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

Development of the ward nurses' discharge-oriented dietary support scale for older adult patients in Japan 日本老年患者病房护士出院膳食支持量表的编制。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-06-06 DOI: 10.1111/jjns.12541

Akemi Miyabe, Mana Doi, Yuka Kanoya

Aim

This study aimed to develop a ward nurses' dietary support scale, including physical, psychological, and social background factors in preparation for older adult patients' life after discharge.

Methods

We conducted a cross-sectional study using a self-reported questionnaire. Scale items were created based on a conceptual analysis, and refined by a Delphi survey. In total, 696 nurses across 16 acute care hospitals in Japan were eligible to participate. The questionnaire comprised 51 items that used a five-point Likert-type scale. These items were evaluated using exploratory factor analysis. Reliability was evaluated using Cronbach's alpha and intraclass correlation coefficients (ICC). Pearson's correlation coefficients were calculated to determine concurrent validity, and construct validity was analyzed using confirmatory factor analysis.

Results

Altogether, 241 surveys were included in the data analysis; 236 nurses participated in both the test and the retest. The exploratory factor analysis identified 20 items from three factors as follows: “Assessment for healthy eating behavior,” “Adjustment of the living environment, including family and caregiver, together with other professions,” and “Continual frailty assessment.” In the confirmatory factor analysis, the fitness indices supported these results. Cronbach's alpha was 0.932 and ICC was 0.867 for the overall scale. In the concurrent validity, the three factors had a moderate correlation (r = 0.295–0.537, P < .01 and r = 0.254–0.648, P < .01), except for one subscale.

Conclusions

We developed a ward nurses' dietary support scale, including physical, psychological, and social background factors in preparation for older adult patients' life after discharge. Its reliability and validity were confirmed.

目的：本研究旨在制定病房护士的饮食支持量表，包括身体、心理和社会背景因素，为老年患者出院后的生活做准备。方法：我们使用自我报告问卷进行了一项横断面研究。量表项目是在概念分析的基础上创建的，并通过德尔菲调查进行了改进。日本共有16家急诊医院的696名护士有资格参加。该问卷包括51个项目，使用了Likert型五点量表。使用探索性因素分析对这些项目进行评估。使用Cronbachα和组内相关系数（ICC）评估可靠性。计算皮尔逊相关系数以确定并发有效性，并使用验证性因素分析来分析结构有效性。结果：数据分析共纳入241项调查；236名护士参加了测试和复试。探索性因素分析从以下三个因素中确定了20个项目：“健康饮食行为评估”、“生活环境的调整，包括家庭和护理人员以及其他职业”和“持续虚弱评估”。在验证性因素分析中，健康指数支持这些结果。Cronbachα为0.932，ICC为0.867。在同时有效性中，三个因素具有中等相关性（r = 0.295-0.537，P 结论：我们制定了病房护士饮食支持量表，包括身体、心理和社会背景因素，为老年患者出院后的生活做准备。验证了该方法的可靠性和有效性。

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引用次数: 0

Validation of the LPA-SQUASH in post-liver-transplant patients LPA-SQUASH在肝移植后患者中的验证。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-05-17 DOI: 10.1111/jjns.12540

Miyuki Ushio, Kiyoko Makimoto, Kimie Fujita, Satomi Tanaka, Maki Kanaoka, Yukiko Kosai, Noboru Harada

Aim

This study aimed to validate the revised Short Questionnaire to Assess Health-Enhancing Physical Activity (SQUASH) to measure sedentary activity in post-liver-transplant patients. The proposed scale could be useful for transplantation nurses to assess and modify sedentary lifestyles and increase physical activity.

Methods

The SQUASH was modified to include items on sitting time and light-intensity physical activity (LPA-SQUASH). A pilot study was conducted with 20 liver transplant patients, and an expert panel validated the scale contents. Then, post-liver-transplant outpatients at a Japanese university hospital participated in the main study (September–October 2020), in which questionnaires were mailed twice to assess test–retest reliability, and accelerometers used to establish criterion validity. Intra-class correlation coefficients (ICC) were calculated for test–retest reliability. Spearman correlations and Bland–Altman plots were used to assess validity and measurement error.

Results

In total, 173 participants returned the questionnaires, and 106 and 71 completed the reliability and validation studies, respectively. The range of LPA-SQUASH correlation coefficients for test–retest was .49–.58. ICCs ranged from .72 to .80 for items other than leisure. Accelerometer data and the LPA-SQUASH total physical activity amount and light-intensity physical activity correlated moderately.

Conclusion

We modified the SQUASH, which was developed to measure physical activity in healthy adults, to assess light-intensity physical activity in post-liver-transplant patients. The LPA-SQUASH showed acceptable validity and reliability. The questionnaire may be used by transplantation nurses to examine light-intensity physical activity content/duration, deliver patient education considering patients' sedentary lifestyle, and facilitate goal setting for physical activity interventions to prevent metabolic syndrome.

目的：本研究旨在验证经修订的评估健康增强体力活动的简短问卷（SQUASH），以测量肝移植后患者的久坐活动。所提出的量表可能有助于移植护士评估和改变久坐不动的生活方式并增加体力活动。方法：将SQUASH修改为包括久坐时间和光强度体力活动（LPA-SQUASH）项目。对20名肝移植患者进行了一项试点研究，一个专家小组验证了量表的内容。然后，日本一所大学医院的肝移植后门诊患者参与了主要研究（2020年9月至10月），其中两次邮寄问卷以评估重新测试的可靠性，并使用加速度计来确定标准的有效性。计算类内相关系数（ICC）以评估重测的可靠性。Spearman相关性和Bland-Altman图用于评估有效性和测量误差。结果：总共有173名参与者返回了问卷，106人和71人分别完成了可靠性和验证研究。重测的LPA-SQUASH相关系数范围为.49-.58。休闲以外的物品的ICCs从.72到.80不等。加速度计数据与LPA-SQUASH总体力活动量和光强度体力活动适度相关。结论：我们改进了用于测量健康成年人体力活动的SQUASH，以评估肝移植后患者的光强度体力活动。LPA-SQUASH显示出可接受的有效性和可靠性。移植护士可以使用该问卷来检查轻强度体力活动的内容/持续时间，提供考虑患者久坐生活方式的患者教育，并促进制定预防代谢综合征的体力活动干预目标。

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引用次数: 0

Meaning of hygiene care for patients as perceived by clinical nurses through an interactive care process: A grounded theory approach 临床护士通过互动护理过程感知的患者卫生护理的意义：一种有根据的理论方法。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-04-30 DOI: 10.1111/jjns.12538

Kotone Nishiya, Risa Takashima, Inaho Shishido, Rika Yano

Aim

This study aimed to explore the meaning of hygiene care for patients from the perspective of nurses, who provide them with care through an interactive process.

Methods

Sixteen registered nurses working in general wards for over 5 years were selected through purposive and snowball sampling. Individual semi-structured interviews were conducted between May and August 2021. Data were analyzed using a grounded theory approach, and the Consolidated Criteria for Reporting Qualitative Research was used to ensure quality and transparency.

Results

The participants recognized the core category “realizing oneself alive here,” where hygiene care energized patients and promoted their realization of “feeling alive.” Hygiene care created “time of relief, temporarily forgetting the illness,” and “restoring a sense of oneself.” A situation of care also created an “opportunity to treat each other as unique individuals,” “opportunity to face self,” and “encouraging the recovery and disease-fighting process.”

Conclusions

This study highlights the value of hygiene care provided by nurses to patients. The meaning of hygiene care conceptualized in this study should help build a conceptual framework for understanding the patient's experience and reaffirming the value of hygiene care.

目的：本研究旨在从护士的角度探讨卫生护理对患者的意义，护士通过互动过程为患者提供护理。方法：16名注册护士在普通病房工作5年以上年份是通过有目的的和滚雪球式的抽样选择的。2021年5月至8月期间进行了个人半结构化访谈。使用扎根理论方法分析数据，并使用定性研究报告的综合标准来确保质量和透明度。结果：参与者认识到核心类别“在这里实现自己的生命”，在这里，卫生保健激励了患者，促进了他们“感觉活着”的实现。卫生保健创造了“缓解时间，暂时忘记疾病”和“恢复自我意识”。护理的情况也创造了一个“将彼此视为独特个体的机会”、“面对自我的机会”以及“鼓励康复和对抗疾病的过程”。“结论：本研究强调了护士为患者提供卫生保健的价值。本研究中概念化的卫生保健的含义应有助于建立一个概念框架，以了解患者的经历并重申卫生保健的重要性。

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引用次数: 0

Effects of electronic fetal monitoring simulation with problem-based learning on nursing students' performance confidence, clinical judgment, and knowledge 电子胎儿监护模拟与基于问题的学习对护生表现信心、临床判断和知识的影响。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-04-30 DOI: 10.1111/jjns.12539

Jeongim Lee, Hae Kyoung Son

Aim

This study aimed to determine the effects of an electronic fetal monitoring simulation with problem-based learning (EFM SPBL) program based on the Clinical Judgment Model.

Methods

Third-year nursing students were randomly allocated to the control (n = 46) or experimental groups (n = 46). The control group participated in the conventional clinical practice, while the experimental group participated in the EFM SPBL program. The students completed a structured questionnaire on Google surveys.

Results

Nursing performance confidence (t = 10.72, p < .001) and clinical judgment (t = 2.53, p = .015) increased significantly in the experimental group.

Conclusions

This study recognized improvement in students' clinical judgment in the context of learning transfer. A standardized SPBL with various cases is recommended.

目的：本研究旨在确定基于临床判断模型的基于问题学习的电子胎儿监护模拟（EFM-SPBL）程序的效果 = 46）或实验组（n = 46）。对照组参加常规临床实践，实验组参加EFM-SPBL项目。学生们完成了一份关于谷歌调查的结构化问卷。结果：护理绩效置信度（t = 10.72，p 结论：本研究认识到，在学习迁移的背景下，学生的临床判断能力有所提高。建议采用各种情况下的标准SPBL。

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引用次数: 1

Women's experiences of breastfeeding after a cesarean section: A meta-synthesis 剖宫产术后妇女母乳喂养的经验:综合研究

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-04-26 DOI: 10.1111/jjns.12534

Yunefit Ulfa, Naoko Maruyama, Yumiko Igarashi, Shigeko Horiuchi

Aim

The World Health Organization and United Nations Children's Fund recommend the early initiation of breastfeeding within the first hour postpartum for successful exclusive breastfeeding. However, cesarean section is a risk factor for unsuccessful early initiation of breastfeeding. Herein, we aim to explore women's experiences of breastfeeding after a cesarean section.

Methods

We used the Joanna Briggs Institute framework in this meta-synthesis. We searched articles published from 1990 to 2022 on PubMed, CINAHL, Cochrane library, PsycInfo, and EMBASE to identify qualitative studies on women's experiences of breastfeeding after a cesarean section. We used the Critical Appraisal Skills Programme checklist for qualitative studies to assess the quality of the included studies.

Results

Seven qualitative studies from five countries met the inclusion criteria, representing the views of 194 women who underwent cesarean sections. Six new categories were integrated into the women's experiences of breastfeeding after a cesarean section as follows: (i) Perceived values of breastfeeding, (ii) Emotional vulnerability in breastfeeding, (iii) Physical difficulties in breastfeeding, (iv) Inconvenient conditions in breastfeeding, (v) Inadequate resources for breastfeeding, and (vi) Support systems to enable breastfeeding.

Conclusions

We provide evidence showing that knowledge of the specific breastfeeding mechanism and provision of the most appropriate postsurgical care by healthcare providers just after a cesarean section can reduce the barriers to post-cesarean breastfeeding. Moreover, effective hospital policies and family support can result in the initiation of positive breastfeeding outcomes. Future studies that consider the cultural aspects of breastfeeding practice may generate additional insights into providing optimal postpartum care.

世界卫生组织和联合国儿童基金会建议在产后第一个小时内尽早开始母乳喂养，以实现成功的纯母乳喂养。然而，剖宫产是早期开始母乳喂养不成功的一个危险因素。在此，我们的目的是探讨妇女在剖宫产术后母乳喂养的经验。方法采用乔安娜·布里格斯研究所框架进行meta综合。我们检索了1990年至2022年在PubMed、CINAHL、Cochrane图书馆、PsycInfo和EMBASE上发表的文章，以确定有关剖宫产术后妇女母乳喂养经历的定性研究。我们使用定性研究的关键评估技能程序检查表来评估纳入研究的质量。结果来自5个国家的7项定性研究符合纳入标准，代表了194名剖宫产妇女的观点。剖宫产后妇女的母乳喂养经历纳入了六个新的类别，如下:(i)母乳喂养的感知价值;(ii)母乳喂养的情感脆弱性;(iii)母乳喂养的身体困难;(iv)母乳喂养的不方便条件;(v)母乳喂养的资源不足;(vi)支持母乳喂养的系统。结论:我们提供的证据表明，了解特定的母乳喂养机制，并在剖宫产术后提供最适当的术后护理，可以减少剖宫产后母乳喂养的障碍。此外，有效的医院政策和家庭支持可促成母乳喂养的积极结果。考虑到母乳喂养实践的文化方面的未来研究可能会对提供最佳产后护理产生额外的见解。

{"title":"Women's experiences of breastfeeding after a cesarean section: A meta-synthesis","authors":"Yunefit Ulfa, Naoko Maruyama, Yumiko Igarashi, Shigeko Horiuchi","doi":"10.1111/jjns.12534","DOIUrl":"10.1111/jjns.12534","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The World Health Organization and United Nations Children's Fund recommend the early initiation of breastfeeding within the first hour postpartum for successful exclusive breastfeeding. However, cesarean section is a risk factor for unsuccessful early initiation of breastfeeding. Herein, we aim to explore women's experiences of breastfeeding after a cesarean section.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used the Joanna Briggs Institute framework in this meta-synthesis. We searched articles published from 1990 to 2022 on PubMed, CINAHL, Cochrane library, PsycInfo, and EMBASE to identify qualitative studies on women's experiences of breastfeeding after a cesarean section. We used the Critical Appraisal Skills Programme checklist for qualitative studies to assess the quality of the included studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven qualitative studies from five countries met the inclusion criteria, representing the views of 194 women who underwent cesarean sections. Six new categories were integrated into the women's experiences of breastfeeding after a cesarean section as follows: (i) Perceived values of breastfeeding, (ii) Emotional vulnerability in breastfeeding, (iii) Physical difficulties in breastfeeding, (iv) Inconvenient conditions in breastfeeding, (v) Inadequate resources for breastfeeding, and (vi) Support systems to enable breastfeeding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We provide evidence showing that knowledge of the specific breastfeeding mechanism and provision of the most appropriate postsurgical care by healthcare providers just after a cesarean section can reduce the barriers to post-cesarean breastfeeding. Moreover, effective hospital policies and family support can result in the initiation of positive breastfeeding outcomes. Future studies that consider the cultural aspects of breastfeeding practice may generate additional insights into providing optimal postpartum care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9733304","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

Long-term health-related quality of life of total hip arthroplasty patients and cost-effectiveness analysis in the Japanese universal health insurance system 日本全民健康保险体系中全髋关节置换术患者的长期健康相关生活质量和成本效益分析。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-04-23 DOI: 10.1111/jjns.12537

Kanako Yakushiji, Kimie Fujita, Yasuko Tabuchi, Yuriko Matsunaga-Myoji, Satomi Tanaka, Masaaki Mawatari

Aim

Total hip arthroplasty can effectively improve patients' motility with end-stage osteoarthritis. This study aimed to: (1) compare gradual changes in utility values with total hip arthroplasty and estimated values without; (2) evaluate total hip arthroplasty cost-effectiveness; and (3) evaluate cost-effectiveness by age, diagnosis, and comorbidity.

Methods

Patients who underwent total hip arthroplasty between January 2008 and December 2009 were included. Patients completed the EuroQol preoperatively and at 1, 3, 5 and 7 years postoperatively. To derive the quality-adjusted life years gained, a utility score was obtained from the EuroQol item scores and combined with 7 years, and estimates were obtained by discounting the postoperative 1-year utility value at an annual rate of 2%–4%. Mixed-effects regression models were used to compare the estimated and the measured utility values.

Results

Mean total cost was 1,921,849 yen, and quality-adjusted life years gain score was 1.746 with per cost as 1,100,715 yen. Compared with actual measurements, the estimated values from 1 to 7 years post-surgery differed significantly, and interaction was observed. Regarding age, the older the patient, the higher the cost per quality-adjusted life years. Patients with lower preoperative physical function had higher quality-adjusted life years gains, while the cost per quality-adjusted life years was lower.

Conclusions

Total hip arthroplasty was cost-effective. Compared with actual measurements, the estimated utility values from 1 to 7 years post-surgery significantly differed. Even among older patients and those with impaired preoperative physical functions, its cost was lower than patients' willingness to pay in Japan.

目的：全髋关节置换术能有效提高终末期骨关节炎患者的运动能力。本研究旨在：（1）比较人工全髋关节置换术后效用值的逐渐变化和人工髋关节置换术的估计值；（2）评估全髋关节置换术的成本效益；以及（3）根据年龄、诊断和合并症评估成本效益。方法：纳入2008年1月至2009年12月期间接受全髋关节置换术的患者。患者在术前和1、3、5和7时完成EuroQol 术后数年。为了得出所获得的质量调整生命年，从EuroQol项目得分中获得效用得分，并将其与7 年，并且通过以2%-4%的年率贴现术后1年的效用值来获得估计值。混合效应回归模型用于比较估计的效用值和测量的效用值。结果：平均总成本为1921849日元，质量调整生命年收益得分为1.746，每次成本为1100715日元。与实际测量值相比，估计值从1到7 术后数年差异显著，观察到相互作用。关于年龄，患者年龄越大，每质量调整生命年的成本就越高。术前身体功能较低的患者有较高的质量调整生命年收益，而每质量调整生命年限的成本较低。结论：全髋关节置换术具有成本效益。与实际测量值相比，估计效用值为1至7 术后数年差异显著。即使在老年患者和术前身体功能受损的患者中，其费用也低于日本患者的支付意愿。

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引用次数: 0

Effects of a smartphone app-based diet and physical activity program for men living with HIV who have dyslipidemia: A pilot randomized controlled trial 基于智能手机应用程序的饮食和身体活动计划对患有血脂异常的艾滋病毒感染者的影响:一项随机对照试验

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-04-15 DOI: 10.1111/jjns.12535

Maki Aomori, Chiharu Matsumoto, Sanae Takebayashi, Nao Matsuyama, Yukiko Uto, Miho Tanaka, Sei Samukawa, Hideaki Kato, Hideaki Nakajima, Hitomi Maeda

Aims

People living with HIV are at a high risk for cardiovascular disease owing to antiretroviral therapy use and chronic inflammation. There is limited evidence on the evaluation of serum lipid levels through lifestyle modification. This study aims to evaluate the effect of a smartphone application-based diet and exercise improvement program on men living with HIV and dyslipidemia.

Methods

This was a randomized controlled trial recruiting Japanese men living with HIV who have dyslipidemia: intervention group (n = 19) and control group (n = 19). The intervention group received a third individual guidance session during the 6-month intervention and was encouraged to record their diet on a smartphone application. An intention-to-treat analysis of the results was conducted.

Results

The intervention group showed significantly reduced change in low-density lipoprotein levels compared to the control group (−4.00 ± 20.2 mg/dL vs. 10.11 ± 21.1 mg/dL) (p = .042) from baseline to 6 months post-intervention. No significant differences were found in other serum lipid levels. Abdominal circumference decreased significantly in the intervention group (p = .048) from baseline to 6 months post-intervention. Total energy, protein, carbohydrate, fat, and salt intake, dietary and physical activity behavior change stages and social support, dietary self-efficacy, and loneliness significantly improved in the intervention group (p < .05) from baseline to 6 months post-intervention.

Conclusions

A diet and physical activity improvement program using a smartphone application based on Japanese-specific health guidance may reduce low-density lipoprotein cholesterol levels in this population. Further sample expansion and examination of long-term effects are needed.

目的艾滋病毒感染者由于使用抗逆转录病毒治疗和慢性炎症，患心血管疾病的风险很高。通过改变生活方式来评估血脂水平的证据有限。这项研究旨在评估基于智能手机应用程序的饮食和运动改善计划对感染艾滋病毒和血脂异常的男性的影响。方法:随机对照试验，招募患有血脂异常的日本HIV感染者:干预组(n = 19)和对照组(n = 19)。干预组在6个月的干预期间接受了第三次个人指导，并被鼓励在智能手机应用程序上记录他们的饮食。对结果进行意向治疗分析。结果干预组低密度脂蛋白水平从基线到干预后6个月的变化明显低于对照组(- 4.00±20.2 mg/dL vs. 10.11±21.1 mg/dL) (p = 0.042)。其他血脂水平无显著差异。从基线到干预后6个月，干预组的腹围显著下降(p = 0.048)。干预组的总能量、蛋白质、碳水化合物、脂肪和盐摄入量、饮食和身体活动行为改变阶段、社会支持、饮食自我效能和孤独感从基线到干预后6个月显著改善(p < 0.05)。结论:基于日本特定健康指导的智能手机应用程序的饮食和身体活动改善计划可能降低该人群的低密度脂蛋白胆固醇水平。需要进一步扩大样本并检验长期影响。

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引用次数: 1

Effectiveness of a web-based partnership support program for preventing decline in the quality of life of male patients undergoing infertility treatment: A quasi-experimental study 一项基于网络的伙伴关系支持计划对预防男性不育症患者生活质量下降的有效性:一项准实验研究

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-04-14 DOI: 10.1111/jjns.12536

Kyoko Asazawa, Mina Jitsuzaki, Akiko Mori, Tomohiko Ichikawa

Aim

During infertility treatment, distress increases and the quality of life declines in both men and women over time. Thus, both men and women need equal support and care. In this study, we aimed to explore the effectiveness of a web-based partnership support program in preventing quality of life deterioration and reducing emotional distress in men undergoing infertility treatment.

Methods

We conducted a non-randomized controlled trial involving 151 infertile couples in Japan from January to April of 2022. The program consisted of couple discussion, information provision for couple cooperation, and communication techniques. We used a quasi-experimental design (non-equivalence two groups pre-test and post-test with comparison) involving purposive sampling. Data were collected using the FertiQoL tool and Distress scales. Analyses were conducted by a two-way factorial analysis of variance using SPSS software.

Results

Data for the analysis were included for the intervention group (n = 58) and the control group (n = 62) (valid response rate 79.5%). There were no significant interaction effects between program and time in the FertiQoL and Distress scales. However, there were significant interaction effects between program and time in the Relational (p < .001) and Social (p = .044) subscales. Subgroup analysis showed that in the non-assisted reproductive technologies group, deterioration in the quality of life was more effectively prevented in the intervention group than in the control group.

Conclusions

The web-based partnership support program appeared to be effective in preventing the deterioration of the quality of life of only men undergoing non-assisted reproductive technology treatment.

目的在不孕不育治疗期间，随着时间的推移，男性和女性的痛苦增加，生活质量下降。因此，男人和女人都需要同样的支持和关心。在这项研究中，我们旨在探讨基于网络的伙伴关系支持计划在预防生活质量恶化和减少男性不育症治疗中的情绪困扰方面的有效性。方法我们于2022年1月至4月在日本对151对不育夫妇进行了一项非随机对照试验。该项目包括夫妻讨论、夫妻合作信息提供、沟通技巧。我们采用了准实验设计(非等效两组前测和后测比较)，包括目的性抽样。使用FertiQoL工具和Distress量表收集数据。采用SPSS软件进行双向因子方差分析。结果纳入干预组(n = 58)和对照组(n = 62)的分析资料，有效有效率为79.5%。在FertiQoL和Distress量表中，程序和时间之间没有显著的交互作用。然而，在关系量表(p < .001)和社会量表(p = .044)中，节目和时间之间存在显著的交互效应。亚组分析显示，在非辅助生殖技术组中，干预组比对照组更有效地预防了生活质量的恶化。结论基于网络的伙伴关系支持方案在预防接受非辅助生殖技术治疗的男性患者生活质量恶化方面是有效的。

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引用次数: 0

A comparison of the effect on pain management of two non-pharmacological methods used during administration of Pfizer–BioNTech COVID-19 vaccine (BNT162b2): A randomized controlled study 一项随机对照研究:两种非药物方法在辉瑞- biontech COVID-19疫苗(BNT162b2)给药期间疼痛管理的效果比较

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-03-31 DOI: 10.1111/jjns.12533

Dilek Yılmaz, Münevver Kutlu, Elmas Baki

Aims

This study was conducted with the aim of examining the effect on pain intensity of the vibration technique applied at the injection site and squeezing a stress ball during the administration of Pfizer–BioNTech COVID-19 vaccination.

Methods

This was a randomized controlled single-blind experimental study. The study included 120 adults who were randomly selected between July and November 2022. One experimental group (n = 40) received local vibration by means of a Buzzy® device, and the other (n = 40) were given a stress ball to squeeze. Routine vaccination procedure was performed with the control group (n = 40). The level of pain felt during the vaccination procedure was assessed on a visual analog scale.

Results

The pain score of individuals during the vaccination procedure was found to be significantly lower in the vibration group than in the control group (P = .005) and the stress ball group (P = .036), but there was no significant difference between the control and stress ball groups (P = .851). Also, it was found that the variables of gender, age and body mass index did not affect the average pain intensity of individuals during the vaccination procedure.

Conclusions

It was found that local vibration applied by means of the Buzzy® device was effective in reducing the levels of pain relating to administration of the Pfizer–BioNTech COVID-19 vaccination. Nurses should think of the application of vibration as a choice in the management of pain relating to Pfizer–BioNTech COVID-19 vaccination.

本研究旨在探讨在辉瑞- biontech公司新冠肺炎疫苗接种过程中，注射部位施加振动技术和挤压压力球对疼痛强度的影响。方法采用随机对照单盲实验研究。该研究包括120名成年人，他们是在2022年7月至11月期间随机选择的。其中一组(n = 40)通过Buzzy®装置进行局部振动，另一组(n = 40)给予应力球进行挤压。对照组(n = 40)进行常规疫苗接种。在疫苗接种过程中感受到的疼痛水平在视觉模拟量表上进行评估。结果接种过程中，振动组个体疼痛评分显著低于对照组(P = 0.005)和应激球组(P = 0.036)，但对照组与应激球组之间差异无统计学意义(P = 0.851)。此外，研究发现，性别、年龄和体重指数等变量对接种过程中个体的平均疼痛强度没有影响。研究发现，通过Buzzy®装置施加的局部振动可有效降低与辉瑞- biontech COVID-19疫苗接种相关的疼痛水平。护士应该考虑将振动应用于与辉瑞- biontech COVID-19疫苗接种相关的疼痛管理中。

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引用次数: 0

Predictors of activation among persons with spinal cord injury during hospitalization: A cross-sectional study 脊髓损伤患者住院期间激活的预测因素:一项横断面研究

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-03-25 DOI: 10.1111/jjns.12532

Xiangxiang Tang, Jin Huang, Wenyan Wang, Xiaoping Su, Zepeng Yu

Aim

To test the contributions of self-efficacy, resilience, social support, and negative moods (i.e., anxiety, depression) to patient activation among persons with spinal cord injury (SCI).

Methods

One hundred and twenty-two participants with SCI were recruited from the spinal surgery department at a large general hospital. During the period before discharge after surgery, standardized self-assessment questionnaires were used to collect data on patient activation, self-efficacy, resilience, social support, anxiety, depression, demographics (age, gender, education, marital status), and disease-related information (etiologies, level of injury, American Spinal Injury Association Impairment Scale score). Hierarchical regression analysis, mediation analysis, and moderation analysis were performed in SPSS, Amos, and Jamovi to determine the influencing factors of patient activation.

Results

Self-efficacy, resilience, social support, anxiety, and depression uniquely explained 38.2% (p < .001) of the variance in patient activation after controlling for demographic and disease-related covariates. The full model explained 53.7% (p < .001) of the variance in patient activation. In the mediation analysis, self-efficacy, resilience, and social support had partial mediating effects (p < .05). In the moderation analysis, marital status moderated the relationship between self-efficacy and patient activation (p < .05).

Conclusions

Activation of persons with SCI is a positive psychosocial resource related to higher self-efficacy, resilience, and social support. Marital status may affect activation in persons with SCI. The causal relationship between these psychosocial variables needs to be proved by further intervention studies.

目的探讨自我效能感、恢复力、社会支持和负性情绪(如焦虑、抑郁)对脊髓损伤患者激活的影响。方法从某大型综合医院脊柱外科招募脊髓损伤患者122例。在术后出院前，采用标准化的自我评估问卷收集患者激活、自我效能、恢复力、社会支持、焦虑、抑郁、人口统计学(年龄、性别、教育程度、婚姻状况)和疾病相关信息(病因、损伤水平、美国脊髓损伤协会损伤量表评分)的数据。采用SPSS、Amos和Jamovi软件进行层次回归分析、中介分析和调节分析，确定患者激活的影响因素。结果在控制了人口统计学和疾病相关协变量后，自我效能感、恢复力、社会支持、焦虑和抑郁独特地解释了38.2%的患者激活方差(p < .001)。完整的模型解释了53.7% (p < .001)的患者激活方差。在中介分析中，自我效能感、心理弹性和社会支持具有部分中介作用(p < 0.05)。在调节分析中，婚姻状况调节了自我效能感与患者激活的关系(p < 0.05)。结论脊髓损伤患者的激活是一种积极的社会心理资源，与较高的自我效能感、恢复力和社会支持有关。婚姻状况可能影响脊髓损伤患者的激活。这些社会心理变量之间的因果关系需要通过进一步的干预研究来证明。

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引用次数: 0