Objective To explore the effects of psychological intervention on negative emotion and quality of life of the patients with chronic obstructive pulmonary disease (COPD). Methods A total of 80 patients with COPD were divided into the psychological intervention group and the control group. The psychological intervention group received routine treatment + psychological intervention; the control group only received routine treatment. SCL-90 symptom checklist and St George'S Respiratory Questionnaire (SGRQ) scores before and after the treatment were assessed. Results There was no significant difference in each score between the 2 groups at baseline ( P ＞ 0. 05 ). After 3 months' treatment, the scores of the 2 groups was declined; somatization, obsession, anxiety, and depression were significantly improved compared with baseline. There was no significant difference in SGRQ respiratory symptoms, disease impact and the SGRQ indicators at baseline ( P ＞ 0. 05 ). After the invention, there showed significant difference in the treatment group in SGRQ respiratory symptoms, disease impact and the SGRQ indicators compared with baseline (P ＜0. 05 ). Conclusion Psychological intervention could improve negative mood and the quality of life of patients with COPD.

Objective To study the effects of health management on cardiovascular events in the elderly patients with hypertension. Methods A total of 182 elderly patients with hypertension were randomly assigned to the control group (n = 61 ), pharmacologic therapy group (n = 61 ) or health management group ( n = 60). Serum biomarkers, brachial-ankle pulse wave velocity ( baPWV ), and blood pressure were tested at baseline and after intervention. Results There were no differences between the 2 groups in clinical characteristics at baseline. The average following-up period was (21 ± 7 ) months. The improvement of systolic blood pressure ( t = 3.915, P = 0. 000 ), pulse pressure ( t = 3. 966, P = 0. 000), and baPWV ( t = 3. 093, P = 0. 002) in the health management group was more significant than the control group;the systolic blood pressure ( t = 2. 008, P= 0. 046 ) was bitterly improved than the pharmacologic therapy group. The accumulative survival rate of the health management group (96. 7% ) was higher than the control group (83.6%; x2 =5. 921 ,P =0. 015) ,similar to the pharmacologic therapy group (93.3%; x2 =2. 821,P=0.091 ). Decreased systolic blood pressure, diastolic blood pressure, pulse pressure and baPWV were protective factors. After adjusted by age and gender,the improvement of systolic blood pressure was found to be an independent protective factors ( RR = 0. 75, P ＜ 0. 05 ). Conclusion Health management in elderly patients with hypertension could more significantly reduce the risk of cardiovascular diseases.

Objective To investigate the effects of multifactor intervention on the rehabilitation outcomes of stroke patients. Methods A total of 85 stroke patients were randomly assigned to the treatment group (receiving intervention plan assessment before undergoing multifactor interventions) and the control group ( receiving conventional rehabilitation). Results The effectiveness of the treatment or control group was 95.3% and 83. 3%, respectively. After the intervention, the patients' potential and alternative risk factors were significantly decreased,although clinical efficacy was largely increased (P ＜0. 01 ). Conelusion Multifactor intervention on elderly stroke patients may be an effective treatment method to control the risk factors and recurrence of stroke.

Objective To evaluate the effects of an intervention programme of health education and life style modification on postmenopausal osteoporosis women. Methods A total of 120 postmenopausal osteoporosis women were enrolled in this one-year randomized controlled follow-up study and assigned to the intervention group ( Group A, n = 60) or the control group ( Group B, n = 60). Both groups were treated with alendronate sodium. In Group A, education program was performed once a season in the form of face-to-face consultation or group session. In Group B, no additional intervention was used. The primary outcome was patients' compliance in follow-up. The secondary outcomes were change in bone mineral density (BMD).BMD was measured by dual-X-ray absorptiometry (DXA) on lumbar spine and hip at baseline and 12 months after the intervention. Results After one-year intervention,51 subjects in Group A and 38 in Group B completed the follow-up. Groups A showed better compliance. BMD on lumbar spine and hip was significantly increased in both groups when compared with baseline. The changes of BMD on lumbar (0.042+0.067 vs 0.026±0.070,P=0. O29) or Words region (0.029 +0. 129 vs 0.023±0. 143,P=0. 041 ) showed statistical significance between the two groups. Conclusion For alendronate sodium treatment, health management ensures the effectiveness of the therapy and improves the compliance of the patients.

Objective To investigate the social support of the elderly hospitalized individuals and its relationship with outcomes and to study its influential factors.Methods The elderly in-patients aged＞65 years old who were treated from April to June 2012 in Geriatric Department were recruited.The comprehensive geriatric assessment (CGA) that included social support scale (SSRS) was used.According to SSRS,the patients were assigned to the lower or higher score group.The participants were followed up for 1 year,and 12-month mortality and re-hospitalization were recorded.Student's t test,Chi-square test and multiple logistic regression were used for data analysis.Results The total score of social support was 26.58±8.99,which was significantly lower than the national norm (34.56±3.73,t =-7.52,P＜0.05).Those with advanced age,less household,depression,insufficient ability of daily life and instrument daily life showed relatively lower SSRS (t values were-2.54,8.22,-6.61,6.72 and 6.95,respectively; all P＜0.05).The patients with no spouse also got less social support (x2 =8.58,P＜0.05).At 1 year,no significant difference of re-hospitalization and mortality was found between the two groups (x2 values were 1.94 and 3.28,respectively; both P＞0.05).In multiple logistic regression analysis,fanily member,characteristics and living ability were the major influential factors of social support.Conclusions Medical staff should pay more attention to the elderly hospitalized patients and offer them sufficient social support to improve their quality of life.

Objective To investigate the effect of meridian exercises on blood glucose and clinical symptoms of community elderly type 2 diabetic patients.Methods Sixty elderly patients with type 2diabetes mellitus (T2DM) were selected from two communities from February to September in 2012.Thirty participants from one community received meridian excise-based group sport management (experiment group),the other 30 subjects from another community got meridian excise-based individual sport management (control group).Before and after the intervention,blood glucose and self-report symptoms were assessed.Results At baseline and after the intervention,there was statistically significant difference of postprandial blood glucose and self-symptom score between the two groups (t values were-5.954,-2.900,-4.214 and-3.798,respectively; all P＜0.05).After the intervention,experiment group showed statistically significant difference in self-assessment of symptom score from the control group (t=-5.484,P＜0.05).Conclusion Meridian exercises can efficiently improve diabetic patients' postprandial blood glucose and clinical symptons.

Objective To establish an appropriate health management model to improve health literacy of army men and promote and maintain physical and mental health of officers and soldiers.Methods A questionnaire survey was conducted among officers and soldiers in South China War Zone before and 2 years after health management.The x2 test was used to calculate the positive rate of officers,high-rank soldiers,soldiers,officers and soldiers in general before and after the intervention.Results After health management,most of items showed significant difference,including easy to get along with others,working under stress,being full of confidence to future life,awareness of harm of anger,anxiety and depression,easy expression of feelings,learning from hero model,being satisfied with social support system,active participation in sports activities,knowing centers that offer psychological services,awareness the necessity of psychological services in primary healthcare units (x2 values were 5.8,12.3,26.9,77.3,15.2,21.5,18.6,16.8,333.8 and 79.4,respectively; all P＜0.05).The most obvious improvement was found in the solders.There was no significant difference in satisfaction with psychological status or communication skills and being proud of military carrier in officers and soldiers (x2 values were 2.3,3.1 and 2.2,respectively; all P＞0.05).The stress from the military management was significantly increased after health management (x2=14.9,P＜0.05).The stress of high-rank soldiers from military management and daily work was also significantly increased after health management (x2 values were 21.6 and 8.3,respectively; both P＜0.05).The stress of solders from daily work was significantly decreased after health management (x2=35.7,P＜0.05).The stress of soldiers from military management and financial difficulties was significantly increased.The stress of soldier from financial difficulties was significantly decreased after health management.After health management,the rate of choosing fiiends and psychological doctors to be listener was significantly increased (x2 values were 10.2 and 32.6,respectively; both P＜0.05).The rate of choosing friends and psychological doctors to be a listener was significantly inclined among high-rank soldiers (x2 values were 9.9and 46.7,respectively; both P＜0.05).The rate of choosing parents and leaders to be listener was significantly increased in soldiers (x2 values were 17.6 and 14.3,respectively; both P＜0.05).Conclusion Health management that includes health education,psychological service,disease consulting and life style intervention may significantly improve psychological status of army men,especially the soldiers.

Objective To understand current status and influencing factors of long-term care for elderly people who lived in rural areas of Beijing.Methods A total of 1022 elderly people (age＞60 years old) were enrolled in this cross-sectional study during December,2012 and January,2013.Demographic information,health status and needs of and intent to long-term care were learned through a questionaire survey.Chi-square test and muhiple non-conditional logistic regression analysis were used to identify the factors that were related to the respondents' selection.Results Nearly 6.6％ (61/1016) participants showed needs for long-term care.82.3％ (841/1013) respondents preferred household-based long-term care,while 7.53％ (77/1013) preferred community-based long-term care.In single factor analysis,education level,occupation,household income,living conditions,number of children living together,medical insurance,pension insurance,chronic diseases and self-report hearing ability,taste and touch were related with longterm care needs (x2values were 33.03,136.17,99.32,88.83,58.07,147.71,108.11,9.85,33.78,30.45 and 22.22,respectively; all P＜0.05).Multivariate analysis showed that occupation,income per capita,spouses living conditions,new corporative medical systems and self-report visual status were correlated with household-based long-term care (odds ratio (OR) were 2.48 (95％ confidence interval (CI) 1.21-5.10),0.82(0.71-0.95),1.64 (1.08-2.49),4.78 (2.93-7.82) and 0.72 (0.59-0.89),respectively).Conclusion Householdbased long-term care and health management system may be needed and chosen by the elderly living in rural areas of Beijing.

Objective To describe the prevalence and risk factors of suicidal ideation and suicide attempt among community patients and their family members in Beijing.Methods Accidental sampling method was used in this cross-sectional study to select patients and their family members who visited a community healthcare center in Beijing from June to September 2008.The subjects were required to complete essential information questionnaire,Beck Depression Inventory,Beck Anxiety Inventory and Beck Hopelessness Scale.Chi-square test and binary logistic regression were used to learn the risk factors of suicidal ideation and suicide attempt.Results A total of 2791 valid questionnaires were collected,with a response rate of 90.0％.The participants included 1074 males and 1717 females with mean age (36.8±13.1)years old.The one-year prevalence of suicidal ideation and suicide attempt was 2.8％ (77/2791) or 1.1％ (30/2791),respectively.The one-year prevalence of suicidal ideation was significantly different among the subjects with different professions (x2=12.512,P=0.006),negative events (x2=53.287,P＜0.001),family history of suicide (x2=103.922,P＜0.001),family history of psychiatry diseases (x2=20.640,P＜0.001),hopelessness (x2=77.337,P＜0.001),depression (x2=135.918,P＜0.001) and anxiety (x2=70.303,P＜0.001).The one-year prevalence of suicidal attempt was statistically different among the subjects with different professions (x2=7.954,P=0.037),family history of psychiatry diseases (x2=6.257,P=0.003),hopelessness (x2=29.838,P＜0.001),depression (x2=21.352,P＜0.001) and anxiety (x2=10.014,P＜0.001).Multivariate logistic analysis found that the most important risk factors of suicidal ideation were depression (for mild,moderate and severe depression:odds ratio (OR) 2.38,5.55 and 16.21,respectively; 95％ confidence internal (CI) 1.07-5.31,2.31-13.37 and 6.93-37.92,respectively),family history of suicide (OR=1 1.68,95％CI 5.03-27.10),hopelessness (for mild,moderate and severe hopelessness:OR 3.65,4.25 and 5.02,respectively; 95％ CI 1.55-8.56,1.70-10.65 and 1.46-17.26,respectively),negative life events (OR=2.25,95％ CI 1.35-4.45).The most important risk factors for suicide attempt were hopelessness (for mild,moderate and severe hopelessness:OR 1.09,5.58 and 7.62,respectively; 95％ CI 0.36-3.34,2.03-15.30 and 1.50-38.72,respectively),depression (for mild,moderate and severe depression:OR 1.08,0.27 and 3.02,respectively; 95％ CI 0.43-2.75,0.03-2.29 and 1.05-8.75,respectively) and family history of psychiatry diseases (OR=3.00,95％CI 1.07-8.46).Conclusions Hopelessness and depression could increase the risk of suicide behaviors.Family clinicians should be trained to identify such risk tactors and provide appropriate mental health intervention.

Objective To explore the effectiveness of the home-community-hospital network management (HCHNM) on the prevention and treatment of stroke.Methods From June to December 2011,HCHNM was implenented in Qingdao of Shandong Province to prevent and treat stroke patients.According to community residents healthcare records,A total of 80 stroke patients were randomly selected from Badahu and Fushanhou communities (study group) and another 80 patients from Zhongshan Road and Liaoning Road communities (control group).A household questionnaire survey was then conducted among these participants.Chi-square test and t test were used for data analysis.Results The overall effective rate of the study group was 86.25％ (69/80),which was significantly higher than that of the control group (67.5％) (x2=221.807,P＜0.05).The study group also showed largely improved quality of life (total score:t=4.593;physical fitness,family activities,movement,mood,self-care ability,social activities,upper limb function and work ability scores:t values were 7.775,2.244,5.329,3.832,5.463,2.979,5.924 and 3.555,respectively; all P＜0.05),although language,character,thinking and vision abilities had no statistically significant difference from the control group (t values were 0.561,1.466,0.831 and 1.000,respectively; all P＞0.05).The scores of daily activities and life satisfaction of the study group were higher than those of the control group,while per capita medical cost was much lower (t values were 12.998,20.760 and-29.777,respectively; all P＜0.05).Conclusions As an effective,safe and economy therapy model,HCHNM could improve rehabilitation,self-care ability,quality of life,and life satisfaction of community stroke patients.In addition,it greatly mitigates medical burden.