Asian Nursing Research最新文献

{"title":"Bidirectional Association of Tinnitus and Psychological Distress Among Nurses at One-year Follow-up: A Propensity Score-matched Cohort Study From China","authors":"Miao Yu ,&nbsp;Hongbo Chen ,&nbsp;Minyue Pei ,&nbsp;Siyan Zhan ,&nbsp;Baohua Li","doi":"10.1016/j.anr.2025.06.003","DOIUrl":"10.1016/j.anr.2025.06.003","url":null,"abstract":"<div><h3>Purpose</h3><div>The association between tinnitus and psychological distress aimed at nurses is often ignored. This study examined the bidirectional associations between tinnitus and psychological distress at the 1-year follow-up.</div></div><div><h3>Methods</h3><div>Data were retrieved from the National Nurse Health Study in China from 2021 to 2022. To control for potential confounders, we used propensity score matching at a ratio of 1:3 through the nearest-neighbor method with a caliper limit of 0.2. We first explored the correlation between baseline tinnitus and subsequent psychological distress assessed by the Symptom Checklist-90-Revised (<strong><em>Analysis 1</em></strong>), and then explored the correlation between baseline psychological distress and subsequent tinnitus (<strong><em>Analysis 2</em></strong>). The logistic regression analysis and test for interaction were used.</div></div><div><h3>Results</h3><div>In the Analysis one, 232 nurses were analyzed, including 58 tinnitus sufferers and 174 non-tinnitus nurses as a matched comparison with similar baseline characteristics. A significant difference in the rate of psychological distress was observed between the two groups. The interaction tests showed tinnitus nurses with college or above education or working for more than 11 years were more likely to develop psychological distress. In the Analysis two, 397 nurses were analyzed, including 105 with psychological distress, and 292 nurses as a matched control group. We did not find that psychological distress could increase the risk of tinnitus at the 1-year follow-up, which was confirmed by subgroup analysis.</div></div><div><h3>Conclusion</h3><div>The results suggested that nurses with tinnitus may be at an increased likelihood of developing psychological distress, especially among those with a higher education level and who have worked for 11 years. However, given the potential confounding factors (e.g., self-reported data, small sample size), future longitudinal studies with larger cohorts are needed to confirm these results.</div></div><div><h3>Clinical trial number</h3><div>The study was registered in Clinicaltrials.gov on September 30^th, 2020 (<span><span>https://clinicaltrials.gov/ct2/show/NCT04572347</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 5","pages":"Pages 418-425"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002076","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":"Corrigendum to “Mediating role of psychological capital between intra-organizational psychological violence and presenteeism among Chinese nurses: A cross-sectional study” [Asian Nurs Res 19 (3) (August 2025) 303–310]","authors":"Ying Zhang ,&nbsp;Hu Jiang ,&nbsp;Huimin Sun","doi":"10.1016/j.anr.2025.10.002","DOIUrl":"10.1016/j.anr.2025.10.002","url":null,"abstract":"","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 5","pages":"Pages 518-519"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799746","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":"Associations of Self-Control with Self-Management in Stroke Survivors: A Cross-Sectional Study","authors":"Xiaoxuan Wang ,&nbsp;Beilei Lin ,&nbsp;Shanshan Wang ,&nbsp;Hu Jiang ,&nbsp;Zhiguang Ping ,&nbsp;Qiushi Zhang ,&nbsp;Yanfei Liu ,&nbsp;Hui Wang ,&nbsp;Yanchun Liu ,&nbsp;Zhenxiang Zhang","doi":"10.1016/j.anr.2025.07.002","DOIUrl":"10.1016/j.anr.2025.07.002","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify and explore the latent categories of self-control and clarify the relationship between self-control and self-management of stroke survivors under different categories.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted using a general information questionnaire, the Chinese version of the Dual-Mode Self-Control Scale, and the Stroke Self-Management Scale to measure sociodemographic data, self-control, and self-management. The questionnaires were administered face-to-face, and a convenience sampling method was used to collect the data. A total of 519 stroke survivors from a tertiary hospital in Henan Province, China, were included. Data were analyzed using latent profile analysis and the Kruskal–Wallis <em>H</em> test.</div></div><div><h3>Results</h3><div>The four-profile model was the most suitable. It was named as follows: low impulse-high control group (25.0%), low impulse-low control group (39.7%), high impulse-high control group (24.7%), and high impulse-low control group (10.6%). The self-management scores of the low impulse and high control group were significantly higher than those of the other three groups.</div></div><div><h3>Conclusion</h3><div>Stroke survivors demonstrate moderate levels of self-control. In particular, patients with ambivalent self-control psychologies are noteworthy as they require strategies to address this contradictory psychological situation. Healthcare providers should consider the unique self-control characteristics of stroke survivors to assist them in enhancing their self-control abilities. Future research should use more objective assessment methods to examine long-term changes in self-control among stroke survivors and their relationships with self-management.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 5","pages":"Pages 426-432"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014451","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":"Facilitators and Barriers to the Implementation of School Mental Health Collaboration in Sichuan Province, China: A Descriptive Qualitative Study","authors":"Meiqi Luo ,&nbsp;Ke Wang ,&nbsp;Yuchuan Yue ,&nbsp;Chunyan Chen","doi":"10.1016/j.anr.2025.07.007","DOIUrl":"10.1016/j.anr.2025.07.007","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to interview stakeholders who participated in school mental health interprofessional collaboration (IPC) and determine the facilitators and obstacles for the development of school mental health IPC in Sichuan province, China.</div></div><div><h3>Methods</h3><div>Semistructured interviews were conducted with 22 stakeholders, including psychiatrists, nurses, school mental health teachers, community workers, and hospital administrators. Data were analyzed using content analysis guided by the Exploration-Preparation-Implementation-Sustainment (EPIS) framework. This study adhered to the Consolidated Criteria for Reporting Qualitative Studies checklist for reporting qualitative research.</div></div><div><h3>Results</h3><div>The analysis yielded 248 open codes, categorized into 10 barriers and 5 facilitators. Key barriers included insufficient funding, lack of intermediary organizations, interdisciplinary differences, communication gaps, and concerns about intellectual property rights. Facilitators encompassed policy support, existing cooperative frameworks, interprofessional education, perceived value of collaboration, and adequate infrastructure. Stakeholders emphasized the need for standardized processes and sustainable resource allocation to enhance the efficacy of IPC.</div></div><div><h3>Conclusion</h3><div>Systemic obstacles, such as fragmented administrative systems and limited funding, hinder the sustainable implementation of IPC in Chinese school mental health services. Strengthening policy advocacy, establishing intermediary platforms, and prioritizing interprofessional training are critical to improving collaboration. This study highlights the urgency of integrating mental health resources across education and healthcare sectors to address the growing psychological needs of adolescents.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 5","pages":"Pages 479-485"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034815","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":"Latent Profile Analysis and Influencing Factors of Learned Helplessness in Maintenance Hemodialysis Patients: A Cross-sectional Study","authors":"Shaona Cai ,&nbsp;Huiqin Tao ,&nbsp;Caixia Li ,&nbsp;Zhenping Du ,&nbsp;Shengzi Liu ,&nbsp;Qiuzhen Tan ,&nbsp;Huahui Zhou ,&nbsp;Na Ji ,&nbsp;Aihong Wang ,&nbsp;Lifang Zhou ,&nbsp;Yina Zhao ,&nbsp;Yingying Li ,&nbsp;Xia Fu","doi":"10.1016/j.anr.2025.07.004","DOIUrl":"10.1016/j.anr.2025.07.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Maintenance hemodialysis (MHD) patients frequently experience psychological distress, including learned helplessness (LH), which impairs self-management and adversely affects health-related quality of life. This study aimed to investigate the latent profiles of LH among MHD patients and to identify the biopsychosocial determinants influencing these profiles.</div></div><div><h3>Method</h3><div>A cross-sectional survey was conducted in five hospitals in Guangdong, China, from May to July 2024, enrolling 548 MHD patients. Latent Profile Analysis (LPA) was applied to classify patients into distinct LH subgroups. Chi-square tests and multinomial logistic regression analyses were employed to identify factors influencing LH profiles.</div></div><div><h3>Results</h3><div>LPA identified three distinct LH profiles: High Helplessness–Resigned Group (49.0%), Moderate Helplessness–Adaptive Group (36.4%) and Low Helplessness–Hopeful Group (14.6%). Regression analyses revealed that sex, income, history of kidney transplantation, symptom distress, hope, and family support were significant determinants of LH profiles. Patients with high symptom distress, lower levels of hope, and reduced family support were more likely to belong to the High Helplessness–Resigned Group.</div></div><div><h3>Conclusions</h3><div>The findings underscore the complex nature of LH in MHD patients and emphasize the importance of symptom management, hope enhancement, and family support in interventions. Tailored psychological and social support strategies may alleviate LH, improving the mental health and quality of life of MHD patients. Future studies should examine the long-term impact of these interventions on patient outcomes.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 5","pages":"Pages 442-452"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006937","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":"Factors Predicting Depression among Disadvantaged Adolescents","authors":"Maliwan Wongkhan,&nbsp;Patcharin Nintachan,&nbsp;Sopin Sangon,&nbsp;Pisamai Orathai","doi":"10.1016/j.anr.2025.05.009","DOIUrl":"10.1016/j.anr.2025.05.009","url":null,"abstract":"<div><h3>Purpose</h3><div>This study had two main objectives. First, it aimed to validate a causal model of the relationships between gender, family history of depression, rumination, perceived negative life events, perceived stress, resilience, and depression among disadvantaged adolescents. Second, it aimed to investigate both the direct and indirect effects of gender, family history of depression, rumination, perceived negative life events, perceived stress, and resilience on depression among disadvantaged adolescents.</div></div><div><h3>Methods</h3><div>This study used a cross-sectional model-testing design. The participants were 510 adolescents from four schools for disadvantaged adolescents in four regions of Thailand. Six questionnaires—a personal data questionnaire, the Center for Epidemiologic Studies Depression Scale, the Ruminative Response Scale-10, the Negative Event Scale, the Thai version of the Perceived Stress Scale-10, and the Resilience Inventory—were used to collect data, which were analyzed using descriptive statistics and structural equation modeling.</div></div><div><h3>Results</h3><div>The findings showed that the model fit the empirical data (Chi-square value = 222.33, degrees of freedom = 162, goodness of fit index = .96, adjusted goodness of fit index = .94, Tucker-Lewis index = .98, comparative fit index = .99, root mean square error of approximation = .03). Rumination had a positive direct effect on depression and an indirect effect through both perceived negative life events and resilience serially. Perceived negative life events had a positive direct effect on depression and an indirect effect through resilience. Perceived stress had a positive direct effect on depression and an indirect effect through resilience. Gender and family history of depression had neither direct nor indirect effects on depression among disadvantaged adolescents.</div></div><div><h3>Conclusion</h3><div>The findings can be used to help develop programs to promote resilience and reduce rumination, perceived negative life events, and perceived stress to prevent and reduce depression among disadvantaged adolescents.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 354-363"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188469","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":"Development and verification of a prediction model for delirium in critically ill children","authors":"Ting-Ting Xu ,&nbsp;Yan Li ,&nbsp;Cong-Hui Fu ,&nbsp;Min-Jie Ju ,&nbsp;Ji Liu ,&nbsp;Xiao-Ya Yang ,&nbsp;Wen-Juan Tang ,&nbsp;Wei-Ying Zhang","doi":"10.1016/j.anr.2025.05.008","DOIUrl":"10.1016/j.anr.2025.05.008","url":null,"abstract":"<div><h3>Purpose</h3><div>Delirium is a common syndrome in the intensive care unit (ICU), with a high incidence in critically ill children. This study aims to develop and validate a prediction model for delirium in critically ill children, which could potentially enhance early identification and management strategies.</div></div><div><h3>Methods</h3><div>In this prospective cohort study, we collected 1,047 critically ill children admitted to the pediatric intensive care unit (PICU) of a tertiary children's hospital from November 2021 to November 2023. Based on the risk prediction model derived from multiple logistic regression analysis performed with SPSS software, a nomogram was constructed using R software. The model's predictive performance was evaluated through analysis of the area under the curve (AUC) of the receiver operating characteristic curve (ROC) and the calibration curve for discriminatory ability and accuracy.</div></div><div><h3>Results</h3><div>Among the 1,047 critically ill children, delirium occurred in 26.6% of cases. Mechanical ventilation, benzodiazepines, age ≤2 years, number of catheters ≥3, and physical restraints were independent predictors of delirium in critically ill children. The predictive model demonstrated a sensitivity of 85.6% and a specificity of 76.1%, with a Youden index of .62. The validation analysis demonstrated an AUC of .88 (95% <em>CI</em>: 0.86-0.90). The Hosmer-Lemeshow goodnessoffit test yielded a <span><math><mrow><msup><mi>x</mi><mn>2</mn></msup></mrow></math></span> value of 15.23 (<em>P</em> &gt; .05), demonstrating satisfactory discriminatory performance and good calibration of the predictive model.</div></div><div><h3>Conclusions</h3><div>This study provided a predictive model for the occurrence of delirium in critically ill children, enabling nurses to accurately assess delirium risk and enhance the quality of nursing care for this vulnerable patient population.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 382-388"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340619","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":"Effects of an Empowerment Program on Promoting Self-reliance Among Low-income Welfare Recipients in Korea: A Repeated-measures Design","authors":"Myungsun Hyun ,&nbsp;Dabok Noh ,&nbsp;Eunyoung Park","doi":"10.1016/j.anr.2025.05.004","DOIUrl":"10.1016/j.anr.2025.05.004","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examined the effectiveness of an empowerment program based on reality therapy in helping low-income welfare recipients become self-reliant.</div></div><div><h3>Methods</h3><div>This study used a repeated-measures design with a control group. Sixty-four participants were selected through convenience sampling from among welfare recipients who accessed self-sufficiency services at local self-sufficiency centers. The empowerment program consisted of eight sessions. The outcome variables were self-sufficiency motivation, self-esteem, and empowerment. Data were collected at baseline, immediately after intervention, and 4 weeks after intervention, and were analyzed using the independent <em>t</em>-test, χ² test, or Fisher's exact test, and generalized estimating equations (GEE).</div></div><div><h3>Results</h3><div>GEE revealed significant group × time interaction effects on self-sufficiency motivation, self-esteem, and empowerment, after adjusting the baseline scores for the three outcome variables.</div></div><div><h3>Conclusion</h3><div>The developed empowerment program significantly improved self-sufficiency motivation, self-esteem, and empowerment among welfare recipients who accessed self-sufficiency services at local self-sufficiency centers. This study provides direction for the development of psychosocial empowerment programs to help welfare recipients become self-reliant. Future research should focus on the long-term effects of this empowerment program.</div></div><div><h3>Trial registration</h3><div>This study was retrospectively registered with the Clinical Research Information Service of Korea (<span><span>https://cris.nih.go.kr</span><svg><path></path></svg></span>) under the registration number KCT0009782 on September 10, 2024.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 339-346"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340620","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":"Research Topics of Self-efficacy in Nursing from 2013 to 2022: A Bibliometric Analysis","authors":"Qian Cao ,&nbsp;Yue Hu ,&nbsp;Wan-Ting Cai","doi":"10.1016/j.anr.2025.05.007","DOIUrl":"10.1016/j.anr.2025.05.007","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite the long-standing recognition of self-efficacy theory in nursing, it remains relevant in contemporary nursing practice. This study aimed to map and assess the scope of research related to self-efficacy in the nursing field from 2013 to 2022 to identify the global trends and new themes that have emerged in recent years.</div></div><div><h3>Methods</h3><div>This study employed descriptive and bibliometric analysis. Data were sourced from the Web of Science Core Collection database on October 20, 2023. Performance analysis and scientific mapping were undertaken using VOSviewer and CiteSpace, evaluating 2008 publications that featured themes of self-efficacy in nursing.</div></div><div><h3>Results</h3><div>The review period saw an increase in the number of publications. Recurrent keywords found in the research included “self-efficacy”, “nursing”, “self-management”, “social support”, and “quality of life”, with a notable prevalence of studies on “nursing students” and “breastfeeding”. The concept of “evidence-based practice” has consistently appeared as a focal topic.</div></div><div><h3>Conclusion</h3><div>The enduring interest in and relevance of self-efficacy in nursing are evident in an increasing literature volume. This study underscores the vitality of the field and the necessity of integrating qualitative research to deepen the understanding of self-efficacy in various nursing contexts. As the demand for evidence-based nursing practice increases, the corpus of literature on self-efficacy in nursing is poised for further growth.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 371-381"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499458","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":"The Remarkable Journey of ANR: From Inception to Q1 Achievement","authors":"Eunyoung E. Suh","doi":"10.1016/j.anr.2025.10.001","DOIUrl":"10.1016/j.anr.2025.10.001","url":null,"abstract":"","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 323-324"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145384283","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}