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Background Pharmacotherapy is the cornerstone of primary and secondary prevention of atherosclerotic cardiovascular diseases (ASCVD), but the values and preferences of community patients for pharmacotherapy remain unclear. Objective To understand the values and preferences surrounding pharmacotherapy among community patients at risk of or undergoing treatment for ASCVD, which would help clarify the individualized treatment burden and provide patient-centered clinical practice. Methods This study employed a sequential exploratory mixed-methods design. Firstly, we recruited eligible patients in West China Hospital of Sichuan University and Yulin Community Health Service Center in Wuhou District, Chengdu City from November 2021 to January 2022. for a focus group discussion, aiming to collect qualitative insights into their experience, values, and preferences for medication use. The software MAXQDA 2020 was used to support qualitative data analysis, and Colaizzi's seven-step approach was further used to identify themes. After completing the qualitative phase, a questionnaire was designed based on the emergent themes to further quantitatively analyze the values and preferences regarding pharmacotherapy. Results Four themes emerged from the qualitative data, including knowledge and use of medications, barriers of medication use, facilitators of medication use, and need for medical services. A total of 186 valid questionnaires were collected in the quantitative study (response rate of 93.5%). The quantitative data showed a commonality in missed dose and confirmed the existence of social stigma and treatment burden in this group of participants. Although preferences in medication use were highly heterogeneous, participants generally preferred taking fewer medications with less frequency, and were less likely to use injectable medications. Conclusion The study suggests that it may be appropriate to increase the use of compound preparations, and make treatment plans in accordance with patients' daily lives and work to reduce the treatment burden of pharmacotherapy. In addition, we should be active in managing the misconceptions and improper practices in pharmacotherapy in order to improve patients' medication adherence.

BackgroundDomestic researches on the professional identity of psychiatrists are still relatively rare up to now， and effective evaluation tools remain inadequate.ObjectiveTo construct a professional identity questionnaire for psychiatrists with high reliability and validity， so as to provide an effective tool for the evaluation of professional identity of psychiatrists.MethodsA self-designed questionnaire titled "Professional Identity Questionnaire" was compiled. After preliminary screening of items and expert consultation， an initial questionnaire was formed and administered to a sample of 400 psychiatrists， and the final questionnaire was assessed by item analysis， reliability analysis and validity analysis.ResultsThe Cronbach's α coefficient was 0.930 for the final questionnaire， and ranged from 0.817 to 0.920 for each dimension. The value of KMO was 0.904 （χ2=2 931.652， P

Social media has expanded the scope and method of interpersonal communication, and presents the risk of social media addiction as well. This study reported the psychometrics of the Bergen Social Media Addiction Scale (BSMAS) and further analyzed the moderating role of peer relationship on the association between negative emotions and risk of social media addiction. A total of 1258 survey participants were asked to complete a set of scales online. Exploratory structural equation modeling enabled BSMAS to reveal a solid one-factor structure with satisfactory internal consistency coefficient. Criterion-related validity and variance explanation rate analysis implied a positive relationship between negative emotions and risk of social media addiction, and identified the significant contributions of negative emotions and peer relationship to the risk of social media addiction. Moderation analysis demonstrated that peer relationship positively moderated the effect of negative emotions on the risk of social media addiction. However, gender was not a moderator affecting negative emotions on the risk of social media addiction. BSMAS was a valid tool for measuring the risk of social media addiction among Chinese adolescents. Lastly, peer relationship is a positive moderator in influencing negative emotions and risk of social media addiction., Author(s): Lu Huang [sup.1] , Jiewen Zhang [sup.2] , Wenjie Duan [sup.3] , Longtao He [sup.4] Author Affiliations: (1) grid.413041.3, 0000 0004 1808 3369, Faculty of Law and Public Administration, [...]

BackgroundAs the most direct caregivers, family caregivers play a crucial role in caring children with cancer. Qualitative studies on their emotions and experiences have reported that they face great challenges and pressures during caring children with cance.ObjectiveTo perform an integrative synthesis of caregiving experiences of family caregivers of children with cancer, providing evidence derived from practice for improving the caring for such children, and their family caregivers' physical and mental health.MethodsQualitative studies regarding caregiving experiences of family caregivers for children with cancer were retrieved from Web of Science, PubMed, EmBase, Medline, CNKI, and Wanfang Data from inception to June 1, 2021. Literature screening, and data extraction were performed by two researchers, separately. Methodological quality was assessed using JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses. And the results were synthesized using an integrative review approach.ResultsTwelve studies were finaly enrolled. Thirty-eight complete evidence of 11 types arose from the synthesis and were summarized into two themes: (1) care challenges and burdens; (2) care resources. Each primary topic encompasses multiple sub-topics.ConclusionWe found that family caregivers face a variety of burdens and challenges, and they attempt to actively solve them using their own strengths, supports from their own personal networks, other people, external sources (non-governmental, public and supportive policy resources) , culture and belief, as well as knowledge about hospice care. To relieve their care burden, and improve the quality of life of these children, it is suggested that medical workers should provide these caregivers with targeted guidance and supports with the features of the specific treatment phase of the children, and their caregivers' caregiving experiences and culture taken into consideration.

BackgroundCare needs of Chinese cancer patients have increased significantly, due to massive population ageing and an increasing cancer incidence rate. Family caregiving, being the most important component in meeting those care needs, comes with many kinds of care burdens for caregivers. Thus, it is vital to systematically examine caregiving experiences of family caregivers for cancer patients.ObjectiveTo systematically synthesize the care experiences of family caregivers for Chinese cancer patients.MethodsAll qualitative studies on the caregiving experiences of family caregivers for Chinese cancer patients were systematically retrieved from Web of Science, PubMed, EmBase, Medline, Cochrane Library, grey literature in the health sciences, CNKI, and Wanfang Data from inception to May 23, 2021 between January and May 2021. The 2016 JBI Critical Appraisal Checklist for Qualitative Research was used for quality evaluation. Meta-synthesis of the included studies was performed.ResultsNineteen studies (6 in Chinese and 13 in English) were finally included, involving 295 family caregivers in total. Nine were rated A with very low risk of bias, and 10 were rated B with relatively low risk of bias. Three overarching themes containing 15 subthemes emerged: patient-centered care needs, care burden and care gains.ConclusionThis qualitative meta-synthesis provides a deep and comprehensive analysis of the care experiences of family caregivers of Chinese cancer patients, which may help improve the construction of medical system to meet the needs of patient-centered care, strengthen the positive factors affecting the care experience at the micro, meso and macro levels, and carry out intervention measures such as death and life education to reduce the negative impact of cultural factors on the care experience.

During the initial outbreak of COVID-19 in China in 2019 and 2020, the Wuhanese suffered tremendous public stigmatization. Why and how did the general public in China develop such strong feelings against the Wuhanese? To address these questions and understand the social forces underlying this phenomenon, a moral panic analysis was conducted. Using a mixed-method design, this research examined the scale and mechanisms of the public stigmatization of the Wuhanese as 'the folk devil' of a moral panic and identified the social factors (social media, the collective memory of SARS, and the influence of close relations) which produced and facilitated the initial panic and subsequent public stigmatization. Through its presentation and analysis of quantitative and qualitative data, this article explains how public stigmatization has served as an effective social control instrument in China during the COVID-19 outbreak, used to contain the disease, garner strong public support for the government authorities, legitimize extreme methods used to implement containment policies, and monitor and restrict the population. [ABSTRACT FROM AUTHOR]

Monkeypox (mpox), a viral zoonotic disease, is spreading worldwide. However, evidence that informs prevention and control strategies in the Asia Pacific Region is very limited. Our study aims to investigate the experiences of mpox patients from infection to treatment to provide scientific basis for the prevention and control. A multicenter qualitative design was used. A total of 15 mpox patients were recruited between July 6 and July 25, 2023, from six cities in China. Semistructured interviews were conducted by telephone and analyzed using the thematic analysis. The interview was divided into two sections: patients' experiences (prediagnosis experience, treatment‐seeking experience, and quarantine experience) and advice. Prediagnosis experience was summarized into three themes: symptoms, possible routes of infection, and knowledge of mpox. Treatment‐seeking experience was summarized into three themes: time of visit to hospital, diagnostic difficulties, and attitude toward diagnosis. Quarantine experience was summarized into three themes: body and mind reactions, reluctance to self‐disclose infection status, and factors facilitating recovery. Themes identified from patients' advice were as follows: (1) Increase in testing channels and methods, (2) Development and introduction of vaccines, (3) Adjustment of quarantine program, (4) Improvement of treatment measures, and (5) Improvement of publicity and education. To effectively curb the mpox epidemic, structured measures are urgently needed to address the mpox‐related stigma and discrimination. Targeted health education should be provided to MSM, focusing on the prevention, detection, and treatment services. Hospitals should enhance the training of clinicians in key departments including infectious disease and dermatology, to improve diagnostic capability and sensitivity. Furthermore, given the absence of specific antiviral medications, supervised home quarantine may be a good option. [ABSTRACT FROM AUTHOR]

This article reports on research that explored rural migrant workers' experiences of returning to their hometown to provide care for elderly parents diagnosed with cancer. The authors used a culturally integrated approach to Foucauldian discourse analysis to consider how 24 participants narrated their experiences of care in China. The discourse of care demonstrated a strong commitment to filial piety despite their unique care challenges, and this commitment was bolstered by discourses that emphasized how much parents had sacrificed, as well as by a persistent forgetting of experiences or background details that suggested any lack of parental sacrifice in recent Chinese history. Policy implications related to enhancing filial care are discussed. [ABSTRACT FROM AUTHOR]