ABSTRACT
Public health crises, such as the outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) since Dec. 2019, are widely acknowledged as severe traumatic events that impose threats not only because of physical concerns but also because of the psychological distress of infected patients. We designed an internet-based integrated intervention and evaluated its efficacy on depression and anxiety symptoms in patients infected by SARS-CoV-2.
Subject(s)
Adult , Female , Humans , Male , Middle Aged , Anxiety , Therapeutics , Betacoronavirus , Cell Phone , China , Coronavirus Infections , Psychology , Depression , Therapeutics , Internet , Mindfulness , Pandemics , Pneumonia, Viral , Psychology , Prospective Studies , Psychological Distress , Relaxation Therapy , Self Care , MethodsABSTRACT
This study aimed to assess the efficacy of a rural community-based integrated intervention for early prevention and management of chronic obstructive pulmonary disease (COPD) in China. This 18-year cluster-randomized controlled trial encompassing 15 villages included 1008 patients (454 men and 40 women in the intervention group [mean age, 54 ± 10 years]; 482 men and 32 women in the control group [mean age, 53 ± 10 years]) with confirmed COPD or at risk for COPD. Villages were randomly assigned to the intervention or the control group, and study participants residing within the villages received treatment accordingly. Intervention group patients took part in a program that included systematic health education, smoking cessation counseling, and education on management of COPD. Control group patients received usual care. The groups were compared after 18 years regarding the incidence of COPD, decline in lung function, and mortality of COPD. COPD incidence was lower in the intervention group than in the control group (10% vs 16%, <0.05). A decline in lung function was also significantly delayed in the intervention group compared to the control group of COPD and high-risk patients. The intervention group showed significant improvement in smoking cessation compared with the control group, and smokers in the intervention group had lower smoking indices than in the control group (350 vs 450, <0.05). The intervention group also had a significantly lower cumulative COPD-related death rate than the control group (37% vs 47%, <0.05). A rural community-based integrated intervention is effective in reducing the incidence of COPD among those at risk, delaying a decline in lung function in COPD patients and those at risk, and reducing mortality of COPD.
Subject(s)
Adult , Female , Humans , Male , Middle Aged , Pulmonary Disease, Chronic Obstructive/prevention & control , Rural Population , Smoking Cessation/statistics & numerical data , Cluster Analysis , China/epidemiology , Health Personnel/education , Incidence , Life Style , Pulmonary Disease, Chronic Obstructive/mortality , Risk Management , Spirometry , Time FactorsABSTRACT
[Objective] To explore and evaluate the mode of integrated intervention in diabetic eye disease by general service team . [ Methods ] Integrated intervention for prevention and treatment of blindness and health education were carried out by general service team through a 2-year prospective co-hort study .The evaluation was made with the indicators such as mastery of health knowledge , ability of dis-ease management , laboratory parameters change , vision improvement and changes of diabetic retinopathy . [ Results] It was found that 8 items on health knowledge , 6 items on ability of disease management , 3 laboratory parameters and condition in the control of visual impairment and diabetic retinopathy were all better in the intervention group than in the control group . [ Conclusion] The effect of integrated intervention mode is significant by general practitioners and specialists participating in chronic disease prevention network .
ABSTRACT
Objective To investigate the outcome and related risk factors of integrated intensive intervention in participants with impaired glucose regulation (IGR) after two years by the criteria of American Diabetes Association 2003. Methods The subjects who remained to be IGR at the end of first year following 75 g oral glucose tolerance test were randomly assigned to either a routine care control group or to an intensive integrated intervention group. The control group received general dietary and exercise advice at baseline and was followed up. In addition to dietary control and exercise advice, mefformin or acarbose were administrated in the intervention group. The latter group was also advised to take antihypertensive agents, lipid-regulating agents if necessary, as well as aspirin. Results The proportion of patients who fulfilled the assigned goals of blood glucose, blood pressure, body mass index or triglycerides was significantly higher in the intensive group than those in the control group. None in the intensive group developed overt diabetes mellitus, while 8 (9.3%) in the control group did. The proportion of patients who reverted to normal glucose tolerance (NGT) was slightly higher in the intensive group than in the control group (29.5% vs 22.1%, P>0.05). Logistic analysis showed that increase of waist circumference and systolic blood pressure was positively while the improvement of islet β-cell function was negatively correlated with the development of diabetes mellitus. Conclusions The intensive integrated intervention could significantly decrease the conversion rate of IGR to diabetes mellitus, and increase the chance of reversion to NGT. The increase of waist circumference or systolic blood pressure, the deterioration of islet β-ccll function were the influencing factors of the conversion of IGR to diabetes mellitus.
ABSTRACT
Objective To investigate the role of community-based intervention among diabetic patients for the control of blood glucose,blood fat,blood pressure and body weight. Methods Patients in a specific community with type 2 diabetes mellitus were selected in the study,with 133 in the exercise group,200 in the integration group and 140 in the control group.Intervention and followup were conducted for 8 months,and clinical parameters including blood glucose were detected. Results Both exercise and integrated therapeutics could decrease the levels of fasting blood glucose(FBG) and postprandial 2-h blood glucose,with a more significant descending degree in the integration group than the exercise group(P
ABSTRACT
0.05). However, the scores of belief and attitude of experimental group were higher than those of control group (t=3.03～19.89, P0.05), while the score in control group displayed decreasing trend (t=5.75, P