Archives of Psychiatric Nursing最新文献

英文中文

A qualitative study on care roles and health support for family caregivers of people with psychotic disorders in Spain 一项关于西班牙精神病患者家庭照顾者的护理角色和健康支持的定性研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-30 DOI: 10.1016/j.apnu.2025.152027

Amelia Villena Jimena , José Miguel Morales-Asencio , Casta Quemada , María M. Hurtado

Background and aim

Patients with psychosis often have a family member who acts as their caregiver. This presence is linked to a favorable outcome for the patient, but it also represents a significant change in the family member's life and daily routine. The aim of this research is to investigate to what extent family caregivers perceive and experience barriers regarding continuity of care and participation in the care process in the Spanish context.

Methodological design and justification

Focus groups are a qualitative technique used to identify the needs, preferences, and demands of a particular group.

Ethical issues and approval

Participants provided written informed consent before participating in the study. Approval for this study was granted by the Ethics and Research Committee of Málaga Research Methods: Four focus groups (27 participants) were conducted. Data were subject to a thematic analysis.

Results

Two themes and ten subthemes were identified. The main themes are: 1) “Functions of family caregivers”, and 2) “Needs of family caregivers”. Family caregivers of people with psychotic disorders are assuming important care roles, as ensuring adherence to pharmacological treatment, functions of the auxiliary self, emotional support or promotion of autonomy. For do it properly, caregivers need the support of the health system.

Conclusions

This research identifies the needs of family caregivers and promotes, therefore, that healthcare professionals and services facilitate specific information, participation in clinical decision-making and support spaces. These measures can improve the patient's outcomes and the quality of life of the patient and caregiver.

背景和目的精神病患者通常有一个家庭成员作为他们的照顾者。这种存在与患者的有利结果有关，但它也代表了家庭成员生活和日常生活的重大变化。本研究的目的是调查到何种程度的家庭看护者感知和经验障碍，关于护理的连续性和参与护理过程在西班牙的背景下。方法论设计和论证焦点小组是一种定性技术，用于确定特定群体的需求、偏好和要求。伦理问题和审批参与者在参与研究前提供书面知情同意。本研究由Málaga伦理与研究委员会批准。研究方法：进行了4个焦点小组（27名参与者）。对数据进行了专题分析。结果确定了2个主题和10个副主题。主题为：1)“家庭照顾者的功能”，2)“家庭照顾者的需求”。精神病患者的家庭照顾者承担着重要的照顾角色，如确保药物治疗的依从性、辅助自我的功能、情感支持或促进自主性。为了做到这一点，护理人员需要卫生系统的支持。结论：本研究确定了家庭照顾者的需求，并因此促进了医疗保健专业人员和服务促进具体信息，参与临床决策和支持空间。这些措施可以改善患者的预后以及患者和护理人员的生活质量。

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引用次数: 0

Psycho-oncology: Bridging mental health and cancer care in modern medicine 心理肿瘤学：现代医学中心理健康和癌症护理的桥梁

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-30 DOI: 10.1016/j.apnu.2025.152024

Kanchan Upadhyay , Raunak Kumar Tamrakar , Sunil Kumar , Suraj Butoliya

Psycho-oncology integrates psychological care into oncology to address distress, improve adherence, and enhance quality of life, yet its nursing-led applications remain underexplored. Purpose.

This systematic review synthesizes evidence on psycho-oncological interventions and their implications for psychiatric/mental health nursing practice, incorporating recent advancements from 2023 to 2025.

Methods

A systematic search was conducted in PubMed, CINAHL, PsycINFO, and Scopus from January 2015 to November 2025. Inclusion criteria: peer-reviewed articles in English on psycho-oncological interventions, psychological distress, or nursing roles in cancer care. Exclusions: case reports, non-empirical studies, pre-2015 publications. Quality appraisal used the MMAT tool for methodological rigor.

Results

Seventy-five studies were included. Key interventions (CBT, MBSR, SSRIs) reduce distress (moderate to strong evidence), with emerging data on mind–body therapies for pain relief and global prevalence of survivor mental health issues. Nursing-led screening, communication training, and caregiver support improve outcomes. Barriers include stigma and resource gaps, particularly in MENA regions.

Conclusions

Psycho-oncology supports mental health nursing through distress screening, intervention delivery, and advocacy, contributing to more integrated care models. Limitations include reliance on English-language publications and potential publication bias, which may limit generalizability. Future research should focus on longitudinal trials and equity in low-resource settings.

心理肿瘤学将心理护理整合到肿瘤学中，以解决困扰，提高依从性，提高生活质量，但其护理主导的应用仍未得到充分探索。目的。本系统综述综合了心理肿瘤学干预措施及其对精神病学/心理健康护理实践的影响的证据，并结合了2023年至2025年的最新进展。方法系统检索2015年1月~ 2025年11月PubMed、CINAHL、PsycINFO、Scopus等文献。纳入标准：关于心理肿瘤干预、心理困扰或护理在癌症护理中的作用的英文同行评议文章。排除：病例报告、非实证研究、2015年前的出版物。质量评估使用了MMAT工具，以提高方法的严谨性。结果纳入75项研究。关键的干预措施（CBT，正念减压疗法，SSRIs）减少痛苦（中度到强有力的证据），新的数据表明身心疗法缓解疼痛和幸存者心理健康问题的全球流行。以护理为主导的筛查、沟通培训和护理人员支持可改善预后。障碍包括耻辱和资源差距，特别是在中东和北非地区。结论心理肿瘤学通过痛苦筛查、干预提供和宣传支持心理健康护理，有助于形成更综合的护理模式。局限性包括对英文出版物的依赖和潜在的出版偏见，这可能限制推广。未来的研究应侧重于低资源环境下的纵向试验和公平性。

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引用次数: 0

Mentoring undergraduate nursing students in psychiatric mental health research: A pilot training initiative 指导本科护理学生进行精神病学心理健康研究：一项试点培训计划

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-30 DOI: 10.1016/j.apnu.2025.152025

Jennifer Graber , Jennifer Saylor , Shawn Frapp , Amy Jackson

Background

Peer mentoring among various levels of nursing students can foster inclusivity and break down silos through psychiatric mental health research-driven projects. While mentorship as a teaching modality in undergraduate nursing education is not novel, a symbiotic relationship between mentor and mentee encourages professional and academic growth.

Aims

This pilot study examined the efficacy of a mentoring training program (MTP) and mentoring competency of baccalaureate, honors nursing students to increase research process engagement in psychiatric-mental health nursing.

Methods

Researchers used a cross-sectional design with a sample of freshman (n = 17) and junior (n = 10) undergraduate honors nursing students. Participants completed a revised 20-item Mentoring Competency Assessment (MCA) and 7 open-ended questions about the mentoring experience.

Results

For each MCA item, most participants rated themselves and their mentor or mentee as possessing a high mentoring skill level, ranging from 4.50 (SD = 2.52) to 6.86 (SD = 0.35). There was no statistical difference found between mentors and mentees in mentoring competency, supporting the efficacy of the MTP. From the open-ended questions, researchers found four overarching themes: emergent leadership, bi-directional mentorship, adaptive communication, and fostering a legacy of support.

Conclusions

Overall, students expressed positive feedback regarding the peer mentoring program. By implementing an MTP, nurse graduates are poised to transition into clinical practice successfully and have a deeper appreciation for psychiatric mental health nursing.

背景：通过精神病学心理健康研究驱动的项目，在不同层次的护理学生之间进行同伴指导可以促进包容性，打破孤岛。导师制作为本科护理教育的一种教学模式并不新颖，但导师与学员之间的共生关系促进了专业和学术的发展。目的本初步研究考察师徒培训计划（MTP）和师徒能力对提高本科、荣誉护生在精神-心理健康护理研究过程参与度的影响。方法采用横断面设计，选取大一（n = 17）和大三（n = 10）护理专业荣誉本科生。参与者完成了一份修订后的20项师徒能力评估（MCA）和7个关于师徒经历的开放式问题。结果对于每个MCA项目，大多数参与者认为自己和导师或被指导者具有较高的指导技能水平，范围从4.50 （SD = 2.52）到6.86 （SD = 0.35）。导师与徒弟在指导胜任力上无统计学差异，支持MTP的有效性。从开放式问题中，研究人员发现了四个主要主题：紧急领导、双向指导、适应性沟通和培养支持的遗产。结论总体而言，学生对同侪辅导计划表现出积极的反馈。通过实施MTP，护士毕业生可以成功地过渡到临床实践，并对精神病学心理健康护理有更深的了解。

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引用次数: 0

From inner care to healthy living: Cross-sectional evidence that self-compassion fulfills basic psychological needs and relates to lower insomnia and loneliness 从内心关怀到健康生活：横断面证据表明，自我同情满足了基本的心理需求，并与减少失眠和孤独感有关

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-22 DOI: 10.1016/j.apnu.2025.152021

Yusuke Kurebayashi , Hiroshi Sugimoto , Andi Muhammad Fiqri Muslih Djaya

Background

Self-compassion has emerged as a protective psychological factor that supports mental health and adaptive lifestyle behaviours. Recent research suggests that the fulfilment of basic psychological needs—autonomy, competence, and relatedness—may mediate the effects of self-compassion on behavioural health outcomes such as sleep and social connectedness.

Purpose

This study examined whether basic psychological needs mediate the associations between self-compassion and two lifestyle-related outcomes: insomnia and loneliness, among Japanese adults.

Methods

A cross-sectional online survey was conducted in June 2024 with 400 Japanese adults aged 20–59 years old. Participants completed validated Japanese versions of the Self-Compassion Scale, Basic Psychological Need Satisfaction Scale, Athens Insomnia Scale, and the UCLA Loneliness Scale. Mediation analyses were conducted using multiple regression procedures based on Baron and Kenny's approach, followed by Sobel tests to assess the significance of indirect effects.

Results

Need satisfaction fully mediated the association between self-compassion and insomnia (Sobel z = −5.44, p < .001), and partially mediated the association between self-compassion and loneliness (Sobel z = −7.34, p < .001). The indirect effects in both models were statistically significant, supporting the mediating role of basic psychological needs.

Conclusions

In this cross-sectional sample, greater self-compassion was associated with lower insomnia and loneliness indirectly via higher basic psychological need satisfaction. The findings suggest that sleep improvement may be primarily driven by need satisfaction, while loneliness may require additional psychological mechanisms beyond basic need fulfilment.

自我同情已经成为一种支持心理健康和适应性生活方式行为的保护性心理因素。最近的研究表明，基本心理需求的满足——自主性、能力和相关性——可能会调节自我同情对行为健康结果（如睡眠和社会联系）的影响。目的本研究考察了日本成年人的基本心理需求是否介导了自我同情与两种生活方式相关的结果：失眠和孤独之间的联系。方法于2024年6月对400名年龄在20-59岁之间的日本成年人进行横断面在线调查。参与者完成了日本版的自我同情量表、基本心理需求满足量表、雅典失眠量表和加州大学洛杉矶分校孤独量表。采用基于Baron和Kenny方法的多元回归程序进行中介分析，随后采用Sobel检验评估间接效应的显著性。结果需求满意度在自我同情与失眠之间具有完全中介作用（Sobel z = - 5.44, p < .001），在自我同情与孤独之间具有部分中介作用（Sobel z = - 7.34, p < .001）。两个模型的间接效应均具有统计学显著性，支持基本心理需求的中介作用。结论在本横截面样本中，较高的自我同情与较低的失眠和孤独感通过较高的基本心理需求满意度间接相关。研究结果表明，睡眠改善可能主要是由需求满足驱动的，而孤独感可能需要基本需求满足之外的其他心理机制。

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引用次数: 0

Cyberchondria and internet addiction among nurses: Online study of predictors and differences 护士网络病症与网络成瘾：预测因素与差异的在线研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-19 DOI: 10.1016/j.apnu.2025.152022

Abdullah Algunmeeyn , Majd T. Mrayyan

Background

Cyberchondria, characterized by excessive online health-related searches, mirrors patterns of internet addiction. This study investigates differences and predictors of cyberchondria and internet addiction among nurses.

Methods

In January 2024, data were gathered from 370 nurses using a cross-sectional online survey and convenience sampling. Descriptive statistics, ANOVA, Pearson and Spearman correlations, and multiple linear regression analyses were performed.

Results

Nurses demonstrated elevated cyberchondria severity (CSS M = 3.50, SE = 0.63) and mild internet addiction (IAT M = 42.94). ANOVA results indicated significant group differences in cyberchondria by age (F = 3.74, p = 0.011) and education level (F = 7.07, p = 0.001), with younger nurses (age < 25) and those holding baccalaureate/master's degrees scoring highest. Similarly, internet addiction differed by age (F = 7.72, p = 0.001), education (F = 6.29, p = 0.001), and clinical experience (F = 4.13, p = 0.003), with junior nurses (<2 years' experience) exhibiting higher scores. A strong positive correlation linked cyberchondria and internet addiction (r = 0.606, p < 0.01). Regression models revealed internet addiction accounted for 43.9 % of cyberchondria variance (p < 0.001). In comparison, cyberchondria and age jointly predicted 45.6 % of internet addiction variance (p < 0.001).

Conclusions

Cyberchondria and internet addiction among nurses are interrelated, with age and education as shared predictors. Younger, less experienced nurses exhibited higher levels of both conditions. These findings highlight the need for specific and tailored interventions to promote healthy internet use and mitigate health-related anxiety in nursing practice.

上网疑病症的特点是过度在网上搜索与健康相关的信息，反映了网络成瘾的模式。本研究旨在探讨护士网络疑病症及网络成瘾的差异及预测因素。方法于2024年1月，采用横断面在线调查和方便抽样的方法，对370名护士进行数据收集。描述性统计、方差分析、Pearson和Spearman相关及多元线性回归分析。结果护士网络疑病严重程度升高（CSS M = 3.50, SE = 0.63），网络成瘾程度轻度（IAT M = 42.94）。方差分析结果显示，年龄（F = 3.74, p = 0.011）和文化程度（F = 7.07, p = 0.001）组间网络疑病差异有统计学意义，其中年龄≤25岁的年轻护士和本科/硕士护士得分最高。同样，网络成瘾也因年龄（F = 7.72, p = 0.001）、教育（F = 6.29, p = 0.001）和临床经验（F = 4.13, p = 0.003）而异，资历浅的护士（2年经验）表现出更高的得分。上网疑病与网络成瘾呈显著正相关（r = 0.606, p < 0.01）。回归模型显示，网络成瘾占网络病症方差的43.9% （p < 0.001）。相比之下，网络病症和年龄共同预测了45.6%的网络成瘾方差（p < 0.001）。结论护士上网成瘾与上网疑病存在相关性，年龄和受教育程度是共同的预测因子。年轻、经验不足的护士表现出更高的水平。这些发现强调了在护理实践中需要具体和量身定制的干预措施来促进健康的互联网使用和减轻与健康相关的焦虑。

{"title":"Cyberchondria and internet addiction among nurses: Online study of predictors and differences","authors":"Abdullah Algunmeeyn , Majd T. Mrayyan","doi":"10.1016/j.apnu.2025.152022","DOIUrl":"10.1016/j.apnu.2025.152022","url":null,"abstract":"<div><h3>Background</h3><div>Cyberchondria, characterized by excessive online health-related searches, mirrors patterns of internet addiction. This study investigates differences and predictors of cyberchondria and internet addiction among nurses.</div></div><div><h3>Methods</h3><div>In January 2024, data were gathered from 370 nurses using a cross-sectional online survey and convenience sampling. Descriptive statistics, ANOVA, Pearson and Spearman correlations, and multiple linear regression analyses were performed.</div></div><div><h3>Results</h3><div>Nurses demonstrated elevated cyberchondria severity (CSS <em>M</em> = 3.50, <em>SE</em> = 0.63) and mild internet addiction (IAT <em>M</em> = 42.94). ANOVA results indicated significant group differences in cyberchondria by age (<em>F</em> = 3.74, p = 0.011) and education level (<em>F</em> = 7.07, p = 0.001), with younger nurses (age < 25) and those holding baccalaureate/master's degrees scoring highest. Similarly, internet addiction differed by age (<em>F</em> = 7.72, p = 0.001), education (<em>F</em> = 6.29, p = 0.001), and clinical experience (<em>F</em> = 4.13, p = 0.003), with junior nurses (<2 years' experience) exhibiting higher scores. A strong positive correlation linked cyberchondria and internet addiction (r = 0.606, p < 0.01). Regression models revealed internet addiction accounted for 43.9 % of cyberchondria variance (p < 0.001). In comparison, cyberchondria and age jointly predicted 45.6 % of internet addiction variance (p < 0.001).</div></div><div><h3>Conclusions</h3><div>Cyberchondria and internet addiction among nurses are interrelated, with age and education as shared predictors. Younger, less experienced nurses exhibited higher levels of both conditions. These findings highlight the need for specific and tailored interventions to promote healthy internet use and mitigate health-related anxiety in nursing practice.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"60 ","pages":"Article 152022"},"PeriodicalIF":2.2,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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