Archives of Psychiatric Nursing最新文献_第4页

Childhood trauma and dissociative symptoms among young adults: A longitudinal study of the role of self-stigma 青少年的童年创伤和分离症状：关于自我污名作用的纵向研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-16 DOI: 10.1016/j.apnu.2024.10.021

Hong Wang Fung , Grace Wing Ka Ho , Guangzhe Frank Yuan , Ming Yu Claudia Wong , Asa Choi , Stanley Kam Ki Lam , Janet Yuen-Ha Wong

Dissociative symptoms, which are psychiatric phenomena recognized in both ICD-11 and DSM-5-TR, refer to failures in the process of integrating one's biopsychosocial experiences. While research shows that childhood trauma is associated with dissociative symptoms, little is known about whether childhood trauma could predict increases in dissociative symptoms even within a short period of time. Additionally, it remains unclear what moderators may influence this relationship. This study examined the effects of childhood trauma on subsequent dissociative symptoms and explored the potential moderating effects of mental health-related self-stigma. We analyzed longitudinal survey data from an international sample of young adults (N = 146). Participants completed validated standardized measures of childhood trauma, self-stigma, and dissociative symptoms at baseline, and they reported their dissociative symptoms again after approximately three months. Over 75 % of participants with pathological dissociation at baseline continued to exhibit pathological dissociation at follow-up. Baseline childhood trauma was associated with increases in dissociative symptoms even within a short period of time. Self-stigma significantly moderated the relationship between baseline childhood trauma and subsequent dissociative symptoms, after controlling for baseline dissociative symptoms. This study confirmed that childhood trauma is associated with increases in dissociative symptoms even within three months. We also found that self-stigma may exacerbate the effects of childhood trauma on subsequent dissociative symptoms. The results provide insights into the prevention and management of dissociative symptoms in childhood trauma survivors and inform the modification of the trauma model of dissociation.

解离症状是 ICD-11 和 DSM-5-TR 中都承认的精神现象，指的是一个人在整合其生物-心理-社会经历过程中的失败。虽然研究表明童年创伤与分离症状有关，但人们对童年创伤是否能预测分离症状的增加（即使是在短时间内）知之甚少。此外，哪些调节因素可能会影响这种关系，目前仍不清楚。本研究考察了童年创伤对随后出现的分离症状的影响，并探讨了心理健康相关自我污名的潜在调节作用。我们分析了国际青年样本（N = 146）的纵向调查数据。参与者在基线完成了童年创伤、自我污名和分离症状的标准化验证测量，并在大约三个月后再次报告了他们的分离症状。在基线时表现出病理性分离的参与者中，超过 75% 在随访时继续表现出病理性分离。即使在很短的时间内，基线童年创伤也与分离症状的增加有关。在控制了基线解离症状后，自我污名在很大程度上调节了基线童年创伤与后续解离症状之间的关系。这项研究证实，即使在三个月内，童年创伤也与分离症状的增加有关。我们还发现，自我烙印可能会加剧童年创伤对后续解离症状的影响。研究结果为预防和管理童年创伤幸存者的解离症状提供了启示，并为修正解离创伤模型提供了参考。

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引用次数: 0

Validity and reliability of the scale for determining nursing students' perceptions of stigmatization 确定护理专业学生对污名化看法的量表的有效性和可靠性

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-15 DOI: 10.1016/j.apnu.2024.10.016

Gülşah Kaya , Zeliha Koç

Introduction

Stigmatization can negatively affect the relationship between the patient and health professional.

Aims

The aim of this study was to develop the Scale for Determining Nursing Students' Perceptions of Stigmatization.

Methods

The population of the study consisted of 403 nursing students. A literature review and qualitative interviews with 24 students were conducted to generate the initial items. Confirmatory factor analysis and exploratory factor analysis were applied to examine the construct validity of the scale. The reliability of the scale was evaluated with Cronbach's alpha reliability coefficient and item-total score correlation coefficients.

Results

After confirmatory factor analysis, the Scale for Determining Nursing Students' Perceptions of Stigmatization was finalized with 19 items and five sub-dimensions. In the confirmatory factor analysis, the goodness of fit values of the scale was determined as χ²/sd: 2.957; GFI: 0.902; AGFI: 0.869; IFI: 0.906; TLI: 0.937; CFI: 0.905; RMSEA: 0.070; SRMR: 0.063. The reliability of the scale over time was evaluated with the test-retest method, and it was found that the agreement between the responses was very good (ICC: 0.980; p < 0.001). The Cronbach's alpha reliability coefficient of the scale was 0.824.

Conclusions

It was determined that the Scale for Determining Nursing Students' Perceptions of Stigmatization is a short, easy-to-understand, and psychometrically sound measurement tool that can be safely applied to nursing students. Nursing students' perceptions of stigmatization can be determined using this scale. The nursing education curriculum can be restructured in line with the findings obtained.

导言：污名化会对患者与医疗专业人员之间的关系产生负面影响。研究目的：本研究旨在开发 "护理专业学生对污名化的认知量表"。研究方法：研究对象包括 403 名护理专业学生。通过文献综述和对 24 名学生的定性访谈产生了初始项目。研究采用了确认性因子分析和探索性因子分析来检验量表的建构效度。结果经过确认性因素分析，最终确定了护理专业学生对污名化认知的量表，包括 19 个项目和 5 个子维度。在确认性因素分析中，量表的拟合优度分别为：χ2/sd: 2.957; GFI：0.902；AGFI：0.869；IFI：0.906; TLI: 0.937; CFI：0.905；RMSEA：0.070；SRMR：0.063。采用重测法评估了量表在一段时间内的信度，结果发现各应答之间的一致性非常好（ICC：0.980；p <；0.001）。结论护理专业学生对污名化的认知量表是一种简短、易懂且符合心理测量学原理的测量工具，可以安全地应用于护理专业学生。使用该量表可以确定护理专业学生对污名化的看法。护理教育课程可根据所得结果进行调整。

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引用次数: 0

Suicide publications from nursing perspective: A bibliometric analysis from 1982 to 2023 从护理角度看自杀问题的出版物：1982 年至 2023 年的文献计量分析

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-15 DOI: 10.1016/j.apnu.2024.10.014

Gülcan Kendirkıran

Aim

This study aims to demonstrate the quantitative and qualitative features of suicide publications in the field of nursing from a bibliometric perspective.

Design

Descriptive study.

Methods

Web of Science was used during the research. The data were searched with the keyword combination “suicide and nursing,” including studies published until March 2023, the study date, without a time limit.

Results

In this study, 1608 suicide research/reviews in the field of nursing were identified between 1982 and 2023, and the research was completed with 1274 suicide studies in line with the exclusion criteria. 3374 authors wrote 1173 research and 101 review/systematic review articles, with an average of 13.31 citations for each publication. Most were published in 2021.

Conclusions

Nurses seem to begin to take a more active part in suicide studies. It may be recommended that nurses conduct more studies to determine suicide processes and biopsychosocially and ethically appropriate approaches to patients/healthy individuals.

目的本研究旨在从文献计量学的角度展示护理领域自杀类出版物的定量和定性特征。以 "自杀与护理 "为关键词组合进行数据检索，包括研究日期 2023 年 3 月之前发表的研究，无时间限制。结果在本研究中，共发现 1982 年至 2023 年期间护理领域的自杀研究/综述 1608 篇，符合排除标准的自杀研究 1274 篇，研究完成。3374位作者撰写了1173篇研究文章和101篇综述/系统综述文章，平均每篇文章被引用13.31次。结论护士似乎开始更积极地参与自杀研究。可以建议护士开展更多研究，以确定自杀过程以及针对患者/健康人的生物心理社会和伦理适当方法。

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引用次数: 0

Workplace violence and nurses' psychological well-being: The mediating role of burnout and the moderating role of psychological resilience 工作场所暴力与护士的心理健康：职业倦怠的中介作用和心理复原力的调节作用

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-15 DOI: 10.1016/j.apnu.2024.10.015

Rahsan Kolutek , Hakan Erkutlu , Jamel Chafra

Workplace violence can harm healthcare professionals. It can cause bodily harm, psychological distress, and even death. Moreover, it creates an unpleasant workplace that lowers morale and productivity. To provide quality patient care without fear of danger or intimidation, healthcare organizations must keep their personnel safe from violence. This article examines workplace violence and nurses' psychological relationship with nurses' burnout as the mediator. Psychological resilience's moderating role between workplace violence and nurses' psychological well-being is also examined. The data of this study includes 945 nurses from 15 university hospitals in Turkey. The proposed model was tested by using hierarchical multiple regression analysis. This study showed that workplace violence and burnout negatively affect nurses' mental health. Psychological resilience also weakens the relationship between workplace violence and nurses' psychological well-being. The study suggests that healthcare administrators may build a secure and supportive workplace by enacting workplace violence prevention and response policies. They can also be trained in recognizing and responding to warning signals of violence. Nurses should feel safe reporting violence concerns. Moreover, nurses with high workplace violence and low psychological well-being must emphasize psychological resilience's buffering effect.

工作场所暴力会伤害医护人员。它可能造成身体伤害、心理困扰甚至死亡。此外，它还会造成不愉快的工作环境，降低士气和工作效率。为了提供优质的病人护理服务，而不必担心危险或恐吓，医疗机构必须保证其工作人员的安全，使其免受暴力侵害。本文以护士的职业倦怠为中介，研究了工作场所暴力与护士心理的关系。此外，还研究了心理复原力在工作场所暴力与护士心理健康之间的调节作用。本研究的数据包括来自土耳其 15 所大学医院的 945 名护士。使用分层多元回归分析法对提出的模型进行了检验。研究结果表明，工作场所暴力和职业倦怠会对护士的心理健康产生负面影响。心理复原力也会削弱工作场所暴力与护士心理健康之间的关系。该研究建议，医疗保健管理者可以通过制定工作场所暴力预防和应对政策来建立一个安全和支持性的工作场所。他们还可以在识别和应对暴力警告信号方面接受培训。护士应该对报告暴力问题感到安全。此外，高工作场所暴力和低心理健康水平的护士必须强调心理复原力的缓冲作用。

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引用次数: 0

A survey on the relationship between mental health literacy and beliefs toward mental illness among nurses in general hospitals in Turkey 关于土耳其综合医院护士心理健康知识与精神疾病观念之间关系的调查

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-15 DOI: 10.1016/j.apnu.2024.10.013

Ozkan Uguz , Ebru Gulcan , Gülseren Keskin

Aim

The study aimed to determine the relationship between general nurses' mental health literacy and beliefs toward mental illness.

Method

The study involved 285 nurses aged 23 to 47 from three hospitals in western Turkey, who completed the Mental Health Literacy Scale (MHLS) and the Beliefs Toward Mental Illness Scale (BMIS) between December 2023 and March 2024.

Results

Those who received training on mental illnesses as students (t = 2.115, p = 0.018), those who had moderate knowledge about mental illnesses (F = 8.177, p < 0.001), those who were willing to receive training on mental illnesses (t = 1.673, p = 0.048), those who encounter individuals with mental illness in their work units (F = 11.233, p < 0.001) and those who care for individuals with mental illness in their work units (t = 1.808, p = 0.036) have higher mental health literacy levels. There was a negative relationship between nurses' negative beliefs toward mental illness levels and their mental health literacymental health literacy levels (r = −0.432, p < 0.001).

Conclusion

Mental health literacy is a crucial element in reducing general nurses' negative beliefs about mental illnesses. Thıus, psychiatric mental health nurses can actively prevent negative beliefs and increase awareness by providing mental health education to general nurses. Awareness programs should be accorded greater emphasize on individuals who are not trained in mental disorders when they are students, those who have low knowledge about mental disorders, those who are reluctant to receive training on mental disorders, and cohorts of nurses who are likely to encounter patients with mental disorders in their respective work units.

研究旨在确定全科护士的心理健康素养与对精神疾病的信念之间的关系。研究涉及土耳其西部三家医院的 285 名护士，年龄在 23 岁至 47 岁之间，他们在 2023 年 12 月至 2024 年 3 月期间完成了心理健康素养量表（MHLS）和对精神疾病的信念量表（BMIS）。115, p = 0.018）、对精神疾病有一定了解（F = 8.177, p <0.001）、愿意接受精神疾病培训（t = 1.673, p = 0.048）、在工作单位遇到过精神疾病患者（F = 11.233, p <0.001）和在工作单位照顾过精神疾病患者（t = 1.808, p = 0.036）的人具有较高的心理健康素养水平。护士对精神疾病的消极信念水平与其心理健康素养之间存在负相关（r = -0.432，p <0.001）。因此，精神科心理健康护士可以通过对普通护士进行心理健康教育，积极预防负面观念的产生，并提高对精神疾病的认识。对于那些在学生时代没有接受过精神障碍培训的人，对精神障碍知识知之甚少的人，不愿意接受精神障碍培训的人，以及在各自的工作单位中可能会遇到精神障碍患者的护士群体，应该给予更多的重视。

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引用次数: 0

Extended lifetime expectancy in schizophrenia, role of measurement based care 延长精神分裂症患者的预期寿命，测量护理的作用

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-12 DOI: 10.1016/j.apnu.2024.10.012

Lars Helldin , Christine Mohn , Maivor Olsson-Tall , Iris van Dijk-Härd , Anna-Karin Olsson

Lifespan in schizophrenia spectrum disorders (SSD) is up to 20 years shorter than average. Introduction of new antipsychotic pharmaceuticals has not made any major improvement. Parallel care is provided as usual standard care (USD) in out-patients settings. The study aim was to evaluate if inclusion of Measurement Based Care (MBC) may prolong patients' lifespan. In total, 171 patients were followed with annual semi-structured examinations of psychiatric status, social situation, and somatic illnesses over 20 years, by case managers. Findings indicate that MBC contributed to prolonged lifespan in SSD from 55.6 to 69.4 years from beginning to end of the study.

精神分裂症谱系障碍（SSD）患者的寿命比平均水平短达 20 年。新型抗精神病药物的引入并未带来任何重大改善。在门诊环境中，通常会提供标准护理（USD）。该研究旨在评估纳入基于测量的护理（MBC）是否能延长患者的寿命。在长达 20 年的时间里，共有 171 名患者接受了由病例管理者进行的年度精神状况、社会状况和躯体疾病半结构化检查。研究结果表明，从研究开始到结束，MBC 使 SSD 患者的寿命从 55.6 岁延长到 69.4 岁。

引用次数: 0

Managing the risk of suicide in a psychiatry clinic: An ethnographic study on the work atmosphere of nurses during the Covid-19 pandemic 在精神病诊所管理自杀风险：关于科维德-19 大流行期间护士工作氛围的人种学研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-12 DOI: 10.1016/j.apnu.2024.10.010

Sevda Öztürk , Duygu Hiçdurmaz , Mark Lewis Soileau

The aim of this study was to describe the approaches of nurses working in an inpatient psychiatry clinic during the pandemic period to managing suicide risk in the context of their work atmosphere. This ethnographic research design used a sample of 13 psychiatric nurses in a psychiatric clinic in Ankara, Turkey. Data were collected with in-depth interviews and 612h of observation. Qualitative thematic analysis was used for data analysis. Two themes emerged from the data analysis, including ‘De-prioritizing the uniqueness of the patient in managing suicide risk’ and ‘A condition that remains important for uniqueness: personality disorders’. The current risk assessment methods for suicide, pandemic measures, and past inadequacies in the approach to patients with personality disorders have revealed the risk of alienating from the individual risk factors as well as the patients' history in risk management. Risk management practices that consider the psychosocial assets of patients at risk of suicide, addressing the risk level with a safe measurement scale and performing triage according to this grading system can provide an atmosphere that allows nurses to make risk assessments greater self-confidence.

本研究旨在描述大流行期间在精神病住院诊所工作的护士在其工作氛围中管理自杀风险的方法。本研究采用人种学研究设计，以土耳其安卡拉一家精神病诊所的 13 名精神科护士为样本。通过深入访谈和 612 小时的观察收集数据。数据分析采用定性主题分析法。数据分析中出现了两个主题，包括 "在管理自杀风险时不再优先考虑患者的独特性 "和 "独特性的一个重要条件：人格障碍"。目前的自杀风险评估方法、大流行措施以及过去在对待人格障碍患者方面的不足之处，都揭示了在风险管理中疏忽个体风险因素和患者病史的风险。考虑到有自杀风险的病人的社会心理资产，用安全的测量表来处理风险等级，并根据这个分级系统进行分流的风险管理做法，可以提供一种氛围，让护士更自信地进行风险评估。

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引用次数: 0

Examining the multifaceted factors of night eating syndrome among adults in Saudi Arabia: A nursing perspective 研究沙特阿拉伯成年人夜食综合征的多方面因素：护理视角

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-11 DOI: 10.1016/j.apnu.2024.10.011

Amani Alhazmi , Wagdi Wafik , Hala Awad Ahmed , Fatma Mohammed Ahmed , Manal Mohammed Hawash , Mona Metwally El-Sayed

Background

Night Eating Syndrome (NES) is a prevalent eating disorder that significantly impacts individuals' quality of life and well-being. However, most NES research has focused on adolescent populations, leaving a significant gap in our understanding of its prevalence and predictors among adults, particularly in the MENA region. This study, therefore, presents a novel contribution by filling this gap and determining the prevalence of NES and its predictors among adults in Abha, Saudi Arabia.

Design

A descriptive correctional design was conducted on 714 adults randomly recruited from primary healthcare centers (PHCCs).

Methods

A self-administered questionnaire, which comprised a demographic and lifestyle data sheet and the Arabic version of the NES questionnaire, was used for data collection.

Results

13.3 % of the participants reported having full syndrome of NES, with 16.1 % of males and 22.5 % of females reporting high NES awareness. Meanwhile, 14.4 % of the participants were non-emotional eaters. This finding is significant as it sheds light on the high prevalence of NES among Saudi adults. Significant differences were observed between NES and higher education, sleeping patterns, smoking habits, dietary type, and exercise routines, with an OR of 1.422, 40.78, 6.14, 66.70, and 4.47, respectively, and a p-value of <0.001.

Conclusion

NES was a common eating disorder among Saudi adults. Higher education, inadequate sleep, smoking, unhealthy diet, and lack of exercise were the most significant predictors of NES. These findings underline the importance of addressing these factors in preventing and managing NES. Social media campaigns, awareness campaigns, and cognitive behavioral and mindfulness therapies could effectively address NES. However, further research is necessary to identify underlying causes and assess their association with comorbidities, providing a clear direction for future studies.

背景夜食综合症（NES）是一种普遍存在的饮食失调症，严重影响个人的生活质量和幸福感。然而，大多数夜食综合症研究都集中在青少年群体，我们对其在成年人中的患病率和预测因素的了解还存在很大差距，尤其是在中东和北非地区。因此，本研究填补了这一空白，并确定了 NES 在沙特阿拉伯阿巴成人中的流行率及其预测因素，从而做出了新的贡献。结果13.3%的参与者表示对 NES 有全面的认识，其中 16.1%的男性和 22.5%的女性表示对 NES 有较高的认识。与此同时，14.4%的参与者为非情绪化进食者。这一发现具有重要意义，因为它揭示了沙特成年人中 NES 的高流行率。NES与高学历、睡眠模式、吸烟习惯、饮食类型和运动习惯之间存在显著差异，OR值分别为1.422、40.78、6.14、66.70和4.47，P值为<0.001。高学历、睡眠不足、吸烟、不健康饮食和缺乏锻炼是预测 NES 的最重要因素。这些发现强调了解决这些因素对预防和管理 NES 的重要性。社交媒体宣传、提高认识运动以及认知行为疗法和正念疗法可以有效解决 NES 问题。然而，有必要开展进一步的研究，以确定其根本原因并评估它们与合并症的关系，从而为今后的研究提供明确的方向。

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引用次数: 0

Impact of carer burden, social support, and gratitude on quality of life in families of older adults with dementia 照顾者负担、社会支持和感激之情对老年痴呆症患者家庭生活质量的影响

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-11 DOI: 10.1016/j.apnu.2024.10.005

Su Rin Jeon, Won Hee Jun

This study explores how carer burden, social support, and gratitude affect the quality of life of family members of older adults with dementia. Participants included 156 family members living with older adults diagnosed with dementia. Data were collected using structured self-report questionnaires and analyzed using hierarchical regression analysis. Significant predictors of quality of life were identified as family support, friend support, and gratitude, and the explanatory power of these factors for quality of life was 48.2 %. To enhance the quality of life of families of older adults with dementia, programs promoting supportive familial interactions, activities enhancing support from friends, and initiatives fostering gratitude should be implemented.

本研究探讨了照顾者的负担、社会支持和感激之情如何影响痴呆症老年人家庭成员的生活质量。研究对象包括 156 名与被诊断患有痴呆症的老年人共同生活的家庭成员。我们使用结构化自我报告问卷收集数据，并使用层次回归分析法进行分析。结果发现，家庭支持、朋友支持和感激之情是生活质量的重要预测因素，这些因素对生活质量的解释力为 48.2%。为提高老年痴呆症患者家庭的生活质量，应实施促进支持性家庭互动的计划、加强朋友支持的活动以及培养感恩之心的举措。

引用次数: 0

Effect of applying mindfulness-based relapse prevention nursing program on readiness for change and self-efficacy among clients with substance use disorders: A randomized control trial 以正念为基础的复发预防护理计划对药物使用障碍患者的改变准备和自我效能的影响：随机对照试验

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-10 DOI: 10.1016/j.apnu.2024.10.008

Heba Mohamed Abdelaal , Ayman Mohamed El-Ashry

Objective

Investigate the effect of applying mindfulness-based relapse prevention on readiness for change and self-efficacy among patients with substance use disorders.

Design

A randomized controlled trial with two parallel arms was conducted among 100 male inpatients with substance use disorders, equally divided into a study group and a control group (50 clients in each). Tools included the Five Factors Mindfulness Questionnaire, the Stages of Change Readiness and Treatment Eagerness Scale, and the Drug Abstinence Self-Efficacy Scale.

Results

The study group exhibited significant and immediate improvement in mindfulness post-intervention, with a large effect size sustained to one month. The intervention markedly enhanced mindfulness significantly more than the control group. The study group demonstrated a significant increase in readiness for change and an immediate significant reduction in temptation-related self-efficacy. In addition, there was a significant increase in confidence-related self-efficacy among the study group, more than in the control group.

Conclusion

The improvement of the five factors of mindfulness following participation in mindfulness-based relapse Prevention was associated with enhanced readiness for change and self-efficacy among patients with substance use disorders in the study group, in contrast to minimum improvement in the control group.

Implications for nursing practice

Our findings suggest that psychiatric nurses can effectively integrate mindfulness-based Relapse Prevention into treatment protocols for substance use disorders, thereby enhancing patient outcomes. Their responsibilities include facilitating mindfulness-based relapse prevention sessions, a practice that can empower patients with valuable skills to navigate the challenges of recovery and maintain abstinence.

目的研究基于正念的复发预防对药物使用障碍患者的改变准备度和自我效能感的影响。设计在 100 名男性药物使用障碍住院患者中开展了一项随机对照试验，试验分为研究组和对照组（各 50 人），两组平行进行。工具包括五因素正念问卷、改变准备和治疗渴望阶段量表以及戒毒自我效能量表。结果研究组在干预后正念得到了显著而立竿见影的改善，且效果大，持续时间长达一个月。与对照组相比，干预明显提高了正念能力。研究组对改变的准备程度明显提高，与诱惑相关的自我效能感立即明显降低。我们的研究结果表明，精神科护士可以有效地将正念防复发纳入药物使用障碍的治疗方案中，从而提高患者的治疗效果。她们的职责包括促进基于正念的复发预防课程，这种做法可以让患者掌握宝贵的技能，以应对康复过程中的挑战并保持戒断。

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引用次数: 0