Applied Nursing Research最新文献_第7页

Factors enhancing critical care nurses' utilization frequency of behavioral pain assessment tools for critically ill adults unable to self-report 对无法自我报告的危重症成人，提高重症护理护士使用行为疼痛评估工具频率的因素

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-01 Epub Date: 2025-05-12 DOI: 10.1016/j.apnr.2025.151963

Yuan-Mei Liao , Shu-Fen Niu , Louise Rose , Tzu-Ying Wu , Yen-Kuang Lin , Jui-Chen Tsai , Zhi-Han Cai , Ying-Shan Chen

Aim

This study investigated the factors associated with nurses' often and routine utilization of behavioral pain assessment tools for critically ill adults unable to self-report.

Background

Few studies have explored the factors associated with critical care nurses' utilization frequency of behavioral pain assessment tools.

Methods

This cross-sectional study used a questionnaire to collect data from critical care nurses. Descriptive statistics and multivariate multinomial logistic regression analysis were used to present collected data and identify the associated factors.

Results

We received responses from 477 nurses. Respondents were classified into three utilization frequency groups–infrequent (≤50 %), often (51–75 %), or routine (>75 %)–use of behavioral pain assessment tools. Factors associated with nurses' often or routine use of behavioral pain assessment tools included receipt of relevant training, perceptions that pain assessment tools and frequent pain assessment and documentation as being extremely important, and being employed at institutions where pain assessment tools were available. Working in surgical units was associated with often use of behavioral pain assessment tools, whereas routine discussion of pain assessment findings during nursing handovers was associated with routine use.

Conclusions

Routine discussion of pain assessment findings during nursing handovers influenced nurses' utilization frequency of behavioral pain assessment tools. The identified associated factors are modifiable and, therefore, amenable to healthcare quality improvement projects. Well-structured interventions and interprofessional educational programs, including discussion of pain assessment findings during nursing handovers, prioritization of pain healthcare quality, utilization of adequate tools to assess pain, and strategies for effective communication between healthcare providers, should be delivered regularly.

目的探讨护士对不能自我报告的危重成人患者使用行为疼痛评估工具的相关因素。背景很少有研究探讨重症护理护士使用行为疼痛评估工具频率的相关因素。方法采用问卷调查的方法对重症监护护士进行调查。使用描述性统计和多元多项式逻辑回归分析来呈现收集到的数据并确定相关因素。结果共收到477名护士的反馈。受访者被分为三个使用频率组-不经常（≤50%），经常（51 - 75%）或常规(> 75%) -使用行为疼痛评估工具。与护士经常或常规使用行为疼痛评估工具相关的因素包括接受相关培训，认为疼痛评估工具和频繁的疼痛评估和记录非常重要，以及在有疼痛评估工具的机构工作。在外科单位工作与经常使用行为疼痛评估工具有关，而在护理交接期间对疼痛评估结果的常规讨论与常规使用有关。结论护理交接时对疼痛评估结果的常规讨论影响护士对行为疼痛评估工具的使用频率。确定的相关因素是可修改的，因此适用于医疗保健质量改进项目。应定期提供结构良好的干预措施和跨专业教育计划，包括在护理移交期间讨论疼痛评估结果，疼痛医疗质量的优先级，使用适当的工具来评估疼痛，以及医疗保健提供者之间有效沟通的策略。

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引用次数: 0

Network analysis and within-unit correlation of nurse fatigue and recovery measures and their association with unit manager fatigue and recovery 护士疲劳和恢复措施的网络分析和单位内相关性及其与单位经理疲劳和恢复的关系

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-01 Epub Date: 2025-04-30 DOI: 10.1016/j.apnr.2025.151958

Hyeonmi Cho , Anne L. Thatcher , Linsey M. Steege

Background

Nurse fatigue and recovery can influence staff well-being and patient outcomes. Understanding the relationships among different types of fatigue and recovery and the extent to which these measures are shared among nurses within the same unit is crucial for guiding effective interventions. Examining the relationship between unit managers' fatigue and recovery levels and those of staff nurses is also important, given managers' impact on unit dynamics and support.

Aim

This study aimed (1) to explore connections among nurse fatigue (mental, physical, acute, chronic) and inter-shift recovery using a network-based approach; (2) to quantify the extent to which fatigue and recovery vary among nurses within the same unit; and (3) to investigate the relationship between unit managers' and staff nurses' fatigue and recovery levels.

Methods

A cross-sectional descriptive study was conducted from April 2021 to July 2022 in 24 units across three U.S. Midwest hospitals. Data were collected via surveys from 24 managers and 598 staff nurses. Network analysis was used to map and identify central connections among fatigue and recovery measures, intra-class correlations were calculated to assess within-unit variability, and linear mixed models were employed to examine manager–staff relationships.

Results

Physical fatigue emerged as a central element within the network of fatigue and recovery measures, strongly connecting to other measures. Intra-class correlation values indicated that acute and physical fatigue varied meaningfully between units, while mental fatigue showed minimal variation. Unit managers' acute and physical fatigue levels were significantly associated with those of staff nurses.

Conclusions

The findings suggested the importance of physical fatigue as a leverage point for targeted interventions and highlight the need for unit-specific strategies that address both individual and collective sources of fatigue. By integrating a network-based perspective and examining manager–staff relationships, this study offers practical insights to improve nurse well-being and strengthen effective leadership.

护士疲劳和康复会影响工作人员的幸福感和患者的治疗结果。了解不同类型的疲劳和恢复之间的关系，以及在同一单位的护士之间共享这些措施的程度，对于指导有效的干预措施至关重要。考虑到管理人员对单位动态和支持的影响，检查单位管理人员的疲劳和恢复水平与护士工作人员的疲劳和恢复水平之间的关系也很重要。目的本研究旨在(1)利用基于网络的方法探讨护士疲劳（心理、生理、急性、慢性）与轮班间恢复的关系；(2)量化同一单位护士之间的疲劳和恢复差异程度；(3)考察单位管理人员和护士长疲劳程度与恢复水平的关系。方法横断面描述性研究于2021年4月至2022年7月在美国中西部三家医院的24个单位进行。数据通过对24名管理人员和598名护工的调查收集。网络分析用于绘制和识别疲劳和恢复措施之间的中心联系，计算类内相关性以评估单位内变异性，并采用线性混合模型来检查经理-员工关系。结果体力疲劳是疲劳和恢复措施网络中的核心要素，与其他措施密切相关。班级内相关值表明，急性疲劳和体力疲劳在单位之间有显著差异，而精神疲劳的变化最小。单位管理人员的急性疲劳水平和身体疲劳水平与普通护士显著相关。研究结果表明，身体疲劳作为有针对性的干预措施的杠杆点的重要性，并强调了针对个体和集体疲劳来源的单位特定策略的必要性。通过整合基于网络的视角和考察管理者与员工的关系，本研究为改善护士幸福感和加强有效领导提供了实用的见解。

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引用次数: 0

Nurses' perceptions of care practices for adults with cognitive impairment in hospital: a cross-sectional study 护士对医院成人认知障碍护理实践的看法：一项横断面研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-01 Epub Date: 2025-04-11 DOI: 10.1016/j.apnr.2025.151953

Erin Rachel Davis , Christina Aggar , Michelle Bissett

Aim

To explore nurses' perceptions of care practices for adults with cognitive impairment.

Design

A cross-sectional survey using an amended psychometrically tested tool. This cross-sectional study followed the STROBE guidelines.

Methods

A cross-sectional study was conducted with nurses working on select surgical and medical hospital wards in 9 hospitals across a regional health district in NSW, Australia. Participants (N = 235) completed a survey which collected relevant demographic information and explored their perceptions of care practices for adults with cognitive impairment. A five-point Likert scale was utilised in the survey, with a higher score indicating higher usage of the care practice. For data analysis, descriptive statistics explored perceptions and correlation analysis examined associations between participant demographics and perceptions.

Results

Nurses react with care (median = 3.75) when adults with cognitive impairment display challenging behaviours and most often use their professional knowledge (median = 4.00) as an alternative to physical restraints. The results of this study suggest that nurses' experience and recent education focused on adults with cognitive impairment significantly influenced care practices.

Conclusion

Years of experience as a nurse and recent workplace education may positively influence the nursing practice of adults with cognitive impairment. This paper supports the development of mentorship programs led by experienced nurses and the provision of workplace education to improve nursing care practice for adults with cognitive impairment in hospital.

目的探讨护士对认知障碍成人护理措施的看法。这项横断面研究遵循了 STROBE 指南。方法对澳大利亚新南威尔士州一个地区卫生区内 9 家医院外科和内科病房的护士进行了横断面研究。参与者（N = 235）完成了一项调查，该调查收集了相关的人口统计学信息，并探讨了他们对认知障碍成人护理实践的看法。调查采用李克特五点量表，得分越高，说明护理实践的使用率越高。结果当有认知障碍的成年人表现出挑战性行为时，护士会做出护理反应（中位数 = 3.75），并最常使用其专业知识（中位数 = 4.00）来替代物理约束。本研究结果表明，护士的工作经验和近期接受的以认知障碍成人为重点的教育对护理实践有很大影响。本文支持制定由经验丰富的护士领导的导师计划，并提供工作场所教育，以改善医院对认知障碍成人的护理实践。

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引用次数: 0

Efficacy of enhanced stress resilience training for intensive-care unit nurses: a randomized waitlist control trial 强化应激恢复训练对重症监护室护士的疗效：一项随机等候名单对照试验

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-01 Epub Date: 2025-05-17 DOI: 10.1016/j.apnr.2025.151965

Soo-Jeong Lee , Brian Cunningham , Mya Childers , Maria Yefimova , Haeun Kim , Thomas Hoffmann , Carter Lebares

Background

Job stress and burnout are significant problems with negative impacts on psychological and occupational wellbeing of nurses.

Purpose

To examine the efficacy of 5-week Enhanced Stress Resilience Training (ESRT) among intensive-care unit (ICU) nurses.

Method

This randomized waitlist control trial included 48 ICU nurses in a university medical center in Northern California. The final sample for analysis included 40 nurses, including 18 nurses in the intervention group who completed all five ESRT sessions and provided post-intervention data.

Findings

ESRT showed significant intervention effects in improving burnout, in the domains of personal accomplishment at immediately post-ESRT and at 1-month follow-up; but the effect on emotional exhaustion was not significant. For secondary outcomes (mindfulness, resilience, stress, depression, work abilities, professional fulfillment), ESRT showed significant intervention effects at either or both time points.

Discussion

ESRT can be an effective intervention to improve the psychological and occupational wellbeing of ICU nurses.

工作压力和职业倦怠是影响护士心理健康和职业健康的重要问题。目的探讨5周强化应激恢复训练（ESRT）在重症监护病房（ICU）护士中的效果。方法选取北加州某大学医学中心48名ICU护士为随机对照试验对象。最终分析样本包括40名护士，其中干预组的18名护士完成了所有5次ESRT并提供了干预后的数据。结果：esrt在改善职业倦怠方面有显著的干预作用，在esrt后立即和1个月随访时的个人成就感领域；但对情绪耗竭的影响不显著。对于次要结果（正念、弹性、压力、抑郁、工作能力、职业成就感），ESRT在任何一个时点或两个时点均显示显著的干预效果。onesrt是改善ICU护士心理健康和职业健康的有效干预手段。

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引用次数: 0

Scenario-based simulation training as a strategy to improve infection prevention and control adherence: A quasi-experimental study 基于场景的模拟训练作为提高感染预防和控制依从性的策略：一项准实验研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-01 Epub Date: 2025-05-15 DOI: 10.1016/j.apnr.2025.151966

Soon-Hee Lee , In-Suk Yang

Background

Healthcare-associated infections remain a critical global health concern, adversely affecting patient outcomes and increasing healthcare costs. Effective infection prevention and control measures are essential to mitigating healthcare-associated infections, yet traditional educational methods often fail to ensure their practical application.

Objective

This study evaluates the effectiveness of scenario-based simulation training in improving infection control knowledge, self-efficacy, and adherence to standard precautions among clinical nurses.

Methods

A quasi-experimental pre-test/post-test design with a nonequivalent control group was employed. Sixty-eight clinical nurses were randomly assigned to an experimental or control group. The intervention included four scenario-based simulation sessions on standard and transmission-based precautions. Outcomes were assessed at baseline and two months post-intervention using validated instruments. Data were analyzed using paired t-tests and independent t-tests.

Results

Nurses in the experimental group demonstrated significant improvements in infection control knowledge (t = 7.111, p < .001, Cohen's d = 1.725, 95 % CI [1.086, 2.348]), self-efficacy (t = 2.194, p = .032, Cohen's d = 0.532, 95 % CI [0.036, 1.021]), and adherence to standard precautions (t = 4.191, p < .001, Cohen's d = 1.017, 95 % CI [0.476, 1.545]) compared to the control group. These findings underscore the efficacy of simulation training in enhancing infection prevention and control competencies among clinical nurses.

Conclusion

Scenario-based simulation training is a valuable educational strategy for improving infection prevention and control practices among clinical nurses. Integrating this approach into infection prevention and control training programs can strengthen infection prevention efforts, enhance healthcare worker preparedness, and improve patient safety.

背景：医疗保健相关感染仍然是一个重要的全球健康问题，对患者的预后产生不利影响，并增加医疗保健成本。有效的感染预防和控制措施对于减轻医疗保健相关感染至关重要，但传统的教育方法往往不能确保其实际应用。目的评价基于场景的模拟培训在提高临床护士感染控制知识、自我效能感和遵守标准预防措施方面的效果。方法采用准实验前测/后测设计，设非等效对照组。68名临床护士随机分为实验组和对照组。干预措施包括四次基于场景的模拟会议，讨论标准预防措施和基于传播的预防措施。使用经过验证的仪器在基线和干预后两个月评估结果。数据分析采用配对t检验和独立t检验。结果实验组护士感染控制知识有显著提高(t = 7.111, p <；.001, Cohen’s d = 1.725, 95% CI[1.086, 2.348])、自我效能（t = 2.194, p = 0.032, Cohen’s d = 0.532, 95% CI[0.036, 1.021]）和对标准预防措施的依从性(t = 4.191, p <；.001, Cohen’s d = 1.017, 95% CI[0.476, 1.545])。这些发现强调了模拟培训在提高临床护士感染预防和控制能力方面的有效性。结论基于场景的模拟培训是提高临床护士感染防控实践的一种有价值的教育策略。将这种方法纳入感染预防和控制培训计划可以加强感染预防工作，增强卫生保健工作者的准备，并改善患者安全。

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引用次数: 0

Correlation between perceived and actual diabetes knowledge among nurses in an outpatient setting 门诊护士糖尿病认知与实际知识的相关性

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-01 Epub Date: 2025-03-19 DOI: 10.1016/j.apnr.2025.151944

Shannon Knapp , Melissa Matras , Susan Cotey , James Bena , Sarah Kirschling , Lee Anne Siegmund

Background

Nurses' perceived basic diabetes knowledge may not align with actual knowledge of diabetes basics. Prior to this study, little was known about basic diabetes knowledge among outpatient nurses.

Method

Surveys were used to collect data to identify differences between perceived and actual knowledge among outpatient nurses and data were analyzed using Kruskal-Wallis and Spearman's correlation as appropriate.

Results

There were 492 participants. Perceived knowledge was associated with actual (p = 0.009); however, the effect size was small (r = 0.12), indicating an unlikely correlation. Actual knowledge scores were higher for those who obtained diabetes information from job experience, recent continuing education, and those who reported having diabetes. Item discrimination showed higher overall test scores with higher item scores (>0.15).

Conclusions

Correlation between actual and perceived knowledge was negligible, indicating nurses may think they have high diabetes knowledge when they may not. Results reflect the need for ongoing diabetes continuing education for outpatient nurses, regardless of specialty.

背景护士感知到的糖尿病基础知识可能与实际的糖尿病基础知识不一致。在本研究之前，门诊护士对糖尿病的基本知识了解甚少。方法采用问卷调查的方法收集数据，确定门诊护士感知知识与实际知识之间的差异，并酌情采用Kruskal-Wallis和Spearman相关法对数据进行分析。结果共纳入492人。感知知识与实际知识相关（p = 0.009）；然而，效应量很小（r = 0.12），表明不太可能存在相关性。那些从工作经历、最近的继续教育和报告患有糖尿病的人中获得糖尿病信息的人的实际知识得分更高。项目辨别力表现为项目得分越高，整体测试得分越高（>0.15）。结论实际知识与感知知识的相关性可忽略不计，说明护士可能认为自己对糖尿病有较高的知识，而实际知识并非如此。结果反映了门诊护士需要持续的糖尿病继续教育，无论专业。

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引用次数: 0

A bibliometric study of compassion fatigue, compassion satisfaction, secondary traumatic stress, and professional quality of life in nursing research 护理研究中同情疲劳、同情满意度、二次创伤应激与职业生活质量的文献计量学研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-01 Epub Date: 2025-04-17 DOI: 10.1016/j.apnr.2025.151956

Neta Roitenberg

Aim

The purpose of this study was to conduct a bibliometric analysis of the thematic advances and trajectory of compassion fatigue, compassion satisfaction, secondary traumatic stress, and professional quality of life in the field of nursing.

Design

Bibliometric analytic methods.

Methods

The Bibliometrix Package in R software was used to analyze the data and create the graphic illustrations. The methods used included descriptive analysis, citation analysis, collaboration analysis, co-word analysis, and thematic map analysis.

Data sources

On April 5, 2025, bibliometric data was downloaded from the Web of Science Core Collection database.

Findings

The analysis showed that 3053 authors produced relevant publications between 2001 and 2024, resulting in 1408 author keywords. Over the past 24 years, there has been a generally rising trend in published papers, with an annual growth rate of 23.81 %. The fundamental themes forming the field's backbone were: “empathy,” “compassion fatigue,” “secondary,” “compassion,” and “qualitative.” The main hot research topics were: “mindfulness” and “death.”

Conclusions

The growing understanding of the significance of professional quality of life in nursing research is reflected in the bibliometric study, which shows a notable growth in research on the topic. The results show increased interest internationally, with varied collaboration patterns between nations.

Reporting method

Complying with accepted bibliometric reporting guidelines (specifically, the EQUATOR recommendations).

No patient or public contribution

This study was not designed, conducted, analyzed, interpreted, or prepared by patients; rather, it is based entirely on previously published material.

目的通过文献计量学分析护理领域同情疲劳、同情满意度、二次创伤应激和职业生活质量的主题进展和轨迹。设计文献计量分析方法。方法采用R软件中的Bibliometrix Package进行数据分析，并制作图形插图。研究方法包括描述分析、引文分析、合作分析、共词分析和专题图分析。数据来源2025年4月5日，从Web of Science Core Collection数据库下载了文献计量学数据。分析结果显示，2001年至2024年间，3053位作者发表了相关论文，产生了1408个作者关键词。在过去的24年中，发表的论文总体呈上升趋势，年增长率为23.81%。构成该领域主干的基本主题是：“同理心”、“同情疲劳”、“次要”、“同情”和“定性”。主要的研究热点是：“正念”和“死亡”。文献计量学研究反映了对职业生活质量在护理研究中的重要性的日益认识，这表明该主题的研究显着增长。结果显示，国际上的兴趣增加了，国家之间的合作模式也有所不同。报告方法遵循公认的文献计量报告指南（特别是EQUATOR的建议）。本研究不是由患者设计、实施、分析、解释或准备的；相反，它完全基于以前发表的材料。

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引用次数: 0

Cross-cultural adaptation and psychometric validation of the Indonesian questionnaire for evaluating nurses' adherence to pressure ulcer prevention guidelines 评估护士对压疮预防指南依从性的印尼问卷的跨文化适应和心理测量验证

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-01 Epub Date: 2025-05-14 DOI: 10.1016/j.apnr.2025.151962

Defi Efendi , Amil Tan , Bejo Utomo , Chiyar Edison , Min-Huey Chung , Muhammad Muslih , Rini Wahyuni Mohamad , Nyimas Sri Wahyuni , Habibah Muchtar , Aip Rukmana , Wong Cho Lee , Dessie Wanda

引用次数: 0

Essential elements and outcomes of psychological safety in the healthcare practice setting: A systematic review 心理安全的基本要素和结果在医疗实践设置：一个系统的回顾

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-01 Epub Date: 2025-03-22 DOI: 10.1016/j.apnr.2025.151946

Rose D. LaPlante MBA, MSN, RN, NEA-BC , Patricia Reid Ponte DNSc, RN, FAAN , Cherlie Magny-Normilus PhD, FNP-BC, FNYAM, FAAN

Background

Psychological safety is considered an essential component of highly effective teamwork in organizations, including healthcare organizations. This systematic review examines essential elements and outcomes of psychological safety in healthcare practice teams to determine best practices for implementing psychological safety.

Method

A systematic literature review of published studies that described psychological safety as a variable in healthcare practice settings was conducted. Articles were included if they were published in English, peer reviewed, included nurses or physicians either individually or as part of a team, incorporated psychological safety, presented workforce or patient outcomes, and published in the past 10 years.

Results

Out of 220 articles, 30 met the inclusion criteria. This review identifies five essential elements and outcomes of psychological safety in healthcare.

Conclusion

This systematic review corroborates the importance of psychological safety to healthcare teams. Directing resources toward ensuring the implementation and enhancement of psychological safety in healthcare teams would improve the likelihood of reliable, safe, and high-quality healthcare delivery.

背景心理安全被认为是包括医疗机构在内的组织中高效团队合作的重要组成部分。本系统性综述对医疗实践团队中心理安全的基本要素和结果进行了研究，以确定实施心理安全的最佳实践。在 220 篇文章中，有 30 篇符合纳入标准。本综述确定了医疗保健中心理安全的五个基本要素和结果。结论本系统性综述证实了心理安全对医疗保健团队的重要性。将资源用于确保在医疗团队中实施和加强心理安全将提高提供可靠、安全和高质量医疗服务的可能性。

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引用次数: 0

The association of depression, anxiety, stress, and quality of life with the presence or absence of chronic obstructive pulmonary disease in lung cancer patients 肺癌患者抑郁、焦虑、压力和生活质量与慢性阻塞性肺疾病存在与否的关系

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-01 Epub Date: 2025-03-01 DOI: 10.1016/j.apnr.2025.151933

Canan Bozkurt , Hülya Bulut

Aim

This study examines the association between mental health symptoms (depression, anxiety, and stress) and quality of life (QoL) in lung cancer patients, stratified by the presence or absence of chronic obstructive pulmonary disease (COPD). It also identified predictors of physical and mental QoL.

Background

Lung cancer and COPD frequently coexist due to shared risk factors, such as smoking, which compounds physical and psychological burdens. Despite this, limited research has explored how this comorbidity affects mental health and QoL.

Methods

This cross-sectional study included 456 hospitalized lung cancer patients, of whom 235 had COPD. Depression, anxiety, and stress were assessed using the DASS-21, while QoL was measured using the SF-12. Multiple regression analyses were conducted to identify predictors of QoL.

Results

Patients with COPD reported significantly higher levels of depression, anxiety, and stress (p < .05). Stress was a significant negative predictor of physical QoL (adjusted R²: 0.103, p < .001), while COPD and anxiety significantly negatively predicted mental QoL (adjusted R²: 0.128, p < .001).

Conclusions

COPD exacerbates psychological distress and worsens QoL in lung cancer patients. Stress and anxiety significantly impair physical and mental QoL, underscoring the need for integrated care.

Implications for practice

Holistic care approaches that address stress and anxiety, promote smoking cessation, and provide personalized treatments are essential for improving QoL and outcomes in this vulnerable population.

目的本研究探讨肺癌患者心理健康症状（抑郁、焦虑和压力）与生活质量（QoL）之间的关系，并根据是否存在慢性阻塞性肺疾病（COPD）进行分层。它还确定了身体和精神生活质量的预测因素。肺癌和慢性阻塞性肺病经常共存，这是由于共同的危险因素，如吸烟，这加重了身体和心理负担。尽管如此，有限的研究探讨了这种合并症如何影响心理健康和生活质量。方法本横断面研究纳入456例住院肺癌患者，其中235例患有COPD。抑郁、焦虑和压力用DASS-21进行评估，生活质量用SF-12进行测量。采用多元回归分析确定生活质量的预测因素。结果COPD患者报告的抑郁、焦虑和压力水平显著升高(p <；. 05)。应激是生理生活质量的显著负向预测因子(调整R2: 0.103, p <；.001)，而COPD和焦虑显著负向预测精神生活质量(调整R2: 0.128, p <；措施)。结论copd加重了肺癌患者的心理困扰，加重了患者的生活质量。压力和焦虑显著损害身体和精神生活质量，强调需要综合护理。对实践的启示解决压力和焦虑、促进戒烟和提供个性化治疗的整体护理方法对于改善弱势群体的生活质量和结果至关重要。

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引用次数: 0