ABSTRACT
Background Since the coronavirus disease 2019 (COVID-19) pandemic outbreak, the incidence of mental health problems in perinatal women has been high, and particularly prominent in China which was the first country affected by COVID-19. This paper aims to investigate the current situation of maternal coping difficulties after discharge during COVID-19, analyze the related factors and provide a theoretical basis for targeted continuing care.Methods General information questionnaires (the Perinatal Maternal Health Literacy Scale, Postpartum Social Support Scale and Post-Discharge Coping Difficulty Scale-New Mother Form) were used to investigate 226 puerperal women in the third week of puerperium. The influencing factors were analyzed by single factor analysis, correlation and multiple linear regression.Results The total score of coping difficulties after discharge was 48.92 ± 12.05. At the third week after delivery, the scores of health literacy and social support were 21.34 ± 5.18 and 47.96 ± 12.71. There were negative correlations among health literacy, social support and coping difficulties after discharge (γ = -0.34, γ = -0.38, P < 0.001). Health literacy, social support, primipara, family income and education level were the main factors influencing maternal coping difficulties after discharge.Conclusion During the COVID-19 epidemic, puerperal women in a low- and middle-income city had moderate coping difficulties after discharge and were affected by many factors. To meet the different needs of parturients and improve their psychological coping ability, medical staff should perform adequate assessment of social resources relevant to parturients and their families when they are discharged, so they can smoothly adapt to the role of mothers.
Subject(s)
COVID-19ABSTRACT
By braiding together multiple environmental and social factors – ranging from land and water transportation networks, festivities, seafood-eating habits, agricultural cycles, and intensified population gathering during ‘Shuangqiang, or the quick harvesting and planting of rice crops’(p. 3) – Fang presents an ecosystem that set the scene for Zhejiang’s cholera outbreak in July 1962. Cholera had a greater impact in rural areas owing to the poor water-management infrastructure there;women participated in agricultural production, making their infection rate equal to men’s;and the superior nutrition and limited contact with civilians on military bases explains the lower caseload among soldiers. [...]the book can also be read as an account of the resistance, confrontations, and negotiations that occurred between various strands of power in moving towards that style of governance, which was not without its blind spots: public health staff encountered difficulties and even violence when attempting to check inoculation certificates of officers in the People’s Liberation Army (Chapter 4);overseas Chinese were exempted from vaccination certificate checks because the PRC needed their remittances and skills (Chapter 4);and the Zhejiang government adapted its 1963 vaccination campaign to avoid peak farming season due to the passive participation of local cadres and farmworkers the previous year (Chapter 6).
ABSTRACT
Background: The outbreak of coronavirus disease 2019 (COVID-19) has attracted global attention. This study aimed at exploring the change of illness, daily life and psychological responses during the pandemic of COVID-19 among chronic kidney disease patients.Methods: The study was conducted by collecting the questionnaires in 5 nephrology centers. The questionnaire consisted of two main parts: the influences of COVID-19 and assessment of anxiety by using Self-Rating Anxiety Scale. The first part included (1) basic demographic data; (2) the influences of COVID-19 on the illness and daily life; (3) patients’ psychological responses during the epidemic.Findings: 612 patients were included and divided into two groups according to eGFR. 96 patients (34%) in CKD stages1-2 group and 141 patients (42.7%) in CKD stages 3-5 group had reduced their follow-up frequency (p=0.031). More patients with CKD stages 1-2 consulted online (25.9%), p=0.005. Besides, patients with CKD stages 3-5 group tended to be more anxious about follow-up(p=0.002), fearful of being infected with COVID-19 (P=0.009), more likely to feel symptoms getting worse (p=0.006) and gained more help from medical staff during the pandemic period (p=0.038). The standard scores of SAS were 48.58±7.082 and 51.19±5.944 in CKD stages 1-2 group and CKD stages 3-5 group, respectively (p<0.001). And there were significant differences in the severity of anxiety (p=0.004).Interpretation: COVID-19 had a greater impact on patients with CKD stages 3-5 than stages 1-2 in illness, daily life and psychological disorder. Patients with CKD stages 3-5 were more anxious during the pandemic of COVID-19. Funding: None.Declaration of Interests: The authors declare that they have no conflict of interest.Ethics Approval Statement: The study was in compliance with the Declaration of Helsinki and was approved by the ethical committee of West China Hospital of Sichuan University.
Subject(s)
Anxiety Disorders , Kidney Diseases , COVID-19 , Sexual Dysfunctions, PsychologicalABSTRACT
Objective: To analyze the characteristics of risk perception of military personnel in different areas during the early stage of COVID-19 outbreak.
ABSTRACT
Objective: To investigate the risk perception of coronavirus disease 2019 (COVID-19) among young military personnel serving in high-altitude regions in the early stage of COVID-19 outbreak.
ABSTRACT
Background: COVID-19 has spread all around the world. Italy is one of the worst affected countries in Europe. Although there is a trend of relief, the epidemic situation hasn’t stabilized yet. This study aims to investigate the dynamics of the disease spread in Italy and provide some suggestions on containing the epidemic. Methods: We compared Italy’s status at the outbreak stage and control measures with Guangdong Province in China by data observation and analysis. A modified autonomous SEIR model was used to study the COVID-19 epidemic and transmission potential during the early stage of the outbreak in Italy. We also utilized a time-dependent dynamic model to study the future disease dynamics in Italy. The impact of various non-pharmaceutical control measures on epidemic was investigated through uncertainty and sensitivity analyses. Results: The comparison of specific measures implemented in the two places and the time when the measures were initiated shows that the initial prevention and control actions in Italy were not sufficiently timely and effective. We estimated parameter values based on available cumulative data and calculated the basic reproduction number to be 4.32 before the national lockdown in Italy. Based on the estimated parameter values, we performed numerical simulations to predict the epidemic trend and evaluate the impact of contact limitation, detection and diagnosis, and individual behavior change due to media coverage on the epidemic. Conclusions: Italy was in a severe epidemic status and the control measures were not sufficiently timely and effective in the beginning. Non-pharmaceutical interventions, including contact restrictions and improvement of case recognition, play an important role in containing the COVID-19 epidemic. The effect of individual behavior changes due to media update of the outbreak cannot be ignored. For policy-makers, early and strict blockade measures, fast detection and improving media publicity are key to containing the epidemic.