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Parents' Postnatal Sense of Security: A Concept Analysis. 父母出生后安全感的概念分析。
IF 2 4区 医学
Nursing Open Pub Date : 2024-12-01 DOI: 10.1002/nop2.70102
Tieying Zeng, Lingjun Jiang, Deqing Huang, Meiliyang Wu, Aiqing Tu
{"title":"Parents' Postnatal Sense of Security: A Concept Analysis.","authors":"Tieying Zeng, Lingjun Jiang, Deqing Huang, Meiliyang Wu, Aiqing Tu","doi":"10.1002/nop2.70102","DOIUrl":"10.1002/nop2.70102","url":null,"abstract":"<p><strong>Aim: </strong>Parents' postnatal sense of security is often mentioned in recent publications, but there is no consensus on its definitions and measurement. A concept analysis was conducted to clarify the definition, the attributes, antecedents and the consequences of parents' postnatal sense of security and to promote consistency in its usage.</p><p><strong>Design: </strong>Walker and Avant's eight-step concept analysis model was adopted to define the concept of parents' postnatal sense of security.</p><p><strong>Methods: </strong>A comprehensive search of multiple databases (Sinomed, CNKI, Wanfang database, CINAHL, PubMed, Embase, Web of Science, ProQuest, PsyInfo and Cochrane Library) was conducted to identify relevant articles from the inception of the databases until December 2022. In addition, a manual search was performed to gather any additional papers related to the topic. Ultimately, a total of 48 articles were included in the concept analysis.</p><p><strong>Results: </strong>Three attributes were identified: perceive one's physical well-being not being threatened, feel confident and in control of the parenting role, feel confident in one's available relationships. The identified antecedents were: being prepared for child rearing, being in familiar or safe environment, general well-being of the baby and parents, support from medical staff and family members, being empowered by medical staff. Consequences of parents' postnatal sense of security included successful adaptation to the parental role, decreased postpartum depression symptoms in mothers, successful infant care and the development of parent-infant relationship.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 12","pages":"e70102"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The incidence and risk factors of gastrointestinal dysfunction during enteral nutrition in mechanically ventilated critically ill patients. 机械通气重症患者肠内营养期间胃肠功能紊乱的发生率和风险因素。
IF 2 4区 医学
Nursing Open Pub Date : 2024-11-01 DOI: 10.1002/nop2.2247
Ling Shi, Jianmei Shao, Yuxia Luo, Guiyan Liu, Miao OuYang
{"title":"The incidence and risk factors of gastrointestinal dysfunction during enteral nutrition in mechanically ventilated critically ill patients.","authors":"Ling Shi, Jianmei Shao, Yuxia Luo, Guiyan Liu, Miao OuYang","doi":"10.1002/nop2.2247","DOIUrl":"10.1002/nop2.2247","url":null,"abstract":"<p><strong>Aim: </strong>To assess the occurrence and risk factors of gastrointestinal (GI) dysfunction during enteral nutrition (EN) in critically ill patients supported with mechanical ventilation.</p><p><strong>Design: </strong>Prospective observational study.</p><p><strong>Methods: </strong>Totally 252 patients admitted at a mixed medical-surgical ICU were enrolled. GI symptoms and the potential risk variables were recorded during the first 14 days of EN.</p><p><strong>Results: </strong>The incidence of GI dysfunction was 65.5%, and the incidence of diarrhoea, constipation, abdominal distension, and upper GI intolerance was 28.2%, 18.3%, 6.7% and 12.3%, respectively. The median onset days of constipation, diarrhoea, abdominal distension and UDI was 3, 5, 5 and 6 days, respectively. Multivariable Cox regression analysis showed a significant relationship between GI dysfunction and age (HR = 2.321, 95% CI: 1.024-5.264, p = 0.004), APACHE-II score at ICU admission (HR = 7.523, 95% CI: 4.734-12.592, p = 0.018), serum albumin level (HR = 0.594, 95% CI: 0.218-0.889, p = 0.041), multidrug-resistant bacteria-positive culture (HR = 6.924, 95% CI: 4.612-10.276, p<0.001), negative fluid balance (HR = 0.725, 95% CI: 0.473-0.926, p = 0.037), use of vasopressor drugs (HR = 1.642, 95% CI: 1.297-3.178, p<0.001), EN way (HR = 6.312, 95% CI: 5.143-11.836, p<0.001), infusion rate (HR = 1.947, 95% CI: 1.135-3.339, p<0.001), and intra-abdominal hypertension (HR = 3.864, 95% CI: 2.360-5.839, p<0.001).</p><p><strong>Conclusion: </strong>Critically ill patients supported with mechanical ventilation are at a high risk of GI dysfunction. Interventions such as the use of laxatives or prokinetic agents, control of EN infusion rate, and maintaining a normal state of hydration, might be beneficial for the prevention of GI dysfunction in critically ill patients.</p><p><strong>Patient or public contribution: </strong>No.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e2247"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experience Among Postnatal Nurses With Two or Three Children Returning to Work Within 3 Months in China: A Qualitative Study. 中国有两个或三个孩子的产后护士在三个月内重返工作岗位的经历:定性研究。
IF 2 4区 医学
Nursing Open Pub Date : 2024-11-01 DOI: 10.1002/nop2.70084
Meng Liu, Guangling Yang, Qingxiang Zhu, Dan Chen
{"title":"Experience Among Postnatal Nurses With Two or Three Children Returning to Work Within 3 Months in China: A Qualitative Study.","authors":"Meng Liu, Guangling Yang, Qingxiang Zhu, Dan Chen","doi":"10.1002/nop2.70084","DOIUrl":"10.1002/nop2.70084","url":null,"abstract":"<p><strong>Aim: </strong>To analyse experience in postnatal nurses returning to work within 3 months following the delivery of a second or third child and recommend appropriate measures to relieve pressure and enhance work engagement among this group.</p><p><strong>Methods: </strong>This study adopted a descriptive phenomenological approach. Semi-structured interview was carried out with 12 postnatal nurses who had returned to work in the postpartum period following the delivery of a second or third child. The collected data were analysed using the Colaizzi method.</p><p><strong>Results: </strong>Experience among postnatal nurses with two or three children was found to stem from three factors: declining physical quality after childbirth (pelvic floor disorder, fatigue, postpartum memory decline and sleep disturbance), poor psychological adjustment after childbirth (work-family conflict, conflict between clinical work and breastfeeding and role maladjustment) and lack of clear career planning.</p><p><strong>Conclusion: </strong>This study emphasised the importance of psychological experience when postnatal nurses returning to clinical work in the early phase. Postnatal nurses and nurse leaders can use these results to make comprehensive solution in order to improve work engagement in the postpartum return.</p><p><strong>Public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70084"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Comparative Study of the Perspectives of Long-Stay Immigrants, Nurses and Cultural Mediators on Intercultural Communication: A Secondary Qualitative Analysis. 长期居留移民、护士和文化调解员对跨文化交流的观点比较研究:二次定性分析。
IF 2 4区 医学
Nursing Open Pub Date : 2024-11-01 DOI: 10.1002/nop2.70074
Francesc Ramos-Roure, Maria Feijoo-Cid, Josep Maria Manresa-Dominguez, Jordi Segura-Bernal, Rosa García-Sierra, Maria Isabel Fernández-Cano, Antonia Arreciado Marañón, Eduard Moreno-Gabriel, Clara Flamarich Gol, Pere Toran-Monserrat
{"title":"A Comparative Study of the Perspectives of Long-Stay Immigrants, Nurses and Cultural Mediators on Intercultural Communication: A Secondary Qualitative Analysis.","authors":"Francesc Ramos-Roure, Maria Feijoo-Cid, Josep Maria Manresa-Dominguez, Jordi Segura-Bernal, Rosa García-Sierra, Maria Isabel Fernández-Cano, Antonia Arreciado Marañón, Eduard Moreno-Gabriel, Clara Flamarich Gol, Pere Toran-Monserrat","doi":"10.1002/nop2.70074","DOIUrl":"10.1002/nop2.70074","url":null,"abstract":"<p><strong>Aim: </strong>To compare the perspective of nurses, long-stay immigrants and cultural mediators on intercultural communication in care encounters.</p><p><strong>Design: </strong>Qualitative secondary analysis of data obtained in two primary studies.</p><p><strong>Methods: </strong>Two sets of data from two primary studies on nurses and long-stay immigrants (including in total two focus groups and 15 in-depth interviews) were merged. The sample was extended to include a focus group of cultural mediators. An amplified analysis was conducted using Charmaz's approach to grounded theory.</p><p><strong>Results: </strong>The results are structured under the core category \"Agreements and discrepancies in intercultural communication,\" split into two subcategories: (1) Communication and the role of culture; (2) (Non) equitable and culturally (in)sensitive care. Immigrant patients and mediators detect barriers associated with generic aspects of communication, while nurses and mediators value culture. Nurses recognise paternalistic attitudes, while long-stay immigrants sometimes detect biased treatment that mediators do not see. Immigrant patients and mediators value informal conversation as a strategy for cultural learning and building mutual trust, while nurses request regulated training.</p><p><strong>Conclusion: </strong>The findings show that there are always discrepancies in this relationship. Changes to health care should be based on the participation of all actors. Communication skills training programs should be implemented.</p><p><strong>Implications for the profession and/or patient care: </strong>The convergences and divergences of nurses, immigrants and mediators expose new ways to approach care. Communication skills training programs should be implemented. Changes to health care should be based on the participation of all actors, including immigrant patients and mediators, and allow them to voice their opinions and make decisions.</p><p><strong>Impact: </strong>This study addresses intercultural communication from three different perspectives: nurses, long-stay immigrants and cultural mediators. Nurses, long-stay immigrants and cultural mediators sometimes show convergence but never completely agree. The research may have an impact on primary-care nursing by making it more culturally competent.</p><p><strong>Patient or public contribution: </strong>Each participating long-stay immigrant, nurse and cultural mediator reviewed their own interview. The findings were reviewed by a verifier member of each group (a nurse, patient and mediator).</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70074"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disaster-Related Wound Care: A Scoping Review. 与灾难相关的伤口护理:范围审查。
IF 2 4区 医学
Nursing Open Pub Date : 2024-11-01 DOI: 10.1002/nop2.70066
Qin Shu, Xiang Zhang, Yitong Yuan, Zhifang Li, Wei Ren, Beijing Chen, Fei Xie, Guangyun Hu
{"title":"Disaster-Related Wound Care: A Scoping Review.","authors":"Qin Shu, Xiang Zhang, Yitong Yuan, Zhifang Li, Wei Ren, Beijing Chen, Fei Xie, Guangyun Hu","doi":"10.1002/nop2.70066","DOIUrl":"10.1002/nop2.70066","url":null,"abstract":"<p><strong>Aim: </strong>To better understand the research status and demand of society on disaster-related wound care.</p><p><strong>Design: </strong>Scoping review.</p><p><strong>Methods: </strong>A systematic search and screening was conducted in PubMed, CINAHL, Embase, WHO Guidelines, Cochrane Library, ISI Web of Science, MEDLINE and China National Knowledge Infrastructure (CNKI) Database, and 31 articles were selected from 244 articles for critique and synthesis.</p><p><strong>Results: </strong>Existing disaster-related wound care research lacks a systematic review. In numerous nations, the technology and administration of disaster-related wound care for Emergency Medical Teams (EMT) are still nascent, the responsibilities are ambiguous, and there is a shortage of wound professionals. Current critical issues include the following: (1) inadequate strategies for enhanced orderly management of disaster-related wounds, particularly in an emergency setting and (2) lack of associations and organisations responsible for promoting research and development of catastrophe-related wound care proliferation strategies in disaster wound care.</p><p><strong>Conclusion: </strong>There is still a lack of understanding regarding effective organisation and scientific implementation of disaster-related wound care. More research should be carried out, focusing on the formulation of guidelines and continuous training, so as to promote the standardisation of disaster-related wound care in the future.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70066"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comfort Need of Hospitalised Patients With Covid-19 During Isolation Precaution: A Qualitative Study. Covid-19住院患者在隔离预防期间的舒适需求:定性研究
IF 2 4区 医学
Nursing Open Pub Date : 2024-11-01 DOI: 10.1002/nop2.70075
Chiyar Edison, Agung Waluyo, Sri Yona, Tris Eryando
{"title":"Comfort Need of Hospitalised Patients With Covid-19 During Isolation Precaution: A Qualitative Study.","authors":"Chiyar Edison, Agung Waluyo, Sri Yona, Tris Eryando","doi":"10.1002/nop2.70075","DOIUrl":"10.1002/nop2.70075","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore the experiences of hospitalised patients with Covid-19 in terms of the meeting of their comfort needs and the source of discomfort during isolation precautions.</p><p><strong>Design: </strong>Qualitative descriptive phenomenological approach was applied in this study.</p><p><strong>Methods: </strong>There were 16 hospitalised patients with Covid-19 and 11 nurses who were thoroughly interviewed. Content analysis was conducted to examine the data of the interviews and then managed using Atlas ti-9 software.</p><p><strong>Results: </strong>Five central themes were identified that describe the comfort needs and the source of discomfort, as follows: (1) nursing professionalism; (2) physical discomfort; (3) psychological responses; (4) poor sleep quality; and (5) spiritual adaptations.</p><p><strong>Public contribution: </strong>The study promoted further explanation about comfort need in patients with Covid-19 in isolation room. This study also highlighted that nursing care played a pivotal part in assisting patients to reach their highest comfort level.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70075"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nurse Educators and Faculty Members Challenges Towards Online Teaching During COVID-19 Pandemic Crisis: A Qualitative Descriptive Study. 护士教育者和教师在 COVID-19 大流行危机期间对在线教学的挑战:定性描述研究。
IF 2 4区 医学
Nursing Open Pub Date : 2024-11-01 DOI: 10.1002/nop2.70062
Friyal Mubarak Alqahtani
{"title":"Nurse Educators and Faculty Members Challenges Towards Online Teaching During COVID-19 Pandemic Crisis: A Qualitative Descriptive Study.","authors":"Friyal Mubarak Alqahtani","doi":"10.1002/nop2.70062","DOIUrl":"10.1002/nop2.70062","url":null,"abstract":"<p><strong>Aim: </strong>The effects of COVID-19 have brought numerous changes in society in the past several months. Lifestyles, business sectors, educational facilities and healthcare services have been greatly affected, causing individuals to be alarmed about future repercussions. This study investigated the various challenges of nursing faculties in conducting online teaching during the COVID-19 pandemic crisis.</p><p><strong>Design: </strong>Qualitative description.</p><p><strong>Method: </strong>Individual interviews were conducted among 20 nurse educators and faculty members, including professors, lecturers and demonstrators utilising a semistructured interview guide. This study utilised qualitative content analysis. COREQ criteria list was used in the qualitative data reporting.</p><p><strong>Result: </strong>Three major themes were generated from the experiences of the participants namely: (1) 'lack of teacher-student interaction' (2) 'digital literacy and technical issues' and (3) 'curriculum structure and programme quality'. The study's benefits will enable the nurse faculties to realise and conceptualise ways and means to mitigate the challenges in conducting online teaching since the effects of COVID-19 continue to increase. Nurse faculties must prepare various strategies approach to deliver education without compromising their quality.</p><p><strong>Patient or public contribution: </strong>Experts from various fields were consulted in the planning of the data gathering procedures, analysis of data and reviewing of the manuscript.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70062"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11535099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interventional Strategies to Mitigate Maternal Stress and Enhance Coping Skills During Neonatal Admission Into Intensive Care Units in Low- and Middle-Income Countries: A Scoping Review. 中低收入国家在新生儿入住重症监护病房期间减轻产妇压力和提高应对技能的干预策略:范围综述》。
IF 2 4区 医学
Nursing Open Pub Date : 2024-11-01 DOI: 10.1002/nop2.70071
N Siva, Binil Velayudhan, Baby S Nayak, Leslie Edward S Lewis, Faiza Iqbal, Judith Angelitta Noronha
{"title":"Interventional Strategies to Mitigate Maternal Stress and Enhance Coping Skills During Neonatal Admission Into Intensive Care Units in Low- and Middle-Income Countries: A Scoping Review.","authors":"N Siva, Binil Velayudhan, Baby S Nayak, Leslie Edward S Lewis, Faiza Iqbal, Judith Angelitta Noronha","doi":"10.1002/nop2.70071","DOIUrl":"10.1002/nop2.70071","url":null,"abstract":"<p><strong>Background: </strong>Mothers of high-risk neonates experience tremendous stress during neonatal intensive care unit (NICU) admission. This stress has a negative impact on mothers' participation in neonatal care activities, psychological health and coping skills in the NICU.</p><p><strong>Objective: </strong>To determine the impact of interventional strategies to reduce maternal stress and enhance coping skills during neonatal admission to the NICU.</p><p><strong>Design: </strong>A scoping review was carried out following the methodological framework outlined by Arksey and O'Malley.</p><p><strong>Methods: </strong>This scoping review was conducted as per the Joanna Briggs Institute guidelines, including a quality appraisal checklist for randomised and nonrandomised controlled trials. Patterns, advances, gaps, evidence for practice and research recommendations from the review (PAGER framework) were used to report the results. The following international databases were used to search for primary articles: Medline via PubMed, EBSCOhost via CINAHL, Scopus, Web of Science and the ProQuest Medical Library. Original studies published in English between January 2011 and January 2023 from low- and middle-income countries (LMICs) that assessed maternal stress and coping skills during neonatal NICU admission were included in the review.</p><p><strong>Results: </strong>The review included 15 articles from LMICs, of which 60% were from middle-income, 25% were from lower-middle-income and 15% were from low-income countries. Interventional strategies were described under five categories. Maternal stress decreased significantly across all three subscales of the PSPS: 'sight and sound', 'baby looks and behavior' and 'parental relationship with baby and role alteration' during neonatal NICU admission. Interventional strategies involving family-centred care and emotional and psychological supportive care have been reported to have a consistently positive impact on alleviating maternal stress and enhancing coping skills in the NICU.</p><p><strong>Conclusion: </strong>Healthcare professionals, especially nurses, are pivotal in promptly recognising maternal stress and NICU stressors. The participation of mothers in neonatal care, such as through family-centred care and emotional support interventions, significantly reduces maternal stress and enhances coping skills.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70071"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mediating Effect of Illness Perception on the Relationship Between Perceived Family Function and Sleep Quality Among Patients With Atrial Fibrillation. 疾病感知对心房颤动患者感知到的家庭功能与睡眠质量之间关系的中介效应。
IF 2 4区 医学
Nursing Open Pub Date : 2024-11-01 DOI: 10.1002/nop2.70085
Xiaoqing Lu, Zifen An, Yuying Xu, Xi Zhang, Pei Fang, Yaping Lu, Zhongxiang Cai, Liping Yu
{"title":"Mediating Effect of Illness Perception on the Relationship Between Perceived Family Function and Sleep Quality Among Patients With Atrial Fibrillation.","authors":"Xiaoqing Lu, Zifen An, Yuying Xu, Xi Zhang, Pei Fang, Yaping Lu, Zhongxiang Cai, Liping Yu","doi":"10.1002/nop2.70085","DOIUrl":"10.1002/nop2.70085","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the sleep quality of patients with atrial fibrillation and its influencing factors, and explore whether illness perception mediates the relationship between family function and sleep quality.</p><p><strong>Design: </strong>Cross-sectional survey conducted from November 2020 to November 2021.</p><p><strong>Methods: </strong>A total of 191 participants validly completed the Pittsburgh Sleep Quality Index, the Family APGAR Index and the Brief Illness Perception Questionnaire. Data were analysed using descriptive statistics, independent samples t-tests, one-way ANOVA, Pearson correlation analysis and multiple linear regression analysis. Bootstrapping was used to detect the mediating role of illness perception.</p><p><strong>Results: </strong>Patients with atrial fibrillation reported poor sleep quality, good family function and a moderate level of illness perception. The better the family function, the lower the level of illness perception and the better sleep quality in patients with atrial fibrillation. Patients with commercial medical insurance had lower levels of sleep quality relative to self-financed patients. EHRA III and EHRA IV patients had worse sleep quality than EHRA II patients. Illness perception played a significant mediating role in the relationship between family function and sleep quality.</p><p><strong>Conclusions: </strong>Patients with atrial fibrillation have poorer sleep quality, and the type of medical insurance and EHRA score are independent indicators related to their sleep quality. Future health education and interventions need to focus on strengthening and improving the emotional support of family members in order to improve family function and reduce illness perception, thereby improving sleep quality of patients with atrial fibrillation.</p><p><strong>Impact: </strong>This study provides further evidence that nurses need to enhance their awareness and provide ongoing education to better identify patients with AF who have family dysfunction and perceived high levels of illness threat perceptions, as these factors negatively impact sleep quality.</p><p><strong>Reporting method: </strong>This study was reported in strict compliance with the strengthening the reporting of observational studies in epidemiology (STROBE) guideline.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70085"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cultural Tailoring and Implementation Science for Cardiometabolic Interventions in Asian Americans: A Systematic Review. 针对亚裔美国人的心脏代谢干预措施的文化定制和实施科学:系统回顾。
IF 2 4区 医学
Nursing Open Pub Date : 2024-11-01 DOI: 10.1002/nop2.70083
Angelina P Nguyen, Mamie Tadano, Brianna Y Im, Miyong T Kim, Tam H Nguyen
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