Asian Nursing Research最新文献_第6页

Development and verification of a prediction model for delirium in critically ill children 危重症患儿谵妄预测模型的建立与验证。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 Epub Date: 2025-06-19 DOI: 10.1016/j.anr.2025.05.008

Ting-Ting Xu , Yan Li , Cong-Hui Fu , Min-Jie Ju , Ji Liu , Xiao-Ya Yang , Wen-Juan Tang , Wei-Ying Zhang

Purpose

Delirium is a common syndrome in the intensive care unit (ICU), with a high incidence in critically ill children. This study aims to develop and validate a prediction model for delirium in critically ill children, which could potentially enhance early identification and management strategies.

Methods

In this prospective cohort study, we collected 1,047 critically ill children admitted to the pediatric intensive care unit (PICU) of a tertiary children's hospital from November 2021 to November 2023. Based on the risk prediction model derived from multiple logistic regression analysis performed with SPSS software, a nomogram was constructed using R software. The model's predictive performance was evaluated through analysis of the area under the curve (AUC) of the receiver operating characteristic curve (ROC) and the calibration curve for discriminatory ability and accuracy.

Results

Among the 1,047 critically ill children, delirium occurred in 26.6% of cases. Mechanical ventilation, benzodiazepines, age ≤2 years, number of catheters ≥3, and physical restraints were independent predictors of delirium in critically ill children. The predictive model demonstrated a sensitivity of 85.6% and a specificity of 76.1%, with a Youden index of .62. The validation analysis demonstrated an AUC of .88 (95% CI: 0.86-0.90). The Hosmer-Lemeshow goodnessoffit test yielded a

x^{2}

value of 15.23 (P > .05), demonstrating satisfactory discriminatory performance and good calibration of the predictive model.

Conclusions

This study provided a predictive model for the occurrence of delirium in critically ill children, enabling nurses to accurately assess delirium risk and enhance the quality of nursing care for this vulnerable patient population.

目的：谵妄是重症监护病房（ICU）常见的一种综合征，在危重症患儿中发病率较高。本研究旨在建立和验证危重症儿童谵妄的预测模型，以潜在地提高早期识别和管理策略。方法：在这项前瞻性队列研究中，我们收集了2021年11月至2023年11月在某三级儿童医院儿科重症监护病房（PICU）住院的1,047名危重儿童。基于SPSS软件进行多变量logistic回归分析得出的风险预测模型，采用R软件构建nomogram。通过分析受试者工作特征曲线（ROC）的曲线下面积（AUC）和校正曲线的判别能力和准确度来评价模型的预测性能。结果：1047例危重患儿中谵妄发生率为26.6%。机械通气、苯二氮卓类药物、年龄≤2岁、导管数≥3根和肢体约束是危重患儿谵妄的独立预测因素。该预测模型敏感性为85.61%，特异性为76.07%，约登指数为0.62。验证分析显示AUC为0.88 （95% CI: 0.86-0.90）。Hosmer-Lemeshow拟合优度检验的结果为15.23 (P < 0.05)，表明该预测模型具有令人满意的判别性能和良好的校正性。结论：本研究为危重症患儿谵妄的发生提供了预测模型，使护士能够准确评估谵妄风险，提高对这一弱势患者群体的护理质量。

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引用次数: 0

Effects of an Empowerment Program on Promoting Self-reliance Among Low-income Welfare Recipients in Korea: A Repeated-measures Design 赋权计划对促进韩国低收入福利受助人自力更生的影响：重复措施设计。

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 Epub Date: 2025-06-19 DOI: 10.1016/j.anr.2025.05.004

Myungsun Hyun , Dabok Noh , Eunyoung Park

Purpose

This study examined the effectiveness of an empowerment program based on reality therapy in helping low-income welfare recipients become self-reliant.

Methods

This study used a repeated-measures design with a control group. Sixty-four participants were selected through convenience sampling from among welfare recipients who accessed self-sufficiency services at local self-sufficiency centers. The empowerment program consisted of eight sessions. The outcome variables were self-sufficiency motivation, self-esteem, and empowerment. Data were collected at baseline, immediately after intervention, and 4 weeks after intervention, and were analyzed using the independent t-test, χ² test, or Fisher's exact test, and generalized estimating equations (GEE).

Results

GEE revealed significant group × time interaction effects on self-sufficiency motivation, self-esteem, and empowerment, after adjusting the baseline scores for the three outcome variables.

Conclusion

The developed empowerment program significantly improved self-sufficiency motivation, self-esteem, and empowerment among welfare recipients who accessed self-sufficiency services at local self-sufficiency centers. This study provides direction for the development of psychosocial empowerment programs to help welfare recipients become self-reliant. Future research should focus on the long-term effects of this empowerment program.

Trial registration

This study was retrospectively registered with the Clinical Research Information Service of Korea (https://cris.nih.go.kr) under the registration number KCT0009782 on September 10, 2024.

目的：本研究考察了一项基于现实疗法的赋权计划在帮助低收入福利受助人自力更生方面的有效性。方法：本研究采用重复测量设计，设对照组。通过方便抽样，从当地自给自足中心获得自给自足服务的福利受助人中选出64名参与者。赋权项目包括八个环节。结果变量为自我满足、动机、自尊和赋权。在基线、干预后立即和干预后4周收集数据，并使用独立t检验、χ2检验或Fisher精确检验和广义估计方程（GEE）进行分析。结果：在调整三个结果变量的基线得分后，GEE显示了显著的组×时间交互作用在自我满足动机、自尊和授权上。结论：开发的赋权方案显著提高了在当地自给自足中心获得自给自足服务的福利受助人的自给自足动机、自尊和赋权。本研究为社会心理赋权计划的发展提供方向，以帮助受助人自力更生。未来的研究应该集中在这项授权计划的长期影响上。试验注册：本研究于2024年9月10日在韩国临床研究信息服务中心（https://cris.nih.go.kr）回顾性注册，注册号为KCT0009782。

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引用次数: 0

Research Topics of Self-efficacy in Nursing from 2013 to 2022: A Bibliometric Analysis 2013 - 2022年护理人员自我效能感研究课题：文献计量学分析

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 Epub Date: 2025-06-23 DOI: 10.1016/j.anr.2025.05.007

Qian Cao , Yue Hu , Wan-Ting Cai

Purpose

Despite the long-standing recognition of self-efficacy theory in nursing, it remains relevant in contemporary nursing practice. This study aimed to map and assess the scope of research related to self-efficacy in the nursing field from 2013 to 2022 to identify the global trends and new themes that have emerged in recent years.

Methods

This study employed descriptive and bibliometric analysis. Data were sourced from the Web of Science Core Collection database on October 20, 2023. Performance analysis and scientific mapping were undertaken using VOSviewer and CiteSpace, evaluating 2008 publications that featured themes of self-efficacy in nursing.

Results

The review period saw an increase in the number of publications. Recurrent keywords found in the research included “self-efficacy”, “nursing”, “self-management”, “social support”, and “quality of life”, with a notable prevalence of studies on “nursing students” and “breastfeeding”. The concept of “evidence-based practice” has consistently appeared as a focal topic.

Conclusion

The enduring interest in and relevance of self-efficacy in nursing are evident in an increasing literature volume. This study underscores the vitality of the field and the necessity of integrating qualitative research to deepen the understanding of self-efficacy in various nursing contexts. As the demand for evidence-based nursing practice increases, the corpus of literature on self-efficacy in nursing is poised for further growth.

目的：尽管自我效能理论在护理学中得到了长期的认可，但它在当代护理实践中仍然具有相关性。本研究旨在绘制和评估2013年至2022年护理领域自我效能感相关研究的范围，以确定近年来出现的全球趋势和新主题。方法：本研究采用描述性和文献计量学分析。数据来源于Web of Science Core Collection数据库，时间为2023年10月20日。使用VOSviewer和CiteSpace进行绩效分析和科学制图，评估2008年以护理自我效能为主题的出版物。结果：审评期论文发表数量有所增加。研究中反复出现的关键词包括“自我效能”、“护理”、“自我管理”、“社会支持”和“生活质量”，其中“护生”和“母乳喂养”的研究较为普遍。“循证实践”的概念一直是一个焦点话题。结论：在越来越多的文献中，对护理自我效能感的持续关注和相关性是显而易见的。本研究强调了该领域的活力和整合定性研究的必要性，以加深对各种护理环境中自我效能感的理解。随着对循证护理实践的需求增加，关于护理自我效能的文献语料库有望进一步增长。

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引用次数: 0

The Remarkable Journey of ANR: From Inception to Q1 Achievement ANR的非凡之旅：从开始到Q1的成就

IF 2.3 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2025-10-01 Epub Date: 2025-10-13 DOI: 10.1016/j.anr.2025.10.001

Eunyoung E. Suh

引用次数: 0

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 Epub Date: 2025-06-25 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 Epub Date: 2025-06-02 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。

{"title":"Patients’ Experiences of Sexual Discomfort in South Korean Healthcare Setting: A Hermeneutic Phenomenological Study","authors":"Yegyu Lee , Soo Yeon Lim , Sihyun Park","doi":"10.1016/j.anr.2025.05.010","DOIUrl":"10.1016/j.anr.2025.05.010","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 389-396"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227712","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

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 Epub Date: 2025-06-24 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。

{"title":"Factors Influencing Nurses' Intention to Report Adverse Nursing Events in a Tertiary Hospital Using a Random Forest Model","authors":"Yuxuan Chen , Wanhong Ding , Jianming Xu , Qi Zhang , Wei Qin","doi":"10.1016/j.anr.2025.05.005","DOIUrl":"10.1016/j.anr.2025.05.005","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 347-353"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509547","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

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 Epub Date: 2025-06-13 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 Epub Date: 2025-06-25 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。

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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 Epub Date: 2025-09-18 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）。

{"title":"The Effect of Progressive Relaxation Exercises on Pain and Bowel Movements in Patients Undergoing Laparoscopic Cholecystectomy: A Randomized Controlled Trial","authors":"Şuheda Zorer Yılmaz , Dilek Gürçayır PhD","doi":"10.1016/j.anr.2025.08.004","DOIUrl":"10.1016/j.anr.2025.08.004","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>p</em> < .05). The generalized estimating equations analysis revealed a statistically significant increase in the effect of progressive relaxation exercises on pain reduction over time (<em>p</em> < .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 (<em>p</em> < .05).</div></div><div><h3>Conclusion</h3><div>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.</div></div><div><h3>Clinical trial registration number</h3><div>Clinical Trials Registration Number is NCT05969509. This study was registered on 07 December 2023.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 410-416"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103219","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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