Asian Nursing Research最新文献

{"title":"Factors associated with readmission in patients with left ventricular assist devices in South Korea.","authors":"Hyeonji Kang, Mona Choi","doi":"10.1016/j.anr.2024.12.009","DOIUrl":"https://doi.org/10.1016/j.anr.2024.12.009","url":null,"abstract":"<p><strong>Purpose: </strong>Although left ventricular assist devices (LVAD) are increasingly used as a standard treatment for end-stage heart failure, few studies have explored LVAD-related readmissions. This study investigated the factors associated with readmission and nursing documentation in patients with LVAD.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on electronic medical records of patients who underwent LVAD implantation at a tertiary hospital in South Korea (January 2015-April 2023). Baseline and clinical characteristics and nursing documentation were analyzed using χ² test, Fisher's exact test, t-test, and logistic regression.</p><p><strong>Results: </strong>Of the 127 patients (mean age 61.31 ± 13.27 years, 81.1% male), 63.3% underwent LVAD implantation as a bridge to heart transplantation, and 85 (67.0%) were readmitted within 104 days. Bivariate analyses identified 17 variables significantly differing between readmission and non-readmission groups. The New York Heart Association (NYHA) class II (OR 7.29), NYHA Class III (OR 47.14), prothrombin time (OR 32.65), and presence of free-text nursing notes (OR 7.58) were significant factors of readmission.</p><p><strong>Conclusion: </strong>Nurses play a vital role in managing patients and helping to reduce readmission rates. In addition to the NYHA class and prothrombin time this research highlights the critical importance of comprehensive nursing documentation. Specifically, 'free-text nursing notes' capture critical patient events and observations, such as non-sustained ventricular tachycardia, bleeding, and noncompliance, providing valuable insights for clinical decision-making and enhancing patient management to prevent unplanned readmissions. These findings highlight the importance of nursing roles in documentation, patient education, and personalized discharge planning to improve clinical outcomes for patients with LVAD.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477187","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":"Identifying and Prioritizing the Moral Virtue Indicators for Undergraduate Nursing Students: Measurement Invariance Testing across Class Levels.","authors":"Pisamai Orathai, Benchaporn Chuengkriangkrai, Kesinee Chaimo","doi":"10.1016/j.anr.2025.01.006","DOIUrl":"https://doi.org/10.1016/j.anr.2025.01.006","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to identify and prioritize the importance of the moral virtue indicators for undergraduate nursing students and to test the non-invariant indicators across class levels.</p><p><strong>Methods: </strong>Secondary data from a sample of 1,000 Thai undergraduate nursing students from two nursing education institutes (one university nursing school and one nursing college of the Ministry of Public Health) was split into the first-, second-, third-, and fourth-year student groups (n = 247, 229, 246, and 278, respectively). A confirmatory factor analysis was conducted to identify and prioritize the importance of the moral virtue indicators in four student groups separately. The non-invariant indicators testing across the four class levels was employed using multiple-group analysis.</p><p><strong>Results: </strong>The ten indicators were crucial for nursing students' moral virtue across the first to fourth years. The most important indicator for the first- and second-year student nurses was cooperation, while honesty was the most crucial for the third-year student nurses, and caring was the most dominant for the fourth-year student nurses. The testing of non-invariant indicators confirmed that each indicator contributed differently to the moral virtue of junior and senior students.</p><p><strong>Conclusions: </strong>The findings spotlight the importance of the ten moral virtue indicators for undergraduate nursing students. Besides, the junior and senior student nurses prioritized the importance of the ten indicators measuring moral virtue differently. Therefore, administrators and nurse educators should provide the ethical scenarios and issues for classroom discussion and implement clinically authentic case-based simulations with timely feedback in laboratories for junior students. A regulatory process on moral virtues, using critical reflection, assessment criteria, and multi-rater assessors, should be deliberated in clinical training for senior students so that they adhere to moral virtues. These tailored strategies may help student nurses recognize their ethical behavior and gain personal and professional development as future nurses.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477207","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":"Internal Structure of the Patient Health Questionnaire-9: A Systematic Review and Meta-analysis","authors":"Duckhee Chae ,&nbsp;Jiyeon Lee ,&nbsp;Eun-Hyun Lee","doi":"10.1016/j.anr.2024.12.005","DOIUrl":"10.1016/j.anr.2024.12.005","url":null,"abstract":"<div><h3>Purpose</h3><div>This review aimed to evaluate the internal structure (structural validity, internal consistency, and measurement invariance) of the Patient Health Questionnaire-9 (PHQ-9), which is one of the most widely used self-administered instruments for assessing and screening depression.</div></div><div><h3>Methods</h3><div>The updated COnsensus-based Standards for the selection of health Measurement Instruments methodology for a systematic review of self-reported instruments was used. PubMed, Embase, CINAHL, PsycINFO, and the Cochrane Library databases were searched from their inception up to February 28, 2023.</div></div><div><h3>Results</h3><div>This study reviewed 98 psychometric studies reported on in 90 reports conducted in 40 countries. Various versions of the PHQ-9 were identified: one-factor structures (8 types), two-factor structures (10 types), bifactor structures (4 types), three-factor structure (1 type), and second-order three-factor structure (1 type). There was sufficient high-quality evidence for structural validity of the one-factor structure with nine items scored using a four-point Likert scale based on confirmatory factor analysis, for internal consistency with a quantitatively pooled Cronbach α of .85, and for measurement invariance across sex, age, education level, marital status, and income groups. There was sufficient high-quality evidence for structural validity, internal consistency (Cronbach’s α = .76– .92, <span><math><mrow><mi>ω</mi></mrow></math></span> = 0.83– .92), and measurement invariance across sex for the PHQ-8 (which excluded item 9: “suicidality or self-harm thoughts”).</div></div><div><h3>Conclusion</h3><div>The one-factor PHQ-9 and PHQ-8 (excluding item 9) scored using a four-point Likert scale have the best internal structure based on the current evidence. The one-factor PHQ-9 and PHQ-8 justify the use of aggregated total scores in both practice and research. The total score of the PHQ-9 using a four-point Likert scale can be used to compare depression levels across sex, age, education level, marital status, and income groups due to the availability of sufficient evidence for measurement invariance across these demographic groups.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Nurses’ Intention to Stay: Examining the Impact of Healthcare Policy Involvement","authors":"Asma Al Yahyaei ,&nbsp;Zainab Al Kindi ,&nbsp;Sulaiman Al Sabei ,&nbsp;Wafa Al Jabri","doi":"10.1016/j.anr.2024.12.004","DOIUrl":"10.1016/j.anr.2024.12.004","url":null,"abstract":"<div><h3>Purpose</h3><div>This study explores the relationship between nurses' active involvement in healthcare policy development and their intention to stay in their current roles. It aims to assess how this involvement in healthcare policy activities influences their intention to stay in their current.</div></div><div><h3>Methods</h3><div>Employing a cross-sectional design, the study surveyed nurses across five major publicly funded teaching hospitals in Oman using an online self-administered questionnaire titled the “Involvement in Health Policy Scale.” Analytical methods included descriptive statistics, bivariate correlation analysis, and multiple regression analysis to identify predictors of nurses' intention to stay.</div></div><div><h3>Results</h3><div>Of the 1200 distributed surveys, 1017 responses were useable (85% response rate). The sample was predominantly female (87.9%), with an average age of 35 years. Nurses reported a moderate intention to stay (mean ITS = 3.13, SD = 0.80). Regression analysis indicated that increased involvement in health policy was a significant positive predictor of intention to stay (β = 0.09, <em>p</em> &lt; .007). More experienced nurses (β = 0.078, <em>p</em> &lt; .044) and non-Omani nationality (β = 0.213, <em>p &lt; .001</em>) were also positive predictors. Conversely, being single and facing numerous barriers were negative predictors of intention to stay (β = −0.071, <em>p</em> &lt; .008; β = −0.165, <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>The study underscores the positive impact of nurses' involvement in healthcare policy on their intention to stay in their roles. It highlights the necessity for healthcare organizations to foster environments that enhance nurse engagement in policy-making, thereby potentially improving retention rates and sustaining their workforce.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 69-77"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Need for and Acceptance of Digital Health Interventions for Self-Management Among Older Adults Living Alone: A Mixed-Methods Approach","authors":"Gahye Kim ,&nbsp;Minhwa Hwang ,&nbsp;Seonghyeon Lee ,&nbsp;Yeon-Hwan Park","doi":"10.1016/j.anr.2024.12.007","DOIUrl":"10.1016/j.anr.2024.12.007","url":null,"abstract":"<div><h3>Purpose</h3><div>Although digital solutions could mitigate the challenges faced by older adults living alone (OALA), only a few studies investigated the need for and acceptance of digital health interventions for self-management (DHISMs) among this demographic. Thus, we aim to explore this need and acceptance, along with the contextual factors, among OALA.</div></div><div><h3>Methods</h3><div>A mixed-methods research approach was adopted. We conducted 1) a quantitative survey (<em>n</em> = 191) to investigate the need for and acceptance of DHISMs using a numeric rating scale and 2) a qualitative study (<em>n</em> = 24) based on focus group interviews to explore contextual factors related to the quantitative results. Qualitative data were analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>In the quantitative study, the mean scores for the need for and acceptance of DHISMs were 6.41 and 6.53 out of 10, respectively. Emergency response systems had the highest need and acceptance scores, whereas digital interventions for behavioral change (medication adherence, sleep, stress, and diet management) had relatively lower scores. The qualitative analysis revealed two themes and five subthemes: the need for inclusive support for independent living (environmental safety and diverse self-management challenges with limited support) and multidimensional factors related to DHISM acceptance (personal, technological, and relational barriers and facilitators).</div></div><div><h3>Conclusions</h3><div>In the future, the unique and multidimensional factors influencing the need for and acceptance of DHISMs among OALA should be carefully considered to support their self-management and independent living. Blended care, which involves integrating age-friendly technology with personalized human interaction, is pivotal for increasing DHISM acceptance in this population.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 86-95"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Habitual Drug Use Among Adolescents: A Secondary Data Analysis","authors":"Dong-Hee Kim ,&nbsp;Yujin Kim","doi":"10.1016/j.anr.2024.12.006","DOIUrl":"10.1016/j.anr.2024.12.006","url":null,"abstract":"<div><h3>Purpose</h3><div>Drug use during adolescence can have lasting health consequences, and understanding the factors that contribute to drug use is essential for effective prevention. This study aimed to identify the factors influencing habitual drug use among South Korean adolescents. It employed Bronfenbrenner's ecological model to examine personal, familial, school-related, and social factors.</div></div><div><h3>Methods</h3><div>The study analyzed data from the 19th Korea Youth Risk Behavior Survey for 41,928 students from 1st grade of middle school to 3rd grade of high school. Data analysis involved cross-tabulation and logistic regression for complex samples.</div></div><div><h3>Results</h3><div>The prevalence of habitual drug use was 1.4%. Significant personal factors included smoking [adjusted odds ratio (aOR) = 2.61], alcohol consumption (aOR = 1.55), sexual intercourse (aOR = 1.45), smartphone overdependence (high-risk group aOR = 2.04, potential risk group aOR = 1.31), suicidal ideation (aOR = 2.66), depressed mood (aOR = 1.87), and loneliness (aOR = 1.88). Significant family factors included non-cohabitation with family (aOR = 1.86) and both parents being foreign-born (aOR = 3.36). Experience of violence (aOR = 2.95) was also a significant factor.</div></div><div><h3>Conclusion</h3><div>This study highlights the need for an integrated approach to prevent adolescent drug use by addressing adolescents’ personal behaviors, family dynamics, and school environments. Prevention programs should account for the influence of multiple systems on habitual drug use. School and community nurses should adopt a comprehensive, multi-dimensional strategy that involves families, schools, and communities to prevent adolescent drug use. Additionally, there is a need to develop family-centered and culturally sensitive drug prevention programs for adolescents.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 78-85"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Registered Nurses’ Safety Nursing Activities in Nursing Homes","authors":"Jiyeon Lee ,&nbsp;Sunyeob Choi","doi":"10.1016/j.anr.2024.11.003","DOIUrl":"10.1016/j.anr.2024.11.003","url":null,"abstract":"<div><h3>Purpose</h3><div>A key challenge in quality improvement is ensuring resident safety, especially in nursing homes. However, few studies have comprehensively examined safety nursing activities and explored the possible contributing factors, such as organizational or individual factors, within this context. This study analyzes safety nursing activities in nursing homes and explores the relationship between organizational and individual factors regarding these activities.</div></div><div><h3>Methods</h3><div>In total, 38 nursing homes and 151 individual registered nurses were surveyed. Data were analyzed using multilevel regression analysis.</div></div><div><h3>Results</h3><div>Registered nurse–related factors, teamwork, organizational nursing home–related factors, and the ratio of registered nurses to residents were significant factors associated with safety nursing activities.</div></div><div><h3>Conclusions</h3><div>To increase registered nurses’ safety nursing activities, it is necessary to assess how well the team functions in nursing homes and develop interventions to improve team efficiency, including increasing the number of registered nurses to ensure sufficient time for safety nursing activities.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 19-26"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of a Questionnaire to Measure Nurses' Perceived Knowledge, Attitudes, and Practices Related to Motor Function Rehabilitation in Stroke Patients with Hemiplegia","authors":"Yajie Shi ,&nbsp;Shufang Shi ,&nbsp;Jiangyan Ren ,&nbsp;Bo Zeng ,&nbsp;Zhiwei Tang ,&nbsp;Li Yao ,&nbsp;Wanling Li","doi":"10.1016/j.anr.2024.11.002","DOIUrl":"10.1016/j.anr.2024.11.002","url":null,"abstract":"<div><h3>Purpose</h3><div>To develop a questionnaire to measure nurses' perceived knowledge, attitudes, and practices related to motor function rehabilitation in stroke patients with hemiplegia (MFRSPH-PKAP-Q), and to evaluate its reliability and validity.</div></div><div><h3>Methods</h3><div>This study was conducted in four phases: (1) creating a pool of potential items; (2) developing the preliminary scale using a Delphi survey; (3) conducting item reduction to refine the scale; and (4) testing the validity and reliability of the final scale.</div></div><div><h3>Results</h3><div>The questionnaire comprises 45 items. Exploratory factor analysis (EFA) revealed a three-factor model, explaining 55.8% of the variance, which encompassed perceived knowledge, attitudes, and practices. Confirmatory factor analysis (CFA) affirmed the suitability of this three-factor model for the data. Additionally, assessments of content validity, convergent validity, and discriminant validity all yielded favorable results. The Cronbach's α coefficient, split-half reliability, and test-retest reliability of the entire questionnaire were .94, .91, and .92, respectively.</div></div><div><h3>Conclusions</h3><div>The MFRSPH-PKAP-Q has been demonstrated to be both valid and reliable, and is therefore recommended for use in clinical practice.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 27-36"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turkish Validity and Reliability Study of the Sustainability Attitudes in Nursing Survey 2","authors":"Hatice Gurgen Simsek","doi":"10.1016/j.anr.2024.10.010","DOIUrl":"10.1016/j.anr.2024.10.010","url":null,"abstract":"<div><h3>Purpose</h3><div>It is important to examine the attitudes of future nurses toward adopting a sustainability approach in their nursing practice. This study aimed to test the Sustainability Attitudes in Nursing Survey 2 psychometrically.</div></div><div><h3>Methods</h3><div>The methodological, descriptive study was conducted in November 2019 on nursing students (<em>n</em> = 286) at a university in Türkiye. Data were analyzed for reliability and validity tests. Statistics of the linguistic content validity analysis and exploratory/confirmatory factor analysis were performed to determine the scale's validity. Cronbach Alpha coefficient, floor and ceiling impacts, Tukey's test, and Hotelling's T² test, test-retest reliability were determined for the scale's reliability.</div></div><div><h3>Results</h3><div>The content validity index of the scale, which consists of five items and one dimension, is .98. Factor loadings were above .30, all the fit indices were &gt;.95, χ²/<em>df</em> was 1.58, and the root means square error of approximation was .045. Cronbach's α was .75. The floor and ceiling impacts were 0.0% and 3.1%. In Tukey's test, <em>F</em> was 3.43 and <em>p</em> was .064. In Hotelling's <em>T</em>^<em>2</em> test, Hotelling's <em>T</em>^<em>2</em> was 265.59 and <em>F</em> was 65.68 (<em>p</em> &lt; .001). Item-total correlation coefficients were between .37 and .63. The test-retest correlation coefficient was .39.</div></div><div><h3>Conclusion</h3><div>The scale is a valid and reliable instrument in the Turkish language. It is advised to use the scale in determining attitudes towards sustainability among nursing students, evaluating the effectiveness of training, and taking student opinions in curriculum revisions. Also, the study allowed cross-country comparisons, and it is thought that it can guide studies on the inclusion of sustainability principles in nursing practices.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 13-18"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Role of Resilience between Dyadic Perceived Social Support and Depression at the Older Adults with Disabilities and their Family Caregivers in China: An Actor–Partner Interdependence Model Extended to Mediation","authors":"Huixian Chen,&nbsp;Yi Fang,&nbsp;Linlin Ma,&nbsp;Wen Jiang,&nbsp;Fen Luo,&nbsp;Shuya Cai,&nbsp;Zhi Li,&nbsp;Liyan Fu,&nbsp;Zhiqin Yin","doi":"10.1016/j.anr.2024.11.001","DOIUrl":"10.1016/j.anr.2024.11.001","url":null,"abstract":"<div><h3>Purpose</h3><div>The goal of this study is to investigate the actor and partner effects of perceived social support and depression in older adults with disabilities and their family caregivers and to investigate the mediating role of resilience in the actor and cross-partner effects of perceived social support on depression.</div></div><div><h3>Methods</h3><div>We selected 425 pairs of older adults with disabilities and their family caregiver. We used the Resilience Scale, Perceived Social Support Scale, and Patient Health Questionnaire-9 to evaluate them. Dyadic data were analyzed by actor–partner interdependence mediation model, we analyzed how perceived social support and depression affected the relationship between older adults with disabilities and their family caregivers at individual and dyadic levels. The mediation function of resilience between perceived social support and depression was also further examined. Several sensitivity analyses were conducted to validate the stability of the results.</div></div><div><h3>Results</h3><div>The perceived social support of the caregivers had an actor effect on their depression, while the actor–actor indirect effect of resilience between the perceived social support and depressive symptoms in older adults with disabilities and their caregivers was significant. The indirect effect of resilience on perceived social support and depression in disabled elders and caregivers had significant cross-partner effects.</div></div><div><h3>Conclusion</h3><div>Healthcare personnel should regard older adults with disabilities and family caregivers as a community, focusing on enhancing social support for both parties in a timely manner. They should develop family-oriented intervention programs to enhance psychological resilience among family members and emphasize dyadic nursing care services and plans to alleviate depression and effectively enhance the quality of life for both parties.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 37-45"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}