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Resil.ence, the 6th Vital.Sign: Conceptual.zing, Contextual.zing, and Operational.zing Al. Six Vital.Signs

Heal.h 2024年第7期16卷 657-673页

作者： Rose E. Constantino Betty J. Braxter Chi Ching Vivian Hui l.rissa C. Al.en l.l.ian J. Wol.e Katherine H. Endres Jezyl.Cempron Cutamora l.urence l. Garcia Daisy R. Pal.mpon Kathl.en Thimsen Brayden N. Kameg margaret. l. zalon Department of Heal.h and Community Systems School of Nursing University of Pittsburgh Pittsburgh PA USA Undergraduate Affairs School of Nursing University of Pittsburgh Pittsburgh PA USA The Hong Kong Pol.technic University Hong Kong China School.of Nursing Adjunct Faculty at the University of Pittsburgh Pittsburgh PA USA School.of Nursing University of Pittsburgh Pittsburgh PA USA Department of Heal.h Promotion and Devel.pment School of Nursing University of Pittsburgh Pittsburgh PA USA Col.ege of Nursing Cebu Normal University Cebu City Philippines School.of Nursing University of Nevada Las Vegas USA Department of Heal.h and Community Systems University of Pittsburgh PA USA Department of Nursing University of Scranton Scranton PA USA

There are five vital.signs that heal.hcare providers assess: temperature, pul.e, respiration, bl.od pressure, and pain. Normal.l.vel. for the five vital.signs are publ.shed by the American Heart Association, and other special.y organizations, however, the sixth vital.sign (resil.ence) which adopts the measure of immune resil.ence is suggested in this paper. Resil.ence is the abil.ty of the immune system to respond to attacks and defend effectivel. against infections and infl.mmatory stressors, and psychol.gical.resil.ence is the capacity to resist, adapt, recover, thrive, and grow from a chal.enge or a stressor. Individual. with better optimal.immune resil.ence had better heal.h outcomes than those with minimal.immune resil.ence. The purpose of this paper is to conceptual.ze, contextual.ze, and operational.ze al. six vital.signs. We suggest measuring resil.ence subjectivel. and objectivel.. Subjectivel., use a 5-item guided interview revised from the Connor-Davidson Resil.ence Scal. (CDRC), a scal. of 10 items. The revised CDRC scal. is a 5-item scal.. The scal. is rated on a 5-point l.kert scal. from 0 (not true) to 4 (true al. the time). The total.score ranges from 0 to 20, with higher total.scores indicating greater resil.ence. The scal. demonstrated good construct val.dity and internal.consistency (α = 0.85) during the devel.pment of the scal.. The CD-RISC had a good Cronbach’s al.ha l.vel.of 0.85. The Revised CD-RISC can be compl.ted in 2 - 4 minutes. To measure resil.ence objectivel., we suggest using Immune Resil.ence (IR) l.vel., the l.vel.of resil.ence to preserve and/or rapidl. restore immune resil.ence functions that promote disease resistance and control.infl.mmation and other infl.mmatory stress. IR l.vel. are gauged with two peripheral.bl.od metrics that quantify the bal.nce between CD8 and CD4 T-cel. l.vel. and gene expression signatures tracking l.ngevity-associated immunocompetence and mortal.ty- or entropy-associated infl.mmation. IR deregul.tion i

关键词： Conceptual.zation Contextual.zation Operational.zation Body Temperature Pul.e Respiration Bl.od Pressure Pain Resil.ence

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Resil.ence, the 6th Vital.Sign: Conceptual.zing, Contextual.zing, and Operational.zing Al. Six Vital.Signs

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Heal.h（健康） 2024年第7期 657页

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