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1.
Complement Ther Clin Pract ; 45: 101490, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34638053

RESUMO

BACKGROUND AND PURPOSE: This study aimed to identify the research evidence on acupoint stimulation (AS) for cancer-related fatigue (CRF) management. METHODS: Randomised controlled trials that utilised AS for CRF management were retrieved. The Cochrane Back Review Group Risk of Bias Tool was used for quality appraisal. RevMan 5.3 was used for meta-analysis. RESULTS: Fifteen studies were included. Both the overall (SMD = -0.95, p = 0.008) and sub-group (acupuncture: SMD = -1.25, p = 0.002; short-term AS: SMD = -0.95, p = 0.02; medium-term AS: SMD = -0.96, p = 0.003) analyses indicated that AS was more effective in alleviating CRF than standard treatment/care. A comparison between the true and sham AS interventions favoured the true AS for CRF management, although the difference did not reach statistical significance. CONCLUSION: This study identified a promising role of AS in improving CRF. However, the study findings should be interpreted prudently due to the limited quality and sample sizes of some of the included studies.


Assuntos
Terapia por Acupuntura , Acupuntura , Neoplasias , Pontos de Acupuntura , Fadiga/etiologia , Fadiga/terapia , Humanos , Neoplasias/complicações , Neoplasias/terapia , Ensaios Clínicos Controlados Aleatórios como Assunto
2.
Front Oncol ; 10: 591610, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33335858

RESUMO

Objectives: To evaluate the efficacy of a brief tailored non-pharmacological intervention comprising breathing retraining and psychosocial support for managing dyspnea in cancer patients. Design: Multicenter, single blinded, parallel group, randomized controlled trial. Setting: Four major public hospitals, Brisbane, Australia. Participants: One hundred and forty four cancer patients, including 81 who received an 8-week tailored intervention and 63 who received standard care. Inclusion Criteria: Diagnosis of small or non-small cell lung cancer, mesothelioma or lung metastases; completed first line therapy for the disease; average dyspnea rating >2 on (0-10) rating scale in past week; anticipated life expectancy ≥3 months. Outcomes: The primary outcome measure was change in "worst" dyspnea at 8 weeks compared to baseline. Secondary outcomes were change in: dyspnea "at best" and "on average"; distress; perceived control over dyspnea; functional status, psychological distress; and use of non-pharmacological interventions to manage dyspnea at 8 weeks relative to baseline. Results: The mean age of participants was 67.9 (SD = 9.6) years. Compared to the control group, the intervention group demonstrated a statistically significant: (i) improvement in average dyspnea from T1(M = 4.5, SE = 0.22) to T3 (M = 3.6, SE = 0.24) vs. (M = 3.8, SE = 0.24) to (M = 4.1, SE = 0.26); (ii) greater control over dyspnea from T1 (M = 5.7, SE = 0.28) to T3 (M = 7.5, SE = 0.31) vs. (M = 6.8, SE = 0.32) to (M = 6.6, SE = 0.33); and (iii) greater reduction in anxiety from T1 (M = 5.4, SE = 0.43) to T3 (M = 4.5, SE = 0.45) vs. (M = 4.2, SE = 0.49) to (M = 4.6, SE = 0.50). This study found no intervention effect for best and worst dyspnea, distress from breathlessness, functional status, and depression over time. Conclusions: This study demonstrates efficacy of tailored non-pharmacological interventions in improving dyspnea on average, control over dyspnea, and anxiety for cancer patients. Clinical Trial Registration: The trial is registered at the Australian New Zealand Clinical Trials Registry (http://www.anzctr.org.au). The registration number is ACTRN12607000087459.

3.
Arch Psychiatr Nurs ; 28(5): 327-32, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25439974

RESUMO

The purpose of this study was to identify the predictors of health-related quality of life (HRQOL) among caregivers of children with autism spectrum disorders (ASD) in China. Two hundred and seventy-three caregivers were surveyed using questionnaires on HRQOL, family functioning, coping style, social support, and caregiver burden. Besides socio-demographic characteristics of children with ASD and their caregivers, results demonstrate that family functioning, coping style, social support, caregiver burden are predictors of HRQOL in caregivers of children with ASD, and these predictors correlated with each other. These results indicate that comprehensive intervention, which focuses on improving caregivers' coping strategies, social support (especially from family members and friends) and family functioning, and on releasing caregiver burden, should be provided to caregivers of children with ASD.


Assuntos
Transtorno do Espectro Autista/psicologia , Pais/psicologia , Qualidade de Vida , Adulto , Pré-Escolar , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Qualidade de Vida/psicologia , Apoio Social , Inquéritos e Questionários
4.
J Thorac Dis ; 5 Suppl 5: S623-8, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24163753

RESUMO

Lung cancer patients face poor survival and experience co-occurring chronic physical and psychological symptoms. These symptoms can result in significant burden, impaired physical and social function and poor quality of life. This paper provides a review of evidence based interventions that support best practice supportive and palliative care for patients with lung cancer. Specifically, interventions to manage dyspnoea, one of the most common symptoms experienced by this group, are discussed to illustrate the emerging evidence base in the field. The evidence base for the pharmacological management of dyspnoea report systemic opioids have the best available evidence to support their use. In particular, the evidence strongly supports systemic morphine preferably initiated and continued as a once daily sustained release preparation. Evidence supporting the use of a range of other adjunctive non-pharmacological interventions in managing the symptom is also emerging. Interventions to improve breathing efficiency that have been reported to be effective include pursed lip breathing, diaphragmatic breathing, positioning and pacing techniques. Psychosocial interventions seeking to reduce anxiety and distress can also improve the management of breathlessness although further studies are needed. In addition, evidence reviews have concluded that case management approaches and nurse led follow-up programs are effective in reducing breathlessness and psychological distress, providing a useful model for supporting implementation of evidence based symptom management strategies. Optimal outcomes from supportive and palliative care interventions thus require a multi-level approach, involving interventions at the patient, health professional and health service level.

5.
Int J Nurs Pract ; 19(2): 156-62, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23577973

RESUMO

The aim of the current study was to examine the dimensions and reliability of a hospital safety climate questionnaire in Chinese health-care practice. To achieve this, a cross-sectional survey of health-care professionals was undertaken at a university teaching hospital in Shandong province, China. Our survey instrument demonstrated very high internal consistency, comparing well with previous research in this field conducted in other countries. Factor analysis highlighted four key dimensions of safety climate, which centred on employee personal protection, employee interactions, safety-related housekeeping and time pressures. Overall, this study suggests that hospital safety climate represents an important aspect of health-care practice in contemporary China.


Assuntos
Hospitais de Ensino/organização & administração , Gestão da Segurança/organização & administração , Inquéritos e Questionários , China , Estudos Transversais , Análise Fatorial , Humanos , Recursos Humanos em Hospital , Reprodutibilidade dos Testes
6.
Nurs Health Sci ; 15(1): 109-12, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23025582

RESUMO

This study was undertaken as one of the first investigations of nurses' smoking habits in Longkou city, Shandong Province, China. An anonymous cross-sectional survey was administered as part of a larger investigation of healthcare professionals at a university teaching hospital during 2008. A total of 88 nurses responded to the survey, from whom tobacco-related data were provided by 83 of them (94%). Their overall smoking rate was very low (1%), with no male nurses reporting themselves to be current tobacco users. Overall, the current study suggests that smoking rates are very low among Chinese nurses in Longkou city, Shandong Province. These results are also consistent with studies of nurses' tobacco use conducted in other regions of China.


Assuntos
Hospitais Universitários/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Fumar/epidemiologia , Adulto , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Incidência , Masculino , Inquéritos e Questionários
7.
Tob Induc Dis ; 10(1): 14, 2012 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-23006640

RESUMO

BACKGROUND: Tobacco control represents a key area in which doctors can make a significant positive impact on their patients' lives. Despite this fact, however, doctors in certain regions of China are known to smoke tobacco at rates similar to or even exceeding those seen within the general population. OBJECTIVE: This study sought to investigate the smoking habits of doctors at a teaching hospital in Shandong province, as well as providing a brief review of smoking research that has been conducted among doctors elsewhere in China. METHOD: An anonymous questionnaire survey was distributed to doctors working at a university teaching hospital in 2008, as part of a larger study of occupational health issues in the healthcare profession. RESULTS: The overall smoking prevalence rate of doctors in this study was 36.3% with significant differences observed between the genders (males: 46.7% and females: 5.3%). Age and total career length were also correlated with smoking habit, although no significant associations were found with department of employment. CONCLUSIONS: Overall, our study suggests that smoking rates among doctors in Shandong province are higher than those documented in many other countries, a finding which is consistent with previous research conducted in some other Chinese provinces. Addressing this issue from an intrinsic cultural perspective will clearly need to form the cornerstone of tobacco control efforts within the Chinese medical community in future years.

8.
J Occup Environ Med ; 54(7): 820-5, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22796926

RESUMO

OBJECTIVE: To examine whether shift work is a risk factor for low back pain (LBP) and the interaction effects of shift work and overweight/obesity on LBP over time among nurses. METHODS: A longitudinal study over 2 years. Measurements included reported LBP, shift work status, and selected potential confounders. RESULTS: Among 928 LBP-free nurses at baseline, 319 (34.4%) developed LBP over 2 years. After adjusting for confounders, shift workers were 1.15 times more likely to develop LBP (adjusted odds ratio [aOR], 1.15; 95% confidence interval, 1.05 to 1.40; P = 0.03). The interaction analysis showed that overweight/obese shift workers were more likely to develop LBP than day workers (overweight: aOR, 1.23 vs aOR, 1.03, respectively; obesity: aOR, 1.34 vs aOR, 1.10, respectively). CONCLUSIONS: Our findings suggest that shift workers are at a higher risk of developing LBP over time, especially those who are overweight/obese.


Assuntos
Dor Lombar/epidemiologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Sobrepeso/epidemiologia , Tolerância ao Trabalho Programado , Adulto , Idoso , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/epidemiologia , Risco , Adulto Jovem
9.
J Occup Environ Med ; 54(7): 834-40, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22796928

RESUMO

OBJECTIVE: To examine the associations between shift work types and overweight/obesity among female nurses and midwives. METHODS: A cross-sectional study. Measurement included exposure variables: rotating shift work and night-only shift work; outcome variables: overweight and obesity; and potential confounding and associated variables: modifiable lifestyle factors, general health status, menopausal status, and work pattern. RESULTS: Among the 2086 participants, almost 60% were overweight/obese (31.7% overweight; 27.1% obese). After we adjusted the selected confounders, we found that rotating shift workers were 1.02 times more likely to be overweight/obese than day workers (P = 0.007; 95% confidence interval [95% CI], 1.004 to 1.03; and P = 0.02; 95% CI: 1.004 to 1.04, respectively). Night-only shift work was found to be significantly associated with obesity only (P = 0.031; relative risk, 1.02; 95% CI, 1.002 to 1.04). CONCLUSIONS: Rotating shift work was associated with both overweight and obesity; and night-only shift work was associated with obesity, not overweight.


Assuntos
Tocologia/estatística & dados numéricos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Sobrepeso/epidemiologia , Tolerância ao Trabalho Programado , Adulto , Idoso , Estudos Transversais , Feminino , Nível de Saúde , Humanos , Estilo de Vida , Pessoa de Meia-Idade , Prevalência , Inquéritos e Questionários , Adulto Jovem
10.
J Occup Environ Med ; 54(5): 525-31, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22576459

RESUMO

OBJECTIVES: To examine the impact of maintaining or changing shift work status on body mass index (BMI) among female nurses and midwives. METHODS: A longitudinal study. Measurements included day work maintainers, shift work maintainers, day to shift changers and shift to day changers, changes in BMI, and potential confounders selected from baseline survey. Repeated measures analysis of covariance was employed. RESULTS: The shift to day changers had decreased in BMI over the follow-up period (mean, -3.02; SD, 5.45; P < 0.001). In contrast, the shift work maintainers and the day to shift changers had increased in BMI over follow-up period (mean, 0.56; SD, 5.47; P = 0.01 and mean, 0.13; SD, 5.64; P = 0.04, respectively). CONCLUSIONS: The analysis suggests that shift work could increase BMI.


Assuntos
Índice de Massa Corporal , Admissão e Escalonamento de Pessoal , Tolerância ao Trabalho Programado/fisiologia , Adulto , Idoso , Consumo de Bebidas Alcoólicas , Distribuição de Qui-Quadrado , Dieta , Feminino , Humanos , Estilo de Vida , Estudos Longitudinais , Pessoa de Meia-Idade , Tocologia , Atividade Motora , Análise Multivariada , Enfermagem , Fumar , Adulto Jovem
11.
Curr Opin Support Palliat Care ; 6(2): 144-52, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22469670

RESUMO

PURPOSE OF REVIEW: The study provides a review of current evidence about the role of complex nonpharmacological strategies in managing the multidimensional components of the breathlessness experience for individuals with life-limiting conditions. RECENT FINDINGS: Evidence continues to demonstrate the significant impact of breathlessness on patients' quality of life, day-to-day activity, and physical and psychosocial functioning. Recent evidence also confirms that patients draw on a number of self-initiated actions to cope with breathlessness, although many do not use strategies that are supported by a growing body of evidence from randomized controlled trials. Current literature supports the use of multicomponent, nonpharmacological interventions comprising strategies to improve breathing efficiency and reducing psychological distress to manage breathlessness. However trials of these approaches have mostly been conducted among patients with chronic obstructive pulmonary disease (COPD) or lung cancer, and few studies have investigated the benefits of nonpharmacological for patients in later stages of disease. Further investigation of interventions is required across a broader range of chronic life-limiting conditions. Addressing breathlessness and its co-occurring symptoms (symptom clusters) is also an area for future enquiry. SUMMARY: The experience of breathlessness and strategies adopted by patients to manage the experience highlight the importance of multidimensional approaches to improve outcomes for patients with life-limiting conditions. There is good evidence to support the role of multicomponent, nonpharmacological interventions in reducing breathlessness for patients with COPD and lung cancer, although further studies are required to understand the particular clinical contexts in which such interventions are appropriate.


Assuntos
Adaptação Psicológica , Dispneia/terapia , Qualidade de Vida , Atividades Cotidianas , Ansiedade/prevenção & controle , Ansiedade/terapia , Dispneia/psicologia , Humanos , Estresse Psicológico/prevenção & controle , Estresse Psicológico/terapia
12.
Midwifery ; 27(3): 342-9, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21481994

RESUMO

Existing workforce data, as an estimate of the current capability of the midwifery workforce to provide midwifery care, is confounded by systematic reporting issues that may overestimate the potential of the existing midwifery workforce. This paper reports the characteristics of qualified Australian midwives who responded to the baseline data collection in the Midwives and Nurses e-Cohort Study and compares those who are currently practising in midwifery with those who are not. Currently practising midwives represented only 52% of those respondents who identified as midwives and the profile of the typical midwife is female, aged over 40 years, Australian, married or in a de facto relationship. She has been registered for over 10 years, educated to postgraduate diploma level and currently works in a clinical midwifery role in a hospital for less than 35 hours per week. Specific deficits in the Australian midwifery workforce namely low numbers of indigenous midwives, independent practitioners and midwives suitably qualified to teach and undertake research in academia are identified. Drawing on the nationally representative e-cohort data, this cross-sectional analysis identifies for the first time the real face of the Australian midwifery workforce and provides an evidence-based foundation for future workforce planning and a methodology for other countries interested in accurately monitoring their actual and potential midwifery workforce.


Assuntos
Internet , Serviços de Saúde Materna/estatística & dados numéricos , Tocologia/estatística & dados numéricos , Enfermeiras Obstétricas/estatística & dados numéricos , Papel do Profissional de Enfermagem , Padrões de Prática em Enfermagem/estatística & dados numéricos , Adulto , Austrália/epidemiologia , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Tocologia/organização & administração , Enfermeiras Obstétricas/organização & administração , Relações Enfermeiro-Paciente , Pesquisa Metodológica em Enfermagem , Autonomia Profissional , Inquéritos e Questionários
13.
J Occup Environ Med ; 53(2): 153-8, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21270661

RESUMO

OBJECTIVE: To examine the association between shift work and unhealthy weight among female nurses and midwives. METHODS: A cross-sectional study. Measurement outcomes included shift work, unhealthy weight (underweight: body mass index [BMI] < 18.5; overweight: BMI 25.0 to 29.9; obesity: BMI > 30.0), diet quality, physical-activity level, alcohol consumption, and smoking status. RESULTS: Among the 2494 participants (1259 day and 1235 shift workers), only 1% of the participants were underweight, 31.8% were overweight, and 26.9% were obese. After adjusting the selected confounders, shift workers were 1.15 times more likely to be overweight/obese than day workers (P = 0.013, 95% confidence interval, 1.03 to 1.28; P = 0.02, 95% confidence interval, 1.02 to 1.30, respectively). CONCLUSIONS: Shift work is associated with higher risk of being overweight/obese. Longitudinal studies are being undertaken to better understand the causal relationship between shift work and unhealthy weight.


Assuntos
Sobrepeso/epidemiologia , Tolerância ao Trabalho Programado , Adulto , Idoso , Consumo de Bebidas Alcoólicas/epidemiologia , Estudos Transversais , Dieta , Feminino , Humanos , Estudos Longitudinais , Pessoa de Meia-Idade , Tocologia/estatística & dados numéricos , Atividade Motora , Enfermeiras e Enfermeiros/estatística & dados numéricos , Prevalência , Fumar/epidemiologia , Adulto Jovem
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