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Exploring the implementation of multidisciplinary collaboration at nursing homes in Jakarta, Indonesia: A descriptive phenomenological study. 探索印度尼西亚雅加达养老院多学科合作的实施情况:描述性现象学研究。
IF 1.1 Q3 NURSING Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3226
Royani, Achir Yani S Hamid, Etty Rekawati, Ede Surya Darmawan

Background: A well-functioning multidisciplinary team optimizes resource utilization and reduces care redundancy, fragmentation, and wastage. Collaborative efforts yield a clearer understanding of older people's needs and desires, significantly reducing hospitalization days. Despite limited studies, particularly in Indonesia, investigating professionals' experiences in implementing multidisciplinary collaboration in government nursing homes, nursing care quality remains a concern.

Objective: This study aimed to explore the implementation of multidisciplinary collaboration in nursing homes from the perspectives of various disciplines.

Methods: A descriptive phenomenological study was used with semi-structured interviews and focus group discussions with multidisciplinary care providers, including nurses, doctors, social workers, physiotherapists, psychologists, occupational and recreational activity instructors, and clergy in nursing homes owned by the Jakarta provincial government. A total of 64 participants were involved, and data were collected from September 2022 to July 2023. Data were analyzed using content-based analysis.

Results: Three main themes emerged: 1) context of multiple collaborations, 2) barriers to implementing multiple collaborations, and 3) impacts of non-optimal multidisciplinary collaborations. Nursing home management's multidisciplinary teams predominantly implement professional-centered care with limited support systems. While providers generally perceive collaboration positively, shared responsibility and joint work among professionals are lacking.

Conclusion: This study highlights the need to improve multidisciplinary collaboration in nursing homes to enhance care quality for older individuals. While providers view collaboration positively, barriers like a lack of shared responsibility and joint work persist. Enhancing teamwork cohesion through improved communication and integrated case reporting systems is crucial. Addressing human resource and systemic barriers is also vital. By overcoming these challenges, nursing homes can optimize resource use, reduce care redundancy, and better meet the diverse needs of older residents.

背景:一个运作良好的多学科团队可以优化资源利用率,减少护理重复、分散和浪费。通过合作,可以更清楚地了解老年人的需求和愿望,从而大大减少住院天数。尽管对专业人员在政府养老院实施多学科协作的经验进行的研究有限,尤其是在印度尼西亚,但护理质量仍是一个令人担忧的问题:本研究旨在从不同学科的角度探讨在养老院实施多学科协作的情况:采用描述性现象学研究方法,对雅加达省政府所属疗养院的护士、医生、社工、物理治疗师、心理学家、职业和娱乐活动指导员以及神职人员等多学科护理人员进行半结构化访谈和焦点小组讨论。共有 64 人参与,数据收集时间为 2022 年 9 月至 2023 年 7 月。数据分析采用基于内容的分析方法:出现了三大主题:1)多重协作的背景;2)实施多重协作的障碍;3)非最佳多学科协作的影响。疗养院管理层的多学科团队主要实施以专业为中心的护理,但支持系统有限。虽然服务提供者普遍对合作持积极态度,但专业人员之间缺乏责任分担和联合工作:本研究强调了改善疗养院多学科合作以提高老年人护理质量的必要性。虽然护理人员对合作持积极态度,但缺乏责任分担和联合工作等障碍依然存在。通过改善沟通和综合病例报告系统来增强团队凝聚力至关重要。解决人力资源和系统障碍也至关重要。通过克服这些挑战,养老院可以优化资源利用,减少重复护理,更好地满足老年居民的不同需求。
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引用次数: 0
Green intellectual capital: The secret ingredient for organizational competitive advantage in the nursing profession-a cross-sectional study from Egypt. 绿色知识资本:护理行业组织竞争优势的秘诀--来自埃及的横断面研究。
IF 1.1 Q3 NURSING Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3306
Amal Diab Ghanem Atalla, Nariman Ahmed Mohamed Mostafa Elbassal, Faten Shawky Kandil, Ayman Mohamed El-Ashry, Ishraga Abdelgadir Ibrahim Mohamed, Sahar Elsayed Gaber Behilak, Naglaa Abdelaziz Mahmoud Elseesy

Background: In the contemporary healthcare environment, managing human resources expertise is just as imperative as having the supreme amount of working capital. Every business must constantly build its capacity, expertise, and competitive edge by utilizing its intellectual property and experience.

Objective: This study aimed to assess the relationship between green intellectual capital and organizational competitive advantage among nurses.

Methods: The study employed a descriptive correlational design among 350 nurses selected using convenience sampling. Data were collected from March 2023 to June 2023 using the Organizational Competitive Advantage Scale and the Green Intellectual Capital Questionnaire. Data were analyzed using t-test, ANOVA, and Pearson correlation.

Results: Most nurses had a moderate level of green intellectual capital (Mean = 3.60, SD = 0.27). The overall mean score for organizational competitive advantage was moderate (Mean = 3.34, SD = 0.34). The overall score of the green intellectual capital (r = 0.257, p <0.001) and its dimensions⎯green human capital (r = 0.257, p <0.05), green structure capital (r = 0.257, p <0.001), and green relational capital (r = 0.257, p <0.001)⎯had significant positive correlations with organizational competitive advantage.

Conclusion: Being eco-friendly has become a determining factor in the organizational competitive advantage. The study highlights the significance of nursing management in establishing partnerships with external entities to share knowledge and advance sustainable healthcare methods. It advocates for assessing organizational environmental performance and its influence on competitive edge through creating metrics, monitoring progress, and utilizing data for decision-making. Healthcare and nurse administrators are advised to set performance benchmarks, track advancements, and integrate eco-friendly strategies to bolster the hospital's competitiveness in the market.

背景:在当代医疗保健环境中,管理人力资源的专业知识与拥有最高额度的营运资本一样重要。每家企业都必须利用其知识产权和经验,不断增强自身的能力、专业知识和竞争优势:本研究旨在评估绿色知识资本与护士组织竞争优势之间的关系:本研究采用描述性相关设计,在 350 名护士中进行便利抽样。数据收集时间为 2023 年 3 月至 2023 年 6 月,采用组织竞争优势量表和绿色知识资本问卷。数据分析采用 t 检验、方差分析和皮尔逊相关分析:大多数护士的绿色知识资本处于中等水平(平均值=3.60,标准差=0.27)。组织竞争优势的总体平均得分处于中等水平(平均值=3.34,标准差=0.34)。绿色知识资本的总体得分(r = 0.257,p r = 0.257,p r = 0.257,p r = 0.257,p 结论:生态友好已成为组织竞争优势的决定性因素。本研究强调了护理管理部门与外部实体建立合作伙伴关系以分享知识和推进可持续医疗方法的重要性。研究提倡通过建立衡量标准、监测进展和利用数据进行决策,评估组织的环境绩效及其对竞争优势的影响。建议医疗保健和护士管理人员设定绩效基准,跟踪进展情况,并整合环保战略,以增强医院的市场竞争力。
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引用次数: 0
Concordance in the healthcare context: A concept analysis. 医疗保健中的一致性:概念分析。
IF 1.1 Q3 NURSING Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3343
Anucha Taiwong, Wassana Uppor, Nisakorn Vibulchai

Background: The concept of concordance and its usage are indicative of patient-centered healthcare, which encourages an equitable collaboration between patients and clinicians. However, there is a lack of clarity in understanding concordance, and an analysis of this concept is warranted.

Objective: This paper seeks to explore the essence of the concordance concept in the healthcare context.

Methods: Walker and Avant's eight-step method of concept analysis was applied. A literature search was conducted using concordance AND concord as keywords on CINAHL, MEDLINE, PubMed, ProQuest, Cochrane database, and ScienceDirect databases, published between 2006 and 2022.

Results: The attributes of concordance include communication process, therapeutic partnership, and agreement on treatment regimens. Antecedents of concordance comprise provider-patient relationship, patients' beliefs, healthcare providers' characteristics, and complexity of treatment plans. Consequences are improved adherence and compliance, improved clinical outcomes, and better quality of life.

Conclusion: This paper offers clarification of concordance by presenting its antecedents, attributes, and consequences. The findings serve as a basis for developing assessments and nursing interventions to promote patient concordance. Nurses can use the findings to encourage concordance by establishing a trusty relationship during health encounters that respects patients' beliefs and effectively communicating to improve patients' understanding in dealing with complex treatment plans.

背景:以患者为中心的医疗保健鼓励患者与临床医生之间的平等合作,而 "一致性 "这一概念及其用法则表明了这一点。然而,人们对 "协调 "的理解并不清晰,因此有必要对这一概念进行分析:本文旨在探讨医疗保健领域中 "协调 "概念的本质:方法:采用 Walker 和 Avant 的八步概念分析法。在 CINAHL、MEDLINE、PubMed、ProQuest、Cochrane 数据库和 ScienceDirect 数据库中使用 concordance 和 concord 作为关键词对 2006 年至 2022 年间发表的文献进行了检索:结果:一致性的属性包括沟通过程、治疗伙伴关系和治疗方案的一致性。一致性的前因包括医患关系、患者的信念、医疗服务提供者的特点以及治疗计划的复杂性。其结果是提高了患者的依从性和依从性,改善了临床疗效,提高了生活质量:本文通过介绍一致性的前因、属性和后果,对一致性进行了澄清。研究结果可作为制定评估和护理干预措施的依据,以促进患者的一致性。护士可以利用这些研究结果,通过在医疗接触过程中建立尊重患者信仰的信任关系,以及在处理复杂的治疗计划时进行有效沟通以增进患者的理解,从而鼓励患者保持一致。
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引用次数: 0
Factors predicting self-compassion among patients with breast cancer undergoing chemotherapy in Thailand: A cross-sectional study. 泰国接受化疗的乳腺癌患者自我同情的预测因素:横断面研究
IF 1.1 Q3 NURSING Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3359
Nisa Krutchan, Sombat Skulphan, Darawan Thapinta, Petsunee Thungjaroenkul, Songserm Saengthong

Background: Breast cancer is the most common female malignancy. Although chemotherapy is the primary treatment for breast cancer, it frequently has several detrimental side effects. Patients with breast cancer require self-compassion to regulate their emotions in order to cope with their suffering. Factors affecting self-compassion have mostly been investigated in the context of chronic diseases in general, not specifically in relation to patients receiving chemotherapy for breast cancer.

Objective: This cross-sectional study sought to describe the self-compassion level and to examine the predictive ability of self-critical judgment, body image, stress, attachment style, social support, hope, and self-reassuring on self-compassion among patients with breast cancer undergoing chemotherapy.

Methods: The participants were 210 Thai women with breast cancer who received chemotherapy in northern Thailand and were selected using proportionate random sampling. Data were collected from December 2021 to January 2023 using validated instruments. Data were analyzed using descriptive statistics and hierarchical regression analysis.

Results: Self-compassion was moderate (Mean = 2.91, SD = 0.91). Self-critical judgment (β = 0.487, p <0.001) and hope (β =0.128, p = 0.032) could predict self-compassion in patients with breast cancer undergoing chemotherapy and explained 40.1% of the variance.

Conclusion: The study's findings highlight the importance of addressing self-critical judgment and fostering hope in patients with breast cancer undergoing chemotherapy to enhance their self-compassion. Nurses and other healthcare providers can use the findings to provide interventions to promote self-compassion.

背景:乳腺癌是最常见的女性恶性肿瘤:乳腺癌是最常见的女性恶性肿瘤。虽然化疗是治疗乳腺癌的主要方法,但它经常会产生一些有害的副作用。乳腺癌患者需要自我同情来调节情绪,以应对痛苦。影响自我同情的因素大多是在一般慢性疾病的背景下进行研究的,而不是专门针对接受化疗的乳腺癌患者:本横断面研究旨在描述接受化疗的乳腺癌患者的自我同情水平,并探讨自我批评判断、身体形象、压力、依恋风格、社会支持、希望和自我安慰对自我同情的预测能力:研究对象为在泰国北部接受化疗的210名泰国女性乳腺癌患者,采用比例随机抽样法选出。数据收集时间为 2021 年 12 月至 2023 年 1 月,使用的是经过验证的工具。数据分析采用描述性统计和分层回归分析:自我同情为中度(平均值 = 2.91,标准差 = 0.91)。自我批评判断(β = 0.487,P = 0.032)可预测接受化疗的乳腺癌患者的自我同情程度,并解释了 40.1% 的方差:研究结果强调了解决乳腺癌化疗患者的自我批判性判断和培养其希望以增强其自我同情的重要性。护士和其他医疗服务提供者可以利用这些发现提供干预措施,以促进自我同情。
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引用次数: 0
Social media use, knowledge, attitudes, and risky sexual behavior of HIV transmission: A survey among boarding school adolescent students in Indonesia. 社交媒体的使用、对艾滋病毒传播的认识、态度和危险性行为:印度尼西亚寄宿学校青少年学生调查。
IF 1.1 Q3 NURSING Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3244
Regina Cahya Ramadani, Kusman Ibrahim, Ristina Mirwanti, Sidik Maulana, Raifa Jabareen

Background: Social media has many positive and negative influences on individuals, especially for adolescents related to HIV. However, little is known about how social media impacts HIV-related outcomes among adolescents in boarding schools.

Objective: This study aims to investigate the social media use, knowledge, attitudes, and sexual behavior at risk of HIV transmission and their relationship with the demographic characteristics of adolescent students at boarding schools.

Methods: This study was school-based and used a cross-sectional design. The questionnaires were used to assess social network site usage, knowledge, attitudes, and risky behavior. Cluster random sampling involved students (n = 214) from three boarding schools in Cirebon City, West Java, Indonesia, in 2022. Chi-square tests and Cramer's V were used to explore correlations between social and demographic factors.

Results: A considerable number of adolescent students exhibited high social media addiction (58.4%), with the majority possessing limited knowledge of HIV transmission (54.7%). Additionally, nearly half displayed a negative attitude towards preventing HIV transmission (47.2%), while only a small fraction engaged in risky behavior (2.8%). Bivariate analysis revealed that social media use was moderately associated with the type of social media application (φc = 0.246, p <0.05). Knowledge of HIV transmission exhibited a moderate correlation with age (φc = 0.331, p <0.05), education level (φc = 0.240, p <0.001), and exposure to information (φc = 0.269, p <0.001). Similarly, attitudes toward HIV prevention demonstrated moderate associations with age (φc = 0.341, p = 0.001), education level (φc = 0.317, p <0.001), and exposure to information (φc = 0.266, p <0.001). Furthermore, risky sexual behavior exhibited a strong association with exposure to pornographic content (φc = 0.730, p <0.001).

Conclusion: The study found a high prevalence of social media usage among adolescents, coupled with low knowledge about HIV, negative attitudes, and risky behavior. Significant relationships were observed between social media use, knowledge, attitudes, and risky sexual behavior related to HIV transmission and demographic characteristics. This study emphasizes the vital role of nurses and healthcare professionals in implementing targeted educational interventions in boarding schools to address gaps in HIV risk knowledge influenced by social media, ultimately improving strategies for adolescents' sexual health.

背景:社交媒体对个人有许多积极和消极的影响,尤其是对与 HIV 相关的青少年。然而,人们对社交媒体如何影响寄宿学校青少年艾滋病相关结果知之甚少:本研究旨在调查寄宿学校青少年学生的社交媒体使用情况、知识、态度、艾滋病传播风险性行为及其与人口统计学特征之间的关系:本研究以学校为基础,采用横断面设计。调查问卷用于评估社交网站的使用情况、知识、态度和危险行为。分组随机抽样涉及 2022 年印度尼西亚西爪哇省井里汶市三所寄宿学校的学生(n = 214)。结果显示,相当多的青少年学生在社交网站上表现出了与年龄、性别和性别相关的行为:相当多的青少年学生表现出高度的社交媒体成瘾(58.4%),大多数学生对艾滋病传播的了解有限(54.7%)。此外,近一半的学生对预防艾滋病传播持消极态度(47.2%),只有一小部分学生有危险行为(2.8%)。双变量分析表明,社交媒体的使用与社交媒体应用程序的类型(φc = 0.246,p c = 0.331,p c = 0.240,p c = 0.269,p c = 0.341,p = 0.001)、教育水平(φc = 0.317,p c = 0.266,p c = 0.730,p 结论:社交媒体的使用与教育水平(φc = 0.317,p c = 0.266,p c = 0.730,p 结论:教育水平与社交媒体的使用有一定的相关性:研究发现,青少年使用社交媒体的比例较高,同时对艾滋病的了解较少,态度消极,行为危险。研究发现,社交媒体的使用、与艾滋病传播相关的知识、态度和危险性行为与人口统计学特征之间存在显著关系。这项研究强调了护士和医疗保健专业人员在寄宿学校实施有针对性的教育干预方面的重要作用,以解决受社交媒体影响的艾滋病风险知识缺口,最终改善青少年的性健康策略。
{"title":"Social media use, knowledge, attitudes, and risky sexual behavior of HIV transmission: A survey among boarding school adolescent students in Indonesia.","authors":"Regina Cahya Ramadani, Kusman Ibrahim, Ristina Mirwanti, Sidik Maulana, Raifa Jabareen","doi":"10.33546/bnj.3244","DOIUrl":"10.33546/bnj.3244","url":null,"abstract":"<p><strong>Background: </strong>Social media has many positive and negative influences on individuals, especially for adolescents related to HIV. However, little is known about how social media impacts HIV-related outcomes among adolescents in boarding schools.</p><p><strong>Objective: </strong>This study aims to investigate the social media use, knowledge, attitudes, and sexual behavior at risk of HIV transmission and their relationship with the demographic characteristics of adolescent students at boarding schools.</p><p><strong>Methods: </strong>This study was school-based and used a cross-sectional design. The questionnaires were used to assess social network site usage, knowledge, attitudes, and risky behavior. Cluster random sampling involved students (<i>n</i> = 214) from three boarding schools in Cirebon City, West Java, Indonesia, in 2022. Chi-square tests and Cramer's V were used to explore correlations between social and demographic factors.</p><p><strong>Results: </strong>A considerable number of adolescent students exhibited high social media addiction (58.4%), with the majority possessing limited knowledge of HIV transmission (54.7%). Additionally, nearly half displayed a negative attitude towards preventing HIV transmission (47.2%), while only a small fraction engaged in risky behavior (2.8%). Bivariate analysis revealed that social media use was moderately associated with the type of social media application (φ<sub>c</sub> = 0.246, <i>p</i> <0.05). Knowledge of HIV transmission exhibited a moderate correlation with age (φ<sub>c</sub> = 0.331, <i>p</i> <0.05), education level (φ<sub>c</sub> = 0.240, <i>p</i> <0.001), and exposure to information (φ<sub>c</sub> = 0.269, <i>p</i> <0.001). Similarly, attitudes toward HIV prevention demonstrated moderate associations with age (φ<sub>c</sub> = 0.341, <i>p</i> = 0.001), education level (φ<sub>c</sub> = 0.317, <i>p</i> <0.001), and exposure to information (φ<sub>c</sub> = 0.266, <i>p</i> <0.001). Furthermore, risky sexual behavior exhibited a strong association with exposure to pornographic content (φ<sub>c</sub> = 0.730, <i>p</i> <0.001).</p><p><strong>Conclusion: </strong>The study found a high prevalence of social media usage among adolescents, coupled with low knowledge about HIV, negative attitudes, and risky behavior. Significant relationships were observed between social media use, knowledge, attitudes, and risky sexual behavior related to HIV transmission and demographic characteristics. This study emphasizes the vital role of nurses and healthcare professionals in implementing targeted educational interventions in boarding schools to address gaps in HIV risk knowledge influenced by social media, ultimately improving strategies for adolescents' sexual health.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enriching nursing knowledge and practice in Jordanian government hospitals through basic life support simulation training: A randomized controlled trial. 通过基本生命支持模拟训练丰富约旦政府医院的护理知识和实践:随机对照试验。
IF 1.1 Q3 NURSING Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3328
Yousef Abu-Wardeh, Wan Muhamad Amir W Ahmad, Mohd Shaharudin Shah Che Hamzah, Yahya W Najjar, Intan Idiana Hassan

Background: Healthcare providers must possess the necessary knowledge and skills to perform effective cardiopulmonary resuscitation (CPR). In the event of cardiopulmonary arrest, basic life support (BLS) is the initial step in the life-saving process before the advanced CPR team arrives. BLS simulation training using manikins has become an essential teaching methodology in nursing education, enhancing newly employed nurses' knowledge and skills and empowering them to provide adequate resuscitation.

Objective: This study aimed to evaluate the potential effect of BLS simulation training on knowledge and practice scores among newly employed nurses in Jordanian government hospitals.

Methods: A total of 102 newly employed nurses were randomly assigned to two groups: the control group (n = 51) received standard training, and the experimental group (n = 51) received one full day of BLS simulation training. The training program used the American Heart Association (AHA)-BLS-2020 guidelines and integrated theoretical models such as Miller's Pyramid and Kolb's Cycle. Both groups were homogeneous in inclusion characteristics and pretest results. Knowledge and practice scores were assessed using 23 multiple-choice questions (MCQs). Data were analyzed using one-way repeated measures ANOVA.

Results: The results indicated significant differences in knowledge scores, F(2, 182) = 58.514, p <0.001, and practice scores, F(2, 182) = 20.134, p <0.001, between the control and experimental groups at all measurement times: pretest, posttest 1, and posttest 2. Moreover, Cohen's d reflected the effectiveness of BLS simulation training as an educational module, showing a large effect (Cohen's d = 1.568) on participants' knowledge levels and a medium effect (Cohen's d = 0.749) on participants' practice levels.

Conclusion: The study concludes that BLS simulation training using the AHA-BLS-2020 guidelines and integrating theoretical models such as Miller's Pyramid and Kolb's Cycle significantly improves knowledge and practice scores among newly employed nurses, proving highly effective in enhancing their competencies in performing CPR. Implementing BLS simulation training in nursing education programs can significantly elevate the proficiency of newly employed nurses, ultimately improving patient outcomes during cardiopulmonary arrest situations. This training approach should be integrated into standard nursing curricula to ensure nurses are well-prepared for real-life emergencies.

Trial registry number: NCT06001879.

背景:医疗服务提供者必须掌握必要的知识和技能,才能进行有效的心肺复苏(CPR)。在发生心肺骤停时,基本生命支持(BLS)是高级心肺复苏小组到达之前拯救生命的第一步。使用人体模型进行 BLS 模拟培训已成为护理教育中必不可少的教学方法,可增强新上岗护士的知识和技能,使其有能力提供充分的复苏:本研究旨在评估 BLS 模拟培训对约旦政府医院新入职护士知识和实践得分的潜在影响:共有 102 名新上岗护士被随机分配到两组:对照组(n = 51)接受标准培训,实验组(n = 51)接受一整天的 BLS 模拟培训。培训计划采用了美国心脏协会(AHA)-BLS-2020 指南,并整合了米勒金字塔和科尔布循环等理论模型。两组学员在纳入特征和预测试结果方面均为同质。使用 23 道多项选择题(MCQ)评估知识和实践得分。数据采用单因素重复测量方差分析:结果表明,知识得分存在显著差异,F(2,182)= 58.514,P(2,182)= 20.134,P 结论:该研究得出结论,使用 AHA-BLS-2020 指南并结合米勒金字塔和科尔布循环等理论模型的 BLS 模拟培训可显著提高新入职护士的知识和实践得分,证明对提高其执行心肺复苏术的能力非常有效。在护理教育课程中实施 BLS 模拟培训可大大提高新上岗护士的熟练程度,最终改善心肺骤停情况下的患者预后。这种培训方法应纳入标准护理课程,以确保护士为应对现实生活中的紧急情况做好充分准备:NCT06001879.
{"title":"Enriching nursing knowledge and practice in Jordanian government hospitals through basic life support simulation training: A randomized controlled trial.","authors":"Yousef Abu-Wardeh, Wan Muhamad Amir W Ahmad, Mohd Shaharudin Shah Che Hamzah, Yahya W Najjar, Intan Idiana Hassan","doi":"10.33546/bnj.3328","DOIUrl":"10.33546/bnj.3328","url":null,"abstract":"<p><strong>Background: </strong>Healthcare providers must possess the necessary knowledge and skills to perform effective cardiopulmonary resuscitation (CPR). In the event of cardiopulmonary arrest, basic life support (BLS) is the initial step in the life-saving process before the advanced CPR team arrives. BLS simulation training using manikins has become an essential teaching methodology in nursing education, enhancing newly employed nurses' knowledge and skills and empowering them to provide adequate resuscitation.</p><p><strong>Objective: </strong>This study aimed to evaluate the potential effect of BLS simulation training on knowledge and practice scores among newly employed nurses in Jordanian government hospitals.</p><p><strong>Methods: </strong>A total of 102 newly employed nurses were randomly assigned to two groups: the control group (<i>n</i> = 51) received standard training, and the experimental group (<i>n</i> = 51) received one full day of BLS simulation training. The training program used the American Heart Association (AHA)-BLS-2020 guidelines and integrated theoretical models such as Miller's Pyramid and Kolb's Cycle. Both groups were homogeneous in inclusion characteristics and pretest results. Knowledge and practice scores were assessed using 23 multiple-choice questions (MCQs). Data were analyzed using one-way repeated measures ANOVA.</p><p><strong>Results: </strong>The results indicated significant differences in knowledge scores, F<sub>(2, 182)</sub> = 58.514, <i>p</i> <0.001, and practice scores, F<sub>(2, 182)</sub> = 20.134, <i>p</i> <0.001, between the control and experimental groups at all measurement times: pretest, posttest 1, and posttest 2. Moreover, Cohen's d reflected the effectiveness of BLS simulation training as an educational module, showing a large effect (Cohen's d = 1.568) on participants' knowledge levels and a medium effect (Cohen's d = 0.749) on participants' practice levels.</p><p><strong>Conclusion: </strong>The study concludes that BLS simulation training using the AHA-BLS-2020 guidelines and integrating theoretical models such as Miller's Pyramid and Kolb's Cycle significantly improves knowledge and practice scores among newly employed nurses, proving highly effective in enhancing their competencies in performing CPR. Implementing BLS simulation training in nursing education programs can significantly elevate the proficiency of newly employed nurses, ultimately improving patient outcomes during cardiopulmonary arrest situations. This training approach should be integrated into standard nursing curricula to ensure nurses are well-prepared for real-life emergencies.</p><p><strong>Trial registry number: </strong>NCT06001879.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors influencing self-management behaviors in persons with lupus nephritis: A cross-sectional study. 影响狼疮性肾炎患者自我管理行为的因素:横断面研究
IF 1.1 Q3 NURSING Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3257
Sirikarn Hanrop, Aurawamon Sriyuktasuth, Kanaungnit Pongthavornkamol, Noppawan Piaseu, Ratana Chawanasuntorapoj

Background: Patients with lupus nephritis experience disease symptoms and side effects from treatment. Although self-management behaviors are important in patients with this disease, there is limited research on the factors influencing these behaviors.

Objective: This study aimed to examine the factors influencing self-management behaviors in patients with lupus nephritis.

Methods: This cross-sectional study was conducted in 240 patients with lupus nephritis at a university hospital in Thailand between August 2019 and December 2020 using a random sampling method. Data were collected using a demographic and clinical characteristic questionnaire, Self-Management Behavior Questionnaire, Self-efficacy for Managing Chronic Disease: A 6-item Scale, Knowledge about Lupus Nephritis Questionnaire, Family Support Scale, Social Networks in Adult Life Questionnaire, and Memorial Symptom Assessment Scale for Lupus Nephritis. Descriptive statistics and multiple linear regression analyses were employed.

Results: The participants reported a moderate level of self-management behaviors. Multiple regression analyses revealed that disease duration, income, symptoms, self-efficacy, knowledge, family support, social networks, and classes of lupus nephritis significantly explained 21% of the variance in self-management behaviors (R2 = 0.21; F(8,231) = 7.73; p <0.001). Family support (β = 0.32, p <0.001) and symptoms (β = -0.23, p <0.001) were significant determinants of self-management behaviors in patients with lupus nephritis.

Conclusion: The findings provide valuable insight for nurses to better understand the factors influencing self-management behaviors in patients with lupus nephritis. Patients with low family support and high symptom severity may face difficulty in performing self-management behaviors. Nurses should pay more attention to these patients and provide family-based interventions to optimize self-management behaviors in this population.

背景:狼疮性肾炎患者会出现疾病症状和治疗副作用。虽然自我管理行为对该病患者很重要,但有关影响这些行为的因素的研究却很有限:本研究旨在探讨影响狼疮性肾炎患者自我管理行为的因素:这项横断面研究于2019年8月至2020年12月期间在泰国一所大学医院采用随机抽样方法对240名狼疮肾炎患者进行了调查。数据收集使用了人口统计学和临床特征问卷、自我管理行为问卷、慢性病自我管理效能感 6 项量表、自我管理行为问卷、慢性病自我管理效能感 6 项量表:6项量表、狼疮性肾炎知识问卷、家庭支持量表、成人生活中的社交网络问卷和狼疮性肾炎症状评估纪念量表。研究采用了描述性统计和多元线性回归分析:结果:参与者的自我管理行为处于中等水平。多元回归分析表明,病程、收入、症状、自我效能感、知识、家庭支持、社会网络和狼疮肾炎的等级显著解释了自我管理行为21%的变异(R2 = 0.21; F(8,231) = 7.73; p p p 结论:研究结果为护士提供了有价值的见解:研究结果为护士更好地了解狼疮性肾炎患者自我管理行为的影响因素提供了宝贵的见解。家庭支持少、症状严重的患者在进行自我管理行为时可能会遇到困难。护士应更多地关注这些患者,并提供基于家庭的干预措施,以优化这类人群的自我管理行为。
{"title":"Factors influencing self-management behaviors in persons with lupus nephritis: A cross-sectional study.","authors":"Sirikarn Hanrop, Aurawamon Sriyuktasuth, Kanaungnit Pongthavornkamol, Noppawan Piaseu, Ratana Chawanasuntorapoj","doi":"10.33546/bnj.3257","DOIUrl":"10.33546/bnj.3257","url":null,"abstract":"<p><strong>Background: </strong>Patients with lupus nephritis experience disease symptoms and side effects from treatment. Although self-management behaviors are important in patients with this disease, there is limited research on the factors influencing these behaviors.</p><p><strong>Objective: </strong>This study aimed to examine the factors influencing self-management behaviors in patients with lupus nephritis.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 240 patients with lupus nephritis at a university hospital in Thailand between August 2019 and December 2020 using a random sampling method. Data were collected using a demographic and clinical characteristic questionnaire, Self-Management Behavior Questionnaire, Self-efficacy for Managing Chronic Disease: A 6-item Scale, Knowledge about Lupus Nephritis Questionnaire, Family Support Scale, Social Networks in Adult Life Questionnaire, and Memorial Symptom Assessment Scale for Lupus Nephritis. Descriptive statistics and multiple linear regression analyses were employed.</p><p><strong>Results: </strong>The participants reported a moderate level of self-management behaviors. Multiple regression analyses revealed that disease duration, income, symptoms, self-efficacy, knowledge, family support, social networks, and classes of lupus nephritis significantly explained 21% of the variance in self-management behaviors (R<sup>2</sup> = 0.21; F<sub>(8,231)</sub> = 7.73; <i>p</i> <0.001). Family support (β = 0.32, <i>p</i> <0.001) and symptoms (β = -0.23, <i>p</i> <0.001) were significant determinants of self-management behaviors in patients with lupus nephritis.</p><p><strong>Conclusion: </strong>The findings provide valuable insight for nurses to better understand the factors influencing self-management behaviors in patients with lupus nephritis. Patients with low family support and high symptom severity may face difficulty in performing self-management behaviors. Nurses should pay more attention to these patients and provide family-based interventions to optimize self-management behaviors in this population.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nursing students' lived experiences with using AIDET in patient communication: A qualitative study in the Philippines. 护理专业学生在病人沟通中使用 AIDET 的生活体验:菲律宾的一项定性研究。
IF 1.1 Q3 NURSING Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3258
Rudena A Madayag, Jeffrey V Esteron, Diane Anne A Lozano, Evangeline C Bautista, Zenaida S Fernandez, Debbie Q Ramirez

Background: Effective communication is vital in nursing, influencing patient safety, satisfaction, and care quality. The AIDET framework is a proven tool for reducing patient anxiety and enhancing their experience. However, perceptions and experiences of Filipino nursing students with AIDET remain unexplored.

Objective: This study explored Filipino nursing students' use of AIDET, focusing on benefits, challenges, and improvements.

Methods: A qualitative, interpretive phenomenological approach informed by the philosophy of Martin Heidegger was employed. This 2023 study, conducted at a university in Angeles City, Philippines, explored Filipino nursing students' experiences with the AIDET communication framework. Thirty participants were purposefully selected to participate in facilitated discussions following a semi-structured interview guide. Thematic content analysis of the transcribed audio recording identified recurring themes in their narratives, focusing on the meanings they ascribed to their experiences using AIDET.

Results: Four themes emerged: (a) Streamlined nurse-patient interaction (organizes communication, rapport building, alleviate anxiety, acknowledgment, and empowerment as sub-themes), (b) Enhances patient-centered care (empathy and compassion, improved patient experience as sub-topics), (c) Challenges with specific patient populations (patient preferences, language barrier, patient condition, acknowledgment of cultural differences as sub-themes), and (d) AIDET in nursing education strengthening application through practice, optimizing frequency and timing, promoting deeper understanding, enhancing feedback mechanism) as student nurses' recommendations.

Conclusion: Early integration of AIDET in nursing education is essential for student nurses to enhance communication, improve patient satisfaction, and deliver patient-centered care, equipping them with valuable communication skills.

背景:有效的沟通对护理工作至关重要,它影响着患者的安全、满意度和护理质量。AIDET 框架是一种行之有效的工具,可用于减少患者焦虑,改善患者体验。然而,菲律宾护理专业学生对 AIDET 的看法和经验仍有待探索:本研究探讨了菲律宾护理专业学生使用 AIDET 的情况,重点关注其益处、挑战和改进之处:方法:采用定性、解释性现象学方法,并借鉴马丁-海德格尔的哲学思想。这项研究于 2023 年在菲律宾安吉利斯市的一所大学进行,探讨了菲律宾护理专业学生使用 AIDET 交流框架的经验。根据半结构化访谈指南,有目的地挑选了 30 名参与者参与协助讨论。对转录的录音进行了主题内容分析,确定了他们叙述中反复出现的主题,重点是他们对使用 AIDET 的经历所赋予的意义:结果:出现了四个主题:(a) 简化护患互动(组织交流、建立融洽关系、缓解焦虑、认可和授权为子主题),(b) 加强以患者为中心的护理(同理心和同情心、改善患者体验为子主题),(c) 特殊患者群体面临的挑战(患者偏好、语言障碍、患者状况、认可和授权为子主题)、语言障碍、病人状况、承认文化差异作为副主题),以及 (d) 护理教育中的 AIDET(通过实践加强应用、优化频率和时间、促进深入理解、加强反馈机制)作为护士学生的建议。结论尽早将 AIDET 纳入护理教育对护士学生加强沟通、提高患者满意度和提供以患者为中心的护理至关重要,可使他们掌握宝贵的沟通技巧。
{"title":"Nursing students' lived experiences with using AIDET in patient communication: A qualitative study in the Philippines.","authors":"Rudena A Madayag, Jeffrey V Esteron, Diane Anne A Lozano, Evangeline C Bautista, Zenaida S Fernandez, Debbie Q Ramirez","doi":"10.33546/bnj.3258","DOIUrl":"10.33546/bnj.3258","url":null,"abstract":"<p><strong>Background: </strong>Effective communication is vital in nursing, influencing patient safety, satisfaction, and care quality. The AIDET framework is a proven tool for reducing patient anxiety and enhancing their experience. However, perceptions and experiences of Filipino nursing students with AIDET remain unexplored.</p><p><strong>Objective: </strong>This study explored Filipino nursing students' use of AIDET, focusing on benefits, challenges, and improvements.</p><p><strong>Methods: </strong>A qualitative, interpretive phenomenological approach informed by the philosophy of Martin Heidegger was employed. This 2023 study, conducted at a university in Angeles City, Philippines, explored Filipino nursing students' experiences with the AIDET communication framework. Thirty participants were purposefully selected to participate in facilitated discussions following a semi-structured interview guide. Thematic content analysis of the transcribed audio recording identified recurring themes in their narratives, focusing on the meanings they ascribed to their experiences using AIDET.</p><p><strong>Results: </strong>Four themes emerged: (a) Streamlined nurse-patient interaction (organizes communication, rapport building, alleviate anxiety, acknowledgment, and empowerment as sub-themes), (b) Enhances patient-centered care (empathy and compassion, improved patient experience as sub-topics), (c) Challenges with specific patient populations (patient preferences, language barrier, patient condition, acknowledgment of cultural differences as sub-themes), and (d) AIDET in nursing education strengthening application through practice, optimizing frequency and timing, promoting deeper understanding, enhancing feedback mechanism) as student nurses' recommendations.</p><p><strong>Conclusion: </strong>Early integration of AIDET in nursing education is essential for student nurses to enhance communication, improve patient satisfaction, and deliver patient-centered care, equipping them with valuable communication skills.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors associated with self-management behaviors among Chinese adults with ischemic stroke: A cross-sectional study. 缺血性脑卒中中国成人自我管理行为的相关因素:横断面研究
IF 1.1 Q3 NURSING Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3267
Xiaoxiao Chen, Niphawan Samartkit, Khemaradee Masingboon

Background: In China, adults with ischemic stroke are getting younger. Additionally, following a stroke, they often neglect self-management (SM), which significantly impacts the rehabilitation process and treatment outcomes.

Objective: This study aimed to describe SM behavior and examine the relationship between stroke prevention knowledge, life stress, family relationships, and SM behavior among adults with ischemic stroke.

Methods: A total of 125 participants were recruited between October 2022 and March 2023 based on defined inclusion criteria. Research instruments included a demographic questionnaire, the Stroke Self-management Behavior Scale for Young Adults, the Stroke Prevention Knowledge Questionnaire, the Perceived Stress Scale, and the Brief Family Relationship Scale. Data were analyzed using descriptive statistics and Pearson's product-moment correlation.

Results: The mean score of SM behavior was 88.1 out of 130 (SD = 16.5). Stroke prevention knowledge and family relationships showed a moderate positive significant relationship with SM behavior (r = 0.39, r = 0.34, p <0.001, respectively). Life stress had a significant negative relationship with SM behavior (r = -0.33, p <0.001).

Conclusion: The findings offer insights for nurses to develop nursing interventions to promote SM behavior among adults with stroke. Furthermore, they can assist hospitals in transitioning care to the community by emphasizing holistic nursing practices that educate about stroke prevention knowledge, encourage family support, and provide stress management strategies to enhance the SM abilities of adults with stroke.

背景:在中国,成人缺血性脑卒中患者日趋年轻化。研究目的:本研究旨在描述缺血性脑卒中成人的自我管理行为,并探讨脑卒中预防知识、生活压力、家庭关系与自我管理行为之间的关系:本研究旨在描述缺血性脑卒中患者的自我管理行为,并探讨脑卒中预防知识、生活压力、家庭关系与自我管理行为之间的关系:根据确定的纳入标准,在 2022 年 10 月至 2023 年 3 月期间共招募了 125 名参与者。研究工具包括人口统计学问卷、青年卒中自我管理行为量表、卒中预防知识问卷、感知压力量表和简明家庭关系量表。数据分析采用描述性统计和皮尔逊积矩相关分析:SM行为的平均得分为88.1分(满分130分)(SD = 16.5)。卒中预防知识和家庭关系与 SM 行为呈中度正相关(r = 0.39,r = 0.34,p r = -0.33,p 结论:卒中预防知识和家庭关系与 SM 行为呈中度正相关(r = 0.39,r = 0.34,p r = -0.33,p):研究结果为护士制定护理干预措施以促进成人脑卒中患者的 SM 行为提供了启示。此外,通过强调整体护理实践,教育卒中预防知识、鼓励家庭支持、提供压力管理策略以提高成年卒中患者的 SM 能力,可以帮助医院将护理工作过渡到社区。
{"title":"Factors associated with self-management behaviors among Chinese adults with ischemic stroke: A cross-sectional study.","authors":"Xiaoxiao Chen, Niphawan Samartkit, Khemaradee Masingboon","doi":"10.33546/bnj.3267","DOIUrl":"10.33546/bnj.3267","url":null,"abstract":"<p><strong>Background: </strong>In China, adults with ischemic stroke are getting younger. Additionally, following a stroke, they often neglect self-management (SM), which significantly impacts the rehabilitation process and treatment outcomes.</p><p><strong>Objective: </strong>This study aimed to describe SM behavior and examine the relationship between stroke prevention knowledge, life stress, family relationships, and SM behavior among adults with ischemic stroke.</p><p><strong>Methods: </strong>A total of 125 participants were recruited between October 2022 and March 2023 based on defined inclusion criteria. Research instruments included a demographic questionnaire, the Stroke Self-management Behavior Scale for Young Adults, the Stroke Prevention Knowledge Questionnaire, the Perceived Stress Scale, and the Brief Family Relationship Scale. Data were analyzed using descriptive statistics and Pearson's product-moment correlation.</p><p><strong>Results: </strong>The mean score of SM behavior was 88.1 out of 130 (SD = 16.5). Stroke prevention knowledge and family relationships showed a moderate positive significant relationship with SM behavior (<i>r</i> = 0.39, <i>r</i> = 0.34, <i>p</i> <0.001, respectively). Life stress had a significant negative relationship with SM behavior (<i>r</i> = -0.33, <i>p</i> <0.001).</p><p><strong>Conclusion: </strong>The findings offer insights for nurses to develop nursing interventions to promote SM behavior among adults with stroke. Furthermore, they can assist hospitals in transitioning care to the community by emphasizing holistic nursing practices that educate about stroke prevention knowledge, encourage family support, and provide stress management strategies to enhance the SM abilities of adults with stroke.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of a self-care promoting program on engagement in self-care behaviors and health-related outcomes among persons with type 2 diabetes and diabetic retinopathy: A single-blind randomized controlled trial. 自我护理促进计划对 2 型糖尿病和糖尿病视网膜病变患者参与自我护理行为和健康相关结果的影响:单盲随机对照试验。
IF 1.1 Q3 NURSING Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3360
Wimol Madit, Teeranut Harnirattisai, Debra Hain, Paul Anton Gaudio

Background: Diabetic retinopathy (DR) is the most common microvascular complication of diabetes, leading to visual impairment and eventual blindness. Promoting self-care behaviors is crucial in controlling DR progression and preventing blindness.

Objective: This study aimed to investigate the effects of a Self-Care Promoting Program (SCPP) on engagement in self-care behaviors, HbA1c levels, visual acuity (VA), severity of DR, and vision-related quality of life (VRQoL) among individuals with type 2 diabetes and DR.

Methods: This study employed a single-blind randomized controlled trial design to compare SCPP with conventional diabetic care interventions (standard care). The SCPP was based on the Self-Care of Chronic Illness Theory, Self-efficacy theory, and the Association of Diabetic Care and Education Specialist (ADCES) guidelines incorporating health education, self-care maintenance, monitoring, and management skills training over 12 weeks. Ninety-eight participants were randomly allocated to the experimental or control group (n = 49 per group). While the experimental group received SCPP alongside standard care, the control group received standard care alone. Data collection occurred between May 2022 and March 2023 and included demographic information, the Self-Care of Diabetes Index questionnaire (SCODI), the self-care for diabetes eye care questionnaire (SCFDE), the impact of visual impairment questionnaire (IVI-Thai version), and retinal images for DR severity grading. Data analysis utilized descriptive statistics, Chi-Square tests, t-tests, and MANOVA.

Results: Following 8 and 16 weeks of SCPP, the experimental group had significantly higher mean scores in engagement with self-care and eye-care behaviors compared to the control group (p <0.001). The highest scores were observed in self-care and eye-care confidence behaviors, followed by maintenance, monitoring, and management. Furthermore, HbA1c levels and VRQoL significantly decreased and were lower than those of the control group at week 16 (p <0.001 and p <0.05, respectively). However, there were no significant differences in VA, and DR severity increased in both groups by week 16.

Conclusion: SCPP benefits individuals with DR, enhancing their confidence and ability to perform, monitor, and manage self-care behaviors. These strategies contribute to improved diabetes management, enhanced quality of life, and reduced DR-related blindness. Integrating SCPP into routine DR management is recommended, with nurses playing a pivotal role in overseeing and driving this integration, highlighting the critical role of nurses in managing this widespread global disease.

Trial registry number: Thai Clinical Trials Registration (TCTR20230302002).

背景:糖尿病视网膜病变(DR)是糖尿病最常见的微血管并发症,可导致视力损害和最终失明。促进自我保健行为对控制糖尿病视网膜病变的发展和预防失明至关重要:本研究旨在探讨自我护理促进计划(SCPP)对 2 型糖尿病和 DR 患者的自我护理行为参与、HbA1c 水平、视力(VA)、DR 严重程度和视力相关生活质量(VRQoL)的影响:本研究采用单盲随机对照试验设计,比较 SCPP 与传统糖尿病护理干预(标准护理)。SCPP以慢性病自我护理理论、自我效能理论和糖尿病护理与教育专家协会(ADCES)指南为基础,结合健康教育、自我护理维护、监测和管理技能培训,为期12周。98 名参与者被随机分配到实验组或对照组(每组 49 人)。实验组在接受标准护理的同时接受 SCPP,而对照组则只接受标准护理。数据收集时间为 2022 年 5 月至 2023 年 3 月,内容包括人口统计学信息、糖尿病自我护理指数问卷(SCODI)、糖尿病眼部自我护理问卷(SCFDE)、视力损伤影响问卷(IVI-泰国版)以及用于 DR 严重程度分级的视网膜图像。数据分析采用了描述性统计、Chi-Square 检验、t 检验和 MANOVA:结果:在接受 8 周和 16 周的 SCPP 治疗后,与对照组相比,实验组在自我护理和护眼行为参与度方面的平均得分明显更高(P P P 结论:SCPP 对 DR 患者有益,并能改善他们的视力:SCPP 能增强 DR 患者的信心,提高他们执行、监控和管理自我护理行为的能力,从而使他们受益。这些策略有助于改善糖尿病管理,提高生活质量,减少与 DR 相关的失明。建议将 SCPP 纳入常规 DR 管理中,护士在监督和推动这一整合中发挥关键作用,这凸显了护士在管理这一广泛存在的全球性疾病中的关键作用:泰国临床试验注册(TCTR20230302002)。
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引用次数: 0
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Belitung Nursing Journal
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