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Journal of Clinical and Nursing Research 2021年第1期5卷 16-19页

作者： Xinrui Zhang Huiying Huang Chunyan Yang Yanfang Du Xinying Wang Juan Zhang Fangshan District Liangxiang Hospital Beijing 102401China

Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The period from August 2018 to August 2020 was used as the research time range,and the random number table method was used as the basis for grouping.80 patients with malignant tumors who regularly performed fixed catheter maintenance care in the PICC clinic of our hospital were admitted in the experimental group(given PICC specialist nursing,and implemented continuous self-management education),and 80 patients with PICC tube malignant tumors discharged from the superior hospital during this time range served as the control group(return to the original catheterization hospital from time to time or perform catheter maintenance care in the nursing clinic of our hospital).The self-care ability scores,health behavior scores,and complications during intubation between both groups were ***:(1)There was no significant difference in self-care ability score and healthy behavior score between groups before the intervention,P>0.05;the self-care ability score and health behavior score of the research group were better than the control group after intervention,P***:Continuous self-management education has good effects on improving the self-care ability of tumor patients with PICC *** can urge patients to maintain good health behaviors and reduce *** is worthy of promotion.

关键词： Continuous self-management education PICC catheterization Tumor Self-care ability health behavior

Social Determinants of health behaviors in Primary School Children：A Cross-sectional Study of both Migrant and Resident Children in Beijing,China

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2016年第2期36卷 289-294页

作者：张炎朴玮纪颖 Beijing Center for Disease Control and Prevention Beijing 100013 China National Institute for Nutrition and health Chinese Center for Disease Control and Prevention Beijing 100050 China Department of Social Medicine and health Education School of Public Health Peking University Beijing 100191 China

Childhood risky behaviors always result in adverse health outcomes. These behaviors are greatly affected by social environment and individual factors. However, few studies explored the social determinants of schoolchildren＇s health behaviors. In this cross-sectional study, the social determinants of health behaviors were examined among both migrant and resident students in Beijing, China. Data of 967 children from six urban and suburban primary schools were analyzed using multiple linear regression analysis. The results showed that less than 60% of children performed some healthy behaviors, although their health knowledge was generally good. Children＇s health behavior scores were greatly determined by school characteristics, health knowledge, demographic characteristics, and family context. Therefore, improving health education and conditions in primary schools is the priority to promote children＇s healthy behaviors, especially for disadvantaged children.

关键词： health behavior lifestyle school health social determinants

Ideal cardiovascular health and mortality:pooled results of three prospective cohorts in Chinese adults

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Chinese Medical Journal 2023年第2期136卷 141-149页

作者： Yanbo Zhang Canqing Yu Shuohua Chen Zhouzheng Tu Mengyi Zheng Jun Lv Guodong Wang Yan Liu Jiaxin Yu Yu Guo Ling Yang Yiping Chen Kunquan Guo Kun Yang Handong Yang Yanfeng Zhou Yiwen Jiang Xiaomin Zhang Meian He Gang Liu Zhengming Chen Tangchun Wu Shouling Wu Liming Li An Pan Ministry of Education Key Laboratory of Environment and health State Key Laboratory of Environmental Health(Incubating)School of Public HealthTongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubei 430030China Department of Epidemiology and Biostatistics School of Public HealthPeking University Center for Public Health and Epidemic Preparedness&ResponsePeking University Health Science CenterBeijing 100191China Department of Cardiology Kailuan HospitalNorth China University of Science and TechnologyTangshanHebei 063000China Department of Cardiology Tangshan Worker’s HospitalTangshanHebei 063000China Chinese Academy of Medical Sciences Beijing 100191China Clinical Trial Service Unit and Epidemiological Studies Unit Nuffield Department of Population HealthUniversity of OxfordOxford OX37LFUnited Kingdom Affiliated Dongfeng Hospital Hubei University of MedicineShiyanHubei 442001China

Background: Evidence on the relations of the American Heart Association’s ideal cardiovascular health (ICH) with mortality in Asians is sparse, and the interaction between behavioral and medical metrics remained unclear. We aimed to fill the gaps. Methods: A total of 198,164 participants without cancer and cardiovascular disease (CVD) were included from the China Kadoorie Biobank study (2004-2018), Dongfeng-Tongji cohort (2008-2018), and Kailuan study (2006-2019). Four behaviors (i.e., smoking, physical activity, diet, body mass index) and three medical factors (i.e., blood pressure, blood glucose, and blood lipid) were classified into poor, intermediate, and ideal levels (0, 1, and 2 points), which constituted 8-point behavioral, 6-point medical, and 14-point ICH scores. Results of Cox regression from three cohorts were pooled using random-effects models of meta-analysis. Results: During about 2 million person-years, 20,176 deaths were recorded. After controlling for demographic characteristics and alcohol drinking, hazard ratios (95% confidence intervals) comparing ICH scores of 10-14 vs. 0-6 were 0.52 (0.41-0.67), 0.44 (0.37-0.53), 0.54 (0.45-0.66), and 0.86 (0.64-1.14) for all-cause, CVD, respiratory, and cancer mortality. A higher behavioral or medical score was independently associated with lower all-cause and CVD mortality among the total population and populations with different levels of behavioral or medical health equally, and no interaction was observed. Conclusions: ICH was associated with lower all-cause, CVD, and respiratory mortality among Chinese adults. Both behavioral and medical health should be improved to prevent premature deaths.

关键词： China health behavior Ideal cardiovascular health Metabolic health Mortality Noncommunicable diseases Body mass index Smoking Alcohol Exercise

Multidimensional health literacy profiles and health-related behaviors in the elderly:A cross-sectional survey

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International Journal of Nursing Sciences 2022年第2期9卷 203-210,I0006,I0007页

作者： Ying Xie Wenhong An Chunyuan Zheng Di Zhao Honghong Wang Xiangya School of Nursing Central South UniversityChangshaHunanChina School of health and Wellness Panzhihua UniversityPanzhihuaSichuanChina

Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related ***:A cross-sectional survey including 440 participants was conducted at a community health center and a village health center in Changsha,Hunan Province,between June 2020 and August *** used the health Literacy Questionnaire(HLQ)to assess the elderly’s health *** data and health-related behaviors of them were surveyed with a self-designed *** profile analysis,Pearson’s chi-squared and ordinal logistic regression were used to analyze the ***:The median age of the 440 respondents was 68 *** participants had the lowest scores in the“appraisal of health information”subscale(2.22±0.52),followed by“navigating the healthcare system”subscale(2.89±0.81)of *** on the analysis of three profiles,respondents who were 60 e74 years(OR=2.06,95%CI:1.23e3.42,P=0.006),living in urban areas(OR=3.28,95%CI:2.17e4.94,Phealth insurance(OR=1.89,95%CI:1.02e3.51,P=0.042)were significantly associated with health *** significant associations were found between health literacy level and health-related behaviors,including medical service-seeking behavior(χ^(2)=25.14,Phealth literacy survey has identified the low health literacy level among the elderly in community *** revealed the relationships of sociodemographic character-istics,including age,education level and residence,with health *** findings emphasized the importance of health literacy in promoting health behaviors,guiding a profound understanding of the Chinese elderly’s h

关键词： Aged China Community health centers health behavior health literacy Surveys and questionnaires

Dysphagia and daily oral fluids among cerebrovascular stroke patients:an theory-based nursing intervention protocol

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Frontiers of Nursing 2023年第2期10卷 213-222页

作者： Zeinab Hussein Ali Marwa Abd-Elaziz Amany Abdrbo Department of Adult health Nursing Faculty of NursingHelwan UniversityAin HelwanCairo 11795Egypt Department of Adult health Nursing&Focal Point of International Relations Faculty of NursingHelwan UniversityAin HelwanCairo 11795Egypt Nursing Department Almoosa College for Health SciencesEastern Province 31982Saudi Arabia

Objective:To evaluate the improvement of dysphagia and the daily amounts of oral fluids served among people who had recently experienced a cerebrovascular stroke(CVS)after applying a nursing intervention ***:A quasi-experimental design was used to examine 60 stroke patients who were randomly and alternatively divided equally into a study group and a control *** Swallowing Screen(GUSS)and fluid balance chart were *** the first 24 h of a patient’s admission,expert nurses were trained in nursing intervention protocol to manage dysphagia and daily oral ***:Post-nursing intervention,the severity of dysphagia decreased among the study group more than in the control ***,the study group began taking greater amounts of fluids by the oral route than before the nursing ***:A standardized nursing intervention protocol is needed to decrease the severity of dysphagia after CVS and increase the amount of daily oral *** presence of a structured theory-based nursing intervention protocol for dysphagia management will greatly contribute to decreasing the consequences of dysphagia after CVS,and can also be expected to attenuate the effects of aspiration pneumonia,dehydration,and malnutrition;further,it also increases adherence to the protocol by both nurses and patients.

关键词： dysphagia evidence-based health behavior nursing intervention oral fluid serving stroke

Chinese Immigrants’health Beliefs and Practices of Traditional Chinese Medicine in British Columbia of Canada

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Chinese Medicine and Culture 2022年第4期5卷 208-215页

作者： Tina Wu Master of Arts in Leadership Trinity Western UniversityRichmond V6X 2A9Canada

Objective:This study is to address the health beliefs and health behavior of Chinese immigrants residing in the Greater Vancouver area of British Columbia(BC)Province in *** article discussed Chinese immigrants’traditional Chinese medicine(TCM)use,health beliefs,and health ***:Information used in this study is based on data collected in the Chinese-speaking community in the Greater Vancouver area of BC in 2020–*** and qualitative methods were applied to this *** first stage recruited 314 participants for the quantitative study to cross-validate an instrument tool,followed by the 2nd stage of 20 stratified random sampling out of the 314 participants for TCM-related in-depth qualitative *** study focuses on the second stage of TCM qualitative ***:Results indicated that TCM health beliefs have cultural and spiritual meanings tied to the Chinese-speaking *** are barriers for the Chinese-speaking population to access the existing healthcare services due to their TCM health beliefs and other health needs,for example,family doctors,integrated medicine for better health outcomes,and mental health services especially during the coronavirus disease 2019(COVID-19)***:Integrating TCM health beliefs and behaviors of Chinese-speaking immigrants into existing Canadian mainstream health services are strongly recommended.

关键词： Culture health behavior health belief healthcare need Traditional Chinese medicine

A Cross-sectional Study of health-related behaviors in Rural Eastern China

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Biomedical and Environmental Sciences 2002年第4期15卷 347-354页

作者： SUNYE－HUAN YUTAK－SUNIGNATIUS 等 DepartmnetofEpidemiology AnhuuiMedicalUniversityHefeiAnhuiProvince230032China DepartmentofComunity＆FamilyMedicine TheChineseUniversityofHongKongHongKongSARChina

Objective This study examined the status of health-related behaviors among rural residents and the factors influencing the practice of such behaviors. Methods One thousand and ninety subjects aged 15 years or over in a rural community, Anhui Province, China were surveyed. A questionnaire was used to collect information on the health knowledge, attitude and behavior of the subjects. Information on health behavior included smoking, drinking, dietary habits, regular exercises, sleeping pattern and oral health behavior. Results The prevalence of smoking and drinking in the male subjects was 46.5% and 46.9%, respectively. There was a positive significant association between smoking and drinking. Only 8.3% of all subjects ate three regular meals a day regularly. Among subjects who ate two meals a day, 89.7% did not have breakfast. Only 1.7% of subjects took part in regular exercise. About 85% of subjects slept 6 to 8 h per day. Only 38.4 % of the respondents had the habit of hand washing before eating and after using the lavatory. 79.3% of the subjects brushed their teeth every day, and among them, only 10.6 percent brushed their teeth twice a day Further analyses showed that 64.8% of subjects had 3-5 items of positive health behaviors out of 8 items and only 16.9% had six or more items. Logistical regression analyses suggested that better health behavior was affected by sex, age, years of education, income and health knowledge. Conclusion The status of health behaviors among rural residents was generally poor. It is thus urgent to reinforce health education in rural communities in China.

关键词： health behavior Epidemiology Rural communily China

Factors associated with use of gastric cancer screening services in Korea

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World Journal of Gastroenterology 2009年第29期15卷 3653-3659页

作者： Young Min Kwon Hyung Taek Lim Kiheon Lee Be Long Cho Min Sun Park Ki Young Son Sang Min Park Department of Family Medicine Seoul National University Hospital Seoul National University College of Medicine 28 Yunkeon-dong Jongro-gu Seoul 110-744 South Korea Department of Medicine Yonsei University College of Medicine 134 Shinchon-dong Seodaemun-gu Seoul 120-752 South Korea Department of Family Medicine Seoul National University Bundang Hospital and Department of the History of Medicine and Medical Humanities Seoul National University College of Medicine 166 Gumi-ro Bundang-gu Seongnam-si Gyeonggi-do 463-707 South Korea

AIM: To identify the factors associated with participation in gastric cancer screening programs. METHODS: Using data from the Korea National health and Nutrition Examination Survey 2005 (KNHANES Ⅲ), a nationwide health-related surveyin Korea, a cross-sectional study was performed to investigate the multiple factors associated with gastric cancer screening attendance among persons aged at least 40 years. The study population included 4593 individuals who completed a gastric cancer screening questionnaire and had no previous cancer history. Four groups ofindividual-level or environmental level covariates were considered as potential associated ***: Using KNHANES Ⅲdata, an estimated31.71% of Korean individuals aged at least 40 years adhered to gastric cancer screening recommendations. Subjects who graduated from elementary school[adjusted odds ratio (aOR), 1.66; 95% CI: 1.21-2.26], middle/high school (aOR, 1.38; 95% CI: 1.01-1.89), and university or higher (aOR, 1.64; 95% CI: 1.13-2.37) were more likely to undergo gastric cancer screening than those who received no formal education at all. The population with the highest income tertile had more attendance at gastric screening compared to those with the lowest income tertile (aOR, 1.36; 95% CI: 1.06-1.73). Gastric screening was also negatively associated with excessive alcohol consumption (aOR, 0.71; 95% CI: 0.53-0.96). A positive attitude to preventive medical evaluation was significantly associated with better participation in gastric cancer screening programs (aOR, 5.26; 95% CI: 4.35-6.35). CONCLUSION: Targeted interventions for vulnerable populations and public campaigns about preventive medical evaluation are needed to increase gastric cancer screening participation and reduce gastric cancer mortality.

关键词： Socioeconomic factors health behavior health status disparity Mental health Early detectionof cancer

An extended assessment of bowel habits in a general population

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World Journal of Gastroenterology 2004年第5期10卷 713-716页

作者： Gabrio Bassotti Massimo Bellini Filippo Pucciani Renato Bocchini Antonio Bove Pietro Alduini Edda Battaglia Paolo Bruzzi Sezione di Gastroenterologia ed Epatologia Dipartimento di Medicina Clinica e SperimentaleUniversità di Perugia Sezione di Gastroenterologia Dipartimento di Medicina InternaUniversità di Pisa Clinica Chirurgica Generale e Discipline Chirurgiche Università di Firenze UO di Medicina Polispecialistica Azienda Sanitaria LocaleCesena UO di Gastroenterologia ed Endoscopia Digestiva Azienda Ospedaliera"A.Cardarelli"Napoli Dipartimento di Fisiopatologia Clinica Università di Torino Struttura Complessa di Epidemiologia Clinica IST GenovaItaly

AIM:Bowel habits are difficult to study, and most data on defecatory behaviour in the general population have been obtained on the basis of recalled interview. The objective assessment of this physiological function and its pathological aspects continues to pose a difficult challenge. The aim of this prospective study was to objectively assess the bowel habits and related aspects in a large sample drawn from thegeneral ***: Over a two-month period 488 subjects were prospectively recruited from the general population and asked to compile a daily diary on their bowel habits and associated signs and symptoms (the latter according to Rome Ⅱ criteria). A total of 298 (61%) participants returned a correctly compiled record, so that data for more than 8000 patient-days were available for statistical ***:The average defecatory frequency was once per day (range of 0.25-3.25) and was similar between males and ***, higher frequencies of straining at stool (P=0.001), a feeling of incomplete emptying and/or difficult evacuation (P=0.0001), and manual manoeuvres to facilitate defecation (P=0.046) were reported by females as compared to ***:This study represents one of the first attempts to objectively and prospectively assess bowel habits in a sample of the general population over a relatively long period of time. The variables we analyzed are coherent with the criteria commonly used for the clinical assessment of functional constipation, and can provide a useful adjunt for a better evaluation of constipated patients.

关键词： Defecation health behavior Adult Age Distribution Constipation Female Humans Male Middle Aged Prospective Studies Sex Distribution

Understanding Chinese international college and university students' physical activity behavior

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Journal of Sport and health Science 2015年第2期4卷 203-210页

作者： Zi Yan Bradley J.Cardinal Alan C.Acock Department of health Sciences-N8 Merrimack College College of Public health and Human Sciences Oregon State University

Objective： To examine factors of the youth physical activity promotion （YPAP） model that are associated with Chinese international students＇ meeting PA recommendations （MPAR）. Methods： A total of 649 （females = 320, males = 329） Chinese international college students participated in the study. This study was conducted in the United States （US.） between June and August in 2011. Participants completed an online survey regarding their demographic, PA, predisposing, enabling, and reinforcing factors. Results： Logistic nested-regression analysis suggested that being male, having a higher body mass index, perceived competence, self-efficacy, attitude, and enjoyment all increased （p 〈 0.001） the participants＇ odds of MPAR. Except language barriers, all of the enabling and reinforcing factors predicted MPAR indirectly through the predisposing factors （p 〈 0.001）. Conclusion： Understanding factors that influence PA among Chinese international students is an important step in the process of promoting their long-term health and wellbeing. Designing program that address the identified key factors may help colleges and universities achieve this goal.

关键词： health behavior health promotion Higher education Youth physical activity promotion model