Archives of Psychiatric Nursing最新文献_第6页

The relationship between self-transcendence, cognitive flexibility and depression symptoms in nurses 护士自我超越、认知灵活性与抑郁症状的关系

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-13 DOI: 10.1016/j.apnu.2025.151996

Şevval Yeyit Bozdemir , Merve Kızılırmak Tatu

This study aimed to examine the relationship between self-transcendence, cognitive flexibility and depression symptoms in nurses. This descriptive, cross-sectional, and correlational study was conducted with a sample of 354 nurses. Data were collected using a Personal Information Form (PIF), the Self-Transcendence Scale (STS), the Cognitive Flexibility Inventory (CFI), and the Beck Depression Inventory (BDI). The data were analyzed using descriptive statistics, correlation analysis, and hierarchical regression analysis. The nurses' STS, CFI, and BDI scores were 46.86 ± 6.38, 74.89 ± 9.39, and 9.14 ± 6.72, respectively. Low economic status (β = 0.156, p = 0.001), choosing the nursing profession unwillingly (β = 0.106, p = 0.041), working in the emergency department (β = 0.136, p = 0.007), internal diseases clinic (β = 0.117, p = 0.023), and surgical clinic (β = 0.107, p = 0. 039), not being able to cope with problems while working as a nurse (β = 0.155, p = 0.002), not receiving social support in coping with issues (β = 0.281, p < 0.001), self-transcendence (β = −0.218, p < 0.001), and cognitive flexibility (β = −0.136, p < 0.001) predicted the depression symptoms of nurses and explained 27.8 % of the total variance (A.R² = 0.278, p < 0.001). An increased level of self-transcendence and cognitive flexibility reduces nurses' depression symptom levels. In this regard, psychiatric nurses can apply interventions such as psychoeducation, support groups, relaxation exercises, visualization, and meditation to prevent the risk of depression by developing self-transcendence and cognitive flexibility in line with the needs of nurses.

本研究旨在探讨护士自我超越、认知灵活性与抑郁症状的关系。这项描述性、横断面性和相关性研究对354名护士进行了抽样调查。采用个人信息表（PIF）、自我超越量表（STS）、认知灵活性量表（CFI）和贝克抑郁量表（BDI）收集数据。采用描述性统计、相关分析和层次回归分析对数据进行分析。护士STS、CFI、BDI评分分别为46.86±6.38、74.89±9.39、9.14±6.72。经济状况低（β = 0.156, p = 0.001），不愿意选择护理专业（β = 0.106, p = 0.041），工作在急诊科（β = 0.136, p = 0.007），内科门诊（β = 0.117, p = 0.023），外科门诊(β = 0.107, p = 0。039)、护士工作中不能处理问题（β = 0.155, p = 0.002）、在处理问题时没有得到社会支持（β = 0.281, p < 0.001）、自我超越（β = - 0.218, p < 0.001）和认知灵活性（β = - 0.136, p < 0.001）预测护士抑郁症状，解释总方差的27.8% （a . r2 = 0.278, p < 0.001）。自我超越和认知灵活性水平的提高降低了护士的抑郁症状水平。在这方面，精神科护士可以根据护士的需要，运用心理教育、支持小组、放松练习、可视化、冥想等干预措施，通过发展自我超越和认知灵活性来预防抑郁风险。

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引用次数: 0

Disparities in identification and treatment of opioid use disorder in primary care: A scoping review 初级保健中阿片类药物使用障碍的识别和治疗差异：范围审查

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-13 DOI: 10.1016/j.apnu.2025.152003

Kimesha Grant , Sarah Febres-Cordero , Nia Josiah , Kalisha Bonds Johnson

Background

Opioid use disorder (OUD) remains a persistent problem in the United States, contributing to over 80,000 overdose deaths annually. There has been rising interest in managing OUD in primary care, but given longstanding inequities for racial and ethnic minorities, it is important to assess for disparities early so steps can be taken to eliminate them.

Methods

We conducted a scoping review to examine disparities in the identification and treatment of OUD among adult racial and ethnic minorities in primary care settings among peer-reviewed journals. A comprehensive search of PubMed, CINAHL, Embase, PsycInfo, Cochrane, Web of Science, and Scopus databases were conducted.

Results

Our initial search yielded 889 unique articles. After the titles and abstracts were screened, 98 articles remained, which were reviewed in their entirety. Of the 98 articles reviewed, 12 articles were found to meet the inclusion criteria and were included in the final analysis. Three themes emerged from the available papers 1) providers’ role in limiting patient access to treatment, 2) systemic factors impacting treatment access, and 3) providers' perspectives on managing opioid use disorder in primary care and strategies for improvement.

Conclusion

Numerous factors were found to contribute to unequal access to OUD treatment for racial and ethnic minorities in primary care settings. These findings have implications for policy makers, clinical practices, and researchers. Future studies should assess patient perception of discrimination and the impacts on care; inequities among a wider group of racial and ethnic minoritized populations; and identify effective interventions to prevent disparities.

阿片类药物使用障碍（OUD）在美国仍然是一个持续存在的问题，每年导致超过80,000人因过量使用而死亡。人们对在初级保健中管理OUD越来越感兴趣，但鉴于种族和少数民族长期存在的不平等，早期评估差异非常重要，以便采取措施消除这些差异。方法：我们进行了一项范围综述，以检查在同行评议的期刊中，初级保健机构中成年种族和少数民族OUD的识别和治疗的差异。对PubMed、CINAHL、Embase、PsycInfo、Cochrane、Web of Science、Scopus等数据库进行综合检索。我们最初的搜索产生了889篇独特的文章。在题目和摘要筛选后，剩下98篇文章进行全文评审。在98篇文章中，有12篇文章符合纳入标准，被纳入最终分析。现有论文中出现了三个主题：1)提供者在限制患者获得治疗方面的作用，2)影响治疗可及性的系统性因素，以及3)提供者在初级保健中管理阿片类药物使用障碍和改善策略的观点。结论发现许多因素导致初级保健机构中少数种族和民族的OUD治疗机会不平等。这些发现对政策制定者、临床实践和研究人员具有启示意义。未来的研究应评估患者对歧视的感知及其对护理的影响；在更广泛的种族和少数民族群体中存在不平等现象；并确定有效的干预措施，以防止差距。

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引用次数: 0

“In search of myself…” utilizing creative drama to develop compassion skills in nursing students for individuals with addiction: A qualitative research “寻找我自己……”利用创造性戏剧培养护理学生对成瘾个体的同情技能：一项定性研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-12 DOI: 10.1016/j.apnu.2025.151999

Figen Cavusoglu , Oya Sevcan Orak

Objective

This study evaluated the creative drama workshop developed for nursing students to enhance compassion skills for individuals with addiction, specifically in achieving the targeted outcomes.

Design

This qualitative study involved 22 students enrolled in the Nursing Department of a state university in Türkiye during the 2023–2024 academic year. The research applied a creative drama workshop program developed by the researchers to help nursing students develop compassion skills for individuals with addiction. The workshop consisted of three stages: Preparation-Warm-up, Acting Out, and Evaluation. To assess the effect of the workshop on achieving the desired outcomes, students were asked to write a poem titled “Life with Addiction” during the evaluation phase. The poems, serving as expressive materials based on personal experience, were analyzed using content analysis with an inductive approach.

Results

The data collected during the evaluation of the creative drama workshop were organized into three themes: Cognitive Dimension: Understanding Pain in Life with Addiction, Emotional Dimension: Contact with the Feeling of Being Addicted, and Behavioral Dimension: The Need for Compassion in Addiction.

Conclusion

The study indicated that the creative drama workshop developed and implemented to help nursing students acquire compassion skills for individuals with addiction effectively achieved cognitive, emotional, and behavioral gains related to compassion.

目的本研究评估为护生开设的创意戏剧工作坊，以提高对成瘾个体的同情技能，特别是在达到目标效果方面。设计本定性研究涉及2023-2024学年在基耶州一所州立大学护理系就读的22名学生。该研究采用了由研究人员开发的创造性戏剧工作坊项目，以帮助护理学生培养对成瘾者的同情技能。工作坊包括三个阶段：准备-热身、表演和评估。为了评估研讨会对实现预期结果的影响，学生们被要求在评估阶段写一首题为“成瘾的生活”的诗。以个人经历为基础，以诗歌为表现材料，运用内容分析法和归纳分析法对其进行分析。结果创意戏剧工作坊的评估数据分为三个主题：认知维度：理解成瘾生活中的痛苦；情感维度：接触成瘾的感觉；行为维度：成瘾对同情的需求。结论开发并实施的创意戏剧工作坊能有效地帮助护理学生获得对成瘾个体的同情技能，并获得与同情相关的认知、情感和行为方面的收益。

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引用次数: 0

Videoconferencing group parent training program for caregivers of children with ADHD: A preliminary study 视频会议小组家长培训计划对ADHD儿童的照顾者：一项初步研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-12 DOI: 10.1016/j.apnu.2025.152001

Zümra Ülker Dörttepe , Zekiye Çetinkaya Duman

Purpose

This study examined the suitability and preliminary efficacy of a newly developed videoconferencing group parent training program for parents of children with Attention Deficit Hyperactivity Disorder (ADHD). This program was designed to address the challenges faced by caregivers by providing structured guidance and support through a telepsychiatric approach.

Methods

This quasi-experimental single-group pretest-posttest design was used. The program was developed using Barkley's works, existing literature, expert opinions, and cultural relevance. Implemented in Turkey, the program included nine 60-min weekly group videoconferencing sessions with parents (N = 12; all living in suburban areas) of school-aged children (7–12 years) diagnosed with ADHD. Effectiveness was assessed via the “Descriptive Information Form,” “Zarid Burden Interview (ZBI-22),” “Perceived Stress Scale (PSS-14),” and “Strengths and Difficulties Questionnaire (SDQ).” Program acceptance was evaluated using a Likert scale.

Results

Participants reported high satisfaction (95 %) and full treatment retention (100 %). Parents showed significant improvements in burden (r = 0.958), stress (r = 0.734), and emotional and behavioral difficulties (r = 0.264) (p < .05). The program was well-received, and the positive outcomes highlight its potential applicability in broader clinical settings. Additionally, the research power for ZBI-22, PSS-14, and SDQ was determined to be high.

Conclusions

This preliminary study supports the feasibility, acceptability, potential efficacy of a videoconferencing parent training program for parents of children with ADHD. Findings suggest a potential for reducing caregiver burden, stress, and emotional and behavioral difficulties, warranting further investigation in larger-scale studies. The development and implementation of this program demonstrate how digital health interventions can enhance access to evidence-based psychosocial support for families, particularly in underserved areas.

目的探讨新开发的视频会议小组家长培训方案对注意缺陷多动障碍（ADHD）儿童家长的适用性和初步效果。该项目旨在通过远程精神病学方法提供结构化指导和支持，解决护理人员面临的挑战。方法采用准实验的单组前测后测设计。该计划是利用巴克利的作品、现有文献、专家意见和文化相关性开发的。该项目在土耳其实施，包括与被诊断患有多动症的学龄儿童（7-12岁）的父母（N = 12；全部居住在郊区）每周进行9次60分钟的小组视频会议。通过“描述性信息表”、“Zarid负担访谈（ZBI-22）”、“感知压力量表（PSS-14）”和“优势与困难问卷（SDQ）”评估有效性。项目接受度采用李克特量表进行评估。结果患者满意度高（95%），治疗保留率高（100%）。父母在负担（r = 0.958）、压力（r = 0.734）、情绪和行为困难（r = 0.264）方面均有显著改善（p < 0.05）。该项目广受好评，积极的结果突出了其在更广泛的临床环境中的潜在适用性。此外，确定ZBI-22、PSS-14和SDQ的研究能力较高。结论本初步研究支持视频会议家长培训项目对ADHD患儿家长的可行性、可接受性和潜在疗效。研究结果表明，它有可能减轻照顾者的负担、压力、情绪和行为困难，值得在更大规模的研究中进一步调查。该计划的制定和实施表明，数字卫生干预措施如何能够增加家庭获得循证心理社会支持的机会，特别是在服务不足的地区。

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引用次数: 0

The relationship between social functionality, treatment motivation, and treatment adherence in individuals diagnosed with alcohol and substance use disorder 酒精和物质使用障碍患者的社会功能、治疗动机和治疗依从性之间的关系

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-12 DOI: 10.1016/j.apnu.2025.152000

Ferhat Çelik , Neşe Mercan

This study investigated the levels of social functionality, treatment motivation, and treatment adherence among individuals diagnosed with alcohol and substance use disorder, and subsequently examined the relationships between these variables. Employing a descriptive design, the study involved a sample of 390 individuals who had applied to the outpatient clinic. Data were collected using the Sociodemographic Form, the Short Functionality Assessment Scale, the Treatment Motivation Questionnaire, and the Medical Treatment Adherence Rate Scale.

The findings showed that participants' functionality levels were above moderate. Functionality levels were primarily influenced by employment duration, income level, educational background, and treatment status. Additionally, treatment motivation increased as functionality decreased. We also observed that as treatment adherence improved, confidence in treatment motivation tended to decline. We therefore recommend the development of strategies to enhance the functionality of individuals diagnosed with addiction. This approach should involve supporting job retention, improving educational attainment, and taking into account factors such as the type of substance used and inpatient treatment status. Furthermore, treatment programs should be structured with careful consideration of the interplay between motivation, adherence, and functionality.

本研究调查了被诊断为酒精和物质使用障碍的个体的社会功能水平、治疗动机和治疗依从性，并随后检查了这些变量之间的关系。采用描述性设计，研究涉及了390个人的样本谁申请了门诊诊所。使用社会人口学表格、短功能评估量表、治疗动机问卷和药物治疗依从率量表收集数据。结果显示，参与者的功能水平在中等以上。功能水平主要受工作时间、收入水平、教育背景和治疗状况的影响。此外，治疗动机随着功能下降而增加。我们还观察到，随着治疗依从性的提高，对治疗动机的信心趋于下降。因此，我们建议制定策略来增强被诊断为成瘾的个体的功能。这种方法应包括支持保留工作，提高教育程度，并考虑到诸如使用的物质类型和住院治疗状况等因素。此外，治疗方案的制定应仔细考虑动机、依从性和功能之间的相互作用。

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引用次数: 0

Factors associated with externalized anger among early adolescents in rural Appalachia: A conceptual proposition with implications for violence prevention 阿巴拉契亚农村地区早期青少年外化愤怒的相关因素：一个具有暴力预防意义的概念命题

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-12 DOI: 10.1016/j.apnu.2025.151998

Rosalina Mills , Christa L. Lilly , Robin A. Pollini , Keith J. Zullig , Traci Jarrett , Jacob K. Tebes , Alfgeir L. Kristjansson

Adolescent violence is understudied as a public health challenge for rural adolescents. Anger expression, also referred to as externalized anger, is a risk factor for adolescent violent behavior. Survey data from 1649 early adolescents in the Young Mountaineer Health Study (YMHS) cohort were used to identify correlates of externalized anger drawing on an adapted socioecological model. Correlates examined included: Relative family income; family affluence; neighborhood characteristics (safety, ties, collective efficacy); family living arrangements; social support from adults at home and school; and harsh parenting. Gender was utilized as an effect modifier. We employed two Poisson regression models for main effects and gender interaction effects. Parameter estimates were exponentiated and interpreted as Rate Ratios (RR). Significant main effects included perceived neighborhood safety (RR = 0.98, 95 % CI = 0.97–0.99), support from adults at home (RR = 0.98, 95 % CI = 0.97–0.99) and school (RR = 0.99, 95 % CI = 0.98–0.99), and harsh parenting (RR = 1.06, 95 % CI = 1.05–1.07). Several gender differences emerged in the interaction model. Boys reported significantly lower anger compared to girls (RR = 0.90, 95 % CI = 0.86–0.94). In the gender-based interaction model harsh parenting was more strongly associated with externalized anger among boys (RR = 1.03, 95 % CI = 1.01–1.06). Implications are discussed for future research on the relationship between externalized anger and violence prevention among rural adolescents.

青少年暴力作为农村青少年面临的公共卫生挑战尚未得到充分研究。愤怒表达，也被称为外化愤怒，是青少年暴力行为的一个危险因素。来自1649名年轻登山者健康研究（YMHS）队列的早期青少年的调查数据被用于识别外化愤怒的相关因素，并采用适应的社会生态模型。相关因素包括：相对家庭收入；家庭富裕;邻里特征（安全、纽带、集体效能）；家庭生活安排；来自家庭和学校成年人的社会支持；还有严厉的教育。性别被用作效果修饰符。我们采用了两个泊松回归模型来分析主效应和性别交互效应。参数估计值取指数并解释为比率比（RR）。显著的主要影响因素包括邻里安全感（RR = 0.98, 95% CI = 0.97-0.99）、来自家庭（RR = 0.98, 95% CI = 0.97-0.99）和学校（RR = 0.99, 95% CI = 0.98 - 0.99）和严厉的父母教育（RR = 1.06, 95% CI = 1.05-1.07）。在互动模型中出现了一些性别差异。男孩报告的愤怒情绪明显低于女孩（RR = 0.90, 95% CI = 0.86-0.94）。在基于性别的互动模式中，严厉的父母教养与男孩的外化愤怒有更强的相关性（RR = 1.03, 95% CI = 1.01-1.06）。探讨了农村青少年外化愤怒与暴力预防关系的研究意义。

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引用次数: 0

Sorry you are not part of us: A phenomenological study on lived experiences of mental illness in an adult population in Port Harcourt, Nigeria 对不起，你不是我们的一员：一项现象学研究，对尼日利亚哈科特港成年人的精神疾病生活经历进行了研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-11 DOI: 10.1016/j.apnu.2025.151990

Blessing Chinenye Onyemachi , Adeyinka G. Ishola

Background

Mental health remains under-recognized in Nigeria compared to physical health, with literature often focusing on treatment rather than lived experience. This study aimed to explore how individuals with mental illness perceive and navigate their condition.

Methods

Using an Interpretive Phenomenological Analysis (IPA) approach, we conducted a 90-minute focus group discussion with 14 purposively selected adults at the Neuropsychiatric Hospital, Rumuigbo. Data were transcribed, coded, and analyzed thematically, supported by observational notes.

Results

Participants (mean age 38 years) described mental illness as a source of shame, fear of rejection, and loss of relationships. Themes highlighted the impact of stigma, side effects of medication, and coping strategies including spirituality, family support, and selective non-disclosure.

Conclusion

Mental illness significantly disrupted daily life. Psychiatric nurses should adopt patient-inclusive care strategies that validate the voices of those living with mental illness and integrate their coping strategies into care plans.

与身体健康相比，尼日利亚对精神健康的认识仍然不足，文献往往侧重于治疗，而不是生活经验。本研究旨在探讨患有精神疾病的个体如何感知和应对他们的状况。方法采用解释现象学分析（IPA）方法，我们在鲁穆伊博神经精神病院与14名有目的的成年人进行了90分钟的焦点小组讨论。在观察笔记的支持下，对数据进行转录、编码和专题分析。结果参与者（平均年龄38岁）将精神疾病描述为羞耻感、害怕被拒绝和失去人际关系的来源。主题强调了耻辱的影响，药物的副作用，以及应对策略，包括精神，家庭支持和选择性保密。结论精神疾病对日常生活的影响较大。精神科护士应该采用病人包容的护理策略，确认精神疾病患者的声音，并将他们的应对策略纳入护理计划。

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引用次数: 0

A non-pharmacological intervention for managing conduct disorder in children: The impact of gamified kickboxing training 管理儿童行为障碍的非药物干预：游戏化跆拳道训练的影响

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-11 DOI: 10.1016/j.apnu.2025.151989

Yujie Dong , Hossein Faridniya , Zijian Zhao

Conduct Disorder (CD) is a chronic behavioral condition in children characterized by persistent patterns of disruptive and harmful behaviors. This study investigates the efficacy of a non-pharmacological intervention—specifically, a 12-session gamified kickboxing training program—on reducing aggression in children with behavioral disorders. A quasi-experimental design was employed, with 72 male participants selected via convenience sampling and randomly assigned to either an experimental group (n = 36) or a control group (n = 36). Aggression levels were assessed using the Children's Aggression Questionnaire, and data were analyzed using analysis of covariance (ANCOVA). The findings revealed a statistically significant reduction (P < 0.05) in all dimensions of aggression—verbal, physical, relational, and impulsive—among participants in the experimental group. The gamified kickboxing intervention not only improved self-control but also served as an engaging and effective method for emotional regulation. These results suggest that this approach can serve as a valuable tool for healthcare professionals in managing aggression and behavioral challenges in children with Conduct Disorder, offering a viable alternative to pharmacological treatments.

品行障碍（CD）是儿童的一种慢性行为状况，其特征是持续的破坏性和有害行为模式。本研究调查了一种非药物干预的效果，具体来说，是一项12期游戏化的自由搏击训练计划，以减少行为障碍儿童的攻击性。采用准实验设计，通过方便抽样选择72名男性参与者，随机分为实验组（n = 36）和对照组（n = 36）。采用《儿童攻击问卷》评估攻击水平，采用协方差分析（ANCOVA）对数据进行分析。研究结果显示，实验组的参与者在攻击性的所有方面——语言、身体、关系和冲动——都有统计学上显著的降低（P < 0.05）。游戏化的跆拳道干预不仅可以提高自我控制能力，而且可以作为一种有效的情绪调节方法。这些结果表明，这种方法可以作为医疗保健专业人员管理行为障碍儿童的攻击和行为挑战的有价值的工具，提供了一种可行的替代药物治疗。

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引用次数: 0

Evaluation of self-control, psychological resilience and addiction severity levels of individuals diagnosed with substance use disorder 物质使用障碍患者自我控制、心理弹性和成瘾严重程度的评估

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-11 DOI: 10.1016/j.apnu.2025.151995

Kübra Kayaoğlu , Ayşe Okanlı

This study aimed to evaluate the relationship between self-control, psychological resilience, and level of addiction severity in individuals with substance use disorder (SUD). This cross-sectional study was carried out with 129 participants at the Alcohol and Drug Addicts Treatment and Research Center. The data were collected using the Brief Self-Control Scale (BSCS), Brief Resilience Scale (BRS), and Addiction Profile Index (API). All the participants were male and polysubstance users. Although no statistically significant relationship was found between BRS and API, there was a low negative relationship between BSCS and API levels (r: −250, p < 0.01). Simple regression analysis was performed to determine the effect of individuals' self-control on addiction severity and the established model was found to be significant (F: 8.466, p: 0.000). The R2 value, stated as the explanatory power of the model, was calculated to be 0.062. Accordingly, it is seen that the self-control predictor variable explains 6.2 % of the variance in the addiction severity predicted variable (R2: 0.062). It was determined that individuals with SUDs had low self-control and moderate psychological resilience, and most of them had low addiction severity. It has been found that as the level of self-control increases, the severity of addiction decreases. This study suggests that self-control enhancing interventions for individuals with SUD will positively contribute to the treatment process.

本研究旨在探讨物质使用障碍（SUD）患者自我控制、心理弹性和成瘾严重程度之间的关系。这项横断面研究是在酒精和药物成瘾治疗和研究中心对129名参与者进行的。采用简易自我控制量表（BSCS）、简易恢复力量表（BRS）和成瘾特征指数（API）进行数据采集。所有的参与者都是男性和多种物质使用者。虽然BRS与API之间没有统计学意义上的关系，但BSCS与API水平之间存在较低的负相关关系（r: - 250, p < 0.01）。通过简单回归分析确定个体自我控制对成瘾严重程度的影响，发现建立的模型具有显著性（F: 8.466, p: 0.000）。计算得到R2值为0.062，表示模型的解释能力。由此可见，自我控制预测变量解释了6.2%的成瘾严重程度预测变量方差（R2: 0.062）。结果表明，成瘾者自我控制能力较低，心理弹性中等，成瘾程度较低。研究发现，随着自我控制水平的提高，成瘾的严重程度会降低。本研究表明，自我控制增强干预措施对治疗过程有积极作用。

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引用次数: 0

Mental health nurses' role in caring for women in situation of domestic violence: a scoping review 精神保健护士在照顾遭受家庭暴力的妇女方面的作用：范围审查

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-11 DOI: 10.1016/j.apnu.2025.152006

Cláudia M. Campos , Maria I. Carvalho , Olga M. Valentim

Background

Domestic Violence (DV) has a negative impact on the physical and mental health of DV victims and their children. Mental Health Nurses (MHNs) play a crucial role in early detection, support, and promotion of safety and recovery from DV.

Aim

To map and synthesize scientific evidence on intervention models implemented by MHNs in caring for women victims of DV within clinical and community mental health services.

Methods

The scoping review was conducted following the Joanna Briggs Institute (JBI) methodology and reported in accordance with the PRISMA-ScR guidelines. The research was carried out in scientific databases (MEDLINE, CINAHL, Academic Search Complete, Scopus, Web of Science, Virtual Health Library), and gray literature through RCAAP. Articles published in English, French, Portuguese or Spanish were included, with no restrictions on publication dates, peer-reviewed and written in English.

Findings

Of the 186 articles identified, 12 met the inclusion criteria based on title and abstract, and seven studies were included after full text analysis. The results identified the following intervention models: Victim-centered approach, nursing interventions guided by nursing process, Tidal Model-Based psychiatric nursing approach, facilitating the mental health of abused women model, Advocacy and collaboration framework, Model Mugging, and therapeutic relationship model. These models share common principles such as risk assessment, safety planning, empowerment, and psychosocial recovery support for DV victims' recovery from DV.

Conclusions

This review reinforces the crucial role of MHNs in caring for DV victims, emphasizing interventions grounded in therapeutic relationships, safety, and empowerment, and supporting recovery from DV. The findings provide valuable guidance for clinical practice, specialized training, and the development of mental health policies that promote recovery, human rights, and social justice.

背景家庭暴力对家庭暴力受害者及其子女的身心健康产生负面影响。精神卫生护士（MHNs）在家庭暴力的早期发现、支持和促进安全和康复方面发挥着至关重要的作用。目的绘制和综合临床和社区精神卫生服务机构在照顾家庭暴力妇女受害者方面实施的干预模式的科学证据。方法采用乔安娜布里格斯研究所（JBI）的方法进行范围审查，并按照PRISMA-ScR指南进行报告。研究通过科学数据库（MEDLINE， CINAHL, Academic Search Complete, Scopus, Web of Science, Virtual Health Library）和RCAAP的灰色文献进行。以英语、法语、葡萄牙语或西班牙语发表的文章被包括在内，没有出版日期限制，同行评议，用英语写作。结果186篇文章中，12篇符合标题和摘要的纳入标准，7篇通过全文分析纳入。研究结果确定了以下干预模式：以受害者为中心的护理干预模式、护理过程导向的护理干预模式、基于潮汐模型的精神科护理模式、促进受虐妇女心理健康模式、倡导与协作框架、抢劫模式和治疗关系模式。这些模式都有共同的原则，如风险评估、安全规划、赋权和家庭暴力受害者从家庭暴力中恢复的心理社会康复支持。结论：本综述强调了家庭暴力护士在照顾家庭暴力受害者方面的关键作用，强调了基于治疗关系、安全和赋权的干预措施，并支持家庭暴力受害者的康复。研究结果为临床实践、专业培训和制定促进康复、人权和社会正义的精神卫生政策提供了宝贵的指导。

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