Japan Journal of Nursing Science最新文献_第5页

Sexual satisfaction and associated factors among patients with inflammatory bowel disease in Japan 日本炎症性肠病患者的性满意度及相关因素

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science

Pub Date : 2025-02-20 DOI: 10.1111/jjns.70003

Sayaka Wakai, Makoto Tanaka, Momoko Takai, Kayoko Sakagami, Hiroaki Ito

Aim

This study aimed to identify sexual satisfaction and related factors in Japanese patients with inflammatory bowel disease, as well as the characteristics of patients who refrained from responding to the sexual satisfaction question.

Methods

A questionnaire survey was administered to 499 patients, of whom 492 were available for the analysis. Sexual satisfaction was measured using 5-point scale derived from “I am satisfied with my sex life” item in the Functional Assessment of Chronic Illness Therapy-Fatigue. Patient characteristics (sex, age, marital status, and job status) were collected. Additionally, we obtained data from the scale regarding nonresponse to the sexual satisfaction, sleep deprivation status, emotional well-being, and fatigue subscales, and collected information on disease status from the medical records, including the partial Mayo Score and Crohn's Disease Activity Index.

Results

Regarding sex life satisfaction, the most common response was somewhat (24.8%). There were 173 (35.2%) patients who refrained from answering the sexual satisfaction question. Females and those of older age tended to avoid answering the question. Impaired sexual satisfaction was also significantly associated with older age, sleep deprivation, low emotional well-being subscale scores, and greater effects of fatigue.

Conclusion

Sexual satisfaction is related to chronic conditions in such areas as emotional well-being, fatigue, and sleep deprivation in inflammatory bowel disease patients, even when they are in remission. These results suggest that patients with inflammatory bowel disease are sometimes reluctant to talk about sex. Therefore, it is important for medical staff to consider this issue, especially in Japan.

目的本研究旨在确定日本炎症性肠病患者的性满意度及其相关因素，以及不回答性满意度问题的患者的特征。方法对499例患者进行问卷调查，其中492例可供分析。性满意度采用《慢性疾病治疗-疲劳功能评估》中“我对我的性生活满意”项目的5分制进行测量。收集患者特征（性别、年龄、婚姻状况、工作状况）。此外，我们从量表中获得了关于性满意度无反应、睡眠剥夺状态、情绪健康和疲劳亚量表的数据，并从医疗记录中收集了有关疾病状态的信息，包括部分梅奥评分和克罗恩病活动指数。结果在性生活满意度方面，最常见的回答是“有些”（24.8%）。有173例（35.2%）患者回避回答性满意度问题。女性和年龄较大的人倾向于避免回答这个问题。性满意度受损还与年龄较大、睡眠不足、情绪健康亚量表得分低以及疲劳的影响更大有关。结论：炎症性肠病患者的性满意度与情绪健康、疲劳和睡眠剥夺等慢性疾病有关，即使他们处于缓解期。这些结果表明，炎症性肠病患者有时不愿谈论性。因此，医务人员考虑这个问题是很重要的，特别是在日本。

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引用次数: 0

Effects of light-intensity physical activity on health-related outcomes in cancer survivors: A systematic review 低强度体力活动对癌症幸存者健康相关结果的影响：一项系统综述

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science

Pub Date : 2025-02-18 DOI: 10.1111/jjns.12653

Rumi Tanaka, Yuriko Matsunaga-Myoji, Satsuki Kubo, Noriko Nagao, Kimie Fujita

Aim

Nurse-led lifestyle education may be particularly effective for promoting light-intensity physical activity (LPA), which is often included as part of patients' daily activity. We aimed to conduct a comprehensive review of associations between LPA and health-related outcomes among cancer survivors and clarify the effects of LPA.

Methods

We searched four databases to identify relevant studies that involved participants aged ≥18 years, classified physical activity based on intensity, and measured LPA during the whole day by accelerometers or questionnaires. The quality of the included studies was assessed using quality assessment tools specific to LPA studies. The results were synthesized narratively.

Results

We extracted 34 relevant studies. Eleven studies focused on multiple cancers, eleven on breast cancer, five on colorectal cancer, three on lung cancer, and one each on head and neck cancer, non-Hodgkin's lymphoma, prostate cancer, gynecological cancer, and colorectal and gastric cancer. Six studies reported that LPA was effective for improving fatigue. Although LPA also showed favorable associations with physical function and mortality, the number of studies was insufficient (four studies each). No association was found between LPA and adiposity (n = 5). Results for the associations between LPA and quality of life (QOL) (n = 12), depression (n = 4), and cognitive function (n = 3) were conflicting.

Conclusion

This review confirmed that LPA is effective in improving several health-related outcomes. However, the results are integrated across cancer types, and further studies should investigate each outcome for each cancer type to clarify the effect of LPA.

目的护士主导的生活方式教育可能对促进低强度身体活动（LPA）特别有效，这通常是患者日常活动的一部分。我们的目的是对癌症幸存者中LPA与健康相关结局之间的关系进行全面回顾，并阐明LPA的影响。方法我们检索了4个数据库，以确定年龄≥18岁的参与者的相关研究，根据体力活动强度进行分类，并通过加速度计或问卷测量全天的LPA。使用LPA研究专用的质量评估工具评估纳入研究的质量。对结果进行了叙述性的综合。结果共提取34项相关研究。11项研究针对多种癌症，11项针对乳腺癌，5项针对结直肠癌，3项针对肺癌，头颈癌、非霍奇金淋巴瘤、前列腺癌、妇科癌、结直肠癌和胃癌各有一项。六项研究报告LPA对改善疲劳是有效的。尽管LPA也显示出与身体功能和死亡率的良好关联，但研究数量不足（各4项研究）。没有发现LPA和肥胖之间的关联（n = 5）。LPA与生活质量（QOL）（n = 12）、抑郁（n = 4）和认知功能（n = 3）之间的关联结果相互矛盾。结论本综述证实LPA可有效改善几种健康相关结局。然而，这些结果是综合了各种癌症类型的，进一步的研究应该调查每种癌症类型的每个结果，以阐明LPA的作用。

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引用次数: 0

Effects of a Tanzanian prenatal group education program about preeclampsia/eclampsia: A quasi-experimental study 坦桑尼亚产前小组教育项目对先兆子痫/子痫的影响：一项准实验研究

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science

Pub Date : 2025-02-13 DOI: 10.1111/jjns.12652

Sachiko Sakurai, Beatrice Mwilike, Shigeko Horiuchi, Stella E. Mushy

Aim

This study examined the effects of a prenatal group education program in Tanzania which was focused on preeclampsia/eclampsia according to knowledge, behavioral intention, Pregnancy-Related Empowerment Scale, satisfaction, and the incidence of preeclampsia.

Methods

The study was conducted in two district hospitals in Tanzania and used a facility-based pre-post quasi-experimental design with concurrent control. The prenatal group education program was developed to focus on preeclampsia/eclampsia and consisted of lectures, discussions, and review sessions directed at participatory group education. The intervention group participated in a midwife-facilitated prenatal group education program, whereas the control group received routine care. Data were collected through questionnaires before the intervention and 1 month later. A descriptive analysis of the data was performed.

Results

The study analyzed 95 pregnant women within an intervention group (n = 48) and control group (n = 47). At the 1-month post-test, statistically significant differences were observed between the intervention and control groups in the knowledge score (mean = 3.8, SD = 3.6 vs. mean = −0.8, SD = 3.1, p < .001) and satisfaction score (mean = 4.9 vs. mean = 4.6, p = .032). Between the two groups, there were no significant differences in the scores of behavioral intention, Pregnancy-Related Empowerment Scale, and the incidence of preeclampsia.

Conclusion

The prenatal group education program increased the knowledge level regarding preeclampsia and gave higher satisfaction among pregnant women. Knowledge was retained for at least 1 month. Continuity in implementation of this program is recommended.

目的本研究从知识、行为意向、妊娠相关赋权量表、满意度和子痫前期发生率等方面考察了坦桑尼亚针对子痫前期/子痫前期开展的产前小组教育项目的效果。方法在坦桑尼亚两所区级医院进行研究，采用以设施为基础的前后准实验设计，并行对照。产前小组教育计划的重点是子痫前期/子痫，包括讲座、讨论和针对参与性小组教育的复习会议。干预组参加助产士协助的产前小组教育计划，而对照组接受常规护理。在干预前和干预后1个月分别通过问卷收集数据。对数据进行描述性分析。结果本研究分析了干预组（n = 48）和对照组（n = 47） 95例孕妇。在测试后1个月，干预组与对照组的知识得分（mean = 3.8, SD = 3.6 vs. mean = - 0.8, SD = 3.1, p < 0.001）和满意度得分（mean = 4.9 vs. mean = 4.6, p = 0.032）差异有统计学意义。两组在行为意向、妊娠相关赋权量表评分、先兆子痫发生率方面均无显著差异。结论产前小组教育提高了孕妇对子痫前期知识的了解程度，提高了孕妇的满意度。知识保留至少1个月。建议继续执行这一方案。

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引用次数: 0

Depressive symptoms and heart rate variability in perinatal women: A narrative review 围产期妇女的抑郁症状和心率变异性：一项叙述性综述。

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science

Pub Date : 2025-01-28 DOI: 10.1111/jjns.12650

Taeko Unno, Hisayo Okayama

Aim

This study aims to review research on heart rate variability and psychiatric symptoms in perinatal women and explains how heart rate variability can be useful in preventing depressive symptoms in perinatal women.

Methods

Data were collected from PubMed, CINAHL, PsycINFO, and Google Scholar. The literature search encompassed articles published until July 2024, with the inclusion criteria targeting studies on women within 1 year postpartum, starting from the gestation period. Further, articles exploring this population that discussed the relationship between anxiety, depression, stress, and heart rate variability were selected. The exclusion criterion was studies that confirmed a correlation between stressors and heart rate variability.

Results

We identified 36 relevant articles. The results demonstrated that, since 2022, research has been conducted using smartwatches, smartphones, and so on. The effectiveness of using heart rate variability has been confirmed, particularly in studies linking it to depression. However, some studies lacked controls during measurements. Intervention studies demonstrated the effectiveness of heart rate variability biofeedback.

Conclusions

This is the first review to investigate the relationship between psychiatric symptoms and heart rate variability in perinatal women. Understanding and using the characteristics of heart rate variability may lead to the detection of psychiatric symptoms in perinatal women and to self-care among women.

目的：本研究旨在回顾围产期妇女的心率变异性和精神症状的研究，并解释心率变异性如何有助于预防围产期妇女的抑郁症状。方法：数据来源于PubMed、CINAHL、PsycINFO和谷歌Scholar。文献检索包括到2024年7月发表的文章，纳入标准针对产后1年内的女性，从妊娠期开始。此外，研究这一人群的文章讨论了焦虑、抑郁、压力和心率变异性之间的关系。排除标准是证实应激源和心率变异性之间存在相关性的研究。结果：我们找到了36篇相关文章。结果显示，自2022年以来，研究人员一直在使用智能手表、智能手机等进行研究。利用心率变异性的有效性已经得到证实，特别是在将其与抑郁症联系起来的研究中。然而，一些研究在测量过程中缺乏控制。干预研究证明了心率变异性生物反馈的有效性。结论：这是首次对围产期妇女精神症状与心率变异性之间关系的研究综述。了解和利用心率变异性的特征可能会导致围产期妇女精神症状的检测和妇女的自我保健。

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引用次数: 0

Why work in another country? Japanese nurses' experience and their reasons for staying in Australia 为什么在另一个国家工作？日本护士的经历及留在澳大利亚的原因。

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science

Pub Date : 2025-01-28 DOI: 10.1111/jjns.12651

Junko Nasu Dagba, Noriko Ichikawa, Makoto Fujii, Yuko Ohno, Kazuma Honda, Masayuki Endo

Aim

Many Japanese nurses have moved to Australia, yet their experiences and perceived reasons for staying in Australia are understudied. This study identified why Japanese nurses who moved internationally to Australia continued to stay and work in Australia.

Methods

Semi-structured interviews were conducted with 15 Japanese nurses who hold Japanese nursing licenses and are registered as nurses in Australia. The transcripts were analyzed using thematic analysis.

Results

Five themes emerged: (1) capability to take leave and holidays without feeling guilty, (2) set shifts creates a better work–life balance, (3) incentives give motivation to work hard, (4) safe and protective workplace for nurses, and (5) positive environment for pursuing a career.

Conclusions

Japanese nurses were satisfied with the Australian work environment where their profession is well-protected and highly respected, with more chances of career advancements. It suggests the need for a better working environment for nurses in Japan.

目的：许多日本护士已经移居澳大利亚，然而他们的经历和留在澳大利亚的原因还没有得到充分的研究。这项研究确定了为什么移居澳大利亚的日本护士继续留在澳大利亚工作。方法：对15名持有日本护理执照并在澳大利亚注册的日本护士进行半结构化访谈。使用主题分析对转录本进行分析。结果：我们发现了5个主题：(1)休假和休假不会有罪恶感的能力；(2)设定轮班创造更好的工作与生活平衡；(3)激励激励努力工作；(4)为护士提供安全和保护的工作场所；(5)积极的职业发展环境。结论：日本护士对澳大利亚的工作环境感到满意，在这里他们的职业受到良好的保护和尊重，职业发展的机会更多。这表明日本需要为护士提供更好的工作环境。

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引用次数: 0

Contributing factors to the length of stay and discharge destination of home health care patients: 10-year electronic health record analysis using the Donabedian model 影响家庭保健患者住院时间和出院目的地的因素：使用Donabedian模型的10年电子健康记录分析。

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science

Pub Date : 2025-01-21 DOI: 10.1111/jjns.12647

Hana Lee, Aeri Kim, Hyeyoun Lee, Kyungmi Woo

Aim

To identify the factors affecting the length of stay (LOS) and discharge destination (DD) of home health care (HHC) patients in South Korea.

Methods

A retrospective cross-sectional study was conducted using the electronic health records of 1769 patients from a hospital in South Korea. Data were collected from January 2013 to December 2022. We categorized the independent variables into patient context, structure, and process factors following a modification of Donabedian's model. Hierarchical and multinomial logistic regression analyses were used.

Results

The mean length of stay was 26.41 days. Patients were discharged to the following locations: 35.0% continued HHC, 21.0% died, 19% were discharged to their homes, 17.0% were admitted, and 8.0% were sent to other locations. Patients' sex, type of insurance coverage, and primary caregiver as well as the number of nurse visits, HHC admission route, and type of nursing service were predictors of their LOS. Operation history, a high Charlson comorbidity index, the type of insurance coverage, HHC admission route, and certain nursing care services were associated with admission and death as the DD.

Conclusions

Process variables (e.g., number of nurse visits, HHC admission route, type of nursing services) have a considerable influence on determining the LOS and DD of HHC patients. This result provides new insights into the use of HHC services and care transitions out of the hospital for patients living in their home, offering evidence to reduce unnecessary readmissions and ensure more effective and efficient HHC.

目的：探讨影响韩国家庭保健（HHC）患者住院时间（LOS）和出院目的地（DD）的因素。方法：对韩国某医院1769例患者的电子健康记录进行回顾性横断面研究。数据收集时间为2013年1月至2022年12月。根据Donabedian模型的修改，我们将自变量分为患者背景、结构和过程因素。采用层次和多项逻辑回归分析。结果：平均住院时间26.41 d。出院地点：35.0%继续HHC， 21.0%死亡，19%出院回家，17.0%入院，8.0%转至其他地点。患者的性别、保险覆盖类型、主要照顾者以及护士就诊次数、HHC入院路线和护理服务类型是其LOS的预测因子。手术史、高Charlson合并症指数、保险覆盖类型、HHC入院途径、特定护理服务与入院和死亡作为DD相关。结论：过程变量（如护士就诊次数、HHC入院途径、护理服务类型）对确定HHC患者的LOS和DD有相当大的影响。这一结果为住家患者使用HHC服务和出院后的护理过渡提供了新的见解，为减少不必要的再入院和确保更有效和高效的HHC提供了证据。

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引用次数: 0

Loneliness-associated factors among older adults: Focus on friendship type and number of friends 老年人孤独感相关因素：关注友谊类型和朋友数量。

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science

Pub Date : 2025-01-19 DOI: 10.1111/jjns.12649

Yuriko Inoue, Hironobu Hamada, Hisae Nakatani, Ichie Ono

Aim

Loneliness among older people is prevalent. Few studies have examined the association of loneliness with the type of friendship and number of friends. This study aimed to clarify the loneliness-related factors among older adults by gender focusing on the type of friendship and number of friends.

Methods

An anonymous, self-administered questionnaire survey was conducted on 1610 older adults in Japan. The questionnaire included basic characteristics, health status used by the self-administered dementia checklist, type of friendship and number of friends evaluated by the Lubben Social Network Scale, and loneliness evaluated using the University of California, Los Angeles Loneliness Scale. Univariate analysis was performed with loneliness as the dependent variable, and multiple logistic regression analysis was also performed.

Results

A total of 1082 older adults were included for analysis. The loneliness rate was 16.8%. Regarding the type of friendship and number of friends, having <3 close friends to call on for help (tangible aid) was most associated with loneliness (men odds ratio [OR]: 2.88, women OR: 3.10). Higher awareness of the participants of subjective symptoms of dementia was proportionally related to loneliness (men, OR: 3.06; women, OR: 2.40). Among women, economic insecurity (OR: 1.68), subjective health (OR: 2.12), having <3 friends with whom they feel easy to talk about private matters (emotional support) were related to loneliness (OR: 2.38).

Conclusion

The results suggested that the type of friendship and number of friends, economic insecurity, and health status might be associated with loneliness among older adults. Several factors related to loneliness might differ by gender.

目的：老年人的孤独感很普遍。很少有研究调查孤独与友谊类型和朋友数量之间的关系。本研究旨在通过性别分析老年人孤独感的相关因素，重点关注友谊的类型和朋友的数量。方法：对日本1610名老年人进行匿名、自我管理的问卷调查。问卷包括基本特征、自我管理痴呆检查表中使用的健康状况、Lubben社交网络量表评估的友谊类型和朋友数量，以及使用加州大学洛杉矶孤独感量表评估的孤独感。以孤独感为因变量进行单因素分析，并进行多元logistic回归分析。结果：共纳入1082名老年人进行分析。孤独率为16.8%。结论：友谊类型、朋友数量、经济不安全感和健康状况可能与老年人的孤独感有关。与孤独感相关的几个因素可能因性别而异。

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引用次数: 0

Knowledge development of empowerment in nursing research: A bibliometric analysis using reference publication year spectroscopy 护理研究中赋权的知识发展：使用参考出版年份光谱的文献计量学分析。

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science

Pub Date : 2025-01-19 DOI: 10.1111/jjns.12640

Hande Yesilbas, Filiz Kantek, Tangul Aytur Ozen

Aim

This bibliometric study aims to provide a comprehensive analysis of the history of empowerment in nursing using Reference Publication Year Spectroscopy (RPYS).

Methods

Descriptive and bibliometric analyses were conducted. The study is based on 762 publications from 1983 to 2024, with 14,582 cited references in the Web of Science. The reference publication period was divided into three sub-periods, with a total of 17 peaks identified: four from the first period (earliest to 1980), six from the second (1981–2000), and seven from the last period (2001–2024). Data analysis was performed using RPYS with the CRExplorer.

Results

Ten significant historical root publications, dating back to 1859, were identified, focusing on leadership, professionalism, social psychology, and philosophy of education. The earliest roots are linked to Florence Nightingale. In the recent period, there was a greater number of nursing-based root publications cited.

Conclusion

This study is the first to identify the origins of influential nursing empowerment publications using RPYS. The earliest publications referenced in nursing empowerment literature originate from nursing. The RPYS proved to be a valuable approach for analyzing the historical roots of knowledge in nursing empowerment.

目的：本文献计量学研究旨在利用参考出版年光谱（RPYS）对护理赋权的历史进行全面分析。方法：进行描述性和文献计量学分析。这项研究基于1983年至2024年的762篇出版物，其中14582篇被引用的参考文献来自科学网络。参考出版物期分为三个子期，共确定了17个高峰：第一个时期有4个（最早至1980年），第二个时期有6个（1981-2000年），最后一个时期有7个（2001-2024年）。使用RPYS和creexplorer进行数据分析。结果：确定了可追溯到1859年的10个重要的历史根源出版物，重点关注领导力，专业主义，社会心理学和教育哲学。最早的词根与弗洛伦斯·南丁格尔有关。在最近的一段时间里，有更多的基于护理的根出版物被引用。结论：本研究首次使用RPYS识别有影响力的护理授权出版物的来源。在护理授权文献中引用的最早的出版物起源于护理。RPYS被证明是分析护理授权知识历史根源的一种有价值的方法。

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引用次数: 0

Path analysis of factors influencing registered nurses' safety behavior in China: A mediation effect model 中国注册护士安全行为影响因素的路径分析：一个中介效应模型。

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science

Pub Date : 2025-01-16 DOI: 10.1111/jjns.12638

Lili Yao, Qinghua Zhao, Dingqun Bai, Shan He, Yuerong Li, Mingzhao Xiao, Yetao Luo, Ling Liu

Objective

This study aims to examine the current state, influencing factors, and pathways of safety behavior among registered nurses in China, thereby providing a theoretical framework for enhancing safety behavior levels among registered nurses.

Methods

The research involved the recruitment of registered nurses in Chongqing, China, utilizing the snowball sampling technique from July 2022 to May 2023.

Results

A total of 3244 registered nurses from 115 hospitals in Chongqing participated in the study. The mediation effect model demonstrated a good fit, with all variables accounting for 35% of the variance in safety behavior. The most significant influencing variables identified were perceived organizational support, patient safety competency, satisfaction with information systems, and patient safety training, with total effects of .44, .15, .12, and .12, respectively.

Conclusion

The mediation effect model revealed that perceived organizational support has a direct impact on safety behavior and can also influence safety behavior indirectly through patient safety competency. It is crucial to continuously enhance the patient safety competency of registered nurses, cultivate a supportive and compassionate organizational culture, encourage the implementation of safety behavior among nursing personnel, and ultimately ensure patient safety.

目的：本研究旨在了解中国注册护士安全行为的现状、影响因素及途径，为提高注册护士安全行为水平提供理论框架。方法：采用滚雪球抽样法，于2022年7月至2023年5月在重庆市招募注册护士。结果：重庆市115家医院共有3244名注册护士参与研究。中介效应模型拟合良好，所有变量占安全行为方差的35%。最显著的影响变量是感知组织支持、患者安全能力、对信息系统的满意度和患者安全培训，总效应分别为0.44、0.15、0.12和0.12。结论：组织支持感知对安全行为有直接影响，并通过患者安全能力间接影响安全行为。不断提高注册护士的患者安全能力，培养支持和同情的组织文化，鼓励护理人员实施安全行为，最终确保患者安全至关重要。

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引用次数: 0

Association between self-stigma and self-compassion in patients with schizophrenia: A longitudinal study from hospital admission to first follow-up after discharge 精神分裂症患者自我耻感与自我同情的关系：一项从入院到出院后第一次随访的纵向研究

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science

Pub Date : 2025-01-15 DOI: 10.1111/jjns.12648

Keita Toshi, Miharu Nakanishi, Mai Sakai, Hatsumi Yoshii

Aim

Self-stigma is a major factor preventing the recovery of individuals with schizophrenia. Psychosocial interventions can reduce self-stigma, and mental health nurses may play a crucial role in leading them, but little is known about the modifiable factors that should be targeted. We aimed to investigate the association between self-stigma and self-compassion in patients with schizophrenia from admission to the first follow-up after discharge.

Methods

Twenty-three patients with schizophrenia were recruited from an acute psychiatric ward in a private psychiatric hospital in Japan. Participants filled out the Japanese versions of the Internalized Stigma of Mental Illness (ISMI) scale, the Self-Compassion Scale (SCS), and the Positive and Negative Syndrome Scale (PANSS) at the following three time points: 1 month after admission, discharge, and first follow-up after discharge at outpatient care. We used a linear mixed model to examine the association between self-stigma, self-compassion, and the symptoms. In the first model, we used self-stigma as a dependent variable and included time of assessment and positive and negative symptoms as independent variables. In the second model, we added self-compassion to the independent variables.

Results

Self-stigma did not change over time. Regarding the linear mixed model, the first model showed that participants with more positive symptoms tended to report worse self-stigma (p = .052). The second model showed a significant association between increasing self-stigma and higher over-identification (p = .001).

Conclusions

Our results suggest that interventions focusing on over-identification can reduce self-stigma. Nurse-led intervention programs with a focus on over-identification should be further developed for effectiveness.

目的：自我耻辱感是阻碍精神分裂症患者康复的主要因素。社会心理干预可以减少自我耻辱感，精神卫生护士可能在引导他们方面发挥关键作用，但对于应该针对的可改变因素知之甚少。本研究旨在探讨精神分裂症患者自入院至出院后第一次随访期间自我耻感与自我同情的关系。方法：从日本一家私立精神病院的急性精神病病房招募23例精神分裂症患者。被试分别在入院后1个月、出院后1个月、门诊出院后第一次随访3个时间点填写了日文版精神疾病内化污名（ISMI）量表、自我同情量表（SCS）和正负综合征量表（PANSS）。我们使用线性混合模型来检验自我耻辱、自我同情和症状之间的关系。在第一个模型中，我们将自我耻辱作为因变量，并将评估时间和阳性和阴性症状作为自变量。在第二个模型中，我们在自变量中加入了自我同情。结果：自我耻辱感不随时间变化。对于线性混合模型，第一个模型显示阳性症状越多的参与者倾向于报告更严重的自我耻辱感（p = 0.052）。第二个模型显示了自我耻辱感的增加和过度认同的增加之间的显著关联（p = .001）。结论：我们的研究结果表明，关注过度认同的干预措施可以减少自我耻辱感。护士主导的干预方案，重点是过度识别应进一步发展的有效性。

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引用次数: 0