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de Lima NX, da Silva RC, Vieira FVM, Guimarães JV, de Matos MA, Cavalcante AMRZ. Self-care Level of Adults With Arterial Hypertension in Outpatient Follow-up in Brazil: A Cross-sectional Study. J Cardiovasc Nurs 2024; 39:170-177. [PMID: 37364050 DOI: 10.1097/jcn.0000000000000978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/28/2023]
Abstract
BACKGROUND Self-care is essential for minimizing the long-term progression of hypertension (HTN) and improving global health outcomes. However, little is known about the predictors of HTN self-care among adults with HTN in Brazil. OBJECTIVE The aim of this study was to evaluate the self-care practices and the association of sociodemographic and clinical factors of adults with HTN in Brazil. METHODS This was a cross-sectional study conducted by telephone with 120 adults with HTN monitored in a specialized outpatient clinic of a teaching hospital. Sociodemographic and clinical information was collected by a questionnaire survey. Self-care was assessed by the Self-care of Hypertension Inventory version 2. Multiple regression and Kendall's correlation analyses were performed to determine possible predictors. RESULTS Low levels of self-care were observed across maintenance, management, and confidence measures. A weak correlation was observed between self-care maintenance and education (-0.13), the time of diagnosis (0.16), and the number of medications (0.15); self-care management and family income (0.13) and cognitive function (0.17); and self-care confidence and systolic (-0.15) and diastolic (-0.18) blood pressure values and time of diagnosis (0.16). In multiple regression analysis, self-care confidence was a predictor of self-care maintenance ( β = 0.30; 95% confidence interval, 0.10-0.36) and management ( β = 0.20; 95% confidence interval, 0.03-0.46). CONCLUSION Confidence was essential in the maintenance and management of self-care and is central to the control of HTN. Self-care interventions must consider the different aspects that may affect self-care, highlighting improving self-care confidence as a main goal.
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Lin L, Liao S, Yan Z, Liu C, Wang Q, Wang F. The Level of Expectations Regarding Aging Among Older Adults: A Systematic Review and Meta-analysis. J Am Med Dir Assoc 2024; 25:410-416. [PMID: 37806319 DOI: 10.1016/j.jamda.2023.08.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 08/23/2023] [Accepted: 08/27/2023] [Indexed: 10/10/2023]
Abstract
OBJECTIVE To systematically review the level of expectations regarding aging (ERA) among older adults. DESIGN Systematic review and meta-analysis. SETTING AND PARTICIPANTS Adults aged 60 years and older in any setting. METHODS We searched 11 databases for cross-sectional studies that reported ERA scores among older adults using the ERA survey from inception to May 1, 2022, without language restrictions. Two researchers independently selected studies, extracted data, and assessed quality. The mean scores and standard deviations of the ERA survey and its subscales were pooled using the Stata software (version 17.0). RESULTS Twelve studies with 3664 participants were included in this study. The pooled mean scores of overall ERA were 37.85 (95% CI, 33.54-42.16). Specifically, the pooled scores for expectations regarding physical health, mental health, and cognitive function were 31.67 (95% CI, 27.42-35.92), 43.69 (95% CI, 38.99-48.39), and 33.28 (95% CI, 29.56-37.00), respectively. No statistically significant differences between groups were observed in any subgroup analysis. CONCLUSIONS AND IMPLICATIONS The level of ERA among older adults is relatively low, particularly concerning cognitive function and physical health dimensions. These findings may provide a valuable reference for public health professionals and policymakers to intervene and manage the health problems of older adults.
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Affiliation(s)
- Lunwei Lin
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Shunqi Liao
- Intensive Care Unit, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Zhangrong Yan
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Chaofan Liu
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Qi Wang
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Fang Wang
- Dean's Office, Guang'an Hospital of Traditional Chinese Medicine, Guang'an, China.
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Yang J, Yan HL, Li YQ, Zhang L, Qiu XY, Tian YH, Gong YL, Luo CL, Wu J, Chu J. Benefit finding in chronic kidney disease patients receiving hemodialysis: a cross-sectional study. BMC Nephrol 2024; 25:46. [PMID: 38302918 PMCID: PMC10835946 DOI: 10.1186/s12882-024-03480-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 01/23/2024] [Indexed: 02/03/2024] Open
Abstract
BACKGROUND AND OBJECTIVES The psychological problems of hemodialysis (HD) patients are prominent, and benefit finding (BF) have been proven beneficial to physical and mental health, fewer researchers explored BF in HD patients. The aim of this study was to investigate the current status of BF in patients with chronic kidney disease and to analyze the factors influencing it in order to provide a reference for subsequent interventions. METHODS A cross-sectional study was done on 246 HD patients by convenience sampling in the hemodialysis center of a 3 A hospital in Shanghai from March to September 2019. The measures include General Information Questionnaire, Benefit Finding Scale, Perceived Social Support Scale, General Self-efficacy Scale, and Simplified Coping Style scale. RESULTS The median (interquartile range, IQR) score of BF was 66 (IQR = 19) and it was lower compared with other chronic diseases. Significant differences in BF scores were found between different age groups, HD duration categories, and understanding degrees of HD. Taking BF as the dependent variable, the results of multiple linear regression analysis showed that age, duration of HD, family support, other support, positive coping, and self-efficacy entered the regression equation to explain 43.8% of the total variation. Social support played an indirect effect in the relationship between positive coping and BF, accounting for 54.1% of the total effect. CONCLUSION The BF of HD patients is worrisome and affected by many factors. Medical staff could pay attention to the positive psychology of HD patients, and construct individualized interventions according to the influencing factors to improve their BF level and achieve physical and mental health.
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Affiliation(s)
- Jie Yang
- School of Nursing, Naval Medical University, Shanghai, China
| | - Hong-Li Yan
- School of Health Services Management, Southern Medical University, Guangzhou, China
| | - Yong-Qi Li
- School of Nursing, Naval Medical University, Shanghai, China
| | - Lei Zhang
- School of Nursing, Naval Medical University, Shanghai, China
| | - Xiao-Yan Qiu
- Department of Pain Rehabilitation, Qingdao Special Servicemen Recuperation Center of PLA NAVY, Qingdao, China
| | - Yi-He Tian
- Trauma Surgery, Hospital of Chinese People's Armed Police Force, Jiaxing, China
| | - Yan-Lin Gong
- School of Nursing, Naval Medical University, Shanghai, China
| | - Chen-Ling Luo
- Department of Nursing, Southern Medical University, Guangzhou, China
| | - Jing Wu
- School of Nursing, Naval Medical University, Shanghai, China.
| | - Jing Chu
- School of Nursing, Naval Medical University, Shanghai, China.
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Skwirczyńska E, Cymbaluk-Płoska A, Wróblewski O. Psychological Associations of Stress with the Level of Health Locus of Control and Self-Efficacy in Patients with Ovarian Cancer. J Clin Med 2023; 12:6816. [PMID: 37959283 PMCID: PMC10650488 DOI: 10.3390/jcm12216816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 09/27/2023] [Accepted: 10/24/2023] [Indexed: 11/15/2023] Open
Abstract
The aim of this study was to analyze the locus of health control, self-efficacy and stress coping styles of female patients treated for ovarian cancer. Learning the styles of coping with stress in patients with ovarian cancer may contribute to improve their quality of life after cancer diagnosis. A series of Pearson's r-analyses was performed in the order to evaluate the hypotheses regarding the relationship between styles of coping with stress, the locus of health control and self-efficacy. A total of 151 female patients participated in this study. Standardized psychological questionnaires were used: the General Self-Efficacy Scale (GSES) to measure coping with difficult situations and obstacles, the Multi-Dimensional Health Locus of Control Scale (MHLC) to measure health control and the Convergence Insufficiency Symptom Survey (CISS) to measure stress coping styles. All questionnaires had an adaptation in Polish. Patients using task-focused and socializing styles had higher self-efficacy, whereas focusing on negative emotions resulted in lower self-efficacy. External locus of health control was related to a task-focused approach to treatment. On the other hand, the focus on negative emotions was related to the feeling that the fate of patients was decided by chance. Self-efficacy was positively associated with internal locus of health control and with external control, which means the influence of others. The results of our study indicate the need for a multidimensional approach to the treatment of female patients with ovarian cancer. The psychological condition of female patients has an ongoing relationship with their physical health.
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Affiliation(s)
- Edyta Skwirczyńska
- Department of the History of Medicine and Medical Ethics, Pomeranian Medical University, Rybacka 1, 70-204 Szczecin, Poland
| | - Aneta Cymbaluk-Płoska
- Clinical Department of Reconstructive and Oncological Gynecology, Pomeranian Medical University, 70-204 Szczecin, Poland; (A.C.-P.); (O.W.)
| | - Oskar Wróblewski
- Clinical Department of Reconstructive and Oncological Gynecology, Pomeranian Medical University, 70-204 Szczecin, Poland; (A.C.-P.); (O.W.)
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Puchner E, Platzer M, Dalkner N, Schwalsberger K, Lenger M, Fellendorf FT, Unterrainer HF, Schwerdtfeger A, Reininghaus B, Reininghaus EZ. Effects of Metabolic Syndrome and Sex on Stress Coping Strategies in Individuals with Depressive Disorder. Metabolites 2023; 13:metabo13050652. [PMID: 37233693 DOI: 10.3390/metabo13050652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 04/26/2023] [Accepted: 05/08/2023] [Indexed: 05/27/2023] Open
Abstract
Metabolic syndrome (MetS) is related to depression and contributes to reduced life expectancy in individuals with mental disorders. Stress coping strategies are important factors in the development and maintenance of depressive disorders and have been related to metabolic disturbances. The aim of this study was to determine whether there is a difference in the use of positive (re- and devaluation, distraction, and control) and negative stress coping strategies in relation to patients' MetS. A sample of 363 individuals (n female = 204, n male = 159) with a diagnosis of depression was measured with the Stress Coping Style Questionnaire and the Beck Depression Inventory. In addition, we collected data on MetS (waist circumference, triglycerides, high-density lipoprotein, fasting glucose/diabetes, blood pressure/hypertonia) according to the International Diabetes Federation. A 2 × 2 design including Mets (with vs. without) and sex (female vs. male) was performed to test for differences in stress coping strategies. Individuals with depression and MetS scored higher on distraction strategies than depressed individuals without MetS (p < 0.01, corrected with false discovery rate). In addition, we found sex differences in stress coping strategies indicating that women with depression scored higher on distraction strategies (p < 0.001, FDR corrected), as well as negative strategies (p < 0.001, FDR corrected), than men. No significant interaction between MetS and sex was found regarding the higher value of stress coping strategies. Findings suggest that individuals with depression and MetS used distraction strategies to a higher amount to cope with stress, which could be stress eating in some cases, than those without MetS. Women with depressive disorders had higher values than men on other coping strategies in our sample of individuals with depression. A better understanding of MetS and sex-specific differences in stress coping strategies might help to plan more effective preventive strategies and personalized treatment options for depression.
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Affiliation(s)
- Eva Puchner
- Institute of Psychology, University of Graz, 8010 Graz, Austria
| | - Martina Platzer
- Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, 8036 Graz, Austria
| | - Nina Dalkner
- Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, 8036 Graz, Austria
| | - Karin Schwalsberger
- Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, 8036 Graz, Austria
| | - Melanie Lenger
- Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, 8036 Graz, Austria
| | - Frederike T Fellendorf
- Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, 8036 Graz, Austria
| | - Human-Friedrich Unterrainer
- Institute of Psychology, University of Graz, 8010 Graz, Austria
- Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, 8036 Graz, Austria
- Institute of Religious Studies, University of Vienna, 1010 Vienna, Austria
- Center for Integrative Addiction Research (CIAR), Grüner Kreis Society, 1110 Vienna, Austria
- Faculty of Psychotherapy Science, Sigmund Freud University, 1020 Vienna, Austria
| | | | - Bernd Reininghaus
- Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, 8036 Graz, Austria
| | - Eva Z Reininghaus
- Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, 8036 Graz, Austria
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Wysocki G, Czapla M, Uchmanowicz B, Fehler P, Aleksandrowicz K, Rypicz Ł, Wolska-Zogata I, Uchmanowicz I. Influence of Disease Acceptance on the Quality of Life of Patients with Ankylosing Spondylitis - Single Centre Study. Patient Prefer Adherence 2023; 17:1075-1092. [PMID: 37090183 PMCID: PMC10119491 DOI: 10.2147/ppa.s403437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Accepted: 03/21/2023] [Indexed: 04/25/2023] Open
Abstract
Introduction Ankylosing spondylitis (AS) is a chronic, progressive disease, often with multiple complications, with periods of exacerbation and remission. The onset of the disease usually affects people under 30 years of age. The disease impairs physical, psychological, and social functioning, leading to disability. Therefore, patients with AS face the challenge of adapting to life with the condition and deteriorating quality of life (QoL). Objective This study aimed to assess the impact of disease acceptance on quality of life in patients with AS. Material and Methods The study was conducted in the Department of Rheumatology and Internal Diseases of the University Hospital in Wrocław among 110 patients (67 men and 43 women) with the diagnosis of AS, aged 20-89 years (M=48.44 years, SD±12.55). The study used the Acceptance of Illness Scale (AIS), the WHOQoL-BREF Quality of Life Scale, and a self-constructed questionnaire of clinical and sociodemographic data. Results Respondents rated the quality of life as good and moderate (M = 3.49 points, SD=±0.84). The mean AIS score was 27.44 (SD=±8.67). AIS scores are positively correlated with all QoL domains and perception of quality of life and health (p<0.001). The strongest correlation was in the physical domain (r=0.71), while the weakest correlation was observed in the social domain (r=0.329). AIS and QoL measures showed significant relationships with selected sociodemographic data (eg, gender, age, education, and occupational activity) and correlated with selected disease data (eg, type of treatment used, duration of disease, or comorbidities). Conclusion AIS in patients with AS condition correlated positively with their QoL in all domains. Both disease acceptance and quality of life are influenced by specific sociodemographic and disease-related data. Prevention of complications and the type of treatment for AS (primarily biological treatment) can be essential in improving patients' quality of life.
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Affiliation(s)
| | - Michał Czapla
- Department of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland
- Group of Research in Care (GRUPAC), Faculty of Health Science, University of La Rioja, Logroño, Spain
- Institute of Heart Diseases, University Hospital, Wroclaw, Poland
- Correspondence: Michał Czapla, Department of Emergency Medical Service, Wroclaw Medical University, ul. Parkowa 34, Wroclaw, 51-616, Poland, Email
| | - Bartosz Uchmanowicz
- Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
| | - Piotr Fehler
- Institute of Heart Diseases, University Hospital, Wroclaw, Poland
| | | | - Łukasz Rypicz
- Department of Population Health, Faculty of Health Sciences, Wroclaw Medical University, Wrocław, Poland
| | - Irena Wolska-Zogata
- Department of Applied Sociology and Social Work, Institute of Sociology, University of Wroclaw, Wroclaw, Poland
| | - Izabella Uchmanowicz
- Institute of Heart Diseases, University Hospital, Wroclaw, Poland
- Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
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Jiang H, Zhang X, Dong Y, Xu H, Jin F. Development and evaluation of a psychosocial adaptation questionnaire for women with breast cancer treated with adjuvant endocrine therapy: a single-centre, cross-sectional study in China. BMJ Open 2022; 12:e063082. [PMID: 36410798 PMCID: PMC9680142 DOI: 10.1136/bmjopen-2022-063082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To develop and evaluate a psychosocial adaptation (PSA) questionnaire of women with breast cancer treated with adjuvant endocrine therapy (AET). DESIGN Cross-sectional study. SETTING Conducted study in a tertiary care centre in China from March to June 2021. PARTICIPANTS Women with breast cancer who have received AET. METHODS Item development and extraction were based on literature, qualitative interviews (n=16) and assessment of content validity. 300 participants were recruited to perform item analysis, internal consistency reliability and exploratory factor analysis by cross-sectional studies. Finally, test-retest, criterion validity and confirmatory factor analysis of the questionnaire were performed with 96 respondents. RESULTS An initial questionnaire was devised. The exploratory factor analysis demonstrated four factors: emotional response (six items), self-worth (five items), physical impacts (three items) and social communication (two items). The cumulative contribution of the factors was 65.057%. Cronbach's alpha coefficient of the questionnaire was 0.876. The correlation coefficient between the questionnaire and General Self-Efficacy Scale was 0.565 (p<0.01). A 16-item questionnaire and its factorial structure were confirmed. CONCLUSIONS The 16-item questionnaire had good reliability and validity. This could be a useful tool to assess the PSA levels among women with breast cancer treated with AET and provide a basis for further research.
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Affiliation(s)
- Haoran Jiang
- Breast Surgery, First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
| | - Xiujie Zhang
- Nursing department, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China
| | - Yu Dong
- Breast Surgery, First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
| | - Hui Xu
- Breast Surgery, Cancer Hospital of China Medical University, Shenyang, Liaoning, China
| | - Feng Jin
- Breast Surgery, First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
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Zhu G. Letter regarding 'Predictor of self-efficacy in individuals with chronic disease: Stress-coping strategies'. J Clin Nurs 2022. [PMID: 35718886 DOI: 10.1111/jocn.16381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Accepted: 05/16/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Gangjiao Zhu
- School of Public Health, Wuhan University, Wuhan, Hubei, China.,Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, China
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