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Purpose@#Body image changes are common among patients living with inflammatory bowel disease (IBD) because of the illness and related treatments. Currently, there is little known about how those patients experience and perceive their altered body image in the literature. The aim of this study was to explore the experiences of body image changes in patients with IBD in China and to describe how those changes influence patients’ perception of body and self. @*Methods@#This study used a descriptive qualitative approach. A total of 16 participants from three tertiary hospitals in southeast China were recruited through purposive sampling combined with maximum variation strategy. Data were collected through semistructured interviews and analyzed using conventional content analysis method. @*Results@#The following six themes were extracted: (1) “being a constrained person,” (2) “being a flawed person,” (3) “being a disliked person,” (4) “being an alienated person,” (5) “being a reconciled person,” and (6) “being a blessed person.” @*Conclusion@#With the diagnosis of IBD and its side effects of treatments, patients’ life changed significantly and they were struggling to reinterpret their body and self. As a result, negative self-evaluations and/ or positive self-evaluations towards themselves generated. Further studies are required to explore the underlying mechanism and related influencing factors about how those different images were produced.
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Purpose@#Body image changes are common among patients living with inflammatory bowel disease (IBD) because of the illness and related treatments. Currently, there is little known about how those patients experience and perceive their altered body image in the literature. The aim of this study was to explore the experiences of body image changes in patients with IBD in China and to describe how those changes influence patients’ perception of body and self. @*Methods@#This study used a descriptive qualitative approach. A total of 16 participants from three tertiary hospitals in southeast China were recruited through purposive sampling combined with maximum variation strategy. Data were collected through semistructured interviews and analyzed using conventional content analysis method. @*Results@#The following six themes were extracted: (1) “being a constrained person,” (2) “being a flawed person,” (3) “being a disliked person,” (4) “being an alienated person,” (5) “being a reconciled person,” and (6) “being a blessed person.” @*Conclusion@#With the diagnosis of IBD and its side effects of treatments, patients’ life changed significantly and they were struggling to reinterpret their body and self. As a result, negative self-evaluations and/ or positive self-evaluations towards themselves generated. Further studies are required to explore the underlying mechanism and related influencing factors about how those different images were produced.
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Objective To explore the influencing factors of career planning for nurses aged 30 to 40 years old. Methods Based on descriptive qualitative study, purposive sampling and the maximum variation strategy were used, nurses aged 30 to 40 years old who work at hospitals in Zhejiang province were selected as participants. Face-to-face semi-structured interviews were conducted focusing on influencing factors of career planning and field notes were written. Traditional content analysis was used for analyzing the data, and themes were extracted. The sample size was based on the criteria of saturation. Results A total of 12 participants were included. After analysis, the main influencing factors of career planning were identified: self- perception (such as their own personality, interests and expertise, professional ability, physical condition), knowledge of nursing work (including the cognition of nursing specialty and the nature of nurses' work), career development space (such as career development platform, career development path, career development bottleneck, learning and promotion opportunities), family factors (including family support and family outlook), hospital culture(including interpersonal relationships, leadership support, management style), career planning knowledge(including knowledge of career planning and guidance on career planning in work). Conclusions There are many factors influence career planning. Relevant departments and nursing managers should assist these nurses in making reasonable career planning according to their situation.
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BACKGROUND: Several latest guidelines and consensus statements from Europe and the United States specify that there is no need for fasting prior to routine lipid tests. However, the latest Chinese guidelines still recommend fasting tests owing to a lack of local evidence. This study aimed to investigate postprandial lipid concentrations and daytime biological variation of lipids in a healthy Chinese population. METHODS: Venous blood samples were collected from 41 ostensibly healthy Chinese volunteers at five time points during the day (06:30, 09:00, 12:00, 15:00, and 18:30). The same batch of reagents was used to determine lipid concentrations. A nested ANOVA was performed to calculate within-subject biological variation (CVI) and between-subject biological variation (CVG). RESULTS: Postprandial concentrations of triglyceride were higher than fasting concentrations, with the maximum change occurring at 12:00 (0.5 hours after lunch, 0.21±0.65 mmol/L difference). The daytime biological variation of triglycerides was relatively high (CVI=25%, CVG=35.9%). The postprandial concentrations of total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, apolipoprotein A1, and apolipoprotein B were mostly lower than the fasting concentrations, and their daytime biological variations were relatively low (CVI=2.4–4.4%, CVG=11.8–18.7%). CONCLUSIONS: As most daytime lipid concentrations changed only slightly, non-fasting samples could be used for routine lipid tests. However, in cases of abnormal postprandial triglyceride concentrations, dietary factors and fasting time should be considered when interpreting the results.
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Humans , Apolipoprotein A-I , Apolipoproteins , Asian People , Cholesterol , Consensus , Europe , Fasting , Indicators and Reagents , Lipoproteins , Lunch , Triglycerides , United States , VolunteersABSTRACT
Descriptive qualitative research is one of the qualitative research approaches rarely reported in nursing field in China, but it has been used by some nursing personnel in recent years. During the process of promoting this method, some pitfalls regarding the methodology and research process also appeared. This paper analyzed two major issuesabove. Based on that, some suggestions and availableexamples were offered and basic knowledge and characteristics of descriptive qualitative research were introduced, so as to improve its understanding for nursing personnel and promote its application in nursing in China.
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Objective To analyze the major issues existing in grounded theory literature in nursing in China so as to improve nursing personnel's understanding of grounded theory and promote its application in nursing research. Methods Grounded theory literature in nursing were retrieved from Wangfang, CNKI and VIP Databases from January 2000 to April 2016. Articles which using grounded theory as a research method were included. Two researchers analyzed the main issues of these articles, explained misunderstanding and inappropriate research practice in depth based on grounded theory evaluation criteria, personal experiences and relevant knowledge, and some suggestions were offered accordingly. Results Twenty articles were included. The major pitfalls of these articles were methodology (11 articles, accounting for 55.0%), sampling (14 articles, accounting for 70.0%) and saturation (9 articles, accounting for 45.0%), data analysis (9 articles, accounting for 45.0%) and conceptualization (9 articles, accounting for 45.0%). Conclusions Although grounded theory has been used in many fields in nursing in China, it is still in the initial stage, and some misunderstanding appeared. It is necessary to strengthen the learning of grounded theory knowledge and practical exploration, increase the learning paths in future so as to improve the research quality and promote the development of nursing research.
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[Objective]To investigate the quality of life of patients with inflammatory bowel diseases and to analyze the factors affecting the quality of life so as to provide clinicians information on effective intervention measures. [Methods] Using SF-36 questionnaire, the quality of life of 92 patients with inflam-matory bowel diseases was surveyed and a comparison was made with general population. The affecting factors on quality of life were explored using multi-ple stepwise regression analysis. [Results]The SF-36 total scores in patients with inflammatory bowel disease ranged from 51.10 to 136.40. The scores on five dimensions of role physical, bodily pain, general health, social function, role emotional were significantly lower than the general population( P<0.01). Regression analysis showed that the factors affecting quality of life were mainly disease activity index, self evaluation on disease, age, working(studying) condition and economic situation. [Conclusions]Quality of life in patients with inflammatory bowel disease is lower than the general population. Control-ling disease activity index and strengthening comprehensive interventions can improve quality of life of the patients.
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Objective To observe the clinical efficacy of Wendan decoction in the treatment of phlegm-heat accumulation type acie vulgaris.Methods 62 patients with phlegm-heat accumulation type ache vulgaris were randomly divided into a treatment group and a control group randomly,with 31 patients in each group.The control group was given dietary advice and skin cleansing techniques,while the treatment group was given oral administration of Wendan decoction on the basis of the control group.Results ①skin damage comparison:after the treatment,skin damage symptoms such as tenderness (0.71 ±0.32),redness (0.47±0.63),cyst(0.59±0.53),and tubercle (0.63±0.54) in the treatment group were significantly improved than the control group [the values were (1.12±0.32),(1.44±0.21),(1.40±0.36),(1.18±0.43),respectively] (P＜0.05).②symptoms score comparison:The symptoms score in the treatment group after the treatment (42.95±1.53) was significantly improved than that before the treatment (52.89± 1.98),(P＜0.05),and also obviously better than the control group after the treatment.③clinical efficacy comparison:Total efficacy was 96.77％ in the treatment group and 54.83％ in the control group,showing marked difference(P＜0.05).Conclusion Wendan decoction is effective in treating phlegm-heat accumulation type acne vulgaris.