Applied Nursing Research最新文献_第2页

Are male nurses oppressed? A forum theater application: A quasi-experimental study 男护士是否受到压迫？论坛剧场应用：准实验研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2024-10-09 DOI: 10.1016/j.apnr.2024.151860

Lütfiye Nur Uzun Asst. Prof., Hümeyra Hançer Tok Asst. Prof.

Background

Male nurses in clinical and educational settings are discriminated against. It is thought that perceiving the current situation of minority male nurses, who have the potential for social exclusion and oppression, and positively developing the perceptions of nursing students who are at the beginning of their professionalization lives, will contribute to the professionalization of future members of the profession.

Objectives

This study was conducted to find solutions to the current and potential difficulties experienced by male nurses, first-year nursing students, through a forum theater activity.

Method

The sample consisted of 24 first-year nursing students. Participants were given awareness training on male nurse discrimination using forum theater. Were given participants awareness training on male nurse discrimination using forum theater.

Research data student information form, Gender Attitudes of Nursing Students Towards the Nursing Profession Scale and were used for qualitative data participant opinion form.

Results

It was determined that the forum theater activity increased the awareness level of firstyear nursing students regarding gender attitudes towards the nursing profession. Students stated that participating in forum theater training was a real life experience in the learning process, that they were happy to participate in this training, and that participating in these events increased their self-confidence.

Conclusion

In this study, it was concluded that forum theater was effective in improving the awareness level of discrimination in the male nurse discrimination training given to nursing students. Forum theater can be used in nursing education.

背景男护士在临床和教育环境中受到歧视。人们认为，了解有可能受到社会排斥和压迫的少数族裔男护士的现状，并积极培养处于职业化初期的护理专业学生的观念，将有助于未来护理专业成员的职业化。利用论坛剧场对参与者进行了有关男护士歧视的提高认识培训。研究数据学生信息表、护理专业学生对护理专业的性别态度量表和定性数据参与者意见表。结果确定论坛戏剧活动提高了护理专业一年级学生对护理专业性别态度的认识水平。学生们表示，参加论坛剧场培训是学习过程中的一次真实体验，他们很高兴参加这次培训，而且参加这些活动增强了他们的自信心。结论本研究认为，在对护理专业学生进行的男护士歧视培训中，论坛剧场能有效提高学生对歧视的认识水平。论坛剧场可用于护理教育。

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引用次数: 0

Corrigendum to “A hybrid type 2 effectiveness-implementation design to evaluate a community-based, heart-healthy intervention for women of low-socioeconomic status” [Appl. Nurs. Res. 71, 2023, 151686] 对 "评估针对低社会经济地位妇女的社区心脏健康干预措施的第 2 类效果-实施混合设计 "的更正[《应用护理研究》71，2023，151686]

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2024-10-09 DOI: 10.1016/j.apnr.2024.151859

Heidi Luft , Roger Brown , Diane Lauver

引用次数: 0

Changes in nutritional status and fatigue and their associations with quality of life in patients with pancreatic cancer after surgery: A 12-month longitudinal study 胰腺癌患者术后营养状况和疲劳的变化及其与生活质量的关系：为期 12 个月的纵向研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2024-10-01 DOI: 10.1016/j.apnr.2024.151858

Ling-Fang Hsu , Yun-Hsiang Lee , Hui-Ying Yang , Yun-Jen Chou , Yu-Wen Tien , Chieh-Yu Liu , Shiow-Ching Shun

Objective

This study examined changes in nutritional status, fatigue, and quality of life, and identified longitudinal factors influencing changes in quality of life in patients with pancreatic cancer before and 12 months after surgery.

Methods

A longitudinal, correlational, single-group study was conducted on 89 patients with operable pancreatic cancer in Taiwan. Data were collected preoperatively (T0) and at 3 (T1), 6 (T2), and 12 (T3) months post-surgery using questionnaires— Mini Nutritional Assessment, Fatigue Symptom Inventory, and Functional Assessment of Cancer Therapy-General—and through bioelectrical impedance analysis, handgrip strength measurement, and the 30-s sit-to-stand test. Generalized estimating equation models were used to analyze variable changes and associated factors.

Results

Body weight (T1, p < 0.01; T2, p < 0.01; T3, p < 0.01), visceral fat mass (T1, p < 0.01; T2, p < 0.01; T3, p < 0.01), and handgrip strength (T1, p < 0.01; T2, p < 0.01; T3, p < 0.01) decreased significantly after surgery. The quality of life significantly improved at T2 and T3 (T2, p = 0.04; T3, p = 0.04). Lower visceral fat mass (β = −2.27, p < 0.01), better overall nutritional status (β = 1.54, p < 0.01), and lower fatigue (β = −0.26, p < 0.01) were associated with higher quality of life from T0-T3.

Conclusions

Patients with pancreatic cancer should have their nutritional status and fatigue assessed early and continuously for at least 12 months post-surgery. Early preoperative interventions that can reduce visceral fat mass, combat malnutrition, and alleviate fatigue are recommended.

本研究探讨了胰腺癌患者在手术前和手术后 12 个月的营养状况、疲劳和生活质量的变化，并确定了影响生活质量变化的纵向因素。方法对台湾 89 名可手术的胰腺癌患者进行了一项纵向、相关、单组研究。研究人员在手术前（T0）、术后 3 个月（T1）、6 个月（T2）和 12 个月（T3）通过问卷调查--迷你营养评估、疲劳症状量表和癌症治疗功能评估--收集数据，并通过生物电阻抗分析、手握力测量和 30 秒坐立测试收集数据。结果体重（T1，p < 0.01；T2，p < 0.01；T3，p < 0.01）、内脏脂肪量（T1，p <；0.01；T2，p <；0.01；T3，p <；0.01）和手握力（T1，p <；0.01；T2，p <；0.01；T3，p <；0.01）在术后显著下降。生活质量在 T2 和 T3 阶段明显改善（T2，p = 0.04；T3，p = 0.04）。较低的内脏脂肪量（β = -2.27，p < 0.01）、较好的总体营养状况（β = 1.54，p < 0.01）和较低的疲劳感（β = -0.26，p < 0.01）与 T0 至 T3 期较高的生活质量相关。建议尽早进行术前干预，以减少内脏脂肪量、消除营养不良并缓解疲劳。

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引用次数: 0

Stress coping and resilience of frontline nurses under the emergency infectious disease pandemic: A latent class analysis 紧急传染病大流行下一线护士的压力应对和复原力：潜类分析

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2024-09-25 DOI: 10.1016/j.apnr.2024.151857

Yi-Chen Yeh , Wang-Huei Sheng , Mei-Yan Pan , Hsiu-Yun Liu , Chieh-Yu Liu , Piao-Yi Chiou

Aim

This study aimed to classify coping strategies and resilience among nurses caring for COVID-19 patients using latent class analysis (LCA), and to compare variations across these subgroups.

Background

The pandemic of emerging infectious diseases is a traumatic stressor for frontline nurses, potentially leading to compassion fatigue. Effective coping strategies and resilience were essential for managing stress, but their nuanced classification and outcomes remain unclear.

Methods

A cross-sectional survey was conducted from January to March 2022. Purposive and snowball sampling was utilized to recruit participants.

Results

A total of 215 clinical nurses (mean age 34.59 years) were recruited. A three-class model showed the best fit: class 1 (35.8 %) with proactive coping and high resilience, class 2 (29.8 %) with mixed coping and high resilience, and class 3 (34.4 %) with avoidance coping and low resilience. Compared to class 3, class 1 participants had lower stress (Odds Ratio (OR) = 0.37, 95 % CI: 0.143–0.950, P = 0.039), reduced risk of compassion fatigue (OR = 0.29, 95 % CI: 1.110–4.536, P < 0.001), and lower intention to quit (OR = 0.39, 95 % CI: 0.175–0.843, P = 0.017). Class 2 participants, with higher proportion to live with family, had longer work experience, higher income, and also showed significantly reduced intention to quit (OR = 0.386, 95 % CI: 0.168–0.887, P = 0.025).

Conclusions

Identifying these vulnerable groups can help in providing interventions to reduce stress and prevent compassion fatigue and intention to quit.

目的本研究旨在使用潜类分析法（LCA）对护理 COVID-19 患者的护士的应对策略和复原力进行分类，并比较这些亚组之间的差异。背景新发传染病的流行对一线护士来说是一种创伤性压力，有可能导致同情疲劳。有效的应对策略和抗压能力对管理压力至关重要，但其细微的分类和结果仍不清楚。方法2022年1月至3月进行了一项横断面调查。结果共招募了 215 名临床护士（平均年龄 34.59 岁）。三类模型显示出最佳拟合度：第一类（35.8%）为主动应对和高复原力，第二类（29.8%）为混合应对和高复原力，第三类（34.4%）为回避应对和低复原力。与第三类相比，第一类参与者的压力较小（Odds Ratio (OR) = 0.37, 95 % CI: 0.143-0.950, P = 0.039），同情疲劳的风险较低（OR = 0.29, 95 % CI: 1.110-4.536, P < 0.001），辞职意愿较低（OR = 0.39, 95 % CI: 0.175-0.843, P = 0.017）。结论识别这些弱势群体有助于提供干预措施，以减轻压力、预防同情疲劳和戒烟意向。

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引用次数: 0

Emergency department nurses' reflective thinking and patient safety competency: The mediating effect of patient safety culture 急诊科护士的反思性思维与患者安全能力：患者安全文化的中介效应

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2024-09-24 DOI: 10.1016/j.apnr.2024.151856

Mi Na Park MSN, RN , Young Sook Roh PhD, RN

Aim

This study aimed to identify the mediating effect of patient safety culture on the relationship between reflective thinking and patient safety competency in emergency department nurses.

Background

Given the complexity and the need for timely assessments and interventions in the emergency department, the patient safety competency of nurses is crucial for preventing safety incidents.

Methods

This study utilized a cross-sectional descriptive correlational design with a convenience sample of 200 emergency department nurses. Participants completed a web-based, self-administered questionnaire that assessed reflective thinking, patient safety culture, and patient safety competency. The percentile bootstrap method for mediation analysis was performed to ascertain the mediating role of patient safety culture in the relationship between reflective thinking and patient safety competency.

Results

Both reflective thinking and patient safety culture were significant predictors of patient safety competency. Furthermore, patient safety culture was found to mediate the relationship between reflective thinking and patient safety competency among emergency department nurses.

Conclusions

The findings suggest that emergency department nurses could benefit from a competency enhancement program or quality improvement projects that focus on reflective thinking and patient safety culture, which are significant predictors of patient safety competency.

目的本研究旨在确定患者安全文化对急诊科护士的反思性思维和患者安全能力之间关系的中介作用。背景鉴于急诊科的复杂性以及及时评估和干预的必要性，护士的患者安全能力对预防安全事故至关重要。参与者完成了一份基于网络的自填式问卷，该问卷评估了反思性思维、患者安全文化和患者安全能力。为了确定患者安全文化在反思性思维与患者安全能力之间的关系中的中介作用，我们采用了百分位引导法（percentile bootstrap method）进行中介分析。结论研究结果表明，急诊科护士可以从能力提升项目或质量改进项目中获益，这些项目或项目的重点是反思性思维和患者安全文化，而反思性思维和患者安全文化是患者安全能力的重要预测因素。

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引用次数: 0

Emotion recognition and clinical empathy: An observational study of nurses 情绪识别与临床移情：护士观察研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2024-09-21 DOI: 10.1016/j.apnr.2024.151855

Martin Shaw , Annika Bilog , Daniel Reyes , Gudrun Klim , Elizabeth Johnston Taylor

Aim

To explore nurse ability to recognize emotion and its association with clinical empathy.

Background

Empathy is elemental to nursing care and positively effects patient and nurse outcomes, yet self-reported clinical empathy has declined over the past decade. One hypothesized contributor to the ability of a nurse to be empathic is whether they can recognize emotion, a phenomenon thus far unstudied among nurses.

Methods

This cross-sectional study used online survey methods to collect data from 166 licensed nurses employed in one of 22 hospitals in Florida, USA. The Geneva Emotion Recognition Test-Short Form (GERT-SF) measured behavioral empathy—the ability to identify 7 positive and 7 negative basic emotions from non-language-based audiovisual clips with actors expressing these emotions. The Jefferson Scale of Empathy-Health Professionals measured self-reported clinical empathy in patient care. Demographic and work-related factors were assessed with investigator-designed items. Descriptive and bivariate statistical analyses were employed.

Results

Although nurses self-reported very high clinical empathy, their ability to recognize emotions using the GERT-S tool was fair. Emotion recognition and clinical empathy were weakly correlated (r = 0.175, p = 0.024, 95 % CI = 0.02–0.32). The least recognized emotion for the participants to identify was anxiety. No demographic variables were associated with either emotion recognition or clinical empathy.

Conclusions

These findings expose how nurse perceptions of being empathic may poorly align with the ability to recognize a patient's emotional response. Thus, findings have implications for teaching empathy, as well as for how researchers validly and reliably measure these constructs.

目的探讨护士识别情绪的能力及其与临床移情的关系。背景移情是护理工作的基本要素，对患者和护士的治疗效果有积极影响，但在过去十年中，自我报告的临床移情率有所下降。本横断面研究采用在线调查的方法，收集了美国佛罗里达州 22 家医院中 166 名持证护士的数据。日内瓦情绪识别测验简表（GERT-SF）测量的是行为移情能力，即从演员表达的非语言视听片段中识别 7 种积极和 7 种消极基本情绪的能力。杰斐逊移情量表--卫生专业人员 "测量的是自我报告的在病人护理过程中的临床移情能力。调查人员设计的项目对人口统计学和工作相关因素进行了评估。结果虽然护士自我报告的临床同理心很高，但他们使用 GERT-S 工具识别情绪的能力一般。情绪识别和临床移情呈弱相关（r = 0.175，p = 0.024，95 % CI = 0.02-0.32）。参与者最不容易识别的情绪是焦虑。这些研究结果揭示了护士对共情性的认知与识别患者情绪反应的能力之间的关系。因此，研究结果对移情教学以及研究人员如何有效、可靠地测量这些建构具有重要意义。

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引用次数: 0

Online recruitment for an online survey study: Our experience of dealing with fraudsters 在线调查研究的在线招聘：我们与欺诈者打交道的经验

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2024-09-21 DOI: 10.1016/j.apnr.2024.151854

Fang Lei

Background

Online recruitment is cost efficient and can reach large sample size. It helps protect participants' privacy and confidentiality and is commonly used in research studies with sensitive topics and hard-to-reach target participants. However, widespread fraudulent responses along with missing data and multiple entries add complication to the data cleaning and analysis. This clinical-methods-brief described our experience of dealing with fraudsters in the recruitment process of an online study.

Methods

Based on our experience in an online cross-sectional survey study, we reported three methods used in the recruitment process, including website recruitment (https://www.chineseinla.com/), Facebook advertisement, and Facebook group recruitment.

Results

The detected fraudulent rates were 11.11 %, 4.55 %, and 82.69 % for website recruitment, Facebook advertisement, and Facebook group recruitment, respectively. Strategies for us to identify the fake responses mainly included internet protocol checking, conflict answers to different survey questions, participant's name, and time stamp checking.

Discussion

Fake data mixed in the research data threatens the validity and reliability of the study and may skew the research study results. A robust participant recruitment method and a data screening/cleaning protocol are necessary to ensure online studies' rigorous.

背景网上招募具有成本效益，而且样本量大。它有助于保护参与者的隐私和机密，常用于敏感话题和难以接触到目标参与者的研究。然而，普遍存在的虚假回复、数据缺失和多重输入等问题给数据清理和分析工作增加了复杂性。本临床方法简报介绍了我们在一项在线研究的招募过程中与欺诈者打交道的经验。方法基于我们在一项在线横断面调查研究中的经验，我们报告了招募过程中使用的三种方法，包括网站招募（https://www.chineseinla.com/）、Facebook广告和Facebook小组招募。结果网站招募、Facebook广告和Facebook小组招募中发现的欺诈率分别为11.11%、4.55%和82.69%。我们识别虚假回答的策略主要包括互联网协议检查、不同调查问题的冲突答案、参与者姓名和时间戳检查。讨论研究数据中混入虚假数据会威胁研究的有效性和可靠性，并可能使研究结果出现偏差。为确保在线研究的严谨性，有必要采用可靠的参与者招募方法和数据筛选/清理协议。

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引用次数: 0

An exploratory study of nursing tasks that induce physical and mental stress among hospital nurses 对引起医院护士身心压力的护理工作的探索性研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2024-09-18 DOI: 10.1016/j.apnr.2024.151853

Younhee Kang , Aekyeong Jin

Background

Nursing tasks are major contributing factors of nurses' stress. Identifying these stress-inducing tasks by hospital and department is the first step in devising practical strategies to address this issue.

Objectives

This study aimed to develop a nursing task list by categorizing nursing tasks and identifying the ones that induced physical and mental stress among hospital nurses.

Methods

This descriptive exploratory study was conducted. In the first phase, the nursing task list was formulated based on a literature review and an expert content validity verification. In the second phase, the stress-inducing (both physical and mental) nursing tasks in different departments at two types of hospitals were investigated from 775 nurses. The data were analyzed using descriptive statistics, t-test, χ² test and ANOVA performed using SPSS/WIN 26.0.

Results

The nursing task of “exercise and position change” was identified to cause the highest physical stress across all five departments in both advanced general hospitals and general hospitals. Similarly, the nursing task “explanation of patients' condition upon request from the patients' family members” induced the greatest mental stress in both advanced general hospitals and general hospitals. Finally, “substitution for physicians: prescription” was identified as the greatest mental stress-inducing nursing task in general hospitals.

Conclusion

Based on a nursing task list developed, we determined which nursing tasks induce physical and mental stress in different departments at two types of hospitals. This foundational work will be crucial for exploring practical strategies to relieve nurses' stress.

背景护理工作是造成护士压力的主要因素。本研究旨在通过对护理任务进行分类，制定护理任务清单，并确定哪些任务会引起医院护士的身心压力。第一阶段，根据文献综述和专家内容效度验证制定护理任务清单。第二阶段，对两类医院不同科室的 775 名护士进行了护理工作压力（包括身体和精神压力）调查。使用 SPSS/WIN 26.0 对数据进行了描述性统计、t 检验、χ2 检验和方差分析。结果发现，在高级综合医院和综合医院的五个科室中，"运动和体位变换 "护理任务引起的身体压力最大。同样，在高级综合医院和综合医院中，"应患者家属要求解释患者病情 "这一护理任务引起的精神压力最大。最后，"替代医生：处方 "被确定为综合医院中导致精神压力最大的护理任务。结论根据制定的护理任务清单，我们确定了在两类医院的不同科室中，哪些护理任务会导致身体和精神压力。这项基础性工作对于探索缓解护士压力的实用策略至关重要。

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引用次数: 0

How grit mediates depressive symptoms with life and job satisfaction in full-time employed adults with congenital heart disease 在患有先天性心脏病的全职成年人中，勇气如何在抑郁症状与生活和工作满意度之间起到中介作用

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2024-09-02 DOI: 10.1016/j.apnr.2024.151845

Yu-Shiu Liu , Hung-Tao Chung , Jou-Kou Wang , Chiu-Yueh Yang , Chieh-Yu Liu , Chi-Wen Chen

Background

Technological advancements have extended the lifespan of individuals with congenital heart disease (CHD), but physical and mental health issues can affect their life and job satisfaction.

Aims

This study examined whether grit can protect full-time employed adults with CHD from depression by exploring its mediating role between depressive symptoms and life or job satisfaction.

Methods

A cross-sectional design involved 181 adults with CHD assessed using the Patient Health Questionnaire, Grit-10, Satisfaction with Life Scale, and Basic Psychological Need Satisfaction at Work Scale. Data analysis was conducted with SPSS and Smart PLS software for partial least squares structural equation modeling, adhering to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.

Results

Indicated that depressive symptoms were negatively correlated with grit, life satisfaction, and job satisfaction, while grit was positively correlated with both satisfaction measures. Grit partially mediated the relationship between depressive symptoms and life/job satisfaction, accounting for 30.70 % and 29.11 % of the variance, respectively.

Conclusions

Grit significantly mitigates the negative impact of depressive symptoms on life and job satisfaction in full-time employed adults with CHD. Nurses should identify signs of depression in adults with CHD and evaluate their grit levels. Interventions to increase grit and reduce depressive symptoms could enhance life and job satisfaction.

背景技术进步延长了先天性心脏病（CHD）患者的寿命，但身体和心理健康问题可能会影响他们的生活和工作满意度。结果表明，抑郁症状与勇气、生活满意度和工作满意度呈负相关，而勇气与这两项满意度指标呈正相关。结果表明，抑郁症状与勇气、生活满意度和工作满意度呈负相关，而勇气与这两项满意度指标呈正相关。勇气对抑郁症状与生活/工作满意度之间的关系起到了部分中介作用，分别占变异的 30.70% 和 29.11%。护士应识别患有心脏病的成年人的抑郁迹象，并评估他们的勇气水平。增加勇气和减少抑郁症状的干预措施可以提高生活和工作满意度。

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引用次数: 0

Connections matter: Exploring the relationship between belonging and psychosocial well-being in type 1 diabetes in Iran 联系很重要：探索伊朗 1 型糖尿病患者的归属感与社会心理健康之间的关系

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2024-08-30 DOI: 10.1016/j.apnr.2024.151843

Mohammadreza Razeghi , Samereh Abdoli PhD, RN , Leila Mardanian Dehkordi PhD

Aim

Identify the relationship between a sense of belonging and psychosocial well-being in individuals with type 1 diabetes (T1D) in Iran.

Background

Understanding this relationship is vital for tailored nursing interventions to enhance individual's sense of belonging and improve diabetes outcomes.

Methods

This cross-sectional study included 205 participants selected via multi-stage cluster and simple random sampling from health centers in Iranian. Electronic surveys designed on Google Forms, using valid and reliable scales and compliant with HIPAA, assessed sense of belonging, distress, and burnout. Data were analyzed using SPSS (version 25).

Results

Participants reported high sense of belonging with varying levels of diabetes distress and burnout. Multiple regression analysis of 205 participants showed that sense of belonging index (SOBI) scores significantly predicted diabetes distress (F(2,203) = 39.71, p < 0.001) and burnout (F(2, 203) = 42.319, p < 0.001). Sense of Belonging Instrument-Psychological (SOBI-P) scores were negatively correlated with both distress (r = −0.52, p < 0.001) and burnout (r = −0.53, p < 0.001), indicating higher belonging is linked to lower distress and burnout. Sense of Belonging Instrument-Antecedents (SOBI-A) scores had positive but non-significant correlations (distress: r = 0.07, p = 0.27; burnout: r = 0.10, p = 0.13). SOBI-P accounted for ∼30 % of the variance in distress (R² = 0.275) and burnout (R² = 0.288), with significant contributions to both models (t = −8.8, p < 0.001; t = −9.02, p < 0.001). Anticipated belonging showed no significant correlations with distress or burnout.

Conclusion

The negative correlations between personal belonging, self-reported distress, and burnout suggest that enhancing the psychological sense of belonging may be an effective strategy to mitigate diabetes-related distress and burnout Stigmatization and financial strain in Iran may exacerbate emotional burden, regimen related distress, and burnout. The lack of association between anticipated belonging and psychosocial well-being underscores differences in present and future perceptions of support, emphasizing the need for culturally sensitive nursing interventions.

目的确定伊朗 1 型糖尿病（T1D）患者的归属感与社会心理健康之间的关系。背景了解这种关系对于采取有针对性的护理干预措施以增强患者的归属感和改善糖尿病预后至关重要。方法这项横断面研究通过多阶段群组抽样和简单随机抽样从伊朗的医疗中心选取了 205 名参与者。通过谷歌表格设计的电子调查问卷，采用有效可靠的量表，符合 HIPAA 标准，对归属感、痛苦和职业倦怠进行评估。使用 SPSS（第 25 版）对数据进行了分析。结果参与调查者报告了较高的归属感以及不同程度的糖尿病困扰和职业倦怠。对 205 名参与者进行的多元回归分析表明，归属感指数（SOBI）得分可显著预测糖尿病困扰（F(2,203) = 39.71，p <0.001）和职业倦怠（F(2,203) = 42.319，p <0.001）。归属感-心理（SOBI-P）得分与困扰（r = -0.52，p <0.001）和职业倦怠（r = -0.53，p <0.001）呈负相关，表明归属感越高，困扰和职业倦怠越低。归属感指标（SOBI-A）得分呈正相关，但不显著（困扰：r = 0.07，p = 0.27；职业倦怠：r = 0.10，p = 0.13）。SOBI-P占困扰（R2 = 0.275）和职业倦怠（R2 = 0.288）变异的30%，对两个模型都有显著贡献（t = -8.8，p <0.001；t = -9.02，p <0.001）。结论个人归属感、自我报告的苦恼和职业倦怠之间的负相关表明，增强心理归属感可能是减轻糖尿病相关苦恼和职业倦怠的有效策略伊朗的污名化和经济压力可能会加重情绪负担、与治疗相关的苦恼和职业倦怠。预期归属感与社会心理健康之间缺乏关联，这凸显了当前和未来对支持的认知存在差异，强调了采取文化敏感性护理干预措施的必要性。

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