Objective To understand the incidence of stigma in non-dialysis chronic kidney disease (CKD) patients, and to explore its influencing factors, so as to provide a basis for scientific management of non-dialysis CKD patients. Methods Convenience sampling method was used to select non-dialysis CKD patients hospitalized in the Department of Nephrology, West China Hospital, Sichuan University between December 2019 and December 2020 as the research subjects. The general information questionnaire, Social Impact Scale and Social Support Rating Scale were used to investigate, and logistic regression analysis was used to explore the influencing factors of stigma in CKD patients without dialysis. Results A total of 300 questionnaires were distributed in this study, and 272 valid questionnaires were recovered, with an effective recovery rate of 90.67%. The age of the patients ranged from 15 to 83 years old, with an average of (38.34±13.64) years old. The disease course ranged from 1 month to 18 years, with a median of 3 years. The patients’ stigma score ranged from 23 to 86 points, with an average score of (40.14±1.67) points, of which 101 patients had a score of ≥48 (with stigma), accounting for 37.13%. Logistic regression analysis showed that gender [odds ratio (OR)=1.871, 95% confidence interval (CI) (1.018, 3.347), P=0.042], place of residence [OR=2.991, 95%CI (1.645, 5.824), P=0.001], personal monthly income [OR=0.575, 95%CI (0.260, 0.857), P=0.013], received CKD self-management education or not [OR=0.468, 95%CI (0.258, 0.843), P=0.011], and social support level [OR=0.418, 95%CI (0.230, 0.737), P=0.003] were influencing factors of stigma in CKD patients without dialysis. Conclusion The stigma of non-dialysis CKD patients is at a moderate level. Female, living in rural areas, personal monthly income ≤ 3000 yuan, not receiving CKD self-management education, and low social support level are risk factors for stigma in non-dialysis CKD patients.
Objective To investigate the current status of control preference in the surgery of lung cancer patients and explore its correlation with perceived social support. MethodsGeneral information questionnaire, control preference scale, and perceived social support scale were used to investigate the lung cancer patients who underwent surgery in Beijing Cancer Hospital from February to May 2022. Results A total of 360 survey questionnaires were distributed, and 344 valid questionnaires were collected, with an effective rate of 95.6%. The expected participation style of patients was passive in 145 patients (42.2%), while the actual participation style was more inclined to be active in 154 (44.8%) patients. The compliance rate of patients’ expected and actual participation styles in the treatment control preference process was 61.9% (Kappa=0.437, P＜0.001). The results of the analysis of influencing factors showed that the level of cultural education was an influencing factor in the actual participation of lung cancer patients in surgery control preference (P=0.029). The results of Spearman's correlation analysis showed that the actual participation of lung cancer patients in surgery control preference was positively associated with perceived social support (r=0.159, P＜0.01), and its dimensions including family support (r=0.152, P＜0.01), friend support (r=0.133, P＜0.05), and other social support (r=0.142, P＜0.01). ConclusionPatients’ expected control preference style is generally consistent with their actual control preference style, which is influenced by their cultural education and positively correlated with perceived social support. Medical and nursing staff should pay attention to the participation style of patients taking surgery decisions, develop decision aids according to different education levels, and develop individualized interventions from the perspective of improving social support initially, to improve patients’ treatment compliance and treatment care satisfaction.
目的:研究领悟社会支持对护士生命质量的影响,进一步探讨领悟社会支持的作用,为提高护士身心健康水平提供依据和支持。方法:用WHOQOL-100量表中文版和领悟社会支持量表对我市三所二级甲等医院的499名护士进行问卷调查。结果:①护士生命质量总分较差。②护士领悟社会支持总分处于中等水平。③护士生命质量的各领域与社会支持均呈显著正相关。即社会支持越好,生命质量越高。结论:社会支持与个体心理健康有密切的关系。护士应主动寻求有效的、可利用的社会支持。护理管理人员则应培养护士良好的生理、心理状态和社会适应能力,从而使其生命质量得到提高。
Objective To explore the correlation between anxiety and social support in patients before radio frequency catheter ablation (RFCA). Methods A cross-sectional study was conducted on 120 patients before RFCA from September to November 2014. The participants were asked to complete the Self-rating Anxiety Scale and Social Support Scale. Anxiety score and social support score were compared with the Chinese norm throught-test, and Pearson Correlation was used to identify the correlation between anxiety and social support. Results The mean score of RFCA patients’ anxiety was 46.33±9.67, significantly different from the Chinese norm (t=18.700,P<0.05). The total score of social support was 39.80±7.59, significantly higher than the Chinese normal (t=7.287,P<0.05). Anxiety had negative correlation with social support, and the correlation coefficient was –0.377. Conclusions Patients’ anxiety before RFCA is higher than normal people, and social support is one of the significant factors of anxiety. Consequently, enhancing social support is a great contribution to relieve anxiety.
ObjectiveTo systematically review the correlation between sleep quality and social support of the elderly.MethodsDatabases including PubMed, MEDLINE, The Cochrane Library, Springerlink, ProQuest, CMB, CNKI, VIP, and WanFang Data were searched to collect studies on the correlation between sleep quality and social support of the elderly from January 1996 to January 2020. Two reviewers independently screened literature, extracted data and evaluated risk of bias of included studies. Meta-analysis was then performed using RevMan 5.3 software.ResultsA total of 9 studies involving 2 427 elderly people were included. The meta-analysis showed that the combined correlation coefficient between sleep quality and social support was -0.40 (95%CI −0.54 to −0.26). The correlation between sleep quality and social support of the elderly varied with the year of publication and sample size, however without regular change. The correlation coefficient of the elderly from institutions (hospital or pension institutions) was higher than that of the community (−0.33 vs. −0.26); the correlation coefficient of the elderly with health problems was higher than those without health problems (−0.32 vs. −0.25); the results measured by non-random sampling method were higher than those measured by random sampling (−0.37 vs. −0.23); and the results measured by Pittsburgh sleep quality index (PSQI) and social support rating scale (SSRS) were higher than those measured by PSQI and perceived social support scale (PSSS) (−0.30 vs. −0.13).ConclusionsThe higher the level of social support of the elderly in China, the lower the score of PSQI, and the better the sleep quality, in which there are differences in different sample sources and physical conditions.
Objective To investigate the mental health status, perceived social support, as well as the relationship between them among middle school students in Wenchuan Earthquake region, so as to provide references for the relevant department to formulate appropriate strategies and intervention measures. Methods A cluster sampling method was adopted to select all 1698 students (excluded the students in Grade 3) as the research subjects from three middle schools in the disaster regions. All students were investigated with self-designed basic information questionnaire, Symptom CheckList 90 (SCL-90) and Perceived Social Support Scale (PSSS) through self-administered questionnaire. Results The overall positive rate on the SCL-90 was 46.3% among 1690 students, of whom 66.6% had mild psychological problems and 26.5% had moderate to severe psychological problems. The positive rate on the SCL-90 and the score for each factor of SCL-90 were statistically higher in the female students than male students (Plt;0.05). Compared with the senior middle school students, the score on the phobic anxiety subscale of the SCL-90 was statistically higher in the junior middle school students (Plt;0.05), while the score on the obsessive-compulsive subscale was otherwise statistically lower (Plt;0.05). With the exception of the hostility subscale, the score on each subscale of the SCL-90 in the urban students was statistically lower than the rural students (Plt;0.05). The median score on the perceived social support subscale was 60.00, with significant differences between the students of different sexes and grades (Plt;0.05). The overall score on the perceived social support subscale was negatively correlated with the SCL-90 score (r= –0.261, Plt;0.05). The score was negatively correlated with the SCL-90 score in the students regarding different sexes, grades and living areas prior to the earthquake (Plt;0.05). Conclusion The middle school students in the disaster regions have prominent psychological problems; perceived social support is helpful to promote the development of their mental health. In conducting psychological intervention, the difference of individuals’ mental health among different student groups should be concerned, so as to carry out targeted counseling and education.
目的 描述孕妇配偶在妊娠期的焦虑和社会支持现状，并探讨孕妇配偶获得社会支持对其焦虑情绪的影响。 方法 2010年11月－2011年4月，采用焦虑自评量表（SAS）和社会支持评定量表（SSRS） 对105例（回收99例）孕妇配偶进行问卷调查。 结果 孕妇配偶的SAS条目中焦虑及乏力、尿频、多汗等躯体症状得分依次为（1.56 ± 0.58）、（1.62 ± 0.74）、（1.49 ± 0.75）、（2.48 ± 1.18）分，高于国内常模，差异有统计学意义（P＜0.05）；其客观支持、主观支持及社会支持总分依次为（9.48 ± 2.84）、（22.40 ± 3.83）、（7.48 ± 1.83）分，低于国内常模，且差异有统计学意义（P＜0.05）；同时，SAS与客观支持、主观支持、对支持的利用度及社会支持总分呈负相关，r值依次为−0.260、−0.244、−0.094、−0.347，其中SAS与客观支持、主观支持和社会支持总分的相关性有统计学意义（P＜0.05）。 结论 孕妇配偶所获得的社会支持越少，其焦虑程度及出现的躯体化症状越高，作为医务人员，应正确认识孕妇配偶在特殊人生时期存在的心理问题，及时的提供指导，鼓励其表达自己内心的感受，学会利用各种方法来调整自己的心态，并主动扩大其支持系统。同时更应该向家庭、社会提出呼吁，改变传统观念，关注孕妇的同时也要关注孕妇配偶的情感状况。
目的 调查造血干细胞移植出院患者的社会支持现状，寻求相应的护理对策，帮助患者保持较高的社会支持水平。 方法 选择2007年9月-2009年3月在层流病房进行造血干细胞移植的患者48例，采用肖水源的社会支持评定量表，进行住院期间和出院3个月后的问卷调查，并进行统计学分析。 结果 患者住院期间社会支持总分为(41.40±5.60)分，出院3个月后社会支持总分为(38.19±3.65)分，比较具有统计学意义(Plt;0.05)。 结论 造血干细胞移植患者出院后社会支持水平降低，护士应加强对造血干细胞移植患者出院后的指导，拓宽造血干细胞移植出院患者社会支持渠道，帮助患者保持较高的社会支持水平，从而促进患者的康复。
ObjectiveTo investigate the current status of symptom burden and psychological distress among lung cancer patients in the diagnostic phase, and to explore the chain mediating role of social support and resilience between symptom burden and psychological distress. MethodsThe patients with lung cancer in the diagnostic phase who were treated in the Department of Thoracic Surgery of the Second Xiangya Hospital of Central South University from October 2022 to June 2023 were investigated by a general information questionnaire using the MD Anderson Symptom Inventory, the Social Support Rating Scale, the Connor-Davidson Resilience Scale, and the Distress Thermometer. The chain mediating role of social support and resilience between symptom burden and psychological distress was analyzed. ResultsA total of 413 lung cancer patients were enrolled, including 173 males and 240 females, aged (54.69±10.82) years. The detection rate of psychological distress among lung cancer patients in the diagnostic phase was 48.18%, and the average score was (3.84±2.50) points. Psychological distress was positively correlated with symptom burden (P<0.01), and negatively correlated with social support and resilience (P<0.01). The mediating effect of resilience between symptom burden and psychological distress was significant. The chain mediating effect of social support and resilience between symptom burden and psychological distress was also significant. ConclusionLung cancer patients in the diagnostic phase have a high detection rate of psychological distress. Symptom burden can directly impact psychological distress, and can affect psychological distress through the indirect path of resilience as well as the chain mediating path between social support and resilience among lung cancer patients in the diagnostic phase.
Objective To compare the social support condition of Three Gorges migrants, that is, latter resettled migrants (in Chongqing) versus outside moving migrants (in Shandong). Methods Migrants were selected in both Chongqing Municipality and Shandong Province by a cluster random sampling method, and the survey was performed by completing the questionnaire of general status and the social support rating scale (SSRS). Results A total of 319 among 330 questionnaires distributed to Chongqing migrants were effective, accounting for 98.3%, and 320 among 340 questionnaires distributed to Shangdong migrants were effective, accounting for 94.1%. The results of the survey on social support showed that, a) The total score of social support of Chongqing migrants was significantly lower than that of Shandong migrants (Plt;0.01); b) The total score of Chongqing migrants in different genders was significantly lower than that of Shandong migrants in the same gender, respectively (Plt;0.05); c) All the scores of Chongqing migrants were significantly lower than those of Shandong migrants at the same age level except the objective score of the migrants at the age below 50 (Plt;0.05); and d) All the scores of Chongqing migrants were significantly lower than those of Shandong migrants at the same education levels except the objective score of the migrants at the education level above junior high school (Plt;0.05). Conclusion Compared to the latter resettled migrants in Chongqing, outside moving migrants in Shandong obtain more social support and fully take advantage of that.