Asian Nursing Research最新文献

{"title":"A Structural Equation Model of the Relationship Between Symptom Burden, Psychological Resilience, Coping Styles, Social Support, and Psychological Distress in Elderly Patients With Acute Exacerbation Chronic Obstructive Pulmonary Disease in China","authors":"","doi":"10.1016/j.anr.2024.06.003","DOIUrl":"10.1016/j.anr.2024.06.003","url":null,"abstract":"<div><h3>Purpose</h3><p>The prevalence of psychological distress is frequently observed among old adults with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). However, current researches are insufficient to clarify the correlation among these relevant factors. This study examined the effects of symptom burden, psychological resilience, coping styles, and social support on psychological distress.</p></div><div><h3>Methods</h3><p>Two hundred fifty five elderly patients with AECOPD were conveniently selected in Taian, Shandong Province. The General Information Questionnaire, Distress Thermometer, The Revised Memorial Symptom Assessment Scale, Connor-Davidson Resilience Scale, Simplified Coping Style Questionnaire, Perceived Social Support Scale were used to investigate. The relationship among factors was estimated by using a structural equation model.</p></div><div><h3>Results</h3><p>Psychological distress score of elderly patients with AECOPD was (5.25 ± 1.01); coping styles, psychological resilience, symptom burden, and social support directly affected psychological distress (the direct effects were −.93, .17, .17, and −.09); coping styles had the largest total effect on psychological distress (the total effect was −.93); psychological resilience indirectly affected psychological distress through coping styles (the indirect effect was −.74); symptom burden indirectly affected psychological distress through psychological resilience (the indirect effect was .25); social support indirectly affected psychological distress through symptom burden, psychological resilience, and coping styles (the indirect effect was −.80).</p></div><div><h3>Conclusion</h3><p>The psychological distress of elderly patients with AECOPD is at a moderate level; coping styles, psychological resilience, and social support have positive effects on alleviating the psychological distress of elderly patients with AECOPD; symptom burden is negatively correlated with psychological distress. Healthcare professionals should pay more attention to elderly patients with AECOPD who are particularly prone to experience higher levels of psychological distress, especially in the presence of low coping style, limited psychological resilience, inadequate levels of social support, and high symptom burden.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 3","pages":"Pages 231-237"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000677/pdfft?md5=04b5f9571c966c9720e9583b6d2dccec&pid=1-s2.0-S1976131724000677-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Care Experiences Among Clinical Staffing During Emerging Infectious Disease: From the COVID-19 Pandemic Approach","authors":"","doi":"10.1016/j.anr.2024.06.002","DOIUrl":"10.1016/j.anr.2024.06.002","url":null,"abstract":"<div><h3>Purpose</h3><p>The coronavirus disease 2019 (COVID-19), one of the most significant recent emerging infectious diseases, has evolved into a global pandemic, resulting in an unprecedented public health crisis with substantial morbidity. The aim of this study was to investigate the care experiences of nursing staff during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>A qualitative, exploratory interview study. This study was conducted from August 2022 to January 2023. Participants were recruited from a medical center in northern Taiwan. A purposive sampling approach was employed to select the participants, and in-depth interviews were conducted with a total of 30 individuals. The collected data were analyzed using content analysis.</p></div><div><h3>Results</h3><p>The findings of this study revealed five themes that summarized the care experiences of participants during the COVID-19 pandemic, enhanced nursing competence in pandemic mitigation, adherence to clear safety measures, effective adaptation to the stress of the “unknown,” and recognition of the meaning of the pandemic mitigation experience.</p></div><div><h3>Conclusion</h3><p>This study informs pandemic readiness for nurses and policy enhancement. Medical institutions and governments must prioritize policies ensuring staffing, PPE access, and mental health support. Educators and administrators should elevate on-the-job crisis management training. Future planning should cater to Taiwanese nurses' needs during unforeseen crises such as COVID-19.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 3","pages":"Pages 222-230"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000653/pdfft?md5=9f23f8e8a57027afbd44d1047ccfedd6&pid=1-s2.0-S1976131724000653-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Mindfulness and Affiliate Stigma in Parents of Children with Autism Spectrum Disorder in China: The Mediating Role of Coping Styles","authors":"Ya-Nan Wang ,&nbsp;Qi-Heng Lin ,&nbsp;Dan Meng ,&nbsp;Jing Wang ,&nbsp;Hai-Ping Xu ,&nbsp;Wan-Hong Wei ,&nbsp;Jin-Yan Zhang","doi":"10.1016/j.anr.2024.03.001","DOIUrl":"10.1016/j.anr.2024.03.001","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aims to investigate the current status of affiliate stigma among parents of autistic children, analyze the influencing factors, explore the relationship among mindfulness, coping styles, and affiliate stigma, and verify the mediating role of coping styles between mindfulness and affiliate stigma in parents of children with autism in China.</p></div><div><h3>Method</h3><p>Between February and April 2023, the Child Development Behaviour Centre of a public hospital in China recruited 345 parents of children with autism. These parents completed the general information questionnaire, the Mindful Attention Awareness Scale, the Affiliate Stigma Scale, and the Simple Coping Style Questionnaire. We then adapted the Hayes Process Macro and Bootstrap methods to examine the mediating effects of coping styles between mindfulness and affiliate stigma.</p></div><div><h3>Results</h3><p>(1) The total affiliate stigma score of parents of children with autism was 48.53 (standard deviation:: 10.74). Parents' age, monthly family income, duration of care, mindfulness, and coping styles were the influencing factors of parental affiliate stigma. (2) Mindfulness was positively correlated with positive coping style (r = 0.33, <em>p</em> &lt; .01) and negatively correlated with negative coping style, affiliate stigma (r = −0.38, −0.39, <em>p</em> &lt; .01), whereas affiliate stigma was negatively correlated with positive coping style (r = −0.34, <em>p</em> &lt; .01) and positively correlated with negative coping style (r = 0.41, <em>p</em> &lt; .01). (3) Positive coping style and negative coping style play a parallel mediating role between mindfulness and affiliate stigma of parents of autistic children.</p></div><div><h3>Conclusions</h3><p>Parents of children with autism experience significant levels of affiliate stigma. Mindfulness has a direct impact on associated stigma in parents of children with autism and also indirectly predicts associated stigma through the intermediary influence of positive and negative coping styles. Healthcare professionals could perform mindfulness interventions from an optimistic psychology viewpoint to boost parents' mindfulness and coping abilities, thereby accomplishing the objective of mitigating affiliate stigma.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 2","pages":"Pages 89-96"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S197613172400032X/pdfft?md5=99bbff9e5cbd9f18063975aff6fff628&pid=1-s2.0-S197613172400032X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140770460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frailty and Health-Related Quality of Life in Elderly Patients Undergoing Esophageal Cancer Surgery: A Longitudinal Study","authors":"Xi Chen,&nbsp;Rong Zheng,&nbsp;Xiuzhi Xu,&nbsp;Zhuzhu Wang,&nbsp;Guohong Huang,&nbsp;Rongrong Wu,&nbsp;Jingfang Hong","doi":"10.1016/j.anr.2024.04.004","DOIUrl":"10.1016/j.anr.2024.04.004","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aims to elucidate the longitudinal alterations in frailty and health-related quality of life experienced by elderly patients undergoing surgical treatment for esophageal cancer. Additionally, it seeks to ascertain the impact of preoperative frailty on postoperative health-related quality of life over time.</p></div><div><h3>Methods</h3><p>131 patients were included in the prospective study. Patients' frailty and health-related quality-of-life were assessed utilizing the Tilburg and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 at preoperative, 1 week, 1 month, and 3 months, postoperatively. Statistical analyses were performed using generalized estimating equations, repeated-measures analysis of variance, and linear mixed models (LMMs).</p></div><div><h3>Results</h3><p>Out of 131 patients, 28.2% had frailty before surgery, and the prevalence of frailty consistently higher after surgery compared with baseline (67.9%, 51.9%, and 39.7%). There was no significant change in frailty scores in preoperative frail patients within 3 months following surgery (<em>p</em> = .496, <em>p</em> &lt; .999, <em>p</em> &lt; .999); whereas in preoperative non-frail patients, the frailty scores increased at 1 week (<em>p</em> &lt; .001) and then decreased at 1 month (<em>p</em> = .014), followed by no change at 3 months. In addition, preoperative frail patients had significantly worse global quality-of-life (β = −4.24 (−8.31; −.18), <em>p</em> = .041), physical functioning (β = −9.87 (−14.59; −5.16), <em>p</em> &lt; .001), role functioning (β = −10.04 (−15.76; −4.33), <em>p</em> = .001), and social functioning (β = −8.58 (−15.49; −1.68), <em>p</em> = .015), compared with non-frail patients.</p></div><div><h3>Conclusions</h3><p>A significant proportion of participants exhibited a high prevalence of preoperative frailty. These patients, who were preoperatively frail, exhibited a marked reduction in health-related quality-of-life, a more gradual recovery across various functional domains, and an increased symptom burden during the follow-up period. Therefore, it is crucial to meticulously identify and closely monitor patients with preoperative frailty for any changes in their postoperative physiology, role, and social functioning.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 2","pages":"Pages 125-133"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000367/pdfft?md5=ffdf7418abbc976a6f72d3c47f208b7c&pid=1-s2.0-S1976131724000367-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140775616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Nomogram for Predicting the Infectious Disease-specific Health Literacy of Older Adults in China","authors":"Qinghua Zhang ,&nbsp;Jinyu Yin ,&nbsp;Yujie Wang ,&nbsp;Li Song ,&nbsp;Tongtong Liu ,&nbsp;Shengguang Cheng ,&nbsp;Siyi Shang","doi":"10.1016/j.anr.2024.04.002","DOIUrl":"10.1016/j.anr.2024.04.002","url":null,"abstract":"<div><h3>Purpose</h3><p>To identify the predictors of infectious disease-specific health literacy (IDSHL), and establish an easy-to-apply nomogram to predict the IDSHL of older adults.</p></div><div><h3>Methods</h3><p>This cross-sectional study included 380 older adults who completed the IDSHL, self-rated health, socio-demographic and other questionnaires. Logistic regression was used to identify the IDSHL predictors. Nomogram was used to construct a predictive model.</p></div><div><h3>Results</h3><p>Up to 70.1% of older adults had limited IDSHL. Age, education, place of residence, self-rated health, and Internet access were the important influencing factors of IDSHL. The established nomogram model showed high accuracy (receiver operating characteristic curve: 0.848).</p></div><div><h3>Conclusions</h3><p>The IDSHL of Chinese older adults was significantly deficient. The constructed nomogram is an intuitive tool for IDSHL prediction that can not only contribute toward rapid screening of high-risk older adults with limited IDSHL but also provide guidance for healthcare providers to develop prevention strategies for infectious diseases.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 2","pages":"Pages 106-113"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000343/pdfft?md5=4bf7c37168d5ac28ff3e4eb394ba0af7&pid=1-s2.0-S1976131724000343-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140779919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Automated Personalized Self-care Program for Patients With Type 2 Diabetes Mellitus: A Pilot Trial","authors":"Gaeun Park ,&nbsp;Haejung Lee ,&nbsp;Yoonju Lee ,&nbsp;Myoung Soo Kim ,&nbsp;Sunyoung Jung ,&nbsp;Ah Reum Khang ,&nbsp;Dongwon Yi","doi":"10.1016/j.anr.2024.04.003","DOIUrl":"10.1016/j.anr.2024.04.003","url":null,"abstract":"<div><h3>Purpose</h3><p>Providing continuous self-care support to the growing diabetes population is challenging. Strategies are needed to enhance engagement in self-care, utilizing innovative technologies for personalized feedback. This study aimed to assess the feasibility of the Automated Personalized Self-Care program among type 2 diabetes patients and evaluate its preliminary effectiveness.</p></div><div><h3>Methods</h3><p>A parallel randomized pilot trial with qualitative interviews occurred from May 3, 2022, to September 27, 2022. Participants aged 40–69 years with type 2 diabetes and HbA1c ≥ 7.0% were recruited. The three-month program involved automated personalized goal setting, education, monitoring, and feedback. Feasibility was measured by participants' engagement and intervention usability. Preliminary effectiveness was examined through self-care self-efficacy, self-care behaviors, and health outcomes. Qualitative interviews were conducted with the intervention group.</p></div><div><h3>Results</h3><p>A total of 404 patients were screened. Out of the 61 eligible patients, 32 were enrolled, resulting in a recruitment rate of 52.5%. Retention rates at three months were 84.2% and 84.6% in the intervention and control groups, respectively. Among the intervention group, 81.3% satisfied adherence criteria. Mobile application's usability scored 66.25, and participants' satisfaction was 8.06. Intention-to-treat analysis showed improvements in self-measured blood glucose testing, grain intake, and HbA1c in the intervention group. Qualitative content analysis identified nine themes.</p></div><div><h3>Conclusion</h3><p>Feasibility of the program was verified. A larger randomized controlled trial is needed to determine its effectiveness in self-care self-efficacy, self-care behaviors, and health outcomes among type 2 diabetes patients. This study offers insights for optimizing future trials assessing clinical effectiveness.</p></div><div><h3>Trial registration</h3><p>Clinical Research Information Service, KCT0008202 (registration date: 17 February 2023).</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 2","pages":"Pages 114-124"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000355/pdfft?md5=32048c05980fe1dfcceebb05e2a49aa0&pid=1-s2.0-S1976131724000355-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Related to Post-traumatic Stress Disorder Symptoms Among Intensive Care Unit Nurses","authors":"SuHee Kim ,&nbsp;YeoJin Im","doi":"10.1016/j.anr.2024.04.009","DOIUrl":"10.1016/j.anr.2024.04.009","url":null,"abstract":"<div><h3>Purpose</h3><p>The aim of this study was to identify the factors affecting the post-traumatic stress disorder (PTSD) symptoms of intensive care unit (ICU) nurses. The variables include event experiences, cognitive flexibility, and co-worker support.</p></div><div><h3>Methods</h3><p>A survey was conducted among <strong>153</strong> ICU nurses working in a general hospital or an advanced general hospital. The questionnaire was completed between October and December 2018, and 153 copies were used for the final analysis. Data were analyzed using multiple linear regression to determine the factors associated with PTSD symptoms among ICU nurses.</p></div><div><h3>Results</h3><p>The level of PTSD symptoms of ICU nurses was 1.20 ± 0.82 out of 4. Full PTSD, signified by a total score of 25 or more, was reported by 45.1% of the study's 153 participants. The significant influencing factors of PTSD symptoms among ICU nurses were the “experience of traumatic events,” “trusted alliance,” which is a subarea of “coworker support,” and both “control” and “alternative,” which are subareas of “cognitive flexibility.” The explanatory power (49.8%) was statistically significant.</p></div><div><h3>Conclusions</h3><p>These results suggest that a program to enhance the cognitive flexibility and coworker support of ICU nurses needs to be developed to reduce the PTSD symptoms of ICU nurses.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 2","pages":"Pages 159-166"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000410/pdfft?md5=e22551e440f9f611bc40f10bdc890729&pid=1-s2.0-S1976131724000410-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Prediction Model for Radiation-induced Dermatitis in Patients with Cervical Carcinoma Undergoing Chemoradiotherapy","authors":"Hong Yang ,&nbsp;Yaru Zhang ,&nbsp;Fanxiu Heng ,&nbsp;Wen Li ,&nbsp;Yumei Feng ,&nbsp;Jie Tao ,&nbsp;Lijun Wang ,&nbsp;Zhili Zhang ,&nbsp;Xiaofan Li ,&nbsp;Yuhan Lu","doi":"10.1016/j.anr.2024.04.012","DOIUrl":"10.1016/j.anr.2024.04.012","url":null,"abstract":"<div><h3>Purpose</h3><p>Radiation-induced dermatitis (RD) is a common side-effect of therapeutic ionizing radiation that can severely affect patient quality of life. This study aimed to develop a risk prediction model for the occurrence of RD in patients with cervical carcinoma undergoing chemoradiotherapy using electronic medical records (EMRs).</p></div><div><h3>Methods</h3><p>Using EMRs, the clinical data of patients who underwent simultaneous radiotherapy and chemotherapy at a tertiary cancer hospital between 2017 and 2022 were retrospectively collected, and the patients were divided into two groups: a training group and a validation group. A predictive model was constructed to predict the development of RD in patients who underwent concurrent radiotherapy and chemotherapy for cervical cancer. Finally, the model's efficacy was validated using a receiver operating characteristic curve.</p></div><div><h3>Results</h3><p>The incidence of radiation dermatitis was 89.5% (560/626) in the entire cohort, 88.6% (388/438) in the training group, and 91.5% (172/188) in the experimental group. The nomogram was established based on the following factors: age, the days between the beginning and conclusion of radiotherapy, the serum albumin after chemoradiotherapy, the use of single or multiple drugs for concurrent chemotherapy, and the total dose of afterloading radiotherapy. Internal and external verification indicated that the model had good discriminatory ability. Overall, the model achieved an area under the receiver operating characteristic curve of .66.</p></div><div><h3>Conclusions</h3><p>The risk of RD in patients with cervical carcinoma undergoing chemoradiotherapy is high. A risk prediction model can be developed for RD in cervical carcinoma patients undergoing chemoradiotherapy, based on over 5 years of EMR data from a tertiary cancer hospital.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 2","pages":"Pages 178-187"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000446/pdfft?md5=f373f7334427162c9177d290e4aee9f3&pid=1-s2.0-S1976131724000446-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Family Functioning and Health-related Quality of Life in Stroke Survivor–Informal Family Caregiver Dyads","authors":"Chia-Chi Li ,&nbsp;Su-Ju Tsai ,&nbsp;Jo-Ching Tai ,&nbsp;Tzu-Jung Wu ,&nbsp;Shu-Mei Tsai ,&nbsp;Shu-Chuan Kao ,&nbsp;Hsiang-Chu Pai","doi":"10.1016/j.anr.2024.04.006","DOIUrl":"10.1016/j.anr.2024.04.006","url":null,"abstract":"<div><h3>Purpose</h3><p>Stroke survivors and their informal family caregivers may share the impact of the disease, which may affect family functioning and quality of life (QoL) for both. This study compared the perceptions of stroke survivors and informal family caregivers regarding family functioning and QoL and examined the QoL of those reporting effective versus ineffective family functioning.</p></div><div><h3>Methods</h3><p>A cross-sectional study design and convenience sampling were used. Stroke survivor–informal family caregiver dyads were recruited from a medical university hospital. We assessed participants’ demographic and clinical variables, including disease severity, family functioning, and QoL. Independent <em>t</em>-test, paired <em>t</em>-test, Wilcoxon signed-rank test, and Mann–Whitney <em>U</em> test were used to analyze the data.</p></div><div><h3>Results</h3><p>Seventy-one stroke survivor–informal family caregiver dyads participated in the current study. Most stroke survivors and informal family caregivers reported effective family functioning, with no significant differences. However, significant differences existed in the seven domains (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, and role-emotional) of QoL, except emotional health. Stroke survivors reporting ineffective family functioning had a significantly lower mental component summary score, unlike informal family caregivers.</p></div><div><h3>Conclusions</h3><p>Our findings suggest that family functioning is crucial to ensure stroke survivors’ QoL, particularly regarding their mental health. Health professionals should prioritize mental health assessments and provide appropriate care interventions for stroke survivors in the first 1–6 months after stroke onset.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 2","pages":"Pages 141-147"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000380/pdfft?md5=a1e73ef6a576ed2119640547a0dd8159&pid=1-s2.0-S1976131724000380-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Medical Help-seeking in Rural Patients with Mental Illness: A Qualitative Meta-synthesis","authors":"Linghui Zhang ,&nbsp;Yubin Chen ,&nbsp;Qi Li ,&nbsp;Jiayuan Zhang ,&nbsp;Yuqiu Zhou","doi":"10.1016/j.anr.2024.04.010","DOIUrl":"10.1016/j.anr.2024.04.010","url":null,"abstract":"<div><h3>Purpose</h3><p>Numerous barriers hinder individuals with mental illness from seeking medical assistance in rural regions, yet a comprehensive understanding of these challenges remains elusive. This meta-synthesis aims to understand the barriers and facilitators in medical help-seeking among rural individuals with mental illness.</p></div><div><h3>Methods</h3><p>We systematically searched seven databases [PubMed, CINAHL, Medline (OVID), PsycINFO (OVID), Cochrane, Embase, and ProQuest] in May 2023 and included the studies if they reported the barriers or/and facilitators to seek healthcare in rural patients with mental illness. We conducted hand search and citation search on Google Scholar for literature supplements. Thematic analysis was employed.</p></div><div><h3>Results</h3><p>The study included 27 articles reporting on the barriers and facilitators to seeking medical help in this population from 2007 to 2023. We ultimately identified themes at three levels: navigating the terrain of vulnerability and empowerment (the individual with mental illness), navigating the terrain of external environment (the external environment) and connectivity within the healthcare ecosystem for mental health (the health service system).</p></div><div><h3>Conclusions</h3><p>We must design more effective strategies to improve mental healthcare access for rural patients, considering cultural nuances and health service utilization patterns. This requires a multi-level approach, tailored to the unique needs of diverse populations.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 2","pages":"Pages 203-214"},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000422/pdfft?md5=08c5d0d019a4b8e793bbe0b351a7c562&pid=1-s2.0-S1976131724000422-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}