Aims and objectives To investigate the status of tuberculosis stigma and depression among tuberculosis patients, to examine the relationship between demographics and tuberculosis stigma and depression among tuberculosis patients, and to identify the predictors of depression among tuberculosis patients. Background After the diagnosis of tuberculosis, patients suffer from disease symptoms and disease‐related stigma. Depression is also a major concern in tuberculosis patients. Design A cross‐sectional design was used in this study. Methods A total of 84 subjects, obtained through convenience sampling, enrolled in this study, which was conducted from 1 March 2013–30 December 2014. Data were collected using a structured questionnaire with a demographic component, the Tuberculosis‐related Stigma Scale, and the Beck Depression Inventory‐ II . Data were analysed, using spss Version 20. Independent t tests, Pearson's correlation coefficient tests and analyses of variance were used for analysis of patient demographic characteristics, disease characteristics, and the correlation between stigma and depression. Multiple linear regression was used for determining the predictors of depression. Results The results showed that not disclosing one's illness to others was associated with tuberculosis stigma and depression. Multiple linear regression analysis indicated that patient‐perceived tuberculosis stigma and body mass index accounted for 34% of the variation in depression. Conclusions These results can serve as a reference for clinical healthcare providers to understand perceived stigma and depression in initially diagnosed tuberculosis patients. Relevance to clinical practice An intervention to reduce patient tuberculosis stigma, such as improving community healthcare education or offering mental health outreach, has great potential to lower the level of depression among patients with tuberculosis.
This study aimed to assess patients’ levels of belief, benefits and barriers toward physical activity, and to identify factors associated with physical activity performance in patients with type II diabetes mellitus (T2DM). The study was carried out using cross-sectional correlation design. Subjects from the endocrinology and metabolism outpatient departments of a teaching hospital in northern Taiwan were recruited by consecutive sampling. A total of 149 patients with type II DM were recruited. More physical activity was associated with stronger physical activity beliefs, including recovery self-efficacy, action and coping planning, and maintenance self-efficacy, which explained 40.9% of variance in physical activity performance. Patient-centered physical activity programs (resistance exercise, daily walking, or Tai Chi exercise) can reduce patients’ barriers toward performing physical activity.
Knee osteoarthritis is prevalent in older adults worldwide. Quality of life was negatively affected by the COVID-19 pandemic.This study was designed to examine osteoarthritis severity and health-related quality of life (QOL) in older adults with knee osteoarthritis before total knee replacement during the COVID-19 pandemic and to identify the related predictors of QOL.This cross-sectional correlation study involved convenience sampling in the orthopedic ward of a regional teaching hospital in central Taiwan from June 2020 to June 2021 using the Western Ontario and McMaster Universities Arthritis Index and the SF-36v2 Health Survey. The data were analyzed using Pearson's correlation coefficient analysis, independent samples t test, and one-way analysis of variance to determine correlations among demographic variables, osteoarthritis severity, and QOL. The predictors of QOL were examined using stepwise multiple linear regression analysis.A total of 60 older adults diagnosed with knee osteoarthritis were sampled. The average age was 70 years and the average osteoarthritis severity score was 70.45. Being male, having comorbidities, and having a relatively high level of monthly disposable income were associated with poorer QOL. Moreover, more severe knee pain, stiffness, and physical dysfunction were associated with better psychological QOL.During the COVID-19 pandemic, the severity of knee osteoarthritis affects preoperative quality of life in older adults. Clinicians should detect signs of pain and physical dysfunction in these patients in advance and intervene in a timely manner to improve their QOL before surgery.COVID-19大流行對膝骨關節炎老人術前健康相關生活品質的衝擊.膝骨關節炎（knee osteoarthritis）是全球老人常見的疾病，COVID-19疫情下生活品質受影響。.本研究目的探討COVID-19疫情下，膝骨關節炎老人等待膝關節置換術前的關節炎嚴重度與健康相關生活品質現況及生活品質預測因子。.採橫斷式相關性研究設計，方便取樣，2020年6月至2021年6月於中部某區域教學醫院骨科病房收案。測量工具包含關節炎嚴重度量表（Western Ontario and McMaster Universities Osteoarthritis Index）、健康相關生活品質量表。統計分析以皮爾森積差相關分析、獨立t檢定及單因子變異數分析基本屬性、關節炎嚴重度與生活品質相關性，多元逐步迴歸分析其生活品質預測因子。.本研究共收案60位，平均年齡70歲。膝骨關節炎嚴重度平均分數為70.45分。男性、有共病症及每月可支配收入越多者，生理範疇生活品質比較差。然而，膝蓋疼痛、僵硬及身體功能受限越嚴重，心理範疇生活品質越佳。.COVID-19大流行期間，老人膝骨關節炎的嚴重度會影響術前的生活品質。臨床人員應及早偵測出並提供照護介入以改善術前生活品質。.
Abstract Three new η 2 ‐acyl complexes, TMo(CO) 2 (η 2 ‐COR) (T = Tp', Tp'; R= Me, Bu n ; Tp' = hydridotris(3,5‐dimethyl‐pyrazol‐1‐yl)borate; Tp' = hydridotris(3,4,5‐trimethylpyrazol‐l‐yl)borate) prepared from the corresponding alkyl iodides, RI, and the anions, TMo(CO) − 3 . The preparation of Et 4 N + Tp Mo(CO) 3 − is also described. Using solution IR spectra to monitor the reactions between RI and TMo(CO) 3 − , it was found that Tp'Mo(CO) 2 (η 2 ‐COMe) was formed more readily than Tp'Mo(CO) 2 (η 2 ‐COMe) which was obtained more easily than Tp'Mo(CO) 2 (η 2 ‐COBu n ). This finding suggests that the mechanism is probably an ionic substitution rather than a radical mechanism. The different times required for the complete conversion from the anions to TMo(CO) 2 (η 2 ‐COR) is rationalized in terms of the electronic and steric influences of T and RI.
Upper gastrointestinal (UGI) cancer treatment can cause physical and psychological distress and may result in unmet needs. The purposes of this study were to (1) examine the levels of gastrointestinal (GI) symptom distress, social support, and supportive care needs; (2) screen the priorities of unmet supportive care needs; and (3) identify the factors associated with supportive care needs among UGI cancer patients receiving chemotherapy. This cross-sectional study examined UGI cancer patients who received treatment from the outpatient chemotherapy department of a single cancer center in northern Taiwan. Questionnaires were used to collect data regarding GI symptom distress, social support, unmet needs, and supportive care needs. The top three unmet needs were "fears about the cancer spreading", "uncertainty about the future", and "being informed about things you can do to help yourself to get well". Descriptive statistics examined the levels of GI symptom distress, social support, supportive care needs, and priorities of unmet supportive care needs. Stepwise regression was conducted to determine significant factors related to supportive care needs. Greater supportive care needs were found to be associated with higher levels of disease-related worries, increased treatment-related symptoms, and a lower level of physical performance. These factors explained 48.0% of the variance in supportive care needs. Disease-related worries and treatment-related symptoms strongly influence overall supportive care needs and each domain of supportive care needs. Symptom management and psychological support for patients receiving outpatient chemotherapy may help patients meet needs.
'/%3e%3cuse xlink:href='%23a' transform='rotate(60)'/%3e%3ccircle r='17' fill='%23000095'/%3e%3ccircle r='15' fill='%23fff'/%3e%3c/svg%3e)
