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Objective:To explore the mediating effect of self-nursing ability between living condition and anxiety in the patients with peptic ulcer caused by helicobacter pylori.Methods:By using questionnaire survey method,300 patients with a peptic ulcer caused by helicobacter pylori were assessed with the exercise of self-care agency (ESCA),Self-rated Health Measurement Scale (SRHMS) and Self-Rating Anxiety Scale (SAS).The result was compared with that of 300 healthy crowd whose general condition was well-matched.The data were processed and analyzed by using SPSS13.0 and AMOS7.0.Results:The total scores of the ESCA,SRHMS and SAS were (101 ± 13),(299 ±35),(56 ±8) respectively.The result of the correlation analysis showed there were varying degree correlation among the disease self-nursing ability,self-rated Health,and anxiety (Ps ＜ 0.01).Bootstrap test showed the size of the mediating effect of self-test health to anxiety was 0.17,the 95％ confidence intervals was 0.11-0.26,and the ratio of the mediating effect to the total effect was 0.44.Contusion:It suggests that self-nursing ability may have much strong mediating role between health condition and anxiety.
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Objective By exploring the state of residents' living condition, it is helpful to promote the living condition of residents and improve the quality of medical services. Methods A qualitative re-search was conducted on 13 residents in 4 hospitals in Beijing by depth interview during April to May 2016, and the data were collected and analyzed by using Colaizzi seven step method. Results In terms of work, the residents had specific work, and the interpersonal relationship was more harmonious. In learning, residents were able to take the initiative to learn, and hoped to get more help in scientific research. In life, residents faced multiple pressures from the economy and the family. In the subjective cognition, the cogni-tion of resident was rational and objective. Conclusion The residents' work shows a heavy workload, and while working the residents need to take the study and the life pressure into account. And the residents can rationally recognize their role. To improve the living status of the resident physician, we need to integrate multiple forces, to promote the integration of live doctors into the hospital culture, and enhance their sense of existence. We also need to improve the construction of the system and improve the protection of live training physicians to enhance their sense of security. Most important of all, the whole society should pay more attention to the living condition of the residents and enhance their sense of access.
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Um estudo ecológico foi conduzido com o objetivo de analisar os diferenciais da mortalidade por violência contra adolescentes segundo estrato de condição de vida e raça/cor, no Recife, no período de 1998 a 2004. O coeficiente médio de mortalidade por violência para o período foi calculado para o município e para os estratos de condição de vida. Os dados relativos à violência foram obtidos do Sistema de Informação sobre Mortalidade. Para a raça/cor, foram calculadas proporções e considerado o período de 1999 a 2004. A taxa de mortalidade por mortes violentas contra adolescentes para o município foi de 88,24 por 100 mil adolescentes, sendo 46,93 no estrato I, de "melhor condição de vida", e 95,00 no estrato III, de "pior condição de vida". Dentre as mortes violentas, 92,45 por cento acometeram adolescentes pretos e 7,55 por cento, adolescentes brancos. Os resultados demonstram desigualdades na mortalidade por violência revelando um trágico panorama na trajetória de vida dos adolescentes.
An ecological study was conducted in order to analyze the differences in mortality by violence against adolescents according to living conditions strata and race/color in Recife in the period from 1998 to 2004. The average mortality coefficient for violence during this period was calculated for the city and by living conditions strata. The data related to the violence were obtained from the System of Information on Mortality. For the race/color, proportions have been calculated and within the period of 1999 to 2004. The mortality rate for violent deaths against adolescents for the city was of 88.24 per 100 thousand adolescents, being 46.93 in stratum I, of "better living condition", and 95.00 in stratum III, of "worse condition of life". Amongst the violent deaths, 92.45 percent reached black adolescents and 7.55 percent white ones. The results show up inequalities in mortality by violence disclosing a tragic panorama in the trajectory of life of the adolescents.
Subject(s)
Adolescent , Female , Humans , Male , Black or African American , White People , Mortality/trends , Violence/statistics & numerical data , Brazil , Socioeconomic Factors , Urban PopulationABSTRACT
Objective To find out the living condition of the elderly adults and their needs for community bealthcare services so as to provide evidence-based guidance for our govemment. Methods A total of 925 participants aged ＞ 60 years were personally interviewed for questionnaire and ADL scale evaluation. Chi-square test and Kmskal-Wallis H test were used for data analysis. Results The subjects showed relatively lower education level and the illiteracy rate was high. Their marriage was stable and a decreased divorce rate was found. The economic situation was satisfactory. Their life satisfaction was farbeyond the health satisfaction. Most of the elderly did not live with their offspring,although 21.8% could not take care of themselves. The prevalence rate of chronic diseases was 81.5% ,which resulted in more demands for social activities, health consultation, rehabilitation nursing, and home healtheare services in the community. Conclusion They need to pay more attention to physical and mental health of the elderly. A community healthcare system that could provide services in an-all-round way,including medical care, should be established and improved.
ABSTRACT
Um estudo ecológico foi conduzido para analisar os diferenciais da mortalidade por violência contra adolescentes segundo Estrato de Condição de Vida e sexo, no Recife, no período de 1998 a 2004. O coeficiente médio de mortalidade por violência para o período foi calculado por sexo para o município e para os Estratos de Condição de Vida. A análise demonstrou um maior risco de morte por violência para os adolescentes do sexo masculino residentes no estrato III (pior condição de vida). A razão da mortalidade por violência entre os sexos masculino e feminino foi de 10,89 (Recife); 10,90 (estrato I); 11,70 (estrato II) e 10,30 (estrato III). Os resultados demonstram que, se por um lado o sexo masculino é o mais acometido, por outro há uma evidente influência das condições de vida na distribuição das mortes por violências.
An ecological study was conducted in order to analyze differences in mortality rates among adolescents by gender and living conditions strata in Recife from1998 to 2004. The average mortality coefficient for violence during this period was calculated by gender for the city and by living conditions strata. This analysis demonstrated a higher risk of death by violence for male adolescents in Stratum III (poorest living conditions). The mortality rates by violence for men and women were 10.89 (Recife); 10.90 (Stratum I); 11.70 (Stratum II) and 10.30 (Stratum III). The findings show that although males are at the highest risk, it is also quite clear that living conditions influence the distribution of the mortality rate due to violence.