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Exploring the Self-care Practices and Needs of Entry-Level Nursing Students: A Pilot Project 探索初级护理学生的自我护理实践和需求:一个试点项目
Pub Date : 2022-08-18 DOI: 10.20849/ijsn.v7i3.1234
Nancy Armstrong, Kristin Reid, Dana M. Todd
Self-care is often lacking in nursing students worldwide. The objectives for this study were to discover the current self-care practices of one group of entry level undergraduate nursing students, the students’ understanding of self-care, and the students’ preferences for self-care interventions aimed at improving self-care. Quantitative and quantitative measures were used to measure the students’ current self-care practices, needs, and recommendations for interventions to be used in future semesters to improve nursing student self-care. The students were found to generally be deficient in areas related to nutrition, obtaining healthcare information or guidance, pacing themselves to avoid exhaustion, and performing relaxation exercises. They scored well on areas related to psychosocial self-care, such as believing their life has meaning or having meaningful relationships. Several suggestions were made by the students for encouraging nursing student self-care. Nursing students are often lacking in self-care. It is important for nursing programs worldwide to develop and encourage student self-care.
世界各地的护理专业学生往往缺乏自我照顾。本研究旨在了解一组本科护生的自我护理实践现状、对自我护理的理解程度及对自我护理干预措施的偏好。采用定量和定量测量的方法来测量学生目前的自我护理实践、需求和建议的干预措施,以改善护理学生的自我护理。研究发现,这些学生在营养、获取医疗信息或指导、调整自己的节奏以避免疲惫以及进行放松练习等方面普遍存在不足。他们在社会心理自我照顾方面得分很高,比如相信自己的生活有意义或拥有有意义的人际关系。学生提出了鼓励护生自我照顾的几点建议。护生往往缺乏自我照顾。发展和鼓励学生的自我护理对世界各地的护理项目都很重要。
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引用次数: 0
Correlation Survey of Workplace Stress, Sleep, and Resilience of Nursing Preceptor in Teaching Hospital 教学医院护理导师长工作压力、睡眠与心理弹性的相关调查
Pub Date : 2022-07-14 DOI: 10.20849/ijsn.v7i3.1153
Ruo-Yu Ji, Chen-Yun Su, Shin-Jean Lin, Jung-Fen Li, Jin-Lain Ming, Hsiao-Hui Chiu
Background: Nursing preceptor are under the pressure of clinical and teaching work. The impact of pressure on physical and mental health includes depression, anxiety, sleep disorders, and even mental exhaustion and exhaustion. If they fail to get relief from work, it will cause negative emotions, and will be physically and mentally exhausted for a long time.Aims: To understand the workplace stress, sleep, and resilience of nursing preceptor.Methods: The study used a cross-sectional study design. The enrollment setting was the Nursing Department of a teaching hospital. A total of 35 nursing preceptors.Results: A total of 54.29% of situational anxiety were moderate, 80.0% of trait anxiety was moderate, 57.1% had difficulty falling asleep, 65.7% were unable to maintain a long sleep, and 71.4% had trouble waking up too early, and 91.4% expressed dissatisfaction with sleep. 80.0% have sleep disturbance, and the resilience is low (below 121 points), accounting for 42.8%. Resilience and situational anxiety (p=.003), trait anxiety (p=.001), sleep disturbance (p<.001), physiological stimulation of sleep physical and mental state (p=.003), and cognitive stimulation of sleep physical and mental state (p< .001) are all negative correlations. Trait anxiety is positively correlated with sleep disorders (p<.001).Conclusion: The score of resilience is low, and the various distress states are higher; the higher the distress states, the higher the sleep disturbance. Therefore, for the stress and sleep problems of clinical nursing instructors, caring services should be provided in the future, or through group activities that provide resilience enhance face stress, and reduce sleep disturbance.Recommendations: Clinics can routinely arrange resilience groups to help nurses increase their ability to face stress and improve their quality of life.
背景:护理导师制面临着临床和教学双重压力。压力对身心健康的影响包括抑郁、焦虑、睡眠障碍,甚至精神上的疲惫和疲惫。如果他们不能从工作中得到解脱,就会产生负面情绪,长期身心疲惫。目的:了解护理导师长的工作压力、睡眠和心理弹性。方法:采用横断面研究设计。招生设置为一所教学医院的护理部。共35名护理导师长。结果:情境焦虑为中度的占54.29%,特质焦虑为中度的占80.0%,入睡困难的占57.1%,无法维持长时间睡眠的占65.7%,早起困难的占71.4%,对睡眠不满意的占91.4%。80.0%的人存在睡眠障碍,弹性较低(低于121分),占42.8%。弹性与情境焦虑(p= 0.003)、特质焦虑(p= 0.001)、睡眠障碍(p< 0.001)、睡眠身心状态的生理刺激(p= 0.003)、睡眠身心状态的认知刺激(p< 0.001)均呈负相关。特质焦虑与睡眠障碍呈正相关(p< 0.001)。结论:大学生心理弹性得分较低,各种困扰状态较高;焦虑状态越高,睡眠障碍越严重。因此,对于临床护理指导员的压力和睡眠问题,未来应提供关爱服务,或通过提供弹性的团体活动,增强面对压力,减少睡眠障碍。建议:诊所可定期安排弹性小组,帮助护士提高面对压力的能力,提高生活质量。
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引用次数: 0
Epidemiology, Clinical Characteristics and Short-term Follow-up of Asymptomatic and Non-severe COVID-19 Patients COVID-19无症状与非重症患者流行病学、临床特征及短期随访
Pub Date : 2022-07-14 DOI: 10.20849/ijsn.v7i3.1288
D. Zhao, Siwei Guo, Wenjie Du, Nuo Zhang, Zhiyuan Shen, Q. Ji, Wei Yang, X. Mu
COVID-19 broke out in Wuhan in 2019, and spread rapidly around the world. More than 80% of COVID-19 patients are asymptomatic and non-severe, which may be an important source of infection. Therefore, the infectivity, clinical characteristics and outcome of such patients should be studied. The epidemiological data of 108 COVID-19 patients, as well as the clinical characteristics and treatment conditions of 100 asymptomatic and non-severe patients in Bozhou City, Anhui Province were collected. A retrospective analysis of the infectivity of asymptomatic patients was carried out, and a comparative study on clinical characteristics between asymptomatic patients and non-severe patients was also conducted. Eighty-six non-severe patients mainly had a cough (81.4%) and fever (70.9%), and only a few had the symptoms of upper respiratory tract infection such as sore throat (9.3%) and running nose (4.7%). Lymphopenia (20.9%) and elevated C-reaction protein (57.0%) were more frequent in non-severe patients compared with asymptomatic patients which were 0% and 14.3%, respectively. Among 100 asymptomatic and non-severe patients, 84 patients showed abnormal findings on the first chest CT, but meanwhile, 19 patients showed negative results on the viral RNA test. In 14 asymptomatic patients, five had lung abnormalities, which were all pure ground glass opacity. Eleven patients were infected by two asymptomatic patients; in the whole course of the disease, the two patients remained asymptomatic, but chest CT showed multifocal GGO. The time for clearance of SARS-CoV-2 in 12 patients taking methylprednisolone was longer than in other patients (21.2 d vs. 16.4 d). During follow-up, lung lesions found by chest CT in 58.3% of patients completely disappeared. Asymptomatic patients with abnormal chest CT were highly infectious, so SARS-CoV-2 RNA test, combined with a chest CT scan, could discover asymptomatic patients with strong infectivity. The application of glucocorticoids might lengthen the clearance time for SARS-CoV-2 RNA. Both asymptomatic and non-severe COVID-19 patients showed a better prognosis.
2019年,新冠肺炎疫情在武汉爆发,并在全球迅速蔓延。超过80%的新冠肺炎患者无症状、不严重,这可能是重要的感染源。因此,应对此类患者的传染性、临床特点及转归进行研究。收集安徽省亳州市108例新冠肺炎患者的流行病学资料,以及100例无症状和非重症患者的临床特征和治疗情况。对无症状患者的传染性进行回顾性分析,并对无症状患者与非重症患者的临床特征进行对比研究。86例非重症患者以咳嗽(81.4%)、发热(70.9%)为主,少数有咽喉痛(9.3%)、流鼻水(4.7%)等上呼吸道感染症状。淋巴细胞减少(20.9%)和c反应蛋白升高(57.0%)在非重症患者中更为常见,而无症状患者分别为0%和14.3%。100例无症状非重症患者中,84例首次胸部CT异常,19例病毒RNA检测阴性。14例无症状患者中,5例肺异常,均为纯磨玻璃混浊。11例患者被2例无症状患者感染;两例患者在整个病程中均无症状,但胸部CT显示多灶性GGO。甲强的松龙组有12例患者的SARS-CoV-2清除时间较其他组长(21.2 d对16.4 d),随访期间58.3%的患者胸部CT发现的肺部病变完全消失。无症状且胸部CT异常的患者传染性强,因此结合胸部CT扫描进行SARS-CoV-2 RNA检测可以发现传染性强的无症状患者。糖皮质激素的应用可能会延长对SARS-CoV-2 RNA的清除时间。无症状和非重症患者预后均较好。
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引用次数: 0
Cervical Cancer Screening Status Among Women Living With HIV/AIDs in Malawi: A Cross-Sectional Study 马拉维艾滋病毒/艾滋病妇女宫颈癌筛查状况:一项横断面研究
Pub Date : 2022-07-14 DOI: 10.20849/ijsn.v7i3.1286
Jasintha T. Mtengezo, Haeok Lee, M. Cooley, Ling Shi, M. Makin
Worldwide, cervical cancer (CC) is the fourth most common cancer among women. Approximately 90% of cervical cancer cases occur in resource limited countries. Malawi is one of the developing countries with the highest incidence (ASR 67.9 per 100,000) of cc and the highest number of deaths (ASR 51.5 per 100,000) from cervical cancer in the world. More than 80% of Malawian women diagnosed with CC are at the inoperable cancer stage and suffer from co-infection with HIV. The purpose of this situation-specific theory guided study was to examine the cervical cancer screening status and factors affecting the screening status among Malawian women living with HIV infection aged 18-50 from HIV support groups in Malawi. A two stage proportionate stratified cluster random sampling method was used to select 291 respondents. The findings indicated that the prevalence of cervical cancer screening rate was 27.8%; and women had a high knowledge level and had a positive attitude towards cervical cancer screening. Despite a high knowledge level and positive attitude regarding screening, the cervical cancer screening rate was still low. The factors independently associated with cervical cancer screening in HIV positive women were: employment, OR = 6.37 (95% CI: 1.32, 30.80), knowledge OR =1.11 (95% CI: 1.03, 1.20), attitude, OR = 1.43 (95% CI: 1.04, 1.97) and social support networks OR =6.8 (95% CI: 1.41, 32.76). Community-based interventions and culturally tailored health education messages which include common myths about cervical cancer, HIV, and screening are critical when designing interventions to promote cervical cancer screening uptake in Malawi.
在世界范围内,宫颈癌(CC)是女性中第四大常见癌症。大约90%的宫颈癌病例发生在资源有限的国家。马拉维是世界上宫颈癌发病率最高(每100 000人中有67.9人)和死亡人数最高(每100 000人中有51.5人)的发展中国家之一。超过80%被诊断患有CC的马拉维妇女处于无法手术的癌症阶段,并同时感染艾滋病毒。本研究的目的是研究马拉维艾滋病毒支持团体中18-50岁艾滋病毒感染妇女的宫颈癌筛查状况及影响筛查状况的因素。采用两阶段比例分层整群随机抽样法,抽取291名调查对象。调查结果显示,宫颈癌筛查率为27.8%;女性对宫颈癌筛查的知识水平较高,态度积极。虽然市民对筛检的认识和态度都很积极,但子宫颈癌的筛检率仍然很低。与HIV阳性妇女宫颈癌筛查独立相关的因素有:就业OR = 6.37 (95% CI: 1.32, 30.80),知识OR =1.11 (95% CI: 1.03, 1.20),态度OR = 1.43 (95% CI: 1.04, 1.97),社会支持网络OR =6.8 (95% CI: 1.41, 32.76)。在马拉维设计促进宫颈癌筛查的干预措施时,以社区为基础的干预措施和有文化针对性的健康教育信息至关重要,其中包括关于宫颈癌、艾滋病毒和筛查的常见误解。
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引用次数: 0
Ray, A. (Ed.). (2021). Empowering Midwives and Obstetric Nurses. London: IntechOpen 雷,A.(编辑)。(2021)。赋予助产士和产科护士权力。伦敦:IntechOpen
Pub Date : 2022-05-11 DOI: 10.20849/ijsn.v7i2.1195
Omona Kizito
In order to equip practitioner midwives and nurses, I find ‘Empowering Midwives and Obstetric Nurses’ a book to be treasured. This is more especially when it comes to supporting learning and preparing readers for the challenges faced in contemporary healthcare. This book with 192pages and twelve chapters is a treasure.
为了装备执业助产士和护士,我发现《赋予助产士和产科护士权力》是一本值得珍惜的书。这是尤其当它涉及到支持学习和准备读者在当代医疗保健面临的挑战。这本有192页,12章的书是一笔财富。
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引用次数: 0
Exploring the Mediating Effect of Emotional Intelligence on Perceived Stress and Interpersonal Relationships Among Nursing Students 情绪智力对护生感知压力及人际关系的中介作用探讨
Pub Date : 2022-05-11 DOI: 10.20849/ijsn.v7i2.1079
Chun-Ping Tung, J. Rong
The aims of this study were twofold: 1. exploring the relationships of perceived stress (includes three types of emotions: stress, depression, and anxiety), emotional intelligence, and interpersonal relationships among nursing students, and 2. examining the mediating effect of emotional intelligence in perceived stress (stress, depression, and anxiety) on the interpersonal relationships of nursing students. The study was a cross-sectional design. There were 313nursing students participating in the study and they were recruited from a university in northern Taiwan. The data were self-administrated by participants and collected from four scales: the Emotional Intelligence Scale, the Social Relationship Scale, the Depression Anxiety Stress Scale, and the demographic instrument. The main findings of this study were as follows: (1) Stress perception was significantly positively correlated with depression and anxiety. Emotional intelligence was positively correlated with interpersonal relationships. All the perceived stress, anxiety, and depression significantly negatively correlated with emotional intelligence and interpersonal relationships. (2) The results concluded that the impact of perceived stress on interpersonal relationships was significantly mediated by emotional intelligence. In conclusion, this study confirmed that emotional intelligence is one of the most important mediators, which can mediate the negative impacts from perceived stress to interpersonal relationships. For nursing education, the result provides a new direction in improving the emotional intelligence and ability of nursing students to help students manage stress and build interpersonal and professional relationships.
这项研究的目的有两个:1。二、探讨护生感知压力(包括压力、抑郁、焦虑三种情绪)、情商、人际关系的关系;探讨情绪智力在感知压力(压力、抑郁、焦虑)中对护生人际关系的中介作用。该研究采用横断面设计。共有313名护理专业的学生参与研究,他们来自台湾北部的一所大学。数据由参与者自行管理,并从四个量表中收集:情绪智力量表、社会关系量表、抑郁焦虑压力量表和人口统计工具。本研究的主要发现如下:(1)压力感知与抑郁、焦虑呈显著正相关。情绪智力与人际关系呈正相关。感知压力、焦虑、抑郁均与情绪智力和人际关系呈显著负相关。(2)结果表明,应激感知对人际关系的影响受情绪智力的显著中介作用。综上所述,本研究证实了情绪智力是最重要的中介因素之一,它可以调节感知压力对人际关系的负面影响。本研究结果为护理教育提高护生情绪智力和能力,帮助学生管理压力,建立人际关系和专业关系提供了新的方向。
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引用次数: 1
Application of Hardware Equipment in Preventing Falls in Elderly Hospitalized Patients 硬件设备在老年住院患者预防跌倒中的应用
Pub Date : 2022-05-11 DOI: 10.20849/ijsn.v7i2.1216
Lina Jiang, Fenghua Tian
Objective: To apply hardware equipment to elderly hospitalized patients and analyze its effect.Methods: Convenience sampling method was adopted, and 116 patients admitted to the geriatrics department of a tertiary hospital in Chifeng City from October 2021 to February 2022 were included in the study. Grouping by random number table method, the final experimental group and control group included 58 cases each. The patients in the control group were given routine care, and the patients in the experimental group were given hospital hardware equipment on this basis. The incidence of falls and nursing satisfaction in the two groups of patients during hospitalization were analyzed.Results: After applying hardware equipment to elderly inpatients, the difference was not statistically significant (P>0.05), but the incidence of falls in the experimental group was lower than that in the control group; the nursing satisfaction of the patients in the experimental group was higher than that in the control group, and the difference was statistically significant Significance (P<0.05).Conclusion: In view of the particularity of the elderly hospitalized patients, in the process of nursing them, the application of hardware equipment can reduce the incidence of falls and improve the nursing satisfaction of patients, which is worthy of popularization and application in clinical practice.
目的:在老年住院患者中应用硬件设备,并分析其效果。方法:采用方便抽样方法,选取2021年10月至2022年2月在赤峰市某三级医院老年科就诊的116例患者作为研究对象。采用随机数字表法分组,最终实验组和对照组各58例。对照组患者给予常规护理,实验组患者在此基础上给予医院硬件设备。分析两组患者住院期间跌倒发生率及护理满意度。结果:老年住院患者应用硬件设备后,差异无统计学意义(P>0.05),但实验组跌倒发生率低于对照组;实验组患者的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:针对老年住院患者的特殊性,在对其进行护理的过程中,应用硬件设备可以降低跌倒的发生率,提高患者的护理满意度,值得在临床实践中推广应用。
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引用次数: 0
Factors Affecting the Utilization of Antenatal Care 4th Visit Among Mothers in Rubirizi District, Uganda 影响乌干达Rubirizi地区母亲产前保健利用的因素
Pub Date : 2022-05-11 DOI: 10.20849/ijsn.v7i2.1026
Katushabe Aidah, Omona Kizito
Globally, the World Health Organization recommends all women with uncomplicated pregnancies to attend up to four ANC visits during the course of the pregnancy. However, it has been reported elsewhere that the ANC 4th visit tends to be under-utilized in low-income settings. Among the 69 countries tracked by the countdown to 2015, the coverage rate of the 4th ANC visit is less than 50%. On average, only 16% of women in Uganda attend the 4th antenatal care visit, suggesting low utilization of the 4th antenatal care visit. The low attendances have persisted despite the efforts and awareness from government, policymakers and stakeholders. The purpose of this study was to determine the level of utilization ANC 4th visit and ascertain the factors affecting the utilization. An analytical cross-sectional design was used. Samples of 283 mothers were interviewed using questionnaires. Data were analyzed using SPSS. Quality controls and ethical considerations were taken care of. Only 59(20.8%) of the mothers utilized ANC 4th visit. Monthly income (p=0.003), knowledge about ANC 4th visit (p = 0.044), discussing ANC with Husband freely (p = 0.020) and husband providing financial support towards ANC visits (p=0.010) significantly influenced utilization of ANC 4th visit among mothers. Findings additionally showed cultural practices about ANC (p=0.000), mode of transport used during ANC visit (p =0.000) and instances of stockouts at health units (p=0.023) as having a significant bearing on utilization of ANC 4th visit among mothers (p values ≤ 0.05). The odds of attending 4th ANC visit were 3.44 times among mothers who discuss with their husbands freely about ANC compared to those who did not discuss it. Conclusively, the level of utilization 4th ANC visit in Rubirizi district health facilities is still unacceptably very low. Concerted efforts may be required by all stakeholders.
在全球范围内,世界卫生组织建议所有怀孕无并发症的妇女在怀孕期间最多参加四次产前检查。然而,据其他地方报道,非洲人国民大会第四次访问在低收入环境中往往没有得到充分利用。在2015年倒计时跟踪的69个国家中,非洲人国民大会第四次访问的覆盖率不到50%。乌干达平均只有16%的妇女参加了第四次产前保健检查,这表明第四次产前保健检查的利用率很低。尽管政府、政策制定者和利益相关者做出了努力并提高了意识,但出席率仍然很低。本研究的目的是确定第4次访问时的利用水平,并确定影响利用的因素。采用分析截面设计。对283名母亲进行了问卷调查。数据采用SPSS进行分析。质量控制和道德方面的考虑都得到了考虑。只有59名(20.8%)母亲利用了ANC的第4次访问。月收入(p=0.003)、产前四次就诊知识(p= 0.044)、与丈夫自由讨论产前四次就诊(p= 0.020)、丈夫为产前四次就诊提供经济支持(p=0.010)显著影响母亲对产前四次就诊的利用。调查结果还显示,有关非分娩的文化习俗(p=0.000)、非分娩访问期间使用的交通方式(p=0.000)和卫生单位的库存情况(p=0.023)对母亲第4次非分娩访问的利用率有显著影响(p值≤0.05)。与丈夫自由讨论生育问题的母亲相比,没有讨论生育问题的母亲参加第4次探望的几率是3.44倍。最后,Rubirizi地区卫生设施的第四次非国大访问的利用率仍然低得令人无法接受。所有利益相关者可能需要共同努力。
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引用次数: 0
Application of Nurse-Led Evidence-Based Nursing in Newly Diagnosed Type 2 Diabetes Patients 护士主导的循证护理在新诊断2型糖尿病患者中的应用
Pub Date : 2022-05-11 DOI: 10.20849/ijsn.v7i2.1155
Lina Jiang, Fenghua Tian
Objective: To apply nurse-led evidence-based nursing to newly diagnosed patients with type 2 diabetes, and to analyze its effect.Methods: Convenience sampling method was adopted, and 42 patients with initial diagnosis of T2DM who were admitted to the endocrinology department of a tertiary hospital in Chifeng City from September 2021 to February 2022 were included in the study. Grouping was done by random number table method, and finally 21 cases were included in each of the experimental group and the control group. The patients in the control group received routine nursing in the endocrinology department, and the patients in the experimental group received evidence-based nursing led by nurses on this basis. The glucose metabolism indexes and self-management behaviors of the two groups of patients were analyzed.Results: After routine nursing and nurse-led evidence-based nursing for newly diagnosed patients with type 2 diabetes, the blood sugar control of the experimental group was significantly better than that of the control group, and the difference was statistically significant (P<0.05). The behavior was better than that of the control group, and the difference was statistically significant (P<0.05). The nursing satisfaction of the patients in the experimental group was higher than that of the control group, and the difference was statistically significant (P<0.05).Conclusion: In view of the particularity of the newly diagnosed type 2 diabetes patients, in the process of nursing them, the nurse-led evidence-based nursing can effectively control the blood sugar level and improve the patients' self-esteem based on summarizing the best evidence. Management ability and nursing satisfaction are worthy of promotion and application in clinical practice.
目的:将护士主导的循证护理应用于新诊断的2型糖尿病患者,并分析其效果。方法:采用方便抽样方法,选取2021年9月至2022年2月在赤峰市某三级医院内分泌科就诊的42例初诊T2DM患者作为研究对象。采用随机数字表法进行分组,最终实验组和对照组各21例。对照组患者在内分泌科接受常规护理,实验组患者在此基础上接受护士带领的循证护理。分析两组患者的糖代谢指标及自我管理行为。结果:对新诊断2型糖尿病患者进行常规护理及护士主导的循证护理后,实验组血糖控制明显优于对照组,差异有统计学意义(P<0.05)。行为优于对照组,差异有统计学意义(P<0.05)。实验组患者的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:针对新诊断2型糖尿病患者的特殊性,在护理过程中,以护士为主导的循证护理在总结最佳证据的基础上,能有效控制血糖水平,提高患者自尊。管理能力和护理满意度值得在临床实践中推广应用。
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引用次数: 0
The Impact of Symptoms and Psychological Distress on Quality of Life in Early-Stage Lung Cancer Survivors 症状和心理困扰对早期肺癌幸存者生活质量的影响
Pub Date : 2022-05-11 DOI: 10.20849/ijsn.v7i2.1080
Chwen-Mei Lin, J. Rong
Background: The number of cancer survivors continues to increase worldwide. Health-related quality of life (HRQoL) is important as a health-related outcome for cancer patients and cancer survivors. Patients with early-stage non-small cell lung cancer may face the stress of symptoms and treatment side effects. However, for survivors of this type of cancer, the impact of cancer or treatment-related stress perception, symptoms, and psychological distress on HRQoL remains to be explored.Purpose: To examine the impact of stress appraisal, symptoms distress, and psychological distress (anxiety and depression) on quality of life in early-stage lung cancer survivors.Method: A cross-sectional study design using convenience sampling. Early-stage non-small cell lung cancer patients who had completed treatment of lung cancer for at least one month were recruited after obtaining informed consent. Self-administered questionnaires were used to collect demographics and information on clinical characteristics, perceived stress, symptoms distress, psychological distress (anxiety and depression), and HRQoL. Multiple regression analysis was used to identify factors affecting HRQoL.Results: The study recruited 85 (30 male and 55 female) lung cancer survivors with mean age of 63.20 years old (SD= 9.01), 85.8 % of which were diagnosed with stage I non-small cell lung cancer. Mean time since diagnosis was 3.33 years (SD = 2.05). All participants underwent surgery. We found that 52.6% of the variance (F (4, 80) =24.28, p<.001) in HRQoL was explained by the variables of anxiety (β= -.34, t= -3.36, p=.001), depression (β= -.28, t= -3.21, p=.002), perceived stress (β= -.21, t= -2.30, p=.024), and symptom distress (β= -.13, t= -1.53, p=.13).Conclusion: Our results suggest that health professionals should pay more attention to the assessment of perceived stress, psychological distress, and symptom distress for promoting HRQoL and healthy functioning of non-small cell lung cancer survivors.
背景:世界范围内癌症幸存者的数量持续增加。健康相关生活质量(HRQoL)作为癌症患者和癌症幸存者的健康相关结果非常重要。早期非小细胞肺癌患者可能面临症状和治疗副作用的压力。然而,对于这类癌症的幸存者,癌症或治疗相关的压力感知、症状和心理困扰对HRQoL的影响仍有待探索。目的:探讨压力评估、症状困扰和心理困扰(焦虑和抑郁)对早期肺癌幸存者生活质量的影响。方法:采用方便抽样的横断面研究设计。在获得知情同意后,招募完成肺癌治疗至少一个月的早期非小细胞肺癌患者。采用自我管理问卷收集临床特征、感知压力、症状困扰、心理困扰(焦虑和抑郁)和HRQoL的人口统计学和信息。采用多元回归分析确定影响HRQoL的因素。结果:本研究共纳入85例肺癌幸存者(男性30例,女性55例),平均年龄63.20岁(SD= 9.01),其中85.8%诊断为I期非小细胞肺癌。平均诊断时间为3.33年(SD = 2.05)。所有的参与者都接受了手术。我们发现,52.6%的HRQoL方差(F (4,80) =24.28, p<.001)可由焦虑变量解释(β= -)。34, t= -3.36, p=.001),抑郁(β= -3.36, p=.001)。28, t= -3.21, p=.002),感知压力(β= -。21, t= -2.30, p= 0.024),症状窘迫(β= -2.30, p= 0.024)。13, t= -1.53, p=.13)。结论:卫生专业人员应重视应激感知、心理困扰和症状困扰的评估,以提高非小细胞肺癌幸存者的HRQoL和健康功能。
{"title":"The Impact of Symptoms and Psychological Distress on Quality of Life in Early-Stage Lung Cancer Survivors","authors":"Chwen-Mei Lin, J. Rong","doi":"10.20849/ijsn.v7i2.1080","DOIUrl":"https://doi.org/10.20849/ijsn.v7i2.1080","url":null,"abstract":"Background: The number of cancer survivors continues to increase worldwide. Health-related quality of life (HRQoL) is important as a health-related outcome for cancer patients and cancer survivors. Patients with early-stage non-small cell lung cancer may face the stress of symptoms and treatment side effects. However, for survivors of this type of cancer, the impact of cancer or treatment-related stress perception, symptoms, and psychological distress on HRQoL remains to be explored.Purpose: To examine the impact of stress appraisal, symptoms distress, and psychological distress (anxiety and depression) on quality of life in early-stage lung cancer survivors.Method: A cross-sectional study design using convenience sampling. Early-stage non-small cell lung cancer patients who had completed treatment of lung cancer for at least one month were recruited after obtaining informed consent. Self-administered questionnaires were used to collect demographics and information on clinical characteristics, perceived stress, symptoms distress, psychological distress (anxiety and depression), and HRQoL. Multiple regression analysis was used to identify factors affecting HRQoL.Results: The study recruited 85 (30 male and 55 female) lung cancer survivors with mean age of 63.20 years old (SD= 9.01), 85.8 % of which were diagnosed with stage I non-small cell lung cancer. Mean time since diagnosis was 3.33 years (SD = 2.05). All participants underwent surgery. We found that 52.6% of the variance (F (4, 80) =24.28, p<.001) in HRQoL was explained by the variables of anxiety (β= -.34, t= -3.36, p=.001), depression (β= -.28, t= -3.21, p=.002), perceived stress (β= -.21, t= -2.30, p=.024), and symptom distress (β= -.13, t= -1.53, p=.13).Conclusion: Our results suggest that health professionals should pay more attention to the assessment of perceived stress, psychological distress, and symptom distress for promoting HRQoL and healthy functioning of non-small cell lung cancer survivors.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74335587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International journal of studies in nursing
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