Journal of Research in Nursing最新文献

Background: Sexual and gender minority (SGM) individuals experience elevated rates of depression due to exposure to unique social stressors associated with membership in a stigmatised minority group. Coping style has been shown to buffer or exacerbate responses to stress. To date, little is known about the risk or protective influence of coping styles on the relationships between stressors and depression in SGM populations.

Aims: To examine the moderating effects of coping styles on the relationships between stressors and depression in Thai SGMs.

Methods: This cross-sectional descriptive survey was conducted between March and August 2018 using in-person and online surveys. Convenience and snowball recruitment strategies were used. Standardised measures were selected according to the Minority Stress Model. Bivariate and multivariate analyses were conducted. Hayes's PROCESS macro was used to test for significant interactions.

Results: Of the 411 participants, 40% of the participants reported symptoms of depression that were associated with multiple stressors. Problem-focused coping was reported by most participants (95.8%), followed by social support (83.1%) and avoidance (49.1%) coping. Problem-focused coping weakened the relationships between stressors and depression, whereas avoidance coping strengthened the relationships between depression and stress, loneliness and discrimination. Social support coping was negatively related to depression, with no statistically significant moderating effects.

Conclusions: Problem-focused coping served to mitigate the influence of stressors on depression, whereas avoidance coping strategies exacerbated the impact. Nursing interventions aimed at improving problem-focused coping may reduce the negative consequences of stressors on the mental health of SGMs.

Background: Heart failure (HF) patients can experience poor appetite and intense thirst. The Thirst Distress Scale for HF (TDS-HF) and the Simplified Nutritional Appetite Questionnaire (SNAQ) are tools used to assess these symptoms. However, these questionnaires are not currently available in Thai.

Aims: To translate the TDS-HF and SNAQ into the Thai language and to evaluate the reliability and validity of these translated instruments.

Methods: The TDS-HF and the SNAQ were translated from English to Thai using a forward-backward method. Their face and content validity, their internal consistency and test-retest reliability, were assessed with a sample of 20 HF patients recruited from a single supra-tertiary hospital in Thailand.

Results: Participants reported that the TDS-HF and the SNAQ had face validity. The content validity was assessed as adequate by the expert panel. The Cronbach's alphas of the TDS-HF and the SNAQ were 0.91 and 0.71, respectively. The intraclass correlation coefficients of the TDS-HF and the SNAQ were 0.91 and 0.91, respectively.

Conclusions: The Thai versions of the TDS-HF and the SNAQ demonstrate adequate validity and reliability. These tools hold significant potential for supporting clinical practice, particularly for nurses involved in HF management by helping to assess thirst and appetite effectively.

This opinion paper addresses the role of nurses and the relevance of models and theories, both nursing and infection prevention and control (IPC), to visitor restrictions that were widely enforced in many countries during the COVID-19 pandemic, with a focus on person-centredness. It outlines the social utility of nursing, reflecting on whether what happened during this period has made nursing theories more less relevant. It suggests that IPC guidance, rooted in a historic biomedical model, has had a tendency not to consider the impact that the precautionary measures it recommends, rather than the infections themselves, might have on the quality of life of people receiving healthcare. A key driver of the visitor restrictions seemed to be the pursuit of this biomedical model across the health system that was at odds with the person-centred theories of nursing. The paper questions the limitations of focusing on a biomedical logic for guiding the ethics of nursing. The IPC community working with the nursing profession, recapturing some of the theoretical principles of person-centred approaches, could help build a blueprint for compassionate IPC decision-making for the future. The paper outlines seven policy, practice and research considerations that might address the issues raised.

Background: Recent studies have reported that perioperative nursing intervention (PNI) plays important roles in the outcomes of prostate cancer (PC) patients undergoing laparoscopic radical prostatectomy (LRP). This study aimed to further investigate the role of educational nursing intervention in PNI on the recovery of PC patients with LRP.

Methods: A total of 98 PC patients who underwent LRP were enrolled in this study. These patients were randomly divided into control (n = 49) and experimental (n = 49). Both groups received routine PNI, while the experimental group also received personalised PNI with enhanced educational nursing interventions. The study compared blood loss during surgery, surgery success rate, clinical signs of intestinal motility, postoperative hospital stay and postoperative complications between these two groups.

Results: Both the control and experimental groups achieved a 100% surgery success rate. The experimental group experienced significantly less blood loss. Moreover, the recovery of intestinal function was faster, and the postoperative hospital stay was shorter in the experimental group. Furthermore, the incidence of postoperative complications was lower in the experimental group.

Conclusion: Our findings confirmed the importance of enhanced educational nursing interventions in personalised perioperative nursing care for PC patients undergoing LRP.