Impact of Nursing Interventions Based on Self- Efficacy Theory on HAMA and HAMD Scores in Patients with Hepatitis B Cirrhosis

Objective:To explore the effect of nursing interventions based on self-efficacy theory guidance on psychological stress indicators in patients with hepatitis B cirrhosis.Methods:70 patients with hepatitis B cirrhosis from October 2023 to May 2024 were selected and grouped by random number table.The observation group received nursing intervention based on self-efficacy theory,while the control group received routine nursing.The differences in psychological stress indicators,self-efficacy indicators,and nursing satisfaction were compared between the two groups.Results:Hamilton Anxiety Rating Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)scores of the observation group were significantly lower than those of the control group(P<0.05);Chronic Disease Self-Efficacy Scale(CDSES)scores of the observation group were significantly higher than those of the control group(P<0.05);and nursing satisfaction scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion:Hepatitis B cirrhosis patients receiving nursing care based on self-efficacy theory can stimulate patients'self-efficacy,calm their emotions,and their overall satisfaction is high.

Systematic nursing interventions in gastric cancer:A randomized controlled study

BACKGROUND Scientific and effective nursing methods can effectively mitigate negative emotions in patients.Related studies have shown that systematic nursing interventions are beneficial in enhancing the self-efficacy and self-care abilities of patients and improving their physical and mental state,thereby alleviating their fatigue and improving their quality of life.AIM To explore the effects of systematic nursing intervention on cancer-related fatigue,self-efficacy,self-nursing ability,and quality of life in gastric cancer(GC)patients during the perioperative period.METHODS In this study,sample size was based on the multivariable scale.The sample size was 10 times the acceptable variable,with an additional 20% added to account for an expected loss of patients in follow-up for a final sample size of 168 patients.Conventional nursing measures were used in the control group,while the systematic nursing intervention Adopted Cancer Fatigue Scale(CFS),General Self-Efficacy Scale-Schwarzer(GSES),Self-Care Agency Scale(ESCA),and simple health scale(SF-36)were used in the observation group.The questionnaires were administered on admission and discharge.RESULTS At admission,there was no statistically significant difference in the scores on each scale between the groups.At discharge,the CFS and GSES scores in the observation group were 21.56±2.24 and 51.16±11.71,while those in the control group were 29.61±3.48 and 41.58±8.54,respectively,with statistically significant differences.The ESCA score in the observation and control groups was 112.09±11.72 and 97.87±9.26,respectively.Moreover,the scores in all dimensions(self-concept,selfresponsibility,health knowledge level,and self-care skills)in the observation group were higher than those in the control group,with statistically significant differences.The SF-36 score in the observation and control groups was 75.51±3.63 and 63.24±3.41,respectively,with statistically significant differences.The scores in all dimensions(mental health,vitality,physical function,physical pain,social function,emotional function,and overall health level)in the observation group were higher than those in the control group,with statistically significant differences.CONCLUSION Systemic nursing intervention for GC patients during the perioperative period could alleviate cancer-related fatigue,improve self-efficacy and self-nursing ability,and improve quality of life,which all have clinical value.

Prenatal breastfeeding intervention program to increase breastfeeding duration among low income women

Extensive research confirms the nutritional, economic, biomedical, immunological, and psychological advantages of breast milk. Despite the clear benefits of breastfeeding to mother and infant, breastfeeding rates today continue to remain below the recommended levels in the United States, most notably among low-income mothers. One factor that plays a role in breast-feeding success and may be modifiable by nursing intervention is maternal self-efficacy. This study aimed to increase the breast-feeding du-ration through an intervention based on Den-nis’s Breastfeeding Self-Efficacy Theory. A quasi-Experimental design was used to test the effect of the intervention program on duration of breastfeeding. A convenience sample of 37 low-income women was recruited from two rural pre-natal clinics in the Midwest. Data were collected using the Breastfeeding Self-Efficacy Scale (BSES) and a demographic profile. Women were con-tacted by telephone at two and six weeks post-partum to determine if they were still breast-feeding and to complete the BSES. The women who were assigned to a breast-feeding self-efficacy intervention showed significantly greater increases in breast-feeding duration and self-efficacy than did the women in the control group. The results of this study suggest that the one-hour of breastfeeding intervention program during the prenatal period may increase the duration of breastfeeding in low-income women who intend to breastfeed. This study supports the literature which found that prenatal education and postpartum support are important to the out-come of breastfeeding.

Effects of therapeutic horseback riding on post-traumatic stress disorder in military veterans

Background:Large numbers of post-deployment U.S.veterans are diagnosed with post-traumatic stress disorder(PTSD)and/or traumatic brain injury(TBI),leading to an urgent need for effective interventions to reduce symptoms and increase veterans’coping.PTSD includes anxiety,flashbacks,and emotional numbing.The symptoms increase health care costs for stress-related illnesses and can make veterans’civilian life difficult.Methods:We used a randomized wait-list controlled design with repeated measures of U.S.military veterans to address our specific aim to test the efficacy of a 6-week therapeutic horseback riding(THR)program for decreasing PTSD symptoms and increasing coping self-efficacy,emotion regulation,social and emotional loneliness.Fiftyseven participants were recruited and 29 enrolled in the randomized trial.They were randomly assigned to either the horse riding group(n=15)or a wait-list control group(n=14).The wait-list control group experienced a 6-week waiting period,while the horse riding group began THR.The wait-list control group began riding after 6 weeks of participating in the control group.Demographic and health history information was obtained from all the participants.PTSD symptoms were measured using the standardized PTSD Checklist-Military Version(PCL-M).The PCL-M as well as other instruments including,The Coping Self Efficacy Scale(CSES),The Difficulties in Emotion Regulation Scale(DERS)and The Social and Emotional Loneliness Scale for Adults-short version(SELSA)were used to access different aspects of individual well-being and the PTSD symptoms.Results:Participants had a statistically significant decrease in PTSD scores after 3 weeks of THR(P≤0.01)as well as a statistically and clinically significant decrease after 6 weeks of THR(P≤0.01).Logistic regression showed that participants had a 66.7%likelihood of having lower PTSD scores at 3 weeks and 87.5%likelihood at 6 weeks.Under the generalized linear model(GLM),our ANOVA findings for the coping self-efficacy,emotion regulation,and social and emotional loneliness did not reach statistical significance.The results for coping self-efficacy and emotion regulation trended in the predicted direction.Results for emotional loneliness were opposite the predicted direction.Logistic regression provided validation that outcome effects were caused by riding longer.Conclusion:The findings suggest that THR may be a clinically effective intervention for alleviating PTSD symptoms in military veterans.

Application of positive behavior management in patients after breast cancer surgery

BACKGROUND As a radical treatment,breast cancer surgery has a positive psychological impact on most patients.However,some patients do not have a clear understanding of the disease,which requires a more scientific and comprehensive consideration during clinical intervention and are based on cognition.The positive behavior management model is based on this kind of background-derived new interventions,which can better serve the clinical rehabilitation process of patients.The positive behavior management model based on cognitive architecture is a new type of intervention derived from this background,which can better serve the clinical rehabilitation process of patients.AIM To analyze the influence of a positive behavior management model based on cognitive framework on the degree of hope and self-efficacy of patients with breast cancer surgery.METHODS Eighty-four patients with breast cancer who underwent surgical treatment in our hospital from August 2016 to December 2018 were included in the study.The patients were divided into the experimental group(n=42)and control group(n=42)by random number table grouping.The control group received traditional nursing intervention,while the experimental group received a positive behavior management model based on cognitive framework based on the traditional intervention of the control group.General Self-efficacy Scale,Herth Hope Scale,Self-Rating Anxiety Scale,Self-Rating Depression Scale and Cancer Patient Specific Scale were used to evaluate the two groups before and 1 wk after intervention.RESULTS After the intervention,self-efficacy and hope level of the experimental group were significantly higher than those of the control group(P<0.05).The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores in the experimental group were significantly lower than those in the control group(P<0.05).There was no significant difference in the quality of life scores between the two groups before intervention(P>0.05).The quality of life scores in all aspects in the experimental group after intervention were significantly higher than those in the control group(P<0.05).CONCLUSION The positive behavior management model based on cognitive framework applied to patients with breast cancer surgery improved hope for treatment and selfefficacy,reduced negative emotion,and improved quality of life.

Investigating and Promoting the Decision towards Signing an Organ Donation Card

Using the Health Action Process Approach (HAPA) as a theoretical backdrop, the aim of this research, which consists of two studies, was to understand the process of goal setting and deciding to sign an organ donor card. In Study 1 (N = 550), we tested the HAPA’s stages in terms of discontinuity patterns in the variables predicting goal setting for organ donation. As expected, multigroup structural equation modeling revealed discontinuity patterns in terms of different prediction patterns. In Study 2 (N = 389), the efficacy of a planning intervention that aimed to foster the translation of goals into behavior was tested: participants who received the intervention were more likely to order a donor card than those who did not. Contrary to the HAPA’s predictions, within the intenders group the planning intervention did not stimulate behavior more frequently than in the control condition. In general, the stage-specific planning intervention is of practical importance, as it shows that brief and relatively inexpensive communication can enhance organ donation behavior.

The Transmission of Gender Stereotypes in the Educational Process and Its Impact on Girls’Choices of STEM Majors

This study examines the transmission of gender stereotypes in the educational process and their impact on girls’choices of Science,Technology,Engineering,and Mathematics(STEM)majors.Utilizing a mixed-methods approach with a sample of 500 high school students,the research identified a significant negative correlation between the perception of gender stereotypes and intentions to pursue STEM fields,particularly among female students.The study’s findings suggest that educational interventions aimed at challenging gender stereotypes can enhance self-efficacy and encourage more equitable STEM major choices.The importance of female role models and equitable teaching practices in mitigating the impact of gender stereotypes is also highlighted.The paper concludes with recommendations for educational policy makers,schools,teachers,parents,and society to collaboratively address gender biases and support all students in STEM education.