Validation of the Brazilian version of the Hip Sports Activity Scale (HSAS) for patients with femoroacetabular impingement: a cross-sectional study

ABSTRACT BACKGROUND: The Hip Sports Activity Scale (HSAS) is a hip-specific instrument for assessing the present levels of physical activity among patients with femoroacetabular impingement (FAI) syndrome. When evaluating treatment outcomes in patients with FAI syndrome, it is necessary to use joint-specific instruments and ones that can evaluate the levels of physical activity in these patients, such as the HSAS-Brazil. OBJECTIVE: To validate the HSAS-Brazil among a group of physically active patients after arthroscopic treatment of FAI syndrome. DESIGN AND SETTING: Cross-sectional research of quantitative and qualitative types using data obtained from July 2018 to October 2019. METHODS: A total of 58 patients of both genders diagnosed with FAI syndrome and who had undergone hip arthroscopy participated in this research. To establish reliability and validity, patients first answered the Brazilian versions of the 12-Item Short-Form Health Survey (SF-12), Nonarthritic Hip Score (NAHS), and HSAS; after a 48-hour interval, they answered the HSAS-Brazil again. RESULTS: For test-retest reliability, the interclass correlation was 0.908 (P < 0.001). The HSAS-Brazil correlated to the NAHS-Brazil (r = 0.63, P < 0.001), as well as the SF-12 (Physical Health) (r = 0.42, P = 0.001). CONCLUSION: The HSAS-Brazil was validated and proved to be a reliable and valid scale to assess sports activity levels in physically active patients with FAI syndrome after arthroscopic treatment.

Cross-cultural adaptation and validation of Sarcopenia and Quality of Life (SarQoL) in Brazil

ABSTRACT BACKGROUND: Sarcopenia is defined as a slow, progressive, and apparently inevitable process of involuntary loss of muscle mass, strength, and quality, which occurs with advancing age. It is widely accepted that sarcopenia can directly affect quality of life. OBJECTIVE: Translate, adapt and validate the "Sarcopenia and Quality of Life" instrument (SarQoL) to the Brazilian context. DESIGN AND SETTINGS: Translation, cross-cultural adaptation, and validation study carried out at the Federal University of São Carlos, São Carlos, São Paulo, Brazil. METHODS: The population consisted of 221 older adult participants. The steps recommended by the guidelines from the authors of the original instrument were followed sequentially: initial translation, synthesis of translations, backward translation, evaluation by a panel of judges, pre-test, and analysis of psychometric properties. The translation and adaptation process was conducted as recommended. RESULTS: Two hundred and twenty-one participants took part in the step analysis of the psychometric properties of SarQoL, in which 55 presented sarcopenia. Cronbach's alpha coefficient of the total SarQoL questionnaire was 0.976, indicating excellent internal consistency. Excellent agreements between the test and retest with an Interclass Correlation Coefficient (ICC) of 0.983 (95% confidence interval: 0.901-0.996) were observed in the SarQoL domains. The domains of Short-Form 36 and EuroQoL 5-dimension showed significant correlation, from moderate to strong magnitude, with SarQoL total score, indicating convergent validity. CONCLUSION: The Brazilian version of SarQoL presented evidence of reliability and validity.

Progress in the Application of Various Theoretical Models in Advance Care Planning / 中国医学伦理学

Advance care planning (ACP) is an important part of hospice care, a core index of high-quality palliative care, and one of the effective indicators for improving the life quality of end-of-life patients. By reviewing the progress of various theoretical models and their applications in ACP, including planned behavior theory, behavioral change wheel theory, self-determination theory, prospect theory, change theory, and cultural suitability theory, this paper delved into the advantages and limitations of each theoretical model and analyzed its research prospects in future ACP clinical practice to promote researchers’ correct understanding of the role of different theoretical models in various types of studies, with a view to providing new ideas for clinical research on ACP.

Research progress of function-preserving gastrectomy in radical gastrectomy for gastric cancer / 中华消化外科杂志

With the popularization of health awareness and the progress of gastroscopy, the proportion of early gastric cancer is increasing year by year in China. Early gastric cancer has a good prognosis and long-term survival time. Improving postoperative life quality of patients with early gastric cancer will become one of the key directions of gastric cancer research. Therefore, on the premise of ensuring radical tumor treatment, function-preserving gastrectomy for the purpose of improving patients′ quality of life has become a hot topic in early gastric cancer. In recent years, with the deep study on the rule of lymph node metastasis in gastric cancer, the application extent of function-preserving gastrectomy has gradually expanded to advanced gastric cancer. Function-pre-serving gastrectomy includes segmental gastrectomy, proximal gastrectomy and local gastrectomy. The authors summarize important research progress of function-preserving gastrectomy at home and abroad and their own practical experience in recent years, aiming to provide references for clinical surgeons to carry out function-preserving gastrectomy.

Non-venereal genital dermatoses and their impact on quality of life—A cross-sectional study

Background: Lesions on the external genitalia could be venereal or non-venereal. Non-venereal genital dermatoses are common and may cause considerable anxiety to patients, particularly if noticed after sexual intercourse. However, this aspect has not been studied much till now. Objectives: Our study proposes to describe the profile of non-venereal genital dermatoses and determine their impact on quality of life both social and sexual, using the dermatology life quality index questionnaire. Methods: We recruited patients aged 18 years and above, who were diagnosed to have non-venereal genital dermatoses during the study period. A detailed history was obtained and clinical examination done with relevant investigations when necessary. The dermatology life quality index was assessed and graded in all patients using Finlay dermatology life quality index questionnaire. Results: A total of 293 patients with non-venereal genital dermatoses were seen and 25 different dermatoses were observed. Men 242(82.6%) outnumbered women. The commonest age group affected was 31–50 years 144(50%). Chronic inflammatory dermatoses 135(41.6%) constituted the majority of cases. Scrotal dermatitis 46(15.7%), lichen simplex chronicus 37(12.6%), vitiligo 31(10.6%) were seen most frequently. In the study group, 111(37.9%) patients had moderate and 133(45.4%) had large impact on the quality of life. Erectile dysfunction was seen in 48(19.8%) men and 9(3.7%) had premature ejaculation. A significant effect on dermatology life quality index was found with increasing age (P = 0.007), positive marital status (P = 0.006), history of unprotected sex (P < 0.001), history of recurrences (P = 0.002) and venereophobia. (P = 0.008). Limitations: The number of women in the study group was less compared to men and we could not ascertain the type of sexual dysfunction in them. Conclusion: Non-venereal genital dermatoses are common, more so among men. They have a significant impact on the quality of life of the individual. Recognizing and addressing this problem will help in managing these patients effectively.

Comparative study of single and double ileal Yang-Monti duct controllable outflow tract in patients with urethral damage / 中华泌尿外科杂志

Objective:To evaluate the efficacy and safety of Yang-Monti tube in the operation of bladder controllable outflow tract, and to compare the efficacy of single and double segments Yang-Monti tube in patients with urethral damage.Methods:The clinical data of 27 patients who underwent Yang-Monti tube surgery in West China Hospital of Sichuan University from January 2009 to February 2018 were retrospectively analyzed, including 14 cases of single segment ileum (single segment group) and 13 cases of double segment ileum (double segment group). The age of single-segment group and double-segment group was (56.5±4.3) years and (50.2±6.8) years, respectively ( P=0.220). There were 2/12 and 3/10 males and females, respectively ( P=0.564). The body mass index (BMI) was (19.6±1.3) kg/m2 and (24.2±2.1) kg/m2, respectively ( P<0.001). The disease duration was 6 (3-24) months and 8 (3-48) months, respectively ( P=0.650). The preoperative quality of life (QOL) score was (46.7±1.7) and (45.5±1.7), respectively ( P=0.061). The number of patients with urinary tract infection before operation was 11 and 13, respectively ( P=0.480). In the single-segment group, a 2 cm ileum with mesangial vessels was cut at a distance of about 15 cm from the ileocecal part, and the intestine was cut longitudinally along the direction of the intestinal canal at the opposite mesangial margin. The intestinal piece was wrapped horizontally around the F12 urinary tube and wound into a Yang-Monti tube by intermittent suture with a 3-0 single thread. The bladder wall was cut anterolateral to the top wall of the bladder, about 1 cm in length, and the Yang-Monti tube was anastomosed end-to-end with the mucosal muscularis of the bladder wall. A circular incision with a diameter of about 1 cm was made at the level of the anterior superior iliac spine at the rectus abdominis muscle, and a tunnel was formed by puncture into the abdomen with curved forceps. The Yang-Monti tube was led out of the abdominal wall along the tunnel, and the tube opening was fixed with subcutaneous suture. At the same time, the tube wall was fixed in the peritoneum with 4-0 silk thread. In the double-segment group, two segments of 2 cm ileum were cut, and the intestinal tube was cut longitudes along the direction of the opposite mesangial margin. The intestinal piece was first sutured end to end, and then the tube was coiled and reconstructed to form a Yang-Monti tube with a diameter of 0.6-0.8 cm and a length of about 12 cm. The proximal end of the Yang-Monti tube was directly anastomosed with the mucosal muscle layer of the bladder. The operation time, intraoperative blood loss, postoperative catheterization interval, postoperative single catheterization volume, postoperative complications (bleeding, intestinal obstruction, anastomotic leakage, anastomotic stenosis, stoma infection, urinary tract infection, urinary tract infection) and QOL score were compared between the two groups. Results:The operation was successfully completed in both groups. The operation time of single-segment group and double-segment group were (165.8±17.8) min and (157.54±12.25) min, respectively ( P=0.302), and the intraoperative blood loss was (60.0±20.0) ml and (50.00±25.00) ml, respectively ( P=0.650). The postoperative recovery time was 3 (2-4) d and 3 (2-9) d, respectively ( P=0.790), and the postoperative hospital stay was 12 (9-40) d and 12 (10-32) d, respectively (P=0.259). The postoperative single catheterization volume was (240.4±42.7) ml and (261.5±36.3) ml ( P=0.186), and the postoperative QOL was (22.4±2.7) and (21.5±2.6), respectively ( P=0.325), and there was no significant difference. There were 2 cases of urinary tract infection in the single-segment group, and 1 case of urinary tract infection, postoperative bleeding, and intestinal obstruction in the double-segment group. There was no significant difference between the two groups ( P=0.222). The time interval of catheterization in single-segment group and double-segment group was (2.5±1.0) h and (3.5±1.3) h, respectively, and the difference was statistically significant ( P=0.029). The quality of life score after operation was statistically significant compared with that before operation ( P<0.001), and the incidence of urinary tract infection after operation was also statistically significant compared with that before operation ( P=0.011). Conclusions:Both single segment and double segment ileum Yang-Monti tube surgery are feasible surgical methods for patients with urethral damage. There was no difference in the effects of the two types of surgery, and both may improve the quality of life of patients.The postoperative QOL score could be greatly improved and the incidence of complications was low.

Repeated transcranial magnetic stimulation for the relief of diabetic peripheral neuropathic pain / 中华物理医学与康复杂志

Objective:To observe any effect of repeated transcranial magnetic stimulation (rTMS) in the treatment of diabetic peripheral neuropathic pain (DPNP).Methods:Eighty-six persons with type 2 diabetes mellitus and DPNP were randomly divided into an observation group and a control group, each of 43. Both groups were given basic treatment to control plasma glucose and blood pressure, while the observation group was additionally provided with daily 10Hz rTMS of the primary motor cortex (M1 area) of the non-dominant hand 5 days a week for 4 weeks. Before and after the treatment, pain in both groups was evaluated using a visual analog scale (VAS) and the Patient′s Global Impression Change scale (PGIC). The motor conduction velocity (MCV) and sensory conduction velocity of the median and the common peroneal nerves were also tested.Results:After treatment, the average VAS pain rating and PGIC score of the observation group were significantly lower than the control group′s averages and those before treatment. The observation group′s treatment effectiveness rate (79.07%) was then much better than that of the control group (23.26%). After the treatment, the average MCV of the median and common peroneal nerves of the observation group (47.65±1.94 m/s and 46.98±3.26 m/s, respectively) were significantly faster than before treatment, and those of the control group.Conclusions:rTMS based on routine intervention can significantly relieve DPNP and promote the recovery of injured nerves, bettering diabetics′ physical condition and life quality.

High-intensity inspiratory muscle resistance training can improve the exercise capacity and life quality of persons with bronchiectasis / 中华物理医学与康复杂志

Objective:To explore any effect of high-intensity inspiratory muscle resistance training on exercise capacity and life quality for persons with bronchiectasis.Methods:Sixty patients with bronchiectasis were randomly divided into an observation group and a control group, each of 30. The observation group received two 30-minute sessions of inspiratory muscle resistance training daily using the PowerBreak inspiratory muscle trainer 3 days/week for 8 weeks. The intensity was 70% of the maximum inspiratory pressure (MIP). The control group underwent the same training with the intensity at 10% of the MIP. The severity of illness, pulmonary function, respiratory muscle strength and endurance, exercise capacity and life quality of the two groups were evaluated before and after the intervention.Results:Compared with before the intervention, the average MIP in the observation group and the average distance they walked in the 6min walk test (6MWT) improved significantly. Their average social factor score on the Leicester cough questionnaire had increased significantly, while their average heart rate and self-perceived exertion during the 6MWT had decreased significantly. There were no significant differences in any of these indicators for the control group.Conclusions:High-intensity inspiratory muscle resistance training can significantly improve the exercise capacity and life quality of patients with bronchiectasis. The treatment is worthy of further research and application in the clinic.

Combining montelukast with exercise in the clinical treatment of children with mild asthma / 中华物理医学与康复杂志

Objective:To observe any effect of combining the anti-asthmatic drug montelukast with exercise therapy on the pulmonary function, clinical symptoms, functional exercise capacity and quality of life of children with asthma.Methods:Seventy children (between 7 and 14 years old) with mild asthma were randomly divided into an observation group ( n=35) and a control group ( n=35). Both groups were given the anti-asthmatic drug montelukast, while the observation group was additionally provided with breathing training and aerobic pedaling training. Before and after the intervention, both groups′ forced expiratory volume in 1 second, forced vital capacity and 6min walking test (6MWT) distance were tested. Their asthma symptoms were scored using the pediatric asthma quality of life questionnaire (PAQLQ). Any adverse events during the study were recorded. Results:After 8 weeks the observation group′s average 6MWT distance, total PAQLQ score, as well as the scores on each domain of the PAQLQ (symptoms, activity restriction, emotions) had improved significantly. The observation group′s average heart rate and perceived exertion rating after the 6MWT had also improved significantly, as had their average daytime and nighttime asthma symptom scores. The control group also demonstrated significant improvement in their PAQLQ symptom scores and their daytime and nighttime asthma symptom scores after the intervention. There was no significant difference in the incidence of adverse reactions between the two groups.Conclusions:Supplementing montelukast with exercise is effective and feasible in the treatment of children with mild asthma, with good safety and tolerance. Such combined therapy is worthy of further research and promotion.

Sueño: conceptos generales y su relación con la calidad de vida / Sleep: general concepts and their relationship with quality of life

El desarrollo de la medicina del sueño ha experimentado notables avances por contribuciones provenientes tanto de las ciencias básicas como de los estudios clínicos, destacando una relación positiva entre la preservación de un sueño normal y un amplio espectro de beneficios en diferentes indicadores de salud individual y de la población. Un adecuado conocimiento de los postulados y mecanismos fisiológicos del sueño actualmente más aceptados a escala molecular, celular y sistémica, permiten desarrollar conceptos objetivos que otorgan mayor solidez a la evaluación del sueño. La etapificación del sueño, su arquitectura, variables de continuidad del mismo, asícomo el índice de microdespertares, entre otros, tienen una aplicación clínica directa: se pueden describir y utilizar rangos normales de parámetros polisomnográficos con sus características a lo largo de la edad, y variantes cronotípicas individuales. De este modo, se espera seguir avanzando tanto en el temprano y correcto diagnóstico como en una mejor toma de decisiones médicas.Muy probablemente, debido a la función integradora del sueño, es que este juega un rol tan crucial en la salud, avalado por un cuerpo de evidencia que muestra un importante impacto beneficioso de un sueño sano en la calidad de vida, morbilidad y la prevención primaria de enfermedades muy variadas

The development of sleep medicine has experienced notable advances due to contributions from both basic science and clinical studies, highlighting a positive relationship between the preservation of normal sleep and a wide spectrum of benefits in different indicators of individual and population health.An adequate knowledge of the currently more accepted physiological postulates and mechanisms of sleep, on a molecular, cellular and systemic scale, allows the development of objective concepts that give greater solidity to sleep assessment. Sleep staging, architecture, and continuity variables such as the microarousal index, among others, have direct clinical applications: normal ranges of polysomnographic parameters can be described and used with their characteristics throughout age and individual chronotype variants. In this way, it is further advances are expected both in early and correct diagnosis and in better medical treatments.Evidence supports the crucial role sleep plays in overall health. Most likely due to its integrative function, healthy sleep has an important beneficial impact on quality of life, morbidity and primary prevention of a wide variety of diseases

The effect of physical fitness to change human health and improve the quality of life / O efeito da aptidão física para mudar a saúde humana e melhorar a qualidade de vida / El efecto de la aptitud física para cambiar la salud humana y mejorar la calidad de vida

ABSTRACT Introduction People need to strengthen their bodies through leisure sports to prevent diseases. Physical fitness exercise is conducive to maintaining a good physical and mental state and establishing a good interpersonal relationship. Exercise can keep people happy. Object According to the actual needs of people's physical fitness exercises, this article uses the correlation analysis method to carry out an empirical analysis on the effect of physical fitness exercises on the quality of life. Method The paper puts forward a model based on indicators combined with correlation analysis by constructing a hypothetical model of the effect of physical fitness exercise. We analyzed the reasons and influencing factors of people participating in physical fitness exercises. Results The influencing indicators of people's participation in sports to improve the quality of life are gender, age, and disposable income. Conclusion People playing sports can enhance the quality and quality of life. Level of evidence II; Therapeutic studies - investigation of treatment results.

RESUMO Introdução As pessoas precisam fortalecer seus corpos por meio de esportes de lazer para prevenir doenças. O exercício de aptidão física contribui para a manutenção de um bom estado físico e mental e para o estabelecimento de um bom relacionamento interpessoal. O exercício pode manter as pessoas felizes. Objetivo De acordo com as reais necessidades de exercícios de aptidão física das pessoas, este artigo utiliza o método de análise de correlação para realizar uma análise empírica sobre o efeito dos exercícios de aptidão física na qualidade de vida. Método O artigo propõe um modelo baseado em indicadores combinados com análise de correlação por meio da construção de um modelo hipotético do efeito do exercício de aptidão física. Analisamos os motivos e fatores que influenciam as pessoas que participam de exercícios de aptidão física. Resultados Os indicadores que influenciam a participação das pessoas no esporte para melhorar a qualidade de vida são gênero, idade e renda disponível. Conclusão Pessoas que praticam esportes podem melhorar a qualidade de vida. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

RESUMEN Introducción Las personas necesitan fortalecer su cuerpo a través de deportes recreativos para prevenir enfermedades. El ejercicio físico favorece el mantenimiento de un buen estado físico y mental y el establecimiento de una buena relación interpersonal. El ejercicio puede hacer felices a las personas. Objeto De acuerdo con las necesidades reales de los ejercicios de aptitud física de las personas, este artículo utiliza el método de análisis de correlación para realizar un análisis empírico sobre el efecto de los ejercicios de aptitud física en la calidad de vida. Método El trabajo propone un modelo basado en indicadores combinados con análisis de correlación mediante la construcción de un modelo hipotético del efecto del ejercicio físico. Analizamos los motivos y factores de influencia de las personas que realizan ejercicios de acondicionamiento físico. Resultados Los indicadores que influyen en la participación de las personas en el deporte para mejorar la calidad de vida son el género, la edad y la renta disponible. Conclusión las personas que practican deportes pueden mejorar la calidad de vida. Nivel de evidencia II; Estudios terapéuticos: investigación de los resultados del tratamiento.

Efectos de un programa de ejercicio multicomponente en personas mayores que viven en comunidad / Effects of a multicomponent exercise program in older people living in the community

RESUMEN Fundamento: una intervención basada en ejercicio multicomponente favorecería la funcionalidad. Sin embargo, son escasos los estudios locales, en Chile, que los han utilizado. Objetivo determinar los efectos del ejercicio multicomponente en la disminución del riesgo de caída y riesgo de deterioro cognitivo, la mejora del equilibrio, fuerza muscular, capacidad funcional y calidad de vida en personas mayores que viven en comunidad. Métodos: estudio preexperimental pre-post sin grupo control. La muestra fue intencionada (n=17; 47,1 % mujeres; 70 años de mediana). Se aplicó un plan de ejercicio multicomponente durante nueve semanas. Pre y post ejercicio se evaluó equilibrio dinámico con el test Timed Up and Go, equilibrio estático con un oscilógrafo postural y la prueba de Estación Unipodal, fuerza muscular con el test de Sentarse y Levantarse, capacidad funcional con el test de Marcha 6 Minutos, calidad de vida con el Cuestionario SF-36 y sospecha de deterioro cognitivo con el Mini Mental State. Para determinar diferencias pre-post ejercicio se aplicó la prueba de Wilcoxon. Resultados: después de los ejercicios se observó un mejor rendimiento en las pruebas: Timed Up and Go (p=0,004), Estación Unipodal (p=0,023 pierna derecha, p=0,005 pierna izquierda), Sentarse y Levantarse (p=0,014), Marcha de 6 Minutos (p=0,006) y en el Cuestionario SF-36: dolor corporal (p=0,003), salud mental (p=0,000) y puntaje total (p=0,002). Conclusiones: un programa de ejercicio multicomponente de nueve semanas logró disminuir el riesgo de caídas, mejorar equilibrio, fuerza muscular, capacidad funcional y calidad de vida de personas mayores que viven en comunidad.

ABSTRACT Background: a multicomponent exercise-based intervention would favor functionality. However, there are few local studies, in Chile, that have used them. Objective to determine the effects of multicomponent exercise in reducing the falling and cognitive deterioration risks, improving balance, muscle strength, functional capacity and life quality in elderly people living in the community. Methods: pre-post experimental study without control group. The sample was intentional (n = 17; 47.1% women; median 70 years old). A multicomponent exercise plan was applied for nine weeks. Pre and post exercise, dynamic balance was evaluated with the Timed Up and Go test, static balance with a postural oscillograph and the Unipodal Station test, muscle strength with the Sit and Stand test, functional capacity with the 6 Minute Walk test, quality life with the SF-36 Questionnaire and suspected cognitive impairment with the Mini Mental State. To determine pre-post exercise differences, the Wilcoxon test was applied. Results: after the exercises, a better performance was observed in the tests: Timed Up and Go (p = 0.004), Unipodal Station (p = 0.023 right leg, p = 0.005 left leg), Sitting and Getting up (p = 0.014), 6-Minute Walk (p = 0.006) and in the SF-36 Questionnaire: body pain (p = 0.003), mental health (p = 0.000) and total score (p = 0.002). Conclusions: a nine-week multicomponent exercise program was able to reduce the risk of falls, improve balance, muscle strength, functional capacity and quality of life in older people living in the community.

Necesidad de rehabilitación física en un paciente con distrofia muscular progresiva de Duchenne / Necessity of physical rehabilitation in a patient with Duchenne progressive muscular dystrophy

Se presenta el caso clínico de un adolescente de 18 años de edad, atendido en el Policlínico Docente Armando García Aspurú de Santiago de Cuba por presentar antecedentes de retardo en el desarrollo psicomotor, marcha anadeante, caídas frecuentes, signo de Gowers positivo, fuerza muscular proximal disminuida en miembros superiores e inferiores, pseudohipertrofia de los gemelos, atrofia de cuádriceps pectoral y escapular. Los signos y síntomas clínicos permitieron diagnosticar una distrofia muscular de Duchenne. Como no pudo realizarse el tratamiento rehabilitador necesario, se produjo un deterioro músculo - esquelético progresivo y severo del paciente.

The case report of an 18 years adolescent is presented. He was assisted at Armando García Aspurú Teaching Polyclinic in Santiago de Cuba due to a history of psychomotor development retardation, wandering march, frequent falls, positive Gowers sign, diminished proximal muscular force in upper and lower limbs, twins pseudohypertrophy, atrophy of pectoralis and scapular quadriceps. The clinical signs and symptoms allowed to diagnose a Duchenne muscular dystrophy. As the necessary rehabilitative treatment could not be carried out, a progressive and severe musculoskeletal deterioration of the patient took place.

Quality of life and the work capacity of professional nursing staff in the hospital environment

This study aimed to evaluate the association between life quality and the work capacity of nursing professionals in a public hospital of the public health system. A cross-sectional, quantitative study with the participation of 115 nursing professionals. The study method used the WHOQOL-brief questionnaire, the Work Capacity Index questionnaire, and a sociodemographic and occupational questionnaire. The data were analyzed through descriptive and inferential statistics, where values of p≤ 0.05 were considered significant. In terms of life quality, the domains that presented higher averages were for psychological 70.0±14.5 and social relations 70.8±19.8, with the physical domain reaching 64.4±11.9 and the environment at 57.7±13.6. The average score from the Work Capacity Index was 40.3±6.1; median: 42; IQR: 37.0-45.0), with a predominance of good and excellent for work capacity. Work capacity was increased for being male (ß=3.99; p=0.016) and negatively associated to age (ß=-0.31; p<0.001). In conclusion, it is verified that there is a positive correlation between the capacity for work and the evaluation of the quality of life, but it is emphasized that the sociodemographic and occupational characteristics lead the nursing professional to present a work capacity reduction, which generates alterations in the perception of life quality.

Clinical Effect of Modified Ditantang Combined with Acupuncture on Syndrome of Phlegm and Blood Stasis Blocking Collaterals of Dysphagia After Apoplexy / 中国实验方剂学杂志

Objective:To explore the clinical efficacy of modified Ditantang combined with acupuncture in the treatment of dysphagia after apoplexy （DAS） syndrome of phlegm and blood stasis blocking collaterals. Method:One hundred and eight patients were randomly divided into control group （54 cases） and observation group （54 cases） by number table. Both groups underwent nutritional management，rehabilitation training and acupuncture. Patients in control group additionally took Tongluo Huatan capsules， 3 granules/time， 3 times/day， while patients in observation received modified Ditantang. Both groups had two weeks of treatment. The Kubota's drinking water test， swallowing contrast examination （VFSS）， and standard swallowing function assessment （SSA） were conducted. Swallowing disorder specific quality of life scale （SWAL-QOL） and sputum collateral stasis syndrome were scored before and after treatment. The levels of brain-derived neurotrophic factor （BDNF）， nerve growth factor （NGF） and neuron-specific enolase （NSE） before and after treatment. The occurrence of pneumonia， malnutrition， dehydration and aspiration were then recorded. Result:The clinical effective rate was （47/49） 95.92%in the observation group， higher than （41/50） 82.00% in the control group's （<italic>χ</italic>²=4.854，<italic>P</italic><0.05）. The grade of Kubota's drinking water test in observation group was lower than that in the control group（<italic>Z</italic>=2.211，<italic>P</italic><0.05）. VFSS swallowing dysfunction in observation group was lighter than that in control group（Z=1.969，<italic>P</italic><0.05）. The scores of Kubota's drinking water test， SSA and phlegm and blood stasis blocking collateral syndrome in the observation group were all lower than those in the control group（<italic>P</italic><0.01）， while the VFSS score was higher than that in control group （<italic>P</italic><0.01）. The swallowing symptom score， other symptom scores and total SWAL-QOL scores of the observation group were higher than those of the control group（<italic>P</italic><0.01）. The levels of BDNF and NGF in the observation group were higher than those in the control group （<italic>P</italic><0.01）， but the NSE level was lower than that in the control group（<italic>P</italic><0.01）. The complication rate in the observation group was （6/49）12.24%， which was lower than （15/50）30.00% in the control group（<italic>χ</italic>²=4.668，<italic>P</italic><0.05）. Conclusion:On the basis of nutrition management and rehabilitation training， modified Ditantang combined with acupuncture can reduce the risk of dysphagia and aspiration， improve the degree of neurological deficits， improve the quality of life， and reduce complications in treatment of DAS syndrome of phlegm and blood stasis， with significant clinical efficacy.

Effect of nurses' hierarchical management on nurses' professional life quality, nursing quality and nursing risk in emergency department / 中国实用护理杂志

Objective:To explore the impact of nurses' hierarchical management on nurses' professional life quality, nursing quality and nursing risk in emergency department.Methods:A total of 40 nurses who were on duty in the Emergency Department of Tangshan Gongren Hospital from February 2018 to May 2020 were selected for the study. Our hospital performed routine management of emergency department nurses from February 2018 to February 2019. After a 3-month wash-out period, nurses were managed hierarchically from May 2019 to May 2020. According to the practical experience and educational background of nurses, they were divided into 5 levels, namely N0 level assistant nurse ( n=12), N1 level registered nurse ( n=9), N2 level responsible nurse ( n=10), N3 level specialist nurse ( n=5), N4 expert level ( n=4). Before and after the hierarchical management of nurses in the emergency department, the Quality of Nursing Work Life (QNWL) scale was used to evaluate the nurse′s quality of life, and the nursing quality was assessed by the Nursing Service Quality Questionnaire. Analyze the incidence of errors in the nursing process to assess the nursing risk. Results:The scores of work environment, work family balance, social environment, workload score and QNWL total score before the implementation of hierarchical management were 46.33 ± 8.52, 30.01 ± 6.07, 21.45 ± 4.60, 94.52 ± 8.06, 192.31 ± 12.46, respectively. After implementation, the scores were 51.29 ± 4.75,34.62 ± 4.68, 25.89 ± 3.58, 109.43 ± 6.15 and 221.23 ± 10.03, respectively. The scores after implementation were higher than those before ( t value was 3.216-11.435, P<0.05). The scores of human resource allocation, ward management, operating procedures, basic nursing, nurse training, nursing efficiency, nursing record writing, and first-aid goods management were 84.29 ± 9.75, 80.39 ± 12.46, 83.02 ± 5.63, 80.93 ± 9.84, 87.14 ± 6.12, 85.91 ± 8.46, 88.20 ± 6.76 and 83.51 ± 7.18, respectively. After the implementation, the scores were 92.38 ± 4.66, 94.67 ± 3.89, 91.25 ± 6.37, 94.78 ± 3.56, 95.01 ± 3.78, 93.81 ± 4.11, 95.13 ± 3.07, 93.57 ± 4.62, respectively. The scores after implementation were higher than those before ( t value was 4.735-8.371, P<0.05). After the implementation of nurses' hierarchical management, the nursing error rate was 4.44% (8/180), which was significantly lower than 10.00% (18/180) before implementation ( χ2 value was 4.146, P<0.05). Conclusions:The application of hierarchical management of nurses in emergency department can improve nurses' professional life quality, improve nursing quality, and reduce the incidence of nursing errors. It is worthy of popularization and application in emergency department.

Attach importance to the prevention and treatment of skeletal muscle loss in surgical patients / 中华消化外科杂志

Skeletal muscle is the largest tissue as well as organ of human body. It is also the major form of lean mass and proteins. Loss of skeletal muscle will reduce the tolerance of illness and trauma, negatively affect clinical treatments, increase the incidence of complications and lead to decreasing of quality of life and increasing of mortality, which will affect the prognosis. Due to the factors such as the underlying disease and surgical trauma, patients undergoing surgeries face a high risk of skeletal muscle loss. However, not enough attention has been paid to the prevention and treatment of skeletal muscle loss. Based on the latest researches and his own clinical and research experience, the author discusses the epidemiologic feature of skeletal muscle loss in surgical candi-dates, and the impacts of skeletal muscle loss on prognosis, its detecting methods as well as preven-tion and treatment strategies, in order to raise the awareness of prevention and treatment of skeletal muscle in surgical patients.

Analysis of life quality related to cough and influencing factors in lung cancer patients after video-assisted thoracoscopic surgery based on enhanced recovery after surgery / 中国实用护理杂志

Objective:To understand the status of life quality related to cough in lung cancer patients after video-assisted thoracoscopic surgery (VATS) and to explore its influencing factors based on enhanced recovery after surgery(ERAS).Methods:By using the convenience sample way, a total of 140 patients in lung cancer who were admitted to the VATS from Chinese Academy of Medical Science, Cancer Hospital were selected as study objects from June to August 2020. Mandarin Chinese version of the Leicester cough questionnaire(LCQ-MC) was used to measure the status of life quality related to cough in lung cancer patients after surgery.The influencing factors were analyzed by single factor analysis and multivariate linear regression analysis.Results:The score of LCQ-MC of patients after VATS (15.83±1.93) was significantly lower than before (19.03±1.64) ( t value was 17.149, P<0.01) . In terms of physiology,psychology and society, the score of LCQ-MC after VATS (4.88±0.84, 5.25±0.71, 5.70±0.73) was also apparently lower than before (6.23±0.77, 6.20±0.84, 6.60±0.72) ( t values were 14.816, 11.338,11.276, P<0.01).The single factor analysis indicated that life quality related to cough had some connections with age( F value was 3.274), cough condition before surgery ( t value was -2.174), operation methods ( F value was 2.837), the time of chest tube retained ( F value was 3.690) and drinking ( t value was -3.033) after VATS( P<0.05). The multiple-factor result showed that age, cough condition before surgery and the time of chest tube retained were the independent factors affecting the life quality related to cough in lung cancer patients after VATS( P<0.05). Conclusion:The lung cancer patients after VATS cough obviously, and their life quality is lower. At the same time, it has some effect on physiology, psychology and society to a certain extent. Medical staff should pay more attention to the elderly and who cough obviously and develop individual interventions before the surgery.After that, in order to remove the chest tube as early as possible, the guidance of pulmonary rehabilitation and mental nursing should be suggested to patients to improve their life quality.

The Association of Skin and Nasal Colonisations of Staphylococcus aureus in Children with Atopic Dermatitis with Disease Severity and Its Impact on Quality of Life

Background@#Atopic dermatitis (AD) is a chronic, recurrent, pruritic inflammatory skin disease that causes significant burden to affected children. Staphylococcus aureus plays a vital role in AD, and its resistance to current topical antibiotics is worrying. This study aims to determine the frequency of Staphylococcus aureus colonisation and its resistance pattern. It further assesses the association between Staphylococcus aureus colonisation and disease severity; as well as its impact on quality of life.@*Methods@#A cross-sectional study was conducted among 153 children with AD. Skin and nasal swabs were collected. Antibiotic sensitivity to penicillin, cefoxitin, erythromycin, methicillin, clindamycin, gentamicin, trimethoprim/sulfamethoxazole, tetracycline, rifampicin, fusidic acid and linezolid were tested. Clinical evaluation was performed using the SCORing Atopic Dermatitis index (SCORAD). Quality of life was assessed with the Dermatological Life Quality Index (DLQI).@*Results@#Twenty-nine patients had positive skin swab results. One patient had methicillin-resistant Staphylococcus aureus isolated from nasal swab. Skin colonisation with Staphylococcus aureus (p=0.03) and DLQI (p<0.01) were significantly associated with disease severity. The resistant rate is highest in penicillin, followed by fusidic acid, tetracycline, and erythromycin.@*Conclusion@#Skin colonisation with Staphylococcus aureus is an indicator of disease severity in children with AD. Patients with severe disease have lower quality of life. Clinicians need to be aware of high resistance rates towards penicillin and fusidic acid and be prudent in the choice of antibiotics. Antiseptic wash can be considered in patients with Staphylococcus aureus colonisation.

Effects of inspiratory muscle training on cardiac autonomic nervous function and the life quality of elderly women / 中华物理医学与康复杂志

Objective:To explore the effect of inspiratory muscle training (IMT) on cardiac autonomic nerve function and the life quality of elderly women.Methods:Fifty-six healthy women aged 60 to 70 were randomly divided into an IMT group and a placebo control group (PLA), each of 28. The IMT group was given IMT training 5 times a week for 5 weeks with the inspiratory resistance set at 50% of their maximum inspiratory pressure (MIP). The PLA group was treated similarly, but the inspiratory resistance was set at the 5% of the MIP. Before and after the intervention, both groups were evaluated in terms of heart rate variability (HRV) at rest, and heart rate during the inspiratory phase (HR-in) and expiratory phase (HR-ex) of deep breathing. Their quality of like was quantified using the World Health Organization′s quality of life scale (WHOQOL-100).Results:After the intervention, the average MIP and high frequency power in the HRV spectrum had increased significantly, but the ratio of low frequency to high frequency power had decreased significantly in the IMT group. In deep breathing the average HR-in and HR-ex both had decreased significantly. The average scores on all dimensions of the WHOQOL-100 were significantly higher than before the intervention and higher than those of the control group. Indeed, there were no significant differences in the PLA group′s results before and after the intervention.Conclusions:Five weeks of IMT training can significantly improve the cardiac autonomic nerve function and life quality of elderly women. This provides a reference for prescribing rehabilitation exercise for such women.