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Experiences of intensive care nurses working with patients with COVID-19: A qualitative study in Turkey 土耳其重症监护护士处理新冠肺炎患者的经验:一项定性研究
IF 1 Q4 NURSING Pub Date : 2023-06-03 DOI: 10.18502/npt.v10i2.12833
Elif Gursoy, Havva Yeşildere Sağlam, N. Yavuz
Background & Aim: The outbreak of the COVID-19 pandemic has disrupted healthcare systems. Nurses were deeply affected physically, psychologically, and socially. This study was conducted to examine the experiences and perceptions of intensive care nurses who provide care for patients with COVID-19 during the pandemic process. Methods & Materials: This qualitative study was conducted using the content analysis approach. This research was carried out with 11 nurses working in the intensive care unit and caring for COVID-19 patients between May and September 2021. A purposive sampling method was used to include nurses in the study. The data of the research were collected with an eight-question semi-structured interview form and in-depth interview technique. The data were analyzed by using the content analysis method. Results: The six main categories identified in this study were challenging working conditions, tiredness, isolation and loneliness, fear, and helplessness, lack of management support, and expectations and needs. Conclusion: This study has shown that intensive care nurses who care for COVID-19 patients in Turkey are greatly adversely affected physically, psychologically, and socially by the pandemic process. In this process, it is extremely important to improve the financial and moral support for nurses. Policymakers and managers should try to reduce the physical, psychological, and social impacts of the pandemic on nurses by focusing on their experience and taking appropriate action.
背景与目的:2019冠状病毒病大流行的爆发扰乱了卫生保健系统。护士在身体、心理和社会上都受到了深刻的影响。本研究旨在调查在大流行过程中为COVID-19患者提供护理的重症监护护士的经验和看法。方法与材料:采用内容分析法进行定性研究。这项研究是在2021年5月至9月期间在重症监护室工作并照顾COVID-19患者的11名护士进行的。采用有目的的抽样方法将护士纳入研究。研究数据采用八题半结构化访谈法和深度访谈法进行收集。采用内容分析法对数据进行分析。结果:本研究确定了六个主要类别:具有挑战性的工作条件、疲劳、孤立和孤独、恐惧和无助、缺乏管理支持、期望和需求。结论:本研究表明,在土耳其,照顾COVID-19患者的重症监护护士在身体、心理和社会上都受到大流行过程的极大不利影响。在这一过程中,提高对护士的经济和精神支持是极其重要的。政策制定者和管理人员应通过关注护士的经验并采取适当行动,努力减少大流行对护士的身体、心理和社会影响。
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引用次数: 0
The effect of APRV-LTV mechanical ventilation mode on SpO2 and ventilation indices in patients with COVID-19 APRV-LTV机械通气模式对COVID-19患者SpO2及通气指标的影响
IF 1 Q4 NURSING Pub Date : 2023-06-03 DOI: 10.18502/npt.v10i2.12831
Atye Babaii, M. Abbasinia, A. Ahmadi, S. Adeli, Seyed Yaser Foroghi ghomi, Samaneh Pakzaban
Background & Aim: Mechanical ventilation is a life-saving method for acute respiratory distress syndrome. The present study aimed to investigate the impact of airway pressure release ventilation-low tidal volume mode on COVID-19 patients’ peripheral capillary oxygen saturation and ventilation indices. Methods & Materials: This clinical trial was conducted on 70 COVID-19 patients hospitalized in the Intensive care unit in Qom, Iran. Patients were selected using convenience sampling and randomly allocated to intervention and control groups. In the control group, patients were ventilated using synchronized intermittent mandatory ventilation mode, and in the intervention group, patients were ventilated using airway pressure release ventilation-low tidal volume mode. Patients’ peripheral capillary oxygen saturation and ventilation indices were checked and recorded before and after the intervention. The data were analyzed using SPSS 11.5. Results: According to the results of the repeated-measures ANOVA test before the intervention and the 2 and 4 hours after the intervention, there were no significant differences between the intervention and control groups regarding the fraction of inspired oxygen, volume minute per minute, and peripheral capillary oxygen saturation (P>0.05). However, in the intervention group compared to the control group, the mean of PIP was significantly reduced (P<0.05). Conclusion: In patients with COVID-19, the two modes of mechanical ventilation, APRV, and control, had no significant differences in the fraction of inspired oxygen, volume minute per minute, and peripheral capillary oxygen saturation. However, the mean peak inspiratory pressure reduction in the intervention group was greater than that in the control group. Considering that several factors can affect peripheral capillary oxygen saturation and ventilation indices, these results should be considered with caution.
背景与目的:机械通气是治疗急性呼吸窘迫综合征的一种挽救生命的方法。本研究旨在探讨气道压力释放通气-低潮气量通气模式对新冠肺炎患者外周毛细血管血氧饱和度和通气指标的影响。方法与材料:本临床试验对70名在伊朗库姆重症监护室住院的新冠肺炎患者进行。患者采用方便抽样法进行选择,并随机分为干预组和对照组。对照组患者采用同步间歇强制通气模式通气,干预组患者采用气道压力释放通气低潮气量模式通气。在干预前后检查并记录患者的外周毛细血管血氧饱和度和通气指数。使用SPSS 11.5对数据进行分析。结果:根据干预前和干预后2、4小时的重复测量方差分析结果,干预组与对照组在吸氧分数、每分钟体积分钟数和外周毛细血管血氧饱和度方面无显著差异(P>0.05),与对照组相比,干预组PIP平均值显著降低(P<0.05)。结论:新冠肺炎患者APRV和对照组两种机械通气方式的吸氧量、每分钟容量和外周毛细血管血氧饱和度无显著差异。然而,干预组的平均峰值吸气压力下降大于对照组。考虑到几个因素会影响外周毛细血管血氧饱和度和通气指标,应谨慎考虑这些结果。
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引用次数: 0
Risk reduction model: A current approach to disease transmission prevention to clinical nurses in hospitals 风险降低模式:当前预防医院临床护士疾病传播的方法
IF 1 Q4 NURSING Pub Date : 2023-06-03 DOI: 10.18502/npt.v10i2.12837
Suarnianti Suarnianti, Yusran Haskas
Background & Aim: Nurses worldwide face serious challenges in dealing with infectious diseases. A transmission prevention model is expected to be a strategy to overcome these challenges. To date, most of the available models are in the form of disease prevention models primarily implemented to detect infections. In contrast, only a few models are implemented to improve disease transmission prevention behavior, especially in nurses. This study aims to find a model of infection transmission prevention adopted from the aids risk reduction model. Methods & Materials: This study was an analytic observational study and employed a cross-sectional approach. This study was conducted in two hospitals in Makassar City and involved 123 respondents. The data were analyzed using multiple linear regression tests. Results: This study finds that there is a correlation between organizational factors and nurses' commitment (b=.268) (p=.003); there is a correlation between self-justification and nurses’ self-labeling as at-risk individuals of contracting the disease (b=-.180 )(p=.049); there is a correlation between labeling and actions to reduce the risk of disease transmission (Enactment) (b=.255)(p=.001); there is a correlation between nurses' commitment and enactment (b=.651)(p=.001). Conclusion: The risk reduction model could represent the nurses' disease transmission prevention behavior.
背景与目的:全世界的护士在处理传染病方面面临着严峻的挑战。预防传播模式有望成为克服这些挑战的一种战略。迄今为止,大多数可用的模型都是疾病预防模型,主要用于检测感染。相比之下,只有少数模型得以实施,以改善疾病传播预防行为,特别是在护士中。本研究旨在从艾滋病风险降低模型中寻找一种预防感染传播的模型。方法与材料:本研究为分析性观察性研究,采用横断面方法。本研究在望加锡市的两家医院进行,涉及123名受访者。采用多元线性回归检验对数据进行分析。结果:本研究发现组织因素与护士承诺存在相关性(b=.268) (p=.003);自我辩护与护士自我标记为感染疾病的高危个体之间存在相关性(b=-)。180) (p = .049);标签与减少疾病传播风险的行动之间存在相关性(颁布)(b=.255)(p=.001);护士承诺与制定之间存在相关性(b=.651)(p=.001)。结论:风险降低模型可以反映护士的疾病传播预防行为。
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引用次数: 0
Near-death experience: A concept analysis 濒死体验:概念分析
IF 1 Q4 NURSING Pub Date : 2023-06-03 DOI: 10.18502/npt.v10i2.12835
A. Kaleem
Background & Aim: The incidence of near-death experience is not a novel phenomenon since human history. However, with healthcare technological advancement, near-death narratives have been reported in a greater number of critically ill patients as well as in the general community. Therefore, healthcare professionals must recognize the concept of near-death experiences and provide relevant care to their patients. Unfortunately, healthcare providers, especially nurses, do not have sufficient knowledge regarding near-death experiences, hence, to clarify the concept and its importance for better patient-care outcomes via this concept analysis. Methods & Materials: The understanding of the near-death phenomenon is employed through the framework of Walker and Avant's concept analysis. The study familiarizes the concept via its definition, origin, significance, characteristics, antecedents, and consequences of near-death experiences. This was achieved after deeper exploration and analysis of the concept through an extensive literature search. Furthermore, multiple cases are provided as exemplars to recognize the concept. Results: Near-death experience is defined as a profound conscious experience encountered by the individual. The characteristics of near-death experiences are based on cognitive, affective, paranormal, and transcendental components. Following the experience, the individuals undergo a transformational change in their lives. However, individuals with near-death experiences require facilitation and support from healthcare workers, especially nurses, for the early integration of near-death experiences. Conclusion: The understanding of the concept of near-death experience enables nurses to provide relevant nursing interventions. Such interventions promote positive well-being in the individuals' lives through their near-death experiences.
背景与目的:濒死体验的发生并不是人类历史上的一个新现象。然而,随着医疗技术的进步,越来越多的危重患者和普通社区都报告了濒死故事。因此,医疗保健专业人员必须认识到濒死体验的概念,并为患者提供相关护理。不幸的是,医疗保健提供者,尤其是护士,对濒死体验没有足够的了解,因此,通过这一概念分析来澄清这一概念及其对更好的患者护理结果的重要性。方法与材料:通过Walker和Avant的概念分析框架来理解濒死现象。该研究通过濒死体验的定义、起源、意义、特征、前因和后果来熟悉这一概念。这是在通过广泛的文献检索对这一概念进行更深入的探索和分析之后实现的。此外,提供了多个案例作为示例来识别该概念。结果:濒死体验被定义为个体所遇到的一种深刻的意识体验。濒死体验的特征是基于认知、情感、超自然和超越的成分。在经历之后,个体的生活发生了转变。然而,有濒死经历的人需要医护人员,特别是护士的帮助和支持,才能尽早整合濒死经历。结论:对濒死体验概念的理解使护士能够提供相关的护理干预。这种干预措施通过濒死体验促进了个人生活中的积极幸福。
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引用次数: 2
Effect of cigarette smoking cessation educational intervention based on the trans-theoretical model using motivational interviewing on Egyptian males' smoking knowledge and behavior: A randomized controlled trial 基于动机访谈跨理论模型的戒烟教育干预对埃及男性吸烟知识和行为的影响:一项随机对照试验
IF 1 Q4 NURSING Pub Date : 2023-06-03 DOI: 10.18502/npt.v10i2.12832
S. Sayed, Sahar Mohammed El-Sakkar, Sabreen Ahmed Elsaka, A. El-Houfey
Background & Aim: The trans-theoretical model suggests that stage-matched interventions improve the effectiveness of behavior changes such as quitting. This study aims to examine the effect of stage-matched smoking cessation educational intervention based on the trans-theoretical model using motivational interviewing on Egyptian males' knowledge, stage movement, and smoking cessation rate. Methods & Materials: A randomized controlled trial was conducted in the main building of Damanhour University, Egypt. The participants were selected using simple random sampling (N=165), then allocated to both experimental (N=82) and control (N=83) groups using the randomization block technique. Data was collected using a structured interview schedule. The instrument contained five parts: Personal Characteristics and Smoking data, Fagerstrom Tolerance Questionnaire, Tobacco Cessation Readiness Scale, Smoking Knowledge Scale, and trans-theoretical Model constructs questionnaire. The experimental group received ten months of educational intervention using face-to-face and phone-based motivational interviewing. Results: A significantly higher stage movement was revealed among the experimental group post-intervention (80.5%); 35.4% transitioned to the preparation stage, 32.9% were in the action stage, and 12.2% were in the maintenance stage. According to the ANCOVA test, significant negative mean differences post-intervention was achieved for nicotine dependence and decision pros (P=0.000) with a large effect size (η2=0.341, η2=0.503). However, significant positive mean differences were proved for other variables (knowledge, tobacco cessation readiness, and TTM constructs) (P<0.05) with a large effect size (η2>0.14). Stage analysis revealed significant mean differences in most studied variables, where the action stage had the highest significant mean improvements (P<0.05). Conclusion: The trans-theoretical model-based educational intervention using motivational interviewing effectively improves smoking knowledge and facilitates quitting with successful stage movement among Egyptian male smokers.
背景与目的:跨理论模型表明,阶段匹配干预可以提高戒烟等行为改变的有效性。本研究旨在探讨阶段匹配戒烟教育干预对埃及男性知识、阶段运动和戒烟率的影响。方法与材料:在埃及达曼诺尔大学主楼进行随机对照试验。采用简单随机抽样方法(N=165),采用随机分组技术将受试者分为实验组(N=82)和对照组(N=83)。数据是通过结构化的访谈时间表收集的。该工具包括个人特征与吸烟数据、Fagerstrom耐受性问卷、戒烟准备量表、吸烟知识量表和跨理论模型构建问卷五个部分。实验组接受了10个月的教育干预,包括面对面和电话动机访谈。结果:实验组干预后阶段运动明显增高(80.5%);35.4%过渡到准备阶段,32.9%过渡到行动阶段,12.2%过渡到维持阶段。经ANCOVA检验,干预后尼古丁依赖与决策倾向的平均差异为显著负(P=0.000),效应量较大(η2=0.341, η2=0.503)。然而,在其他变量(知识、戒烟准备程度和TTM结构)上证明了显著的正均值差异(P0.14)。阶段分析显示,大多数研究变量的平均差异显著,其中动作阶段的平均改善最高(P<0.05)。结论:基于跨理论模型的动机性访谈教育干预有效地提高了埃及男性吸烟者的吸烟知识,促进了戒烟的成功阶段运动。
{"title":"Effect of cigarette smoking cessation educational intervention based on the trans-theoretical model using motivational interviewing on Egyptian males' smoking knowledge and behavior: A randomized controlled trial","authors":"S. Sayed, Sahar Mohammed El-Sakkar, Sabreen Ahmed Elsaka, A. El-Houfey","doi":"10.18502/npt.v10i2.12832","DOIUrl":"https://doi.org/10.18502/npt.v10i2.12832","url":null,"abstract":"Background & Aim: The trans-theoretical model suggests that stage-matched interventions improve the effectiveness of behavior changes such as quitting. This study aims to examine the effect of stage-matched smoking cessation educational intervention based on the trans-theoretical model using motivational interviewing on Egyptian males' knowledge, stage movement, and smoking cessation rate. \u0000Methods & Materials: A randomized controlled trial was conducted in the main building of Damanhour University, Egypt. The participants were selected using simple random sampling (N=165), then allocated to both experimental (N=82) and control (N=83) groups using the randomization block technique. Data was collected using a structured interview schedule. The instrument contained five parts: Personal Characteristics and Smoking data, Fagerstrom Tolerance Questionnaire, Tobacco Cessation Readiness Scale, Smoking Knowledge Scale, and trans-theoretical Model constructs questionnaire. The experimental group received ten months of educational intervention using face-to-face and phone-based motivational interviewing. \u0000Results: A significantly higher stage movement was revealed among the experimental group post-intervention (80.5%); 35.4% transitioned to the preparation stage, 32.9% were in the action stage, and 12.2% were in the maintenance stage. According to the ANCOVA test, significant negative mean differences post-intervention was achieved for nicotine dependence and decision pros (P=0.000) with a large effect size (η2=0.341, η2=0.503). However, significant positive mean differences were proved for other variables (knowledge, tobacco cessation readiness, and TTM constructs) (P<0.05) with a large effect size (η2>0.14). Stage analysis revealed significant mean differences in most studied variables, where the action stage had the highest significant mean improvements (P<0.05). \u0000Conclusion: The trans-theoretical model-based educational intervention using motivational interviewing effectively improves smoking knowledge and facilitates quitting with successful stage movement among Egyptian male smokers.","PeriodicalId":36883,"journal":{"name":"Nursing Practice Today","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45838978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nurses' napping practices and their effects on sleepiness, fatigue, well-being, and quality of nursing care 护士的午睡习惯及其对困倦、疲劳、幸福感和护理质量的影响
IF 1 Q4 NURSING Pub Date : 2023-06-03 DOI: 10.18502/npt.v10i2.12834
Dawa Gyeltshen, Kinley Gyaltshen, N. Dorji, K. Yangdon, Neten Wangchuk, Loday Drakpa
Background & Aim: Napping is one of the evidence-based countermeasures to fatigue and decreased alertness during night shift work. We aimed to understand night shift nurses' napping practices and study the effectiveness of different nap lengths on sleepiness, fatigue, well-being, and the quality of nursing care. Methods & Materials: A comparative descriptive design was used. Data were self-reported by 305 nurses using the Questionnaire on Night Shift Napping Practices, the Karolinska Sleepiness Scale, the Fatigue Visual Analog Scale, the Everyday Feeling Questionnaire, and the Quality of Nursing Care Questionnaire. Data collection was done over 4 months between August and November 2022. Frequency tables, Mean, and standard deviation were used to describe data, and One-way analysis of variance (ANOVA) was used for means comparisons. Results: About 40% of the nurses reported that they took naps during their night shifts. The majority (82.92%) reported that they napped for more than 45 minutes (N= 305). Napping was found to significantly reduce sleepiness (P= 0.002) and fatigue (P= 0.001) and improve the quality of nursing care (P= 0.03). The group who napped for more than 45 minutes reported significantly reduced levels of sleepiness (P= 0.02) and fatigue (P= 0.01) when compared to the group who either didn’t nap or napped for less than 45 minutes. Conclusion: This study suggests that implementing nap interventions for nurses on night shift can be an effective method to reduce sleepiness and fatigue, and improve patient care.
背景与目的:小睡是夜班工作中疲劳和警觉性下降的循证对策之一。本研究旨在了解夜班护士的午睡习惯,研究不同午睡时间对困倦、疲劳、幸福感和护理质量的影响。方法与材料:采用比较描述性设计。数据采用《夜班午睡习惯问卷》、《卡罗林斯卡嗜睡量表》、《疲劳视觉模拟量表》、《日常感觉问卷》和《护理质量问卷》对305名护士进行自我报告。数据收集工作在2022年8月至11月的4个月内完成。使用频率表、均值和标准差来描述数据,并使用单因素方差分析(ANOVA)进行均值比较。结果:约40%的护士报告说,他们在夜班期间小睡。大多数(82.92%)报告午睡时间超过45分钟(N= 305)。发现午睡能显著减少困倦(P= 0.002)和疲劳(P= 0.001),提高护理质量(P= 0.03)。与不午睡或午睡时间少于45分钟的一组相比,午睡超过45分钟的一组的困倦程度(P= 0.02)和疲劳程度(P= 0.01)显著降低。结论:对夜班护士实施午睡干预是减少困倦和疲劳,提高护理质量的有效方法。
{"title":"Nurses' napping practices and their effects on sleepiness, fatigue, well-being, and quality of nursing care","authors":"Dawa Gyeltshen, Kinley Gyaltshen, N. Dorji, K. Yangdon, Neten Wangchuk, Loday Drakpa","doi":"10.18502/npt.v10i2.12834","DOIUrl":"https://doi.org/10.18502/npt.v10i2.12834","url":null,"abstract":"Background & Aim: Napping is one of the evidence-based countermeasures to fatigue and decreased alertness during night shift work. We aimed to understand night shift nurses' napping practices and study the effectiveness of different nap lengths on sleepiness, fatigue, well-being, and the quality of nursing care. \u0000Methods & Materials: A comparative descriptive design was used. Data were self-reported by 305 nurses using the Questionnaire on Night Shift Napping Practices, the Karolinska Sleepiness Scale, the Fatigue Visual Analog Scale, the Everyday Feeling Questionnaire, and the Quality of Nursing Care Questionnaire. Data collection was done over 4 months between August and November 2022. Frequency tables, Mean, and standard deviation were used to describe data, and One-way analysis of variance (ANOVA) was used for means comparisons. \u0000Results: About 40% of the nurses reported that they took naps during their night shifts. The majority (82.92%) reported that they napped for more than 45 minutes (N= 305). Napping was found to significantly reduce sleepiness (P= 0.002) and fatigue (P= 0.001) and improve the quality of nursing care (P= 0.03). The group who napped for more than 45 minutes reported significantly reduced levels of sleepiness (P= 0.02) and fatigue (P= 0.01) when compared to the group who either didn’t nap or napped for less than 45 minutes. \u0000Conclusion: This study suggests that implementing nap interventions for nurses on night shift can be an effective method to reduce sleepiness and fatigue, and improve patient care.","PeriodicalId":36883,"journal":{"name":"Nursing Practice Today","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43452406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Protect your scientific reputation: Beware of predatory journals! 保护你的科学声誉:谨防掠夺性期刊!
IF 1 Q4 NURSING Pub Date : 2023-06-03 DOI: 10.18502/npt.v10i2.12828
S. Turale
The Article Abstract is not available.
文章摘要不可用。
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引用次数: 0
Burnout as a serious and unavoidable incident threatening the nursing profession 倦怠是一个严重且不可避免的事件,威胁着护理行业
IF 1 Q4 NURSING Pub Date : 2023-06-03 DOI: 10.18502/npt.v10i2.12829
S. Shamsikhani, F. Ahmadi
The Article Abstract is not available.    
文章摘要不可用。
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引用次数: 0
Self-care behaviors related to COVID-19 among Iranian elderly with and without a history of infection 有和无感染史的伊朗老年人与COVID-19相关的自我保健行为
IF 1 Q4 NURSING Pub Date : 2023-06-03 DOI: 10.18502/npt.v10i2.12836
Saeed Khayat Kakhki, Shahzad Pashaeypoor, R. Negarandeh, L. Sadeghmoghadam
Background & Aim: Adopting self-care behaviors is considered an important factor in the prevention of COVID-19. Therefore, this study was conducted to investigate Self-Care Behaviors Related to COVID-19 among Iranian elderly with and without a history of infection. Methods & Materials: This descriptive-correlational study was conducted on 324 elderlies in Iran in 2021. Eligible seniors were selected by convenience sampling and placed into two groups:  the elderly with a history of COVID-19 and the elderly without it. The data collection tools included the demographic form and the questionnaire on self-care behaviors during the COVID-19 pandemic. Data analysis was done with SPSS software version 25 using descriptive (frequency and percentage) and inferential statistics (Mann-Whitney u-test and independent t-test). Results: 165 men (50.90%) and 159 women (49.10%) participated in this study. The mean age of the participants was 70.60 ± 8.73. The results showed that there was a statistically significant difference between the self-care behaviors of the elderly with a history of COVID-19 and those without it; the elderly with a history of COVID-19 had more favorable self-care behaviors (p<0.001). Conclusion: A history of COVID-19 results in better self-care behaviors. It can be justified by constructs of the health beliefs model, including perceived susceptibility, severity, and treatment. Therefore, it is necessary to improve self-care behaviors by using the experiences of infected elders in health education to influence the above mention constructs.
背景与目的:采取自我护理行为被认为是预防新冠肺炎的重要因素。因此,本研究旨在调查有和无感染史的伊朗老年人与新冠肺炎相关的自我护理行为。方法与材料:本研究于2021年对伊朗324名老年人进行了描述性相关研究。通过方便抽样选择符合条件的老年人,并将其分为两组:有新冠肺炎病史的老年人和无新冠肺炎史的老年人。数据收集工具包括人口统计表和新冠肺炎大流行期间自我护理行为问卷。数据分析使用SPSS软件25版进行,使用描述性(频率和百分比)和推断统计学(Mann-Whitney u检验和独立t检验)。结果:165名男性(50.90%)和159名女性(49.10%)参与了本研究。参与者的平均年龄为70.60±8.73岁。结果显示,有新冠肺炎病史老年人与无新冠肺炎病史老年人的自我保健行为存在统计学显著差异;有新冠肺炎病史的老年人有较好的自我保健行为(p<0.001)。它可以通过健康信念模型的构建来证明,包括感知的易感性、严重性和治疗。因此,有必要利用受感染老年人在健康教育中的经验来影响上述结构,从而改善他们的自我保健行为。
{"title":"Self-care behaviors related to COVID-19 among Iranian elderly with and without a history of infection","authors":"Saeed Khayat Kakhki, Shahzad Pashaeypoor, R. Negarandeh, L. Sadeghmoghadam","doi":"10.18502/npt.v10i2.12836","DOIUrl":"https://doi.org/10.18502/npt.v10i2.12836","url":null,"abstract":"Background & Aim: Adopting self-care behaviors is considered an important factor in the prevention of COVID-19. Therefore, this study was conducted to investigate Self-Care Behaviors Related to COVID-19 among Iranian elderly with and without a history of infection. \u0000Methods & Materials: This descriptive-correlational study was conducted on 324 elderlies in Iran in 2021. Eligible seniors were selected by convenience sampling and placed into two groups:  the elderly with a history of COVID-19 and the elderly without it. The data collection tools included the demographic form and the questionnaire on self-care behaviors during the COVID-19 pandemic. Data analysis was done with SPSS software version 25 using descriptive (frequency and percentage) and inferential statistics (Mann-Whitney u-test and independent t-test). \u0000Results: 165 men (50.90%) and 159 women (49.10%) participated in this study. The mean age of the participants was 70.60 ± 8.73. The results showed that there was a statistically significant difference between the self-care behaviors of the elderly with a history of COVID-19 and those without it; the elderly with a history of COVID-19 had more favorable self-care behaviors (p<0.001). \u0000Conclusion: A history of COVID-19 results in better self-care behaviors. It can be justified by constructs of the health beliefs model, including perceived susceptibility, severity, and treatment. Therefore, it is necessary to improve self-care behaviors by using the experiences of infected elders in health education to influence the above mention constructs.","PeriodicalId":36883,"journal":{"name":"Nursing Practice Today","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48706531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Methodologies of sexual health education intervention for high school students' knowledge and attitudes: A systematic review 高中生性健康教育知识与态度干预的方法综述
IF 1 Q4 NURSING Pub Date : 2023-06-03 DOI: 10.18502/npt.v10i2.12830
Germano Couto, Isabel de Jesus Oliveira, C. Fernandes, K. Mark
Background & Aim: Providing adolescents with information to understand their sexual health is critical to promote healthy sexual development, reducing the negative consequences of risky sexual behaviors, and creating a foundation for healthy adulthood. This study aimed to identify the recent empirical evidence on new methodologies for improved sexual health outcomes among adolescents. Methods & Materials: A systematic review of randomized controlled trials guided the PICO question, "What knowledge and attitudes do high school students obtain when confronted with new methodologies for teaching sexuality compared to traditional teaching?" regardless of geographic location, race/ethnicity, or gender criteria, concerning adolescents, was conducted. The databases CINAHL, MEDLINE, PsycINFO, SCOPUS, and Cochrane Central Register of Controlled Trials, were searched in December 2022. The Joanna Briggs Institute Critical Appraisal tools for use in JBI Systematic Reviews were used to assess methodological quality. Data were synthesized across studies and presented narratively. Results: Thirteen articles were included for review, involving 11.262 participants. The duration of the interventions with new methodologies ranged from a few hours to three months. New methodologies on sexual health education to improve high school student's knowledge and attitudes were divided into four types: digital and Internet-based intervention, curriculum-based intervention, training-based intervention, and peer group bonding-based intervention. Conclusion: These results provide healthcare professionals with additional strategies that may be integrated into school health programs regarding sex education.
背景与目的:为青少年提供了解其性健康的信息,对于促进健康的性发展、减少危险性行为的负面后果以及为健康成年奠定基础至关重要。这项研究旨在确定关于改善青少年性健康结果的新方法的最新经验证据。方法与材料:对随机对照试验的系统回顾指导了PICO的问题,“与传统教学相比,高中生在面对新的性教学方法时获得了什么知识和态度?”。2022年12月检索了CINAHL、MEDLINE、PsycINFO、SCOPUS和Cochrane对照试验中央注册数据库。乔安娜·布里格斯研究所用于JBI系统评价的关键评估工具用于评估方法质量。数据在研究中进行了综合,并以叙述的方式呈现。结果:13篇文章被纳入审查,涉及11.262名参与者。采用新方法进行干预的时间从几个小时到三个月不等。旨在提高高中生知识和态度的性健康教育新方法分为四类:基于数字和互联网的干预、基于课程的干预、以培训为基础的干预和基于同伴群体纽带的干预。结论:这些结果为医疗保健专业人员提供了额外的策略,可以纳入学校关于性教育的健康计划。
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引用次数: 0
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