Applied Nursing Research最新文献

{"title":"Changes in nutritional status and fatigue and their associations with quality of life in patients with pancreatic cancer after surgery: A 12-month longitudinal study","authors":"Ling-Fang Hsu ,&nbsp;Yun-Hsiang Lee ,&nbsp;Hui-Ying Yang ,&nbsp;Yun-Jen Chou ,&nbsp;Yu-Wen Tien ,&nbsp;Chieh-Yu Liu ,&nbsp;Shiow-Ching Shun","doi":"10.1016/j.apnr.2024.151858","DOIUrl":"10.1016/j.apnr.2024.151858","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined changes in nutritional status, fatigue, and quality of life, and identified longitudinal factors influencing changes in quality of life in patients with pancreatic cancer before and 12 months after surgery.</div></div><div><h3>Methods</h3><div>A longitudinal, correlational, single-group study was conducted on 89 patients with operable pancreatic cancer in Taiwan. Data were collected preoperatively (T0) and at 3 (T1), 6 (T2), and 12 (T3) months post-surgery using questionnaires— Mini Nutritional Assessment, Fatigue Symptom Inventory, and Functional Assessment of Cancer Therapy-General—and through bioelectrical impedance analysis, handgrip strength measurement, and the 30-s sit-to-stand test. Generalized estimating equation models were used to analyze variable changes and associated factors.</div></div><div><h3>Results</h3><div>Body weight (T1, <em>p</em> &lt; 0.01; T2, <em>p</em> &lt; 0.01; T3, p &lt; 0.01), visceral fat mass (T1, p &lt; 0.01; T2, p &lt; 0.01; T3, p &lt; 0.01), and handgrip strength (T1, p &lt; 0.01; T2, p &lt; 0.01; T3, p &lt; 0.01) decreased significantly after surgery. The quality of life significantly improved at T2 and T3 (T2, <em>p</em> = 0.04; T3, p = 0.04). Lower visceral fat mass (β = −2.27, <em>p</em> &lt; 0.01), better overall nutritional status (β = 1.54, p &lt; 0.01), and lower fatigue (β = −0.26, p &lt; 0.01) were associated with higher quality of life from T0-T3.</div></div><div><h3>Conclusions</h3><div>Patients with pancreatic cancer should have their nutritional status and fatigue assessed early and continuously for at least 12 months post-surgery. Early preoperative interventions that can reduce visceral fat mass, combat malnutrition, and alleviate fatigue are recommended.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151858"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423039","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}

{"title":"Stress coping and resilience of frontline nurses under the emergency infectious disease pandemic: A latent class analysis","authors":"Yi-Chen Yeh ,&nbsp;Wang-Huei Sheng ,&nbsp;Mei-Yan Pan ,&nbsp;Hsiu-Yun Liu ,&nbsp;Chieh-Yu Liu ,&nbsp;Piao-Yi Chiou","doi":"10.1016/j.apnr.2024.151857","DOIUrl":"10.1016/j.apnr.2024.151857","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to classify coping strategies and resilience among nurses caring for COVID-19 patients using latent class analysis (LCA), and to compare variations across these subgroups.</div></div><div><h3>Background</h3><div>The pandemic of emerging infectious diseases is a traumatic stressor for frontline nurses, potentially leading to compassion fatigue. Effective coping strategies and resilience were essential for managing stress, but their nuanced classification and outcomes remain unclear.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted from January to March 2022. Purposive and snowball sampling was utilized to recruit participants.</div></div><div><h3>Results</h3><div>A total of 215 clinical nurses (mean age 34.59 years) were recruited. A three-class model showed the best fit: class 1 (35.8 %) with proactive coping and high resilience, class 2 (29.8 %) with mixed coping and high resilience, and class 3 (34.4 %) with avoidance coping and low resilience. Compared to class 3, class 1 participants had lower stress (Odds Ratio (<em>OR</em>) = 0.37, 95 % <em>CI</em>: 0.143–0.950, <em>P</em> = 0.039), reduced risk of compassion fatigue (<em>OR</em> = 0.29, 95 % <em>CI</em>: 1.110–4.536, <em>P</em> &lt; 0.001), and lower intention to quit (<em>OR</em> = 0.39, 95 % <em>CI</em>: 0.175–0.843, <em>P</em> = 0.017). Class 2 participants, with higher proportion to live with family, had longer work experience, higher income, and also showed significantly reduced intention to quit (<em>OR</em> = 0.386, 95 % <em>CI</em>: 0.168–0.887, <em>P</em> = 0.025).</div></div><div><h3>Conclusions</h3><div>Identifying these vulnerable groups can help in providing interventions to reduce stress and prevent compassion fatigue and intention to quit.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151857"},"PeriodicalIF":2.7,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423038","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}

{"title":"Emergency department nurses' reflective thinking and patient safety competency: The mediating effect of patient safety culture","authors":"Mi Na Park MSN, RN ,&nbsp;Young Sook Roh PhD, RN","doi":"10.1016/j.apnr.2024.151856","DOIUrl":"10.1016/j.apnr.2024.151856","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to identify the mediating effect of patient safety culture on the relationship between reflective thinking and patient safety competency in emergency department nurses.</div></div><div><h3>Background</h3><div>Given the complexity and the need for timely assessments and interventions in the emergency department, the patient safety competency of nurses is crucial for preventing safety incidents.</div></div><div><h3>Methods</h3><div>This study utilized a cross-sectional descriptive correlational design with a convenience sample of 200 emergency department nurses. Participants completed a web-based, self-administered questionnaire that assessed reflective thinking, patient safety culture, and patient safety competency. The percentile bootstrap method for mediation analysis was performed to ascertain the mediating role of patient safety culture in the relationship between reflective thinking and patient safety competency.</div></div><div><h3>Results</h3><div>Both reflective thinking and patient safety culture were significant predictors of patient safety competency. Furthermore, patient safety culture was found to mediate the relationship between reflective thinking and patient safety competency among emergency department nurses.</div></div><div><h3>Conclusions</h3><div>The findings suggest that emergency department nurses could benefit from a competency enhancement program or quality improvement projects that focus on reflective thinking and patient safety culture, which are significant predictors of patient safety competency.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151856"},"PeriodicalIF":2.7,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423037","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}

{"title":"Emotion recognition and clinical empathy: An observational study of nurses","authors":"Martin Shaw ,&nbsp;Annika Bilog ,&nbsp;Daniel Reyes ,&nbsp;Gudrun Klim ,&nbsp;Elizabeth Johnston Taylor","doi":"10.1016/j.apnr.2024.151855","DOIUrl":"10.1016/j.apnr.2024.151855","url":null,"abstract":"<div><h3>Aim</h3><div>To explore nurse ability to recognize emotion and its association with clinical empathy.</div></div><div><h3>Background</h3><div>Empathy is elemental to nursing care and positively effects patient and nurse outcomes, yet self-reported clinical empathy has declined over the past decade. One hypothesized contributor to the ability of a nurse to be empathic is whether they can recognize emotion, a phenomenon thus far unstudied among nurses.</div></div><div><h3>Methods</h3><div>This cross-sectional study used online survey methods to collect data from 166 licensed nurses employed in one of 22 hospitals in Florida, USA. The Geneva Emotion Recognition Test-Short Form (GERT-SF) measured behavioral empathy—the ability to identify 7 positive and 7 negative basic emotions from non-language-based audiovisual clips with actors expressing these emotions. The Jefferson Scale of Empathy-Health Professionals measured self-reported clinical empathy in patient care. Demographic and work-related factors were assessed with investigator-designed items. Descriptive and bivariate statistical analyses were employed.</div></div><div><h3>Results</h3><div>Although nurses self-reported very high clinical empathy, their ability to recognize emotions using the GERT-S tool was fair. Emotion recognition and clinical empathy were weakly correlated (<em>r</em> = 0.175, <em>p</em> = 0.024, 95 % CI = 0.02–0.32). The least recognized emotion for the participants to identify was anxiety. No demographic variables were associated with either emotion recognition or clinical empathy.</div></div><div><h3>Conclusions</h3><div>These findings expose how nurse perceptions of being empathic may poorly align with the ability to recognize a patient's emotional response. Thus, findings have implications for teaching empathy, as well as for how researchers validly and reliably measure these constructs.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151855"},"PeriodicalIF":2.7,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311217","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}

{"title":"Online recruitment for an online survey study: Our experience of dealing with fraudsters","authors":"Fang Lei","doi":"10.1016/j.apnr.2024.151854","DOIUrl":"10.1016/j.apnr.2024.151854","url":null,"abstract":"<div><h3>Background</h3><div>Online recruitment is cost efficient and can reach large sample size. It helps protect participants' privacy and confidentiality and is commonly used in research studies with sensitive topics and hard-to-reach target participants. However, widespread fraudulent responses along with missing data and multiple entries add complication to the data cleaning and analysis. This clinical-methods-brief described our experience of dealing with fraudsters in the recruitment process of an online study.</div></div><div><h3>Methods</h3><div>Based on our experience in an online cross-sectional survey study, we reported three methods used in the recruitment process, including website recruitment (<span><span>https://www.chineseinla.com/</span><svg><path></path></svg></span>), Facebook advertisement, and Facebook group recruitment.</div></div><div><h3>Results</h3><div>The detected fraudulent rates were 11.11 %, 4.55 %, and 82.69 % for website recruitment, Facebook advertisement, and Facebook group recruitment, respectively. Strategies for us to identify the fake responses mainly included internet protocol checking, conflict answers to different survey questions, participant's name, and time stamp checking.</div></div><div><h3>Discussion</h3><div>Fake data mixed in the research data threatens the validity and reliability of the study and may skew the research study results. A robust participant recruitment method and a data screening/cleaning protocol are necessary to ensure online studies' rigorous.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151854"},"PeriodicalIF":2.7,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311218","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}

{"title":"An exploratory study of nursing tasks that induce physical and mental stress among hospital nurses","authors":"Younhee Kang ,&nbsp;Aekyeong Jin","doi":"10.1016/j.apnr.2024.151853","DOIUrl":"10.1016/j.apnr.2024.151853","url":null,"abstract":"<div><h3>Background</h3><div>Nursing tasks are major contributing factors of nurses' stress. Identifying these stress-inducing tasks by hospital and department is the first step in devising practical strategies to address this issue.</div></div><div><h3>Objectives</h3><div>This study aimed to develop a nursing task list by categorizing nursing tasks and identifying the ones that induced physical and mental stress among hospital nurses.</div></div><div><h3>Methods</h3><div>This descriptive exploratory study was conducted. In the first phase, the nursing task list was formulated based on a literature review and an expert content validity verification. In the second phase, the stress-inducing (both physical and mental) nursing tasks in different departments at two types of hospitals were investigated from 775 nurses. The data were analyzed using descriptive statistics, <em>t</em>-test, χ² test and ANOVA performed using SPSS/WIN 26.0.</div></div><div><h3>Results</h3><div>The nursing task of “exercise and position change” was identified to cause the highest physical stress across all five departments in both advanced general hospitals and general hospitals. Similarly, the nursing task “explanation of patients' condition upon request from the patients' family members” induced the greatest mental stress in both advanced general hospitals and general hospitals. Finally, “substitution for physicians: prescription” was identified as the greatest mental stress-inducing nursing task in general hospitals.</div></div><div><h3>Conclusion</h3><div>Based on a nursing task list developed, we determined which nursing tasks induce physical and mental stress in different departments at two types of hospitals. This foundational work will be crucial for exploring practical strategies to relieve nurses' stress.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151853"},"PeriodicalIF":2.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0897189724000910/pdfft?md5=2fa68544280f10c3aa3867602c4c4c40&pid=1-s2.0-S0897189724000910-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311216","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":"How grit mediates depressive symptoms with life and job satisfaction in full-time employed adults with congenital heart disease","authors":"Yu-Shiu Liu ,&nbsp;Hung-Tao Chung ,&nbsp;Jou-Kou Wang ,&nbsp;Chiu-Yueh Yang ,&nbsp;Chieh-Yu Liu ,&nbsp;Chi-Wen Chen","doi":"10.1016/j.apnr.2024.151845","DOIUrl":"10.1016/j.apnr.2024.151845","url":null,"abstract":"<div><h3>Background</h3><p>Technological advancements have extended the lifespan of individuals with congenital heart disease (CHD), but physical and mental health issues can affect their life and job satisfaction.</p></div><div><h3>Aims</h3><p>This study examined whether grit can protect full-time employed adults with CHD from depression by exploring its mediating role between depressive symptoms and life or job satisfaction.</p></div><div><h3>Methods</h3><p>A cross-sectional design involved 181 adults with CHD assessed using the Patient Health Questionnaire, Grit-10, Satisfaction with Life Scale, and Basic Psychological Need Satisfaction at Work Scale. Data analysis was conducted with SPSS and Smart PLS software for partial least squares structural equation modeling, adhering to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.</p></div><div><h3>Results</h3><p>Indicated that depressive symptoms were negatively correlated with grit, life satisfaction, and job satisfaction, while grit was positively correlated with both satisfaction measures. Grit partially mediated the relationship between depressive symptoms and life/job satisfaction, accounting for 30.70 % and 29.11 % of the variance, respectively.</p></div><div><h3>Conclusions</h3><p>Grit significantly mitigates the negative impact of depressive symptoms on life and job satisfaction in full-time employed adults with CHD. Nurses should identify signs of depression in adults with CHD and evaluate their grit levels. Interventions to increase grit and reduce depressive symptoms could enhance life and job satisfaction.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151845"},"PeriodicalIF":2.7,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150942","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}

{"title":"Connections matter: Exploring the relationship between belonging and psychosocial well-being in type 1 diabetes in Iran","authors":"Mohammadreza Razeghi ,&nbsp;Samereh Abdoli PhD, RN ,&nbsp;Leila Mardanian Dehkordi PhD","doi":"10.1016/j.apnr.2024.151843","DOIUrl":"10.1016/j.apnr.2024.151843","url":null,"abstract":"<div><h3>Aim</h3><p>Identify the relationship between a sense of belonging and psychosocial well-being in individuals with type 1 diabetes (T1D) in Iran.</p></div><div><h3>Background</h3><p>Understanding this relationship is vital for tailored nursing interventions to enhance individual's sense of belonging and improve diabetes outcomes.</p></div><div><h3>Methods</h3><p>This cross-sectional study included 205 participants selected via multi-stage cluster and simple random sampling from health centers in Iranian. Electronic surveys designed on Google Forms, using valid and reliable scales and compliant with HIPAA, assessed sense of belonging, distress, and burnout. Data were analyzed using SPSS (version 25).</p></div><div><h3>Results</h3><p>Participants reported high sense of belonging with varying levels of diabetes distress and burnout. Multiple regression analysis of 205 participants showed that sense of belonging index (SOBI) scores significantly predicted diabetes distress (F(2,203) = 39.71, <em>p</em> &lt; 0.001) and burnout (F(2, 203) = 42.319, <em>p</em> &lt; 0.001). Sense of Belonging Instrument-Psychological (SOBI-P) scores were negatively correlated with both distress (<em>r</em> = −0.52, <em>p</em> &lt; 0.001) and burnout (<em>r</em> = −0.53, p &lt; 0.001), indicating higher belonging is linked to lower distress and burnout. Sense of Belonging Instrument-Antecedents (SOBI-A) scores had positive but non-significant correlations (distress: <em>r</em> = 0.07, <em>p</em> = 0.27; burnout: <em>r</em> = 0.10, <em>p</em> = 0.13). SOBI-P accounted for ∼30 % of the variance in distress (R² = 0.275) and burnout (R² = 0.288), with significant contributions to both models (<em>t</em> = −8.8, <em>p</em> &lt; 0.001; <em>t</em> = −9.02, p &lt; 0.001). Anticipated belonging showed no significant correlations with distress or burnout.</p></div><div><h3>Conclusion</h3><p>The negative correlations between personal belonging, self-reported distress, and burnout suggest that enhancing the psychological sense of belonging may be an effective strategy to mitigate diabetes-related distress and burnout Stigmatization and financial strain in Iran may exacerbate emotional burden, regimen related distress, and burnout. The lack of association between anticipated belonging and psychosocial well-being underscores differences in present and future perceptions of support, emphasizing the need for culturally sensitive nursing interventions.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151843"},"PeriodicalIF":2.7,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121736","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}

{"title":"The mediating role of social support on the relationship between secondary traumatic stress and burnout of nurses caring for COVID-19 patients: A cross-sectional study","authors":"Wejdan Shaqiqi ,&nbsp;Faiza A. Abou El-Soud","doi":"10.1016/j.apnr.2024.151844","DOIUrl":"10.1016/j.apnr.2024.151844","url":null,"abstract":"<div><h3>Background</h3><p>Social support can help nurses cope with occupational stress and trauma, and maintain overall well-being, particularly in stressful situations such as outbreaks.</p></div><div><h3>Aim</h3><p>To determine the mediating role of social support on the relationship between secondary traumatic stress (STS) and burnout among nurses who cared for COVID-19 patients.</p></div><div><h3>Design</h3><p>A cross-sectional, correlational, descriptive design.</p></div><div><h3>Methods</h3><p>Two hundred nurses who had provided direct care to COVID-19 patients were recruited from wards in two hospitals in Riyadh, Saudi Arabia. Data were collected using the Multidimensional Scale of Perceived Social Support and the Professional Quality of Life Scale tools.</p></div><div><h3>Results</h3><p>STS had a significant and positive correlation with burnout (<em>r</em> = 0.610, <em>p</em> = 0.000); social support from family, friends, and significant others were each significantly and negatively associated with STS (<em>r</em> = −0.147, <em>p</em> = 0.038; <em>r</em> = −0.547, <em>p</em> &lt; 0.0001; <em>r</em> = −0.225, <em>p</em> = 0.001, respectively) and burnout (<em>r</em> = 0–0.282, <em>p</em> &lt; 0.0001; <em>r</em> = −0.716, <em>p</em> = 0.026; <em>r</em> = −0.377, <em>p</em> &lt; 0.0001, respectively). STS had a significant effect on social support (β = −0.21, <em>p</em> = 0.042) and burnout (β = 0.61, p &lt; 0.0001). Social support had a significant and partial effect on the relationship between STS and burnout (Z = 2.99, <em>p</em> = 0.002).</p></div><div><h3>Conclusion</h3><p>Social support can reduce and mitigate the negative effects of STS and burnout. This understanding could enhance nurses' occupational lives by assisting policymakers and nurse managers in creating positive work environments that promote social support. Such policies could reduce the incidence and impact of burnout and STS.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151844"},"PeriodicalIF":2.7,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S089718972400082X/pdfft?md5=583321724eb5413ba8aa23b7c2bfe27a&pid=1-s2.0-S089718972400082X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097988","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":"Effect of Hope Theory combined with active cycle of breathing techniques on pulmonary rehabilitation among COPD patients: A quasi-experiment study","authors":"Meng Li ,&nbsp;Xin An ,&nbsp;Qiushuang Wang ,&nbsp;Jiangtao Ma ,&nbsp;Yanli Wang ,&nbsp;Jinghua Ma","doi":"10.1016/j.apnr.2024.151842","DOIUrl":"10.1016/j.apnr.2024.151842","url":null,"abstract":"<div><h3>Background</h3><p>Pulmonary rehabilitation plays a positive role in improving exercise tolerance and reducing readmission rates in patients with chronic obstructive pulmonary disease (COPD), while the adherence of pulmonary rehabilitation in COPD patients is still poor. The active cycle of breathing techniques based on the Hope Theory is a method to enhance patients' confidence in overcoming the disease and improve the intrinsic motivation of exercise through symptom improvement such as cough and sputum evacuation ability.</p></div><div><h3>Objectives</h3><p>To investigate the effect of Hope Theory education combined with the active cycle of breathing techniques on pulmonary rehabilitation of COPD patients, including exercise adherence, cough and sputum evacuation ability, hope index and exercise self-efficacy.</p></div><div><h3>Methods</h3><p>The study assigned 70 COPD patients hospitalized into intervention and control groups to receive the active cycle of breathing techniques based on Hope Theory or routine treatment in order of admission. Data for cough and sputum evacuation ability, hope, exercise confidence were collected at baseline and after the program. Exercise adherence was assessed at the end of 1, 4 and 8 week following discharge.</p></div><div><h3>Results</h3><p>The actual number of sample consisted of 65 patients divided into intervention (<em>n</em> = 33) and control (<em>n</em> = 32) groups due to severe complications, explicit refusal, disinterest and loss to follow-up. After two weeks of intervention, exercise adherence of the intervention group were better than those of the control group at the end of 4 and 8 week of discharge (<em>P</em> &lt; 0.05). And there was an improvement in cough and sputum evacuation ability, hope and exercise self-efficacy outcomes in the intervention group, with a statistically significant difference between the two groups (<em>P</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>The active cycle of breathing techniques based on Hope Theory education can improve cough and sputum evacuation ability, hope index, exercise self-efficacy, and exercise adherence of COPD patients.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151842"},"PeriodicalIF":2.7,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097989","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}