ABSTRACT
Hyperoxia is very common in critical patients, which causes varying degrees of pathophysiological damage. Hyperoxia is one of the main reasons for increasing mortality, prolonged hospital stay and poor prognosis of critical patients. Therefore, it is critical to carry out the standardized oxygen therapy. In this paper, we discussed the harmful effects of hyperoxemia to critically ill patients by reviewing the effect of hyperoxemia on cardiovascular and cerebrovascular, hyperoxia-induced lung injury, and the association of hyperoxemia with ventilator-associated pneumonia (VAP) and acute renal kidney injury (AKI). Meanwhile, we provided some management suggestions about standardized clinical oxygen therapy, oxygen therapy related research and clinical management of oxygen therapy, aimed at providing reference and research direction for standardizing clinical oxygenation process, reducing the occurrence of hyperoxemia, and making reasonable method for hyperoxemia prevention.
ABSTRACT
ResumoEste artigo apresenta o Emotion Regulation Profile(ERP) como um instrumento para medir diferenças individuais na regulação de emoções. O ERP é constituído por 15 cenários que apresentam situações características de eventos da vida cotidiana desprazerosos (nove cenários) ou prazerosos (seis cenários). Cada cenário avalia a quantidade de respostas adaptativas/funcionais e desadaptativas/disfuncionais dos participantes. O instrumento foi aplicado a uma amostra de 686 pessoas entre 18 e 51 anos de idade. A amostra foi sudividida em dois grupos de 343 participantes para procedimentos de análises fatoriais exploratórias e confirmatórias. Os resultados da análise de componentes principais (primeira amostra) corroborou a estrutura bifatorial identificada no estudo original da medida, isto é, um fator de regulação das emoções negativas (down regulation) e um fator de regulação das emoções positivas (up regulation). Além disso, um conjunto de análises fatoriais confirmatórias (segunda amostra) mostrou que a estrutura bifatorial proposta teve um bom ajustamento aos dados. Por fim, foi possível propor uma versão reduzida do ERP com seis cenários (três que descrevem situações desprazerosas e três prazerosas) para avaliar adequadamente as diferentes estratégias usadas pelas pessoas na regulação de suas emoções.
AbstractThis article presents the Emotion Regulation Profile (ERP) as an instrument for measuring individual differences in the regulation of emotions. The ERP consists of 15 vignettes that portray everyday life situations describing pleasant (nine vignettes) and unpleasant (six vignettes) events. Each vignette assesses the number of adaptive/functional and maladaptive/dysfunctional responses chosen by the participants. The instrument was administered to a sample of 686 people between the ages of 18 and 51. The sample was divided into two groups of 343 participants each so that exploratory and confirmatory factor analysis could be conducted. Results from the principal component analysis (first sample) corroborated the bifactorial structure identified in the original study of the measure, that is, a regulation of negative emotion factor (down regulation) and a regulation of positive emotion factor (up regulation). Furthermore, a set of confirmatory factor analysis (second sample) revealed that the proposed bifactorial structure showed good fit indices. Finally, it was possible to propose a reduced version of the ERP with six vignettes (three describing pleasant events and three describing unpleasant events) to adequately assess the different strategies people use when regulating their emotions.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Surveys and Questionnaires , Reproducibility of Results , Emotions , Individuality , Psychometrics , Brazil , Factor Analysis, StatisticalABSTRACT
Clinical practice is an important link of medical education. The change of medical modes and conditions, the pressure of employment and entrance examination for graduates affect the quality of clinical practice. General hospitals have improved a series of management measures to strengthen and ensure the quality of clinical practice. Furthermore, we shound further explore the new mode of teaching to improve the quality of clinical medicine education.
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Objective To assess the psychometric properties of the Chinese version of Family Man-agement Measure (FaMM). Methods FaMM was translated into Chinese and distributed to 330 caregivers whose children had chronic diseases to fill the questionnaire. Results Cronhach's alpha coefficient for the subscales ranged from 0.52 to 0.86, indicating acceptable internal consistency. The content validity index was 0.84. Construct validity was supported by significant correlation between FaMM and FAD and CBCL,Pearson correlation coefficient ranged from 0.11 to 0.38. The relationship among them accorded with the expected trends of Family Management Style Framework. The result of factor analysis indicated 9 factors explaining 60.08% variance. Conclusions The psychometric property of the Chinese version of FaMM was acceptable and it could be regarded as a reliable and valid instrument to measure the family response of Chinese families whose children had chronic diseases.