International Journal of Nursing Practice最新文献_第7页

Compassion fatigue and the meaning in life as predictors of secondary traumatic stress in nurses during the COVID-19 pandemic 同情疲劳和生命意义是 COVID-19 大流行期间护士二次创伤压力的预测因素。

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2024-02-26 DOI: 10.1111/ijn.13249

Nazan Koştu RN, PhD, Fadime Hatice İnci RN, PhD, Sümeyye Arslan RN, PhD

Aim

This study aimed to investigate the relationship among secondary traumatic stress, compassion fatigue, and meaning in life in nurses during the COVID-19 pandemic.

Background

Changes in working conditions during the pandemic also changed the needs of nurses. In addition to physical health, the COVID-19 pandemic led to many psychosocial health problems such as sleep disturbances, depression, and traumatic stress. This makes nurses vulnerable to psychological side effects of the pandemic.

Design

A cross-sectional study was conducted.

Methods

This study was conducted with 166 nurses. Data were collected online at May–June 2021. A Personal Information Form, the Secondary Traumatic Stress Scale, Compassion Fatigue Scale, and Meaning in Life Scale were used. The STROBE reporting checklist was followed.

Results

As secondary traumatic stress levels increase, compassion fatigue increases, meaning in life decreases, and the search for meaning in life increases.

Conclusion

Predictors of secondary traumatic stress were shown to be compassion fatigue, change in sleep habits, meaning in life, marital status, and having a chronic illness. This suggested that working during the pandemic posed significant risks in terms of manifesting negative consequences on mental health in the long term.

目的：本研究旨在调查 COVID-19 大流行期间护士的二次创伤压力、同情疲劳和生命意义之间的关系：背景：大流行期间工作条件的变化也改变了护士的需求。除了身体健康外，COVID-19 大流行还导致了许多社会心理健康问题，如睡眠障碍、抑郁和创伤性压力。这使得护士很容易受到大流行病的心理副作用的影响：方法：对 166 名护士进行横断面研究：研究对象为 166 名护士。数据收集时间为 2021 年 5 月至 6 月。研究使用了个人信息表、二次创伤压力量表、同情疲劳量表和生活意义量表。结果：结果：随着继发性创伤压力水平的增加，同情疲劳增加，生活意义减少，对生活意义的追求增加：二次创伤压力的预测因素包括同情疲劳、睡眠习惯改变、生活意义、婚姻状况和患有慢性疾病。这表明，在大流行病期间工作会对心理健康造成长期的负面影响，从而带来重大风险。

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引用次数: 0

Changes in nurses' work: A comparative study during the waves of COVID-19 pandemic 护士工作的变化：COVID-19 大流行期间的比较研究。

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2024-02-26 DOI: 10.1111/ijn.13250

Gerli Usberg MSc (Nursing Science), RN, PhD Candidate, Marco Clari PhD (Nursing Science), Alessio Conti PhD (Nursing Science), Mariliis Põld PhD (Medicine), Ruth Kalda MD, PhD (Medicine), Mari Kangasniemi PhD (Nursing Science)

Aim

The aim of this study is to describe and evaluate how nurses caring for COVID and non-COVID patients assess changes in their work and in nursing activities during the two waves of the COVID-19 pandemic.

Methods

Two cross-sectional surveys were conducted for Estonian nurses working during the first and second waves of the COVID-19 pandemic, using The impact of COVID-19 emergency on nursing care questionnaire. Based on convenience sampling, the data were collected among the members of professional organizations, unions and associations. Responses from the first (n = 162) and second wave (n = 284) were analysed using descriptive statistics, Fisher's exact test and McNemar's test.

Results

The COVID-19 pandemic changed the working context during both waves for nurses caring for COVID and non-COVID patients. Changes were considered to a greater extent during the second wave, when Estonia was severely affected, and by nurses caring for COVID patients. During the second wave, the number and complexity of patients increased, and nurses caring for COVID patients performed fundamental care, nursing techniques and symptom control significantly more frequently compared to nurses caring for non-COVID patients.

Conclusion

Taking care of COVID patients is demanding, requiring nurses to perform more direct patient care. However, the pandemic also increased the frequency of activities not related with direct patient care.

目的：本研究旨在描述和评估护理 COVID 和非 COVID 患者的护士在 COVID-19 两次大流行期间如何评估其工作和护理活动的变化：采用 "COVID-19 紧急情况对护理工作的影响 "问卷，对 COVID-19 大流行第一波和第二波期间工作的爱沙尼亚护士进行了两次横断面调查。根据方便抽样原则，从专业组织、工会和协会的成员中收集数据。采用描述性统计、费雪精确检验和 McNemar 检验对第一波（n = 162）和第二波（n = 284）的回答进行了分析：结果：COVID-19 大流行改变了护理 COVID 和非 COVID 患者的护士的工作环境。在爱沙尼亚受到严重影响的第二波期间，护理 COVID 患者的护士认为变化程度更大。在第二轮调查中，病人的数量和复杂性都有所增加，护理 COVID 病人的护士与护理非 COVID 病人的护士相比，进行基本护理、护理技术和症状控制的频率明显更高：结论：对 COVID 患者的护理要求很高，需要护士对患者进行更多的直接护理。然而，大流行也增加了与直接护理病人无关的活动频率。

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引用次数: 0

Network analysis of symptoms, physiological, psychological and environmental risk factors based on unpleasant symptom theory in patients with chronic heart failure 基于不愉快症状理论的慢性心力衰竭患者症状、生理、心理和环境风险因素网络分析。

IF 1.9 4区医学 Q1 Nursing

International Journal of Nursing Practice

Pub Date : 2024-02-23 DOI: 10.1111/ijn.13246

Yaqi Wang BS, Xueying Xu BS, Qingyun Lv PhD, Yue Zhao PhD, Xiaonan Zhang PhD, Xiaoying Zang PhD

Background

Somatic symptoms and related factors in patients with chronic heart failure have been extensively researched. However, more insight into the complex interconnections among these constructs is needed, as most studies focus on them independently from each other.

Aims

The aim of this study is to gain a comprehensive understanding of how somatic symptoms and related factors are interconnected among patients with chronic heart failure.

Methods

A total of 379 patients were enrolled. Network analysis was used to explore the interconnections among the somatic symptoms and related risk factors.

Results

The four core symptoms of chronic heart failure were daytime dyspnea, dyspnea when lying down, fatigue and difficulty sleeping. Within the network, the edge weights of depression–anxiety, subjective social support–objective social support, and subjective social support–social support availability were more significant than others. Among physiological, psychological and environmental factors, the edge weights of NYHA–dyspnea, depression–difficulty sleeping, and social support availability–dyspnea when lying down were more significant than others. Depression and anxiety had the highest centrality, indicating stronger and closer connections with other nodes.

Conclusions

Psychological and environmental factors stood out in the network, suggesting the potential value of interventions targeting these factors to improve overall health.

背景：慢性心力衰竭患者的躯体症状及相关因素已被广泛研究。目的：本研究旨在全面了解慢性心力衰竭患者的躯体症状和相关因素是如何相互关联的：方法：共招募了 379 名患者。方法：共招募了 379 名患者，采用网络分析法探讨躯体症状和相关风险因素之间的相互联系：结果：慢性心力衰竭的四个核心症状是日间呼吸困难、平卧时呼吸困难、疲劳和入睡困难。在该网络中，抑郁-焦虑、主观社会支持-客观社会支持、主观社会支持-社会支持可用性的边缘权重比其他边缘权重更显著。在生理、心理和环境因素中，NYHA-呼吸困难、抑郁-入睡困难和社会支持可用性-平卧时呼吸困难的边缘权重比其他因素更显著。抑郁和焦虑的中心度最高，表明它们与其他节点的联系更紧密：结论：心理和环境因素在网络中尤为突出，表明针对这些因素的干预措施对改善整体健康具有潜在价值。

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引用次数: 0

Hypoglycaemia fear, treatment adherence, and the quality of life in patients with type 2 diabetes and its determinants 2 型糖尿病患者的低血糖恐惧、治疗依从性和生活质量及其决定因素。

IF 1.9 4区医学 Q1 Nursing

International Journal of Nursing Practice

Pub Date : 2024-02-22 DOI: 10.1111/ijn.13248

Dilek Yildirim PhD, Cennet Çiriş Yildiz PhD, Emine Ergin PhD, İrem Özbay MSc

Aim

This work aims to evaluate the relationship between the fear of hypoglycaemia, treatment adherence, and the quality of life in patients with type 2 diabetes mellitus (T2DM) and its determinants.

Methods

This descriptive and cross-sectional study sample recruited 1060 T2DM outpatients in a health centre between January and July 2022. The Hypoglycemia Fear Survey (HFS), Type 2 DM Treatment Patient Compliance Scale, and the 5-Level EuroQol 5-Dimension (EQ-5D-5L) were used for data collection.

Results

There was a positive correlation between age, duration of T2DM, and the scores obtained from the HFS and its subscales (p < 0.001). There was a positive, moderate correlation between the total HFS score and the TCS (p < 0.001). There was a negative correlation between the scores obtained from the HFS and the EQ-5D-5L (p < 0.001). The multiple regression analysis showed that the quality of life scores of the patients were significantly predicted by hypoglycaemia fear, duration of T2DM diagnosis, and age. (F = 91.691, p < 0.001). Hypoglycaemia fear, duration of T2DM diagnosis, and age explained 38.1% of the quality of life of patients.

Conclusion

We determined that the increase in hypoglycaemia fear resulted in a decrease in treatment adherence. Besides, hypoglycaemia fear increased with increasing age and duration of T2DM diagnosis.

目的：本研究旨在评估 2 型糖尿病（T2DM）患者对低血糖的恐惧、治疗依从性和生活质量之间的关系及其决定因素：这项描述性横断面研究于 2022 年 1 月至 7 月间在一家医疗中心招募了 1060 名 2 型糖尿病门诊患者。数据收集采用低血糖恐惧调查（HFS）、2型糖尿病治疗患者依从性量表和5级EQ-5D-5L（EuroQol 5-Dimension）：结果：年龄、T2DM 病程与 HFS 及其分量表的得分之间呈正相关（p 结论：年龄、T2DM 病程与 HFS 及其分量表的得分之间呈正相关（p 结论：年龄、T2DM 病程与 HFS 及其分量表的得分之间呈正相关：我们发现，低血糖恐惧的增加会导致治疗依从性的下降。此外，低血糖恐惧随年龄和 T2DM 诊断持续时间的增加而增加。

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引用次数: 0

Impact of problematic mobile phone use among nursing students in India: Exploring associations with depression, insomnia, self-esteem and satisfaction with life 印度护理专业学生使用问题手机的影响：探索与抑郁、失眠、自尊和生活满意度之间的关联。

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2024-02-20 DOI: 10.1111/ijn.13247

Sinu Jose MSc Nursing, Maneesha C. Cyriac BSc Nursing, Sherin Sebastian MSc Nursing, P. V. Lidiyamol MSc Nursing, Manju Dhandapani MSc Nursing, PhD in Nursing

Aim

This research aimed to determine the impact of problematic mobile phone use on negative mental health outcomes among nursing students in India, highlighting the necessity for targeted interventions and support mechanisms to enhance the overall well-being and adaptability of future healthcare professionals.

Methods

A cross-sectional survey was conducted in three randomly selected nursing colleges in South India, employing validated and standardized tools such as the Mobile Phone Problematic Use Scale, Patient Health Questionnaire, Insomnia Severity Index Scale, Satisfaction with Life Scale and Rosenberg Self-Esteem Scale.

Results

The study included 402 nursing students with an average age of 20.47 years, revealing a 39% prevalence of severe problematic mobile phone usage. Positive correlations were observed between mobile phone problematic use and age, depression and insomnia. Additionally, strong negative correlations were found between satisfaction with life and self-esteem. Depression and satisfaction with life served as chain mediators in the impact of self-esteem on problematic mobile phone use, and both self-esteem and satisfaction with life negatively predicted problematic mobile phone use.

Conclusion

The study highlights a prevalent issue of problematic mobile phone use among nursing students, indicating a pressing need for timely intervention, as it correlates with depression, sleep insomnia, low self-esteem and life dissatisfaction.

目的：本研究旨在确定问题手机的使用对印度护理专业学生负面心理健康结果的影响，强调有必要采取有针对性的干预措施和支持机制，以提高未来医护专业人员的整体健康水平和适应能力：在南印度随机选取的三所护理学院进行了一项横断面调查，采用了经过验证的标准化工具，如手机问题使用量表、患者健康问卷、失眠严重程度指数量表、生活满意度量表和罗森伯格自尊量表：研究对象包括 402 名护理专业学生，平均年龄为 20.47 岁，发现严重问题手机使用率为 39%。手机使用问题与年龄、抑郁和失眠呈正相关。此外，在生活满意度和自尊之间也发现了强烈的负相关。抑郁和生活满意度是自尊对问题手机使用影响的连锁中介，而自尊和生活满意度都对问题手机使用有负向预测作用：本研究强调了护生中普遍存在的问题性手机使用问题，表明急需及时干预，因为它与抑郁、睡眠失眠、自卑和生活不满意相关。

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引用次数: 0

Experiences of postpartum Chinese women undergoing confinement practices: A qualitative meta-synthesis. 中国产后妇女的分娩经历：定性荟萃。

IF 1.9 4区医学 Q1 Nursing

International Journal of Nursing Practice

Pub Date : 2024-02-20 DOI: 10.1111/ijn.13251

Jocelyn Khor Yun Xin, Goh Yong Shian, Tan Ting Han, Wilson Tam Wai San

Aims: We aim to review the experiences and needs of postpartum Chinese women undergoing 'confinement' or 'doing-the-month' a postpartum practice after childbirth.

Methods: A meta-synthesis was reported in alignment with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement. Ten electronic databases were searched for eligible primary qualitative or mixed-methods studies in English and Chinese from their inception until December 2021. Two reviewers independently reviewed the methodological quality of the included studies using the 10-item Critical Appraisal Skills Program (CASP) qualitative checklist, with discrepancies resolved through discussions. The meta-synthesis was conducted based on the two-step approach by Sandelowski and Barroso.

Results: Four themes were meta-synthesized from 13 studies: 'confinement' as an essential practice; physical and psychological stressors during 'confinement'; coping strategies by postpartum women; and needs for family, social, and professional support in enhancing satisfaction with 'confinement'. The review showed that 'confinement' remains a significant practice shaped by socio-cultural and health constructs.

Conclusion: This review suggested re-evaluating the 'confinement' practice and promoting evidence-based care to improve maternal well-being. Nurses and midwives should be cognisant of such postpartum customs and adopt non-judgemental attitudes as early as the prenatal period to provide culturally sensitive care.

目的：我们旨在回顾中国产后妇女在产后接受 "坐月子 "或 "做月子 "的经历和需求：方法：根据 "提高定性研究综述报告的透明度"（ENTREQ）声明，报告了一项元综述。我们在 10 个电子数据库中检索了符合条件的主要定性研究或混合方法研究，这些研究的中英文版本均为英文，检索时间从开始至 2021 年 12 月。两位审稿人使用10项批判性评估技能计划（CASP）定性检查表独立审查了纳入研究的方法学质量，并通过讨论解决了分歧。根据桑德洛夫斯基和巴罗佐的两步法进行了元综合：对 13 项研究中的四个主题进行了元综合："分娩 "作为一种基本做法；"分娩 "期间的生理和心理压力；产后妇女的应对策略；以及在提高 "分娩 "满意度方面对家庭、社会和专业支持的需求。综述显示，"分娩 "仍是一种受社会文化和健康因素影响的重要做法：本综述建议重新评估 "分娩 "实践，推广循证护理，以改善孕产妇的福祉。护士和助产士应认识到这种产后习俗，并早在产前阶段就采取非评判性态度，以提供文化敏感性护理。

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引用次数: 0

Effect of comprehensive nursing care for the liver cancer patients undergoing interventional therapy in China: A systematic review and meta-analysis 中国对接受介入治疗的肝癌患者实施综合护理的效果：系统回顾与荟萃分析。

IF 1.9 4区医学 Q1 Nursing

International Journal of Nursing Practice

Pub Date : 2024-02-14 DOI: 10.1111/ijn.13243

Shimei Zhang MM, Na Li MBBS, Xuying Mao MM, Dongxia Yang MM

Aims

This review aims to assess the effect of comprehensive nursing care on liver cancer patients undergoing interventional therapy in China.

Methods

In accordance with PRISMA guidelines, we reviewed randomized controlled trials and observational studies assessing the effect of comprehensive nursing care against standard care on liver cancer patients undergoing specific interventional therapies in China, including PubMed, Embase, CENTRAL and CINAHL till June 2023. Data synthesis was conducted using a random-effects model and reported as pooled odds ratio (OR) or mean difference (MD) or standardized mean differences (SMD).

Results

Ten Chinese studies with 1682 participants were evaluated. Comprehensive nursing care significantly enhanced patient outcomes in liver cancer treatment. Quality of life improved markedly (OR: 0.16, 95% CI: 0.06–0.41). Notable reductions were observed in anxiety (MD: −8.96, 95% CI: −11.52 to −6.40) and depression (MD: −9.47, 95% CI: −11.79 to −7.14). Patients also experienced increased physical (SMD: 1.70, 95% CI: 1.15–2.25), social (SMD: 1.65, 95% CI: 1.14–2.16) and activity scores (SMD: 1.94, 95% CI: 1.49–2.39), alongside a decrease in post-treatment complications (OR: 0.28, 95% CI: 0.21–0.37), demonstrating the multifaceted benefits of comprehensive care.

Conclusion

Comprehensive nursing care may improve patient outcomes in liver cancer treatment, offering potential benefits in reducing the side effects of interventional therapy.

目的：本综述旨在评估综合护理对中国接受介入治疗的肝癌患者的影响：根据PRISMA指南，我们在PubMed、Embase、CENTRAL和CINAHL上检索了截至2023年6月评估综合护理与标准护理对中国接受特定介入治疗的肝癌患者影响的随机对照试验和观察性研究。数据综合采用随机效应模型，并以汇总的几率比（OR）或平均差（MD）或标准化平均差（SMD）进行报告：结果：共评估了 10 项中国研究，涉及 1682 名参与者。综合护理明显提高了肝癌患者的治疗效果。生活质量明显改善（OR：0.16，95% CI：0.06-0.41）。焦虑（MD：-8.96，95% CI：-11.52 至 -6.40）和抑郁（MD：-9.47，95% CI：-11.79 至 -7.14）明显减轻。患者的体能（SMD：1.70，95% CI：1.15-2.25）、社交（SMD：1.65，95% CI：1.14-2.16）和活动评分（SMD：1.94，95% CI：1.49-2.39）也有所提高，治疗后并发症也有所减少（OR：0.28，95% CI：0.21-0.37），这表明综合护理具有多方面的益处：综合护理可改善肝癌患者的治疗效果，为减少介入治疗的副作用提供潜在益处。

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引用次数: 0

Nurse-led self-management education and support programme on self-management behaviour and quality of life among adults with type 2 diabetes: A pilot randomized controlled trial 护士主导的自我管理教育和支持计划对成人 2 型糖尿病患者自我管理行为和生活质量的影响：随机对照试验

IF 1.9 4区医学 Q1 Nursing

International Journal of Nursing Practice

Pub Date : 2024-02-14 DOI: 10.1111/ijn.13245

Dereje Chala Diriba PhD, MSN, Doris Y. P. Leung PhD, Lorna K. P. Suen PhD, RN, FAAN

Aim

This study examined the preliminary effects of a nurse-led self-management education and support programme on the self-management behaviours and quality of life among people with type 2 diabetes in Western Ethiopia.

Methods

A pilot randomized controlled trial was conducted between January and August 2021. Participants were recruited in the hospital and randomly assigned to the control arm to continue usual care (n = 38) or the intervention arm to receive usual care and the diabetes self-management education and support programme (n = 38) in the community. Self-management behaviours and quality of life were assessed using a 10-item summary of diabetes self-care activity (expanded) scale and a 34-item diabetes quality of life measure, respectively, at baseline and 2 months after follow-up. Generalized estimating equation models were used to examine the preliminary effects of the programme on the outcomes.

Results

Preliminary results indicated that the programme outperformed usual care in self-management practise, with large effect sizes immediately postintervention and at 2 months after the intervention, and quality of life at 2 months after the intervention.

Conclusion

A nurse-led diabetes self-management education and support intervention, including the families of people with diabetes, may be an option to boost the self-management practise and quality of life of patients with diabetes.

目的：本研究探讨了由护士主导的自我管理教育和支持计划对埃塞俄比亚西部 2 型糖尿病患者的自我管理行为和生活质量的初步影响：方法：2021 年 1 月至 8 月期间开展了一项试点随机对照试验。参与者在医院招募，随机分配到对照组继续接受常规护理（38 人）或干预组在社区接受常规护理和糖尿病自我管理教育与支持计划（38 人）。在基线和随访两个月后，分别使用10项糖尿病自我护理活动总结（扩展）量表和34项糖尿病生活质量量表对自我管理行为和生活质量进行评估。我们使用了广义估计方程模型来检验该计划对结果的初步影响：初步结果表明，该计划在自我管理实践方面的效果优于常规护理，干预后即刻和干预后 2 个月的效果以及干预后 2 个月的生活质量均有较大的效应大小：护士主导的糖尿病自我管理教育和支持干预（包括糖尿病患者家属）可能是提高糖尿病患者自我管理实践和生活质量的一种选择。

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引用次数: 0

Expanding student nurse placement activity in Welsh care homes: An evaluation study 扩大威尔士护理院的学生护士实习活动：一项评估研究。

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2024-02-08 DOI: 10.1111/ijn.13242

Sharon Williams PhD, Lynne Caley PhD, Sarah Kingdom-Mills RN, Simon Cassidy PhD, Lesley Jones PhD, RN

Aim

Expanding and sustaining student nurse placements outside of the acute sector is a universal challenge. This paper aims to evaluate the Care Home Education Facilitator Role introduced in one area of Wales, United Kingdom, and to report on the outcomes achieved from this novel role.

Methods

Semi-structured interviews were undertaken with key stakeholders including the Care Home Education Facilitator postholder leading the pilot, care home managers, higher education institutions' placement managers/coordinators, student nurses and national health service staff.

Results

Five key areas were identified, which included timing of introducing the post and establishing a clear rationale and understanding of the intention of the role. The benefits, challenges and suggested improvements to the Care Home Education Facilitator initiative are provided.

Conclusion

Introducing the role of the Care Home Education Facilitator to work closely with key stakeholders resulted in increased placements for student nurses, but investing time in developing relationships with these stakeholders was critical to the success of the role.

目的：在急症部门之外扩大和维持护士学生实习是一项普遍挑战。本文旨在对英国威尔士一个地区引入的护理之家教育促进者角色进行评估，并报告这一新颖角色所取得的成果：对主要利益相关者进行了半结构化访谈，其中包括领导试点工作的护理院教育促进者、护理院经理、高等教育机构的实习经理/协调员、学生护士和国家卫生服务人员：结果：确定了五个关键领域，其中包括引入该职位的时机，以及建立明确的理由和对该职位意图的理解。结果：确定了五个关键领域，包括引入该职位的时机、建立明确的理由和对该职位意图的理解，以及对护理之家教育促进者倡议的益处、挑战和改进建议：引入护理院教育促进者这一角色，与主要利益相关者密切合作，增加了护士学生的实习机会，但投入时间与这些利益相关者发展关系对这一角色的成功至关重要。

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引用次数: 0

Effect of monthly reminders by telephone message on women's beliefs and practice behaviours regarding breast self-examination: A randomized controlled study 每月电话信息提醒对妇女乳房自我检查的信念和实践行为的影响：随机对照研究。

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2024-02-06 DOI: 10.1111/ijn.13241

Hilal Alkan MSc, MW, Deniz Akyıldız PhD, MW

Aims

This study was conducted to examine the effect of monthly telephone message reminders after training on women's beliefs and practice behaviours regarding breast self-examination.

Methods

This randomized controlled study was conducted with 83 women aged 20–69 years living in Turkey between September 2021 and July 2022. Women were randomly assigned (1:1) to the intervention (n = 41) or control group (n = 42), both groups received online breast self-examination training, and the intervention group received monthly reminders on their mobile phones for 3 months. Participants completed the Champion's Health Belief Model Scale and breast self-examination practice evaluation form at baseline and 3 months after intervention.

Results

After the intervention, the mean scores of the benefits and self-efficacy subscales of Champion's Health Belief Model Scales were significantly higher in the intervention group compared to the control group, and the mean score of barriers was lower. The rate of performing breast self-exam regularly and at the appropriate time was higher in the intervention group. The rate of forgetting to perform breast self-examination was higher in control group.

Conclusion

A monthly reminder message may be recommended to increase women's belief in breast self-examination and increase regular practice.

目的：本研究旨在探讨每月电话信息提醒培训对女性乳房自我检查信念和实践行为的影响：这项随机对照研究在 2021 年 9 月至 2022 年 7 月期间对居住在土耳其的 83 名 20-69 岁女性进行了调查。妇女被随机分配（1:1）到干预组（n = 41）或对照组（n = 42），两组都接受了在线乳房自我检查培训，干预组每月都会收到手机提醒，为期 3 个月。参与者在基线和干预后 3 个月填写冠军健康信念模式量表和乳房自我检查实践评估表：干预后，与对照组相比，干预组在冠军健康信念模式量表的益处和自我效能分量表的平均得分显著提高，而障碍的平均得分较低。干预组定期和在适当时间进行乳房自我检查的比率较高。结论：结论：建议每月发送提醒信息，以增强妇女对乳房自我检查的信心，并增加定期进行自我检查的次数。

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