Journal of Psychosocial Nursing and Mental Health Services最新文献

Purpose: To examine relationships among psychological well-being, emotional intelligence, maternal attachment, and motherhood role among postpartum mothers.

Method: Participants were 390 mothers with infants aged 4 to 12 months. Data were collected using a personal information form, the Psychological Well-Being Scale (PWBS), Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF), Maternal Attachment Inventory, and Being a Mother Scale.

Results: Mothers with perceived low income, lack of social security, poor relationships with their spouses, dissatisfaction with childbirth, and lack of post-partum support were found to be less satisfied with their motherhood experiences (p < 0.05). A negative correlation was found between being a mother and psychological well-being, TEIQue-SF total score, and subdimensions (p < 0.005). According to regression analysis, those with poor relationships with their spouses (β = 0.104, p = 0.026), low PWBS scores (β = -0.199, p < 0.001), and low TEIQue-SF scores (β = -0.267, p < 0.001) are significant factors affecting maternal role satisfaction by 21.1%. No significant relationship was found between maternal attachment and psychological well-being, emotional intelligence, and other variables (p > 0.005).

Conclusion: Findings emphasize the importance of psychosocial support, spousal involvement, and emotional competence in improving the postpartum maternal experience.

Purpose: To investigate the effects of education provided to pregnant women with fear of childbirth according to Travelbee's Human-to-Human Relationship Model on fear of birth, prenatal attachment, and anxiety.

Method: This prospective, randomized controlled study was conducted between June and August 2023. Participants included 62 pregnant women divided into intervention and control groups. Pregnant primiparous women who had fear of childbirth were selected for the intervention group, receiving an eight-session educational program based on Travelbee's model.

Results: At the end of the educational program, decreased fear of childbirth, lower anxiety, and higher prenatal attachment were detected in the intervention group. Results showed a statistically significant difference in the intervention group compared to the control group.

Conclusion: Birth preparation education prepared according to Travelbee's model is an effective method for reducing pregnant women's fear of childbirth and anxiety and increasing prenatal attachment level.

Long-acting injectable (LAI) antipsychotics for treatment of schizophrenia are underutilized despite their value in promoting treatment adherence and reducing risk for relapse and rehospitalization. Nurses working in psychiatric health care settings have an important collaborative role in a trauma-informed approach to person-centered care. Nurses, in collaboration with psychiatric-mental health nurse practitioners, physician assistants, and physicians, can support patients and their families in making informed decisions by normalizing the use of LAIs, providing psychoeducation, promoting discussion of concerns related to past experiences with injections, and assessing patient progress at regular intervals.

Purpose: To investigate attitudes, intentions, and behaviors toward seeking professional psychological help among Chinese perinatal women with depressive symptoms, and further identify influencing factors and perceived barriers to such help-seeking.

Method: Individuals who were pregnant or within 42 days postpartum were recruited from two tertiary hospitals in Hunan Province, China. A comprehensive questionnaire and list of possible perceived barriers to seeking psychological help were collected from participants.

Results: The prevalence of perinatal depressive symptoms was 28%, with only 11.3% of participants having sought psychological help. The most frequent perceived barriers to seeking psychological help were lack of knowledge of perinatal depressive symptoms and negative attitudes about perinatal depressive symptoms and psychological help-seeking.

Conclusion: Participants had low levels of professional psychological help-seeking behaviors. Further studies should explore this mechanism and develop interventions targeting perceived barriers.

Purpose: The current quality improvement project aimed to improve functionality within a psychiatric consult liaison nurse (PCLN) service through implementation of an educational pathway.

Method: Pre- and postintervention qualitative interviews were conducted with eight PCLNs, and themes were generated via content analysis. Quantitative surveys were also conducted, and data were analyzed using means and standard deviations. Paired t tests were used to test for significance.

Results: Qualitative results identified five themes: Flexibility vs. Uncertainty, Ambiguity vs. Direction, Structured vs. Unstructured Education, Efficiency/Time Management, and Communication. Quantitative surveys indicated the intervention improved the consistency of the psychoeducation provided (p = 0.03) and enhanced the structure of the PCLN role (p = 0.04). The intervention did not significantly improve communication between PCLNs and medical-surgical nurses.

Conclusion: Qualitative findings showed that the educational pathway improved efficiency, time management, and communication, and quantitative findings showed it can help with consistency and structure to the role. Implementing an educational pathway for PCLNs is feasible and effective for health care systems.

Purpose: To examine the effectiveness of equine-assisted therapy on symptoms, quality of life, anxiety, and loneliness in individuals with schizophrenia.

Method: A randomized controlled trial was conducted with individuals with schizophrenia registered at a community mental health center. The study involved 61 participants (30 in the intervention group, 31 in the control group). An 8-week equine-assisted therapeutic intervention was implemented for the intervention group. Data were collected using a Personal Information Form, the Positive and Negative Syndrome Scale (PANSS), Trait Anxiety Inventory (TAI), Quality of Life Scale for Schizophrenia Patients (QLS), and UCLA Loneliness Scale (UCLA-LS). Data were analyzed using means, frequencies, percentage distributions, chi-square test, and dependent and independent samples t tests.

Results: Statistically significant differences were found between pre- and post-test mean scores of the PANSS, TAI, UCLA-LS, and QLS in the intervention group (p < 0.05), and none were found in the control group (p > 0.05).

Conclusion: Equine-assisted therapy effectively reduced symptoms, anxiety, and loneliness in individuals with schizophrenia, while improving their quality of life.

Purpose: To investigate the effects of illness uncertainty on discharge readiness and explore whether hope mediates this relationship in individuals with major depressive disorder (MDD).

Method: A cross-sectional survey was conducted with 218 patients with MDD at a hospital in China. Data were collected using self-reported questionnaires, including demographic and clinical information, the Mishel Uncertainty in Illness Scale, Herth Hope Index, and Readiness for Hospital Discharge Scale. Descriptive statistics, correlation analysis, and path analysis were used to analyze the data.

Results: Illness uncertainty was negatively associated with hope (r = -0.14, p < 0.05) and discharge readiness (r = -0.207, p < 0.01). Conversely, hope was positively associated with discharge readiness (r = 0.445, p < 0.01). Hope partially mediated the relationship between illness uncertainty and discharge readiness, accounting for 28.5% of the total effect.

Conclusion: Illness uncertainty directly impacted discharge readiness in patients with MDD and exerted an indirect effect through the mediating role of hope. Findings highlight the importance of psychosocial interventions aimed at enhancing hope and reducing illness uncertainty to improve discharge readiness and support post-hospital recovery.