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Depressive symptoms, social support, cognitive function, and stigma: predictors of resilience in caregivers of children with intellectual disabilities 抑郁症状、社会支持、认知功能和耻辱感:智力残疾儿童照料者心理弹性的预测因素
Q4 Nursing Pub Date : 2022-12-01 DOI: 10.2478/fon-2022-0046
Wattana Tejakum, T. Tankumpuan, Wanich Suksatan, Jirapan Saboonma, Supapak Phetrasuwan, Tamar Rodney
Abstract Objective: Family plays an important role in taking care of children with intellectual disabilities (IDs). Resilience supports coping strategies for caregivers with their children caring. However, factors influencing the resilience of caregivers with ID in Thailand are yet to be identified. Therefore, the aim of this study was to identify the predictors of resilience in caregivers of children with moderate to severe ID. Methods: A cross-sectional study was implemented in caregivers of children with ID aged 18 years and older who had children diagnosed with ID aged 6–18 years and classified as moderate to severe ID. Descriptive statistic and multiple linear regression were used for data analysis. Results: The study sample consisted of 85 caregivers who took care of their children older than 5 years (95.30%). Depression, social support, cognitive function, and stigma could predict the resilience (F [4, 80] = 26.79, P < 0.001) and explain the variability of resilience by 57.3%. Conclusions: Caregivers have to take care of their children for a long period, which could develop a burden to the caregivers. The resilience and influencing factors should be monitored and managed by developing a campaign to promote caregivers’ health and well-being.
摘要目的:家庭在照顾智障儿童方面发挥着重要作用。韧性支持照顾者在照顾孩子的情况下采取应对策略。然而,影响泰国ID护理人员恢复能力的因素尚待确定。因此,本研究的目的是确定中度至重度ID儿童照顾者恢复力的预测因素。方法:对18岁及以上ID儿童的照顾者进行横断面研究,这些儿童在6-18岁时被诊断为ID,并被归类为中度至重度ID。数据分析采用描述性统计和多元线性回归方法。结果:研究样本由85名照顾5岁以上儿童的照顾者组成(95.30%)。抑郁、社会支持、认知功能和污名可以预测恢复力(F[4,80]=26.79,P<0.001),并解释57.3%的恢复力变异性。结论:照顾者必须长期照顾孩子,这可能会给照顾者带来负担。应通过开展宣传活动来监测和管理复原力和影响因素,以促进护理人员的健康和福祉。
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引用次数: 0
Repeated measurements of depression and outcomes in patients receiving hemodialysis 反复测量接受血液透析患者的抑郁情绪和结果
Q4 Nursing Pub Date : 2022-12-01 DOI: 10.2478/fon-2022-0045
Lu Zhang, Sumei Zhang, Shengya Shi, Hai-Ying Quan, Xiu Yang
Abstract Objective: Depression appears to be common among the patients with end-stage renal disease (ESRD). Therefore, how to comprehensively analyze the changes in depression and its impact on patient outcomes is an important research direction. The objectives of this study were to assess changes in depression and whether depression can be used to predict outcomes in patients receiving hemodialysis. Methods: In a longitudinal study, 317 patients receiving hemodialysis from two hospitals were investigated. Depression was assessed using the Hamilton Depression Scale (HAMDS) at baseline. Outcomes data (survival and mortality) were collected from baseline to the end of follow-up 2 years later. Mortality was assessed using Cox proportional hazards analysis. Results: The HAMDS score and percentage of high scores increased at three time points. Moreover, the changes were statistically significant. Surviving patients had significantly lower HAMDS scores. Through multivariate Cox regression analysis, age and depression can be used to predict mortality (P < 0.05), and the relative risks (RRs) were 1.032 and 1.069, respectively. Conclusions: Depression in patients receiving hemodialysis is worse. Moreover, baseline depression is an independent predictor of outcomes. Patients receiving hemodialysis should be focused on improving their psychological complications. A systematic and individual psychological health promotion plan must also be incorporated into the health education plan for patients receiving hemodialysis.
摘要目的:抑郁症似乎在终末期肾病(ESRD)患者中很常见。因此,如何综合分析抑郁症的变化及其对患者预后的影响是一个重要的研究方向。本研究的目的是评估抑郁症的变化,以及抑郁症是否可以用于预测接受血液透析的患者的预后。方法:对两家医院317例接受血液透析的患者进行纵向调查。基线时采用汉密尔顿抑郁量表(HAMDS)评估抑郁程度。从基线到2年后随访结束收集结局数据(生存率和死亡率)。采用Cox比例风险分析评估死亡率。结果:HAMDS评分及高分百分率在3个时间点均有所提高。此外,这些变化具有统计学意义。存活患者的HAMDS评分明显较低。多因素Cox回归分析显示,年龄和抑郁可预测死亡率(P < 0.05),相对危险度(RRs)分别为1.032和1.069。结论:血液透析患者抑郁加重。此外,基线抑郁是结果的独立预测因子。接受血液透析的患者应注重改善其心理并发症。对血液透析患者的健康教育计划中还必须纳入系统的、个人的心理健康促进计划。
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引用次数: 0
Experiences of Chinese nurses studying for master’s degree in the UK: a qualitative study 中国护士在英国攻读硕士学位的经验:一项定性研究
Q4 Nursing Pub Date : 2022-12-01 DOI: 10.2478/fon-2022-0051
Juanjuan Ma, Jie Zhou, Tingxia Li, Li-Li Wang, Xiaofei Tian
Abstract Objective: To explore experiences of Chinese nurses who study for Master of Science in Professional Practice (health care) in the United Kingdom. Methods: A qualitative approach was applied, consisting of semi-structured telephone interviews (n = 8). The Colaizzi seven-step framework analysis method was used to extract themes. Results: The themes that emerged are as follows: (1) gains from studying overseas, (2) difficulties during studying, and (3) impacts of learning experience on work. The gains for nurses studying overseas include the improvement of scientific research capabilities, reconstruction of critical thinking, and development of reflection ability. Difficulties while studying mainly include language barrier, strict assessment, and boring life. Conclusions: The education of nursing postgraduate attaches importance to the cultivation of thinking. Nurses are very interested in nursing research including qualitative and quantitative methods. Nurses encountered language barriers in their study and life even though they knew a certain level of English.
摘要目的:探讨中国护士赴英国攻读专业实践(卫生保健)理学硕士的经验。方法:采用定性方法,包括半结构化电话访谈(n=8)。采用Colaizzi七步框架分析方法提取主题。结果:出现的主题如下:(1)海外学习的收获,(2)学习中的困难,以及(3)学习经验对工作的影响。护士海外学习的收获包括科研能力的提高、批判性思维的重建和反思能力的发展。学习中的困难主要包括语言障碍、严格的评估和枯燥的生活。结论:护理学研究生教育重视思维能力的培养。护士们对包括定性和定量方法在内的护理研究非常感兴趣。护士们在学习和生活中遇到了语言障碍,尽管他们知道一定的英语水平。
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引用次数: 0
Stressors and coping mechanisms of people with mental disorders in the community 社区精神障碍患者的压力源与应对机制
Q4 Nursing Pub Date : 2022-09-01 DOI: 10.2478/fon-2022-0043
Dyah Wahyuningsih, Widyo Subagyo
Abstract Background People with mental disorders often experience human rights violations, discrimination, exclusion, and stigma. Objective To determine the stressors and coping mechanisms of people with mental disorders in society. Methods This research is a qualitative phenomenological research. We wanted to explore and describe the experiences of mentally ill patients in the community at the rehabilitation stage in stress management, including the stressors in people with a mental health condition and the coping mechanisms used. Data collection was carried out using in-depth interviews with 15 participants. Results The results of this study show that the stressors of mental illness patients are a less-accepting environment, feeling of shame, fear of being excluded, having no income, and side effects of drugs. Conclusions The coping mechanisms used include carrying out activities, telling stories to others, and diverting emotions.
摘要背景患有精神障碍的人经常经历侵犯人权、歧视、排斥和耻辱。目的了解社会心理障碍患者的压力源及应对机制。方法本研究为定性现象学研究。我们想探索和描述社区中精神病患者在康复阶段的压力管理经历,包括精神健康状况患者的压力源和所使用的应对机制。通过对15名参与者的深入访谈进行了数据收集。结果本研究结果表明,精神疾病患者的压力源是不太容易接受的环境、羞耻感、害怕被排斥、没有收入和药物副作用。结论所使用的应对机制包括开展活动、向他人讲故事和转移情绪。
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引用次数: 0
Work related burnout syndrome, information satisfaction, and concern of safety among Greek nurses during the first wave of COVID-19 outbreak 新冠肺炎第一波疫情期间希腊护士的工作相关倦怠综合征、信息满意度和安全担忧
Q4 Nursing Pub Date : 2022-09-01 DOI: 10.2478/fon-2022-0036
Michael Rovithis, A. Kalaitzaki, S. Koukouli, N. Rikos, M. Kelesi, G. Fasoi, M. Linardakis, A. Stavropoulou
Abstract Objective To determine the levels of burnout among Greek nurses during the first wave of Coronavirus disease 2019 (COVID-19) pandemic and to investigate the relationship among levels of burnout, satisfaction and concern about information, personal protection equipment (PPE), and safety for COVID-19. Methods A cross-sectional study was conducted. Data were collected by using the Burnout subscale of the Greek version of the Professional Quality of Life Scale. Questions concerning satisfaction and concern about information, PPE, and safety for COVID-19 were added. Convenience sampling method was employed. Descriptive statistics and multiple linear regression analysis were applied, and distributions were tested for their symmetry using Bloom's method. Results The sample comprised of 301 nurses working in public and private hospitals in Greece. A moderate level of burnout was found among the Greek nurses (mean = 29.95, ±4.75). Regarding satisfaction and concern about information, PPE, and safety for COVID-19, nurses expressed overall low satisfaction with a mean score of 1.96 (±0.77), and high levels of concern with a mean score of 3.19 (±0.85). Increased satisfaction regarding the information provided was significantly associated with decreased levels of burnout (β = −1.32, P < 0.001), and increased concern for COVID-19 was significantly associated with increased levels of burnout (β= 0.83, P = 0.010). Conclusions Greek nurses expressed low satisfaction concerning information, PPE, and safety for COVID-19 and high levels of concern of possible COVID-19 transmission. Nevertheless, a moderate level of burnout was found.
摘要目的了解2019年第一波冠状病毒病(新冠肺炎)大流行期间希腊护士的职业倦怠水平,并探讨其职业倦怠水平、对信息、个人防护设备(PPE)的满意度和担忧程度与新冠肺炎安全性之间的关系。方法采用横断面研究。数据是通过使用希腊版职业生活质量量表的倦怠分量表收集的。增加了对新冠肺炎信息、PPE和安全的满意度和担忧问题。采用方便抽样法。应用描述性统计和多元线性回归分析,并使用Bloom方法测试分布的对称性。结果样本包括301名在希腊公立和私立医院工作的护士。希腊护士的职业倦怠程度中等(平均值=29.95,±4.75)。在对新冠肺炎信息、PPE和安全的满意度和担忧方面,护士总体满意度较低,平均得分为1.96(±0.77),平均得分为3.19(±0.85)。对所提供信息的满意度增加与倦怠水平降低显著相关(β=-1.32,P<0.001),结论希腊护士对新冠肺炎信息、PPE和安全的满意度较低,对新冠肺炎可能传播的担忧程度较高。尽管如此,还是发现了中等程度的倦怠。
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引用次数: 1
Effect of hemovigilance education on nursing students’ knowledge: the application of a conceptual map 血液警戒教育对护生知识的影响:概念图的应用
Q4 Nursing Pub Date : 2022-09-01 DOI: 10.2478/fon-2022-0037
Mohammad Behnammoghadam, Zahra Fazelniya, A. Bayat, Abdolhadi Jahanfar, M. Mirzaee, Sobhan Mirzaee, Allahyar Shahnavazi, Z. Mahmoudi
Abstract Objective Given the importance of having knowledge on the hemovigilance process in nursing care, the present study was conducted to investigate the effect of the hemovigilance education on nursing students’ knowledge using a conceptual map. The current research was a semi-experimental study. Methods The samples consisted of 60 nursing students who were selected based on the inclusion criteria using the census sampling method. Thereafter, these participants were randomly assigned into the two groups: experimental and control groups. The required data were collected before, immediately after, and 1 month after the education using the hemovigilance knowledge questionnaire. Accordingly, the validity of this questionnaire was confirmed, and its reliability using the Cronbach's alpha coefficient was reported as 0.83. The education process was conducted during a 4-week period. Thereafter, the collected data were analyzed using descriptive and inferential statistics by SPSS v25. Results The results reveal that a significant difference existed between the knowledge scores of students in the experimental group compared with that of the control group during different times (including before, immediately after, and 1 month after the education) (P < 0.0001). Of note, hemovigilance education had a significant effect on the students’ knowledge (P < 0.0001). Conclusions Due to the effect of the hemovigilance education on the students’ knowledge and by applying the conceptual map in the easy transfer of the educational concepts, it is recommended that the results of the present study be used to strengthen the theoretical and clinical education of nursing students.
摘要目的鉴于掌握血液警戒过程知识在护理中的重要性,本研究采用概念图的方法,探讨血液警戒教育对护生知识的影响。目前的研究是一项半实验性研究。方法采用普查抽样方法,根据纳入标准选择60名护生。之后,这些参与者被随机分为两组:实验组和对照组。使用血液警戒知识问卷在教育前、教育后立即和教育后1个月收集所需数据。因此,该问卷的有效性得到了证实,其使用Cronbachα系数的可靠性报告为0.83。教育过程为期4周。然后,使用SPSS v25对收集的数据进行描述性和推断统计学分析。结果实验组学生在不同时间(包括教育前、教育后即刻和教育后1个月)的知识得分与对照组相比存在显著差异(P<0.0001),结论由于血液警戒教育对学生知识的影响,并通过运用概念图,建议将本研究的结果用于加强护理专业学生的理论和临床教育。
{"title":"Effect of hemovigilance education on nursing students’ knowledge: the application of a conceptual map","authors":"Mohammad Behnammoghadam, Zahra Fazelniya, A. Bayat, Abdolhadi Jahanfar, M. Mirzaee, Sobhan Mirzaee, Allahyar Shahnavazi, Z. Mahmoudi","doi":"10.2478/fon-2022-0037","DOIUrl":"https://doi.org/10.2478/fon-2022-0037","url":null,"abstract":"Abstract Objective Given the importance of having knowledge on the hemovigilance process in nursing care, the present study was conducted to investigate the effect of the hemovigilance education on nursing students’ knowledge using a conceptual map. The current research was a semi-experimental study. Methods The samples consisted of 60 nursing students who were selected based on the inclusion criteria using the census sampling method. Thereafter, these participants were randomly assigned into the two groups: experimental and control groups. The required data were collected before, immediately after, and 1 month after the education using the hemovigilance knowledge questionnaire. Accordingly, the validity of this questionnaire was confirmed, and its reliability using the Cronbach's alpha coefficient was reported as 0.83. The education process was conducted during a 4-week period. Thereafter, the collected data were analyzed using descriptive and inferential statistics by SPSS v25. Results The results reveal that a significant difference existed between the knowledge scores of students in the experimental group compared with that of the control group during different times (including before, immediately after, and 1 month after the education) (P < 0.0001). Of note, hemovigilance education had a significant effect on the students’ knowledge (P < 0.0001). Conclusions Due to the effect of the hemovigilance education on the students’ knowledge and by applying the conceptual map in the easy transfer of the educational concepts, it is recommended that the results of the present study be used to strengthen the theoretical and clinical education of nursing students.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"9 1","pages":"295 - 301"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47447800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of mother's knowledge on posteducation toward rehospitalization of young children with pneumonia 母亲知识对幼儿肺炎再住院教育后的影响
Q4 Nursing Pub Date : 2022-09-01 DOI: 10.2478/fon-2022-0033
C. Casman, Nani Nurhaeni, Fajar Tri Waluyanti
Abstract Objective The rehospitalization rate of children <5 years old with pneumonia is still high. The risk of hospitalization becomes higher in mothers with low knowledge of their child's disease. The purpose of this study was to determine the effect of post–health-education maternal knowledge in cases of rehospitalization and to determine the differences in rehospitalization rate based on the type of health education media. Methods This study is a quasi-experiment. Health education was given to both groups: one group received education through audiovisual media and the other group through leaflet media. The level of post–health-education knowledge was measured on the third day, then followed up until the 30th day after the patient was discharged from the hospital. Results Post–health-education knowledge significantly reduced the cases of rehospitalization in both groups. However, the rehospitalization rate in the audiovisual group was lower than in the leaflet group (P = 0.047, odds ratio = 5.870). Conclusions Post–health-education knowledge is effective in reducing the risk of rehospitalization, and health education using audiovisual media is more effective, compared to health education using leaflets, in reducing the cases of rehospitalization in children <5 years of age with pneumonia.
摘要目的5岁以下儿童肺炎的再住院率仍然很高。对孩子的疾病知之甚少的母亲住院的风险会更高。本研究的目的是确定健康教育后产妇知识在再次住院病例中的影响,并确定基于健康教育媒体类型的再次住院率差异。方法本研究为准实验。两组都接受了健康教育:一组通过视听媒体接受教育,另一组通过传单媒体接受教育。在患者出院后第三天测量健康教育知识水平,然后随访至第30天。结果健康教育知识显著降低了两组患者再次住院的几率。然而,视听组的再住院率低于传单组(P=0.047,比值比=5.870)。结论健康教育后知识能有效降低再住院风险,使用视听媒体的健康教育比使用传单的健康教育更有效,在减少5岁以下儿童肺炎再住院病例方面。
{"title":"Effect of mother's knowledge on posteducation toward rehospitalization of young children with pneumonia","authors":"C. Casman, Nani Nurhaeni, Fajar Tri Waluyanti","doi":"10.2478/fon-2022-0033","DOIUrl":"https://doi.org/10.2478/fon-2022-0033","url":null,"abstract":"Abstract Objective The rehospitalization rate of children <5 years old with pneumonia is still high. The risk of hospitalization becomes higher in mothers with low knowledge of their child's disease. The purpose of this study was to determine the effect of post–health-education maternal knowledge in cases of rehospitalization and to determine the differences in rehospitalization rate based on the type of health education media. Methods This study is a quasi-experiment. Health education was given to both groups: one group received education through audiovisual media and the other group through leaflet media. The level of post–health-education knowledge was measured on the third day, then followed up until the 30th day after the patient was discharged from the hospital. Results Post–health-education knowledge significantly reduced the cases of rehospitalization in both groups. However, the rehospitalization rate in the audiovisual group was lower than in the leaflet group (P = 0.047, odds ratio = 5.870). Conclusions Post–health-education knowledge is effective in reducing the risk of rehospitalization, and health education using audiovisual media is more effective, compared to health education using leaflets, in reducing the cases of rehospitalization in children <5 years of age with pneumonia.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"9 1","pages":"269 - 274"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46630290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Professional values in nursing students in Jordan: baccalaureate nursing students’ perception 约旦护生的专业价值观:护理本科学生的认知
Q4 Nursing Pub Date : 2022-09-01 DOI: 10.2478/fon-2022-0041
Rabia S. Allari, N. Abu-El-Noor, M. K. Abu-El-Noor
Abstract Objective Baccalaureate degree curricula consist of several professional values required for nursing students, which are taught in many ways. This study aimed to explore the perception of baccalaureate Jordanian nursing students regarding professional values and to assess the relationship between students’ demographics and their perception of professional values. Methods The study design was a descriptive, cross-sectional correlational design. A convenience sample of 182 Jordanian undergraduate nursing students enrolled at one of the most prominent universities in Jordan who completed and submitted a self-administered Nurses’ Professional Values Scale (NPVS) was considered for this study. Results The NPVS total score ranged from 37 to 130, with a relatively high total score mean (99.68 with a mean of 3.83 out of 5). The highest score domain in NPVS was “Justice” with a mean of 3.97, while the lowest ranked domain was “Activism” with a mean of 3.69. The correlation coefficient showed no statistically significant correlation between age nor accumulative students’ average with a total score of Nurses Professional Values Scale-revised (NPVS-R) and its subdomains. The t test results showed that gender and type of students’ enrollment (regular vs. upgrading) did not affect the means of NPVS-R and its subdomains. But differences were found to be statistically significant between the means of first year students and fourth year students in the total score of NPVS-R. Conclusions Findings of the study alert nursing educators to pay more attention to the importance of promoting the values related to “activism” and “professionalism” among nursing students. Suggestions for enhancing the roles of peer supervision and providing peer review to colleagues would contribute to improving nursing students’ performance and raising self-awareness because when nursing educators pay more attention to the items of these domains, better future nursing professionals, leaders, and researchers can be gained. Also, understanding nursing students’ perceptions of the importance of professional values and the difficulties in its application would be vital to enlighten educators about the areas that need improvement.
摘要目的护理学士学位课程包括护理专业学生所需要的几个专业价值观,这些价值观的教学方式多种多样。本研究旨在探讨约旦护理本科学生对专业价值观的认知,并评估学生人口统计学特征与专业价值观认知之间的关系。方法采用描述性、横断面相关设计。本研究选取了182名就读于约旦一所最著名大学的约旦本科护理专业学生作为方便样本,他们完成并提交了一份自我管理的护士专业价值观量表(NPVS)。结果NPVS总分在37 ~ 130分之间,总分均值较高(99.68分,平均3.83分)。NPVS得分最高的领域是“正义”,平均3.97分,最低的领域是“行动主义”,平均3.69分。相关系数显示,年龄、累计平均与护士职业价值观量表(npv -r)及其子域总分均无统计学意义。t检验结果显示,性别和学生入学类型(普通与升级)对npv - r及其子域的均值没有影响。但一年级学生与四年级学生在npv - r总分上的均值差异有统计学意义。结论本研究结果提醒护理教育工作者重视在护生中培养“行动主义”和“专业主义”价值观的重要性。建议加强同伴监督的作用,为同事提供同伴评议,有助于提高护理学生的表现和提高自我意识,因为当护理教育者更多地关注这些领域的项目时,可以获得更好的护理专业人员,领导者和研究人员。此外,了解护理学生对专业价值观的重要性的看法及其应用中的困难对于启发教育者需要改进的领域至关重要。
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引用次数: 1
Explaining the dimensions of specific competence in training specialist nurses in multiple sclerosis: a qualitative study 解释多发性硬化症专科护士培训特定能力的维度:一项定性研究
Q4 Nursing Pub Date : 2022-09-01 DOI: 10.2478/fon-2022-0040
B. Samari, E. Sadeghian, M. Sattari, B. Aghaie
Abstract Background The complexity of multiple sclerosis (MS) due to psychological, emotional, physical, family, and social dimensions complicates the care of these patients. MS patients need hospitalizations and long-term care to treat and control the progression of the disease. Therefore, the competence of caring for MS patients is one of the important issues in clinical nursing. Objective To explain the dimensions of competence in caring for MS patients. Methods This study is a qualitative descriptive study using conventional content analysis method. Field notes and semi-structured face-to-face interviews were conducted on 12 specialist nurses of MS and 3 MS patients from the neurology ward. Participants were selected through purposeful sampling. Data analysis was performed using the approach of Zhang and Wildemuth by continuous comparison simultaneously with data collections. Results Data analysis led to the extraction of 2 categories with 5 subcategories. The first category is “unlearned care competence,” with the subcategories as psychological–emotional resilience, psychological skills, and excellent communication skills. The second category is “specialized technical competence,” with the subcategories as up-to-date pathological knowledge and expertise in clinical procedures. Conclusions Identifying the competencies of nurses of MS patients is important for educating nurses to provide qualified care and improve MS patient satisfaction. Nursing managers can empower nurses in non-technical areas such as in-service psychology courses and improve professionalism in caring for MS patients by promoting communication and specific clinical skills.
摘要背景多发性硬化症(MS)患者的心理、情绪、身体、家庭和社会等方面的复杂性使其护理复杂化。多发性硬化症患者需要住院治疗和长期护理来治疗和控制疾病的进展。因此,对多发性硬化症患者的护理能力是临床护理中的重要问题之一。目的探讨多发性硬化症患者护理能力的维度。方法采用常规含量分析法进行定性描述性研究。对12名多发性硬化症专科护士和3名神经内科多发性硬化症患者进行实地记录和半结构化面对面访谈。参与者是通过有目的的抽样选择的。数据分析采用Zhang和Wildemuth的方法,在收集数据的同时进行连续比较。结果通过数据分析,提取出2大类5小类。第一类是“非习得性护理能力”,其子类别为心理情绪弹性、心理技能和优秀的沟通技巧。第二类是“专业技术能力”,其子类别为最新的病理知识和临床程序的专业知识。结论认识MS患者护士的胜任能力,对教育护士提供优质护理,提高MS患者满意度具有重要意义。护理管理者可以在非技术领域赋予护士权力,如在职心理学课程,并通过促进沟通和特定临床技能来提高护理MS患者的专业性。
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引用次数: 1
Health-promoting behaviors among hypertensive adult patients with and without comorbidities in Indonesia: a cross-sectional study 印度尼西亚有或无合并症的成年高血压患者的健康促进行为:一项横断面研究
Q4 Nursing Pub Date : 2022-09-01 DOI: 10.2478/fon-2022-0031
A. Wicaksana, I. G. P. Artawan, Adhe Kurnia Destiana
Abstract Objective The aim of this study was to evaluate health-promoting behaviors among hypertensive patients with and without comorbidities. Methods A cross-sectional study using multistage cluster sampling in Indonesia was applied. The health-promoting behaviors were assessed using Health-Promoting Lifestyle Profile 2 and analyzed using independent t-test, point-biserial correlation, and logistic regression. Results A total of 116 participants joined this study. The score of health-promoting behaviors in adults with and without hypertension was 2.90 and 2.79, respectively. Hypertensive patients with comorbidities had significantly higher results than those without comorbidities, with the following results for the considered subscales: total score (t = −2.00, P = 0.047); health responsibility (t = −3.46, P = 0.001); and nutrition (t = −2.82, P = 0.006). Positive correlations were found between health responsibility (rpb = 0.260, P < 0.01), nutrition (rpb = 0.255, P < 0.01), and health-promoting behaviors (rpb = 0.185, P < 0.05) and the existing comorbidity. Only gender indicated a significant outcome for the existing comorbidity in hypertensive patients (odds ratio = 4.314, P = 0.027, 95% confidence interval = 1.185–15.706). Conclusions Hypertensive patients with comorbidities showed higher engagement in health-promoting behaviors and the male gender was a significant predictor for existing comorbidity among patients with hypertension.
【摘要】目的探讨有或无合并症高血压患者的健康促进行为。方法采用印度尼西亚多阶段整群抽样的横断面研究方法。采用健康促进生活方式量表2评估健康促进行为,采用独立t检验、点双序列相关和logistic回归进行分析。结果共有116名参与者加入本研究。有高血压和无高血压的成年人健康促进行为得分分别为2.90分和2.79分。有合并症的高血压患者的结果明显高于无合并症的高血压患者,考虑的亚量表结果如下:总分(t =−2.00,P = 0.047);健康责任(t = - 3.46, P = 0.001);营养(t =−2.82,P = 0.006)。健康责任(rpb = 0.260, P < 0.01)、营养(rpb = 0.255, P < 0.01)、促进健康行为(rpb = 0.185, P < 0.05)与存在的共病呈正相关。高血压患者存在的合并症中,只有性别对结局有显著影响(优势比= 4.314,P = 0.027, 95%可信区间= 1.185-15.706)。结论合并合并症的高血压患者健康促进行为参与度较高,男性性别是高血压患者存在合并症的重要预测因素。
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引用次数: 0
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Frontiers of Nursing
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