International Journal of Nursing Sciences最新文献_第10页

Sitting on the fence: A qualitative study of perceptions regarding pelvic floor muscle training among pregnant women with urinary incontinence 坐在栅栏上:一项对尿失禁孕妇盆底肌肉训练认知的定性研究

IF 3.8 3区医学 Q1 NURSING

International Journal of Nursing Sciences

Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.005

Ling Chen, Sha Liu, Danli Zhang, Wenzhi Cai

Objectives

To explore the perceptions of pregnant women with urinary incontinence toward pelvic floor muscle training (PFMT).

Methods

Semi-structured personal interviews were used to collect data. Pregnant women with urinary incontinence and no contraindications to PFMT were recruited for semi-structured interviews in the Outpatient Department of Obstetrics in a Class A tertiary hospital in Shenzhen from October to November 2021. Purposive sampling was performed, and Braun & Clarke thematic analysis was used for the data analysis.

Results

Sixteen pregnant women with urinary incontinence and a mean age of (30.81 ± 3.66) years participated in the interview. “Sitting on the fence” was the predominant theme acquired after analysis. Pregnant women had contradictory attitudes toward PFMT. A total of four themes and nine sub-themes have been extracted: “It is normal and does not really matter” (normalized urinary incontinence, insufficient attention to PFMT); “There is nothing I can do” (insufficient subjective motivations, limitation of objective conditions, lack of social support); “We have to take care of ourselves” (the increasing self-care awareness, emerging autonomous motivation to practice PFMT); “Training should be guaranteed” (requiring the guidance, suggestions, and surveillance of healthcare professionals; requiring the perceptive benefits).

Conclusions

This study reveals varying attitudes towards PFMT among pregnant women with urinary incontinence. To better promote pregnant women’s engagement in PFMT, it is necessary to provide professional guidance, increase self-care awareness, improve social support, and emphasize the benefits of PFMT.

目的探讨尿失禁孕妇对盆底肌训练（PFMT）的认知。2021年10月至11月，在深圳一家三甲医院产科门诊，招募患有尿失禁且无PFMT禁忌症的孕妇进行半结构化访谈。进行目的性取样；数据分析采用克拉克主题分析法。结果16例尿失禁孕妇参加了访谈，平均年龄（30.81±3.66）岁。“骑墙”是经过分析得出的主要主题。孕妇对PFMT的态度是矛盾的。共提取了四个主题和九个子主题：“这是正常的，并不重要”（尿失禁正常化，对PFMT关注不足）；“我无能为力”（主观动机不足、客观条件限制、缺乏社会支持）；“我们必须照顾好自己”（自我保健意识的增强，练习PFMT的自主动机的出现）；“应保证培训”（需要医疗专业人员的指导、建议和监督；需要感知的益处）。结论本研究揭示了尿失禁孕妇对PFMT的不同态度。为了更好地促进孕妇参与PFMT，有必要提供专业指导，提高自我保健意识，提高社会支持，并强调PFMT的好处。

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引用次数: 0

Effectiveness of fit testing versus fit checking for healthcare workers respiratory protective equipment: A systematic review 卫生保健工作者呼吸防护装备的适合测试与适合检查的有效性:一项系统综述

IF 3.8 3区医学 Q1 NURSING

International Journal of Nursing Sciences

Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.011

Charlotte Goko , Elizabeth Forster , Matthew Mason , Peta-Anne Zimmerman

Objectives

Respiratory protection is critical in healthcare to minimise the risk of airborne infections for healthcare workers (HCWs). It emphasizes the use of proper fitting of particulate filter respirators and equivalent respiratory protective equipment (RPE) to ensure a good facial seal. The systematic review aimed to compare the effectiveness of fit testing and fit checking for HCWs’ respiratory protective equipment.

Methods

A systematic review of the literature exploring RPE for HCWs to determine the effectiveness of fit-testing versus fit-checking from January 2003 to April 2022 was identified using CINAHL Complete via EBSCO Host, Cochrane Library, EMBASE, PubMed, and MEDLINE via Ovid electronic databases, and grey literature. The study protocol was registered with PROSPERO (registration number: CRD42020213968).

Results

Of the 561 articles identified in the search, 25 articles (22 quantitative studies and three guidelines) were included in this review. Overall, these studies suggest fit-testing as a method that is more effective, widely adopted, and reliable in assessing the effectiveness of RPE; however, a respiratory program should include both fit-testing and fit-checking to maximise effectiveness of the RPE. The COVID-19 epidemic highlighted a lack of knowledge among HCWs regarding fit-checking and fit-testing, and relevant education increased the effectiveness of respiratory equipment protection.

Conclusion

It is imperative that both fit-testing and fit-checking is implemented in order to ensure HCW safety. It is recommended to integrate education, fit-testing and fit-checking into a comprehensive respiratory protective program run by trained fit-testers. There is also a need for practical testing methods that incorporate the clinical environment.

目的呼吸保护在医疗保健中至关重要，以最大限度地降低医护人员（HCW）的空气传播感染风险。它强调使用适当的颗粒过滤器呼吸器和等效的呼吸防护设备（RPE），以确保良好的面部密封。该系统综述旨在比较HCW呼吸防护设备的适合性测试和适合性检查的有效性。方法从2003年1月至2022年4月，通过EBSCO Host、Cochrane Library、EMBASE、PubMed和MEDLINE，通过Ovid电子数据库和灰色文献，对探索HCW RPE的文献进行系统回顾，以确定拟合测试与拟合检查的有效性。研究方案已在PROSPERO注册（注册号：CRD42020213968）。结果在检索中发现的561篇文章中，25篇文章（22项定量研究和3项指南）被纳入本综述。总体而言，这些研究表明，拟合测试是评估RPE有效性的一种更有效、更广泛、更可靠的方法；然而，呼吸程序应包括适合性测试和适合性检查，以最大限度地提高RPE的有效性。新冠肺炎疫情突出表明，医务人员缺乏健康检查和健康测试方面的知识，相关教育提高了呼吸设备保护的有效性。结论为了确保HCW的安全性，必须同时进行拟合测试和拟合检查。建议将教育、健康测试和健康检查纳入由受过培训的健康测试人员运行的全面呼吸防护计划中。还需要结合临床环境的实用测试方法。

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引用次数: 0

Nurse-coordinated home-based cardiac rehabilitation for patients with heart failure: A scoping review 心力衰竭患者的护士协调家庭心脏康复:范围综述

IF 3.8 3区医学 Q1 NURSING

International Journal of Nursing Sciences

Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.022

Tiantian Ruan, Mengqi Xu, Lingyan Zhu, Yuan Ding

Objectives

This study aimed to review and summarize the studies of nurse-coordinated home-based cardiac rehabilitation for patients with heart failure.

Methods

The review was performed using Arksey and O’Malley’s scoping review framework. A systematic search was conducted across eight databases, including PubMed, Embase, Web of Science, EBSCO, China Biomedical Literature Service System (SinoMed), China National Knowledge Infrastructure (CNKI), Wanfang Database, and Chinese Science and Technology Journals (CSTJ) Database, and Chinese Clinical Trial Registry, from inception to 30 April 2023. Articles relevant to the nurse-coordinated home-based cardiac rehabilitation for patients with heart failure were included.

Results

Eighteen studies were included in this review. These studies showed that nurses primarily focused on patient assessment, home-based cardiac rehabilitation planning and guidance, and follow-up. The studies also reported positive outcomes in patient safety, feasibility, and efficacy of the programs coordinated by nurses.

Conclusions

Home-based cardiac rehabilitation coordinated by nurses is beneficial to patients with heart failure. Future research will explore the potential of nurses in home-based cardiac rehabilitation for patients with heart failure, determine optimal evaluation criteria, and formulate safe, effective, and economical rehabilitation programs suitable for the patients.

目的本研究旨在回顾和总结护士配合的心力衰竭患者家庭心脏康复的研究。方法采用Arksey和O'Malley的范围界定审查框架进行审查。从成立到2023年4月30日，在PubMed、Embase、Web of Science、EBSCO、中国生物医学文献服务系统（SinoMed）、中国知识基础设施（CNKI）、万方数据库、中国科技期刊（CSTJ）数据库和中国临床试验注册中心等八个数据库中进行了系统搜索。包括与护士协调的心力衰竭患者家庭心脏康复相关的文章。结果共纳入18项研究。这些研究表明，护士主要关注患者评估、家庭心脏康复计划和指导以及随访。研究还报告了护士协调的项目在患者安全性、可行性和有效性方面的积极成果。结论护士配合家庭心功能康复对心力衰竭患者是有益的。未来的研究将探索护士在心力衰竭患者家庭心脏康复中的潜力，确定最佳评估标准，并制定适合患者的安全、有效和经济的康复方案。

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引用次数: 0

Refining core competencies of first-line nurse managers in the hospital context: A qualitative study 在医院环境中提炼一线护士管理者的核心能力:一项定性研究

IF 3.8 3区医学 Q1 NURSING

International Journal of Nursing Sciences

Pub Date : 2023-08-01 DOI: 10.1016/j.ijnss.2023.08.001

J. Gunawan, Y. Aungsuroch, Mary L. Fisher, C. Marzilli, Nazliansyah, Ety Hastuti

引用次数: 1

Factors influencing evidence-based practice among undergraduate nursing students: A cross-sectional analysis 影响本科护生循证实践的因素:横断面分析

IF 3.8 3区医学 Q1 NURSING

International Journal of Nursing Sciences

Pub Date : 2023-07-01 DOI: 10.1016/j.ijnss.2023.06.002

Apiradee Nantsupawat , Orn-Anong Wichaikhum , Kulwadee Abhicharttibutra , Kedsaraporn Udkunta , Lusine Poghosyan , Shefaly Shorey

Objective

This study aimed to describe the current situation of evidence-based practice (EBP) among undergraduate nursing students in Thailand.

Methods

A cross-sectional study was conducted. A convenience sample of 470 third- and fourth-year undergraduate nursing students from five public universities across Thailand participated in this study from January 2021 to March 2021. All participants were invited to complete a general information questionnaire, and the Student Evidence-Based Practice Questionnaire (S-EBPQ).

Results

The overall mean S-EBPQ score was 5.29 ± 0.71, and the four subscales, from highest to lowest, were attitudes (5.50 ± 0.93), sharing and applying EBP (5.37 ± 0.87), practice (5.18 ± 0.84), and retrieving and reviewing evidence (5.10 ± 0.81). The current situation of S-EBPQ was higher among nursing students who had higher previous EBP studies, familiarity with research methods, confidence in clinical decision-making, preparedness in practice, and access to journals (P < 0.05).

Conclusions

This study’s findings provide valuable insights for planning strategies that can be integrated into the existing nursing curricula to enhance nursing undergraduates’ EBP application in clinical settings.

目的了解泰国护理本科生循证实践（EBP）的现状。方法采用横断面研究。2021年1月至2021年3月，来自泰国五所公立大学的470名三年级和四年级护理本科生参加了这项研究。结果学生循证实践问卷总分为5.29±0.71，四个分量表从高到低依次为态度（5.50±0.93）、分享和应用循证实践（5.37±0.87）、实践（5.18±0.84），以及检索和审查证据（5.10±0.81）。S-EBPQ的现状在既往EBP研究较多、熟悉研究方法、对临床决策有信心、在实践中有准备的护理专业学生中较高，结论本研究的发现为制定策略提供了宝贵的见解，这些策略可以整合到现有的护理课程中，以提高护理本科生在临床环境中的EBP应用。

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引用次数: 1

Longitudinal impact of volunteering on the cognitive functioning of older adults: A secondary analysis from the US Health and Retirement Study 志愿服务对老年人认知功能的纵向影响:来自美国健康与退休研究的二次分析

IF 3.8 3区医学 Q1 NURSING

International Journal of Nursing Sciences

Pub Date : 2023-07-01 DOI: 10.1016/j.ijnss.2023.06.018

Ester Villalonga-Olives , Kayleigh R. Majercak , Josue Almansa , Tasneem Khambaty

Objectives

To examine the relationship of volunteering with cognitive activity, social activity, and physical activity among older adults and, ultimately, with later cognitive functioning across different time periods.

Methods

We used individual responding to three waves of the US Health and Retirement Study panel data from 2008, 2012, and 2016 (n = 2,862). Self-reported questionnaires were used to assess annual volunteering frequency (non volunteering, volunteering <100 h and ≥100 h), and an adapted version of the Telephone Interview for Cognitive Status (TICS) was used to assess memory, mental processing, knowledge, language, and orientation. A structural equation model was estimated to assess effects on cognitive functioning throughout waves.

Results

Those participants that were part of volunteering activities in 2012 showed an increase between 2008 and 2012 in moderate physical activity (β = 0.19, P < 0.001 for those volunteering less than 100 h and β = 0.21, P < 0.001 for those volunteering at least 100 h), increase in social activity (β = 0.10, P = 0.052 for those volunteering less than 100 h and β = 0.12, P = 0.018 for those volunteering at least 100 h) and increase in higher cognitive activity (β = 0.13, P < 0.001 for those volunteering at least 100 h), compared to participants who did not volunteer. Higher levels of cognitive activity in 2008 and 2012 were associated with higher cognitive functioning on the following waves (β = 0.66 and β = 0.60, P < 0.001, respectively).

Discussion

Volunteering is a modifiable activity that can be increased to bolster cognitive functioning in older adulthood, primarily mediated by increased cognitive activity.

目的研究志愿服务与老年人认知活动、社会活动和身体活动的关系，并最终与不同时期的后期认知功能的关系。方法我们使用了2008年、2012年和2016年三波美国健康与退休研究小组数据的个体反应（n=2862）。使用自我报告问卷来评估年度志愿服务频率（非志愿服务、志愿服务＜100小时且≥100小时），并使用改编版的认知状态电话访谈（TICS）来评估记忆、心理处理、知识、语言和定向。估计了一个结构方程模型，以评估整个波浪对认知功能的影响。结果参加2012年志愿活动的参与者在2008年至2012年期间中等体力活动有所增加（志愿者少于100小时的参与者β=0.19，P<；0.001；志愿者至少100小时的志愿者β=0.21，P<：0.001），与未做志愿者的参与者相比，社交活动增加（志愿服务时间少于100小时的参与者为β=0.10，P=0.052；志愿服务时间至少100小时的人为β=0.12，P=0.018），认知活动增加（志愿者服务时间至少为100小时的参与者为β=0.13，P<；0.001）。2008年和2012年较高水平的认知活动与以下波的较高认知功能有关（分别为β=0.66和β=0.60，P<；0.001）。讨论志愿服务是一种可改变的活动，可在成年后增加以增强认知功能，主要由认知活动的增加介导。

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引用次数: 0

Newly qualified intensive care nurses’ lived experiences of being a shift leader in a private healthcare institution in Gauteng, South Africa 新近获得资格的重症监护护士在南非豪登省一家私人医疗机构担任轮班领导的生活经历

IF 3.8 3区医学 Q1 NURSING

International Journal of Nursing Sciences

Pub Date : 2023-07-01 DOI: 10.1016/j.ijnss.2023.06.007

Lucky Mtsoeni, Sidwell Matlala, Charlené Downing

Objective

Newly qualified intensive care nurses (NQICNs) are expected to execute the shift-leading role immediately after graduation. Critical reasoning, problem-solving, decision-making, and evidence-based clinical judgment are thus essential skills for intensive care nursing graduates. This study aimed to explore and describe NQICNs’ lived experiences of being shift leaders.

Methods

This descriptive qualitative study was based on the data collected through semi-structured individual interviews. Five NQICNs in five hospitals from one region in Gauteng, South Africa, were interviewed between September and December 2019. NQICNs working as shift leaders for 10 to 12 months after intensive care training were eligible for inclusion in the study. Data were analyzed using the four steps suggested by Giorgi.

Results

The results revealed three themes and seven sub-themes. NQICNs suffered greatly intrapersonally (NQICNs reported intrapersonal suffering, manifesting as pre-shift anxiety, severe work stress, and post-shift exhaustion; NQICNs employed coping mechanisms and either fought, fled, or froze during conflict or crises; NQICNs lack of shift-leading experience did not match their heavy load of responsibilities and accountability); the NQICNs interpersonally matured and empowered themselves (NQICNs experienced support and challenges on an interpersonal level; NQICNs improved their interpersonal relationships and felt proud of and empowered by their professional growth); NQICNs highlighted various requirements to help them manage the high demands of leading shifts (others should fulfill certain needs to enable NQICNs to handle the shift-leading role; self-awareness as a need to enable NQICNs to embrace the shift-leading role).

Conclusion

A greater understanding of NQICNs and their unmet needs will enable nurse managers, educators, and nurses to better support NQICNs’ evolution from novice to competent shift leaders.

目标新获得资格的重症监护护士（NQICN）毕业后应立即担任轮班领导。因此，批判性推理、解决问题、决策和循证临床判断是重症监护护理毕业生的基本技能。本研究旨在探索和描述NQICN作为轮班领导者的生活经历。方法本研究以半结构化个体访谈法收集的数据为基础，进行描述性定性研究。2019年9月至12月，来自南非豪登省一个地区的五家医院的五名NQICN接受了采访。在重症监护培训后担任班长10至12个月的NQICN有资格纳入研究。使用Giorgi提出的四个步骤对数据进行分析。结果显示了三个主题和七个子主题。NQICN在人际关系上遭受了巨大的痛苦（NQICN报告称，其人际关系痛苦表现为班前焦虑、严重的工作压力和班后疲惫；NQICN采用应对机制，在冲突或危机期间要么战斗、逃跑或僵住；缺乏轮班领导经验的NQICN与其繁重的责任和问责制不匹配）；NQICN在人际交往中成熟并赋予自己权力（NQICN经历了人际层面的支持和挑战；NQICN改善了人际关系，并为自己的职业成长感到自豪和赋权）；NQICN强调了各种要求，以帮助他们管理领导轮班的高需求（其他人应该满足某些需求，使NQICN能够胜任轮班领导角色；自我意识是使NQICn能够接受轮班领导角色的需求），和护士，以更好地支持NQICN从新手转变为称职的轮班领导。

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引用次数: 0

Development and validation of a risk prediction model for visual impairment in older adults 老年人视力损害风险预测模型的建立与验证

IF 3.8 3区医学 Q1 NURSING

International Journal of Nursing Sciences

Pub Date : 2023-07-01 DOI: 10.1016/j.ijnss.2023.06.010

Yue Zhao, Aiping Wang

Objectives

This study aimed to determine the risk factors that affect visual impairment in older adults for developing and evaluating a visual impairment risk prediction model.

Methods

In this hospital-based unmatched case-control design study, we enrolled 586 participants (411 in the training set and 175 in the internal test set) from the ophthalmology clinic and physical examination center of a teaching hospital in Liaoning Province, China, from June to December 2020. Visual impairment was defined as best-corrected visual acuity <6/18 (The WHO definition). Possible influencing factors of visual impairment were assessed, including demographic factors, socioeconomic factors, disease and medication factors, and lifestyle. A visual impairment risk prediction model was developed using binary logistic regression analysis. The area under the ROC curve (AUC) was used to evaluate the effectiveness of the proposed prediction model.

Results

Six independent influencing factors of visual impairment in older adults were identified: age, systolic blood pressure, physical activity scores, diabetes, self-reported ocular disease history, and education level. A visual impairment risk prediction model for older adults was developed, showing powerful predictive ability in the training set and internal test set with AUCs of 0.87 (95%CI 0.83–0.90) and 0.81 (95%CI 0.74–0.88), respectively.

Conclusions

The risk prediction model for visual impairment in older adults had high predictive power. Identifying older adults at risk for developing visual impairment can help healthcare workers to adopt appropriate targeted programs for early education and intervention to prevent or delay visual impairment and prevent injuries due to visual impairment in older adults.

目的本研究旨在确定影响老年人视力损害的风险因素，以开发和评估视力损害风险预测模型。方法在这项基于医院的非匹配病例对照设计研究中，我们于2020年6月至12月从中国辽宁省一家教学医院的眼科诊所和体检中心招募了586名参与者（411名在培训集中，175名在内部测试集中）。视觉损伤被定义为最佳矫正视力<；6/18（世界卫生组织定义）。评估了视觉障碍的可能影响因素，包括人口统计学因素、社会经济因素、疾病和药物因素以及生活方式。使用二元逻辑回归分析建立了视觉损伤风险预测模型。ROC曲线下面积（AUC）用于评估所提出的预测模型的有效性。结果确定了老年人视力障碍的六个独立影响因素：年龄、收缩压、体力活动评分、糖尿病、自述眼病史和文化程度。开发了一个针对老年人的视觉损伤风险预测模型，在训练集和内部测试集中显示出强大的预测能力，AUC分别为0.87（95%CI 0.83–0.90）和0.81（95%CI 0.74–0.88）。结论老年人视力损害风险预测模型具有较高的预测能力。识别有视力障碍风险的老年人可以帮助医护人员采取适当的有针对性的早期教育和干预计划，以预防或延迟视力障碍，并防止老年人因视力障碍而受伤。

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引用次数: 0

Critical care: A concept analysis 重症监护:概念分析

IF 3.8 3区医学 Q1 NURSING

International Journal of Nursing Sciences

Pub Date : 2023-07-01 DOI: 10.1016/j.ijnss.2023.06.020

Martin Christensen , Mining Liang

Objective

The terms critical care and the Intensive Care Unit (ICU) are often used interchangeably to describe a place of care. Defining critical care becomes challenging because of the colloquial use of the term. Using concept analysis allows for the development of definition and meaning. The aim of this concept analysis is to distinguish the use of the term critical care to develop an operational definition which describes what constitutes critical care.

Method

Walker and Avant’s eight-step approach to concept analysis guided this study. Five databases (CINAHL, Scopus, PubMed, ProQuest Dissertation Abstracts and Medline in EBSCO) were searched for studies related to critical care. The search included both qualitative and quantitative studies written in English and published between 1990 and 2022.

Results

Of the 439 papers retrieved, 47 met the inclusion criteria. The defining attributes of critical care included 1) a maladaptive response to illness/injury, 2) admission modelling criteria, 3) advanced medical technologies, and 4) specialised health professionals. Antecedents were associated with illness/injury that progressed to a level of criticality with a significant decline in both physical and psychological functioning. Consequences were identified as either death or survival with/without experiencing post-ICU syndrome.

Conclusion

Describing critical care is often challenging because of the highly technical nature of the environment. This conceptual understanding and operational definition will inform future research as to the scope of critical care and allow for the design of robust evaluative instruments to better understand the nature of care in the intensive care environment.

目的重症监护和重症监护室（ICU）这两个术语经常互换使用来描述护理场所。由于这个术语的口语化使用，定义重症监护变得很有挑战性。使用概念分析可以发展定义和意义。这一概念分析的目的是区分重症监护一词的使用，以制定一个描述重症监护构成的操作定义。MethodWalker和Avant的八步概念分析方法指导了本研究。检索了五个数据库（CINAHL、Scopus、PubMed、ProQuest论文摘要和EBSCO中的Medline）中与重症监护相关的研究。检索包括1990年至2022年间发表的英文定性和定量研究。结果在检索到的439篇论文中，47篇符合纳入标准。重症监护的定义属性包括1）对疾病/伤害的适应不良反应，2）入院建模标准，3）先进的医疗技术，以及4）专业的卫生专业人员。前因与疾病/损伤有关，疾病/损伤发展到严重程度，身体和心理功能显著下降。后果被确定为死亡或存活，伴有/不伴有ICU后综合征。结论由于环境的高度技术性，描述重症监护往往具有挑战性。这一概念理解和操作定义将为未来关于重症监护范围的研究提供信息，并允许设计强有力的评估工具，以更好地了解重症监护环境中护理的性质。

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引用次数: 0

Effect of education based on the Common-Sense Model of Self-Regulation on blood pressure and self-management of hypertensive patients: A clinical trial study 基于自我调节常识模式的教育对高血压患者血压和自我管理的影响:一项临床试验研究

IF 3.8 3区医学 Q1 NURSING

International Journal of Nursing Sciences

Pub Date : 2023-07-01 DOI: 10.1016/j.ijnss.2023.06.009

Zohre Kordvarkane , Khodayar Oshvandi , Younes Mohammadi , Azim Azizi

Objective

This study aimed to determine the impact of training based on the Common-Sense Model of Self-Regulation (CSM) on blood pressure and self-management of patients with hypertension.

Methods

This randomized controlled trial study was conducted. Seventy-two hypertensive patients were referred to the Farshchian Hospital clinic in Hamadan from April 2021 to March 2022. Samples were selected and randomly assigned to the intervention group (n = 36) and control group (n = 36). The intervention group participated in a training program based on the CSM in five sessions of 30–45 min for one month. Phone follow-up was also done once every three days. The control group only received routine clinic education. The clinic’s nurse measured the patients’ blood pressure, and the participants completed the self-management questionnaire before and three months after the start of the study.

Results

A total of 68 participants completed the study. Results showed that before the intervention, there was no statistically significant difference in the mean scores of self-management and its dimensions, systolic, diastolic, and mean arterial pressure between intervention and control groups (P > 0.05). However, after the intervention, the mean of systolic blood pressure (116.21 ± 14.52 vs. 128.62 ± 16.88) mmHg, mean arterial pressure (88.03 ± 8.47 vs. 98.11 ± 11.69) mmHg and the scores of self-management and its dimensions among patients in the intervention group were decreased comparison with control group (P < 0.05).

Conclusions

Education based on the CSM improved self-management and blood pressure reduction in hypertensive patients, so nurses should use it as an effective educational model.

目的本研究旨在确定基于自我调节常识模型（CSM）的训练对高血压患者血压和自我管理的影响。方法采用随机对照试验研究。2021年4月至2022年3月，72名高血压患者被转诊至哈马丹的法尔什奇安医院诊所。选择样本，随机分为干预组（n=36）和对照组（n=三十六）。干预组参加了一项基于CSM的培训计划，为期一个月，共5次，每次30–45分钟。电话随访也每三天进行一次。对照组仅接受常规的临床教育。诊所的护士测量了患者的血压，参与者在研究开始前和三个月后完成了自我管理问卷。结果共有68名参与者完成了研究。结果显示，干预前，干预组和对照组的自我管理平均得分及其维度、收缩压、舒张压和平均动脉压均无统计学意义（P>0.05）。但干预后，收缩压平均值（116.21±14.52 vs.128.62±16.88）mmHg，干预组患者平均动脉压（88.03±8.47 vs.98.11±11.69）mmHg，自我管理及其维度得分均较对照组有所下降（P＜0.05）。

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