Asian Nursing Research最新文献

{"title":"Effects of a Remote Physical Activity Improvement Program on Male Office Workers with Metabolic Syndrome in Their 30s and 40s with Sedentary Behavior: A Randomized Controlled Trial","authors":"Kyong Sil Park ,&nbsp;Seon Young Hwang","doi":"10.1016/j.anr.2024.01.006","DOIUrl":"10.1016/j.anr.2024.01.006","url":null,"abstract":"<div><h3>Purpose</h3><p>Sedentary office workers lack physical activity and have a high prevalence of metabolic syndrome (MetS). This study attempted to develop a remote physical activity improvement program for sedentary office workers and verify its effectiveness by applying it to male workers in their 30s and 40s with MetS.</p></div><div><h3>Methods</h3><p>This study used a randomized control group pretest–posttest design, and the study sample was 75 male workers recruited from an information and technology company. They were randomly assigned to either the intervention (n = 38) or control (n = 37) group. The remote physical activity improvement program was constructed based on the self-regulation theory emphasizing autonomy, and was conducted through non-face-to-face Zoom once a week for a total of 12 weeks. Health education, exercise training, small group meetings, and individual counseling were provided, and tailored text messages were sent to participants every day to encourage them to reflect on their lifestyle and practice exercise.</p></div><div><h3>Results</h3><p>The remote physical activity program significantly increased basic psychological needs (Z = −7.55, <em>p</em> &lt; .001), intrinsic motivation (Z = −6.94, <em>p</em> &lt; .001), health promotion behavior, (Z = −6.63, <em>p</em> &lt; .001), and physical and physiological indicators (<em>p</em> &lt; .05) in the intervention group compared to those in the control group.</p></div><div><h3>Conclusions</h3><p>In managing MetS among office workers, it was found that remote education using the Zoom platform was effective, even during the coronavirus pandemic. As a strategy for health education in the workplace, remote education content needs to be developed and applied.</p></div><div><h3>Trial registration</h3><p>Clinical Research Information Service, KCT0009322.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000069/pdfft?md5=0543fa4ba93d9d8f65e07b6a34f1b8d6&pid=1-s2.0-S1976131724000069-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576719","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":"Experience in Professional Resilience for Nurses Caring for Patients with COVID-19: A Qualitative Descriptive Study","authors":"Pai-En Chiu ,&nbsp;Shu-Chuan A. Lin ,&nbsp;Ya-Ping Li ,&nbsp;Chiao-Hsin Huang ,&nbsp;Ying-Mei Shu ,&nbsp;Chi-Wen Chen","doi":"10.1016/j.anr.2024.01.003","DOIUrl":"10.1016/j.anr.2024.01.003","url":null,"abstract":"<div><h3>Purpose</h3><p>During the COVID-19 pandemic, nurses have faced many professional and ethical dilemmas and challenges along with bearing physical, mental, and emotional stress resulting from worrying about themselves or their family being infected and stigmatized. This stress can potentially lead to burnout and resignation. Professional resilience is crucial for nurses to cope with these adverse situations. This study aimed to investigate the process by which nurses adapt, change, and overcome challenges during the COVID-19 pandemic and ultimately demonstrate professional resilience.</p></div><div><h3>Methods</h3><p>Descriptive phenomenology was applied. Semi-structured interviews were conducted with 11 nurses working in COVID-19 wards and intensive care units to collect data. Giorgi's phenomenological analysis method was employed.</p></div><div><h3>Results</h3><p>Based on the interview responses, four major themes were identified: 1) balancing patient care, self-protection, and passing on experience; 2) providing timely pandemic team resources and social support; 3) nurses' perseverance amid social discourse and constrained lives; and 4) selfless dedication shaping nursing's pinnacle experiences.</p></div><div><h3>Conclusions</h3><p>In the face of a sudden pandemic, frontline nurses play a critical role in maintaining medical capacity. Consequently, they must balance their families, lives, and work while adapting to the impact of the pandemic and changing practices and procedures based on the development of the pandemic and policy demands. The study findings provide insights into the challenges and emotional experiences encountered by nurses during a sudden pandemic outbreak and can serve as a reference for developing strategies to help nurses overcome these challenges and enhance their professional resilience.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000033/pdfft?md5=98873206bdc8d2db291aef086481c3a4&pid=1-s2.0-S1976131724000033-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139498712","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":"Association Between Nurse-Led Multidisciplinary Education and Cardiac Events in Patients With Heart Failure: A Retrospective Chart Review","authors":"Haeng-Mi Son ,&nbsp;Hyeongsuk Lee","doi":"10.1016/j.anr.2024.01.009","DOIUrl":"10.1016/j.anr.2024.01.009","url":null,"abstract":"<div><h3>Purpose</h3><p>This study examined the modifiable factors, including nurse-led multidisciplinary education and in/out-of-hospital rehabilitation, to predict cardiac events in patients with heart failure (HF) in South Korea.</p></div><div><h3>Methods</h3><p>A retrospective review of the medical records was conducted using data of patients admitted for HF between June 2021 and April 2022. A total of 342 patients were included in this study. Information related to HF education, cardiac rehabilitation, and demographic and clinical characteristics were collected. Cardiac events, including emergency department visits, readmissions, and deaths, were defined as a composite of events. After adjusting for covariates, a multivariate Cox proportional hazard regression model was used to explore the association between modifiable factors and cardiac events in patients with HF.</p></div><div><h3>Results</h3><p>During the follow-up period (median, 823 days), 123 patients (36.0%) experienced at least one cardiac event. In the Cox regression model, patients who received nurse-led multidisciplinary HF education during hospitalization were less likely to experience cardiac events (hazard ratio: 0.487; 95% confidence interval [CI]:0.239–0.993). Additionally, high NT-pro BNP levels were associated with an increased risk of cardiac events.</p></div><div><h3>Conclusions</h3><p>The education led by nurses on HF was a factor that reduced adverse prognoses in patients with HF. Our results highlight the importance of a nurse-led multidisciplinary approach during hospitalization.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000094/pdfft?md5=ec9710e92853f739afe5538f0131a969&pid=1-s2.0-S1976131724000094-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139665429","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":"Resilience and Overcoming Experiences of Coronavirus Disease 2019 Patients Hospitalized in a Single-Room Isolation Ward: A Mixed-Methods Study","authors":"Ji-Su Yun ,&nbsp;Eunyoung E. Suh","doi":"10.1016/j.anr.2024.01.010","DOIUrl":"10.1016/j.anr.2024.01.010","url":null,"abstract":"<div><h3>Purpose</h3><p>The coronavirus disease 2019 (COVID-19) pandemic has caused patients to suffer from various physical and psychological symptoms and social challenges, but the impact was harder for those COVID-19 patients receiving treatment in single-room isolation wards in South Korea. This study aimed to investigate resilience, anxiety, depression, and sleep quality of those patients and the relationships between those variables, and explore the patients’ experience of resilience during the COVID-19 treatment in single-room isolation wards.</p></div><div><h3>Methods</h3><p>This study employed a mixed-methods approach, collecting quantitative data through surveys and qualitative data through semistructured interviews conducted between May and October 2022. Quantitative surveys encompassing disease-specific and demographic information, visual analog scales to assess anxiety, depression, and sleep quality, and the Connor–Davidson resilience scale were administered to patients (<em>N</em> = 153). Qualitative thematic analyses were conducted following interviews with a subset of patients (<em>N</em> = 13) belonging to the high-resilience group.</p></div><div><h3>Results</h3><p>Resilience exhibited a negative correlation with anxiety and depression, while showing a positive correlation with sleep quality. Factors affecting resilience include having a spouse, educational attainment, and depression. The qualitative thematic analysis results were categorized into: (1) facing the reality of being isolated in a room; (2) struggling to accept and adapt to isolation; and (3) seeking connections in isolation.</p></div><div><h3>Conclusions</h3><p>This research sheds light on the challenges faced by individuals in isolation and underscores the crucial role of resilience in overcoming such challenges. The resilience observed in these patients is grounded in both interpersonal and profound spiritual connections. These findings underscore the necessity for nurses to develop customized strategies to alleviate the impacts of social isolation.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000100/pdfft?md5=43864ffa5f4374b4a62a88d92c4c7f8a&pid=1-s2.0-S1976131724000100-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139670160","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":"Effectiveness of Non-pharmacological Interventions for Adolescents With Type 1 Diabetes in the Last Five Years: A Systematic Review and Meta-analysis","authors":"DaeEun Lee ,&nbsp;Haejung Lee ,&nbsp;YoonYoung Shin ,&nbsp;Gaeun Park","doi":"10.1016/j.anr.2024.01.008","DOIUrl":"10.1016/j.anr.2024.01.008","url":null,"abstract":"<div><h3>Purpose</h3><p>Evidence on non-pharmacological interventions for adolescents with type 1 diabetes is unclear. This review aimed to evaluate the effectiveness of non-pharmacological intervention in adolescents with type 1 diabetes.</p></div><div><h3>Methods</h3><p>We conducted a search on databases from November 11 to 19, 2022, for randomized controlled trials for the effects of non-pharmacological intervention in adolescents with type 1 diabetes. To identify recent research trends, we included studies published from 2017 to November 2022. The risk of bias was assessed using the Cochrane risk-of-bias tool 2.0. To estimate the effect size, a meta-analysis was performed using RevMan 5.4 program and R Studio.</p></div><div><h3>Results</h3><p>A total of 45 studies were included in the systematic review. Among those, 30 studies were included in the meta-analysis. Non-pharmacological interventions were significantly effective in improving Glycated hemoglobin (HbA1c) (standardized mean difference [SMD] = −0.26, 95% confidence interval [CI]: −0.42, −0.09), quality of life (SMD = 0.44, 95% CI: 0.13 to 0.76), and anxiety (SMD = −0.91, 95% CI: −1.26, −0.56). Subgroup analysis showed that duration of intervention was not a covariate related to HbA1c levels.</p></div><div><h3>Conclusions</h3><p>Non-pharmacological interventions have shown effectiveness in improving the HbA1c, quality of life, and anxiety in adolescents with type 1 diabetes. Future studies with more rigorous methodology are needed to confirm and strengthen the validity of these findings. Additionally, attention to changes in the lipid profile and self-care motivation among adolescents with type 1 diabetes is warranted.</p></div><div><h3>Trial registration number</h3><p>Prospective Register of Systematic Reviews (CRD42022382190).</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000082/pdfft?md5=d3e5d48d4736e1057927220d004cfbbe&pid=1-s2.0-S1976131724000082-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139665349","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":"Editorials in February Issue of Asian Nursing Research","authors":"","doi":"10.1016/j.anr.2024.02.001","DOIUrl":"https://doi.org/10.1016/j.anr.2024.02.001","url":null,"abstract":"","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S197613172400029X/pdfft?md5=6f0542cf09685aacb21bac0142edd358&pid=1-s2.0-S197613172400029X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998938","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":"Association Between Dyadic Coping and Quality of Life in Breast Cancer Patients and Their Spouses: An Actor-partner Interdependence Mediation Model","authors":"Wei Chen ,&nbsp;Hui Li ,&nbsp;Jian-Zheng Cai ,&nbsp;Nan Qin","doi":"10.1016/j.anr.2024.01.007","DOIUrl":"10.1016/j.anr.2024.01.007","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aims to examine the relationship between dyadic coping (DC), intimate relationship, and quality of life (QOL), and to explore the mediating role of intimate relationship in patients with breast cancer (BC) and their spouses from a dyadic perspective.</p></div><div><h3>Methods</h3><p>A cross-sectional design was used in this present study, and 205 dyads of BC patients and their spouses who completed a sociodemographic and clinical questionnaire and self-reported measures assessing their DC, intimate relationship, and QOL were recruited. The actor-partner interdependence mediation model (APIMeM) was adopted for dyadic distinguished data analysis. The paired <em>t</em>-test, Pearson's correlation coefficients, and the structural equation model were employed for data analysis by using SPSS 22.0 and Amos 24.0.</p></div><div><h3>Results</h3><p>The current study revealed that, for BC patients and their spouses, intimate relationship mediates completely the actor effect of DC on QOL. That is to say, DC was positively related to intimate relationship and then improved QOL. It was interesting to find that, for both patients and their spouses, the intimate relationship could exert a partner-actor complete mediation effect between DC and QOL.</p></div><div><h3>Conclusions</h3><p>The DC perceived by both BC patients and their spouses has significant actor effects on QOL by improving the level of an intimate relationship. Furthermore, intimate relationship has significant actor-actor and partner-actor complete mediation effects for both patients and their spouses. Given the vital role of patient-spouse dyads, nursing staff should take patients’ spouses into account when conducting related psychosocial interventions aiming to improve the QOL of BC patients and their spouses.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000070/pdfft?md5=2e21de996cd38c1e30cdac9351fc47d5&pid=1-s2.0-S1976131724000070-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139670270","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":"Online Gambling Patterns and Predictors of Problem Gambling Among Korean Adolescents During the COVID-19 Pandemic: A Cross-sectional Study","authors":"Young-Sil Sohn ,&nbsp;Hyunmi Son","doi":"10.1016/j.anr.2024.01.002","DOIUrl":"10.1016/j.anr.2024.01.002","url":null,"abstract":"<div><h3>Purpose</h3><p>This study examined online gambling patterns among Korean adolescents during the COVID-19 pandemic and identified predictors of problem gambling based on a socio-ecological model.</p></div><div><h3>Methods</h3><p>It used nationally representative data from the 2020 National Survey on Youth Gambling Problems conducted by the Korea Center on Gambling Problems. This study selected a sample of 780 adolescents aged 13–18 years who reported having gambled online at least once in the last three months from the raw data of respondents. They were classified as the non-problem group and problem group according to the Gambling Problems Severity Scale (GPSS) of the Canadian Adolescent Gambling Inventory (CAGI). The predictive factors of problem gambling were analyzed by logistic regression analysis.</p></div><div><h3>Results</h3><p>The prevalence of problem gambling was 24.6 %. Its predictors included intrapersonal [male (odds ratios, OR = 1.67); gambling prior to COVID-19 (OR = 2.08)] and interpersonal factors [frequent gamblers in peers (OR = 4.34); peer pressure (OR = 2.34)]. Social factors, such as gambling in online community (OR = 5.60), sports betting (OR = 53.24), and lotteries (OR = 17.03) were associated with problem gambling.</p></div><div><h3>Conclusions</h3><p>The major predictors of problem gambling among adolescent online gamblers included peer gambling and specific types of gambling. To prevent problem gambling, strategies targeting peer groups are essential. In addition, nurses need to share with families, schools, communities, and policymakers that online gambling, such as lotteries and sports betting, are high-risk of adolescent problem gambling, and recommend them to collaborate for stricter regulatory measures.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000021/pdfft?md5=fd876d3e93f5767924b94748acdbe7fc&pid=1-s2.0-S1976131724000021-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139507123","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":"Trajectories of Wok Adjustment and Influencing Factors Among Newly Registered Nurses","authors":"Sunghee Park ,&nbsp;Jin-Hee Park ,&nbsp;Ju-Eun Song ,&nbsp;Sun Hyoung Bae ,&nbsp;Kyoungja Kim ,&nbsp;Youngjin Lee","doi":"10.1016/j.anr.2024.01.005","DOIUrl":"10.1016/j.anr.2024.01.005","url":null,"abstract":"<div><h3>Purpose</h3><p>This study explored the work adjustment trajectory and its predictors and characteristics among newly registered nurses.</p></div><div><h3>Methods</h3><p>A total of 245 newly registered nurses working in a university hospital provided general baseline characteristics and completed a work adjustment questionnaire along with self-report measures of clinical competency, psychological capital, preceptor exchange, social support, and role conflict when they started working independently (baseline) and at 7 and 12 months after employment. Data were collected from July 2020 to August 2022. The collected data were subjected to a group-based trajectory model, χ2 test, F test, one-way ANOVA, and multiple logistic regression using SAS 9.4, and SPSS 25.0.</p></div><div><h3>Results</h3><p>Group-based trajectory modeling classified three newly registered nurse groups: nurses with a high work adjustment level in all subscales from the beginning of employment (early adjustment group, 16.1%), nurses with a moderate level of adjustment from beginning to end (standard adjustment group, 60.6%), and nurses with a low level of work adjustment from early to mid-term, rising later (delayed adjustment group, 23.3%). Higher hope, optimism, and emotional support predicted early and standard adjustments.</p></div><div><h3>Conclusions</h3><p>Based on the trajectory characteristics, newly registered nurses need to improve their work adjustment. The early and standard adjustment groups should continuously monitor their levels of work adjustment while monitoring their hopes, optimism, and emotional support. In particular, the delayed adjustment group required customized educational programs and strengthened peer support.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000057/pdfft?md5=aebbcae9f8a1c726b482ba3c559b2120&pid=1-s2.0-S1976131724000057-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576742","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":"Tendency to Stigmatize Epidemic Diseases Scale: Scale Development and Validity Study","authors":"Sevim Şen Olgay,&nbsp;Hediye Arslan Özkan,&nbsp;Ceren Zeren Erdem,&nbsp;Begüm Kırık","doi":"10.1016/j.anr.2024.01.001","DOIUrl":"10.1016/j.anr.2024.01.001","url":null,"abstract":"<div><h3>Purposes</h3><p>The purpose of this study was to develop a scale to measure stigma during epidemics among adults in nursing care and validate its psychometric properties.</p></div><div><h3>Methods</h3><p>The preliminary items of the Tendency to Stigmatize Epidemic Diseases Scale scale were developed through a literature review, the Delphi technique, and content validity analysis. A total of 723 adults living in Turkey responded to the questionnaire from June to December 2021. The collected data were analyzed by exploratory factor analysis and confirmative factor analysis using SPSS and AMOS programs.</p></div><div><h3>Results</h3><p>The experts agreed on 51 scale items, and 24 items were removed following exploratory factor analysis. On the 27-item scale, a five-factor structure was found with an eigenvalue &gt;1, explaining 59.2% of the total variance. The overall Cronbach's <em>α</em> value was 0.88.</p></div><div><h3>Conclusions</h3><p>This scale is a reliable and valid measurement tool for adults to determine their level of stigma during epidemics in nursing care. This scale helps develop interventions to improve the psychological health of adults in nursing care.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S197613172400001X/pdfft?md5=bda1968d824a65f0cae65781d31596b5&pid=1-s2.0-S197613172400001X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458784","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}