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Dignity and Related Factors in Patients with Cancer: A Cross-Sectional Study 癌症患者的尊严及其相关因素:一项横断面研究
IF 2.2 3区 医学 Q1 Nursing Pub Date : 2023-02-01 DOI: 10.1016/j.anr.2022.12.001
Yu-Chi Li , Yin-Hsun Feng , Shu-Ching Ma , Hsiu-Hung Wang

Purpose

Dignity is a basic human right that is related to psychological distress factors in patients with cancer such as depression and demoralization. Hence, the dignity issue is of great importance to healthcare professionals. The present study aimed to advise healthcare professionals regarding the related distress factors of dignity in patients with cancer by investigating its relationship with patients’ demographics, disease characteristics, and psychological distress.

Methods

This was a cross-sectional study design. A convenience sample of 267 patients with cancer from a medical center was recruited into this study. Each patient completed demographics and disease characteristics questionnaires, the Patient Dignity Inventory Mandarin Version, the Demoralization Scale Mandarin Version (DS-MV), and the Patient Health Questionnaire-9 (PHQ-9). Data were analyzed with SPSS 22.0 software.

Results

Dignity was significantly correlated with age, demoralization, and depression. Cancer patients aged 65 or above were more likely to have a lower sense of dignity. In the present study, the sensitivity and specificity of the Patient Dignity Inventory Mandarin Version for demoralization (DS-MV≥30) were 84.8% and 79.1% and for depression (PHQ-9≥10) were 73.8% and 70.9% in patients with cancer with an aggregate score of 35 or above.

Conclusions

Dignity is significantly correlated with personal demographic characteristics and psychological distress in patients with cancer. The results provide reference data for healthcare professionals to understand and enable dignity in patients with cancer and aid in the development of methods that promote their dignity.

目的尊严是癌症患者的一项基本人权,它与抑郁、沮丧等心理困扰因素有关。因此,尊严问题对医疗专业人员来说非常重要。本研究旨在通过调查癌症患者的人口统计学、疾病特征和心理困扰的关系,向医疗保健专业人员提供有关尊严的相关困扰因素的建议。方法采用横断面研究设计。这项研究招募了来自医疗中心的267名癌症患者作为方便样本。每个患者都完成了人口统计和疾病特征问卷、患者尊严量表普通话版、降级量表普通话版本(DS-MV)和患者健康问卷-9(PHQ-9)。数据采用SPSS 22.0软件进行统计分析。结果尊严与年龄、士气低落和抑郁情绪显著相关。65岁或以上的癌症患者更有可能有较低的尊严感。在本研究中,在总分为35分或以上的癌症患者中,患者尊严量表普通话版对士气低落(DS-MV≥30)的敏感性和特异性分别为84.8%和79.1%,对抑郁症(PHQ-9≥10)的敏感性为73.8%和70.9%。结论癌症患者的抑郁程度与个体人口学特征和心理压力显著相关。研究结果为医疗保健专业人员了解和提高癌症患者的尊严提供了参考数据,并有助于开发促进他们尊严的方法。
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引用次数: 2
Personal Factors and Clinical Learning Environment as Predictors of Nursing Students' Readiness for Practice: A Structural Equation Modeling Analysis 个人因素和临床学习环境对护生实习准备程度的预测:结构方程模型分析
IF 2.2 3区 医学 Q1 Nursing Pub Date : 2023-02-01 DOI: 10.1016/j.anr.2023.01.003
Taewha Lee , Su Jeong Lee , Yea Seul Yoon , Hyunju Ji , Sookhee Yoon , SangA Lee , Yoonjung Ji

Purpose

It is essential to ensure the readiness for practice among undergraduate nursing students since the purpose of such education is to cultivate competent nurses who deliver high-quality and safe nursing. Astin's theory of student involvement suggests that this is affected by their personal factors and learning environment.

Methods

We conducted a cross-sectional study between November 16, 2020 and December 21, 2020 which examined personal factors and aspects of the clinical learning environment among senior nursing students (n = 838) enrolled across 54 nursing schools in Korea. The participants were asked to fill out a self-administered online survey, which assessed demographic characteristics, self-esteem, depression, work-life balance, clinical learning environment, anxiety during clinical practicum, and readiness for practice. Readiness for practice was measured using the Casey-Fink Readiness for practice survey. We used structural equational modeling to test our hypothetical model.

Results

The nursing students' readiness for practice was significantly affected by their self-esteem, work-life balance satisfaction, and clinical learning environment. Anxiety during clinical practicum directly influenced their readiness for practice.

Conclusion

Increasing self-esteem and work-life balance satisfaction, and improving their clinical learning environment by providing sufficient educational and clinical support, could help facilitate the transition from nursing schools to real-world practice for nursing students.

目的确保护理本科生做好实习准备是至关重要的,因为这种教育的目的是培养能够提供高质量和安全护理的合格护士。Astin的学生参与理论表明,这受到他们个人因素和学习环境的影响。方法我们在2020年11月16日至2020年12月21日期间进行了一项横断面研究,调查了韩国54所护理学校的高级护理学生(n=838)的个人因素和临床学习环境。参与者被要求填写一份自我管理的在线调查,该调查评估了人口统计学特征、自尊、抑郁、工作与生活平衡、临床学习环境、临床实习期间的焦虑以及实习准备情况。使用Casey Fink练习准备情况调查来衡量练习准备情况。我们使用结构方程模型来测试我们的假设模型。结果护生实习意愿受自尊、工作生活平衡满意度、临床学习环境等因素影响显著。临床实习期间的焦虑直接影响了他们的实习准备。结论通过提供足够的教育和临床支持,提高自尊和工作与生活平衡的满意度,改善临床学习环境,有助于护理专业学生从护理学校向现实世界的实践过渡。
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引用次数: 0
The Moderated Mediating Effects of Nutrition and Physical Activity Between Fatigue and Quality of Life in Childhood Cancer Survivors 营养和体育活动对癌症儿童生存期疲劳与生活质量的中介作用
IF 2.2 3区 医学 Q1 Nursing Pub Date : 2023-02-01 DOI: 10.1016/j.anr.2022.12.003
Wei-Wen Wu , Cheng-Shi Shiu , Chia-Chun Tang , Shiann-Tang Jou , Huey-Ling Chen

Purpose

The aim of this study was to investigate the associations between nutrition, physical activity, fatigue, and quality of life (QoL) among childhood cancer survivors. The specific purpose was to examine whether nutrition mediated and physical activity moderated the relationship between fatigue and QoL in this population.

Methods

A pooled sample of 120 childhood cancer survivors was recruited at pediatric oncology wards and ambulatory settings between August 2020 and May 2021. We collected data on participants’ demographic characteristics, fatigue, nutritional status, physical activity, and QoL. We then adapted Hayes Process Macro to examine the mediating and moderating effects of nutrition and physical activity on the relationship between fatigue and QoL.

Results

In models adjusted for age and sex, (1) the simple mediation analysis identified the mediating effect of nutrition on the relationship between fatigue and QoL; and (2) the mediation and moderation analysis identified that the direct effect of nutrition between fatigue and QoL was significant when adding (a) physical activity and (b) fatigue × physical activity. There were significantly decreasing trends in physical activity at 1 standard deviation below the mean and at the mean, but not at 1 standard deviation above the mean.

Conclusions

Our findings demonstrate that nutrition mediated and physical activity moderated the relationship between fatigue and QoL. This highlights an opportunity to enhance QoL among childhood cancer survivors through healthy lifestyle interventions. To ensure that future interventions address children's needs and promote the greatest impact, such interventions should include nutrition and physical activity components that involve nurses, pediatric oncology physicians, nutritionists, and physical therapists.

目的本研究旨在探讨癌症儿童幸存者的营养、体力活动、疲劳和生活质量(QoL)之间的关系。具体目的是研究营养介导和体育活动是否调节了该人群疲劳和生活质量之间的关系。方法在2020年8月至2021年5月期间,在儿科肿瘤病房和流动环境中招募120名癌症儿童幸存者的汇总样本。我们收集了参与者的人口统计学特征、疲劳、营养状况、体育活动和生活质量的数据。然后,我们采用Hayes过程宏来检验营养和体育活动对疲劳和生活质量之间关系的中介和调节作用。结果在经年龄和性别调整的模型中,(1)简单中介分析确定了营养对疲劳与生活质量关系的中介作用;(2)中介和适度分析表明,当增加(a)体力活动和(b)疲劳×体力活动时,营养对疲劳和生活质量的直接影响显著。在低于平均值1个标准偏差和平均值时,体力活动有显著下降的趋势,但在高于平均值1标准偏差时没有。结论我们的研究结果表明,营养介导和体育活动调节了疲劳与生活质量之间的关系。这突出了通过健康的生活方式干预提高癌症儿童幸存者生活质量的机会。为了确保未来的干预措施能够满足儿童的需求并产生最大的影响,此类干预措施应包括营养和体育活动部分,包括护士、儿科肿瘤学医生、营养学家和物理治疗师。
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引用次数: 1
Patient Safety Culture and Speaking Up Among Health Care Workers 患者安全文化与卫生保健工作者的直言不讳
IF 2.2 3区 医学 Q1 Nursing Pub Date : 2023-02-01 DOI: 10.1016/j.anr.2023.01.001
Seung Eun Lee , V. Susan Dahinten , Ja-Kyung Seo , InYoung Park , Mi Young Lee , Hye Sung Han

Purpose

Although previous research showed the importance of safety culture on health care workers' speaking up behaviors, it is not clear how particular safety culture domains are associated with the speaking up behaviors of hospital staff. Also, researchers have suggested that health care workers’ speaking up behaviors vary by profession, but there has been limited research into such differences. Thus, this study examined differences in perceptions of patient safety culture and the promotive and prohibitive speaking up behaviors of health care workers by profession and investigated the relationships between patient safety culture and the two types of speaking up behaviors.

Methods

A descriptive correlational study was conducted using secondary data collected through an online survey of health care workers at a private, nonprofit, tertiary-level teaching hospital in South Korea. The sample (N = 831) consisted of nurses (54.0%), physicians (13.0%), and other licensed and unlicensed hospital personnel (33.0%). Analyses of variance were conducted to examine differences in study variables by profession. Hierarchical regression analyses were conducted to evaluate the effects of the seven patient safety culture factors on promotive and prohibitive voice after controlling for tenure and profession.

Results

Perceptions of safety culture and promotive voice behaviors were higher for physicians compared with nurses. Communication openness, reporting patient adverse events, and unit supervisors' and hospital managements’ support for patient safety were significant predictors of both types of voice behaviors.

Conclusion

Hospital administrators and unit managers should create a supportive environment where staff feel free to voice their concerns and suggestions. They should also pay attention to the varying perspectives held by different groups of hospital workers and their different voice behaviors. Knowing which dimensions of patient safety culture are most strongly related to health care workers’ voice behaviors can guide patient safety improvement activities in health care organizations.

目的尽管先前的研究表明了安全文化对医护人员发声行为的重要性,但尚不清楚特定的安全文化领域与医院工作人员的发声行为有何关联。此外,研究人员表示,医护人员的发声行为因职业而异,但对这种差异的研究有限。因此,本研究考察了医护人员对患者安全文化的认知差异以及职业上的促进性和禁止性发声行为,并调查了患者安全文化与这两种发声行为之间的关系。方法采用二次数据进行描述性相关研究,二次数据是通过对韩国一家私立、非营利、三级教学医院的医护人员的在线调查收集的。样本(N=831)由护士(54.0%)、医生(13.0%)和其他有执照和无执照的医院人员(33.0%)组成。进行方差分析以检验不同职业的研究变量的差异。在对任期和职业进行控制后,采用层次回归分析来评估七个患者安全文化因素对晋升和禁止性话语的影响。结果与护士相比,医生对安全文化和促进性话语行为的认知程度更高。沟通开放性、报告患者不良事件以及单位主管和医院管理层对患者安全的支持是这两种声音行为的重要预测因素。结论医院管理者和单位管理者应创造一个支持性的环境,让员工可以自由地表达他们的担忧和建议。他们还应该关注不同群体的医院工作人员持有的不同观点以及他们不同的声音行为。了解患者安全文化的哪些维度与卫生保健工作者的声音行为最密切相关,可以指导卫生保健组织中的患者安全改进活动。
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引用次数: 2
Effect of a Nursing Comprehensive Skill Training Course (NCST-C) on Nursing Students' Metacognitive Awareness: A Quasi-experimental Study 护理综合技能训练班对护生元认知意识影响的准实验研究
IF 2.2 3区 医学 Q1 Nursing Pub Date : 2022-12-01 DOI: 10.1016/j.anr.2022.10.003
Shasha Li , Minerva de Ala , Dandan Mao , Afeng Wang , Chongwen Wu

Purpose

This study explored the effect of a nursing comprehensive skill training course (NCST-C) on the metacognitive awareness of nursing students to provide a scientific foundation for improving metacognitive awareness.

Methods

This study used a quasi-experimental two-group matched pretest, post-test, and follow-up test. Ninety-six junior nursing students were recruited using convenience sampling and assigned to two groups by drawing lots with odd and even numbers in a nursing school at Huzhou University. The control group received a traditional skill-training course. The intervention group received NCST-C. Nursing students' metacognitive awareness inventory (MAI) was evaluated at the baseline, 16-week, and 20-week follow-up points. A repeated-measures analysis of variance and a simple effect test was used to compare each outcome measure of the two groups three times.

Results

The NCST-C resulted in greater benefits for nursing students' metacognitive awareness as well as various dimensions (knowledge of cognition and regulation of cognition) in the intervention group. Combined with a simple effects test, the MAI and dimension scores of those in the intervention group significantly improved at 16 weeks after the baseline (F = 9.78–44.03; all ps < .01). The sustainable effect of NCST-C lasted 1 month after the intervention (F = 14.24–62.36; ps < .01), reaching statistical significance (p < .05).

Conclusions

The NCST-C effectively developed metacognitive awareness among nursing students. Its design provides a new type of experimental course for improving metacognitive awareness.

Trial registration

chictr.org.cn: ChiCTR2200057910. First registration date: 1/11/2020.

目的探讨护理综合技能训练课对护生元认知意识的影响,为提高护生元认知意识提供科学依据。方法采用准实验两组匹配的前测、后测和随访试验。采用方便抽样的方法,在湖州学院某护理学院招募96名大三护生,采用单双号抽签的方式分为两组。对照组接受传统的技能培训课程。干预组采用NCST-C治疗。在基线、16周和20周随访时评估护生元认知意识量表(MAI)。采用重复测量方差分析和简单效应检验对两组各结果测量值进行三次比较。结果NCST-C干预组护生的元认知意识及各维度(认知知识和认知调节)均有较大改善。结合简单效应检验,干预组患者的MAI和维度评分在基线后16周显著提高(F = 9.78 ~ 44.03;所有ps <. 01)。NCST-C的持续效果在干预后持续1个月(F = 14.24-62.36;ps & lt;.01),达到统计学意义(p <. 05)。结论NCST-C有效地培养了护生的元认知意识。它的设计为提高元认知意识提供了一种新型的实验课程。试验注册号:ChiCTR2200057910。首次报名日期:2020年1月11日。
{"title":"Effect of a Nursing Comprehensive Skill Training Course (NCST-C) on Nursing Students' Metacognitive Awareness: A Quasi-experimental Study","authors":"Shasha Li ,&nbsp;Minerva de Ala ,&nbsp;Dandan Mao ,&nbsp;Afeng Wang ,&nbsp;Chongwen Wu","doi":"10.1016/j.anr.2022.10.003","DOIUrl":"10.1016/j.anr.2022.10.003","url":null,"abstract":"<div><h3>Purpose</h3><p>This study explored the effect of a nursing comprehensive skill training course (NCST-C) on the metacognitive awareness of nursing students to provide a scientific foundation for improving metacognitive awareness.</p></div><div><h3>Methods</h3><p>This study used a quasi-experimental two-group matched pretest, post-test, and follow-up test. Ninety-six junior nursing students were recruited using convenience sampling and assigned to two groups by drawing lots with odd and even numbers in a nursing school at Huzhou University. The control group received a traditional skill-training course. The intervention group received NCST-C. Nursing students' metacognitive awareness inventory (MAI) was evaluated at the baseline, 16-week, and 20-week follow-up points. A repeated-measures analysis of variance and a simple effect test was used to compare each outcome measure of the two groups three times.</p></div><div><h3>Results</h3><p>The NCST-C resulted in greater benefits for nursing students' metacognitive awareness as well as various dimensions (knowledge of cognition and regulation of cognition) in the intervention group. Combined with a simple effects test, the MAI and dimension scores of those in the intervention group significantly improved at 16 weeks after the baseline (F = 9.78–44.03; all <em>p</em>s &lt; .01). The sustainable effect of NCST-C lasted 1 month after the intervention (F = 14.24–62.36; <em>p</em>s &lt; .01), reaching statistical significance (<em>p</em> &lt; .05).</p></div><div><h3>Conclusions</h3><p>The NCST-C effectively developed metacognitive awareness among nursing students. Its design provides a new type of experimental course for improving metacognitive awareness.</p></div><div><h3>Trial registration</h3><p>chictr.org.cn: ChiCTR2200057910. First registration date: 1/11/2020.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131722000573/pdfft?md5=1d92eb6116343f0ae3e92188ec908755&pid=1-s2.0-S1976131722000573-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10521793","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
Development and Evaluation of a Mobile Web-based Food Allergy and Anaphylaxis Management Educational Program for Parents of School-aged Children with Food Allergy: A Randomized Controlled Trial 针对学龄儿童食物过敏家长的基于网络的食物过敏和过敏反应管理教育项目的开发和评估:一项随机对照试验
IF 2.2 3区 医学 Q1 Nursing Pub Date : 2022-12-01 DOI: 10.1016/j.anr.2022.10.002
Hwayoung Kwen , Pok-Ja Oh

Purpose

This study aimed to develop a mobile web-based food allergy (FA) and anaphylaxis management educational program for parents of school-aged children with food allergies and evaluate its effectiveness.

Methods

A mobile program was developed based on a web-based teaching-learning system model. Its effectiveness was subsequently evaluated using a parallel, randomized controlled pre- and post-test design. This study included 73 parents of school-aged children with food allergies. These parents were randomly assigned to either the experimental (n = 37) or control (n = 36) groups. The experimental group participated in a 2-week mobile web-based educational program that covered major topics in FA and anaphylaxis management. These topics included an understanding of food allergies and anaphylaxis, learning techniques for using an epinephrine auto-injector, and developing an emergency action plan. An educational booklet was provided to the control group. Participants completed a pre-test and two post-test questionnaires to evaluate the impact of the program. The assessment tools were the Food Allergy Knowledge Test, Food Allergy Self-Efficacy for Parents, and Food Management and Adaptation Scale. The data were analyzed using descriptive statistics, a test of homogeneity for the pre-test, an independent t-test, and repeated measures ANOVA.

Results

The experimental group experienced greater improvement in the knowledge of FA (post-intervention t = 14.51, p < .001; 2 weeks post-intervention, t = 16.15, p < .001), FA self-efficacy (post-intervention t = 77.99, p < .001; 2 weeks post-intervention, t = 76.09, p < .001), and practice behavior in FA management (post-intervention t = 28.10, p < .001; 2 weeks post-intervention, t = 27.98, p < .001) after web-based FA education.

Conclusion

This study revealed improvements in the knowledge, self-efficacy, and practice behaviors of parents regarding FA and anaphylaxis management. Therefore, the mobile web-based educational program can contribute to the effective management of food allergies and anaphylaxis for parents of school-aged children. CRIS registration: KCT0007491.

目的本研究旨在为学龄儿童食物过敏家长开发一个基于网络的食物过敏及过敏反应管理教育项目,并评估其有效性。方法采用基于网络的教与学系统模式,开发一个移动程序。其有效性随后通过平行、随机对照试验前后设计进行评估。这项研究包括73名有食物过敏的学龄儿童的父母。这些父母被随机分为实验组(n = 37)和对照组(n = 36)。实验组参加了为期两周的移动网络教育计划,该计划涵盖了FA和过敏反应管理的主要主题。这些主题包括对食物过敏和过敏反应的理解,学习使用肾上腺素自动注射器的技术,以及制定紧急行动计划。给对照组提供了一本教育小册子。参与者完成了一份前测试和两份后测试问卷,以评估该计划的影响。评估工具为《食物过敏知识测验》、《父母食物过敏自我效能感》和《食物管理与适应量表》。采用描述性统计、前检验的同质性检验、独立t检验和重复测量方差分析对数据进行分析。结果实验组在FA知识方面有较大改善(干预后t = 14.51, p <措施;干预后2周,t = 16.15, p <.001)、FA自我效能感(干预后t = 77.99, p <措施;干预后2周,t = 76.09, p <.001)和FA管理的实践行为(干预后t = 28.10, p <措施;干预后2周,t = 27.98, p <.001)。结论本研究揭示了家长对FA和过敏反应管理的知识、自我效能和实践行为的改善。因此,基于网络的移动教育项目可以帮助学龄儿童的父母有效地管理食物过敏和过敏反应。CRIS注册号:KCT0007491。
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引用次数: 0
Prevalence and Risk Factors of Postdialysis Fatigue in Patients Under Maintenance Hemodialysis: A Systematic Review and Meta-Analysis 维持性血液透析患者透析后疲劳的患病率和危险因素:一项系统综述和荟萃分析
IF 2.2 3区 医学 Q1 Nursing Pub Date : 2022-12-01 DOI: 10.1016/j.anr.2022.11.002
Qian You , Ding-xi Bai , Chen-xi Wu , Huan Chen, Chao-ming Hou, Jing Gao

Purpose

Despite the high prevalence of postdialysis fatigue (PDF) in maintenance hemodialysis patients, no meta-analysis on the prevalence and risk factors of PDF has yet been published. This study aimed to identify the prevalence of PDF and explore its related factors.

Methods

PubMed, Embase, CENTRAL, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the four Chinese databases (National Knowledge Infrastructure [CNKI], Chinese Biomedical Literature database [SinoMed], Wanfang Digital Periodicals [WANFANG], and Chinese Science and Technology Periodicals [VIP] database) were searched from inception up to July 2022. This study was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The articles were independently searched by two reviewers, and the relevant data were extracted. The Agency for Healthcare Research and Quality was used to assess the quality of the included studies.

Results

Thirteen articles with 2,118 participants were included. The pooled prevalence was 60.0%. The meta-analysis results revealed that the ultrafiltration volume, mean arterial pressure after dialysis, and good sleep quality were potentially associated with PDF, whereas only good sleep quality (odds ratio 0.24, 95% confidence interval 0.19–0.30) was significantly associated with PDF.

Conclusion

PDF is common in maintenance hemodialysis patients, which is related to the ultrafiltration volume, sleep quality, and mean arterial pressure after dialysis. However, the mechanism underlying the risk factors and PDF remains unknown. Further research is warranted to investigate the risk factors, intervention, treatment, and mechanism in maintenance hemodialysis patients.

目的:尽管维持性血液透析患者透析后疲劳(PDF)的患病率很高,但尚未有关于PDF患病率及其危险因素的meta分析发表。本研究旨在确定PDF的患病率并探讨其相关因素。方法检索spubmed、Embase、CENTRAL、Web of Science、护理与相关健康文献累积索引(CINAHL)以及四个中文数据库(国家知识基础设施[CNKI]、中国生物医学文献数据库[SinoMed]、万方数字期刊[Wanfang]和中国科技期刊[VIP]数据库),检索时间为建库至2022年7月。本研究是根据系统评价和荟萃分析指南的首选报告项目进行的。文章由两位审稿人独立检索,并提取相关数据。采用卫生保健研究与质量机构来评估纳入研究的质量。结果纳入文献13篇,受试者2118人。合并患病率为60.0%。meta分析结果显示,超滤体积、透析后平均动脉压和良好的睡眠质量与PDF有潜在的相关性,而只有良好的睡眠质量(优势比0.24,95%可信区间0.19-0.30)与PDF有显著的相关性。结论维持性血液透析患者普遍存在pdf,其与透析后超滤量、睡眠质量、平均动脉压有关。然而,风险因素和PDF的潜在机制尚不清楚。维持性血液透析患者的危险因素、干预、治疗和机制有待进一步研究。
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引用次数: 1
Reviewer acknowledgment 评论家承认
IF 2.2 3区 医学 Q1 Nursing Pub Date : 2022-12-01 DOI: 10.1016/S1976-1317(22)00065-2
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引用次数: 0
Combating with Compassion Fatigue: The Perspective of Family Caregivers of People with Schizophrenia 与同情疲劳的斗争:精神分裂症患者的家庭照顾者的视角
IF 2.2 3区 医学 Q1 Nursing Pub Date : 2022-12-01 DOI: 10.1016/j.anr.2022.09.001
Ratchaneekorn Upasen , Weeraphol Saengpanya

Purpose

The purpose of this study was to explore the coping processes used by family caregivers of individuals with schizophrenia to deal with compassion fatigue (CF).

Methods

Grounded theory was used in this study. For recruitment, purposive and theoretical samplings were used to recruit participants. Data were collected from 29 family caregivers through in-depth interviews and field notes. Data were analyzed using constant and comparative methods.

Results

The study revealed a core process for dealing with CF as “Combating with compassion fatigue” that comprised three dynamic phases: strengthening attachment with the care recipient to increase willpower, learning how to deal with the illness, and self-empowerment to fight to the physical and mental fatigue.

Conclusions

Family caregivers of people with a diagnosis of schizophrenia use various strategies to fight to CF. These combine the past experiences of strategies that work and new approaches. Our research will allow mental health professionals to provide basic strategies to family caregivers of people with a diagnosis of schizophrenia to help them to cope with CF.

目的本研究旨在探讨精神分裂症患者家庭照顾者应对同情疲劳的过程。方法本研究采用扎根理论。在招募方面,采用有目的和理论抽样来招募参与者。通过深度访谈和实地记录收集29名家庭照顾者的数据。采用常数法和比较法对数据进行分析。结果研究揭示了CF治疗的核心过程是“与同情疲劳作斗争”,该过程包括三个动态阶段:加强与被照顾者的依恋以增强意志力、学习如何处理疾病和自我赋权以对抗身心疲劳。结论精神分裂症患者的家庭照顾者使用多种策略来对抗CF,这些策略结合了过去有效策略的经验和新的方法。我们的研究将允许心理健康专业人员为精神分裂症患者的家庭照顾者提供基本策略,以帮助他们应对CF。
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引用次数: 1
Roles and Effects of Peer Recovery Coach Intervention in the Field of Substance Abuse: An Integrative Literature Review 同伴康复教练干预在药物滥用领域的作用和效果:综合文献综述
IF 2.2 3区 医学 Q1 Nursing Pub Date : 2022-12-01 DOI: 10.1016/j.anr.2022.10.001
Kyung Im Kang , Chan Mi Kang

Purpose

There are ongoing public initiatives to help substance abusers by involving peer recovery coaches (PRCs) in the field of substance abuse worldwide. This study examines the contents and delivery methods of PRC intervention programs and their effects from the participants' standpoint.

Methods

An integrative literature search was conducted in seven electronic databases using English and Korean search terms. Two researchers independently reviewed the extracted papers and rated their quality based on predetermined inclusion and exclusion criteria, resulting in the selection of nine papers.

Results

Research on PRC participation in substance abuse treatment were predominantly US-based, and all articles derived were quantitative studies. The main roles of PRCs included liaising between treatment and community resources, assisting with stress management and coping skills, counseling and case management, and recovery and recurrence prevention education. In addition, the PRC-delivered intervention was tested with various outcome variables. It reduced participants' substance use and enhanced their treatment adherence rates, self-efficacy, quality of life, and stress control.

Conclusions

This study confirmed the need to extend existing studies by testing the effects of PRC-delivered intervention through multidisciplinary efforts in more regions and establishing PRCs' role definition and concretization. The results of this study will serve as significant basic data in developing and applying for nursing intervention programs with PRCs in clinical and community nursing settings in the future.

目的在世界范围内,正在开展公共倡议,通过让药物滥用领域的同伴康复教练(prc)参与进来,帮助药物滥用者。本研究从参与者的角度,探讨了PRC干预计划的内容、实施方式及其效果。方法采用英文和韩文检索词对7个电子数据库进行综合文献检索。两名研究人员独立审查了提取的论文,并根据预先确定的纳入和排除标准对其质量进行评级,最终选择了9篇论文。结果华人参与药物滥用治疗的研究以美国为主,且所有文献均为定量研究。prc的主要作用包括联络治疗和社区资源,协助压力管理和应对技能,咨询和病例管理,以及预防康复和复发教育。此外,prc提供的干预措施用各种结果变量进行了测试。它减少了参与者的物质使用,提高了他们的治疗依从率、自我效能、生活质量和压力控制。本研究证实有必要扩展现有的研究,通过多学科努力在更多地区测试prc提供的干预措施的效果,并建立prc的角色定义和具体化。本研究结果将为今后临床和社区护理中针对prc的护理干预方案的制定和应用提供重要的基础数据。
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引用次数: 2
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Asian Nursing Research
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