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81.
目的:调查老年2型糖尿病肌少症患者的中医体质分布情况,探讨其与合并慢病及生活习惯的关系。方法:采用中医体质量表对229名老年2型糖尿病肌少症患者进行中医体质辨识,同时调查其人口社会学特征、慢病合并情况及饮食、运动、睡眠等生活习惯。结果:229名患者中平和质22人(9.61%),偏颇体质207人(90.39%)。肌少症老年糖尿病患者中医体质类型排序为气郁质(占22.71%),阳虚质(22.27%),气虚质(13.97%),血瘀质(13.97%),平和质(9.61%),湿热质(9.17%),特禀质(4.80%),阴虚质(3.49%)。老年患者是否合并慢病与体质间存在统计学意义,P均0.05,如高血压中医体质类型以气郁质(32.84%)、阳虚质(20.90%)、气虚质(17.91%)为主;甲减以湿热质(25.00%)、血瘀质(22.73%)、气郁质(22.73%)为主;胃下垂以阳虚质(29.52%)、气郁质(27.62%)、气虚质(21.90%)为主;冠心病和心梗以血瘀质(30.61%)、气虚质(22.45%)为主;脑卒中以血瘀质(26.92%)、阳虚质(21.15%)、气虚质(19.23%)为主。偏颇体质的老年患者与平和质老年患者在摄食量、运动习惯、睡眠习惯方面存在差异,P均0.05。结论:老年2型糖尿病肌少症患者的体质类型与合并慢病及生活习惯有关,慢性病防治要兼顾其体质特征进行调养防护。 相似文献
82.
Sarvnaz Sepehripour Sirisha Duggineni Somaya Shahsavari Baljit Dheansa 《Burns : journal of the International Society for Burn Injuries》2018,44(6):1446-1450
Introduction
Burn injuries commonly occur in vulnerable age and social groups. Previous research has shown that frailty may represent a more important marker of adverse outcome in healthcare rather than chronological age (Roberts et al., 2012). In this paper we determined the relationship between burn injury, frailty, co-morbidities and long-term survival.Methodology
Retrospective data collection from patients aged 75 with burns injuries, treated and discharged at Queen Victoria Hospital. The Clinical Frailty Scale (Rockwood et al., 2005) was used to calculate frailty at the time of admission. The expected mortality age (life expectancy) of deceased patients was obtained from two survival predictors.Results
The data shows a statistically significant correlation between frailty score and complications and a statistically significant correlation between total body surface area percentage and complications. No significant difference was found between expected and observed age of death or life expectancy amongst the deceased (p value of 0.109).Conclusions
Based on the data from our unit, sustaining a burn as an elderly person does not reduce life expectancy. Medical and surgical complications, immediate, early and late, although higher with greater frailty and TBSA of burn, but do not adversely affect survival in this population. 相似文献83.
目的研究多方式下延续性护理对慢性非萎缩性胃炎(CNAG)患者出院后健康素养、生活质量和复诊率的影响。方法选择本院2018年10月至2019年6月诊治的94例CNAG患者作为研究对象,采用信封随机法将患者均分为延续组和常规组,各47例,前者给予多方式下延续性护理,后者给予常规护理。均干预6个月,比较两组患者健康素养、生活质量以及复诊率。结果干预后两组患者健康素养分值均较干预前显著上升,延续组患者上升幅度较常规组更显著(P<0.05);延续组患者生理功能、生理职能、活力、精神健康、躯体疼痛、总体健康评分均显著高于常规组(P<0.05),而情感职能、社会功能与常规组相比差异不显著(P>0.05);延续组患者复诊率显著高于常规组,但再就诊率与常规组相比差异不显著(P>0.05)。结论多方式延续性护理可有效提高CNAG患者的健康素养和生活质量,提高复诊率。 相似文献
84.
Anna M. Georgiopoulos Deborah Friedman Elizabeth A. Porter Amy Krasner Sheetal P. Kakarala Breanna K. Glaeser Siena C. Napoleon Janet Wozniak 《Journal of cystic fibrosis》2018,17(2):276-280
Background
International guidelines recommend depression and anxiety screening in individuals with cystic fibrosis (CF), but Attention-Deficit Hyperactivity Disorder (ADHD) remains understudied.Methods
Adults with CF (n = 53) were screened using the Adult ADHD Self-Report Scale-v1.1 Symptom Checklist (ASRS-v1.1), Cystic Fibrosis Questionnaire-Revised (CFQ-R), and a self-report measure of treatment adherence.Results
Elevated ADHD symptoms on the ASRS-v1.1 screener were reported by 15% of participants. Self-reported adherence, Body Mass Index in kg/m2 (BMI), and Forced Expiratory Volume in 1 Second, Percent Predicted (FEV1%pred) did not differ between participants with vs. without elevated ADHD scores. Three CFQ-R scales, Physical Functioning, Role Functioning, and Respiratory Symptoms, were significantly lower in participants with elevated ADHD screens (unadjusted p < 0.05). This difference remained statistically significant for the Role Functioning and Respiratory Symptoms scales following correction for multiple comparisons.Conclusions
The highly specific screening tool ASRS-v1.1 can ascertain previously undetected ADHD symptoms in adults with CF. ADHD was substantially more prevalent than expected in this population. Elevated ASRS-v1.1 screens correlated with poorer Health-Related Quality of Life (HRQoL) in some domains, but not with BMI, FEV1%pred, or self-reported CF treatment adherence. Additional research will elucidate the impact of ADHD and its treatment on HRQoL, CF self-care and health outcomes. 相似文献85.
86.
87.
Pamela A. Kisala David S. Tulsky Claire Z. Kalpakjian Allen W. Heinemann Ryan T. Pohlig Adam Carle Seung W. Choi 《The journal of spinal cord medicine》2015,38(3):315-325
ObjectiveTo develop a calibrated item bank and computer adaptive test to assess anxiety symptoms in individuals with spinal cord injury (SCI), transform scores to the Patient Reported Outcomes Measurement Information System (PROMIS) metric, and create a statistical linkage with the Generalized Anxiety Disorder (GAD)-7, a widely used anxiety measure.DesignGrounded-theory based qualitative item development methods; large-scale item calibration field testing; confirmatory factor analysis; graded response model item response theory analyses; statistical linking techniques to transform scores to a PROMIS metric; and linkage with the GAD-7.SettingFive SCI Model System centers and one Department of Veterans Affairs medical center in the United States.ParticipantsAdults with traumatic SCI.ResultsSeven hundred sixteen individuals with traumatic SCI completed 38 items assessing anxiety, 17 of which were PROMIS items. After 13 items (including 2 PROMIS items) were removed, factor analyses confirmed unidimensionality. Item response theory analyses were used to estimate slopes and thresholds for the final 25 items (15 from PROMIS). The observed Pearson correlation between the SCI-QOL Anxiety and GAD-7 scores was 0.67.ConclusionsThe SCI-QOL Anxiety item bank demonstrates excellent psychometric properties and is available as a computer adaptive test or short form for research and clinical applications. SCI-QOL Anxiety scores have been transformed to the PROMIS metric and we provide a method to link SCI-QOL Anxiety scores with those of the GAD-7. 相似文献
88.
Hilary Bertisch Claire Z. Kalpakjian Pamela A. Kisala David S. Tulsky 《The journal of spinal cord medicine》2015,38(3):356-365
ObjectiveTo develop an item response theory (IRT)-calibrated spinal cord injury (SCI)-specific Positive Affect and Well-being (PAWB) item bank with flexible options for administration.DesignQualitative feedback from patient and provider focus groups was used to expand on the Neurological Disorders and Quality of Life (Neuro-QOL) positive affect & well-being item bank for use in SCI. New items were created and revised based on expert review and patient feedback and were then field tested. Analyses included confirmatory factor analysis, graded response IRT modeling and evaluation of differential item functioning (DIF).SettingWe tested a 32-item pool at several rehabilitation centers across the United States, including the University of Michigan, Kessler Foundation, Rehabilitation Institute of Chicago, the University of Washington, Craig Hospital and the James J. Peters/Bronx Department of Veterans Affairs hospital.ParticipantsA total of 717 individuals with SCI answered the PAWB questions.ResultsA unidimensional model was observed (Confirmatory Fit Index = 0.947; Root Mean Square Error of Approximation = 0.094) and measurement precision was good (reliability in theta of –2.9 to 1.2 is roughly equivalent to classical reliability of 0.95 or above). Twelve items were flagged for DIF, however, after examination of effect sizes, the DIF was determined to be negligible and would have little practical impact on score estimates. The final calibrated item bank resulted in 28 retained itemsConclusionsThis study indicates that the Spinal Cord Injury – Quality of Life PAWB bank represents a psychometrically robust measurement tool. Short form items are also suggested and a computer adaptive test is available. 相似文献
89.
Jessika A. Contreras Richard B. Wilder Eric A. Mellon Tobin J. Strom Daniel C. Fernandez Matthew C. Biagioli 《International braz j urol : official journal of the Brazilian Society of Urology》2015,41(1):40-45