Asian Nursing Research最新文献_第5页

Relationship Between Autonomous Motivation for Dietary Self-Care Behaviors and Quality of Life in People with Type 2 Diabetes: A Structural Equation Modeling Approach 2型糖尿病患者饮食自我护理行为的自主动机与生活质量的关系：结构方程建模方法

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-12-01 Epub Date: 2025-09-02 DOI: 10.1016/j.anr.2025.08.001

Kanako Morinishi , Yasunori Nakamura , Yoshihito Fujita , Masahito Ogura , Daisuke Tanaka , Nobuya Inagaki , Kazuko Nin

Purpose

Diabetes has the most detrimental impact on the dietary freedom of people with type 2 diabetes (T2D), and it is important to facilitate dietary self-care behaviors in people with T2D without impairing quality of life (QOL). Autonomous motivation to perform dietary self-care behaviors could lessen their psychological burden and maintain their QOL. Therefore, the purpose of this study was to identify the relationship between autonomous motivation for dietary self-care behaviors and QOL in people with T2D by establishing a hypothetical model using competence and implementation levels of dietary self-care behaviors as mediating variables.

Methods

This cross-sectional study recruited participants and collected data from August 2022 to January 2023 using questionnaires assessing autonomous motivation for dietary self-care behaviors, competence and implementation levels of dietary self-care behaviors, and QOL directed toward people with T2D at the outpatient diabetes department of a university hospital. The authors tested the hypothetical model using structural equation modeling (SEM).

Results

A total of 223 participants completed the questionnaires. The hypothetical model was modified based on testing the model using SEM. The final model showed a good fit, χ²(1) = 0.37 (p = .545); comparative fit index = 1.00; root mean square error of approximation = .00; standardized root mean squared residual = .01. The results showed that autonomous motivation for dietary self-care behaviors was positively associated with overall QOL through competence and implementation levels of dietary self-care behaviors, whereas it was not associated with diabetes-dependent QOL.

Conclusion

Given that the final model was exploratory due to modifications from the hypothetical model, further validation, including cross-validation using independent samples, should assess the replicability and robustness of the model structure. Based on such validation, interventions to increase autonomous motivation for dietary self-care behaviors in people with T2D may need to be developed and evaluated to improve their QOL.

目的：糖尿病对2型糖尿病（T2D）患者的饮食自由影响最大，在不影响生活质量（QOL）的情况下，促进T2D患者的饮食自理行为具有重要意义。自主动机的饮食自我照顾行为可以减轻心理负担，维持生活质量。因此，本研究旨在以饮食自我护理行为能力和实施水平为中介变量，建立假设模型，探讨饮食自我护理行为自主动机与T2D患者生活质量之间的关系。方法：本横断面研究于2022年8月至2023年1月对某大学医院糖尿病门诊t2dm患者的饮食自我护理行为的自主动机、饮食自我护理行为的能力和实施水平以及生活质量进行问卷调查。作者利用结构方程模型（SEM）对假设模型进行了验证。结果：共223人完成问卷调查。通过扫描电镜对模型进行检验，对假设模型进行了修正。最终模型拟合良好，χ2(1) = 0.37 (p = .545)；比较拟合指数= 1.00；近似均方根误差= 0.00；标准化均方根残差= 0.01。结果表明，饮食自我护理行为的自主动机通过饮食自我护理行为的能力和实施水平与总体生活质量呈正相关，而与糖尿病依赖型生活质量无关。结论：由于假设模型的修改，最终模型是探索性的，进一步的验证，包括使用独立样本的交叉验证，应该评估模型结构的可复制性和稳健性。基于这样的验证，可能需要开发和评估干预措施，以增加T2D患者饮食自我保健行为的自主动机，以改善他们的生活质量。

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引用次数: 0

Bidirectional Association of Tinnitus and Psychological Distress Among Nurses at One-year Follow-up: A Propensity Score-matched Cohort Study From China 一年随访中护士耳鸣与心理困扰的双向关联：一项来自中国的倾向评分匹配队列研究。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-12-01 Epub Date: 2025-09-02 DOI: 10.1016/j.anr.2025.06.003

Miao Yu , Hongbo Chen , Minyue Pei , Siyan Zhan , Baohua Li

Purpose

The association between tinnitus and psychological distress aimed at nurses is often ignored. This study examined the bidirectional associations between tinnitus and psychological distress at the 1-year follow-up.

Methods

Data were retrieved from the National Nurse Health Study in China from 2021 to 2022. To control for potential confounders, we used propensity score matching at a ratio of 1:3 through the nearest-neighbor method with a caliper limit of 0.2. We first explored the correlation between baseline tinnitus and subsequent psychological distress assessed by the Symptom Checklist-90-Revised (Analysis 1), and then explored the correlation between baseline psychological distress and subsequent tinnitus (Analysis 2). The logistic regression analysis and test for interaction were used.

Results

In the Analysis one, 232 nurses were analyzed, including 58 tinnitus sufferers and 174 non-tinnitus nurses as a matched comparison with similar baseline characteristics. A significant difference in the rate of psychological distress was observed between the two groups. The interaction tests showed tinnitus nurses with college or above education or working for more than 11 years were more likely to develop psychological distress. In the Analysis two, 397 nurses were analyzed, including 105 with psychological distress, and 292 nurses as a matched control group. We did not find that psychological distress could increase the risk of tinnitus at the 1-year follow-up, which was confirmed by subgroup analysis.

Conclusion

The results suggested that nurses with tinnitus may be at an increased likelihood of developing psychological distress, especially among those with a higher education level and who have worked for 11 years. However, given the potential confounding factors (e.g., self-reported data, small sample size), future longitudinal studies with larger cohorts are needed to confirm these results.

Clinical trial number

The study was registered in Clinicaltrials.gov on September 30^th, 2020 (https://clinicaltrials.gov/ct2/show/NCT04572347).

目的：耳鸣与护士心理困扰的关系常被忽视。这项研究在1年的随访中检查了耳鸣和心理困扰之间的双向关联。方法：数据来源于中国2021 - 2022年全国护士健康研究。为了控制潜在的混杂因素，我们通过最近邻方法以1:3的比例使用倾向评分匹配，卡尺极限为0.2。我们首先通过症状检查表-90-修订版探讨基线耳鸣与后续心理困扰的相关性（分析1），然后探讨基线心理困扰与后续耳鸣的相关性（分析2）。采用logistic回归分析和交互作用检验。结果：分析一共有232名护士参与分析，其中耳鸣患者58名，非耳鸣护士174名，基线特征相似。两组患者心理困扰率差异有统计学意义。相互作用测试显示，大专以上学历或工作11年以上的耳鸣护士更容易出现心理困扰。分析二共对397名护士进行分析，其中105名护士存在心理困扰，292名护士作为匹配对照组。在1年的随访中，我们没有发现心理困扰会增加耳鸣的风险，亚组分析证实了这一点。结论：耳鸣护士发生心理困扰的可能性较高，特别是高学历和工作11年以上的护士。然而，考虑到潜在的混杂因素（例如，自我报告的数据，小样本量），未来需要更大队列的纵向研究来证实这些结果。临床试验号：该研究已于2020年9月30日在Clinicaltrials.gov （https://clinicaltrials.gov/ct2/show/NCT04572347）上注册。

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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 Epub Date: 2025-12-02 DOI: 10.1016/j.anr.2025.10.002

Ying Zhang , Hu Jiang , Huimin Sun

引用次数: 0

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 Epub Date: 2025-09-05 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

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 Epub Date: 2025-09-08 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

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 Epub Date: 2025-09-03 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。

{"title":"Latent Profile Analysis and Influencing Factors of Learned Helplessness in Maintenance Hemodialysis Patients: A Cross-sectional Study","authors":"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","doi":"10.1016/j.anr.2025.07.004","DOIUrl":"10.1016/j.anr.2025.07.004","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 5","pages":"Pages 442-452"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006937","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 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

Dyadic effects of family function and financial toxicity on quality of life in lung cancer patients and family caregivers: An actor-partner interdependence mediation model. 家庭功能和经济毒性对肺癌患者和家庭照顾者生活质量的双重影响：一个行动者-伴侣相互依赖的中介模型。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-11-03 DOI: 10.1016/j.anr.2025.09.004

Hui Shan, Weisong Wang, Xiaoying Wang, Fang Liu

Purpose: Lung cancer has a profound impact on the whole family, particularly patients and family caregivers. This research adopted a dyadic method to examine the dyadic effect of family function on quality of life (QoL), and the mediating role of financial toxicity in lung cancer patient-caregiver dyads.

Methods: This was cross-sectional research that included 218 pairs of participants. Family function, financial toxicity, and QoL were assessed by Family Assessment Device, Comprehensive scores for financial toxicity based on patient-reported outcome measures and The European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire, respectively. SPSS 24.0 and AMOS 23.0 statistical software were used for statistical analysis.

Results: The actor-partner interdependence mediation model analysis demonstrated good model fit (χ²/df =2.333, RMSEA=0.078, NFI=0.995, TLI=0.992, CFI=0.997, SRMR =0.004). Results revealed significant dyadic interdependence, showing that both patients' and family caregivers' QoL was associated with their own and their partner's family function and financial toxicity. Notably, family function exerted both actor effects (individual's family function influencing their own QoL) and partner effects (individual's family function influencing their partner's QoL). Mediation analysis further indicated that these effects operated through both direct pathways and indirect pathways mediated by financial toxicity - where one's family function could impact either their own or their partner's QoL via their own or their partner's financial toxicity.

Conclusions: The findings highlight the need for integrated interventions targeting both family dynamics and financial distress to enhance well-being in cancer care dyads. Adopting this dyadic approach may significantly improve QoL for patients and caregivers, particularly in oncological settings where financial toxicity intensifies disease-related challenges.

目的：肺癌对整个家庭，特别是患者和家庭照顾者有着深远的影响。本研究采用二元方法考察家庭功能对生活质量（QoL）的二元效应，以及财务毒性在肺癌患者-照顾者二元关系中的中介作用。方法：这是一项横断面研究，包括218对参与者。家庭功能、财务毒性和生活质量分别通过家庭评估装置、基于患者报告的结果测量的财务毒性综合评分和欧洲癌症研究和治疗组织生活质量问卷进行评估。采用SPSS 24.0和AMOS 23.0统计软件进行统计分析。结果：行动者-伴侣相互依赖中介模型分析显示模型拟合良好（χ2/df =2.333， RMSEA=0.078， NFI=0.995， TLI=0.992， CFI=0.997, SRMR =0.004）。结果显示显着的二元相互依赖，表明患者和家庭照顾者的生活质量与他们自己和他们的伴侣的家庭功能和财务毒性有关。值得注意的是，家庭功能同时发挥行动者效应（个体的家庭功能影响其自身的生活质量）和伴侣效应（个体的家庭功能影响其伴侣的生活质量）。中介分析进一步表明，这些影响通过财务毒性介导的直接途径和间接途径起作用，其中一个家庭功能可能通过自己或伴侣的财务毒性影响自己或伴侣的生活质量。结论：研究结果强调需要针对家庭动态和经济困难进行综合干预，以提高癌症护理夫妇的福祉。采用这种二元方法可以显著改善患者和护理人员的生活质量，特别是在肿瘤环境中，经济毒性加剧了与疾病相关的挑战。

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引用次数: 0

Effects of climate change anxiety and environmental sustainability attitudes on pro-environmental behaviors among nursing students: A cross-sectional study. 气候变化焦虑和环境可持续性态度对护生亲环境行为影响的横断面研究

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-11-01 DOI: 10.1016/j.anr.2025.08.005

Yeonju Lee, Sun Joo Jang, Haeyoung Lee

Purpose: This study aimed to investigate the effects of climate change anxiety and environmental sustainability attitudes on pro-environmental behaviors among nursing students. As the core workforce of future nursing, nursing students must adapt to all nursing environments affected by climate change and be empowered to address its risks and impacts. They can play a crucial role in contributing to a healthy environment by enhancing their capacity to respond to climate change and practicing pro-environmental behaviors.

Methods: Data were collected from April 15 to 22, 2024, through an online survey distributed to junior and senior nursing students with clinical experience. Responses from 334 participants were analyzed using multiple regression analysis to examine the relationships between climate change anxiety, environmental sustainability attitudes, and pro-environmental behaviors.

Results: Multiple regression analysis revealed environmental sustainability attitudes, cognitive impairment (a subfactor of climate change anxiety), academic year, and gender (in decreasing order of effect size) to be significant predictors of pro-environmental behaviors. The regression model explained 15% of the variance in pro-environmental behaviors.

Conclusions: Higher environmental sustainability attitudes and lower levels of cognitive anxiety are associated with an increase in pro-environmental behaviors. To boost such behaviors among nursing students, enhancing environmental sustainability attitudes and effectively managing climate change anxiety, specifically cognitive impairment, are essential.

目的：探讨气候变化焦虑和环境可持续性态度对护生亲环境行为的影响。作为未来护理的核心劳动力，护生必须适应受气候变化影响的所有护理环境，并有能力应对气候变化的风险和影响。他们可以通过提高应对气候变化的能力和采取有利于环境的行为，在促进健康环境方面发挥关键作用。方法：于2024年4月15日至22日，通过在线调查的方式对有临床经验的大三、大四护生进行调查。采用多元回归分析对334名被试的反馈进行分析，探讨了气候变化焦虑、环境可持续性态度和亲环境行为之间的关系。结果：多元回归分析显示，环境可持续性态度、认知障碍（气候变化焦虑的子因素）、学年和性别（效应量由大到小）是亲环境行为的显著预测因子。回归模型解释了亲环境行为中15%的方差。结论：较高的环境可持续性态度和较低的认知焦虑水平与亲环境行为的增加有关。为了促进护理专业学生的这种行为，提高环境可持续性的态度和有效管理气候变化焦虑，特别是认知障碍，是必不可少的。

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引用次数: 0

Factors Predicting Depression among Disadvantaged Adolescents 预测弱势青少年抑郁的因素。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 Epub Date: 2025-05-28 DOI: 10.1016/j.anr.2025.05.009

Maliwan Wongkhan, Patcharin Nintachan, Sopin Sangon, Pisamai Orathai

Purpose

This study had two main objectives. First, it aimed to validate a causal model of the relationships between gender, family history of depression, rumination, perceived negative life events, perceived stress, resilience, and depression among disadvantaged adolescents. Second, it aimed to investigate both the direct and indirect effects of gender, family history of depression, rumination, perceived negative life events, perceived stress, and resilience on depression among disadvantaged adolescents.

Methods

This study used a cross-sectional model-testing design. The participants were 510 adolescents from four schools for disadvantaged adolescents in four regions of Thailand. Six questionnaires—a personal data questionnaire, the Center for Epidemiologic Studies Depression Scale, the Ruminative Response Scale-10, the Negative Event Scale, the Thai version of the Perceived Stress Scale-10, and the Resilience Inventory—were used to collect data, which were analyzed using descriptive statistics and structural equation modeling.

Results

The findings showed that the model fit the empirical data (Chi-square value = 222.33, degrees of freedom = 162, goodness of fit index = .96, adjusted goodness of fit index = .94, Tucker-Lewis index = .98, comparative fit index = .99, root mean square error of approximation = .03). Rumination had a positive direct effect on depression and an indirect effect through both perceived negative life events and resilience serially. Perceived negative life events had a positive direct effect on depression and an indirect effect through resilience. Perceived stress had a positive direct effect on depression and an indirect effect through resilience. Gender and family history of depression had neither direct nor indirect effects on depression among disadvantaged adolescents.

Conclusion

The findings can be used to help develop programs to promote resilience and reduce rumination, perceived negative life events, and perceived stress to prevent and reduce depression among disadvantaged adolescents.

目的：本研究有两个主要目的。首先，本研究旨在验证弱势青少年性别、抑郁家族史、反刍、感知负面生活事件、感知压力、心理弹性和抑郁之间的因果关系模型。其次，探讨性别、抑郁家族史、反刍、感知负面生活事件、感知压力和心理弹性对弱势青少年抑郁的直接和间接影响。方法：本研究采用横断面模型检验设计。参与者是来自泰国四个地区四所弱势青少年学校的510名青少年。采用个人资料问卷、美国流行病学研究中心抑郁量表、反思反应量表-10、消极事件量表、泰国版压力感知量表-10和弹性量表等6份问卷收集数据，采用描述性统计和结构方程模型对数据进行分析。结果：模型与实证数据拟合良好（卡方值= 222.33，自由度= 162，拟合优度指数= 0.96，调整拟合优度指数= 0.94，Tucker-Lewis指数= 0.98，比较拟合指数= 0.99，近似均方根误差= 0.03）。反刍对抑郁有正面的直接影响，并通过感知到的负面生活事件和恢复力依次产生间接影响。感知到的负面生活事件对抑郁有正面的直接影响，并通过恢复力产生间接影响。感知压力对抑郁有积极的直接影响，并通过恢复力产生间接影响。性别和抑郁家族史对弱势青少年抑郁无直接或间接影响。结论：该研究结果可用于帮助制定计划，以提高适应力，减少反刍，感知负面生活事件和感知压力，以预防和减少弱势青少年的抑郁。

{"title":"Factors Predicting Depression among Disadvantaged Adolescents","authors":"Maliwan Wongkhan, Patcharin Nintachan, Sopin Sangon, Pisamai Orathai","doi":"10.1016/j.anr.2025.05.009","DOIUrl":"10.1016/j.anr.2025.05.009","url":null,"abstract":"<div><h3>Purpose</h3><div>This study had two main objectives. First, it aimed to validate a causal model of the relationships between gender, family history of depression, rumination, perceived negative life events, perceived stress, resilience, and depression among disadvantaged adolescents. Second, it aimed to investigate both the direct and indirect effects of gender, family history of depression, rumination, perceived negative life events, perceived stress, and resilience on depression among disadvantaged adolescents.</div></div><div><h3>Methods</h3><div>This study used a cross-sectional model-testing design. The participants were 510 adolescents from four schools for disadvantaged adolescents in four regions of Thailand. Six questionnaires—a personal data questionnaire, the Center for Epidemiologic Studies Depression Scale, the Ruminative Response Scale-10, the Negative Event Scale, the Thai version of the Perceived Stress Scale-10, and the Resilience Inventory—were used to collect data, which were analyzed using descriptive statistics and structural equation modeling.</div></div><div><h3>Results</h3><div>The findings showed that the model fit the empirical data (Chi-square value = 222.33, degrees of freedom = 162, goodness of fit index = .96, adjusted goodness of fit index = .94, Tucker-Lewis index = .98, comparative fit index = .99, root mean square error of approximation = .03). Rumination had a positive direct effect on depression and an indirect effect through both perceived negative life events and resilience serially. Perceived negative life events had a positive direct effect on depression and an indirect effect through resilience. Perceived stress had a positive direct effect on depression and an indirect effect through resilience. Gender and family history of depression had neither direct nor indirect effects on depression among disadvantaged adolescents.</div></div><div><h3>Conclusion</h3><div>The findings can be used to help develop programs to promote resilience and reduce rumination, perceived negative life events, and perceived stress to prevent and reduce depression among disadvantaged adolescents.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 354-363"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188469","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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