The journal of nursing research : JNR最新文献

{"title":"The Mediating Role of Sleep Quality in the Relationship Between Quick-Return Shift Work Schedules and Work-Family Conflict: A Cross-Sectional Study.","authors":"Sawsan Safieh, Tamar Shochat, Einav Srulovici","doi":"10.1097/jnr.0000000000000663","DOIUrl":"10.1097/jnr.0000000000000663","url":null,"abstract":"<p><strong>Background: </strong>Nursing is a highly demanding profession involving shift-work schedules around the clock. Rest time between shifts is an issue that has gained increasing research attention in recent years, with brief rest periods (< 11 hours) between shifts coined \"quick-return.\" Quick-return work schedules have been linked to negative health outcomes such as poor sleep quality and stress, which may create a vicious cycle that can contribute to work-family conflict.</p><p><strong>Purpose: </strong>This study aimed to investigate mediation models exploring the role of sleep quality in mediating the relationship between quick-return work shift schedules and work-family conflict among female nurses with children.</p><p><strong>Methods: </strong>A cross-sectional approach was used, and data were collected from 131 female nurses with children under the age of 18 years between October 2020 and February 2021 in three hospitals. The participants completed a set of questionnaires to evaluate quick-return frequency within the past week, sleep quality between different types of shifts (morning [07:00-15:00]-night [23:00-07:00], evening [15:00-23:00]-morning, night-evening, morning-morning, evening-evening, night-night, and 2 days off), work-family conflict, workload, and sociodemographic factors. Seven mediation models were conducted using the SPSS PROCESS macro.</p><p><strong>Results: </strong>Only one mediation model was supported. In the supported model, sleep quality between morning-night shifts mediates the relationship between quick-returns within the past week and work-family conflict. Specifically, shift-work schedules with higher numbers of quick-returns within the past week were significantly associated with poorer sleep quality between morning-night shifts ( B = 1.047, SE = 0.457, 95% CI [0.142, 1.952]), which was in turn significantly associated with higher work-family conflict ( B = -0.548, SE = 0.205, 95% CI [-0.953, -0.143]). Notably, whereas the indirect effect between quick-returns within the past week and work-family conflict was significant ( B = -0.574, SE = 0.311, 95% CI [-1.301, 0.079]), the direct effect was not ( p = .169).</p><p><strong>Conclusions: </strong>The findings of this study show the potentially negative effects of a specific type of quick-return work schedule on sleep quality in nurses, which in turn has a significant impact on nurses' personal and family lives. Because sleep is a modifiable behavior, optimizing this behavior may result in better recovery between shifts. Furthermore, nurse managers should ensure their staff are not assigned work schedules that require quick-returns to work between morning and night shifts.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e378"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143589113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Group Rumination-Focused Cognitive Behavior Therapy on Depressive Symptoms in People With Schizophrenia: A Randomized Controlled Trial.","authors":"Yi-Hsuan Chiang, Chyong-Yau Wang, Chieh-Yu Liu, Chiu-Yueh Yang","doi":"10.1097/jnr.0000000000000665","DOIUrl":"10.1097/jnr.0000000000000665","url":null,"abstract":"<p><strong>Background: </strong>Prolonged depressive symptoms in individuals with schizophrenia not only diminish their quality of life but also significantly increase their risk of suicide. This, in turn, may lead to a lower average life expectancy among people with schizophrenia compared to the general population.</p><p><strong>Purpose: </strong>This study was designed to examine the effectiveness of rumination-focused cognitive behavior therapy (RFCBT) on depressive symptoms in individuals with schizophrenia.</p><p><strong>Methods: </strong>This study was conducted between July 2019 and March 2020. Seventy-seven participants, all of whom had been diagnosed with schizophrenia, were randomly divided into the experimental group ( n = 38) and control group ( n = 39). The experimental group underwent a 12-week, six-session RFCBT regimen, whereas the control group received six sessions of psychosocial education. Outcomes were measured using the Beck Depression Inventory-II and the revised short form of the Chinese Response Style Questionnaire at three time points: baseline, postintervention, and at the 3-month follow-up. Statistical analyses were conducted using chi-square tests, independent t tests, and generalized estimating equations, with the generalized estimating equations model assessing between-group differences over time after adjusting for 13 covariates.</p><p><strong>Results: </strong>No effect on depressive symptoms was observed immediately following RFCBT. However, at the 3-month follow-up, the mean Beck Depression Inventory-II score had reduced significantly in the experimental group (from 17.24 to 15.56) and increased in the control group (from 17.59 to 23.03; p = .016). Chinese Response Style Questionnaire-10 scores, which are used to represent ruminative responses, did not differ significantly between the groups at any of the three time points.</p><p><strong>Conclusions/implications for practice: </strong>These findings offer compelling preliminary evidence in support of RFCBT as a potentially effective treatment strategy for alleviating depressive symptoms in patients with schizophrenia. The efficacy of RFCBT was demonstrated in terms of preventing the exacerbation of depressive symptoms. The findings have notable implications for clinicians, researchers, and policymakers with regard to developing more effective treatment strategies and enhancing outcomes for individuals with schizophrenia.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e383"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of an Early Graded Rehabilitation Nursing Model in Postoperative Children With Congenital Heart Disease.","authors":"Shiyu Wang, Yue Wu, Xue Feng, Chen Zhang, Rong Wu, Qian Zhang, Yafei Liu, Meng Yan, Qingyin Li","doi":"10.1097/jnr.0000000000000670","DOIUrl":"10.1097/jnr.0000000000000670","url":null,"abstract":"<p><strong>Background: </strong>The current focus of cardiac rehabilitation is on adults, with no standard nursing plan available for children with congenital heart disease. Therefore, it is very necessary to develop a standardized early rehabilitation nursing model for children with congenital heart disease to promote the recovery of bodily functions and improve quality of life in this population.</p><p><strong>Purpose: </strong>This study was designed to explore the feasibility of an early graded rehabilitation nursing model for postoperative children with congenital heart disease and evaluate its clinical effect to promote the standardization of postoperative rehabilitation nursing care.</p><p><strong>Methods: </strong>One hundred and sixteen postoperative children with congenital heart disease treated at a medical university hospital between August 2022 and January 2023 enrolled as participants in this study, with 58 assigned to the control (routine rehabilitation nursing) group and 58 assigned to the intervention (graded rehabilitation nursing) group. The outcome indicators of the two groups were assessed at the time the participants transferred out of the pediatric intensive care unit (PICU) and at discharge, and then analyzed and compared. The Strengthening the Reporting of Observational Studies in Epidemiology Checklist (case-control studies) was used in this study.</p><p><strong>Results: </strong>No statistical differences were found between the two groups at baseline. After implementation of the model, more intervention group participants succeeded in achieving difficult target functions when they were transferred out of the PICU and at discharge. At discharge, intervention group participants aged 3 months to 3 years showed higher gross motor quotient (95.36 ± 7.46 vs. 86.77 ± 12.34), fine motor quotient (94.79 ± 4.59 vs. 88.73 ± 14.04), and total motor quotient (95.57 ± 5.49 vs. 86.27 ± 13.08) than their peers in the control group. Also, the average 6-minute walk test (6MWT) duration for intervention group participants older than 3 years was longer than that for their control group peers. Furthermore, average total hospital stay (16.60 ± 5.14 vs. 20.69 ± 12.95 days) and PICU residence time (122.48 ± 46.00 vs. 133.66 ± 66.70 hours) were shorter in the intervention group than the control group. No adverse events occurred during the study period.</p><p><strong>Conclusions/implications for practice: </strong>The early graded rehabilitation nursing model is safe and feasible. This model can help children achieve more difficult target functions, significantly improve their motor development ability, and shorten their hospital stay. Also, the model can help guide medical staff implement rehabilitation nursing in clinical settings.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e382"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Effect of Sleep Quality on the Relationship Between Depression and Sense of Control in Women in the Third Trimester of Pregnancy: A Cross-Sectional Survey Study.","authors":"Min-Hsueh Weng, Hung-Chieh Chou, Gwo-Jang Wu, Yue-Cune Chang, Jen-Jiuan Liaw","doi":"10.1097/jnr.0000000000000664","DOIUrl":"10.1097/jnr.0000000000000664","url":null,"abstract":"<p><strong>Background: </strong>Depression, poor sleep quality, and perceived lack of control all commonly impact women in the third trimester of pregnancy. Depression can influence sleep quality, whereas sense of control during pregnancy is correlated with both sleep quality and depression. However, the mediating effect of sleep quality on the relationship between depression and sense of control has not been examined in women in their third trimester.</p><p><strong>Purpose: </strong>This study was designed to explore depression, sleep quality, and sense of control in pregnant women during the third trimester and determine the degree to which sleep quality mediates the relationship between depression and sense of control.</p><p><strong>Methods: </strong>An exploratory correlational cross-sectional design was used to recruit 263 pregnant women with a gestational age of 35-36 weeks. Data were collected using questionnaires. Depression, sleep quality, and sense of control were respectively assessed using the Edinburgh Postnatal Depression Scale, Pittsburgh Sleep Quality Index, and Labor Agentry Scale. Data on the main outcomes were analyzed using the PROCESS macro for SPSS.</p><p><strong>Results: </strong>Depression in pregnant women was found to correlate positively with poor sleep quality and negatively with sense of control (all p s < .001). Thus, higher levels of depression and poorer sleep quality were associated with lower sense of control. The results confirmed the relationship between depression and sense of control to be mediated by sleep quality ( p < .001).</p><p><strong>Conclusions: </strong>Pregnant women with lower levels of depression may experience better sleep quality and sense of control. Sleep quality mediates the relationship between depression and sense of control in women in the third trimester. Thus, prenatal counseling and psychological support should be provided to pregnant women to reduce depression while improving sleep quality and sense of control.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e380"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gaining Deeper Insights: Empowering Nurses Through Validated Scientific Evidence and Knowledge Translation.","authors":"Mei-Ling Yeh","doi":"10.1097/jnr.0000000000000667","DOIUrl":"10.1097/jnr.0000000000000667","url":null,"abstract":"","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"33 2","pages":"e377"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise Strategy for Reducing Visceral Adipose Tissue in Community Residents With Obesity: A Sequential Multiple Assignment Randomized Trial.","authors":"Yu-Hsuan Chang, Yun-Hsiang Lee, Kay Lh Wu, Wei-Li Hsu, Hung Hung, Shiow-Ching Shun","doi":"10.1097/jnr.0000000000000662","DOIUrl":"10.1097/jnr.0000000000000662","url":null,"abstract":"<p><strong>Background: </strong>Exercise is the most effective method of reducing visceral adipose tissue (VAT). However, the optimal exercise modality and strategy for reducing VAT have yet to be determined.</p><p><strong>Purpose: </strong>This study was designed to identify the optimal sequence exercise strategy for reducing VAT in community residents with obesity.</p><p><strong>Methods: </strong>A sequential multiple assignment randomized trial design was used to conduct a two-stage (8 weeks each) adaptive exercise for 40- to 64-year-old residents with obesity. In the first stage, the participants were randomly allocated into two groups, one of which did 30 minutes of moderate-intensity continuous training (MICT; n = 58) and the other which did 20 minutes of high-intensity interval training (HIIT; n = 58) three times per week. In the second stage, the nonresponders (with VAT decreases < 3%) were randomly reallocated into a group that performed MICT combined with an additional 10 minutes of resistance exercise or one that performed the opposite of the first-stage treatment (HIIT or MICT). Those who responded to the first-stage intervention (with VAT decreases of ≥ 3%) continued the same exercise treatment until 16 weeks.</p><p><strong>Results: </strong>The MICT intervention was found to be more efficacious than the HIIT intervention in reducing VAT during the first 8 weeks (β = -4.10, p = .029). Among the nonresponders to MICT, the HIIT outperformed MICT combined with resistance exercise as the alternative choice in the second stage (β = -7.36, p = .006). On the contrary, there were no significant differences between MICT and MICT combined with resistance exercise for the nonresponders to HIIT (β = 1.34, p = .626). Those participants who repeated the same exercise modality (either MICT or HIIT) in both stages exhibited superior VAT reduction to those who changed exercise modalities after the first stage.</p><p><strong>Conclusions/implications for practice: </strong>The optimal sequence exercise strategy for reducing VAT is captured by a two-stage sequential multiple assignment randomized trial design. Community residents with obesity are advised to reduce VAT efficiently through participation in an 8-week MICT program. For those preferring HIIT rather than MICT, a 16-week program without changing the modality midway is recommended.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e385"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience of Nurses Providing Care at Shelters After Natural Hazards and Disasters: A Qualitative Systematic Review.","authors":"Hatsumi Kanzaki, Rie Konno, Kanako Fujii, Akiko Nishimura","doi":"10.1097/jnr.0000000000000671","DOIUrl":"10.1097/jnr.0000000000000671","url":null,"abstract":"<p><strong>Background: </strong>Nurses are frequently called upon to serve as first responders and care providers after natural hazards and disasters. As disaster relief nurses protect the health of and provide support to survivors who are forced to live in shelters, their experiences deserve to be analyzed. However, there is a paucity of research and systematic reviews (SRs) on this topic.</p><p><strong>Purpose: </strong>This research was designed to systematically analyze the experiences of nurses providing care to people in shelters following natural hazards and disasters.</p><p><strong>Methods: </strong>The authors searched CINAHL, PubMed, Scopus, Web of Science, and ProQuest Dissertations and Theses on July 2nd 2023 for qualitative studies published in English and Japanese since 1995 (the first year articles on this topic were published). After evaluating the methodological quality of the five included studies using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research and conducting a critical appraisal, the relevant qualitative data were extracted. The findings were categorized according to their quality and meaning. Based on these categories, a meta-synthesis was performed to produce a set of synthesized findings.</p><p><strong>Results: </strong>The five qualitative studies included in this review covered the post-natural disaster care experiences of 45 participants. The meta-synthesis resulted in 25 findings, seven categories, and two synthesized findings, including (a) nurses play multiple roles for evacuees from affected communities and (b) nurses managing shelters to ensure the health and living conditions of evacuees. The synthesized findings explain the disaster relief experience of nurses comprehensively.</p><p><strong>Conclusions: </strong>This qualitative SR included five moderate-quality studies designed to explore the experiences of disaster relief nurses following natural hazards and disasters. Nurses worked with and managed several teams, including those involved in rescue, resource management, organization, and record management, in a flexible manner, thus involving them in the management of all events within and involving evacuee shelters. These nurses are responsible for providing medical and nursing care and protecting evacuees from danger, while respecting the pace of each individual in the disaster-stricken community. Notably, the nurses leveraged their personal and disaster nursing experiences to learn and develop nursing care strategies and techniques unique to shelters.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"33 2","pages":"e386"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Online Flipped Learning Model: Effects on Academic Achievement, Critical Thinking, and Self-Directed Learning Skills in Nursing Students.","authors":"Dilek Erden, Hülya Kaya","doi":"10.1097/jnr.0000000000000669","DOIUrl":"10.1097/jnr.0000000000000669","url":null,"abstract":"<p><strong>Background: </strong>The online flipped learning method, an innovative learning approach, helps develop critical thinking and self-directed learning skills and increases student interest in coursework.</p><p><strong>Purpose: </strong>This study was developed to investigate the impact of a flipped learning model-based chemotherapy symptom management education course on levels of academic achievement, critical thinking, and self-directed learning skills in nursing students.</p><p><strong>Methods: </strong>This randomized controlled trial comprised 68 students, who were randomly assigned to either the experimental or the control group. A traditional online learning-based training program was applied in the control group, while online flipped learning was applied in the experimental group. Each group underwent training on chemotherapy symptom management for 1 h every week for 6 weeks. The researchers evaluated the results for both groups using the Chemotherapy Symptom Management Knowledge Test, the Marmara Critical Thinking Dispositions Scale, and the Self-Directed Learning Skills Scale applied before, immediately after, and 1 month after training. The data were collected between January 2020 and July 2021.</p><p><strong>Results: </strong>Academic achievement ( p < .001) and critical thinking dispositions increased during, immediately after, and 1 month after training ( p < .001) in the experimental group, while academic achievement increased 1 month after the training ( p < .001) in the control group. The degree of positive change in academic achievement in the experimental group was greater than that of the control group ( p = .028). Critical thinking disposition decreased during, immediately after, and 1 month after the training ( p < .001) in the control group, while no meaningful difference was found in self-directed learning skills in either group after the training ( p > .05).</p><p><strong>Conclusion/implications for practice: </strong>The online flipped learning model-based education program improved academic achievement and critical thinking disposition.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e384"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Restraint in a Pediatric Intensive Care Unit: A Cross-Sectional, Observational Study in China.","authors":"Ling-Ying Wang, Zi-Yi Hu, Meng-Lin Tang, Xiu-Ying Hu","doi":"10.1097/jnr.0000000000000653","DOIUrl":"10.1097/jnr.0000000000000653","url":null,"abstract":"<p><strong>Background: </strong>Research data on the extent of and protocols related to physical restraint (PR) in pediatric intensive care units (PICUs) are scarce. Most previous studies in China on this topic have focused on the prevalence, reasons, and background of PR use among adult patients.</p><p><strong>Purpose: </strong>This study was designed to delineate the application of PR and the factors associated with PR use in PICUs in China.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in one PICU at West China Hospital, Sichuan University, from January 2020 to December 2020. A total of 1,086 pediatric patients in the PICU were included in this study. Data collection was performed over 11 months, utilizing PR observation forms and patient records. Descriptive statistical analysis was used to obtain the data, and logistic regression models were used to analyze the independent risk factors for PR.</p><p><strong>Results: </strong>Of the 1,086 participants, 750 (69.1%) experienced being restrained, and 83.5% of the restrained participants who were pediatric patients were restrained for more than 50% of their time during their PICU stay. The results of logistic regression analysis identified age (1-6 years: OR = 2.090, 95% CI [1.508, 2.897], p < .001; 7-17 years: OR = 0.523, 95% CI [0.358, 0.765], p = .001), use of mechanical ventilation ( OR = 2.126, 95% CI [1.480, 3.055], p < .001), use of drainage tubes ( OR = 1.916, 95% CI [1.445, 2.541], p < .001), and sedation ( OR = 1.494, 95% CI [1.101, 2.026], p = .010) as significantly correlated with the use of PR in the PICU. For the 750 patients who experienced being restrained, PR initiation was documented with a written medical order, and in 604 cases (80.5%), the restraints were removed without similar documentation.</p><p><strong>Conclusions: </strong>The use of PR is common in PICUs in China, with more than half of pediatric patients being restrained during their stay. Age, mechanical ventilation, use of drainage tubes, and use of sedative drugs were identified as significantly associated with PR use. Developing standardized procedures/guidelines for PR use in Chinese PICUs and enhancing medical staff education on PR practices are imperative.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e373"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Psychological Distress and Sleep Quality Among Middle-Aged and Older Adults: The Moderating Effect of Gender.","authors":"Szu-Ying Lee, Sheng-Miauh Huang, Chia-Tai Hung, Su-Chen Fang","doi":"10.1097/jnr.0000000000000655","DOIUrl":"10.1097/jnr.0000000000000655","url":null,"abstract":"<p><strong>Background: </strong>Symptoms of psychological distress such as depression and anxiety as well as gender are known to be associated with sleep quality in middle-aged and older adults. However, little is known about the effect on sleep quality of interactions among these factors.</p><p><strong>Purpose: </strong>This study was developed to investigate the moderating effect of gender on the relationship between psychological distress and sleep quality in middle-aged and older adults.</p><p><strong>Methods: </strong>A cross-sectional design, secondary data analysis of data on 5,590 individuals aged ≥ 45 years from the Taiwan Biobank database (2009-2018) was used. In this database, psychological distress was assessed using the Patient Health Questionnaire-4, and sleep quality was assessed using a self-report, one-question scale. Demographic data and health-related variables were evaluated as potential confounding factors. A hierarchical regression was conducted to examine the moderating effect of gender on the relationship between psychological distress and sleep quality after adjusting for potential confounders.</p><p><strong>Results: </strong>The participants with severe psychological distress were found to have a lower mean quality of sleep than those without ( p < .01), and males returned a better mean quality of sleep score than females ( p < .01). Moreover, a significant interaction effect between psychological distress and gender on sleep quality score was found ( b = 0.123, SE = 0.022, p = .03). In terms of participants with severe psychological distress, males reported significantly poorer sleep quality than females.</p><p><strong>Conclusions: </strong>The findings provide evidence that gender moderates the relationship between sleep quality and psychological distress. Also, in terms of individuals with severe psychological distress, males reported worse sleep quality than women, indicating psychological distress impacts sleep quality in men more than women. Nurses should be aware of these findings when working with clinical professionals to tailor gender-specific education interventions to improve sleep quality and psychological health.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e372"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}