Psychophysiological stress and resilience responses to military training and their associations with injury and attrition status among male and female personnel.

Irritable bowel syndrome (IBS) is one of the most common brain-gut interaction disorders, characterized by chronic abdominal pain, altered bowel habits, and heightened stress responses that significantly affect patients' psychological functioning and quality of life. Given that chronic stress plays a central role in the onset and maintenance of IBS symptoms, identifying psychological resources that promote adaptation and well-being is crucial. The present study aimed to examine the mediating role of resilience in the relationship between cognitive flexibility and psychological well-being among patients with IBS. This descriptive-correlational study employed a structural equation modeling approach. The statistical population included all IBS patients who referred to the Gastrointestinal Health Center at Al-Zahra Hospital in Isfahan in 2024. A sample of 300 patients was selected using convenience sampling. Data were collected using the Psychological Well-Being Scale, Cognitive Flexibility Inventory, and Connor-Davidson Resilience Scale, and analyzed using SPSS and AMOS version 28. Results showed that cognitive flexibility and resilience significantly predicted psychological well-being, and that resilience mediated the relationship between cognitive flexibility and psychological well-being. These findings highlight the importance of resilience and cognitive flexibility as protective psychological resources that help patients manage stress and improve well-being in the context of IBS.

ABSTRACT Resilience and marital quality are closely interrelated among individuals experiencing infertility, and both constructs have been shown to positively predict fertility-related quality of life (FRQoL). However, the mutual influences between partners within infertile couples have received limited attention. This study aimed to explore the mediating role of marital quality in the relationship between individual resilience and FRQoL within a dyadic framework. A cross-sectional survey was conducted with 984 infertile couples recruited from the First Affiliated Hospital between May 2019 and December 2023. Resilience, marital quality, and FRQoL were assessed using the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), the unidimensional Quality Marriage Index (QMI), and the Fertility Quality of Life (FertiQoL) scale, respectively. Paired-sample t-tests indicated that female partners reported significantly lower scores than male partners across all three constructs. Utilizing the actor-partner interdependence mediation model (APIMeM), dyadic relationships among these variables were examined. Results demonstrated that resilience directly and positively predicted FRQoL for both oneself and one’s partner. Additionally, resilience indirectly predicted FRQoL by positively influencing marital quality within couples. However, marital quality significantly predicted only one’s own FRQoL, without significant cross-partner effects. These findings have several important implications. First, marital quality represents a crucial intervention target for enhancing FRQoL among infertile couples. Second, observed gender disparities indicate that female partners may require more targeted psychological support. Finally, although men generally report higher scores in resilience, marital quality, and FRQoL, enhancing marital quality is nonetheless beneficial for both partners individually. Therefore, psychological interventions should adopt a couple-centered approach, simultaneously addressing emotional well-being and relationship dynamics to optimize outcomes for both partners.

Objective To develop and apply a clinical psychological nursing training program for nursing interns based on the ADDIE model, aiming to enhance their psychological nursing competencies. Methods From August 1, 2023, to February 1, 2025, the five phases of the ADDIE model (Analysis, Design, Development, Implementation, and Evaluation) were adopted. First, the current status of clinical training was surveyed, and the content and format of training were analyzed to draft a preliminary training program. Then, two rounds of Delphi expert consultations (involving 14 experts) were conducted to optimize and finalize the program. Subsequently, a single-group pre-post intervention study was conducted, where the program was implemented among 75 nursing interns. Its effectiveness was evaluated using the Connor-Davidson Resilience Scale (CD-RISC), the Jefferson Scale of Empathy (JSE), and a self-designed knowledge assessment test. Results The questionnaire response rates for both rounds of expert consultations were 100%. For first-level items, the mean importance scores ranged from 4.41 to 4.91, with coefficients of variation (CV) of 4.40–15.72%. For second-level items, the scores ranged from 3.78 to 4.93, with CVs of 4.56–19.42%. The finalized training program included 6 key aspects and 7 training formats. Conclusion The program is scientifically sound, innovative, with easily understandable content and diverse formats. It shows significant training effectiveness and has guiding value for clinical training of nursing interns.

Individuals with advanced chronic kidney disease experience significant psychological distress due to disease progression and treatment. This study explored the predictive roles of resilience, social support, coping strategies, and illness threat perception on depression, anxiety, and emotional distress. A cross-sectional design was used with 106 Spanish participants aged 38-88 (M = 68.64, SD = 10.55). Measures included the Hospital Anxiety and Depression Scale, the Connor-Davidson Resilience Scale, the Medical Outcomes Study Social Support Survey, the Brief COPE, and the Brief Illness Perception Questionnaire. Analyses involved Pearson correlations, hierarchical regressions, and fuzzy-set Qualitative Comparative Analysis. Regressions identified social support, coping, and illness perception as key predictors. Qualitative Comparative Analysis showed that low resilience, low support, and high threat perception combinations were linked to greater distress, while the inverse predicted better outcomes. Findings highlight the importance of targeting resilience, support networks, and threat appraisal in interventions for advanced kidney disease.

This cross-sectional study aims to describe the prevalence of frailty and pre-frailty in a cohort of people living with HIV in southern Spain. Patients were classified according to Fried frailty phenotype. Questionnaires on anxiety and depression (Hospital Anxiety and Depression scale), loneliness (University of California), resilience (Connor–Davidson Resilience Scale [10-item version]), and socioeconomic information were collected from the participants, their medical history was reviewed to collect comorbidities, non-AIDS events, and drug use. A cluster analysis was conducted to identify participants most likely to be frail. Fifty-two patients were recruited, mostly men, median age 64 years. Four patients were identified as frail (7.7%), 26 as pre-frail (50%), and 22 as robust (43.3%). Frailty was associated with lower socioeconomic level, loneliness, anxiety, depression, and insomnia. Diabetes mellitus was present in all frail patients, and the number of non-antiretroviral medications was higher too. Cluster analysis revealed that the presence of high triglyceride levels and low glomerular filtration rate or high body mass index predicted the presence of frailty. Frailty is associated with certain social and neuropsychiatric characteristics that must be considered. We provide a simple tool to identify those individuals for whom the frailty screening should be started.

Perimenopause presents considerable physical and psychological challenges. Adopting a healthy lifestyle is crucial for navigating this transition. While social support and psychological resilience are known to be related to health behaviours, their interrelationships among perimenopausal women remain unclear. This cross-sectional study enrolled 366 perimenopausal women from a health management centre in Southwest China between February and June 2023 using a convenience sampling method. Data were collected via a structured questionnaire comprising several sections: the demographic characteristics questionnaire, the Chinese version of the Health-Promoting Lifestyle Profile, the Social Support Rating Scale, and the Chinese version of the Connor-Davidson Resilience Scale. Following data entry in Excel 2016, statistical analyses, including descriptive statistics, correlation analysis, and multivariate regression, were conducted using SPSS 26.0. Structural equation modelling was performed with AMOS 24.0 to test the hypothesized pathways among variables. The significance level was set at α = 0.05, and model fit was evaluated using established goodness-of-fit indices. The mean health-promoting lifestyle profile score was 98.01 (SD = 18.60). Multiple linear regression revealed several significant factors: menopausal status (β = 3.228, P = 0.033), the presence of chronic diseases (β = -4.761, P = 0.012), having regular medical examinations (β = 6.275, P < 0.001), social support (β = 0.358, P < 0.001), and psychological resilience (β = 0.567, P < 0.001). The SEM results further suggested that the association between social support and a healthy lifestyle was consistent with an intermediary role for psychological resilience. The indirect association was significant (95% bootstrap CI: 0.495-0.929), accounting for 61.32% of the total association. Social support is directly associated with healthier lifestyles among perimenopausal women, and psychological resilience appears to play an important intermediary role. Strengthening both social support and psychological resilience may help promote better health behaviours in this population. Health care professionals should consider integrating these elements into tailored perimenopausal health programs.

Generation Z is entering early adulthood amid complex and dynamic psychological challenges in the digital era, yet is often stigmatized as a “strawberry generation” perceived as fragile, sensitive, and unable to withstand life’s pressures. Social identity as part of a social group has the potential to serve as a source of strength and psychological support, but its association with psychological resilience among Generation Z in Indonesia has not been extensively examined. This study aimed to determine the significant relationship between social identity and psychological resilience among early adult members of Generation Z. A quantitative approach with a correlational design was employed, involving 535 Generation Z individuals aged 18–25 years residing in the Jabodetabek area (Jakarta, Bogor, Depok, Tangerang, and Bekasi). Data were collected online using the 11-item Social Identity Scale to measure social identity and the 25-item Connor–Davidson Resilience Scale to measure psychological resilience. The main data analysis was conducted using Spearman’s rank correlation, while additional analysis employed Pearson’s correlation after classical assumption testing (validity, reliability, normality, and linearity). The results showed that respondents had moderate to high levels of social identity (M = 53.90; SD = 8.64) and high levels of psychological resilience (M = 100.07; SD = 12.21). Furthermore, a significant positive relationship was found between social identity and psychological resilience among early adult members of Generation Z, indicating that a strong and positive social identity can enhance individuals’ resilience in facing pressure, stress, and various life challenges.

Background: Family resilience plays a crucial role in maintaining psychological well-being and adaptive coping among families caring for hemodialysis patients. Chronic illness and prolonged treatment often impose emotional and physical burdens that challenge the family’s ability to adapt, highlighting the need to identify determinants influencing resilience. Objective: This study aimed to analyze the relationships between demographic and clinical factors: age, gender, education level, duration of hemodialysis, and comorbidities, and family resilience among patients undergoing hemodialysis at Ahmad Yani Islamic Hospital, Surabaya, Indonesia. Methods: This study used a correlational analytic design with a cross-sectional approach. The population included 110 hemodialysis patients, and 86 respondents were selected using simple random sampling. Independent variables included age, gender, education level, duration of hemodialysis, and comorbidities, while the dependent variable was resilience. The Connor–Davidson Resilience Scale (CD-RISC) was used to measure resilience. Data were analyzed using the Chi-Square test with a significance level of α = 0.05. Result: Most respondents (88.4%) demonstrated a very high level of resilience. Significant relationships were found between resilience and gender (p = 0.002), education level (p &lt; 0.001), duration of hemodialysis (p &lt; 0.001), and comorbidities (p &lt; 0.001), while age showed no significant association (p = 0.019). Conclusion: Family resilience among hemodialysis patients was classified as very high. Socio-demographic factors, health conditions, and treatment duration influenced resilience levels. These findings highlight the need for nursing interventions focusing on psychosocial support, patient education, and family empowerment to enhance adaptive coping in long-term hemodialysis care.

This study was performed to evaluate the current status and to analyze the associated factors of intraoperative pain experience during radiofrequency ablation of atrial fibrillation (AF) with conscious sedation and analgesia. This cross-sectional observational study employed convenience sampling of AF patients underwent their first radiofrequency ablation. General information questionnaire, intraoperative status sheet, Wong-Baker faces pain rating scale, hospital anxiety and depression scale, and the Connor-Davidson Resilience Scale were employed for data collection and analysis. A total of 428 patients (mean age 66.5 ± 9.6years; 59.8% male) were enrolled in this study. At ablation start, 62.9% of patients had moderate pain. When ablating specific regions, moderate pain and severe pain was encountered in 76.2% and 11.7% patients, respectively. Female patients had higher pain score than male patients at the followed 3 time-points: ablation start, ablating specific regions, and sheaths removal (z =-2.923, -4.349, -2.385, respectively, all P < 0.05). A negative correlation between the interoperative pain scales and the psychological resilience scales was confirmed at the time-point of before sedation, during ablation, ablating specific regions, and sheaths removal (r=-0.161, -0.464, -0.773, -0.352, respectively, all P < 0.05). Multivariable logistic regression analysis revealed that the strength and resilience dimensions of psychological resilience were significant protective factors against pain during radiofrequency ablation, with low levels of strength and tenacity associated with 2.32-fold and 2.17-fold increased risks of moderate pain, respectively, while optimism and clinical factors showed no significant effects. Most of AF patients undergoing radiofrequency ablation with conscious sedation and analgesia experienced significant intraoperative pain experience, particularly when specific cardiac regions were ablated. Enhancing psychological resilience before the procedure may help reduce intraoperative pain scores. This trial is registered on Mar 17th, 2022, in the Chinese Clinical Trial Registry (ChiCTR2200057810).

This study aimed to enhance self-compassion, compassion for others, and resilience in prelicensure nursing students using Emotional Freedom Techniques (EFT). A pre- and postsurvey design assessed the effectiveness of three EFT sessions on 202 students from two Bachelor of Science programs, revealing comparable demographic profiles between intervention and control groups. Data were collected using the Self-Compassion Scale—Short Form, Compassion Scale, and Connor–Davidson Resilience Scale. Results showed statistically significant increases in resilience, compassion, and self-compassion ( p &lt; .05) in the intervention group compared with the control. EFT shows promise as a coping strategy to improve these factors, potentially reducing burnout, turnover rates, and enhancing job satisfaction and patient care in nursing.

Cancer is a non-communicable disease that is the leading cause of death in the world, including Indonesia. One of the main treatments for cancer is chemotherapy, which although effective, often causes severe side effects, one of which is fatigue. Fatigue in cancer patients not only affects the physical, but also emotional and mental. In dealing with this condition, resilience plays an important role. Resilience can help patients survive, adapt, and stay enthusiastic about undergoing treatment. This study is a quantitative study with a cross-sectional approach, using The Connor-Davidson Resilience Scale (CD-RISC) questionnaire on the resilience variable and the Fatigue Assessment Scale (FAS) questionnaire on the Fatigue variable. The sampling technique is non-probability sampling by consecutive sampling. The number of samples is 132 respondents in cancer patients undergoing chemotherapy at Baladhika Husada Hospital, Jember. Data analysis uses univariate analysis with the Spearman rank. The results of the study showed that respondents who had poor resilience and severe fatigue were 15 (11.4%), moderate resilience and moderate fatigue were 41 (31.1%), and good resilience and mild fatigue were 33 (25%). The results of the Spearman rank test analysis obtained a p value of 0.000 &lt;α (0.05) and the contingency value was equal to -0.465, meaning a moderate relationship with a negative correlation direction. There is a significant relationship between resilience and fatigue in cancer patients undergoing chemotherapy at Baladhika Husada Hospital, Jember.

A clear understanding of the influence of patient safety culture (PSC) on resilience and turnover intention is essential for building a stable, efficient, and safe healthcare workforce. While previous research has explored the relationship between PSCs and nurses' resilience, no studies have specifically examined the association between PSCs and nurses' turnover intention. To assess PSC and its relationship with nurses' resilience and turnover intention. In this cross-sectional descriptive study, we used convenience sampling to recruit 117 registered nurses working in hospitals across 13 regions in Saudi Arabia. Data were collected between December 2023 and March 2024 via three instruments: the Hospital Survey on Patient Safety Culture, the Connor-Davidson Resilience Scale, and the Turnover Intention Scale. Pearson's product‒moment correlation, independent sample t tests, and linear regression models were used to analyze the data. A total of 117 participants reported a low overall perception of PSCs, with an average positive response rate of 44.6%. The mean scores for resilience and turnover intention were moderate. PSC was positively and moderately correlated with resilience (r = .352, p < .001). However, there was a moderate negative correlation between PSCs and turnover intention (r = - .253, p < .01). The regression model yielded significant results (F [1, 113] = 16.01, p < .001, R2 = 0.124), indicating that PSC (β = 0.800, p < .001) statistically significantly predicted resilience. Those who perceived higher PSC were more likely to have greater resilience. Furthermore, PSC (β = - 0.883.p = .006) statistically significantly predicted turnover intention. Individuals who perceived higher PSC were less likely to leave the hospital. Improvements in PSCs are beneficial not only because they may increase resilience but also because of the associated reduction in turnover intention.

IntroductionDepression brings profound suffering to individuals, families and society. Although some research has been conducted on the relationship between community cohesion and depression, there is no more research to reveal the internal mechanism by which community cohesion affects depression comprehensively. This study aims to examine the association between community cohesion and depression and explore the mediating roles of social support and psychological resilience in this relationship during a specific period (the COVID-19 pandemic) and in a specific setting (urban communities). MethodsThis cross-sectional study included valid 1010 adults from the Chinese Social Mentality Survey in 5 places with a gender distribution of 41.2% male and 58.8% female. Community Cohesion Scale, the Patient Health Questionnaire-9(PHQ-9), Social Support Questionnaire and Connor-Davidson Resilience Scale were used to assess variables. Data analysis involved descriptive statistics, Pearson correlation, and mediation analysis using the SPSS macro Process. Results and discussionCommunity cohesion had negative effect on depression. Both social support and psychological resilience were found to serve as independent and sequential mediators in the relationship between community cohesion and depression. This research contributes to a deeper understanding of how community cohesion affects depression, offering pathways that could be targeted in future interventions.

Objective: This study aimed to explore the relationships among family resilience, psychological resilience, psychological need satisfaction, and self-neglect, with a particular focus on analyzing the mediating roles of family resilience and psychological resilience between basic psychological need satisfaction and self-neglect. The purpose was to provide a theoretical basis and practical guidance for improving the psychological state of patients with oral mucositis (OM) after chemoradiotherapy (CRT) for head and neck cancer (HNC). Methods: This retrospective study selected OM-patients post-CRT for HNC from Affiliated Hospital of Jiangnan University between January 2022 and December 2024 as the research subjects. A total of 312 patients were surveyed using a general information questionnaire, the Basic Psychological Needs Scale (BPNS), the Scale of the Elderly Self-Neglect (SESN), the Family Resilience Questionnaire (FRQ), and the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Structural equation modeling and the Bootstrap method were used to test the mediating effects of family resilience and psychological resilience between psychological need satisfaction and self-neglect in these patients. Results: The scores of patients on the BPNS, SESN, FRQ, and CD-RISC-10 were 5.35 ± 1.05, 8.16 ± 5.607, 78.56 ± 12.50, and 23.45 ± 8.03, respectively. Statistically significant differences were found in BPNS, FRQ, and CD-RISC-10 scores based on residence, education, living situation, economic pressure, metastasis status, and complications (P &lt; 0.05). SESN scores also showed significant differences across age, residence, education, living situation, economic pressure, metastasis, and complications (P &lt; 0.05). Psychological need satisfaction negatively correlated with self-neglect (r = −0.462, P &lt; 0.01) and positively with family and psychological resilience (r = 0.546 and 0.497, both P &lt; 0.01). A structural equation model indicated good fit indices, revealing that basic psychological need satisfaction negatively impacted self-neglect, with family and psychological resilience serving as significant mediators. Conclusion: The satisfaction of basic psychological needs in OM-patients post-CRT for HNC can directly or indirectly affect their self-neglect through family resilience and psychological resilience. In daily nursing care, it is possible to avoid self-neglect in patients by meeting their basic psychological needs and enhancing their family resilience and psychological resilience.

Background/Objectives: Healthcare workers at the frontline of managing pandemics are at increased risk for adverse physical and mental health outcomes, which has been shown to result in burnout. The relationship between personal resilience and burnout among clinical and non-clinical healthcare staff working in an acute care setting was assessed at the start of the COVID-19 pandemic. Methods: A prospective cross-sectional survey design with electronic questionnaires was used to measure resilience (Connor-Davidson Resilience Scale,) and burnout (Maslach Burnout Inventory—Human Services Survey). Linear regression analyses were conducted to examine the relationship between resilience and emotional exhaustion, depersonalization, and personal accomplishment. Results: A significant inverse relationship between resilience and both emotional exhaustion and depersonalization, and a positive relationship between resilience and personal accomplishment were identified. Higher resilience scores were significantly associated with lower emotional exhaustion and depersonalization and higher personal accomplishment under pandemic conditions. Conclusions: Strategies to boost resilience organization-wide amongst healthcare staff providing patient care are critical for providing skills to reduce the onset of burnout and support employee mental health. From a pandemic preparedness lens, organizational-level emergency management should consider the importance of resilience-building among staff to proactively prevent burnout and its subsequent effects on patient-care and general hospital functioning.

Medical interns from vocational colleges play a crucial role as a reserve force for the primary healthcare system. However, they are particularly vulnerable to compassion fatigue (CF), which can significantly reduce their subjective well-being (SWB). Grounded in the Stress Coping Theory, this study explores the impact of perceived stress on CF and SWB among medical interns and examines the mediating roles of social support, psychological resilience, and coping styles. A multi-site cross-sectional online survey (Dec 8, 2021-Jan 24, 2022) used census sampling of all eligible medical interns across two vocational colleges (n = 723). Measures included the Compassion Fatigue Short Scale (Adams et al.), the Perceived Stress Scale (Cohen et al.), the 10-item Connor-Davidson Resilience Scale (Connor & Davidson), the Perceived Social Support Scale (Zimet et al.), and the Campbell Index of Well-Being (Campbell et al.). Data were analyzed using Pearson correlation analysis and Structural Equation Modeling. Perceived stress was found to increase CF and reduce SWB directly (β = 0.293, p = 0.001; β = -0.175, p = 0.001), and it also had indirect effects through psychological resilience, perceived stress, and coping style. Additionally, CF can impact interns' well-being (β = -0.232, p = 0.001). Perceived stress was associated with higher CF and lower SWB among medical interns, both directly and indirectly through social support, psychological resilience, and positive and negative coping. These findings provide an integrated understanding of how demands and resources relate to interns' emotional outcomes and highlight the importance of strengthening key personal and contextual resources in high-stress clinical environments.

Background/Objectives: The most relevant psychological constructs for responding to stress in chronic lumbar pain in a positive way are active coping strategies, positive emotions, and resilience. The aim of this study was to study the coping strategies used by people affected by chronic low back pain and associated factors. Methods: We carried out a prospective longitudinal study involving people on a first visit at the Pain Unit of Josep Trueta University Hospital (Girona, Spain) presenting with chronic back pain, with a follow-up at three months. The Brief Pain Inventory (BPI), the Vanderbilt Pain Management Inventory (VPMI), and the Abridged Connor-Davidson Resilience Scale (CD-RISC) were used. The correlation of variables was analyzed, and a multiple linear regression model was used. Results: A total of 129 people with a mean age of 62.5 years participated (58.1% women). The mean severity of pain was moderate with mild improvement at the follow-up (6.42 to 6.17 points). The use of active coping strategies declined during the study (21.28 to 15.6 points), and a significant increase in passive strategies (23.6 to 30.21 points) and in catastrophizing (13.98 to 14.56 points) was observed. The total resilience scores were slightly better at baseline than at follow-up (27.50 to 26.67 points). The intensity of the back pain had a direct and significant relationship with passive strategies and an inverse relationship with active strategies and resilience. Conclusions: The coping strategies for dealing with chronic back pain observed in the study participants are not fully effective. The intensity of pain is significantly associated with the use of passive strategies and female sex.

This study aimed to identify profiles of social participation among stroke survivors with limb dysfunction and explore the factors influencing these profiles. A convergent mixed-methods design. The quantitative phase involved 499 participants recruited from 5 neurorehabilitation centres in Shanghai between December 2023 and June 2025. Participants completed measures including the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P), the Connor-Davidson Resilience Scale (CD-RISC-10), and the Modified Rankin Scale (mRS). Qualitative semi-structured interviews were performed with 16 participants to explore lived experiences of social participation. Latent profile analysis revealed 4 distinct social participation profiles: "Active Integration", "Contented Conservatism", "Cautious Conservatism", and "Alienated Disengagement". A multivariate analysis identified age, resilience, and physical function as significant predictors of profile membership. Qualitative findings uncovered 2 core emotional experiences (a sense of loss vs a sense of rebuilding) and 3 behavioural patterns (activist, conservative, alienated), which effectively explained the quantitative profiles' characteristics and their underlying mechanisms. The integration of data provided a nuanced person-centred framework depicting the heterogeneity in post-stroke social participation. Social participation among stroke survivors is heterogeneous and can be classified into 4 distinct profiles shaped by the interplay of physical function, resilience, and sociodemographic factors. The findings underscore the necessity of implementing profile-specific, stepped-care interventions for effectively enhancing post-stroke social participation.

AimChronic hepatitis B (CHB) patients often face challenges related to liver function recovery, psychological wellbeing, and self-care ability during treatment. Conventional routine nursing may not comprehensively address these multi-dimensional issues. This study aimed to investigate the effects of phased focused nursing on liver function and self-care ability in patients with CHB.MethodsA total of 120 CHB patients who received treatment in our hospital from March 2023 to March 2024 were selected and randomly divided into a control group and a study group. The control group received routine nursing, while the study group received phased focused nursing in addition to routine nursing. Liver function, psychological resilience, self-care ability, subjective wellbeing, quality of life, sleep quality, treatment compliance, and nursing satisfaction were compared between the two groups before and after the intervention.ResultsAfter the one-month intervention, the levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), and total bilirubin (TBil) were lower in the study group than in the control group (p < 0.01). In addition, the scores of the Connor–Davidson Resilience Scale (CD-RISC), Exercise of Self-Care Agency (ESCA) scale, and World Health Organization Quality of Life-BREF (WHOQOL-BREF) scale were higher in the study group than in the control group (p < 0.01). Compared to the control group, the study group had higher scores for positive emotions and lower scores for negative emotions on the Memorial University of Newfoundland Scale of Happiness (MUNSH) after the one-month intervention (p < 0.01). Furthermore, the Pittsburgh Sleep Quality Index (PSQI) scores in the study group were lower compared to the control group (p < 0.01). Compared to the control group, treatment compliance and nursing satisfaction were higher in the study group (p < 0.01 and p = 0.01).ConclusionPhased focused nursing can significantly improve liver function and has a profound impact on enhancing psychological resilience, sleep quality, self-care ability, subjective wellbeing, and quality of life. Additionally, it enhances treatment compliance and increases nursing satisfaction, indicating its superiority over routine nursing in the multidimensional management of CHB patients.