Belitung Nursing Journal最新文献

{"title":"Factors influencing self-management behaviors in persons with lupus nephritis: A cross-sectional study.","authors":"Sirikarn Hanrop, Aurawamon Sriyuktasuth, Kanaungnit Pongthavornkamol, Noppawan Piaseu, Ratana Chawanasuntorapoj","doi":"10.33546/bnj.3257","DOIUrl":"10.33546/bnj.3257","url":null,"abstract":"<p><strong>Background: </strong>Patients with lupus nephritis experience disease symptoms and side effects from treatment. Although self-management behaviors are important in patients with this disease, there is limited research on the factors influencing these behaviors.</p><p><strong>Objective: </strong>This study aimed to examine the factors influencing self-management behaviors in patients with lupus nephritis.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 240 patients with lupus nephritis at a university hospital in Thailand between August 2019 and December 2020 using a random sampling method. Data were collected using a demographic and clinical characteristic questionnaire, Self-Management Behavior Questionnaire, Self-efficacy for Managing Chronic Disease: A 6-item Scale, Knowledge about Lupus Nephritis Questionnaire, Family Support Scale, Social Networks in Adult Life Questionnaire, and Memorial Symptom Assessment Scale for Lupus Nephritis. Descriptive statistics and multiple linear regression analyses were employed.</p><p><strong>Results: </strong>The participants reported a moderate level of self-management behaviors. Multiple regression analyses revealed that disease duration, income, symptoms, self-efficacy, knowledge, family support, social networks, and classes of lupus nephritis significantly explained 21% of the variance in self-management behaviors (R² = 0.21; F_(8,231) = 7.73; <i>p</i> <0.001). Family support (β = 0.32, <i>p</i> <0.001) and symptoms (β = -0.23, <i>p</i> <0.001) were significant determinants of self-management behaviors in patients with lupus nephritis.</p><p><strong>Conclusion: </strong>The findings provide valuable insight for nurses to better understand the factors influencing self-management behaviors in patients with lupus nephritis. Patients with low family support and high symptom severity may face difficulty in performing self-management behaviors. Nurses should pay more attention to these patients and provide family-based interventions to optimize self-management behaviors in this population.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 3","pages":"351-359"},"PeriodicalIF":1.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of the mindfulness program for male substance abusers in Thailand on stress, deliberate self-harm, and drug abstinence intention: A repeated-measure design.","authors":"Arunothai Singtakaew, Nujjaree Chaimongkol, Skaorat Puangladda, Yongyud Wongpiromsarn","doi":"10.33546/bnj.3178","DOIUrl":"https://doi.org/10.33546/bnj.3178","url":null,"abstract":"<p><strong>Background: </strong>Substance abuse is prevalent among males, and mindfulness could serve as a means of helping individuals suffering from the adverse effects of substance abuse find relief.</p><p><strong>Objective: </strong>This study employed a one-group repeated-measure design and aimed to evaluate the effects of the mindfulness program on stress, deliberate self-harm, and drug abstinence intention among male substance abusers.</p><p><strong>Methods: </strong>The mindfulness program was implemented for Thai males with a history of narcotic drug use. Five participants were recruited from a rehabilitation institute in Thailand using convenience sampling. The program consisted of eight sessions over four weeks. The study outcomes were measured at three time points: pre-intervention (Time 1, Week 1), post-intervention (Time 2, Week 4), and follow-up (Time 3, Week 6). Research instruments included the Deliberate Self-Harm Inventory, the Perceived Stress Scale, and the Drug Abstinence Intention Questionnaire, all of which had Cronbach's alpha values above 0.80. Data analysis was carried out using the Friedman test and Dunn-Bonferroni post-hoc test.</p><p><strong>Results: </strong>The eight-session program was implemented as intended, with a retention rate of 100%. The mean scores of deliberate self-harm and drug abstinence intention were significantly different across the three time points (χ² = 10.000 and χ² = 9.579, <i>p</i> <0.01, respectively). After conducting pairwise comparisons, the mean scores of deliberate self-harm at Time 2 and Time 3 were significantly lower than those at Time 1. Additionally, the mean scores of drug abstinence intention at Time 2 and Time 3 were higher than those at Time 1. However, the mean score of stress did not have a significant difference.</p><p><strong>Conclusion: </strong>This program was both acceptable and effective in reducing deliberate self-harm and improving drug abstinence intention. These findings suggest that nurses and healthcare teams involved in caring for individuals with substance abuse issues could utilize this intervention alongside other therapies or hospital treatments. Consequently, relapse prevention among substance abusers could be achieved.Thai Clinical Trials Registry Number: TCTR20230404001.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 2","pages":"231-239"},"PeriodicalIF":1.4,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11056840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Viewing persons solely as the summation of organ systems confines nursing practice.","authors":"Rozzano C Locsin, Feni Betriana","doi":"10.33546/bnj.3275","DOIUrl":"https://doi.org/10.33546/bnj.3275","url":null,"abstract":"","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 2","pages":"122-125"},"PeriodicalIF":1.4,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11056829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring the purpose in life in the adult population: A scoping review.","authors":"Somrudee Arunjit, Karnsunaphat Balthip, Jos M Latour","doi":"10.33546/bnj.3176","DOIUrl":"10.33546/bnj.3176","url":null,"abstract":"<p><strong>Background: </strong>The purpose in life can motivate individuals to realize that life is essential for existence and well-being. Adults might experience crises that can lead to a lack of purpose in life. Consequently, promoting purpose in life is necessary, but it requires a suitable measurement scale.</p><p><strong>Objective: </strong>This scoping review aimed to identify and map the content, psychometric properties, and answer option scales of instruments intended to measure purpose in life in adult populations.</p><p><strong>Design: </strong>A scoping review was employed.</p><p><strong>Data sources: </strong>The database used was PubMed. The libraries were APA PsycNet, Wiley Online Library, and Cochrane Library. The search strategy was performed between 1 November 2023 and 14 February 2024.</p><p><strong>Review methods: </strong>This review used the scoping review framework described by Arksey and O'Malley. The identified instruments were assessed for quality based on the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) criteria. This study also used the PRISMA Extension for Scoping Reviews (PRISMA-ScR) reporting guideline.</p><p><strong>Results: </strong>A total of 348 studies were identified, and seven articles were involved in the final synthesis. These seven articles included five instruments measuring the concept of purpose in life, of which two instruments had two versions: 1) Purpose in Life Test (20 items, 4 items); 2) Life Engagement Test (6 items); 3) Psychological Well-Being (120 items, 18 items); 4) Self-Assessment Goal Achievement (9 items); and 5) National Institutes of Health Tuberculosis Meaning and Purpose Scale Age 18⁺ (18 items). The validity of all instruments was tested using factor analysis, known groups, face, concurrent, convergent, discriminant, and construct validity. The reliability of four instruments was tested by Cronbach's alpha and Spearman-Brown formula.</p><p><strong>Conclusion: </strong>Five instruments measuring purpose in life in the adult population with adequate psychometric properties were identified. The clinical implication of this study suggests that nurses may consider employing an appropriate instrument to assess the purpose of life in the adult population, thus enabling them to offer holistic, individualized care to adults, particularly addressing the spiritual dimension.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 2","pages":"126-133"},"PeriodicalIF":1.1,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11056839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the Thai Qualifications Framework for Higher Education instrument among Royal Thai Air Force nurse stakeholders.","authors":"La-Ongdao Wannarit, Bangorn Ritudom","doi":"10.33546/bnj.3061","DOIUrl":"https://doi.org/10.33546/bnj.3061","url":null,"abstract":"<p><strong>Background: </strong>The Thai Qualifications Framework for Higher Education (TQF: HEd) serves as a framework to enhance the quality of higher education in Thailand. However, no valid and reliable TQF: HEd instrument is available to measure the quality of graduates among Royal Thai Air Force Nurses.</p><p><strong>Objective: </strong>This study aimed to assess the psychometric properties of the TQF: HEd instrument among graduate nurses of the Royal Thai Air Force.</p><p><strong>Methods: </strong>Psychometric testing of the instrument was conducted. The instrument's validity was evaluated through a review by a panel of five experts, providing a content validity index (CVI). Construct validity was assessed using Confirmatory Factor Analysis (CFA) with a sample size of 308, and Cronbach's α coefficient was utilized to measure the scale's internal consistency.</p><p><strong>Results: </strong>The Scale-Content Validity Index (S-CVI) was 0.88. CFA yielded the following fit indices: χ2 = 265.861, <i>p</i> = 0.068, df = 233, χ2/df ratio = 1.141, Comparative fit index (CFI) = 0.996, Tucker Lewis Index (TLI) = 0.993, Root Mean Square Error of Approximation (RMSEA) = 0.021, and Standardized Root Mean Square Residual (SRMR) = 0.033. The scale reliability was acceptable, with a Cronbach's alpha coefficient of 0.93 and 0.85-0.92 for the six factors.</p><p><strong>Conclusion: </strong>The TQF: HEd instrument demonstrates satisfactory psychometric properties, which will be valuable for those in charge of the curriculum in utilizing the instrument to measure graduate competency and guide curriculum development.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 2","pages":"169-175"},"PeriodicalIF":1.4,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11056834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occurrence of musculoskeletal disorders, burnout, and psychological suffering in Brazilian nursing workers: A cross-sectional study.","authors":"Marília Duarte Valim, Raymara Melo de Sousa, Bruno da Silva Santos, André Luiz Silva Alvim, Fábio da Costa Carbogim, Vanessa Albuquerque Alvim de Paula, Fabiana Guerra Pimenta, Aires Garcia Dos Santos Junior, Odinea Maria Amorim Batista, Layze Braz de Oliveira, Denise Andrade, Álvaro Francisco Lopes de Sousa","doi":"10.33546/bnj.3054","DOIUrl":"https://doi.org/10.33546/bnj.3054","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal disorders (MSDs) pose a pervasive concern among nursing professionals due to the high physical workload. Simultaneously, the complex relationship between MSDs and mental health outcomes in this population remains an area of significant interest and importance.</p><p><strong>Objective: </strong>This study aimed to investigate the occurrence of MSDs and their relationships with burnout and psychological suffering within the nursing workforce.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in 2020 involving 291 nursing professionals in Brazil. Standardized questionnaires were employed to gather information on MSDs, mental health outcomes, and pertinent work-related factors. Robust statistical analyses were conducted to ascertain the prevalence of MSDs, establish associations between MSDs and mental health outcomes, and delineate the influence of work-related factors on these associations. Statistical analysis was performed using the R software.</p><p><strong>Results: </strong>The study revealed a significant prevalence of musculoskeletal injuries (MSIs) among nursing workers, focusing on regions that include the lower back, upper back, neck, and shoulders. Individuals with MSIs in the lower back showed a marked increase in emotional exhaustion (<i>p</i> = 0.02), as did those with MSIs in the upper back (<i>p</i> <0.01) and depersonalization (<i>p</i> = 0.07). On the other hand, nursing professionals who reported MSIs in the neck and shoulders had considerably higher scores in emotional exhaustion (<i>p</i> <0.01 and <i>p</i> = 0.01, respectively) and depersonalization (<i>p</i> = 0.05 and <i>p</i> = 0.05, respectively). However, no significant correlations emerged between MSIs and depression or work-related factors.</p><p><strong>Conclusions: </strong>This study highlights the urgency of implementing proactive measures to prevent and manage MSDs within the nursing profession. Moreover, it emphasizes the critical need to enhance working conditions and provide robust support mechanisms to safeguard the mental health of nursing professionals.Open AccessOpen Access.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 2","pages":"143-151"},"PeriodicalIF":1.4,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11056833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infection-related mortality and infection control practices in childhood acute myeloid leukemia in a limited resource setting: Experience with the Indonesian national protocol.","authors":"Eddy Supriyadi, Ignatius Purwanto, Zeni Widiastuti, Inggar Armytasari, Salsabila Sandi, Bambang Ardianto, Gertjan J L Kaspers","doi":"10.33546/bnj.3139","DOIUrl":"https://doi.org/10.33546/bnj.3139","url":null,"abstract":"<p><strong>Background: </strong>In resource-limited settings, addressing infections remains a substantial challenge in the management of children with Acute Myeloid Leukemia (AML). In Indonesia, infection-related mortality (IRM) is thought to be high compared to high-income countries. However, there has been no previous study of infection profile and IRM in Indonesian patients with AML.</p><p><strong>Objective: </strong>This study aimed to describe infections and IRM in children with AML treated according to the Indonesian National AML protocol and to describe the implementation of infection control practices in resource-limited settings.</p><p><strong>Methods: </strong>This retrospective observational study used secondary data from the medical records of pediatric patients with AML treated with the National Protocol at Dr. Sardjito Hospital, Yogyakarta, Indonesia, from April 2012 to September 2018. Essential patient characteristics, time of IRM, and cause of death were recorded, and infection control practices were observed. Data were analyzed using descriptive statistics.</p><p><strong>Results: </strong>113 patients with AML were treated with the National protocol, and 83 met the inclusion criteria. Infections occurred in 69 (83%) patients with a total of 123 episodes (mean 1.8/patient). Death was seen in 48 (58%) patients, with 19 (23%) IRM. The majority of infections were in the gastrointestinal tract (<i>n</i> = 51, 30.5%), sepsis (<i>n</i> = 29, 17%), and respiratory tract (<i>n</i> = 28, 17%). Infections mostly occurred during the first induction (41%). There were 90 (73%) episodes of clinically documented infection and 33 (27%) episodes of microbiologically documented infection. The positivity rate of blood cultures was only 27%. The majority of bacteria detected were gram-negative (<i>n</i> = 25, 69%), and among them were Klebsiella pneumonia (19%) and Escherichia coli (19%). Candida albicans was detected in 1 (2%) culture. Suboptimal infection prevention and control were found in the clinical practice.</p><p><strong>Conclusion: </strong>Infections and infection-related mortality in children with AML treated using the National protocol were frequent, mainly occurring during the first induction phase. Compliance with infection prevention and control measures needs improvement. Urgent attention is required for better supportive care, including isolation rooms, antibiotics, and antifungals. The predominance of Gram-negative bacterial infections highlights the necessity for further research into effective prophylaxis. Enhanced healthcare and nursing professional vigilance and tailored antibiotic strategies are vital. Improving compliance and ensuring adequate supportive care resources are essential, emphasizing nursing's pivotal role. Further research is crucial to drive advancements in infection control strategies.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 2","pages":"185-191"},"PeriodicalIF":1.4,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11056831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The experiences of Chinese colorectal cancer survivors in marital intimacy after ostomy creation: A qualitative study.","authors":"Xixi Du, Suchira Chaiviboontham, Bualuang Sumdaengrit","doi":"10.33546/bnj.3212","DOIUrl":"https://doi.org/10.33546/bnj.3212","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer (CRC) ranks as the third most prevalent cancer globally. The disease and its treatment significantly impact marital intimacy, particularly among individuals who have undergone ostomy creation. Therefore, it is necessary to explore their experiences.</p><p><strong>Objective: </strong>This study aimed to explore the experiences of colorectal cancer survivors in marital intimacy after ostomy creation and clarify the domain and sub-domain of marital intimacy in CRC survivors with ostomy.</p><p><strong>Method: </strong>This study used a qualitative descriptive design, and participants were selected by purposive sampling from two hospitals in Henan province, China. Sixteen patients participated in this research, and the data were collected through an in-depth interview from June 27 to September 27, 2023. Colaizzi's method was used to analyze the data.</p><p><strong>Results: </strong>Five themes emerged from data analysis, including physical intimacy, psychological intimacy, social intimacy, spiritual intimacy, and operational intimacy.</p><p><strong>Conclusion: </strong>By profiling the experiences of CRC survivors in marital intimacy after ostomy creation, the domain and sub-domain of marital intimacy were clarified in this cohort and revealed that ostomy had a severe effect on marital intimacy among colorectal cancer survivors. The results from this study could be used by nurses, midwives, and other healthcare professionals to design specific interventions covering all aspects of marital intimacy. Also, the findings will guide the development of a particular instrument for marital intimacy in CRC survivors with ostomy.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 2","pages":"222-230"},"PeriodicalIF":1.4,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11056837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to clinical learning skills development among midwifery students and newly qualified midwives in Morocco: A qualitative study.","authors":"Majida Mramel, Mustafa El Alaoui, Rachid El Janati Idrissi","doi":"10.33546/bnj.3163","DOIUrl":"10.33546/bnj.3163","url":null,"abstract":"<p><strong>Background: </strong>In Morocco, despite various initiatives to improve the quality of reproductive healthcare, the indicators remain unfavorable. To strengthen the skills of midwives and support the achievement of Millennium Development Goals (MDGs) 4 and 5 by 2030, Morocco has developed and implemented a competency-based training framework. However, there is a lack of information on the successful implementation of this program and its impact on the quality of student midwives' preparation for practice.</p><p><strong>Objective: </strong>This study aimed to gain a deeper understanding and explore the barriers affecting the development of clinical learning skills among midwifery students and newly qualified midwives.</p><p><strong>Methods: </strong>This study employed a descriptive, exploratory qualitative approach. Data were collected through nine focus group discussions with 30 midwifery students and 24 newly graduated midwives between April and June 2023 from six higher education institutions in northern and central Morocco. Inductive content analysis was used to analyze the transcribed discussions.</p><p><strong>Results: </strong>The barriers varied between locations. Overall, the internship design was inadequate, and the clinical environment was insufficient. Participants highlighted limited opportunities to experience the full range of midwifery skills. However, most midwifery students and new graduates had deficient competencies in managing high-risk situations and emergencies.</p><p><strong>Conclusion: </strong>This work provides an overview of the nature and extent of the challenges faced by many student midwives in Morocco, resulting in newly graduated midwives being poorly prepared for the full range of midwifery practice. These findings can inform various initiatives to strengthen midwifery education at the global, regional, and national levels.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 2","pages":"160-168"},"PeriodicalIF":1.1,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11056836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metaphoric perceptions of individuals with diabetes in Turkey: A content analysis.","authors":"Aslı Tok Özen, Özlem Bulantekin Düzalan, Betül Yalçın","doi":"10.33546/bnj.3081","DOIUrl":"10.33546/bnj.3081","url":null,"abstract":"<p><strong>Background: </strong>The diagnosis of diabetes mellitus adversely impacts the quality of life due to treatment, changes in daily life, functional disability, and emerging complications. Using metaphors to convey perceptions of diseases and life experiences is crucial for understanding healthcare behaviors.</p><p><strong>Objective: </strong>This study aimed to explore the metaphorical perceptions of \"diabetes\" and \"being a person with diabetes\" within a sample group of individuals with diabetes in Turkey.</p><p><strong>Methods: </strong>A qualitative design was employed to investigate the metaphoric perceptions of 72 people with diabetes. Data were collected face-to-face between 15 May and June 2023 using a semi-structured questionnaire. Data were analyzed using content analysis.</p><p><strong>Results: </strong>From the statements of the individuals with diabetes in the sample, seven metaphoric themes related to diabetes - \"pain and distress, helplessness and hopelessness, instability, attention and sensitivity, captivity, positive outlook and acceptance, deprivation\" - and six metaphoric themes concerning being a person with diabetes - \"suffocation and distress, helplessness, powerlessness and disappointment, captivity, attention and sensitivity, guilt, and being worn out\" - were identified. Commonly recurring sub-themes with negative connotations included \"darkness, well, convict, prison, captivity, microbe, infectious disease, a hot flush, guilt, clouding life, and being ruined.\" Some positively framed statements included \"friend, traffic sign, and driving a car.\"</p><p><strong>Conclusion: </strong>The majority of patients in the study used negative metaphors, with fewer expressing positive sentiments regarding the necessity of accepting and paying attention to the disease. Defining individuals' metaphorical perceptions of their disease may enable the provision of better quality and holistic care. Nurses, in particular, play a crucial role in facilitating behavioral changes for patients with diabetes to achieve self-management.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 1","pages":"31-40"},"PeriodicalIF":1.4,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10900055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}