注重心理理护在疾病治疗中的作用

随着医学模式的转变,护理模式已从单纯的护理疾病转向以人为中心的全面护理。护理工作不再是机械地执行医嘱,也不再是简单地打针、服药等对疾病的护理,而是针对病人的心理、生理和社会因素三个方面进行全面分析,积极实施有效的心理护理。这就要求我们护士不仅是有先进的护理技术,技能和知识,更需要用现代医学模式指导临床实践。因此,在临床护理工作中应做好心理护理。

Psychometric testing of the cross-culturally adapted Thai version of the Self-Care Self-Efficacy Scale version 3.0 in individuals with chronic illnesses

Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Western context,its applicability in Asian populations,including Thailand,remains inadequately explored.Methods:Psychometric tests were guided by COSMIN principles.This included the translation of the English version into Thai based on the ISPOR framework.Nine nursing experts evaluated the content validity.Data were obtained from a multicenter cross-sectional study conducted between July and November 2022.This study included individuals with chronic conditions from 16 primary care centers in Thailand.We tested the structural validity using exploratory factor analysis(EFA)and confirmatory factor analysis(CFA),and concurrent validity in relation to the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).We tested the scale’s reliability with McDonald’s u,Cronbach’s a,and the intraclass correlation coefficient(ICC).Results:The Thai SCSES-v3.0 demonstrated excellent content validity(k¼1.00).Thefinal analysis included a total of 385 participants.The EFA with thefirst split-half subsample(n¼193)extracted a twofactor structure.One reflected SCSES for maintenance and monitoring behaviors and another captured SCSES for management behaviors(item 6e10).CFA with the second split-half subsample(n¼192)and the overall sample(n¼385)supported the scale’s two-factor model with high factor loadings.Each dimension and the overall SCSES-v3.0 positively correlated with each scale and the overall SC-CII-v4.c.McDonald’s u and Cronbach’s a(both ranged 0.91e0.94)and ICC(ranged 0.95e0.96),indicated excellent internal reliability and test-retest reliability,respectively.Conclusions:The identification of a valid and reliable two-factor model for the Thai SCSES-v3.0 renders it a valuable tool for clinicians and investigators,facilitating the assessment of self-efficacy in self-care across diverse contexts.

Evaluating the feasibility and preliminary effects of an online compassion training program for nursing students:A pilot randomized controlled trial

Objectives:This study aimed to assess the feasibility of an online compassion training program for nursing students and preliminarily investigate its effects on mindfulness,self-compassion,and stress reduction.Methods:This study employed a randomized controlled trial design.Second-year students from a nursing college in Guangzhou,China,were recruited as research participants in August 2023.The intervention group participated in an 8-week online compassion training program via the WeChat platform,comprising three stages:mindfulness(weeks 1e2),self-compassion(weeks 3e5),and compassion for others(weeks 6 e8).Each stage included four activities:psychoeducation,mindfulness practice,weekly diary,and emotional support.Program feasibility was assessed through recruitment and retention rates,program engagement,and participant acceptability.Program effectiveness was measured with the Mindful Attention Awareness Scale,Self-Compassion Scale-Short Form,and Perceived Stress Scale.Results:A total of 28 students completed the study(13 in the intervention group,15 in the control group).The recruitment rate was 36.46%,with a high retention rate of 93.3%.Participants demonstrated high engagement:69.2%accessed learning materials every 1e2 days,93.3%practiced mindfulness at least weekly,with an average of 4.69 diary entries submitted per person and 23.30 WeChat interactions with instructors.Regarding acceptability,all participants expressed satisfaction with the program,with 92.4%finding it“very helpful”or“extremely helpful.”In terms of intervention effects,the intervention group showed a significant increase in mindfulness levels from pre-intervention(51.54±10.93)to postintervention(62.46±13.58)(P<0.05),while no significant change was observed in the control group.Although there were no statistically significant differences between the two groups in post-intervention self-compassion and perceived stress levels,the intervention group showed positive trends:selfcompassion levels increased(35.85±8.60 vs.40.85±5.54),and perceived stress levels slightly decreased(44.77±8.65 vs.42.00±5.77).Conclusions:This pilot study demonstrated the feasibility of an online compassion training program for nursing students and suggested its potential effectiveness in enhancing mindfulness,self-compassion,and stress reduction.Despite limitations such as small sample size and lack of long-term follow-up,preliminary evidence indicates promising prospects for integrating such training into nursing education.Further research is warranted to confirm thesefindings and assess the sustained impact of this approach on nursing education and practice.

A scoping review of autoethnography in nursing

Objective:Autoethnography combines personal experiences with cultural analysis,emerging as a response to the limitations of traditional ethnography.This review aimed to explore,describe,and delineate the utilization of autoethnography by nurses published in peer-reviewed journals.Methods:A scoping review was conducted according to the Arksey and O’Malley framework.On October 12,2023,autoethnographic studies in nursing were identified through searches of CINAHL,PubMed,PsycINFO,and Scopus.Peer-reviewed articles published in English language were retrieved.We applied no date restriction.Data were extracted on nursing,epiphany,results,style of writing,implications for nursing,and ethical considerations.Results:Twenty-six articles met the inclusion criteria.Mental health nursing,covered by nine articles,elucidated experiences of stigma,ethical dilemmas,and professional identity.Nursing education,represented by seven articles,highlighted identity struggles,systemic biases,and evolving pedagogies.Palliative care,addressed by three articles,provided insights into communication challenges and emotional complexities in end-of-life care.The remaining articles explored rehabilitation,cultural competence,and chronic pain management.A conceptual framework integrating ontological,epistemological,ethical,and practical dimensions was developed,emphasizing the interplay between personal and professional roles.Conclusions:This review underscores autoethnography’s value in uncovering the cultural and ethical dimensions of nursing.This framework advocates for a reflective,culturally attuned approach to healthcare,fostering transformative changes in nursing.Further research should explore underrepresented nursing specialties to harness autoethnography’s potential fully.

Effects of mindfulness-based psychological care on mood and sleep of leukemia patients in chemotherapy

Purpose:The aim of this research was to explore the benefits of mindfulness-based psychological care(MBPC)and assess whether the intervention would be beneficial in reducing insomnia and emotional symptoms of leukemia patients receiving chemotherapy.Methods:A randomized control design study was applied in two hematology departments in a hospital in Zhengzhou.Patients in the experimental group received mindfulness-based psychological care(MBPC),and those in the control group received conventional care.Anxiety,depression,and sleeping problems were measured using the Self-Rating Anxiety Scale,Self-Rating Depression Scale,and the Pittsburgh Sleep Quality Index.Results:Statistically significant differences were observed among anxiety,depression,and sleeping problems between the two groups in the post-test(P<0.05).A significant decrease in anxiety and depression and an improvement in sleep were observed between pre-and post-interventions(P<0.05)in the experimental group.Conclusions:MBPC significantly improved sleep quality and mood of the experimental group.It is an effective complementary therapy for leukemia treatment that is inexpensive,noninvasive,and associated with relaxation and pain reduction.

Psychometric properties of the Care Dependency Scale in stroke survivors in Indonesian hospitals

Purpose: This study aimed to evaluate the psychometric properties of the Indonesian version of the Care Dependency Scale (CDS) among stroke survivors.Methods: The study was undertaken in four hospitals.We analysed datasets obtained from 109 stroke survivors on inpatient wards and in outpatient clinics,who were rated by nurses to determine the CDS reliability coefficients.The Cronbach's α and Cohen's kappa coefficients were applied.Concurrent validity was conducted for the data on care dependency,which werecollected from 49 of these 109 participants on inpatient wards by nurses using the CDS and the Barthel Index.A Spearman's rank correlation analysis was conducted to measure the association between the CDS and the Barthel Index results.Results: An analysis of the results of the CDS tested on the inpatient ward and in the outpatient clinic revealed a high level of internal consistency.The reliability analysis yielded the same Cronbach's α coefficient of 0.98 for both the inpatient and outpatient data.A significant,moderate correlation was observed between the CDS and Barthel Index results.Conclusion: The CDS can be recommended for use as a tool for the assessment and evaluation of stroke survivors who are receiving acute or long-term care.

Psychometric properties and characteristics of the Diabetes Self Management Scale

Objective:Assessing diabetes self care management is essential for nursing care for diabetes.There is a need to have valid and reliable scales that assess the actual performance of diabetes self management,The purpose of this study was to revise and conduct psychometric testing and analysis of the Diabetes Self Management Scale(DSMS).Methods:A cross-sectional methodological design was used.A convenience sample was used and 78 adults with diabetes and taking insulin from five sites in the Midwest area of the U.S participated in the study.Reliability analysis was done using Ferketich techniques to make decisions about whether any given item should be retained or deleted.Results:A descriptive analysis for the 60 items of the scale was conducted;several items had low variability compared to the other items on the scale.The correlation matrices showed that a total of 20 items had poor item characteristics.These 20 items were deleted resulting in developing 40-item version of the scale.The 40-item scale had high level of internal consistency(Cronbach'sα=0.947).The validity testing of the 40-item scale was guided by the Research Model for Diabetes Self Care Management;results were congruent with the model and showed strong correlation with self efficacy,moderate correlation with self care agency,and weak correlation with diabetes knowledge.Conclusion:The items and the scale(DSMS)have undergone careful psychometric testing.The 40-item DSMS is a reliable and valid instrument to measure diabetes self care management among people with diabetes.

Resilience of patients with coronary heart diseases in Jordan:A cross-sectional study

Objectives This study aimed to assess the level of resilience and related factors among patients with coronary heart disease.Methods A cross-sectional was used to determine the factors associated with the level of resilience.A convenience sampling technique was used to recruit 134 patients with coronary heart disease who attended the out-patients cardiology clinics at two leading public hospitals in Jordan from July to September 2017.The Connor-Davidson Resilience Scale(CD-RISC)was used to collect the data via a face-to-face structured interview.Mann-Whitney U test and Kruskal Wallis test were used to analyze the data.Results The results showed a moderate level of resilience among patients with coronary heart diseases.Patients who reported having no history of a cardiac procedure reported a higher total resilience score(69.50[63.25,75.00]vs.65.50[58.00,72.00])and a higher score in dimension 1,“personal competence,high standards,and tenacity”than their counterparts(22.00[18.50,26.00]vs.21.00[15.75,23.00])(P<0.05).Dimension 3“positive acceptance of change and secure relationships”score was higher for employed patients than retired patients(15.00[14.00,16.00]vs.14.00[12.00,15.00])(P<0.05).However,no significant associations were found between other socio-demographic characteristics and resilience levels across the five dimensions.Conclusion Identifying the resilience level and related factors among patients with cardiac problems should be integrated into the comprehensive plan of care to improve patient quality of life,enhance effective coping strategies,improve mental health and well-being,and prevent further disease complications.

CHANGES OF PSYCHOLOGICAL STRESS STATE AND THE EFFECT OF ACPUNCTURE INTERVENTION IN ARMED ANTI-TERRORISM POLICEMEN

Objective:To observe psychological changes of the armed policemen under stress state and the effect of acupuncture intervention for exploring possible measures in raising the armed policemen's capability in dealing with the suddenly-occurred accidents. Methods: In the first part of the study for observing psychological changes, a total of 90 volunteer armed policemen participating in anti-terrorism maneuver were randomly and evenly divided into anti-chemical weapon group, flight reconnaissance group and hostage-rescuing group. 30 logistic personals were selected to form control group. Symptom Checklist-90 (SCL-90) questionnaire was used to assess the psychological state of these anti-terrorism policemen. In the second part of the study for observing the effect of acupuncture, 60 policemen with anxiety and depression who were determined by Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) were randomly and evenly divided into non-acupuncture and acupuncture groups, and other 30 policemen with normal psychological state were selected to form control group. Two weeks before anti-terrorism maneuver, participants of acupuncture group were asked to receive continuous acupuncture treatment of bilateral Neiguan (内关 PC 6) and Zusanli (足三里 ST 36), once daily, 15 min every time. Results:Comparison among the first 4 groups displayed that the total scores, scores of body feeling reactions, interpersonal relation, depression, anxiety, terror, and psychological problems of flight reconnaissance and hostage-rescuing groups were significantly higher than those of control group (P<0.05-0.01), suggesting that the psychological stress pressure was strongest in flight reconnaissance policemen and secondary in hostage-rescuing policemen, followed by anti-chemical weapon policemen. Following administration of acupuncture intervention, scores of both SDS and SAS in acupuncture group were considerably lower than those of non-acupuncture group (P< 0.01), showing that acupuncture intervention could reduce psychological stress reactions in the armed policemen undergoing anti-terrorism exercise. Conclusion: Before anti-terrorism exercise,neerly all the armed policemen have different degrees of psychological problems, while acupuncture intervention can improve their psychological state.

Psychological capital mediates the association between nurses'practice environment and work engagement among Chinese male nurses

Objectives:This study aims to investigate the environmental and individual factors contributing to male nurses'psychological well-being and to explore the psychological mechanisms that may explain the links between nurses'practice environment and work engagement,thereby presenting the implications for nurse managers.Methods:A total of 161 male nurses from three tertiary first-class hospitals in Changsha City in China participated in the study.We collected the data using the Practice Environment Scale of the Nursing Work Index,the Psychological Capital Questionnaire,and the Utrecht Work Engagement Scale.Results:Scores of male nurses'practice environment(2.88±0.31),psychological capital(4.42±0.62),and work engagement(3.17±1.39)were all above the midpoint;however,the subscales"the nursing staffing and resources adequacy"(2.72±0.48),"hope"(4.33±0.72),and"dedication"(2.96±1.61)scored lowest.Nurses'practice environment and psychological capital positively predicted nurses'work engagement;psychological capital fully mediated the influence of nurses'practice environment on work engagement.Conclusions:Creating a supportive nursing practice environment can increase male nurses'work engagement by developing their psychological capital.Nurse managers can then provide reasonable workload and pathways for male nurses to achieve goals,thereby fostering their hope.

Psychological evaluation of patients after breast cancer surgery and care strategies improvement

Objective: The aim of the study was to investigate the level of self-image of patients after breast cancer surgery, and explore factors influencing self-image among patients who have experienced different types of surgeries, and set out a foundation for the improvement of care strategies. Methods: The 538 patients with primary breast cancer who underwent surgery in the Department of Breast Surgery, First Hospital of China Medical University, Shenyang, China, from January 2004 to January 2009 were included in the study. The psychological status of the patients was evaluated by body image after breast cancer questionnaire (BIBCQ), social support rating scale (SSRS), self-rating anxiety scale (SRAS), depression rating scale (DRS), and general information questionnaire. The factors influencing the self-image were selected by a stepwise regression analysis. Results: The patients who underwent breast-conserving surgery were the most satisfied with their body image, followed by those underwent surgery of modified radical mastectomy with reconstruction. However, cases treated by modified radical mastectomy without reconstruction had negative outcomes. Regardless of operation type, the self-image was influenced by anxiety, level of abuse by husband, and sexual satisfaction after operation. Conclusion: The self-image of patients who underwent different breast cancer surgeries was influenced by different factors, and individualized nursing should be offered in accordance with the specific situation.

Self-care among older Chinese people with chronic heart failure： the roles of cognitive and psychosocial characteristics

Chronic heart failure （CHF） is a complex clinical syndrome resulting from inefficient myocardial pumping, and is characterised by a typical progressively deteriorating trajectory punctuated by serious episodes of acute disease decompensation.High prevalence of hospital admission has been reported.[2] However, around 40% of hospital admissions was avoidable if patients demonstrate consistent self-care.

Reliability and validation of the Arabic version of the Conditions for Workplace Effectiveness Questionnaire-Ⅱ

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.

Interprofessional education in nursing: The impact of collaboration between physical and mental health care professionals

Objectives:lnterprofessional collaboration in the training of nursing and psychology students helps provide students of both disciplines with the ability and competences they need to best attend to their patients.This study implemented and analyzed a method for developing the competences of each discipline in a scenario of joint clinical simulation that incorporates mental and physical health simultaneously,and measured the caring ability of the participating students.Methods:Participants took a self-applied survey measuring their own caring ability.After,a clinical simulation was performed where nursing students performed clinical interviews on psychology students,who acted as standardized patients.Caring abilities were measured in the nursing students,and the psychology students implemented an intervention service measuring caring ability and brief-debrief simulation by coaching to nursing students.Results:The results indicated that the self-applied questionnaire of caring ability resulted in scores significantly higher than what was measured by observers.Conclusions:The results contribute to the development of protocols,training and collaborative work practices in interprofessional education,which allow the scaling of these competences.

Treatment of heart failure in nursing home residents

BackgroundFor the treatment of chronic heart failure （HF）, both pharmacological and non-pharmacological treatment should be em-ployed in HF patients. Although HF is highly prevalent in nursing home residents, it is not clear whether the recommendations in the guide-lines for pharmacological therapy also are followed in nursing home residents. The aim of this study is to investigate how HF is treated in nursing home residents and to determine to what extent the current treatment corresponds to the guidelines.MethodsNursing home resi-dents of five large nursing home care organizations in the southern part of the Netherlands with a previous diagnosis of HF based on medical records irrespective of the left ventricle ejection fraction （LVEF） were included in this cross-sectional design study. Data were gathered on the （medical） records, which included clinical characteristics and pharmacological- and non-pharmacological treatment. Echocardiography was used as part of the study to determine the LVEF.ResultsOut of 501 residents, 112 had a diagnosis of HF at inclusion. One-third of them received an ACE-inhibitor and 40% used aβ-blocker. In 66%, there was a prescription of diuretics with a preference of a loop diuretic. Focusing on the residents with a LVEF￡ 40%, only 46% of the 22 residents used an ACE-inhibitor and 64% aβ-blocker. The median daily doses of prescribed medication were lower than those that were recommended by the guidelines. Non-pharmacological interventions were recorded in almost none of the residents with HF.ConclusionsThe recommended medical therapy of HF was often not prescribed; if pre-scribed, the dosage was usually far below what was recommended. In addition, non-pharmacological interventions were mostly not used at all.

Validation of the Persian version of the Compassionate Care Assessment Tool

Objectives:The present study aimed to translate and determine the psychometric properties of the Persian version of the Compassionate Care Assessment Tool(CCAT)■.Methods:The study was carried out to translate and validate of the CCAT■.After securing permission from the designer of the tool and translating it,the psychometric properties were determined through examining face validity,construct validity,internal consistency,and test/retest reliability.With regard to construct validity,confirmatory factor analysis was used so that 300 patients in internal and surgery wards were selected by a simple random sampling method from three hospitals.Data were analyzed using SPSS(v.24.0)and LISREL statistical software version 8.8.Results:The results of the confirmatory factor analysis supported the validity and reliability of the Persian version of the CCAT■and its four factors.The reliability of the tool and internal consistency were confirmed through test/retest method with two weeks’interval.At the two areas of importance and provision of compassionate care,Cronbach’sαcoefficient equaled to 0.918 and 0.933 and intraclass consistency equaled to 0.848 and 0.907 respectively.Conclusion:The results showed that the Persian version of the CCAT©was adequately valid and reliable for Iranian patients.Given the acceptable psychometric parameters of the tool,using it in future studies to measure importance and provision of compassionate nursing care to Iranian patients at internal and surgery wards is recommended.

Analysis on Psychological Nursing of Elderly Patients

Purpose： To analyze the influence of psychological nursing to the treatment and recovery of elderly patients. Method： It conducts different care methods according to different psychological problems and disease types. Result： Through effective psychological care, it can promote the recovery of patients＇ diseases. Conclusion： Implementing effective psychological care to the patients is good for the treatment and recovery of diseases, which shortens the time of effectively controlling diseases.

Improving job satisfaction of Chinese nurses: the positive effects of structural empowerment and psychological capital

Objectives:This study examined the influence of Chinese nurses’personal resources(psychological capital)and access to workplace resources(structural empowerment)on their job satisfaction.Method:A cross-sectional study was designed during the period of January to April 2018.An anonymous questionnaire containing demographic characteristics sheet,Minnesota Satisfaction Questionnaire,Conditions for Work Effectiveness Questionnaire-II and psychological capital(PsyCap)was issued to 480 registered nurses in Tianjin,China.A total of 462 respondents became our subjects.Hierarchical regression was performed to explore the factors associated with job satisfaction.Results:The average Minnesota Satisfaction Questionnaire score was 65.68±12.35 in our study population.Hierarchical regression analysis showed that structural empowerment(β=0.421,P<0.01),PsyCap(β=0.227,P<0.01) and educational level(β=0.061,P<0.05) were positively associated with job satisfaction.Conclusion:The job satisfaction of Chinese nurses was at a moderate level.Structural empowerment was the most crucial predictor of job satisfaction,followed by PsyCap.Therefore,nursing administrators should take measures such as building an authorized work environment and improving nurses’PsyCap in order to promote job satisfaction among Chinese nurses.

lmpact of Virtual Dementia Tbur on empathy leVel Of nursing Students:A quasi-experimental study

Objective:As a developable ability,empathy is significantly associated with patient-centered care.The authors intended to evaluate the effect of Virtual Dementia Tour(VDT)upon nursing students'empathy level and propose practical rationales for optimizing future dementia care.Methods:A total of 45 second-year undergraduate nursing students were organized to watch a theme movie entitled Still Alice and participate in an 8-min VDT.Jefferson Scale of Empathy-Health Professional Students(JSE-HPS)was employed for evaluating the empathy level of nursing students.After VDT,all nursing students participated in a structured interview.Descriptive statistics and paired t-tests were performed using SPSS 24.0.Results:Their empathy levels demonstrated significant overall improvements(106.69±9.49 vs 115.51±10.16,P<0.01).During the course of VDT,nursing students experienced varying levels of anxiety and frustration.All of them were satisfied with the program since they had gained a deeper understanding of demented patients and the program could change their attitudes toward demented elders.Conclusion:Watching a specially selected movie and participating in VDT may be an effective method for enhancing empathy and caring during nursing student education.