Nursing Intervention Program Research Articles

Health Education Nursing Based on BCW Theory Improve Negative Psychology, Sleep and Quality of Life in Elderly Patients After Cardiac Interventional Surgery: A Retrospective Study

Objective: Guided by Behavior Change Wheel (BCW) theory, a rehabilitation nursing intervention program for patients after percutaneous coronary intervention (PCI) was constructed. This study aimed to explore the impact of this intervention program on the negative emotions, sleep quality, and quality of life of patients after PCI. Methods: Patients with coronary heart disease after PCI who visited the cardiology department in our hospital from September 2022 to February 2024 were selected as the research subjects. The patients were divided into two groups according to the order of the operation time: 57 cases in the conventional group and 56 in the BCW group. The systolic blood pressure, diastolic blood pressure, and resting heart rate (RHR) of the two groups before the administration (T1) and at the end of 3 month administration (T2) were evaluated. The Self-Rating Anxiety Scale (SAS), self-rating depression scale, Pittsburgh sleep quality index, and quality of life scale were used in measuring the anxiety, depression, sleep quality, and quality of life levels of the two groups of patients at two-time points. Results: A total of 113 cases were included: 57 cases in the conventional group and 56 in the BCW group. The BCW group had larger improvements in RHR and blood pressure than the conventional group (p < 0.05). The SAS and Self-rating Depression Scale (SDS) scores of the BCW group were significantly lower than those in the conventional group (p < 0.05). After nursing based on the BCW model was implemented, the Pittsburgh Sleep Quality Index (PSQI) scores of the patients in the BCW group were lower than those in the conventional group (p < 0.001). After 3 months of administration, the SF-36 total score and other dimensional scores in the BCW group were higher than those in the conventional group (p < 0.05), and no significant difference was observed between the groups before administration (p > 0.05). Conclusion: Intervention programs based on BCW theory may help to reduce patients' depression and anxiety levels, potentially exerting positive effects that improve RHR and cardiac function in patients after coronary intervention and improving patients' sleep and life quality.

Influence of nursing intervention on patients with recurrent bacterial vaginosis treated with sucrose gel.

Bacterial vaginosis significantly affects gynecological health of women, and recurrence is common with a high prevalence in patients who received sucrose gel treatment. Evidence has found that nursing intervention has benefits in improving the rate of recurrence of gynecological diseases. The purpose of this study was to investigate the influence of nursing intervention on patients with recurrent bacterial vaginosis treated with sucrose gel. A total of 1096 patients with bacterial vaginosis were recruited and randomly divided into the intervention nursing group (n = 548) and the control group (n = 548) between May 2022 and October 2022. Patients with bacterial vaginosis in the nursing intervention group received the individualized nursing intervention program, while patients in the control group received routine nursing for vaginitis and follow-up. The clinical efficacy and the short form health survey MOS 36 items (SF-36) scale were used to evaluate the efficacy of nursing intervention efficacy in patients with vaginosis treated with sucrose gel. Our results indicate that the nursing intervention was associated with significant improvements in physical functioning, depression, mental health, bodily vitality pain, and symptoms related to bacterial vaginosis compared to the control group patients. The social functioning-36 score in the nursing intervention group was higher than that in the control group during the 6-month period. Nursing intervention significantly decreased the recurrence of bacterial vaginosis via improvement quality of life and psychological states. In conclusion, the data in this study indicate that the nursing intervention improves recurrent bacterial vaginosis and the quality of life of patients treated with sucrose gel.

The Correlation Between Quality of Sleep and Quality of Life in Hemodialysis Patients; An Indonesian Sample

Background: Sleep quality is important clinical outcomes of hemodialysis patients. Nurse has importance role to maintains the quality of life in hemodialysis patients. Therefore, quality of sleep and quality of life in hemodialysis patients in research are needed in order to improve quality of life hemodialisys patients. Aim: To determine the correlation between quality of sleep and quality of life in hemodialysis patients. Method: Cross-sectional study. The Pittsburgh Sleep Quality Questionnaire (PSQI) and WHOQOL–BREF questionnaires were administered in this study. The Kendall Tau test was used to determine the correlation between sleep quality and quality of life. Results: Two hundred four respondents participated in this study. A total 90.2% of hemodialysis patients experienced mild sleep disturbances and, 48.3% of patients had a good quality of life category. A significant correlation between sleep quality and quality of life in hemodialysis patients was found (p=0.002). Conclusion: Lower levels of quality of sleep in hemodialysis patients have a negative effect on quality of life. Reducing sleep disruption through nursing intervention programs for hemodialysis patients is recommended during nursing care to increase quality of sleep in this vulnerable population. Identification of factors supporting sleep quality and intervention strategies are recommended for further research.

Sleep quality in middle-aged and elderly hemodialysis patients: Impact of a structured nursing intervention program.

Poor sleep quality is common among hemodialysis patients and can significantly impact their well-being. This study aimed to evaluate the effectiveness of a structured nursing intervention program in improving sleep quality in middle-aged and elderly hemodialysis patients. To evaluate the impact of nursing intervention on sleep quality in hemodialysis patients. This cross-sectional study was conducted in a tertiary hospital, the First Affiliated Hospital of Nanchang University, in 2023. This study included 105 middle-aged and elderly hemodialysis patients aged ≥ 45 years who underwent maintenance hemodialysis for at least 3 mo, utilizing the Pittsburgh Sleep Quality Index (PSQI) to identify poor sleepers. Those identified underwent a 12-wk nursing intervention program focusing on education, relaxation techniques, and counseling. Post-intervention, sleep quality was reassessed using the PSQI. The study found that 68.6% of hemodialysis patients were poor sleepers. Following the 12-wk nursing intervention program, there was a significant decrease in the mean global PSQI score from 8.9 ± 3.2 to 5.1 ± 2.7 (P < 0.001), indicating improved sleep quality. This demonstrated the effectiveness of the structured nursing intervention in enhancing sleep quality for middle-aged and elderly hemodialysis patients. The structured nursing intervention program focusing on sleep hygiene education, relaxation techniques, and counseling effectively improved sleep quality among middle-aged and elderly hemodialysis patients. The significant decrease in the mean global PSQI score post-intervention indicates the positive impact of tailored nursing interventions in addressing poor sleep quality in this patient population. These findings emphasize the importance of implementing targeted nursing interventions to enhance the quality of life for hemodialysis patients by addressing the prevalent issue of poor sleep quality.

Factors Related to the Dementia Prevention Behavior among Community-dwelling Older Adults based on the Health Belief Model: A Cross-sectional Descriptive Study

Purpose: This study aimed to identify the relationships between perceived benefits, perceived barriers, self-efficacy, and dementia prevention behavior among community-dwelling older adults.Methods: This study employed a cross-sectional, correlational design using a structured questionnaire. This study participants were 218 older adults aged at least 65 years who visited a senior citizen center and lived in S City C Province. The survey was conducted in August 2022. Perceived benefits, perceived barriers, and self-efficacy were measured using a tool developed by Song &amp; Park (2018). Dementia prevention behavior was measured using a tool developed by Lim, Kim, and Kim (2018).Results: The scores for perceived benefits, perceived barriers, and self-efficacy were 5.52±0.69, 3.04±0.85, and 4.98±0.97 points, respectively (possible range: 1~7). The score for dementia prevention behavior was 3.91±0.51 (possible range: 1~5). Dementia health behavior was significantly correlated with perceived benefits (r=.32, p&lt;.001), perceived barriers (r=-.40, p&lt;.001), and self-efficacy (r=.64, p&lt;.001). Self-efficacy (β=.43, p&lt;.001), perceived barriers (β=-.23, p&lt;.001), and experience of using a dementia center (β=.20, p&lt;.001) explained 48.6% of the variance in dementia prevention behavior (F=19.63, p&lt;.001).Conclusion: Prior to developing a nursing intervention program to improve dementia health behavior in community-dwelling older adults, it is necessary to clarify perceived barriers and consider self-efficacy.

노인의 성별에 따른 골관절염 유병 관련 영향요인

This study aims to identify the factors influencing the prevalence of osteoarthritis among the elderly aged 65 and older, and to provide fundamental data for developing intervention measures for osteoarthritis management. The subjects of this study were 8,175 elderly individuals (3,521 men and 4,654 women) aged 65 and older, drawn from the 2016-2020 Korea National Health and Nutrition Examination Survey data. The analysis was performed using the SPSS/WIN 25 program, applying complex sample analysis methods. Frequencies, percentages, means, standard deviations, and gender comparisons were analyzed using chi-square tests for cross-tabulations, and logistic regression analysis was conducted to identify factors influencing the prevalence of osteoarthritis. The results revealed significant differences in age, education level, cohabitation with a spouse, home ownership, smoking, drinking, aerobic physical activity, walking, BMI, depression experience, and presence of arthritis between male and female elderly subjects. The estimated prevalence of osteoarthritis among the Korean elderly aged 65 and older, based on the sample, was 25.0% (10.3% for men and 35.9% for women). When examining the differences in osteoarthritis prevalence according to sociodemographic and health-related characteristics, it was found that among elderly men, there were statistically significant differences in osteoarthritis prevalence related to education level, drinking, walking, and obesity. Among elderly women, significant differences were observed in education level, presence of a spouse, walking, obesity, and depression. Furthermore, the factors influencing the prevalence of osteoarthritis among elderly men were education level, while for elderly women, the influencing factors were education level, residential area, and BMI. Based on these results, it is necessary to develop multifaceted and individualized nursing intervention programs tailored to gender.

지역사회 거주 노인의 디지털리터러시가 인지기능에 미치는 영향

Purpose : This study was conducted to understand the impact of digital literacy on cognitive function among elderly individuals residing in the community, and to provide foundational data for developing nursing intervention programs aimed at enhancing the cognitive function of these community-dwelling elderly individuals. Methods : A total of 9,920 older adults were selected and analyzed using 2020 National Survey of Older Koreans data. Data was analyzed by Descriptive Statistics, t-test, ANOVA, Pearson correlation analysis, and multiple regression using SPSS Statistics 29.0 program(IBM). Result : Interaction with others(r=.27, p&lt;.01), hobbies·leisure(r=.24, p&lt;.01), economic transaction(r=.17, p&lt;.01) and internet search(r=.25, p&lt;.01) are positively associated with cognitive function. The estimated regression model of cognitive function was statistically significant(F=77.278, p&lt;.001). Major factors influencing cognitive function were observed as demographic character(gender, age, religion, employment, educational level, economic status) and digital literacy(Interaction with others, internet search, economic transaction). These factors explained 8.8% of cognitive function. Conclusion : To improve the cognitive function in the community dwelling elderly, it is necessary to develop and apply digital literacy programs.

Analysis of the Current Situation and Influencing Factors of Psychosocial Adaptation of Hemodialysis Patients

Objective: To investigate the current status and influencing factors of psychosocial adaptation of hemodialysis patients, and to provide a reference basis for the development of nursing interventions. Methods: 435 hemodialysis patients from the hemodialysis centers of three tertiary A hospitals in Xi’an City were conveniently selected from April to August 2023, and were investigated using the General Information Questionnaire, the Psychosocial Adaptation to Disease Scale, the Fear of Disease Progression Simplification Scale, and the Personal Sense of Control Scale. Results: The psychosocial adaptation score of hemodialysis patients was (56.68 ± 18.32); the results of multiple linear regression analysis showed that marital status, the form of payment for medical expenses, work status, degree of self-care in daily life, number of co-morbid chronic illnesses, fear of disease progression, and sense of personal mastery were the main influencing factors of psychosocial adaptation of hemodialysis patients. Conclusion: The psychosocial adaptation of hemodialysis patients is at the level of severe maladaptation, and healthcare professionals should formulate scientific and reasonable nursing intervention programs according to their influencing factors to enhance their psychosocial adaptation.

High-risk Pregnancy Nursing: Analyzing the Impact of Prenatal Stress, Maternal-Fetal Attachment, and Social Support on Prenatal Depression

Background The purpose of this study is to examine the effects of pregnancy stress, maternal-fetal attachment, and social support on prenatal depression among high-risk pregnant women. This research aims to provide foundational data to assist in preventing prenatal depression in high-risk pregnant women within the nursing field. Methods A study was conducted on 141 high-risk pregnant women diagnosed as high-risk and hospitalized, who were less than 37 weeks pregnant. The study investigated pregnancy stress, maternal-fetal attachment, social support, and general characteristics. The collected data were analyzed using the SPSS WIN 22.0 software, employing methods, such as frequency, percentage, standard deviation, t-test, one-way ANOVA, Pearson's correlation coefficient, Scheffé test, and hierarchical multiple regression analysis. Results The participants showed a positive correlation between prenatal depression and pregnancy stress (r= 0.51, p&lt; 0.001) and negative correlations with maternal-fetal attachment (r=- 0.38, p&lt; 0.001) and social support (r=- 0.50, p&lt; 0.001). Regression analysis revealed that the relationship with the spouse (β=-0.42, p= 0.006), a family history of depression (β= 0.35, p&lt; 0.001), pregnancy stress (β= 0.30, p&lt; 0.001), and maternal-fetal attachment (β=- 0.15, p= 0.033) significantly influenced prenatal depression in that order, with an explanatory power of 52% (F=16.04, p&lt;0.001). Conclusion In managing prenatal depression in high-risk pregnant women, it is essential to identify individuals with strained relationships with their spouses or a family history of depression. Furthermore, implementing educational and nursing intervention programs designed to reduce pregnancy stress and encourage maternal-fetal attachment behaviors is crucial.

습관적 약물 사용 경험이 있는 청소년의 범불안장애 영향요인

Objectives This study aimed to identify the influencing factors of generalized anxiety disorder in Korean adolescents with habitual substance use and provide the basis for developing nursing intervention programs for the prevention and management of generalized anxiety disorder. Methods This study is a secondary analysis study that utilizes raw data from the 2020-2021 Youth Health Behavior Survey. The study population consists of 800 adolescents with a history of habitual substance use out of a total sample of 109,796 from the 2020-2021 (16th and 17th) Youth Health Behavior Survey raw data. Complex sample analysis was conducted using SPSS Statistics 26 for statistical analysis. The Chi-square test (Rao-Scott x2 test) was employed to verify significant differences in generalized anxiety disorder among adolescents with a history of habitual substance use according to general characteristics, mental health characteristics, and health behavior characteristics. Logistic regression analysis was utilized to examine the influencing factors of generalized anxiety disorder among adolescents with a history of habitual substance use. Results The results of this study identified gender, loneliness, depression, stress, suicidal ideation, and subjective health as influential factors for generalized anxiety disorder among adolescents with a history of habitual substance use. Conclusions The significance of this study lies in identifying the influential factors for generalized anxiety disorder among Korean adolescents with a history of habitual substance use. Based on the results of this study, it is imperative to establish educational strategies aimed at preventing habitual substance use among Korean adolescents. Furthermore, there is a need to develop nursing intervention programs aimed at preventing and managing the occurrence of generalized anxiety disorder among adolescents with a history of habitual substance use

Effectiveness of Nursing Intervention Program on Prevention of Acquired Pressure Ulcers among Hospitalized Elderly Patients

Effectiveness of Nursing Intervention Program on Prevention of Acquired Pressure Ulcers among Hospitalized Elderly Patients

Effect of Nursing Intervention Program on Psychosocial Problems among Family Caregivers of Children with Autism Spectrum Disorder

Effect of Nursing Intervention Program on Psychosocial Problems among Family Caregivers of Children with Autism Spectrum Disorder

Effect of a comprehensive geriatric assessment-based individualized intervention on postoperative patients with cerebral hemorrhage: A randomized controlled study.

Comprehensive geriatric assessment (CGA) has been used in inpatient, outpatient, and emergency patients in Western countries and is an important evaluation tool in medicine. In China, the application of CGA to multiple single diseases has achieved satisfactory intervention effects. To explore the effect of CGA on postoperative quality of life (QoL), psychological state, neurological recovery, and self-efficacy in patients with cerebral hemorrhage. In this randomized controlled trial, a total of 133 postoperative patients with cerebral hemorrhage who were treated and nursed in our hospital between March 2019 and March 2021 were randomly assigned to a control group (68 patients) and an observation group (65 patients). The control group was given a general comprehensive care intervention. The observation group was evaluated using an electronic medical record-based CGA system that assessed patient prognosis and was given individualized interventions based on the CGA findings. The postoperative QoL, psychological state, neurological recovery, and self-efficacy of the two groups were compared. After the intervention, self-decompression, self-decision-making, and positive attitudes of the observation group were higher than those of the control group. However, the National Institute of Health Stroke Scale score of the observation group was lower than that of the control group, the Self-rating anxiety scale and self-rating depression scale scores of the observation group were lower than those of the control group, and the social support score was significantly higher in the observation group than in the control group. After the intervention, the mental vitality, social interaction, emotional restriction, and mental status scores of the observation group were significantly higher than those of the control group. Comprehensive evaluation of patients with cerebral hemorrhage based on a CGA, targeting the individual factors that affect the prognosis of patients, and formulating and implementing individualized nursing intervention programs based on the CGA results can effectively relieve the symptoms of cerebral hemorrhage, reduce anxiety and depression, and improve the QoL of patients with cerebral hemorrhage.

골다공증 진단 여성노인의 삶의 질 영향요인

The purpose of this study was to investigate osteoporosis prevalence and factors influencing quality of life (HRQoL) among older Korean women with osteoporosis. The study design was a retrospective study using secondary data analysis. Data for 1,679 women aged 65 and older from the Korea National Health and Nutrition Examination Survey (KNHANES) 2016 to 2020 were included. Linear regression analysis was conducted for influential factors on HRQoL, measured by the Euro Quality of Life-5D (EQ-5D). The prevalence of osteoporosis among older women was found to be 39.6%. Significant variations in quality of life were observed across demographic factors such as age, residence, marital status, household type, household income, education level, and economic activity. Similarly, health-related characteristics including depression, subjective health status, comorbidity, activity limitation, stress perception, alcohol consumption, body mass index, exercise, and aerobic activity showed statistically significant differences in the quality of life. Participants had an average quality of life score of 0.84 ± 0.005. Factors influencing quality of life included household type, household income, subjective health status, depression, activity limitation, stress levels, age, and body mass index. Quality of life was higher among those living alone, with higher household income, better subjective health status, lower levels of depression and activity restriction, reduced stress levels, younger age, and lower body mass index. The model's explanatory power was 34.1%. These findings underscore the necessity for comprehensive and individualized nursing intervention programs.

Effect of Cognitive Behavioral Nursing Intervention Program on Anxiety among Patients with Cancer

Effect of Cognitive Behavioral Nursing Intervention Program on Anxiety among Patients with Cancer

Effect of Cognitive Behavioral Nursing Intervention Program on Depression among Patients with Cancer

Effect of Cognitive Behavioral Nursing Intervention Program on Depression among Patients with Cancer

Optimistic bias: Concept analysis

Purpose: The purpose of this study was to analyze and clarify the concept of ‘optimistic bias.’ Methods: A review of the literature was conducted using several databases. The databases were searched using the following keywords: optimistic bias, optimism bias, and concept analysis. The literature on optimistic bias was reviewed using the framework of Walker and Avant’s conceptual analysis process. Results: Optimistic bias can be defined by the following attributes: 1) underestimation of personal risk, 2) vague confidence, 3) positive future prediction and 4) lack of risk recognition. The antecedents of optimistic bias are as follows: 1) risk perception, 2) self-efficacy, and 3) risk controllability. The consequences of optimistic bias are as follows: 1) reduced anxiety, 2) providing emotional stability, 3) negative consequences for preventive health behavior, 4) lack of attention to risk-related information, and 5) negative consequences for self-protection behavior. Conclusion: The definition and attributes of optimistic bias identified by this study can provide a common understanding of this concept and help to develop a nursing intervention program effective in preventing, protecting, and improving health of subjects in the field of nursing practice.

Effectiveness of Nursing Intervention Program Based on Emotional Awareness and Emotion Regulation on the Social Functioning of Patients with schizophrenia

Effectiveness of Nursing Intervention Program Based on Emotional Awareness and Emotion Regulation on the Social Functioning of Patients with schizophrenia

A WeChat-based nursing intervention program improves the postoperative rehabilitation of breast cancer patients: results from a randomized controlled trial.

In postoperative setting, breast cancer (BC) patients can experience adverse effects, including fatigue, sleep disorders, and pain, which substantially affect their health-related quality of life (HRQoL). This study sought to assess the effectiveness of a WeChat-based multimodal nursing program (WCBMNP) that was specifically designed for the rehabilitation of women following BC surgery. BC patients were randomly, single-blinded allocated to either the intervention (n=62) or control (n=63) cohorts. Over a period of 6 months (24 weeks), the intervention cohort received a WCBMNP in addition to routine nursing care, while the control cohort received routine nursing care only. To evaluate patients' fear of cancer recurrence (FCR), their overall fear score was assessed using the Japanese version of the Concerns About Recurrence Scale (CARS-J) for primary outcome. The initial outcome (HRQoL) and secondary results, such as fatigue, sleep, and pain, were examined using the Functional Assessment of Cancer Therapy-Breast (FACT-B, version 4.0) and Nursing Rating Scale (NRS), respectively. Two hundred and ten participants, 85 participants were excluded. Compared to the controls (n=63), the intervention cohort (n=62) showed statistically significant improvements in their CARS-J scores. The intervention cohort aggregate scores on the FACT-B improved significantly but were affected by the compounding influences of cohort dynamics, temporal progression, and their interaction. Similar improvements were observed in the social/family and functional well-being domains. Emotional well-being was improved based on the effects of time and group-time interaction. In the intervention cohort, the "BC-specific subscale for additional concerns" was affected by group and time, whereas physical well-being was only affected by time. Conversely, there were no statistically significant changes in the variables of fatigue, sleep, and pain. The WCBMNP reduced FCR and significantly increased the HRQoL of female patients with BC postoperatively. The WCBMNP could be implemented as a postoperative rehabilitation intervention in this patient population to improve outcomes. Chinese Clinical Trial Registry (ChiCTR2400081557).

골관절염 여성노인의 건강관련 삶의 질 영향요인

This research investigates factors impacting the health-related quality of life in elderly women with osteoarthritis. The study surveyed 1,855 participants using National Health and Nutrition Examination Survey data from 2016 to 2020. Statistical analyses, conducted with SPSS/WIN 25, employed T-tests, analysis of variance (ANOVA), cross-analysis, and general linear analysis for descriptive statistics, along with Bonferroni post-hoc tests. Correlations between variables and the quality of life in elderly women with osteoarthritis were determined through correlation coefficients. Additionally, factors influencing the quality of life were analyzed using multiple regression analysis with general linear models. The study revealed significant differences in the quality of life based on demographic such as age, residence, marital status, education level, economic activity, depression, subjective health status, activity limitation, stress perception, smoking, body mass index, exercise, and aerobic activity. Similarly, there were statistically significant differences in the quality of life based on health-related characteristics, including age, residence, marital status, education level, economic activity, depression, subjective health status, activity limitation, stress perception, smoking, body mass index, exercise, and aerobic activity. The average quality of life score for participants was 0.82±0.18, with notable correlations found with age, subjective health status, and stress perception. Factors influencing health-related quality of life included having a spouse, higher household income, engagement in economic activity, lower age, and lower stress levels, as well as higher subjective health status. The model's explanatory power was 36.5%. Based on these findings, the study underscores the necessity for comprehensive and individualized nursing intervention programs.