Western Journal of Nursing Research最新文献_第2页

Perceived Stress and Coping Strategies for Frontline Nurses Caring for COVID-19 Patients: A Path Analysis. 护理 COVID-19 患者的一线护士感知到的压力和应对策略：路径分析

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-08 DOI: 10.1177/01939459241296621

Wenxiu Sun, Lin Zhang, Wei-Ti Chen, Rachel Arbing, Lei Shen, Jing Zhang, Rongrong Jiang

{"title":"Perceived Stress and Coping Strategies for Frontline Nurses Caring for COVID-19 Patients: A Path Analysis.","authors":"Wenxiu Sun, Lin Zhang, Wei-Ti Chen, Rachel Arbing, Lei Shen, Jing Zhang, Rongrong Jiang","doi":"10.1177/01939459241296621","DOIUrl":"https://doi.org/10.1177/01939459241296621","url":null,"abstract":"Aim: This cross-sectional study explored the relationships among perceived stress, social support, positive coping, and mental health in frontline nurses caring for patients with COVID-19 in China.Design: A quantitative cross-sectional study.Methods: A convenience sample of 339 eligible frontline nurses was identified from a designated hospital for COVID-19 in Shanghai, China, between May 2022 and August 2022. Data from nurses were collected through an online survey that contained 4 measurement domains: perceived stress, social support, coping strategies, and mental health. Path analysis was used to analyze the data in SPSS 24.0 and AMOS 23.0.Results: The model tested in the path analysis fit the data well. The results demonstrated relationships among perceived stress, social support, positive coping, and mental health among frontline nurses caring for patients with COVID-19. Social support had a positive effect on positive coping strategies and a negative effect on perceived stress and mental health. In addition, path analysis indicated that social support moderated the relationship between perceived stress and mental health in nurses.Conclusions: Nurses experienced work-related mental stress while providing COVID-19-related care. Based on study findings, social support is expected to play a key role in stress management in nurses. Expanding opportunities for social support is an essential step for nurses to improve their mental health and quality of life.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459241296621"},"PeriodicalIF":2.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acceptability of a Portable Exercise Bike in Older Adults With Cardiovascular Diseases. 患有心血管疾病的老年人对便携式健身车的接受程度。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-08-24 DOI: 10.1177/01939459241274869

Pallav Deka, Emma Schlegel, Dola Pathak, Milind Karve, Darby Pickford, Allison DeLuna, Gwen Wyatt, Susan W Buchholz

{"title":"Acceptability of a Portable Exercise Bike in Older Adults With Cardiovascular Diseases.","authors":"Pallav Deka, Emma Schlegel, Dola Pathak, Milind Karve, Darby Pickford, Allison DeLuna, Gwen Wyatt, Susan W Buchholz","doi":"10.1177/01939459241274869","DOIUrl":"10.1177/01939459241274869","url":null,"abstract":"Background: Ways to help older adults overcome barriers to performing regular exercise is a challenge to nurses.Objective: The study evaluated the acceptability of a portable exercise bike for arm/foot pedaling among older patients with cardiovascular diseases (CVDs).Methods: Participants reported their physical activity levels using the International Physical Activity Questionnaire (short form) and thereafter performed two 6-minute-long arm/foot pedal biking sessions using a portable exercise bike. Participants provided qualitative feedback (one open-ended question) on the bike while exercising and completed the quantitative Acceptability Use Questionnaire following the two exercise sessions.Results: Twenty-five older adults (52% male and 48% female), with a mean (SD) age of 70 (6.4) years and a body mass index of 30 (7.4), completed the study. Most participants performed moderate to light physical activity at home with a daily mean (SD) sitting/sedentary time of 8 (3.4) hours. The mean scores from the Acceptability Use Questionnaire and the participants' comments alluded to the bike's multitasking utility and acceptability. Three broad themes derived from the qualitative analysis were: (1) the acceptability of the bike with participants who had musculoskeletal problems; (2) the ability to operate and use the bike for aerobic exercise engaging both arms and legs; and (3) the importance of overall utility, ease of use, and cost of the bike.Conclusions: The portable exercise bike was found acceptable in a group of older adults with CVDs. The bike has the potential to be applied in home-based exercise interventions.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"847-853"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Integrative Approach for Endometriosis-Related Pain. 治疗子宫内膜异位症相关疼痛的综合方法。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-09-21 DOI: 10.1177/01939459241283018

Ayat Zubedat, Michal Liebergall-Wischnitzer, Amy Solnica, Nurit Zusman, Uri Dior

{"title":"An Integrative Approach for Endometriosis-Related Pain.","authors":"Ayat Zubedat, Michal Liebergall-Wischnitzer, Amy Solnica, Nurit Zusman, Uri Dior","doi":"10.1177/01939459241283018","DOIUrl":"10.1177/01939459241283018","url":null,"abstract":"Background: Pain is a common, severe symptom related to endometriosis. Despite this prominent feature, there is limited literature regarding its description and use of integrative treatment methods.Objective: We aimed to describe endometriosis-related pain characteristics, severity, and association with an integrative approach encompassing pharmacological and non-pharmacological methods.Methods: A cross-sectional descriptive correlational study was conducted using convenience sampling of adult women with endometriosis-related pain. Three questionnaires were utilized: a demographic and general health questionnaire, a visual analog pain scale (VAS), and the short-form McGill pain questionnaire (SF-MPQ).Results: Participants included 93 women with a mean general pain level of 6.2/10 (SD = 2.7) on the VAS. The total mean pain score on the SF-MPQ was 26.25/45 (SD = 10.1). Sixty-four women (68.8%) reported experiencing pain at the time of completion of the questionnaire (mean: 1.6/4, SD = 1.3). All participants utilized analgesia; those who used opioids reported a higher overall mean pain score of 2.3 (SD = 1.3) than patients who did not use opioids reported a mean of 1.4 (SD = 1.2; z = 9.59; P < .001). Present pain intensity was significantly higher for women using opioids than those not using opioids. In all, 77 women (82.8%) used integrative methods to alleviate the pain symptoms. Women who utilized nutritional therapy as part of the non-pharmacological method experienced lower mean (SD) overall pain (4.4 [2.5]) compared with patients who did not utilize nutritional therapy (6.75 [2.5]; P < .01).Conclusions: More studies are needed to find evidence-based treatment options for women for integrative pain relief for endometriosis-related pain.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"862-868"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychometric Properties of the Brief COPE Among Sexual Minority Adults. 性少数群体成年人简明 COPE 的心理计量特性。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-10-01 DOI: 10.1177/01939459241285690

Marvin A Solberg, Meghna Shukla

{"title":"Psychometric Properties of the Brief COPE Among Sexual Minority Adults.","authors":"Marvin A Solberg, Meghna Shukla","doi":"10.1177/01939459241285690","DOIUrl":"10.1177/01939459241285690","url":null,"abstract":"Background: The Brief COPE is a widely used coping instrument, but there is a paucity of research regarding its ability to measure coping among sexual minority (SM) persons.Objective: This study determined the psychometric properties of the Brief COPE and identified coping domains among a sample of SM individuals.Methods: An online survey was conducted with 530 SM persons in the United States. Participants completed the dispositional version of the Brief COPE. Confirmatory factor analysis (CFA) determined construct validity. Cronbach's alpha examined the reliability of resulting domains. Exploratory structural equation modeling (ESEM) was employed to identify coping domains and criterion-related validity was assessed by examining the relationship of the domains with substance use measures (alcohol, cannabis, and drug use).Results: CFA replicated the original 14-factor structure. ESEM identified 3 second-order domains with acceptable fit (chi-square [χ2] = 905.81; degrees of freedom [df] = 334, P < .001; comparative fit index [CFI] = 0.90; root mean square error of approximation = 0.06; 90% confidence interval = 0.05-0.06; and standardized root mean residual = 0.08). The 3 second-order domains demonstrated good reliability: adaptive (ω = 0.84), support (ω = 0.85), and disengaged coping (ω = 0.84). Disengaged coping exhibited the strongest correlations with substance use outcomes.Conclusions: Findings provide evidence to support the reliability and validity of the Brief COPE and validates its use with SM persons.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"900-908"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reframing Burnout: Measuring "Altruistic Execution" to Understand Nurse Burnout. 重塑职业倦怠：衡量 "利他主义执行力 "以了解护士的职业倦怠。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-09-05 DOI: 10.1177/01939459241279502

Jacqueline Christianson, Abir Bekhet, Jill Guttormson, Maharaj Singh, Norah L Johnson

{"title":"Reframing Burnout: Measuring \"Altruistic Execution\" to Understand Nurse Burnout.","authors":"Jacqueline Christianson, Abir Bekhet, Jill Guttormson, Maharaj Singh, Norah L Johnson","doi":"10.1177/01939459241279502","DOIUrl":"10.1177/01939459241279502","url":null,"abstract":"Background: Many nurses join the profession because they have altruistic intentions, but some nurses experience barriers to acting on altruistic intentions which may be a source of job dissatisfaction or burnout.Objective: The purpose of this study was to evaluate construct validity, internal consistency, and convergence reliability of the Nursing Altruistic Execution Scale (NAES), a novel instrument assessing the perceived ability to help others through work.Methods: The NAES was developed based upon a literature review examining altruistic behavior as a motivator for nursing work, with expert feedback for instrument refinement. Participants completed the NAES, Copenhagen Burnout Inventory Work-Related Burnout Scale, and Satisfaction of Employees in Health Care Survey. Exploratory factor analysis examined construct validity and factor loadings. Confirmatory factor analysis verified consistency in factor structure. Linear regression assessed for convergence reliability with burnout and job satisfaction.Results: The sample included 843 acute care hospital nurses surveyed in January-March 2023. Exploratory factor analysis revealed a two-factor solution, named altruistic engagement with work and workplace barriers to altruism. Nine instrument items were retained and demonstrated strong internal consistency (Cronbach's alpha 0.79). There was a significant relationship between both factors of the NAES and both burnout and job satisfaction, demonstrating that greater altruistic execution is associated with lower burnout and greater job satisfaction.Conclusion: Preliminary findings support the use of the NAES as a valid and reliable scale. Findings show there is correlation between altruistic intentions and burnout. Interventions aimed at enhancing altruistic execution may reduce nurse burnout and thereby improve retention.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"941-948"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of Family Members With Visitation Prohibition for Critically Ill Patients. 重症患者家属被禁止探视的经历。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-08-26 DOI: 10.1177/01939459241277777

Sunjung Kim, Sunghee H Tak

{"title":"Experiences of Family Members With Visitation Prohibition for Critically Ill Patients.","authors":"Sunjung Kim, Sunghee H Tak","doi":"10.1177/01939459241277777","DOIUrl":"10.1177/01939459241277777","url":null,"abstract":"Background: Visitation plays a number of positive roles for critically ill patients and their families. It reduces the physical and mental stress of intensive care unit (ICU) patients and their families and allows family members to participate in patient care. Visit prohibition during the COVID-19 pandemic has raised unprecedented challenges to patients, family members, and health care providers.Objective: This qualitative study aimed to explore the experiences of families of patients in the ICU with no-visitor policies due to COVID-19.Methods: Data collection was conducted through 8 individual in-depth semi-structured interviews conducted between October 2021 and March 2022. Data analysis was performed following the qualitative method proposed by Colaizzi. The researchers independently analyzed the data, checked the findings, derived subthemes, and categorized them into overarching themes.Results: Four themes emerged from the data analysis: (a) experiencing emotional distress, (b) being fearful of in-person patient contact, (c) being dissatisfied with the access control policy in the ICU, and (d) making efforts to reach the patient.Conclusions: It is critical to provide support and develop interventions for families denied visitation with loved ones in ICUs. Since in-person visits are crucial for families, hospitals should establish clear and reasonable visitation guidelines, communicate effectively with families, and offer alternative methods for them to connect with loved ones in the ICU.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"854-861"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlates of Lifestyle Physical Activity Among Young Arab American Women. 阿拉伯裔美国年轻女性生活方式中体育活动的相关因素。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-10-05 DOI: 10.1177/01939459241285696

Sudaba Mansuri, Manju N Daniel, Shannon Halloway, Sarah Abboud, Michael E Schoeny, Susan W Buchholz

{"title":"Correlates of Lifestyle Physical Activity Among Young Arab American Women.","authors":"Sudaba Mansuri, Manju N Daniel, Shannon Halloway, Sarah Abboud, Michael E Schoeny, Susan W Buchholz","doi":"10.1177/01939459241285696","DOIUrl":"10.1177/01939459241285696","url":null,"abstract":"Background: Young Arab American women are at risk for cardiovascular disease, but there is limited data on their physical activity (PA) engagement.Objectives: The aim of this study was to examine the relationship between PA and its correlates in young Arab American women. The objectives of this study were to: (1) describe self-reported lifestyle PA behaviors of young Arab American women and (2) examine the relationship between their self-reported lifestyle PA, device-measured lifestyle PA (combined moderate/vigorous and steps), and potentially associated factors (demographics, physical measures, individual factors, and behavior cognition factors).Methods: This cross-sectional study was conducted with women 18 to 35 years of age and Arab American (n = 50) in the Midwest Region of the United States. Participants wore ActiGraph GT3X-BT monitors for 7 days; self-report measures included the International Physical Activity Questionnaire, demographics, acculturation, discrimination, religiosity, self-efficacy, and social support.Results: The mean age of participants was 25.5 years (SD: 5.5; range: 18-35). Per ActiGraph, the average daily steps were 5946 (SD: 2783); only 24% met the moderate-intensity PA guidelines. Self-efficacy was significantly associated with increased moderate-to-vigorous PA (B = 0.37; P = .012).Conclusion: The average daily steps for the young Arab American women in this study were of low active classification. More than 75% of the women failed to meet the recommended weekly moderate/vigorous PA guidelines. Our study supports the importance of targeting and tailoring PA interventions on young Arab American women who have low self-efficacy for overcoming barriers to lifestyle PA.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"890-899"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship Between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants. 感知到的社会支持和健康素养对中国早产儿父母的决策困境与参与共同决策之间关系的中介效应》（The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants）。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-10-09 DOI: 10.1177/01939459241285697

Yanhui Ma, Junxiang Gao, Chongyang Zhang

{"title":"The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship Between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants.","authors":"Yanhui Ma, Junxiang Gao, Chongyang Zhang","doi":"10.1177/01939459241285697","DOIUrl":"10.1177/01939459241285697","url":null,"abstract":"Purpose: This research was conducted to explore the mediating effect of perceived social support and health literacy on the relationship between decisional dilemmas and participation in shared decision-making among Chinese parents of premature infants.Design and methods: This cross-sectional study recruited 225 Chinese parents of premature infants in a neonatal ward of a Chinese hospital through convenience sampling. Data were collected from August 2022 to February 2023 using 5 self-administered instruments. Structural equation modeling and multiple mediation tests were applied to explore the interplay among perceived social support, health literacy, decisional dilemmas, and participation in shared decision-making. The study is reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.Results: Decisional dilemmas were found to negatively impact participation in shared decision-making. Perceived social support and health literacy were identified as partial mediators in this relationship, collectively accounting for a mediation effect of -0.413, which represents 50.0% of the total effect.Conclusion: The findings elucidate a multifaceted model of factors influencing participation in shared decision-making among Chinese parents of premature infants. Prompt recognition of these variables can enable nursing professionals to incorporate tailored management strategies within patient-centered care frameworks, thereby enhancing decisional outcomes.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"878-889"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Generational Differences in Moral Injury, Resilience, and Well-Being Among Nurses: Predictors of Intention to Leave Position and Profession. 护士在道德伤害、复原力和幸福感方面的代际差异：护士中道德伤害、复原力和幸福感的代际差异：离职意向和职业的预测因素。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-10-14 DOI: 10.1177/01939459241287458

Minjin Kim, Jin Jun, Joshua Lambert, Henry Duah, Sharon J Tucker, Dónal P O'Mathúna, Grant Pignatiello, Joyce J Fitzpatrick

{"title":"Generational Differences in Moral Injury, Resilience, and Well-Being Among Nurses: Predictors of Intention to Leave Position and Profession.","authors":"Minjin Kim, Jin Jun, Joshua Lambert, Henry Duah, Sharon J Tucker, Dónal P O'Mathúna, Grant Pignatiello, Joyce J Fitzpatrick","doi":"10.1177/01939459241287458","DOIUrl":"10.1177/01939459241287458","url":null,"abstract":"Background: The COVID-19 pandemic highlighted the negative impact of moral injury on nurses' well-being. However, there is a lack of research about generational differences among nurses, particularly on newer nurses who have been identified as having a higher rate of intention to leave.Objective: This study examines generational differences among nurses on moral injury, well-being, resilience, and intention to leave their nursing position and profession.Methods: This is a secondary analysis of cross-sectional data from registered nurses in clinical practice in Ohio between July and August 2021. Data on demographics, moral injury, resilience, and well-being were collected using an online survey. Participants were categorized into 4 generational groups based on their age in 2021: Baby Boomers (57-75 years old), Generation X (42-56 years old), Generation Y (27-41 years old), and Generation Z (12-26 years old). Descriptive and inferential statistics, including logistic regression and analysis of variance, were employed for analysis.Results: Significant generational differences were found in years of clinical experience, moral injury, resilience, and well-being. Baby Boomers reported higher well-being and resilience and lower moral injury. Notably, the intention to leave the profession was more strongly associated with well-being and moral injury levels than with the years of experience or generational group.Conclusions: The findings suggest that interventions to improve nurse retention should prioritize enhancing well-being and addressing the root causes of moral injury. Tailored strategies addressing the needs of different generations are necessary for mitigating the adverse effects of current healthcare challenges on nurse attrition.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"909-918"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sleep Health Composite and Diabetes Symptom Burden in Young Adults With Type 1 Diabetes. 1 型糖尿病年轻成人的睡眠健康复合因素与糖尿病症状负担。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-09-30 DOI: 10.1177/01939459241287455

Stephanie Griggs, Bethany L Armentrout, Christine Horvat Davey, Ronald L Hickman

{"title":"Sleep Health Composite and Diabetes Symptom Burden in Young Adults With Type 1 Diabetes.","authors":"Stephanie Griggs, Bethany L Armentrout, Christine Horvat Davey, Ronald L Hickman","doi":"10.1177/01939459241287455","DOIUrl":"10.1177/01939459241287455","url":null,"abstract":"Introduction: Multiple individual sleep health dimensions (satisfaction, regularity, and duration) are associated with diabetes symptoms, precursors to micro-and macrovascular complications, among young adults with type 1 diabetes mellitus (T1DM). Nearly half of young adults with T1DM develop vascular complications; however, modifiable contributors of diabetes symptoms, including sleep health, have been understudied.Methods: This cross-sectional quantitative descriptive study involved the completion of multiple validated self-report questionnaires and the collection of raw continuous glucose monitor and diary data over a 14-day period. The sleep health composite score was calculated by summing the number of dimensions with \"good\" sleep health. Chronotype was estimated with the 19-item Morningness-Eveningness Questionnaire. Multiple linear regression analyses were conducted to evaluate the associations between the independent variables (sleep health composite and chronotype) and diabetes symptom burden. Covariates, including age, race, sex at birth, T1D duration, continuous subcutaneous insulin infusion use, and hemoglobin A1C (HbA1C), were considered to determine their contribution to these relationships.Results: One hundred nineteen young adults with T1DM who were aged 18 to 26 years were included in this study from 2 cohorts. Higher sleep health composite scores were associated with a lower overall diabetes symptom burden, even after adjusting for covariates in the linear regression models. Initially, a later chronotype was linked to a higher diabetes symptom burden, but this association became insignificant after accounting for HbA1C levels.Conclusion: Improving multiple dimensions of sleep health may alleviate the diabetes symptom burden among young adults with T1DM.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"919-927"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11544555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330922","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