Asian Nursing Research最新文献_第10页

School Nurse–Parent Partnership in School Health Care for Children with Type 1 Diabetes: A Hybrid Method Concept Analysis 1型糖尿病儿童学校卫生保健中的学校护士-家长伙伴关系:一种混合方法概念分析

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2022-12-01 DOI: 10.1016/j.anr.2022.11.001

Ju-Yeon Uhm , Mi-Young Choi

Purpose

To define school nurse–parent partnerships in school health care for children with type 1 diabetes (T1D) and determine its attributes using a hybrid model.

Methods

This method involves a three-phase process: theoretical, fieldwork, and analytical. A literature review was conducted during the theoretical phase. A literature search of articles from January 1991 to February 2020 was conducted using relevant electronic databases. Eighty-three articles that met the inclusion criteria were completely read. Fieldwork data were collected through individual interviews from February to July 2019 in South Korea. In the fieldwork phase, interviews were conducted individually with 22 mothers of students with T1D and 20 school nurses recruited by purposeful sampling. Inductive content analysis was conducted. The findings from the theoretical phase were integrated with those from the fieldwork phase, and the final concept was derived.

Results

School nurse–parent partnership in school health care for children with T1D has been defined as an interactive process of maintaining a balanced responsibility and providing tailored care to meet needs by establishing trusting relationships and communicating transparently and openly. This analysis yielded four attributes: trusting relationships, transparent and open communication, balanced responsibility, and providing tailored care to meet needs—this entails providing nursing actions by advocating for students and performing a negotiated role together or individually for student and family.

Conclusion

The findings of this study add to the importance of an attribute of balancing responsibility for partnership in school health care. The results show that this partnership could contribute to the development of a scale, theory, and nursing intervention in school health care for children with T1D.

目的探讨1型糖尿病(T1D)儿童学校卫生保健中的学校-护士-家长伙伴关系，并利用混合模型确定其属性。方法该方法包括三个阶段:理论、实地考察和分析。在理论阶段进行文献综述。利用相关电子数据库检索1991年1月至2020年2月的文献。83篇符合纳入标准的文章被完整阅读。2019年2月至7月在韩国通过个人访谈收集实地调查数据。在实地调查阶段，通过有目的的抽样，对22名T1D学生的母亲和20名学校护士进行了单独访谈。进行归纳性内容分析。理论阶段的发现与实地工作阶段的发现相结合，并得出最终的概念。结果学校护理-家长在T1D儿童学校卫生保健中的合作关系被定义为一个互动过程，通过建立信任关系和透明公开的沟通，保持责任平衡，提供量身定制的护理，以满足需求。这一分析产生了四个属性:信任关系、透明和开放的沟通、平衡的责任和提供量身定制的护理以满足需求——这需要通过倡导学生并为学生和家庭共同或单独发挥协商作用来提供护理行动。结论本研究结果说明了学校卫生保健伙伴关系责任平衡属性的重要性。研究结果表明，这种合作关系有助于T1D儿童学校卫生保健的规模、理论和护理干预的发展。

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引用次数: 1

Sex-Based Differences in Outcomes of Coronavirus Disease 2019 (COVID-19) in Korea 韩国2019冠状病毒病(COVID-19)结局的性别差异

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2022-10-01 DOI: 10.1016/j.anr.2022.07.003

Jiyoung Kim , Narae Heo , Hyuncheol Kang

Purpose

This study examined the factors affecting mortality and clinical severity score (CSS) of male and female patients with Coronavirus Disease 2019 (COVID-19) using clinical epidemiological information provided by the Korea Disease Control and Prevention Agency.

Methods

This is a retrospective, observational cohort study. From January 21 to April 30, 2020, a total of 5624 patients who were released from quarantine or died were analyzed.

Results

The factors influencing release or death that differed by sex were high heart rate and malignancy in males and chronic kidney disease in females. In addition, the factors influencing progression to severe CSS were high BMI (severe obesity) and rheumatic disease in males and high temperature, sputum production, absence of sore throat and headache, chronic kidney disease, malignancy, and chronic liver disease in females. Older age, low lymphocyte count and platelets, dyspnea, diabetes mellitus, dementia, and intensive care unit (ICU) admission affected mortality in all the patients, and older age, low lymphocyte count and platelets, fever, dyspnea, diabetes mellitus, dementia, and ICU admission affected progression to severe stage of CSS.

Conclusions

This study is expected to contribute to the general results by analyzing nationally representative data. The results of this study present an important basis for development of differentiated nursing and medical management strategies in consideration of factors that influence treatment effects and outcomes according to sex of patients with COVID-19.

目的利用韩国疾病管理本部提供的临床流行病学资料，探讨2019冠状病毒病(COVID-19)男女患者死亡率和临床严重程度评分(CSS)的影响因素。方法回顾性、观察性队列研究。2020年1月21日至4月30日，共分析5624例解除隔离或死亡病例。结果影响释放或死亡的因素以男性高心率、恶性肿瘤和女性慢性肾脏疾病为主。此外，影响重度CSS进展的因素为男性高BMI(重度肥胖)和风湿病，女性为高温、产痰、无喉咙痛和头痛、慢性肾病、恶性肿瘤和慢性肝病。年龄较大、低淋巴细胞计数和血小板、呼吸困难、糖尿病、痴呆和入住重症监护病房(ICU)影响所有患者的死亡率，年龄较大、低淋巴细胞计数和血小板、发热、呼吸困难、糖尿病、痴呆和入住重症监护病房影响CSS进展至重症期。通过分析具有全国代表性的数据，本研究有望得出一般性的结论。本研究结果为根据COVID-19患者性别制定影响治疗效果和结局因素的差异化护理和医疗管理策略提供了重要依据。

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引用次数: 0

Relationships among Type-D Personality, Fatigue, and Quality of Life in Infertile Women 不孕症妇女d型人格、疲劳和生活质量的关系

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2022-10-01 DOI: 10.1016/j.anr.2022.08.001

Ju-Hee Nho , Eun Jin Kim

Purpose

The objective of the present study was to investigate the prevalence of the type-D personality and identify the relationship between type-D personality, fatigue, and quality of life (QoL) in infertile women.

Methods

A total of 149 infertile women were recruited between October 2020 and January 2021. The participants were assessed through self-administered questionnaires using the type- D personality scale-14, fatigue severity scale, and fertility QoL instrumental questionnaire. Data were analyzed using the independent t-test, chi-square test, Pearson's correlation coefficients, and multiple regression analysis using the SPSS/WIN 25.0 program for Windows.

Results

Approximately 40.9% of infertile women were classified into the type-D personality group, which showed significantly higher fatigue and lower QoL than the non-type-D personality group. Fatigue was the most influential factor on the QoL of infertile women (β = −.23, p = .003), followed by the duration of infertility treatment (β = −.22, p = .003), type-D personality (β = −.18, p = .025), and relationship with spouse (β = −.17, p = .024). These variables account for approximately 22% of the variance.

Conclusions

Intervention programs that consider fatigue, type-D personality, relationship with spouses, and treatment duration may be useful for improving QoL in infertile women.

目的调查不孕症女性d型人格的患病率，探讨d型人格与疲劳、生活质量的关系。方法于2020年10月至2021年1月共招募149名不孕妇女。采用D型人格量表-14、疲劳严重程度量表和生育质量工具性问卷对参与者进行自填问卷评估。采用SPSS/WIN 25.0软件对数据进行独立t检验、卡方检验、Pearson相关系数和多元回归分析。结果40.9%的不孕症妇女被归为d型人格组，其疲劳程度明显高于非d型人格组，生活质量明显低于非d型人格组。疲劳是影响不孕妇女生活质量的主要因素(β =−)。23, p = .003)，其次是不孕症治疗的持续时间(β = -。22, p = .003)， d型人格(β = -。18, p = .025)，与配偶的关系(β = -。17, p = .024)。这些变量约占方差的22%。结论考虑疲劳、d型人格、配偶关系和治疗时间的干预方案可能有助于改善不孕妇女的生活质量。

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引用次数: 0

Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory 韩国版PROMIS症状管理自我效能感的心理测量学评价题库:项目反应理论

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2022-10-01 DOI: 10.1016/j.anr.2022.08.003

Mona Choi , Chang Gi Park , Soomin Hong

Purpose

To evaluate the psychometric properties of the Patient-Reported Outcomes Measurement Information System (PROMIS) self-efficacy for managing symptoms of the version 1.0 item bank in Korea.

Methods

This study consisted of two phases: first, developing the Korean version of the item bank following the translation guidelines; and second, performing a cross-sectional study to evaluate its psychometric properties using the item response theory. This study enrolled 323 patients with type 2 diabetes mellitus between July and August 2020. Cronbach's α was used to assess the reliability of this item bank. Confirmatory factor analysis, using diagonally weighted least squares, was used to identify the assumptions of item response theory. Item parameter estimates including discrimination and thresholds were derived using the graded response model of the item response theory to reflect patient-reported outcomes as individualized responses.

Results

The Korean version of the item bank demonstrated good reliability (Cronbach's α = .98) and its discrimination ranged from 1.82 to 4.93. The thresholds resulted in the establishment of a category response curve for each item. However, no overlap was observed among the category curves. Moreover, the differential item functioning was not significant for age, gender, and income variables.

Conclusion

The graded response model and differential item functioning provided qualitative evidence that demonstrated acceptable psychometric properties of symptom management self-efficacy among patients. This item bank is expected to provide adequate assessments of self-efficacy of symptom management for patients with a chronic disease, which can contribute to nursing research and intervention.

目的评价韩国1.0版题库中患者报告结果测量信息系统(PROMIS)症状管理自我效能感的心理测量特性。方法本研究分为两个阶段:第一阶段，根据翻译指南开发韩国版本的题库;其次，运用项目反应理论进行横断面研究，评价其心理测量特性。该研究在2020年7月至8月期间招募了323名2型糖尿病患者。采用Cronbach’s α评价本库的信度。验证性因子分析，使用对角线加权最小二乘，被用来确定项目反应理论的假设。使用项目反应理论的分级反应模型推导出包括歧视和阈值在内的项目参数估计值，以反映患者报告的个性化反应结果。结果韩国版题库具有良好的信度(Cronbach’s α = 0.98)，其判别度在1.82 ~ 4.93之间。这些阈值建立了每个项目的类别反应曲线。然而，类别曲线之间没有重叠。此外，差异项目功能不显著的年龄，性别和收入变量。结论分级反应模型和差异项目功能为患者症状管理自我效能的心理测量特征提供了定性证据。期望该题库能够对慢性疾病患者的症状管理自我效能进行充分的评估，有助于护理研究和干预。

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引用次数: 1

Profile of non-communicable Disease Risk Factors Among Nurses in a Tertiary Care Hospital in South India 南印度一家三级护理医院护士非传染性疾病风险因素概况

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2022-10-01 DOI: 10.1016/j.anr.2022.07.001

Rajarajan Kayaroganam , Sonali Sarkar , Santhosh Satheesh , Santhi Tamilmani , Parthibane Sivanantham , Sitanshu Sekhar Kar

Purpose

The work nature of nurses and the associated lifestyle changes put them at high risk of developing noncommunicable diseases (NCDs). This study was conducted to estimate the prevalence of NCD risk factors among nurses working in a tertiary care hospital in Puducherry and to determine the associated factors among nurses.

Methods

We conducted a cross-sectional study among all nurses (N = 1217) in the tertiary care hospital aged between 21 and 60 from May 2019 to April 2020. We assessed NCDs behavioral, physical, and biochemical risk factors using a self-administered questionnaire. The adjusted prevalence ratio was calculated using a generalized linear regression model to determine factors associated with NCD risk factors.

Results

The response rate was 99.0% (1217/1229), and 77.5% of the participants were women. Current tobacco use and alcohol consumption were 1.5% (95% CI: 0.8–2.2) and 2.9% (95% CI: 2–3.9), respectively, with significantly higher prevalence among men. Overweight or obesity (body mass index ≥ 23 kg/m²) was 77.7%, with a significantly higher prevalence among those aged ≥30 and married. Prevalence of hypertension was 14.4% (95% CI: 12.5–16.4), and diabetes mellitus was 11.5% (95% CI: 9.7–13.6). Both were significantly higher among those aged ≥50 years. One-third of nurses, 34.3% (95% CI: 31.6–37.1), had hypercholesterolemia, significantly higher among men.

Conclusion

We found a high prevalence of various NCD risk factors among the nurses. We highlight the urgent need for initiating health promotion interventions, especially to improve intake of healthy diet and physical activity among nurses aged ≥30 years.

目的护士的工作性质及其生活方式的改变使其处于发生非传染性疾病的高风险中。本研究旨在估计在普杜切里一家三级医院工作的护士中非传染性疾病危险因素的流行程度，并确定护士中的相关因素。方法对2019年5月至2020年4月在某三级医院工作的1217名年龄在21 ~ 60岁的护士进行横断面研究。我们使用自我管理的问卷来评估非传染性疾病的行为、生理和生化危险因素。采用广义线性回归模型计算调整后的患病率，以确定与非传染性疾病危险因素相关的因素。结果应答率为99.0%(1217/1229)，其中77.5%为女性。目前的烟草使用和酒精消费分别为1.5% (95% CI: 0.8-2.2)和2.9% (95% CI: 2-3.9)，其中男性的患病率明显更高。超重或肥胖(体重指数≥23 kg/m2)占77.7%，其中年龄≥30岁和已婚人群的患病率明显较高。高血压患病率为14.4% (95% CI: 12.5-16.4)，糖尿病患病率为11.5% (95% CI: 9.7-13.6)。在年龄≥50岁的患者中，两者均显著升高。三分之一的护士，34.3% (95% CI: 31.6-37.1)患有高胆固醇血症，其中男性比例明显更高。结论护士中各种非传染性疾病危险因素的发生率较高。我们强调迫切需要启动健康促进干预措施，特别是改善30岁以上护士的健康饮食摄入和身体活动。

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引用次数: 4

Adaptive Behavior in Stroke Survivors: A Concept Analysis 脑卒中幸存者的适应行为:概念分析

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2022-10-01 DOI: 10.1016/j.anr.2022.07.002

Hyunsuk Choi, Ancho Lim, Youngshin Song

Purpose

This study aims to explore a clear and evidence-based definition of adaptive behavior in stroke survivors and establish the antecedents, attributes, consequences, and empirical referents of the concept.

Methods

The concept analysis was performed using the Walker and Avant method as a framework. Data from 90 publications were collected using various databases (PubMed, EMBASE, CINAHL, RISS, and KISS) and applied in the analysis.

Results

Adaptive behavior in stroke survivors was defined according to four attributes: realizing change, taking an optimistic view, restructuring daily activities to suit oneself, and carrying out one's own daily life. The conceptual structure of their adaptive behavior comprised stroke onset, functional changes, and emotional liability as antecedents and autonomy, family equilibrium, and quality of life as consequences.

Conclusions

Clarifying the concept of adaptive behavior in stroke survivors provides an understanding of the underlying attributes of this concept. Furthermore, it will facilitate the development of scales to measure the concept and the application of a theory-based intervention program that can improve adaptive behavior.

目的探讨脑卒中幸存者适应行为的清晰、循证定义，并建立适应行为概念的前因由、属性、后果和经验参照。方法以Walker和Avant方法为框架进行概念分析。使用各种数据库(PubMed、EMBASE、CINAHL、RISS和KISS)收集90份出版物的数据并应用于分析。结果脑卒中幸存者的适应性行为可分为实现改变、乐观看待、调整日常活动以适应自己、自主开展日常生活四个方面。其适应行为的概念结构包括中风发作、功能改变、情绪负担(作为前因)和自主性、家庭平衡和生活质量(作为后果)。结论阐明脑卒中幸存者适应性行为的概念有助于理解这一概念的潜在属性。此外，它将促进量表的发展，以衡量一个基于理论的干预计划的概念和应用，可以改善适应性行为。

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引用次数: 0

Evaluating the Dimensionality and Reliability of the Thai Self-Care of Hypertension Inventory Version 2.0 泰国高血压自我护理量表2.0版的维度与信度评估

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2022-10-01 DOI: 10.1016/j.anr.2022.08.002

Jom Suwanno , Chennet Phonphet , Ladda Thiamwong , Chidchanog Mayurapak , Putrada Ninla-aesong

Purpose

Self-care is essential for hypertensive individuals to promote optimal health and illness treatment. We developed the Thai Self-Care of Hypertension Inventory (SC-HI) version 2.0 from the original US version using a multi-stage approach for cross-cultural adaptation. Scales previously studied outside a US context had different dimensions and factor solutions. Therefore, we examined the Thai SC-HI's factorial validity, construct validity, and internal reliability within a Thai context.

Methods

We administered a cross-sectional survey with hypertensive patients in 10 primary care settings, and conducted exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) on two sets of separate samples from each of five sites to examine the model's factorial validity and construct validity. We estimated scale reliability with Cronbach's alpha and McDonald's omega coefficients.

Results

Participants were predominantly female, older adults, with mean age 66 years (SD = 11.94; range 36–97 years). The self-care maintenance scale had three factors and demonstrated good fit when the error covariances were respecified. The two-factor self-care management scale had different factorial solutions compared to previous models. The CFA result showed good fit indices for the Thai, original US, and Brazilian models. The self-care confidence scale was unidimensional, with partially supported fit indices that improved after we respecified the error covariances. Reliability coefficients estimated by difference methods were nearly equal: slightly lower than desired for self-care maintenance (.68–.70) and inadequate for self-care management (.62–.65); self-care confidence reliability was adequate (.89–.90).

Conclusion

The Thai SC-HI has good psychometric characteristics and reflects the original instrument's theoretical basis.

目的:自我护理是高血压患者促进最佳健康和疾病治疗的必要条件。我们采用跨文化适应的多阶段方法，在美国原始版本的基础上开发了泰国高血压自我护理量表(SC-HI) 2.0版。以前在美国以外研究的量表有不同的维度和因子解决方案。因此，我们在泰国的背景下检验了泰国SC-HI的析因效度、结构效度和内部信度。方法对10个基层医疗机构的高血压患者进行横断面调查，分别对5个地点的两组独立样本进行探索性因素分析(EFA)和验证性因素分析(CFA)，检验模型的析因效度和结构效度。我们用Cronbach's alpha和McDonald's omega系数估计量表信度。结果参与者以老年女性为主，平均年龄66岁(SD = 11.94;范围36-97年)。自我照顾维持量表有三个因子，当重新指定误差协方差时，显示出良好的拟合。双因子自我保健管理量表与以往模型相比，具有不同的因子解。CFA结果显示泰国、原始美国和巴西模型的拟合指数良好。自我保健信心量表为单维量表，部分支持的拟合指数在我们重新指定误差协方差后得到改善。差异方法估计的信度系数几乎相等:自我护理维持略低于期望(0.68 - 0.70)，自我护理管理不足(0.62 - 0.65);自我照顾信心信度足够(0.89 ~ 0.90)。结论泰国SC-HI量表具有良好的心理测量特征，反映了原量表的理论基础。

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引用次数: 0

Effects of On-Campus and Off-Campus Smartphone Overdependence Prevention Programs Among University Students 校园内外智能手机过度依赖预防项目对大学生的影响

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2022-10-01 DOI: 10.1016/j.anr.2022.07.004

Jeong Soon Yu , Ok Kyung Ham , Myung Soon Kwon

Purpose

The purpose of this article is to evaluate effects of self-determination theory-based on-campus and off-campus prevention programs on smartphone overdependence among university students.

Methods

This was a pre-posttest quasi-experimental study with a nonequivalent control group (CG). Seventy-eight students were recruited as participants. They were allowed to choose either an experiment group (EG) or a CG. On-campus smartphone overdependence prevention program was provided to participants in experimental group 1 (EG1), while on-campus program combined with off-campus prevention camp was provided to those in experimental group 2 (EG2). Instruments used in this study included a smartphone overdependence self-diagnosis scale, a basic psychological needs scale, and a self-regulation ability scale. Data collection was performed at baseline, immediately after intervention, at 1 month and 3 months after intervention. Data were analyzed using mixed analysis of covariance. Focus group interview was performed for qualitative evaluation.

Results

After the intervention, smartphone overdependence and basic psychological needs exhibited significant interactions between group and time. Smartphone overdependence scores decreased in EG1 and EG2 but increased in CG (F = 4.56, p = .001). Basic psychological needs improved in EG1 and EG2 but deteriorated in CG (F = 5.04, p = .009). Focus group interviews revealed that participants strived to control their smartphone usage through individual efforts and by interacting with new friends in college even after completing the program.

Conclusion

In this study, on-campus only program and combined intervention of on- and off-campus programs were both effective in maintaining and managing smartphone use. However, participants perceived that the off-campus program provided an opportunity to apply the theory learned in on-campus to the real world.

目的评价基于自我决定理论的校园和校外预防项目对大学生智能手机过度依赖的影响。方法采用非等效对照组(CG)的准实验研究。78名学生被招募为参与者。他们被允许选择实验组(EG)或CG。实验组1 (EG1)为校内智能手机过度依赖预防项目，实验组2 (EG2)为校内项目结合校外预防营。本研究使用的工具包括智能手机过度依赖自我诊断量表、基本心理需求量表和自我调节能力量表。在基线、干预后立即、干预后1个月和3个月进行数据收集。数据分析采用协方差混合分析。采用焦点小组访谈进行定性评价。结果干预后，智能手机过度依赖与基本心理需求在群体和时间上存在显著的交互作用。智能手机过度依赖得分在EG1和EG2中下降，而在CG中增加(F = 4.56, p = 0.001)。EG1和EG2组基本心理需求改善，而CG组基本心理需求恶化(F = 5.04, p = 0.009)。焦点小组访谈显示，即使在完成项目后，参与者也努力通过个人努力和与大学新朋友的互动来控制智能手机的使用。结论在本研究中，校内计划和校内和校外联合干预计划在维持和管理智能手机使用方面都是有效的。然而，参与者认为校外项目提供了一个将在校内学到的理论应用于现实世界的机会。

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引用次数: 0

Development and Validation of Clinical Nursing Teacher Self-Efficacy Scale and Investigation of Self-Efficacy among Clinical Nursing Teachers 临床护理教师自我效能感量表的编制与验证及临床护理教师自我效能感的调查

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2022-08-01 DOI: 10.1016/j.anr.2022.05.001

Pei-Ling Wu , Ying-Chen Tseng , Li-Chiu Chen , Shao-Mei Tseng , Hsiang-Chu Pai

Purpose

The purpose of this study was to (1) add relevant contemporary items to develop an assessment instrument for the self-efficacy of clinical nursing teachers, to verify and evaluate the validity and reliability of the instrument, and (2) investigate the self-efficacy of clinical nursing teachers.

Method

A cross-sectional study was designed. A total of 205 clinical nursing teachers were recruited in Taiwan. Data were collected using the Clinical Nursing Teacher Self-efficacy Scale. An exploratory factor analysis was performed to examine the scale.

Results

The degree of self-efficacy of clinical nursing teachers was moderate to high. The 35-item scale showed great psychometric qualities. The Cronbach coefficient of the overall scale was 0.92; and 0.83, 0.91, 0.93, and 0.87 on the four subscales were acceptable. Four factors were extracted by exploratory factor analysis and explained 68.53% of the total variance. Four factors were (i) teachers' professional growth ability, (ii) teaching ability, (iii) clinical nursing competencies, and (iv) personality traits. The highest self-efficacy category evaluated by teachers was personality traits; the second was clinical nursing competencies; after that, teaching ability and teachers’ professional growth ability. The item with the lowest self-efficacy was foreign language ability (English).

Conclusion

Clinical nursing teachers have a moderate to high degree of self-efficacy. This scale with good reliability and validity can be used for the training and evaluation of the self-efficacy of clinical nursing teachers.

目的本研究的目的是(1)增加当代相关项目，编制临床护理教师自我效能感测评工具，并对该工具的效度和信度进行验证和评价;(2)调查临床护理教师的自我效能感。方法设计横断面研究。本研究共招募205名临床护理教师。采用临床护理教师自我效能感量表进行数据收集。采用探索性因子分析对量表进行检验。结果临床护理教师的自我效能感为中高水平。35个项目的量表显示出很高的心理测量质量。量表的Cronbach系数为0.92;四个分量表的可接受程度分别为0.83、0.91、0.93和0.87。探索性因子分析提取了4个因子，解释了总方差的68.53%。四个影响因素分别是:(1)教师专业成长能力，(2)教学能力，(3)临床护理能力，(4)人格特质。教师自我效能感评价最高的类别是人格特质;二是临床护理能力;其次是教学能力和教师专业成长能力。自我效能感最低的项目为外语能力(英语)。结论临床护理教师具有中高的自我效能感。该量表具有良好的信度和效度，可用于临床护理教师自我效能感的培训和评价。

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引用次数: 3

The Lived Experience of First-time Mothers with Congenital Heart Disease 先天性心脏病首次母亲的生活经验

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2022-08-01 DOI: 10.1016/j.anr.2022.05.003

Yu-Ting Liu , Chun-Wei Lu , Pei-Fan Mu , Ying-Mei Shu , Chi-Wen Chen

Purpose

Nowadays most children with congenital heart disease (CHD) are expected to survive to adulthood. The healthcare focus needs to pay close attention to the important developmental tasks during their growth process. The women with CHD face some challenges in their critically developmental stages during pregnancy, delivery, and even motherhood. The lived experience of being a mother needs to be further concerned. This study aimed to explore the lived experience of first-time mothers with CHD.

Methods

Descriptive phenomenological design was adopted. Semi-structured interviews were conducted from April to August 2018 with 11 primiparous women with CHD, who were recruited from the pediatric and adult cardiology outpatient departments at a medical center and who had a child aged between 6 months and 3 years. Giorgi's phenomenological analysis method was employed.

Results

Six main themes arose from the analysis: (1) recognizing pregnancy risks, (2) performing self-care for health, (3) building self-worth from my baby, (4) adapting to postpartum life and adjusting priorities, (5) enjoying being a first-time mother, and (6) the factors contributing to success in high-risk childbirth.

Conclusions

The experiences that occurred prior to and after labor that were identified in this study can assist women with CHD to more capably prepare for and understand the process of becoming a mother, including recognition of the importance of a prepregnancy evaluation. The findings of this study can help women with CHD to better understand the path to becoming a mother and prepare themselves for the challenges that lie ahead.

目的:目前，大多数患有先天性心脏病(CHD)的儿童有望存活到成年。保健重点需要密切关注其成长过程中的重要发育任务。患有冠心病的妇女在怀孕、分娩、甚至成为母亲的关键发育阶段面临着一些挑战。作为母亲的生活经历需要进一步关注。本研究旨在探讨首次患冠心病的母亲的生活经历。方法采用描述现象学设计。2018年4月至8月，研究人员对11名患有冠心病的孕妇进行了半结构化访谈，这些孕妇来自某医疗中心的儿科和成人心脏病门诊，她们的孩子年龄在6个月至3岁之间。采用Giorgi现象学分析方法。结果从分析中得出六个主题:(1)认识妊娠风险;(2)自我保健;(3)从我的孩子建立自我价值;(4)适应产后生活和调整优先事项;(5)享受第一次母亲的生活;(6)高危分娩成功的因素。结论:本研究确定的分娩前后的经历可以帮助患有冠心病的妇女更好地准备和理解成为母亲的过程，包括认识到孕前评估的重要性。这项研究的发现可以帮助患有冠心病的女性更好地了解成为母亲的道路，并为未来的挑战做好准备。

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引用次数: 0