Search

Purpose: The Coronavirus disease 2019 (COVID-19) remains a global public health concern. Many people have been forced to change their lifestyles, which has led to psychological and sleep problem. This study aims to investigate the psychological health problems and factors among patients in the Fangcang Shelter Hospital (FSH) during the COVID-19 pandemic.Patients and Methods: A Cross-Sectional survey was conducted to investigate the sleep, anxiety, depression and stress disorders of 2628 asymptomatic and mild patients treated in FSH of Zhengzhou, Henan Province, from 30 October to 6 December 2022, by scanning a WeChat two-dimensional code. Sociodemographic data and influencing factors in FSH were collected, Insomnia Severity Index (ISI), 9-item Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Impact of Event Scale-Revised (IES-R) were administered. Descriptive statistics, t-tests or analysis of variance, Spearman or Pearson correlation analysis, and multivariate regression analysis were used to explore the relationships between different variables and their impact on psychological health indicators.Results: The proportions of patients with insomnia, depressive disorder, anxiety, and stress disorders were 33.49%, 35.80%, 31.74%, and 43.57%, respectively. Spearman correlation analysis demonstrated that factors such as gender, higher education level, positive nucleic acid test results, longer illness duration, underlying diseases, and extended electronic device use were associated with elevated psychological distress scores. Notably, within FSH, extended exposure to light, a noisy environment, and sleep schedule management significantly impacted the prevalence of insomnia, depression, anxiety, and stress disorders (p< 0.01). Multivariable binary logistic regression analysis identified higher education level, light exposure, noisy environment, sleep management, and electronic device usage as the primary risk factors for psychological distress.Conclusion: Patients in FSH face psychological distress influenced by sociodemographic factors, environment, and lifestyle, highlighting the need for integrated psychological support in healthcare, particularly in temporary medical facilities during crises. [ABSTRACT FROM AUTHOR]

A body of theoretical and practical research suggests technology innovation is the driving force for enterprise survival and development and that maintaining business ethics is an important guarantee in sustaining these enterprises developments. Fulfilling the "hard responsibility" of product quality based on technical standards and the "soft responsibility" of product quality based on business ethics is an important principle stimulating the benign interaction and continuous progress of technological innovation and business ethics, and realizing a balanced development of enterprises and society, which could promote positive brand and enterprise image to both stakeholders and consumers, helping consumers choose high-quality products in the market and social competition. However, the strange marketing phenomena of "salable fake goods" and "unsalable quality goods" shows that no systematic marketing strategies have been identified to date, that enterprises could adopt to effectively promote the recognition of consumers and turn them into a loyal customer group and have a stable market share. Based on customer buying behavior theory, cognitive consistency theory, signal theory, and social identity theory, this study explored the influencing mechanism of quality responsibility on brand loyalty of consumers and the mediating role of corporate reputation and brand identification, using 224 valid questionnaires from 16 communities (residents) in Shanxi and Henan provinces of China tested by SPSS 20.0 and AMOS 25.0. Results show that quality responsibility has a significant positive influence on brand behavior loyalty and brand attitude loyalty, and both corporate emotional reputation and brand identification play mediating roles in the relationship between quality responsibility and brand behavior loyalty, and quality responsibility and brand attitude loyalty. Additionally, corporate cognitive reputation only plays a mediating role in the relationship between quality responsibility and brand behavior loyalty. Obtained conclusions in the study provide references for enterprise managers and government decision-makers in exploring management strategies of expediting future technological development and next-generation upgrades & transformations, improving quality and technology benchmarks, optimizing product quality responsibility system and promoting sustainable social development. • Proposing the concept of technology-based "hard responsibility". • Proposing the concept of business ethics-based "soft responsibility". • Suggestions for strengthening firm reputation and technology responsibility. • Answering the puzzle of "salable fake goods" and "unsalable quality goods". [ABSTRACT FROM AUTHOR]