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Improving hygiene care via nursing education 通过护理教育改善卫生护理。
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-02-18 DOI: 10.1111/jjns.12592
Yusrita Zolkefli
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引用次数: 0
The effect of different bed head angles on the hemodynamic parameters of intensive care patients lying in the supine position: A quasi-experimental study 不同床头角度对仰卧位重症监护患者血液动力学参数的影响:准实验研究
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-02-13 DOI: 10.1111/jjns.12589
Şenay Yiğit Avcı, Dilek Yılmaz

Aims

The aim of this study was to research the effect of different bed head angles on the hemodynamic parameters of intensive care patients lying in the supine position.

Methods

This study was a non-randomized and non-controlled, quasi-experimental repeated measures study. The study was conducted with 50 intensive care patients aged 18 and over in a general surgery intensive care unit in Turkey. With each patient in the supine position, the bed head was raised to an angle of 0°, 20°, 30°, and 45° without a pillow, and the hemodynamic parameters of central venous pressure, systolic and diastolic blood pressure, heart rate, breathing rate, and peripheral oxygen saturation were recorded after 0 and 10 min.

Results

It was found that the mean central venous pressure value measured at min 0 and 10 was higher when the intensive care patients' bed head angle was raised to 45° than when the bed head was at an angle of 0° or 20° (p < .05). It was found that the patients' other hemodynamic parameters were not affected by different bed head angles.

Conclusions

It was concluded as a result of this research that in intensive care patients in the supine position, only central venous pressure was affected by bed head angle, and that central venous pressure measurement can be reliably made at a bed head angle of 30°.

目的:本研究旨在探讨不同床头角度对仰卧位重症监护患者血液动力学参数的影响:本研究是一项非随机、非对照、准实验重复测量研究。研究对象是土耳其一家普外科重症监护病房的 50 名 18 岁及以上重症监护患者。每位患者取仰卧位,在不垫枕头的情况下将床头抬高至 0°、20°、30° 和 45°,0 分钟和 10 分钟后记录中心静脉压、收缩压和舒张压、心率、呼吸频率和外周血氧饱和度等血液动力学参数:结果发现,重症监护患者床头角度抬高至 45°时,0 分钟和 10 分钟时测量的中心静脉压平均值高于床头角度为 0°或 20°时(p):这项研究得出的结论是,在仰卧位的重症监护患者中,只有中心静脉压会受到床头角度的影响,床头角度为 30°时,中心静脉压的测量结果是可靠的。
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引用次数: 0
A breast milk production model for achieving exclusive breastfeeding in low-risk primiparas who had vaginal births at 4 months postpartum: A prospective cohort study 产后 4 个月经阴道分娩的低风险初产妇实现纯母乳喂养的母乳生产模式:前瞻性队列研究。
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-02-12 DOI: 10.1111/jjns.12588
Kaori Takahata, Shigeko Horiuchi, Ai Miyauchi, Yuriko Tadokoro, Takuya Shuo

Background

This study aimed to investigate the thresholds of milk production for predicting the achievement of exclusive breastfeeding (EBF) at 4 months postpartum.

Methods

The inclusion criteria were singleton, low-risk primiparas, non-cesarean section, and healthy mothers and infants. Temporary feeding of artificial milk in the past was included. Women who could be judged to have intentionally used artificial milk were excluded from the analysis. Measurements of the 24-h milk production by test weights were obtained at early postpartum (days 3–4) and at 1 month postpartum. To predict the achievement of EBF at 4 months postpartum, the area under the receiver operating characteristic (ROC) curve was calculated for early postpartum and 1 month milk production.

Results

There were 80 eligible participants analyzed. ROC analysis of milk production for achieving EBF at 4 months revealed an area under the curve (AUC) of 0.736 (95% CI: [0.625, 0.848]) for early postpartum and an AUC of 0.854 (95% CI: [0.772, 0.936]) for 1 month postpartum. The proposed thresholds are 102 g/day (higher sensitivity) and 161 g/day (higher specificity) at early postpartum, and 527 g/day (higher sensitivity) at 1 month postpartum.

Conclusions

In low-risk primiparas, the milk production models at early postpartum and 1 month postpartum showed a high accuracy for predicting the achievement of EBF at 4 months postpartum. The present study indicates that even when formula milk is temporarily used, it is still possible to reach the goal of achieving EBF.

研究背景本研究旨在调查预测产后 4 个月实现纯母乳喂养(EBF)的产奶量阈值:纳入标准为单胎、低风险初产妇、非剖腹产、健康的母亲和婴儿。过去曾临时喂过人工乳的妇女也包括在内。可判定为故意使用人工乳的妇女不在分析之列。在产后早期(第 3-4 天)和产后 1 个月时,通过测试体重测量 24 小时的产奶量。为了预测产后 4 个月是否达到 EBF,计算了产后早期和产后 1 个月产奶量的接收操作特征曲线下面积:共有 80 名符合条件的参与者接受了分析。对产后 4 个月达到 EBF 的产奶量进行的 ROC 分析显示,产后早期的曲线下面积 (AUC) 为 0.736(95% CI:[0.625, 0.848]),产后 1 个月的曲线下面积 (AUC) 为 0.854(95% CI:[0.772, 0.936])。建议的阈值为:产后早期 102 克/天(灵敏度较高)和 161 克/天(特异性较高),产后 1 个月 527 克/天(灵敏度较高):在低风险的初产妇中,产后早期和产后 1 个月时的产奶量模型对预测产后 4 个月时实现 EBF 的准确性很高。本研究表明,即使暂时使用配方奶,仍有可能实现 EBF 目标。
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引用次数: 0
Theory-based obesity intervention program for women: A randomized controlled study 基于理论的女性肥胖干预计划:随机对照研究
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-02-06 DOI: 10.1111/jjns.12590
Seda Göger, Ayşe Çevirme

Aims

To determine the effect of the education and counseling intervention given to overweight and obese women according to the theory of planned behavior on their health behaviors.

Methods

The study consisted of 78 overweight and obese women in total, between the ages of 18–49. While the women in the intervention group were given a 6-month training program and 6-month counseling service structured according to the theory of planned behavior, the women in the control group were given standard obesity training and were put on hold for 6 months.

Results

There was a decrease in the post-test anthropometric measurement values of the intervention group compared to the pretest. While there was no statistically significant change in the activity status of the control group over time, the inactivity rate of the intervention group decreased; however, the minimal activity rate increased over time. The post-test healthy life style behaviors scale II health responsibility, physical activity, nutrition, stress management and total scores of the intervention group were higher than those of the control group, and the differences were significant.

Conclusion

It has been determined that the education and counseling services applied to overweight and obese women based on the theory of planned behavior are effective in gaining positive health behaviors.

目的:根据计划行为理论,确定对超重和肥胖女性进行教育和咨询干预对其健康行为的影响:研究对象包括 78 名超重和肥胖妇女,年龄在 18-49 岁之间。干预组的妇女接受了为期 6 个月的培训计划,并根据计划行为理论提供了为期 6 个月的咨询服务,而对照组的妇女则接受了标准的肥胖症培训,并被搁置了 6 个月:结果:与测试前相比,干预组在测试后的人体测量值有所下降。随着时间的推移,对照组的活动状况没有明显的统计学变化,但干预组的不活动率有所下降;然而,随着时间的推移,最低活动率有所上升。干预组的健康生活方式行为量表 II 健康责任、体育锻炼、营养、压力管理和总分均高于对照组,且差异显著:根据计划行为理论对超重和肥胖妇女进行的教育和咨询服务对获得积极的健康行为是有效的。
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引用次数: 0
Team-based learning in Indonesian midwifery education: Implementation research 印度尼西亚助产士教育中的团队学习:实施研究
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-02-02 DOI: 10.1111/jjns.12587
Yunefit Ulfa, Shigeko Horiuchi, Eri Shishido, Yukari Igarashi

Aim

This study aims to implement team-based learning (TBL) and assess the impact on faculty members and students within midwifery education in Indonesia.

Methods

Proctor's Framework for Implementation Research serves as the guiding approach in investigating the role of implementation strategies in implementing TBL within the context of midwifery education. The RE-AIM (Reach, Efficacy, Adoption, Implementation, and Maintenance) framework was utilized to assess the outcome.

Results

In this study, the implementation of TBL has demonstrated significant reach, with broad participation among both faculty and students in two schools. The efficacy of TBL is evident through enhanced student knowledge, engagement and active learning. Adoption of TBL was observed in both schools, with faculty and students expressing interest and active participation. High levels of implementation fidelity were maintained, even though with challenges related to preparation and implementation. These findings suggest that TBL can be successfully integrated into midwifery education, with positive implications. Regarding maintenance, faculty members have expressed their intention to continue using TBL in various topics for future lectures.

Conclusions

The implementation of TBL in Indonesian midwifery education has shown substantial reach and efficacy. Faculty and students are highly interested in adopting TBL for future use. Despite some implementation challenges, the study suggests that TBL can be effectively incorporated with minor adjustments, emphasizing its feasibility and potential impact. This research contributes to understanding TBL's applicability in various educational settings, especially in low-resource institutions.

本研究旨在实施基于团队的学习(TBL),并评估其对印度尼西亚助产士教育中教师和学生的影响。
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引用次数: 0
Comparing factors related to perceived control and preventive behaviors from COVID-19 between Japanese and American nursing students: A cross-sectional study 比较日本和美国护理专业学生在 COVID-19 中感知控制和预防行为的相关因素:横断面研究
IF 1.7 4区 医学 Q2 Nursing Pub Date : 2024-02-01 DOI: 10.1111/jjns.12585
Akiko Kondo, Renaguli Abuliezi, Kosuke Niitsu, Kazuko Naruse, Tomomi Oki, Erika Ota, Mabel C. Ezeonwu

Aim

Higher levels of perceived control are important to maintain health. The difference in factors related to perceived control and preventive behaviors during the COVID-19 pandemic between Japanese and American nursing students remains unknown. This study aimed to compare factors related to perceived control and infection preventive behaviors between the two countries.

Methods

This cross-sectional study included nursing students attending four universities in Japan and one in the United States. Using Google Forms, the participants answered a survey comprising sociodemographic data, the Perceived Control and Self-Efficacy Scale, the Perceived Health Competence Scale, and a preventive behavior questionnaire. The data were collected from November 2020 to May 2021. Linear and logistic regressions were used to analyze the factors related to perceived control and preventive behaviors, respectively.

Results

Data from 878 students were analyzed. University/campus emerged as a strong predictor for perceived control and preventive behaviors in both countries, with a positive correlation between perceived control and preventive behaviors. Older age, less frequent alcohol consumption, higher perceived health competence, less frequent work in Japan; and chronic conditions in the United States were associated with frequent preventive behaviors. Younger age was correlated with higher perceived control in Japan, while religion and increased workload were potential factors for American students.

Conclusion

Individual factors were pivotal in Japan, whereas interpersonal factors were more likely related to perceived control in the United States. Additionally, in both countries, policy or organizational factors significantly influenced students' preventive behaviors.

目的:较高水平的感知控制对保持健康非常重要。在 COVID-19 大流行期间,日本和美国护理专业学生在感知控制和预防行为相关因素方面的差异仍是未知数。本研究旨在比较两国之间感知控制和感染预防行为的相关因素:这项横断面研究包括在日本四所大学和美国一所大学就读的护理专业学生。参与者使用谷歌表格回答了一项调查,其中包括社会人口学数据、感知控制和自我效能量表、感知健康能力量表以及预防行为问卷。数据收集时间为 2020 年 11 月至 2021 年 5 月。分别采用线性回归和逻辑回归分析感知控制和预防行为的相关因素:对 878 名学生的数据进行了分析。在这两个国家中,大学/校园是感知控制和预防行为的有力预测因素,感知控制和预防行为之间呈正相关。在日本,年龄越大、饮酒次数越少、健康感知能力越强、工作次数越少;在美国,慢性病与预防行为的频繁程度相关。在日本,年轻与较高的感知控制能力相关,而宗教信仰和工作量增加则是美国学生的潜在因素:结论:在日本,个人因素至关重要,而在美国,人际因素更有可能与控制感知有关。此外,在这两个国家,政策或组织因素对学生的预防行为都有重大影响。
{"title":"Comparing factors related to perceived control and preventive behaviors from COVID-19 between Japanese and American nursing students: A cross-sectional study","authors":"Akiko Kondo,&nbsp;Renaguli Abuliezi,&nbsp;Kosuke Niitsu,&nbsp;Kazuko Naruse,&nbsp;Tomomi Oki,&nbsp;Erika Ota,&nbsp;Mabel C. Ezeonwu","doi":"10.1111/jjns.12585","DOIUrl":"10.1111/jjns.12585","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Higher levels of perceived control are important to maintain health. The difference in factors related to perceived control and preventive behaviors during the COVID-19 pandemic between Japanese and American nursing students remains unknown. This study aimed to compare factors related to perceived control and infection preventive behaviors between the two countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study included nursing students attending four universities in Japan and one in the United States. Using Google Forms, the participants answered a survey comprising sociodemographic data, the Perceived Control and Self-Efficacy Scale, the Perceived Health Competence Scale, and a preventive behavior questionnaire. The data were collected from November 2020 to May 2021. Linear and logistic regressions were used to analyze the factors related to perceived control and preventive behaviors, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data from 878 students were analyzed. University/campus emerged as a strong predictor for perceived control and preventive behaviors in both countries, with a positive correlation between perceived control and preventive behaviors. Older age, less frequent alcohol consumption, higher perceived health competence, less frequent work in Japan; and chronic conditions in the United States were associated with frequent preventive behaviors. Younger age was correlated with higher perceived control in Japan, while religion and increased workload were potential factors for American students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Individual factors were pivotal in Japan, whereas interpersonal factors were more likely related to perceived control in the United States. Additionally, in both countries, policy or organizational factors significantly influenced students' preventive behaviors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"21 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652074","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
Effectiveness of a self-assessment application in evaluating the care coordination competency of intensive care unit nurses in managing patients on life support: An intervention study 自我评估应用程序在评估重症监护室护士管理生命支持患者的护理协调能力方面的有效性:干预研究。
IF 1.7 4区 医学 Q2 Nursing Pub Date : 2024-01-25 DOI: 10.1111/jjns.12584
Chie Takiguchi, Tomoko Inoue

Aim

To examine the effectiveness of the feedback from the Nurses' Care Coordination Competency Scale (NCCCS) application (app) used for self-assessing the care coordination competency of intensive care unit (ICU) nurses in managing patients on life support.

Methods

A non-randomized open-label study was conducted in Japan from November 2021 to March 2022. Participants were 318 ICU nurses from acute hospitals in Japan. They were divided manually into two groups based on their certification status. The intervention was immediate feedback on the results of the care coordination competency self-assessment through the NCCCS app; the control group performed the NCCCS survey with no feedback. The primary outcome was an increase in the NCCCS score 1 month after the intervention. Mann–Whitney U test was used to compare the scores of the intervention and control groups. Wilcoxon's signed rank sum test was used to compare the scores in the first and second NCCCS surveys.

Results

Forty-one participants were lost to follow-up, leaving 277 participants (intervention = 141, control = 136) for analysis. One month later, NCCCS scores similarly increased in both groups. For nurses with at least 5 years of ICU experience (n = 152), the NCCCS score increased in the intervention group (n = 75) (rising point mean: 4.8, standard deviation [SD]: 9.8) compared with that in the control group (n = 77) (rising point mean: 1.3, SD: 8.3) (p = .048).

Conclusions

Feedback from the NCCCS app can improve care coordination behavior. However, a certain level of ICU experience may be required to translate feedback into improved behavior.

目的:研究护士护理协调能力量表(NCCCS)应用程序(App)的反馈对重症监护室(ICU)护士在管理生命支持患者时进行护理协调能力自我评估的有效性:2021年11月至2022年3月在日本进行了一项非随机开放标签研究。参与者为来自日本急症医院的 318 名 ICU 护士。根据护士的资格认证情况将其手动分为两组。干预组通过 NCCCS 应用程序对护理协调能力自我评估结果进行即时反馈;对照组进行 NCCCS 调查,但无反馈。主要结果是干预 1 个月后 NCCCS 分数的提高。Mann-Whitney U 检验用于比较干预组和对照组的得分。Wilcoxon 符号秩和检验用于比较第一次和第二次 NCCCS 调查的得分:有 41 名参与者失去了随访机会,因此有 277 名参与者(干预组 = 141 人,对照组 = 136 人)需要进行分析。一个月后,两组的 NCCCS 分数都有类似的提高。对于至少有 5 年 ICU 经验的护士(n = 152),干预组(n = 75)的 NCCCS 得分(上升点平均值:4.8,标准差 [SD] :9.8)与对照组(n = 77)的 NCCCS 得分(上升点平均值:1.3,标准差:8.3)相比有所增加(p = .048):结论:NCCCS 应用程序的反馈可以改善护理协调行为。结论:NCCCS 应用程序的反馈可改善护理协调行为,但要将反馈转化为改善行为,可能需要一定的 ICU 经验。
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引用次数: 0
Music intervention in patients undergoing hematopoietic stem cell transplantation: A systematic review and meta-analysis 造血干细胞移植患者的音乐干预:系统回顾和荟萃分析。
IF 1.7 4区 医学 Q2 Nursing Pub Date : 2024-01-23 DOI: 10.1111/jjns.12586
Zijin Yao, Zhuolin Ma, Yichen Zhu, Xinan Lv

Aims

To explore whether music intervention improves the quality of life (QOL) of patients undergoing hematopoietic stem cell transplantation (HSCT) and to evaluate its impact on patients' symptoms of depression/anxiety and fatigue.

Methods

This systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items of Systematic reviews and Meta-Analyses (PRISMA) guidelines. The databases PubMed, Cochrane CENTRAL, and EMBASE were searched from inception to September 30, 2022. The search strategy used a combination of the keywords “music” and “hematopoietic stem cell transplantation” or “HSCT.” The outcomes assessed were QOL, depression and anxiety, and fatigue. Pooled standardized mean differences with 95% confidence intervals were calculated to compare the outcomes between the music intervention and control groups. Heterogeneity across the studies was assessed using a chi-square-based test, and the I2 and Q statistics.

Results

Meta-analysis of the included study population showed that music intervention for patients undergoing HSCT was associated with patients' improved QOL, and resulted in reduced depression/anxiety and fatigue compared to patients without music intervention.

Conclusion

Music intervention benefits HSCT outcomes, including better QOL, less depression/anxiety, and less fatigue postoperatively. Future trials with larger samples are still warranted to strengthen the evidence supporting the benefits of music intervention in this patient population.

目的:探讨音乐干预是否能改善造血干细胞移植(HSCT)患者的生活质量(QOL),并评估其对患者抑郁/焦虑和疲劳症状的影响:本系统综述和荟萃分析是根据系统综述和荟萃分析首选报告项目(PRISMA)指南进行的。从开始到 2022 年 9 月 30 日,对 PubMed、Cochrane CENTRAL 和 EMBASE 等数据库进行了检索。搜索策略使用了关键词 "音乐 "和 "造血干细胞移植 "或 "HSCT "的组合。评估的结果包括 QOL、抑郁和焦虑以及疲劳。为了比较音乐干预组和对照组之间的结果,计算了汇总的标准化均值差异及 95% 的置信区间。使用基于卡方检验的I2和Q统计量评估了各研究之间的异质性:对纳入的研究人群进行的元分析表明,对接受造血干细胞移植的患者进行音乐干预与患者QOL的改善有关,与没有音乐干预的患者相比,音乐干预可减少抑郁/焦虑和疲劳:结论:音乐干预对造血干细胞移植的疗效有益,包括改善患者的生活质量、减少抑郁/焦虑以及减轻术后疲劳。未来仍需进行更大规模的样本试验,以加强支持音乐干预对这一患者群体有益的证据。
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引用次数: 0
Development of Older Adults’ Perceptions on Community-based Connectedness with People Scale: Reliability and validity evaluation 开发老年人对社区与人联系感知量表:可靠性和有效性评估。
IF 1.7 4区 医学 Q2 Nursing Pub Date : 2024-01-12 DOI: 10.1111/jjns.12583
Mami Kikuchi, Atsuko Ikeda, Michiyo Hirano

Aim

We developed a self-assessment scale—Older Adults' Perceptions of Community-based Connectedness with People—to assess older adults' comprehensive perceptions of their connectedness with others in the community. A specific aim of this study is to evaluate the reliability and validity of this scale.

Methods

Participants consisted of 1000 men and women aged 65 years or older, living in Sapporo, Hokkaido, Japan. Factorial validity was assessed using exploratory and confirmatory factor analysis, while concurrent validity was assessed using correlation analysis. Reliability was confirmed by Cronbach's α coefficient using the internal consistency method, and the stability coefficient was confirmed using the test–retest method.

Results

Responses were received from 380 participants, and 358 participants who responded to all items were included in the analysis. The developed scale comprised 22 items with three factors: “Perception of Inclusion” (α = .947), “Perception of Reciprocity through Reception” (α = .937), and “Perception of Reciprocity through Provision” (α = .910). Correlation analyses indicated that concurrent scales were positively correlated with Ikigai and negatively correlated with loneliness on the total scale. The model fit was comparative fit index = 0.933, goodness-of-fit index = 0.854, adjusted goodness-of-fit index = 0.818, and root mean square of approximation = 0.081. The stability coefficient of the total scale scores was 0.875 (95% CI: [0.830, 0.908]).

Conclusions

The developed scale had adequate reliability and validity. The perceptions of connectedness measured using this scale can be used by public health and nursing care professionals to prevent loneliness and isolation among older adults living in the community.

目的:我们开发了一个自我评估量表--"老年人对社区中与他人联系的看法",以评估老年人对其在社区中与他人联系的综合看法。本研究的一个具体目的是评估该量表的可靠性和有效性:参与者包括居住在日本北海道札幌市的 1000 名 65 岁或以上的男性和女性。采用探索性和确认性因子分析评估因子效度,采用相关性分析评估并发效度。采用内部一致性方法通过克朗巴赫 α 系数确认了信度,并采用重测法确认了稳定性系数:结果:共收到 380 名参与者的回答,其中 358 名参与者回答了所有项目并被纳入分析。所编制的量表由 22 个项目组成,包含三个因子:"包容感"(α = .947)、"接受互惠感"(α = .937)和 "提供互惠感"(α = .910)。相关分析表明,并行量表与 "Ikigai "呈正相关,与总量表中的 "孤独感 "呈负相关。模型拟合度为比较拟合指数 = 0.933,拟合优度指数 = 0.854,调整后拟合优度指数 = 0.818,近似均方根 = 0.081。量表总分的稳定系数为 0.875(95% CI:[0.830,0.908]):结论:所编制的量表具有充分的信度和效度。公共卫生和护理专业人员可利用该量表测量的联系感来预防社区老年人的孤独和孤立。
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引用次数: 0
Knowledge, attitude, and practice of critical care nurses and their influence on acute skin failure patients in China: A multicenter cross-sectional study 中国重症监护护士的知识、态度和实践及其对急性皮肤衰竭患者的影响:一项多中心横断面研究
IF 1.7 4区 医学 Q2 Nursing Pub Date : 2024-01-12 DOI: 10.1111/jjns.12582
Lisang Fu, Yiyuan Chen, Libin Lin, Zhenmei Xu, Yaoning Zhuang

Aim

Acute skin failure (ASF) can happen in critically ill patients. Therefore, adequate knowledge and skills regarding ASF are essential to manage this disorder. The aim of this work was to investigate the nurses' knowledge, attitude, and practice (KAP) regarding ASF patients and to analyze its influencing factors in the intensive care unit.

Methods

A multicenter cross-sectional study was performed in 10 tertiary hospitals in March 2022. Eligible nurses received a survey with a self-designed questionnaire about their KAP regarding ASF, which included three dimensions and a maximum score of 120. A higher score corresponded to better KAP.

Results

A total of 255 nurses participated in this study. The mean KAP score was 75.6 ± 16.9. The mean scores of the knowledge, attitude, and practice dimensions were 26.2 ± 10.6, 38.2 ± 6.1, and 11.3 ± 4.3, respectively. The dimensions were ranked according to score (from low to high) as follows: knowledge (2.6 ± 1.1), practice (2.8 ± 1.1), and attitude (3.8 ± 0.6). Multivariate linear regression analysis showed that more training sessions and an advanced professional title were associated with higher KAP scores.

Conclusions

The overall KAP score on ASF was low in nurses. Nurses had a positive attitude towards ASF, but their knowledge and practice required significant improvement. Those who had received more training and held a more advanced professional title exhibited higher KAP scores regarding ASF. Therefore, nurse managers should establish a relevant knowledge training system, strengthen relevant training, and improve nursing practices for ASF in order to achieve a high level of KAP in nurses who treat ASF patients.

危重病人可能会出现急性皮肤衰竭(ASF)。因此,充分掌握有关 ASF 的知识和技能对于处理这种疾病至关重要。这项工作旨在调查重症监护病房护士对急性皮肤衰竭患者的知识、态度和实践(KAP),并分析其影响因素。
{"title":"Knowledge, attitude, and practice of critical care nurses and their influence on acute skin failure patients in China: A multicenter cross-sectional study","authors":"Lisang Fu,&nbsp;Yiyuan Chen,&nbsp;Libin Lin,&nbsp;Zhenmei Xu,&nbsp;Yaoning Zhuang","doi":"10.1111/jjns.12582","DOIUrl":"10.1111/jjns.12582","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Acute skin failure (ASF) can happen in critically ill patients. Therefore, adequate knowledge and skills regarding ASF are essential to manage this disorder. The aim of this work was to investigate the nurses' knowledge, attitude, and practice (KAP) regarding ASF patients and to analyze its influencing factors in the intensive care unit.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multicenter cross-sectional study was performed in 10 tertiary hospitals in March 2022. Eligible nurses received a survey with a self-designed questionnaire about their KAP regarding ASF, which included three dimensions and a maximum score of 120. A higher score corresponded to better KAP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 255 nurses participated in this study. The mean KAP score was 75.6 ± 16.9. The mean scores of the knowledge, attitude, and practice dimensions were 26.2 ± 10.6, 38.2 ± 6.1, and 11.3 ± 4.3, respectively. The dimensions were ranked according to score (from low to high) as follows: knowledge (2.6 ± 1.1), practice (2.8 ± 1.1), and attitude (3.8 ± 0.6). Multivariate linear regression analysis showed that more training sessions and an advanced professional title were associated with higher KAP scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The overall KAP score on ASF was low in nurses. Nurses had a positive attitude towards ASF, but their knowledge and practice required significant improvement. Those who had received more training and held a more advanced professional title exhibited higher KAP scores regarding ASF. Therefore, nurse managers should establish a relevant knowledge training system, strengthen relevant training, and improve nursing practices for ASF in order to achieve a high level of KAP in nurses who treat ASF patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"21 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458916","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}
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Japan Journal of Nursing Science
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