Limited health literacy is high among patients with chronic kidney disease, which can pose challenges in health care. Evidence of health literacy in Indonesia, particularly regarding patients undergoing hemodialysis, is lacking. In this study, we aimed to explore health literacy in adult patients undergoing maintenance hemodialysis. An inductive qualitative study was conducted. Individual semi‐structured interviews were conducted with 10 adult patients undergoing hemodialysis, four family caregivers, and four healthcare professionals. Interviews were transcribed verbatim and analyzed thematically. Three themes emerged from the data: “Trying to understand the illness,” “searching and obtaining health information,” and “applying health information.” Understanding and accepting the illness included raising awareness of the changes in their lives and accepting these changes. Participants actively sought information from healthcare professionals and other sources and used it carefully. Behavioral changes included patients' adherence to therapy, although participants often felt bored during the illness trajectory. Understanding the illness and being willing to seek and critically evaluate health information before implementing it are important. These aspects may affect patient outcomes and require further intervention and research.
{"title":"Trying to understand the illness: A qualitative investigation of health literacy of patients undergoing maintenance hemodialysis","authors":"Berlian Ayu Rahmawati, Erna Rochmawati","doi":"10.1111/nhs.13120","DOIUrl":"https://doi.org/10.1111/nhs.13120","url":null,"abstract":"Limited health literacy is high among patients with chronic kidney disease, which can pose challenges in health care. Evidence of health literacy in Indonesia, particularly regarding patients undergoing hemodialysis, is lacking. In this study, we aimed to explore health literacy in adult patients undergoing maintenance hemodialysis. An inductive qualitative study was conducted. Individual semi‐structured interviews were conducted with 10 adult patients undergoing hemodialysis, four family caregivers, and four healthcare professionals. Interviews were transcribed verbatim and analyzed thematically. Three themes emerged from the data: “Trying to understand the illness,” “searching and obtaining health information,” and “applying health information.” Understanding and accepting the illness included raising awareness of the changes in their lives and accepting these changes. Participants actively sought information from healthcare professionals and other sources and used it carefully. Behavioral changes included patients' adherence to therapy, although participants often felt bored during the illness trajectory. Understanding the illness and being willing to seek and critically evaluate health information before implementing it are important. These aspects may affect patient outcomes and require further intervention and research.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"240 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Older persons' perceptions and experiences of community palliative care","authors":"","doi":"10.1111/nhs.13122","DOIUrl":"https://doi.org/10.1111/nhs.13122","url":null,"abstract":"","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"37 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Experiences of adults living with an implantable cardioverter defibrillator for cardiovascular disease","authors":"","doi":"10.1111/nhs.13121","DOIUrl":"https://doi.org/10.1111/nhs.13121","url":null,"abstract":"","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"59 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to determine the effect of fluid management, symptom control, and quality of life on education based on the Roy Adaptation Model. This randomized controlled study was conducted with the participation of 107 patients (53 intervention, 54 control). Data were collected using the “Patient Data Collection Form,” “Fluid Control in Hemodialysis Patients Scale,” “Dialysis Symptom Index,” and “Nottingham Health Profile.” The forms were filled out through face‐to‐face interviews with the patients in the intervention and control groups at the 0th (onset), 1st, and 3rd months. The patients in the intervention group were trained with an education booklet based on the Roy Adaptation Model. The results revealed that the education given according to the Roy Adaptation Model improved the compliance with fluid control, quality of life, and symptom control of hemodialysis patients. It is recommended that education based on the Roy Adaptation Model be systematically used by hemodialysis nurses. The results are limited to the population included in the study, and further research on hemodialysis populations is needed.
{"title":"The effect of education given to hemodialysis patients based on the Roy Adaptation Model on fluid management, symptom control, and quality of life","authors":"Ozlem Ozdemir, Serap Unsar","doi":"10.1111/nhs.13118","DOIUrl":"https://doi.org/10.1111/nhs.13118","url":null,"abstract":"This study aimed to determine the effect of fluid management, symptom control, and quality of life on education based on the Roy Adaptation Model. This randomized controlled study was conducted with the participation of 107 patients (53 intervention, 54 control). Data were collected using the “Patient Data Collection Form,” “Fluid Control in Hemodialysis Patients Scale,” “Dialysis Symptom Index,” and “Nottingham Health Profile.” The forms were filled out through face‐to‐face interviews with the patients in the intervention and control groups at the 0th (onset), 1st, and 3rd months. The patients in the intervention group were trained with an education booklet based on the Roy Adaptation Model. The results revealed that the education given according to the Roy Adaptation Model improved the compliance with fluid control, quality of life, and symptom control of hemodialysis patients. It is recommended that education based on the Roy Adaptation Model be systematically used by hemodialysis nurses. The results are limited to the population included in the study, and further research on hemodialysis populations is needed.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"44 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Determining the ethnocentrism and xenophobia levels of nurses contributes to nurses' awareness regarding their attitudes on the issue and providing quality care. This descriptive and correlational study aimed to determine the relationship between ethnocentrism and xenophobia levels of nurses working in hospitals located in two different border regions where refugees live intensively in Turkey. The study was conducted with 386 nurses who were working in two different hospitals located in two cities in the south of Turkey. Data were collected using the “Personal Information Form,” “Ethnocentrism Scale,” and “Xenophobia Scale.” About half of the nurses did not want to care for foreign patients. There was a positive and statistically significant relationship between mean scores of the Ethnocentrism Scale and the Xenophobia Scale (p < 0.05). The regression analysis indicated that the level of ethnocentrism explains the level of xenophobia by 9%. Nurses had a high level of xenophobia and moderate ethnocentric attitudes. The level of xenophobia increased as the ethnocentrism level of nurses increased. It is recommended to conduct further studies to determine different predictors of xenophobia among nurses.
{"title":"The relationship between ethnocentrism and xenophobia level and predictors: A descriptive and correlational study of nurses working in two cities where refugees live intensively in Turkey","authors":"İpek Köse Tosunöz, Ebru Öztürk Çopur","doi":"10.1111/nhs.13107","DOIUrl":"https://doi.org/10.1111/nhs.13107","url":null,"abstract":"Determining the ethnocentrism and xenophobia levels of nurses contributes to nurses' awareness regarding their attitudes on the issue and providing quality care. This descriptive and correlational study aimed to determine the relationship between ethnocentrism and xenophobia levels of nurses working in hospitals located in two different border regions where refugees live intensively in Turkey. The study was conducted with 386 nurses who were working in two different hospitals located in two cities in the south of Turkey. Data were collected using the “Personal Information Form,” “Ethnocentrism Scale,” and “Xenophobia Scale.” About half of the nurses did not want to care for foreign patients. There was a positive and statistically significant relationship between mean scores of the Ethnocentrism Scale and the Xenophobia Scale (<jats:italic>p</jats:italic> < 0.05). The regression analysis indicated that the level of ethnocentrism explains the level of xenophobia by 9%. Nurses had a high level of xenophobia and moderate ethnocentric attitudes. The level of xenophobia increased as the ethnocentrism level of nurses increased. It is recommended to conduct further studies to determine different predictors of xenophobia among nurses.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"18 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susan Barnason, Jennifer N. Miller, Sue Schuelke, Jessica J. Miller, Kevin Kupzyk
The purpose of this study was to evaluate the handoff guidance (HG) self‐management intervention for multimorbid chronic obstructive pulmonary disease (COPD) patients following hospitalization for acute exacerbation of COPD (AECOPD) using HG self‐management intervention compared to a control group on COPD self‐management outcomes (self‐care, self‐efficacy, health engagement) and assess feasibility, acceptability, and healthcare utilization. A randomized pilot study used a 2‐group with repeated measures design. Adults with COPD who had been hospitalized for AECOPD were recruited. After discharge, the HG self‐management intervention employed health coaching delivered at: 1–3, 10–12, and 20–22 days after hospital discharge. Follow‐up data collected was collected at 1–3, 10–12, 20–22, 30, 60, and 90 days after hospital discharge. A total of 29 subjects participated, with a mean age of 66 (+8.7) years old, the majority were females (n = 18). Intervention participants reported the acceptability of the HG self‐management intervention. Participants in both groups continued to report COPD symptoms after discharge, which decreased over time, although not significantly different by group. The use of COPD maintenance, monitoring, and management behaviors was higher in the treatment group, although not significantly different.
{"title":"Self‐management intervention for patients following hospitalization for acute exacerbation of chronic obstructive pulmonary disease (AECOPD): A pilot randomized controlled trial","authors":"Susan Barnason, Jennifer N. Miller, Sue Schuelke, Jessica J. Miller, Kevin Kupzyk","doi":"10.1111/nhs.13114","DOIUrl":"https://doi.org/10.1111/nhs.13114","url":null,"abstract":"The purpose of this study was to evaluate the handoff guidance (HG) self‐management intervention for multimorbid chronic obstructive pulmonary disease (COPD) patients following hospitalization for acute exacerbation of COPD (AECOPD) using HG self‐management intervention compared to a control group on COPD self‐management outcomes (self‐care, self‐efficacy, health engagement) and assess feasibility, acceptability, and healthcare utilization. A randomized pilot study used a 2‐group with repeated measures design. Adults with COPD who had been hospitalized for AECOPD were recruited. After discharge, the HG self‐management intervention employed health coaching delivered at: 1–3, 10–12, and 20–22 days after hospital discharge. Follow‐up data collected was collected at 1–3, 10–12, 20–22, 30, 60, and 90 days after hospital discharge. A total of 29 subjects participated, with a mean age of 66 (+8.7) years old, the majority were females (<jats:italic>n</jats:italic> = 18). Intervention participants reported the acceptability of the HG self‐management intervention. Participants in both groups continued to report COPD symptoms after discharge, which decreased over time, although not significantly different by group. The use of COPD maintenance, monitoring, and management behaviors was higher in the treatment group, although not significantly different.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"82 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Esmaeel Yaagoob, Regina Lee, Michelle Stubbs, Fatimah Shuaib, Raja Johar, Sally Chan
Diabetes mellitus is a metabolic disease characterized by prolonged elevated blood glucose levels. Diabetes self‐management education and support programs are widely used in western countries. The impact of social media education and support interventions such as a WhatsApp‐based program and the nurses' role in supporting and implementing this self‐management program unclear. Using a WhatsApp‐based program, we evaluated the effects of a 6‐week program in improving self‐efficacy and education among people with type 2 diabetes mellitus in Saudi Arabia. Eligible participants (n = 80) were recruited with the support of nurses into a randomized controlled trial and randomly assigned into self‐management intervention and control groups. The intervention group (n = 40) received the self‐management program support and the usual care. The control group (n = 40) received only the usual care with nurses' support. Results from generalized estimating equation analysis showed a significant increase in self‐efficacy, self‐management, and education in the WhatsApp‐based intervention support group compared with the control group at 6 and 12 weeks (follow‐up). Implementing the program via social media improves self‐efficacy. The use of social media platforms should be promoted for global diabetes management.
{"title":"WhatsApp‐based intervention for people with type 2 diabetes: A randomized controlled trial","authors":"Esmaeel Yaagoob, Regina Lee, Michelle Stubbs, Fatimah Shuaib, Raja Johar, Sally Chan","doi":"10.1111/nhs.13117","DOIUrl":"https://doi.org/10.1111/nhs.13117","url":null,"abstract":"Diabetes mellitus is a metabolic disease characterized by prolonged elevated blood glucose levels. Diabetes self‐management education and support programs are widely used in western countries. The impact of social media education and support interventions such as a WhatsApp‐based program and the nurses' role in supporting and implementing this self‐management program unclear. Using a WhatsApp‐based program, we evaluated the effects of a 6‐week program in improving self‐efficacy and education among people with type 2 diabetes mellitus in Saudi Arabia. Eligible participants (<jats:italic>n</jats:italic> = 80) were recruited with the support of nurses into a randomized controlled trial and randomly assigned into self‐management intervention and control groups. The intervention group (<jats:italic>n</jats:italic> = 40) received the self‐management program support and the usual care. The control group (<jats:italic>n</jats:italic> = 40) received only the usual care with nurses' support. Results from generalized estimating equation analysis showed a significant increase in self‐efficacy, self‐management, and education in the WhatsApp‐based intervention support group compared with the control group at 6 and 12 weeks (follow‐up). Implementing the program via social media improves self‐efficacy. The use of social media platforms should be promoted for global diabetes management.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"49 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Rubio‐Alvarez, Carmen Jiménez‐Ramos, Carolina Bravo‐Vaquero, Beatriz Pulgarín‐Pulgarín, Julián Rodríguez‐Almagro, Antonio Hernández‐Martínez
To understand the experience, training, and needs of midwives in their approach to perinatal grief. A descriptive cross‐sectional study was carried out using an online questionnaire with 26 questions related to institutional management and individual clinical practices in the care of a perinatal loss was developed by a team of midwives from the Hospital “La Mancha‐Centro” of Alcazar de San Juan (Ciudad Real). Strobe checklist was followed. A total of 267 midwives participated. A total of 92.1% (246) of the centers had specific protocols for action, but each professional applied their own criteria. The presence of a perinatal psychology team was nonexistent according to 88% (235) of those surveyed. Regarding their training and professional experience, 16.5% (44) of the midwives had never received training. Only 4.1% (11) of the midwives felt very prepared to care for women with a perinatal loss. Among the factors associated with greater application of recommended practices in the face of perinatal death by midwives were being a woman, having prior training on care during perinatal death, and a greater perception of preparation (p < 0.05). The perception of lack of preparation on the part of midwives in the accompaniment of these families was high.
{"title":"Professional approach to the care of women who have suffered a perinatal loss","authors":"Ana Rubio‐Alvarez, Carmen Jiménez‐Ramos, Carolina Bravo‐Vaquero, Beatriz Pulgarín‐Pulgarín, Julián Rodríguez‐Almagro, Antonio Hernández‐Martínez","doi":"10.1111/nhs.13116","DOIUrl":"https://doi.org/10.1111/nhs.13116","url":null,"abstract":"To understand the experience, training, and needs of midwives in their approach to perinatal grief. A descriptive cross‐sectional study was carried out using an online questionnaire with 26 questions related to institutional management and individual clinical practices in the care of a perinatal loss was developed by a team of midwives from the Hospital “La Mancha‐Centro” of Alcazar de San Juan (Ciudad Real). Strobe checklist was followed. A total of 267 midwives participated. A total of 92.1% (246) of the centers had specific protocols for action, but each professional applied their own criteria. The presence of a perinatal psychology team was nonexistent according to 88% (235) of those surveyed. Regarding their training and professional experience, 16.5% (44) of the midwives had never received training. Only 4.1% (11) of the midwives felt very prepared to care for women with a perinatal loss. Among the factors associated with greater application of recommended practices in the face of perinatal death by midwives were being a woman, having prior training on care during perinatal death, and a greater perception of preparation (<jats:italic>p</jats:italic> < 0.05). The perception of lack of preparation on the part of midwives in the accompaniment of these families was high.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"74 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xuan Ji, Xiaoyan Guo, Kim Lam Soh, Salimah Japar, Liping He
Elevated stress levels are related to diminished mental health, potentially leading to decreased well‐being and performance of nursing students. While researchers have focused on developing stress management interventions, there is a need to synthesize the evidence. A systematic review with meta‐analysis was conducted to assess the evidence for the effectiveness of stress management interventions in nursing students. A systematic literature search identified controlled stress management interventions employing a validated psychological or physiological stress measure. Forty‐one studies were included, with 36 forming a pool of 2715 participants in the meta‐analysis. The overall effect on psychological stress was positive. Intervention type, delivery modality, intervention duration in weeks, and number of sessions were moderators of intervention effectiveness, with more significant effects for mind–body programs, on‐site delivery methods, durations of 9–12 weeks, and 15–30 sessions. For physiological stress, the biomarkers of blood pressure, heart rate, and cortisol levels decreased significantly. Future research is necessary for promising outcomes related to currently underrepresented indicators and to investigate the long‐term effects of interventions.
{"title":"Effectiveness of stress management interventions for nursing students: A systematic review and meta‐analysis","authors":"Xuan Ji, Xiaoyan Guo, Kim Lam Soh, Salimah Japar, Liping He","doi":"10.1111/nhs.13113","DOIUrl":"https://doi.org/10.1111/nhs.13113","url":null,"abstract":"Elevated stress levels are related to diminished mental health, potentially leading to decreased well‐being and performance of nursing students. While researchers have focused on developing stress management interventions, there is a need to synthesize the evidence. A systematic review with meta‐analysis was conducted to assess the evidence for the effectiveness of stress management interventions in nursing students. A systematic literature search identified controlled stress management interventions employing a validated psychological or physiological stress measure. Forty‐one studies were included, with 36 forming a pool of 2715 participants in the meta‐analysis. The overall effect on psychological stress was positive. Intervention type, delivery modality, intervention duration in weeks, and number of sessions were moderators of intervention effectiveness, with more significant effects for mind–body programs, on‐site delivery methods, durations of 9–12 weeks, and 15–30 sessions. For physiological stress, the biomarkers of blood pressure, heart rate, and cortisol levels decreased significantly. Future research is necessary for promising outcomes related to currently underrepresented indicators and to investigate the long‐term effects of interventions.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"86 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This cross-sectional study aimed to investigate the relationship between family functioning, pain intensity, self-perceived burden, and pain catastrophizing. Moreover, we also wanted to explore the multiple mediating roles of pain intensity and self-perceived burden. From October 2022 to March 2023, 252 Chinese people with neuropathic pain completed face-to-face questionnaires to assess family functioning, pain intensity, self-perceived burden, and pain catastrophizing. Data analysis was done using descriptive statistics and a structural equation model. The results showed better family functioning was significantly associated with more intense pain, less self-perceived burden, and less pain catastrophizing. Mediation analysis showed that family functioning could indirectly affect pain catastrophizing through pain intensity and self-perceived burden in addition to a direct effect on pain catastrophizing. Moreover, the mediating variable of pain intensity played a masking role. These findings suggest that good family functioning can effectively reduce the self-perceived burden and pain catastrophizing in patients with neuropathic pain. However, family functioning cannot show its maximum effectiveness, and it may be necessary to construct a model of family functioning suitable for patients with neuropathic pain in the future.
{"title":"Pain intensity and self-perceived burden mediate the relationship between family functioning and pain catastrophizing in patients with neuropathic pain.","authors":"Yu Fang, Mengjie Liu, Min Wu, Mengshi Liu, Tianchen Niu, Xiaoman Zhang","doi":"10.1111/nhs.13097","DOIUrl":"10.1111/nhs.13097","url":null,"abstract":"<p><p>This cross-sectional study aimed to investigate the relationship between family functioning, pain intensity, self-perceived burden, and pain catastrophizing. Moreover, we also wanted to explore the multiple mediating roles of pain intensity and self-perceived burden. From October 2022 to March 2023, 252 Chinese people with neuropathic pain completed face-to-face questionnaires to assess family functioning, pain intensity, self-perceived burden, and pain catastrophizing. Data analysis was done using descriptive statistics and a structural equation model. The results showed better family functioning was significantly associated with more intense pain, less self-perceived burden, and less pain catastrophizing. Mediation analysis showed that family functioning could indirectly affect pain catastrophizing through pain intensity and self-perceived burden in addition to a direct effect on pain catastrophizing. Moreover, the mediating variable of pain intensity played a masking role. These findings suggest that good family functioning can effectively reduce the self-perceived burden and pain catastrophizing in patients with neuropathic pain. However, family functioning cannot show its maximum effectiveness, and it may be necessary to construct a model of family functioning suitable for patients with neuropathic pain in the future.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 1","pages":"e13097"},"PeriodicalIF":2.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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