Nursing Intervention Program Research Articles

A Structural Model of Quality of Life in Patients after Colorectal Cancer Surgery.

Background: This study was conducted to determine a hypothetical model for the factors affecting the quality of life of postoperative colorectal cancer patients. Methods: We collected data from 209 patients that was analyzed using SPSS 22.0 and AMOS 25. Results: Predictive variables of the hypothesis model included an exogenous variable, social support, as well as endogenous variables self-efficacy, symptoms, health promotion behavior, and quality of life. Testing of the correction model showed that significant paths directly affecting quality of life of patients after colorectal cancer surgery included health promotion behavior, symptoms, and self-efficacy and also showed an explanation power of 58.7%. Social support was found to have a significant impact on the quality of life indirectly through self-efficiency. Conclusions: To improve the quality of life of colorectal cancer patients, it is necessary to develop a nursing intervention program that strengthens patients’ health promotion behaviors to alleviate their symptoms and improve their social support and self-efficacy.

Predictors of Quality of Life Quality of Adults with Coronary Artery Disease (CAD)

Quality of Life is as a predictor of general wellbeing that is an important outcome in the treatment of any chronic disease. Impaired quality of life has increasingly become the most significant health outcome for CAD patients. The purpose of this study was to identify the predictor of quality of life of adults with CAD Patients. A descriptive cross-sectional study was conducted with sample of 125 participants of age between 35 to 64 years from RSUP. Dr. M. Djamil Hospital, Padang, West Sumatera, Indonesia. Each participant was administrated structured questionnaires, including the socio-demographic questionnaire, the CADE-Q questionnaire, Social Support questionnaire, general health perception, and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). A regression model showed that Income, Duration of CAD, and general health perception were the predictors of patient’s quality of life (Adjusted R2 = .031, p < .01). Better understanding of the relationship between its predictor and quality of life is necessary to develop a suitable nursing intervention program to enhance patient’s quality of life.

Effectiveness of a Diabetes Oral Nursing Program Including a Modified Diabetes Oral Health Assessment Tool for Nurses (M-DiOHAT©) : A 12-Month Follow-Up Intervention Study.

This study aimed to evaluate the effectiveness of a diabetes oral nursing intervention program for individuals with diabetes. Fifty-six participants with diabetes underwent a diabetes oral nursing intervention program. The program's effect was evaluated through questionnaires and small interviews. The modified diabetes oral health assessment tool (M-DiOHAT©) was used to assess and educate four factors;oral conditions, behaviors, perceptions and knowledge about diabetes and periodontal disease, and health information-sharing, among participants at baseline, 3, 6, and 12 months later. Primary outcomes included changes in the M-DiOHAT© total scores. Secondary outcomes included scores on the motivation stage of changes in oral health behaviors' scales, dental visits, number of present teeth, hemoglobin A1c (HbA1c), and participants' comments. The M-DiOHAT© total score and the motivation stage score significantly improved with the narrative comment of "being motivated to practice oral health behaviors" between the baseline and 12 months later. Eight participants visited the dentist, whereas no differences were observed in the number of present teeth or HbA1c. This program improved participants' M-DiOHAT© total score, motivation stage score, and dental visits. These results suggest the program improved oral health perceptions and behaviors among individuals with diabetes. J. Med. Invest. 69 : 86-96, February, 2022.

Mediating effect of Maternal and Paternal Family Relationship between Neuroticism and Postpartum Depression: The Actor-Partner Interdependence Mediation Model

Purpose: The purpose of this study is to analyze the mediating effect of family relationship between personality traits and postpartum depression by using the Actor-Partner Interdependence Mediation Model (APIMeM).Methods: Participants were 197 married couples within one year of childbirth. The APIMeM using path analysis was used to determine direct and indirect effects of personality and family relationships on postpartum depression between wives and husbands in AMOS 22.0.Results: Data showed an actor effect suggesting that the higher the neuroticism level in wives, the higher the postpartum depression level. In husbands, data indicated an actor effect suggesting that the higher the neuroticism level in husbands, the higher the postpartum depression level; however, neither wives nor husbands showed a partner effect. Data showed an actor effect suggesting that the higher the family relationship level for both wives and husbands, the lower the postpartum depression level; however, neither wives nor husbands showed a partner effect. Data showed a mediating effect of neuroticism in wives on postpartum depression through the family relationship.Conclusion: The study results indicate that, to prevent postpartum depression, it is necessary to develop a nursing intervention program for couples that can improve the personalities and family relationship of couples.

Research Progress of Nursing Care for Elderly Patients With Complicating Postoperative Hip Fracture Deep Vein Thrombosis in China

Introduction: The aging of China's population has further deepened, and according to the results of the seventh national census, the population aged 60 years and above in China was 264.02 million, accounting for 18.70% (China.2021).The rapid growth of the elderly population has led to an increase a geriatric orthopedic morbidity. The hip fracture is one of the common orthopedic diseases, which has posed a severe threat to the elderly's life and health (Yu, 2019).Purpose: In this study, we investigated the domestic and international literature, focusing on the analysis of DVT nursing prevention programs for elderly patients after hip arthroplasty, and proposed the current nursing research progress in preventing DVT to help elderly patients actively cope with DVT, improve the quality of life in later life, and make DVT a truly preventable disease.Method: Electronic searches using scholarly databases were employed and only significant articles that met the review objective were utilized.Findings: Currently, the main treatment option for hip fracture patients in clinical practice is surgery, and how to prevent Deep Vein Thrombosis (DVT) is an important task in the postoperative care of elderly orthopedic patients (Li, 2016). Research studies have shown that all elderly patients are at a very high risk of DVT during hospitalization, but the current trend is that 50% of patients at high risk of thrombosis are still not actively and effectively prevented from developing thrombosis for various reasons.Conclusion: This disease, which has a high incidence, a high mortality rate, and is difficult to prevent, requires increased attention and necessitates exploration to derive effective nursing intervention programs and related nursing measures to prevent reduce the formation of DVT and alleviate suffering for patient (Xu, 2016).In this review, we summarized the main nursing methods for preventing deep vein thrombosis of the lower extremities after hip fracture surgery in the elderly. Elderly patients are a special group of people, both physically and psychologically in a relatively fragile state, especially after the operation, so they need to be more careful in nursing work. In addition to general physical care, the care of their psychological state is also extremely important. This article describes in detail the physiological and psychological nursing interventions for patients, which can effectively guide and help medical staff to cope with the clinical care of such patients, and enable patients to better recover from surgery and trauma, and obtain a good prognosis.

보조생식술을 받는 부부의 부부적응, 부부 의사소통, 정신건강이 임신결과에 미치는 영향

Purpose: This study is a descriptive survey that aims to understand the effects of marital adjustment, marital communication, and mental health of couples undergoing in vitro fertilization (representative assisted reproductive technology, ART) on pregnancy outcomes to provide basic information for developing nursing interventions to improve ART pregnancy outcomes. Methods: The research protocol included obtaining informed consent from participants, and data collection took place from March 2 to April 30, 2020. A structured questionnaire was used to measure the study variables. SPSS 26.0 software was utilized to analyze the data, including descriptive statistics, t-test, ANOVA, Scheffe’s test, Pearson’s correlation coefficient, and hierarchical logistic regression. Results: For women, age, income level, and paranoia had significant effects on ART pregnancy outcomes; for men, age and somatization showed influence. Conclusion: This study suggests that couples undergoing ART should be provided appropriate nursing care, and that age, income level, and marriage duration of a couple, as well as the mental health of both partners, should be considered in efforts to improve the ART pregnancy rate. Furthermore, development and application of nursing intervention programs for promoting mental health among ART patients are needed, including those for paranoia in women and somatization in men.

The health status, aging anxiety, social networking, generativity, and happiness of late middle-aged adults

Purpose: This study was conducted to identify the relationship of health status, aging anxiety, social networking, generativity, and happiness and to investigate the main factors influencing happiness of late middle-aged adults.Methods: The study collected data from a total of 153 middle-aged men and women aged 50 to 64 years old from a consumer panel of Macromill-Embrain, the biggest online survey provider in Korea. The data were analyzed using descriptive statistics, Pearson’s correlation coefficient and a stepwise multiple regression using the SPSS 22.0 program.Results: The subjects’ happiness mean score was 16.17±9.29. Statistically significant differences in happiness were found according to education (F=4.38, p=.014), economic status (t=5.13, p<.001), and religion (t=2.18, p=.031). Happiness was correlated significantly with health status (r=.41, p<.001), aging anxiety (r=-.62, p<.001), family support (r=.43, p<.001), friend support (r=.36, p<.001) and generativity (r=.63, p<.001). The factors influencing happiness of late middle-aged adults were generativity (β=.37, p<.001), aging anxiety (β=-.35, p<.001), family support (β=.20, p<.001), and economic status (β=.13, p=.033). The explanatory power of the model was 58.0%.Conclusion: This study will be used as basic data when developing a nursing intervention program for successful aging by identifying factors that affect the happiness of late middle-aged adults.

Cognitive training programimprovescognitive ability and daily living ability in elderly patients with mild cognitive impairment.

Mild cognitive impairment (MCI) is a clinical syndrome of mild memory or other cognitive impairment without dementia and is a clinical transition state between normal aging and dementia. Careful and meticulous nursing intervention can improve the clinical symptoms of MCI and delay the progression of the disease. This research aimed to evaluate the efficacy of cognitive function training interventions in elderly patients with MCI. 106 patients were randomized into the intervention group or the control group. They received conventional nursing intervention and those in the intervention group received additional cognitive training program for 6weeks. The Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), activities of daily living (ADL) scales, and Barthel index (BI) were evaluated before and 6weeks after the intervention, as well as the serum levels of S100β and neuron-specific enolase (NSE) at two time points. After intervention, the MMSE scores and MoCA scores in both groups were significantly increased and the score in the intervention group was significantly higher. In the intervention group, the performance of conventional nursing intervention and cognitive training program significantly increased the scores of ADL and BI (p < 0.001). The serum levels of NSE and S100β in the intervention group were significantly lower. The performance of cognitive training program alleviated the brain tissue damage in elderly patients with MCI. The performance of cognitive training program in elderly patients with MCI improved their cognitive ability and daily living ability.

Effect of Nursing Intervention Program on quality of life, Post-Traumatic Stress Symptoms and Dispositional Resilience among Nurses Caring Patients with Corona Virus

Effect of Nursing Intervention Program on quality of life, Post-Traumatic Stress Symptoms and Dispositional Resilience among Nurses Caring Patients with Corona Virus

결혼이주 일본여성의 건강증진행위와 관련요인

Purpose: This study was descriptive study to analyze the health promoting behavior and the related factors of Japanese marriage-migrant women. Methods: The subjects were 191 Japanese marriage-migrant women living in the city. The correlation analysis, t-test, ANOVA and Scheffe post-hoc test, and the factors affecting healthpromoting behavior were examined. Results: In the modelⅠ, the explanatory power of the model was 12% (F=2.41, p<.002). In the model Ⅱ, influence factors of health-promoting behavior were acculturation, self-efficacy, jobs, Extended family type, social support, perceived health status, and the explanatory power of the model was increased to 37% (F=6.11, p<.001). Conclusion: In order to improve the health-promoting behavior, nursing intervention programs should be developed by incorporating the personal characteristics of perceived health status, jobs, the behavior-specific cognitions, acculturation, self-efficacy, social support, and perceived barriers.

Nursing Intervention to Improve the Caregivers’ Practices toward Elderly Care at Geriatric Homes

Population ageing is a global phenomenon with the number of persons 60 years and over estimated to reachtwo billion by the year 2050; living longer is joined to challenges of disability and being dependent oncaregivers who should have the chance to perform their practices by professional way as an integral partof elderly care. Aim: To evaluate the nursing intervention program to improve the caregivers’ practices ofelderly care at geriatric homes. Design: Quasi-experimental research design. Setting: In geriatric homes atCairo governorate. Sample: A convenient sample of all elderly caregivers working in the previous mentionedsettings. Tool: Was used an interviewing questionnaire to assess socio-demographic characteristics ofelderly caregivers, their knowledge, their practices &amp; factors causing stress to them &amp; their coping withstress. Conclusion: The nursing intervention program implementation had statistically significant positiveeffect on elderly caregivers at geriatric homes regarding to their knowledge, practices &amp;coping with stress.

Nursing Intervention Program for Enhancing Coping Patterns among Nursing Students

Nursing Intervention Program for Enhancing Coping Patterns among Nursing Students

Effect of Nursing Intervention Program related to Nursing Iatrogenic Events on Nurses Performance and Clinical Outcomes of Neonates at Neonatal Intensive Care Unit

Background: Iatrogenic events that cause harm to neonates in NICU is characterized as adverse events. Neonates are a particularly vulnerable population and may be at further risk of harm from medical errors because of their low birth weight, physiological immature, limited compensatory abilities and extensive exposure to medication in NICU. Nurses are the first line of defense to safeguard against iatrogenic errors. Aim of this study was to evaluated the effect of educational intervention program on nurses’ performance and clinical outcomes of neonates related to nurses’ iatrogenic at neonatal intensive care unit. Subjects and method The study was conducted at Neonatal Intensive Care Unit of Tanta University hospital. A quasi-experimental design was used. Sample All nurses (57) working in the previously mentioned setting were included the study and all neonates admitted within six months. Tools: Three tools were used to collect the required data; Structured Interview schedule, It was consisted of two parts, part one was biosocial data of nurses, neonate and part two was nurses' knowledge (tool I). Observation checklist to assess nurse's practice regarding iatrogenic errors at NICU (tool II). Neonate's clinical outcomes schedule to assess outcomes of neonate post program (tool III). Results of the study revealed that, before program the total knowledge scores of all nurses were poor while majority of them had good scores after implementing program. Total practice scores of all nurses were good also immediately and after one month. There were statistical significant difference between nursing knowledge, practice and biosocial data. The outcome of neonates showed an improvement in neonatal condition of discharge. Conclusion Intervention program was effective and improving nurses’ knowledge and practice as well as reducing iatrogenic errors at NICU. Recommendations were suggested that establish continuous monitoring system to assess nurses practice in NICU settings especially for iatrogenic errors

A Study on the Relationship between Fatigue, Psychosocial Stress, and Behavior that Reduces Endocrine Disrupting Chemicals Exposure in Infertile Males

Purpose: This study aimed to identify the relationships between fatigue, psychosocial stress, and behavior of infertile males that reduces endocrine-disrupting chemical (EDC) exposure and to provide baseline data needed for nursing intervention. Methods: A total of 110 infertile males were recruited from a special fertility hospital in Gwangju city in Korea. The participants were administered a self-reported questionnaire. Results: The mean scores were as follows: for fatigue, 59.1 out of 133; for psychosocial stress, 20.3 out of 54; and for behavior that reduced EDC exposure, 52.6 out of 85. Fatigue and psychosocial stress had a positive correlation(r=0.68, p&lt;0.001), behavior that reduces EDC exposure was negatively correlated with fatigue and psychosocial stress(r=-0.54, p&lt;0.001; r=-0.61, p&lt;0.001) Conclusion: Fatigue and stress were higher in infertile males. Our findings suggest that a nursing intervention program should focus on reducing fatigue and stress in infertile males and induce behaviors that decrease EDC exposure.

Unmet Needs and Quality of Life of Cancer Patients and Their Families: Actor-Partner Interdependence Modeling.

Unmet needs and quality of life (QOL) are important nursing issues for both patients and their families. However, studies into their direct association, considering the dyadic relationship between them, have not been done. We investigated the associations using the actor–partner interdependence modeling for dyadic data. Data were collected from 115 patient–family dyads at a tertiary teaching hospital. The study variables were assessed using the questionnaires and clinical data. To analyze patient–family dyad data, the actor–partner interdependence modeling and structural equation modeling were used. The cancer patients and their families experienced diverse and high levels of unmet needs that affected their quality of life, both physically and mentally. The cancer patients’ unmet needs decreased their physical and mental quality of life, while those of their families had a negative impact on their own physical and mental quality of life. However, the cancer patients’ unmet needs did not have partner effects on their families’ quality of life, and vice versa. Therefore, unmet needs played important roles in their QOL taking into dyadic relationships in the model. The results suggest that nursing intervention programs to meet the needs of both patients and their families are required to improve their quality of life.

The Impact of Nursing Delirium Preventive Interventions in the ICU: A Multicenter Cluster-randomized Controlled Clinical Trial.

Rationale: Delirium is common in critically ill patients and is associated with deleterious outcomes. Nonpharmacological interventions are recommended in current delirium guidelines, but their effects have not been unequivocally established. Objectives: To determine the effects of a multicomponent nursing intervention program on delirium in the ICU. Methods: A stepped-wedge cluster-randomized controlled trial was conducted in ICUs of 10 centers. Adult critically ill surgical, medical, or trauma patients at high risk of developing delirium were included. A multicomponent nursing intervention program focusing on modifiable risk factors was implemented as standard of care. The primary outcome was the number of delirium-free and coma-free days alive in 28 days after ICU admission. Measurements and Main Results: A total of 1,749 patients were included. Time spent on interventions per 8-hour shift was median (interquartile range) 38 (14-116) minutes in the intervention period and median 32 (13-73) minutes in the control period (P = 0.44). Patients in the intervention period had a median of 23 (4-27) delirium-free and coma-free days alive compared with a median of 23 (5-27) days for patients in the control group (mean difference, -1.21 days; 95% confidence interval, -2.84 to 0.42 d; P = 0.15). In addition, the number of delirium days was similar: median 2 (1-4) days (ratio of medians, 0.90; 95% confidence interval, 0.75 to 1.09; P = 0.27). Conclusions: In this large randomized controlled trial in adult ICU patients, a limited increase in the use of nursing interventions was achieved, and no change in the number of delirium-free and coma-free days alive in 28 days could be determined. Clinical trial registered with www.clinicaltrials.gov (NCT03002701).

Developing an Internet-Based Trauma Recovery Nursing Intervention Based on Swanson's Theory of Caring for Trauma Recovery.

This study aimed to develop an Internet-based psychiatric nursing intervention, based on Swanson’s theory of caring, that could alleviate post-traumatic stress symptoms and improve the health functioning of adults who had experienced trauma. To evaluate the appropriateness and understanding of the program content, expert advice and content validity were examined using the content validity index. To analyze the participants’ responses and evaluate the appropriateness of conducting Internet-based programs, an online intervention program was implemented with five nurses between February and April 2020. The trauma recovery nursing intervention program was for adults who had experienced trauma and consisted of eight sessions, each lasting 30 min. It included a spoken audio track that was accompanied by visual prompts to provide knowledge on traumatic stress and introduce trauma recovery methods. Its online format made it convenient and widely accessible, and allowed for a low-intensity, cost-effective educational program. The program focused on providing self-help guidelines for clients to develop their mental and physical well-being. The results provide evidence that mental health nurses could develop and implement online programs to care for people who have experienced trauma. Such programs could provide trauma recovery for marginalized people unable to otherwise receive help.

Influence of Counseling Intervention on Enhancement of Awareness and Reducing Burdens among Caregivers of Patients with Alzheimer

Background: Alzheimer’s disease is a social care problem and is one of the main causes of disability in later life. Caring for a patient with Alzheimer’s disease is associated with much of the burden on family members Aim of the study This study aimed to investigate the influence of counseling intervention on enhancement of awareness and reducing burdens among caregivers of patients with Alzheimer. Design: A quasi- experimental design was used to conduct the study. Setting: This study was conducted at Out-Patient Clinic of geriatric medical unit Centre in affiliated to Ain shams university hospitals. A purposive sample was obtained included 50 caregivers accompanying their Alzheimer's patient. The data was collected by using three tools: First tool: interviewing questionnaire to assess socio-demographic data of caregivers and clinical history of patients. Second tool: Caregivers' awareness regarding Alzheimer disease to assess the caregivers' knowledge, attitude, and reported practices regarding Alzheimer disease. Third tool: caregivers' burden scale to assess the level of burden among caregivers. Results: The study results revealed that there was a highly statistically significant improvement of caregivers' awareness, reported practices, and total scores of the caregivers’ burdens towards caring for their patients with Alzheimer after implementation of the intervention (p < 0.001). As well there was a highly statistically significant correlation between caregivers' burden and their knowledge, attitudes, and reported practices toward their patients with Alzheimer (p < 0.001). Conclusion: It was concluded that the application of counseling intervention improved caregivers' awareness through enhancing their knowledge, attitudes, and reported practices and reducing their burdens toward their patients with Alzheimer disease. Recommendations: Further studies should be done for family caregivers in their early caring process to optimize their well-being through nursing intervention programme on reducing the degree of burden with improving their ability for solving the problem.

Delirium-Related Knowledge, Caregiving Performance, Stress Levels, and Mental Health of Family Caregivers of Terminal Cancer Patients with Delirium in a Hospice Care Unit.

The purpose of this study was to examine the knowledge, caregiving performance, stress levels, and mental health of family caregivers of terminal cancer patients with delirium, insofar as these characteristics are relevant for delirium. Between May 1, 2019, and June 1, 2020, 96 family caregivers of terminal cancer patients with delirium completed a structured survey, the results of which were analyzed. The average correct answer rate for delirium-related knowledge was 53.2% across all subcategories, which included knowledge of causes (41.5%), symptoms (65.4%), and caregiving (51.7%). The average score for family caregivers' performance of caregiving for delirium was 2.60±0.5, with subcategories including caregiving for patients without delirium (2.16±0.95), caregiving for patients with delirium (2.84±1.01), and stress related to caregiving for delirium (39.88±16.55), as well as categories such as patient-related caregiving (44.32±28.98), duty-related caregiving (44.21±30.15), and interpersonal relationship-related caregiving (22.35±25.03). For mental health, the average score among family caregivers was 1.96±0.70, with the highest score being for the category of additional items (2.28±0.84). Family caregivers of patients with hyperactive delirium as the delirium subtype had higher scores for caregiving performance than caregivers of patients with mixed delirium. Scores for the delirium-related knowledge and caregiving performance of family caregivers were low, while their caregiving stress levels were high due to their lack of knowledge and experience. This indicates the importance of delirium-related education for family members of patients with delirium and the necessity of developing nursing intervention programs to help manage stress and promote mental health among family caregivers.

지역사회 거주 노인을 위한 건강증진 프로그램의 효과

Objectives: The purpose of this study was to examine effects of health promotion program based on self-efficacy theory on physiological indicators, self-efficacy, grits, and health promotion behavior in community elderly. Methods: A non-equivalent control group pre-post test design was used. The intervention group received the health promotion program based on self-efficacy theory for 8 weeks from October 8 to November 26, 2020. Results: t-test showed that systolic blood pressure (t=-2.12, p=.040), self-efficacy (t=3.78, p 〈.001), grit (t=3.75, p〈.001) and health promotion behavior (t=2.89, p=.002) were significant differences between the two groups. In other hands BMI (t=-1.26, p=.213), diastolic pressure (t=-1.07, p=.287), total cholesterol (t=-1.67, p=.102), LDL-cholesterol (t=-0.76, p=.451), HDL-cholesterol (t=-0.57, p=.567) and triglyceride (t=-1.76, p=.094) were no significant difference between two groups. Conclusions: The health promotion program based on self-efficacy theory was found to be an effective nursing intervention program in improving physiological indicators, self-efficacy, grit and health promotion behaviors of community elderly.