Publications by authors named "Xu Qunyan"

Background: Frequent blood glucose tests are performed for people with diabetes receiving haemodialysis.

Objectives: To determine the rate of out-of-range post-haemodialysis blood glucose levels that are clinically acted upon, the intervention and outcome of each intervention, and the associations between post-haemodialysis blood glucose levels and relevant clinical predictors.

Design: 12-month retrospective cohort medical record review in one Australian haemodialysis centre.

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Background: Patient activation refers to the knowledge, confidence and skills required for the management of chronic disease and is antecedent to self-management. Greater self-management in chronic kidney disease (CKD) results in improved patient experience and patient outcomes.

Aim: To examine patient activation levels in people with CKD stage 5 pre-dialysis and determine associations with sociodemographic characteristics, treatment adherence and healthcare utilisation.

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Background: Peripherally inserted central catheters (PICCs) are common vascular access devices inserted for adults undergoing intravenous treatment in the community setting. Individuals with a PICC report challenges understanding information and adapting to the device both practically and psychologically at home. There is a lack of research investigating the supportive care needs of individuals with a PICC to inform nursing assessment and the provision of additional supports they may require to successfully adapt to life with a PICC.

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Aim: To explore support strategies for older nurses and midwives in Australian healthcare workplaces.

Design: A qualitative descriptive study.

Method: Participants were 50 older nurses and midwives and 20 healthcare managers recruited from a broad range of Australian healthcare settings.

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Article Synopsis
  • Low physical activity and poor function are linked to higher risks of complications and mortality in patients on peritoneal dialysis (PD), making exercise crucial for maintaining their independence.
  • A global survey of PD clinicians revealed that a significant majority (94%) support structured exercise programs for PD patients and believe they can safely engage in physical activities.
  • Clinicians from lower middle-income countries are more likely to encourage physical activity compared to those from high-income countries, highlighting the need for better exercise counseling and structured plans in PD care.
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Article Synopsis
  • Chronic kidney disease (CKD) affects a person's health long-term, and people with CKD need to manage their condition effectively, which is known as patient activation.
  • The study aimed to assess how effective interventions for increasing patient activation are in improving health-related behavior outcomes for individuals with CKD stages 3-5.
  • The meta-analysis found that certain interventions significantly improved self-management and self-efficacy among participants, but had limited impact on quality of life and medication adherence, suggesting that personalized education and problem-solving strategies may enhance self-management efforts.
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Purpose: Map existing research and describe the consumer/caregiver experience of community-based intravenous treatment, central venous access devices (CVADs), supportive care needs, and information preferences.

Design: Scoping review.

Methods: Five databases (Joanna Briggs Institute, Cochrane library, Emcare, Embase, and Medline) were searched.

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Aims And Objectives: The aim of this study was to explore healthcare managers' perceptions about older nurses' and midwives' and their contribution to the workplace.

Design: A qualitative descriptive methodology.

Method: Twenty healthcare managers working in Australia participated in semi-structured interviews.

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Aim: To explore the experiences of being an older nurse or midwife employed in the healthcare workplace.

Design: A qualitative descriptive study.

Method: Semi-structured interviews were conducted with nurses and midwives who self-identified as older workers.

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Background: Arteriovenous fistula (AVF) management for haemodialysis (HD) is one of the most challenging aspects of clinical care. A successful cannulation outcome when an AVF or arteriovenous graft (AVG) is used for the first time can be influenced by many factors, including access maturity, staff skill, and patient factors. This study examined AVF/AVG outcomes at initiation of HD across two major metropolitan public hospitals.

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We examined whether sunlight affects hot flushes in working menopausal women and explored effect modification by shift work and season. In this prospective cohort study, daily hot flush score (outcome) was measured by the 7-day North Central Cancer Treatment Group Daily Vasomotor Symptoms Diary. Daily duration of sunlight (≥2000 lux) was recorded by the HOBO MX2202 pendant.

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Background: Individuals receiving peritoneal dialysis (PD) report low levels of physical activity, which increases their risk of morbidity and mortality. Little is known about their perceptions towards barriers and benefits of exercise or physical activity.

Aim: The aim of this study was to explore the perceptions of exercise among people receiving PD.

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Light plays an essential role in maintaining alertness levels. Like other non-image-forming responses, the alerting effect of light is influenced by its spectral wavelength, duration and intensity. Alertness levels are also dependent on circadian rhythm (process C) and homeostatic sleep pressure (process S), consistent with the classic two-process model of sleep regulation.

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Objective: This paper demonstrates the establishment of an extra-curricular education program in Chinese context and evaluates its effectiveness on undergraduate nursing students' self-directed learning.

Methods: Zimmerman's self-directed learning model was used as the theoretical framework for the development of an education program. Mixed-method was applied in this research study.

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We investigated the percentage of women with poor sleep quality and its related factors among mainland Chinese women. Sleep quality and menopausal status were self-reported. We explored the contribution of possible risk factors, including sociodemographic characteristics, comorbidities, lifestyle, psychological status, stressful life events, and vasomotor symptoms.

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Sleep disturbance is a common complaint for women going through the menopausal transition. A previous systematic review and meta-analysis of cross-sectional studies showed a small but significant relationship between self-reported sleep disturbance and menopausal stage and highlighted a possible influence of culture. However, the longitudinal relationship between self-reported sleep disturbance and menopausal transition has not been explored.

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Objective: The purpose of this study was to conduct a systematic review and meta-analysis of the relationship between menopausal stages and sleep disturbance reported using subjective methods. Secondary aims included examining the influence of culture/ethnicity on the relationship between menopausal stages and sleep disturbance.

Methods: Multiple electronic databases were searched from the first available year to November 2013, and a manual search of the reference lists of review articles identified was also conducted.

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The purpose of this study was to examine factors that influence the quality of life among Tianjin Chinese living with type 2 diabetes. In this study, the quality of life was assessed in 174 participants. The dependent variables included demographic and clinical data, depressive symptoms and lifestyle behavioral factors.

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Obesity has been widely regarded as a public health concern because of its adverse impact on individuals' health. Systematic reviews have been published in examining the effect of obesity on depression, but with major emphasis on general obesity as measured by the body mass index. Despite a stronger effect of abdominal obesity on individuals' physical health outcomes, to our best knowledge, no systematic review was undertaken with regard to the relationship between abdominal obesity and depression.

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We investigated the temporal relationship between lifestyle and mental health among 564 midlife women. The mental health measured included anxiety, depression, and mental well-being; the lifestyle measures included body mass index (BMI), exercise, smoking, alcohol use, and caffeine consumption. We found that BMI was positively related with mental well-being (r = .

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