International Journal of Nursing Sciences最新文献

{"title":"Unveiling the hidden connection: Investigating the relationship between shared leadership and missed nursing care","authors":"Amal Diab Ghanem Atalla ,&nbsp;Naglaa Abdelaziz Mahmoud Elseesy ,&nbsp;Ayman Mohamed El-Ashry ,&nbsp;Samia Mohamed Sobhi Mohamed ,&nbsp;Ebaa Marwan Felemban ,&nbsp;Abdulhafith Alharbi ,&nbsp;Nervana Abdelrahman Saied Gheith ,&nbsp;Sabrein Mahmoud khalifa khattab","doi":"10.1016/j.ijnss.2024.12.012","DOIUrl":"10.1016/j.ijnss.2024.12.012","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examined the levels of shared leadership and missed nursing care and their relationship among nurses in Egypt.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted. From February to April 2024, 340 nurses worked in all inpatient care units at Alexandria Main University Hospital. The Shared Leadership and Missed Nursing Care Survey was used for evaluation.</div></div><div><h3>Results</h3><div>The overall score of shared leadership was (72.62 ± 4.30), which imitates a high perception of shared leadership among nurses; the dimension of delegation achieved the highest average mean score (3.66 ± 0.26), followed by collaboration (3.64 ± 0.31), the vision dimension scored the lowest mean score (3.59 ± 0.33). The elements of missed nursing care had a total score of (46.72 ± 5.69), and the dimension of secondary care achieved the highest average mean score (3.74 ± 0.31). The reasons for missed nursing care had a total mean score of (22.40 ± 1.59), and the dimension of labor resources achieved the highest average mean score (3.20 ± 0.22). Male nurses, less than 30 years old, married, held a bachelor’s degree in nursing sciences, less than five years of experience in the nursing profession, and less than five years of experience in the current working unit had higher total scores of the shared leadership and lower total scores of missed nursing care (<em>P</em> &lt; 0.001). A negative correlation existed between shared leadership and two dimentisons (the elements of nursing care [<em>r</em> = −0.383], the reasons for missing nursing care [<em>r</em> = −0.047]) (<em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The study’s findings can help as a theoretical underpinning for nursing leaders to stand in an environment that reduces the incidence of missed nursing care by encouraging teamwork, responsibility, workload management, and empowerment among nurses.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 12-18"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk prediction models for post-intensive care syndrome of ICU discharged patients: A systematic review","authors":"Pengfei Yang ,&nbsp;Fu Yang ,&nbsp;Qi Wang ,&nbsp;Fang Fang ,&nbsp;Qian Yu ,&nbsp;Rui Tai","doi":"10.1016/j.ijnss.2024.10.012","DOIUrl":"10.1016/j.ijnss.2024.10.012","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to assess the properties and feasibility of existing risk prediction models for post-intensive care syndrome outcomes in adult survivors of critical illness.</div></div><div><h3>Methods</h3><div>As of November 1, 2023, Cochrane Library, PubMed, Embase, CINAHL, Web of Science, PsycInfo, China National Knowledge Infrastructure (CNKI), SinoMed, Wanfang database, and China Science and Technology Journal Database (VIP) were searched. Following the literature screening process, we extracted data encompassing participant sources, post-intensive care syndrome (PICS) outcomes, sample sizes, missing data, predictive factors, model development methodologies, and metrics for model performance and evaluation. We conducted a review and classification of the PICS domains and predictive factors identified in each study. The Prediction Model Risk of Bias Assessment Tool was employed to assess the quality and applicability of the studies.</div></div><div><h3>Results</h3><div>This systematic review included a total of 16 studies, comprising two cognitive impairment studies, four psychological impairment studies, eight physiological impairment studies, and two studies on all three domains. The discriminative ability of prediction models measured by area under the receiver operating characteristic curve was 0.68–0.90. The predictive performance of most models was excellent, but most models were biased and overfitted. All predictive factors tend to encompass age, pre-ICU functional impairment, in-ICU experiences, and early-onset new symptoms.</div></div><div><h3>Conclusions</h3><div>This review identified 16 prediction models and the predictive factors for PICS. Nonetheless, due to the numerous methodological and reporting shortcomings identified in the studies under review, clinicians should exercise caution when interpreting the predictions made by these models. To avert the development of PICS, it is imperative for clinicians to closely monitor prognostic factors, including the in-ICU experience and early-onset new symptoms.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 81-88"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143163048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childbirth experience assessment tools based on COSMIN guidelines: A systematic review","authors":"Yifan Cheng,&nbsp;Ruxue Bai,&nbsp;Siyu Shan,&nbsp;Xinmiao Zhao,&nbsp;Chunling Xia","doi":"10.1016/j.ijnss.2024.12.001","DOIUrl":"10.1016/j.ijnss.2024.12.001","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to systematically evaluate the measurement characteristics and methodological quality of childbirth experience assessment tools, with a view to informing the selection of healthcare professionals who can provide high-quality assessment tools.</div></div><div><h3>Method</h3><div>A systematic search was performed on specific databases: PubMed, Web of Science, Embase, CINAHL, SinoMed, China National Knowledge Infrastructure (CNKI), and Wanfang, from inception to February 29, 2024. The researchers retrieved studies on the measurement attributes of the childbirth experience assessment tool, and traced back the references of the included studies to supplement relevant literature. According to the inclusion and exclusion criteria, screening and data extraction were independently undertaken by two reviewers. Two researchers individually used the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) Risk of Bias Checklist to assess the methodological quality of the scale, applied the COSMIN criteria to evaluate the measurement properties of the scale, and used a modified Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to assess the certainty of evidence.</div></div><div><h3>Result</h3><div>A total of 15 studies were included to evaluate the psychometric properties of 11 childbirth experience assessment tools (including different language versions). Eight studies’ methodological quality of content validity was doubtful, and the remaining studies did not report content validity. None of the tools reported measurement error, cross-cultural validity, or responsiveness. In light of the questionable or unreported content validity of the tools, the evidence quality was deemed moderate or below. Consequently, the 11 assessment tools were recommended as grade B.</div></div><div><h3>Conclusion</h3><div>In contrast, the Questionnaire for Assessing the Childbirth Experience (QACE) is recommended for provisional use, given its relatively good methodological and measurement attributes and appropriate content for evaluation. However, further validation of other measurement properties is needed.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 89-95"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation and psychometric evaluation of the Thai version of the Enhancing Recovery in Coronary Heart Disease Social Support Inventory in individuals with chronic illnesses","authors":"Santi Phetrnui ,&nbsp;Jom Suwanno ,&nbsp;Chantira Chiaranai ,&nbsp;Chonchanok Bunsuk ,&nbsp;Naruebeth Koson ,&nbsp;Wanna Kumanjan ,&nbsp;Chennet Phonphet ,&nbsp;Ladda Thiamwong","doi":"10.1016/j.ijnss.2024.12.013","DOIUrl":"10.1016/j.ijnss.2024.12.013","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to translate and psychometrically test the 7-item Enhancing Recovery in Coronary Heart Disease (ENRICHD) Social Support Inventory (ESSI) scale within the Thai population.</div></div><div><h3>Methods</h3><div>A scale translation and cross-sectional validation study was conducted. The English version was translated for Thai involved nine steps: preparation, forward translation, reconciliation, back-translation, back-translation review, harmonization, cognitive debriefing, review of cognitive debriefing and finalization, and proofreading. Psychometrics testing used data from a cross-sectional study from July to November 2022 at 16 primary care centers in southern Thailand, involving 405 participants. Structural validity was tested with exploratory and confirmatory factor analysis (EFA and CFA). Hypothesis testing validity was assessed through correlations with the Self-Care Self-Efficacy Scale version 3.0 (SCSES-v3.0) and the Self-Care of Chronic Illness Inventory version 4.c (SC-CII-v4.c). Reliability was evaluated using Cronbach’s α coefficient and the intraclass correlation coefficient.</div></div><div><h3>Results</h3><div>The Thai ESSI demonstrated excellent content validity. EFA revealed a one-factor structure, with high factor loadings for the first six items assessing informational, emotional, and instrumental support. The last item on structural support demonstrated inadequate factor loadings, suggesting its removal. CFA confirmed a well-fit one-factor structure for the 6-item ESSI. Hypothesis testing showed positive correlations with the SCSES-v3.0 and SC-CII-v4.c scales. Cronbach’s α coefficient improved from 0.88 for the 7-item to 0.91 for the 6-item ESSI. Both the 7-item and the 6-item scales exhibited excellent test-retest reliability.</div></div><div><h3>Conclusions</h3><div>Our study affirms the strong validity and reliability of the ESSI in the Thai population with chronic illnesses. The ESSI is deemed appropriate for evaluating social support in the context of chronic illness self-care.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 65-73"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143163049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses leading the response to global health challenges","authors":"Howard Catton","doi":"10.1016/j.ijnss.2024.12.010","DOIUrl":"10.1016/j.ijnss.2024.12.010","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 1-2"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia","authors":"Rizki Fitryasari ,&nbsp;Marthoenis Marthoenis ,&nbsp;Sri Warsini ,&nbsp;Kim Usher ,&nbsp;Hanik Endang Nihayati ,&nbsp;Winda Kusumawardani ,&nbsp;Hasmila Sari","doi":"10.1016/j.ijnss.2024.12.003","DOIUrl":"10.1016/j.ijnss.2024.12.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Addressing the issue of mental health disorders in the community is a significant challenge for Indonesia’s healthcare professionals. This study aimed to explore the challenges that community health workers (CHWs) encounter while providing mental health services in the community.</div></div><div><h3>Methods</h3><div>Forty CHWs were selected to participate in the study by purposive sampling method from July to August 2023 in seven primary health centers (PHCs) among three cites of Indonesia. Focus group discussions were used to collect data. All of data were analyzed using the interpretive phenomenological analysis method.</div></div><div><h3>Results</h3><div>Considering the participants’ voluntary CHW role, the results were organized into five themes. These comprised two themes of challenges—family stigma and limited understanding of mental disorders, and three themes regarding efforts to overcome the challenges—maintaining self-motivation, fostering self-efficacy, and using communication skills when approaching families and patients.</div></div><div><h3>Conclusions</h3><div>Upskilling and empowering CHWs helps to enhance community mental health. Thus, it is crucial to support CHWs through training programs that aim to improve mental health literacy and communication skills and diminish family stigma.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 27-34"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysis","authors":"Dingyuan Wei ,&nbsp;Xue Wang ,&nbsp;Mengxing Wang ,&nbsp;Jiayan Wang ,&nbsp;Fangping Chen ,&nbsp;Luyang Jin ,&nbsp;Xuemei Xian","doi":"10.1016/j.ijnss.2024.12.004","DOIUrl":"10.1016/j.ijnss.2024.12.004","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review and meta-analysis aimed to identify and synthesize the factors correlated with posttraumatic growth (PTG) in patients with colorectal cancer (CRC).</div></div><div><h3>Methods</h3><div>PubMed, Web of Science, Embase, PsycINFO, CINAHL, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang database, China Science and Technology Journal Database (VIP) and SinoMed were searched for studies that reported data on the correlated factors associated with PTG in patients with CRC from inception to September 3, 2024. The methodological quality of the included studies was assessed via the Agency for Healthcare Research and Quality (AHRQ) methodology checklist and the Newcastle-Ottawa Scale (NOS). Pearson correlation coefficient (<em>r</em>) was utilized to indicate effect size. Meta-analysis was conducted in R Studio.</div></div><div><h3>Results</h3><div>Thirty-one eligible studies encompassing 6,400 participants were included in this review. Correlated factors were identified to be significantly associated with PTG in patients with CRC including demographic factors: residential area (<em>r</em> = 0.13), marital status (<em>r</em> = 0.10), employment status (<em>r</em> = 0.18), education level (<em>r</em> = 0.19), income level (<em>r</em> = 0.16); disease-related factors: time since surgery (<em>r</em> = 0.17), stoma-related complications (<em>r</em> = 0.14), health-promoting behavior (<em>r</em> = 0.46), and sexual function (<em>r</em> = 0.17); psychosocial factors: confrontation coping (<em>r</em> = 0.68), avoidance coping (<em>r</em> = −0.65), deliberate rumination (<em>r</em> = 0.56), social support (<em>r</em> = 0.47), family function (<em>r</em> = 0.50), resilience (<em>r</em> = 0.53), self-efficacy (<em>r</em> = 0.91), self-compassion (<em>r</em> = −0.32), psychosocial adjustment (<em>r</em> = 0.39), gratitude (<em>r</em> = 0.45), stigma (<em>r</em> = −0.65), self-perceived burden (<em>r</em> = −0.31), fear of cancer recurrence (<em>r</em> = −0.45); and quality of life (<em>r</em> = 0.32).</div></div><div><h3>Conclusions</h3><div>This meta-analysis identified 23 factors associated with PTG in CRC patients. Medical workers can combine those relevant factors from the perspective of positive psychology, further explore the occurrence and development mechanism of PTG, and establish targeted interventions to promote PTG.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 96-105"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the Chinese-version Behavioral Inhibition System/Behavioral Activation System Scales among stroke survivors with depressive symptoms","authors":"Dan Shi ,&nbsp;Yuen Yu Chong ,&nbsp;Lijuan Zhou ,&nbsp;Ho Yu Cheng","doi":"10.1016/j.ijnss.2024.12.002","DOIUrl":"10.1016/j.ijnss.2024.12.002","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the reliability and validity of the Chinese version of the Behavioral Inhibition System/Behavioral Activation System (BIS/BAS) scales among stroke survivors.</div></div><div><h3>Methods</h3><div>The cross-sectional study was conducted at four comprehensive hospitals in Taizhou, Jiangsu, China. A sample of 232 first-ever stroke survivors were recruited from June to August 2023. Validity was examined using face validity and construct validity, which used confirmatory factor analysis (CFA) and known-group analysis. Reliability was evaluated by internal consistency and test-retest reliability.</div></div><div><h3>Results</h3><div>The BIS/BAS scales demonstrated satisfactory face validity. The findings of CFAs supported the original four-factor structure of BAS-reward, BAS-drive, BAS-fun seeking, and BIS with acceptable model fit indices. Discriminative validity, assessed via known-group analysis, indicated that stroke survivors with probable depression had significantly lower mean BAS-reward, BAS-drive, and BAS-fun seeking scores (<em>P</em> &lt; 0.001) and a higher mean BIS score (<em>P</em> = 0.028) compared to those without probable depression. The internal consistency, measured by Cronbach’s α coefficients for the subscales, ranged from 0.669 to 0.964. Test-retest reliability, assessed using intra-class correlation coefficients, ranged from 0.61 to 0.93.</div></div><div><h3>Conclusions</h3><div>The Chinese version of the BIS/BAS scales could be a reliable and valid instrument for measuring behavioral activation among stroke survivors.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 74-80"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retention of international nurses in receiving country: Voices of Indonesian nurses in Japanese healthcare facilities","authors":"Ferry Efendi ,&nbsp;Eka Mishbahatul Mar’ah Has ,&nbsp;Rifky Octavia Pradipta ,&nbsp;Grace Solely Houghty ,&nbsp;Hisaya Oda ,&nbsp;Yuko Tsujita","doi":"10.1016/j.ijnss.2024.12.008","DOIUrl":"10.1016/j.ijnss.2024.12.008","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the voices of Indonesian migrant nurses on their retention in Japanese healthcare facilities.</div></div><div><h3>Methods</h3><div>A descriptive qualitative study was conducted between June and September 2023. The snowball sampling method was utilized to recruit 22 Indonesian nurses working in healthcare facilities in seven prefectures of Japan. Semi-structured interviews were conducted based on their shared experiences. All interview data were audio-recorded, transcribed verbatim, and analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Six prominent themes and 15 subthemes emerged: 1) organizational factors (caring leader, involvement in decision making, career development, and participation in training); 2) social support systems (group support, colleagues support and friend support); 3) individual drive (lifelong learning and persistent); 4) national policies (government support in public service and flexibility in finding a comfortable placement); 5) family factors (positive support of child education and development and maintaining relationship with spouse); and 6) economic factors (staying due to high salary and increasing income streams).</div></div><div><h3>Conclusions</h3><div>Retention of Indonesian migrant nurses in Japan is a multifaceted challenge that hinges on various interconnected factors. This study has gone some way toward enhancing our understanding of international nurse retention in the receiving countries. Corresponding supports at the individual, family, organizational, economic, social, and national policy levels should be considered to keep them in their destination countries.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 3-11"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143163858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification of subgroups of self-reported outcomes among breast cancer patients undergoing surgery and chemotherapy: A cross-sectional study","authors":"Feixia Ni ,&nbsp;Tingting Cai ,&nbsp;Tingting Zhou ,&nbsp;Changrong Yuan","doi":"10.1016/j.ijnss.2024.12.007","DOIUrl":"10.1016/j.ijnss.2024.12.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify the subgroups of self-reported outcomes and associated factors among breast cancer patients undergoing surgery and chemotherapy.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted between January and November 2021. We recruited patients from two tertiary hospitals in Shanghai, China, using convenience sampling during their hospitalization. Patients were assessed using a questionnaire that included sociodemographic and clinical characteristics, the Patient Reported Outcomes Measurement Information System profile-29 (PROMIS-29), and the PROMIS-cognitive function short form 4a. Latent class analysis was performed to examine possible classes regarding self-reported outcomes. Multiple logistic regression analysis was used to determine the associated factors. Analysis of variance (ANOVA) was conducted for symptoms across the different classes.</div></div><div><h3>Results</h3><div>A total of 640 patients participated in this study. The findings revealed three subgroups in terms of self-reported outcomes among breast cancer patients undergoing surgery and chemotherapy: low physical-social-cognitive function, high physical-low cognitive function, and high physical-social-cognitive function. Multivariable logistic regression analysis showed that age (≥ 60 years old), menopause, the third chemotherapy cycle, undergoing simple mastectomy and breast reconstruction, duration of disease 3–12 months, stage III/IV cancer, and severe pain were associated factors of the functional decline groups. Besides, significant differences in depression and sleep disorders were observed among the three groups.</div></div><div><h3>Conclusions</h3><div>Breast cancer patients receiving surgery and chemotherapy can be divided into three subgroups. Aging, menopause, chemotherapy cycle, surgery type, duration and stage of disease, and severe pain affected the functional decline groups. Consequently, healthcare professionals should make tailored interventions to address the specific functional rehabilitation and symptom relief needs.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 51-58"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}