Beardshaw1597

According to the multiple linear analyses, having diabetes was significantly associated with lower global cognitive function, naming, and language scores, with β coefficients and 95% CIs of -1.30 [ -2.59, -0.01], -0.25 [-0.47, -0.02], and -0.32 [-0.58, -0.07], respectively (all P  less then  0.05). Having diabetes could not independently predict an increased risk of global cognitive impairment. Conclusions In MHD patients, having diabetes is significantly associated with lower cognitive function scores. Medical staff should evaluate early and focus on the decline of cognitive function in MHD patients with diabetes, in order to achieve early diagnosis and early intervention. © 2020 Chinese Nursing Association. Production and hosting by Elsevier B.V.Objectives To explore the relationship between Vitamin D levels and pain and disease activity in patients with newly diagnosed axial spondyloarthritis (axSpA). Methods A convenience sample of 131 newly diagnosed axSpA patients and 60 healthy controls was recruited from July 2016 to December 2018. Serum 25-hydroxyvitamin D [25(OH)D] was measured to assess vitamin D levels. Disease activity was assessed by objective indicators [Erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), the Bath Ankylosing Spondylitis Metrology Index (BASMI)], patient-reported questionnaires [the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), and the Bath Ankylosing Spondylitis Functional Index (BASFI)]. Pain intensity and interference were also assessed. Results Vitamin D insufficiency [serum 25(OH) D levels less then 50 nmol/L]was found in 46 (35.1%) and 25 (43.3%) of the axSpA patients and the healthy controls, respectively. Female patients had higher risk (OR4.928; 95% CI 1.921-12.642) for vitamin D insufficiency than male patients. Vitamin D was positively correlated with CRP, ESR level, the BASFI, and the BASMI. Logistic regression showed that vitamin D levels were not associated with pain, or disease activity in the newly diagnosed axSpA patients. Gender was the only predictive variable for vitamin D levels. Conclusions Vitamin D insufficiency was prevalent in both newly diagnosed axSpA patients and healthy controls. There was no association between vitamin D and pain and disease activity in the newly diagnosed axSpA patients. Monitoring vitamin D levels is important and early intervention for vitamin D insufficiency is needed, especially in female patients. © 2020 Chinese Nursing Association. Production and hosting by Elsevier B.V.Objectives To understand the differences in social isolation among older adults and to identify risks associated with social isolation. Methods Totally 485 participants aged 60 and older were recruited for this study. The Lubben Social Network Scale-6 and the Chinese version of the Medical Outcomes Study Social Support Survey were used to measure social isolation and the different types of social support that the participants experienced. Results The proportions of young elderly (60-74 years of age) and old elderly (greater than 74 years of age) that experienced social isolation in this study were 24.4% and 33.1%, respectively. For the young elderly, three types of social support were observed to be protective factors to help avoid social isolation, and the positive effect of social support obtained from friends and neighbors was slightly stronger than that of family members. Old elderly with only a senior high school education background were at high risk of being socially isolated. Only support from friends was observed to be a protective factor for the old elderly. Conclusions The study indicated that different ages of older adults experienced different aspects of social relationships. We propose that nursing interventions for the elderly should focus on individualized social support as a protective factor to help older adults avoid being socially isolated. © 2020 Chinese Nursing Association. Production and hosting by Elsevier B.V.Objectives The purpose is to distinguish family care (FC) patterns of childhood rheumatic diseases in Chinese families and to determine the predictors of FC patterns. Methods This secondary analysis contained two cross-section surveys with a convenient sample of totally 398 caregivers who have a child with rheumatic diseases from four pediatric hospitals. Caregivers were required to completed Family Management Measure questionnaire. Cluster analysis was used to distinguish patterns and multinomial logistic regression analysis was used to find predictors. Neuronal Signaling inhibitor Results Four patterns were identified the normal-perspective and collaborative (28.4%), the effortless and contradictory (24.6%), the chaotic and strenuous (18.3%), and the confident and concerning (28.7%). Disease category (χ 2 = 21.23, P = 0.002), geographic location (χ 2 = 8.41, P = 0.038), maternal educational level (χ 2 = 12.69, P = 0.048) and family monthly income (χ 2 = 33.21, P  less then  0.001) predicted different patterns. Conclusions FC patterns were different among families. Disease-related and family-related factors were vital predictors to distinguish patterns consistent with the Family Management Style Framework. The result assisted that clinicians recognize FC patterns and predictors effectively to provide tailored advice in time. © 2020 Chinese Nursing Association. Production and hosting by Elsevier B.V.Objectives Prevalence rates of overweight and obesity are dramatically ever-increasing across the world. Therefore, this study was to evaluate the effect of mindfulness-based cognitive therapy (MBCT) on weight loss, hypertension, and attentional bias towards food cues in a group of women affected with this condition. Methods A total of 45 participants were selected out of women referring to the Nutrition and Diet Therapy Clinic affiliated to Shahid Beheshti University of Medical Sciences, Iran, and then randomized into three groups of 15. The first experimental group was subjected to an energy-restricted diet therapy together with MBCT during 8 sessions, the second group took the diet therapy alone, and the third group received no intervention. Body mass index (BMI), hypertension, and attentional bias towards food cues were correspondingly evaluated before, at the end, and four weeks after the completion of the interventions. Results The results of this study revealed that MBCT, along with diet therapy, had been significantly more effective in weight loss, decrease in BMI, lower systolic blood pressure (SBP), and attentional bias towards food cues compared with the diet therapy alone (P ≤ 0.