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Antiretroviral therapy improves neurocognitive impairment in people living with HIV? A meta-analysis

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International Journal of nursing Sciences 2020年第2期7卷 238-247页

作者： Chang Gao Jingjing Meng Xueling Xiao Min Wang Ann Barterley Williams Honghong Wang Xiangya School of nursing Central South UniversityHunanChina The Institute of HIV/AIDS The First Hospital in ChangshaHunanChina rory meyers college of nursing New York UniversityNew YorkUSA

Objectives:Although effective antiretroviral therapy(ART)has been used for more than two decades,HIV-associated neurocognitive disorder remains ***,whether ART can improve neurocognitive impairment is *** review aims to explore the effects of ART on cognitive impairment in people living with HIV(PLWH).Methods:A systematic literature search was conducted in eight databases(PubMed,Embase,Web of Science,Cochrane Library,CNKI,VIP,China Biology Medicine disc,and WanFang)to identify studies that compare cognitive function between study groups who are administered and not administered *** searched for articles published up to April *** evaluation and data extraction were independently conducted by two ***:Sixteen articles(6,694 participants)-14 cross-sectional studies and 2 cohort studies—were included in this *** cross-sectional studies demonstrated that ART group did not perform better than the non-ART group(OR=1.16;95%CI,1.03-1.30).However,the cohort studies reported a significant improvement in cognitive function at three months(OR=4.01;95%CI,2.35-6.85)and six months(OR=9.24;95%CI,1.71-49.96)after ART initiation compared with the baseline *** significant cognitive improvement was found in participants younger than 55 years old,but the two crosssectional studies showed that ART may improve cognitive function in PLWH under 65 years old with poor physical condition and immune ***:ART could improve cognitive function in PLWH with poor physical condition and immune status,but it does not considerably improve cognition in the entire PLWH population.

关键词： Anti-retroviral agents Cognition Cognitive dysfunction HIV infections Neurocognitive disorders

An mHealth intervention to improve medication adherence among patients with coronary heart disease in China: Development of an intervention

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International Journal of nursing Sciences 2018年第4期5卷 322-330页

作者： Zhao Ni Changqing Liu Bei Wu Qing Yang Christian Douglas Ryan Jeffrey Shaw School of nursing Duke UniversityNC27705USA West China Hospital Sichuan UniversityChengduChina rory meyers college of nursing New York UniversityNYUSA

Objectives:With this study,we aimed to develop a mobile technology(mHealth)intervention to improve medication adherence among patients with coronary heart disease(CHD).Methods:The study was conducted in two phases with CHD patients from a Cardiology Department of a hospital located in *** phase was independent from the *** 1 tested the integration of the two apps-"WeChat"and"BB Reminder"-as an mHealth *** participants received the same educational materials via WeChat every two *** in the experimental group received a reminder from BB Reminder for every dose of their *** duration of Phase 1 was 30 days for each *** 2 refined the intervention,in which educational materials were sent every five days rather than every two days,and medication-taking reminders were sent daily rather than every ***:In Phase 1,an mHealth intervention was developed by integrating two mobile *** Phase 2,medication adherence increased at 30-day follow-up in both groups compared to *** the 30-day follow-up,the mean of the decrease in medication non-adherence score in the experimental group(M=1.35,SD=2.18,n=36)was more than the decrease in control group(M=0.69,SD=1.58,n=36),which means the medication adherence improved more in the experimental ***:The feasibility of using mHealth to remind CHD patients to take their medications is high.

关键词： China Coronary disease Medication adherence mHealth Mobile applications

Investigation for the transcultural self-efficacy of nurses in Guizhou,China

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International Journal of nursing Sciences 2020年第2期7卷 191-197页

作者： Juan Li Bei Wu Zhuang He Jiru Liu Rong Xiao Yong Luo Guizhou Provincial People’s Hospital Gui ZhouChina rory meyers college of nursing New York UniversityNew YorkUSA School of nursing Guizhou UniversityGui ZhouChina School of nursing Guizhou University of Traditional Chinese MedicineGui ZhouChina RN Saint Agnes HospitalBaltimoreMDUSA Chongqing Population and Family Planning Science and Technology Research Institute ChongqingChina

Aim:As conflict caused by cultural diversity among patients in China continues to rise,hospitals are in urgent need for improvement of transcultural efficacy among *** study aims to evaluate the transcultural self-efficacy of nurses working in the tertiary general hospital in Guizhou Province,an ethnic minority region in western China,and to identify whether nurses'demographic characteristics affect their transcultural ***:We used the Chinese version of the Transcultural Self-Efficacy Tool(TSET-CV)to survey 1,190 inservice ***:Results showed that the level of transcultural self-efficacy of the nurses was generally moderate;few of the nurses had high or low transcultural *** nurses'transcultural self-efficacy was affected by demographic variables,including age,marital status,employment type,income,work experience,and whether or not they were head *** a stable work environment,a stable marriage,a good educational background,and a high-ranked professional title were associated with increased transcultural ***:nursing administrators in hospitals should offer continuing education on transcuitural nursing according to nurses'demographic characteristics and the SEST scores.

关键词： China General hospitals Minority groups Nurses Self efficacy Surveys and questionnaires Transcultural nursing

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美国老年人家庭护理中不良事件防范探讨

护理研究 2020年第21期34卷 3866-3869页

作者：汤先萍 Bei Wu Chenjuan Ma 徐州医科大学江苏221009 new york university Rory Meyers College of Nursing

从不同视角探讨了美国老年人在家庭护理过程中出现不良事件的防范措施和策略,以期为提高我国老年人家庭护理服务质量、降低家庭护理中不良事件的发生率提供参考和借鉴。

关键词：家庭护理老年人不良事件病人安全居家养老综述

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Migration and cognitive function:a conceptual framework for Global Health Research

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Global Health Research and Policy 2018年第1期3卷 35-46页

作者： Hanzhang Xu Allison A.Vorderstrasse Eleanor S.McConnell Matthew E.Dupre TrulsØstbye Bei Wu School of nursing Duke UniversityDurhamNCUSA Department of Community and Family Medicine Duke UniversityDurhamNCUSA new york university rory meyers college of nursing New YorkNYUSA Geriatric Research Education and Clinical CenterDurham Department of Veterans Affairs Healthcare SystemDurhamNCUSA Department of Population Health Sciences Duke UniversityDurhamNCUSA Duke Clinical Research Institute Duke UniversityDurhamNCUSA Department of Sociology Duke UniversityDurhamNCUSA Duke Global Health Institute Duke UniversityDurhamNCUSA

Background:Migration is a fundamental demographic process that has been observed *** is suggested that migration is an issue of global health importance that can have an immediate and lasting impact on an individual’s health and *** is now an increasing body of evidence linking migration with cognitive function in older *** this paper,we synthesized the current evidence to develop a general conceptual framework to understand the factors contributing to the association between migration and cognitive ***:A comprehensive review of the literature was conducted on the associations between migration and cognition among middle-aged and older ***:Five potential mechanisms were identified from the literature:1)socioeconomic status-including education,occupation,and income;2)psychosocial factors-including social networks,social support,social stressors,and discrimination;3)behavioral factors-including smoking,drinking,and health service utilization;4)physical and psychological health status-including chronic conditions,physical function,and depression;and 5)environmental factors-including both physical and social *** underlying factors were also identified-including early-life conditions,gender,and genetic ***:The factors linking migration and cognitive function are multidimensional and *** conceptual framework highlights potential implications for global health policies and planning on healthy aging and migrant *** studies are needed to further examine these mechanisms to extend and refine our general conceptual framework.

关键词： linking occupation globally

Effects of a symptom management intervention based on group sessions combined with a mobile health application for persons living with HIV in China:A randomized controlled trial

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International Journal of nursing Sciences 2021年第4期8卷 370-379,I0001页

作者： Shuyu Han Yaolin Pei Rui Zhao Yan Hu Lin Zhang Xiang Qi Zheng Zhu Wenxiu Sun Bei Wu School of nursing Fudan UniversityShanghaiChina rory meyers college of nursing New York UniversityNew YorkUSA Children's Hospital of Fudan university ShanghaiChina Fudan university Centre for Evidence-based nursing:A Joanna Briggs Institute Centre of Excellence ShanghaiChina Shanghai Public Health Clinical Center Affiliated with Fudan university ShanghaiChina

Objective:This study aims to evaluate the effects of a symptom management intervention(SMI)based on symptom management group sessions combined with a mobile health(mHealth)application(app)on the knowledge of symptom management,the certainty of symptom self-management,symptom severity,symptom distress,medication adherence,social support,and quality of life among persons living with HIV(PLWH)in ***:A parallel randomized controlled trial with 61 PLWH was conducted in Shanghai,*** participants in the control group(n¼30)downloaded the Symptom Management(SM)app according to their needs and preferences,and received routine *** participants in the intervention group(n¼31)were guided to download and use the SM app,and received four tailored weekly group sessions at routine *** group session lasted for approximately 2 h and targeted one of the major modules of the SM *** the outcomes were assessed at baseline and *** study was registered with the Chinese Clinical Trial Registry(ChiCTR1900024821).Results:The symptom management knowledge and certainty of symptom self-management were significantly improved after the intervention(all P0.05).Conclusion:The SMI could improve PLWH’s symptom management knowledge and certainty of symptom ***-center studies with larger sample sizes and longer follow-ups are needed to further understand the effects of SM app on ameliorating symptom severity and symptom *** innovative strategies are also needed to promote and maintain the sustainability of the SM app.

关键词： China HIV Infections Mobile applications Medication adherence Quality of life Self-management Social support

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脑卒中后认知障碍病人口腔健康状况研究进展

护理研究 2020年第21期34卷 3834-3838页

作者：李颖汤先萍 Bei Wu 徐州医科大学护理学院江苏221004 new york university Rory Meyers College of Nursing

对脑卒中后认知障碍病人的口腔健康现状、口腔健康状况对脑卒中后认知障碍病人的影响、口腔健康与脑卒中后认知障碍的关系以及脑卒中后认知障碍病人的院内口腔护理干预等方面进行综述,分析现有研究中存在的问题和不足,为改善脑卒中病人... 详细信息

对脑卒中后认知障碍病人的口腔健康现状、口腔健康状况对脑卒中后认知障碍病人的影响、口腔健康与脑卒中后认知障碍的关系以及脑卒中后认知障碍病人的院内口腔护理干预等方面进行综述,分析现有研究中存在的问题和不足,为改善脑卒中病人,尤其是脑卒中后认知障碍病人的口腔健康状况提供参考和建议。

关键词：脑卒中脑卒中后认知障碍认知功能口腔健康口腔护理综述

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Hospital ethical climate associated with the professional quality of life among nurses during the early stage of COVID-19 pandemic inWuhan,China:A cross-sectional study

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International Journal of nursing Sciences 2021年第3期8卷 310-317,I0006页

作者： Wenjing Jiang Xing'e Zhao Jia Jiang Qidi Zhou Jiahui Yang Yuqing Chen Lloyd Goldsamt Ann Bartley Williams Xianhong Li Xiangya School of nursing Central South UniversityChangshaHunanChina Department of nursing Zigong First People's HospitalZigongSichuanChina Department of Liver Transplantation The Second Xiangya Hospital of Central South UniversityChangshaHunanChina West China School of Pharmacy Sichuan UniversityChengduSichuanChina rory meyers college of nursing New York UniversityNew YorkUSA Yale School of nursing New HavenUSA

Objectives:To describe the professional quality of life and explore its associated factors among nurses coming from other areas of China to assist with the anti-epidemic fight inWuhan and especially examine whether the hospital ethical climate was independently associated with nurses’professional quality of ***:A cross-sectional online survey was conducted from March 2020 to April *** nurses working in Wuhan from the other parts of China were the target *** Professional Quality of Life Scale version 5,the Hospital Ethical Climate Survey,and a basic information sheet were used to collect *** statistics,t-test,ANOVA,Pearson correlation,and multiple linear regression analysis were used to analyze the ***:In total,236 nurses participated in this study,and 219 valid questionnaires were *** average age of the participants was 31.2±5.0 *** nurses were female(176/219;80.4%)and married(145/219;66.2%).In term of professional quality of life,nurses reported moderate(129/219;58.9%)to high(90/219;41.1%)levels of compassion satisfaction,low(119/219;54.3%)to moderate(100/219;45.7%)levels of burnout,and low(67/219;36.0%)to high(10/219;4.6%)levels of secondary traumatic *** hospital ethical climate,nurses reported moderately high hospital ethical climates with an average score of *** controlling for socio-demographic characteristics,the multiple linear regression models showed that the hospital ethical climate subscale of“relationship with physicians”was independently associated with the compassion satisfaction(b=0.533,P<0.01)and burnout(b=0.237,P<0.05);the hospital ethical climate subscale of“relationship with peers”(b=0.191,P<0.01)was independently associated with the secondary traumatic ***:During the early stage of the pandemic,nurses demonstrated moderate to high level of compassion satisfaction,low to moderate level of burnout,and all nurses experienced secondary traumatic stress.

关键词： China Compassion fatigue COVID-19 Nurses Personal satisfaction Professional burnout Professional quality of life Surveys and questionnaires

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抗逆转录病毒治疗对HIV感染者认知功能影响的Meta分析（英文）

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International Journal of nursing Sciences 2020年第2期 238-247页

作者：高畅孟婧婧肖雪玲王敏 Ann Barterley Williams 王红红 Xiangya School of nursing Central South University The Institute of HIV/AIDS The First Hospital in Changsha rory meyers college of nursing New York University

目的探讨抗逆转录病毒治疗(antiretroviral therapy, ART)对HIV感染者(people living with HIV,PLWH)认知功能的影响。方法检索Pub Med、Embase、Web of Science、Cochrane图书馆,中国生物医学文献数据库、中国知网、维普和万方数据... 详细信息

目的探讨抗逆转录病毒治疗(antiretroviral therapy, ART)对HIV感染者(people living with HIV,PLWH)认知功能的影响。方法检索Pub Med、Embase、Web of Science、Cochrane图书馆,中国生物医学文献数据库、中国知网、维普和万方数据库从建库到2019年4月关于ART对PLWH认知功能影响的研究。由2名研究人员独立进行文献质量评估和数据提取,采用Rev Man 5.3.5进行Meta分析。结果共纳入16篇文献,包括14项横断面研究和2项队列研究。横断面研究表明,ART组的PLWH的认知功能并不优于非ART组(OR=1.16;95%CI:1.03～1.30)。而队列研究显示,在ART开始后3个月(OR=4.01; 95%CI:2.35～6.85)和6个月(OR=9.24;95%CI:1.71～49.96)的认知功能较前显著改善。小于55岁年龄组的PLWH中未发现ART对认知有显著改善,而小于65岁年龄组中的两项研究表明ART可能改善身体状况和免疫状态较差的PLWH的认知功能。结论 ART可能改善身体状况和免疫状态较差的PLWH的认知功能,但ART没有改善全体PLWH的认知功能。

关键词：抗逆转录病毒药物认知功能损害 HIV感染神经认知障碍