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1.
Front Public Health ; 9: 744514, 2021.
Article in English | MEDLINE | ID: covidwho-1592963

ABSTRACT

Background: Older adult quality of life (QoL) is facing huge challenges during the COVID-19 pandemic. New normal lifestyle behaviors, including getting adequate physical activity (PA), consuming sufficient fruits and vegetables (FV) and enacting individual preventive behaviors (frequent hand washing, facemask wearing, and social distancing), as a significant determinant for QoL, have not been adequately addressed in older adults during the pandemic. This study aimed to investigate the characteristics of QoL in Chinese older adults after the first wave of the COVID-19 pandemic in Hubei China. The objective of the study was to examine any associations of lifestyle behaviors with QoL, and to identify the moderating role of socioeconomic indicators in the associations identified. Methods: A cross-sectional study was conducted in Hubei, China, from June 15, 2020, to July 10, 2020. Five hundred sixteen older adults completed an online survey (mean age = 67.6 ± 6.6; 57.9% women). The questionnaire consisted of demographic information, covariates (chronic diseases and infected cases of acquaintances), lifestyle behaviors [PA stage, FV intake (FVI) stage and three preventive behaviors], and QoL. T-tests, ANOVA tests, multiple linear regression models with simple slope analyses were used to test the hypotheses. Results: QoL significantly differed in relation to economic situation, chronic diseases, marital status, education, living situation, age group, and professional status. Participants' economic situation (ß average vs. below average = 0.17, p < 0.01; ß above average vs. below average = 0.15, p < 0.01), chronic diseases (ß yes vs. no = 0.19, p < 0.001), FVI stage (ß = 0.21, p < 0.001), and preventive behaviors (ß = 0.10, p < 0.05) indicated a significant association with QoL. Education level and economic situation significantly interacted with preventive behaviors on QoL, respectively (ß preventive behaviors × educational level = -1.3, p < 0.01; ß preventive behaviors × economic situation = -0.97, p < 0.05). Conclusions: Findings emphasize the importance of enhancing FVI and preventive behaviors on QoL improvement in older adults during the COVID-19 pandemic. Older adults who are in a lower economic situation with lower education levels should be given priority when implementing interventions to improve preventive behaviors and QoL in older adults.


Subject(s)
COVID-19 , Quality of Life , Aged , China/epidemiology , Cross-Sectional Studies , Female , Humans , Life Style , Male , Middle Aged , Pandemics , SARS-CoV-2
2.
Alzheimer's & Dementia ; 17(S10):e053352, 2021.
Article in English | Wiley | ID: covidwho-1589247

ABSTRACT

Background The purpose of this study is to identify the effects of the lifestyle (physical activity, activity participation, and nutrition) of middle-aged and elderly people on health, depression, and quality of life, and to identify changes before and after COVID-19. In addition, it is intended to establish a structural equation model to confirm the influence coefficients for each path. Method Among those aged 55 and older, the study measured lifestyle, subjective health, depression, and quality of life for a total of 327 people. We used SPSS 25 for general characteristics of subjects, descriptive statistical analysis of variables, and AMOS 20 for validation of variables, affirmative factor analysis, and effectiveness analysis on paths. Result In the case of physical activity, there were significant differences between the two groups in moderate exercise (p<0.001) and walking (p<0.01) before and after COVID-19. The results of participation in activities showed significant differences between leisure activities, social activities and education before and after COVID-19 (p<0.001). For eating habits, significant differences were found in the two observations: carbohydrate (p<0.05) and protein (p<0.05). Comparing the overall mean, there were significant differences between health (p<0.05), depression (p<0.001), and quality of life (p<0.001) before and after COVID-19. The final model was built through normality test and confirmatory factor analysis, and the fit of the final study model was x²=3.306, GFI=0.902, RMR=0.049, RMSEA=0.059, IFI=0.928, TLI=0.917, CFI=0.928, which was appropriate compared to each criterion, showed significance for each path. Conclusion Through this research, it was confirmed that lifestyle affects health, depression, and quality of life for middle-aged elderly people, which is in the same context as prevention-oriented policies currently in place worldwide. In addition, the results of this study show the importance of a healthy lifestyle, suggesting that lifestyle education for middle and high-aged people and customized lifestyle interventions for individual lives are needed. Comparisons between the two periods before and after COVID-19 show that the social isolation caused by COVID-19 has a negative impact on each factor. Through these results, health care is essential for middle-aged and elderly people, and measures should be taken to resolve restrictions on participation in activities caused by social isolation.

3.
Alzheimer's & Dementia ; 17(S10):e053621, 2021.
Article in English | Wiley | ID: covidwho-1589243

ABSTRACT

Background The purpose of this study is to identify differences in effectiveness between the two periods before and after COVID-19 by using a multiple group analysis to determine the effect of the lifestyle(physical activity, activity participation, and nutrition) of the middle and older people on subjective health, depression and quality of life. Method Among those aged 55 and older, the study measured lifestyle, subjective health, depression, and quality of life for a total of 327 people. We used SPSS 25 for general characteristics of subjects, descriptive statistical analysis of variables, and AMOS 20 for validation of variables, affirmative factor analysis, and effectiveness analysis on paths. Result Multiple group analysis shows that the path of health?depression was significant at 99% confidence before COVID-19 and between activity participation?quality of life at 90% confidence. Conclusion Comparison of final research models from two periods before and after COVID-19 shows that social isolation resulting from COVID-19 negatively affects depression and quality of life. These results suggest that health care is essential for middle-aged and elderly people, and that measures should be taken to address the restrictions on participation in activities caused by social isolation.

4.
Jpn J Infect Dis ; 2021 Dec 28.
Article in English | MEDLINE | ID: covidwho-1579810

ABSTRACT

The coronavirus disease 2019 (COVID-19) pandemic caused severe health impacts to worldwide. The aim of our study was to provide suggestions for government to manage serious infectious disease outbreaks in remote regions with relatively poor medical resources. The basic reproduction number (R0), incubation period, time from symptom onset to confirmed and duration of hospitalization were analyzed. We compared the composition of imported and local secondary cases, and cases with mild/common and severe/critical illness according to age, sex, and clinical symptoms. From January 23 to February 19, 2020 (less than 1 month), 75 local COVID-19 cases were confirmed in Inner Mongolia. Among them, the median age was 45.0 years and 33 (44.0%) were imported. More than 80.0% cases were mild/common. The case fatality rate was 1.3% and the R0 was estimated to be 2.3. The median incubation period was 8.5 days. There was a significant difference in the incubation period between imported and local secondary cases (P<0.001). The early and mandatory control strategies implemented by government were associated with a rapid reduction in COVID-19 incidence in Inner Mongolia.

6.
Front Psychol ; 12: 772764, 2021.
Article in English | MEDLINE | ID: covidwho-1556292

ABSTRACT

Affected by coronavirus disease (COVID-19), in addition to keeping away the impact of the pandemic on their business practices, many enterprises have proposed relevant measures to protect their employees' job safety and security. Especially for enterprises with high dependence on knowledge resources, employees' innovation and knowledge sharing play a vital role. In the context of global economic austerity, how to put forward the corresponding plan of knowledge sharing intention to improve the knowledge sharing behavior of employees for enterprises is worth discussing. Mainland China and Malaysia have different quarantine policies and similar industrial structures. This study examines the awareness of Mainland China vs. Malaysian employees, and evaluates the relationship among self-efficacy, job security, market orientation, knowledge sharing intention, and knowledge sharing behavior from the theory of planned behavior. In this study, a total of 627 Mainland China and 434 Malaysian participants were collected to compare both groups in the development of employees' knowledge sharing behavior. In this study, a variance-based partial least squares structural equation modeling (PLS-SEM) was performed to test the proposed hypothesis and conduct comparative analysis. The results in both the samples show that self-efficacy, job security, and market orientation have positive and significant effects on knowledge sharing intention; self-efficacy has positive and significant effects on job security; knowledge sharing intention has positive and significant effects on knowledge sharing behavior. Moreover, there are several significant differences between Mainland China and Malaysia in the examinations of path comparisons.

7.
Journal of Risk and Financial Management ; 14(12):568, 2021.
Article in English | MDPI | ID: covidwho-1542640

ABSTRACT

The novel COVID-19 pandemic spread quickly and continuously influenced global societies. As a vulnerable population that accounted for the highest percentage of deaths from the pandemic, older adults have experienced huge life-altering challenges and increased risks of mental problems during the pandemic. Empirical evidence is needed to develop effective strategies to promote preventive measures and mitigate the adverse psychological impacts of the COVID-19 pandemic. This study aimed to investigate the behavioral responses (i.e., preventive behaviors, physical activity, fruit and vegetable consumption) and mental responses (i.e., depression and loneliness) towards the COVID-19 pandemic among Chinese older adults. A further aim was to identify the associations among demographics, behavioral responses, and mental responses. Using a convenience sampling approach, 516 older adults were randomly recruited from five cities of Hubei province in China. Results of the cross-sectional survey showed that 11.7% of participants did not adhere to the WHO recommended preventive measures, while 37.6% and 8.3% of participants decreased physical activity and fruit–vegetable consumption respectively. For mental responses, 30.8% and 69.2% of participants indicated significantly depressive symptoms and severe loneliness, respectively. Participants’behavioral and mental responses differed significantly in several demographics, such as age group, living situation, marital status, education levels, household income, medical conditions, and perceived health status. Demographic correlates and behavioral responses could significantly predicate the mental response with small-to-moderate effect sizes. This is the first study to investigate the characteristics of behavioral and mental responses of Chinese older adults during the COVID-19 pandemic. Research findings may give new insights into future developments of effective interventions and policies to promote health among older adults in the fight against the pandemic.

8.
mSphere ; 6(5): e0075221, 2021 10 27.
Article in English | MEDLINE | ID: covidwho-1526451

ABSTRACT

During the progression of coronavirus disease 2019 (COVID-19), immune response and inflammation reactions are dynamic events that develop rapidly and are associated with the severity of disease. Here, we aimed to develop a predictive model based on the immune and inflammatory response to discriminate patients with severe COVID-19. COVID-19 patients were enrolled, and their demographic and immune inflammatory reaction indicators were collected and analyzed. Logistic regression analysis was performed to identify the independent predictors, which were further used to construct a predictive model. The predictive performance of the model was evaluated by receiver operating characteristic curve, and optimal diagnostic threshold was calculated; these were further validated by 5-fold cross-validation and external validation. We screened three key indicators, including neutrophils, eosinophils, and IgA, for predicting severe COVID-19 and obtained a combined neutrophil, eosinophil, and IgA ratio (NEAR) model (NEU [109/liter] - 150×EOS [109/liter] + 3×IgA [g/liter]). NEAR achieved an area under the curve (AUC) of 0.961, and when a threshold of 9 was applied, the sensitivity and specificity of the predicting model were 100% and 88.89%, respectively. Thus, NEAR is an effective index for predicting the severity of COVID-19 and can be used as a powerful tool for clinicians to make better clinical decisions. IMPORTANCE The immune inflammatory response changes rapidly with the progression of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and is responsible for clearance of the virus and further recovery from the infection. However, the intensified immune and inflammatory response in the development of the disease may lead to more serious and fatal consequences, which indicates that immune indicators have the potential to predict serious cases. Here, we identified both eosinophils and serum IgA as prognostic markers of COVID-19, which sheds light on new research directions and is worthy of further research in the scientific research field as well as clinical application. In this study, the combination of NEU count, EOS count, and IgA level was included in a new predictive model of the severity of COVID-19, which can be used as a powerful tool for better clinical decision-making.


Subject(s)
COVID-19 Testing/methods , COVID-19/diagnosis , COVID-19/immunology , Clinical Decision Rules , Severity of Illness Index , Adult , Aged , Biomarkers/blood , COVID-19/blood , Clinical Decision-Making/methods , Disease Progression , Eosinophils/metabolism , Female , Humans , Immunoglobulin A/blood , Inflammation/blood , Inflammation/diagnosis , Inflammation/virology , Logistic Models , Male , Middle Aged , Neutrophils/metabolism , Predictive Value of Tests , Prognosis , Sensitivity and Specificity
9.
Nutrients ; 13(11)2021 Nov 17.
Article in English | MEDLINE | ID: covidwho-1524096

ABSTRACT

BACKGROUND: The World Health Organization declared COVID-19 a global pandemic on 11 March 2020, due to the number of newly reported confirmed cases and the rapid increase in deaths. Therefore, countries around the world limited their population to policies such as "social distancing" or "staying at home" to prevent the spread of the virus. The purpose of this study was to evaluate differences in lifestyle pre and post the outbreak COVID-19 among older adults in South Korea and to identify the impact of lifestyle differences on depression and quality of life. METHODS: An online single questionnaire covering sociodemographic data, lifestyle details, depression status, and quality of life level was distributed using mailing lists and social media. To assess lifestyles differences in older people pre and post the outbreak of COVID-19 pandemic, the online single questionnaire was used post COVID-19 pandemic. Based on the participants' memories, they responded lifestyles at two time points (pre and post COVID-19 pandemic). RESULTS: The results showed that there was a significant decrease in physical activity and activity participation during the pandemic. In terms of nutrition, there was no statistically significant change pre and post the outbreak COVID-19, except for the intake of protein, fat, and vitamins. Additionally, the results showed that the resulting lifestyle differences seem to have had a negative impact on depression and quality of life among older adults in South Korea. CONCLUSION: There was a significant difference the lifestyle patterns among the participants in South Korea between the current period and pre COVID-19 pandemic. Additionally, it is observed that these differenced lifestyles were associated with depression and quality of life among the participants. Our findings may help to develop public health programs that support healthy lifestyles in pandemic conditions.

10.
The Asia - Pacific Education Researcher ; 30(6):611-620, 2021.
Article in English | ProQuest Central | ID: covidwho-1499556

ABSTRACT

Informed by the notion of help seeking (Newman, 2008), this study aims to examine a group of MATESOL students’ online feedback experience in relation to their professional learning during the COVID-19 pandemic. Analysis of interviews with the participants and their written reflections produced during the online courses revealed that while online feedback afforded learning opportunities such as the provision and reception of feedback in diverse groups within a safe space, it also created challenges such as limited real-time and extensive feedback. While the participants exhibited nonadaptive help seeking at times, they also adopted adaptive help seeking strategies for feedback, including having internal conversations with learning materials to generate feedback, creating a space for feedback and interaction with significant others, and staying resilient and finding alternatives for feedback. The paper concludes with practical implications on supporting pre-service teachers’ online feedback experience and fostering their adaptive help seeking strategies in feedback situations as critical and self-regulated learners to contribute to their professional learning.

11.
J Multidiscip Healthc ; 14: 2791-2802, 2021.
Article in English | MEDLINE | ID: covidwho-1477660

ABSTRACT

Purpose: This study aimed to develop a scale for measuring infection prevention behavior of individuals and to verify its validity and reliability for the general population. Patients and Methods: The scale items were selected using a literature review on the chain of infection and its content validity. There were 297 study participants, all of whom provided informed consent. Data were collected online from September 3 to September 8, 2020, using Google Survey in Korea. The scale's construct validity was verified through exploratory and confirmatory factor analyses, criterion validity was Pearson's Correlation, and reliability was tested using Cronbach's alpha. Results: Twelve items and three factors were selected after a factor and an exploratory factor analysis of 29 scale items. The three factors were pathogen blocking, transmission blocking, and immunity enhancement. A confirmatory factor analysis validated the model goodness of fit, and the convergent validity and discriminant validity of the scale were verified. The correlation coefficient with a scale for respiratory infection prevention practice was 0.69, thereby confirming the criterion validity of the scale. The reliability of the final scale (Cronbach's alpha) was 0.86. Conclusion: This scale is reflective of the social features of the Korean adult population, and it is easy and concise to be administered to general public, making it useful for subsequent studies on infection prevention.

12.
Pharmaceutics ; 13(9)2021 Sep 19.
Article in English | MEDLINE | ID: covidwho-1430942

ABSTRACT

Coronavirus disease 2019 (COVID-19), caused by a new strain of coronavirus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is spreading rapidly worldwide. Nafamostat mesylate (NFM) suppresses transmembrane serine protease 2 and SARS-CoV-2 S protein-mediated fusion. In this study, pharmacokinetics and lung distribution of NFM, administered via intravenous and intratracheal routes, were determined using high performance liquid chromatography analysis of blood plasma, lung lumen using bronchoalveolar lavage fluid, and lung tissue. Intratracheal administration had higher drug delivery and longer residual time in the lung lumen and tissue, which are the main sites of action, than intravenous administration. We confirmed the effect of lecithin as a stabilizer through an ex vivo stability test. Lecithin acts as an inhibitor of carboxylesterase and delays NFM decomposition. We prepared inhalable microparticles with NFM, lecithin, and mannitol via the co-spray method. The formulation prepared using an NFM:lecithin:mannitol ratio of 1:1:100 had a small particle size and excellent aerodynamic performance. Spray dried microparticles containing NFM, lecithin, and mannitol (1:1:100) had the longest residual time in the lung tissue. In conclusion, NFM-inhalable microparticles were prepared and confirmed to be delivered into the respiratory tract, such as lung lumen and lung tissue, through in vitro and in vivo evaluations.

14.
Infect Drug Resist ; 14: 1855-1863, 2021.
Article in English | MEDLINE | ID: covidwho-1247718

ABSTRACT

Objective: To investigate the clinical characteristics and molecular epidemiology of carbapenem-resistant Klebsiella pneumoniae (CRKP) bloodstream infection at a medical center in northeast China, especially after coronavirus disease (COVID-19) pandemic. Methods: Fifty-one patients were diagnosed with CRKP bloodstream infection between January 2015 and December 2020, among which 42 isolates were available for further study. Species identification and antibiotic susceptibilities were tested with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and VITEK 2 systems. Carbapenemase genes, virulence genes and MLST genes were detected by polymerase chain reaction. Moreover, the string test and serum killing assay were performed to evaluate the virulence of the CRKP isolates. Results: During the six-year period, the detection rate of CRKP in bloodstream infection showed an increasing trend, with the intensive care unit, hematology and respiratory medicine wards mainly affected. Molecular epidemiology analyses showed that KPC-2 was the dominant carbapenemase gene. In addition, the dominant sequence type (ST) of CRKP shifted from ST11 to ST15 strains, which were all sensitive to amikacin in contrast to the ST11 stains. Furthermore, ST15 CRKP strains were positive for the KfuB virulence gene and more resistant to serum killing compared to the ST11 CRKP strains. Nonetheless, the mortality rate of patients infected with ST11 and ST15 CRKP did not show any significant differences. Conclusion: A shift in the dominant sequence type of CRKP bloodstream infections from ST11 to ST15 was observed during the years 2015-2020. Compared to ST11, the ST15 CRKP strains showed amikacin sensitivity, positivity for KfuB gene, and serum resistance, which may indicate stronger virulence.

15.
PLoS One ; 16(5): e0250770, 2021.
Article in English | MEDLINE | ID: covidwho-1231260

ABSTRACT

BACKGROUND & AIM: The coronavirus disease 2019 (COVID-19) pandemic has affected the life and work of people worldwide. The present study aimed to evaluate the rhythm disruptions of life, work, and entertainment, and their associations with the psychological impacts during the initial phase of the COVID-19 pandemic. METHOD: A cross-sectional study was conducted from the 10th to 17th March 2020 in China. A structured e-questionnaire containing general information, the Chinese version of Brief Social Rhythm Scale, and Zung's self-rating scales of depression and anxiety (SDS and SAS) was posted and collected online through a public media (i.e. EQxiu online questionnaire platform). Scores in sleeping, getting up, and socializing (SGS) rhythm and eating, physical practice, and entertainment (EPE) rhythm were compared among and between participants with different sociodemographic backgrounds including gender, age, education, current occupation, annual income, health status, and chronic disease status. Correlations of SDS and SAS with SGS-scale and EPE-scale were also analyzed. RESULTS: Overall, 5854 participants were included. There were significant differences in the scores of SGS-scale and EPE-scale among people with different sociodemographic backgrounds. The scores were significantly higher in the groups with female gender, low education level, lower or higher than average income, poor health status, ages of 26-30 years or older than 61 years, nurses and subjects with divorce or widow status. There were also significant differences in SAS and SDS scores among people with different sociodemographic backgrounds (all P< 0.05). The overall prevalence of depression and anxiety was 24.3% and 12.6%, respectively, with nurses having the highest rates of depression (32.94%) and anxiety (18.98%) among the different occupational groups. SGS-scale was moderately correlated with SDS and SAS, and disruption of SGS rhythm was an independent risk factor for depression and anxiety. CONCLUSION: Social rhythm disruption was independently associated with depression and anxiety. Interventions should be applied to people vulnerable to the rhythm disruption during the COVID-19 pandemic.


Subject(s)
COVID-19/epidemiology , COVID-19/psychology , Life Style , Pandemics , SARS-CoV-2 , Social Class , Work Performance , Adolescent , Adult , Anxiety/psychology , COVID-19/nursing , COVID-19/virology , China/epidemiology , Cross-Sectional Studies , Depression/psychology , Educational Status , Female , Humans , Male , Middle Aged , Nurses/psychology , Prevalence , Risk Factors , Surveys and Questionnaires , Young Adult
16.
Pediatr Res ; 90(2): 347-352, 2021 08.
Article in English | MEDLINE | ID: covidwho-1147205

ABSTRACT

BACKGROUND: We prepared a meta-analysis on case reports in children with COVID-19, aiming to identify potential risk factors for severe illness and to develop a prediction model for risk assessment. METHODS: Literature retrieval, case report selection, and data extraction were independently completed by two authors. STATA software (version 14.1) and R programming environment (v4.0.2) were used for data handling. RESULTS: This meta-analysis was conducted based on 52 case reports, including 203 children (96 boys) with COVID-19. By severity, 26 (12.94%), 160 (79.60%), and 15 (7.46%) children were diagnosed as asymptomatic, mild/moderate, and severe cases, respectively. After adjusting for age and sex, 11 factors were found to be significantly associated with the risk of severe illness relative to asymptomatic or mild/moderate illness, especially for dyspnea/tachypnea (odds ratio, 95% confidence interval, P: 6.61, 4.12-9.09, <0.001) and abnormal chest X-ray (3.33, 1.84-4.82, <0.001). A nomogram modeling age, comorbidity, cough, dyspnea or tachypnea, CRP, and LDH was developed, and prediction performance was good as reflected by the C-index. CONCLUSIONS: Our findings provide systematic evidence for the contribution of comorbidity, cough, dyspnea or tachypnea, CRP, and LDH, both individually and jointly, to develop severe symptoms in children with asymptomatic or mild/moderate COVID-19. IMPACT: We have identified potential risk factors for severe illness in children with COVID-19. We have developed a prediction model to facilitate risk assessment in children with COVID-19. We found the contribution of five risk factors to develop severe symptoms in children with asymptomatic or mild/moderate COVID-19.


Subject(s)
COVID-19/epidemiology , SARS-CoV-2/isolation & purification , COVID-19/virology , Child , Child, Preschool , Female , Humans , Infant , Male , Risk Factors , Severity of Illness Index
17.
PLoS One ; 16(2): e0247970, 2021.
Article in English | MEDLINE | ID: covidwho-1105830

ABSTRACT

OBJECTIVE: The COVID-19 pandemic continues to pose significant challenges to nations. The Korean government aimed to mitigate the spread of COVID-19 through stay-at-home strategies and maintaining social distance, which are likely to result in major changes in the lifestyle, mental health, and quality of life of citizens. This study aimed to investigate the impact of the COVID-19 pandemic on these factors in Koreans over 20 years old. METHODS: The study sample consisted of 104 adults in South Korea aged over 20 years. An online survey was conducted between August and October 2020, in which participants were asked to complete the Yonsei Lifestyle Profile to assess lifestyle changes, the Center for Epidemiological Studies-Depression Scale, and the World Health Organization Quality of Life Scale abbreviated version. To investigate the changes in people's lifestyles, depression, and quality of life post COVID-19, descriptive statistics were calculated for these indicators before and after the onset of the pandemic. The p-value was two-sided, and values <0.05, were regarded as statistically significant. RESULTS: There was a significant decline in physical and other meaningful activities, including activities of daily living, leisure, social activity, and education. However, there were no significant changes in nutrition, except in the consumption of carbohydrates and minerals. Participants reported that their quality of life and mental health had decreased after the pandemic struck. CONCLUSIONS: We obtained novel data on the changes in the lifestyle, mental health, and quality of life of South Korean adults before and after the onset of the pandemic. The results of our study may assist health policymakers and practitioners in the development of health education or relevant interventions to deal with the pandemic situation as well as future crises.


Subject(s)
COVID-19/epidemiology , Life Style , Mental Health , Quality of Life , Activities of Daily Living , Adult , Cross-Sectional Studies , Depression/epidemiology , Female , Humans , Male , Middle Aged , Republic of Korea/epidemiology , Young Adult
19.
Int J Soc Psychiatry ; : 20764021992835, 2021 Feb 08.
Article in English | MEDLINE | ID: covidwho-1072870

ABSTRACT

AIMS: To investigate the differences in disrupted rhythms between healthy people and patients with functional gastrointestinal disorders (FGIDs) and their associations with mood disorders during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: The rhythm scales were composed of subscales 1 and 2 for the assessment of life-work and entertainment rhythms, respectively; Zung's Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to assess mood disorders. RESULTS: A total of 671 patients with FGIDs and 4373 healthy people successfully participated. The scores of subscales 1 and 2 for patients with FGIDs were significantly higher than those for healthy people (p < .005). The SAS and SDS scores, their prevalence rates were significantly higher than those for the healthy group (all p < .001). Health status, current occupation, life-work rhythm, SDS, and SAS were independent related factors of FGIDs. The score of life-work-entertainment rhythm was significantly positively correlated with SDS and SAS (both p < .001). CONCLUSION: Disrupted rhythms in patients with FGIDs under the COVID-19 pandemic were more frequently and significantly positively associated with mood disorders.

20.
J Clin Nurs ; 2021 Jan 28.
Article in English | MEDLINE | ID: covidwho-1052290

ABSTRACT

AIMS AND OBJECTIVES: To examine the relationship between work-family enrichment and two contextual factors (job support and family support), together with two personal factors (family boundary flexibility and prosocial motivation) among Chinese nurses assisting Wuhan in its fight against the Coronavirus Disease 2019 (COVID-19) pandemic. BACKGROUND: The COVID-19 pandemic was first reported in Wuhan, China, and has now spread worldwide, which has brought attention to the pivotal role of nurses in public health emergencies. Work-family enrichment is a bidirectional structure, including work-to-family enrichment and family-to-work enrichment, that can yield many mutually beneficial results in both work and family domains among clinical nurses. However, few studies have investigated work-family enrichment and its influential factors among front-line nurses during public health emergencies. METHODS: A cross-sectional research design was adopted with a snowball sample of 258 Chinese nurses assisting Wuhan's anti-pandemic efforts. Data were collected from 21 March 2020 until 10 April 2020 through a battery of online questionnaires. Descriptive, univariate and hierarchical linear regression analyses and a Pearson correlation test were performed. A STROBE checklist was used to report findings. RESULTS: The results showed that prosocial motivation, family support and job support predicted high work-to-family enrichment in those nurses, while prosocial motivation, family support and family boundary flexibility predicted high family-to-work enrichment. CONCLUSIONS: The study confirmed the importance of paying attention to the work-family enrichment of front-line medical workers during the COVID-19 pandemic, so that they could concentrate on their anti-pandemic work and maintain their enthusiasm for disaster nursing. RELEVANCE TO CLINICAL PRACTICE: The findings can help health administrators in affected countries around the world identify the influential factors of work-family enrichment among front-line nurses during infectious disease outbreaks, specifically in the areas of mobilising nurses' prosocial motivation and giving sufficient job support.

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