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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

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

Joint association of physical activity/screen time and diet on CVD risk factors in 10-year-old children

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Frontiers of Medicine 2012年第4期6卷 428-435页

作者： Clemens Drenowatz Joseph J.Carlson Karin A.Pfeiffer Joey C.Eisenmann Department of Kinesiology Michigan State UniversityEast LansingMI 48824USA Department of Radiology Division of Sports and Cardiovascular NutritionMichigan State UniversityEast LansingMI 48824USA

The increasing prevalence of childhood overweight and obesity has been associated with an increased risk for cardiovascular disease(CVD).While several studies examined the effect of single behaviors such as physical activity(PA),sedentary behavior or diet on CVD risk,there is a lack of research on combined associations,specifically in ***,the purpose of this study was to examine the joint association of PA or screen time(ST)and diet on CVD risk factors in ***,STand diet were assessed via questionnaire in 210 fifth grade students(age:10.6±0.4 years).The healthy eating index(HEI)was subsequently calculated as indicator for diet ***,weight,% body fat,and resting blood pressure were measured according to standard procedures and blood samples obtained via fingerprick were assayed for blood *** cholesterol HDL ratio(TC:HDL),mean arterial pressure(MAP),and % body fat were used as indicators of CVD risk.55% of children did not meet current PA recommendations on at least 5 days/week and 70% exceeded current recommendations for ***,only 2.5% possessed a“good”diet(HEI>80).There was no significant association of PA or STand diet on CVD risk *** TC:HDL,MAP,and % body fat nor the total CVD risk score was significantly correlated with diet,PA,or *** in the high PA group,however,had significantly better diet *** the fact that self-reported PA,ST,or dietary intake were not directly related to CVD risk in this sample,higher activity levels were associated with a healthier diet and lower ST indicating an overall healthier lifestyle of this subgroup.

关键词： exercise sedentary behavior metabolic syndrome health behavior adolescents TV time healthy eating index

Beer, wine and lifestyle: a cross-sectional study of the Belgian military population

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Military Medical Research 2015年第4期3卷 220-227页

作者： Patrick Mullie Peter Clarys Faculty of Physical Education and Physiotherapy Laboratory for Human Biometrics and Biomechanics Vrije Universiteit Brussel Unit of Epidemiology and Biostatistics Queen Astrid Military Hospital Erasmus University College

Background: A reduction in mortality associated with wine drinking compared to beer drinking has been suggested in the past. A recent meta-analysis could not confirm the observed differential effect. Other characteristics not related to specific components of beer and wine must play a role in the relationship between wine and mortality, thereby explaining the differential protective ***: A military population was selected to investigate the lifestyle differences between beer and wine drinkers. A food-frequency questionnaire was used to register alcohol and food consumption, together with questionnaires for health-related and lifestyle characteristics. Three dietary patterns were characterized by the healthy Eating Index 2010, the Mediterranean Diet Score and a pattern obtained by principal component ***: In the multivariate analysis, beer consumption decreased with increasing age, military rank, physical activity and dietary pattern scores. Beer consumption increased with total energy intake and with ***: Wine consumption was associated with a healthier lifestyle compared with beer consumption. Those differences must be taken into account when relating types of alcoholic beverage consumption with health-related outcomes.

关键词： Beer Wine Dietary pattern Nutritional assessment health behavior Males

Managing cardiovascular disease risk in South Asian kidney transplant recipients

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World Journal of Transplantation 2021年第6期11卷 147-160页

作者： G V Ramesh Prasad Vaishnavi Bhamidi Kidney Transplant Program St.Michael's HospitalToronto M5C 2T2ONCanada

South Asians(SA)are at higher cardiovascular risk than other ethnic groups,and SA kidney transplant recipients(SA KTR)are no *** KTR experience increased major adverse cardiovascular events both early and late *** risk management should therefore begin well before *** candidates may require aggressive screening for pretransplant cardiovascular disease(CVD)due to their ethnicity and *** SA ethnicity during the pre-transplant evaluation may enable programs to better assess cardiovascular risk,thus allowing for earlier targeted periand post-transplant intervention to improve cardiovascular *** remains the most prominent post-transplant cardiovascular risk factor in SA *** also clusters with other metabolic syndrome components including lower high-density lipoprotein cholesterol,higher triglycerides,hypertension,and central obesity in this ***,metabolic syndrome,and obesity are all significant CVD risk factors in SA KTR,and contribute to increased insulin *** biomarkers such as adiponectin,apolipoprotein B,and lipoprotein(a)may be especially important to study in SA *** interventions to improve health behaviors involving diet and exercise may especially benefit SA ***,there are few interventional clinical trials specific to the SA population,and none are specific to SA *** all cases,understanding the nuances of managing SA KTR as a distinct post-transplant group,while still screening for and managing each CVD risk factor individually in all patients may help improve the long-term success of all kidney transplant programs catering to multi-ethnic populations.

关键词： Cardiovascular risk South Asians Diabetes Dyslipidemia Metabolic syndrome health behavior Novel cardiovascular risk factors

在线健康信息替代搜寻对被替代者健康行为和健康水平的影响研究

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