Journal of Clinical Nursing最新文献

{"title":"High Anxiety in COPD: A Barrier to Effective Inhaler Medication Adherence and Disease Management.","authors":"Meijia Chen, Zhaoqian Gong, Junrao Wang, Yuling Hu, Qian Zhang, Shuyu Huang, Jianpeng Liang, Jie Wu, Xueying Zhao, Yaoxin Chen, Wenqu Zhao, Shaoxi Cai, Haijin Zhao","doi":"10.1111/jocn.17819","DOIUrl":"https://doi.org/10.1111/jocn.17819","url":null,"abstract":"<p><strong>Aims and objective: </strong>To explore the heterogeneity of disease-specific anxiety profiles among patients with chronic obstructive pulmonary disease (COPD) using latent profile analysis (LPA), and to identify the associations between distinct anxiety subtypes and inhaler medication adherence in patients with COPD.</p><p><strong>Background: </strong>Adherence to inhaled medication among patients with COPD continues to be suboptimal. Anxiety, a common comorbidity, may exacerbate this issue. However, the specific relationship between anxiety and adherence to inhaled medications remains unclear.</p><p><strong>Design: </strong>A prospective cohort study was conducted following the STROBE Checklist.</p><p><strong>Methods: </strong>A prospective observational study employed the Anxiety Inventory for Respiratory Disease (AIR) to assess disease-specific anxiety in patients with COPD. Inhaler medication adherence was evaluated using the Test of Adherence to Inhalers (TAI) 6 months after initiating treatment. Latent Profile Analysis (LPA) was performed to identify distinct anxiety subtypes. Multiple linear regression analysis was conducted to examine the associations between identified anxiety subtypes and adherence dimensions, adjusting for sociodemographic and clinical variables.</p><p><strong>Results: </strong>Among 298 COPD patients, the overall AIR score was 5 (IQR: 2-11). Using LPA, three distinct anxiety subtypes were identified: Low Anxiety-Irritable Subtype (57.05%), Moderate Anxiety-Tense Subtype (26.85%) and High Anxiety-Anticipatory Subtype (16.10%). Through multiple linear regression analysis, the High Anxiety-Anticipatory Subtype was significantly associated with lower inhaler medication adherence among COPD patients.</p><p><strong>Conclusion: </strong>This study revealed three latent profiles of disease-specific anxiety among COPD patients. The High Anxiety-Anticipatory Subtype was associated with a lower inhaler medication adherence in individuals with COPD after initiating treatment.</p><p><strong>Relevance to clinical practice: </strong>Identifying the relationship between disease-specific anxiety and inhaler medication adherence in patients with COPD after initiating treatment underscores the need for healthcare providers to assess anxiety during patient visits and prioritise patients with high anticipatory anxiety. When high anxiety adversely affects inhaler medication adherence, targeted interventions should be developed to improve adherence and prognosis.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive Performance of Device-Neonatal Skin Risk Assessment Scale to Evaluating Pressure Injuries Risk in the Neonates. An Observational Multicenter Study.","authors":"Biagio Nicolosi, Elisa Neri, Leonardo Fioravanti, Silvia Leoncini, Claudio De Felice, Pablo Garcìa-Molina, Alessandra Mugnaini","doi":"10.1111/jocn.17825","DOIUrl":"https://doi.org/10.1111/jocn.17825","url":null,"abstract":"<p><strong>Aim: </strong>To assess the validity of a modified Neonatal Skin Risk Assessment scale (Dev-NSARS) for neonatal pressure injuries (PIs) in the neonatal intensive care unit (NICU) and neonatal sub-intensive care unit (NICU-Sub) environment.</p><p><strong>Background: </strong>Medical devices are the leading cause of pressure injuries (PIs) in neonates, a key cause of morbidity in neonatology, significantly impacting the length of stay (LOS) and public hospital resources.</p><p><strong>Methods: </strong>The Dev-NSRAS scale, considering the presence of medical devices, was tested on a national multicenter prospective study on newborns. The discrimination power of the Dev-NSRAS scale was compared to that of the more commonly used Glamorgan scale.</p><p><strong>Results: </strong>Nine newborns (6.6%) developed PIs, with a total of 16 injuries, 75% (12 out of 16) of which were device related. Newborns with postconceptional age ≤ 30.8 weeks were at higher risk of developing PIs. First 24-h total Dev-NSRAS scores were compared with first 24-h Glamorgan scores, to obtain and compare respective sensitivity and specificity. During the first 24 h from admission, a very good discriminative performance was evidenced for Dev-NSRAS ≤ 11 (AUC 0.921, 95% CI: 0.899-0.940, p < 0.0001; 81.6% sensitivity and 93.6% specificity) as compared to a moderate discriminative performance shown by a Glamorgan score > 28 (AUC 0.752, 95% CI: 0.634-0.660, p < 0.0001; 92.1% sensitivity and 65.5% specificity).</p><p><strong>Conclusions: </strong>Early application (i.e., in the first day from hospital admission) of Dev-NSRAS by the nursing personnel shows excellent accuracy in predicting the risk of developing PUs in newborns admitted to NICU and NICU-Sub, as compared to the Glamorgan scale.</p><p><strong>Reporting method: </strong>The STROBE statement for cohort observational studies was used as the reference reporting method.</p><p><strong>Impact: </strong>The study addressed the lack of a risk assessment scale for pressure injuries in neonates. Development and testing of a scale that demonstrated high sensitivity and specificity in the early prediction of pressure injury risk in neonates within the first 24 h. The research will have an impact in NICUs and NICU-Sub units, enabling nurses to plan personalised care to prevent pressure injuries in neonates, thereby reducing the length of hospital stays and overall healthcare costs.</p><p><strong>Contribution: </strong>Introduce a validated scale for improving neonatal pressure injury prevention worldwide. Enhance early detection tools, reduce hospital stays and global costs.</p><p><strong>Protocol registration: </strong>The study protocol has been approved by the Paediatric Tuscany Region Ethical Committee (date: 18 January 2021; protocol code 18/2021).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing Digital, Mobile and Three-Dimensional Methods in Pressure Injury Measurement: Agreement in Surface Area and Depth Assessments.","authors":"Gul Sahbudak, Ulku Gunes","doi":"10.1111/jocn.17813","DOIUrl":"https://doi.org/10.1111/jocn.17813","url":null,"abstract":"<p><strong>Aim: </strong>To examine the consistency among three wound measurement methods in assessing pressure injury surface area and to compare manual depth measurement with three-dimensional wound measurement.</p><p><strong>Design: </strong>Methodological and comparative study.</p><p><strong>Methods: </strong>This study was conducted between 2022 and 2024 at a university hospital, involving 125 pressure injuries. The wound surface area was measured using three different methods, and depth was measured using a sterile cotton swab and three dimensional wound measurement method. STARD reporting guidelines were followed.</p><p><strong>Results: </strong>This study found a statistically significant, strong positive correlation among the three wound measurement methods. However, a significant difference was detected, with digital planimetry yielding higher values than other methods. No significant difference was observed between depth measurement methods.</p><p><strong>Conclusion: </strong>Digital wound measurement methods are fast, non-contact, accurate and reliable for assessing pressure injury surface area. Additionally, three dimensional wound measurement serves as a potential aseptic, non-contact alternative to traditional depth measurement, making it a valuable tool in clinical settings.</p><p><strong>Implications for the profession and/or patient care: </strong>Future advancements in wound measurement should focus on artificial intelligence-driven wound boundary detection and improved automation for more consistent and reliable measurements.</p><p><strong>Impact: </strong>The study addressed the absence of a universally accepted 'gold standard' for wound measurement. Findings showed that digital planimetry provided the highest measurements, while three-dimensional wound measurement and imitoMeasure demonstrated accuracy, reliability and efficiency. This research will impact wound care specialists and healthcare institutions by improving pressure injury measurement and promoting standardised digital methods in clinical practice.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p><p><strong>Trial registration: </strong>NCT06559657.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Mixed Methods Study of Risk Factors for Frailty in Peritoneal Dialysis Patients.","authors":"Wei Cao, Mingyu Cai, Yuanchun Xu, Wenjiang Gong, Nuoyi Wu, Hongmei Wei, Yaling Wang","doi":"10.1111/jocn.17793","DOIUrl":"https://doi.org/10.1111/jocn.17793","url":null,"abstract":"<p><strong>Objectives: </strong>This study uses a convergent mixed methods approach to investigate the frailty phenotypes and risk factors in peritoneal dialysis (PD) patients.</p><p><strong>Design: </strong>A cross-sectional mixed methods research study was employed.</p><p><strong>Methods: </strong>This study follows the MMR-RHS reporting guidelines. From November 2023 to August 2024, 213 patients were recruited from the PD centre of a tertiary hospital in Chongqing, China. Quantitative data were collected using a general information questionnaire and standardised scales, including Fried Frailty Phenotype (FFP), Charlson Comorbidity Index (CCI), Mini Nutritional Assessment-Short Form (MNA-SF), Montreal Cognitive Assessment (MoCA) and Hospital Anxiety and Depression Scale (HADS). Concurrently, 19 PD patients in pre-frail or frail states participated in semi-structured interviews. The quantitative and qualitative findings were then integrated for analysis.</p><p><strong>Results: </strong>Amongst the 213 PD patients, 46.5% were non-frail, 41.3% were pre-frail and 12.2% were frail. Integrated analysis indicated that fatigue and low muscle strength were the primary frailty phenotypes amongst the patients. Age, sedentary behaviour, comorbidities, nutritional status, cognitive function, polypharmacy, psychological state and social connections were identified as risk factors for frailty in this patient population.</p><p><strong>Conclusion: </strong>Many factors influence the frailty of PD patients. Future research should further explore the complex interactions amongst these factors and effective modulation strategies to mitigate the frailty progression. Incorporating the patients' perspectives in designing comprehensive intervention programmes will help identify key challenges and focal points for intervention.</p><p><strong>Impact: </strong>This study identifies risk factors for frailty in PD patients, offering healthcare professionals a basis for designing targeted interventions. These factors encompass multiple dimensions, indicating the need for multidisciplinary collaboration in managing frailty.</p><p><strong>Patient contribution: </strong>The PD patients in this study provided valuable quantitative data and shared their frailty experiences, enhancing the research conclusions' practical value.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Knowledge, Psychological Flexibility, Anxiety and Healthy Behaviour in Stroke Patients: A Chain Mediation Model.","authors":"Ruili Ma, Mengting Qiao, Yating Zhou, Wenjia Sun, Yanyan Lv, Xu Zhou, Yi Wang, Xiaoyu Wu, Ruili Yu","doi":"10.1111/jocn.17820","DOIUrl":"https://doi.org/10.1111/jocn.17820","url":null,"abstract":"<p><strong>Aims: </strong>To explore the mediating effects of psychological flexibility and anxiety between knowledge and health behaviour in stroke patients, and to provide a reference for improving the health behaviour of stroke patients.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>A convenience sampling method was used to recruit 219 stroke patients from a tertiary hospital in China from July to November 2024. Patients were surveyed using an electronic questionnaire containing demographic questions and validated scales for stroke knowledge, psychological flexibility, anxiety and health behaviour. IBM SPSS v26.0 software and PROCESS Process macro were used for data analysis.</p><p><strong>Results: </strong>The health behaviour score of stroke patients was 54.2 ± 3.8, and health behaviour was positively correlated with stroke knowledge and negatively correlated with psychological flexibility and anxiety. There was a significant chain-mediated effect of psychological flexibility and anxiety in the relationship between stroke knowledge and health behaviour.</p><p><strong>Conclusion: </strong>Stroke knowledge not only directly predicts health behaviour in stroke patients, but also indirectly influences the health behaviour of patients through the chain mediation of psychological flexibility and anxiety.</p><p><strong>Relevance to clinical practice: </strong>This study highlights the importance of caregivers focusing on the interactions between patient knowledge, psychological flexibility, anxiety and health behaviour when caring for stroke patients. Comprehensive interventions aimed at enhancing stroke patients' knowledge, improving patients' psychological flexibility and reducing anxiety have the potential to improve patient health behaviour.</p><p><strong>Patient or public contribution: </strong>Patients completed questionnaires.</p><p><strong>Reporting method: </strong>The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for cross-sectional studies was applied to report the results.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor 'Current Status and Factors Influencing Nutrition Literacy in Stroke Patients: A Cross-Sectional Study'.","authors":"Yanran Li, Li Yao","doi":"10.1111/jocn.17823","DOIUrl":"https://doi.org/10.1111/jocn.17823","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Nursing Students' Perspectives on Patient Safety Culture in Clinical Settings: A Mixed-Method Study.","authors":"Daniela Bartoníčková, Dominika Kohanová, Simona Dobešová Cakirpaloglu, Alison Steven, Katarína Žiaková","doi":"10.1111/jocn.17812","DOIUrl":"https://doi.org/10.1111/jocn.17812","url":null,"abstract":"<p><strong>Background: </strong>Patient safety in undergraduate nursing studies is an indispensable component of the curriculum. The process of experiential learning from practice is of high value not only in terms of personal development but also enables students to identify and address critical areas of patient safety that require improvement.</p><p><strong>Aim: </strong>To explore Czech undergraduate nursing students' perceptions of patient safety culture during clinical practice through a mixed-method sequential study.</p><p><strong>Methods: </strong>Data were collected between 2021 and 2024 using a mixed-method approach. The quantitative phase utilised the hospital survey on patient safety culture for nursing students. Four hundred and eighty-two undergraduate nursing students from 16 faculties across the Czech Republic participated. The subsequent qualitative phase employed semi-structured interviews with 12 undergraduate nursing students from one faculty in the Czech Republic. Descriptive and inferential statistical methods were used to analyse quantitative results, complemented by a reflective thematic analysis of qualitative data.</p><p><strong>Results: </strong>The most negatively rated survey dimensions were 'Frequency of events reported' (37.0%) and 'Nonpunitive responses to errors' (42.4%). Predictors for reporting adverse events in clinical practice were 'Indicators of good practice' (p ≤ 0.05). Based on the quantitative phase, the interpretive journey of nursing students' experiences from Exposure to adverse events, through Feeling disconnected and Cognitive dissonance, to the necessity of Speaking up for patient safety culture was captured in the qualitative phase.</p><p><strong>Conclusions: </strong>Nursing students struggle to engage in a patient safety culture, particularly in reporting adverse events during clinical practice. Strengthening education on reporting and standards is essential for students, along with professional development for clinical staff to align practices and cultures.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Illness Experience of Nurses Who Become Patients: A Phenomenological Study.","authors":"Lucia Natalizi, Catia Genna, Kiara Ros Thekkan, Linda Lombi, Immacolata Dall'Oglio, Carmen D'Amore, Valentina Di Gravio, Miriam De Rinaldis, Simona Calza, Emanuela Tiozzo, Massimiliano Raponi, Orsola Gawronski","doi":"10.1111/jocn.17808","DOIUrl":"https://doi.org/10.1111/jocn.17808","url":null,"abstract":"<p><strong>Aim: </strong>To explore the phenomenon of nurse-patient's illness experience.</p><p><strong>Design: </strong>A multicentre phenomenological qualitative study was conducted in Italy.</p><p><strong>Methods: </strong>A convenience sample of nurses with an acute illness experience, requiring at least one hospitalisation of ≥ 3 days, was enrolled. Semi-structured interviews were conducted. Data were transcribed verbatim and analysed according to Giorgi's descriptive method. Ethics committee approval was obtained for this study. The COnsolidated criteria for REporting Qualitative research checklist guided the study reporting.</p><p><strong>Results: </strong>Eleven interviews were conducted from August 2022 to July 2023. The essential structure 'being on the other side of the fence' and six common themes, 'role reversal', 'expanded awareness', 'professional identity', 'emotional swing', 'having experienced it on their own skin' and 'reframing the healthcare context', were identified. Nurses' awareness of the healthcare system and pathways related to their professional background at the onset of their illness experience turns into an expanded awareness of the illness experience in itself, having it 'lived on their own skin'. When nurses return from the 'other side of the fence' to their professional role this new awareness triggers a more compassionate and cognizant relationship with patients and colleagues.</p><p><strong>Conclusion: </strong>This study highlights the lived experience of nurses who became patients, showing characterising elements of 'being on the other side of the fence' and the potential of this experience for expanding nurses' awareness of other patients' experiences under their care.</p><p><strong>Implications for the profession and/or patient care: </strong>Nurse-patients' illness experience may be instrumental to reinforce nurses' awareness, empathy and any positive attitude or practice devised to improve patient's illness experiences and patient centred care in hospitals.</p><p><strong>Patient or public contribution: </strong>Nurses participated as interview respondents.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediating Role of Nurses' Perceived Professional Benefits Between ICU Nurses' Emotional Intelligence and Spiritual Care Competency: A Multicentre Cross-Sectional Study.","authors":"Baomei Song, Ting Ye, YiMing Gao, Jun Lin, Jian Luo, Xiaoying Zhong, Pengbin Yuan, Jasen Grant, Qilan Zhang, Yi Chen, Zheng Yang","doi":"10.1111/jocn.17814","DOIUrl":"https://doi.org/10.1111/jocn.17814","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to investigate the levels of emotional intelligence, nurses' perceived professional benefits, and spiritual care competency among ICU nurses, explore the correlations among these three variables, and further analyse the mediating role of perceived professional benefits between emotional intelligence and spiritual care competency.</p><p><strong>Study design: </strong>A multicenter cross-sectional study was conducted following the STROBE guidelines.</p><p><strong>Methods: </strong>From January to March 2024, 568 ICU nurses from seven tertiary hospitals in China completed an online questionnaire including demographic items, the Wong and Law Emotional Intelligence Scale, the Nurses' Perceived Professional Benefits Questionnaire, and the Spiritual Care Competency Scale. Data were analysed using SPSS 27.0 and Amos 27.0. Pearson correlation, structural equation modelling (SEM), and bootstrap analysis (5000 samples) were used to test associations and mediation effects.</p><p><strong>Results: </strong>ICU nurses reported above-average scores in EI, NPPB, and SCC. EI was positively associated with both NPPB and SCC, and NPPB partially mediated the relationship between EI and SCC.</p><p><strong>Conclusion: </strong>EI significantly contributes to ICU nurses' SCC both directly and indirectly through NPPB. These findings highlight the psychological mechanisms that support competency in spiritual care.</p><p><strong>Impact: </strong>Nursing managers are encouraged to implement structured training programmes focusing on emotional regulation and professional value reinforcement, which may effectively enhance SCC and improve holistic care quality in ICU settings.</p><p><strong>Patient or public contribution: </strong>Not applicable.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-Promoting Behaviour Patterns in Women With Gestational Diabetes Mellitus: A Latent Class Analysis and Association With Prenatal Depression.","authors":"Zhang Jiayuan, Luo Xiaoxi, Chen Dan, Zhou Yuqiu","doi":"10.1111/jocn.17809","DOIUrl":"https://doi.org/10.1111/jocn.17809","url":null,"abstract":"<p><strong>Background: </strong>Gestational diabetes mellitus (GDM) presents significant risks to both maternal and infant health, making adherence to health-promoting behaviours crucial for optimal maternal outcomes. Identifying distinct health behaviour patterns and understanding their association with prenatal depression can offer important insights for targeted interventions.</p><p><strong>Objective: </strong>This study classifies health-promoting behaviour patterns among women with GDM and examines their association with prenatal depression to inform tailored interventions.</p><p><strong>Design: </strong>A cross-sectional study with latent class analysis.</p><p><strong>Method: </strong>A total of 570 women with GDM participated in this study. Data were collected through structured questionnaires, including the Health-Promoting Lifestyle Profile (HPLP) and the Edinburgh Postnatal Depression Scale (EPDS) to assess health-promoting behaviours and prenatal depression levels. Latent class analysis was used to identify distinct health-promoting behaviour patterns, while logistic regression was conducted to identify factors influencing behaviour classification. A comparative analysis of prenatal depression scores across different behaviour subgroups was also performed.</p><p><strong>Result: </strong>Four distinct health-promoting behaviour patterns were identified: Comprehensive Health Promotion type, health neglect type, psychologically vulnerable type and lifestyle improvement needed type. Factors influencing behaviour patterns included region, education level, working hours, income, primiparity, adherence to prenatal check-ups and partner support. Significant differences in prenatal depression scores were observed across the behaviour patterns (p < 0.05).</p><p><strong>Conclusion: </strong>This study reveals the heterogeneity in health-promoting behaviours among women with GDM and underscores the link between these behaviour patterns and prenatal depression. Targeted interventions addressing socio-economic and psychosocial factors can improve adherence to health-promoting behaviours and mitigate prenatal depression risks. Strengthening prenatal care adherence and encouraging partner involvement are effective strategies for improving maternal well-being in women with GDM.</p><p><strong>Patient or public contribution: </strong>Participants were involved in providing data for this study through self-reports on health-promoting behaviours and prenatal depression. No other contributions from patients or the public were made.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}