Asian Nursing Research最新文献

{"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, Yi Fang, Linlin Ma, Wen Jiang, Fen Luo, Shuya Cai, Zhi Li, Liyan Fu, Zhiqin Yin","doi":"10.1016/j.anr.2024.11.001","DOIUrl":"https://doi.org/10.1016/j.anr.2024.11.001","url":null,"abstract":"<p><strong>Purpose: </strong>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. Additionally, to investigate the mediating role of resilience in the actor and cross-partner effects of perceived social support on depression.</p><p><strong>Methods: </strong>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 was analyzed by actor-partner interdependence mediation model (APIMeM), 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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-09","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of the Individualized Self-Care Program Based on Orem's Self-Care Theory: Impact on Learning Needs and Self-Care Behaviors Following Coronary Artery Bypass Surgery – A Randomized Controlled Trial","authors":"Mohannad Jamil Alkuwaisi ,&nbsp;Salman Hamdan Alsaqri ,&nbsp;Awatif Mansour AL-Rashidi ,&nbsp;Amira Ali Alshowkan ,&nbsp;Romeo P. Mostoles Jr ,&nbsp;Larry Terence Ong Cornejo","doi":"10.1016/j.anr.2024.10.008","DOIUrl":"10.1016/j.anr.2024.10.008","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the specific learning needs of patients within the experimental group after receiving the Individualized Self-Care Program (ISCP) at two key time points: Time 2 (Day 2, Week 1) and Time 3 (Day 15, Week 3). Furthermore, it aimed to compare the effectiveness of the ISCP in improving self-care behavior between the experimental group and the control group, which received standard health education.</div></div><div><h3>Methods</h3><div>The study utilized a randomized controlled trial (RCT) design and included a consecutive sample of 128 patients who had undergone their first Coronary Artery Bypass Graft (CABG) procedure. These patients were randomly divided into two groups: the experimental group (<em>n</em> = 64) and the control group (<em>n</em> = 64). The experimental group received an ISCP at Time 2 and Time 3 after being discharged, whereas the control group received standard health education. Statistical analyses included paired t-tests to assess differences in learning needs over time and Repeated Measures Analysis of Variance (ANOVA) to evaluate the effectiveness of the ISCP on self-care behavior.</div></div><div><h3>Results</h3><div>A paired t-test indicated a statistically significant difference in the total number of learning needs identified within the experimental group between Time 2 and Time 3 assessments. Patients in the experimental group initially identified more learning needs at Time 2 (4.3 ± 1.5), but their knowledge significantly improved at Time 3, leading to fewer learning needs (2.6 ± 1.1). Furthermore, an ANOVA comparing the experimental and control groups showed that the ISCP effectively improved self-care behavior in the experimental group, with significantly greater improvements compared to the control group, which received standard health education.</div></div><div><h3>Conclusion</h3><div>ISCP delivered in early recovery enhances self-care behaviors and addresses postdischarge gaps. The study also revealed that patients' learning needs change over time during home recovery, emphasizing the importance of tailored self-care programs for CABG patients after discharge.</div></div><div><h3>Trial registration</h3><div>IRCT registration number: ISRCTN96836216.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 516-524"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570226","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":"Therapeutic Communication Using Mirroring Interventions in Nursing Education: A Mixed Methods Study","authors":"Seung Hee Lee,&nbsp;Hye Jin Yoo","doi":"10.1016/j.anr.2024.09.012","DOIUrl":"10.1016/j.anr.2024.09.012","url":null,"abstract":"<div><h3>Purpose</h3><div>Therapeutic communication between nurses and patients is a method of interaction occurring throughout the process of identifying and resolving the patient's health problems. This study investigated the effects of interventions on nursing students' therapeutic communication competency.</div></div><div><h3>Methods</h3><div>This mixed methods study used a sequential exploratory design involving four sessions of therapeutic communication interventions with 40 third-year nursing students in South Korea. A pre- and post-therapeutic communication competence survey was conducted, and the effect was confirmed through individual interviews. Paired <em>t</em>-tests assessed the difference in therapeutic communication competence, while qualitative data underwent content analysis.</div></div><div><h3>Results</h3><div>Therapeutic communication competence results improved from 79.30 to 89.58 points out of 100. Three themes were derived: “the process of properly recognizing myself,” “active learning to understand communication between myself and others,” and “successful steps toward practicing sincere nursing.”</div></div><div><h3>Conclusions</h3><div>Therapeutic communication interventions involving mirroring interviews and shared experiences improve nursing students’ patient-centered communication skills. The findings provided evidence for strategies needed to improve therapeutic communication competency in clinical settings.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 435-442"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332892","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":"Reviewer Acknowledgement","authors":"","doi":"10.1016/S1976-1317(24)00156-7","DOIUrl":"10.1016/S1976-1317(24)00156-7","url":null,"abstract":"","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages I-II"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144786","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":"Validity and Reliability of the Korean Version of the Caregiver Burden Questionnaire for Family Caregivers of Hemodialysis Patients","authors":"Ji-young Jung ,&nbsp;Ji-yeon Kim","doi":"10.1016/j.anr.2024.10.007","DOIUrl":"10.1016/j.anr.2024.10.007","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to adapt and validate the Korean version of the Caregiver Burden Questionnaire for Family Caregivers of Hemodialysis Patients, originally developed by Hejazi et al. in 2022, to ensure its applicability and validity in Korea.</div></div><div><h3>Methods</h3><div>Using both online and offline approaches, this study included 230 family caregivers. Data analysis was performed with SPSS AMOS version 29.0 using the Korean version of the Caregiver Burden Questionnaire for Family Caregivers of Hemodialysis Patients and the Korean version of the Zarit Burden Interview as the primary instruments.</div></div><div><h3>Results</h3><div>The findings confirmed the high content validity of the questionnaire (scale-level content validity index = .99), and confirmatory factor analysis established its construct validity. Convergent validity was confirmed with average variance extracted values ranging from .43 to .87, and composite reliability scores ranging from .80 to .91. A significant positive correlation with the Korean version of the Zarit Burden Interview (r = .81) demonstrated concurrent validity. The tool consists of 21 items across four factors on a 5-point Likert scale, exhibiting excellent internal consistency (Cronbach's α = .91) and good test-retest reliability (intraclass correlation coefficient = .79).</div></div><div><h3>Conclusion</h3><div>This study validated a reliable instrument for assessing caregiver burden in families of hemodialysis patients in Korea. This tool accurately measures caregiver challenges and has the potential to enhance societal health and welfare.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 509-515"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570282","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":"Mediation Effects of Self-care Self-efficacy and Health-promoting Behaviors on Fear of Cancer Recurrence and Posttraumatic Growth in Postoperative Patients With Cervical Cancer: A Cross-sectional Study","authors":"Lin Li ,&nbsp;Yanjiao Su","doi":"10.1016/j.anr.2024.10.003","DOIUrl":"10.1016/j.anr.2024.10.003","url":null,"abstract":"<div><h3>Purpose</h3><div>High recurrence risks significantly contribute to poor health outcomes among postoperative cervical cancer patients. This study aimed to determine the impact of fear of cancer recurrence (FCR) on the posttraumatic growth (PTG) in postoperative cervical cancer patients and to investigate the mediating effects of self-care self-efficacy and health-promoting behaviors within this relationship.</div></div><div><h3>Methods</h3><div>A total of 334 cervical cancer patients who had undergone surgery in three tertiary hospitals in Liaoning Province, China, were recruited using a convenience sampling method. Data were collected using the general information questionnaire, the Fear of Progression Questionnaire (FCR), the Post-traumatic Growth Inventory (PTG), the Strategies Used by People to Promote Health (self-care self-efficacy), and the Health-Promoting Lifestyle Profile (health-promoting behaviors). Data analysis was performed using descriptive analysis, Pearson's correlations, and multiple linear regression analysis. A structural equation model was conducted using Amos 24.0 software.</div></div><div><h3>Results</h3><div>PTG of cervical cancer patients after surgery was significantly and negatively associated with FCR (<em>r</em> = −.54, <em>p</em> &lt; .001), while positively correlated with self-care self-efficacy (<em>r</em> = .51, <em>p</em> &lt; .001) and health-promoting behaviors (<em>r</em> = .59, <em>p</em> &lt; .001). The mediation model revealed that self-care self-efficacy (Boots 95% CI 0.39 ∼ 0.15) and health-promoting behaviors (Boots 95% CI 0.51 ∼ 0.24) independently served as mediating factors, respectively. Self-care self-efficacy and health-promoting behaviors played a significant chain mediating effect between FCR and PTG (Boots 95% CI 0.19 ∼ 0.07), with an indirect effect of 11.6%.</div></div><div><h3>Conclusion</h3><div>This study demonstrated that self-care self-efficacy and health-promoting behaviors partially mediated the relationship between FCR and PTG in cervical cancer survivors after surgery. Implementing tailored interventions that focus on enhancing self-care self-efficacy and health-promoting behaviors among cervical cancer survivors may help alleviate concerns about cervical cancer recurrence and enhance PTG following surgery.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 468-478"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481603","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":"Validity and Reliability of the Korean Version of the Trauma-Informed Climate Scale-10","authors":"Kyung-Sook Bang ,&nbsp;Sungjae Kim ,&nbsp;Wooksoo Kim ,&nbsp;Sinyoung Choi ,&nbsp;Yeseul Jeong ,&nbsp;Ji-Hye Choe","doi":"10.1016/j.anr.2024.10.002","DOIUrl":"10.1016/j.anr.2024.10.002","url":null,"abstract":"<div><h3>Purpose</h3><div>The Trauma-Informed Climate Scale-10 is a short form developed to efficiently measure staff perceptions of the values of trauma-informed care within the service environment. This study aimed to evaluate the reliability and validity of the Korean version of the Trauma-Informed Climate Scale-10 (K-TICS-10) among Korean nurses.</div></div><div><h3>Methods</h3><div>The K-TICS-10 underwent a linguistic validation process, including translation, back-translation, and expert committee review. Data were collected from 218 nurses in a tertiary general hospital in South Korea. Internal consistency reliability was assessed using Cronbach's α. Structural validity was tested through confirmatory factor analysis. Convergent validity was examined using Pearson's correlation with affective commitment and burnout. Item-convergent validity was evaluated to examine the internal structure of the scale.</div></div><div><h3>Results</h3><div>The Korean version of the TICS-10 demonstrated reliable internal consistency, with Cronbach's α of .82. The fitness of the modified model was acceptable (χ2/Df = 2.85, goodness-of-fit index = .92, root mean square error of approximation = .09, standardized root mean square residual = .08, Normed fit index = .88, Tucker–Lewis index = .88, and comparative fit index = .91). Convergent validity of the K-TICS-10 was confirmed by significant correlation with affective commitment (r = .56, <em>p</em> &lt; .001) and burnout (r = −.53, <em>p</em> &lt; .001), respectively. The average extracted variances (.34) and composite reliability (.81) indicated adequate convergent validity of the items.</div></div><div><h3>Conclusion</h3><div>The findings of this study support the satisfactory psychometric properties of the K-TICS-10, indicating its utility for evaluating the trauma-informed climate within the nursing work environment in Korea.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 460-467"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481605","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":"Health Literacy in Fall-Prevention Strategy: A Scoping Review","authors":"Yusun Park ,&nbsp;Sung Reul Kim ,&nbsp;Hyun-Ju Seo ,&nbsp;Jeonghyun Cho","doi":"10.1016/j.anr.2024.10.011","DOIUrl":"10.1016/j.anr.2024.10.011","url":null,"abstract":"<div><h3>Purpose</h3><div>Although the significance of health literacy (HL) in fall-prevention strategies is growing, limited knowledge is available regarding the relationship, impact, and role of HL in falls. This scoping review aimed to explore and synthesize the current evidence regarding the role of HL in enhancing fall prevention in hospital and community settings.</div></div><div><h3>Methods</h3><div>We adhered to the Joanna Briggs Institute manual and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews. PubMed, CINAHL, EMBASE, and the Cochrane Library were searched until November 2023 using Medical Subject Headings and text words. Studies related to HL and falls, regardless of study design, were considered eligible.</div></div><div><h3>Results</h3><div>We screened 99,249 records, of which 27 were included: 12 interventional studies, seven observational studies, four qualitative studies, and four mixed-methods studies. Two-thirds of the studies were conducted in community-based settings. Four observational studies reported that HL was associated with fall-related outcome including fall incidence. Although intervention studies did not encompass all elements of HL based on the Health Literacy Framework, eight out of 12 intervention studies reported the effect of HL-embedded fall-prevention interventions, and HL was effective in fall-related outcomes including fall incidence in six studies. Three of 14 studies reported the measurement properties of fall-related HL. While HL can be increased through tailored information, verbal debriefing, interactive communication, and culturally adapted interventions, low HL impedes the understanding of education, engaging interventions, and using technological devices in implementing fall-prevention interventions in qualitative and mixed-methods studies.</div></div><div><h3>Conclusion</h3><div>This scoping review suggests that nurses need to recognize and assess patients’ HL as a potential risk factor for falls and implement fall-prevention interventions based on the HL level of participants. Further research is required to develop culturally adapted and fall-relevant HL measures applicable to various vulnerable populations and settings.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 532-544"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644099","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":"Sensitivity of Fall Risk Perception and Associated Factors in Hospitalized Patients with Mental Disorders","authors":"Ji Young Kim ,&nbsp;Sung Reul Kim ,&nbsp;Yusun Park ,&nbsp;Jin Kyeong Ko ,&nbsp;Eunmi Ra","doi":"10.1016/j.anr.2024.10.001","DOIUrl":"10.1016/j.anr.2024.10.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To reduce falls in hospitalized patients with mental disorders, the patients should be sensitive to fall risk perception. This study identified the sensitivity to fall risk perceptions and associated factors, including demographic, clinical, and fall-related factors, among inpatients with mental disorders.</div></div><div><h3>Methods</h3><div>We used a descriptive, cross-sectional design, recruiting 170 inpatients with mental disorders from two psychiatric hospitals in South Korea. Sensitivity to fall risk perception was classified using fall occurrence and the Fall Risk Perception Questionnaire.</div></div><div><h3>Results</h3><div>The prevalence of falls was 16.5%. Approximately 47% of falls occurred within 10 days of hospitalization, 67.9% within 1 month, and 85.7% within 2 months. Among the 28 participants who fell, 60.7% had inadequate low sensitivity to fall risk perception. Among the 142 participants who did not fall, 11.3% had inadequate high sensitivity to fall risk perception. A low sensitivity to fall risk perception was related to diagnosis, psychiatric symptoms, and fall history due to the mental disorder. A high sensitivity to fall risk perception was related to age at the onset of the mental disorder, urinary or bowel problems, and fear of falling. The multiple logistic regression analysis found that the diagnosis and fall history due to the mental disorder were associated with inadequate low sensitivity, and age at the onset and fear of falling were associated with inadequate high sensitivity to fall risk perception.</div></div><div><h3>Conclusion</h3><div>Over 60% of patients who fell had low sensitivity to fall risk perception. Inadequate low and high sensitivity to fall risk perception are related to the demographic, clinical, and fall-related characteristics among inpatients with mental disorders. Therefore, nurses should assess fall risk perception, consider these factors together during this assessment, and manage them appropriately in hospitalized patients with mental disorders.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 443-451"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481604","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":"An Explanatory Model of Weight Management Behaviors During Pregnancy: A Cross-sectional Study","authors":"Sehee Kim,&nbsp;Sukhee Ahn","doi":"10.1016/j.anr.2024.10.004","DOIUrl":"10.1016/j.anr.2024.10.004","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to create and validate a model explaining gestational weight gain and management behaviors using Ajzen’s Theory of Planned Behavior, assessing the model’s fit with actual data and examining the influences of various factors.</div></div><div><h3>Methods</h3><div>Employing a correlational research design, data were collected and analyzed from 396 primigravida who were at least 36 weeks and agreed to participate in the study from April 15, 2022, to August 15, 2022, through an online questionnaire. SPSS 26.0 was used to analyze the general characteristics of participants, descriptive statistics of variables, reliability of tools, and correlation of variables. AMOS 28.0 was used to verify the hypothesis and to assess the fitness of hypothetical models.</div></div><div><h3>Results</h3><div>The modified model fitness was χ²/df = 3.29, goodness-of-fit index = .93, standardized root-mean-square residual = .06, root- mean -square error of approximation = .08, comparative fit index = .92, Tucker–Lewis index = .88, PNFI = .62. All hypotheses were statistically significant. The more positive attitude toward weight management behaviors (β = .52, <em>p</em> &lt; .001), the higher perceived behavioral control (β = .21, <em>p</em> = .011) and subjective norms (β = .31, <em>p</em> = .034) were shown to have a significant effect on weight management behavioral intentions. They explained 77% of the variance in weight management behavioral intention. Weight management intentions (β = .63, <em>p</em> &lt; .001) and perceived behavioral control (β = .52, <em>p</em> = .003) significantly influenced weight management behaviors, explaining 79% of the behavior variance. Enhanced weight management behaviors significantly reduced gestational weight gain accounting for 31% of the variance in gestational weight gain (β = −.56, <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>Establishing a nursing intervention strategy that addresses attitude, subjective norms, and perceived behavioral control is crucial as these factors enhance weight management intentions and behaviors, thereby facilitating appropriate gestational weight gain and reducing pregnancy complications.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 479-488"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570218","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}