目的:研究加速康复外科模式(Enhanced recovery after surgery, ERAS)对腹腔镜前列腺癌根治术患者心理状态的影响。方法:回顾性收集ERAS腹腔镜前列腺癌根治术的患者35例,以及常规护理模式下患者32例。根据D`Amico分类将ERAS组患者分成...目的:研究加速康复外科模式(Enhanced recovery after surgery, ERAS)对腹腔镜前列腺癌根治术患者心理状态的影响。方法:回顾性收集ERAS腹腔镜前列腺癌根治术的患者35例,以及常规护理模式下患者32例。根据D`Amico分类将ERAS组患者分成高危组和中低危组进一步分析。使用Zung氏焦虑自评量表和抑郁自评量表对ERAS组和常规组以及ERAS组中不同危险度患者手术前后心理应激状态进行测评并比较.结果:ERAS腹腔镜前列腺癌患者术后焦虑和抑郁评分比术前明显降低,常规组术后抑郁评分比术前没有统计学差异。ERAS组中,高危前列腺癌患者术后焦虑和抑郁评分比术前明显降低,中低危前列腺癌患者手术前后焦虑和抑郁评分比较没有统计学差异。结论:开展ERAS腹腔镜前列腺癌根治术能够改善患者术后心理应激状态,特别是对高危前列腺癌患者能够更好地改善患者术后负面心理,帮助患者增强信心,配合治疗,提高效果。展开更多
Objective:This study aimed to examine the psychometric properties of the Conditions for Workplace Effectiveness Questionnaire-Ⅱ-Arabic Version(CWEQ-Ⅱ-AV),which measures structural empowerment among nurses.To enhance...Objective:This study aimed to examine the psychometric properties of the Conditions for Workplace Effectiveness Questionnaire-Ⅱ-Arabic Version(CWEQ-Ⅱ-AV),which measures structural empowerment among nurses.To enhance the usability and credibility of the CWEQ-Ⅱ among researchers within Arabicspeaking countries,a valid and reliable Arabic version of the measure is necessary.Methods:A cross-sectional research design was used.From December 2018 to June 2019,275 nurses working in 4 hospitals participated in the study.Reliability was assessed by examining internal consistency and split-half reliability.A confirmatory factor analysis was performed to evaluate the factor structure of the CWEQ-Ⅱ-AV.Results:The psychometric properties of the CWEQ-Ⅱ-AV were excellent regarding the six-factor model(opportunity,information,resources,support,formal power,and informal power).The results showed the following fit indices meet the criteria set a priori:comparative fit index(CFI)=0.96,root mean square of error approximation(RMSEA)=0.06,andХ^(2)/df=2.08.Cronbach's a coefficient was 0.95 for the total questionnaire and ranged between 0.83 and 0.89 for the individual subscales.The split-half reliability was 0.91 for the total questionnaire and ranged from 0.83 to 0.87 for individual subscales.Conclusion:This study provides evidence that CWEQ-Ⅱ-AV is both a reliable and valid measure of structural empowerment among Arab nurses.展开更多
文摘目的:研究加速康复外科模式(Enhanced recovery after surgery, ERAS)对腹腔镜前列腺癌根治术患者心理状态的影响。方法:回顾性收集ERAS腹腔镜前列腺癌根治术的患者35例,以及常规护理模式下患者32例。根据D`Amico分类将ERAS组患者分成高危组和中低危组进一步分析。使用Zung氏焦虑自评量表和抑郁自评量表对ERAS组和常规组以及ERAS组中不同危险度患者手术前后心理应激状态进行测评并比较.结果:ERAS腹腔镜前列腺癌患者术后焦虑和抑郁评分比术前明显降低,常规组术后抑郁评分比术前没有统计学差异。ERAS组中,高危前列腺癌患者术后焦虑和抑郁评分比术前明显降低,中低危前列腺癌患者手术前后焦虑和抑郁评分比较没有统计学差异。结论:开展ERAS腹腔镜前列腺癌根治术能够改善患者术后心理应激状态,特别是对高危前列腺癌患者能够更好地改善患者术后负面心理,帮助患者增强信心,配合治疗,提高效果。
文摘Objective:This study aimed to examine the psychometric properties of the Conditions for Workplace Effectiveness Questionnaire-Ⅱ-Arabic Version(CWEQ-Ⅱ-AV),which measures structural empowerment among nurses.To enhance the usability and credibility of the CWEQ-Ⅱ among researchers within Arabicspeaking countries,a valid and reliable Arabic version of the measure is necessary.Methods:A cross-sectional research design was used.From December 2018 to June 2019,275 nurses working in 4 hospitals participated in the study.Reliability was assessed by examining internal consistency and split-half reliability.A confirmatory factor analysis was performed to evaluate the factor structure of the CWEQ-Ⅱ-AV.Results:The psychometric properties of the CWEQ-Ⅱ-AV were excellent regarding the six-factor model(opportunity,information,resources,support,formal power,and informal power).The results showed the following fit indices meet the criteria set a priori:comparative fit index(CFI)=0.96,root mean square of error approximation(RMSEA)=0.06,andХ^(2)/df=2.08.Cronbach's a coefficient was 0.95 for the total questionnaire and ranged between 0.83 and 0.89 for the individual subscales.The split-half reliability was 0.91 for the total questionnaire and ranged from 0.83 to 0.87 for individual subscales.Conclusion:This study provides evidence that CWEQ-Ⅱ-AV is both a reliable and valid measure of structural empowerment among Arab nurses.