Asian Nursing Research最新文献_第6页

The Evolution of Phenomenology in Korean Nursing Research: A Scoping Review 韩国护理研究中现象学的演变：范围综述

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.004

Minjeong Seo , Yunekyong Kim , Jinryung Park , Guiyeon Sim , Youngshim Ko

Purpose

Phenomenological methods are used to capture human experience, and nursing research has long attempted phenomenological approaches in many studies. This study explored the 22-year trends (2001– 2022) in phenomenological research within Korean nursing science and identified the types of journals where research is published, common phenomenological data analysis methods, phenomena of interest, and standards of rigor applied to phenomenological studies.

Methods

This scoping review followed the six stages recommended by Arksey and O'Malley's (2005) and utilized the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews (PRISMA-ScR) for reporting guidance. A total of 4,354 articles acquired through systematic searches across seven search engines PubMed, CINAHL, Embase, Research Information Sharing Service (RISS), Korea Citation Index (KCI), Korea Institute of Science and Technology Information (KISTI), and Korean studies Information Service System (KISS) were reviewed. Key search terms and inclusion and exclusion criteria were used as strategies to identify relevant articles.

Results

In the final review, 568 Korean phenomenological studies were included. Among the phenomenology research, 50.4% of the total work was performed between 2016 and 2020, and the Colaizzi method of study was the most common (62.9%). Most researchers were published in nursing journals (55.8%). Nurses constituted the majority of participants (24.5%), followed by people living with illnesses (23.1%) and people of all ages. The primary focus included participants' experiences: the disease experience of the sick, the job-related experience of the nurses, and the learning-related experience of the nursing students. The median sample size of reviewed papers (i.e., 9) is relevant to phenomenological research saturation. The most rigorous studies applied Lincoln and Guba's criteria (54.0%).

Conclusions

Advancing phenomenological research in nursing entails giving priority to diverse perspectives, rigor, and the foundational essence of phenomenology. Ensuring transparency and reliability requires reinforcing rigor through the integration of phenomenology, philosophy, and effective data analysis methods.

目的现象学方法用于捕捉人类经验，护理研究长期以来一直在许多研究中尝试使用现象学方法。本研究探讨了韩国护理科学界现象学研究 22 年（2001 年至 2022 年）的发展趋势，并确定了发表研究论文的期刊类型、常见的现象学数据分析方法、感兴趣的现象以及适用于现象学研究的严格标准。方法本范围综述遵循 Arksey 和 O'Malley（2005 年）推荐的六个阶段，并使用 PRISMA Extension for Scoping Reviews (PRISMA-ScR) 作为报告指导。通过对 PubMed、CINAHL、Embase、Research Information Sharing Service (RISS)、Korea Citation Index (KCI)、Korea Institute of Science and Technology Information (KISTI)、Koreanstudies Information Service System (KISS)等七个搜索引擎进行系统检索，共查阅了 4354 篇文章。结果在最终的综述中，共纳入了 568 篇韩国现象学研究。在现象学研究中，50.4%的研究工作是在 2016 年至 2020 年间完成的，其中最常见的是 Colaizzi 研究方法（62.9%）。大多数研究者在护理期刊上发表论文（55.8%）。参与者中护士最多（24.5%），其次是疾病患者（23.1%）和所有年龄段的人。主要关注点包括参与者的经历：病人的疾病经历、护士的工作经历以及护生的学习经历。综述论文样本量的中位数（即 9 个）与现象学研究的饱和度有关。最严谨的研究采用了林肯和古巴的标准（54.0%）。结论在护理领域推进现象学研究需要优先考虑不同的视角、严谨性和现象学的基础本质。要确保研究的透明度和可靠性，就必须通过整合现象学、哲学和有效的数据方法来加强研究的严谨性。

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引用次数: 0

Reviewer acknowledgment 审稿人致谢

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2023-12-28 DOI: 10.1016/s1976-1317(23)00078-6

Abstract not available

无摘要

引用次数: 0

Predictive factors for infusion site induration after outpatient chemotherapy in Japan: a secondary analysis 日本门诊化疗后输液部位压痕的预测因素：二次分析

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2023-12-14 DOI: 10.1016/j.anr.2023.11.005

Mari Abe-Doi, Ryoko Murayama, Kojiro Morita, Gojiro Nakagami, Hiromi Sanada

Purpose

Even in the absence of extravasation, some patients develop induration at the peripheral intravenous catheterization site prior to the next day’s treatment. Infusion site induration commonly affects patients who undergo repeated chemotherapy administrations. Vessel health is crucial for the continuation of chemotherapy. However, there is no effective method to prevent induration. Hence, this study aimed to investigate the factors that could cause induration for preventing its occurrence.

Methods

This study was a secondary analysis of a prospective observational study. All participants were undergoing outpatient chemotherapy. Participant characteristics and related catheterization data were collected on the treatment day as baseline, and induration incidence was recorded on the subsequent treatment day. Receiver operating characteristic (ROC) analysis was performed to determine the sensitivity and specificity of cutoff points of the vein and catheter diameter ratios for distinguishing between developed induration and not developed induration. Additionally, cox regression analysis with multiple imputation was used to investigate the factors that predicted induration.

Results

Seventy-one patients participated in the study. The cutoff point of the vein/catheter diameter ratio calculated using ROC analysis was ≥3.7. The ratio of larger-diameter veins to catheter diameter of ≥3.7 times was negatively associated with induration in both complete case analysis (HR: 0.11; p = .034) and multiple imputation analysis (HR: 0.12; p = .049).

Conclusion

Selecting the vein with 3.7 times higher diameter than the catheter diameter for the catheterization site may help prevent induration on the next treatment day.

目的:即使在没有外渗的情况下，一些患者在第二天治疗前，周围静脉置管部位出现硬结。输注部位硬化通常影响反复化疗的患者。血管健康对化疗的持续至关重要。然而，目前尚无有效的方法来预防硬结。因此，本研究旨在探讨可能导致硬结的因素，以预防其发生。方法本研究为前瞻性观察性研究的二次分析。所有的参与者都在接受门诊化疗。在治疗当天收集受试者特征及相关置管资料作为基线，并在随后的治疗当天记录硬结发生率。进行受试者工作特征(ROC)分析，以确定静脉和导管直径比截断点的敏感性和特异性，以区分已形成的硬结和未形成的硬结。此外，采用cox回归分析和多重输入分析来探讨预测硬结的因素。结果71例患者参与研究。ROC分析计算的静脉/导管直径比的分界点≥3.7。在两个完整病例分析中，大直径静脉与导管直径之比≥3.7倍与硬结呈负相关(HR: 0.11;p = 0.034)和多重输入分析(HR: 0.12;P = .049)。结论选择直径大于导管直径3.7倍的静脉作为置管部位，可预防次日治疗时的硬结。

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引用次数: 0

Decision Self-Efficacy and Decisional Conflict on Reintubation among Surrogates of Ventilated Patients Undergoing Planned Extubation. 接受计划拔管的呼吸机替代者在再插管方面的决策自我效能和决策冲突。

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2023-12-01 Epub Date: 2023-10-13 DOI: 10.1016/j.anr.2023.10.001

Shu-Ju Lu, Shih-Chi Ku, Kuei-Fen Liu, Ching-Hui Chien

Purpose: Although the medical decision-making process can be overwhelming for some surrogates, there is a lack of understanding regarding their experiences. The objectives of this study were to examine the decision self-efficacy and decisional conflict experienced by surrogates in intensive care units (ICUs) when faced with the decision of whether to reintubate patients with respiratory failure after a planned extubation. In addition, predictors and mediators influencing these decision-making processes were identified.

Methods: This study utilized a cross-sectional design to investigate the decision-making processes of 174 surrogates who were faced with the decision of whether to reintubate patients with respiratory failure after a planned extubation in the internal ICU of a medical center between August 2021 and February 2022. Structured questionnaires were administered to collect data on the surrogates' background information, decision self-efficacy, decisional conflict, and positive and negative affect. The patients' background information was also collected. Univariate and multivariate analyses were performed to model the data.

Results: The mean decision self-efficacy score of the surrogates was 82.41 points, and 20.7% surrogates had decisional conflict scores exceeding 37.5 points, suggesting that they faced challenges in the decision-making process. Surrogates' employment status and negative affect significantly predicted their decision self-efficacy. In addition, patients' activities of daily living prior to hospitalization and the decision self-efficacy of the surrogate significantly predicted surrogate decisional conflict. The impact of surrogates' negative affect on decisional conflict was fully mediated by decision self-efficacy.

Conclusions: Surrogate decision self-efficacy mediates the relationship between negative affect and decisional conflict. Providing clinical care interventions that focus on enhancing surrogate self-efficacy and reducing negative affect can help alleviate decisional conflict in this population.

目的：尽管医疗决策过程对一些代孕者来说可能是压倒性的，但他们对自己的经历缺乏了解。本研究的目的是检验重症监护室（ICU）中的代理人在计划拔管后是否为呼吸衰竭患者重新插管的决策时所经历的决策自我效能和决策冲突。此外，还确定了影响这些决策过程的预测因素和中介因素。方法：本研究采用横断面设计，调查了174名代孕者的决策过程，这些代孕者在2021年8月至2022年2月期间，在医疗中心的内部ICU计划拔管后，面临是否为呼吸衰竭患者重新插管的决定。采用结构化问卷收集代孕者的背景信息、决策自我效能感、决策冲突以及积极和消极影响等数据。还收集了患者的背景信息。对数据进行单变量和多变量分析建模。结果：代理人的平均决策自我效能感得分为82.41分，20.7%的代理人的决策冲突得分超过37.5分，表明他们在决策过程中面临挑战。代孕者的就业状况和负面影响对其决策自我效能感有显著预测作用。此外，患者住院前的日常生活活动和代理人的决策自我效能感显著预测了代理人的决策冲突。代孕者的负面情绪对决策冲突的影响完全由决策自我效能感介导。结论：代孕者决策自我效能介导了负面情绪与决策冲突的关系。提供专注于增强替代自我效能和减少负面影响的临床护理干预措施有助于缓解这一人群的决策冲突。

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引用次数: 0

The Mediator Role of Meaning in Life in the Life Quality of Patients With Chronic Heart Failure. 生活意义对慢性心力衰竭患者生活质量的中介作用。

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2023-12-01 Epub Date: 2023-11-10 DOI: 10.1016/j.anr.2023.11.003

Min-Hui Liu, Chao-Hung Wang, Ai-Fu Chiou

Purpose: Heart failure (HF) is a highly recurrent disease with a high sudden death rate and a substantial influence on disease-related quality of life (QOL). Social support, symptom distress, care needs, and meaning in life all have significant impacts on QOL. We hypothesized that meaning in life plays a mediating role in the relationship of social support, symptom distress, and care needs with QOL among patients with chronic HF.

Methods: Based on cross-sectional analysis, we recruited 186 HF outpatients who completed structured questionnaires for social support, symptom distress, care needs, meaning in life, and QOL. Structural equation modeling was used to analyze the mediating role of meaning in life in the relationship of social support, symptom distress, and care needs with QOL.

Results: The final model showed good model fit. Meaning in life was associated with global QOL (β = 0.18, p = .032). Although symptom distress (β = -0.26, p = .005) and care needs (β = -0.36, p = .021) were negatively associated with global QOL, meaning in life played a partial mediating role between symptom distress and global QOL (β = -0.02, p = .023) and between care needs and global QOL (β = -0.07, p = .030). However, meaning in life played a complete mediating role between social support and global QOL (β = 0.08, p = .047). The model showed that meaning in life, symptom distress, and care needs explained 50% of global QOL.

Conclusions: In patients with chronic HF, meaning in life played a mediating role in the relationship of social support, symptom distress, and care needs with QOL. Implementing an intervention to enrich meaning in life may help patients manage the issues caused by symptoms and alleviate their unmet needs.

目的:心力衰竭(HF)是一种高复发性疾病，猝死率高，对疾病相关生活质量(QOL)有重大影响。社会支持、症状困扰、护理需求和生活意义均对生活质量有显著影响。我们假设生活意义在社会支持、症状困扰和护理需求与慢性心衰患者生活质量的关系中起中介作用。方法:采用横断面分析方法，对186例HF门诊患者进行社会支持、症状困扰、护理需求、生活意义、生活质量等结构化问卷调查。采用结构方程模型(SEM)分析生活意义在社会支持、症状困扰和护理需求对生活质量的影响中的中介作用。结果:最终模型拟合良好。生活意义与总体生活质量相关(β = 0.18, p = 0.032)。虽然症状困扰(β = -0.26, p = 0.005)和护理需求(β = -0.36, p = 0.021)与总体生活质量呈负相关，但生活意义在症状困扰和总体生活质量之间(β = -0.02, p = 0.023)和护理需求与总体生活质量之间(β = -0.07, p = 0.030)起部分中介作用。而生活意义在社会支持与整体生活质量之间起完全中介作用(β = 0.08, p = 0.047)。该模型显示，生活意义、症状困扰和护理需求解释了全球生活质量的50%。结论:在慢性心力衰竭患者中，生活意义在社会支持、症状窘迫和护理需求与生活质量的关系中起中介作用。实施干预以丰富生活的意义可以帮助患者处理由症状引起的问题并减轻他们未满足的需求。

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引用次数: 0

Effects of Physical Activity on Quality of Life, Anxiety and Depression in Breast Cancer Survivors: A Systematic Review and Meta-analysis. 体育活动对癌症乳腺癌幸存者生活质量、焦虑和抑郁的影响：系统回顾和元分析。

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2023-12-01 Epub Date: 2023-11-07 DOI: 10.1016/j.anr.2023.11.001

Mengying Sun, Chunlei Liu, Yanjuan Lu, Fei Zhu, Huanxi Li, Qian Lu

Purpose: Anxiety, depression, and poor quality of life (QOL) were considered important concerns that hindered the rehabilitation of breast cancer survivors. A number of studies have investigated the effects of physical activity, but they have not reached the same conclusions. This review aimed to identify the effects of physical activity on QOL, anxiety, and depression in breast cancer survivors.

Methods: PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, SinoMed, CNKI, Vip, and WanFang databases were searched for the time period between January 1, 2012, and April 30, 2022. Studies were included if they were randomized controlled trials of the effects of physical activity on QOL, anxiety, or depression in breast cancer survivors. The tools of the Joanna Briggs Institute were used to assess the quality of the included studies. R software version 4.3.1 was used for meta-analysis.

Results: A total of 26 studies, involving 2105 participants, were included in the systematic review. Among these, 20 studies involving 1228 participants were included in the meta-analysis. Compared with the control group, the results indicated that physical activity can significantly improve QOL(Hedges' g = 0.67; 95% CI 0.41-0.92) and reduce anxiety (Hedges' g = -0.28; 95% CI -0.46 to -0.10) in breast cancer survivors. However, the effect of physical activity on depression (Hedges' g = -0.46; 95% CI -0.99 to 0.06) was not statistically significant.

Conclusions: Physical activity was an effective intervention to improve QOL and reduce anxiety in breast cancer survivors, as well as showed positive trends in depression, although without statistical significance. More well-designed studies are required to clarify the effects of different types of physical activities on the QOL, anxiety, and depression among breast cancer survivors.

Registered number on prospero: CRD42022363094. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=363094.

目的：焦虑、抑郁和生活质量差被认为是阻碍癌症幸存者康复的重要因素。许多研究调查了体育活动的影响，但没有得出相同的结论。这篇综述旨在确定体育活动对癌症幸存者生活质量、焦虑和抑郁的影响。方法：检索PubMed、Embase、Web of Science、CINAHL、PsycINFO、SinoMed、CNKI、Vip和万方数据库中2012年1月1日至2022年4月30日的时间段。如果这些研究是癌症幸存者体力活动对生活质量、焦虑或抑郁影响的随机对照试验，则纳入其中。乔安娜·布里格斯研究所的工具用于评估纳入研究的质量。R软件4.3.1版用于荟萃分析。结果：共有26项研究纳入系统综述，涉及2105名参与者。其中，20项涉及1228名参与者的研究被纳入荟萃分析。与对照组相比，结果表明，体育活动可以显著改善癌症幸存者的生活质量（Hedges’g=0.67；95%CI 0.41至0.92）和减少焦虑（Hedges's g=-0.28；95%CI-0.46至-0.10）。然而，体育活动对抑郁症的影响（Hedges’g=-0.46；95%CI-0.99至0.06）在统计学上并不显著。结论：体育活动是改善癌症幸存者生活质量和减少焦虑的有效干预措施，抑郁症也呈积极趋势，但无统计学意义。需要更精心设计的研究来阐明不同类型的体育活动对癌症幸存者的生活质量、焦虑和抑郁的影响。prospero的注册号：CRD42022363094。https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=363094.

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引用次数: 0

Mediation Effects of Coping Styles on Fear of Progression and Reproductive Concerns in Breast Cancer Patients of Reproductive Age. 应对方式对育龄癌症乳腺癌患者进展恐惧和生殖问题的中介作用。

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2023-12-01 Epub Date: 2023-11-07 DOI: 10.1016/j.anr.2023.11.002

Cuiting Liu, Cuiping Liu, Huiting Gao, Xuefen Yu, Chunying Chen, Hangying Lin, Lijuan Qiu, Liangying Chen, Hongmei Tian

Purpose: This study aimed to investigate reproductive concerns among breast cancer patients of reproductive age, analyze the influencing factors, explore the relationship between coping styles, fear of progression (FOP), and reproductive concerns, and identify the multiple effects of coping styles on the relationship between FOP and reproductive concerns among Chinese breast cancer patients.

Methods: A cross-sectional, descriptive study was conducted among breast cancer patients in four tertiary grade A hospitals in Fujian, China, from January 2022 to September 2022. A total of 210 patients were recruited to complete paper-based questionnaires, which included the general data questionnaires, the Reproductive Concerns After Cancer Scale (RCACS), the Fear of Progression Questionnaire-Short Form (FOP-Q-SF), and the Medical Coping Modes Questionnaire (MCMQ). Structural equation models were utilized to evaluate the multiple effects of coping styles on FOP and reproductive concerns.

Results: Reproductive concerns in breast cancer patients had a mean score of 53.02 (SD, 10.69), out of a total score of 90, and coping styles for cancer (confrontation, avoidance) were closely associated with FOP and reproductive concerns. FOP showed a significant positive correlation with reproductive concerns (r = .52, p < .01). At the same time, confrontation was significantly negatively correlated with both FOP (r = -.28, p < .01) and reproductive concerns (r = -.39, p < .01). Avoidance was positively correlated to both FOP (r = .25, p < .01) and reproductive concerns (r = .34, p < .01). The impact of FOP on reproductive concerns is partially mediated by confrontation and avoidance, with effect sizes of .07 and .04, respectively. These mediating factors account for 22.0% of the total effect.

Conclusions: The FOP directly impacted reproductive concerns, while coping styles could partially mediate the association between FOP and reproductive concerns. This study illustrates the role of confrontation and avoidance in alleviating reproductive concerns, suggesting that it is necessary to focus on the changes in reproductive concerns among reproductive-age breast cancer patients. Healthcare professionals can improve disease awareness and reduce patients' FOP, thereby promoting positive psychological and coping behaviors and ultimately alleviating reproductive concerns.

目的：本研究旨在调查癌症育龄期患者的生殖问题，分析其影响因素，探讨应对方式、对进展的恐惧（FOP）和生殖问题之间的关系，并确定应对方式对中国癌症乳腺癌患者FOP与生殖问题关系的多重影响。方法：采用横断面描述性研究方法，于2022年1月至2022年9月在福建省四所三甲医院对癌症患者进行研究。共招募210名患者完成纸质问卷，包括一般数据问卷、癌症后生殖问题量表（RCACS）、对进展的恐惧问卷（FOP-Q-SF）和医疗应对模式问卷（MCMQ）。结构方程模型用于评估应对方式对FOP和生殖问题的多重影响。结果：癌症患者的生殖问题平均得分为53.02（SD，10.69），总分为90，癌症的应对方式（对抗、回避）与FOP和生殖问题密切相关。FOP与生殖问题呈显著正相关（r=.52，P结论：FOP直接影响生殖问题，而应对方式可能部分介导FOP与生殖问题之间的联系。本研究阐明了对抗和回避在缓解生殖问题中的作用，表明有必要关注育龄癌症患者生殖问题的变化卫生保健专业人员可以提高疾病意识，减少患者对疾病进展的恐惧，从而促进积极的心理和应对行为，最终缓解生殖问题。

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引用次数: 0

Factors Associated with Diabetic Complication Index among Type 2 Diabetes Patients: Focusing on Regular Outpatient Follow-up and HbA1c Variability. 2型糖尿病患者糖尿病并发症指数的相关因素:重点关注定期门诊随访和HbA1c变异性

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2023-12-01 Epub Date: 2023-11-10 DOI: 10.1016/j.anr.2023.11.004

Haejung Lee, Gaeun Park, Ah Reum Khang

Purpose: Preventing diabetic complications involves regular outpatient follow-up and maintaining low variability in hemoglobin A1c (HbA1c) levels. This study investigated the factors associated with diabetic complications, with a specific focus on the impact of regular outpatient follow-up and HbA1c variability, among patients with type 2 diabetes.

Methods: The study design was secondary data analysis of electronic medical records from a university hospital in Korea. It included patients aged 40-79 with type 2 diabetes who were prescribed diabetes medication within three months of their first HbA1c test by an endocrinologist and were followed up for at least five years. Follow-up regularity, adjusted standard deviation of HbA1c levels, and diabetic complication indices were collected. Data were analyzed using the Chi-square test, independent t-test, repeated measures analysis of variance, and multiple regression analysis.

Results: The study included 1566 patients. Lower follow-up regularity was observed in patients of older age, with comorbidities, diabetic complications, insulin treatment, a history of hospitalization, lower baseline estimated glomerular filtration rate (eGFR) and total cholesterol (TC), and higher HbA1c variability. Higher HbA1c variability was observed in younger patients without comorbidity but with insulin treatment, a history of hospitalization, higher baseline blood glucose (BG), HbA1c, TC, and triglyceride levels. HbA1c variability had the strongest influence on BG and HbA1c levels at the five-year follow-up. Baseline eGFR and TC were the most influential factors for their respective levels at the five-year follow-up. Follow-up regularity significantly affected BG, HbA1c, eGFR, and TC at five-year follow-up.

Conclusions: It has been shown that several variables besides regular follow-up and HbA1c variability have an influence. However, these are the two that can be corrected through nursing intervention and are important, so intervention on these is important.

目的:预防糖尿病并发症包括定期门诊随访和维持HbA1c水平的低变异性。本研究探讨了与糖尿病并发症相关的因素，特别关注2型糖尿病患者定期门诊随访和HbA1c变异性的影响。方法:采用韩国某大学医院电子病历的二次资料分析。研究对象包括年龄在40-79岁之间的2型糖尿病患者，这些患者在首次HbA1c检测后的三个月内由内分泌学家开了糖尿病药物，并随访了至少五年。收集随访规律、HbA1c水平调整标准差及糖尿病并发症指标。数据分析采用卡方检验、独立t检验、重复测量方差分析和多元回归分析。结果:共纳入1566例患者。年龄较大、有合并症、糖尿病并发症、胰岛素治疗、住院史、基线估计肾小球滤过率(eGFR)和总胆固醇(TC)较低、HbA1c变异性较高的患者随访规律性较低。在没有合并症但接受胰岛素治疗、住院史、基线血糖(BG)、HbA1c、TC和甘油三酯水平较高的年轻患者中，观察到较高的HbA1c变异性。在5年随访中，HbA1c变异性对BG和HbA1c水平的影响最大。基线eGFR和TC是五年随访中各自水平的最重要影响因素。随访规律显著影响5年随访时的BG、HbA1c、eGFR和TC。结论:研究表明，除了定期随访和HbA1c变异性外，还有几个变量对其有影响。然而，这两点是可以通过护理干预来纠正的，而且很重要，所以对这两点的干预是很重要的。

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引用次数: 0

Development and Psychometric Evaluation of the Career Growth Scale for Nurses 护士职业成长量表的编制与心理测量评价。

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2023-10-01 DOI: 10.1016/j.anr.2023.08.001

Yun-xia Ni , Li Li , Ji-ping Li

Purpose

The purpose of this study was to develop the career growth scale for nurses (CGSN) and evaluate its psychometric properties.

Methods

This study was conducted in four phases: (1) creating a pool of potential items through a qualitative design; (2) developing a preliminary scale using a modified two-round Delphi process; (3) refining the preliminary scale to finalize the scale using a cross-sectional survey; and (4) evaluating the psychometric properties of the final scale using another cross-sectional survey. A sample of 858 registered nurses from 12 general hospitals was recruited for this study.

Results

The final scale consisted of 17 items categorized into three factors: career goal progress, professional ability and attribute improvement, and career promotion and prestige increase. The three factors accounted for 75.4% of the observed variance in career growth. The overall Cronbach's α was .96, and the intraclass correlation coefficient was .92. The content validity index was .97. Confirmatory factor analysis showed acceptable model fitness.

Conclusions

These results showed that the CGSN has good psychometric properties and can be used to evaluate specific career growth among nurses. This new instrument can further help nurse managers and clinical nurses themselves assess career growth and identify unsatisfactory aspects of growth, thereby designing tailored training programs and evaluating the effectiveness of such interventions.

目的：本研究旨在开发护士职业成长量表（CGSN），并评估其心理测量特性。方法：本研究分四个阶段进行：（1）通过定性设计创建潜在项目库；（2）使用改进的两轮德尔菲过程开发初步量表；（3）使用横断面调查来细化所述初步量表以最终确定所述量表；以及（4）使用另一个横断面调查来评估最终量表的心理测量特性。本研究招募了来自12家综合医院的858名注册护士作为样本。结果：最终量表由17个项目组成，分为三个因素：职业目标进展、职业能力和属性提升、职业晋升和声望提升。这三个因素占观察到的职业发展方差的75.4%。总体Cronbachα为.96，组内相关系数为.92。内容有效性指数为0.97。验证性因素分析显示模型拟合度可接受。结论：CGSN具有良好的心理测量特性，可用于评估护士的具体职业发展。这一新工具可以进一步帮助护士管理人员和临床护士自己评估职业发展，并确定发展中不令人满意的方面，从而设计量身定制的培训计划并评估此类干预措施的有效性。

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引用次数: 0

Phenomenological Study on the Lived Experiences of Mothers Caring for Their Pubescent Children with Developmental Disabilities 母亲照顾青春期发育障碍儿童生活经历的现象学研究。

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2023-10-01 DOI: 10.1016/j.anr.2023.09.001

Woo Joung Joung

Purpose

This phenomenological study explored and revealed the mothers’ lived experiences of caring for pubescent children with developmental disabilities (DDs) in Korea.

Methods

Data were collected from semistructured individual in-depth interviews with nine mothers. This study adopted Giorgi's phenomenological analysis, through which a general structure of mothers' caregiving experiences with their pubescent adolescents with DDs was formulated.

Results

The lived experiences of mothers caring for pubescent children with DDs were clustered into four themes and nine subthemes from 19 meaning units: (1) not being allowed to take delight in child's growth due to unbalanced growth pace; (2) feeling marginalized along with the disabled child; (3) feeling like being kicked out of society slowly and permanently; and (4) rearrangement of care direction and purpose.

Conclusions

This qualitative study captured vivid experiences of mothers who care for pubescent children with DDs by illustrating these mothers’ detailed physical, emotional, and relational difficulties in their caring. Most importantly, this study found that it is puberty that these mothers come to clearly understand that their children and their disabilities are inseparable and change the purpose and direction of childcare. The findings of this study can help health professionals better understand that these mothers are in urgent need for emotional support and need to be included in nursing care. And this study can be used as base data for increasing disability awareness for both healthcare workers and public in general.

目的：这项现象学研究探讨并揭示了韩国母亲照顾发育障碍青春期儿童的生活经历。方法：数据收集自对9位母亲的半结构化个人深入访谈。本研究采用了Giorgi的现象学分析，通过该分析，制定了母亲对患有DD的青春期青少年的照顾经历的一般结构。结果：母亲照顾青春期发育不良儿童的生活经历分为19个意义单元的4个主题和9个子主题：（1）由于生长速度不平衡，不允许以孩子的成长为乐；（2）与残疾儿童一起感到被边缘化；（3）感觉自己被慢慢地、永久地踢出社会；以及（4）护理方向和目的的重新安排。结论：这项定性研究通过说明这些母亲在照顾患有DD的青春期儿童时的具体身体、情感和关系困难，捕捉到了这些母亲的生动经历。最重要的是，这项研究发现，正是在青春期，这些母亲才清楚地认识到自己的孩子和残疾是不可分割的，并改变了育儿的目的和方向。这项研究的发现可以帮助卫生专业人员更好地了解这些母亲迫切需要情感支持，需要纳入护理。这项研究可以作为提高医护人员和公众残疾意识的基础数据。

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