Research in nursing & health
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Meta Analysis
Prevalence and Correlates of Psychological Symptoms in Chinese Doctors as Measured with the SCL-90-R: A Meta-Analysis.
Poor mental health in doctors appears to be a global phenomenon, but there are limited data on changes in doctors' psychological symptoms over time in mainland China. Through a detailed meta-analysis of cross-sectional studies, our aim was to examine the prevalence of psychological symptoms in Chinese physicians as measured with the Symptom Checklist 90-R (SCL-90-R) and to explore the factors associated with doctors' mental health. A comprehensive search was performed in major English and Chinese databases. ⋯ Psychiatrists scored significantly less favorably than other doctors on most subscales of the SCL-90-R. Doctors' mental health may be associated with age discrepancy, quantitative workload, effort-reward ratio, doctor-patient relationships, professional identity, and individual traits. To minimize the risk of poor mental health in doctors, screening and professional intervention services should be provided at early career stages to raise physicians' awareness about the importance of maintaining psychological well-being and to reduce the prevalence of psychological symptoms.
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Disease self-management is a critical component of maintaining clinical stability for patients with chronic illness. This is particularly evident in the context of heart failure (HF), which is the leading cause of hospitalization for older adults. HF self-management, commonly known as HF self-care, is often performed with the support of informal caregivers. ⋯ Both patients and caregivers reported low levels of HF maintenance and management behaviors. Significant individual and dyadic determinants of self-care maintenance and self-care management included gender, quality of life, comorbid burden, impaired ADLs, cognition, hospitalizations, HF duration, relationship type, relationship quality, and social support. These comprehensive dyadic models assist in elucidating the complex nature of patient-caregiver relationships and their influence on HF self-care, leading to more effective ways to intervene and optimize outcomes.