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The effects of a symptom management program on symptom experience and physical function in Thai adults with chronic obstructive pulmonary disease: A single-blind randomized controlled trial study. 症状管理计划对泰国慢性阻塞性肺病成人患者症状体验和身体功能的影响:单盲随机对照试验研究。
IF 1.1 Q3 NURSING Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3393
Apinya Kochamat, Teeranut Harnirattisai, Evanne Juratovac

Background: Adults with Chronic Obstructive Pulmonary Disease (COPD) experience a range of unpleasant symptoms, including fatigue, dyspnea, sleep disturbances, anxiety, and depression, that are interrelated and impact one another. Developing a program to handle simultaneous symptoms poses challenges but offers advantages for adults with COPD in efficiently managing symptoms.

Objective: This study aimed to determine the effects of a symptom management program on symptom experience and physical function in Thai adults with COPD.

Methods: A randomized controlled trial (RCT) with a Repeated Measures design was performed. One hundred and two participants were allocated randomly to either the control group (n = 51) or the experimental group (n = 51). The experimental group received eight weeks of the symptom management program and usual care, while the control care group received only usual care. Data were collected from January 2023 to August 2023 at baseline, 4th weeks, and 8th weeks using the demographic data, the modified Medical Research Council (mMRC), the Pittsburgh Sleep Quality Index (PSQI), the Multidimensional Assessment of Fatigue (MAF), the Hospital Anxiety and Depression Assessment Scale (HADS), the COPD Assessment Test (CAT), and 6-Minute Walk Distance (6-MWD). The hypotheses were analyzed using Repeated Measures Multivariate Analysis of Variance (MANOVA).

Results: The symptom management program significantly impacted the experimental group's symptom experience and physical function at Weeks 4 and 8 (F = 5.257, p <0.001). There were significantly improved mean scores for the mMRC, MAF, 6MWD, and CAT (p <0.001, p <0.05). No statistically significant differences were observed in the PSQI, HADS-Anxiety, and HADS-Depression over time.

Conclusion: Implementing a symptom management program can help patients with COPD efficiently manage their symptoms. In clinical settings, nurses should integrate this program into routine nursing care to enhance the quality of life for patients suffering from COPD. The program can help patients preserve physical functionality while reducing dependence on family and society.

Trial registry number: Thai Clinical Trials Registry (TCTR20230111006).

背景:慢性阻塞性肺病(COPD)患者会出现一系列令人不快的症状,包括疲劳、呼吸困难、睡眠障碍、焦虑和抑郁,这些症状相互关联并相互影响。开发一种程序来处理同时出现的症状是一项挑战,但却能为慢性阻塞性肺病成人患者有效控制症状提供优势:本研究旨在确定症状管理计划对泰国慢性阻塞性肺病成人患者的症状体验和身体功能的影响:方法:采用重复测量设计进行随机对照试验(RCT)。112 名参与者被随机分配到对照组(51 人)或实验组(51 人)。实验组接受为期八周的症状管理计划和常规护理,而对照护理组只接受常规护理。数据收集时间为 2023 年 1 月至 2023 年 8 月的基线、第 4 周和第 8 周,使用的数据包括人口统计学数据、改良医学研究委员会 (mMRC)、匹兹堡睡眠质量指数 (PSQI)、疲劳多维评估 (MAF)、医院焦虑抑郁评估量表 (HADS)、慢性阻塞性肺病评估测试 (CAT) 和 6 分钟步行距离 (6-MWD)。假设采用重复测量多变量方差分析(MANOVA)进行分析:结果:在第 4 周和第 8 周,症状管理计划对实验组的症状体验和身体功能产生了明显影响(F = 5.257,p p p 结论:实施症状管理计划可帮助实验组患者减轻症状,提高身体功能:实施症状管理计划可帮助慢性阻塞性肺病患者有效控制症状。在临床环境中,护士应将该计划纳入常规护理中,以提高慢性阻塞性肺病患者的生活质量。该计划可以帮助患者保持身体功能,同时减少对家庭和社会的依赖:泰国临床试验登记处(TCTR20230111006)。
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引用次数: 0
Factors predicting menstrual irregularity among university students in Ho Chi Minh City, Vietnam: A cross-sectional study. 越南胡志明市大学生月经不调的预测因素:一项横断面研究
IF 1.1 Q3 NURSING Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3303
Nhan Thi Nguyen, Trinh Thi My Le

Background: University students often face menstrual irregularities, particularly among healthcare students, due to rigorous study environments, such as night duties resembling professional staff responsibilities.

Objective: This study aimed to examine the prevalence of and factors predicting menstrual irregularities among female students in Ho Chi Minh City, Vietnam.

Methods: A cross-sectional study was conducted from April to July 2023 at the University of Medicine and Pharmacy at Ho Chi Minh City (UMP). Data were collected using self-administered questionnaires comprising sections on personal background, menstrual cycles, sleep duration, and academic stress. Descriptive statistics and multiple logistic regression were employed for data analysis.

Results: Approximately 48.3% of participants experienced menstrual irregularities. Overweight or obese students were more likely to experience irregularities compared to those of normal weight (AOR = 7.56, 95% CI = 1.34, 80.8). Nursing majors (including nursing, midwifery, and anesthesia resuscitation nursing) showed a higher likelihood of irregularities compared to other majors (AOR = 2.5, 95% CI = 1.35, 4.13).

Conclusion: This study highlights a significant prevalence of menstrual irregularities among female students. Interventions in nursing education should focus on promoting healthy lifestyles and regular physical activity to manage weight and mitigate menstrual irregularities.

背景:大学生经常面临月经不调的问题,尤其是医疗专业的学生,这是因为他们的学习环境非常严格,比如晚上的值班工作类似于专业人员的职责:本研究旨在探讨越南胡志明市女大学生月经不调的发生率和预测因素:这项横断面研究于 2023 年 4 月至 7 月在胡志明市医药大学(UMP)进行。数据通过自填式问卷收集,包括个人背景、月经周期、睡眠时间和学习压力等部分。数据分析采用了描述性统计和多元逻辑回归:结果:约 48.3% 的参与者有月经不调的经历。与体重正常的学生相比,超重或肥胖的学生更容易出现月经不调(AOR = 7.56,95% CI = 1.34,80.8)。护理专业(包括护理、助产和麻醉复苏护理)的学生与其他专业的学生相比,更容易出现月经不调(AOR = 2.5,95% CI = 1.35,4.13):本研究强调了月经不调在女学生中的显著发生率。护理教育中的干预措施应侧重于推广健康的生活方式和有规律的体育活动,以控制体重和缓解月经不调。
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引用次数: 0
Adherence to treatment in pulmonary tuberculosis: Rodgers' evolutionary concept analysis. 肺结核的坚持治疗:罗杰斯的演变概念分析。
IF 1.1 Q3 NURSING Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3416
Yunus Adhy Prasetyo, Sureeporn Thanasilp, Sunida Preechawong

Background: Adherence to treatment is essential for the management of pulmonary tuberculosis. Nurses and healthcare professionals play a significant role in promoting adherence behavior among this population. Nevertheless, defining adherence to treatment within this particular population remains complex.

Objective: This study aimed to explore and clarify the concept of adherence to treatment among individuals with pulmonary tuberculosis.

Methods: Rodgers' evolutionary concept analysis was employed in this study. A literature search was conducted in the PubMed and Scopus databases to identify relevant studies published between July 2013 and July 2023.

Results: The attributes of adherence to treatment in pulmonary tuberculosis consist of multiple components: biological, individual, social, health service, and policy-making processes. Antecedents include various patient-related factors as well as factors associated with clinical conditions and patient-health professional engagement. Three consequences of the concept have emerged: enhanced treatment efficacy, increased commitment to tuberculosis treatment adherence, and improved health service quality.

Conclusion: This study provides a comprehensive operational definition of adherence to tuberculosis treatment, including its attributes, antecedents, and consequences. This framework will assist nurses in evaluating adherence more effectively. However, further research into the experiences of individuals adhering to tuberculosis treatment is needed to confirm and enhance these strategies.

背景:坚持治疗对于肺结核的治疗至关重要。护士和医护人员在促进这类人群坚持治疗方面发挥着重要作用。然而,对这一特殊人群坚持治疗的定义仍然很复杂:本研究旨在探讨和澄清肺结核患者坚持治疗的概念:本研究采用了罗杰斯的进化概念分析。在 PubMed 和 Scopus 数据库中进行文献检索,以确定 2013 年 7 月至 2023 年 7 月间发表的相关研究:肺结核患者坚持治疗的属性由多个部分组成:生物、个人、社会、医疗服务和政策制定过程。前因包括各种与患者相关的因素以及与临床条件和患者-医疗专业人员参与相关的因素。这一概念产生了三个结果:提高治疗效果、增强坚持结核病治疗的决心以及改善医疗服务质量:本研究为坚持结核病治疗提供了一个全面的操作定义,包括其属性、前因和后果。这一框架将有助于护士更有效地评估坚持治疗的情况。不过,还需要进一步研究坚持结核病治疗者的经历,以确认和改进这些策略。
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引用次数: 0
Maternal knowledge on nutritional-focused nurturing care and associated factors among women with stunted children aged 6-23 months in Yogyakarta, Indonesia: A cross-sectional study. 印度尼西亚日惹有 6-23 个月发育迟缓儿童的妇女中,母亲对以营养为重点的抚育护理的了解及相关因素:一项横断面研究。
IF 1.1 Q3 NURSING Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3481
Fitri Haryanti, Sri Hartini, Akhmadi, Fitriana Andarwati, Hani Risnawati, Alissa Nur Pratiwi, Ananda Sekar Kusumawati, Redyta Dwi Cahyani, Lely Lusmilasari

Background: Childhood stunting poses serious long-term risks to cognitive development, education, and adult productivity. While research has explored stunting's causes and effects, there is a lack of focus on maternal knowledge of nutrition-focused nurturing care for stunted children. This gap limits the ability to design effective interventions that target improved caregiving practices.

Objective: This study aimed to assess maternal knowledge of nutrition-focused nurturing care and explore associated factors, including child gender, maternal age, education, income, and prior exposure to nurturing care information, among mothers of stunted children aged 6-23 months in Indonesia.

Methods: A cross-sectional study was conducted with 73 mothers in Kulon Progo, Yogyakarta. Data were collected from February to March 2024 using a validated self-assessment questionnaire covering four domains: responsive caregiving, early learning opportunities, safety and security, and supportive caregiver well-being. Statistical analyses, including t-tests and one-way ANOVA, were performed.

Results: Overall maternal knowledge of nurturing care was high, with a mean score of 25.15 (SD = 4.72). Factors significantly associated with higher knowledge included having male children (p = 0.017), being aged 30-34 years (p = 0.035), possessing higher education levels (p = 0.002), and prior exposure to nurturing care information (p <0.001). Family income significantly influenced knowledge in the domain of early learning opportunities (p = 0.006), though not in other areas.

Conclusion: Maternal knowledge of nutrition-focused nurturing care was influenced by child gender, maternal age, education, income, and prior exposure to nurturing care information. These findings emphasize the importance of focused educational interventions in nursing practice to enhance maternal knowledge. Addressing these factors can help align nursing strategies better to support the healthy growth and development of children.

背景:儿童发育迟缓对认知发展、教育和成人生产力构成严重的长期风险。虽然研究人员已经对发育迟缓的原因和影响进行了探讨,但却没有重点关注母亲对发育迟缓儿童的营养培育护理知识。这一空白限制了设计有效干预措施以改善护理实践的能力:本研究旨在评估印度尼西亚 6-23 个月发育迟缓儿童的母亲对以营养为重点的抚育护理知识的了解程度,并探讨相关因素,包括儿童性别、母亲年龄、教育程度、收入以及之前是否接触过抚育护理信息:对日惹库隆普罗戈(Kulon Progo)的 73 位母亲进行了横断面研究。数据收集时间为 2024 年 2 月至 3 月,采用的是经过验证的自我评估问卷,涵盖四个方面:有针对性的照顾、早期学习机会、安全和保障以及支持性照顾者福祉。统计分析包括 t 检验和单因素方差分析:产妇对养育护理的总体了解程度较高,平均分为 25.15 分(标准差 = 4.72)。与较高知识水平明显相关的因素包括:有男性子女(p = 0.017)、年龄在 30-34 岁之间(p = 0.035)、拥有较高的教育水平(p = 0.002)和之前接触过抚育护理信息(p p = 0.006),但其他方面的因素不相关:结论:孕产妇对以营养为重点的抚育护理知识的了解程度受儿童性别、孕产妇年龄、教育程度、收入和之前是否接触过抚育护理信息的影响。这些发现强调了在护理实践中采取有针对性的教育干预措施以提高产妇知识的重要性。解决这些因素有助于更好地调整护理策略,以支持儿童的健康成长和发展。
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引用次数: 0
Strengthening psychological well-being of Indonesian females with breast cancer through the religious-based caring program: A quasi-experimental study among Muslim population. 通过宗教关爱计划加强印尼女性乳腺癌患者的心理健康:一项针对穆斯林人群的准实验研究。
IF 1.1 Q3 NURSING Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3452
Maria Komariah, Hana Rizmadewi Agustina, Laili Rahayuwati, Kurniawan Kurniawan, Nina Gartika, Arpit Mago, Shurouq Ghalib Qadous, Sidik Maulana

Background: Breast cancer presents significant psychological challenges along with physical health concerns, particularly in settings where cultural and spiritual values play a critical role in patient care.

Objective: This study aimed to investigate the effect of a religious caring program on the psychological well-being of Indonesian females with breast cancer.

Methods: This was a quasi-experimental study with a pretest and posttest control group design, conducted from January to July 2019 at a chemotherapy unit in Bandung, Indonesia. The patients with breast cancer were assigned to the experimental group (n = 55) and the control group (n = 57). Data were collected using the Psychological Well-Being Scale before and three weeks after the intervention. The data were analyzed using independent t-test and ANCOVA (Analysis of Covariance).

Results: There was a significant improvement in the mean psychological well-being score in the experimental group following the intervention compared to the control group, with the experimental group showing a significantly higher mean score (Cohen's d = 1.4548, p <0.001). None of the covariates significantly affected psychological well-being among the experimental group (p >0.05).

Conclusion: These results indicate that a religion-based caring program enhances psychological well-being. Thus, the program was effective and particularly well-suited for clinical nurses, suggesting that it should be recommended for Indonesian females with breast cancer to promote their recovery.

背景:乳腺癌给患者带来了巨大的心理挑战和身体健康问题,尤其是在文化和精神价值观对患者护理起着关键作用的环境中:本研究旨在探讨宗教关爱项目对印尼女性乳腺癌患者心理健康的影响:这是一项准实验研究,采用前测和后测对照组设计,于2019年1月至7月在印度尼西亚万隆的一家化疗病房进行。乳腺癌患者被分配到实验组(n = 55)和对照组(n = 57)。在干预前和干预后三周,使用心理幸福感量表收集数据。采用独立 t 检验和方差分析对数据进行分析:结果:与对照组相比,实验组在干预后的平均心理幸福感得分有了明显提高,实验组的平均得分明显更高(Cohen's d = 1.4548,p p >0.05):这些结果表明,以宗教为基础的关爱计划能增强心理健康。结论:这些结果表明,基于宗教的关爱计划能增强患者的心理健康,因此,该计划是有效的,尤其适合临床护士,建议推荐给患有乳腺癌的印尼女性患者,以促进她们的康复。
{"title":"Strengthening psychological well-being of Indonesian females with breast cancer through the religious-based caring program: A quasi-experimental study among Muslim population.","authors":"Maria Komariah, Hana Rizmadewi Agustina, Laili Rahayuwati, Kurniawan Kurniawan, Nina Gartika, Arpit Mago, Shurouq Ghalib Qadous, Sidik Maulana","doi":"10.33546/bnj.3452","DOIUrl":"https://doi.org/10.33546/bnj.3452","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer presents significant psychological challenges along with physical health concerns, particularly in settings where cultural and spiritual values play a critical role in patient care.</p><p><strong>Objective: </strong>This study aimed to investigate the effect of a religious caring program on the psychological well-being of Indonesian females with breast cancer.</p><p><strong>Methods: </strong>This was a quasi-experimental study with a pretest and posttest control group design, conducted from January to July 2019 at a chemotherapy unit in Bandung, Indonesia. The patients with breast cancer were assigned to the experimental group (<i>n</i> = 55) and the control group (<i>n</i> = 57). Data were collected using the Psychological Well-Being Scale before and three weeks after the intervention. The data were analyzed using independent <i>t</i>-test and ANCOVA (Analysis of Covariance).</p><p><strong>Results: </strong>There was a significant improvement in the mean psychological well-being score in the experimental group following the intervention compared to the control group, with the experimental group showing a significantly higher mean score (Cohen's <i>d</i> = 1.4548, <i>p</i> <0.001). None of the covariates significantly affected psychological well-being among the experimental group (<i>p ></i>0.05).</p><p><strong>Conclusion: </strong>These results indicate that a religion-based caring program enhances psychological well-being. Thus, the program was effective and particularly well-suited for clinical nurses, suggesting that it should be recommended for Indonesian females with breast cancer to promote their recovery.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 4","pages":"416-423"},"PeriodicalIF":1.1,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11350351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113149","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
Experiences of Indonesian women with breast cancer underwent treatment decision-making: A qualitative study. 印度尼西亚女性乳腺癌患者的治疗决策经验:定性研究。
IF 1.1 Q3 NURSING Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3395
Yenni Ferawati Sitanggang, Hung-Ru Lin

Background: Patients with breast cancer face a complex situation upon receiving their diagnosis and considering future treatment options. In Indonesian culture, relatives and others significantly influence decision-making processes. Understanding the perspectives of Indonesian women with breast cancer regarding treatment decision-making can enhance satisfaction with the care provided.

Objective: This study aimed to explore the experiences of Indonesian women with breast cancer regarding treatment decision-making.

Methods: A qualitative descriptive study design was utilized. Purposive sampling was employed to select the study participants. In-depth interviews were conducted with 15 women with breast cancer between March and June 2023. The data were analyzed using thematic analysis.

Results: Three main themes were developed: 1) Emotional impact and uncertainty in cancer care, 2) Clear communication and support for patients, and 3) Family-centered decision-making in treatment planning.

Conclusion: This study highlights the perspectives of Indonesian women with breast cancer on treatment decision-making. Nurses play a crucial role in providing clear information to patients and their families during the decision-making process. Understanding the experiences of women with breast cancer can help support and empower patients through effective communication while they undergo treatment.

背景:乳腺癌患者在接受诊断和考虑未来治疗方案时面临着复杂的情况。在印尼文化中,亲属和其他人对决策过程有很大影响。了解印尼女性乳腺癌患者对治疗决策的看法,可以提高她们对所提供护理的满意度:本研究旨在探讨印尼乳腺癌女性患者在治疗决策方面的经验:方法:采用描述性定性研究设计。方法: 采用定性描述性研究设计,通过有目的的抽样来选择研究参与者。2023 年 3 月至 6 月期间,对 15 名乳腺癌女性患者进行了深入访谈。研究采用主题分析法对数据进行分析:形成了三大主题1) 癌症护理中的情绪影响和不确定性;2) 清晰的沟通和对患者的支持;3) 治疗计划中以家庭为中心的决策:本研究强调了印度尼西亚女性乳腺癌患者对治疗决策的看法。在决策过程中,护士在向患者及其家属提供清晰信息方面发挥着至关重要的作用。了解女性乳腺癌患者的经历有助于在她们接受治疗时通过有效的沟通为她们提供支持并增强她们的能力。
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引用次数: 0
The mediating effects of resilience in the relationship between social support and posttraumatic growth in patients with acute coronary syndrome in China. 中国急性冠脉综合征患者社会支持与创伤后成长关系中复原力的中介效应。
IF 1.1 Q3 NURSING Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3357
Nan Tang, Khemaradee Masingboon, Pornpat Hengudomsub

Background: Posttraumatic growth has a positive impact on patients diagnosed with acute coronary syndrome (ACS). Patients with acute coronary syndrome in China report low to moderate levels of posttraumatic growth. Additionally, there is a dearth of research exploring the associations between resilience, social support, and posttraumatic growth in this specific patient population.

Objective: This study examined whether resilience serves as a mediator between social support and posttraumatic growth in patients with acute coronary syndrome who had been discharged for 1 to 6 months and were being followed up in clinics.

Methods: A descriptive correlational study design was utilized. A systematic sampling technique was used to recruit 121 patients with acute coronary syndrome who had been discharged for 1 to 6 months from cardiovascular clinics of a tertiary care hospital in Jiangsu Province, China. The research instruments included the demographic characteristics questionnaire, the Connor-Davidson Resilience Scale, the Multidimensional Scale of Perceived Social Support, and the Posttraumatic Growth Inventory. The data were collected between August 2022 and November 2022 and were analyzed using descriptive statistics and regression analyses to determine the mediating effects.

Results: The level of posttraumatic growth among patients with acute coronary syndrome attending follow-up clinic visits was moderate (Mean = 60.58, SD = 14.13). Resilience had a direct and positive impact on posttraumatic growth (β = 0.361, p <0.001). Moreover, resilience fully mediated the relationship between social support and posttraumatic growth (indirect effect = 0.203, 95% CI [0.076, 0.331]; direct effect = 0.162, p = 0.101).

Conclusion: Patients with acute coronary syndrome in China experience moderate posttraumatic growth after discharge. Resilience mediates the relationship between social support and posttraumatic growth. Therefore, nursing interventions focusing on promoting social support and resilience should be developed to encourage posttraumatic growth in patients with acute coronary syndrome.

背景:创伤后成长对确诊为急性冠状动脉综合征(ACS)的患者有积极影响。在中国,急性冠状动脉综合征患者的创伤后成长处于中低水平。此外,在这一特殊患者群体中,探索抗逆力、社会支持和创伤后成长之间关系的研究还很缺乏:本研究对出院 1-6 个月并在诊所接受随访的急性冠状动脉综合征患者进行了调查,以了解抗逆力是否是社会支持与创伤后成长之间的中介:方法: 采用描述性相关研究设计。采用系统抽样技术,从江苏省某三级甲等医院心血管内科门诊招募了121名出院1至6个月的急性冠脉综合征患者。研究工具包括人口学特征问卷、康纳-戴维森复原力量表、感知社会支持多维量表和创伤后成长量表。数据收集时间为2022年8月至2022年11月,采用描述性统计和回归分析法对数据进行分析,以确定中介效应:参加随访的急性冠状动脉综合征患者的创伤后成长水平为中等(平均值=60.58,标准差=14.13)。复原力对创伤后成长有直接的积极影响(β = 0.361,P = 0.101):结论:中国急性冠脉综合征患者出院后会经历中度创伤后成长。复原力是社会支持与创伤后成长之间关系的中介。因此,应制定以促进社会支持和复原力为重点的护理干预措施,以鼓励急性冠脉综合征患者的创伤后成长。
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引用次数: 0
Diabetes self-management and its influencing factors among adults with type 2 diabetes mellitus in rural Sri Lanka: A cross-sectional study. 斯里兰卡农村 2 型糖尿病成人的糖尿病自我管理及其影响因素:一项横断面研究。
IF 1.1 Q3 NURSING Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3441
Samantha Sandamali Premadasa, Khemaradee Masingboon, Niphawan Samartkit

Background: Diabetes Self-Management (DSM) is pivotal in managing diabetes. However, poor engagement in DSM has been observed in rural Sri Lankan settings. Thus, identifying factors influencing DSM is crucial for nurses and other healthcare professionals.

Objectives: This study aimed to describe DSM among adults with Type 2 Diabetes Mellitus (T2DM) in rural Sri Lanka and to examine whether perceived stress, health literacy, self-efficacy, and family support can predict DSM among adults with T2DM in rural Sri Lanka.

Methods: This correlational predictive study used a simple random sampling technique to recruit 160 adults with T2DM from an outpatient clinic at a secondary care hospital in a rural area of Sri Lanka. Data were collected from March to April 2024 using socio-demographic and standardized questionnaires to examine predictive factors of DSM, including perceived stress, health literacy, self-efficacy, and family support. Data analysis was conducted using descriptive statistics and standard multiple linear regression analysis.

Results: Approximately half of the participants had uncontrolled T2DM (Fasting Plasma Glucose (FPG) >126) and sub-optimal DSM. The analysis revealed that all variables could explain 39.3% of the variance in DSM among rural Sri Lankan adults with T2DM. However, DSM was significantly predicted by self-efficacy (β = 0.530, p = 0.001), harmful family involvement (β = -0.169, p = 0.038), and health literacy (β = -0.162, p = 0.020).

Conclusion: The findings emphasized the need for further development of interventions to increase self-efficacy and reduce harmful family involvement to enhance DSM among adults with T2DM. Nurses and other healthcare providers should target family members' engagement to improve self-efficacy among this population.

背景:糖尿病自我管理(DSM)是控制糖尿病的关键。然而,在斯里兰卡农村地区,糖尿病自我管理的参与度很低。因此,确定影响糖尿病自我管理的因素对护士和其他医疗保健专业人员至关重要:本研究旨在描述斯里兰卡农村地区 2 型糖尿病(T2DM)成人患者的 DSM,并探讨感知压力、健康素养、自我效能和家庭支持能否预测斯里兰卡农村地区 2 型糖尿病成人患者的 DSM:这项相关预测性研究采用简单随机抽样技术,从斯里兰卡农村地区一家二级医院的门诊中招募了 160 名 T2DM 成人患者。研究人员在 2024 年 3 月至 4 月期间使用社会人口学和标准化问卷收集数据,以研究 DSM 的预测因素,包括感知压力、健康素养、自我效能和家庭支持。数据分析采用描述性统计和标准多元线性回归分析:大约一半的参与者患有未控制的 T2DM(空腹血浆葡萄糖(FPG)>126)和未达到最佳的 DSM。分析表明,所有变量都能解释斯里兰卡农村成年 T2DM 患者 DSM 变异的 39.3%。然而,自我效能(β = 0.530,p = 0.001)、有害家庭参与(β = -0.169,p = 0.038)和健康素养(β = -0.162,p = 0.020)对 DSM 有明显的预测作用:研究结果表明,有必要进一步制定干预措施,以提高 T2DM 成人患者的自我效能,减少有害的家庭参与,从而加强 DSM。护士和其他医疗服务提供者应针对家庭成员的参与来提高这一人群的自我效能。
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引用次数: 0
Nursing students' perceptions of the qualities of clinical instructors in a public university in Jordan: A qualitative study. 约旦一所公立大学护理专业学生对临床导师素质的看法:一项定性研究。
IF 1.1 Q3 NURSING Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3469
Raed Shudifat, Abdullah Algunmeeyn, Deema Mahasne, Haytham Al-Oran, Hamza Alduraidi, Ghada Abu Shosha

Background: Nursing clinical education is a key to developing nursing students' knowledge, skills, and competencies. Few studies have attempted to explore students' perceptions regarding the qualities of effective clinical instructors.

Objective: The current study aims to explore nursing students' perceptions of effective clinical instructors' qualities in Jordan.

Methods: A qualitative exploratory approach was used to deepen our understanding of nursing students' perceptions of effective clinical instructors' qualities. A total of 21 nursing students were involved, and data were collected from June to August 2023. Data were analyzed using the thematic analysis approach.

Results: The thematic analysis revealed two main themes. The first theme was professional qualities, comprising four subthemes: professional knowledge and experience, acting as a role model, performing as a caring one, and assembling effective communication. The second theme was building a good rapport. The findings demonstrated that clinical instructor qualities impacted how students perceived their teaching effectiveness, and they identified professional knowledge and competence as crucial qualities of an effective clinical instructor. It was acknowledged that caring behaviors and effective communication skills were essential behavioral attributes for clinical instructors.

Conclusion: Nursing students have valued particular characteristics of effective clinical instructors. These characteristics were knowledge, caring, relationships, role models, and communication. Further research is needed to validate the study's findings.

背景:护理临床教育是培养护生知识、技能和能力的关键。很少有研究试图探讨学生对有效临床带教老师素质的看法:本研究旨在探讨约旦护理专业学生对高效临床带教老师素质的看法:方法:采用定性探索方法,加深我们对护理专业学生对有效临床带教老师素质的认识。共有 21 名护理专业学生参与,数据收集时间为 2023 年 6 月至 8 月。采用主题分析法对数据进行了分析:专题分析揭示了两大主题。第一个主题是专业素质,包括四个次主题:专业知识和经验、发挥榜样作用、发挥关爱作用、进行有效沟通。第二个主题是建立良好的关系。研究结果表明,临床指导教师的素质影响着学生对其教学效果的看法,他们认为专业知识和能力是有效临床指导教师的关键素质。他们认为,关爱行为和有效的沟通技巧是临床带教老师的基本行为特质:结论:护理专业学生重视有效临床带教老师的特定特征。这些特征包括知识、关怀、关系、榜样和沟通。需要进一步研究来验证研究结果。
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引用次数: 0
The effect of the peer support intervention on internalized stigma among Thai patients with tuberculosis: A repeated measures design. 同伴互助干预对泰国肺结核患者内化耻辱感的影响:重复测量设计
IF 1.1 Q3 NURSING Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.33546/bnj.3327
Nisakorn Vibulchai, Kamthorn Dana, Monruedee Sanchan, Charanya Churari, Bunjong Jadboonnak, Wattana Sawangsri, Wansu Taweekanachote Pothiporn, Udomlak Sutthicharoen

Background: Internalized stigma among patients with tuberculosis (TB) significantly affects delayed diagnosis, increased disease transmission, and poor treatment outcomes. However, conclusive empirical evidence on psychosocial interventions to reduce internalized stigma among patients with TB in Thailand remains scarce.

Objective: This study aimed to examine the impact of a peer support intervention on reducing internalized stigma among patients with TB in Thailand.

Methods: A one-group within-subjects repeated-measure design was conducted in the Muang Maha Sarakham district, Thailand, from February 2023 to July 2023. The study included 26 participants who met specified criteria. Measurements were taken at baseline, three months, and six months following TB diagnosis and medication treatment. The peer support intervention comprised TB health education, psycho-educational sessions, self-management support, and home visits. The Internalized Stigma of Tuberculosis Scale Thai Version was used to measure internalized stigma. Statistical analyses included descriptive statistics and repeated measures ANOVA.

Results: Mean scores of total internalized stigma and its sub-dimensions (alienation, stereotype endorsement, discrimination experience, social withdrawal, and stigma resistance) differed significantly across the three-time points (p <0.001, p <0.001, p <0.001, p <0.001, p <0.001, p = 0.002, respectively). Furthermore, stigma resistance scores significantly increased from pre-intervention to three months (p = 0.005) and from pre-intervention to six months (p = 0.007). However, no significant increase was observed from three to six months (p = 0.079).

Conclusions: The study underlines the positive impact of peer support intervention in reducing internalized stigma among patients with TB in Thailand over time. The findings suggest that interventions focusing on peer support can potentially address internalized stigma, highlighting the importance of integrating these strategies into healthcare practices to enhance patient care and improve TB management outcomes.

背景:结核病(TB)患者的内化耻辱感会严重影响诊断延迟、疾病传播增加和治疗效果不佳。然而,在泰国,有关采取心理干预措施以减少结核病患者内化耻辱感的确凿证据仍然很少:本研究旨在探讨同伴支持干预对减少泰国肺结核患者内化病耻感的影响:从 2023 年 2 月到 2023 年 7 月,在泰国 Muang Maha Sarakham 区进行了一组受试者内重复测量设计。研究包括 26 名符合特定标准的参与者。分别在结核病诊断和药物治疗后的基线、三个月和六个月进行测量。同伴支持干预包括结核病健康教育、心理教育课程、自我管理支持和家访。结核病内部化耻辱感量表泰语版用于测量内部化耻辱感。统计分析包括描述性统计和重复测量方差分析:总内在化成见及其子维度(疏远、刻板印象认可、歧视经历、社会退缩和成见抵制)的平均得分在三个时间点之间存在显著差异(分别为 p p p p p p = 0.002)。此外,从干预前到三个月(p = 0.005),以及从干预前到六个月(p = 0.007),污名化抵制得分均有明显增加。然而,从三个月到六个月没有观察到明显增加(p = 0.079):本研究强调了同伴支持干预措施对减少泰国肺结核患者内化耻辱感的积极影响。研究结果表明,以同伴支持为重点的干预措施有可能解决内化的污名化问题,突出了将这些策略纳入医疗保健实践的重要性,以加强对患者的护理并改善结核病的管理效果。
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引用次数: 0
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Belitung Nursing Journal
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