Asian Nursing Research最新文献_第9页

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 Q2 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。

{"title":"Factors Associated with Diabetic Complication Index among Type 2 Diabetes Patients: Focusing on Regular Outpatient Follow-up and HbA1c Variability.","authors":"Haejung Lee, Gaeun Park, Ah Reum Khang","doi":"10.1016/j.anr.2023.11.004","DOIUrl":"10.1016/j.anr.2023.11.004","url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":"259-268"},"PeriodicalIF":2.2,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89720796","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

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 Q2 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。

{"title":"Development and Psychometric Evaluation of the Career Growth Scale for Nurses","authors":"Yun-xia Ni , Li Li , Ji-ping Li","doi":"10.1016/j.anr.2023.08.001","DOIUrl":"10.1016/j.anr.2023.08.001","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to develop the career growth scale for nurses (CGSN) and evaluate its psychometric properties.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 4","pages":"Pages 200-207"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10501985","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

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 Q2 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。

{"title":"Phenomenological Study on the Lived Experiences of Mothers Caring for Their Pubescent Children with Developmental Disabilities","authors":"Woo Joung Joung","doi":"10.1016/j.anr.2023.09.001","DOIUrl":"10.1016/j.anr.2023.09.001","url":null,"abstract":"<div><h3>Purpose</h3><p>This phenomenological study explored and revealed the mothers’ lived experiences of caring for pubescent children with developmental disabilities (DDs) in Korea.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 4","pages":"Pages 226-234"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10272439","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 Expectations and Acceptability of a Smart Nursing Home Model Among Chinese Older Adults and Family Members: A Qualitative Study 中国老年人和家庭成员对智能养老院模式的期望和可接受性：一项定性研究。

IF 2.2 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2023-10-01 DOI: 10.1016/j.anr.2023.08.002

Yuanyuan Zhao , Shariff-Ghazali Sazlina , Fakhrul Z. Rokhani , Jing Su , Boon-How Chew

Purpose

This study aims to explore the expectations and acceptability of a smart nursing home model among Chinese older adults and their family members based on a scoping review that defines the concept of smart nursing homes.

Methods

A qualitative case study was employed for this research. Semi-structured, in-depth interviews and focus group discussions were conducted on WeChat. Participants were purposively sampled through snowball sampling in Hainan and Dalian, China. A total of 28 older adults aged 60–75 and six adult children were interviewed until data saturation was achieved, followed by a thematic analysis.

Results

The expectations of smart nursing homes include: 1) quality of care supported by governments and societies; 2) smart technology applications; 3) the presence of a skilled healthcare professional team; 4) access to and scope of basic medical services; and 5) integration of medical services. The acceptability of smart nursing homes included factors such as stakeholders’ perceived efficaciousness, usability, and collateral damages of using smart technologies, and the coping process of adoption was influenced by factors such as age, economic status, health status, education, and openness to smart technologies among older adults.

Conclusions

Chinese older adults and their family members have a positive perception of the smart nursing home model. The qualitative evidence regarding their expectations and acceptability of smart nursing homes contributes valuable insights for a wide range of stakeholders involved in the planning and implementation of smart nursing homes.

目的：本研究旨在探讨中国老年人及其家庭成员对智能养老院模式的期望和可接受性。方法：采用定性个案研究方法。在微信上进行了半结构化的深入访谈和焦点小组讨论。参与者在中国海南和大连进行了有针对性的雪球抽样。共采访了28名60-75岁的老年人和6名成年儿童，直到数据饱和，然后进行主题分析。结果：对智能养老院的期望包括：1）政府和社会支持的护理质量；2）智能技术应用；3）有一支技术娴熟的医疗专业团队；4）获得基本医疗服务的机会和范围；（5）医疗服务一体化。智能养老院的可接受性包括利益相关者对使用智能技术的有效性、可用性和附带损害等因素，而采用智能技术的应对过程受到年龄、经济状况、健康状况、教育程度和老年人对智能技术的开放性等因素的影响。结论：中国老年人及其家庭成员对智能养老院模式有积极的认知。关于他们对智能养老院的期望和可接受性的定性证据为参与智能养老院规划和实施的广泛利益相关者提供了宝贵的见解。

{"title":"The Expectations and Acceptability of a Smart Nursing Home Model Among Chinese Older Adults and Family Members: A Qualitative Study","authors":"Yuanyuan Zhao , Shariff-Ghazali Sazlina , Fakhrul Z. Rokhani , Jing Su , Boon-How Chew","doi":"10.1016/j.anr.2023.08.002","DOIUrl":"10.1016/j.anr.2023.08.002","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aims to explore the expectations and acceptability of a smart nursing home model among Chinese older adults and their family members based on a scoping review that defines the concept of smart nursing homes.</p></div><div><h3>Methods</h3><p>A qualitative case study was employed for this research. Semi-structured, in-depth interviews and focus group discussions were conducted on WeChat. Participants were purposively sampled through snowball sampling in Hainan and Dalian, China. A total of 28 older adults aged 60–75 and six adult children were interviewed until data saturation was achieved, followed by a thematic analysis.</p></div><div><h3>Results</h3><p>The expectations of smart nursing homes include: 1) quality of care supported by governments and societies; 2) smart technology applications; 3) the presence of a skilled healthcare professional team; 4) access to and scope of basic medical services; and 5) integration of medical services. The acceptability of smart nursing homes included factors such as stakeholders’ perceived efficaciousness, usability, and collateral damages of using smart technologies, and the coping process of adoption was influenced by factors such as age, economic status, health status, education, and openness to smart technologies among older adults.</p></div><div><h3>Conclusions</h3><p>Chinese older adults and their family members have a positive perception of the smart nursing home model. The qualitative evidence regarding their expectations and acceptability of smart nursing homes contributes valuable insights for a wide range of stakeholders involved in the planning and implementation of smart nursing homes.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 4","pages":"Pages 208-218"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10499787","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

Exploring the Barriers and Coping Strategies Faced by Male Nursing Students in Japanese Nursing Education 探讨日本护理教育中男护生面临的障碍及应对策略。

IF 2.2 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2023-10-01 DOI: 10.1016/j.anr.2023.08.003

Shuta Yokoya , Kaichi Suzuki , Akira Sai , Taro Yamauchi

Purpose

Nursing is traditionally considered a female profession, and male nursing students face gender stereotype barriers. Most studies of male nursing students in Japan focus on their learning experiences in maternal nursing, and little is known about the experiences of male nursing students in their usual learning environment. Therefore, the purpose of this study is to explore the barriers and coping strategies of Japanese male nursing students in nursing education, including classroom and practical training.

Methods

A qualitative descriptive design was used to study 20 male nursing students from eight Japanese universities. Purposive sampling using the snowball method was used to recruit participants. Semistructured interviews were used to gather data about the participants’ thoughts and experiences in nursing education. All interview data were analyzed using thematic analysis.

Results

Four themes emerged from the data: (1) nursing choices of own volition; (2) loneliness due to the female-dominated environment and marginalization; (3) dealing with barriers and seeking support; and (4) positive experiences in nursing education. Male nursing students face barriers such as loneliness and feelings of alienation. Family support, mutual support among male nursing students, and the presence of role models were factors that addressed these barriers and positively influenced career choice.

Conclusions

This research suggests that nursing educators need to understand the barriers faced by male nursing students and provide a gender-neutral learning environment for all students.

目的：传统上，护理被认为是一个女性职业，男性护理学生面临性别刻板印象障碍。在日本，大多数对男性护生的研究都集中在他们在产妇护理方面的学习经历上，而对男性护学生在日常学习环境中的经历知之甚少。因此，本研究的目的是探讨日本男护生在护理教育中的障碍和应对策略，包括课堂和实践培训。方法：采用定性描述性设计，对来自日本8所大学的20名男护生进行调查。采用滚雪球法进行有目的的抽样来招募参与者。半结构化访谈用于收集参与者在护理教育中的想法和经历的数据。所有访谈数据均采用主题分析法进行分析。结果：从数据中得出四个主题：（1）自主选择护理；（2）女性主导的环境和边缘化导致的孤独；（3）处理障碍并寻求支持；（4）护理教育的积极经验。男护生面临孤独感和疏离感等障碍。家庭支持、男护生之间的相互支持以及榜样的存在是解决这些障碍并积极影响职业选择的因素。结论：本研究表明，护理教育工作者需要了解男性护理学生面临的障碍，并为所有学生提供一个中性的学习环境。

{"title":"Exploring the Barriers and Coping Strategies Faced by Male Nursing Students in Japanese Nursing Education","authors":"Shuta Yokoya , Kaichi Suzuki , Akira Sai , Taro Yamauchi","doi":"10.1016/j.anr.2023.08.003","DOIUrl":"10.1016/j.anr.2023.08.003","url":null,"abstract":"<div><h3>Purpose</h3><p>Nursing is traditionally considered a female profession, and male nursing students face gender stereotype barriers. Most studies of male nursing students in Japan focus on their learning experiences in maternal nursing, and little is known about the experiences of male nursing students in their usual learning environment. Therefore, the purpose of this study is to explore the barriers and coping strategies of Japanese male nursing students in nursing education, including classroom and practical training.</p></div><div><h3>Methods</h3><p>A qualitative descriptive design was used to study 20 male nursing students from eight Japanese universities. Purposive sampling using the snowball method was used to recruit participants. Semistructured interviews were used to gather data about the participants’ thoughts and experiences in nursing education. All interview data were analyzed using thematic analysis.</p></div><div><h3>Results</h3><p>Four themes emerged from the data: (1) nursing choices of own volition; (2) loneliness due to the female-dominated environment and marginalization; (3) dealing with barriers and seeking support; and (4) positive experiences in nursing education. Male nursing students face barriers such as loneliness and feelings of alienation. Family support, mutual support among male nursing students, and the presence of role models were factors that addressed these barriers and positively influenced career choice.</p></div><div><h3>Conclusions</h3><p>This research suggests that nursing educators need to understand the barriers faced by male nursing students and provide a gender-neutral learning environment for all students.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 4","pages":"Pages 219-225"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10526671","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 Lived Experience of Frailty in Patients Aged 60 Years and Older with Heart Failure: A Qualitative Study 60岁及以上心力衰竭患者虚弱的生活体验：一项定性研究。

IF 2.2 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2023-10-01 DOI: 10.1016/j.anr.2023.07.002

Hsuan Su , Huei-Fong Hung , Shu-Pen Hsu , Min-Hui Liu , Ying-Cheng Chao , Ai-Fu Chiou

Purpose

The prevalence of frailty among patients with heart failure is about 45%. Frailty may result in patients' functional decline, falls, disability, and decreased quality of life. Qualitative studies can explore older patients' perceptions of frailty and help patients cope with it. However, a qualitative approach that explores the experience of frailty in older patients living with heart failure is lacking. This study aimed to explore the lived experience of frailty in older patients with heart failure.

Methods

This qualitative study applies Giorgi's phenomenological method. Data were collected from October 2019 to August 2020. Thirteen older patients with heart failure aged at least 60 years were recruited using purposive sampling from a medical center in Taiwan. The participants participated in an in-depth interview using a semistructured interview guide.

Results

Seven themes were identified: “being reborn at the end of the road but having difficulty recovering”, “living with a disease with an ineffable feeling”, “feeling like being drained: physical weakness and a dysfunctional body”, “struggling with impaired physical mobility and facing unexpected events”, “suffering from mental exhaustion”, “receiving care from loved ones”, and “turning over a new leaf”.

Conclusions

Frailty in older patients with heart failure was obscure and difficult to describe. Frailty could be improved by medical intervention, self-management, and social support but was difficult to reverse. Patients with heart failure should be evaluated for frailty using multidimensional assessment tools at first diagnosis and provided frailty-related information so that patients have proper insight into their disease as early as possible.

目的：心力衰竭患者虚弱的患病率约为45%。虚弱可能导致患者功能下降、跌倒、残疾和生活质量下降。定性研究可以探索老年患者对虚弱的感知，并帮助患者应对。然而，缺乏一种探索老年心力衰竭患者虚弱体验的定性方法。本研究旨在探讨老年心力衰竭患者虚弱的生活体验。方法：采用乔治现象学方法进行定性研究。数据收集于2019年10月至2020年8月。13名年龄至少60岁的老年心力衰竭患者从台湾的一家医疗中心进行了有目的的抽样。参与者使用半结构化访谈指南进行了深入访谈。结果：确定了七个主题：“在路的尽头重生，但难以恢复”、“与一种无法形容的疾病共存”、“感觉筋疲力尽：身体虚弱和机能失调”、“身体活动能力受损和面临意外事件”、“精神疲惫”、“接受亲人的照顾”，和“翻开新的一页”。结论：老年心力衰竭患者的虚弱是模糊的，难以描述。虚弱可以通过医疗干预、自我管理和社会支持来改善，但很难扭转。心力衰竭患者应在首次诊断时使用多维评估工具评估其虚弱程度，并提供虚弱相关信息，以便患者尽早正确了解自己的疾病。

{"title":"The Lived Experience of Frailty in Patients Aged 60 Years and Older with Heart Failure: A Qualitative Study","authors":"Hsuan Su , Huei-Fong Hung , Shu-Pen Hsu , Min-Hui Liu , Ying-Cheng Chao , Ai-Fu Chiou","doi":"10.1016/j.anr.2023.07.002","DOIUrl":"10.1016/j.anr.2023.07.002","url":null,"abstract":"<div><h3>Purpose</h3><p>The prevalence of frailty among patients with heart failure is about 45%. Frailty may result in patients' functional decline, falls, disability, and decreased quality of life. Qualitative studies can explore older patients' perceptions of frailty and help patients cope with it. However, a qualitative approach that explores the experience of frailty in older patients living with heart failure is lacking. This study aimed to explore the lived experience of frailty in older patients with heart failure.</p></div><div><h3>Methods</h3><p>This qualitative study applies Giorgi's phenomenological method. Data were collected from October 2019 to August 2020. Thirteen older patients with heart failure aged at least 60 years were recruited using purposive sampling from a medical center in Taiwan. The participants participated in an in-depth interview using a semistructured interview guide.</p></div><div><h3>Results</h3><p>Seven themes were identified: “being reborn at the end of the road but having difficulty recovering”, “living with a disease with an ineffable feeling”, “feeling like being drained: physical weakness and a dysfunctional body”, “struggling with impaired physical mobility and facing unexpected events”, “suffering from mental exhaustion”, “receiving care from loved ones”, and “turning over a new leaf”.</p></div><div><h3>Conclusions</h3><p>Frailty in older patients with heart failure was obscure and difficult to describe. Frailty could be improved by medical intervention, self-management, and social support but was difficult to reverse. Patients with heart failure should be evaluated for frailty using multidimensional assessment tools at first diagnosis and provided frailty-related information so that patients have proper insight into their disease as early as possible.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 4","pages":"Pages 191-199"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929344","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

Impact of Nursing Interventions on Hospital Readmissions in Patients With Pulmonary Tuberculosis: A Quasi-Experimental Study 护理干预对肺结核患者再入院的影响:一项准实验研究

IF 2.2 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2023-08-01 DOI: 10.1016/j.anr.2023.06.002

Chamlong Sunpapoa , Nat Na-Ek , Areeya Sommai , Kansak Boonpattharatthiti , Nina S. Huynh , Sukrit Kanchanasurakit

Purpose

Our study aimed to evaluate the effectiveness of the nursing care program on the incidence and rate of 28-day hospital readmissions among pulmonary tuberculosis (TB) patients.

Methods

We conducted a quasi-experimental study using a historical control (usual care) group. Patients diagnosed with pulmonary TB who received nursing interventions between January 28, 2021, and May 31, 2021, were categorized as an intervention group, whereas historical controls were selected from January 1, 2020, to December 31, 2020. The primary outcomes were the incidence and rates of hospital readmissions within 28 days due to TB-related complications. The secondary outcome was the change in knowledge and self-care behavior scores at discharge and 28 days postdischarge. Cox models were used to assess the intervention's impact on the incidence of hospital readmission. Rates of readmission were compared by the Poisson model. Both Cox and Poisson models were adjusted for age, sex, sputum smears at diagnosis, serum albumin level, and diabetes mellitus at baseline.

Results

Among 104 pulmonary TB patients included in the analysis (68 were in a historical control group and 36 were in an intervention group), 20 patients were readmitted due to TB-related complications. We found that our nursing care program resulted in a significant reduction in the incidence (adjusted hazard ratio was 0.16 [95% CI 0.03, 0.87]) and the rate of hospital readmissions (adjusted incidence rate ratio was 0.22 [95% CI 0.06, 0.85]). Furthermore, nursing interventions significantly improved knowledge and self-care behavior scores with significant score retention at 28 days postdischarge.

Conclusions

The nursing care program can significantly decrease the incidence and rate of 28-day hospital readmission and improve knowledge and self-care behavior scores in pulmonary TB patients.

目的本研究旨在评估护理计划对肺结核（TB）患者28天住院率和再入院率的有效性。方法我们采用历史对照（常规护理）组进行了一项准实验研究。在2021年1月28日至2021年5月31日期间接受护理干预的被诊断为肺结核的患者被归类为干预组，而历史对照组则选择在2020年1月1日至2020年12月31日。主要结果是28天内因结核病相关并发症再次入院的发生率和发生率。次要结果是出院时和出院后28天知识和自我护理行为得分的变化。Cox模型用于评估干预措施对再次入院发生率的影响。再次入院率采用泊松模型进行比较。Cox和Poisson模型均根据年龄、性别、诊断时的痰涂片、血清白蛋白水平和基线时的糖尿病进行了调整。结果在纳入分析的104名肺结核患者中（68名为历史对照组，36名为干预组），有20名患者因肺结核相关并发症再次入院。我们发现，我们的护理计划显著降低了发病率（调整后的危险比为0.16[95%CI 0.03，0.87]）和再次入院率（调整的发病率比为0.22[95%CI 0.06，0.85]）。此外，护理干预显著提高了出院后28天的知识和自我护理行为评分，并显著保持了评分。结论护理方案能显著降低肺结核患者28天住院的发生率和再入院率，提高患者的知识和自理行为评分。

{"title":"Impact of Nursing Interventions on Hospital Readmissions in Patients With Pulmonary Tuberculosis: A Quasi-Experimental Study","authors":"Chamlong Sunpapoa , Nat Na-Ek , Areeya Sommai , Kansak Boonpattharatthiti , Nina S. Huynh , Sukrit Kanchanasurakit","doi":"10.1016/j.anr.2023.06.002","DOIUrl":"10.1016/j.anr.2023.06.002","url":null,"abstract":"<div><h3>Purpose</h3><p>Our study aimed to evaluate the effectiveness of the nursing care program on the incidence and rate of 28-day hospital readmissions among pulmonary tuberculosis (TB) patients.</p></div><div><h3>Methods</h3><p>We conducted a quasi-experimental study using a historical control (usual care) group. Patients diagnosed with pulmonary TB who received nursing interventions between January 28, 2021, and May 31, 2021, were categorized as an intervention group, whereas historical controls were selected from January 1, 2020, to December 31, 2020. The primary outcomes were the incidence and rates of hospital readmissions within 28 days due to TB-related complications. The secondary outcome was the change in knowledge and self-care behavior scores at discharge and 28 days postdischarge. Cox models were used to assess the intervention's impact on the incidence of hospital readmission. Rates of readmission were compared by the Poisson model. Both Cox and Poisson models were adjusted for age, sex, sputum smears at diagnosis, serum albumin level, and diabetes mellitus at baseline.</p></div><div><h3>Results</h3><p>Among 104 pulmonary TB patients included in the analysis (68 were in a historical control group and 36 were in an intervention group), 20 patients were readmitted due to TB-related complications. We found that our nursing care program resulted in a significant reduction in the incidence (adjusted hazard ratio was 0.16 [95% CI 0.03, 0.87]) and the rate of hospital readmissions (adjusted incidence rate ratio was 0.22 [95% CI 0.06, 0.85]). Furthermore, nursing interventions significantly improved knowledge and self-care behavior scores with significant score retention at 28 days postdischarge.</p></div><div><h3>Conclusions</h3><p>The nursing care program can significantly decrease the incidence and rate of 28-day hospital readmission and improve knowledge and self-care behavior scores in pulmonary TB patients.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 3","pages":"Pages 167-173"},"PeriodicalIF":2.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10515221","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

Benefits of Music Intervention on Anxiety, Pain, and Physiologic Response in Adults Undergoing Surgery: A Systematic Review and Meta-analysis 音乐干预对成人手术患者焦虑、疼痛和生理反应的益处:一项系统回顾和荟萃分析

IF 2.2 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2023-08-01 DOI: 10.1016/j.anr.2023.05.002

Ho Yeon Lee , Eun Sook Nam , Gong Ju Chai , Doo Myung Kim

Purpose

Evidence on factors influencing the variations of music’s effect on anxiety and pain in surgical patients is unclear. We aimed to elucidate the effects of music intervention on anxiety and pain throughstudy characteristics.

Methods

We conducted a search on the PubMed, CINAHL, Embase, Cochrane, and Web of Science databases from March 7 to April 21, 2022, for randomized controlled trials (RCTs) for the effect of music intervention on anxiety, pain, and physiological responses in surgical patients. We included studies published within the last 10 years. We assessed the risk of bias in the study using the Cochrane risk of bias tool for randomized trials and performed meta-analyses using a random-effects model for all outcomes. We used change-from-baseline scores as summary statistics and computed bias-corrected standardized mean differences (Hedges'g) for anxiety and pain outcomes and mean differences (MD) for blood pressure and heart rate.

Results

Of the 454 records retrieved, 30 RCTs involving 2280 participants were found to be eligible. Music intervention was found to be superior to standard care in reducing anxiety (Hedges' g = −1.48, 95% confidence interval: −1.97 to −0.98), pain (Hedges's g = −0.67, −1.11 to −0.23), systolic blood pressure (MD = −4.62, −7.38 to −1.86), and heart rate (MD = −3.37, −6.65 to −0.10) in surgical patients. The impact of music on anxiety and pain relief varied significantly depending on the duration of the intervention. The largest effect was observed in interventions lasting between 30 and 60 minutes, with a decrease in anxiety and pain.

Conclusions

Music intervention is an effective way to reduce anxiety, pain, and physiological responses in surgical patients. Future reviews examining the influence of different types of surgery on the effects of music would add to the body of knowledge in this field. This study has been registered on the International Prospective Register of Systematic Reviews (PROSPERO) under the number CRD42022340203, with a registration date of July 4, 2022.

目的关于影响音乐对外科患者焦虑和疼痛影响的因素的证据尚不清楚。我们旨在通过研究特点阐明音乐干预对焦虑和疼痛的影响。方法我们于2022年3月7日至4月21日在PubMed、CINAHL、Embase、Cochrane和Web of Science数据库中搜索音乐干预对外科患者焦虑、疼痛和生理反应影响的随机对照试验（RCT）。我们纳入了过去10年内发表的研究。我们使用随机试验的Cochrane偏倚风险工具评估了研究中的偏倚风险，并使用随机效应模型对所有结果进行了荟萃分析。我们使用基线得分的变化作为汇总统计数据，并使用计算偏差校正焦虑和疼痛结果的标准化平均差（Hedges’s g）以及血压和心率的平均差（MD）。结果在检索到的454份记录中，30份随机对照试验符合条件，涉及2280名参与者。研究发现，音乐干预在降低手术患者的焦虑（Hedges的g=−1.48，95%置信区间：−1.97至−0.98）、疼痛（Hedges's g=−0.67，−1.11至−0.23）、收缩压（MD=−4.62，−7.38至−1.86）和心率（MD=–3.37，−6.65至−0.10）方面优于标准护理。音乐对焦虑和疼痛缓解的影响因干预的持续时间而异。在持续30至60分钟的干预中观察到最大的效果，焦虑和疼痛减轻。结论音乐干预是减少外科患者焦虑、疼痛和生理反应的有效方法。未来研究不同类型的手术对音乐效果的影响的综述将增加该领域的知识。本研究已在国际前瞻性系统评价注册中心（PROSPERO）注册，注册号为CRD42022340203，注册日期为2022年7月4日。

{"title":"Benefits of Music Intervention on Anxiety, Pain, and Physiologic Response in Adults Undergoing Surgery: A Systematic Review and Meta-analysis","authors":"Ho Yeon Lee , Eun Sook Nam , Gong Ju Chai , Doo Myung Kim","doi":"10.1016/j.anr.2023.05.002","DOIUrl":"10.1016/j.anr.2023.05.002","url":null,"abstract":"<div><h3>Purpose</h3><p>Evidence on factors influencing the variations of music’s effect on anxiety and pain in surgical patients is unclear. We aimed to elucidate the effects of music intervention on anxiety and pain throughstudy characteristics.</p></div><div><h3>Methods</h3><p>We conducted a search on the PubMed, CINAHL, Embase, Cochrane, and Web of Science databases from March 7 to April 21, 2022, for randomized controlled trials (RCTs) for the effect of music intervention on anxiety, pain, and physiological responses in surgical patients. We included studies published within the last 10 years. We assessed the risk of bias in the study using the Cochrane risk of bias tool for randomized trials and performed meta-analyses using a random-effects model for all outcomes. We used change-from-baseline scores as summary statistics and computed bias-corrected standardized mean differences (Hedges'g) for anxiety and pain outcomes and mean differences (MD) for blood pressure and heart rate.</p></div><div><h3>Results</h3><p>Of the 454 records retrieved, 30 RCTs involving 2280 participants were found to be eligible. Music intervention was found to be superior to standard care in reducing anxiety (Hedges' g = −1.48, 95% confidence interval: −1.97 to −0.98), pain (Hedges's g = −0.67, −1.11 to −0.23), systolic blood pressure (MD = −4.62, −7.38 to −1.86), and heart rate (MD = −3.37, −6.65 to −0.10) in surgical patients. The impact of music on anxiety and pain relief varied significantly depending on the duration of the intervention. The largest effect was observed in interventions lasting between 30 and 60 minutes, with a decrease in anxiety and pain.</p></div><div><h3>Conclusions</h3><p>Music intervention is an effective way to reduce anxiety, pain, and physiological responses in surgical patients. Future reviews examining the influence of different types of surgery on the effects of music would add to the body of knowledge in this field. This study has been registered on the International Prospective Register of Systematic Reviews (PROSPERO) under the number CRD42022340203, with a registration date of July 4, 2022.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 3","pages":"Pages 138-149"},"PeriodicalIF":2.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10142223","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: 1

Educational Program with Text Messaging for Community-Dwelling Patients with Hypertension: A Pilot Randomized Controlled Trial 社区居住高血压患者短信教育项目:一项随机对照试验

IF 2.2 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2023-08-01 DOI: 10.1016/j.anr.2023.06.001

Hon Lon Tam , Eliza Mi Ling Wong , Kin Cheung

Purpose

Controlling blood pressure minimizes the risk of cardiovascular events among patients with hypertension. Despite regular follow-ups, the hypertension management for patients aged ≥45 years is limited as evidenced from a decreased control rate. This pilot study aimed to test a theory-guided educational program for community-dwelling patients with hypertension.

Methods

Sixty-nine patients with hypertension aged ≥45 years and having high blood pressure (>130/80 mmHg) were recruited in this two-arm pilot randomized controlled trial. Participants in the intervention group underwent a program guided by the Health Promotion Model, whereas those in the control group received usual care. Data were collected at baseline, week 8, and week 12 and used to assess the blood pressure, pulse pressure, self-efficacy, and adherence to hypertension management. Data were analyzed using a generalized estimating equation based on the intention-to-treat principle. Process evaluation was conducted to assess the feasibility and acceptability of the educational program.

Results

The results obtained using the generalized estimating equation revealed that the educational program led to reduction in the systolic blood pressure (β = −7.12, p = .086) and pulse pressure (β = −8.20, p = .007) and to improve self-efficacy (β = 2.61, p = .269) at week 12. The program had a small-to-moderate effect on the reduction of systolic blood pressure (effect size = −0.45) and pulse pressure (effect size = −0.66) and self-efficacy (effect size = 0.23). The participants were highly satisfied with the educational program.

Conclusions

The educational program was found to be feasible and acceptable and may be incorporated into current hypertension management practices at the community level.

Trial registration

ClinicalTrials.gov with identifier: NCT04565548.

目的控制血压可最大限度地降低高血压患者发生心血管事件的风险。尽管定期随访，但年龄≥45岁的患者的高血压管理是有限的，控制率下降就是明证。这项试点研究旨在测试一项针对社区高血压患者的理论指导教育计划。方法选择69例年龄≥45岁、高血压（＞130/80mmHg）的高血压患者参加这项双臂随机对照试验。干预组的参与者接受了健康促进模式指导的项目，而对照组的参与者则接受了常规护理。在基线、第8周和第12周收集数据，用于评估血压、脉压、自我效能和对高血压管理的依从性。使用基于意向治疗原则的广义估计方程对数据进行分析。过程评估是为了评估教育计划的可行性和可接受性。结果使用广义估计方程获得的结果显示，教育计划在第12周降低了收缩压（β=−7.12，p=.086）和脉压（β=−8.20，p=.007），并提高了自我效能（β=2.61，p=.269）。该项目对收缩压（效应大小=−0.45）、脉压（效应尺寸=−0.66）和自我效能感（效应大小=0.23）的降低有小到中等的影响。参与者对该教育项目非常满意。结论该教育方案是可行和可接受的，可纳入当前社区高血压管理实践。试验注册ClinicalTrials.gov，标识符：NCT04565548。

{"title":"Educational Program with Text Messaging for Community-Dwelling Patients with Hypertension: A Pilot Randomized Controlled Trial","authors":"Hon Lon Tam , Eliza Mi Ling Wong , Kin Cheung","doi":"10.1016/j.anr.2023.06.001","DOIUrl":"10.1016/j.anr.2023.06.001","url":null,"abstract":"<div><h3>Purpose</h3><p>Controlling blood pressure minimizes the risk of cardiovascular events among patients with hypertension. Despite regular follow-ups, the hypertension management for patients aged ≥45 years is limited as evidenced from a decreased control rate. This pilot study aimed to test a theory-guided educational program for community-dwelling patients with hypertension.</p></div><div><h3>Methods</h3><p>Sixty-nine patients with hypertension aged ≥45 years and having high blood pressure (>130/80 mmHg) were recruited in this two-arm pilot randomized controlled trial. Participants in the intervention group underwent a program guided by the Health Promotion Model, whereas those in the control group received usual care. Data were collected at baseline, week 8, and week 12 and used to assess the blood pressure, pulse pressure, self-efficacy, and adherence to hypertension management. Data were analyzed using a generalized estimating equation based on the intention-to-treat principle. Process evaluation was conducted to assess the feasibility and acceptability of the educational program.</p></div><div><h3>Results</h3><p>The results obtained using the generalized estimating equation revealed that the educational program led to reduction in the systolic blood pressure (β = −7.12, <em>p</em> = .086) and pulse pressure (β = −8.20, <em>p</em> = .007) and to improve self-efficacy (β = 2.61, <em>p</em> = .269) at week 12. The program had a small-to-moderate effect on the reduction of systolic blood pressure (effect size = −0.45) and pulse pressure (effect size = −0.66) and self-efficacy (effect size = 0.23). The participants were highly satisfied with the educational program.</p></div><div><h3>Conclusions</h3><p>The educational program was found to be feasible and acceptable and may be incorporated into current hypertension management practices at the community level.</p></div><div><h3>Trial registration</h3><p>ClinicalTrials.gov with identifier: <span>NCT04565548</span><svg><path></path></svg>.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 3","pages":"Pages 158-166"},"PeriodicalIF":2.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10142226","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

Outcomes of Emergency Trauma Patients After the Implementation of Web Application Operating Systems 实施Web应用操作系统后急诊创伤患者的结果

IF 2.2 3区医学 Q2 NURSING

Asian Nursing Research

Pub Date : 2023-08-01 DOI: 10.1016/j.anr.2023.06.003

Chatkhane Pearkao , Wiphawadee Potisopha , Parichat Wonggom , Apinya Jumpamool , Korakot Apiratwarakul , Kamonwon Lenghong

Purpose

Trauma has significant impacts on the livelihoods and well-being of patients. Prompt emergency, medical, and nursing care is the key to reducing mortality rates. Digital platforms have become important for patient care. This research aimed to evaluate patient outcomes after implementing a novel web application operating system in trauma care.

Methods

A descriptive comparative study was conducted on trauma patients. The patients were divided into two groups: those who used the developed application (n = 70) and those who did not (n = 70). The patients’ characteristics, the time of the trauma team's arrival at the emergency department (ED) and the length of stay in the ED, and patients' outcomes were collected from electronic medical records and the application database. A statistical analysis was performed to evaluate this data. Sixty registered nurses who used the application completed the survey on the feasibility of the application.

Results

The activated trauma intervals for the non-application-used group and the application-used group were 5.0 ± 1.1 and 3.1 ± 0.4 minutes, respectively (p = .010). The length of stay in the ED for the non-application-used group and the application-used group were 30.1 ± 5.1 and 18.3 ± 6.2 minutes, respectively. A high level of agreement confirms the feasibility of the application.

Conclusions

This application improves patient outcomes in terms of length of stay. This mobile application can improve the cooperation and communication and efficacy of the trauma care team.

目的创伤对患者的生计和福祉有重大影响。及时的急救、医疗和护理是降低死亡率的关键。数字平台对患者护理变得非常重要。本研究旨在评估在创伤护理中实现新型网络应用程序操作系统后的患者结果。方法对创伤患者进行描述性比较研究。患者被分为两组：使用开发应用程序的患者（n=70）和未使用开发应用的患者（n=70）。从电子医疗记录和应用数据库中收集患者的特征、创伤小组到达急诊室的时间、在急诊室的停留时间以及患者的结果。对这些数据进行了统计分析。60名使用该申请的注册护士完成了关于该申请可行性的调查。结果非应用组和应用组的激活创伤间隔分别为5.0±1.1和3.1±0.4分钟（p=0.010）。非应用组在急诊室的停留时间分别为30.1±5.1和18.3±6.2分钟。高水平的协议证实了申请的可行性。结论该应用可改善患者的住院时间。这种移动应用程序可以提高创伤护理团队的合作、沟通和效率。

{"title":"Outcomes of Emergency Trauma Patients After the Implementation of Web Application Operating Systems","authors":"Chatkhane Pearkao , Wiphawadee Potisopha , Parichat Wonggom , Apinya Jumpamool , Korakot Apiratwarakul , Kamonwon Lenghong","doi":"10.1016/j.anr.2023.06.003","DOIUrl":"10.1016/j.anr.2023.06.003","url":null,"abstract":"<div><h3>Purpose</h3><p>Trauma has significant impacts on the livelihoods and well-being of patients. Prompt emergency, medical, and nursing care is the key to reducing mortality rates. Digital platforms have become important for patient care. This research aimed to evaluate patient outcomes after implementing a novel web application operating system in trauma care.</p></div><div><h3>Methods</h3><p>A descriptive comparative study was conducted on trauma patients. The patients were divided into two groups: those who used the developed application (n = 70) and those who did not (n = 70). The patients’ characteristics, the time of the trauma team's arrival at the emergency department (ED) and the length of stay in the ED, and patients' outcomes were collected from electronic medical records and the application database. A statistical analysis was performed to evaluate this data. Sixty registered nurses who used the application completed the survey on the feasibility of the application.</p></div><div><h3>Results</h3><p>The activated trauma intervals for the non-application-used group and the application-used group were 5.0 ± 1.1 and 3.1 ± 0.4 minutes, respectively (<em>p</em> = .010). The length of stay in the ED for the non-application-used group and the application-used group were 30.1 ± 5.1 and 18.3 ± 6.2 minutes, respectively. A high level of agreement confirms the feasibility of the application.</p></div><div><h3>Conclusions</h3><p>This application improves patient outcomes in terms of length of stay. This mobile application can improve the cooperation and communication and efficacy of the trauma care team.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 3","pages":"Pages 174-179"},"PeriodicalIF":2.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10515718","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