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Resilience and Overcoming Experiences of Coronavirus Disease 2019 Patients Hospitalized in a Single-Room Isolation Ward: A Mixed-Methods Study 在单人隔离病房住院的 COVID-19 患者的复原力和克服困难的经历:混合方法研究
IF 2.2 3区 医学 Q2 NURSING Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.010
Ji-Su Yun , Eunyoung E. Suh

Purpose

The coronavirus disease 2019 (COVID-19) pandemic has caused patients to suffer from various physical and psychological symptoms and social challenges, but the impact was harder for those COVID-19 patients receiving treatment in single-room isolation wards in South Korea. This study aimed to investigate resilience, anxiety, depression, and sleep quality of those patients and the relationships between those variables, and explore the patients’ experience of resilience during the COVID-19 treatment in single-room isolation wards.

Methods

This study employed a mixed-methods approach, collecting quantitative data through surveys and qualitative data through semistructured interviews conducted between May and October 2022. Quantitative surveys encompassing disease-specific and demographic information, visual analog scales to assess anxiety, depression, and sleep quality, and the Connor–Davidson resilience scale were administered to patients (N = 153). Qualitative thematic analyses were conducted following interviews with a subset of patients (N = 13) belonging to the high-resilience group.

Results

Resilience exhibited a negative correlation with anxiety and depression, while showing a positive correlation with sleep quality. Factors affecting resilience include having a spouse, educational attainment, and depression. The qualitative thematic analysis results were categorized into: (1) facing the reality of being isolated in a room; (2) struggling to accept and adapt to isolation; and (3) seeking connections in isolation.

Conclusions

This research sheds light on the challenges faced by individuals in isolation and underscores the crucial role of resilience in overcoming such challenges. The resilience observed in these patients is grounded in both interpersonal and profound spiritual connections. These findings underscore the necessity for nurses to develop customized strategies to alleviate the impacts of social isolation.

目的 COVID-19 大流行给患者带来了各种生理和心理症状以及社会挑战,但对于在韩国单间隔离病房接受治疗的 COVID-19 患者来说,这种影响更为严重。本研究旨在调查这些患者的抗逆力、焦虑、抑郁和睡眠质量以及这些变量之间的关系,并探讨患者在单间隔离病房接受COVID-19治疗期间的抗逆力体验。方法本研究采用混合方法,通过调查收集定量数据,并在2022年5月至10月期间通过半结构式访谈收集定性数据。对患者(人数=153)进行了定量调查,调查内容包括疾病特异性和人口统计学信息,评估焦虑、抑郁和睡眠质量的视觉模拟量表,以及康纳-戴维森复原力量表。结果复原力与焦虑和抑郁呈负相关,而与睡眠质量呈正相关。影响复原力的因素包括有配偶、教育程度和抑郁。定性主题分析结果分为:(1)面对被隔离在房间里的现实;(2)努力接受和适应隔离;(3)在隔离中寻求联系。在这些患者身上观察到的复原力既基于人际关系,也基于深刻的精神联系。这些发现强调,护士有必要制定个性化的策略,以减轻社会隔离的影响。
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引用次数: 0
Editorials in February Issue of Asian Nursing Research 亚洲护理研究》二月刊社论
IF 2.2 3区 医学 Q2 NURSING Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.02.001
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引用次数: 0
Association Between Dyadic Coping and Quality of Life in Breast Cancer Patients and Their Spouses: An Actor-partner Interdependence Mediation Model 乳腺癌患者及其配偶中的双向应对与生活质量之间的关系:行为者-伙伴相互依赖中介模型
IF 2.2 3区 医学 Q2 NURSING Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.007
Wei Chen , Hui Li , Jian-Zheng Cai , Nan Qin

Purpose

This study aims to examine the relationship between dyadic coping (DC), intimate relationship, and quality of life (QOL), and to explore the mediating role of intimate relationship in patients with breast cancer (BC) and their spouses from a dyadic perspective.

Methods

A cross-sectional design was used in this present study, and 205 dyads of BC patients and their spouses who completed a sociodemographic and clinical questionnaire and self-reported measures assessing their DC, intimate relationship, and QOL were recruited. The actor-partner interdependence mediation model (APIMeM) was adopted for dyadic distinguished data analysis. The paired t-test, Pearson's correlation coefficients, and the structural equation model were employed for data analysis by using SPSS 22.0 and Amos 24.0.

Results

The current study revealed that, for BC patients and their spouses, intimate relationship mediates completely the actor effect of DC on QOL. That is to say, DC was positively related to intimate relationship and then improved QOL. It was interesting to find that, for both patients and their spouses, the intimate relationship could exert a partner-actor complete mediation effect between DC and QOL.

Conclusions

The DC perceived by both BC patients and their spouses has significant actor effects on QOL by improving the level of an intimate relationship. Furthermore, intimate relationship has significant actor-actor and partner-actor complete mediation effects for both patients and their spouses. Given the vital role of patient-spouse dyads, nursing staff should take patients’ spouses into account when conducting related psychosocial interventions aiming to improve the QOL of BC patients and their spouses.

方法本研究采用横断面设计,招募了205名乳腺癌患者及其配偶,他们填写了社会人口学和临床问卷,并自我报告了他们的应对措施、亲密关系和生活质量。研究采用行为者-伴侣相互依赖中介模型(APIMeM)进行双变量数据分析。采用 SPSS 22.0 和 Amos 24.0 进行数据分析,采用配对 t 检验、皮尔逊相关系数和结构方程模型。也就是说,DC 与亲密关系呈正相关,进而改善了 QOL。值得注意的是,对于患者及其配偶而言,亲密关系可以在直肠癌与 QOL 之间发挥伙伴-行为者的完全中介效应。此外,亲密关系对患者及其配偶都有明显的行为者-行为者和伙伴-行为者完全中介效应。鉴于患者-配偶关系的重要作用,护理人员在进行相关心理干预时应考虑到患者配偶,以改善BC患者及其配偶的QOL。
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引用次数: 0
Online Gambling Patterns and Predictors of Problem Gambling Among Korean Adolescents During the COVID-19 Pandemic: A Cross-sectional Study COVID-19 大流行期间韩国青少年的在线赌博模式和问题赌博的预测因素:横断面研究
IF 2.2 3区 医学 Q2 NURSING Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.002
Young-Sil Sohn , Hyunmi Son

Purpose

This study examined online gambling patterns among Korean adolescents during the COVID-19 pandemic and identified predictors of problem gambling based on a socio-ecological model.

Methods

It used nationally representative data from the 2020 National Survey on Youth Gambling Problems conducted by the Korea Center on Gambling Problems. This study selected a sample of 780 adolescents aged 13–18 years who reported having gambled online at least once in the last three months from the raw data of respondents. They were classified as the non-problem group and problem group according to the Gambling Problems Severity Scale (GPSS) of the Canadian Adolescent Gambling Inventory (CAGI). The predictive factors of problem gambling were analyzed by logistic regression analysis.

Results

The prevalence of problem gambling was 24.6 %. Its predictors included intrapersonal [male (odds ratios, OR = 1.67); gambling prior to COVID-19 (OR = 2.08)] and interpersonal factors [frequent gamblers in peers (OR = 4.34); peer pressure (OR = 2.34)]. Social factors, such as gambling in online community (OR = 5.60), sports betting (OR = 53.24), and lotteries (OR = 17.03) were associated with problem gambling.

Conclusions

The major predictors of problem gambling among adolescent online gamblers included peer gambling and specific types of gambling. To prevent problem gambling, strategies targeting peer groups are essential. In addition, nurses need to share with families, schools, communities, and policymakers that online gambling, such as lotteries and sports betting, are high-risk of adolescent problem gambling, and recommend them to collaborate for stricter regulatory measures.

目的 本研究考察了 COVID-19 大流行期间韩国青少年的在线赌博模式,并基于社会生态模型确定了问题赌博的预测因素。方法 本研究使用了韩国赌博问题中心开展的 2020 年全国青少年赌博问题调查中具有全国代表性的数据。本研究从受访者的原始数据中选取了 780 名 13-18 岁的青少年样本,他们表示在过去三个月中至少在线赌博过一次。根据加拿大青少年赌博问题量表(CAGI)中的赌博问题严重程度量表(GPSS),他们被分为非问题组和问题组。结果问题赌博的发生率为 24.6%。其预测因素包括个人内部因素[男性(OR = 1.67);在 COVID-19 之前赌博(OR = 2.08)]和人际因素[同伴中经常赌博者(OR = 4.34);同伴压力(OR = 2.34)]。社会因素,如网络社区赌博(OR = 5.60)、体育博彩(OR = 53.24)和彩票(OR = 17.03)与问题赌博有关。要预防问题赌博,针对同伴群体的策略至关重要。此外,护士还需要与家庭、学校、社区和政策制定者分享在线赌博(如彩票和体育博彩)是青少年问题赌博的高危因素,并建议他们合作采取更严格的监管措施。
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引用次数: 0
Trajectories of Wok Adjustment and Influencing Factors Among Newly Registered Nurses 新注册护士的入职适应轨迹及影响因素。
IF 2.2 3区 医学 Q2 NURSING Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.005
Sunghee Park , Jin-Hee Park , Ju-Eun Song , Sun Hyoung Bae , Kyoungja Kim , Youngjin Lee

Purpose

This study explored the work adjustment trajectory and its predictors and characteristics among newly registered nurses.

Methods

A total of 245 newly registered nurses working in a university hospital provided general baseline characteristics and completed a work adjustment questionnaire along with self-report measures of clinical competency, psychological capital, preceptor exchange, social support, and role conflict when they started working independently (baseline) and at 7 and 12 months after employment. Data were collected from July 2020 to August 2022. The collected data were subjected to a group-based trajectory model, χ2 test, F test, one-way ANOVA, and multiple logistic regression using SAS 9.4, and SPSS 25.0.

Results

Group-based trajectory modeling classified three newly registered nurse groups: nurses with a high work adjustment level in all subscales from the beginning of employment (early adjustment group, 16.1%), nurses with a moderate level of adjustment from beginning to end (standard adjustment group, 60.6%), and nurses with a low level of work adjustment from early to mid-term, rising later (delayed adjustment group, 23.3%). Higher hope, optimism, and emotional support predicted early and standard adjustments.

Conclusions

Based on the trajectory characteristics, newly registered nurses need to improve their work adjustment. The early and standard adjustment groups should continuously monitor their levels of work adjustment while monitoring their hopes, optimism, and emotional support. In particular, the delayed adjustment group required customized educational programs and strengthened peer support.

目的:本研究探讨了新注册护士的工作适应轨迹及其预测因素和特征:共有 245 名在某大学附属医院工作的新注册护士提供了一般基线特征,并在开始独立工作时(基线)、工作后 7 个月和 12 个月完成了工作适应性问卷,以及临床能力、心理资本、戒护交流、社会支持和角色冲突的自我报告测量。数据收集时间为 2020 年 7 月至 2022 年 8 月。使用 SAS 9.4 和 SPSS 25.0 对收集到的数据进行了基于群体的轨迹模型、x2 检验、F 检验、单因素方差分析和多元逻辑回归:基于群体的轨迹模型将新注册护士分为三组:从入职开始所有分量表中工作适应水平都较高的护士(早期适应组,16.1%),从入职开始到结束适应水平中等的护士(标准适应组,60.6%),以及从入职初期到中期工作适应水平较低,后期有所上升的护士(延迟适应组,23.3%)。较高的希望度、乐观度和情感支持度预示着早期调整和标准调整:根据轨迹特征,新注册护士需要提高工作适应能力。早期适应组和标准适应组应持续监测他们的工作适应水平,同时监测他们的希望、乐观情绪和情感支持。延迟适应组尤其需要定制教育计划和加强同伴支持。
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引用次数: 0
Tendency to Stigmatize Epidemic Diseases Scale: Scale Development and Validity Study 流行病鄙视倾向量表(TSEDS):量表开发与有效性研究
IF 2.2 3区 医学 Q2 NURSING Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.001
Sevim Şen Olgay, Hediye Arslan Özkan, Ceren Zeren Erdem, Begüm Kırık

Purposes

The purpose of this study was to develop a scale to measure stigma during epidemics among adults in nursing care and validate its psychometric properties.

Methods

The preliminary items of the Tendency to Stigmatize Epidemic Diseases Scale scale were developed through a literature review, the Delphi technique, and content validity analysis. A total of 723 adults living in Turkey responded to the questionnaire from June to December 2021. The collected data were analyzed by exploratory factor analysis and confirmative factor analysis using SPSS and AMOS programs.

Results

The experts agreed on 51 scale items, and 24 items were removed following exploratory factor analysis. On the 27-item scale, a five-factor structure was found with an eigenvalue >1, explaining 59.2% of the total variance. The overall Cronbach's α value was 0.88.

Conclusions

This scale is a reliable and valid measurement tool for adults to determine their level of stigma during epidemics in nursing care. This scale helps develop interventions to improve the psychological health of adults in nursing care.

本研究的目的是开发一种量表,用于测量成人护理人员在流行病期间的耻辱感,并验证其心理测量学特性。方法通过文献综述、德尔菲技术和内容效度分析,开发了 TSEDS 量表的初步项目。2021 年 6 月至 12 月期间,共有 723 名居住在土耳其的成年人回答了问卷。专家们就 51 个量表项目达成了一致意见,并在探索性因子分析后删除了 24 个项目。在 27 个项目的量表中,发现了一个特征值为 1 的五因素结构,解释了总方差的 59.2%。总的 Cronbach's α 为 0.88。结论该量表是一种可靠有效的测量工具,可用于确定成人在护理流行病期间的污名化程度。该量表有助于制定干预措施,以改善护理中成人的心理健康。
{"title":"Tendency to Stigmatize Epidemic Diseases Scale: Scale Development and Validity Study","authors":"Sevim Şen Olgay,&nbsp;Hediye Arslan Özkan,&nbsp;Ceren Zeren Erdem,&nbsp;Begüm Kırık","doi":"10.1016/j.anr.2024.01.001","DOIUrl":"10.1016/j.anr.2024.01.001","url":null,"abstract":"<div><h3>Purposes</h3><p>The purpose of this study was to develop a scale to measure stigma during epidemics among adults in nursing care and validate its psychometric properties.</p></div><div><h3>Methods</h3><p>The preliminary items of the Tendency to Stigmatize Epidemic Diseases Scale scale were developed through a literature review, the Delphi technique, and content validity analysis. A total of 723 adults living in Turkey responded to the questionnaire from June to December 2021. The collected data were analyzed by exploratory factor analysis and confirmative factor analysis using SPSS and AMOS programs.</p></div><div><h3>Results</h3><p>The experts agreed on 51 scale items, and 24 items were removed following exploratory factor analysis. On the 27-item scale, a five-factor structure was found with an eigenvalue &gt;1, explaining 59.2% of the total variance. The overall Cronbach's <em>α</em> value was 0.88.</p></div><div><h3>Conclusions</h3><p>This scale is a reliable and valid measurement tool for adults to determine their level of stigma during epidemics in nursing care. This scale helps develop interventions to improve the psychological health of adults in nursing care.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 1","pages":"Pages 11-19"},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S197613172400001X/pdfft?md5=bda1968d824a65f0cae65781d31596b5&pid=1-s2.0-S197613172400001X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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 Q2 NURSING 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。
{"title":"The Evolution of Phenomenology in Korean Nursing Research: A Scoping Review","authors":"Minjeong Seo ,&nbsp;Yunekyong Kim ,&nbsp;Jinryung Park ,&nbsp;Guiyeon Sim ,&nbsp;Youngshim Ko","doi":"10.1016/j.anr.2024.01.004","DOIUrl":"10.1016/j.anr.2024.01.004","url":null,"abstract":"<div><h3>Purpose</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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%).</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 1","pages":"Pages 3-10"},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000045/pdfft?md5=54956de4741fece7840b608b8a2932e5&pid=1-s2.0-S1976131724000045-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139507131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reviewer acknowledgment 审稿人致谢
IF 2.2 3区 医学 Q2 NURSING Pub Date : 2023-12-28 DOI: 10.1016/s1976-1317(23)00078-6
Abstract not available
无摘要
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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 Q2 NURSING 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 Q2 NURSING 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
期刊
Asian Nursing Research
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