Nursing Open最新文献

{"title":"Nurses' Sleep Quality and Its Influencing Factors During the First Explosive COVID-19 Outbreak in Zhejiang, China, After the Relaxation of Epidemic Prevention and Control Measures: A Multicentre Cross-Sectional Study.","authors":"Lifen Lu, Di Sheng, Yaling Zhu, Xiaowei Xia, Guanghui Chen, Jiali Liang, Xiulan Shen, Gui Zheng","doi":"10.1002/nop2.70127","DOIUrl":"10.1002/nop2.70127","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the sleep quality and its influencing factors among nurses in hospitals in Zhejiang, China, during the first explosive COVID-19 outbreak following the relaxation of prevention and control measures.</p><p><strong>Design: </strong>A multicentre cross-sectional study.</p><p><strong>Methods: </strong>Between 10 January and 20 January 2023-approximately 1 month after the policy was loosened-a total of 573 nurses from tertiary and community hospitals in Zhejiang participated in an online, self-administered survey. The participants were recruited using convenience sampling, and the survey was distributed via the WeChat platform. The survey included a general information form; the Self-Rating Scale of Sleep (SRSS); the Depression, Anxiety, and Stress Scale-21 (DASS-21); the Perceived Social Support Scale (PSSS); and the Brief Resilience Scale (BRS). Data analysis was conducted using SPSS version 26.0. Statistical methods employed included t-tests, one-way analysis of variance (ANOVA), chi-square tests and Mann-Whitney U-tests for comparisons between groups. Pearson correlation coefficients were calculated to analyse the relationship between the SRSS score and the DASS-21, PSSS and BRS scores. A multiple linear stepwise regression analysis was conducted to determine the independent influencing factors of sleep quality.</p><p><strong>Results: </strong>More than 90% of the nurses were infected with COVID-19, and 60.6% had sleep disorders. The regression analysis revealed that anxiety, the BRS score, comorbidities, hospital grade, clinical front-line, age and COVID-19 infection independently predicted sleep quality. The scores for several SRSS items were higher than the Chinese norm, especially for the nurses in tertiary hospitals.</p><p><strong>Patient and public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70127"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024420","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}

{"title":"Registered Nurses' Experience of Person-Centred Care Through Digital Aids in Primary Care Setting During the COVID-19 Pandemic.","authors":"Annika Kjällman Alm, Ove Hellzen, Malin Rising-Holmström","doi":"10.1002/nop2.70134","DOIUrl":"10.1002/nop2.70134","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to describe registered nurses' experience of person-centred care through digital media during the COVID-19 pandemic. The first wave of COVID-19 took healthcare services worldwide by surprise and affected all levels of care. Registered nurses within primary care settings had to adjust to new meeting forums with patients and in collaborations with other organisations to transfer patients from hospital to home care in a safe and secure manner using digital aids.</p><p><strong>Design: </strong>Interviews with 17 registered nurses within primary care settings were conducted. Interviews were transcribed verbatim and analysed using qualitative content analysis.</p><p><strong>Methods: </strong>Qualitative using semi-structured interviews.</p><p><strong>Results: </strong>Digitalisation requires organisational changes, with four subcategories. The second category, digitalisation, facilitates person-centred care, with two subcategories. Main findings showed digitalisation as a possibility to enhance person-centred care to benefit the individual. The patients would have the possibility of obtaining professional care in their own home, enhancing the continuation of care. Digitalisation of primary care tasks demanded organisational changes of different kinds. This meant implementing innovative digital tools or artificial intelligence and developing a mental frame of mind that embraces new ways and activities to perform primary care through technology.</p><p><strong>Public contribution: </strong>Registered nurses saw enhancement of person-centred care through digital media as something positive. However, they also voiced concerns that some patients, such as self-damaging teenagers, new patients and multi-sick patients, would be unsuitable for digital meetings. They also emphasised that the digitalisation of person-centred care requires organisational changes. The study addressed the problems faced by the rapid conversion from traditional face-to-face care to digital care in the beginning of the COVID-19 pandemic within a primary care setting. There is a need for continued education on best communication practices with a primary focus on person-centred care. Since communication is key in the continuation of care, this needs to be addressed by both health centre management and educators.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70134"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014399","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}

{"title":"Investigating Falls Risk Awareness in Hospitals Using the Self-Awareness of Falls Risk Measure (SAFRM): Empirical Research Quantitative.","authors":"Elissa Dabkowski, Simon J Cooper, Jhodie Duncan, Karen Missen","doi":"10.1002/nop2.70099","DOIUrl":"10.1002/nop2.70099","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;The overarching aim of this study was to explore patients' falls risk awareness in hospitals using section A of the validated Self Awareness of Falls Risk Measure (SAFRM).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Descriptive cross-sectional study design.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting: &lt;/strong&gt;Three rural/regional hospitals in the State of Victoria, Australia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Using a purposive sampling strategy, patients were eligible to participate if aged ≥ 40 years, English-speaking, and have ambulatory capacity prior to hospital admission. Participants were excluded from the study if they returned a Standardised Mini-Mental State Examination (SMMSE) score &lt; 18. Falls risk awareness data was collected from both patient and health professionals using section A of the SAFRM. Patient demographic data was collected from patient medical records.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 77 patients (72.9 years ±11.2) and 58 health professionals were recruited. Patients had a significant difference in falls risk awareness when compared to their clinician (z = -2.08, p = 0.038). Regression analyses showed that patients were more likely to overestimate their falls risk if they used anticoagulant medication and if their highest education level was less than or equal year 11. An exploratory factor analysis (EFA) revealed a three-factor solution from section A of the SAFRM, which were labelled Physical Activity Awareness, Cognitive Awareness and Balance Awareness.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;There was a significant difference in patients' falls risk awareness compared to a health professional. The independent associations of variables with falls risk awareness, such as age, education level and medication use, further our understanding of the differences in falls risk awareness. The findings also establish that the 15-item section A SAFRM is a reliable and feasible falls risk perception measure for use in hospitals, with future research recommended to evaluate the proposed three-factor model with the addition of tailored hospital falls education.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and/or patient care: &lt;/strong&gt;The findings from this study establish a significant difference in patients' falls risk awareness compared to their health professional. Section A of the SAFRM is a reliable tool for nurses and other health professionals to establish the presence of a falls risk disparity. The ability to empirically measure this disparity and to determine an under- or overestimation of falls risk is a useful addition to clinical practice. The SAFRM facilitates a person-centred approach to falls prevention by providing opportunities for the clinician to collaborate with the patient and tailor fall prevention strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;Problem: Inpatient falls in hospital settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main findings: &lt;/strong&gt;There was a significant difference in patients' falls risk awareness compared to a health pr","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70099"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899522","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}

{"title":"Non-Pharmacological Interventions Before Cataract Surgery for Preoperative Anxiety: A Systematic Review and Meta-Analysis.","authors":"Mahsan Nabighadim, Mojgan Mirghafourvand, Mahsa Maghalian","doi":"10.1002/nop2.70122","DOIUrl":"10.1002/nop2.70122","url":null,"abstract":"<p><strong>Aim: </strong>The present study was conducted to determine the effect of non-pharmacological interventions before cataract surgery on preoperative anxiety.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Methods: </strong>Five databases were systematically searched until 9 June, 2024. The risk of bias was evaluated using the ROBIN-I instrument for non-randomised studies and risk of bias 1 (ROB1) for RCTs. For cases with heterogeneity, random effects, rather than fixed effects, were reported, and subgroup analysis was performed based on the type of intervention. The investigation of publication bias was done in the form of a funnel plot, the Egger regression test and the Trim-and-Fill test. Meta-regression analysis was performed to examine the impact of possible confounding factors on the effect size. Sensitivity analysis evaluated the robustness of our findings by excluding quasi-experimental studies and applying the Knapp-Hartung method to assess their influence on the overall results.</p><p><strong>Results: </strong>A random-effects meta-analysis of 22 studies and 1998 participants revealed that non-pharmacological interventions (back massage, hand massage, foot massage, music, educational video, patient education, aromatherapy and relaxation techniques) significantly reduced mean preoperative anxiety compared to the control group. The subgroup analysis indicated that all interventions were effective in reducing preoperative anxiety; however, hand and foot massage did not yield significant effects. Meta-regression analysis showed a significant correlation between the percentages of women with effect size. The sensitivity analysis confirmed the robustness of non-pharmacological interventions, while the Knapp-Hartung method maintained the overall effect size but indicated wider confidence intervals. More high-quality research is needed to validate these interventions and establish clearer guidelines.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70122"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024351","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}

{"title":"Factors Influencing Nursing Interns' Engagement in Fall Prevention Activities in Saudi Arabia.","authors":"Saeed Asiri, Ali Kerari","doi":"10.1002/nop2.70131","DOIUrl":"10.1002/nop2.70131","url":null,"abstract":"<p><strong>Aim: </strong>To assess the knowledge, attitudes and engagement of nursing interns regarding fall prevention activities during their internship within hospital settings.</p><p><strong>Design: </strong>This study used a cross-sectional design.</p><p><strong>Methods: </strong>This was a cross-sectional, descriptive, correlational study. A convenience sample of 187 nursing interns was recruited from three hospitals in Riyadh, Saudi Arabia. A questionnaire was administered to the participants to collect data on their demographics, knowledge, attitudes and engagement in fall prevention. The collected data were analysed using descriptive and inferential statistics.</p><p><strong>Results: </strong>The participants exhibited insufficient knowledge, relatively negative attitudes and acceptable fall prevention engagement. There was a low-to-moderate positive association only between attitude and fall prevention engagement. Moreover, hierarchical multiple regression analysis showed that attitude was the only predictor for fall prevention engagement.</p><p><strong>Conclusion: </strong>Fall prevention is an important subject that needs more attention from nursing programmes in universities and preceptorship programmes in hospitals to enhance nursing interns' attitudes, knowledge and practices in this regard.</p><p><strong>Relevance to clinical practice: </strong>The findings of this research could be beneficial for clinical coordinators and faculty members to enhance nursing interns' engagement in preventing falls among at-risk patients.</p><p><strong>Patient or public contribution: </strong>Participants were not involved in the design, conduct, reporting or dissemination of this research.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70131"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014398","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}

{"title":"Understanding Types of Stigma Experienced in Black Women Living With HIV in Baltimore, Maryland: A Mixed Methods Study.","authors":"Tanya Mikhael, Kyra Jennifer Waligora Mendez, Chun-An Sun, Joy Chepkorir, Hae-Ra Han","doi":"10.1002/nop2.70142","DOIUrl":"10.1002/nop2.70142","url":null,"abstract":"<p><strong>Aim: </strong>To understand how Black or African American women living with HIV (WLH) experience different types of stigma in their daily lives.</p><p><strong>Design: </strong>Secondary analysis of quantitative and qualitative data from a recent clinical trial in Baltimore, Maryland.</p><p><strong>Methods: </strong>Quantitative data were collected in the baseline survey, and qualitative data were gathered during 6-month follow-up focus group and individual interviews. First, we conducted an exploratory factor analysis with principal axis factoring to identify the underlying factor structure of the HIV Stigma Scale. Next, we analysed the interviews with thematic analysis to understand women's experience with different stigma types.</p><p><strong>Results: </strong>Exploratory factor analysis revealed the HIV Stigma Scale was a one-factor scale that measured internalised stigma. However, qualitative interviews revealed that four different types of stigma were present in the everyday lives of WLH. These included the following: vicarious, enacted, internalised and perceived stigma. A current HIV stigma scale may not fully capture the stigma experiences salient to Black WLH. There is a need for internally valid quantitative measures that can adequately capture HIV stigma as experienced by Black WLH.</p><p><strong>Patient or public contribution: </strong>Black WLH agreed to participate in the study, completed the HIV stigma scale and shared their experiences with us.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70142"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048425","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}

{"title":"Mental Health Services for Serious Mental Illness: Scoping Review of Randomised Controlled Trials.","authors":"Pablo Roson Rodriguez, Xiao Chen, Marcelo Arancibia, Eva Madrid, Farhad Shokraneh, Clive E Adams, Juan Víctor Ariel Franco","doi":"10.1002/nop2.70100","DOIUrl":"10.1002/nop2.70100","url":null,"abstract":"<p><strong>Aims: </strong>This review aims to classify the evidence from randomised controlled trials (RCTs) on mental health services (MHS) for people with serious mental illness (SMI) available in the Cochrane Schizophrenia Group's (CSzG) specialised register.</p><p><strong>Design: </strong>Scoping review.</p><p><strong>Methods: </strong>We retrieved and screened RCTs of service-level interventions considering non-pharmacological approaches for mental healthcare of the CSzG register. We classified and collected the main characteristics of the RCTs using a customised data extraction and charting form based on DESDE-LTS classification.</p><p><strong>Results: </strong>We included 233 out of 262 total trial registries. Most of the studies were conducted in China, 136 (58%), 57 (24%) North America and 26 (11%) Europe. We classified the studies as ambulatory assistance 80 (34%), day services/out-patient care 38 (16%), residential services 44 (19%), accessibility to care 19 (8%), information/assessment 39 (17%), self-help and voluntary help 10 (4%), e-health 52 (22%), and discharge services 17 (7%).</p><p><strong>Conclusions: </strong>We found a large number of trials that investigated the effects of mental health services for people with SMI. Trials classification was difficult due to the poor report of the characteristics of these complex interventions. This database can be used to plan and prioritise systematic reviews according to the needs of stakeholders.</p><p><strong>Relevance statement: </strong>The study is of interest to mental health nursing because it studies the different services in which nurses play a fundamental role with implications in the nursing practice, education, research or leadership and management.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70100"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927840","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}

{"title":"Investigating Maternal Perception of Control and Support in the Postpartum Period and Influencing Factors in Childbirth: A Multiple Linear Regression Analysis Model.","authors":"Tuğba Yazici Topçu, Ruveyde Aydin, Songül Aktaş","doi":"10.1002/nop2.70095","DOIUrl":"https://doi.org/10.1002/nop2.70095","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to assess the levels of maternal perception of control and support during birth and the factors influencing them in the postpartum period.</p><p><strong>Design: </strong>A cross-sectional design was employed. The STROBE checklist was used.</p><p><strong>Methods: </strong>The study was conducted between July 2021 and March 2022 with 400 mothers who were in their first 2 months postpartum and lived in Türkiye. Data were collected online using a Maternal Descriptive Information Form and the Support and Control in Birth (SCIB) Questionnaire. Descriptive statistics, such as percentage, mean, standard deviation and multiple linear regression analysis, were employed for data evaluation.</p><p><strong>Results: </strong>The mean score on the total SCIB was 92.4 ± 13.01. Vaginal birth and caesarean section accounted for 47.3% and 52.7% of the study group, respectively, with only 35% being assisted by a midwife. Variables of age, education level, number of pregnancies, mode of birth and health professionals assisting birth showed no significant effect on the total SCIB score (p > 0.05). Maternal satisfaction with birth scores, satisfaction with health professionals involved birth and fulfilled expectations from health professionals were positively associated with high SCIB scores (p < 0.05).</p><p><strong>Conclusion: </strong>The level of SCIB in our study fell within a 'moderate' range, considering the lowest and highest scores on the scale. Notably, increased satisfaction with birth experience and healthcare professionals, positively influenced maternal perceptions of control and support during birth. In contrast, certain socio-demographic and obstetric characteristics did not demonstrate a significant impact. To enhance the sense of support and control during childbirth, it is crucial to identify and fulfil the expectations of mothers from midwives and birth supportive care to ultimately elevate maternal satisfaction in the childbirth experience.</p><p><strong>Patient or public contribution: </strong>None.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70095"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956709","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}

{"title":"Views and Experiences of Nurses Receiving Care as Inpatients: An Empirical Qualitative Study From Ankara.","authors":"Semra Atasayar, Şenay Gül, Leyla Dinç","doi":"10.1002/nop2.70089","DOIUrl":"https://doi.org/10.1002/nop2.70089","url":null,"abstract":"<p><strong>Aim: </strong>To determine the views and experiences of inpatient nurses receiving care.</p><p><strong>Background: </strong>Switching from the care provider role to being a patient allows nurses to realise patients' real care expectations and to test their colleagues' care practices. Nurses' experience as inpatients is essential for understanding patients' care-related expectations and improving care quality by reflecting on their practices.</p><p><strong>Design: </strong>This qualitative study used a descriptive phenomenological design.</p><p><strong>Methods: </strong>Data were collected from nine volunteer nurses between July 2018 and June 2020 in Ankara, Türkiye, through face-to-face interviews using semi-structured questionnaires and audio recordings. The research data were analysed by following the descriptive phenomenological data analysis steps. The Consolidated Criteria for Reporting Qualitative Research [COREQ] checklist was used to report study findings.</p><p><strong>Results: </strong>Three themes emerged from the views and experiences of nurses receiving inpatient care: care-receiving experiences, components of good nursing care and change in perception of care.</p><p><strong>Conclusion: </strong>It is important to reveal the opinions and experiences of hospitalised nurses regarding care to understand the expectations of the care recipients and to increase the quality of the care provided. The study revealed that the experiences of nurses receiving inpatient care improved their professional sensitivity and this was reflected in the quality of the nursing care they provided.</p><p><strong>Implication for nursing: </strong>Nurses can provide higher quality and humanistic care by combining their professional knowledge and skills with the increased awareness of the inpatient experience of nurses. No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70089"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956712","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}

{"title":"Factors Influencing the Demoralisation Syndrome of Post-Operative Patients With Breast Cancer: A Cross-Sectional Study.","authors":"Yuxin Huang, Panpan Zhuang, Aixuan Guan, Xiu Rong Ren, Lichun Xu","doi":"10.1002/nop2.70130","DOIUrl":"10.1002/nop2.70130","url":null,"abstract":"<p><strong>Aim: </strong>We explored demoralisation syndrome among post-operative patients with breast cancer and its relationship with patients' body image and marital intimacy.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>In this cross-sectional study, 237 patients with breast cancer who were hospitalised in the breast surgery department of Grade A tertiary hospital in Xiamen, China from June 2022 to December 2023 and met the standards of adaxation were selected by the convenience sampling method. The survey tool consists of four parts: general data questionnaire, demoralisation scale-II (DS-II), quality of relationship index (QRI) and body image scale (BIS).</p><p><strong>Results: </strong>In this study, we examined the demoralisation syndrome in 237 post-operative breast cancer patients, predominantly aged 45-59 years (47.3%), with the majority living with family (94.1%) and having children (95.4%). A small proportion (5.9%) lived alone, and 3% were uninsured, opting to pay for their treatment out-of-pocket. The majority (83.1%) had undergone mastectomy, and 51.9% visited the hospital for chemotherapy, with 5.1% experiencing disease recurrence. The mean demoralisation score was 8.52 (SD = 8.47). We found that 22.8% had moderate and 14.8% had severe demoralisation symptoms. Socioeconomic factors such as age, residence, income, tumour staging, post-operative time, hospital purpose and disease recurrence were associated with demoralisation. Multivariate analysis revealed that income, cancer stage, recurrence, quality of recovery index (QRI) and BIS were independent influencing factors for demoralisation syndrome after breast cancer surgery. These findings highlight the importance of considering a range of patient characteristics when addressing demoralisation in post-operative breast cancer patients.</p><p><strong>Patient contribution: </strong>Demoralisation syndrome in patients after breast cancer surgery is influenced by a combination of sociodemographics, disease, intimate relationship and body image. Clinical medical staff should accurately evaluate and identify patients with demoralisation syndrome after breast cancer surgery and formulate and implement personalised intervention strategies according to their physical conditions and possible influencing factors, so as to reduce the incidence of demoralisation syndrome and improve the quality of life.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 1","pages":"e70130"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899402","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}