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在中国澳门吸烟人群中的肺癌筛查研究 被引量:10
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作者 张晓战 张振荣 +6 位作者 程鲲 杨贞勇 朱伟国 周伟文 林肇聪 曹亚兵 李牧 《中国肺癌杂志》 CAS CSCD 北大核心 2021年第8期548-556,共9页
背景与目的中国澳门肺癌发病率逐年上升,吸烟人群是肺癌的高发人群,本研究旨在了解中国澳门长期吸烟人群的肺癌发病情况及胸部低剂量计算机断层扫描(low-dose computed tomography,LDCT)肺结节特点。方法通过澳门中华医学会会员私家医... 背景与目的中国澳门肺癌发病率逐年上升,吸烟人群是肺癌的高发人群,本研究旨在了解中国澳门长期吸烟人群的肺癌发病情况及胸部低剂量计算机断层扫描(low-dose computed tomography,LDCT)肺结节特点。方法通过澳门中华医学会会员私家医生推荐及宣传招募中国澳门无症状长期吸烟人士,行胸部LDCT检查,分析肺癌、肺部结节检出率及影像学特点。结果符合纳入条件者291例,检出肺癌10例,检出率3.44%(95%CI:2.78%-4.01%),其中,肺腺癌5例,鳞癌、小细胞肺癌各2例,腺鳞癌1例。早期肺癌4例,占40%。212例检出肺结节,肺结节总检出率72.9%(95%CI:67.8%-78.0%);疑似肺癌结节44例,检出率15.1%(95%CI:11.0%-19.2%)。单发结节51例,无肺癌检出;多发结节161例,检出肺癌9例,两组肺癌检出率无统计学差异(P>0.05)。<6 mm实性结节与<5 mm非实性结节组168例,未检出肺癌;≥6 mm实性结节与≥5 mm非实性结节组44例,检出肺癌9例,两组比较有统计学差异(P<0.05)。结论长期吸烟人群中肺癌检出率高,类型以腺癌为主,肺部结节发生率高,当实性结节≥6 mm或非实性结节≥5 mm时,肺癌检出率增高。建议在符合高危因素的男性吸烟人群中推行胸部LDCT筛查肺癌,女性肺癌筛查,应重新界定高危因素。 展开更多
关键词 肺肿瘤 筛查 早期诊断
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Relationships among Social Capital, Positive Aspect, and Caregiver Burden in Dementia Families: A Mediating Model
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作者 Haojie Wang Weiqing Zhang +1 位作者 Jielu Song yabing cao 《Journal of Biosciences and Medicines》 2024年第11期572-583,共12页
Objective: To investigate the current situation and influencing factors of care giving burden among family caregivers with dementia and to analyze the Positive Aspect of caregivers between Social Capital and Caregiver... Objective: To investigate the current situation and influencing factors of care giving burden among family caregivers with dementia and to analyze the Positive Aspect of caregivers between Social Capital and Caregiver Burden. Methods: A total of 205 elderly dementia patients and family caregivers were select from 3 tertiary hospital by convenience sampling method in Zhengzhou. The general information questionnaire. The Social Capital Scale for Caregiver of People with Dementia, The Positive Aspect of Care giving scale and The Caregiver Burden Inventory were utilized for investigation. Results: In this study the scores of the Social Capital Scale of Caregivers with dementia were (48.76 ± 6.44), the scores of the Positive Aspect of Care giving scale were (37.41 ± 4.29), and the scores of the Caregiver Burden Inventory were (64.43 ± 10.89). The results of multiple linear regression analysis showed that patient’s age, patient’s disease duration, social capital, and positive feelings were the main influencing factors of caregiver’s burden of care (P Conclusion: The burden of family caregivers is at a medium-high level, and it is recommended that the medical, social levels fully mobilize the social support system of caregivers from the caregivers’ conditions, increase the level of the caregivers’ social capital, and pay attention to the positive feelings of the caregivers and regulate them in time social alleviate the burden of their care giving. 展开更多
关键词 DEMENTIA Care Giving Burden Social Capital Positive Feelings Mediating Role
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