International Journal of Nursing Sciences最新文献

{"title":"Psychometric testing of the cross-culturally adapted Thai version of the Self-Care Self-Efficacy Scale version 3.0 in individuals with chronic illnesses","authors":"","doi":"10.1016/j.ijnss.2024.08.010","DOIUrl":"10.1016/j.ijnss.2024.08.010","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0 (SCSES-v3.0) in individuals with chronic illnesses. Although originally developed and tested in a Western context, its applicability in Asian populations, including Thailand, remains inadequately explored.</div></div><div><h3>Methods</h3><div>Psychometric tests were guided by COSMIN principles. This included the translation of the English version into Thai based on the ISPOR framework. Nine nursing experts evaluated the content validity. Data were obtained from a multicenter cross-sectional study conducted between July and November 2022. This study included individuals with chronic conditions from 16 primary care centers in Thailand. We tested the structural validity using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and concurrent validity in relation to the Self-Care of Chronic Illness Inventory version 4.c (SC-CII-v4.c). We tested the scale’s reliability with McDonald’s ω, Cronbach’s α, and the intraclass correlation coefficient (ICC).</div></div><div><h3>Results</h3><div>The Thai SCSES-v3.0 demonstrated excellent content validity (<em>k</em> = 1.00). The final analysis included a total of 385 participants. The EFA with the first split-half subsample (<em>n</em> = 193) extracted a two-factor structure. One reflected SCSES for maintenance and monitoring behaviors and another captured SCSES for management behaviors (item 6–10). CFA with the second split-half subsample (<em>n</em> = 192) and the overall sample (<em>n</em> = 385) supported the scale’s two-factor model with high factor loadings. Each dimension and the overall SCSES-v3.0 positively correlated with each scale and the overall SC-CII-v4.c. McDonald’s ω and Cronbach’s α (both ranged 0.91–0.94) and ICC (ranged 0.95–0.96), indicated excellent internal reliability and test-retest reliability, respectively.</div></div><div><h3>Conclusions</h3><div>The identification of a valid and reliable two-factor model for the Thai SCSES-v3.0 renders it a valuable tool for clinicians and investigators, facilitating the assessment of self-efficacy in self-care across diverse contexts.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235201322400084X/pdfft?md5=11e59dc301cc92d4bf1e2be900d1899d&pid=1-s2.0-S235201322400084X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315196","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}

{"title":"Evaluating the feasibility and preliminary effects of an online compassion training program for nursing students: A pilot randomized controlled trial","authors":"","doi":"10.1016/j.ijnss.2024.08.007","DOIUrl":"10.1016/j.ijnss.2024.08.007","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess the feasibility of an online compassion training program for nursing students and preliminarily investigate its effects on mindfulness, self-compassion, and stress reduction.</div></div><div><h3>Methods</h3><div>This study employed a randomized controlled trial design. Second-year students from a nursing college in Guangzhou, China, were recruited as research participants in August 2023. The intervention group participated in an 8-week online compassion training program via the WeChat platform, comprising three stages: mindfulness (weeks 1–2), self-compassion (weeks 3–5), and compassion for others (weeks 6–8). Each stage included four activities: psychoeducation, mindfulness practice, weekly diary, and emotional support. Program feasibility was assessed through recruitment and retention rates, program engagement, and participant acceptability. Program effectiveness was measured with the Mindful Attention Awareness Scale, Self-Compassion Scale - Short Form, and Perceived Stress Scale.</div></div><div><h3>Results</h3><div>A total of 28 students completed the study (13 in the intervention group, 15 in the control group). The recruitment rate was 36.46%, with a high retention rate of 93.3%. Participants demonstrated high engagement: 69.2% accessed learning materials every 1–2 days, 93.3% practiced mindfulness at least weekly, with an average of 4.69 diary entries submitted per person and 23.30 WeChat interactions with instructors. Regarding acceptability, all participants expressed satisfaction with the program, with 92.4% finding it “very helpful” or “extremely helpful.” In terms of intervention effects, the intervention group showed a significant increase in mindfulness levels from pre-intervention (51.54 ± 10.93) to post-intervention (62.46 ± 13.58) (<em>P</em> &lt; 0.05), while no significant change was observed in the control group. Although there were no statistically significant differences between the two groups in post-intervention self-compassion and perceived stress levels, the intervention group showed positive trends: self-compassion levels increased (35.85 ± 8.60 vs. 40.85 ± 5.54), and perceived stress levels slightly decreased (44.77 ± 8.65 vs. 42.00 ± 5.77).</div></div><div><h3>Conclusions</h3><div>This pilot study demonstrated the feasibility of an online compassion training program for nursing students and suggested its potential effectiveness in enhancing mindfulness, self-compassion, and stress reduction. Despite limitations such as small sample size and lack of long-term follow-up, preliminary evidence indicates promising prospects for integrating such training into nursing education. Further research is warranted to confirm these findings and assess the sustained impact of this approach on nursing education and practice.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000814/pdfft?md5=04c0efa0b1d6d7f9e1a81327f6940223&pid=1-s2.0-S2352013224000814-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315184","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}

{"title":"Recovery after ischemic stroke: Effects of FuekFone home-based program on upper limb and cognitive function","authors":"","doi":"10.1016/j.ijnss.2024.08.008","DOIUrl":"10.1016/j.ijnss.2024.08.008","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the effects of the “FuekFone (F.F.) home-based program” on the upper limb and cognitive function of ischemic stroke patients after discharge.</div></div><div><h3>Methods</h3><div>A single group pre-and post-test design was conducted. A total of 40 patients with recovery after ischemic stroke were recruited from two university hospitals in Thailand. The study was conducted between June 2022 and January 2023. Participants underwent a six-week “F.F. home-based program,” which combined an upper limb and cognitive function rehabilitation device with Android games, including stationary barrel, adventure walk, adventure stroll, sliding barrel, sauce squeeze, and cut objects. Each game has different difficulty levels. Patients can perform corresponding exercises through the games according to their conditions under the guidance of medical staff. The patients played for 24 min per time, 4 min each game, three days a week. The second week, let the patients play games for 30 min per time, 5 min each game, 3 days a week. Then, in the 3–6 weeks, let the patients play games for 1 h per time, 10 min each game, 5 days a week. At the pre-and post-intervention, the Thai version of the National Institutes of Health Stroke Scale (NIHSS), the Motor Assessment Scale, and the Montreal Cognitive Assessment (MoCA score) were administered to patients at discharge and at 2, 4, and 6 weeksafter discharge, and the results were compared.</div></div><div><h3>Results</h3><div>All participants completed this program. Participants had statistically improved upper limb function (upper arm function score, hand movements score, advanced hand activities score, total Motor Assessment Scale score) and MoCA score at 2, 4, and 6 weeks after discharge (<em>P</em> &lt; 0.001). In the comparison of upper limb function and cognitive function at each of the study times, we found statistically improved upper limb function (upper arm function score, hand movements score, advanced hand activities score, total Motor Assessment Scale score) and MoCA score at 4, and 6 weeks after discharge when compared to after discharge and 2 weeks after discharge, respectively (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Continuing care of patients post-stroke after discharge from hospital, such as F.F. home-based program should be applied at home to enhance upper limb and cognitive function.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000826/pdfft?md5=8497aff86b692ccf0d4a0ab0b4b9db01&pid=1-s2.0-S2352013224000826-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315244","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}

{"title":"Effectiveness of a theory-based tailored mHealth physical activity intervention for women undergoing chemotherapy for breast cancer: A quasi-experimental study","authors":"","doi":"10.1016/j.ijnss.2024.08.006","DOIUrl":"10.1016/j.ijnss.2024.08.006","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the effectiveness of the theory-based tailored mHealth physical activity (PA) intervention among patients with breast cancer undergoing chemotherapy.</div></div><div><h3>Methods</h3><div>A quasi-experimental study design was adopted. A total of 60 breast cancer patients were selected from two tertiary hospitals in Shanghai and Hangzhou City from September 2019 to August 2021. According to the admission order, 30 patients were first included in the control group, followed by 30 patients in the intervention group. A smartphone application (app) named “Breast Care” was developed based on social cognitive theory, self-efficacy theory, and the theory of planned behavior. The app integrated various functions, including information browsing, PA monitoring and feedback, symptom reporting, and social interaction. Patients in the intervention group received three months of personalized online PA guidance in addition to routine care. The control group received routine care. Baseline and post-intervention investigations after three months were conducted in two groups using the Short Form of International Physical Activity Questionnaire, the Hospital Anxiety and Depression Scale, and the Functional Assessment of Cancer Therapy—Breast cancer.</div></div><div><h3>Results</h3><div>After three months of intervention, compared to the control group, breast cancer patients in the intervention group showed significant improvements in walking, moderate PA, and overall PA (<em>P</em> &lt; 0.05). Compared to the baseline data, breast cancer patients in the intervention group had significant improvements in walking and overall PA after three months (<em>P</em> &lt; 0.05), whereas the control group experienced significant declines in walking, moderate PA, and overall PA after three months (<em>P</em> &lt; 0.05). There were statistically differences between the two groups in scores for anxiety, overall quality of life, and its dimensions, such as physical well-being, emotional well-being, and additional breast cancer well-being (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>The theory-based tailored mHealth PA intervention has demonstrated a positive impact on promoting PA behavior change and emotional management among breast cancer patients. The ‘Breast Care’ app integrated various practical behavior change strategies, offering valuable guidance for personalized remote rehabilitation support for cancer patients.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000802/pdfft?md5=163e5de399842d01ca44cc8db2782605&pid=1-s2.0-S2352013224000802-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315243","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}

{"title":"Facilitators and barriers to parent-child communication in pediatric palliative care: An integrative review","authors":"","doi":"10.1016/j.ijnss.2024.08.001","DOIUrl":"10.1016/j.ijnss.2024.08.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to identify facilitators and barriers to parent-child communication in pediatric palliative care, providing insights for medical professionals developing targeted interventions to enhance parent-child communication and improve its effectiveness.</div></div><div><h3>Methods</h3><div>Whittemore and Knafl’s integrative review method was employed to guide a systematic search for literature in six databases (Medline, Embase, CINAHL Complete, PsycINFO, Web of Science, and Cochrane Library). Peer-reviewer articles published in the English language from inception to December 2023. All of the identified studies were screened, extracted, and analyzed independently by two researchers.</div></div><div><h3>Results</h3><div>Twenty-four articles were included. The findings of the relevant studies were analyzed using thematic analysis. Four themes were identified as facilitators: legacy-making, resilience training programs, guidance from the healthcare team, and positive communication. Seven themes were identified as barriers: denial, being unprepared and evasive, mutual protection, being overwhelmed by painful emotions and overloaded with information, incorrect views of medical professionals and parents, negative communication, and cultural context.</div></div><div><h3>Conclusions</h3><div>Parents and professionals should avoid myths about protecting the child and encourage open communication that respects the child’s wishes. The specialized pediatric palliative care team should carefully monitor parent-child communication, determine if any obstacles exist, and design more interventions to enhance it.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000759/pdfft?md5=0c5a7750cfc86d7b605b43334bd81445&pid=1-s2.0-S2352013224000759-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315194","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}

{"title":"Reflective practice and knowledge development: Transforming research for a practice-based discipline","authors":"","doi":"10.1016/j.ijnss.2024.08.002","DOIUrl":"10.1016/j.ijnss.2024.08.002","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000760/pdfft?md5=51a1ca4f348bac1ed73bf1ed0b00f313&pid=1-s2.0-S2352013224000760-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315488","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}

{"title":"Network analysis of the relationships between depressive symptoms and social participation activities among Chinese older adults and its implications for nursing","authors":"","doi":"10.1016/j.ijnss.2024.08.011","DOIUrl":"10.1016/j.ijnss.2024.08.011","url":null,"abstract":"<div><h3>Objective</h3><div>Network analysis was used to explore the complex inter-relationships between social participation activities and depressive symptoms among the Chinese older population, and the differences in network structures among different genders, age groups, and urban-rural residency would be compared.</div></div><div><h3>Methods</h3><div>Based on the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), 12,043 people aged 65 to 105 were included. The 10-item Center for Epidemiologic Studies Depression (CES-D) Scale was used to assess depressive symptoms and 10 types of social participation activities were collected, including housework, tai-chi, square dancing, visiting and interacting with friends, garden work, reading newspapers or books, raising domestic animals, playing cards or mahjong, watching TV or listening to radio, and organized social activities. R 4.2.1 software was used to estimate the network model and calculate strength and bridge strength.</div></div><div><h3>Results</h3><div>21.60% (2,601/12,043) of the participants had depressive symptoms. The total social participation score was negatively associated with depressive symptoms after adjusting for sociodemographic factors. The network of social participation and depressive symptoms showed that “D9 (Inability to get going)” and “S9 (Watching TV and/or listening to the radio)” had the highest strength within depressive symptoms and social participation communities, respectively, and “S1 (Housework)”, “S9 (Watching TV and/or listening to the radio)”, and “D5 (Hopelessness)” were the most prominent bridging nodes between the two communities. Most edges linking the two communities were negative. “S5 (Graden work) - D5 (Hopelessness)” and “S6 (Reading newspapers/books) - D4 (Everything was an effort)” were the top 2 strongest negative edges. Older females had significantly denser network structures than older males. Compared to older people aged 65–80, the age group 81–105 showed higher network global strength.</div></div><div><h3>Conclusions</h3><div>This study provides novel insights into the complex relationships between social participation and depressive symptoms. Except for doing housework, other social participation activities were found to be protective for depression levels. Different nursing strategies should be taken to prevent and alleviate depressive symptoms for different genders and older people of different ages.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000851/pdfft?md5=5a037d3bdc4ce337808f70adb1c4b399&pid=1-s2.0-S2352013224000851-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315195","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}

{"title":"Unveiling the challenges encountered by newly graduated nurses during night shifts: A descriptive qualitative study","authors":"","doi":"10.1016/j.ijnss.2024.08.009","DOIUrl":"10.1016/j.ijnss.2024.08.009","url":null,"abstract":"<div><h3>Objectives</h3><div>Newly graduated nurses commence night shifts during a phase of heightened vulnerability to reality shock, exacerbating the challenges faced by these graduates. Therefore, this study aimed to identify the challenges experienced by newly graduated nurses when undertaking night shifts in order to help identify a strategy for supporting their adaptation to these shifts.</div></div><div><h3>Methods</h3><div>Semi-structured personal interviews were used to collect data. Fifteen newly graduated nurses were selected to participate in the study by purposive sampling method from November 2021 to March 2022 in one of four general hospitals situated in the southwestern region of Japan. Semi-structured interviews were analyzed by using thematic analysis.</div></div><div><h3>Results</h3><div>The analysis revealed five central themes and nine subthemes: challenges in task efficiency (task organization challenges, challenges in time-constrained task performance), challenges in responding to patients’ changing conditions (challenges in responding to patients’ irregular conditions, challenges in responding to nighttime changes in patients’ behaviors), challenges in independent practice (challenges in engaging in independent nursing practice, challenges in dealing with unexpected events), challenges in establishing collaborative relationships (challenges in working closely with other staff, challenges in establishing collaborative relationships during night shifts with limited resources), challenges in adapting to shift work (challenges in managing physical conditions for shift work).</div></div><div><h3>Conclusions</h3><div>Newly graduated nurses often encounter challenges in performing their tasks during the transition period. When working night shifts, they face additional hurdles unique to nocturnal duties. The findings underscore the necessity for these graduates to develop night shift-specific readiness to effectively navigate the demands inherent in such work schedules.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000838/pdfft?md5=b0bcc20d0e4b87b984d019c614b62958&pid=1-s2.0-S2352013224000838-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315192","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}

{"title":"Web-based cognitive interventions on subjective cognitive impairment in cancer survivors: A systemic review","authors":"","doi":"10.1016/j.ijnss.2024.06.004","DOIUrl":"10.1016/j.ijnss.2024.06.004","url":null,"abstract":"<div><h3>Objective</h3><div>Cancer survivors have experienced subjective cognitive impairment (SCI) when they received cancer diagnoses or treatments. Their psychosocial and emotional statuses were also impacted. With the advancement of web technologies, web-based cognitive interventions have been implemented in the management and the alleviation of the SCI, the psychosocial distress, and the emotional distress in cancer survivors. This review aimed to summarize the intervention contents of web-based cognitive interventions for SCI, and to explore the effects of the interventions on SCI, psychosocial status, and emotional health.</div></div><div><h3>Methods</h3><div>Six databases (CINAHL Plus, Cochrane Library, Embase, APA PsycInfo, PubMed and CNKI) were searched from the establishment of databases up to December 2023. Literature references were also manually searched for related articles.</div></div><div><h3>Results</h3><div>This review contained 21 studies that covered the contents of web-based cognitive interventions, such as computer-assisted cognitive training, online cognitive rehabilitation, cognitive behavior therapy with the Internet, telehealth physical exercise, and web-based mindfulness interventions. The effects of web-based cognitive interventions positively impacted SCI for cancer survivors. Also, these interventions showed varying degrees of effectiveness in alleviating psychosocial and emotional distresses.</div></div><div><h3>Conclusion</h3><div>By summarizing five types of cognitive intervention contents delivered via web technology, this review demonstrated that web-based cognitive interventions optimized SCI and overall psychosocial and emotional statuses for the cancer survivors. It is recommended that future research focus on the development of customized web-based cognitive interventions for individuals with SCI, along with their psychosocial and emotional statuses.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000589/pdfft?md5=9f9f0148c618ff6cdf75b16d7692e8bd&pid=1-s2.0-S2352013224000589-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397455","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}

{"title":"Factors influencing the employed caregiver burden for patients with dementia residing in nursing homes: A cross-sectional study from China","authors":"","doi":"10.1016/j.ijnss.2024.08.005","DOIUrl":"10.1016/j.ijnss.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>The institutionalization of care for patients with dementia is becoming a trend. Understanding the burden on employed caregivers and exploring associated factors are of great importance in practice. Therefore, this study aimed to examine the relationship between basic attributes, caring ability, and caregiver burden in employed caregivers practicing in nursing homes.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 541 employed caregivers in 11 four-star nursing homes in Zhejiang Province from April to December 2022. Caregiver burden was assessed using the Zarit Burden Interview (ZBI). Demographic characteristics of participants, characteristics of the older patients with dementia, caring characteristics, training in dementia care, and caring abilities were collected for analysis of influencing factors. A hierarchical multiple regression analysis was conducted to explore the factors influencing the burden on employed caregivers in nursing homes.</div></div><div><h3>Results</h3><div>The ZBI score of employed caregivers in nursing homes was 40.42 ± 10.18, representing a moderate caregiver burden. Factors such as age (<em>U</em> = 27.82, <em>P</em> &lt; 0.001), residence (<em>U</em> = 7.89, <em>P</em> &lt; 0.001), educational level (<em>H</em> = 55.81, <em>P</em> &lt; 0.001), self-care of older patients with dementia (<em>H</em> = 85.21, <em>P</em> &lt; 0.001), daily care hours (<em>H</em> = 73.25, <em>P</em> &lt; 0.001), number of older people with dementia cared for (<em>H</em> = 14.56, <em>P</em> = 0.012) and training in dementia care (<em>U</em> = −9.43, <em>P</em> &lt; 0.001) were significantly associated with caregiver burden.Caring ability was negatively associated with caregiver burden (<em>r</em> = −0.22, <em>P</em> &lt; 0.01). Furthermore, after controlling for demographic characteristics, the characteristics of older people with dementia, caring characteristics, training in dementia care, and caring ability explained 8.5%, 5.8%, and 4.8% of the caregiver burden, respectively.</div></div><div><h3>Conclusion</h3><div>The burden of employed caregivers on patients with dementia in nursing homes can be attributed to various factors. We recommend tailored interventions, such as dementia care training and reviewing the number and duration of hours worked to reduce the burden experienced by caregivers.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000796/pdfft?md5=5d6d99a1961f8b5927506caab704b528&pid=1-s2.0-S2352013224000796-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315193","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}