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The Influence of Job Burnout on Quiet Quitting Among Nurses: The Mediating Effect of Job Satisfaction 工作倦怠对护士安静辞职的影响:工作满意度的中介作用
IF 2 4区 医学 Q2 NURSING Pub Date : 2025-09-12 DOI: 10.1111/ijn.70057
Petros Galanis, Aglaia Katsiroumpa, Irene Vraka, Olga Siskou, Olympia Konstantakopoulou, Theodoros Katsoulas, Ioannis Moisoglou, Parisis Gallos, Daphne Kaitelidou

Aim

To investigate the impact of nurses' job burnout on their quiet quitting and the mediating effect of job satisfaction on this relationship.

Methods

A cross-sectional study was conducted in Greece. The Quiet Quitting Scale was used to measure levels of quiet quitting. Levels of job burnout were measured with the Copenhagen Burnout Inventory. The Job Satisfaction Survey was used to measure job satisfaction. Multivariable linear regression analysis was employed to control for confounders. The PROCESS macro was used to test the mediating effect of job satisfaction in the relationship between job burnout and quiet quitting.

Results

Study sample included 946 nurses. Job burnout was a positive predictor of quiet quitting, while job satisfaction was a negative predictor of quiet quitting. Job satisfaction partially mediated the positive relationship between burnout and quiet quitting.

Conclusion

Job burnout affected quiet quitting within nurses through the mediating effect of job satisfaction. Effective measures should be taken to decrease nurses' job burnout in order to improve their job satisfaction and thereby reduce their quiet quitting.

目的探讨护士工作倦怠对安静离职的影响,以及工作满意度在此关系中的中介作用。方法在希腊进行横断面研究。安静戒烟量表用于测量安静戒烟的水平。工作倦怠水平用哥本哈根倦怠量表测量。工作满意度调查是用来衡量工作满意度。采用多变量线性回归分析控制混杂因素。采用PROCESS宏检验工作满意度在工作倦怠与安静辞职关系中的中介作用。结果共纳入946名护士。工作倦怠是安静辞职的积极预测因素,而工作满意度是安静辞职的消极预测因素。工作满意度部分中介了倦怠与安静辞职之间的正相关关系。结论工作倦怠通过工作满意度的中介作用影响护士安静辞职。应采取有效措施降低护士的工作倦怠,提高护士的工作满意度,从而减少护士的悄然离职。
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引用次数: 0
The Effect of Showering During Labour on Perceived Labour Pain, Parenting Behaviour and Birth Memory: A Randomised Controlled Clinical Trial 分娩时洗澡对分娩疼痛感知、父母行为和分娩记忆的影响:一项随机对照临床试验。
IF 2 4区 医学 Q2 NURSING Pub Date : 2025-09-10 DOI: 10.1111/ijn.70055
Vildan Kulaç, Yasemin Hamlaci Baskaya

Aim

This randomised controlled experimental study examined the impact of warm showers during labour on perceived pain, parenting behaviour and birth memory.

Method

This randomised controlled experimental study (ClinicalTrials.gov Identifier: NCT05529823) was conducted with 81 primiparous pregnant women, assigned to either the experimental group (n:41) or the control group (n:40). ‘Visual Analog Scale’, ‘Postpartum Parenting Behavior Scale’ and ‘Birth Memory and Recall Questionnaire’ were used to collect the data. In the experimental group, participants received warm showers at the onset of the active phase and during the transition phase of labour, whereas the control group received standard care.

Results

The experimental and control groups were similar in terms of sociodemographic characteristics, interventions and medications administered during labour. The pain scores of both groups before the application were similar, while the pain score of the experimental group after both applications was found to be statistically lower compared to the control group (p < 0.05). Postpartum Parenting Behavior Scale scores did not differ between groups. In the Birth Memory and Recall Questionnaire, the control group had higher scores in the emotional memory and involuntary recall sub-dimensions, whereas the experimental group had higher scores in the sensory memory sub-dimension (p < 0.05).

Conclusion

Warm showers during labour reduced perceived labour pain and positively influenced birth memory but had no effect on postpartum parenting behaviour.

目的:这项随机对照实验研究考察了分娩期间洗热水澡对感知疼痛、育儿行为和分娩记忆的影响。方法:这项随机对照实验研究(ClinicalTrials.gov识别码:NCT05529823)对81名初产孕妇进行了研究,分为实验组(n:41)和对照组(n:40)。采用“视觉模拟量表”、“产后育儿行为量表”和“出生记忆与回忆问卷”进行数据收集。在实验组中,参与者在活动阶段开始和分娩过渡阶段接受热水淋浴,而对照组接受标准护理。结果:实验组和对照组在社会人口学特征、干预措施和分娩时使用的药物方面相似。两组在应用前的疼痛评分相似,而实验组在应用后的疼痛评分与对照组相比有统计学意义上的降低(p)。结论:分娩时热水淋浴减少了分娩疼痛的感知,并对分娩记忆有积极影响,但对产后育儿行为没有影响。
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引用次数: 0
Decisional Conflict of Proxies in the Thrombolysis Decision-Making Process for Acute Ischaemic Stroke Patients 急性缺血性脑卒中患者溶栓决策过程中的代理决策冲突
IF 2 4区 医学 Q2 NURSING Pub Date : 2025-09-07 DOI: 10.1111/ijn.70054
Yuanli Guo, Xinyu Cao, Wenfeng Fan, Xiaofang Dong, Caixia Yang, Min Wang, Huanhuan Gao, Peihua Lv, Keke Ma

Background

Despite being efficacious for acute ischemic stroke, treatment with thrombolysis is often delayed because of the inaccessibility of informed consent from patient proxies. Decisional conflict could be an important contributor to this delay; however, its influencing factors remain unknown. This study sought to survey the decisional conflict of proxies for sufferers of acute ischaemic stroke and explore the influencing factors.

Method

This was a correlational study including proxies of patients with acute ischaemic stroke receiving intravenous thrombolysis. The questionnaire comprised general information questions about the patients and proxies, and questions about illness and onset, anxiety levels, social support, trust level in physicians, control preference and the decisional conflict level of proxies. To explore the influencing factors, Spearman's and Pearson correlation analyses as well as ridge regression were conducted using SPSS 22.0. The STROBE checklist was used in this study.

Results

In total, 343 patients and their proxies participated in this research, 55.98% of whom experienced decisional conflict in the course of making thrombolysis decisions. When the proxies were female, younger, less educated, the payer of this treatment and reported heavier burden, high social support, severe anxiety and low trust in physicians, and when the patients were older, with low financial burden (i.e., where patients' financial resources generally covered their daily needs, creating minimal burden), the proxies had higher decisional conflict. When the patients did not participate in the decision-making process, when the number of decision-makers was lower and the patients had higher stroke severity, the proxies also had higher decisional conflict.

Conclusion

Many decision makers for acute ischaemic stroke patients experience decisional conflict during thrombolysis decision-making. Nurses should consider their psychological traits and use effective communication skills and decision-making aids according to their characteristics in the decision making process.

背景:尽管溶栓治疗对急性缺血性卒中有效,但由于无法获得患者的知情同意,溶栓治疗经常被推迟。决策冲突可能是造成这种延迟的重要原因;然而,其影响因素尚不清楚。本研究旨在调查急性缺血性脑卒中患者的代理决策冲突,并探讨其影响因素。方法对急性缺血性脑卒中接受静脉溶栓治疗的患者进行相关性研究。问卷包括患者和代理人的一般信息问题、疾病和发病情况、焦虑水平、社会支持、医生信任水平、控制偏好和代理人的决策冲突水平等问题。采用SPSS 22.0进行Spearman’s、Pearson相关分析和ridge回归分析,探讨影响因素。本研究采用STROBE检查表。结果共有343名患者及其代理人参与了本研究,其中55.98%的患者在进行溶栓决策过程中出现了决策冲突。当代理人为女性、较年轻、受教育程度较低、该治疗的支付者且报告负担较重、社会支持高、焦虑严重、对医生信任度低,以及当患者年龄较大、经济负担较低(即患者的经济资源基本能满足日常需求,负担最小)时,代理人的决策冲突较高。当患者不参与决策过程、决策者人数较少、患者脑卒中严重程度较高时,代理人的决策冲突也较高。结论在急性缺血性脑卒中患者的溶栓决策过程中,许多决策者存在决策冲突。护士在决策过程中应考虑其心理特点,并根据其特点运用有效的沟通技巧和决策辅助工具。
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引用次数: 0
Correction to “Economic Analysis of Falls in a Private Hospital in Southern Brazil – A Case – Control Study” 对“巴西南部一家私立医院跌倒的经济分析——一项病例对照研究”的更正
IF 2 4区 医学 Q2 NURSING Pub Date : 2025-09-04 DOI: 10.1111/ijn.70056

Gonzalez, VA, Febras, LLT, Lima, CCD, Alves, BM, Dos Santos, DT, Souza, MA, Carvalho, SM, Rohsig, V, Pille, A, Wolf, J, Maccari, JG, Mutlaq, MP, Nasi, LA. Economic Analysis of Falls in a Private Hospital in Southern Brazil – A Case – Control Study. Int J Nurs Pract. 2024 Dec; 30(6):e13313. https://doi.org/10.1111/ijn.13313. PMID: 39431424.

The co-author name Cássia Cristina Damásio de Lima in the above article was incorrect. In the published version, the name appears as Cássia Cristina Damásio de Lima, whereas the correct name is Cássia Cristine Damasio de Lima.

The online article has been corrected.

We apologize for this error.

Gonzalez, VA, Febras, LLT, Lima, CCD, Alves, BM, Dos Santos, DT, Souza, MA, Carvalho, SM, Rohsig, V, Pille, A, Wolf, J, Maccari, JG, Mutlaq, MP, Nasi, LA。巴西南部一家私立医院跌倒的经济分析——一项病例对照研究。国际护理实践杂志。2024年12月;30 (6): e13313。https://doi.org/10.1111/ijn.13313。PMID: 39431424。上述文章中的合著者姓名Cássia Cristina Damásio de Lima不正确。在公布的版本中,她的名字显示为Cássia Cristina Damásio de Lima,而正确的名字是Cássia Cristine Damasio de Lima。网上的文章已被更正。我们为这个错误道歉。
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引用次数: 0
Effect of Facilitated Tucking on Cerebral Oxygenation, Physiological Parameters, Comfort and Pain in Premature Infants During Heel Blood Collection: A Randomized Controlled Trial 便利收纳对早产儿足跟采血时脑氧合、生理参数、舒适度和疼痛的影响:一项随机对照试验
IF 2 4区 医学 Q2 NURSING Pub Date : 2025-09-03 DOI: 10.1111/ijn.70051
Sibel Kücükoglu, Fatma Tas Arslan, Sevinc Akkoyun, Deniz Kocoglu-Tanyer, Hanifi Soylu, Murat Konak

Aims

This study was conducted to determine the effects of Facilitated Tucking (FT) with hands or a positioning bed on cerebral oxygenation (rSO2), physiological parameters, pain and comfort of premature infants during heel blood collection.

Methods

This prospective, single-blinded, randomized controlled trial was conducted in the tertiary neonatal intensive care unit of the Faculty of Medicine Hospital in Türkiye between December 2020 and October 2021. Heel blood collection was performed in the facilitated tucking with hands group (n = 22), facilitated tucking with positioning bed group (n = 22) and routine procedure control group (n = 22); rSO2, physiological parameters, pain and (dis)comfort were assessed.

Results

In the facilitated tucking with positioning bed group, rSO2 and oxygen saturation (SpO2) were significantly higher during and after the procedure compared with the other two groups, while respiratory rate and pain score were significantly lower and (dis)comfort level was significantly higher. In addition, heart rate during the procedure was significantly lower in the facilitated tucking with positioning bed group than in the other two groups (p < 0.001). According to the results of the analysis, the effect size was moderate for rSO2, body temperature, heart rate and SpO2 and large for respiratory rate, comfort and pain.

Conclusions

Positioning bed can help stabilize rSO2 and physiologic parameters, increase comfort and reduce pain in premature infants.

目的探讨手助收(FT)和定位床对早产儿足跟采血过程中脑氧合(rSO2)、生理参数、疼痛和舒适度的影响。方法本前瞻性、单盲、随机对照试验于2020年12月至2021年10月在基耶医学院附属医院新生儿三级重症监护室进行。采用手辅助收纳组(n = 22)、定位床辅助收纳组(n = 22)和常规手术对照组(n = 22)采集足跟血液;评估rSO2、生理参数、疼痛和不适。结果定位床辅助收纳组患者术中及术后rSO2、SpO2均显著高于其他两组,呼吸频率、疼痛评分显著低于其他两组,舒适程度显著高于其他两组。此外,在手术过程中,方便收纳与定位床组的心率明显低于其他两组(p < 0.001)。分析结果显示,rSO2、体温、心率和SpO2的效应大小中等,呼吸频率、舒适度和疼痛的效应大小较大。结论定位床有助于稳定早产儿的rSO2和生理参数,增加早产儿的舒适度,减轻早产儿的疼痛。
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引用次数: 0
Effect of Standardized Patients Combined With Situational Simulation Teaching Method on Learning Effect, Working Ability and Enthusiasm of Nursing Interns in a Respiratory Department: A Randomized Controlled Trial 规范化患者结合情境模拟教学法对呼吸科实习护士学习效果、工作能力和工作热情的影响:一项随机对照试验
IF 2 4区 医学 Q2 NURSING Pub Date : 2025-09-03 DOI: 10.1111/ijn.70050
Jie Zhang, Jinfang Jia

Aim

To investigate the effects of integrating standardized patients with the situational simulation teaching method (SSTM) on nursing interns' learning outcomes, work capabilities and engagement in the respiratory department.

Background

Traditional simulation methods may lack realism and interactivity. Combining standardized patients with SSTM may provide a more immersive and effective teaching strategy.

Design

A randomized controlled trial.

Methods

This randomized controlled trial compared the outcomes of traditional SSTM versus a combined standardized patient and SSTM approach. From April 2022 to April 2023, 108 nursing interns were randomly assigned to either a control group (traditional SSTM) or a research group (combined SSTM and standardized patients). Outcomes measured included theoretical and practical knowledge, self-directed learning, work engagement, caregiving skills, self-efficacy, stress levels and teaching evaluations.

Results

Nursing interns in the research group showed significant improvements in theoretical and practical knowledge, autonomous learning, work engagement, caregiving skills and self-efficacy, with a reduction in stress levels. Teaching evaluations rated the research group higher across multiple aspects.

Conclusion

The integration of standardized patients with SSTM is an effective educational strategy that enhances learning outcomes, practical capabilities and motivation among nursing interns, offering a valuable approach for better preparing students for clinical practice.

目的探讨规范化患者与情境模拟教学法(SSTM)相结合对呼吸科护理实习生学习成果、工作能力和敬业度的影响。传统的仿真方法缺乏真实感和交互性。将标准化患者与SSTM相结合可能会提供更具沉浸感和更有效的教学策略。设计随机对照试验。方法本随机对照试验比较了传统SSTM与标准化患者联合SSTM方法的结果。从2022年4月至2023年4月,108名护理实习生随机分为对照组(传统SSTM)和研究组(SSTM与标准化患者相结合)。测量的结果包括理论和实践知识、自主学习、工作投入、护理技能、自我效能、压力水平和教学评估。结果研究组实习护士在理论和实践知识、自主学习、工作投入、护理技能和自我效能感等方面均有显著提高,压力水平有所降低。教学评估在多个方面对研究小组的评价更高。结论标准化患者与SSTM的整合是一种有效的教育策略,可以提高护理实习生的学习效果、实践能力和积极性,为学生更好地为临床实践做好准备提供了一条有价值的途径。
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引用次数: 0
Balancing Benefits and Risks of AI Adoption in Nursing Practice in Saudi Arabia 沙特阿拉伯护理实践中人工智能应用的利益与风险平衡
IF 2 4区 医学 Q2 NURSING Pub Date : 2025-09-03 DOI: 10.1111/ijn.70053
Ateya Megahed Ibrahim

Aim

This study assessed the balance between the benefits and risks associated with artificial intelligence (AI) adoption in nursing practice across multiple healthcare centres, focusing on innovative potential and ethical considerations.

Background

AI integration into healthcare presents various ethical challenges, particularly for nurses. Thus, it is important to ensure that AI adoption optimises patient care without compromising ethical norms.

Methods

This cross-sectional study assessed 246 nurses from three hospitals in Al-Kharj, Saudi Arabia, through stratified random sampling. Data were collected on 6 December 2024 in person using five validated surveys: the Healthcare Technology Adoption Survey, Ethical Issues in Technology Usage Survey, Nursing Practice Perception Survey, Technology Acceptance Model Survey, and Data Privacy and Security Assessment. Correlation and regression analyses examined the relationships between factors and provided insights into technological integration in nursing practice.

Results

Nurses reported a moderate level of AI use, noting its benefits for patient care and workflow efficiency. However, primary concerns include data privacy and the potential for job displacement. The perceived usefulness of AI and ethical awareness were predictors of fewer ethical concerns.

Conclusion

This study emphasises balancing AI adoption in nursing by integrating ethics with technology for optimal patient care. Healthcare institutions must enhance their ethical training to help nurses address AI challenges. Policymakers should improve AI adoption regulations.

本研究评估了多个医疗保健中心在护理实践中采用人工智能(AI)的利益与风险之间的平衡,重点关注创新潜力和伦理考虑。人工智能与医疗保健的融合带来了各种道德挑战,特别是对护士来说。因此,重要的是要确保人工智能的采用在不损害道德规范的情况下优化患者护理。方法采用分层随机抽样的方法,对来自沙特阿拉伯Al-Kharj市三家医院的246名护士进行横断面研究。数据于2024年12月6日亲自收集,使用五项经过验证的调查:医疗保健技术采用调查、技术使用中的道德问题调查、护理实践感知调查、技术接受模型调查和数据隐私和安全评估。相关和回归分析检验了因素之间的关系,并为护理实践中的技术整合提供了见解。结果护士报告了中等程度的人工智能使用,并指出人工智能对患者护理和工作流程效率的好处。然而,主要的担忧包括数据隐私和工作被取代的可能性。人工智能的可用性和道德意识是道德担忧减少的预测因素。本研究强调通过将伦理与技术相结合来平衡人工智能在护理中的应用,以实现最佳的患者护理。医疗机构必须加强道德培训,帮助护士应对人工智能带来的挑战。政策制定者应该完善人工智能应用法规。
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引用次数: 0
The Mediating Effects of Sleep Quality and Fatigue on Post-Intensive Care Syndrome Among Intensive Care Unit Survivors 睡眠质量和疲劳对重症监护室幸存者重症监护后综合征的中介作用
IF 2 4区 医学 Q2 NURSING Pub Date : 2025-09-02 DOI: 10.1111/ijn.70047
Hui-Fang Yeh, Tzu-Yu Tseng, Ling-Hua Wang, Chia-Lun Lo, Jun-Yih Chen, Hui-Ju Cheng, Yu-Hua Lin

Aims

This study examines the impact of sleep quality in patients during the first week after transfer from the intensive care unit on post-intensive care syndrome, as well as the mediating role of fatigue levels.

Design

A cross-sectional design was employed in a hospital in southern Taiwan.

Methods

One hundred twenty-six intensive care unit survivors were included in the analysis. The outcome measures included a post-intensive care syndrome scale, the Brief Fatigue Inventory-Taiwan, and a 10-point analogue scale for sleep quality. Statistical and hierarchical linear regression methods were used.

Results

The mean score for post-intensive care syndrome was 19.9 (SD = 7.6). The mean score for fatigue levels was 40.4 (SD = 15.5), with 93.7% of participants reporting severe fatigue and significant life interference. The mean score for sleep quality was 5.1 (SD = 3.3). The findings indicated that fatigue was a significant predictor of post-intensive care syndrome, accounting for 78.4% of the variances. Furthermore, fatigue served as a complete mediator in the primary relationship examined in this study.

Conclusion

Study results demonstrate that intensive care survivors experience post-intensive care syndrome, which is negatively correlated with sleep quality and positively correlated with fatigue.

目的本研究探讨重症监护室患者转院后第一周睡眠质量对重症监护后综合征的影响,以及疲劳水平的中介作用。设计台湾南部某医院采用横断面设计。方法对126例重症监护室幸存者进行分析。结果测量包括重症监护后综合症量表、台湾简易疲劳量表和睡眠质量10分模拟量表。采用统计和层次线性回归方法。结果重症监护后综合征平均评分为19.9分(SD = 7.6)。疲劳水平的平均得分为40.4 (SD = 15.5), 93.7%的参与者报告严重疲劳和显著的生活干扰。睡眠质量平均得分为5.1 (SD = 3.3)。研究结果表明,疲劳是重症监护后综合征的显著预测因子,占方差的78.4%。此外,疲劳在本研究中检验的主要关系中起着完全的中介作用。结论重症监护幸存者经历重症监护后综合征与睡眠质量负相关,与疲劳正相关。
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引用次数: 0
Patterns and Predictors of Nurse Turnover Intentions Based on Years of Nursing Experience: A Cluster Analysis Approach 基于多年护理经验的护士离职意向模式及预测因素:聚类分析方法
IF 2 4区 医学 Q2 NURSING Pub Date : 2025-09-01 DOI: 10.1111/ijn.70049
Veysel Karani Baris, Akgun Yesiltepe, Gulbahar Celik

Aim

To identify patterns and predictors of nurse turnover intentions based on years of nursing experience using a cluster analysis approach.

Background

Nurses with varying years of experience have different characteristics. These differences can also lead to distinct patterns and predictors of turnover intentions.

Methods

For this descriptive study, 785 nurses from hospitals across different regions of Türkiye participated in a survey. Data was collected through online questionnaires between April and May 2022. The K-means unsupervised machine learning algorithm was employed to classify nurses into distinct clusters based on their experience. Multiple linear regression analyses were conducted to identify the predictors of turnover intention specific to each cluster. The STROBE guideline was followed for reporting.

Results

Cluster analysis grouped nurses into three categories by experience level: low, medium and high. The medium-experience group had the highest turnover intention, whereas the high-experience group had the lowest. Work stress was the only common predictor across all groups. Low income predicted turnover only for the low-experience group, and gender was significant only for the medium-experience group.

Conclusion

This study revealed that turnover intention and its predictors vary by experience level, indicating a need for retention strategies tailored to nurses' years of experience. By considering subgroup characteristics, policymakers can develop targeted interventions to enhance nurse retention.

目的基于多年护理经验,采用聚类分析方法确定护士离职意向的模式和预测因素。不同从业年限的护士有不同的特点。这些差异也会导致不同的模式和离职意向的预测因素。方法在这项描述性研究中,来自基耶省不同地区医院的785名护士参与了一项调查。数据是在2022年4月至5月期间通过在线问卷收集的。采用K-means无监督机器学习算法,根据护士的经验将其分为不同的类。采用多元线性回归分析来确定每个集群特定的离职倾向的预测因子。报告遵循STROBE指南。结果聚类分析将护士按经验水平分为低、中、高三类。中等经验组的离职倾向最高,高经验组的离职倾向最低。工作压力是所有人群中唯一共同的预测因素。低收入仅对低经验组预测离职,性别仅对中等经验组有显著性影响。结论本研究揭示了离职倾向及其预测因素因经验水平而异,表明有必要针对护士的经验年限制定保留策略。通过考虑亚组特征,决策者可以制定有针对性的干预措施,以提高护士的保留率。
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引用次数: 0
Validity and Reliability of the Korean Version of the Self-Care Self-Efficacy Scale for Patients With Heart Failure: A Psychometric Evaluation 韩文心力衰竭患者自我照顾效能感量表的效度与信度:一项心理测量评估
IF 2 4区 医学 Q2 NURSING Pub Date : 2025-08-31 DOI: 10.1111/ijn.70045
JinShil Kim, Minjeong An

Aim

The psychometric properties of the 10-item Self-Care Self-Efficacy scale have not yet been established in the Korean language. This study aimed to evaluate its validity and reliability among Korean patients with heart failure (HF).

Methods

A total of 159 patients with HF participated (mean age: 65.40 ± 9.62 years; 60.1% male). Construct validity was assessed using confirmatory factor analysis. Criterion validity was examined by assessing the correlation of self-efficacy with HF symptom status and physical function and by comparing self-efficacy levels across the New York Heart Association classes. Reliability was evaluated using Cronbach's alpha, McDonald's omega and factor determinacy.

Results

Confirmatory factor analysis fit indices were as follows: comparative fit index = 0.977, Tucker–Lewis index = 0.966, standardised root mean square residual = 0.041 and root mean square error of approximation = 0.065 (90% CI = 0.038–0.090). Criterion validity was supported by significant correlations between self-efficacy and symptom status (r = −0.331, p < 0.001) and physical function (r = 0.299, p < 0.001). Self-efficacy scores were significantly higher in patients with lower New York Heart Association class (I/II) than higher class (III or IV) (F = 4.68, p = 0.011). Reliability estimates were robust: Cronbach's α = 0.913, McDonald's omega = 0.902 and factor determinacy = 0.941.

Conclusion

This study supports the validity and reliability of the Self-Care Self-Efficacy scale in Korean for assessing self-care self-efficacy among patients with HF. Clinicians should consider evaluating and enhancing patients' self-care self-efficacy to effectively manage HF symptoms, especially considering functional severity.

目的10项自我照顾自我效能感量表的心理测量性质尚未建立。本研究旨在评估其在韩国心力衰竭(HF)患者中的效度和可靠性。方法159例HF患者(平均年龄65.40±9.62岁,男性占60.1%)参与研究。建构效度评估采用验证性因子分析。通过评估自我效能与心衰症状状态和身体功能的相关性,并通过比较纽约心脏协会各班级的自我效能水平来检验标准效度。采用Cronbach's alpha、McDonald's omega和因子确定性评估信度。结果验证性因子分析拟合指标为:比较拟合指数= 0.977,Tucker-Lewis指数= 0.966,标准化均方根残差= 0.041,近似均方根误差= 0.065 (90% CI = 0.038 ~ 0.090)。自我效能感与症状状态(r = - 0.331, p < 0.001)和身体机能(r = 0.299, p < 0.001)之间存在显著相关性,支持了标准效度。纽约心脏协会分级(I/II)较低的患者自我效能评分明显高于分级(III或IV)的患者(F = 4.68, p = 0.011)。信度估计是稳健的:Cronbach's α = 0.913, McDonald's ω = 0.902,因子确定性= 0.941。结论韩文自我保健效能量表用于评估心衰患者自我保健效能的信度和效度。临床医生应考虑评估和提高患者的自我保健自我效能感,以有效地管理心衰症状,特别是考虑功能严重程度。
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引用次数: 0
期刊
International Journal of Nursing Practice
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