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The Influence of Satisfaction with E-Learning on the Psychological State of Nursing Students 网络学习满意度对护生心理状态的影响
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2023-09-05 DOI: 10.1155/2023/7173412
Adnan Innab, Fatima Aldawood, Naif Omar Abdali, Osama Kallas Arishi, Abdullah Mansi Alomary
Aim. The education system has transitioned from traditional learning to e-learning. Earlier, researchers tested the feasibility of e-learning for nursing students. However, whether satisfaction with e-learning affects students’ mental health remains unknown. This study aimed to determine the influence of satisfaction with e-learning on mental health (stress, anxiety, and depression) among undergraduate nursing students. Methods. This study design was cross-sectional, correlational, and descriptive. Data were collected between April and December 2022 from local nursing colleges in 13 regions in Saudi Arabia. A convenience sampling method was employed to recruit undergraduate nursing students. One hundred forty-four students responded to the online questionnaire. Results. Nursing students demonstrated moderate levels of anxiety (M = 9.89 (SD = 4.28)), stress (M = 10.40 (SD = 4.05)), and depression (M = 9.64 (SD = 4.38)). The average satisfaction with e-learning score was 2.79 (SD = 0.85), indicating that students’ satisfaction was low. Strong and positive correlations existed between anxiety and stress (r = 0.787, p   < 0.001 ) and depression (r = 0.867, p   < 0.001 ). However, anxiety, stress, and depression were not correlated with satisfaction. Female participants demonstrated more significant anxiety (M = 11.0, SD = 3.55), stress (M = 11.3, SD = 3.5), and depressive symptoms (M = 10.9, SD = 3.6) than their male counterparts. Stress significantly and indirectly affected depression through anxiety (B = 0.580, p   < 0.001 , 95% CI 0.449 to 0.719). The proportion of mediation ( P M = 0   . 697 ) indicated that 69.7% of the total stress effect on depression was because of the indirect impact of anxiety, acting as a partial mediation. Conclusions. This study emphasized providing mental health services for nursing students. Conducting qualitative research will help achieve knowledge of nursing students’ mental health status.
目标教育系统已经从传统学习过渡到电子学习。早些时候,研究人员对护理专业学生进行了电子学习的可行性测试。然而,对电子学习的满意度是否会影响学生的心理健康仍然未知。本研究旨在确定护理本科生对电子学习的满意度对心理健康(压力、焦虑和抑郁)的影响。方法。本研究设计为横断面、相关性和描述性研究。数据是在2022年4月至12月期间从沙特阿拉伯13个地区的当地护理学院收集的。采用方便抽样的方法对护理本科生进行了招生。一百四十四名学生回答了在线问卷。后果护生表现出中度焦虑(M = 9.89(标准差 = 4.28)),应力(M = 10.40(标准差 = 4.05))和抑郁症(M = 9.64(标准差 = 4.38))。电子学习的平均满意度为2.79(SD = 0.85),表明学生满意度较低。焦虑与压力之间存在显著正相关(r = 0.787,p  < 0.001)和抑郁症(r = 0.867,p  < 0.001)。然而,焦虑、压力和抑郁与满意度无关。女性参与者表现出更显著的焦虑(M = 11.0,标准差 = 3.55),应力(M = 11.3,标准差 = 3.5)和抑郁症状(M = 10.9,标准差 = 3.6)。压力通过焦虑显著和间接影响抑郁(B = 0.580,p  < 0.001,95%CI 0.449-0.719)  . 697)表明,69.7%的压力对抑郁的影响是由于焦虑的间接影响,起到部分中介作用。结论。本研究强调为护生提供心理健康服务。进行质的研究有助于了解护生的心理健康状况。
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引用次数: 0
Assessing the Alignment of Short-Term Assessment of Risk and Treatability (START) with NANDA-I Taxonomy in Forensic Care Settings 评估短期风险和可治疗性评估(START)与NANDA-I分类在法医护理设置中的一致性
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2023-08-04 DOI: 10.1155/2023/8073893
Filip Grbovic, M. Åling, L. Strömberg, M. Mazaheri
Purpose. To investigate the alignment of START with NANDA-I in forensic psychiatric care. Design. A quantitative design was chosen to compare the START instrument with the NANDA-I taxonomy and analyze their alignment. Each item of the START was attempted to be matched with potentially relevant NANDA-I diagnoses, and the matched diagnoses were extracted and presented. Findings. The study demonstrated a strong alignment between START coding and NANDA-I diagnoses, with 99% of the START diagnoses finding a match within NANDA-I. These results support the use of NANDA-I in forensic psychiatric care, which facilitate providing comprehensive care and avoiding sole focus on psychiatric problems. Practice Implications. It is recommended to use a structured nursing taxonomy, such as NANDA-I, in forensic psychiatric care.
目的。探讨START与NANDA-I在法医精神科护理中的一致性。设计。采用定量设计对START工具与NANDA-I分类方法进行比较,分析其一致性。我们尝试将START的每个条目与潜在相关的NANDA-I诊断进行匹配,并提取匹配的诊断并呈现。发现。该研究表明,START编码与NANDA-I诊断之间存在很强的一致性,99%的START诊断在NANDA-I中找到匹配。这些结果支持NANDA-I在法医精神病学护理中的应用,它有助于提供全面的护理,避免只关注精神病学问题。实践意义。建议在法医精神病学护理中使用结构化护理分类法,如NANDA-I。
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引用次数: 0
Therapeutic Impacts of Hyperbaric Oxygen Therapy and Risperidone on Children with Autism: A Clinical Trial. 高压氧治疗和利培酮对自闭症儿童的治疗作用:一项临床试验。
4区 医学 Q2 NURSING Pub Date : 2023-07-01 DOI: 10.32598/bcn.2021.3122.1
Asmaa S Mohamed, Hosam M Ahmad, Ahmed A Abdelrahman, Usama F Aly, Khaled A Khaled

Introduction: In this research, we investigated any possible effect of receiving hyperbaric oxygen therapy (HBOT) or risperidone on the core symptoms of autism in children diagnosed with autism spectrum disorder (ASD).

Methods: This study was a randomized, controlled clinical trial in Minia and Assiut University hospitals in Egypt with three parallel groups. One hundred and eighty children with autism, aged 5-8 years were divided into three equal groups (n=60). Group 1 (G1) received 40 sessions of HBOT within two months, group 2 (G2) received risperidone (dose: 0.25 mg per day in children weighing less than 20 kg and 0.5 mg per day in cases weighing more) for six months, and group 3 (G3) as the control group, received a placebo for six months. The assessment was done using childhood autism rating scale (CARS) and autism treatment evaluation checklist (ATEC) at the beginning of the study (baseline) and after one year.

Results: The mean total CARS and ATEC scores significantly decreased (improved) by varying degrees in the three groups after a year of follow-up compared to the baseline scores, but the best results were found in G1, G2, and G3, respectively.

Conclusion: Using HBOT or risperidone is effective in treating the core symptoms of autism in children diagnosed with autism spectrum disorder, but using HBOT gives better results than risperidone therapy.

Highlights: Non-pharmacologic therapy can be used for the treatment of the core symptoms of autism.Both hyperbaric oxygen therapy and risperidone reduce the core symptoms of autism.Hyperbaric oxygen therapy gives better effects than risperidone in reducing the core symptoms of autism.

Plain language summary: Since the long-term use of drug therapy in children with autism leads to the occurrence of side effects in addition to the difficulty in complying with the drugs for long-term use, efforts have begun to use non-traditional alternative treatments, such as hyperbaric oxygen therapy. The current study assessed the therapeutic effect of hyperbaric oxygen therapy and risperidone on the core symptoms of autism. The results revealed that both hyperbaric oxygen therapy and risperidone reduced the core symptoms of autism, but hyperbaric oxygen therapy gave better therapeutic results than risperidone.

在本研究中,我们探讨了接受高压氧治疗(HBOT)或利培酮对诊断为自闭症谱系障碍(ASD)儿童的自闭症核心症状的可能影响。方法:本研究是在埃及Minia和Assiut大学医院进行的随机对照临床试验,分为三个平行组。180名5-8岁的自闭症儿童被分成三组(n=60)。组1 (G1)在2个月内接受40次HBOT治疗,组2 (G2)接受利培酮治疗(剂量:体重小于20 kg的儿童每天0.25 mg,体重大于20 kg的儿童每天0.5 mg),持续6个月,组3 (G3)作为对照组,接受安慰剂治疗6个月。在研究开始时(基线)和一年后使用儿童自闭症评定量表(CARS)和自闭症治疗评估表(ATEC)进行评估。结果:与基线评分相比,三组患者随访1年后平均总CARS和ATEC评分均有不同程度的降低(改善),但分别以G1、G2和G3组效果最好。结论:HBOT或利培酮治疗自闭症谱系障碍患儿的核心症状均有效,但HBOT治疗效果优于利培酮治疗。重点:非药物治疗可用于治疗自闭症的核心症状。高压氧治疗和利培酮都能减轻自闭症的核心症状。高压氧治疗在减轻自闭症核心症状方面效果优于利培酮。简单的语言总结:由于自闭症儿童长期使用药物治疗会导致副作用的发生,而且长期使用药物很难遵守,因此人们开始努力使用非传统的替代治疗方法,如高压氧治疗。目前的研究评估了高压氧治疗和利培酮对自闭症核心症状的治疗效果。结果显示,高压氧治疗和利培酮治疗均能减轻自闭症的核心症状,但高压氧治疗的效果优于利培酮。
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引用次数: 0
Effects of an On-Campus Meditation Course on Depression, Anxiety, Stress, and Sleep Quality among South Korean Paramedic Students 校园冥想课程对韩国护理学生抑郁、焦虑、压力和睡眠质量的影响
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2023-05-11 DOI: 10.1155/2023/3003004
Y. Yoo, M. Yun, In-Soo Lee, Hyeyoung Kim, Sang-Gyun Roh, Boas Yu
Background. Paramedic students frequently face various stressful and challenging situations as they work in emergency medical settings. Currently, research studies on utilizing meditation courses as a part of the curriculum to improve the mental health of paramedic students in Korea are lacking. Methods. For this quasiexperimental study, a nonequivalent group pretest and post-test research design was used. The study sample comprised 55 paramedic students from two similar-sized universities in different locations: 27 in the experimental group and 28 in the control group. The experimental group participated in an eight-week meditation course, while the control group did not receive any interventions during the same time period. Results. The results indicated that compared with the control group, the experimental group had significantly decreased anxiety ( p = 0.047 ) and stress levels ( p = 0.044 ) and improved sleep quality ( p = 0.041 ). The change in depression levels did not significantly differ between the groups ( p = 0.419 ). Conclusions. The inclusion of a meditation course within college curriculums for paramedic students is feasible and may benefit students in terms of stress, anxiety, and sleep quality.
背景护理专业的学生在紧急医疗环境中工作时,经常面临各种压力和挑战。目前,韩国缺乏将冥想课程作为课程的一部分来改善护理学生心理健康的研究。方法。在这项准实验研究中,使用了一种不等价的组前测试和后测试研究设计。研究样本包括来自不同地区两所规模相似的大学的55名护理学生:实验组27名,对照组28名。实验组参加了为期八周的冥想课程,而对照组在同一时间段内没有接受任何干预。后果结果表明,与对照组相比,实验组显著降低了焦虑(p=0.047)和压力水平(p=0.044),改善了睡眠质量(p=0.041)。两组之间抑郁水平的变化没有显著差异(p=0.419)。结论。将冥想课程纳入护理专业学生的大学课程是可行的,可能会使学生在压力、焦虑和睡眠质量方面受益。
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引用次数: 1
Workplace Spirituality, Compassion Satisfaction, Burnout, and Secondary Traumatic Stress: A Cross-Sectional Study in Iranian Nurses 工作场所灵性、同情满意度、倦怠和继发性创伤压力:伊朗护士的横断面研究
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2023-05-04 DOI: 10.1155/2023/7685791
Moloud Farmahini Farahani, Kimia Jaberi, Zahra Purfarzad
Purpose. This study aimed to (1) assess the levels and associations of workplace spirituality (WPS), compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS) among Iranian nurses; and (2) identify the impact of WPS components on CS, BO, and STS while controlling for demographic variables. Design and Methods. In this descriptive, cross‐sectional, and correlational study, 295 nurses were selected via proportionate stratified sampling from five hospitals affiliated with the Arak University of Medical Sciences in Iran from June 2022 to December 2022. The scale of workplace spirituality and Professional Quality of Life version 5 (ProQOL-5) were used for data collection. Data were analyzed using SPSS24 and descriptive and inferential statistics (Pearson correlation coefficient and multiple regression). Findings. The mean scores of WPS, CS, BO, and STS were 63.27, 36.55, 27.31, and 29.58, respectively. The highest percentages of nurses reported moderate CS, BO, and STS levels, reaching rates of 76.3%, 80%, and 86.1%, respectively. The Pearson correlation coefficient showed that CS had a negative relationship with BO and STS. There was a direct correlation between BO and STS. Participants who reported higher levels of WPS had higher CS and lower BO scores. Results of multiple regression analyses indicate that the model of WPS components and control variables explains 42.7, 34, and 8.6 percent of the variance of CS, BO, and STS, respectively. Higher “meaningful work” is associated with higher CS and lower BO and STS among nurses. Participants higher in “sense of community” had higher CS scores. Higher “alignment with organizational values” is associated with higher STS. Practice Implications. According to the study results, it is possible to provide a suitable platform for improving nurses’ professional quality of life by strengthening workplace spirituality.
意图本研究旨在(1)评估伊朗护士的工作场所精神(WPS)、同情满意度(CS)、倦怠(BO)和继发性创伤压力(STS)的水平和相关性;以及(2)识别WPS成分对CS、BO和STS的影响,同时控制人口统计变量。设计和方法。在这项描述性、横断面和相关性研究中,从2022年6月至2022年12月,通过比例分层抽样从伊朗阿拉克医学科学大学附属的五家医院选出295名护士。工作场所精神和职业生活质量量表第5版(ProQOL-5)用于数据收集。使用SPSS24和描述性和推断统计学(Pearson相关系数和多元回归)对数据进行分析。调查结果。WPS、CS、BO和STS的平均得分分别为63.27、36.55、27.31和29.58。报告中等CS、BO和STS水平的护士比例最高,分别达到76.3%、80%和86.1%。Pearson相关系数表明CS与BO和STS呈负相关。BO与STS之间存在直接相关性。报告WPS水平较高的参与者CS得分较高,BO得分较低。多元回归分析结果表明,WPS成分和控制变量的模型分别解释了CS、BO和STS的42.7%、34%和8.6%的方差。护士中较高的“有意义的工作”与较高的CS、较低的BO和STS相关。“社区意识”较高的参与者CS得分较高。更高的“与组织价值观的一致性”与更高的STS相关。实践启示。根据研究结果,通过加强工作场所精神,可以为提高护士的职业生活质量提供一个合适的平台。
{"title":"Workplace Spirituality, Compassion Satisfaction, Burnout, and Secondary Traumatic Stress: A Cross-Sectional Study in Iranian Nurses","authors":"Moloud Farmahini Farahani, Kimia Jaberi, Zahra Purfarzad","doi":"10.1155/2023/7685791","DOIUrl":"https://doi.org/10.1155/2023/7685791","url":null,"abstract":"Purpose. This study aimed to (1) assess the levels and associations of workplace spirituality (WPS), compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS) among Iranian nurses; and (2) identify the impact of WPS components on CS, BO, and STS while controlling for demographic variables. Design and Methods. In this descriptive, cross‐sectional, and correlational study, 295 nurses were selected via proportionate stratified sampling from five hospitals affiliated with the Arak University of Medical Sciences in Iran from June 2022 to December 2022. The scale of workplace spirituality and Professional Quality of Life version 5 (ProQOL-5) were used for data collection. Data were analyzed using SPSS24 and descriptive and inferential statistics (Pearson correlation coefficient and multiple regression). Findings. The mean scores of WPS, CS, BO, and STS were 63.27, 36.55, 27.31, and 29.58, respectively. The highest percentages of nurses reported moderate CS, BO, and STS levels, reaching rates of 76.3%, 80%, and 86.1%, respectively. The Pearson correlation coefficient showed that CS had a negative relationship with BO and STS. There was a direct correlation between BO and STS. Participants who reported higher levels of WPS had higher CS and lower BO scores. Results of multiple regression analyses indicate that the model of WPS components and control variables explains 42.7, 34, and 8.6 percent of the variance of CS, BO, and STS, respectively. Higher “meaningful work” is associated with higher CS and lower BO and STS among nurses. Participants higher in “sense of community” had higher CS scores. Higher “alignment with organizational values” is associated with higher STS. Practice Implications. According to the study results, it is possible to provide a suitable platform for improving nurses’ professional quality of life by strengthening workplace spirituality.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46664300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations between Nonrestorative Sleep, Perceived Stress, Resilience, and Emotional Distress in Freshmen Students: A Latent Profile Analysis and Moderated Mediation Model 新生非恢复性睡眠、感知压力、恢复力和情绪困扰的相关性:一个潜在特征分析和适度中介模型
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2023-04-26 DOI: 10.1155/2023/8168838
Shuhan Li, Yuan Liao, Xiaona Wu, Xiaoxiao Mei, Yihao Zeng, Jiahua Wu, Zengjie Ye
Objective. This study aims to explore the mediation role of perceived stress between nonrestorative sleep (NRS) and emotional distress, as well as the moderation role of resilience among NRS, perceived stress, and emotional distress in university students. Method. We recruited 851 students from the Be Resilient to Nursing Career program (BRNC, registration number: NFYKDX002) in June 2022. Nonrestorative sleep scale (NRSS), 10-item perceived stress scale (PSS-10), 10-item Kessler psychological distress scale (K10), and 10-item Connor–Davidson resilience scale (CD-RISC-10) were administered through a paper questionnaire. Latent profile analysis and moderated mediation analysis were performed. Results. Three profiles of perceived stress were identified: high ability-low stress (24.5%), middle ability-high stress (65.0%), and low ability-middle stress (10.5%). The mediation role of perceived stress between NRS and emotional distress was significant (SE = 0.025; 95% confidence interval = −0.369, −0.269). The moderation role of resilience among NRS, perceived stress, and emotional distress was not significant. Conclusion. Heterogeneity exists in freshmen students’ perceived stress. Perceived stress plays a significant mediating role between NRS and emotional distress, while resilience cannot significantly moderate the associations among NRS, perceived stress, and emotional distress. The trial is registered with ChiCTR2000038693.
目标。本研究旨在探讨非恢复性睡眠知觉压力对大学生情绪困扰的中介作用,以及心理韧性在大学生非恢复性睡眠、知觉压力和情绪困扰中的调节作用。方法。我们于2022年6月招收了851名来自“适应护理职业计划”(BRNC,注册号:NFYKDX002)的学生。采用纸质问卷进行非恢复性睡眠量表(NRSS)、10项感知压力量表(PSS-10)、10项Kessler心理困扰量表(K10)和10项Connor-Davidson弹性量表(CD-RISC-10)。进行潜在特征分析和有调节中介分析。结果。感知压力有三种类型:高能力-低压力(24.5%)、中能力-高压力(65.0%)和低能力-中压力(10.5%)。知觉应激在NRS与情绪困扰之间的中介作用显著(SE = 0.025;95%置信区间=−0.369,−0.269)。心理弹性对NRS、感知压力和情绪困扰的调节作用不显著。结论。大学生压力感知存在异质性。感知压力在NRS、感知压力和情绪困扰之间起显著中介作用,而弹性在NRS、感知压力和情绪困扰之间没有显著调节作用。该试验注册号为ChiCTR2000038693。
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引用次数: 1
Online News Media Portrayal of ADHD on the Websites of BBC and CNN International during the COVID-19 Pandemic 新冠肺炎大流行期间英国广播公司和美国有线电视新闻网国际网站上的网络新闻媒体对多动症的描述
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2023-04-21 DOI: 10.1155/2023/4338593
Alev Yücel
Purpose. Individuals with attention deficit and hyperactivity disorder (ADHD) have experienced exacerbated symptoms and negative effects during the pandemic on both physical and mental health. However, the leading global news websites did not cover the vulnerabilities and special needs of individuals with ADHD in the context of the neurodiversity approach. I argue that both cnn.com and bbc.com did not incorporate the neurodiversity approach aiming to increase acceptance and inclusion of the differences without viewing them as deficits. Methods. The present study explores online news media portrayal of ADHD during the COVID-19 pandemic through content analysis between March 2020 and October 2022. The news articles mentioning ADHD (64 from bbc.com and 56 from cnn.com) were analyzed. Results. Findings show that ADHD was dominantly framed as a medical issue, far from the neurodiversity perspective. Only 13 news articles among 64 (approximately 20%) on bbc.com and 4 among 56 (less than 10%) on cnn.com incorporated the neurodiversity approach that would benefit both individuals with ADHD and the whole society during the pandemic. Practice Implications. The findings show a need for more awareness of neurodiversity in the news media and a broader coverage of ADHD-related neurodiversity during the pandemic.
意图在疫情期间,注意力缺陷和多动障碍(ADHD)患者的症状加剧,对身心健康产生负面影响。然而,全球领先的新闻网站没有在神经多样性方法的背景下报道多动症患者的脆弱性和特殊需求。我认为,cnn.com和bbc.com都没有纳入神经多样性方法,旨在增加对差异的接受和包容,而不将其视为缺陷。方法。本研究通过2020年3月至2022年10月期间的内容分析,探讨了新冠肺炎大流行期间在线新闻媒体对多动症的描述。对提及多动症的新闻文章(bbc.com 64篇,cnn.com 56篇)进行了分析。后果研究结果表明,多动症主要被认为是一个医学问题,远远没有从神经多样性的角度来看。bbc.com上的64篇新闻文章中只有13篇(约20%),cnn.com上的56篇文章中有4篇(不到10%)采用了神经多样性方法,这将使多动症患者和整个社会在疫情期间受益。实践启示。研究结果表明,在疫情期间,新闻媒体需要更多地关注神经多样性,并更广泛地报道与多动症相关的神经多样性。
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引用次数: 1
Experiences of Women Diagnosed with Borderline Personality Disorder: Perception of Motherhood, Social, Health, and Construction of Gender 被诊断为边缘型人格障碍的女性的经历:对母性、社会、健康和性别建构的感知
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2023-04-19 DOI: 10.1155/2023/5345101
Nerea De-la-Morena-Perez, I. Corral-Liria, Javier Sanchez-Alfonso, R. Becerro-de-Bengoa-Vallejo, M. Losa-Iglesias, Raquel Jiménez-Fernández
Purpose. To explore the experiences of women diagnosed with borderline personality disorder (BPD) from a holistic perspective, incorporating their experiences in the social and health fields and their perception of motherhood, and to analyse the influence of the social construction of gender. Design and Methods. Qualitative study with a hermeneutic phenomenological design. Eight women with a diagnosis of borderline personality disorder participated in the in-depth interviews. Findings. The trauma, stigma, and difficulty associated with motherhood and being a woman are determinants in the experience of symptoms and the recovery from them. Practical Implications. The findings offer keys to improving the quality of women’s nursing care and the treatment they are provided according to gender factors.
意图从整体角度探讨被诊断为边缘型人格障碍(BPD)的女性的经历,结合她们在社会和健康领域的经历以及她们对母亲的看法,并分析性别社会结构的影响。设计和方法。用解释学现象学设计的定性研究。八名被诊断为边缘型人格障碍的妇女参加了深入访谈。调查结果。与母亲身份和女性身份相关的创伤、污名和困难是症状体验和康复的决定因素。实际意义。这些发现为提高妇女护理质量以及根据性别因素提供的治疗提供了关键。
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引用次数: 0
The Indirect Effect of Depression between Nightmares and Well-Being in Lebanese Patients with Schizophrenia 黎巴嫩精神分裂症患者噩梦与幸福感之间抑郁的间接影响
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2023-04-14 DOI: 10.1155/2023/5511158
Daniel Mahfoud, J. El Ahdab, Sami Helwe, Michael Topalian, C. Tarabay, Karim Rifi, G. Haddad, S. Obeid, S. Hallit
Background. Because nightmares seem to be associated with depression in schizophrenia, detecting them early in therapeutic practice might be critical to ensuring effective avoidance of the development of depressive symptomatology. This helps promote well-being and improve the patient’s quality of life and illness prognosis. Therefore, the aim of this study was to examine the indirect effect of depression between nightmares and well-being in a Lebanese sample of patients with schizophrenia. Method. This monocentric cross-sectional study, conducted in July 2022, enrolled patients with chronic schizophrenia admitted to the Psychiatric Hospital of the Cross. Data were collected from a total of 148 participants through face-to-face interviews. The questionnaire included a nightmares measure, PSYRATS, Calgary depression scale for schizophrenia, PTSD checklist for DSM-5, the digit span subset, and WHO-5Well-Being Index. Results. The presence of nightmares was significantly associated with more depression, whereas higher depression was significantly associated with lower well-being. It is noteworthy that the presence of nightmares was not directly associated with well-being. Conclusion. Nightmares lead indirectly to lower well-being in schizophrenia patients, with depression serving as a mediating factor in this association. This suggests that interventions aiming at improving dream content may also have a beneficial effect in reducing depression in schizophrenia leading therefore to better well-being of the patients.
背景由于噩梦似乎与精神分裂症患者的抑郁有关,在治疗实践中尽早发现噩梦可能对确保有效避免抑郁症状的发展至关重要。这有助于促进健康,改善患者的生活质量和疾病预后。因此,本研究的目的是在黎巴嫩精神分裂症患者样本中检验抑郁在噩梦和幸福感之间的间接影响。方法这项单中心横断面研究于2022年7月进行,招募了入住十字精神病医院的慢性精神分裂症患者。数据是通过面对面的访谈从总共148名参与者中收集的。该问卷包括噩梦测量、PSYRATS、精神分裂症卡尔加里抑郁量表、DSM-5 PTSD检查表、数字跨度子集和WHO-5健康指数。后果噩梦的出现与更多的抑郁情绪显著相关,而更高的抑郁情绪与更低的幸福感显著相关。值得注意的是,噩梦的存在与幸福感没有直接联系。结论噩梦间接导致精神分裂症患者幸福感下降,抑郁症是这种关联的中介因素。这表明,旨在改善梦境内容的干预措施也可能在减少精神分裂症患者的抑郁方面产生有益效果,从而改善患者的健康状况。
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引用次数: 0
Safety Incidents in Psychiatric Inpatient Care: A Qualitative Content Analysis of Safety Incident Reports 精神科住院安全事件:安全事件报告的定性内容分析
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2023-04-12 DOI: 10.1155/2023/3159566
K. Mishina, J. Berg, Veera Vainila, Mikko Korte, M. Lahti
Introduction. Safety is an essential factor in patient recovery, occupational well-being, and a well-functioning care environment. To identify and understand potential safety risks, information from safety incidents is needed. Aim. To describe safety incidents that occurred on psychiatric inpatient wards. Method. A retrospective register study. The data were collected from a web-based incident reporting database (HaiPro) from six Finnish psychiatric inpatient wards. The incident reports (N = 76) were analysed with descriptive statistics and inductive content analyses. Results. The incidents were verbally or physically aggressive situations, rule violations, or challenges in the ward’s basic activities. The incidents resulted in consequences for patients, personnel, and the wards with varying severity. Some of the incidents could have possibly been prevented with simple, practical measures, such as sharing information, being prepared for safety practices, and having comprehensively planned care. Discussion. Safety incidents cause fear and challenges and could partly be prevented with multiprofessional and multilevel cooperation. Implications for Practice. Preventative actions include multidisciplinary and ward-specific education for safety practices, ensuring resources and not having too many patients on the ward. Multiprofessional communication and mutual understanding, including patient participation, are central. Wards should be designed or renovated so that safe environments can be guaranteed.
介绍。安全是患者康复、职业健康和功能良好的护理环境的重要因素。为了识别和了解潜在的安全风险,需要来自安全事件的信息。的目标。描述发生在精神科住院病房的安全事故。方法。回顾性登记研究。数据是从基于网络的事件报告数据库(HaiPro)中收集的,该数据库来自六个芬兰精神病住院病房。对76例事件报告进行描述性统计和归纳性内容分析。结果。这些事件是言语或身体上的攻击性情况,违反规则或挑战病房的基本活动。这些事件对病人、工作人员和病房造成了不同程度的后果。一些事故本可以通过简单、实用的措施来预防,例如共享信息、为安全措施做好准备以及全面规划护理。讨论。安全事故会带来恐惧和挑战,多专业和多层次的合作可以在一定程度上预防安全事故。对实践的启示。预防措施包括多学科和特定病房的安全实践教育,确保资源和病房里没有太多的病人。多专业沟通和相互理解,包括患者参与,是核心。应该设计或翻新病房,以保证安全的环境。
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Perspectives in Psychiatric Care
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