目的系统评价老年人应对慢性病共病的体验。方法检索PubMed、Cochrane Library、Web of Science、Embase、中国知网、万方数据库、维普中文期刊全文数据库,检索时限为建库至2021年8月,检索老年人应对慢性病共病体验的质性研究文献,依据2...目的系统评价老年人应对慢性病共病的体验。方法检索PubMed、Cochrane Library、Web of Science、Embase、中国知网、万方数据库、维普中文期刊全文数据库,检索时限为建库至2021年8月,检索老年人应对慢性病共病体验的质性研究文献,依据2016版澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准评价文献质量,采用Meta整合方法分析结果。结果共纳入15篇文献,提炼出60个研究结果,整合成10个新的类别,综合为3个整合结果:慢性病共病协同衰老所致改变;对慢性病共病的反思和反应;调适以维持正常生活。结论慢性病共病协同衰老给老年人生活造成多方面的挑战,医护人员应关注其对共病不同应对方式,重视源于其智慧总结的应对策略,设计、开发可行的应对共病的干预性支持项目。展开更多
Climate variability and change are among the biggest challenges of the 21st century. Like in many other areas globally, the coastal communities of Tanzania have always been facing climatic variability at various time ...Climate variability and change are among the biggest challenges of the 21st century. Like in many other areas globally, the coastal communities of Tanzania have always been facing climatic variability at various time scales. Using focus group discussion and a household survey, this study analyzes the perceptions of climate variability and change and the strategies for coping and adaptation by the selected coastal rural and peri-urban communities in Tanzania. The perception of climate variability and change is complemented with the time-series analysis of rainfall and temperature data from Julius Nyerere International Airport Met. station and Kisarawe using Instant Statistical Software. Results indicate that households are aware of climate variability and identify indicators of climate change and variability as being decreasing rainfall trends, increasing incidences of droughts, unpredictable rainfall patterns, disappearance of wetlands and failure to predict on-set of rainy season using traditional knowledge. Households primarily attribute reduced crop yields to changes in rainfall pattern and increasing incidences of drought leading to soil moisture stress. The implications are that the agriculture dependent households are now food insecure. As a way of coping to the observed changes, the coastal communities among others have shifted to production of high value horticultural crops and use of forest resources. Nevertheless, the increased use of forest resources is threatening the existence of coastal forests and contributes to the decline of forest resources and disappearance of wildlife in the forest reserves. It is concluded that the communities studied are aware of climate issues as revealed from perceived indicators of climate variability and changes. The results from statistical analysis of 30 years climatic data are consistent with community’s perception of climate variability and change. The study recommends examining the present coping strategies for the sustainability of the coastal forests and in desi展开更多
Objectives:Nurses are considered to be at risk of experiencing compassion fatigue,which can affect their personal and professional lives.The aim of this study was to investigate stressful factors contributing to the d...Objectives:Nurses are considered to be at risk of experiencing compassion fatigue,which can affect their personal and professional lives.The aim of this study was to investigate stressful factors contributing to the development of compassion fatigue in nurses,their experiences of compassion fatigue,and the coping strategies they used to cope with compassion fatigue.Methods:The convenience sample of 86 nurses fromCentral Europewas recruited via social networking sites during the pandemic of COVID-19.Data collection was conducted via an online battery of questionnaires which included open-ended questions on the stressful factors,experiences,and coping strategies for compassion fatigue.The data were analysed using a theoretical thematic analysis based on Figley’s descriptions of compassion fatigue.The initial datawas read several times to identify recurring statements.Each statement was then categorized into the emerging domains,subdomains,categories,and subcategories.Results:The results of our study show that stressful factors,experiences,and coping strategies for compassion fatigue in nurses in Central Europe could be related to cognitive,emotional,behavioural,somatic,personal relations,spiritual,and work-related symptoms of compassion fatigue as identified by Figley and that these may resemble experiences of nurses in North America,Japan,and Spain.Conclusion:This study provides a detailed overview of the stressful factors,experiences,and coping strategies for compassion fatigue,which could be used to develop an early screening tool and interventions for alleviating compassion fatigue and for preventive adaptation of the health care system.展开更多
文摘目的系统评价老年人应对慢性病共病的体验。方法检索PubMed、Cochrane Library、Web of Science、Embase、中国知网、万方数据库、维普中文期刊全文数据库,检索时限为建库至2021年8月,检索老年人应对慢性病共病体验的质性研究文献,依据2016版澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准评价文献质量,采用Meta整合方法分析结果。结果共纳入15篇文献,提炼出60个研究结果,整合成10个新的类别,综合为3个整合结果:慢性病共病协同衰老所致改变;对慢性病共病的反思和反应;调适以维持正常生活。结论慢性病共病协同衰老给老年人生活造成多方面的挑战,医护人员应关注其对共病不同应对方式,重视源于其智慧总结的应对策略,设计、开发可行的应对共病的干预性支持项目。
文摘Climate variability and change are among the biggest challenges of the 21st century. Like in many other areas globally, the coastal communities of Tanzania have always been facing climatic variability at various time scales. Using focus group discussion and a household survey, this study analyzes the perceptions of climate variability and change and the strategies for coping and adaptation by the selected coastal rural and peri-urban communities in Tanzania. The perception of climate variability and change is complemented with the time-series analysis of rainfall and temperature data from Julius Nyerere International Airport Met. station and Kisarawe using Instant Statistical Software. Results indicate that households are aware of climate variability and identify indicators of climate change and variability as being decreasing rainfall trends, increasing incidences of droughts, unpredictable rainfall patterns, disappearance of wetlands and failure to predict on-set of rainy season using traditional knowledge. Households primarily attribute reduced crop yields to changes in rainfall pattern and increasing incidences of drought leading to soil moisture stress. The implications are that the agriculture dependent households are now food insecure. As a way of coping to the observed changes, the coastal communities among others have shifted to production of high value horticultural crops and use of forest resources. Nevertheless, the increased use of forest resources is threatening the existence of coastal forests and contributes to the decline of forest resources and disappearance of wildlife in the forest reserves. It is concluded that the communities studied are aware of climate issues as revealed from perceived indicators of climate variability and changes. The results from statistical analysis of 30 years climatic data are consistent with community’s perception of climate variability and change. The study recommends examining the present coping strategies for the sustainability of the coastal forests and in desi
文摘Objectives:Nurses are considered to be at risk of experiencing compassion fatigue,which can affect their personal and professional lives.The aim of this study was to investigate stressful factors contributing to the development of compassion fatigue in nurses,their experiences of compassion fatigue,and the coping strategies they used to cope with compassion fatigue.Methods:The convenience sample of 86 nurses fromCentral Europewas recruited via social networking sites during the pandemic of COVID-19.Data collection was conducted via an online battery of questionnaires which included open-ended questions on the stressful factors,experiences,and coping strategies for compassion fatigue.The data were analysed using a theoretical thematic analysis based on Figley’s descriptions of compassion fatigue.The initial datawas read several times to identify recurring statements.Each statement was then categorized into the emerging domains,subdomains,categories,and subcategories.Results:The results of our study show that stressful factors,experiences,and coping strategies for compassion fatigue in nurses in Central Europe could be related to cognitive,emotional,behavioural,somatic,personal relations,spiritual,and work-related symptoms of compassion fatigue as identified by Figley and that these may resemble experiences of nurses in North America,Japan,and Spain.Conclusion:This study provides a detailed overview of the stressful factors,experiences,and coping strategies for compassion fatigue,which could be used to develop an early screening tool and interventions for alleviating compassion fatigue and for preventive adaptation of the health care system.
