Research in Nursing & Health最新文献

{"title":"The Posttraumatic Growth Process Experienced by Chinese Patients Newly Diagnosed With Crohn's Disease: A Longitudinal Descriptive Qualitative Study.","authors":"Lingxi Chen, Jinghan Liu, Yunxian Zhou","doi":"10.1002/nur.22467","DOIUrl":"10.1002/nur.22467","url":null,"abstract":"<p><p>Despite negative outcomes, being diagnosed with Crohn's disease, a chronic lifelong condition, may prompt individuals to undergo positive psychological and emotional growth. However, understanding the dynamic process of posttraumatic growth in Chinese patients with Crohn's disease remains unknown. Therefore, this study aims to longitudinally explore the posttraumatic growth process in newly diagnosed Chinese patients with Crohn's disease. Semi-structured interviews were conducted at 3, 6, and 12 months post-diagnosis in 16 patients. Conventional content analysis revealed a four-stage trajectory of posttraumatic growth: enduring hardships, accepting illness, living with illness, and achieving personal growth. Generally, disease-related suffering diminished, and acceptance of the disease by patients improved over time. Additionally, the capacity of patients to self-manage disease enhanced and their manifestations of posttraumatic growth increased. Overall, patients transitioned from a state of severe trauma coupled with nascent personal growth to a state of reduced trauma and profound personal growth. However, challenges persist throughout this process. Moreover, patients with Crohn's disease may continue to struggle with perceived limitations in their development and find it difficult to accept their illness, especially during relapses and complications. They may also experience reduced vigilance in managing their condition. Healthcare staff could provide targeted guidance based on the characteristics of different stages to help patients with Crohn's disease tap into their inner resources and foster psychological growth.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"454-465"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052267","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":"Exploring Susceptibility of Dementia in Spouses of Diagnosed Patients: A Cross-Sectional Study.","authors":"Shaomei Sui, Yaoyao Cui, Paulo Moreira, Qi Wang, Lei Li, Yuanyuan Sun, Hua Xu, Jinsong Gu, Yan He","doi":"10.1002/nur.70010","DOIUrl":"https://doi.org/10.1002/nur.70010","url":null,"abstract":"&lt;p&gt;&lt;p&gt;The number of patients with dementia is rising. Although there is abundant information on the prevalence of dementia, we specifically focused our sample in the Jimo region in China which has a higher than typical prevalence. Additionally, there is insufficient evidence concerning the effects of having a diagnosis of dementia on the spouse of the diagnosed patient. Evidence suggests that one spouse having cognitive impairment has a negative impact on the cognitive function of the other spouse. Studies suggest that when one spouse has dementia, the other spouse is also at risk for dementia. Hence, evidence suggests that when one spouse was experiencing dementia symptoms, the risk of dementia for the other spouse has been found to be higher than that whose spouse was not experiencing dementia symptoms and vice-versa. The risk for dementia in the spouse of dementia patients needs to be further studied. To estimate the prevalence of dementia in the Jimo region in China and to provide evidence on the risk for dementia in the spouse of dementia patients from a local population. For the sample of over 6231 participants, a questionnaire survey was conducted on the general demographic information and the presence of chronic diseases. Fasting blood samples were collected for blood profile and blood biochemistry tests, and a 12-lead electrocardiogram was performed on each subject. Mini-Mental State Examination was used to assess the cognitive status of the subjects, and the Instrumental Activity of Daily Living scale was used for daily living abilities. Univariate analysis and multivariate logistic regression analysis were performed to identify the risk factors of dementia for the overall sample and within couples. This study followed the STROBE Protocol Statement's recommendations. The study results for the 1119 spouses suggest that the risk of dementia was significantly higher in both male and female spouses of diagnosed patients, with female spouses at a 5.591 times higher risk and male spouses at a 5.904 times higher risk compared to spouses without dementia, after adjusting for age, education, presence of coronary artery disease, stroke or diabetes, and high LDL-C levels. For the full data set (n = 6231), there was a 7.8% prevalence of dementia, where female gender, advanced age, coronary heart disease, stroke, diabetes, and high LDL-C were identified as risk factors for dementia, while a higher level of education was a protective factor. For the Jimo region of China, the prevalence of dementia was slightly higher than in other regions, and our study generated evidence on the higher probabilities of dementia in spouses of patients already diagnosed with dementia. Although causality cannot be ascertained, the data in this study help support that there is an association among the spouses, but not necessarily a causal link. It is possible that both spouses have similar lifestyles, diet, and other shared environmental factors leading them both to deme","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661010","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":"Integrating a Human-Centered Design Tool, dScout, to Design a Web-Based Intervention for Parent-Adolescent Sexual Health Communication.","authors":"Schenita D Randolph, Elizabeth Jeter, Christi Dining Zuber, Ragan Johnson, Maralis Emerson, Jolie S Jemmott, Allison Johnson","doi":"10.1002/nur.70009","DOIUrl":"https://doi.org/10.1002/nur.70009","url":null,"abstract":"<p><p>Black male adolescents and young adults (BMAYA) experience pronounced and persistent sexual health disparities compared to other groups in the US. This original research focuses on the early-stage development of The TALK, a nurse-led multi-pronged web-based eHealth intervention to improve shared parent-adolescent sexual health knowledge and communication. A community-engaged approach was used to codesign the intervention with a community advisory council and two Black-owned barbershop owners. Researchers leveraged human-centered design process using dscout, a virtual ethnographic research tool, to examine the usability, feasibility and acceptability of The TALK with parents of BMAYA (n = 13). Open- and close-ended questions captured qualitative data of end-users' experiences of and preferences for intervention technology and content within the three primary intervention components: videos, website, and an interactive activity. Feedback from participants on digital design, functionality, and overall ease of use and navigation of The TALK was beneficial for the initial intervention codesign process. Feedback was positive and constructive, highlighting where the intervention was culturally relevant and satisfying for users with recommendations for changes in areas of design friction and content accessibility before efficacy and effectiveness testing. This study helps understand how The TALK engaged participants and assisted in parent-adolescent communication through beta testing the technological design and content. Considering the potential for eHealth technologies in sexual health promotion and prevention for BMAYA, thoughtful design and quality experience should be developed early in the intervention design through human-centered processes and community-engaged approaches.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627778","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":"Status and Influencing Factors of Fatigue-Pain-Sleep Disturbance Symptom Cluster in Patients With Lung Cancer: A Latent Profile Analysis.","authors":"Dongmei Mao, Yuanyuan Luo, Le Zhang, Benxiang Zhu, Zhihui Yang, Lili Zhang","doi":"10.1002/nur.70011","DOIUrl":"https://doi.org/10.1002/nur.70011","url":null,"abstract":"<p><p>In this cross-sectional study, we aimed to explore the latent profiles of fatigue-pain-sleep disturbance symptom cluster in patients with lung cancer and analyze its influencing factors. A total of 310 patients with lung cancer who received systemic anticancer therapy were recruited as the research participants by convenience sampling. The fatigue-pain-sleep disturbance symptom cluster was assessed using the Cancer Fatigue Scale, Brief Pain Inventory, and Pittsburgh Sleep Quality Index. Additionally, patients' basic information, psychological resilience, and social support were evaluated through the general information questionnaire, the 10-item Psychological Resilience Scale, and the Perceived Social Support Scale. Latent profile analysis was employed to explore the profiles of the fatigue-pain-sleep disturbance symptom cluster, and binary logistic regression was used to analyze the influencing factors of the symptom cluster profiles. Results indicated that 297 patients (95.81%) exhibited the fatigue-pain-sleep disturbance symptom cluster, which comprised two profiles: low symptom group (79.80%) and high symptom group (20.20%). Logistic regression analysis revealed that those patients with a religion, a lower body mass index, and low family support were independent influencing factors for the high symptom burden group. To improve patients' quality of life, clinical staff should promptly identify those with a high symptom burden and implement targeted interventions based on these factors.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602253","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 Measurement of Evidence-Based Healthcare Competence of Nurses and Associated Background Factors: A Scoping Review.","authors":"Henna Härkönen, Hanna-Maria Hannila, Anne Oikarinen, Maria Kääriäinen, Saija Ylimäki, Anne-Mari Hietaniemi, Arja Holopainen, Miia Jansson, Tarja Pölkki, Pirjo Kaakinen, Outi Kanste, Anna-Maria Tuomikoski","doi":"10.1002/nur.70004","DOIUrl":"https://doi.org/10.1002/nur.70004","url":null,"abstract":"<p><p>Advancing evidence-based practice requires nurses to have competence in the spectrum of evidence-translation process known as evidence-based healthcare. A scoping review was conducted to identify the instruments used to measure nurses evidence-based healthcare competence and map the associated background factors. The review followed the JBI guidelines with a search made to seven databases CINAHL (EBSCO), PubMed, Scopus, Medic and gray literature EBSCO Open Dissertations & MedNar in 2021 and 2023. A total of 52 studies were included. Nurses' evidence-based healthcare competence related areas were measured with various instruments (n = 23). A total of 24 background factors were examined of which the six most frequently examined with reported associations to nurses' evidence-based competence were: educational level, work experience, EBP education, age, clinical setting, and research experience. Future research should examine the relation of measurement instruments to evidence-based healthcare competence, healthcare requirements and nursing roles, with further exploring the significance of background factors.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568076","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":"Poststroke Fatigue Adaptation Between Stroke Survivors and Care Partners: A Longitudinal Qualitative Analysis.","authors":"Chiao‑Hsin Teng, Ruth A Anderson, Barbara J Lutz, Ratchanok Phonyiam, Ashley L Bryant, Jia-Rong Wu, Baiming Zou, Leslie L Davis","doi":"10.1002/nur.70005","DOIUrl":"10.1002/nur.70005","url":null,"abstract":"<p><p>Poststroke fatigue severely affects stroke survivors (SSs) physically and mentally. Although the literature acknowledges the critical role of care partners (CPs) in survivors' fatigue adaptation, this topic remains under-explored. This study, guided by the Adaptive Leadership Framework for Chronic Illness, explored how SSs and CPs managed fatigue collaboratively within 6 months poststroke. This longitudinal qualitative analysis included nine first-time ischemic SSs and their CPs who consented to interviews. Semistructured interviews were conducted during the index hospitalization (or within 10 days postdischarge) and at 1, 3, and 6 months poststroke. Directed content analysis was used to analyze the data. Four themes were identified. First, SSs and CPs engaged in collaborative work by achieving a mutual understanding of fatigue levels but misalignment was found during 3-6 months poststroke. Second, CPs provided emotional and practical support, exercising adaptive leadership to help survivors adapt to fatigue. The support squad, including informal and formal helpers beyond the primary CPs, also undertook adaptive leadership behaviors to facilitate the post-stroke adaptation to fatigue for both SSs and CPs. Third, the day-to-day realities of post-stroke fatigue presented persistent challenges for SSs. Fourth, SSs managed fatigue (adaptive work) by using self-awareness, resting, and pacing activities. Results suggested the need for SSs and CPs to develop a shared understanding of fatigue. Healthcare professionals should treat SSs and CPs as an adaptive unit, ensuring access to support resources at discharge to facilitate post-stroke adaptation to fatigue.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531133","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 Intersectional Examination of Anxiety and Depression in Sexual and Gender Minorities.","authors":"Teresa A Graziano, Natalie J Shook","doi":"10.1002/nur.70002","DOIUrl":"https://doi.org/10.1002/nur.70002","url":null,"abstract":"<p><p>Extensive evidence demonstrates higher rates of anxiety and depression in sexual and gender minorities (SGM) compared to the general population. However, few studies have examined the intersection of sexual orientation and gender identity. Status as a multiple minority may further increase the risk for anxiety and depression. The goal of this study was to assess the extent to which anxiety or depression diagnosis, clinical cutoff, or symptom severity differed by gender identity, sexual orientation, or the intersection of the two. A sample of 554 US adults (75.6% White, between 18 and 65 years) were recruited through social media to complete an online survey. Of the sample, 44.2% were sexual minorities and 35.6% were gender minorities. Results from logistic regression analyses indicated that heterosexuals were 41% more likely to be diagnosed with anxiety, but sexual minorities were nearly three times more likely to be diagnosed with depression and 20 times more likely to meet PHQ-9 cutoffs. Based on analyses of covariance, gender minority participants reported significantly greater depression severity than cisgender participants. Sexual orientation and gender identity interacted in the depression, but not the anxiety symptom severity model. Cisgender sexual minorities had greater depression severity than cisgender heterosexuals, but lower depression severity than gender minorities who were also sexual minorities. These findings suggest that dual minorities experience greater minority stress, which worsens depression symptom severity. This has important clinical implications for nurses caring for SGMs. Future studies should consider intersectional analysis to elucidate further the compounding effects of dual minority status on SGMs.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531131","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":"Effects of Social Network-Based Health Education on Older Adults With Type 2 Diabetes Mellitus: A Randomized Controlled Trial.","authors":"Shishi Wu, Yu Liu, Fang Zhao, Keke Lin, Quanying Wu, Caihong Li, Li Wang, Ruiting Zhang","doi":"10.1002/nur.70006","DOIUrl":"https://doi.org/10.1002/nur.70006","url":null,"abstract":"<p><p>To evaluate the effects of social network-based health education on self-management, self-efficacy and HbA1c of older adults with type 2 diabetes mellitus (T2DM). A convenience sample of 64 elderly T2DM patients with poor glycemic control was randomly divided into two groups. The intervention group received social network-based health education with their nominated social network member for 12 weeks, while the control group received health education alone. The scores of Summary of Diabetes Self-Care Activities (SDSCA), Diabetes Self-Efficacy Scale (DSES), and HbA1c were compared between groups at the baseline and after 12 weeks by using RM-ANOVA. Sixty older adults with T2DM, 30 cases in each group, completed the study. The diet and blood glucose testing dimensions of C-SDSCA had an interaction effect on group-by-time (F were 4.700 and 4.752, respectively, p < 0.05). The mean diet dimension score increased by 1.55 in the intervention group, while 0.76 in the control group, and the score of blood glucose testing dimension increased by 3.5 in the intervention group, while 0.75 in the control group. No significant group-by-time differences were found in C-DSES (F = 1.667, p > 0.05) and HbA1c (F = 0.553, p > 0.05). Social network-based health education effectively promotes self-management in diet and blood glucose testing of the elderly T2DM patients with poor glycemic control. Trial Registration: China Clinical Trial Registration Center (ChiCTR2000038177).</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487122","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":"Comment On \"The Longitudinal Effects of Low Body Mass Index on Unfavorable Physical Health Outcomes Among Older Adults Receiving Homecare Nursing: A Prospective Cohort Study\".","authors":"Rachana Mehta, Ranjana Sah","doi":"10.1002/nur.70003","DOIUrl":"https://doi.org/10.1002/nur.70003","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477897","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":"Health Behavior Decision-Making of Stroke High-Risk Population: A Latent Profile Analysis.","authors":"Chenxi Zhou, Shanshan Wang, Beilei Lin, Bowen Liu, Lanlan Zhang, Yunjing Qiu, Jingfeng Chen, Haoran Wang, Zhenxiang Zhang","doi":"10.1002/nur.70001","DOIUrl":"10.1002/nur.70001","url":null,"abstract":"<p><p>The primary prevention of stroke high-risk groups is contingent upon health behavior intervention, and the key to such interventions is health behavioral decision-making. The present study aims to explore the potential classification of the health behavior decision-making of high-risk stroke groups using latent profile analysis (LPA) and the key influencing factors of the LPA classes. A cross-sectional study was conducted from January to May 2023 with 264 high-risk individuals of stroke in Henan Province, China. Data were collected using the Behavioral Decision Assessment Scale of Stroke Patients, the Revised Health Promoting Lifestyle Profile-II and the Social Support Rating Scale. LPA showed that a three-profile model of health behavior decision-making best fit this study. Health behavior decision-making of stroke high-risk groups were divided into three latent classes: high-output behavior type (23.1%), influence-impervious type (60.6%), and influence-sensitive type (16.3%). Comparisons between the three LPA classes showed that living situation, per capita monthly household income, hypertension, overweight/obesity, health promoting lifestyle behavior were significantly different between the participants' latent classes of behavior decision-making. Clinical staff can develop targeted interventions according to different problems existing in the decision-making processes, and improve and implement the screening content and process among community high-risk stroke groups, which has practical significance for promoting their healthy behaviors. Patient or Public Contribution: In our study, survey questionnaires were completed by participants at high risk of stroke.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334456","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}