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Chen M, Peng DY, Hou WX, Li Y, Li JK, Zhang HX. Study of quality of life and its correlated factors in patients after lumbar fusion for lumbar degenerative disc disease. Front Surg 2023; 9:939591. [PMID: 36684249 PMCID: PMC9852631 DOI: 10.3389/fsurg.2022.939591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 11/14/2022] [Indexed: 01/09/2023] Open
Abstract
Background In the present work, we aimed to explore the correlated factors of quality of life in patients receiving lumbar fusion for lumbar degenerative disc disease (DDD) in China. Methods A total of 180 patients treated with lumbar fusion were included in the present study. Their general demographic characteristics, Visual Analog Scale (VAS) scores, Japanese Orthopedic Association (JOA) scores, Simplified Coping Style Questionnaire (SCSQ), Social Support Questionnaire (SSQ), and Medical Outcomes Study Short Form 36 (MOS SF-36) were collected and evaluated preoperatively and at 1 year postoperatively. Results There were significant improvements in scores of VAS, JOA, and quality of life of patients from preoperation to 1-year postoperation after lumbar fusion. Marital status, with or without children, education level, economic pressure, and social support had significant predictive effects on the physical health of patients undergoing lumbar fusion. Marital status, education level, and economic pressure had significant predictive effects on the mental health of patients undergoing lumbar fusion. Conclusions Factors correlated with the physical health of patients after lumbar fusion included positive coping style, negative coping style, social support, age, education level (high school college), disease duration (5-10), suffering from other diseases (combined with two or more other disease) and the number of surgical segments (double and three or more). Factors correlated with the mental health included negative coping style, social support, age, education level (middle school and high school college) and the number of surgical segments (double and three or more). The results verify that these factors were correlated to the patient's quality of life after lumbar fusion. Emphasizing and selectively intervening these correlated factors can further improve the quality of life in patients receiving lumbar fusion for lumbar degenerative disc disease.
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Affiliation(s)
- Meng Chen
- Department of Orthopedic Surgery, The First Affiliated Hospital of Shandong First Medical University, Jinan, China
- Department of Orthopedic Surgery, Shangdong Provincial Qianfoshan Hospital, Shandong University, Jinan, China
| | - Da-Yong Peng
- Department of Orthopedic Surgery, The First Affiliated Hospital of Shandong First Medical University, Jinan, China
- Department of Orthopedic Surgery, Shangdong Provincial Qianfoshan Hospital, Shandong University, Jinan, China
| | - Wen-Xiu Hou
- Department of Spine Surgery, Shandong University Qilu Hospital, Jinan, Shandong, China
| | - Yang Li
- Department of Orthopedic Surgery, The First Affiliated Hospital of Shandong First Medical University, Jinan, China
| | - Jing-Kun Li
- Department of Orthopedic Surgery, The First Affiliated Hospital of Shandong First Medical University, Jinan, China
- Department of Orthopedic Surgery, Shangdong Provincial Qianfoshan Hospital, Shandong University, Jinan, China
| | - Hao-Xuan Zhang
- Department of Orthopedic Surgery, The First Affiliated Hospital of Shandong First Medical University, Jinan, China
- Department of Orthopedic Surgery, Shangdong Provincial Qianfoshan Hospital, Shandong University, Jinan, China
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Liao H, Liang R, He H, Huang Y, Liu M. Work stress, burnout, occupational commitment, and social support among Chinese pediatric nurses: A moderated mediation model. J Pediatr Nurs 2022; 67:e16-e23. [PMID: 36307294 DOI: 10.1016/j.pedn.2022.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 10/15/2022] [Accepted: 10/15/2022] [Indexed: 11/07/2022]
Abstract
PURPOSE Pediatric nurses are at high risk for burnout, resulting in unsatisfactory care quality. Although job resources like social support can prevent the development of burnout under work stress, the mediating role of personal resources like occupational commitment is not well studied. This study was to examine the mediating role of occupational commitment in the relationship between work stress and burnout, and test if the effect of work stress on occupational commitment varies at different levels of social support among pediatric nurses. METHODS A cross-sectional survey was conducted to collect data of pediatric nurses from 6 hospitals in Chengdu, China. Multiple linear regressions and bias-corrected bootstrap confidence intervals were used to test the proposed model. RESULTS In this sample of 488 pediatric nurses, work stress was significantly associated with emotional exhaustion (β = 0.278, p < 0.001), depersonalization (β = 0.112, p < 0.001), and personal accomplishment (β = -0.047, p < 0.05). Occupational commitment partly mediated the links of work stress and emotional exhaustion (β = 0.056, 95%CI: 0.034-0.082), and depersonalization (β = 0.026, 95%CI: 0.014-0.041), and fully mediated the relationship between work stress and personal accomplishment (β = -0.059, 95%CI: -0.080 ∼ -0.039). Social support significantly moderated the relationship between work stress and occupational commitment (β = 0.007, p < 0.01). CONCLUSION Among pediatric nurses, work stress has an indirect influence on burnout through occupational commitment, and such an effect is weakened when social support is high. PRACTICE IMPLICATIONS Nurse managers could consider developing interventions by promoting both occupational commitment and social support to prevent burnout of employees.
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Affiliation(s)
- Huiling Liao
- Department of Pediatric Pulmonology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Ruiling Liang
- School of Public Administration, Southwestern University of Finance and Economics, Chengdu, China
| | - Huan He
- School of Public Administration, Southwestern University of Finance and Economics, Chengdu, China.
| | - Yuanyuan Huang
- Department of Pediatric Pulmonology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Mei Liu
- Department of Pediatric Pulmonology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
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Liu Y, Hou T, Gu H, Wen J, Shao X, Xie Y, Deng W, Dong W. Resilience and Anxiety Among Healthcare Workers During the Spread of the SARS-CoV-2 Delta Variant: A Moderated Mediation Model. Front Psychiatry 2022; 13:804538. [PMID: 35250664 PMCID: PMC8889094 DOI: 10.3389/fpsyt.2022.804538] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 01/05/2022] [Indexed: 01/03/2023] Open
Abstract
INTRODUCTION The B.1.617.2 (Delta) variant of SARS-COV-2 has caused a surge in COVID-19 cases worldwide, placing a great burden on the health care system under the zero-tolerance epidemic prevention policy in China. The present study aimed to investigate the prevalence of anxiety among health care workers during the spread of the SARS-CoV-2 Delta variant, and to discuss the mediating role of positive coping style between resilience and anxiety, and the moderating role of general self-efficacy. METHOD Connor-Davidson Resilience scale (CD-RISC), Generalized Anxiety Disorder Scale (GAD-7), General Self-efficacy Scale (GSES) and Simplified Coping Style Questionnaire (SCSQ) were used in this cross-sectional study among 390 healthcare workers in Jiangsu Province, China. Mackinnon's four-step procedure was applied to test the mediation effect, and Hayes PROCESS macro was conducted to examine the moderated mediation model. RESULTS The prevalence of anxiety among Chinese healthcare workers during the spread of the SARS-CoV-2 Delta variant was 41.8%. Male, unmarried, childless and younger subjects reported higher levels of anxiety. Positive coping partially mediated the effect of resilience on anxiety among healthcare workers and the indirect effect was stronger with the increase of general self-efficacy. CONCLUSIONS Anxiety was prevalent among healthcare workers during the spread of SARS-CoV-2 Delta variant. This research sheds new light on the potential mechanism underlying the association between resilience and anxiety and provides new insight into the prevention of anxiety among healthcare workers during the spread of the SARS-CoV-2 Delta variant.
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Affiliation(s)
- Ying Liu
- Faculty of Psychology, Navel Medical University, Shanghai, China.,Department of Nursing, Hunan Provincial Crops Hospital, Chinese People's Armed Police Force, Changsha, China
| | - Tianya Hou
- Faculty of Psychology, Navel Medical University, Shanghai, China
| | - Hongjuan Gu
- Department of Nursing, Hunan Provincial Crops Hospital, Chinese People's Armed Police Force, Changsha, China
| | - Jing Wen
- Faculty of Psychology, Navel Medical University, Shanghai, China
| | - Xiaoqin Shao
- Faculty of Psychology, Navel Medical University, Shanghai, China
| | - Yawei Xie
- Faculty of Psychology, Navel Medical University, Shanghai, China
| | - Wenxi Deng
- Faculty of Psychology, Navel Medical University, Shanghai, China
| | - Wei Dong
- Faculty of Psychology, Navel Medical University, Shanghai, China
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Huang W, Cai S, Zhou Y, Huang J, Sun X, Su Y, Dai M, Lan Y. Personality Profiles and Personal Factors Associated with Psychological Distress in Chinese Nurses. Psychol Res Behav Manag 2021; 14:1567-1579. [PMID: 34629913 PMCID: PMC8495230 DOI: 10.2147/prbm.s329036] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Accepted: 09/19/2021] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND A high prevalence of psychological distress is observed in nurses due to multiple occupational stressors. Personality traits and personal factors are important factors that lead to psychological distress. The personality profile reflects a combination of personality traits; however, the relationship between personality profiles and personal factors that affect psychological distress among nurses has not been defined. METHODS This cross-sectional study was conducted in November 2020 in China. Convenience and snowball sampling were used to recruit participants. Latent profile analysis was used to identify personality profiles of nurses based on the big-five personality traits. Single-factor analysis and multivariate logistic regression were used to determine the factors affecting psychological distress. The structural equation model was used to verify the hypothetical model linking personality profiles, self-efficacy, psychological resilience, and coping style with psychological distress. RESULTS A total of 953 Chinese nurses (934 female) with a mean (S.D.) age of 32.8 (8.6) years were recruited. Personality profiles identified were negative, normative, and positive. A personality profile may predict psychological distress directly and indirectly through self-efficacy, psychological resilience, and coping style. LIMITATIONS No complex sampling limits the representativeness of Chinese nurses. External factors affecting psychological distress were not investigated. CONCLUSION Nurses with anegative personality profile had a higher prevalence of psychological distress. This study establishes the importance of personality profile assessment to identify nurses at higher risk of psychological distress. It suggests that interventions should be based on self-efficacy, psychological resilience, and coping style as potential management strategies.
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Affiliation(s)
- Wentao Huang
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Shu Cai
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Ye Zhou
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Jingxin Huang
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Xibin Sun
- School of Public Health, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Yunhui Su
- Department of Emergency, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Meifen Dai
- Department of Nursing, The Sixth Affiliated Hospital, South China University of Technology (Nanhai District People’s Hospital of Foshan), Foshan, People’s Republic of China
- Meifen Dai Department of Nursing, The Sixth Affiliated Hospital, South China University of Technology (Nanhai District People’s Hospital of Foshan), Foshan, 528200, People’s Republic of China Email
| | - Yutao Lan
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
- Correspondence: Yutao Lan School of Nursing, Guangdong Pharmaceutical University, Guangzhou, 510310, People’s Republic of China Email
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