General Condition Questionnaire Research Articles

Anxiety and depression in patients with sudden sensorineural hearing loss and its influencing factors

Objective:To evaluate the psychological status of anxiety and depression in patients with sudden sensorineural hearing loss, and to analyze the factors that affect the occurrence of anxiety and depression. Method:A total of 198 patients with moderate and severe sudden sensorineural hearing loss were enrolled. The patients were tested by general condition questionnaire and hospital anxiety and depression scale (HADS). Patients who developed anxiety and depression were tested again using the HADS at 1 week after completion of the treatment. Result:The incidence of anxiety was 27.27% in patients with moderate and severe sudden sensorineural hearing loss, and the incidence of depression was 25.25%. The scores of anxiety and depression were statistically significant (P<0.05). The multivariate logistic regression analysis showed that the status of anxiety and depression was accompanied by symptoms and other diseases (P<0.05). There was a significant difference between the effective group, the significant efficacy group and the cured group (P<0.05). The difference between the scores before and after treatment was compared. Differences in the ineffective group compared with the other three groups, and the cured group compared with the other three groups of anxiety, depression were statistically significant. Conclusion:The problem of anxiety and depression in patients with moderate and severe sudden sensorineural hearing loss is relatively prominent, and the symptoms of anxiety and depression are obviously affected by the symptoms and other diseases. After treatment, anxiety and depression status changes significantly. In clinical practice, anxiety and depression and its influencing factors should be taken into account for the treatment of the patients with severe sudden sensorineural hearing loss.

Current status and influencing factors of subjective well-being in student nurses

Objective To explore the current status and influencing factors of subjective well-being (SWB) in student nurses so as to provide a basis for formulating corresponding countermeasures. Methods A total of 652 student nurses at a classⅢ grade A hospital in Wenzhou City were selected as subjects by chester sampling from January 2015 to January 2017. They were investigated with the general condition questionnaire and the Chinese version of the Warwick-Edinburgh mental well-being scale (WEMWBS) . Results The total score of WEMWBS was (51.29±9.34) with a middle level in student nurses. Belief, self-report character, sexes, annual household income, body mass index had influences on SWB of student nurses (P<0.01) . Conclusions The level of SWB of student nurses needs to be improved. Nurse educators and managers should pay high attention to mental health of student nurses and take positive measures to improve the SWB of student nurses so as to stabilize the construction of nursing team. Key words: Students, nursing; Happiness; Internship

Analysis on the self-management situation and influencing factors of chronic wound patients

Objective To investigate the self-management situation of chronic wound patients and discuss about the factors that influence the self-management of chronic wound patients so as to provide basis of health education for clinical nurses. Methods The method of convenience sampling was used to investigate wound, stoma outpatient or hospitalized chronic wound patients from 5 hospital areas of 4 grade A class 3 hospitals in Guangzhou. Barthel index rating scale, general condition questionnaire and self-management questionnaire of chronic wound patients were used to analyze the self-management and influencing factors of chronic wound patients. Results The average total score of the self-management of chronic wound patients was(109.63±12.17). The average score of each entry was(4.23±1.16), of which living management was the highest and wound management was the lowest.The multiple linear stepwise regression analysis showed that the factors influencing the self-management of chronic wound patients included gender, model of action, whether acquiring the channel of knowledge through television broadcast or lecture.The difference had statistical significance(P<0.05). Conclusions With regard to the patients that can timely recognize poor self-management ability, the self-management influencing factor of chronic wound patients was the entry point to have purposeful health intervention. Key words: Chronic wound patients; Self-management; Situation; Influencing factors

A survey of sleep quality of employed nurses in military hospitals

Objective: To investigate the sleep quality of the employed nurses in three grade A tertiary military hospitals in Beijing, China and its influential factors and to provide a reference for improving the sleep quality of employed nurses. Methods: From January 2014 to January 2017, a questionnaire survey was carried out to investigate the sleep quality of 253 employed nurses in three grade A tertiary military hospitals in Beijing, China using the Pittsburgh Sleep Quality Index (PSQI) and a general status questionnaire. The results were compared with the adult norms to analyze the influential factors for sleep quality of the employed nurses. Results: The global PSQI score of the 253 employed nurses was 7.76 ± 3.53. Their global PSQI score and PSQI component scores were significantly higher than the adults norms (P<0.05) . And 54.94% of the employed nurses had poor sleep quality; they had high scores of daytime dysfunction (1.39±0.83) , sleep latency (1.67±0.94) , sleep quality (1.33±0.88) , and sleep time (1.23±0.78) . The one-way analysis of variance showed that the sleep quality of the employed nurses was associated with nursing age, educational background, professional title, whether to have children, frequency of night shifts, and department (P<0.05) . The multivariate logistic regression analysis showed that the risk factors for sleep quality of the employed nurses were technical secondary school education (OR=4.292) and emergency department and intensive care unit (OR=2.582) ; the protective factors for sleep quality of the employed nurses were outpatient department and assistant department (OR=0.312) , no children (OR=0.318) , and no night shift (OR=0.332) . Conclusion: The employed nurses in military hospitals have poorer sleep quality than the normal adults. The influential factors for sleep quality of employed nurses are educational background, department, whether to have children, and frequency of night shifts.

Case-control study on clinical features and influencing factors of children with autism spectrum disorders

Objective To explore the early clinical characteristics and influencing factors in children with autism spectrum disorders(ASD). Methods From January 2005 to December 2014, 193 children with ASD were collec-ted by continuous grouping method from Children′s Rehabilitation Training Center in Xi′an.According to the 11 matched case-control study requirements, and the other 193 children from kindergartens and primary schools in the urban areas of Xi′an were collected as healthy control group from March 1 to July 1, 2016.The age of children in the case group was (40.78±14.86)months and the age of the healthy control group was (40.61±14.40) months.There were 167 boys and 26 girls in 2 groups and the ratio of boys to girls was 6.421.00.The general status questionnaires, medical history questionnaire, diagnostic chart, Autism Behavior Checklist(ABC) and Family Environment Scale of Chinese version(FES-CV) were completed by parents between 2 groups.Childhood Autism Rating Scale(CARS) was completed by doctors in the case group.By using Excel software, the original questionnaires were completed in 2 entries by 2 persons to set up the database.All data were analyzed by SPSS 17.0 statistical software and conditional Logistic regression was used for multivariate analysis. Results Seventy point eight percent(137/193 cases)of children with ASD had been found abnormal under 2 years old or at 2 years old, and 54.9%(106/193 cases)had been diagnosed under 3 years old or at 3 years old.The average delay from the discovery to the diagnosis was 17 months.The initial abnormalities appea-rances were mainly manifested as no response to calling in 153 cases(79.3%), very little active contact with others in 141 cases(73.1%), silent or less use of oral language in 137 cases(71%), avoiding contact with the eyes of others or lack of facial expressions in 121 cases(62.7%). Their signs were easy to be misdiagnosed as mental retardation and language retardation.Children in the case group began to walk alone at the age of 8 months to 3 years old, and only 62.2%(120/193 cases) of them could walk alone at the age of 18 months or before.The age of conscious speech was at 8 months to 4 years and 4 months, and only 39.4%(76/193 cases) of the ASD children could speak at the age of 18 months or before.The total scores of the ABC scale of the case group were (56.520±22.140) scores and the sub-scales and total scores were significantly higher than those of the healthy control group, and the difference was statistically significant(t=16.845, 27.390, 16.527, 26.320, 23.371, 32.206, all P<0.001). The positive consistent rate of ABC and clinical diagnosis was 56.5%.The total scores of CARS in the case group was(36.4±8.6) scores, and the positive consistent rate of CARS and clinical diagnosis was 78.8%.There was a statistical significance between the 2 groups in parental education, mother′s occupation, family history(χ2=29.670, 44.593, 15.439, 6.095, all P<0.05), and there were statistical significance in the main caregivers, family harmony and family income(χ2=19.006, 7.129, 109.027, all P<0.05). There was no statistical significance between the 2 dimensions of independence and achievement orientation between the 2 groups(t=-1.559, -0.139, P=0.120, 0.890). The case group in the family cohesion, expressiveness, intellectual-cultural orientation, active-recreational orientation, moral-religious emphasis, organization and control of the 7 dimension scores were significantly lower than those in the healthy control group, and the differences were statistically significant(t=-7.683, -5.734, -8.762, -14.109, -2.026, -4.530, -2.464, all P<0.05). In the case group, the scores of the conflict dimension were higher than those of the healthy control group, and the difference was statistically significant(t=4.925, P<0.001). There was a statistical significance between the 2 groups in gestational age and birth hypoxia(χ2=6.898, 27.180, all P<0.05). According to multivariate analysis of Logistic regression, people other than parents serving as the primary support, anoxia of newborn, mother of non professional and technical personnel and lower scores of family active-recreational orientation might be the risk factors of ASD, family per capita income of 3 000 Yuan RMB or more monthly, mother education level of high school and above, and lower scores of family conflict might be the protective factors for ASD. Conclusions Clinical features of most ASD children can be easily identified under 2 years old, but if the diagnosis is delayed, the related intervention is late, so importance should be attached to early diagnosis.Mother′s occupation and education level, family economic status, family environment, their supervisors, and anoxia of newborn may be the effective entry points in the prevention and treatment of ASD. Key words: Autism spectrum disorders; Clinical features; Risk factors

The current situation and influencing factors of self efficacy in patients with differentiated thyroid cancer treated with radioactive iodine

Objective:To evaluate the level of self management efficacy of differentiated thyroid cancer patients with RAI, and to analyze the influencing factors.Method:The Chinese version of SUPHH questionnaire, medical coping questionnaire, hospital anxiety and depression scale and patients general condition questionnaire were used to investigate 363 patients.Result:The self-management efficacy score of the patients is 89.71±19.45. The results of multiple linear regression showed that the depression, face, avoidance, yield, character, pathological stage and the knowledge were the main influencing factors of self management efficacy.Conclusion:The sense of self management efficacy of differentiated thyroid cancer patients with the RAI treatment is in the middle level, and needs to be improved. Clinical health care workers can refer to the factors and help patients to develop disease self-management programs and finally to improve the quality of patients life.

The mediating effects of resilience between family function and geriatric depression

Objective To explore the mediating effects of resilience between family function and geriatric depression. Methods By convenient sampling, 212 elderly people who were from the communities in Yuexiu, Guangxhou city were analyzed by using Geriatric Depression Scale (GDS-30) and Family Concern Index Questionnaire (APGAR) and Connor-Davidson Resilience Scale (CD-RISC) and the self-designed General Condition Questionnaire, and a mediating model was proposed and the impacts of resilience on family function and geriatric depression were tested. Results The incidence rate of depression among the community elderly was 23.6% (50/212), and the average score of APGAR was 7.87 ± 2.83, and the average score of CD-RISC was 83.66 ± 12.88. The scores of GDS-30 showed significantly negative correlation with the scores of APGAR (r=-0.582, P < 0.01 )and the scores of CD-RISC (r=-0.425, P < 0.01), and there was positive correlation between the scores of APGAR and the scores of CD-RISC (r= 0.335, P < 0.01). The mediating model had high degree of fitting, and level of path had statistical significance (P < 0.01). Resilience was the mediator between family function and geriatric depression. Family function had direct effects (0.50) on geriatric depression and indirect effects (0.11) through resilience, and the combined effects of family function and resilience determined 45% changing range of geriatric depression. Conclusions Family function was a direct predictor of geriatric depression, and resilience had mediating effects between family function and geriatric depression. Community mental health work should pay enough attention to the effects of family function on the life of the aged, and increased the care to the elderly with family dysfunction, while promote and develop family-centered mental health education, propaganda and psychological guidance, so that improves resilience of the aged and help the aged positively coping and maintain good mental health status. Key words: Familial caring degrees; Geriatric depression; Resilience; Mediation

Situation analysis on cognition and behavior of disease prevention for upper limb lymphedema in breast cancer patients

Objective To analyze the situation on cognition and behavior of disease prevention for upper limb lymphedema in breast cancer patients so as to guide professional staff in clinic in enhancing and improving preventive interventions in breast cancer patients with upper limb lymphedema. Methods We investigated related inducing factors and the situation on cognition and behavior of lymphedema in breast cancer patients with the general condition questionnaire and 18 suggestions on prevention in website on lymphedema of America. Results There was a poor cognitive condition on lymphedema in patients. Moreover, cognition had not been transformed into actual behavior. The cognition needed to be improved. Conclusions The medical staff are the critical factor to improve the cognition of breast cancer patients on lymphedema. Education and intervention on breast cancer patients by the medical staff should be enhanced. Key words: Breast neoplasms; Lymphedema; Cognition of disease prevention

Influence of social support and stressful life events on quality of life in female patients with acute coronary syndrome

Objective The objective of this study was to examine the effects of social support and stressful life events on health-related quality of life (HRQoL) in female patients with acute coronary syndrome (ACS). Methods The subjects were 260 ACS (including acute myocardial infarction and unstable angina) female patients in Cardiovascular Department in a level three class A hospital from January 2014 to July 2015. Study group included acute myocardial infarction patients and unstable angina patients. The general condition questionnaire, the 36-item short form medical outcome questionnaire (SF-36), social readjustment rating scale and multidimensional scale of perceived social support were used as measurement tools. Multivariate linear regression analyses were performed to assess the relationship between domain of HRQoL and general condition, stressful life events and perceived social support. Results In female patients with ACS, both physical and psychological domains of the HRQoL were associated only with social characteristics, especially with perceived social support. Conclusions Perceived social support and stressful life events have independent significant effects on the HRQoL in female patients with ACS. When planning cardiac rehabilitation programs, special attention should be paid to patients who experience high levels of stress and have low social support. Key words: Acute coronary syndrome; Quality of life; Social support; Stressful life events; Female

Current situation and influencing factors of time management disposition in pediatric nurses

Objective To understand the current situation of time management disposition in pediatric nurses and to analyze its influencing factors so as to put forward targeted countermeasures. Methods A total of 571 nurses from 3 Class III Children′s Hospitals of Jiangsu Province were selected as research objects by convenient sampling. They were investigated with the general condition questionnaire and the time management disposition inventory. Results The total score of time management disposition was (59.20±8.17) points with 84.06% of the pediatric nurses in the middle level. There were statistically significant differences in time management disposition among different ages, positions, years of service (F=2.838, -3.080, 2.978; P<0.05). Stepwise regression analysis showed that the positions were the major factor to forecast the time management disposition of nurses in Class III Children′s Hospitals. Conclusions The time management disposition of nurses in Class III Children′s Hospitals is in the middle level and its major influencing factor is the positions. Key words: Pediatric nurses; Time management disposition; Influencing factors

Relationship among depression level, executive function and rumination in patients with depression

Objective To explore the relationship among depression level, executive function and rumination in patients with depression. Methods We selected 103 patients with depression. And then, we investigated them about the depression level, ecological executive function, dispositions and so on with the general condition questionnaire, behavior rating inventory of executive function-adult version (BRIEF-A), ruminative responses scale (RRS) and Beck depression rating scale (BDI-II) and analyzed the relationship among depressive emotion, executive function and rumination. Results The score of the depressive symptoms, RRS and BRIEF-A was (25.12±12.85), (48.84±15.46), (119.40±28.55). The total score of BDI-II had positive correlations with the score of all dimensions of RRS and the total score of BRIEF-A with significant differences (r=0.424, 0.603, 0.469, 0.565; P<0.01). Regression analysis showed that rumination had a partly mediating effect (accounting for 39.4% in gross effect) between executive function and depression. Conclusions Depression has positive correlations with rumination and extent of damage to executive function. Moreover, rumination has a positive correlation with the extent of damage to executive function. Besides, rumination has a partly mediating effect in the relationship between executive function and depression. Key words: Depression; Rumination; Executive function

Knowledge and attitude of clinical interns on pain management

To investigate clinical interns' knowledge and attitude on pain management, influential factors and requirement. A total of 212 clinical interns were investigated by the self-designed general condition questionnaire and the Chinese version of the knowledge and attitude survey regarding pain (KASRP). The correct answer rate for the knowledge and attitude questionnaire was (51.70±14.18)%. The education background, the condition of pain education in clinical practice and the use of pain assessment tools were the key factors that impact the scores of knowledge and attitude on pain management. Clinical interns' perception on pain management is insufficient. It cannot meet the clinical actual needs. The medical colleges are lack of pain management education courses and standardization training. Schools and hospitals are encouraged to offer and strengthen pain education for clinical interns to create a good environment for pain treatment and to improve the management level for patients' quality of life.

Investigation analysis of resourcefulness and mental health for young patients with breast cancer

Objective To investigate resourcefulness and mental health of young patients with breast cancer, and evaluate their correlation. Methods A total of 52 cases met the inclusion and exclusion criteria for patients with breast cancer were enrolled in the study. General condition questionnaire, Chinese Version of Resourcefulness Scale and Symptom Checklist (SCL-90) were used, patients′ resourcefulness and its related factors were investigated. Results Resourcefulness for the young breast cancer patients was (62.7±21.7), in which was (35.6±11.9) for the personal resourcefulness, (27.2 ±11.3) for the social resourcefulness. There were statistically significant differences between different cultures degree of young patients with breast cancer at the personal and score resourcefulness (P<0.05). Total score of SCL-90 for the young breast cancer patients was(203.74±81.12), in which the single factor point was higher than domestic same age adults(P<0.05). Patients′ personal resourcefulness scores, social resourcefulness scores, resourcefulness total score and SCL-90 total scores were negatively correlated(r=-0.481, -0.378, -0.417; P<0.05). Conclusions Higher education can help young patients with breast cancer have a higher resourcefulness which is helpful to improve their physiological and psychological status. Key words: Breast tumor; Resourcefulness; Mental health; Young patients; Correlation

Path analysis of factors influencing burden of family caregivers for COPD patients

Objective To discuss the influencing factors of family caregivers′ burden for COPD patients based on the ABC-X model as the theoretical framework. Methods A total of 219 family caregivers for COPD patients were investigated with the general condition questionnaire, the Zarit caregiver burden interview, the sense of coherence-13, the family APGAR index, the simplified coping style questionnaire, and the social disability screening schedule. We examined and adjusted the supposition model by sense of coherence path analysis. Results The total score of care burden was (42.02±15.36) with median level; unity and level of caring from family had negative correlation with the caregivers′ burden (r=-0.43, -0.25; P<0.05). The supposition ABC-X model could explain 58.9% of variation of burden, when it was examined by structural equation. Social function defect degree and family APGAR index could directly affect the care burden of family caregivers, and it also could indirectly affect the burden of family caregivers through the sense of coherence. The sense of coherence was the strongest predictor for care burden of family caregivers. Conclusions The influencing factors of burden of family caregivers for COPD patients come from multiple aspects, including social function defect degree of patients , family solicitude level and the sense of coherence in caregivers, and these factors can interact with each other. Key words: Chronic obstructive pulmonary disease; Family caregivers; Care burden; ABC-X model; Path analysis

新疆地区实习护生自我效能感与护生护理专业临床沟通能力的关系研究

目的：调查新疆地区实习护生自我效能感及护生护理专业临床沟通能力的现状水平，分析探讨一般自我效能感与护生护理专业临床沟通能力的相关关系。方法：采用一般情况问卷、一般自我效能感量表和护生护理专业临床沟通能力量表，对194名实习护生进行问卷调查，采用回归分析，探讨一般自我效能感量表和护生护理专业临床沟通能力的关系。结果：实习护生一般自我效能感总分为2.71分 ± 0.57分，低于成人常模，其中少数民族护生自我效能感得分高于汉族护生P < 0.05；男生自我效能感高于女生，P < 0.05，护生专业沟通能力总分为84.62分 ± 14.15分，处于中等水平，采用Pearson相关分析护生一般自我效能感与护理专业临床沟通能力成正相关(r = 0.327, P < 0.01)。结论：实习护生自我效能感低于常模，处于中等偏上水平，护生护理专业临床沟通能力处于中等水平，均有待进一步提高，同时，提高护生一般自我效能有助于提高护生护理专业临床沟通能力，护理教育者应采取有效的干预措施以提高护生自我效感水平，进而提高护生的临床综合核心能力。 Objective: To investigate nursing students’ self-efficacy in Xinjiang area as well as the status level of clinical communication ability of nursing students, and to analyze the relationship between the general self-efficacy and clinical communication ability of nursing professional students. Methods: Using the general condition questionnaire, general self-efficacy scale and clinical communication ability of nursing professional students scale, 194 nursing students were surveyed. The relationship between general self-efficacy scale and clinical communication ability of nursing students was also explored by using regression analysis. Results: The interns’ general self-efficacy score was 2.71 + 0.57, lower than the adult norm, of which the minority nursing students’ self-efficacy scored higher than the nursing students of Han nationality (P < 0.05); boys’ self-efficacy was higher than girls’ (P < 0.05); nursing students’ professional communication ability score was 84.62 + 14.15, which is in the medium level; there is a positive correlation between nursing students’ general self-efficacy and clinical communication skills by using Pearson correlation analysis (r = 0.327, P < 0.01). Conclusion: The interns’ self-efficacy is lower than the norm, which is above the medium level, and the clinical communication ability of nursing students is in the medium level; all need to be further improved. At the same time, improving nursing students’ general self-effi- cacy helps to improve nursing students’ professional clinical communication ability; nursing educators should take effective intervention measures to improve the level of nursing students’ self- efficacy, so as to improve clinical comprehensive core competence of nursing students.

An investigation of sleep disturbance and related factors in rheumatoid arthritis patients

To explore the characteristics of sleep disturbance and its related factors in patients with rheumatoid arthritis (RA). A total of 71 patients with RA in Department of Rheumatology Huaxi Hospital have completed the following questionnaires, including Pittsburgh sleeping quality index (PSQI), visual analogue scale (VAS), disease activity score in 28 joints (DAS28), health assessment questionnaire(HAQ), hospital anxiety and depression scale (HADS), fatigue severity scale (FSS) and a self-designed general status questionnaire. The prevalence of sleep disturbance was 42.3% (30/71) in rheumatoid arthritis patients (68.4%). The scores of DAS28, VAS, PSQI, HAQ, FSS and HADS in patients with sleep disturbance were significantly higher than those in patients with good sleep, which were respectively 3.90±1.12 vs 2.92±1.92, (5.03±2.63) scores vs (2.41±1.84) scores, (10.87±2.42) scores vs (4.29±1.85) scores, 3.0(0.0,7.0) scores vs 2.0 (0.5, 4.0) scores, (39.17±14.02) scores vs (29.63±16.12) scores, (14.50±7.77) scores vs (9.49±6.57) scores (P<0.05 in all scales). According to the results of Pearson correlation analysis, PSQI had significantly positive correlation with DAS28 (r=0.462, P<0.01), VAS (r=0.556, P<0.01), HAQ (r=0.360, P<0.01), FSS (r=0.420, P<0.01) and HADS (r=0.447, P<0.01) respectively. The logistic regression analysis indicated that VAS was a predictor for poor sleep quality (P<0.01). The patients receiving biological agents had significantly (P<0.05) lower scores of DAS28 (2.86±1.39 vs 3.52±1.10), PSQI [(5.90±4.24) scores vs (8.53±3.78) scores], VAS (2.15±2.30 vs 4.05±2.46), HAQ [0.0 (0.0, 2.0) scores vs 3.0 (0.0, 6.0) scores] compared to those taking oral drugs. High prevalence of sleep disturbance in patients with RA is noted, which indirectly influences the activity of disease, quality of life, depression, fatigue and other physical and mental health. Biological agents can partly improve the sleep disturbance and functional status.

Analysis on quality of life in patients with empty nose syndrome and its influencing factors

Objective The study aimed to investigate the quality of life in patients with empty nose syndrome (ENS) and analyze its influencing factors. Methods A cross-sectional survey was performed in 114 patients with ENS accepting outpatient or inpatient treatment in our hospital; general condition questionnaire regarding demographic data and Short Form 36 Health Survey Questionnaire (SF-36) were used in the survey. Results The physical mental component scale (PCS) scored (238.24±46.72), while their mental component scale (MCS) scored (264.32±49.37). Each dimension of Short Form 36 Health Survey Questionnaires (SF-36) had higher score than that of normal control. Multi-factor regression analysis showed that PCS of patients with ENS was associated with gender, age, duration of disease and working situation(t values were -4.742, 3.899, 3.516 and 4.046, P <0.01), while their MCS was associated with gender, age, duration of disease, degree of education and working situation (t values were -3.892, 3.652, 3.516, -3.439 and 4.036, P <0.01). Conclusions Quality of life in patients with ENS was significantly lower than that of normal people; gender, age, duration of disease and working situation were involved in their PCS, while gender, age, duration of disease, education degree and working situation were involved in their MCS. Key words: Empty nose syndrome; Quality of life; Influencing factors

Correlation analysis of hyperarousal, personality characteristics, coping strategy with the vulnerability to stress-related sleep disturbance

Objective To explore the influence factors of hyperarousal, personality characteristics and coping strategies on the vulnerability to stress-related sleep disturbance. Methods A total of 345 sleep good healthy volunteers were recruited by purposive sampling technique. Every participant completed an extensive survey that included the general condition questionnaire, Ford Insomnia Response to Stress Test (FIRST), Pre-Sleep Arousal Scale (PSAS), NEO Personality Inventory-Revised (NEOPI-R), Coping Inventory for Stressful Situations (CISS) and Heart Rate Variability(HRV). All participants were classified as High risk and Low risk by using the FIRST criterion. Results The high risk group was younger than the low risk group (27.91±8.22 vs 24.82±7.73, P<0.01), and had a higher percentage of females (34.7% vs 53.4%, P<0.05) . The high risk group showed significantly higher scores in PSAS total (30.11±6.22), pesleep cognitive arousal (17.73±4.51), presleep somatic arousal (12.78±3.23), neuroticism (3.13±0.51), emotion oriented (48.98±10.54), but lower score in extraversion (2.96±0.54), then those indicators of the low risk group (28.52±5.82, 16.32±4.32, 11.41±2.75; 3.11±0.56, 2.87±0.47, 46.23±11.21, 3.11±0.56, P<0.01 or 0.05). There were significant difference between the two group in LF/HF (1.51±0.19 vs 1.17±0.11, P<0.01), HF((311.21±72.32)ms2/Hz vs (490.43±91.74)ms2/Hz, P<0.01), LF((469.49±85.67)ms2/Hz vs (573.21±98.75)ms2/Hz, P<0.01) in HRV. Results of linear regression analysis showed that gender, and scores of PSAS total, cognitive arousal, presleep cognitive arousal, presleep somatic arousal, neuroticism, emotion oriented and LF/HF were significant correlation with FIRST score (P<0.01 or 0.05). Conclusion Presleep cognitive and somatic arousal, neurotic character may be the premorbid characteristics of stress-related sleep disturbance, and bad stress coping strategies are easy to promote the development of insomnia. Key words: Stress-related sleep disturbance; Vulnerability; Hyperarousal; Stress coping strategy

Effect of different surgical options on curative effect, nutrition, and health status of patients with slow transit constipation.

This study aims to investigate the influence of total colectomy with ileorectal anastomosis (IRA) and subtotal colectomy with cecorectal anastomosis (CRA) on curative effects, nutritional status, and health of patients with slow transit constipation (STC). The purpose of the present study is to compare the hemoglobin, the total protein level, the albumin, and the percentage of lymphocytes before and after operations. The 36-item short-form health survey questionnaire (SF-36), the mininutritional assessment (MNA), the postoperative general condition questionnaire, and the social activities questionnaire were used. The questionnaires were modified. The patients with higher scores were shown to recover better postoperatively. More than 87.5 % of patients in both groups were satisfied with the surgery. Increased stool frequency was improved 6 months after surgery. Antidiarrheal agent use, abdominal pain, and distention in the IRA group were more frequent than in the CRA group (p < 0.05). Postoperative levels of hemoglobin, total protein level, albumin, and percentage of lymphocytes in the IRA group were higher than in the CRA group (p < 0.05). There was no difference in MNA for both groups (p > 0.05). There was no difference in the postoperative general condition questionnaire for both groups (p > 0.05). But the scores for health condition, emotion, and feeling for life were low, only 68.8 to 82.4 % at their highest. Symptoms can be relieved by IRA and CRA surgeries. The postoperative nutritional conditions are fine. Health conditions and social life are affected. Both IRA and CRA surgeries are compliant for the treatment of STC.

Investigation in the influencing factors of activities of daily living of patients after abdominal surgery

Objective To study the affecting factors of the activities of daily living in patients after abdominal surgery.Methods Using survey methodology,95 abdominal surgery patients were investigated br general condition questionnaire and Barthel index scales.The data were analyzed using descriptive analysis,t test,variance analysis and multiple regression analysis.Results The total number of valid return was 91.and the valid usable return rate was 95.8% .The affecting factors of recovery to ADL2 of abdominal surgery patients after operation were gender,age,education level,economic condition,type of illness,postoperation complications,operation times,nutrition risk scores and activities of daily living of preoperation,and the differences were significant.The affecting factors of recovery to ADL1 of abdominal surgery patients after operation were age,education level economic condition,marital status,type of illness,postoperation complications,nutrition risk scores and activities of daily living of preoperation,the differences wen significant.Conclusions The affecting factors of ADL of abdominal surgery patients after operation were gender,age,education level economic level,type of illness,postoperation complications,marital status,operation times,nutrition risk scores and activities of daily living of preoperation. Key words: Abdominal surgery; Postoperation; Activities of daily living