took par t in leisure-time PA（84.5%）; walking was the most common PA. Increased motivation and selfefficacy, lower monthly income, and unemployment were predictors of high PA. Conclusions: PA levels in post-PCI patients was not optimal, and leisure-time PA had the highest par ticipation rate. Analyses of influencing factors can provide medical staff and health workers information to focus on high-risk groups and introduce more tailored interventions. Future studies can explore more regions, and ecological models can be introduced to study more influencing factors.
作者机构：
[Zhu, Lihui; Tang, Qian] Hunan Canc Hosp, Nursing Dept, Changsha, Peoples R China.;[Zhang, Dahua] Beijing Univ Chinese Med, Nursing Dept, Affiliated Hosp 3, Beijing, Peoples R China.;[Chen, Jianjun] Chinese Nursing Assoc, Pediat Special Comm, Beijing, Peoples R China.;[Liu, Meihua] Hunan Childrens Hosp, Nursing Dept, Changsha, Peoples R China.;[Xiang, Yuqiong; Luo, Tingwei] Hunan Univ Chinese Med, Sch Nursing, Changsha, Peoples R China.
关键词：
core competence;paediatric specialist nurses;scale development
摘要：
AIM: This study aimed to develop a tool to measure paediatric specialist nurses' core competencies and examine the scale's validity and reliability. DESIGN: An exploratory quantitative study. METHODS: This study was performed in April 2022 with 302 paediatric specialist nurses in mainland China. Items were created through a literature review, a qualitative interview, and the Delphi method. The data were evaluated using descriptive statistics, independent sample t-test, explanatory factor analysis, Pearson correlation coefficient, Cronbach's alpha coefficient and split-half reliability. RESULTS: The final scale consisted of five factors and 32 items. The factors were communication, coordination and judgement abilities; professional technology mastery ability; specialist knowledge mastery ability; medical-related processes; and evidence-based nursing competencies. The explained total variance of the five factors was 62.216%. The scale-level and item-level CVI of this scale was 1.00, and the mean CVR of the total scale was 0.788. The Pearson correlation coefficients of each dimension and the total dimension of the scale was 0.709-0.892, and within each dimension, it was 0.435-0.651. The Cronbach's α of this scale was 0.944, and its split-half reliability was 0.883.
期刊：
OMEGA - Journal of Death and Dying,2023年 ISSN：0030-2228
作者机构：
[Lv, Tingting] Hunan Univ Chinese Med, Sch Nursing, Changsha, Peoples R China.;[Zhang, Huilin; Wang, Huiping; Chen, Fengzhi; Lv, Tingting; Li, Lezhi; He, Xiachan; Zhao, Hong] Cent South Univ, Xiangya Hosp 2, Clin Nursing Teaching & Res Sect, Changsha, Peoples R China.;[Zhang, Huilin] Cent South Univ, Clin Nursing Teaching & Res Sect, Xiangya Hosp 2, 139 Renmin Middle Rd, Changsha, Peoples R China.
关键词：
coping with death;death cognition;meaning in life;Chinese traditional culture;nurses
摘要：
To explore nurses' ability to cope with death and its relationship with death cognition and meaning in life in the context of Chinese traditional culture. 1146 nurses from six tertiary hospitals were recruited. Participants completed the Coping with Death Scale, the Meaning in Life Questionnaire, and the self-made Death Cognition Questionnaire. Multiple regression analysis revealed that the search for meaning, the understanding of "good death", receiving education related to life-and-death, cultural aspect, the presence of meaning, and the number of patient deaths experienced in career explained 20.3% of the variance in the ability to cope with death. Lacking a correct understanding of death, nurses are not sufficiently prepared to deal with death and their ability to cope with death is influenced by the unique cognition of death and the sense of the meaning in life in the context of Chinese traditional culture.
摘要：
Background and aims: Cognitive impairment (CI) is a prevalent condition in patients with chronic kidney disease (CKD), who face an elevated risk of developing cognitive decline. The fundamental mechanism underlying CI is linked to chronic inflammation, which can be gauged by the Dietary Inflammatory Index (DII). The DII is categorized into anti-inflammatory diets with lower scores and pro-inflammatory diets with higher scores. Specifically, pro-inflammatory diets may contribute to chronic inflammation. However, the correlation between the inflammatory potential of diet and cognitive function in patients with CKD has not been explored. This study aims to investigate the connection between the inflammatory potential of diet and cognitive function in individuals with or without chronic kidney disease. Methods: Data from the 2011-2012 and 2013-2014 National Health and Nutrition Examination Survey (NHANES) were utilized. Participants under the age of 60 or lacking DII, CI, CKD, and other essential data were excluded. DII was computed based on a 24-h dietary recall interview for each participant. Cognitive performance was evaluated using three cognitive tests: the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) test, the Animal Fluency Test (AFT), and the Digital Symbol Substitution Test (DSST). Logistic regression analysis and subgroup analysis were conducted to assess the independent relationship between DII score and CI in the CKD and non-CKD populations. Results: The study included a total of 2069 subjects, with CI prevalence ranging from 21.4 to 23.5%. Multiple regression models showed that after adjusting for all covariates of the three cognitive function tests, higher DII scores were significantly associated with increased risk of CI (CERAD OR = 1.18, 95% CI: 1.1 similar to 1.26, AFT OR = 1.15, 95% CI: 1.08 similar to 1.23, DSST OR = 1.19, 95% CI: 1.11 similar to 1.28). Subgroup analysis indicated that the effect of DII score on CI remained consistent in all subgroups (p > 0.05). Conclusion: Higher DII scores were associated with an increased risk of cognitive impairment in people with or without CKD, suggesting that consuming a pro-inflammatory diet may contribute to the impairment of the cognitive function.
