Japan Journal of Nursing Science最新文献_第9页

Depressive symptoms associated with infection prevention measures and daily lifestyle habit characteristics among Japanese community-dwelling older adults during the COVID-19 pandemic COVID-19大流行期间日本社区老年人抑郁症状与感染预防措施和日常生活习惯特征相关

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-11-29 DOI: 10.1111/jjns.12575

Masako Hamatani, Ya Su, Michiko Yuki, Natsuka Ogawa, Kayoko Kawahara

Aim

This study aimed to clarify the relationship between depressive symptoms and infection prevention measures and daily lifestyle habits during the coronavirus disease 2019 pandemic among community-dwelling Japanese older adults.

Methods

This cross-sectional study was conducted on older residents (age ≥65 years) living in the Tama area of Tokyo and Sapporo, Hokkaido, in 2021. A self-administered questionnaire survey was conducted to collect data on demographics, the impact of the pandemic on physical condition, and depressive symptoms, infection prevention measures, and daily lifestyle habits during the pandemic. The Geriatric Depression Scale was used to assess depressive symptoms.

Results

In total, 554 respondents were included in the analysis. The results of multiple logistic regression analyses revealed that refraining from going out and visiting medical institutions were associated with depressive symptoms. Furthermore, those who went out almost every day were less likely to have depressive symptoms than the others, those who exercised almost every day were less likely to have depressive symptoms than were those who almost never exercised, and those who slept 6–7 h were less likely to have depressive symptoms than were those who slept ≤5 h.

Conclusions

The findings of the present study suggest the necessity of having a place where older adults with physical and lifestyle concerns can consult with healthcare providers in a location other than a medical institution, even during infectious disease outbreaks. In addition, increasing the frequencies of going out and independent exercise and sleeping 6–7 h may help prevent depression among older adults.

目的:本研究旨在阐明2019冠状病毒病大流行期间日本社区老年人抑郁症状与感染预防措施和日常生活习惯之间的关系。方法:本横断面研究于2021年对居住在东京多摩地区和北海道札幌的老年居民(年龄≥65岁)进行。进行了一项自我管理的问卷调查，以收集人口统计数据、大流行对身体状况和抑郁症状的影响、感染预防措施以及大流行期间的日常生活习惯。使用老年抑郁量表评估抑郁症状。结果:共纳入调查对象554人。多元logistic回归分析结果显示，不外出就医与抑郁症状相关。此外，那些几乎每天都外出的人比其他人更不容易出现抑郁症状，那些几乎每天都锻炼的人比那些几乎从不锻炼的人更不容易出现抑郁症状，那些睡眠6-7小时的人比那些睡眠≤5小时的人更不容易出现抑郁症状。结论:本研究的结果表明，即使在传染病爆发期间，也有必要建立一个地方，让有身体和生活方式问题的老年人可以在医疗机构以外的地方咨询医疗保健提供者。此外，增加外出和独立运动的频率以及睡眠6-7小时可能有助于预防老年人的抑郁症。

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引用次数: 0

Why do nurses miss nursing care? A qualitative meta-synthesis 为什么护士会错过护理?定性综合。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-11-21 DOI: 10.1111/jjns.12578

Mengyun Peng, Shinya Saito, Wenping Mo, Hong Guan

Aim

The aim of this qualitative meta-synthesis was to discover the factors impacting on missed nursing care of nurses through systematic thinking.

Background

Although nurses are responsible for high-quality care, missed nursing care is common, endangering patient safety. Understanding of the causes related to missed nursing care could help nursing managers improve the quality of nursing care.

Design

A qualitative meta-synthesis guided by the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA).

Methods

As a method designed to contribute to knowledge development, meta-synthesis allows for integration of qualitative study findings using thematic synthesis. Six databases were searched up to October 2021; nine studies met the inclusion and quality assessment criteria and meta-synthesis were conducted.

Results

Three themes related to the causes why nurses missed nursing care were found. The themes included intrinsic resources (professional and ethical values, ambiguous nurse role, prioritization, education system, and knowledge), system structure (staff and resources shortage, heavy workload but limited time, and organizational management failure), and social environment (communication, working relationship and skill mix, and inappropriate ward layout).

Conclusion

The phenomenon of missed nursing care is a global tissue, with variations in its elements but also notable similarities. Meta-synthesis provides evidence of intrinsic and extrinsic factors that contribute to missed nursing care.

Relevance to Clinical Practice

Recognizing and understanding the causes of missed nursing care is essential for nursing managers to ensure patient safety and the provision of high-quality care.

目的:本定性综合研究旨在通过系统思考，发现影响护士疏漏护理的因素。背景:虽然护士有责任提供高质量的护理，但疏忽护理是常见的，危及患者的安全。了解护理遗漏的原因，有助于护理管理者提高护理质量。设计:由系统评价和荟萃分析首选报告项目(PRISMA)指导的定性综合。方法:作为一种旨在促进知识发展的方法，元综合允许使用主题综合整合定性研究结果。截至2021年10月，检索了6个数据库;9项研究符合纳入标准和质量评价标准，并进行了meta综合。结果:发现与护士错过护理原因相关的三个主题。主题包括内在资源(专业和道德价值观、护士角色模糊、优先顺序、教育体系和知识)、系统结构(人员和资源短缺、工作量大但时间有限、组织管理失败)和社会环境(沟通、工作关系和技能组合、病房布局不当)。结论:护理缺失现象是一个全球性的组织，其构成要素有差异，但也有显著的相似性。综合分析提供了导致护理遗漏的内在和外在因素的证据。与临床实践相关:认识和理解护理遗漏的原因对护理管理人员确保患者安全和提供高质量护理至关重要。

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引用次数: 0

Association among cognitive function, daytime activities, and nighttime sleep in older adults in a long-term care facility 长期护理机构中老年人的认知功能、日间活动和夜间睡眠之间的关联。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-11-08 DOI: 10.1111/jjns.12571

Lu Zhou, Sayuri Suwa

Aim

To determine how the nighttime sleep patterns of older adults in a long-term care facility vary according to cognitive function and participation in daytime activities.

Methods

This observational study was conducted with older adults aged ≥65 years who are residents of a long-term care facility. Nighttime sleep was monitored using a non-wearable sleep monitor for 8 weeks. Based on the Mini-Mental State Examination scores for assessment of cognitive function, participants were classified into non-dementia, mild-to-moderate dementia, and severe dementia groups. The Mann–Whitney U test and Kruskal–Wallis test were used to analyze the data.

Results

Twenty three older adults were included in this study. Sleep onset latency was significantly longer in the severe dementia group than in the non-dementia (p = .027) and mild-to-moderate dementia (p = .041) groups. Sleep efficiency was significantly lower in the severe dementia group than in the mild-to-moderate dementia group (p = .003), whereas wakefulness after sleep onset was significantly longer in the severe dementia group than in the mild-to-moderate dementia group (p = .011). The number of days spent engaging in recreational activities was <50%, whereas those spent taking a nap was >60% in all older adults. Older adults with mild-to-moderate dementia had better sleep and participated in more daytime activities than those with severe or no dementia. Moreover, bathing in a bathtub improved sleep onset latency.

Conclusions

This study demonstrates that participation in daytime activities and bathing in a bathtub affect nighttime sleep in older adults.

目的：确定长期护理机构中老年人的夜间睡眠模式如何根据认知功能和白天活动的参与程度而变化。方法：这项观察性研究对年龄≥65岁的老年人进行长期护理机构的居民。使用不可穿戴睡眠监测仪监测夜间睡眠8 周。根据用于评估认知功能的迷你精神状态检查分数，参与者被分为非痴呆症、轻度至中度痴呆症和重度痴呆症组。Mann-Whitney U检验和Kruskal-Wallis检验用于分析数据。结果：23名老年人被纳入本研究。重度痴呆组的睡眠发作潜伏期明显长于非痴呆组（p = .027）和轻度至中度痴呆（p = .041）组。重度痴呆组的睡眠效率明显低于轻度至中度痴呆组（p = .003），而重度痴呆组睡眠后的清醒时间明显长于轻度至中度痴呆组（p = .011）。所有老年人参与娱乐活动的天数占60%。患有轻度至中度痴呆症的老年人比患有严重或无痴呆症的人睡眠更好，白天活动也更多。此外，在浴缸里洗澡可以改善睡眠的潜伏期。结论：这项研究表明，参加白天的活动和在浴缸里洗澡会影响老年人的夜间睡眠。

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引用次数: 0

The parental involvement process regarding childhood cancer survivors becoming independent: Focus on balancing health management and social lives from adolescence to adulthood 儿童癌症幸存者独立的父母参与过程：从青春期到成年期，注重平衡健康管理和社会生活。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-11-08 DOI: 10.1111/jjns.12572

Kyoko Miyagishima, Kazuko Ichie, Kimiyoshi Sakaguchi, Yuka Kato

Aim

This study aimed to elucidate the parental involvement process regarding childhood cancer survivors' (CCSs') independence while balancing their health management and social lives from adolescence to adulthood to obtain suggestions for long-term support for CCSs and their parents.

Methods

Semi-structured interviews were conducted with 19 parents of Japanese CCSs aged 16–25 years. The data were then qualitatively analyzed using the modified grounded theory approach.

Results

Three “categories” and 20 “concepts” were generated. The connections among these categories and concepts revealed the parental involvement process regarding CCSs' independence while balancing their health management and social lives. The first phase in this process is to “support careful behaviors,” mainly during CCSs' treatment in the outpatient clinic or shortly after discharge. As CCSs recover after cancer treatment, parents “watch over, but feel conflicted,” with “conflicts between protecting their sons/daughters and giving them independence.” Then, parents reach a phase in which they “acknowledge and entrust,” which includes “acknowledgment of development and efforts” of their sons/daughters, and develop an “attitude to entrust medical checkups to their sons/daughters, along with their preparation.” The influencing factors of the three phases include “ongoing anxieties about the late effects of therapy and recurrence” and an “expectation for their sons/daughters to acquire abilities for living independently.”

Conclusions

These findings suggest that nurses need to accept parents' feelings and thoughts regarding conflicts with CCSs, recognition of CCSs' development, and values. These processes may help nurses and health-care professionals support parents from a comprehensive perspective.

目的：本研究旨在阐明父母参与儿童癌症幸存者（CCS）独立性的过程，同时平衡他们从青春期到成年的健康管理和社会生活，以获得对CCS及其父母的长期支持建议。方法：对19名16-25岁的日本CCSs父母进行半结构化访谈年。然后使用修正的接地理论方法对数据进行定性分析。结果：生成了3个“类别”和20个“概念”。这些类别和概念之间的联系揭示了父母在平衡CCSs的健康管理和社会生活的同时，对其独立性的参与过程。这个过程的第一阶段是“支持谨慎的行为”，主要是在CCSs在门诊治疗期间或出院后不久。当CCS在癌症治疗后康复时，父母“看着，但感到矛盾”，“保护他们的儿子/女儿和给予他们独立之间的冲突”。然后，父母进入了一个他们“承认和委托”的阶段，其中包括“承认儿子/女儿的发展和努力”，三个阶段的影响因素包括“对治疗和复发的后期影响的持续焦虑”和“对儿子/女儿获得独立生活能力的期望”。“结论：这些发现表明，护士需要接受父母对与CCSs冲突的感受和想法，对CCSs的发展和价值观的认可。这些过程可能有助于护士和医疗保健专业人员从全面的角度支持父母。

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引用次数: 0

Development and effects of a non-face-to-face forest therapy program for nurses during the COVID-19 pandemic 新冠肺炎大流行期间护士非面对面森林治疗计划的发展和效果。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-11-02 DOI: 10.1111/jjns.12566

Mi-Jung Kang, Hyun-Sun Kim, Ji-Yeon Kim

Aim

In this study, we developed a non-face-to-face forest therapy program using videos and applied it to nurses working in hospitals during the prolonged COVID-19 situation to confirm the effect on their mental health.

Method

This study was a randomized control group pretest-posttest, and 27 clinical nurses in the experimental group and 28 clinical nurses in the control group participated. The program developed forest therapy videos and three city videos each. The experimental group watched the forest therapy video and the control group watched the city video and stress and happiness were measured through pre-test and post-test.

Results

The stress level of clinical nurses who applied the non-face-to-face forest therapy program had a significant reduction effect compared to the control group on day 2 (t = −2.239 P = .026) and day 3 (t = −3.188, P = .003). On the other hand, there was no significant effect in happiness in both groups. In addition, repeated measures analysis of variance statistical analysis confirmed that the stress level of the experimental group significantly decreased over time (F = 10.578, P < .001).

Conclusion

The non-face-to-face forest therapy program is significant in that it had a positive effect on relieving stress by conducting a randomized controlled study targeting clinical nurses working in various hospitals.

目的：在这项研究中，我们使用视频开发了一个非面对面的森林治疗计划，并将其应用于长期新冠肺炎期间在医院工作的护士，以确认其对心理健康的影响。方法：本研究采用随机对照组前后测法，实验组27名临床护士和对照组28名临床护士参加。该项目制作了森林治疗视频和三个城市视频。实验组观看森林治疗视频，对照组观看城市视频，通过测试前和测试后测量压力和幸福感 = -2.239便士 = .026）和第3天（t = -3.188，第页 = .003）。另一方面，两组的幸福感都没有显著影响。此外，方差统计分析的重复测量分析证实，实验组的应激水平随着时间的推移显著降低（F = 10.578，P 结论：通过对不同医院的临床护士进行随机对照研究，非面对面森林治疗计划在缓解压力方面具有积极作用。

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引用次数: 0

Relationship between shift assignments, organizational justice, and turnover intention: A cross-sectional survey of Japanese shift-work nurses in hospitals 轮班任务、组织公正性和离职意愿之间的关系：对日本医院轮班护士的横断面调查。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-10-22 DOI: 10.1111/jjns.12570

Ryohei Kida, Yukie Takemura

Aim

Shift management and planning processes for shift-working nurses are important for their continued work. This study aimed to determine the association between shift assignments, organizational justice, and their interaction with turnover intention among shift-work nurses.

Methods

This cross-sectional study used an online questionnaire administered to Japanese nurses between January and February 2020. Enquiries pertaining to their daily start and end times for each shift type, the shift assignments, organizational justice, and their turnover intention were made. To examine the association with turnover intention, logistic regression analysis was performed with shift assignments, organizational justice, and their interaction terms as independent variables.

Results

A total of 386 nurses participated in the final analysis. Of these, 161 nurses (41.7%) had turnover intention. Unequal work assignments and procedural justice were significantly associated with turnover intention. However, the interaction between these factors was not significant.

Conclusion

The results suggest that procedural justice in the workplace and turnover intention are related, but in shift planning, even procedural justice cannot buffer unequal work from leading to turnover intention. This study provides valuable insights for nursing managers who manage the schedules of shift-working nurses.

目的：轮班护士的轮班管理和计划流程对他们的持续工作很重要。本研究旨在确定轮班护士的轮班任务、组织公正性及其与离职意向之间的关系。方法：这项横断面研究使用了2020年1月至2月期间对日本护士进行的在线问卷调查。询问了他们每种轮班类型的每日开始和结束时间、轮班任务、组织公正性以及他们的离职意向。为了检验与离职意向的相关性，以轮班分配、组织公正及其交互项为自变量进行了逻辑回归分析。结果：共有386名护士参与了最终分析。其中161名护士（41.7%）有离职意向。不平等的工作分配和程序公正与离职意向显著相关。然而，这些因素之间的相互作用并不显著。结论：研究结果表明，工作场所的程序正义与离职意愿是相关的，但在轮班计划中，即使是程序正义也无法缓冲不平等工作导致的离职意愿。这项研究为管理轮班护士时间表的护理经理提供了有价值的见解。

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引用次数: 0

Health-related quality of life in Chinese children and adolescents with cancer 中国癌症儿童青少年健康相关生活质量研究。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-10-10 DOI: 10.1111/jjns.12564

Lei Cheng, Min Wu, Ling Yu

Aim

Cancer diagnosis and related treatment can have multiple impacts on children's health-related quality of life (HRQoL). This study aimed to determine profiles of HRQoL in Chinese children and adolescents with cancer based on patient-reported outcomes.

Methods

This cross-sectional study recruited 310 pediatric patients with cancer (in treatment and survivorship) aged 8–17 years old and their family caregivers from four hospitals in China. The participants were asked to complete the PROMIS Pediatric-25 Profile 2.0, along with a demographic and clinical characteristics questionnaire, fatigue screening item, and an item assessing the family caregiver's coping style. Latent profile analysis was used to identify profiles.

Results

Two profiles were identified: Profile 1, “low symptom and high function” (n = 147, 47.4%); and Profile 2, “high symptom and low function” (n = 163, 52.5%). Children reporting ≥3 on the five-point Symptom Distress Scale fatigue screening item were more likely to be in Profile 2 (OR = 1.961; 95% CI: 1.098–3.501). Participants were less likely to be in Profile 2 if they were in survivorship (OR = 0.494; 95% CI: 0.271–0.903), or their caregiver's coping style was identified as facing positively (OR = 0.439; 95% CI: 0.274–0.703).

Conclusion

The identified profiles demonstrate the heterogeneity in HRQoL among pediatric patients with cancer, and the importance of supporting caregivers' coping as a means of supporting the child. Knowledge of these profiles can assist clinicians in better identifying and targeting interventions for children with cancer.

目的：癌症的诊断和相关治疗可对儿童健康相关的生活质量（HRQoL）产生多种影响。本研究旨在根据患者报告的结果确定中国癌症儿童和青少年的HRQoL特征。方法：这项横断面研究招募了310名年龄在8-17岁的癌症儿童患者（治疗和生存期）来自中国四家医院的40岁老人及其家庭护理人员。参与者被要求完成PROMIS Pediatrics-25 Profile 2.0，以及人口统计学和临床特征问卷、疲劳筛查项目和评估家庭护理者应对方式的项目。潜在剖面分析用于识别剖面。结果：确定了两个图谱：图谱1，“症状低、功能高”（n = 14747.4%）；以及概况2，“高症状和低功能”（n = 163，52.5%）。在五点症状困扰量表疲劳筛查项目中报告≥3的儿童更有可能属于2型（OR = 1.961；95%可信区间：1.098-3.501）。如果参与者处于生存期，则他们不太可能处于第2种情况（OR = 0.494；95%可信区间：0.271-0.903），或其护理者的应对方式被确定为积极面对（or = 0.439；95%CI:0.274-0.703）。了解这些概况可以帮助临床医生更好地识别和针对癌症儿童的干预措施。

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引用次数: 0

Evaluation of the effect of herbal agents as management of radiodermatitis in breast cancer patients: A systematic review and meta-analysis 中药制剂治疗癌症患者放射性皮炎的疗效评价：一项系统综述和荟萃分析。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-10-10 DOI: 10.1111/jjns.12559

Suyun Que, Xuanlei Ma, Tao Yang, Jiangtao He

Objective

To evaluate the effectiveness of herbal agents in the prevention and therapy of radiodermatitis in breast cancer patients.

Methods

Randomized controlled trials were searched from databases such as PubMed, Web of Science, Embase, Cochrane Library, and Chinese National Knowledge Infrastructure (CNKI) to assess the effectiveness of herbal agents compared to a standard medication or placebo in prevention or treatment of radiodermatitis in breast cancer.

Results

Data from 16 studies involving 1994 patients were included. This meta-analysis included 10 clinical trials of 562 breast cancer patients treated with calendula, silymarin, or aloe vera for the prevention of radiodermatitis. Silymarin showed positive effects in ameliorating the damage of radiodermatitis, whereas the efficacy of calendula and aloe vera in the treatment of radiodermatitis lacks sufficient evidence.

Conclusions

Herbal medicine may show therapeutic effects on radiodermatitis in breast cancer, but more comprehensive investigations and clinical trials are required in the future.

目的：评价中药制剂对癌症放射性皮炎的防治效果。方法：从PubMed、Web of Science、Embase、Cochrane Library和中国国家知识基础设施（CNKI）等数据库中检索随机对照试验，以评估中药制剂与标准药物或安慰剂在预防或治疗癌症放射性皮炎方面的有效性。结果：纳入了涉及1994名患者的16项研究的数据。这项荟萃分析包括10项临床试验，共有562名癌症患者接受金盏花、水飞蓟素或芦荟治疗，以预防放射性皮炎。水飞蓟素在改善放射性皮炎的损害方面表现出积极作用，而金盏花和芦荟在治疗放射性皮炎方面的疗效缺乏足够的证据。结论：中药治疗癌症放射性皮炎有一定疗效，但今后还需要更全面的研究和临床试验。

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引用次数: 0

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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