Relationship of common dyadic coping to marital satisfaction and quality of life for patients with brain injury and their spouses in a rehabilitation facility: using common fate model / 中国康复理论与实践

ObjectiveTo investigate common dyadic coping (CDC) in linking with marital satisfaction and quality of life (QOL) in patients with brain injury and their spouses in a rehabilitation facility by using common fate model (CFM). MethodsFrom October, 2022 to June, 2023, 101 brain injury inpatients and their spouses in Beijing Bo'ai Hospital completed the questionnaire of Dyadic Coping Inventory, Kansas Marital Satisfaction Scale and World Health Organization Quality of Life. ResultsThe level of CDC between patients and their spouses significantly positively correlated with their marital satisfaction for both partners (β = 0.814, P < 0.001), as well as correlated with their quality of life (β = 0.271, P = 0.038; β = 0.481, P < 0.001). For the dimensions of QOL, the physical, psychological, social relationship and environmental dimensions significantly positive correlated with the CDC for the spouses, and only psychological and social relationship dimensions for the patients. ConclusionFacing the stress of brain injury, the level of CDC within couples can positively predict their marital satisfaction and QOL, and effect seems stronger for the spouses. It is advisable to consider both brain injured patients and their spouses as a whole to promote psychological adaptation and improve rehabilitation outcomes.

Depression emotion and its related factors among rural elderly during urbanization / 中国心理卫生杂志

Objectives:To investigate the prevalence of depressive emotion and related factors among rural elderly living in urban-rural fringe zones and traditional villages.Methods:Totally 1135 rural elderly were surveyed in Fuding,Fujian Province.The 10-item CES-D Scale was adopted to assess depressive emotion (score 10 or higher as having depression problem),and a self-made questionnaire was used to investigate other relevant demographical information.Results:Rural elderly lived in traditional villages had significantly higher ratio of depression than the elderly lived in urban-rural fringe zones (49.6％ vs.30.3％,P ＜0.001).Logistic regression analysis showed that the ratio of depression in elderly of traditional villages was 1.40 times that of urban-rural fringe zone after control ling other factors.Other important factors (P ＜ 0.001) related to depression were poorer self-rated health (OR =7.52),financial strain (OR =4.41),negative life event (OR =2.91),and living alone (OR =2.72) in elderly of urban-rural fringe zone,but only financial strain (OR =8.52) in elderly of traditional villages.Conclusion:Depression is more prevalently identified among rural elderly living in traditional villages,and urbanization could effectively reduce depression in rural elderly.Public policies should improve the financial and medical security,social support and so on to promote the emotional well-being among rural elderly during urbanization.

Effects of different doses of dexmedetomidine on etomidate in inhibiting the EC50 of laryngeal mask placement / 中国生化药物杂志

Objective To investigatethe EC50 of different doses of dexmedetomidine on etomidate inhibited responses tolaryngeal maskinsertion in patients.Methods 88 with breast cancerfrom surgical department in Zhuji Hospital of Traditional Chinese Medical from August 2014 to August 2015were selected and randomly divided into the control group(groupA)and the experiment group(group B1,group B2 and group B3)with 22 casesin each group,respectively,intravenous pump 0.9％sodium chloride solution and DEX(dose followed by 0.3,0.6,0.9μg/kg).The next sequential intravenous infusion of etomidateafter 10 min.The EC50 and the 95％confidence interval of etomidate were determined by sequential method in each group of patients,the changes of vital signs and adverse reactionsin patients were monitored.Results Four groups of patients with LMA EC50 and 95％confidence interval of etomidate respectively:0.78(0.723～0.835)μg/mL in group A,0.66(0.612～0.711)μg/mL in group B1,0.58(0.532～0.627)μg/mL in group B2,0.46(0.416～0.521)μg/mL in group B3.Four groups of patients with laryngeal mask insertion immediately before MAP and HR were lower than the baseline value,the difference was statistically significant(P<0.05),but the LMA elevated after one min.The control group of four patients with respiratory depression,three cases of patients with bradycardia in group B3,two cases of patients with hypotension were improved after symptomatic treatment.Conclusion In a certain range,increasing the dose of dexmedetomidine reduces the effective concentration of etomidate,which inhibits the laryngeal mask placement reaction.