Score Of GSES Research Articles

Can Brain Activities of Guided Metaphorical Restructuring Predict Therapeutic Changes?

The present study examined whether brain activities of metaphorical restructuring could predict improvements in emotion and general self-efficacy (GSES). Sixty-two anxious graduates were randomly assigned to either the metaphor group (n=31) or the literal group (n=31). After completing the pretest (T1), the participants were first presented with micro-counseling dialogues (MCD) to guide metaphorical or literal restructuring, and their functional brain activities were simultaneously recorded. They then completed the posttest (T2) and 1week's follow-up (T3). It was found that (1) compared with the literal group, the metaphor group had more insightful experiences, a greater increase in positive affect and GSES at T2, and a greater decrease in psychological distress at T2 and T3; (2) the metaphor group showed a greater activation in the left inferior frontal gyrus (IFG) and bilateral temporal gyrus, and further activation in the left hippocampus positively predicted T2 GSES scores while that in the IFG and left hippocampus positively predicted the reduction slope of distress over the three time points. One important limitation is that the results should be interpreted with caution when generalizing to clinical anxiety samples due to the participants were graduate students with anxiety symptoms rather than clinical sample. These results indicated that metaphor restructuring produced greater symptom improvements, and activation in the hippocampus and IFG could predict these symptom improvements. This suggests that the activation of the two regions during the restructuring intervention may be a neural marker for symptom improvements.

Differences in Loneliness and Social Isolation among Community-Dwelling Older Adults by Household Type: A Nationwide Survey in Japan

(1) Background: Social isolation and loneliness are determinants of healthy longevity. However, previous research has focused on either social isolation or loneliness and has not considered household types. This study sought to clarify loneliness and social isolation among older adults using single-person (ST) or multi-person (MT) household types. (2) Methods: We administered a national, anonymous, self-administered survey to 5351 Japanese older adults aged 65 years or older. The survey included subjects’ demographic characteristics and scores for loneliness (University of California Los Angeles (UCLA) Loneliness Scale version 3 (Cronbach’s α = 0.790)), social isolation (Lubben Social Network Scale (LSNS-6) (Cronbach’s α = 0.82)), and self-efficacy (GSES). (3) Results: After adjusting for age and gender, ST individuals had significantly lower LSNS-6 and significantly higher UCLA scores than MT individuals (p < 0.001). Lower LSNS-6 and higher UCLA scores were significantly associated with lower GSES scores, and the effect of GSES was greater for ST than for MT (LSNS-6, ST (β = 0.358, p < 0.001); MT (β = 0.295, p < 0.001)) (UCLA, ST (β = −0.476, p < 0.001); MT (β = −0.381, p < 0.001)). (4) Conclusions: Specific healthcare systems and programs based on self-efficacy should be developed by household type to reduce both social isolation and loneliness.

Effect of Integrated Nursing Care Based on Medical Alliance Mode on the Prevention and Treatment of Complications and Self-Efficacy of Patients with Coronary Heart Disease after PCI.

Objective To explore the effect of integrated nursing care based on the medical alliance model on prevention and treatment of complications and self-efficacy in patients with coronary heart disease (CHD) after PCI. Methods The data of CHD patients treated in our hospital from January 2019 to January 2021 were analyzed in this retrospective study. One hundred and twenty patients were selected as the research subjects according to the inclusion and exclusion criteria and equally split into the observation group and reference group according to the order of admission. Both groups received routine nursing care, while the observation group was additionally given integrated nursing care based on the medical alliance model to compare the self-efficacy scores, scores of self-management abilities, and incidence of postoperative complications between the two groups before and after nursing. Both groups were nursed for 6 months. Results Compared with the reference group, the observation group after nursing achieved a notably higher GSES score (26.10 ± 1.30 vs 22.18 ± 1.30, t = 16.516, P < 0.001), higher scores of self-management ability (P < 0.001) , and a lower incidence of postoperative complications (P < 0.05). Conclusion Integrated nursing care based on the medical alliance model can improve the self-efficacy of CHD patients undergoing PCI, enhance their self-management ability, and reduce the incidence of postoperative complications, which is conducive to improving the prognosis of patients.

Effect of Nursing Measures Based on Self-Efficacy Theory on State Self-Esteem of Breast Cancer Patients

To analyze the effect of nursing measures based on self-efficacy theory on the state self-esteem of breast cancer patients. 110 breast cancer patients who were treated in our hospital from October 2018 to October 2019 were randomly divided into control group and observation group. The control group was given routine nursing measures, and the observation group was given nursing measures under the guidance of self-efficacy theory. Before operation, 1 week after operation and 3 months after operation, the general data of the two groups before and after treatment were recorded. The self-efficacy level and self-esteem level of the patients before and after treatment were assessed by the self-efficacy scale (GSEs) and state self-esteem scale (SSEs). The compliance of functional exercise and shoulder joint activity (ROM) of the two groups were compared, and the physical status of the two groups were analyzed. To analyze the effect of nursing measures based on self-efficacy theory on the state self-esteem of breast cancer patients. The GSEs score of the two groups increased with the time, and there was no significant difference between the two groups before operation (P &gt; 0.05). After 1 week and 3 months, the GSEs score of the observation group was significantly higher than that of the control group (P &lt; 0.05). The compliance evaluation table of functional exercise in the two groups increased with the time, and the compliance evaluation table of functional exercise in the observation group was significantly higher than that in the control group, the difference was statistically significant (P &lt; 0.05). ROM of the two groups increased with time, and ROM of the observation group was significantly better than that of the control group, the difference was statistically significant (P &lt; 0.05). The self-esteem level of the two groups increased with time, and the self-esteem level of the observation group was significantly higherthan that of the control group, the difference was statistically significant (P &lt;0.05). The nursing measures under tne guidance of self-efficacy theory can help patients to complete functionalexercise, improve theirquality of life, improve their self-esteem level, a nd can be widely used in clinical practice.

Disaster Prevention Education along with Weekly Exercise Improves Self-Efficacy in Community-Dwelling Japanese People-A Randomized Control Trial.

Background and Objectives: Both disaster prevention and health promotion have become public health challenges in Japan. Maintaining physical fitness from the perspective of disaster prevention and maintaining physical fitness from the perspective of health are basically covering similar issues, they are seen as different from one another because of differences in administrative jurisdiction in Japan. In the case of disaster prevention education, physical fitness is not mentioned. In and outside Japan, partial integration of disaster prevention education and health education is required. This study compares and examines the effects of disaster prevention education and traditional exercise education, as well as exercise practice. A randomized controlled trial alongside an evacuation behavior model during the event of a disaster were used in this research. Materials and Methods: A total of 97 community-dwelling participants were randomly allocated to two groups, a disaster prevention education group (Group D) and a traditional exercise education group (Group E). Group D received disaster prevention education with weekly exercise. Group E received traditional exercise education with weekly exercise. After ten weeks of intervention, the total evacuation time of the disaster evacuation model course, physical fitness, self-efficacy (General Self-Efficacy Scale: GSES), and health-related quality of life (QOL) were compared between the two groups. Results: No differences were observed between the two groups regarding the changes in the parameters of total evacuation time, physical fitness, and health-related QOL. However, the changes in GSES scores were significantly higher in Group D (1.4 ± 3.9) than in Group E (−1.1 ± 7.5). Conclusions: Disaster prevention education with weekly exercise significantly increased participants’ self-efficacy compared to traditional exercise education. The combination of disaster prevention education and exercise practice may have a positive effect not only on disaster prevention behavior but also on self-efficacy in health promotion. Disaster prevention education does not directly influence health promotion, but it may be a very effective method for indirectly promoting health.

Effects of authorized health education on self-efficacy and quality of life of patients undergoing knee osteoarthritis surgery

Objective To explore the effect of authorized health education on self-efficacy and quality of life in patients undergoing knee osteoarthritis(KOA)surgery. Methods A total of 80 patients with elective KOA surgery admitted to the hospital from April 2018 to November 2018 were selected and randomly divided into control group and observation group, with 40 patients in each.The control group received routine nursing intervention, the observation group received authorized health education intervention, and the two groups were compared in terms of changes in psychological state 〔Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD)〕, self-efficacy score (GSES), VAS score and quality of life score (SF-36) and nursing satisfaction. Results HAMA and HAMD scores in the observation group after intervention were significantly lower than those in the control group, GSES scores were higher than those in the control group, VAS scores were lower than those in the control group, and scores of overall health, physiological function, body function, body pain, vitality, social function, emotional function and mental health were significantly higher than those in the control group(P<0.05). After intervention, the satisfaction of patients in the observation group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). Conclusions Authorized health education can improve the self-efficacy and quality of life of patients undergoing KOA surgery. Key words: Knee osteoarthritis; Authorized health education; Self-efficacy; Quality of life

A Comparison of Users and Nonusers of a Web-Based Intervention for Carers of Older Persons With Alzheimer Disease and Related Dementias: Mixed Methods Secondary Analysis.

BackgroundA self-administered Web-based intervention was developed to help carers of persons with Alzheimer disease and related dementias (ADRD) and multiple chronic conditions (MCC) deal with the significant transitions they experience. The intervention, My Tools 4 Care (MT4C), was evaluated during a pragmatic mixed methods randomized controlled trial with 199 carers. Those in the intervention group received free, password-protected access to MT4C for three months. MT4C was found to increase hope in participants at three months compared with the control group. However, in the intervention group, 22% (20/92) did not use MT4C at all during the three-month period.ObjectiveThis mixed methods secondary analysis aimed to (1) examine differences at three months in the outcomes of hope, self-efficacy, and health-related quality of life (HRQOL) scores in users (ie, those who used MT4C at least once during the three-month period) compared with nonusers and (2) identify reasons for nonuse.MethodsData from the treatment group of a pragmatic mixed methods randomized controlled trial were used. Through audiotaped telephone interviews, trained research assistants collected data on participants’ hope (Herth Hope Index; HHI), self-efficacy (General Self-Efficacy Scale; GSES), and HRQOL (Short-Form 12-item health survey version 2; SF-12v2) at baseline, one month, and three months. Treatment group participants also provided feedback on MT4C through qualitative telephone interviews at one month and three months. Analysis of covariance was used to determine differences at three months, and generalized estimating equations were used to determine significant differences in HHI, GSES, and SF-12v2 between users and nonusers of MT4C from baseline to three months. Interview data were analyzed using content analysis and integrated with quantitative data at the result stage.ResultsOf the 101 participants at baseline, 9 (9%) withdrew from the study, leaving 92 participants at three months of which 72 (78%) used MT4C at least once; 20 (22%) participants did not use it at all. At baseline, there were no statistically significant differences in demographic characteristics and in outcome variables (HHI, GSES, and SF-12v2 mental component score and physical component score) between users and nonusers. At three months, participants who used MT4C at least once during the three-month period (users) reported higher mean GSES scores (P=.003) than nonusers. Over time, users had significantly higher GSES scores than nonusers (P=.048). Reasons for nonuse of MT4C included the following: caregiving demands, problems accessing MT4C (poor connectivity, computer literacy, and navigation of MT4C), and preferences (for paper format or face-to-face interaction).ConclusionsWeb-based interventions, such as MT4C, have the potential to increase the self-efficacy of carers of persons with ADRD and MCC. Future research with MT4C should consider including educational programs for computer literacy and providing alternate ways to access MT4C in addition to Web-based access.Trial RegistrationClinicalTrials.gov NCT02428387; https://clinicaltrials.gov/ct2/show/NCT02428387

The current situation of quality control circle among nursing quality management in Shandong Province: Cross-sectional survey

Objective To provide the basis for the popularization and application of QCC,we investigate the operation status of nursing quality control circle (QCC) in Shandong Province, and analyze the existing problems. Methods A self-designed questionnaire which Cronbach’s α=0.905, was used to the attendees of the annual meeting of the Nursing Committee of Shandong Hospital Quality Management Alliance by convenience sampling. The questionnaire was filled out online by mobile phone scanning. SPSS 23.0 software was used to analyze the data. Results Among 224 respondents,score of GSES was 27.71±5.58, 96.0% thought it was necessary to continue the QCC, 91.1% thought that it could solve the problems of quality management and has applicability. The worst mastery of knowledge was development and review of countermeasures , accounting for only 6.7%. The calculation of target value was the best for 45.1%, the best which QCC report and evaluation was 32.1%(72/224) in the promotion and management of hospital-level QCC, and the worst which standardization approval was only 4.0%(9/224). The main obstacle factors include personnel, skills and in-hospital support. Conclusions Hospital departments should establish effective quality control circle training management methods, strengthen promotion and supervision; nursing managers should pay attention to the training of activities, pay attention to the unity and cooperation of different departments and doctors, and further promote the clinical application of quality management methods. Key words: Shandong province; Quality control circle; Cross-sectional survey; Quality management tools; Nursing Management

Effect and correlated systems of " four-dimension standard" nursing on intervening the cancer-related fatigue of aged breast cancer patients

Objective To explore the effect of four-dimension standard nursing on the fatigue and quality of life of elderly patients with breast cancer, and discuss the related mechanism. Methods From January 2010 to February 2015, 82 cases of breast cancer patients with fatigue caused by cancer were included in this study.The patients were randomly divided into study group and control group.The control group of 40 patients received routine care.The research team used four-dimension standard nursing intervention mode while taking regular nursing to compare the CRF score, hemoglobin(Hb), maximal oxygen uptake(VO2 max), general self-efficacy scale(GSES score), social support requirement scale(SSRS) score and quality of life(QOL) score were improved so as to evaluate the effect of four-dimension standard nursing. Results ①Cancer related fatigue: Compared with before intervention, there was significant change for cancer-related fatigue related scores after intervention in study group(P 0.05), but study group's VO2max after intervention were significantly higher than those in the control group (P<0.05). ③Self, society and life: Compared with before intervention, GSES, QOL after intervention in two groups were significantly higher (P<0.05), SSRS after intervention in study group increased significantly.Compared with control group, GSES, SSRS, QOL after intervention in study group significantly higher than that of control group (P<0.05). Conclusions The CRF effect of four-dimension standard nursing intervention on the aged breast cancer patients is good, which can significantly relieve or eliminate CRF, improve maximal oxygen uptake, self-efficiency, social support and improve the living quality of patients.It's superior to the conventional nursing mode, which can be used for the CRF nursing of breast cancer patients. Key words: Breast cancer; Cancer-related fatigue; Four-dimension standard nursing intervention

The mediation role of help-seeking intention between mental symptoms and professional help-seeking behavior in adults: the moderating effect of self-efficacy

Objective To explore the mediating effect and moderating effect of professional psychological help-seeking intention and self-efficacy between mental symptoms and professional psychological help-seeking behavior in Chinese adults. Methods Totally 618 adult samples were selected on the internet and completed measures of help-seeking questionnaire, ISCI, SCL-90 and GSES. Results Females and middle adulthood subjects got higher ISCI and GSES scores than males and early adulthood subjects ((82.7±6.7) vs (77.8±7.8), (83.9±6.2) vs (76.8±7.3); all P<0.01). SCL-90 was significantly and positively correlated with psychological help-seeking behavior(r=0.162, P<0.01). ISCI was found to mediate the association between SCL-90 and psychological help-seeking behavior(effect value=-0.004, 95%CI=-0.008--0.002). GSES significantly moderated the mediating effect of ISCI(B=0.006, P<0.05). Conclusion ISCI plays a mediating role between mental symptoms and professional psychological help-seeking behavior, which was moderated by GSES in Chinese adults. Key words: Adult; Mental symptoms; Help-seeking behavior; Help-seeking intention; Self-efficacy

Effects of family synchronization health education on rehabilitation and quality of life in Parkinson disease patients

Objective To investigate the effects of family synchronization health education on rehabilitation of Parkinson′s disease patients and their quality of life. Methods A total of 100 Parkinson′s patients were randomly assigned to intervention group and control group on average, and patients in the control group received conventional health education, while in the intervention group they were given health education for family, observed mental state in all patients, as well as rehabilitation, self-management skills and quality of life. Results After the interventions, there were better than those of the control group in the intervention group about SDS, SAS, WMS-IV, NMSQ, PDSS, Barthel index, habits, rehabilitation exercise, proper diet, compliance, GSES score, physical function, physical function, bodily pain, vitality, social function, role emotional, mental health, general health scores (P<0.05). Conclusions Families synchronization health education can help improve rehabilitation and quality of life of Parkinson′s patients. Key words: Parkinson; Health education; Functional rehabilitation; Quality of life; Families synchronization

Effect of transtheoretical model on self-efficacy, health belief and health behavior of patients with coronary heart disease

Objective To investigate the effect of health education based on transtheoretical model (TTM) on self-efficacy, health belief and health behavior of patients with coronary heart disease (CHD). Methods A total of 122 patients with CHD were randomly divided into the observation group and the control group according to the random number table method. 61 cases in the control group were given conventional one-to-one health education, while 61 cases in the observation group were given health education based on TTM. The scores of GSES, the self-designed health belief scale for coronary heart disease and HPLP-Ⅱ were compared between the two groups before and after the invention. Results The self-efficacy and health belief of two groups were improved by the invention. The score of GSES in the observation group was (30.5±5.9), which was significantly higher than (27.2±5.6) in the control group after invention (t=3.168, P<0.01). The scores of four dimensions and total score of health belief scale were (2.68±0.63), (2.71±0.64), (2.53±0.59), (2.80±0.51), (2.61±0.58), which were significantly higher than (2.40±0.58), (2.47±0.47), (2.25±0.62), (2.61±0.50), (2.41±0.52) in the control group after invention (t=2.554, 2.361, 2.556, 2.078, 2.005; P<0.05). Conclusions The health education based on TTM can improve self-efficacy of health behavior change for patients with CHD, enhance health belief and is conductive to the establishment of health behavior. Key words: Coronary heart disease; Transtheoretical model; Self-efficacy; Health belief; Health behavior

Mediating effect analysis of self-efficacy between perceived stigma and quality of life in patients with mental disorders

Objective To investigate the state of perceived stigma,self-efficacy and quality of life of patients with mental disorders,and analyze the relationship among these variables,and explore the mediating effect of self-efficacy between the perceived stigma and quality of life.Methods Totally 406 patients with mental disorders were assessed with the Perceived Devaluation-Discrimination Scale (PDDS),Self-efficacy Scale (SES) and Schizophrenia Quality of Life Scale (SQOLS).Results The average score of PDDS was (2.44±0.36).The average score of GSES was (25.75±7.31).The perceived stigma,self-efficacy and quality of life were significantly correlated with each other.The self-efficacy played a mediating role between perceived stigma and quality of life.Conclusions The self-efficacy is the intermediary variable of perceived stigma and QOL of patients with mental disorders. Key words: Perceived stigma; Self-efficacy; Quality of life; Mental disorders

The effect of evidence-based nursing on self-efficacy and mental healh of the patient with schizophrenia

Objective To explore the nursing countermeasures on improving self-efficacy of the patients with schizophrenia.in order to provide the basis for patients of psychological rehabilitation.Methods A total of 120 case of the male schizophrenia were divided into study group and control group by random.The control group cases were given conventional treatment and care,the study group was given evidence-based nursing path based on routine treatment:determining the affecting self-efficacy factors of patients,collecting the evidence,evaluating the evidence,combining with clinical practice to choose the best evidence,formulating the feasi-ble evidence-based nursing measures.Before and after intervention,the effects were evaluated by GSES and SCL-90.Results Before intervention,the difference was not statistically significant between study group and control group on GSES and SCL-90 ( P ＞ 0.05 ).After intervention,the score of GSES and SCL-90 in study group were much better than those in control groupP ＜ 0.01.Conclusions Evidence-based nursing could promote scientific and effective psychiatric nursing practice activities.It would had a positive clinical curative effect for improving self-efficacy of the patients with schizophrenia and promoting their mental rehabilitation. Key words: Schizophrenia; Evidence-based Nursing ; Self-efficacy; Mental health

Treatment decision difficulties and post‐operative distress predict persistence of psychological morbidity in Chinese women following breast cancer surgery

The patterns and determinants of longer-term psychological morbidity in women following breast cancer surgery have not been described for Chinese populations. Chinese women were assessed at 3-days, 4-months and 8-months following breast surgery, on treatment decision-making difficulty (TDMD), satisfaction with treatment outcome (E-OI), self efficacy (GSeS), optimism (C-LOT-R), consultation satisfaction (C-MISS-R), physical symptom distress (PSD) and psychological morbidity (CHQ-12) and compared using polynomial logistic models. Of 303/405 women providing complete data, 33% received chemotherapy and 26% radiotherapy. GSeS, CLOTR and TDMD scores were moderate. Though the proportion of women meeting psychological morbidity case-criteria declined from 78% (95% Confidence Interval 73-83%) at Baseline to 64% (59-69%) at 8-months, almost 50% (44-54%) of women remained distressed over the 8-month period. After adjustment for demographic and clinical factors, severity of psychological morbidity at 4-months was predicted by PSD, disappointment and higher Baseline CHQ12, and among moderate/severe cases only, greater TDMD and pessimistic outlook. At 8-months, CHQ12 scores were predicted by PSD, Baseline CHQ-12, and difficulties with TDM. TDM difficulties, early post-surgical psychological and physical symptom distress indicate risk for prolonged distress in Chinese women following breast cancer surgery.