Asian Nursing Research最新文献

{"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}

{"title":"Premenstrual Symptoms Risk Factors Among Newly Graduated Nurses in Shift Work: A Prospective Longitudinal Study","authors":"Iksoo Huh ,&nbsp;Smi Choi-Kwon ,&nbsp;Jison Ki ,&nbsp;Soyeon Kim ,&nbsp;Jihyun Baek","doi":"10.1016/j.anr.2024.10.006","DOIUrl":"10.1016/j.anr.2024.10.006","url":null,"abstract":"<div><h3>Purpose</h3><div>The premenstrual symptoms (PMSs) are a common health issue affecting women of reproductive age and are associated with various physiological, psychological, and situational factors. Newly graduated nurses, when suddenly exposed to excessive workloads and shift work, may experience disturbances such as sleep disorders, fatigue, depression, and stress. These factors are related to PMS, and their occurrence varies. Therefore, this study aimed to understand the changes in PMS and its risk factors among newly graduated nurses across shift work periods, and investigate the longitudinal relationships between PMS and its risk factors based on the theory of unpleasant symptoms.</div></div><div><h3>Methods</h3><div>This study constituted a secondary data analysis and employed a prospective longitudinal design. Newly graduated nurses were assessed three times: before starting shift work, six months after initiating shift work, and 18 months thereafter. Physiological (age, body mass index, alcohol consumption, dietary behavior), psychological (sleep quality, fatigue, depression, stress, life satisfaction), and situational (social support) factors were included as PMS-related factors.</div></div><div><h3>Results</h3><div>PMS worsened six months after the initiation of shift work compared with those before, and this aggravation persisted even after 18 months of shift work (<em>p</em> &lt; .001). Age (<em>p</em> = .043), sleep quality (<em>p</em> = .004), and fatigue (<em>p</em> &lt; .001) were associated with PMS. An interaction between time and depression that affected PMS was observed (<em>p</em> = .021).</div></div><div><h3>Conclusion</h3><div>Newly graduated nurses need to pay attention to the exacerbation of PMS after initiating shift work. Interventions to improve sleep quality and reduce fatigue are crucial for novice nurses, irrespective of shiftwork duration. Additionally, it is important to assess depressive symptoms before starting shift work and implement early interventions. Furthermore, the need for interventions addressing depression escalates with the increase in shiftwork duration.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 501-508"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570303","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":"Exploring the Status and Experiences of School Nurses’ Response to the COVID-19 Pandemic: A Mixed Method Study","authors":"Hyojin Park,&nbsp;Juyoung Ha","doi":"10.1016/j.anr.2024.10.005","DOIUrl":"10.1016/j.anr.2024.10.005","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to provide a deeper understanding of the response status and school nurses’ experience of the prolonged COVID-19 pandemic in Korea.</div></div><div><h3>Method</h3><div>Recognizing the limitations of existing tools in capturing prolonged COVID-19 responses, we divided the COVID-19 pandemic into different wave periods and adopted a mixed-methods design enrolling school nurses in elementary, middle, and high schools in Korea to gain a comprehensive view. A quantitative survey was conducted among 153 school nurses nationwide, and in-depth interviews were conducted with nine, using Van Kaam's phenomenological analysis.</div></div><div><h3>Results</h3><div>In 56.9% of the cases, multiple persons in charge of COVID-19 management were not designated, and there was no significant difference in response by school level. Excessive work, coping with civil complaints, unilateral work burden, difficulties communicating with related organizations, lack of concreteness in manuals, lack of cooperation among school members, and frequent changes in guidelines were continuous difficulties encountered during the pandemic. From the in-depth interviews, we extracted 189 meaningful statements, 22 subthemes, and 8 themes. The eight themes were divided into three categories: beginning of COVID-19 response, process of response to COVID-19, and lessons learned from the COVID-19 response experience.</div></div><div><h3>Conclusion</h3><div>A specific and systematic infectious disease response manual should be established, as well as an educational and training program to strengthen the capacity of educational personnel to cope with new infectious diseases.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 489-500"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570298","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":"Experiences of Growing Up with Mothers with Schizophrenia in South Korea: A Qualitative Study","authors":"Soyoung Shin ,&nbsp;Sungjae Kim","doi":"10.1016/j.anr.2024.10.012","DOIUrl":"10.1016/j.anr.2024.10.012","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to explore the experience of living with mothers with schizophrenia from childhood to the present from the perspective of their now-adult child.</div></div><div><h3>Methods</h3><div>Individual interviews were conducted with 10 adult children of mothers with schizophrenia. The data were collected in South Korea from July 2017 to March 2018 and thematic analysis was employed. Purposive sampling was used.</div></div><div><h3>Results</h3><div>Four themes were identified: (1) Navigating Childhood Confusion and Isolation Due to Maternal Schizophrenia, (2) Journey Through Loneliness, Resentment, and Emerging Responsibility, (3) Facing real-life difficulties as an adult child with vulnerability, and (4) Satisfaction in well-grown self.</div></div><div><h3>Conclusions</h3><div>Notwithstanding the real-life difficulties due to the unstable life with their mothers with schizophrenia, the children still had faith and confidence in themselves as well-grown thus far. Reflection on memories with their mothers served as a basis for continued maternal–child relationship and for taking on the role of guardians despite the negative experiences of their mothers’ psychotic symptoms. Mental health nurses and school health professionals should pay attention to the children of mothers with schizophrenia and their difficulties in providing appropriate mental health services.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 452-459"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645260","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":"Mediating Effect of Felt Obligation Between Inclusive Leadership and Caring Behavior of Chinese Nurses","authors":"Qian Chen ,&nbsp;Jingzhang Liang ,&nbsp;Siqi Liang ,&nbsp;Jiefang Xu ,&nbsp;Mengna Liang ,&nbsp;Qiaocong Lu","doi":"10.1016/j.anr.2024.10.009","DOIUrl":"10.1016/j.anr.2024.10.009","url":null,"abstract":"<div><h3>Purpose</h3><div>It aims to validate the mediating role of felt obligation between inclusive leadership and the caring behavior of clinical nurses using a structural equation model.</div></div><div><h3>Methods</h3><div>All of the nurses were assessed with the general information questionnaire, caring behavior scale, felt obligation scale and inclusive leadership questionnaire. AMOS 21.0 was used to construct the structural equation model and analyze the mediating effect of felt obligation, and Bootstrap method was used to test the mediating effect model.</div></div><div><h3>Results</h3><div>The total scores of caring behavior, felt obligation and inclusive leadership were 125.25 ± 18.31, 21.38 ± 3.36 and 62.95 ± 11.95 respectively. Felt obligation played a partial mediating role in the relationship between inclusive leadership and caring behavior of nurses, and the mediating effect accounted for 43.5%.</div></div><div><h3>Conclusions</h3><div>Felt obligation plays a partial mediating effect between inclusive leadership and caring behavior of nurses. Nursing managers can adopt the leadership concept of inclusive leadership to enhance the level of felt obligation of nurses, so as to better improve the caring behavior of nurses.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 525-531"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591486","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":"Developing a Chain Mediation Model of Recurrence Risk Perception and Health Behavior Among Patients With Stroke: A Cross-sectional Study","authors":"Yujia Jin ,&nbsp;Zhenxiang Zhang ,&nbsp;Dominique A. Cadilhac ,&nbsp;Yunjing Qiu ,&nbsp;Weihong Zhang ,&nbsp;Yongxia Mei ,&nbsp;Zhiguang Ping ,&nbsp;Lanlan Zhang ,&nbsp;Beilei Lin","doi":"10.1016/j.anr.2024.09.009","DOIUrl":"10.1016/j.anr.2024.09.009","url":null,"abstract":"<div><h3>Purpose</h3><div>To understand the recurrence risk perception of stroke patients and develop a chain mediation model of recurrence risk perception and health behavior.</div></div><div><h3>Methods</h3><div>A cross-sectional study and convenience sampling were used. Stroke survivors were recruited from the neurology departments of three tertiary hospitals. Their recurrence risk perception, behavioral decision-making, social support, self-efficacy, recurrence worry, and health behavior were measured by relevant tools. Data was analyzed through one-way analysis and regression analysis, and the AMOS 21.0 software was used to explore the mediating relationships between variables.</div></div><div><h3>Results</h3><div>Of the 419 participants, 74.7% were aware of stroke recurrence risk. However, only 28.2% could accurately estimate their own recurrence risk. Recurrence risk perception was significantly correlated with behavioral decision-making, social support, self-efficacy, and health behavior (r = .19 ∼ .50, <em>p</em> &lt; .05). Social support and recurrence risk perception could affect health behavior indirectly through self-efficacy, behavioral decision-making, and worry. Behavioral decision-making acted as a main mediator between recurrence risk perception and health behavior, while the path coefficient was .47 and .37, respectively. The chain mediation effect between recurrence risk perception and health behavior was established with a total effect value of .19 (<em>p</em> &lt; .01).</div></div><div><h3>Conclusion</h3><div>Most stroke survivors could be aware of recurrence risk but failed to accurately estimate their individual risk. In the mediation model of recurrence risk perception and health behavior, social support seemed to be an important external factor, while self-efficacy, behavioral decision-making, and worry seemed to act as key internal factors.</div></div><div><h3>Registration</h3><div>The research project was registered on 29 June 2020 (CTR2000034244).</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 4","pages":"Pages 384-392"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301526","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":"Exploring the Lives of Korean College Students Who Attempted Suicide: A Qualitative Study","authors":"Min-Soo Kang,&nbsp;Hye-Young Jang","doi":"10.1016/j.anr.2024.09.010","DOIUrl":"10.1016/j.anr.2024.09.010","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was conducted to obtain in-depth understanding of the life experiences of college students who attempted suicide.</div></div><div><h3>Methods</h3><div>This study employed qualitative methods involving in-depth interviews, where researchers and participants met one-on-one to capture personal experiences and perspectives. Data were analyzed using Colaizzi's phenomenological approach, providing a systematic interpretation aligned with the lived experiences and challenges shared by the participants.</div></div><div><h3>Results</h3><div>The following six themes reflected participants’ experiences: “A family that has left behind deficiencies and wounds that are not easy to overcome”, “Lingering struggles even as college students”, “Seeking self-worth through relationships”, “Achievement at all costs: The search for self-worth in a life obsessed with success”, “The irony of those aspiring to live: suicide” and “The fight still continues”</div></div><div><h3>Conclusions</h3><div>The results underscore the necessity of broadening our interpretive framework to better understand and address the concealed complexities of mental health in this demographic. Mental health professionals are urged to consider these nuanced dynamics when developing targeted interventions to support students through their unique challenges.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 4","pages":"Pages 393-400"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301530","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":"Post-Treatment Experiences of Reproductive Concerns Among Young Breast Cancer Survivors: A Descriptive Phenomenological Study","authors":"Wenjing Xu ,&nbsp;Xiangyu Liu ,&nbsp;Cuicui Zhang ,&nbsp;Lili Zhu ,&nbsp;Yuxiu Zhao ,&nbsp;Changju Liao","doi":"10.1016/j.anr.2024.09.003","DOIUrl":"10.1016/j.anr.2024.09.003","url":null,"abstract":"<div><h3>Purpose</h3><div>The long-term fertility impact of cancer treatments is a significant concern for young breast cancer survivors. These reproductive concerns often become a persistent source of stress, negatively affecting their quality of life. This study aims to explore the reproductive concerns experienced by young breast cancer survivors post-treatment and the factors influencing their perceptions.</div></div><div><h3>Methods</h3><div>This phenomenological study utilized semi-structured interviews to collect data. Eighteen participants were recruited from a tertiary hospital in Mainland China. The interviews were transcribed verbatim and analyzed using Colaizzi's method.</div></div><div><h3>Results</h3><div>Data analysis revealed five themes and fourteen subthemes: (1) multiple emotional burdens interwoven with concerns about fertility; (2) concerns about risks associated with reproduction; (3) dilemma of childrearing; (4) the significance of reproduction; (5) support needs from family, peers, and professionals.</div></div><div><h3>Conclusion</h3><div>Young breast cancer survivors in China face significant challenges related to reproductive issues. Reproductive health is a crucial aspect of breast cancer survivorship care. Healthcare providers must be attentive to the reproductive concerns of survivors, recognize the importance of multidimensional support for positive adaptation, and offer tailored and ongoing interventions to manage reproductive health in young breast cancer survivors.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 4","pages":"Pages 331-340"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301533","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}