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Objective:To explore the effect of multidisciplinary collaborative intervention under hospital elder life program (HELP) on improvement of craniocerebral tumor elderly patients′ delirium prevention, physical and psychological status in ICU.Methods:Totally 89 craniocerebral tumor elderly patients undergoing craniocerebral tumor surgery under general anesthesia in ICU from Guangzhou Red Cross Hospital were selected as the research objects. 45 patients treated from January 2019 to January 2020 were set as the control group and given routine nursing intervention, and 44 patients treated from February 2020 to January 2021 were set as the observation group and given multidisciplinary collaborative intervention under HELP theory. The incidence of delirium, physiological, psychological recovery and complications during ICU stay were compared between the two groups before and after intervention.Results:Before intervention, there was no significant difference in the scores of various indexes between the observation group and the control group ( P>0.05). After the intervention, the mean arterial pressure, heart rate, intracranial pressure, SaO 2 and the score of modified Barthel index in the observation group were (92.15 ± 7.08) mmHg (1 mmHg=0.133kPa), (77.58 ± 3.68) times/min, (114.84 ± 10.35) mmH 2O (1 mmH 2O=0.009 8 kPa), 0.95 ± 0.04 and (80.21 ± 9.42) points, and those in the control group were (96.44 ± 7.15) mmHg, (74.29 ± 3.29) times/min, (136.28 ± 10.24) mmH 2O, 0.90 ± 0.05 and (62.44 ± 8.15) points, and there were statistically significant differences between two groups ( t values were 2.84-9.82, all P<0.01). After the intervention, scores of critical illness nutritional risk, ICU delirium screening, mental state and sleep disorder in the observation group were (4.79 ± 0.38), (1.27 ± 0.21), (43.24 ± 3.27) and (18.44 ± 2.17) points, those in the control group were (4.18 ± 0.37), (2.07 ± 0.30), (40.05 ± 3.21) and (20.14 ± 2.18) points, there were significant differences between two groups ( t values were 3.22-14.60, all P<0.01). After the intervention, the ICU stay time and the first time out of bed time in the observation group were (6.44 ± 0.52) d and (1.74 ± 0.32) d, which were statistically significantly lower than (7.69 ± 0.54) d and (2.43 ± 0.24) d in the control group ( t=11.12, 11.53, both P<0.01). After the intervention, the incidence of delirium in the observation group was 0, which was statistically significantly lower than 18.18% (8/45) in the control group ( χ2=8.99, P<0.01). Conclusions:Multidisciplinary collaborative intervention under HELP theory can effectively reduce the incidence of delirium, improve their physiological and psychological status, improve the quality of life of elderly patients after craniocerebral tumor surgery under general anesthesia.
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Objective:To explore the mediating effect of meaning in life between family care and subjective well-being of family caregivers of community disabled elderly, and provide reference for improving caregivers' mental health.Methods:From August 2019 to August 2020, A total of 526 family caregivers of disabled elderly from several communities in Guangzhou were household surveyed by general information questionnaire, family APGRA index, Chinese meaning in life questionnaire and general well-being schedule.SPSS 22.0 software was used for descriptive analysis, correlation analysis and mediating effect analysis.AMOS 22.0 software was used for structural equation model construction, and Bootstrap method was used for mediation effect test.Results:The score of subjective well-being, family care, meaning in life of family caregivers of disabled elderly were (69.41±19.17), (6.42±2.56), (42.96±7.61), respectively.The family care was positively correlated with meaning in life and subjective well-being ( r=0.275, 0.289, both P<0.01) and a positive correlation was found between meaning in life and subjective well-being ( r=0.345, P<0.01). Meaning in life had a partial mediating effect between family care and subjective well-being.The mediating effect value was 4.304, accounting for 30.6% of the total effect value. Conclusion:The family care can directly or indirectly affect caregivers' subjective well-being through meaning in life.
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Objective:To observe the effect of emotional resilience training on compassion fatigue and psychological resilience of intensive care unit nurses.Methods:A total of 70 intensive care unit nurses were randomly divided into experiment group and control group, each of 35 cases. Control group nurses were given routine psychological guidance intervention, in addition, the experiment group was carried out 8 weeks of emotional resilience training. The effect of intervention was assessed by Chinese version of the compassion fatigue scale and Connor-Davidson resilience scale before and after intervention.Results:After intervention, the average scores of compassion satisfaction, secondary traumatic stress and total compassion fatigue scores were (26.46±4.99)pionts, (17.80±4.05)pionts and (69.14±5.70)pionts, significantly lower than in the control group (28.86±4.14)pionts, (20.11±4.38)pionts and (75.51±10.32)pionts, the difference was statistically significant ( t value was 2.190, 2.296, 3.197, P<0.05). After intervention, the average scores of tenacity, power, optimism and total resilience scores were (34.23±6.06)pionts, (25.77±5.01)pionts, (14.31±3.22)pionts and (74.31±9.55)pionts, significantly higher than in the control group (30.86±6.23)pionts, (23.31±3.29)pionts, (12.11±2.04)pionts and (66.29±7.28)pionts, the difference was statistically significant ( t value was 2.295-3.956, P<0.05). Conclusion:Emotional resilience training can effectively reduce the compassion fatigue and improve psychological resilience of intensive care unit nurses.
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Objective@#To investigate the health effects of air pollution on elementary school students with the indicator of absenteeism caused by respiratory symptoms and diseases, and to provide a reference for improving their physical health.@*Methods@#Absenteeism, air pollutants, and meteorological data during Sep. 2015 to Jun. 2017 in Pudong, Shanghai were collected. Generalized additive model was used to estimate the effects of air pollution on students’ absenteeism caused by respiratory symptom and diseases, time trends, day of week and meteorological factors were controlled.@*Results@#Totally 47 723 person-days of elementary school students’ absenteeism caused by respiratory symptoms and diseases were recorded during Sep.2015 to Jun. 2016 in Pudong, Shanghai, and the absenteeism rate was 0.07%. The PM2.5 concentration on lag0 and SO2 concentration on lag2 showed the most significant effects, the elementary school students’ absenteeism raised for 1.43% (95%CI=0.25%~2.62%)and 6.79% (95%CI=0.25%~13.32%) respectively with every 10 μg/m3 increment of PM2.5 and SO2.@*Conclusion@#Air pollution in Pudong new area have made a influence on the elementary school student’s respiratory symptoms and absenteeism, and the prevention work of air pollution should be strenghthened.