Effect of solution-focused approach on anxiety and depression in patients with rheumatoid arthritis: A quasi-experimental study.

Introduction: Anxiety and depression are common psychological problems in rheumatoid arthritis (RA) patients. However, few effective nursing intervention models have been designed specifically to improve anxiety and depression in RA patients. Solution-focused approach (SFA) is an effective intervention method for psychosocial issues. There have been no studies involving SFA yet in RA patients. This study investigated the effects of SFA-based nursing intervention on anxiety and depression in RA patients. Methods: A quasi-experimental study using a convenience sampling of RA patients was conducted. The 48 RA patients were divided into the control group (n = 24) and the experimental group (n = 24). The control group received routine nursing intervention, while the experimental group received SFA-based nursing intervention. The scores on the self-rating anxiety scale (SAS), self-rating depression scale (SDS), arthritis self-efficacy scale-8 (ASES-8), and questionnaire on patient satisfaction with nursing care were collected before and after nursing interventions. Results: Between-Group Comparison: Before the nursing intervention, there was no statistically significant difference in the SDS, SAS, and ASES-8 scores between the two groups (p > 0.05). However, after the nursing intervention, the SDS and SAS scores of the experimental group were statistically significantly lower than those of the control group (p < 0.05). In contrast, the ASES-8 score of the experimental group was statistically significantly higher than that of the control group (p < 0.05). In addition, patient satisfaction with nursing care of the experimental group was better than that of the control group (p > 0.05). Within-Group Comparison: There was no statistically significant difference in the SDS, SAS, and ASES-8 scores in the control group before and after routine nursing intervention (p > 0.05). However, in the experimental group, the SDS and SAS scores before SFA-based nursing intervention were statistically significantly higher than those after SFA nursing intervention (p < 0.05), and the ASES-8 score before SFA-based nursing intervention was considerably lower than that after SFA nursing intervention (p < 0.05). Discussion: SFA-based nursing intervention can effectively improve anxiety, depression, and arthritis self-efficacy of RA patients. This study broadens clinical psychological nursing intervention models for RA patients. SFA may be an effective nursing model for various psychosocial problems in the current medical context.

Assessing response of sediment load variation to climate change and human activities with six different approaches.

Understanding the relative contributions of climate change and human activities to variations in sediment load is of great importance for regional soil, and river basin management. Considerable studies have investigated spatial-temporal variation of sediment load within the Loess Plateau; however, contradictory findings exist among methods used. This study systematically reviewed six quantitative methods: simple linear regression, double mass curve, sediment identity factor analysis, dam-sedimentation based method, the Sediment Delivery Distributed (SEDD) model, and the Soil Water Assessment Tool (SWAT) model. The calculation procedures and merits for each method were systematically explained. A case study in the Huangfuchuan watershed on the northern Loess Plateau has been undertaken. The results showed that sediment load had been reduced by 70.5% during the changing period from 1990 to 2012 compared to that of the baseline period from 1955 to 1989. Human activities accounted for an average of 93.6 ±â€¯4.1% of the total decline in sediment load, whereas climate change contributed 6.4 ±â€¯4.1%. Five methods produced similar estimates, but the linear regression yielded relatively different results. The results of this study provide a good reference for assessing the effects of climate change and human activities on sediment load variation by using different methods.

Variation of runoff and precipitation in the Hekou-Longmen region of the Yellow River based on elasticity analysis.

Precipitation is very important to the formation of runoff, and studying of runoff variation and its response to precipitation has practical significance to sustainable utilization of water resources. The study used Mann-Kendall test, anomaly accumulation method, and precipitation elasticity of runoff method to analyze the changes in the relation of precipitation and runoff and the contribution of precipitation to runoff change in the Hekou-Longmen region (from 1957 to 2010), Huangfuchuan watershed (from 1954 to 2010), and Yanhe watershed (from 1952 to 2010) in the middle reaches of the Yellow River. The results showed that runoff appeared a significant decreasing trend (P = 0.01) while it was not significant in precipitation in all study areas. In particular, the reductions of average annual runoff in the Hekou-Longmen region, Huangfuchuan watershed, and Yanhe watershed were 72.7%, 87.5%, and 32.2%, respectively, during 2000-2010 compared to the 1950s. There existed two abrupt change points of the runoff in the Hekou-Longmen region and Huangfuchuan watershed, which were detected in 1979 and 1998. But in the Yanhe watershed only one abrupt change point was found in 1996. The precipitation elasticities of runoff were 1.11, 1.09, and 1.26, respectively, and the contributions of precipitation on runoff reduction were 26.4%, 17.9%, and 31.6%, respectively, in the Hekou-Longmen region, Huangfuchuan watershed, and Yanhe watershed.