Conectar
by Qian Li, Yilun Huang, Samuel Yeung-Shan Wong, Winnie W. S. Mak, Xue Yang
Background and objectiveA well-established link exists between depression and Internet gaming disorder (IGD) at the individual level, while it remains unexplored within the family system. This study aims to investigate the interdependent relationship between parent and adolescent depression and IGD, and to identify the potential mechanisms.
MethodsA cross-sectional dyadic study was conducted with adolescents and their parents (primary caregiver) in Hong Kong. Adolescents completed anonymous surveys in classrooms, and parents completed online surveys via WhatsApp or phone interviews. The Actor-Partner Interdependence Model (APIM) and Actor-Partner Interdependence Mediation Model (APIMeM) were utilized to test the interdependence and mediators between depression and IGD in parent-child dyads, respectively.
ResultsA total of 1,277 parent-child dyads were included. Depressive symptoms in parents (β = 0.072) and adolescents (β = 0.273, both p Conclusions
Adolescent depressive symptoms were positively associated with their own and parental IGD symptoms, which were mediated by adolescent-reported family relationships and adolescent gaming time. The influence of adolescents’ mental health problems on parents’ problematic behaviors within the family system should not be overlooked.
To conduct a comprehensive assessment of nursing interventions for patients with hypertension, diabetes, and dyslipidemia and analyse the components, delivery methods and outcomes of intervention programmes.
Scoping review.
Systematic searches were performed in four Chinese databases (WanFang, CNKI, Chinese Biomedical Literature Database, and the VIP database) and six English databases (CINAHL, MEDLINE, Web of Science, PubMed, Embase, The Cochrane Library) from their inception until October 2023. An updated search was performed on 6 August 2024.
Two reviewers independently retrieved full-text studies and conducted the initial screening of titles and abstracts, followed by full-text analysis and data extraction.
A total of 49 articles were included in this review. The nursing interventions consisted of various components, including fitness exercise, a balanced diet, mental health support, medication administration and others. The most commonly used delivery method was health education, with an increasing trend towards online interventions. However, the included studies did not provide details on delivery methods, including the team qualifications, subject areas or intervention duration and frequency. The nursing interventions achieved their research aims to varying degrees, as measured by subjective and/or objective indicators.
The nursing interventions for the three highs are diverse, including offline, online and combined methods, covering exercise, diet, and mental health. Future efforts can draw on these intervention components and methods and establish a nurse-led multidisciplinary team. The measurement of objective indicators, including blood lipids, should be taken seriously. Developing more diverse subjective measurement indicators can comprehensively assess patients' health.
This review offers clear guidance for the subsequent prevention and management of the three highs and consolidates evidence for healthcare professionals to devise targeted intervention strategies.
We followed Arksey's five-step framework and the PRISMA extension for scoping reviews (PRISMA-ScR).
No.
Chronic pruritus has a significant global impact, which is common in the elderly population. Developing a standardised and validated assessment tool is the basis for managing chronic pruritus. However, there is little research on standardised assessment tools for self-management in older people with chronic pruritus.
To construct and test the Self-management Scale for Chronic Pruritus in older people and provide a scientific and reliable tool to measure the self-management level of older people with chronic pruritus.
A three-phased exploratory sequential mixed-method design was used. In phase I, the initial construction of scale dimensions and items was conducted through literature review, semi-structured interviews and the Delphi method. In phase II, the scale was optimised, and the test version of the scale was formed. In phase III, we used the scale for practical evaluation. This research was conducted according to the STROBE guidelines.
Based on literature reviews and examination by experts, a draft scale was formulated. From October 2023 to December 2023, a total of 180 older people were recruited for item analysis and 206 older people were recruited for practical evaluation.
A total of 20 items were finally retained by the item analysis from the initial pool. In the exploratory factor analysis, the five-factor model explained 75.491% of the total variation, and the data fit was good. Based on multiple linear regression, the self-management level of older people with chronic pruritus was significantly correlated with gender, occupation, income, pruritus-related diagnosis, awareness of pruritus predisposing factors and receipt of pruritus treatment.
Self-management Scale for Chronic Pruritus in older people has good reliability and validity, providing a reference basis for healthcare professionals to assess the self-management levels of older people with chronic pruritus.
Healthcare professionals can use this scale to evaluate the self-management level of chronic pruritus in older people and explore the influencing factors, which can help develop targeted health education programmes.
Experts provided suggestions for developing the scale. Older people with chronic pruritus participated in the scale revision process to improve wording.
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