International Journal of Nursing Practice最新文献

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.

Aims

This study aimed to investigate the current status of knowledge, attitudes and practices regarding venous thromboembolism (VTE) prevention among orthopaedic nurses in comprehensive hospitals in Yichang, Hubei Province, China, and to analyse influencing factors to provide a reference for implementing VTE prevention strategies.

Methods

From February to March 2024, a total of 257 orthopaedic nurses from nine comprehensive hospitals in Yichang were surveyed using a convenience sampling method and investigated with a knowledge, attitudes and practices questionnaire for VTE prevention. Multiple linear regression analysis was conducted to identify factors influencing knowledge, attitudes and practices regarding VTE prevention among orthopaedic nurses.

Results

The overall score for knowledge, attitudes and practices regarding VTE prevention among orthopaedic nurses was 88.54 ± 5.73, with knowledge scoring 73.56 ± 7.69, attitudes scoring 95.66 ± 7.79 and practices scoring 95.96 ± 7.04. Position, training frequency, quality inspection and discharge follow-up were significant factors influencing knowledge, attitudes and practices scores (p < 0.05).

Conclusions

In the orthopaedic departments of comprehensive hospitals in Yichang, Hubei Province, China, the overall level of knowledge, attitudes and practices regarding VTE prevention among nurses is generally good, with positive attitudes and practices observed. However, there is potential for improvement in knowledge levels. Recommendations include enhancing standardized VTE training, improving knowledge levels, strengthening health education and ensuring discharge follow-up to optimize VTE prevention efforts.

Aim

This study aimed to assess the validity and reliability of the Turkish version of the Breast Cancer Awareness Scale (BCAS-TR) for assessing breast cancer awareness among Turkish women.

Methods

The data of this methodological study were collected by face-to-face interview technique from 352 women over 18 years of age at a family health centre in Ankara, Türkiye. The BCAS-TR, adapted from the original 35-item scale, assessed knowledge, attitudes and behaviours related to breast cancer. Confirmatory factor analysis (CFA), content validity, convergent and discriminant validity, concurrent validity and reliability analysis were performed. Champion's Health Belief Model Scale was used for concurrent validity.

Results

CFA supported the five-factor structure of the original scale. All fit indices met the recommended criteria. The values of AVE of all factors ranged between 0.579 and 0.853. AVE values (> 0.5) and discriminant validity analysis supported convergent and discriminant validity. Significant positive correlations with the Champion's Health Belief Model Scale demonstrated concurrent validity. The Cronbach α of the total scale is 0.907 (subscales ranged between 0.752 and 0.907). The composite reliability values of the subscales ranged between 0.770 and 0.949.

Conclusions

The BCAS-TR is a valid and reliable tool for assessing breast cancer awareness in Turkish women. This scale can be used by researchers and healthcare professionals to develop targeted interventions and improve early detection and prevention of breast cancer in Türkiye.

Aim

This study aims to examine the level of frailty in patients undergoing haemodialysis treatment and investigate the effects of sociodemographic, psychological and clinical variables on frailty.

Method

A cross-sectional and correlational research design was employed with 386 haemodialysis patients over the age of 50. Data were collected using the Edmonton Frail Scale, Beck Depression Inventory, Standardized Mini-Mental Test and Eysenck Personality Questionnaire.

Results

The study revealed that 48.4% of haemodialysis patients fell into the ‘apparently frail’ category, and frailty levels were significantly associated with age, depression and cognitive functions (p < 0.05). However, no significant effect of gender, marital status, educational level, chronic diseases or personality traits on frailty was identified.

Conclusions

Most haemodialysis patients were found to be apparently frail, with frailty levels increasing with age. Furthermore, frailty was linked to higher levels of depressive symptoms and lower cognitive function. Evaluating depression and cognitive function is crucial for alleviating frailty symptoms and improving quality of life.

Background

Nurses are the main staff members tasked with addressing patients' needs and are required to constantly improve their nursing performance. Therefore, it is necessary to identify new factors that affect nursing performance among tertiary hospital nurses.

Aims

This study investigated how work–life balance and nursing reflection affect nursing performance among tertiary hospital nurses.

Methods

This study employed an analytical cross-sectional survey design. It recruited a convenience sample of 176 nurses from four tertiary hospitals in Dauge City, South Korea. Data were collected using structured self-report questionnaires and analysed using stepwise multiple regression.

Results

The nursing performance score was 3.73 of 5. Significant predictors of nursing performance were the review and analysis of nursing behaviour, development-oriented deliberative engagement, objective self-awareness, total working period and work–growth balance. The explanatory power of these factors on nursing performance was 49.1%.

Conclusions

Study findings indicated that review and analysis of nursing behaviour, development-oriented deliberative engagement, objective self-awareness, total working period and the work–growth balance of nurses improved nursing performance. This is significant for future improvement of nursing performance among nurses in tertiary hospitals.

Aims

The aim of this study was to develop and verify a new emergence agitation risk prediction model based on the electronic medical records of patients undergoing transurethral resection of the prostate.

Background

The incidence of prostate disease in elderly men is high, and the harm caused by emergence agitation in patients after transurethral resection of the prostate is serious. It is necessary to develop a predictive model for emergence agitation in patients undergoing transurethral resection of the prostate.

Design

This was a retrospective cohort study. Patients who underwent transurethral resection of the prostate from January 2016 to December 2020 formed the study population.

Methods

The multivariate logistic backward stepwise method was used to further evaluate the variables with p-values of less than 0.1 in the univariate analysis. A receiver operating characteristic curve was used to analyse the discrimination of models, and the Hosmer–Lemeshow test was used to evaluate calibration.

Results

A total of 956 patients undergoing transurethral resection of the prostate were included in the study. The incidence of emergence agitation in the deduction data set and the verification data set were 24.6% and 23.2%, respectively. Multiple logistic regression analysis showed that age (OR = 1.05, 95% CI, 1.02–1.09), urea (OR = 1.14, 95% CI, 1.05–1.29), postoperative pain (OR = 3.74, 95% CI, 1.99–7.03) and catheter-related bladder discomfort (OR = 2.26, 95% CI, 1.80–2.84) were independent predictors of emergence agitation in patients with transurethral resection of the prostate. The prediction model showed good discrimination in both the derivation dataset and the verification dataset (the area under the curve was 0.737 and 0.804, respectively) and calibration (Hosmer–Lemeshow test p = 0.895 and 0.418, respectively).

Conclusion

This low-cost low-risk clinical prediction model based on electronic medical records is simple and practical, easy to generalize, and contributes to health care providers identifying individuals at high risk of emergence agitation in patients undergoing transurethral resection of the prostate.

Background

Obesity is a risk factor for osteoarthritis and total hip/knee joint replacement and can lead to poorer outcomes following surgical interventions.

Aim

This work aimed to determine the preliminary efficacy of a self-management programme versus usual care in improving health-related quality of life in obese patients with osteoarthritis awaiting joint replacement.

Methods

This was a two-group parallel randomised trial involving patients with obesity and osteoarthritis who were awaiting hip or knee arthroplasty. Patients were randomly allocated to the Flinders Program of self-management support plus usual care or usual care alone groups. Primary outcomes at 10 months were Short-Form Health Survey (SF-36) and Osteoarthritis of Knee/Hip Quality of Life (OAKHQoL).

Results

Ninety-five patients were randomised to either intervention (n = 48) or usual care (n = 47) and analysed in an intent-to-treat analysis. While there was no intervention effect in SF-36, evidence was in favour of intervention for OAKQoL improved social support (d = 0.43, 95% CI: 0.01–0.83) versus usual care (d = −0.01, 95% CI: −0.41 to 0.42) (p = 0.03). Similarly, intervention patients experienced larger improvements for social activity (d = 0.47; 95% CI: 0.05–0.89) versus usual care (d = −0.16; 95% CI: −0.58 to 0.25) (p = 0.005).

Conclusion

The intervention warrants examination in a larger trial to establish effectiveness among patients with obesity and osteoarthritis awaiting arthroplasty.

Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12615000674538

Background

Maintaining normal body temperature during operation is significant for the prognosis of surgical patients. The purpose of this study was to investigate the risk factors of hypothermia during posterior cervical surgery and establish a risk prediction model to facilitate the surgical team to identify high-risk patients before surgery.

Aim

The aim of this study was to establish and validate a predictive model for assessing intraoperative hypothermia risk in patients undergoing posterior cervical surgery under general anaesthesia.

Design

Retrospective cohort study.

Methods

This was a retrospective, two-centre, observational study conducted in the anaesthesia surgery departments of two tertiary Grade A hospitals. Patients who underwent posterior cervical surgery between January 1, 2018 and June 30, 2024 were included in our study. Based on the literature and working experience, the patient factors and surgical factors related to intraoperative hypothermia were selected. The predictive model of intraoperative hypothermia was constructed by pairings comparison, LASSO, logistic regression. The performance of the model was evaluated by correction curve, consistency index (C-index) and decision curve.

Results

The incidence of intraoperative hypothermia in 818 patients in the modelling group was 32.8%. Of the initial 17 potential predictors, three variables were incorporated into the final predictive model: preoperative body temperature, preoperative serum albumin value, and preoperative white blood cell count. The C-index of the prediction model was 0.858 (95% CI: 0.827–0.887), the patient benefit rate was 0.08–0.83, and the C-index of the validation group was 0.824.

Conclusion

This study found that this prediction model can accurately predict the risk of intraoperative hypothermia in patients undergoing posterior cervical surgery and can therefore be used to improve patient safety intraoperatively.