Asian Nursing Research最新文献_第5页

Latent Class Analysis of Depression-fatigue-pain Interference Symptoms and Associated Demographic Factors by Sex in Chinese Patients With Stroke: A Cross-sectional Study 中国脑卒中患者抑郁-疲劳-疼痛干扰症状及相关人口统计学因素的性别潜在分类分析：一项横断面研究。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 DOI: 10.1016/j.anr.2025.05.006

Yanjin Huang , Zhiqing He , Weikun Zhang , Yuqian Liu , Wen Zeng , Rong Chen , Changrong Yuan

Purpose

Patients with stroke often experience a series of symptoms during treatment and rehabilitation, which may present various characteristics in different subgroups. The aims of this study were to explore the characteristics of latent class groups of depression, fatigue, and pain in patients of different sexes with stroke and to determine the influence of demographic characteristics on different latent class groups by sex.

Methods

The data of 501 patients with stroke were collected from two tertiary hospitals using convenience sampling between March 2022 and September 2022. The three-domain short forms of Patient-Reported Outcome Measurement Information System were measured. Two homogenous classes were identified in the men and women groups using the latent class analysis method. Multivariable logistic regression analyses were used to examine the relationships of latent classes with demographic data by sex.

Results

For the 501 patients studied, the latent class analysis model that fit with the two latent classes was statistically significant for both men and women. In the men group, Class 1 comprised 38.8% of the population, while Class 2 made up the remaining 61.2%. The probability of membership was 52.2% and 47.8% for Class 1 and Class 2 in the women, respectively. Women had more severe symptom characteristics and had more demographically impacted parameters than men. The factors that influenced male and female patients differed, with household monthly income having the same influence in both groups.

Conclusion

This study found that the latent classes of patients with stroke were highly heterogeneous, with women having more severe symptom characteristics and demographic differences.

目的：脑卒中患者在治疗和康复过程中经常出现一系列症状，这些症状在不同的亚组中可能表现出不同的特征。本研究旨在探讨不同性别脑卒中患者抑郁、疲劳和疼痛的潜在类别群体特征，并确定人口统计学特征对不同性别脑卒中潜在类别群体的影响。方法：采用方便抽样的方法，于2022年3月至2022年9月在两所三级医院收集501例脑卒中患者的资料。测量了PROMIS的三域短形式。使用潜在类分析（LCA）方法在男性和女性组中确定了两个同质类。采用多变量逻辑回归分析来检验潜在类别与性别人口统计数据的关系。结果：在研究的501例患者中，LCA模型与两个潜在类别的拟合在男性和女性中均具有统计学意义。在男性群体中，第1类占38.8%，第2类占61.2%，女性中第1类和第2类的概率分别为52.2%和47.8%。女性比男性有更严重的症状特征和更多的人口统计学影响参数。影响男性和女性患者的因素不同，家庭月收入对两组患者的影响相同。结论：本研究发现脑卒中患者的潜在类别具有高度异质性，女性具有更严重的症状特征和人口统计学差异。

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引用次数: 0

Patients’ Experiences of Sexual Discomfort in South Korean Healthcare Setting: A Hermeneutic Phenomenological Study 韩国医疗环境中患者的性不适体验：解释学现象学研究。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 DOI: 10.1016/j.anr.2025.05.010

Yegyu Lee , Soo Yeon Lim , Sihyun Park

Purpose

Body exposure and physical touch are common components of healthcare procedures. Although they can be essential for ensuring proper care, these practices often evoke negative emotions such as shame, embarrassment, and humiliation among patients. These experiences can further lead to psychological harm, including trauma, preventing patients from seeking follow-up care. Given that these negative encounters vary by the sociocultural and clinical contexts, this study explored patients’ experiences of such “sexual discomfort” in the South Korean healthcare setting.

Methods

Eighteen participants who reported experiencing sexual discomfort during healthcare encounters were enrolled. In-depth interviews were conducted with each participant. All the interviews were audiorecorded, transcribed, and analyzed using van Manen's hermeneutic phenomenological approach.

Results

Five themes emerged, reflecting the universal themes of human existentials suggested by van Manen: suffering from nakedness and modesty violations (vulnerable bodies); navigating uncertainty and trauma (confusing times); being powerless and subordinate (power imbalance); challenging the addressing of my discomfort (isolating spaces); and ensuring control, boundaries, and respect (preserving myself). Hermeneutic phenomenological writing on patients’ experiences of sexual discomfort was provided based on these five themes to comprehensively reinterpret the phenomena.

Conclusion

The healthcare setting in South Korea, which prioritizes efficiency, often leads to unnecessary sexual shame and discomfort for patients. This can be exacerbated by the perceived power inequalities within the provider–patient relationship, intensifying feelings of vulnerability. Nurses’ essential roles in mitigating these negative encounters are frequently overlooked under the guise of maintaining efficiency. The findings of this study offer several implications, emphasizing the need for changes to provider education to enhance patient-centered care.

目的：身体暴露和身体接触是医疗保健程序的常见组成部分。虽然这些做法对于确保适当的护理是必不可少的，但往往会引起患者的负面情绪，如羞耻、尴尬和羞辱。这些经历可能进一步导致心理伤害，包括创伤，使患者无法寻求后续护理。鉴于这些负面遭遇因社会文化和临床背景而异，本研究探讨了韩国医疗机构中患者对这种“性不适”的经历。方法：18名报告在医疗保健遇到性不适的参与者被招募。与每位参与者进行了深入访谈。所有的访谈都被录音、转录，并使用范曼南的解释学现象学方法进行分析。结果：出现了五个主题，反映了van Manen提出的人类存在的普遍主题：遭受裸体和谦虚的侵犯（脆弱的身体）；应对不确定性和创伤（困惑时期）；无力和从属（权力不平衡）；挑战我的不适（隔离空间）；确保控制、界限和尊重（保护我自己）。在这五个主题的基础上，提供了关于患者性不适体验的解释学现象学写作，以全面重新解释这一现象。结论：韩国的医疗环境，优先考虑效率，往往导致不必要的性羞耻和不适的患者。这种情况可能会因医患关系中感知到的权力不平等而加剧，从而加剧脆弱感。护士在减轻这些负面遭遇方面的重要作用经常在保持效率的幌子下被忽视。本研究的结果提供了几个启示，强调需要改变提供者教育，以加强以病人为中心的护理。

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引用次数: 0

Factors Influencing Nurses' Intention to Report Adverse Nursing Events in a Tertiary Hospital Using a Random Forest Model 用随机森林模型分析某三级医院护士不良护理事件报告意向的影响因素

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 DOI: 10.1016/j.anr.2025.05.005

Yuxuan Chen , Wanhong Ding , Jianming Xu , Qi Zhang , Wei Qin

Purpose

The goal of this study was to explore the current status and influencing factors of nurses' intention to report adverse nursing events, using a random forest model to rank and select these factors.

Methods

In August 2024, a survey was conducted among nurses at a tertiary hospital in Shanghai using a convenience sampling method. The instruments included the General Information Questionnaire, the Intention to Report Questionnaire, the Reporting of Clinical Adverse Effects Scale (RoCAES), and the Reporting Barrier Questionnaire. A random forest model and stepwise multiple linear regression were used to analyze the factors influencing nurses' intention to report nursing adverse events.

Results

The median total score for the intention to report adverse events among 823 nurses was 14 (range: 0 to 15). Lasso regression identified eight key factors influencing the intention to report adverse events: professional title, whether the nurse had reported adverse events, age, punitive culture, reporting process, reporting significance, reporting purpose, and reporting environment. Stepwise regression analysis revealed that younger nurses, those with no prior reporting experience, and those who perceived reporting as important had a higher intention to report adverse events. Additionally, nurses were more likely to report adverse events when the hospital's reporting process was simpler and the culture was less punitive.

Conclusions

Nurses' intention to report adverse events in nursing is moderate. Nursing managers should consider these influencing factors holistically and implement targeted measures to enhance nurses' intention to report, thereby improving nursing quality and patient safety.

目的：本研究旨在探讨护士不良护理事件报告意愿的现状及影响因素，采用随机森林模型对这些因素进行排序和选择。方法：于2024年8月对上海市某三级医院护士采用方便抽样法进行调查。这些工具包括一般信息问卷、报告意向问卷、临床不良反应报告量表（RoCAES）和报告障碍问卷。采用随机森林模型和逐步多元线性回归分析护士不良事件报告意向的影响因素。结果：823名护士不良事件报告意向总分中位数为14分（范围：0 ~ 15分）。Lasso回归确定了8个影响不良事件报告意向的关键因素：职称、护士是否报告过不良事件、年龄、惩戒文化、报告流程、报告意义、报告目的和报告环境。逐步回归分析显示，年轻护士、没有报告经验的护士和认为报告重要的护士报告不良事件的意愿更高。此外，当医院的报告流程更简单，文化惩罚更少时，护士更有可能报告不良事件。结论：护士报告护理不良事件的意愿中等。护理管理者应综合考虑这些影响因素，有针对性地采取措施，提高护士的报告意愿，从而提高护理质量和患者安全。

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引用次数: 0

Cross-cultural Adaptation and Validation of the Chinese Version of Atrial Fibrillation Information Overload Scale 房颤信息过载量表中文版的跨文化适应与验证

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 DOI: 10.1016/j.anr.2025.06.001

Qing Wu , Songyu Gao , Fengwei Dong , Jing Shang , Lin Wang

Purpose

Patients with atrial fibrillation (AF) experience information overload during self-management and engagement in health care. The Atrial Fibrillation Information Overload Scale (AFIOS) has been validated and used to assess information overload in Australian AF population. However, a validated Chinese version of AFIOS is not available. The aim of this study was to translate the 8-item and modified 5-item AFIOSs from English into Chinese and test their psychometric properties.

Methods

Translation and cross-cultural adaption were conducted according to international guidelines. The translated scales were administered to 362 patients with AF from May 2022 to March 2023. Psychometric evaluation included item analysis, content validity, construct validity, and reliability.

Results

All items had item-total correlation coefficient over .30 and were significantly different between high-scoring and low-scoring groups. Exploratory factor analysis revealed that both versions were one-factor structure, explaining 52.1% and 52.7% of the total variance. Confirmatory factor analysis indicated that the one-factor model fit the data well in both versions. The scale level-content validity index, Cronbach α, and test–retest reliability of the 8-item scale were .96, .87, and .97, respectively; those of the 5-item scale were .97, .75, and .95, respectively.

Conclusion

Chinese versions of both the scales exhibit good psychometric properties. Healthcare professionals could utilize the 5-item version scale to assess AF patients’ information overload and develop targeted strategies to mitigate its negative impact on self-management and engagement.

目的：心房颤动（AF）患者在自我管理和参与医疗保健时经历信息过载。房颤信息过载量表（AFIOS）已被验证并用于评估澳大利亚房颤人群的信息过载。但是，目前还没有经过验证的AFIOS中文版本。本研究的目的是将8项和修改后的5项AFIOS从英文翻译成中文，并测试其心理测量特性。方法：按照国际标准进行翻译和跨文化改编。从2022年5月至2023年3月，对387例房颤患者进行了翻译后的量表。心理测量评价包括项目分析、内容效度、结构效度和信度。结果：各题项与总分的相关系数均在0.30以上，且高分组与低高分组之间存在显著性差异。探索性因子分析显示，两种版本均为单因素结构，分别解释总方差的52.1%和52.7%。验证性因子分析表明，单因素模型对两个版本的数据拟合良好。8项量表的S-CVI信度、Cronbach’s alpha信度和重测信度分别为0.96、0.87和0.97；5项量表的得分分别为0.97、0.75和0.95。结论：两种中文版量表均具有良好的心理测量特性。医疗保健专业人员可以利用5项版本量表来评估房颤患者的信息过载，并制定有针对性的策略来减轻其对自我管理和参与的负面影响。

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引用次数: 0

Identification of Symptom Trajectories in Children With Hematological Malignancies Along the Chemotherapy Cycle: A Growth Mixture Model 儿童恶性血液病在化疗周期中症状轨迹的鉴定：生长混合模型。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 DOI: 10.1016/j.anr.2025.05.003

Zhuting Zheng , Danyu Li , Changrong Yuan , Jingting Wang , Yingwen Wang , Ling Yu , Haiying Huang , Yanqing Wang , Wen Zhang

Purpose

To evaluate the longitudinal trajectories of chemotherapy-related symptoms over the first cycle of chemotherapy in a group of children with hematological malignancies at four time points and to identify the sociodemographic or disease characteristics of different trajectories.

Methods

The multicenter sample comprised 120 pairs of chemotherapy-treated children and their caregivers. We collected data on seven symptoms. A growth mixture model was used to identify symptom trajectories. Logistic regression analysis was used to compare the sociodemographic and clinical variables of the individuals during each trajectory.

Results

Three mobility trajectories, two anxiety trajectories, three depressive symptoms trajectories, three fatigue trajectories, two peer relationship trajectories, three pain interference trajectories, and three pain intensity trajectories were identified, respectively. Moreover, children's age, sex, white blood cell (WBC) index, and caregiver's educational background differentially influenced the symptom trajectories.

Conclusion

This study identified important symptom trajectories in children with hematological malignancies. More stable variables have been associated with trajectories, and future preventive interventions should promote adaptive coping strategies.

目的：评估一组血液学恶性肿瘤儿童在四个时间点的第一个化疗周期中化疗相关症状的纵向轨迹，并确定不同轨迹的社会人口学或疾病特征。方法：采用多中心抽样方法，对120对接受化疗的儿童及其照顾者进行调查。我们收集了7种症状的数据。生长混合模型用于识别症状轨迹。采用Logistic回归分析比较各轨迹中个体的社会人口学和临床变量。结果：分别识别出3条活动轨迹、2条焦虑轨迹、3条抑郁症状轨迹、3条疲劳轨迹、2条同伴关系轨迹、3条疼痛干扰轨迹和3条疼痛强度轨迹。此外，儿童的年龄、性别、白细胞指数和照顾者的学历对症状轨迹的影响存在差异。结论：本研究确定了儿童血液系统恶性肿瘤的重要症状轨迹。更稳定的变量与轨迹有关，未来的预防性干预措施应促进适应性应对策略。

{"title":"Identification of Symptom Trajectories in Children With Hematological Malignancies Along the Chemotherapy Cycle: A Growth Mixture Model","authors":"Zhuting Zheng , Danyu Li , Changrong Yuan , Jingting Wang , Yingwen Wang , Ling Yu , Haiying Huang , Yanqing Wang , Wen Zhang","doi":"10.1016/j.anr.2025.05.003","DOIUrl":"10.1016/j.anr.2025.05.003","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the longitudinal trajectories of chemotherapy-related symptoms over the first cycle of chemotherapy in a group of children with hematological malignancies at four time points and to identify the sociodemographic or disease characteristics of different trajectories.</div></div><div><h3>Methods</h3><div>The multicenter sample comprised 120 pairs of chemotherapy-treated children and their caregivers. We collected data on seven symptoms. A growth mixture model was used to identify symptom trajectories. Logistic regression analysis was used to compare the sociodemographic and clinical variables of the individuals during each trajectory.</div></div><div><h3>Results</h3><div>Three mobility trajectories, two anxiety trajectories, three depressive symptoms trajectories, three fatigue trajectories, two peer relationship trajectories, three pain interference trajectories, and three pain intensity trajectories were identified, respectively. Moreover, children's age, sex, white blood cell (WBC) index, and caregiver's educational background differentially influenced the symptom trajectories.</div></div><div><h3>Conclusion</h3><div>This study identified important symptom trajectories in children with hematological malignancies. More stable variables have been associated with trajectories, and future preventive interventions should promote adaptive coping strategies.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 331-338"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512794","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 Effect of Progressive Relaxation Exercises on Pain and Bowel Movements in Patients Undergoing Laparoscopic Cholecystectomy: A Randomized Controlled Trial 渐进式放松练习对腹腔镜胆囊切除术患者疼痛和排便的影响：一项随机对照试验。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 DOI: 10.1016/j.anr.2025.08.004

Şuheda Zorer Yılmaz , Dilek Gürçayır PhD

Purpose

Postoperative pain and decreased bowel movements are common complications following laparoscopic cholecystectomy. This study aimed to investigate the effect of progressive relaxation exercises on pain and bowel movements after this procedure.

Methods

The data of the randomized controlled experimental study were collected between January and April 2024 in the general surgery clinic of a university hospital. The study sample consisted of 80 patients (40 experimental and 40 control) selected by simple randomization who met the research criteria. Patients in the experimental group underwent progressive relaxation exercises at the fourth and sixth hours after surgery. The Descriptive Information Form, Visual Analog Scale Pain Form, and Bowel Movement Monitoring Form were used to collect the data. Data were analyzed using Chi-square tests, independent-samples t-tests, the Mann–Whitney U test, generalized estimating equations, and Pearson correlation analysis.

Results

The mean pain scores of the patients in the experimental group after the first application, before the second application, and after the second application were statistically significantly lower than those of the patients in the control group (p < .05). The generalized estimating equations analysis revealed a statistically significant increase in the effect of progressive relaxation exercises on pain reduction over time (p < .05). The time of the first bowel sounds, first flatus, and first defecation were statistically and significantly earlier in the experimental group than in the control group (p < .05).

Conclusion

Progressive relaxation exercises decreased postoperative pain and shortened the time to the first bowel movements, the first flatus, and the first defecation in patients undergoing laparoscopic cholecystectomy.

Clinical trial registration number

Clinical Trials Registration Number is NCT05969509. This study was registered on 07 December 2023.

目的：术后疼痛和排便减少是腹腔镜胆囊切除术后常见的并发症。这项研究旨在调查渐进式放松练习对手术后疼痛和排便的影响。方法：采用随机对照实验研究方法，于2024年1月~ 4月在某大学附属医院普外科门诊进行。研究样本采用简单随机法选取符合研究标准的患者80例（试验组40例，对照组40例）。实验组患者在术后第4、6小时进行渐进式放松练习。采用描述性信息表、视觉模拟疼痛量表和肠蠕动监测表收集数据。数据分析采用卡方检验、独立样本t检验、Mann-Whitney U检验、广义估计方程（GEE）和Pearson相关分析。结果：实验组患者第一次敷药后、第二次敷药前、第二次敷药后的平均疼痛评分均低于对照组，差异有统计学意义（p < 0.05）。GEE分析显示，随着时间的推移，渐进式放松练习对疼痛减轻的影响有统计学意义的显著增加（p < 0.05）。实验组首次肠音、首次胀气、首次排便时间均早于对照组，差异有统计学意义（p < 0.05）。结论：渐进式放松练习减轻了腹腔镜胆囊切除术患者术后疼痛，缩短了患者开始排便时间、首次放屁时间和首次排便时间。临床试验注册号：临床试验注册号：NCT05969509。于2023年12月7日注册本研究已注册临床试验ID （NCT05969509）。

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引用次数: 0

Categories of Characteristics of Nurses' Meaning in Life and its Relationship With Gratitude: A Cross-sectional Study 护士生活意义的分类特征及其与感恩的关系：一项横断面研究。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 DOI: 10.1016/j.anr.2025.03.011

Tingting Wang , Xia Chen , Shanbing Hou , Lixiang Zhang , Fangfang Zhao , Jing Chen

Purpose

To explore the potential category characteristics of nurses' sense of meaning in life, and analyze the influencing factors of different categories and their relationship with gratitude.

Methods

A total of 2023 nurses from 6 hospitals in Anhui Province of China were investigated by the Meaning in Life Scale and Gratitude Questionnaire, and analyzed statistically by potential profile analysis, univariate analysis, and multiple logistic regression analysis.

Results

The potential categories of nurses' meaning in life could be divided into the moderate seeking-low presence of meaning in life group (18.9 %), high seeking-moderate presence of meaning in life group (71.3 %), and low seeking-high presence of meaning in life group (9.7 %). Influencing factors included marital status, history of psychological illness, and gratitude (p < .05).

Conclusion

Nurses' meaning in life is at a medium to high level, with distinct classification characteristics. Nursing managers should pay special attention to nurses in specific situations, providing more opportunities for them to seek meaning in life. Additionally, they should promote gratitude and explore strategies that integrate gratitude into clinical practice.

目的：探讨护士生活意义感的潜在类别特征，分析不同类别的影响因素及其与感恩的关系。方法：采用《生命意义量表》和《感恩问卷》对安徽省6家医院的2023名护士进行调查，并采用潜在特征分析、单变量分析和多元logistic回归分析进行统计分析。结果：护士生活意义的潜在类别分为中寻求-低寻求生命意义存在组（18.9%）、高寻求-中等寻求生命意义存在组（71.3%）和低寻求-高寻求生命意义存在组（9.7%）。影响因素包括婚姻状况、心理病史、感恩程度（P < 0.05）。结论：护士生活意义处于中高水平，分类特征明显。护理管理者应该特别关注特殊情况下的护士，为她们提供更多寻求人生意义的机会。提倡感恩，探索将感恩融入临床实践的策略。

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引用次数: 0

Effect of Continuous Nursing Care on Social Function and Medication Compliance of Female Patients With Schizophrenia 持续护理对女性精神分裂症患者社会功能及用药依从性的影响。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 DOI: 10.1016/j.anr.2025.05.002

Min Gao , Ke Xu , Shiyang Wang , Cuifeng Yang , Guifang Ru , Liying Chen , Gaofeng Yao , Chuanbing Li , Yumei Cai

Purpose

Continuity of care is considered to be a critical indicator of quality of care and a key to effective management of schizophrenia. Current studies are generally represented by data on male patients. This study examines the effects of continuity of care on social functioning, medication adherence, and readmission rates in female schizophrenic patients.

Methods

A total of 50 women patients with schizophrenia discharged from a ward of a psychiatric hospital in Fuyang, Anhui province were selected and randomly divided into 2 groups. This is a randomized controlled trial. Patients in the intervention group were given discharge routine care, education on medication-taking methods and precautions, monthly telephone follow-up visits and reminders for outpatient review, followed by continuous nursing. Patients in the control group were given conventional care. The registration number of this study is ChiCTR2400089061.

Results

When comparing the two groups at different time points, except for the preintervention score which was not statistically significant between the two groups, the total social functioning score of the intervention group was higher than that of the control group at all other time points, and the difference was statistically significant. The effect of intervention factors on medication adherence scores was statistically significant when compared at different time points, and the medication adherence scores of the intervention group were higher than those of the control group at all time points, with statistically significant differences.

Conclusion

We found that patients who received extended care had significantly improved social functioning and higher medication adherence than patients who received usual care at various time points.

目的：护理的连续性被认为是护理质量的关键指标，也是精神分裂症有效管理的关键。目前的研究通常以男性患者的数据为代表。本研究探讨持续性护理对女性精神分裂症患者社会功能、药物依从性和再入院率的影响。方法：选择安徽省XX市某精神病院某病房出院的女性精神分裂症患者50例，随机分为2组。这是一个随机对照试验。干预组患者给予出院常规护理、用药方法及注意事项教育、每月电话随访及门诊复查提醒，并进行持续护理。对照组患者给予常规护理。本次研究的注册号为ChiCTR2400089061。结果：两组在不同时间点比较，除干预前得分两组间差异无统计学意义外，干预组社会功能总分在其他时间点均高于对照组，差异均有统计学意义。不同时间点干预因素对药物依从性评分的影响有统计学意义，干预组在各时间点的药物依从性评分均高于对照组，差异有统计学意义。结论：我们发现，在不同的时间点，接受延长护理的患者在社会功能和药物依从性方面均显著改善。

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引用次数: 0

Age-group variations in the associations between technostress, job burnout, and work engagement among nurses: Evidence from a network analysis. 护士技术压力、工作倦怠和工作投入之间关系的年龄组差异：来自网络分析的证据。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-09-03 DOI: 10.1016/j.anr.2025.06.002

Haonan Zhang, Zhenduo Zhang, Huan Xiao, Ruoyi Qu, Zheng Zhou

Background: While digital transformation has become a necessary trend for hospitals, it imposes technostress on nurses working on the health-care front lines. According to previous research, it increases conflict between nurses and patients but the mechanism and age difference are ignored.

Methods: A total of 672 nurses recruited from five hospitals in Liaoning Province, China. Network analysis was adopted to analyze the network characteristics among technostress, job burnout, and work engagement, as well as to compare gender difference.

Results: The expected influence of techno-induced invasion of privacy was highest for nurses aged below the age of 40 (1.145), while techno-induced role ambiguity was more significant for those who aged above 40 (0.984). The betweenness of job burnout was highest (emotional exhaustion = 1.341 and cynicism = 1.772). For nurses aged below 40, the betweenness of cynicism was higher (2.056) than that of older nurses, and it had a negative association with dedication (W = -0.079). Conversely, for older nurses, the betweenness of cynicism was higher (1.276) compared to nurses below 40 and was negatively associated with absorption (W = -0.055).

Conclusion: (1) Younger nurses suffer more from invasion of privacy while older nurses are more concerned about role ambiguity. (2) Technostress is positively and directly associated with job burnout and has an indirect negative relationship with work engagement through job burnout. (3) Controlling cynicism is more important for younger nurses while emotional exhaustion is more important for older nurses. This research help understanding the complex interrelationships helps hospital administrators to better address nurses' stress and adapt targeted strategies during digital transformation.

背景：虽然数字化转型已成为医院的必然趋势，但它给在医疗保健一线工作的护士带来了技术压力。根据以往的研究，它增加了护患之间的冲突，但忽视了机制和年龄差异。方法：从辽宁省5家医院招募护士672人。采用网络分析法分析技术压力、工作倦怠和工作投入三者之间的网络特征，并比较性别差异。结果：40岁以下护士对技术诱导侵犯隐私的预期影响最高（1.145），40岁以上护士对技术诱导的角色模糊的预期影响更显著（0.984）。工作倦怠的中介性最高（情绪耗竭= 1.341，玩世不恭= 1.772）。年龄在40岁以下的护士犬儒主义的中间值高于年龄较大的护士（2.056），且与敬业精神呈负相关（W = -0.079）。相反，对于年龄较大的护士，玩世不恭的中间值高于40岁以下的护士（1.276），并且与吸收负相关（W = -0.055）。结论：(1)年轻护士更容易受到隐私侵犯，而年长护士更担心角色模糊。(2)技术压力与工作倦怠有直接正向关系，并通过工作倦怠与工作投入有间接负向关系。(3)年轻护士更重视控制玩世不恭，年长护士更重视控制情绪耗竭。这项研究有助于理解复杂的相互关系，有助于医院管理者更好地解决护士的压力，并在数字化转型期间采取有针对性的策略。

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引用次数: 0

Development and Evaluation of a Prenatal Education Course for Grandparents in Japan: A Quasi-experimental Study 日本祖父母产前教育课程的开发与评价：一项准实验研究。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-08-01 DOI: 10.1016/j.anr.2025.05.001

Akemi Isoyama

Purpose

To develop and evaluate a prenatal education course that encourages grandparents to fulfill their role in caring for a new grandchild in a balanced and healthy manner.

Methods

A quasi-experimental study design was used. The Analyze, Design, Develop, Implement, and Evaluate (ADDIE) model was used as the methodological framework for the prenatal education course. The course was self-paced and comprised three videos. To supplement the video materials, the same content was provided in a textual form as well. The cognitive and affective domains of the grandparents’ role performance were measured before and after the course using a self-administered questionnaire.

Results

One hundred soon-to-be grandparents were included in the analysis. The post-intervention mean scores in the cognitive domain were higher for all items including: “I know the current situation of grandparenting” (p < .001), “I know the impact of grandparenting on grandparents’ health” (p < .001), and “I know how to provide emotional support to mothers” (p < .001). In the affective domain, postintervention mean scores were significantly higher for 11 items including, “I want to help raise my grandchildren when they are born” (p < .003), “Grandparenting makes my own life more enjoyable” (p < .004), “I'm looking forward to raising my grandchildren” (p < .002), and “I would like to assist with household chores when my grandchildren are born” (p < .002).

Conclusions

From a nursing perspective, there has been a lack of prenatal education that considers grandparents as participants in childcare. The prenatal education course helped soon-to-be grandparents understand how they could approach grandparenting and demonstrated the usefulness of increasing awareness about the role of grandparents in the family.

目的：开发和评估产前教育课程，鼓励祖父母以平衡和健康的方式履行照顾新孙子的职责。方法：采用准实验研究设计。采用ADDIE模型作为产前教育课程的方法学框架。该课程是自定进度的，由三个视频组成。为了补充录像资料，还以文本形式提供了同样的内容。通过自行填写的问卷，在课程前后测量祖父母角色表现的认知和情感领域。结果：100位准祖父母被纳入分析。干预后认知领域的平均得分在“我知道祖父母的现状”（p < .001）、“我知道祖父母对祖父母健康的影响”（p < .001）和“我知道如何为母亲提供情感支持”（p < .001）的所有项目中都有所提高。在情感领域，干预后平均得分显著提高的11个项目，包括“我想在我的孙子孙女出生后帮助抚养他们”（p < .003）、“祖父母使我自己的生活更愉快”（p < .004）、“我期待抚养我的孙子孙女”（p < .002）和“我想在我的孙子孙女出生后帮助做家务”（p < .002）。结论：从护理的角度来看，一直缺乏将祖父母视为儿童主体的产前教育。产前教育课程帮助即将成为祖父母的人了解如何做祖父母，并展示了提高对祖父母在家庭中的作用的认识的有用性。

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