Applied Nursing Research最新文献

{"title":"Artificial intelligence-assisted nursing in cancer care: A meta-analysis of its impact on pain, anxiety, and quality of life","authors":"Merve Gozde Sezgin RN, Ph.D, Lecturer,&nbsp;Hicran Bektas RN, Ph.D, Professor","doi":"10.1016/j.apnr.2025.151987","DOIUrl":"10.1016/j.apnr.2025.151987","url":null,"abstract":"<div><h3>Background</h3><div>In recent years, artificial intelligence (AI) applications have been recognized as a supportive technological method for effectively managing the challenges faced by patients with cancer. AI applications are anticipated to be beneficial in improving the quality of life (QoL) of patients with cancer by enhancing the management of pain and anxiety.</div></div><div><h3>Aim</h3><div>The aim of this study is to examine the effects of AI-assisted nursing practices on pain, anxiety, and QoL in patients with cancer.</div></div><div><h3>Design</h3><div>This study has been prepared and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 checklist.</div></div><div><h3>Methods</h3><div>Randomized controlled trials (RCTs) were searched in nine databases and grey literature, without any year restriction, from the inception date until January 2025. Fixed-effect and random-effect models were used in the meta-analysis process. Cochran's Q chi-squared test and I² statistics were employed to assess heterogeneity. Data analysis was performed using the CMA 3 software.</div></div><div><h3>Results</h3><div>Six studies (567 patients) were included in this meta-analysis. AI-assisted nursing practices were found to have medium and positive effects on anxiety (Hedge's g = 0.46, <em>p</em> &lt; 0.001), pain (Hedge's g = 0.48, p &lt; 0.001), and in patients with cancer. High and positive effects were found on the QoL of patients with cancer (Hedge's g = 1.63, <em>p</em> = 0.020).</div></div><div><h3>Conclusion</h3><div>This study reveals that AI-assisted nursing practices have significant and beneficial effects on pain, anxiety, and QoL in patients with cancer.</div></div><div><h3>Implications for practice</h3><div>AI-assisted nursing practices have the potential to improve cancer patients' symptoms and QoL, which will enhance oncology nurses' awareness.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151987"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596368","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}

{"title":"Optimizing the quality of nursing care in public hospitals in low-and middle-income countries: an integrative literature review","authors":"Ba-Etilayoo Atinga ,&nbsp;Wilma ten Ham-Baloyi ,&nbsp;Nolundi Radana","doi":"10.1016/j.apnr.2025.151988","DOIUrl":"10.1016/j.apnr.2025.151988","url":null,"abstract":"<div><h3>Background</h3><div>Quality nursing care is essential for positive patient outcomes and satisfaction. Understanding quality nursing care in public hospitals in low-and middle-income countries is invaluable for developing contextualised strategies aimed at optimizing the delivery of nursing care.</div></div><div><h3>Purpose</h3><div>Summarize existing relevant literature on optimising quality nursing care in public hospitals of low- and middle-income countries.</div></div><div><h3>Methods</h3><div>An integrative literature review according to Whittemore and Knafl’s stages. An in-depth search of literature from January 1, 2014 to March 31, 2025 was conducted, including Web of Science, PubMed, Scopus, EBSCOhost (Academic Search Complete, CINAHL and MEDLINE), followed by a manual search on Google and citation search. The identified literature was critically appraised using the John Hopkins Nursing Evidence and Non-Research Evidence appraisal tools. Thematic analysis was used.</div></div><div><h3>Results</h3><div>Nine strategies on optimising quality nursing care under two themes were identified from 17 articles: “Daily nursing care-related strategies” and “Organizational-related strategies”. Five daily nursing care strategies relate to quality practice, interprofessional collaboration, cultural sensitivity, therapeutic communication, and family involvement. Five organizational strategies relate to culture and policy, work-life environment and technology, infrastructure and human resources, continuous education, and management support.</div></div><div><h3>Conclusion</h3><div>This review identifies strategies to optimize nursing care quality and provides insights for public hospital management to improve programs and interventions. Effective implementation can enhance patient outcomes and strengthen healthcare systems in LMICs, but requires systemic reforms, targeted investments, context-specific solutions, and further research to address gaps and explore innovations.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151988"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632029","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}

{"title":"Profiles of long COVID symptoms and self-efficacy for self-management: A cross-sectional survey","authors":"Weijiao Zhou PhD, RN ,&nbsp;Janet L. Larson PhD, RN, FAAN ,&nbsp;Philip T. Veliz PhD ,&nbsp;Kanchani Kitto PhD, RN ,&nbsp;Sheree Smith PhD, RN","doi":"10.1016/j.apnr.2025.151968","DOIUrl":"10.1016/j.apnr.2025.151968","url":null,"abstract":"<div><h3>Background</h3><div>Some patients with COVID-19 experience prolonged symptoms, known as long COVID. Self-management promises to improve symptoms, but little is known about the role of self-efficacy for long COVID symptom management.</div></div><div><h3>Objectives</h3><div>To identify distinct subgroups of patients experiencing long-term post-COVID symptom burden, and to examine the association between the identified subgroups and self-efficacy for symptom management.</div></div><div><h3>Methods</h3><div>A cross-sectional survey design with a convenience sampling approach. This study included 491 adults who reported experiencing long COVID symptoms. Symptoms (fatigue, dyspnea, sleep disturbance, anxiety), and self-efficacy for self-management (Self-Efficacy for Managing Chronic Disease (SEMCD) and PROMIS Self-Efficacy) were collected. Latent Profile Analysis (LPA) was used to identify profiles of adults with similar patterns of long COVID symptoms. Multinomial logistic regression was used to examine the association between self-efficacy for self-management and distinct profiles, controlling for socio-demographics and health-related characteristics. Participants' strategies to relieve COVID symptoms were collected via open-ended questions and analyzed using content analysis.</div></div><div><h3>Results</h3><div>The mean age was 40.6 (SD = 14.1) years of age. We identified four profiles based on the long COVID symptom burden: “low burden,” “medium burden with low depression,” “medium burden with high depression,” and “high burden.” Participants with a higher score of SEMCD were less likely to be in Group 3 (medium burden with high depression) (RRR: 0.76, 95 % CI: 0.60–0.96, <em>P</em> = 0.024) and Group 4 (high burden) (RRR: 0.71, 95 % CI: 0.50–1.00, <em>P</em> = 0.049). Participants with a higher score on PROMIS Self-Efficacy were less likely to be in Group 3 (RRR = 0.95, 95 % CI: 0.90–1.00, <em>P</em> = 0.047). Participants used a range of wellness activities and self-medication strategies to self-manage symptoms.</div></div><div><h3>Conclusion</h3><div>Patients with long COVID had four distinct symptom profiles. Greater self-efficacy was associated with the profiles of less symptom burden. Self-efficacy for self-management could be an important target to consider when developing interventions to improve symptom self-management and reduce long COVID symptom burden.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151968"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167897","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}

{"title":"Caregiver Self-Efficacy in Contributing to patient Self-Care (CSE-CSC) scale: Psychometric testing in a population of caregivers of Parkinson's disease in the Republic of Korea","authors":"JuHee Lee PhD, APRN, RN, FAAN ,&nbsp;Kiyeon Kim BSN, RN ,&nbsp;Ercole Vellone PhD, RN, FAAN, FESC ,&nbsp;Sooyoung Park PhD, RN","doi":"10.1016/j.apnr.2025.151981","DOIUrl":"10.1016/j.apnr.2025.151981","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to evaluate the psychometric properties of the Korean version of the Caregiver Self-Efficacy in Contributing to patient Self-Care (CSE-CSC) scale among caregivers of people with Parkinson's disease (PwP).</div></div><div><h3>Background</h3><div>Caregivers' contributions to patients' self-care can improve PwP health outcomes, and caregiver self-efficacy is associated with caregiver contributions. The CSE-CSC scale was developed to measure caregiver self-efficacy in multiple chronic conditions. The scale was translated into Korean, but its psychometric properties have not been validated.</div></div><div><h3>Methods</h3><div>This is a secondary analysis using two existing cross-sectional datasets from caregivers of PwP in Korea. Exploratory and confirmatory factor analyses were conducted to examine the construct validity of the Korean version of the CSE-CSC scale. Reliability was assessed using Cronbach's alpha and the global reliability index for multidimensional scale.</div></div><div><h3>Results</h3><div>The scale tested in the population of PwP caregivers showed satisfactory validity and reliability with a three-factor model. The factors were labeled as ‘self-efficacy in self-care maintenance,’ ‘self-efficacy in self-care monitoring,’ and ‘self-efficacy in self-care management’. Fit indices were χ² = 111.432 (df = 31, <em>p</em> &lt; .001), CFI = 0.951, TLI = 0.929, SRMR = 0.037, and RMSEA = 0.109. The Cronbach's alpha coefficient of the overall scale was 0.938, and the global reliability index for the multidimensional scale was 0.953.</div></div><div><h3>Conclusions</h3><div>The scale was demonstrated to be a valid and reliable instrument for measuring caregiver self-efficacy in caregivers of PwP. Its availability as a culturally appropriate caregiver self-efficacy measure is expected to have an impact on both research and clinical settings by facilitating the development of tailored interventions and evidence-based policy-making.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151981"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517018","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}

{"title":"Compassionate self-care for nurses and midwives: A sequential explanatory mixed methods study","authors":"Mary Steen ,&nbsp;Shwikar Othman ,&nbsp;Jennifer Fereday ,&nbsp;Annette Briley ,&nbsp;Qunyan Xu ,&nbsp;Rachael Vernon","doi":"10.1016/j.apnr.2025.151986","DOIUrl":"10.1016/j.apnr.2025.151986","url":null,"abstract":"<div><h3>Background</h3><div>Awareness of being kind and compassionate to yourself is often overlooked despite emerging evidence that high levels of self-compassion decrease levels of anxiety and improves well-being.</div></div><div><h3>Aim</h3><div>To explore what being compassionate to yourself means to nurses and midwives and increase knowledge and understanding of how self-compassion may enhance well-being.</div></div><div><h3>Methods</h3><div>Mixed methods study design was utilised to investigate and explore the influence of self-compassion on nurses and midwives' well-being. Phase 1 involved quantitative data collection and analysis. Phase 2 qualitative data were collected to expand on quantitative results.</div></div><div><h3>Results</h3><div>Fifty-four participants responded to a pre-workshop questionnaire, 55 completed immediate post-questionnaire, 28 completed a follow-up questionnaire six-eight weeks later. Five participants were interviewed to gain more insights of their experiences. Quantitative results showed significant increase in self-compassion scores immediately post-workshop, with an estimated improvement of 0.26 points (95 % CI: 0.14, 0.38, P &lt; 0.001). Participants' anxiety significantly decreased by 0.5 units (95 % CI: −0.64, −0.36, P &lt; 0.001). Mood changes were not statistically significant. Reflexive thematic analysis of qualitative data provided further insight into these changes resulting in three key themes: (1) “Awareness of self-compassion was the first step”, (2) “Care for yourself, before caring for others” (3) “Self-compassion strategies with everyday living activities”.</div></div><div><h3>Conclusions</h3><div>Self-compassion education can enhance nurses' and midwives' knowledge and understanding. Education can increase self-compassion strategies and skills to reduce anxiety levels. However, qualitative data confirmed the need for sustained reinforcement of self-compassion practices. Further research is recommended to confirm these initial findings and explore long-term impacts.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151986"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633318","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}

{"title":"Professional quality of life influences sleep and well-being in nurses: A cross-sectional study","authors":"Jie Zhang RN, PhD ,&nbsp;Xiao Wang RN, MD ,&nbsp;Ouying Chen RN, PhD, Professor ,&nbsp;Jingping Zhang PhD, Professor","doi":"10.1016/j.apnr.2025.151980","DOIUrl":"10.1016/j.apnr.2025.151980","url":null,"abstract":"<div><h3>Background</h3><div>Nurses' quality of life (QoL) significantly influences their physical and mental health. However, limited research has examined the relationship between professional QoL, sleep disturbance, and well-being in this population.</div></div><div><h3>Methods</h3><div>This descriptive, cross-sectional study investigated the associations among professional QoL (compassion satisfaction and compassion fatigue), sleep quality, and subjective well-being in nurses. A total of 978 registered nurses completed the Professional Quality of Life Scale (Version 5), the Athens Insomnia Scale, and the Index of Well-Being. Data were analyzed using descriptive statistics, Pearson correlation coefficients, and multiple linear regression.</div></div><div><h3>Results</h3><div>Higher levels of compassion satisfaction were associated with lower levels of sleep disturbance and higher well-being. In contrast, burnout and secondary traumatic stress were negatively associated with well-being and positively associated with sleep disturbance. Regression analyses identified physical condition, burnout, and compassion satisfaction as significant predictors of well-being. Physical condition, burnout, and secondary traumatic stress significantly predicted sleep disturbance.</div></div><div><h3>Conclusions</h3><div>Interventions aimed at reducing compassion fatigue, enhancing physical fitness, and promoting compassion satisfaction – both individually and organizationally may improve sleep quality and well-being among nurses.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151980"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481509","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}

{"title":"Psychometric testing of the Moral Neutralization Scale-Nurse Version (MNS-NV): An exploratory and confirmatory factor analyses","authors":"Daniel Joseph E. Berdida ,&nbsp;Rizal Angelo N. Grande","doi":"10.1016/j.apnr.2025.151947","DOIUrl":"10.1016/j.apnr.2025.151947","url":null,"abstract":"<div><h3>Aim</h3><div>To psychometrically validate the 15-item Moral Neutralization Scale-Nurse Version (MNS-NV).</div></div><div><h3>Background</h3><div>Nurses' moral neutralization techniques may adversely impact patient safety and healthcare outcomes. However, studies about moral neutralization in nursing remain a blank spot. More than ever, a valid and reliable scale is needed to measure nurses' moral neutralization.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional design. Participant nurses from three nursing colleges and five hospitals in Saudi Arabia were consecutively recruited and accomplished the 15-item MNS-NV. Polychoric correlations, exploratory factor analysis (EFA), Spearman's rank-order correlation, Kaiser-Meyer-Olkin test, and confirmatory factor analysis (CFA) were used for data analyses.</div></div><div><h3>Results</h3><div>Four items from the MNS-NV were omitted after EFA and CFA due to low inter-item correlations and low-factor loading difference. The MNS-NV was condensed to 11 items containing the three-factor structure: <em>Negative Cognitive Reconstruction</em>, <em>Bullying Normalization</em>, and <em>Retribution Rationalization</em>. Accordingly, results exhibited the scale's revised three-factor structure yielded good overall reliability and sub-scale consistencies while demonstrating acceptable construct validity following the CFA.</div></div><div><h3>Conclusion</h3><div>The 11-item MNS-NV is a practical scale with established construct validity and reliability. Healthcare institutions that employ nurses and their nurse managers may use this scale to evaluate nurses' moral neutralization techniques to provide evidence for creating and sustaining ethically and morally relevant nursing policies and practice.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151947"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716161","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}

{"title":"Nurses/midwives safety attitudes and their relationship to individual factors (personality characteristics, length and clinical setting of experience): A quantitative study","authors":"Yeojin Kil,&nbsp;Anna V. Chatzi","doi":"10.1016/j.apnr.2025.151957","DOIUrl":"10.1016/j.apnr.2025.151957","url":null,"abstract":"<div><h3>Background</h3><div>Ensuring safe and effective delivery of patient care is currently under the spotlight worldwide. As the nursing and midwifery group holds the greatest proportion of global healthcare workforce, the need to minimise human error and promote patient safety is more demanding than ever. Existing literature is focusing on personality traits as a factor related to safety-related behaviours. Relevant findings could assist to the creation of processes/frameworks in education/training to minimise human error.</div></div><div><h3>Objective</h3><div>In this quantitative study, we aimed to investigate the relationship between safety attitudes and individual factors, specifically personality traits (extraversion; agreeableness; conscientiousness; neuroticism; openness), among nurses and midwives.</div></div><div><h3>Design</h3><div>We used a cross-sectional survey methodology.</div></div><div><h3>Setting/participants</h3><div>Nursing and midwifery professionals and university student participants (<em>n</em> = 380).</div></div><div><h3>Results</h3><div>We found that certain demographics (length of work experience and work settings) and personality traits (conscientiousness) were significantly associated with safety attitudes among nurses/midwives. Similarly, for student nurses/midwives, demographics (attended undergraduate program) and personality traits (agreeableness, openness, and neuroticism) were found to be linked to their reported safety attitudes.</div></div><div><h3>Conclusion</h3><div>Future safety educational/training programs in nursing and midwifery could be developed/amended to provide customized safety education/training to customized for individual personality traits’ needs. This proposed application could open new dimensions in safety within healthcare and especially nursing/midwifery.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151957"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891420","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}

{"title":"Educational needs of patients with pre-cancerous vulval conditions: An audit and cross-sectional survey","authors":"Natalie Williams RN, MPhil (Nursing & Midwifery) ,&nbsp;Natarsha Wilson RN, Grad Cert ,&nbsp;Hayley Fleay RN, Grad Dip ,&nbsp;Bernadette McElhinney MB BAO BCH FRANZCOG","doi":"10.1016/j.apnr.2025.151951","DOIUrl":"10.1016/j.apnr.2025.151951","url":null,"abstract":"<div><h3>Background</h3><div>A systematic approach to surveillance of vulval dermatoses and pre-cancers is recommended for early detection of vulval cancer and nurses are crucial in care delivery. Typically, patients with gynaecological cancers have significant unmet information needs; however the extent in patients with vulval dermatoses and pre-cancers is unknown.</div></div><div><h3>Aim</h3><div>To evaluate knowledge gaps and educational requirements of patients attending vulvoscopy clinics at a Western Australian tertiary centre.</div></div><div><h3>Methods</h3><div>A retrospective audit examined data of 307 patients attending vulvoscopy clinics. A cross-sectional survey collected quantitative and qualitative data from 61 clinic attendees between January 2024 and March 2024. Data underwent descriptive statistical and content analysis.</div></div><div><h3>Results</h3><div>Most audited patients attended with vulval intrepithelial neoplasia, vaginal intraepithelial neoplasia or lichen sclerosus diagnoses (n = 212; 69 %). Most survey respondents (n = 49; 84 %) were confident in vulval care, however, almost half (n = 27, 46 %) self-reported ‘low’ knowledge. In explaining their condition, most (n = 23; 48 %) provided symptom descriptions.</div><div>Face-to-face appointments with a health professional was the preferred way to receive education (n = 48; 79 %). There was interest in attending nurse-led support group or education sessions. Most (n = 50; 85 %) indicated they would use an information pack including various resource formats.</div></div><div><h3>Conclusions</h3><div>Patients know how to effect vulval care but may not understand why. Nurses are key to providing trusted care in conditions commonly associated with stigma and embarrassment. Development of nurse-led strategies to provide support and education, may assist reducing the risk of progression to cancer. Future research evaluating nurse-led interventions will support best practice and improve outcomes for people living with vulval conditions.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151951"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817450","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}

{"title":"Investigation of the comfort level of patients with chronic obstructive pulmonary disease within the scope of Kolcaba's comfort theory","authors":"Aylin Bilgin PhD, RN ,&nbsp;Goncagul Aldan MSc, RN ,&nbsp;Leyla Ozdemir PhD, RN ,&nbsp;Sibel Gunay MD","doi":"10.1016/j.apnr.2025.151964","DOIUrl":"10.1016/j.apnr.2025.151964","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to determine the effects of physical, psychospiritual, sociocultural, and environmental factors on the comfort level among patients with chronic obstructive pulmonary disease (COPD) based on Kolcaba's comfort theory.</div></div><div><h3>Background</h3><div>Comfort is the fulfillment of holistic needs, physical, psychospiritual, sociocultural, and environmental, that contribute to well-being. In patients with COPD, comfort is compromised due to persistent symptoms and disease-related limitations.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 140 COPD patients between June 2022 and April 2023. Data were collected using a sociodemographic questionnaire, the General Comfort Questionnaire Short Form, COPD Assessment Test, and Depression Anxiety Stress Scale Short Form. The data were analyzed using descriptive statistics, and structural equation modeling.</div></div><div><h3>Results</h3><div>The model explained 65.1 % of the variance in comfort level among patients. Physical factors such as age (β = −0.137, <em>p</em> = 0.007), symptom burden (β = −0.614, <em>p</em> &lt; 0.001), receiving oxygen therapy at home (β = −0.134, <em>p</em> = 0.008), and duration of COPD diagnosis (β = 0.102, <em>p</em> = 0.048) were associated with comfort levels. Among psychospiritual factors, depression (β = −0.145, <em>p</em> = 0.004), anxiety (β = −0.184, <em>p</em> &lt; 0.001), and stress (β = −0.378, p &lt; 0.001) had the strongest negative impact on comfort. Marital status (being married) positively affected comfort within the sociocultural domain (β = 0.112, <em>p</em> = 0.026). Environmental factors, such as rural or urban living location, were not significantly associated with comfort.</div></div><div><h3>Conclusions</h3><div>Physical and psychospiritual factors had the strongest impact on the comfort level of patients with COPD.</div></div><div><h3>Clinical implications</h3><div>Interventions focusing on symptom management and psychological support may enhance comfort. Healthcare professionals should consider personalized interventions targeting key discomfort domains to improve overall patient well-being.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151964"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099037","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}