Japan Journal of Nursing Science最新文献_第7页

Translation and validation of the Japanese version of the Birth Satisfaction Scale-Revised 《出生满意度量表修订本》日文版的翻译和验证。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-10-08 DOI: 10.1111/jjns.12569

Aya Tezuka, Natsuko Hiroyama, Miwa Suzuki, Megumi Matsuoka, Caroline J. Hollins Martin, Colin R. Martin

Aim

This study aimed to develop a Japanese version of the Birth Satisfaction Scale-Revised and evaluate its reliability and validity.

Methods

After translating the Birth Satisfaction Scale-Revised into Japanese, we conducted an Internet-based cross-sectional study with 445 Japanese-speaking women within 2 months of childbirth. Of these, 98 participated in the retest 1 month later. Data were analyzed using the COSMIN study design checklist for patient-reported outcome measurement instruments. Content validity was evaluated through cognitive debriefing during the translation process into Japanese. Confirmatory factor analysis was conducted to verify structural and cross-cultural validities. For hypothesis testing, we tested correlations with existing measures for convergent and divergent validities, and for known-group discriminant validity, we made comparisons between types of childbirth. Internal consistency was calculated using Cronbach's α, and test–retest reliability was evaluated using the intraclass correlation coefficient.

Results

For the Japanese-Birth Satisfaction Scale-Revised, the established three-factor model fit poorly, whereas the four-factor model fit better. Full metric invariance was observed in both the nulliparous and multiparous groups. Good convergent, divergent, and known-group discriminant validities and test–retest reliability were established. Internal consistency observations were suboptimal; however for vaginal childbirth, the Cronbach's α of the total score was .71.

Conclusions

The Japanese-Birth Satisfaction Scale-Revised is a valid and reliable scale, with the exception of internal consistency that requires further investigation. If limited to vaginal childbirth, research, clinical applications, and international comparisons can be drawn.

目的：本研究旨在开发日本版的出生满意度量表，并评估其信度和有效性。方法：在将《出生满意度量表》翻译成日语后，我们对445名2岁以内的日语女性进行了一项基于互联网的横断面研究分娩数月。其中98人参加了复试1 一个月后。使用患者报告结果测量仪器的COSMIN研究设计检查表对数据进行分析。在翻译成日语的过程中，通过认知汇报来评估内容的有效性。进行了验证性因素分析，以验证结构和跨文化的有效性。在假设检验中，我们检验了与现有测量的收敛有效性和发散有效性的相关性，对于已知的群体判别有效性，我们对分娩类型进行了比较。使用Cronbachα计算内部一致性，并使用组内相关系数评估重测可靠性。结果：日本出生满意度量表修订后，三因素模型拟合较差，四因素模型拟合较好。在未出生组和多胎组中均观察到完全度量不变性。建立了良好的收敛、发散和已知的群体判别有效性和重测信度。内部一致性观察结果不理想；然而，对于阴道分娩，总分的Cronbachα为.71。结论：日本出生满意度量表修订版是一个有效和可靠的量表，但内部一致性需要进一步调查。如果仅限于阴道分娩，可以进行研究、临床应用和国际比较。

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引用次数: 0

Nutritional status and prevalence of helminthic infection among primary school children in Bangladesh: A cross-sectional study 孟加拉国小学生的营养状况和蠕虫感染率：一项横断面研究。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-10-06 DOI: 10.1111/jjns.12568

Sadia Alam Aivey, Md Moshiur Rahman, Yasuko Fukushima, Ashir Ahmed, Junaidi Budi Prihanto, Mohammad Habibur Rahman Sarker, Mohammad Delwer Hossain Hawlader, Michiko Moriyama

Aim

Malnutrition and infectious diseases, such as helminthic infections, are widespread among primary school children, especially in low- and middle-income countries. However, there are limited studies on school health in Bangladesh, particularly in rural settings. This study aimed to explore the nutritional status and prevalence of helminthic infections in relation to associated health behavior, awareness, and knowledge regarding malnutrition and helminthic infections which were evaluated by school nurses among primary school children in Bangladesh.

Methods

This was a descriptive, cross-sectional survey study with a total duration of 1 month, from September to October, 2021. This study formed part of a school nurse project as a cluster non-randomized clinical trial in Bangladesh. Selected variables from that clinical trial were analyzed and reported in the results section. The study participants were primary school children from four schools in rural Bangladesh.

Results

In total, 604 children participated in the baseline survey and health checkups. Among them, 163 (27.0%) children were classified as malnourished according to the World Health Organization growth reference standard 2007. The prevalence of helminthic infections was 53 (8.8%). Approximately >50% of the children responded that they never/rarely practiced hygiene-related behaviors and had no awareness and knowledge regarding malnutrition and helminthic infections. However, differences between the variables were not statistically significant.

Conclusion

Children's nutritional status and prevalence of helminthic infections with related deprived health behaviors, and minimal awareness and knowledge, reinforce the importance of implementing educational interventions in the future.

目的：营养不良和传染病，如蠕虫感染，在小学生中普遍存在，尤其是在中低收入国家。然而，关于孟加拉国学校健康的研究有限，特别是在农村地区。本研究旨在探讨营养状况和蠕虫感染的患病率与相关的健康行为、营养不良和蠕虫感染意识和知识之间的关系，由学校护士对孟加拉国小学生进行了评估 2021年9月至10月。这项研究是孟加拉国学校护士项目的一部分，是一项集群非随机临床试验。对该临床试验的选定变量进行了分析，并在结果部分进行了报告。研究参与者是来自孟加拉国农村四所学校的小学生。结果：总共有604名儿童参加了基线调查和健康检查。根据世界卫生组织2007年生长参考标准，其中163名（27.0%）儿童被列为营养不良。蠕虫感染的患病率为53（8.8%）。大约50%以上的儿童回答说，他们从未/很少从事与卫生相关的行为，对营养不良和蠕虫感染没有任何认识和知识。然而，变量之间的差异在统计学上并不显著。结论：儿童的营养状况和蠕虫感染率，以及相关的剥夺健康行为，以及最低限度的意识和知识，加强了未来实施教育干预的重要性。

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引用次数: 0

The potential influences of professional identity for undergraduate nursing students during the COVID-19 pandemic: A cross-sectional study 新冠肺炎大流行期间护理本科生职业认同的潜在影响：一项横断面研究。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-10-05 DOI: 10.1111/jjns.12567

Xiao Hu, Xiaoju Chen, Qian Ouyang, Gang Li, Gail Holland Wade, Yidi Chen

Aim

We aimed to investigate the level of undergraduate nursing students' professional identity (PI) during the COVID-19 pandemic and its potential influences.

Methods

This cross-sectional study included 742 undergraduate nursing students from Chengdu Medical College. Basic demographics, personal characteristics and PI score were collected. Chi-squared test, one-way analysis of variance, and multivariable logistic regression analysis were used to analyze the data.

Results

In the classes of 2019, 2020, and 2021, the PI score was 96.85 ± 18.26, 105.37 ± 17.46, 106.67 ± 22.08 (P < .001). PI score was the independent predictive factor for both “want to be a nurse” and “willingness to serve during COVID-19 or other pandemics”.

Conclusions

PI contributes greatly to nursing students' willingness to be a nurse and overcome pandemics. The challenge of culturing PI during COVID-19 pandemic revealed the necessity of developing individual management strategies for nursing education.

目的：了解新冠肺炎疫情期间护理专业大学生职业认同水平及其潜在影响。方法：对成都医学院护理专业742名本科生进行横断面调查。收集基本人口统计数据、个人特征和PI评分。采用卡方检验、单因素方差分析和多变量逻辑回归分析对数据进行分析。结果：在2019、2020和2021届学生中，PI得分为96.85 ± 105.37 ± 1746106.67 ± 22.08（P 结论：PI对护生成为护士和战胜流行病的意愿有很大贡献。新冠肺炎大流行期间培养PI的挑战揭示了制定护理教育个体管理策略的必要性。

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引用次数: 0

Modification of the association between nausea and vomiting of pregnancy and anxiety by personality trait during early pregnancy: A longitudinal study of Japanese pregnant women 妊娠期恶心呕吐与早孕期焦虑之间人格特征的相关性修正：一项对日本孕妇的纵向研究。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-10-03 DOI: 10.1111/jjns.12565

Saho Maruya, Koji Tamakoshi, Masami Hirose, Yuki Takahashi, Akiko Yamada, Noriko Kato

Aim

This study aimed to elucidate whether personality traits modify the relationship between nausea and vomiting of pregnancy (NVP) and anxiety, stratified by three pregnancy periods: 5–8 weeks, 9–12 weeks, and 13–20 weeks.

Methods

This longitudinal study was conducted from August 2018 to February 2019 at a perinatal outpatient unit in a general hospital. We included 153 pregnant women aged ≥20 years and under 20 weeks of gestation at their first prenatal visit. They completed the Index of Nausea, Vomiting, and Retching, and the State–Trait Anxiety Inventory (STAI) to measure anxiety in terms of both trait (STAI-T) and state anxiety (STAI-S), and retook them at follow-up checkups for a maximum of three times.

Results

Using longitudinal data until 20 weeks' gestation, changes in NVP and trait anxiety were significantly associated with changes in state anxiety independently, with trait anxiety being more strongly involved than the change in NVP. This tendency was pronounced in the high-trait anxiety group with STAI-T scores of ≥45. Cross-sectional analyses by gestational week showed similar results in the low-trait anxiety group (STAI-T < 45). In the high-trait anxiety group, only trait anxiety was significantly associated with state anxiety up to 12 weeks gestation. However, only NVP was significantly associated with state anxiety after 13 weeks.

Conclusions

Pregnant women who tend to be anxious temperamentally may have other factors that cause anxiety besides nausea immediately after the discovery of pregnancy. Understanding personality traits may help reduce anxiety in pregnant women.

目的：本研究旨在阐明人格特征是否会改变妊娠期恶心呕吐（NVP）与焦虑之间的关系，分三个妊娠期进行分层：5-8 第9-12周第13-20周周。方法：本纵向研究于2018年8月至2019年2月在一家综合医院的围产期门诊部进行。我们纳入了153名年龄≥20岁的孕妇 20岁及以下第一次产前检查时的妊娠周数。他们完成了恶心、呕吐和呕吐指数，以及状态-特质焦虑量表（STAI），以测量特质（STAI-T）和状态焦虑（STAI-S）方面的焦虑，并在后续检查中最多重复三次。结果：使用20岁以前的纵向数据妊娠周后，NVP和特质焦虑的变化与状态焦虑的变化独立相关，其中特质焦虑比NVP的变化更强烈。这种倾向在STAI-T得分≥45的高特质焦虑组中表现得很明显。按孕周进行的横断面分析显示，低特质焦虑组（STAI-T 结论：有焦虑倾向的孕妇在发现怀孕后，除了恶心外，可能还有其他因素引起焦虑。了解个性特征可能有助于减少孕妇的焦虑。

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引用次数: 0

Effectiveness of a preceptors' social support program to aid novice nurses' error experience on preceptors' skill and novice nurses' perception of social support: A quasi-experimental study 指导者社会支持计划帮助新手护士错误体验对指导者技能和新手护士社会支持感知的有效性：一项准实验研究。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-09-25 DOI: 10.1111/jjns.12563

Misa Tomooka, Chiharu Matsumoto, Hitomi Maeda

Aim

To evaluate the effectiveness of the preceptors' social support program (PSSP) on preceptors' social support skill—supportive relationships and post-error support—and novice nurses' perception of received social support.

Methods

This study employed a quasi-experimental pretest–posttest design with a control group of a non-random assigned sample of 47 preceptors and novice nurses and an intervention group of 48 each. Intervention group preceptors received training in building supportive relationships skill and post-error support skills three times in the PSSP over 7 months. Preceptors' social support skill and novice nurses' perception of received social support were measured as primary outcomes. Data were collected at baseline (T0), 1 month after the second session (T1), and 1 month after the last session (T2) and analyzed.

Results

No significant differences in demographics or scores were shown at baseline (T0). Preceptors in the intervention group showed significantly better supportive relationships (T2, 101.6 ± 9 vs. 96.9 ± 7.6, 95% CI [0.95, 8.42], p = .015) and better performance of post-error support (T2, 67.6 ± 5 vs. 62 ± 6.5, 95% CI [2.78, 8.32], p < .001). Intervention group preceptors' social support skill increased or remained stable, while it decreased over time in the control group. Novice nurses in the intervention group received significantly better supportive relationships and post-error support from preceptors (T2, median 112 vs. 101, p = .007; 70.5 vs. 65, p = .028, respectively).

Conclusions

The PSSP improved preceptors’ supportive relationship skills and post-error support performance, leading to novice nurses' perceptions of better supportive relationships and receiving greater post-error support.

目的：评价导师社会支持计划（PSSP）对导师社会支持技能支持关系、错误后支持和新手护士对获得社会支持的感知的有效性。方法：本研究采用准实验性前测后测设计，对照组由47名教师和新手护士组成，干预组各48人。干预组指导者在7岁以上的PSSP中接受了三次建立支持关系技能和错误后支持技能的培训月。作为主要结果，测量了导师的社会支持技能和新手护士对获得社会支持的感知。在基线（T0）收集数据，1 第二次会话后的一个月（T1），以及1 最后一次会话后的一个月（T2）并进行分析。结果：在基线（T0）时，人口统计学或得分没有显示出显著差异。干预组的戒药显示出明显更好的支持关系（T2101.6 ± 9对96.9 ± 7.6，95%置信区间[0.95，8.42]，p = .015）和更好的错误后支持性能（T2，67.6 ± 5对62 ± 6.5，95%置信区间[2.78，8.32]，p 结论：PSSP提高了指导者的支持关系技能和错误后支持表现，使新手护士感觉到更好的支持关系，并获得更大的错误后支持。

{"title":"Effectiveness of a preceptors' social support program to aid novice nurses' error experience on preceptors' skill and novice nurses' perception of social support: A quasi-experimental study","authors":"Misa Tomooka, Chiharu Matsumoto, Hitomi Maeda","doi":"10.1111/jjns.12563","DOIUrl":"10.1111/jjns.12563","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the effectiveness of the preceptors' social support program (PSSP) on preceptors' social support skill—supportive relationships and post-error support—and novice nurses' perception of received social support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a quasi-experimental pretest–posttest design with a control group of a non-random assigned sample of 47 preceptors and novice nurses and an intervention group of 48 each. Intervention group preceptors received training in building supportive relationships skill and post-error support skills three times in the PSSP over 7 months. Preceptors' social support skill and novice nurses' perception of received social support were measured as primary outcomes. Data were collected at baseline (T0), 1 month after the second session (T1), and 1 month after the last session (T2) and analyzed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>No significant differences in demographics or scores were shown at baseline (T0). Preceptors in the intervention group showed significantly better supportive relationships (T2, 101.6 ± 9 vs. 96.9 ± 7.6, 95% CI [0.95, 8.42], <i>p</i> = .015) and better performance of post-error support (T2, 67.6 ± 5 vs. 62 ± 6.5, 95% CI [2.78, 8.32], <i>p</i> < .001). Intervention group preceptors' social support skill increased or remained stable, while it decreased over time in the control group. Novice nurses in the intervention group received significantly better supportive relationships and post-error support from preceptors (T2, median 112 vs. 101, <i>p</i> = .007; 70.5 vs. 65, <i>p</i> = .028, respectively).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The PSSP improved preceptors’ supportive relationship skills and post-error support performance, leading to novice nurses' perceptions of better supportive relationships and receiving greater post-error support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41171421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences and care needs of post-discharge patients who underwent cardiac surgery: A qualitative study 接受心脏手术的出院后患者的经验和护理需求：一项定性研究。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-09-19 DOI: 10.1111/jjns.12561

Akiko Makino, Satoshi Nakata, Toshiko Yoshida

Aim

This study clarifies the physical, psychological, and social forms of distress in, and care needs of, cardiac surgery patients, including optimal times for supporting them in their post-hospital discharge daily lives.

Methods

Semi-structured qualitative interviews were conducted. Participants included 12 adults (11 male and one female, mean age = 66.5 years) who had undergone cardiac surgery, experienced intensive care, and received outpatient care at the first post-discharge visit (around 2 ~ 3 weeks after discharge), around 3 months after discharge, and between 3 months and 1 year after discharge. Verbatim transcripts were analyzed based on similarities and differences for codes based on assessment items, and subcategories and categories were generated.

Results

After surgery, patients experienced physical, psychological, and social distress. First, they experienced physical pain shortly after discharge. Moreover, as they recovered at home, a gap between their sense of their recovery and the perceptions of those around them about their recovery often persisted, which led to psychological and social distress. Patients gained a sense of safety through “assurance of physical recovery” and security through “shared subjective distress.”

Conclusions

Post-cardiac surgery patients seek reassurance and safety by sharing experiences owing to daily life distress. Our findings could help provide better support to meet the care needs of such patients.

目的：本研究阐明了心脏手术患者的身体、心理和社会形式的痛苦和护理需求，包括在出院后的日常生活中为他们提供支持的最佳时间。方法：采用半结构化的定性访谈。参与者包括12名成年人（11名男性和1名女性，平均年龄 = 66.5 年），曾接受过心脏手术，接受过重症监护，并在出院后第一次就诊时接受过门诊治疗（约2 ~ 3. 出院后数周），约3 出院后3个月月和1 出院后一年。根据评估项目代码的异同对逐字记录进行分析，并生成子类别和类别。结果：手术后，患者经历了身体、心理和社会方面的痛苦。首先，他们在出院后不久就感到身体疼痛。此外，当他们在家中康复时，他们的康复意识和周围人对他们康复的看法之间的差距往往持续存在，这导致了心理和社会痛苦。患者通过“身体恢复的保证”获得安全感，通过“共同的主观痛苦”获得安全。结论：心脏手术后患者通过分享日常生活痛苦的经历来寻求安慰和安全。我们的研究结果可能有助于提供更好的支持，以满足此类患者的护理需求。

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引用次数: 0

Older people's connectedness with people in the community in contemporary contexts: A concept analysis 当代背景下老年人与社区居民的联系：概念分析。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-09-02 DOI: 10.1111/jjns.12560

Mami Kikuchi, Michiyo Hirano

Aim

This study aimed to clarify the concept of older people's connectedness with people in the community within the literature.

Methods

This study was based on Walker and Avant's concept analysis method. We used PubMed, MEDLINE, CINAHL, and Web of Science databases and included peer-reviewed articles that were published in English between January 2010 and April 2023. After assessing eligibility and applying exclusion criteria, 25 articles were analyzed.

Results

Attributes included sense of belonging to the community achieved through interactions and feeling of togetherness through interrelationships, which consequently led to the maintenance of healthy physical and mental states and independent living, the acquisition of the ability to overcome difficulties, and the creation of a sense of meaning in life through coexistence.

Conclusion

We identified the concept of older people's connectedness with people in the community in a contemporary context. Connectedness is a useful concept to consider in nursing care because it seems to evolve into comprehensive health, including the physical and psychosocial health of older adults.

目的：本研究旨在澄清文献中关于老年人与社区居民联系的概念：本研究采用 Walker 和 Avant 的概念分析方法。我们使用了 PubMed、MEDLINE、CINAHL 和 Web of Science 数据库，收录了 2010 年 1 月至 2023 年 4 月间发表的同行评审过的英文文章。经过资格评估和适用排除标准后，我们对 25 篇文章进行了分析：研究结果表明，老年人对社区的归属感和团结感是通过互动和相互关系实现的，这有助于老年人保持健康的身心状态和独立生活，获得克服困难的能力，并通过共处创造生活的意义：我们在当代背景下确定了老年人与社区居民的联系这一概念。在护理工作中，"联系 "是一个值得考虑的有用概念，因为它似乎可以演变成全面的健康，包括老年人的身体健康和社会心理健康。

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引用次数: 0

A global survey on national standard care for newborn bathing 新生儿沐浴国家标准护理全球调查。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-08-28 DOI: 10.1111/jjns.12558

Minako Kido, Kaori Yonezawa, Megumi Haruna, Emi Tahara-Sasagawa, Yuriko Usui

Aim

To describe national standard care for newborn bathing and its influential factors.

Methods

A global survey was conducted using a web-based questionnaire. The targeted countries were 166 member countries of either the International Confederation of Midwives (ICM) or the International Council of Nurses (ICN). An eligible person included someone well informed of midwifery education/training or neonatal care, including newborn bathing, in their country. To examine the factors associated with the standard care for newborn bathing, information on mean annual temperature, precipitation, gross domestic product per capita, and basic water coverage was collected as external factors. Student's t tests and Chi-square tests were used for analysis.

Results

Care standards were identified in 46 countries: seven from Africa, eight from the Americas, 15 from Asia, 14 from Europe, and two from Oceania. In most countries, newborns were bathed with warm water in a tub within 10 min. Bathing frequency, moisturization, and use of soap or cleanser varied by country. There were significant associations between bathing frequency and temperature and between moisturization and precipitation.

Conclusion

The national standard care for newborn bathing in each country was unique. Standard bathing care was associated with the climate. More consideration should be given to the differences in standard care for newborn bathing between countries when interpreting existing studies and conducting future studies on neonatal skin care.

目的：描述新生儿沐浴的国家标准护理及其影响因素：方法：使用网络问卷进行全球调查。目标国家是国际助产士联合会（ICM）或国际护士理事会（ICN）的 166 个成员国。符合条件者包括对本国助产士教育/培训或新生儿护理（包括新生儿沐浴）非常了解的人。为研究与新生儿沐浴标准护理相关的因素，收集了年平均气温、降水量、人均国内生产总值和基本用水覆盖率等信息作为外部因素。分析采用了学生 t 检验和卡方检验：结果：46 个国家制定了护理标准：非洲 7 个、美洲 8 个、亚洲 15 个、欧洲 14 个、大洋洲 2 个。在大多数国家，新生儿在 10 分钟内用温水在浴盆中沐浴。沐浴频率、保湿程度、肥皂或清洁剂的使用因国家而异。沐浴频率与温度、保湿与降水量之间存在明显关联：结论：各国的新生儿沐浴标准各不相同。结论：每个国家的新生儿沐浴标准都各不相同。标准沐浴护理与气候有关。在解释现有研究和今后开展新生儿皮肤护理研究时，应更多地考虑各国新生儿沐浴标准护理的差异。

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引用次数: 0

Effects of a mobile application on improving self-management of adult patients receiving peritoneal dialysis: A randomized controlled trial 移动应用程序对改善腹膜透析成年患者自我管理的影响：随机对照试验。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-08-17 DOI: 10.1111/jjns.12555

Yoon Jung Chae, Hee Sun Kim

Aim

This study aimed to develop a mobile application for improving self-management and to evaluate its effects in adult patients on peritoneal dialysis (PD).

Methods

This randomized controlled trial was registered with the Korean Clinical Research Information Service Registry (KCT0007267) and conducted at a tertiary hospital. A self-management mobile application (SMA) was developed based on social cognitive theory and the ADDIE (analysis, design, development, implementation, and evaluation) model. The SMA includes information about disease management; self-recording of data on diet, exercise, medication, and health behavior; and healthcare providers' support and feedback. Participants aged 19–65 years were randomly allocated to the intervention group (n = 27) using the SMA for 10 weeks, and the control group (n = 26) receiving usual care. PD-related knowledge and self-efficacy, PD-related health behavior, biomarkers, and health-related quality of life (HRQoL) were surveyed pretest/posttest and analyzed using SPSS 23.0.

Results

Compared to the controls, the intervention group showed significant improvement in PD-related knowledge and health behavior, albumin, and hemoglobin. HRQoL domains of symptoms/problems of kidney disease and disease impact on daily activity were improved in the intervention group.

Conclusion

The SMA is an effective intervention for enhancing health behaviors as well as improving the HRQoL of patients with PD. Without any limitations on time or location, patients with PD can easily use the SMA to monitor their health conditions, efficiently manage their disease, and perform PD-related behaviors. Nurses can implement high-quality tailored healthcare by using patients’ lifelog data from the SMA.

目的：本研究旨在开发一款用于改善自我管理的移动应用程序，并评估其对腹膜透析（PD）成年患者的影响：这项随机对照试验已在韩国临床研究信息服务注册中心注册（KCT0007267），并在一家三级医院进行。根据社会认知理论和 ADDIE（分析、设计、开发、实施和评估）模型开发了一款自我管理移动应用程序（SMA）。SMA 包括有关疾病管理的信息；饮食、运动、用药和健康行为数据的自我记录；以及医疗服务提供者的支持和反馈。19-65 岁的参与者被随机分配到干预组（n = 27），使用 SMA 10 周，对照组（n = 26）接受常规护理。采用SPSS23.0对干预组进行前测/后测，并对干预组与帕金森病相关的知识和自我效能、与帕金森病相关的健康行为、生物标志物以及与健康相关的生活质量（HRQoL）进行分析：与对照组相比，干预组在帕金森病相关知识和健康行为、白蛋白和血红蛋白方面有显著改善。干预组在肾病症状/问题和疾病对日常活动的影响等 HRQoL 领域均有所改善：结论：SMA 是一种有效的干预措施，可增强帕金森病患者的健康行为并改善其 HRQoL。没有时间或地点的限制，帕金森病患者可以轻松使用 SMA 监测自己的健康状况，有效管理自己的疾病，并实施与帕金森病相关的行为。护士可以利用 SMA 中的患者生命记录数据，实施高质量的定制医疗保健。

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引用次数: 0

Investigation of COVID-19 vaccination among maintenance hemodialysis patients in Sichuan, China 中国四川维持性血液透析患者接种 COVID-19 疫苗的调查。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-08-09 DOI: 10.1111/jjns.12556

Li He, Lin Chen, Haotian Zheng, Yingjun Zhang, Sikai Tang, Hui Chen

Aim

To investigate the current status of COVID-19 vaccination in maintenance hemodialysis (MHD) patients and its influencing factors.

Methods

In total, 585 patients undergoing regular hemodialysis in Sichuan Province of China from January to March 2022 were selected to complete a questionnaire survey on their knowledge, attitudes and practices regarding COVID-19 vaccination. Independent t tests and logistic multivariate analysis were used to analyze the influencing factors of COVID-19 vaccination in hemodialysis patients.

Results

The survey showed that 37.44% of MHD patients had been vaccinated with the COVID-19 vaccine. Being married was associated with COVID-19 vaccination in patients with MHD (odds ratio [OR] = 1.969 95% CI 0 .870 ~ 4.453). MHD patients living in county areas have higher rates of COVID-19 vaccination (OR = 0.572 95% CI 0.301 ~ 1.087). Family /relatives/friends who are healthcare workers are associated with COVID-19 vaccination for MHD patients (OR = 1.840 95% CI 1.140 ~ 2.970). Other vaccination history within 5 years was a factor in COVID-19 vaccination for MHD patients (OR = 5.592 95% CI 2.997 ~ 10.434). Attitude (OR = 0.885 95% CI 0.808 ~ 0.905), and practice (OR = 0.756 95% CI 0.697 ~ 0.819) scores on the COVID-19 vaccination knowledge and practice questionnaire were related to the vaccination status of MHD patients.

Conclusions

MHD patients had lower rates of COVID-19 vaccination. Marital status, living environment, whether family/relatives/friends were medical workers, and the score of the COVID-19 vaccine knowledge and practice questionnaire were the factors influencing their vaccination status. Clinical attention should be given to the adverse reactions of COVID-19 vaccination in MHD patients to improve the awareness of primary medical staff on hemodialysis, and families and society should pay more attention to COVID-19 vaccination in MHD patients.

目的：调查维持性血液透析（MHD）患者接种COVID-19疫苗的现状及其影响因素：方法：选取2022年1月至3月在中国四川省定期进行血液透析的585名患者，对其接种COVID-19疫苗的知识、态度和实践进行问卷调查。采用独立t检验和逻辑多变量分析方法分析血液透析患者接种COVID-19疫苗的影响因素：调查显示，37.44%的血液透析患者接种过 COVID-19 疫苗。已婚与血液透析患者接种 COVID-19 疫苗有关（几率比 [OR] = 1.969 95% CI 0.870 ~ 4.453）。居住在县级地区的 MHD 患者接种 COVID-19 疫苗的比例更高（OR = 0.572 95% CI 0.301 ~ 1.087）。身为医护人员的家人/亲戚/朋友与 MHD 患者接种 COVID-19 疫苗有关（OR = 1.840 95% CI 1.140 ~ 2.970）。5 年内的其他疫苗接种史是影响 MHD 患者接种 COVID-19 疫苗的一个因素（OR = 5.592 95% CI 2.997 ~ 10.434）。COVID-19疫苗接种知识和实践问卷中的态度（OR = 0.885 95% CI 0.808 ~ 0.905）和实践（OR = 0.756 95% CI 0.697 ~ 0.819）得分与MHD患者的疫苗接种情况有关：结论：MHD 患者的 COVID-19 疫苗接种率较低。结论：MHD 患者的 COVID-19 疫苗接种率较低，婚姻状况、居住环境、家人/亲戚/朋友是否为医务工作者以及 COVID-19 疫苗接种知识和实践问卷的得分是影响其疫苗接种状况的因素。临床上应关注血液透析患者接种 COVID-19 疫苗的不良反应，以提高基层医务人员对血液透析的认识，家庭和社会也应更多地关注血液透析患者接种 COVID-19 疫苗的情况。

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