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Lived Experience of Survivors during Semeru’s Mount Eruption in East Java, Indonesia 印度尼西亚东爪哇塞梅鲁火山爆发幸存者的生活经历
IF 0.7 Q4 NURSING Pub Date : 2023-10-31 DOI: 10.54771/jnms.v2i2.1316
Idham Choliq, Dede Nasrullah, Uswatun Hasanah, Vika Ramadhana Fitriyani, Islam Syarifurrahman, Firman, Ira Purnamasari
Background: To date, there is no studies have examined the response to loss and grief in disasters because the impact of disasters is seen in the form of psychopathology. Researching grief can provide pivotal information for developing tailored instruments and interventions especially in nursing. Purpose: This study will explore various loss and grief experiences and coping strategies experienced by survivors of the eruption of Mount Semeru in East Java, Indonesia. Methods: This study uses a qualitative approach with phenomenological methods. There were six informants in this study drawn from various professions and survivors who fled both in refugee camps and in residents' homes. Results: There are three categories of grief responses: denial, anger, and acceptance. Coping strategies focus on emotions and problem-solving. The grieving response experienced by respondents does not have to go through the phases of denial, anger, bargaining, depression, and acceptance. Conclusion: These show that differences in grieving responses are influenced by the background of the events experienced, previous grieving experiences, gender, culture, and others. Most of the communities affected by the eruption of Mount Semeru have low coping mechanisms.
背景:迄今为止,还没有研究对灾难中的损失和悲伤做出反应,因为灾难的影响是以心理病理学的形式出现的。对悲伤的研究可以为开发有针对性的工具和干预措施提供关键信息,尤其是在护理领域。目的:本研究将探讨印度尼西亚东爪哇岛塞梅鲁火山爆发幸存者的各种损失和悲伤经历以及应对策略。研究方法本研究采用现象学的定性方法。本研究的六名信息提供者来自不同行业,他们都是在难民营和居民家中逃难的幸存者。研究结果悲伤反应分为三类:否认、愤怒和接受。应对策略侧重于情绪和解决问题。受访者经历的悲伤反应不一定要经历否认、愤怒、讨价还价、抑郁和接受这几个阶段。结论这些研究表明,悲伤反应的差异受到所经历事件的背景、以往的悲伤经历、性别、文化等因素的影响。大多数受塞梅鲁火山爆发影响的社区的应对机制较低。
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引用次数: 0
The Effect of Health Education on Knowledge and Attitudes of Hand Washing in Children at TKA-TPA Al Muhajirin Kampung Parang 健康教育对 TKA-TPA Al Muhajirin Kampung Parang 儿童洗手知识和态度的影响
IF 0.7 Q4 NURSING Pub Date : 2023-10-31 DOI: 10.54771/jnms.v2i2.1155
Aulya Kartini Dg Karra, Helmi Juwita
Health problems in children are related to the habit of not keeping their hands clean. The lack of hand washing behavior in school age children is caused by low knowledge about hand washing. Health education is an effort to modify behavior through increasing knowledge and skills to improve healthier lifestyles. The purpose of this study was to identify the effect of health education on the level of knowledge and attitudes towards hand washing in children. This type of quantitative research with a Quasi Experiment approach. Research design one group prepost test design. The sample of this study were 20 children out of a total of 20 children at TKA-TPA Al Muhajirin Kampung Parang. The research instrument used a research questionnaire on the level of knowledge and hand washing attitudes. Statistical test using paired t test. The research results showed that the level of knowledge before the intervention was 18 and increased to 19.45 after the intervention. There was a difference in the average level of knowledge between before and after the intervention with an average difference of 1.45 and a p value = 0.000. Variable hand washing attitude, the table shows that the average hand washing attitude indicator of action before the intervention was 18 and increased to 19 after the intervention. There is a difference in the average action between before and after the intervention with a mean rank difference of 1 and a value of p = 0.001. This means that providing health education about hand washing attitudes is effective in increasing hand washing attitudes in children, where there is a significant increase
儿童的健康问题与不保持手部清洁的习惯有关。学龄儿童缺乏洗手行为的原因是对洗手的认识不足。健康教育是通过增加知识和技能来改变行为,从而改善更健康的生活方式。本研究旨在确定健康教育对儿童洗手知识水平和态度的影响。此类定量研究采用准实验方法。研究设计为一组前测设计。研究样本为 TKA-TPA Al Muhajirin Kampung Parang 的 20 名儿童。研究工具是一份关于洗手知识水平和洗手态度的调查问卷。统计检验采用配对 t 检验。研究结果显示,干预前的知识水平为 18,干预后上升到 19.45。干预前后的平均知识水平存在差异,平均差异为 1.45,P 值=0.000。在洗手态度这一变量上,表格显示,干预前洗手态度的平均行动指标为 18,干预后增至 19。干预前后的平均行动有差异,平均等级差异为 1,P=0.001。这说明,提供有关洗手态度的健康教育能有效提高儿童的洗手态度。
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引用次数: 0
HUBUNGAN TINGKAT PENGETAHUAN DENGAN PERILAKU SADARI PADA REMAJA PUTRI DI SMK KESEHATAN MULIA KARYA HUSADA JAKARTA 雅加达贵族健康中学少女的知识水平与 "Sadari "行为之间的关系。
IF 0.7 Q4 NURSING Pub Date : 2023-10-31 DOI: 10.54771/jnms.v2i2.1142
Jihan Ronaa Kenanga, Nuniek Setyo Wardani, Tri Mustikowati
Kanker payudara merupakan salah satu jenis kanker yang umum terjadi pada wanita. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan remaja putri dengan perilaku pemeriksaan payudara sendiri (SADARI) pada remaja putri di SMK Kesehatan Mulia Karya Husada Jakarta. Penelitian ini menggunakan desain Cross-sectional. Teknik sampling yang digunakan adalah simple random sampling dan didapatkan sampel berjumlah 135 responden. Dari hasil uji analisis mengunakan uji spearman’s rank diperoleh nilai p value (0,000) artinya terdapat hubungan tingkat pengetahuan dengan perilaku SADARI pada remaja putri di SMK Kesehatan Mulia Karya Husada Jakarta. Didapatkan hasil koefisien korelasi sebesar (0,682) yang artinya terdapat arah korelasi positif antara tingkat pengetahuan dengan perilaku SADARI dan kekuatan korelasi tersebut cukup kuat. Saran bagi remaja putri leibih membuka diri terhadap deteksi dini kesehatan reproduksi, terutama SADARI sehingga tahu, paham, mau dan teirbiasa melakukan SADARI sebagai upaya deteksi dini terhadap kanker payudara.
乳腺癌是女性常患的一种癌症。本研究旨在确定雅加达 SMK Kesehatan Mulia Karya Husada 少女的乳房自我检查(SADARI)知识水平与行为之间的关系。本研究采用横断面设计。采用的抽样技术是简单随机抽样,共获得 135 个受访者样本。使用斯皮尔曼秩检验进行分析测试的结果显示,P 值为 0.000,这意味着雅加达 SMK Kesehatan Mulia Karya Husada 的少女对 SADARI 的认知水平和行为之间存在关系。相关系数为(0.682),这意味着知识水平与 SADARI 行为之间存在正相关,且相关性相当强。建议少女更愿意接受生殖健康早期检测,尤其是 SADARI,以便她们知道、了解、希望并习惯于做 SADARI,从而及早发现乳腺癌。
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引用次数: 0
The Influence Of Giving Education About Diarrhea On Mother Level Of Knowledge In Diarrhea Prevention In Children 腹泻教育对母亲预防儿童腹泻知识水平的影响
IF 0.7 Q4 NURSING Pub Date : 2023-10-31 DOI: 10.54771/jnms.v2i2.1152
Gevi Melliya
Diarrhea was a major disease killer in the age group of children. Diarrhea is transmitted by 4 factors, namely food (food), feces (feces), flies (air), and fingers (hands). Therefore, it was necessary to pay attention to the pattern of children's daily activities so that they do not endanger the child's health. Mothers play an important role in protecting and saving children from diarrhea armed with a good level of knowledge. Research Objectives: To determine the effect of providing education about diarrhea on the level of knowledge of mothers in preventing diarrhea in children. Methods: Quasy experimental design with one group pre-test post-test. The research sample was 60 respondents with a consecutive sampling technique. The instruments in the study were questionnaires and counseling programs regarding diarrhea. Statistical data analysis using the Wilcoxon Sign Rank Test analysis. The results of the mother's knowledge level in the pre-test category were enough for 27 respondents (45%) and the mother's level of knowledge most of the post-test in the good category as many as 47 respondents (78.3%), statistical test results show p-value 0.000 < α 0.05, it means that there is a significant influence between the provision of education about diarrhea on the level of knowledge of mothers in preventing diarrhea in children. live clean and healthy. Providing education about clean and healthy lifestyles and the understanding of diarrhea can be given to nurse mothers using both the lecture method and educational videos in reducing the incidence of diarrhea in children.
腹泻是儿童年龄组的主要疾病杀手。腹泻通过 4 个因素传播,即食物(食物)、粪便(粪便)、苍蝇(空气)和手指(手)。因此,有必要关注儿童的日常活动模式,以免危及儿童健康。母亲在用丰富的知识武装自己,保护和拯救腹泻儿童方面发挥着重要作用。研究目标确定提供腹泻教育对母亲预防儿童腹泻知识水平的影响。研究方法采用asy 实验设计,一组进行前测和后测。研究样本为 60 名受访者,采用连续抽样技术。研究工具为调查问卷和有关腹泻的咨询方案。统计数据分析采用 Wilcoxon 符号秩检验分析法。 结果显示,母亲的知识水平在前测类别中足够高的有 27 名受访者(45%),而母亲的知识水平在后测类别中大多较好的多达 47 名受访者(78.3%),统计检验结果显示 p 值 0.000 < α 0.05,这意味着提供腹泻教育对母亲预防儿童腹泻的知识水平有显著影响。 清洁健康的生活。在减少儿童腹泻发病率的过程中,可以采用讲授法和教育视频两种方式向护士母亲提供有关清洁健康生活方式的教育以及对腹泻的认识。
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引用次数: 0
Effects of Herbal Products on Menorrhagia: A Systematic Review and Meta-Analysis 草药产品对月经过多的影响:系统回顾和荟萃分析
Q4 NURSING Pub Date : 2023-10-07 DOI: 10.5812/jnms-138875
Moloud Fakhri, Zeinab HamzehGardeshi, Seyede Sedighe Yousefi
Context: Menorrhagia is an important healthcare challenge. Complementary and alternative medicine therapies are strategies with potential positive effects on menorrhagia. Objectives: The aim of this study was to systematically assess the effects of herbal products on menorrhagia. Methods: This was a systematic review and meta-analysis. PubMed, Scopus, Web of Science, Embase, Cochrane Library, Barekat Gostar, Scientific Information Database (SID), Magiran, and IranDoc international and Iranian databases, in addition to the Google Scholar search engine, were searched without any time or language limitation (updated until 02.07.2022). Eligible studies were combined through the random-effects model based on their sample sizes, mean scores, and standard deviations. Data analysis was performed at a significance level of less than 0.05 using STATA software (version 14.0). Results: Nineteen trials on 1715 women (856 and 859 subjects in the control and intervention groups, respectively) were reviewed. After the intervention, menstrual bleeding severity in the first, second, and third cycles (P < 0.001) and the number of menstrual days in the first (P < 0.001), second (P < 0.001), and third (P = 0.487) menstrual cycles significantly decreased in the herbal products group. There were no significant between-group differences regarding the bleeding severity at the pretest (P < 0.001) and in the third cycle (P < 0.001) and the number of menstrual days at the pretest (P = 0.131) and in the second (P < 0.001) and third cycles (P = 0.014). However, the bleeding severity in the intervention group was significantly less than the control group in the first (P < 0.001) and second cycles (P < 0.001), and the number of menstrual days in the intervention group was significantly less than the control group in the first cycle (P = 0.004). Conclusions: Herbal products are effective in significantly reducing bleeding severity and the number of menstrual days among women with menorrhagia, and their effects reduce over time.
背景:月经过多是一个重要的医疗保健挑战。补充和替代药物治疗是对月经过多有潜在积极影响的策略。目的:本研究的目的是系统地评估草药产品对月经过多的影响。方法:采用系统综述和荟萃分析。PubMed, Scopus, Web of Science, Embase, Cochrane Library, Barekat Gostar, Scientific Information Database (SID), Magiran和IranDoc国际和伊朗数据库,以及Google Scholar搜索引擎,没有任何时间和语言限制(更新至2022年7月2日)。根据样本量、平均得分和标准差,通过随机效应模型对符合条件的研究进行组合。数据分析采用STATA软件(14.0版),显著性水平小于0.05。结果:共回顾了19项试验,共1715名妇女(对照组856名,干预组859名)。干预后,第一、二、三周期月经出血严重程度(P <0.001)和第一次月经天数(P <0.001),第二(P <0.001),第三次月经周期(P = 0.487)在草药产品组显著减少。在测试前出血严重程度方面,组间无显著差异(P <0.001),第三个周期(P <0.001)和月经天数在前测(P = 0.131)和第二次(P <0.001)和第三个周期(P = 0.014)。但干预组第一次出血严重程度明显低于对照组(P <0.001)和第二个周期(P <0.001),干预组第一周期月经天数明显少于对照组(P = 0.004)。结论:中药制剂可显著降低月经过多女性的出血严重程度和月经天数,其效果随着时间的推移而降低。
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引用次数: 0
Relationship Between Resilience and Conflict Management Styles From the Perspective of Pre-hospital Emergency Medicine Operational Staff: A Descriptive Cross-sectional Study 院前急诊医务人员弹性与冲突管理方式的关系:描述性横断面研究
Q4 NURSING Pub Date : 2023-10-01 DOI: 10.5812/jnms-139502
Jebreil Balafkan, Omolhoda Kaveh, Abolfazl Hosseinnataj, Leila Mahasti Jouybari, Mohammad Ali Heidarigorji
Background: The numerous pre-hospital emergency medicine operational staff interactions with different people cause many conflicts. In addition to affecting their physical and mental health, these conflicts lead to severe problems for the health of society and patients. Objectives: This study aimed to determine the relationship between resilience and conflict management styles from the perspective of pre-hospital emergency medicine operational staff of the Medical Emergency and Accident Management Center in Golestan Province in 2022. Methods: This descriptive correlational study recruited 200 operational staff working in the pre-hospital emergency center in Golestan Province. They were selected using a stratified sampling method with proportional allocation. The data were collected using a demographic questionnaire, the Connor-Davidson Resilience Scale (CD-RISC), and the Rahim Organizational Conflict Inventory-II (ROCI-II). Results: Pearson correlation results demonstrated a direct and significant relationship between resilience and conflict management styles (P = 0.011, r = 0.180); the resilience score increased with an increase in the score of conflict management styles. In addition, resilience was directly associated with compromising (P = 0.012, r = 0.178) and integrating styles (P = 0.001, r = 0.276). Finally, a direct and significant relationship existed between job interest and resilience (P = 0.01). The linear regression analysis showed a significant relationship between the resilience score and the score of conflict management styles (β = 0.17). Conclusions: Resilience can improve the conflict management styles of pre-hospital emergency medicine operational staff. Moreover, job interest can enhance resilience, indirectly affecting conflict management. Pre-hospital emergency managers and officials should hold resilience training courses for pre-hospital emergency operatives.
背景:院前急救医学操作人员与不同人的互动造成了许多冲突。这些冲突除了影响他们的身心健康外,还给社会和病人的健康带来严重问题。目的:以2022年戈列斯坦省医疗急救与事故管理中心院前急救医学业务人员为研究对象,探讨弹性与冲突管理方式的关系。方法:采用描述性相关研究方法,在戈列斯坦省院前急救中心招募200名工作人员。采用分层抽样的方法,按比例分配。数据采用人口统计问卷、康纳-戴维森弹性量表(CD-RISC)和拉希姆组织冲突量表- ii (ROCI-II)收集。结果:Pearson相关结果显示,心理弹性与冲突管理方式之间存在直接且显著的关系(P = 0.011, r = 0.180);弹性得分随冲突管理风格得分的增加而增加。此外,弹性与妥协(P = 0.012, r = 0.178)和整合风格(P = 0.001, r = 0.276)直接相关。最后,工作兴趣与心理弹性之间存在显著的直接关系(P = 0.01)。线性回归分析显示,弹性得分与冲突管理风格得分之间存在显著相关(β = 0.17)。结论:弹性可以改善院前急诊医学业务人员的冲突管理方式。此外,工作兴趣可以增强心理弹性,间接影响冲突管理。院前急救管理人员和官员应为院前急救人员举办适应力培训课程。
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引用次数: 0
Predictors of Sexual and Reproductive Self-care Among Iranian Adolescent Females 伊朗青春期女性性和生殖自我保健的预测因素
Q4 NURSING Pub Date : 2023-10-01 DOI: 10.5812/jnms-140039
Zainab Alimoradi, Nasim Partash, Mark D. Griffiths, Mahdieh Hardani Naimzadeh, Fatemeh Abdi
Background: Self-care can include the activities that individuals perform in accordance with their needs to maintain and promote their health. Puberty is the most important change that comes with adolescence, which necessitates adolescents to become aware of their sexual and reproductive health. Objectives: The objective of the present study was to investigate the predictors of adolescent females’ sexual and reproductive self-care status. Methods: This cross-sectional study using random multistage sampling was conducted on adolescent females aged 14 - 19 years in the secondary schools of Karaj, Iran, in 2022. A total of 555 female students voluntarily completed the survey. The survey included the Female Adolescents’ Sexual and Reproductive Self-care Scale (FASRSCS). Pearson’s correlation coefficient and univariable and multivariable linear regression were applied. Results: The mean score of the FASRSCS was 65.42 out of 100 (standard deviation (SD) = 10.27). The highest mean score was acquired on the Perception of Female Adolescents of Premarital Sexual Relationships subscale (85.98 (SD = 14.28)), and the lowest mean score was acquired on the Reproductive and Sexual Health Knowledge subscale (36.97 (SD = 23.58)). The total score on the FASRSCS had the strongest association with the Adolescents and Family Interaction subscale (r = 0.71, P < 0.001), and the weakest association was with the Reproductive and Sexual Health Knowledge subscale (r = 0.38, P < 0.001). Multivariable linear regression analysis showed that having very strong religious beliefs (β = 0.23, P < 0.001), receiving information regarding puberty and menstrual health from peers (β = -0.20, P < 0.001), and cold parent-child relationship (β = -0.19, P < 0.001) were independent significant predictors of good sexual and reproductive self-care among adolescent females. Conclusions: Given the importance of religious beliefs, parent-adolescent relationships, and the sources through which adolescents receive information regarding their sexual and reproductive health self-care, it is necessary to appropriate design interventions, including the aforementioned factors, in order to optimize and promote good sexual and reproductive health among female Iranian adolescents.
背景:自我保健可以包括个人根据自己的需要进行的活动,以维持和促进自己的健康。青春期是伴随青春期而来的最重要的变化,它要求青少年意识到自己的性健康和生殖健康。目的:探讨青少年女性性与生殖自我保健状况的预测因素。方法:采用随机多阶段抽样的横断面研究方法,于2022年对伊朗卡拉杰中学14 - 19岁的少女进行了调查。共有555名女学生自愿完成了调查。调查内容包括《女性青少年性与生殖自我保健量表》(FASRSCS)。应用Pearson相关系数、单变量和多变量线性回归。结果:FASRSCS评分平均为65.42分(满分100分),标准差(SD) = 10.27。女性青少年对婚前性关系的认知得分最高,为85.98分(SD = 14.28),生殖与性健康知识得分最低,为36.97分(SD = 23.58)。FASRSCS总分与青少年与家庭互动量表的相关性最强(r = 0.71, P <0.001),与生殖与性健康知识子量表的相关性最弱(r = 0.38, P <0.001)。多变量线性回归分析显示,有非常强烈的宗教信仰(β = 0.23, P <0.001),从同伴那里获得关于青春期和月经健康的信息(β = -0.20, P <0.001),冷亲子关系(β = -0.19, P <0.001)是青春期女性良好的性和生殖自我保健的独立显著预测因子。结论:鉴于宗教信仰、亲子关系以及青少年获得有关性健康和生殖健康自我保健信息的来源的重要性,有必要适当设计干预措施,包括上述因素,以优化和促进伊朗女性青少年的良好性健康和生殖健康。
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引用次数: 0
Relationship Between Fat-soluble Vitamins and Premature Ovarian Failure: A Systematic Review 脂溶性维生素与卵巢早衰的关系:一项系统综述
Q4 NURSING Pub Date : 2023-09-26 DOI: 10.5812/jnms-138923
Sareh Dashti, Atefeh Tabriz Nia Tabrizi, Zahra Faal Asl Maleki, Roya Gholami
Background: Premature ovarian insufficiency (POI) is a major concern in women's health. It is hypothesized that a deficiency in fat-soluble vitamins might result in POI; however, this relationship has not been extensively evaluated. Objectives: This systematic review was designed to elucidate the relationship between fat-soluble vitamin serum levels and POI. Methods: This systematic review was conducted on international databases, including Scopus, National Library of Medicine (PubMed), and Web of Science (ISI) databases, along with Google Scholar, until June 2022. This review was conducted on case reports, case series, cross-sectional, cohort, and case-control studies (observational studies) published in English and Persian in peer-reviewed journals that assessed the association between serum levels of fat-soluble vitamins and POI. Results: Of the 10,029 retrieved articles, 5 (N = 3,443 subjects) were included in the review. The results of the reviewed articles were inconsistent in terms of the relationship between serum vitamin D and A levels and POI; however, vitamin D binding protein and vitamin A/total cholesterol ratio might be related to POI. Serum vitamin E was associated with POI based on the findings of one study. Discussion: This review showed that the serum levels of fat-soluble vitamins might predict POI. However, there was an insufficient number of studies to document the findings. If approved in further studies, these vitamins and their binding proteins can be evaluated in high-risk POI patients.
背景:卵巢功能不全(POI)是妇女健康的一个主要问题。据推测,缺乏脂溶性维生素可能导致POI;然而,这种关系尚未得到广泛的评估。目的:本系统综述旨在阐明脂溶性维生素血清水平与POI之间的关系。方法:本系统评价是在国际数据库中进行的,包括Scopus,国家医学图书馆(PubMed)和科学网络(ISI)数据库,以及谷歌学术,直到2022年6月。本综述是对以英文和波斯语发表在同行评审期刊上的病例报告、病例系列、横断面、队列和病例对照研究(观察性研究)进行的,这些研究评估了血清脂溶性维生素水平与POI之间的关系。结果:在10029篇检索文献中,5篇(N = 3443名受试者)被纳入本综述。在血清维生素D和A水平与POI之间的关系方面,文献综述的结果不一致;维生素D结合蛋白和维生素A/总胆固醇比值可能与POI有关。根据一项研究结果,血清维生素E与POI有关。讨论:本综述显示血清脂溶性维生素水平可能预测POI。然而,没有足够的研究来证明这些发现。如果在进一步的研究中获得批准,这些维生素及其结合蛋白可以在高风险POI患者中进行评估。
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引用次数: 0
The Relationship between Safe Nursing Care and Nurses’ Professional Commitment in Educational-Therapeutic Hospitals Affiliated with Qazvin University of Medical Sciences 卡兹温医科大学附属教育治疗医院安全护理与护士专业承诺的关系
Q4 NURSING Pub Date : 2023-09-26 DOI: 10.5812/jnms-139649
Farnoosh Zarabadipoor, Seyed Reza Mousavi, Armin Khakpoor, Farnoosh Rashvand
Background: Safe nursing care and professional commitment are known as two important components influencing the nursing service quality. Objectives: The present study aimed to assess the relationship between safe nursing care and nurses’ professional commitment. Methods: In the present cross-sectional correlational research, 263 nurses were selected from the intensive care unit/cardiac care unit (ICU/CCU), internal, surgery, pediatrics, gynecology and obstetrics, oncology, burn, orthopedics, infectious, and neurology wards of educational-therapeutic hospitals affiliated with Qazvin University of Medical Sciences by quota sampling method between May 2022 and September 2022. Data collection was performed using the nurses’ professional commitment scale (NPCS) and the assessment of safe nursing care (ASNC) questionnaire. Nurses were selected using a convenience sampling method. The collected data were analyzed using descriptive and inferential statistical tests (t-test, Pearson’s correlation, and one-way analysis of variance (ANOVA)) by SPSS software version 16. Results: The mean scores of nurses’ professional commitment and safe nursing care were 86.16 ± 4.92 and 134.57 ± 16.15, respectively. Pearson’s correlation test showed a significant relationship between nurses’ professional commitment and safe nursing care (r = 0.345, P ≤ 0.001). Also, the test results indicated that the level of nurses’ professional commitment varied among individuals with different employment types (P = 0.008). Conclusions: According to this study, safe nursing care and nurses’ professional commitment are two important components influencing each other. Therefore, these results have important implications for policymakers and healthcare systems involved in promoting the level of safe nursing care and nurses’ professional commitment.
背景:安全护理和专业承诺是影响护理服务质量的两个重要组成部分。目的:本研究旨在评估安全护理与护士专业承诺的关系。方法:采用横断面相关性研究方法,选取2022年5月至2022年9月在卡兹温医科大学附属教育治疗医院重症监护室/心脏科(ICU/CCU)、内科、外科、儿科、妇产科、肿瘤、烧伤、骨科、感染、神经内科等科室的263名护士进行抽样调查。采用护士专业承诺量表(NPCS)和安全护理评估问卷(ASNC)进行数据收集。采用方便抽样法选取护士。收集的数据采用描述性和推断性统计检验(t检验、Pearson相关检验和单因素方差分析(ANOVA)),采用SPSS软件版本16进行分析。结果:护士专业承诺和安全护理的平均得分分别为86.16±4.92分和134.57±16.15分。Pearson相关检验显示,护士专业承诺与安全护理存在显著相关(r = 0.345, P≤0.001)。检验结果显示,不同就业类型个体的护士专业承诺水平存在差异(P = 0.008)。结论:本研究认为安全护理与护士专业承诺是相互影响的两个重要组成部分。因此,这些结果对决策者和医疗保健系统参与促进安全护理水平和护士的专业承诺具有重要意义。
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引用次数: 0
Reliability and Validity of the Chinese Version of the Perceived Access to Health Care Questionnaire 中文版卫生保健可及性问卷的信度和效度
Q4 NURSING Pub Date : 2023-09-26 DOI: 10.5812/jnms-139931
Dongyang Wang, Thitipong Tankumpuan, Ketsarin Utriyaprasit, Patricia M. Davidson
Background: The Perceived Access to Health Care Questionnaire (PAHCQ) is the latest specific tool used to evaluate patients' accessibility to the health system. Objectives: This study aimed to translate and verify the item analysis, test-retest reliability, content validity, construct validity, and known-group analysis of the PAHCQ in a Chinese population. Methods: This study developed and validated the Chinese version of the PAHCQ. The translation of the PAHCQ was based on the back translation of Brislin. This study used simple random sampling to include a sample of 591 subjects in Jiangsu, China. Item analysis was used to verify the questionnaire's expert consistency and cultural adaptation. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to evaluate the effectiveness of the structure. Internal consistency was determined using Cronbach's α, and item validity and test-retest reliability were analyzed. Results: The CFA results indicated that the modified PAHCQ is reasonable. The Cronbach alpha value of the PAHCQ was 0.96. The correlation coefficients for the six domains in test-retest reliability were between 0.67 and 0.91. Comparison of the total PAHCQ scores among participants in different groups of age, gender, maternal status, education level, per capita monthly income, and CCI levels showed statistically significant differences (P < 0.05). Conclusions: The Chinese version of the PAHCQ is a feasible, effective, and reliable tool that can be used to evaluate Chinese patients' perception of health system accessibility.
背景:感知卫生保健可及性问卷(PAHCQ)是用于评估患者卫生系统可及性的最新特定工具。目的:对中国人群PAHCQ的项目分析、重测信度、内容效度、结构效度和已知组分析进行翻译和验证。方法:本研究开发并验证了PAHCQ的中文版。PAHCQ的翻译是基于布里斯林的反译。本研究采用简单随机抽样的方法,在中国江苏省抽取591名受试者。采用项目分析法验证问卷的专家一致性和文化适应性。采用探索性因子分析(EFA)和验证性因子分析(CFA)对结构的有效性进行评价。采用Cronbach’s α法测定内部一致性,分析项目效度和重测信度。结果:CFA结果表明,改性PAHCQ是合理的。PAHCQ的Cronbach alpha值为0.96。重测信度的相关系数在0.67 ~ 0.91之间。不同年龄、性别、产妇状况、受教育程度、人均月收入、CCI水平的参与者PAHCQ总分比较,差异有统计学意义(P <0.05)。结论:中文版PAHCQ是一种可行、有效、可靠的工具,可用于评估中国患者对卫生系统可及性的感知。
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Journal of Nursing and Midwifery Sciences
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