Background Obesity has become a global epidemic. Surgical treatment of obesity and metabolic disorders in China is increasing rapidly, but it is still a new discipline even to health professionals. As an important member of the multidisciplinary team, the knowledge and attitudes of nurses provide crucial health care to the patients and support to surgeons. Objectives To study the Chinese nurses' knowledge of obesity and metabolic disorders, and attitudes towards bariatric surgery and to improve their capability of work in this new discipline. Methods This is a multicenter study, with the questionnaire distributed to cooperative hospitals in the form of an electronic questionnaire by the First Affiliated Hospital of Jinan University in April 2018. A questionnaire was designed to investigate nurses' demographic, knowledge, and attitude towards obesity, weight loss, and bariatric surgery. Results A total of 5311 questionnaires were received, with an effective rate of 91.8% (4878 questionnaires); 65.2% of nurses had a normal BMI. Nurses generally had a high knowledge of obesity and related cardiovascular diseases (98.6%) and type 2 diabetes mellitus (90.2%). However, there was a lack of knowledge in other related aspects, for example its relations to carcinoma (49.5%), gastroesophageal reflux disease (40.1%), and psychological disorders (49.1%), which are controversial issues in bariatric surgery. It was found that education (p < 0.05) had an important influence to nurses' knowledge about the comorbidities of obesity. Female nurses had a higher tendency to choose weight loss than males, but male nurses did physical exercise more frequently than females (p < 0.05). Their acceptance of safety (25.1%) and efficacy (22.9%) of bariatric surgery is low, with concerns predominantly about postoperative complications and adverse effects. Surgical nurses had a more optimistic attitude towards surgery (p < 0.05). Conclusions Chinese nurses have poor knowledge of obesity-related metabolic disorders and also have poor acceptance of surgical treatment modalities. Our findings suggest that it is crucial to enhance the continuing education of Chinese nurses for obesity, metabolic disorders, and bariatric surgery.
The novel coronavirus that arose in Wuhan in December 2019 is a new strain of coronavirus [1]. Most coronaviruses cause only mild respiratory illness such as the common cold, but the new virus, named SARS-CoV-2 by the WHO, can cause severe disease, pneumonia, severe acute respiratory syndrome (ARDS), kidney failure, and death [2-5]. Since there is no specific treatment, the goal now is to protect the susceptible population [1-4]. After the first cases were reported in early December in Wuhan [6, 7], the epidemic spread rapidly, but enforced lockdowns and other measures slowed the spread of the disease beyond Wuhan. By May, the number of new cases were as few as 25 per week. Except for Wuhan, most cities in China returned to work gradually, but throughout the rest of the world, the COVID-19 outbreak continued.
BackgroundThe prevalence of obesity and obesity-related disorders is rapidly increasing among the Chinese populations. Bariatric surgery is becoming more and more popular in China, yet little cases were performed compared with western countries. The acceptance of this new treatment modality in Chinese bariatric surgery candidates was seldom studied.ObjectiveTo investigate the factors affecting the choice of bariatric surgery in Chinese patients with obesity and metabolic disorders, so as to promote the popularization of bariatric surgery in developing countries like ChinaMethodsPatients with obesity and related metabolic disorders meet the indications for bariatric surgery in the Department of Metabolic and Bariatric Surgery in the First Affiliated Hospital of Jinan University between January 2016 and April 2017 were asked to answer a questionnaire about the demographics of the patients, social economic status, present and past history, family history, etc. The data collected and the relationship of the acceptance of bariatric surgery were analyzed.ResultsThere were 157 patients (51 males, 32.5%; 106 females, 67.5%) with mean BMI 38.7 ± 8.1 kg/m2 answered the questionnaire. One hundred twenty-three of them (78%) accepted bariatric surgery. By univariate analysis, it was found that patients’ weight, BMI, family support, medical insurance, past surgical history, family history of T2DM, and obesity-related comorbidities and symptoms are correlated with the acceptance of bariatric surgery. By multivariate analysis, it was found that patients’ weight (P = 0.024), BMI (P = 0.007), family support (P < 0.001), medical insurance (P < 0.001), past surgical history (P = 0.011), family history of T2DM (P = 0.020), and obesity-related comorbidities and symptoms (P = 0.030) are statistically significant and were positively correlated with the acceptance of bariatric surgery. Age, height, gender, history of smoking and alcohol consumption, family history of obesity, history of hypertension and T2DM, education level, and marital status were not statistically significant (P < 0.05).ConclusionsPatients with heavier weight, higher BMI, family support, medical insurance reimbursement, past surgical history, family history of T2DM, and obesity-related comorbidities and symptoms are more likely to consider bariatric surgery in Chinese bariatric surgery candidates. It will be important to provide appropriate healthcare education and support to patients focusing on both obesity-related health risks and options of surgical treatment so to improve their acceptance of bariatric surgery.
Objectives: Following gastrointestinal cancer patients have attracted the attention of the mental health and quality of life in postoperation, we explore outcome associated with nursing intervention improve the mental health and quality of life associated with gastrointestinal cancer patient after chemotherapy by questionnaires. Methods: 78 patients diagnosed as gastrointestinal cancer from March 2018 to October 2019 were randomly assigned to control group and intervention group. We collected the information of mental health and quality of life of patients by Symptom Checklist-90 and Generic Quality of Life Inventory-74. Additionally, the data was analyzed with statistics, t value and p value after collection, which the result can present the changing of mental health and quality of life associated with the nursing intervention. Result: the score of various factors of scl-9 in the intervention group was significantly lower than that in the control group. Additionally, the score of the intervention group was significantly higher than that of the control group. Conclusion: The nursing intervention improve the mental health and quality of life on patients who undergo chemotherapy. In addition, the nursing intervention can improve the outcome of treatment as more patients is willing to cooperate with the treatment arranged by the hospital.
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