Asian Nursing Research最新文献_第3页

Associations of Self-Control with Self-Management in Stroke Survivors: A Cross-Sectional Study 脑卒中幸存者自我控制与自我管理的关联：一项横断面研究。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-12-01 DOI: 10.1016/j.anr.2025.07.002

Xiaoxuan Wang , Beilei Lin , Shanshan Wang , Hu Jiang , Zhiguang Ping , Qiushi Zhang , Yanfei Liu , Hui Wang , Yanchun Liu , Zhenxiang Zhang

Purpose

To identify and explore the latent categories of self-control and clarify the relationship between self-control and self-management of stroke survivors under different categories.

Methods

This cross-sectional study was conducted using a general information questionnaire, the Chinese version of the Dual-Mode Self-Control Scale, and the Stroke Self-Management Scale to measure sociodemographic data, self-control, and self-management. The questionnaires were administered face-to-face, and a convenience sampling method was used to collect the data. A total of 519 stroke survivors from a tertiary hospital in Henan Province, China, were included. Data were analyzed using latent profile analysis and the Kruskal–Wallis H test.

Results

The four-profile model was the most suitable. It was named as follows: low impulse-high control group (25.0%), low impulse-low control group (39.7%), high impulse-high control group (24.7%), and high impulse-low control group (10.6%). The self-management scores of the low impulse and high control group were significantly higher than those of the other three groups.

Conclusion

Stroke survivors demonstrate moderate levels of self-control. In particular, patients with ambivalent self-control psychologies are noteworthy as they require strategies to address this contradictory psychological situation. Healthcare providers should consider the unique self-control characteristics of stroke survivors to assist them in enhancing their self-control abilities. Future research should use more objective assessment methods to examine long-term changes in self-control among stroke survivors and their relationships with self-management.

目的：识别和探讨脑卒中幸存者自我控制的潜在类别，阐明不同类别下自我控制与自我管理的关系。方法：采用一般信息问卷、中文双模自我控制量表和脑卒中自我管理量表进行横断面研究，测量社会人口学数据、自我控制和自我管理。问卷采用面对面的方式进行，采用方便抽样的方式收集资料。研究对象为中国河南省某三级医院的519例中风幸存者。数据分析采用潜型分析（LPA）和Kruskal-Wallis H检验。结果：四侧位模型最合适。分别为：低冲量高对照组（25.1%）、低冲量低对照组（39.7%）、高冲量高对照组（24.7%）和高冲量低对照组（10.6%）。低冲动组和高控制组的自我管理得分显著高于其他三组。结论：中风幸存者表现出中等水平的自我控制能力。特别是，具有矛盾自我控制心理的患者值得注意，因为他们需要策略来解决这种矛盾的心理状况。医疗保健提供者应考虑中风幸存者独特的自我控制特征，以帮助他们提高自我控制能力。未来的研究应该使用更客观的评估方法来检查中风幸存者自我控制的长期变化及其与自我管理的关系。

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引用次数: 0

Corrigendum to “Mediating role of psychological capital between intra-organizational psychological violence and presenteeism among Chinese nurses: A cross-sectional study” [Asian Nurs Res 19 (3) (August 2025) 303–310] “心理资本在中国护士组织内心理暴力和出勤之间的中介作用：一项横断面研究”的更正[亚洲护士研究19(3)（2025年8月）303-310]

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-12-01 DOI: 10.1016/j.anr.2025.10.002

Ying Zhang , Hu Jiang , Huimin Sun

引用次数: 0

Latent Profile Analysis and Influencing Factors of Learned Helplessness in Maintenance Hemodialysis Patients: A Cross-sectional Study 维持性血液透析患者习得性无助的潜伏期分析及影响因素：一项横断面研究。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-12-01 DOI: 10.1016/j.anr.2025.07.004

Shaona Cai , Huiqin Tao , Caixia Li , Zhenping Du , Shengzi Liu , Qiuzhen Tan , Huahui Zhou , Na Ji , Aihong Wang , Lifang Zhou , Yina Zhao , Yingying Li , Xia Fu

Purpose

Maintenance hemodialysis (MHD) patients frequently experience psychological distress, including learned helplessness (LH), which impairs self-management and adversely affects health-related quality of life. This study aimed to investigate the latent profiles of LH among MHD patients and to identify the biopsychosocial determinants influencing these profiles.

Method

A cross-sectional survey was conducted in five hospitals in Guangdong, China, from May to July 2024, enrolling 548 MHD patients. Latent Profile Analysis (LPA) was applied to classify patients into distinct LH subgroups. Chi-square tests and multinomial logistic regression analyses were employed to identify factors influencing LH profiles.

Results

LPA identified three distinct LH profiles: High Helplessness–Resigned Group (49.0%), Moderate Helplessness–Adaptive Group (36.4%) and Low Helplessness–Hopeful Group (14.6%). Regression analyses revealed that sex, income, history of kidney transplantation, symptom distress, hope, and family support were significant determinants of LH profiles. Patients with high symptom distress, lower levels of hope, and reduced family support were more likely to belong to the High Helplessness–Resigned Group.

Conclusions

The findings underscore the complex nature of LH in MHD patients and emphasize the importance of symptom management, hope enhancement, and family support in interventions. Tailored psychological and social support strategies may alleviate LH, improving the mental health and quality of life of MHD patients. Future studies should examine the long-term impact of these interventions on patient outcomes.

目的：维持性血液透析（MHD）患者经常经历心理困扰，包括习得性无助（LH），这损害了自我管理，并对健康相关的生活质量产生不利影响。本研究旨在调查MHD患者中LH的潜在特征，并确定影响这些特征的生物-心理-社会决定因素。方法：于2024年5月至7月在广东省5家医院进行横断面调查，纳入548例MHD患者。应用潜在剖面分析（LPA）将患者分为不同的LH亚组。采用卡方检验和多项logistic回归分析确定影响LH谱的因素。结果：LPA鉴定出三种不同的LH类型：高无助-顺从组（49.0%），中等无助-适应组（36.4%）和低无助-希望组（14.6%）。回归分析显示，性别、收入、肾移植史、症状困扰、希望和家庭支持是LH谱的重要决定因素。症状窘迫程度高、希望程度低、家庭支持减少的患者更有可能属于高度无助-顺从组。结论：研究结果强调了MHD患者LH的复杂性，并强调了症状管理、增强希望和家庭支持在干预中的重要性。量身定制的心理和社会支持策略可以缓解LH，改善MHD患者的心理健康和生活质量。未来的研究应该检查这些干预措施对患者预后的长期影响。

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引用次数: 0

Facilitators and Barriers to the Implementation of School Mental Health Collaboration in Sichuan Province, China: A Descriptive Qualitative Study 四川省学校心理健康合作实施的促进因素和障碍：一项描述性质的研究。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-12-01 DOI: 10.1016/j.anr.2025.07.007

Meiqi Luo , Ke Wang , Yuchuan Yue , Chunyan Chen

Purpose

This study aimed to interview stakeholders who participated in school mental health interprofessional collaboration (IPC) and determine the facilitators and obstacles for the development of school mental health IPC in Sichuan province, China.

Methods

Semistructured interviews were conducted with 22 stakeholders, including psychiatrists, nurses, school mental health teachers, community workers, and hospital administrators. Data were analyzed using content analysis guided by the Exploration-Preparation-Implementation-Sustainment (EPIS) framework. This study adhered to the Consolidated Criteria for Reporting Qualitative Studies checklist for reporting qualitative research.

Results

The analysis yielded 248 open codes, categorized into 10 barriers and 5 facilitators. Key barriers included insufficient funding, lack of intermediary organizations, interdisciplinary differences, communication gaps, and concerns about intellectual property rights. Facilitators encompassed policy support, existing cooperative frameworks, interprofessional education, perceived value of collaboration, and adequate infrastructure. Stakeholders emphasized the need for standardized processes and sustainable resource allocation to enhance the efficacy of IPC.

Conclusion

Systemic obstacles, such as fragmented administrative systems and limited funding, hinder the sustainable implementation of IPC in Chinese school mental health services. Strengthening policy advocacy, establishing intermediary platforms, and prioritizing interprofessional training are critical to improving collaboration. This study highlights the urgency of integrating mental health resources across education and healthcare sectors to address the growing psychological needs of adolescents.

目的：对参与学校心理健康跨专业合作的利益相关者进行访谈，探讨四川省学校心理健康跨专业合作发展的促进因素和阻碍因素。方法：对精神科医生、护士、学校心理卫生教师、社区工作者和医院管理人员等22名利益相关者进行半结构化访谈。数据分析采用探索-准备-实施-维持（EPIS）框架指导下的内容分析。本研究遵循COREQ清单报告定性研究。结果：分析得到248个开放代码，分为10个障碍和5个促进因素。主要障碍包括资金不足、缺乏中介组织、跨学科差异、沟通差距以及对知识产权的担忧。促进因素包括政策支持、现有合作框架、跨专业教育、协作的感知价值和适当的基础设施。利益攸关方强调需要标准化程序和可持续的资源分配，以提高IPC的效率。结论：我国学校心理卫生服务中存在管理体制分散、经费不足等体制障碍，阻碍了IPC的可持续实施。加强政策宣传，建立中介平台，优先开展跨专业培训，是促进合作的关键。这项研究强调了整合教育和医疗保健部门的心理健康资源以解决青少年日益增长的心理需求的紧迫性。

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引用次数: 0

Evaluating the Development of a Machine Learning Model for Predicting Length of Stay for Inpatients in a Tertiary General Hospital. 评估用于预测三级综合医院住院患者住院时间的机器学习模型的发展。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-11-12 DOI: 10.1016/j.anr.2025.10.006

Mi Jin Lee, Ji Young Lim

Purpose: This study aimed to develop a machine learning-based predictive model for hospital length of stay incorporating clinical, nursing, and healthcare system factors to optimize hospital resource allocation, improve patient-centered care, and enhance nursing workflow efficiency.

Methods: This retrospective study analyzed a large dataset of inpatient electronic medical records from a private tertiary hospital. The dataset was used to develop predictive models for long-term versus short-term hospitalization. The modeling process involved several machine learning algorithms, and their performance was evaluated using standard statistical metrics. The most significant predictive variables were identified through an analysis of their feature importance.

Results: Among the tested models, the Random Forest algorithm exhibited the highest predictive accuracy, demonstrating strong performance in predicting hospital length of stay. Key influencing factors included the number of consultations, postoperative recovery time, duration of stay in the intensive care unit, the use of third-generation antibiotics, and the need for infection isolation. Patients requiring ventilator care, intensive care unit admission, and specific powerful antibiotics were more likely to experience prolonged hospitalization. Additionally, nursing-related factors such as fall risk and pressure ulcer risk were significantly correlated with an extended hospital stay.

Conclusion: This study demonstrates that machine learning models can effectively predict hospital length of stay, aiding in hospital resource management, nursing workforce allocation, and patient safety interventions. The integration of predictive analytics into healthcare systems can support early risk assessment, personalized discharge planning, and overall hospital efficiency.

目的：综合临床、护理和医疗系统因素，建立基于机器学习的住院时间预测模型，以优化医院资源配置，改善以患者为中心的护理，提高护理工作效率。方法：回顾性分析某私立三级医院住院患者电子病历的大数据集。该数据集用于开发长期与短期住院治疗的预测模型。建模过程涉及几种机器学习算法，并使用标准统计指标对其性能进行评估。通过对其特征重要性的分析，确定了最重要的预测变量。结果：在测试的模型中，随机森林算法的预测精度最高，在预测住院时间方面表现出较强的性能。主要影响因素包括就诊次数、术后恢复时间、重症监护病房住院时间、第三代抗生素的使用以及感染隔离的必要性。需要呼吸机护理、重症监护病房住院和使用特定强效抗生素的患者更有可能延长住院时间。此外，护理相关因素如跌倒风险和压疮风险与延长住院时间显著相关。结论：本研究表明，机器学习模型可以有效地预测住院时间，帮助医院资源管理、护理人员分配和患者安全干预。将预测分析集成到医疗保健系统中可以支持早期风险评估、个性化出院计划和整体医院效率。

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引用次数: 0

Implementation of a Practice-based Reflection Training Programme in Undergraduate Nursing Interns for Reflective Practice Competency and Humanistic Caring Ability: A Quasi-Experimental Study. 基于实践的本科护理实习生反思性实践能力与人文关怀能力训练：准实验研究。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-11-10 DOI: 10.1016/j.anr.2025.09.005

Dong-Lan Ling, Ka Yan Ho, Jing-Da Pan, Chang Zhang, Wen-Ting Xu, Ke-Lan Lin, Ting Mao, Jin Li, Hao Chen, Shu-Fang Zhang, Hong-Li Liu, Liu-Yuan Zeng, Hong-Jing Yu

Purpose: To examine the effectiveness of a practice-based reflection training programme in enhancing reflective practice competency and humanistic caring ability among undergraduate nursing interns.

Methods: A convenience sample of 95 undergraduate nursing interns from a tertiary hospital were recruited to join a quasi-experimental study. Participants in the control group (n = 48) underwent a traditional training programme between September 2021 to April 2022. Those in the intervention group (n = 47) participated in a practice-based reflection training programme which contained 8 sessions between September 2022 to April 2023. The two groups were compared in terms of their level of reflective practice competency measured by the Nursing Reflective Practice Questionnaire (NRPQ) and humanistic caring ability measured by the Nursing Humanistic Caring Assessment Tool (NHCAT). Additionally, each intern in the intervention group submitted a reflective essay on humanistic caring which was analyzed by theme analysis.

Results: After the intervention, the intervention group showed statistically significantly higher mean scores compared to the control group for reflective practice competency (160.94±11.02 vs 147.60±13.95, p < .001) and humanistic caring ability (124.02±7.35 vs 115.52±8.31, p < .001). By theme analysis of 45 reflective essays, the most commonly reported theme related to humanistic care was "responsibility" (present in 38 essays, mentioned 153 times), followed by "empathy" (present in 36 essays, mentioned 149 times) and "communication skills/competence" (present in 32 essays, mentioned 125 times).

Conclusions: The practice-based reflection training programme was shown to be effective to enhance reflective practice competency and humanistic caring ability among undergraduate nursing interns in China. Further studies are needed to examine its long-term impacts on nursing interns.

目的：探讨以实践为基础的反思训练方案对提高本科护理实习生反思实践能力和人文关怀能力的效果。方法：选取某三级医院95名本科护理实习生进行准实验研究。对照组的参与者（n = 48）在2021年9月至2022年4月期间接受了传统的培训计划。干预组（n = 47）在2022年9月至2023年4月期间参加了一项以实践为基础的反思培训计划，该计划包括8次培训。采用护理反思性实践问卷（NRPQ）和护理人文关怀评估工具（NHCAT）分别对两组患者的反思实践能力和人文关怀能力进行比较。此外，每位干预组实习生都提交了一篇关于人文关怀的反思文章，并通过主题分析进行分析。结果：干预后，干预组在反思实践能力得分（160.94±11.02比147.60±13.95,p < 0.001）和人文关怀能力得分（124.02±7.35比115.52±8.31,p < 0.001）上均显著高于对照组。通过对45篇反思性论文的主题分析，与人文关怀相关的最常见的主题是“责任”（出现在38篇文章中，提到153次），其次是“同理心”（出现在36篇文章中，提到149次）和“沟通技巧/能力”（出现在32篇文章中，提到125次）。结论：以实践为基础的反思训练方案能有效提高本科护理实习生的反思实践能力和人文关怀能力。其对实习护士的长期影响有待进一步研究。

{"title":"Implementation of a Practice-based Reflection Training Programme in Undergraduate Nursing Interns for Reflective Practice Competency and Humanistic Caring Ability: A Quasi-Experimental Study.","authors":"Dong-Lan Ling, Ka Yan Ho, Jing-Da Pan, Chang Zhang, Wen-Ting Xu, Ke-Lan Lin, Ting Mao, Jin Li, Hao Chen, Shu-Fang Zhang, Hong-Li Liu, Liu-Yuan Zeng, Hong-Jing Yu","doi":"10.1016/j.anr.2025.09.005","DOIUrl":"https://doi.org/10.1016/j.anr.2025.09.005","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the effectiveness of a practice-based reflection training programme in enhancing reflective practice competency and humanistic caring ability among undergraduate nursing interns.</p><p><strong>Methods: </strong>A convenience sample of 95 undergraduate nursing interns from a tertiary hospital were recruited to join a quasi-experimental study. Participants in the control group (n = 48) underwent a traditional training programme between September 2021 to April 2022. Those in the intervention group (n = 47) participated in a practice-based reflection training programme which contained 8 sessions between September 2022 to April 2023. The two groups were compared in terms of their level of reflective practice competency measured by the Nursing Reflective Practice Questionnaire (NRPQ) and humanistic caring ability measured by the Nursing Humanistic Caring Assessment Tool (NHCAT). Additionally, each intern in the intervention group submitted a reflective essay on humanistic caring which was analyzed by theme analysis.</p><p><strong>Results: </strong>After the intervention, the intervention group showed statistically significantly higher mean scores compared to the control group for reflective practice competency (160.94±11.02 vs 147.60±13.95, p < .001) and humanistic caring ability (124.02±7.35 vs 115.52±8.31, p < .001). By theme analysis of 45 reflective essays, the most commonly reported theme related to humanistic care was \"responsibility\" (present in 38 essays, mentioned 153 times), followed by \"empathy\" (present in 36 essays, mentioned 149 times) and \"communication skills/competence\" (present in 32 essays, mentioned 125 times).</p><p><strong>Conclusions: </strong>The practice-based reflection training programme was shown to be effective to enhance reflective practice competency and humanistic caring ability among undergraduate nursing interns in China. Further studies are needed to examine its long-term impacts on nursing interns.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of Insight into Illness as a Mediator and Moderator Between Psychotic Symptoms and Self-Care Ability in People with Chronic Schizophrenia. 慢性精神分裂症患者精神病症状与自我照顾能力的调节作用：疾病洞察

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-11-03 DOI: 10.1016/j.anr.2025.10.004

Hsu-Chi Chao, Su-Chen Lo, Jason W Beckstead, Chiu-Yueh Yang

Purpose: To explore how insight into illness mediates and moderates the relationship between psychotic symptoms and self-care ability in patients with chronic schizophrenia.

Methods: A cross-sectional convenience sampling method was employed, and 203 participants were recruited from seven rehabilitation units in northern Taiwan between April and December 2020. Psychotic symptoms were measured using the Positive and Negative Syndrome Scale (PANSS), insight into illness was assessed with the Schedule for Assessment of Insight in Psychosis (SIP), and self-care ability was evaluated using the Self-Care Ability Assessment Scale. Mediation and moderation analyses were conducted using Models 4 and 1 of the PROCESS Macro in SPSS, controlling for demographic variables.

Results: Insight into illness emerged as both a mediator and a moderator in the relationship between psychotic symptoms and self-care ability. Specifically, insight into illness mediated the relationship by partially alleviating the adverse effects of psychotic symptoms on self-care ability. Furthermore, insight into illness acted as a moderator, with greater insight significantly reducing the impact of psychotic symptoms on an individual's capacity for self-care.

Conclusion: Improving insight into illness is vital to help patients with chronic schizophrenia manage psychotic symptoms and improve self-care. Mental health nurses should prioritize interventions aimed at improving insight, which may significantly improve self-care and overall quality of life.

目的：探讨疾病认知如何调节慢性精神分裂症患者精神病症状与自我照顾能力的关系。方法：采用横断面方便抽样方法，于2020年4月至12月在台湾北部7个康复单位招募203名参与者。使用阳性和阴性症状量表（PANSS）测量精神病症状，使用精神病洞察力评估表（SIP）评估疾病洞察力，使用自我照顾能力评估量表评估自我照顾能力。采用SPSS中PROCESS Macro模型4和模型1进行中介和调节分析，控制人口统计变量。结果：在精神病症状与自我照顾能力的关系中，对疾病的洞察既是中介又是调节因子。具体而言，对疾病的洞察通过部分缓解精神病症状对自我照顾能力的不良影响而介导了这种关系。此外，对疾病的洞察力起到了调节作用，更深刻的洞察力显著降低了精神病症状对个人自我照顾能力的影响。结论：提高对疾病的认识对于帮助慢性精神分裂症患者控制精神病症状和提高自我保健能力至关重要。心理健康护士应优先考虑旨在提高洞察力的干预措施，这可能会显著提高自我保健和整体生活质量。

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引用次数: 0

Predictors of dietary behaviors and health outcomes in middle-aged men based on social cognitive theory: A cross-sectional study. 基于社会认知理论的中年男性饮食行为与健康结果的预测因素：一项横断面研究

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-11-03 DOI: 10.1016/j.anr.2025.09.001

Sunyoung Jung, Su-Jin Cho

Purpose: To identify the predictors of dietary behaviors and health outcomes in middle-aged men using social cognitive theory as a framework.

Methods: This cross-sectional study analyzed data on 244 middle-aged men in South Korea between November 2022 and January 2023. The data were collected using structured online questionnaires that assessed self-efficacy, outcome expectations, self-regulation, social support, dietary behaviors, body mass index (BMI), and health-related quality of life (HRQoL). Analyses included descriptive statistics, Pearson's correlation analysis, independent t-tests, one-way analysis of variance with Scheffe's post-hoc test, and path analysis.

Results: The findings indicate that self-efficacy and negative outcome expectations significantly influence dietary behaviors, which in turn affect BMI and HRQoL. Moreover, autonomous motivation, controlled motivation, and social support were identified as direct determinants of HRQoL. The model accounted for 24% of the variance in dietary behaviors and 38% in HRQoL.

Conclusion: To improve the dietary behaviors and health outcomes in middle-aged men, it is imperative to build self-efficacy and address perceived barriers to healthy eating. Additionally, comprehensive and tailored interventions that foster self-regulation and social support can improve the HRQoL of middle-aged men.

目的：以社会认知理论为框架，探讨中年男性饮食行为与健康结局的预测因素。方法：这项横断面研究分析了韩国244名中年男性在2022年11月至2023年1月之间的数据。数据通过结构化的在线问卷收集，评估自我效能、结果预期、自我调节、社会支持、饮食行为、体重指数（BMI）和健康相关生活质量（HRQoL）。分析包括描述性统计、Pearson相关分析、独立t检验、Scheffe事后检验的单向方差分析和通径分析。结果：自我效能感和负面结果预期显著影响饮食行为，进而影响BMI和HRQoL。此外，自主动机、控制动机和社会支持被确定为HRQoL的直接决定因素。该模型解释了24%的饮食行为差异和38%的HRQoL差异。结论：要改善中年男性的饮食行为和健康状况，必须建立自我效能感，解决健康饮食的感知障碍。此外，促进自我调节和社会支持的全面和有针对性的干预措施可以改善中年男性的HRQoL。

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引用次数: 0

The reasons of late diagnosis in patients with HIV/AIDS: a Meta-synthesis. 艾滋病患者晚期诊断的原因：一项综合研究。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-11-03 DOI: 10.1016/j.anr.2025.10.005

Jing Shen, Juan Tan, Chuntao Wu, Shiping Feng, Peisha Du, Xia Zhao, Yulan Yang, Qian Wen, Bin Wan

Purpose: To comprehensively integrate qualitative findings on the reasons of late diagnosis in HIV/AIDS patients and to encourage timely clinic consultations for advisory purposes.

Methods: A qualitative systematic review utilizing a meta-aggregation approach. Extensive searches were conducted across PubMed, Embase, Cochrane Library, Web of Science, CINAHL, ProQuest, Scopus, Medline, CNKI, VIP, Chinese Biomedical, and Wanfang databases. The search was completed on December 10th, 2024. Studies were screened according to predefined inclusion and exclusion criteria. Quality assessment was performed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. The review adhered to PRISMA 2021 guidelines.

Results: A total of 13 articles were included, 113 original findings were extracted and categorized into 13 new categories, which were further synthesized into three integrated findings: (1) lack of proper knowledge about HIV; (2) complex psychological distress and (3) inadequate medical resources and limited services.

Conclusion: This meta-synthesis of qualitative research focused on the reasons for late diagnosis in people living with HIV(PLWH). It is based on an in-depth exploration of patients' personal feelings and experiences, as well as insights into their genuine desires. Patients' lack of disease knowledge may amplify fears, leading to anxiety, depression, and other adverse psychological conditions that reduce willingness to seek medical care and contribute to late HIV diagnosis. Furthermore, this reduced healthcare-seeking behavior contributes to underutilization of healthcare resources and impairs system efficiency. Consequently, the risk of late-stage consultation for serious conditions such as AIDS increases. Given these diagnostic challenges, enhancing early detection among PLWH is critical to reducing viral transmission and improving the quality of life of those infected.

Clinical trial registration: As it was based entirely on previously published studies, this study protocol had registered on the PROSPERO website (CRD42025631287).

目的：全面整合HIV/AIDS患者晚期诊断原因的定性研究结果，鼓励临床及时咨询。方法：采用meta-aggregation方法进行定性系统评价。在PubMed、Embase、Cochrane Library、Web of Science、CINAHL、ProQuest、Scopus、Medline、CNKI、VIP、Chinese Biomedical和万方数据库中进行了广泛的检索。搜寻工作于2024年12月10日完成。根据预先确定的纳入和排除标准筛选研究。质量评估使用乔安娜布里格斯研究所定性研究关键评估清单进行。该审查遵循PRISMA 2021指南。结果：共纳入13篇文献，提取了113项原始发现，并将其归类为13个新类别，进一步综合为3个综合发现：(1)缺乏正确的HIV知识；(2)复杂的心理困扰；(3)医疗资源不足，服务有限。结论：本荟萃综合定性研究集中于HIV感染者（PLWH）晚期诊断的原因。它基于对患者个人感受和经历的深入探索，以及对他们真实愿望的洞察。患者缺乏疾病知识可能会放大恐惧，导致焦虑、抑郁和其他不良心理状况，从而降低求医的意愿，并导致艾滋病毒晚期诊断。此外，这种减少的求医行为导致医疗资源利用不足，损害了系统效率。因此，艾滋病等严重疾病的晚期咨询风险增加。鉴于这些诊断方面的挑战，加强对艾滋病患者的早期检测对于减少病毒传播和提高感染者的生活质量至关重要。临床试验注册：由于该研究完全基于先前发表的研究，因此该研究方案已在PROSPERO网站（CRD42025631287）上注册。

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引用次数: 0

Factors influencing Home Care Nurses' Behavioral Intension to Use Digital Healthcare. 影响家庭护理护士使用数字医疗行为意向的因素。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-11-03 DOI: 10.1016/j.anr.2025.10.003

So-Hi Kwon, Young-Joo Kim, Seo-Hye Park

Purpose: Home care and digital healthcare are essential strategies for addressing health challenges in an aging society. This study aims to understand the behavioral intention to use digital healthcare and its influencing factors based on the Unified Theory of Acceptance and Use of Technology (UTAUT).

Methods: This cross-sectional study surveyed 180 home care nurses in South Korea using online questionnaires. Participants were from hospital-based home care (HHC), home hospice (HH), and community health center-based home care (CHC). The survey assessed their experience with and intention to use 19 digital health technologies and measured key factors based on the Unified Theory of Acceptance and Use of Technology (UTAUT): performance expectancy, effort expectancy, social influence, attitude toward digital healthcare, and concerns.

Results: Among the 19 digital health technologies, big data/artificial intelligence (AI) solutions (87.2%) and AI-assisted care sensors (85.6%) had the highest behavioral intention to use. Usage experience and intention were negatively correlated across all technologies (κ = -0.103 to -0.703, p < 0.001). Behavioral intentions differed significantly between groups (χ² = 6.354, p = .042), with HH nurses reporting the highest intention (93.8%), followed by HHC (87.0%) and CHC (75.0%) nurses. Effort expectancy increased adoption likelihood (odds ratio [OR] = 2.256, 95% confidence interval [CI]: 1.102-4.617, p = .026), while social influence was the strongest predictor (OR = 2.931, 95% CI: 1.152-7.462, p = .024).

Conclusions: Home care nurses generally showed strong behavioral intentions to adopt digital healthcare. However, the negative association between experience and intention suggests the need to enhance user satisfaction when implementing digital health technologies. Since effort expectancy and social influence significantly affect adoption, reducing perceived effort and strengthening social support are essential for successful integration.

目的：家庭护理和数字医疗保健是应对老龄化社会健康挑战的基本战略。本研究旨在基于技术接受与使用统一理论（UTAUT），了解数字医疗的使用行为意愿及其影响因素。方法：本横断面研究采用在线问卷调查了180名韩国家庭护理护士。参与者来自以医院为基础的家庭护理（HHC）、家庭临终关怀（HH）和社区卫生中心为基础的家庭护理（CHC）。该调查评估了他们使用19种数字医疗技术的经验和意图，并根据技术接受和使用统一理论（UTAUT）测量了关键因素：绩效预期、努力预期、社会影响、对数字医疗的态度和担忧。结果：在19项数字健康技术中，大数据/人工智能（AI）解决方案（87.2%）和人工智能辅助护理传感器（85.6%）的行为使用意愿最高。所有技术的使用体验和意图呈负相关（κ = -0.103 ~ -0.703, p < 0.001）。行为意向组间差异有统计学意义（χ2 = 6.354, p = 0.042）， HH护士行为意向最高（93.8%），其次是HHC护士（87.0%）和CHC护士（75.0%）。努力期望增加了被采纳的可能性（优势比[OR] = 2.256, 95%可信区间[CI]: 1.102-4.617, p = 0.026），而社会影响是最强的预测因子（OR = 2.931, 95% CI: 1.152-7.462, p = 0.024）。结论：家庭护理护士普遍表现出采用数字化医疗的强烈行为意向。然而，体验和意向之间的负相关表明，在实施数字卫生技术时需要提高用户满意度。由于期望付出的努力和社会影响对收养有重大影响，因此减少感知付出和加强社会支持对成功融入至关重要。

{"title":"Factors influencing Home Care Nurses' Behavioral Intension to Use Digital Healthcare.","authors":"So-Hi Kwon, Young-Joo Kim, Seo-Hye Park","doi":"10.1016/j.anr.2025.10.003","DOIUrl":"https://doi.org/10.1016/j.anr.2025.10.003","url":null,"abstract":"<p><strong>Purpose: </strong>Home care and digital healthcare are essential strategies for addressing health challenges in an aging society. This study aims to understand the behavioral intention to use digital healthcare and its influencing factors based on the Unified Theory of Acceptance and Use of Technology (UTAUT).</p><p><strong>Methods: </strong>This cross-sectional study surveyed 180 home care nurses in South Korea using online questionnaires. Participants were from hospital-based home care (HHC), home hospice (HH), and community health center-based home care (CHC). The survey assessed their experience with and intention to use 19 digital health technologies and measured key factors based on the Unified Theory of Acceptance and Use of Technology (UTAUT): performance expectancy, effort expectancy, social influence, attitude toward digital healthcare, and concerns.</p><p><strong>Results: </strong>Among the 19 digital health technologies, big data/artificial intelligence (AI) solutions (87.2%) and AI-assisted care sensors (85.6%) had the highest behavioral intention to use. Usage experience and intention were negatively correlated across all technologies (κ = -0.103 to -0.703, p < 0.001). Behavioral intentions differed significantly between groups (χ<sup>2</sup> = 6.354, p = .042), with HH nurses reporting the highest intention (93.8%), followed by HHC (87.0%) and CHC (75.0%) nurses. Effort expectancy increased adoption likelihood (odds ratio [OR] = 2.256, 95% confidence interval [CI]: 1.102-4.617, p = .026), while social influence was the strongest predictor (OR = 2.931, 95% CI: 1.152-7.462, p = .024).</p><p><strong>Conclusions: </strong>Home care nurses generally showed strong behavioral intentions to adopt digital healthcare. However, the negative association between experience and intention suggests the need to enhance user satisfaction when implementing digital health technologies. Since effort expectancy and social influence significantly affect adoption, reducing perceived effort and strengthening social support are essential for successful integration.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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