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Artioli G, Deiana L, Bertuol M, Casella G, Guasconi M, Foà C, De Simone R, Sarli L, Bonacaro A. Evaluating a nurse-led narrative interview intervention with cancer patients with a first diagnosis: A feasibility study. Heliyon 2024; 10:e31802. [PMID: 38868003 PMCID: PMC11167297 DOI: 10.1016/j.heliyon.2024.e31802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 05/20/2024] [Accepted: 05/22/2024] [Indexed: 06/14/2024] Open
Abstract
Narrative Medicine and Nursing are clinical-supporting intervention methodologies that aim to enhance professionals' communication skills and place patients at the heart of their therapeutic path. A narrative interview (NI) is a communication tool between practitioner and patient. The role of NI is debated extensively in the literature, but no studies focus on its use by nurses responsible for first-diagnosed cancer patients. This study aimed to evaluate the feasibility and utility of NI, carried out by Nurses, in managing people recently diagnosed with cancer. A pilot mixed-methods study with before-and-after-intervention evaluation, qualitative longitudinal data analysis, and concurrent data triangulation was conducted. The Mini-Mental Adjustment to Cancer assessed disease adaptation, while the Psychological Distress Inventory investigated psychological distress. The qualitative analysis of the narrative interviews assessed the usefulness of this intervention. 13 out of 14 eligible patients took voluntary part in the study. Of those, 9 (69 %) completed T1 and T2 questionnaires and NI. The following five themes emerged from thematic analysis: reaction to the disease, feelings related to the new condition of life, changes, importance of relationships and perception of care. Patients reported being highly stressed and recognized the importance of a supporting social network for better coping with the condition. The adoption of an NI approach at the time of cancer diagnosis is feasible. Due to the limited sample size, it is unclear if NI may positively impact psychological distress in this patient population. Further studies would benefit from the integration of an additional investigation tool aiming to clarify whether NI promotes disease awareness in cancer patients. Furthermore, the recruitment of a larger sample is equally recommended.
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Affiliation(s)
- Giovanna Artioli
- University of Parma, Department of Medicine and Surgery, Parma, Italy
| | - Laura Deiana
- University of Parma, Department of Medicine and Surgery, Parma, Italy
| | - Maria Bertuol
- University of Parma, Department of Medicine and Surgery, Parma, Italy
| | - Giovanna Casella
- University of Parma, Department of Medicine and Surgery, Parma, Italy
- “Azienda Unità Sanitaria Locale” of Piacenza, Piacenza, Italy
| | - Massimo Guasconi
- University of Parma, Department of Medicine and Surgery, Parma, Italy
- “Azienda Unità Sanitaria Locale” of Piacenza, Piacenza, Italy
| | - Chiara Foà
- University of Parma, Department of Medicine and Surgery, Parma, Italy
| | | | - Leopoldo Sarli
- University of Parma, Department of Medicine and Surgery, Parma, Italy
| | - Antonio Bonacaro
- University of Parma, Department of Medicine and Surgery, Parma, Italy
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Mohammadi M, Peyrovi H, Fazeli N, Parsa Yekta Z. Empathic Care Culture in Intensive Care Unit Nurses: A Focused Ethnographic Study. QUALITATIVE HEALTH RESEARCH 2024:10497323241240902. [PMID: 38876482 DOI: 10.1177/10497323241240902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2024]
Abstract
Empathy is one of the important components in the patient-nurse relationship. The aim of the study was to explain the culture of empathic care in intensive care unit (ICU) nurses. The present focused ethnographic study was conducted in the cardiac surgery ICU in Tehran. Three methods of observation, interview, and review of existing documents were used to collect data. From data analysis, three cultural models, "Predominance of task-based care over emotion-based care," "Empathy and lack of empathy, two ends of the spectrum of the nurse-patient relationship," and "Empathy, an interactive and reciprocal process," were extracted. The results showed that empathy creates a caring environment where nurses not only understand their patients but also relate to them, and both are affected by it. Policymakers should consider removing barriers as a means of empowering nurses to provide empathic care.
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Affiliation(s)
- Marziyeh Mohammadi
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences Islamic Azad University, Tehran, Iran
| | - Hamid Peyrovi
- Nursing and Midwifery Care Research Center/School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
| | | | - Zohreh Parsa Yekta
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences Islamic Azad University, Tehran, Iran
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Zhu B, Xiao C, Ding C, Yan H, Wang L, Jiang Q, Tian J, Wei L. Adverse childhood experiences and depressive symptoms among lesbian and bisexual women in China. BMC Womens Health 2023; 23:679. [PMID: 38114972 PMCID: PMC10731884 DOI: 10.1186/s12905-023-02686-5] [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: 10/08/2021] [Accepted: 10/04/2023] [Indexed: 12/21/2023] Open
Abstract
BACKGROUND Despite the relationship between Adverse childhood experiences (ACEs) and depressive symptoms, which has been well researched in general populations, little is known about homosexual and bisexual populations, especially lesbian and bisexual women in China. This study aims to investigate the prevalence of ACEs and depressive symptoms and to analyze the relationship between them among lesbian and bisexual women in China. METHODS The eligible participants were aged 16 years or older who report their sexual orientation as homosexual or bisexual. The data was collected through anonymous questionnaires with the help of Lespark in Beijing from July 18 to December 29, 2018, and all participants had informed consent to this study. Univariate analysis and multiple linear regression analyses were performed to explore the relationship between ACEs and depressive symptoms among lesbian and bisexual women. All statistical analyses were conducted by the software of SPSS 22.0. RESULTS Among 301 lesbian and bisexual women, 81.4% were lesbian, 18.4% were bisexual women, and the majority were 21-30 years. As for ACEs, 51.5% reported at least one ACE, in which emotional neglect (22.6%) and emotional abuse (22.3%) were common ACEs. As for depressive symptoms of lesbian and bisexual women, the detection rate was 56.1%. The multiple linear regression analyses showed that abuse (β = 2.95, 95%CI:1.07-4.83) and neglect (β = 3.21, 95%CI:1.09-5.31) were positively associated with depressive symptoms and lesbian and bisexual women with three (β = 4.11, 95%CI: 0.99-7.22) or more (β = 6.02, 95%CI: 3.23-8.78) ACEs suffered from more depressive symptoms than others. CONCLUSION Adverse childhood experiences (ACEs) and depressive symptoms were at high prevalence among lesbian and bisexual women in China. ACEs were associated with depressive symptoms, especially childhood abuse and neglect experiences that have a significant effect on lesbian and bisexual women mental health.
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Affiliation(s)
- Biao Zhu
- School of Public Health, Wuhan University, Wuhan, China
- Anhui Provincial Center for Disease Control and Prevention, Hefei, China
| | | | - Changmian Ding
- Department of Medical Record, The People's Hospital of Dehong, Dehong, China
| | - Hong Yan
- School of Public Health, Wuhan University, Wuhan, China.
| | - Liyin Wang
- School of Public Health, Wuhan University, Wuhan, China
| | | | - Jiawei Tian
- School of Public Health, Wuhan University, Wuhan, China
| | - Liqing Wei
- School of Public Health, Wuhan University, Wuhan, China
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Barker ME, Leach KT, Levett-Jones T. Patient's views of empathic and compassionate healthcare interactions: A scoping review. NURSE EDUCATION TODAY 2023; 131:105957. [PMID: 37734368 DOI: 10.1016/j.nedt.2023.105957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 08/09/2023] [Accepted: 09/03/2023] [Indexed: 09/23/2023]
Abstract
BACKGROUND Compassion and empathy are integral to safe and effective patient care. However, to date, most studies have focused on exploring, defining, measuring and analysing empathy and compassion from the perspective of researchers or clinicians. There has been limited attention to the perspectives of patients. OBJECTIVE The objective of this scoping review was to map the literature to identify patients' views of healthcare provider behaviours that exemplify empathic and compassionate interactions. METHOD This review used the Joanna Briggs Institute scoping review methodology. A comprehensive search of eight electronic databases was conducted with English language studies published in the last 10 years considered for inclusion. RESULTS Database searching resulted in 459 records for initial screening. After de-duplication and conducting a title and abstract review, 32 full-text articles were screened for eligibility. A total of 14 studies met the inclusion criteria and were critically reviewed using the Mixed Methods Appraisal Tool. The included papers profiled studies that had been conducted in clinical settings across seven countries. The healthcare encounters described in the papers were with a range of healthcare providers. Two overarching and interconnected categories of behaviours were identified as indicative of empathic/compassionate encounters: (1) communication skills such as listening, touch, body language, eye contact and positive demeanour; and (2) helping behaviours demonstrated by small acts of kindness that go beyond routine healthcare. CONCLUSION Given the breadth of studies describing the positive impact of empathy/compassion on people's physical and psychosocial wellbeing, the results from this review are valuable and shed new light on patients' views and experiences. The results provide a deeper understanding of healthcare provider behaviours that exemplify empathic and compassionate healthcare interactions and can be used to inform the education and training of healthcare providers from all disciplines.
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Factors Associated With Changes in Patient-Centered Care in Undergraduate Nursing Students. Nurs Educ Perspect 2023; 44:82-86. [PMID: 36800406 DOI: 10.1097/01.nep.0000000000001054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Abstract
AIM The purpose of this study was to examine active listening, self-awareness, and empathy and how they relate to changes in patient-centered care (PCC) in undergraduate nursing students. BACKGROUND PCC is associated with better patient outcomes, but the level of PCC has been found to be low in nursing students. METHOD This secondary analysis used baseline and follow-up data at two time points from 50 undergraduate nursing students. RESULTS Changes in self-awareness were associated with changes in PCC directly (Follow-Up 1) or directly and indirectly through the effects on changes in empathy (Follow-Up 2), controlling for age, experience, and intervention. Changes in active listening were associated with changes in PCC only indirectly through the effect on changes in empathy only at Follow-Up 2. CONCLUSION Changes in self-awareness and active listening need to be the first targets of interventions to improve PCC in undergraduate nursing students.
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Lee YS, Yun Y, Kim EK, Kim HS. Relationship between self-consciousness and empathy for cancer patients among nursing students: The moderating effects of clinical practice satisfaction. NURSE EDUCATION TODAY 2023; 121:105715. [PMID: 36652745 DOI: 10.1016/j.nedt.2023.105715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 12/19/2022] [Accepted: 01/07/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND Patients with cancer experience physical and mental difficulties that can be relieved with the support and empathy of healthcare professionals. Empathy can be affected by self-consciousness. The clinical performance and interpersonal competence of nursing students are related to their satisfaction with clinical practice. OBJECTIVE This study explored the moderating effect of clinical practice satisfaction of nursing students on the relationship between self-consciousness and empathy for patients with cancer. DESIGN Cross-sectional descriptive study. SETTING Three colleges of nursing in South Korea. PARTICIPANTS A total of 136 senior nursing students across three universities. METHODS The participants completed an online questionnaire on demographic and education-related characteristics, self-consciousness, and empathy competency. We used the Korean versions of the Self-Consciousness Scale and Empathy Construct Rating Scale. The overall response rate was 42.5 %. SPSS PROCESS macro was used to test the moderating role of satisfaction with clinical practice. RESULTS Private self-consciousness was significantly associated with clinical practice satisfaction and empathy. The relationship between practice satisfaction and empathy was significantly positive. In addition, the satisfaction of the nursing students with clinical practice moderated the association between private self-consciousness and empathy for patients with cancer. Empathy was more affected by private self-consciousness among senior nursing students who were less satisfied with clinical practice than among those who were more satisfied with clinical practice. CONCLUSION To improve empathy for patients with cancer, educational strategies must be created to improve the private self-consciousness and satisfaction with the clinical practice of nursing students.
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Affiliation(s)
- Ye Sol Lee
- College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea
| | - Younghee Yun
- Department of Community Health Systems, School of Nursing, University of California, San Francisco, 2 Koret Way, Suite N531H, San Francisco, CA 94143, USA
| | - Eun Kyung Kim
- Department of Nursing, Suwon Women's University, 72 Onjeong-ro, Gwonseon-gu, Suwon-si, Gyeonggi-do, Republic of Korea
| | - Hye Sook Kim
- Fanshawe College, 1001 Fanshawe College Blvd., London, Ontario N5Y 5R6, Canada
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Social Empathy and Associated Factors Among Nurses. Holist Nurs Pract 2023; 37:6-14. [DOI: 10.1097/hnp.0000000000000560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Perceptions of the meaning of life among Korean patients with advanced cancer: A mixed-methods study. Palliat Support Care 2022:1-12. [PMID: 36017653 DOI: 10.1017/s1478951522000979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE This study aimed to explore perceptions of the meaning of life among Korean patients living with advanced cancer. METHOD The study employed a mixed-methods design, and 16 participants were included in the analysis. Qualitative data gathered from in-depth interviews were analyzed using Colaizzi's phenomenological method. Quantitative survey data were analyzed using descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test, and Spearman's ρ correlation. RESULTS Participants experienced both the existence of meaning and the will to find meaning in terms of four categories: "interpersonal relationships based on attachment and cohesion" (three themes - family as the core meaning of one's life, supportive and dependent interconnectedness with significant others, and existential responsibility embedded in familism), "therapeutic relationships based on trust" (one theme - communication and trust between the patient and medical staff), "optimism" (two themes - positivity embodied through past experiences and a positive attitude toward the current situation), and "a sense of purpose with advanced cancer" (two themes - the will to survive and expectations for the near future). The meaning in life questionnaire (MLQ) and the purpose in life scale (PIL) showed a significant positive correlation tendency with the functional assessment of chronic illness therapy-spiritual well-being scale (FACIT-Sp). The patient health questionnaire (PHQ-9) showed significant negative correlation tendency with both the MLQ-presence of meaning (MLQ-PM) and PIL-Initiative (PIL-I) questionnaires. SIGNIFICANCE OF RESULTS Finding meaning in life helps advanced cancer patients realize their will to live. It also acts as a coping mechanism that palliates negative experiences in the fight against the disease. In particular, among advanced cancer patients in the Korean culture, the dynamics of relationships with family and medical staff was a key axis that instilled optimism and will to live. These results suggest that considering the meaning of life in advanced cancer patients by reflecting Korean culture in the treatment process improves the quality of care.
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Sociodemographic and Psychological Predictors of Resilience Among Frontline Nurses Fighting the COVID-19 Pandemic. Disaster Med Public Health Prep 2022; 17:e171. [PMID: 35673807 PMCID: PMC9273726 DOI: 10.1017/dmp.2022.138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE According to a WHO report, the number of patients with coronavirus disease 2019 (COVID-19) has reached 456,797,217 worldwide as of 15 March, 2022. In Wuhan, China, large teams of health-care personnel were dispatched to respond to the COVID-19 emergency. This study aimed to determine the sociodemographic and psychological predictors of resilience among frontline nurses fighting the current pandemic. METHODS A total of 143 nurses were recruited from February 15 to February 20, 2020, to participate in this study. The 10-item Connor-Davidson Resilience Scale and the 21-item Depression Anxiety Stress Scale were used to estimate the participants' resilience and mental wellbeing. RESULTS Results showed that the nurses displayed a moderate resilience level. Their median depression, anxiety, and stress scores were 1, 2, and 3, respectively, which were negatively correlated with resilience. Female gender, being dispatched to Wuhan, and depression levels were the significant predictors of resilience. CONCLUSIONS The results suggest that particular attention should be given to nurses who were dispatched to Wuhan and who exhibited depression symptoms, and appropriate measures should be taken to boost their resilience.
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Kwon S, Kim KH. Factors Associated with Person-Centered Care among Hospice Nurses. JOURNAL OF HOSPICE AND PALLIATIVE CARE 2022; 25:66-75. [PMID: 37675193 PMCID: PMC10180036 DOI: 10.14475/jhpc.2022.25.2.66] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Revised: 04/25/2022] [Accepted: 04/27/2022] [Indexed: 09/08/2023]
Abstract
Purpose The purpose of this study was to examine person-centered care, nursing professionalism, the nursing work environment, and empathy capacity among hospice ward nurses and to identify the factors affecting person-centered care. Methods Data were collected using a self-report questionnaire completed by 120 nurses at 30 inpatient hospice institutions in South Korea from August 24, 2020 to September 8, 2020. The independent t-test, one-way analysis of variance, and Pearson correlation analysis were conducted using SPSS version 26.0. Results The scores were 3.76±0.45 for person-centered care, 3.58±0.47 for nursing professionalism, 3.24±0.57 for the nursing work environment, and 4.00±0.46 for empathy capacity. There were positive correlations between the variables. Factors that influenced the person-centered care of hospice nurses were being a manager (β=0.20, P=0.002), high nursing professionalism (β=0.20, P=0.012), a better nursing work environment (β=0.15, P=0.033), and high empathy capacity (β=0.51, P<0.001). The explanatory power was 65.3%. Conclusion To reinforce the person-centered care competency of hospice nurses, it is necessary to improve nursing professionalism, the nursing work environment, and empathy competency. Opportunities for nurses to practice independently must be expanded for nurses to develop nursing professionalism. Sufficient nursing personnel and material resources must be provided to nurses to cultivate a positive work environment. Empathy should be improved by implementing integrated education programs that include nursing practice situations.
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Affiliation(s)
- Sinyoung Kwon
- Department of Nursing, Gangdong University, Eumseong, Korea
| | - Kyoung Hee Kim
- Department of Nursing, Mokpo Catholic University, Mokpo, Korea
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Kamisli S, Terzioglu C. Frontline nurses caring for COVID-19 patients: Experiences from the perspective of Turkish nurses. Niger J Clin Pract 2022; 25:1014-1020. [DOI: 10.4103/njcp.njcp_1345_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Zarglayoun H, Arbour C, Delage J, Pierre S, Tremblay M, Hjeij D, Rainville P, Ogez D. How Fast Can Nurses Learn Therapeutic Communication Skills? A Pilot Study on Brief Hypnotic Communication Training Conducted with Oncology Nurses. PSYCHO-ONCOLOGIE 2022. [DOI: 10.3166/pson-2022-0202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Objective: This project aimed to train nurses on an oncology unit in hypnotic communication to reduce treatment-related pain and anxiety in their patients. A pilot study was conducted to assess changes in hypnotic communication behaviors associated with the training.
Methods: Nurses were recruited and their interactions during a simulated patient admission for treatment (before and after training) were recorded. Hypnotic communication skills were assessed by independent reviewers using a training checklist listing different hypnotic communication techniques and a validated assessment scale (Sainte-Justine Hypnotic Communication Assessment Scale, SJ-HCAS).
Results: Seven nurses were evaluated. Wilcoxon paired-sample tests (pre–post) reported significant improvement with large effect sizes in the total score of the training grid (P = 0.034, r = 0.832) and significant improvement with large effect sizes in the relational (P = 0.018, r = 0.930) and total (P = 0.021, r = 0.903) scores of the SJ-HCAS.
Conclusion: This pilot study shows promising results regarding the effectiveness of hypnotic communication training for nurses. These acquired skills could translate into improved treatment experience with patients and could be transferred to other professionals and settings in the health care system.
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Parizad N, Soheili A, Powers K, Mohebbi I, Moghbeli G, Hosseingolipour K. Level of resilience in nurses working at COVID-19 referral centers in Iran. Nurs Forum 2021; 57:344-351. [PMID: 34911141 DOI: 10.1111/nuf.12685] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 11/19/2021] [Accepted: 12/06/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has led many healthcare systems to become overwhelmed, and caused many frontline providers to feel fatigued and exhausted and experience severe emotional trauma. Nurses are the largest group of the world's frontline providers and it is clear that their resilience to threatening factors is critical in the current crisis. Therefore, the purpose of this study was to determine the level of resilience in nurses working in COVID-19 centers in Iran. METHODS A cross-sectional study was conducted with 250 nurses working at three COVID-19 centers in northwest Iran. The participants were recruited using simple random sampling. The Connor-Davidson Resilience Scale was used to collect the data. RESULTS The highest level of resilience was related to spiritual influences, while the lowest was the trust in their instincts and tolerance of negative emotions. Furthermore, the level of resilience was significantly higher in nurses with better family support (p < 0.01). CONCLUSION Given the role of resilience in nurses' mental health, it is vital to support the nursing staff in critical situations and improve their resilience by focusing particularly on psychological and spiritual support.
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Affiliation(s)
- Naser Parizad
- Department of Nursing, Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
| | - Amin Soheili
- Department of Nursing, Khoy University of Medical Sciences, Khoy, Iran
| | - Kelly Powers
- Department of Nursing, School of Nursing, University of North Carolina at Charlotte, Charlotte, North Carolina, USA
| | - Iraj Mohebbi
- Department of Occupational Health, Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran
| | - Golshan Moghbeli
- Department of Nursing, Khoy University of Medical Sciences, Khoy, Iran
| | - Keyvan Hosseingolipour
- Department of Nursing, Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
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Dean S, Razavy S, Walsh S, Zaslawski C, Levett-Jones T, Cant R. Building empathy awareness in undergraduate traditional Chinese Medicine students via an undercover ‘mystery shopper’ experience. ADVANCES IN INTEGRATIVE MEDICINE 2021. [DOI: 10.1016/j.aimed.2021.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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15
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Ren C, Zhou D, Fan Y, Li B, Zhang W, Shen Y, Yu S, Jiang L, Yu F, Duan Y, Peng D, Cheng X, Wu L, Wu C, Ye D. Prevalence and influencing factors of anxiety and depression symptoms among surgical nurses during COVID-19 pandemic: A large-scale cross-sectional study. Nurs Open 2021; 9:752-764. [PMID: 34784442 PMCID: PMC8661822 DOI: 10.1002/nop2.1127] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Revised: 09/16/2021] [Accepted: 10/14/2021] [Indexed: 12/12/2022] Open
Abstract
Aim To evaluate the prevalence and influencing factors of anxiety and depression symptoms in surgical nurses during the COVID‐19 epidemic in Anhui, China. Methods A cross‐sectional, multic'entre quantitative study was conducted among surgical nurses in Anhui province. SAS, SDS and SSRS scales were used for the investigation. Data were collected between 3 March 2020 to 19 March 2020. Results A total of 3,492 surgical nurses completed the survey. The average level of anxiety and depression of surgical nurses were higher than that of the Chinese norm. Levels of social support for surgical nurses were significantly negatively associated with the degree of anxiety and depression. Fertility status, participation in care for COVID‐19 patients, likelihood of being infected with COVID‐19 and social support were significantly influencing surgical nurses’ anxiety degree. Similarly, these characteristics were significantly associated with the odds of depression symptoms in surgical nurses. Conclusion These findings suggest that targeted psychological interventions to promote mental health of surgical nurses need to be immediately implemented.
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Affiliation(s)
- Chunxia Ren
- Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Decun Zhou
- Department of Clinical Medicine, Anhui Medical College, Hefei, China.,Department of Cardiothoracic Surgery, Anhui No2 Provincial People's Hospital, Hefei, China
| | - Yinguang Fan
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.,Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Medical University, Hefei, China
| | - Baozhu Li
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.,Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Medical University, Hefei, China
| | - Wanfei Zhang
- Department of Thoracic Surgery, Quanzhou First Affiliated Hospital of Fujian Medical University, Quanzhou, China
| | - Yun Shen
- Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Shihui Yu
- Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Li Jiang
- Department of Pediatric Surgery, Bozhou People's Hospital, Bozhou, China
| | - Fengqiong Yu
- Department of Medical Psychology, Chaohu Clinical Medical College, Anhui Medical University, Hefei, China
| | - Yongli Duan
- Department of Nursing, Fuyang People's Hospital, Fuyang, China
| | - Deqing Peng
- Department of Nursing, The People's Hospital of Xuancheng City, Xuancheng, China
| | - Xuehong Cheng
- Department of General Surgery, Anqing Hospital Affiliated to Anhui Medical, Anqing, China
| | - Le Wu
- Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Changhao Wu
- Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK
| | - Dongqing Ye
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.,Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Medical University, Hefei, China
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Kılınç T, Sis Çelik A. Relationship between the social support and psychological resilience levels perceived by nurses during the COVID-19 pandemic: A study from Turkey. Perspect Psychiatr Care 2021; 57:1000-1008. [PMID: 33073874 DOI: 10.1111/ppc.12648] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 10/02/2020] [Accepted: 10/04/2020] [Indexed: 12/11/2022] Open
Abstract
PURPOSE The aim of this study was to determine the relationship between the social support and psychological resilience levels perceived by nurses in Turkey during the coronavirus disease-2019 (COVID-19) pandemic. DESIGN AND METHODS The study was descriptive and cross-sectional. FINDINGS The level of social support perceived by the nurses during the COVID-19 pandemic was very good, and the perceived psychological resilience level was moderately good. Moreover, their psychological resilience was found to increase as the social support perceived by them increased. PRACTICE IMPLICATIONS Psychiatric nurses should determine the social support resources of nurses, especially during the epidemic period. Individual and institutional studies should be conducted to increase nurses' psychological resilience.
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Affiliation(s)
- Tülay Kılınç
- Department of Surgical Diseases Nursing, Faculty of Nursing, Atatürk University, Erzurum, Turkey
| | - Aslı Sis Çelik
- Department of Obstetric and Gynecology Nursing, Faculty of Nursing, Atatürk University, Erzurum, Turkey
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Ashoor MM, Almulhem NJ, AlMubarak ZA, Alrahim AA, Alshammari SM, Alzahrani FS, Alhayek AR, Alardhi A. The psychological impact of the COVID-19 pandemic on otolaryngologists: Should we be concerned? Laryngoscope Investig Otolaryngol 2021; 6:576-585. [PMID: 34195380 PMCID: PMC8223460 DOI: 10.1002/lio2.556] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 03/12/2021] [Indexed: 12/15/2022] Open
Abstract
OBJECTIVE Physicians on the frontline of the COVID-19 pandemic are at increased risk of contracting the disease. Otolaryngologists are amongst the high-risk practitioners, as they are in close proximity to patient's upper airway, which may induce their psychological stress. METHODS A cross-sectional survey study, conducted among otolaryngologists in Saudi Arabia from June 11 to June 22. Survey consisted of sociodemographic questionnaire, Coronavirus Anxiety Scale (CAS), Obsession with COVID-19 Scale (OCS) and Patient Health Questionnaire-9 (PHQ-9). Available otolaryngologists with no history of mental health problems were included. A P-value lower than .05 was considered statistically significant. RESULTS The study included 129 participants; 63.6% men and 36.4% women. 81.4% of participants were living with family, 57.4% living with either a child or an elderly family member. Nearly 7.8% of participants had dysfunctional COVID-19 anxiety and 75.2% had COVID-19-related depression symptoms ranging from minimal to severe. Obsession and dysfunctional thinking regarding COVID-19 were found in 26.4% of participants. Single otolaryngologists had significantly higher CAS (P = .025), OCS (P = .048), and PHQ-9 (P < .001) scores. Participants who lived with children or elderly individuals had significantly higher OCS scores (P = .005). When comparing job ranks, residents had significantly higher scores for the CAS (P = .016) and PHQ-9 (P < .001). CONCLUSION COVID-19 has a considerable psychological impact on otolaryngologists. Specifically, the young and single who have less social support. This indicates the importance of psychological support to this group. Additional thorough studies should explore the psychological impact of COVID-19 in this field as it may carry devastating long-term consequences if left unattended. LEVEL OF EVIDENCE Level 4.
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Affiliation(s)
- Mona Mohammedsaleh Ashoor
- Department of Otolaryngology Head and Neck Surgery, King Fahad Hospital of the University, College of MedicineImam Abdulrahman Bin Faisal UniversityDammamSaudi Arabia
| | - Noorah Jamal Almulhem
- Department of Otolaryngology Head and Neck Surgery, King Fahad Hospital of the University, College of MedicineImam Abdulrahman Bin Faisal UniversityDammamSaudi Arabia
| | - Zaid Abdulrahman AlMubarak
- Department of Otolaryngology Head and Neck Surgery, King Fahad Hospital of the University, College of MedicineImam Abdulrahman Bin Faisal UniversityDammamSaudi Arabia
| | - Ahmed Abdulrahman Alrahim
- Department of Otolaryngology Head and Neck Surgery, King Fahad Hospital of the University, College of MedicineImam Abdulrahman Bin Faisal UniversityDammamSaudi Arabia
| | - Saad Mohammed Alshammari
- Department of Otolaryngology Head and Neck Surgery, King Fahad Hospital of the University, College of MedicineImam Abdulrahman Bin Faisal UniversityDammamSaudi Arabia
| | - Fahad Saleh Alzahrani
- Department of Otolaryngology Head and Neck Surgery, King Fahad Hospital of the University, College of MedicineImam Abdulrahman Bin Faisal UniversityDammamSaudi Arabia
| | - Ali Radi Alhayek
- Department of Otolaryngology Head and Neck Surgery, King Fahad Hospital of the University, College of MedicineImam Abdulrahman Bin Faisal UniversityDammamSaudi Arabia
| | - Abdullah Alardhi
- Department of Otolaryngology Head and Neck Surgery, King Fahad Hospital of the University, College of MedicineImam Abdulrahman Bin Faisal UniversityDammamSaudi Arabia
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Tu M, Wang F, Shen S, Wang H, Feng J. Influences of Psychological Intervention on Negative Emotion, Cancer-Related Fatigue and Level of Hope in Lung Cancer Chemotherapy Patients Based on the PERMA Framework. IRANIAN JOURNAL OF PUBLIC HEALTH 2021; 50:728-736. [PMID: 34183922 PMCID: PMC8219625 DOI: 10.18502/ijph.v50i4.5997] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Background: Psychological status is a decisive factor for regulating the lung cancer chemotherapy patients’ levels of fatigue and hope. Using the PERMA (Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment) framework. We aimed to explore the influences of the psychological intervention on the patients’ negative emotion, cancer-related fatigue, and level of hope. Method: A total of 100 lung cancer chemotherapy patients admitted in Wuhan No.4 Hospital, China, from Jan 2018 to Aug 2019 were enrolled as research objects divided into the control group and observation group. Positive psychological intervention using the PERMA framework was given to the observation group. The scores of Post-Traumatic Growth Inventory (PTGI), Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Cancer Fatigue Scale (CFS), and Herth Hope Index (HHI) were evaluated and compared in the two groups. Results: After the intervention, PTGI score in the observation group is higher than that in the control group, whereas the SAS and SDS scores are lower in the observation group than in the control group, and the differences are statistically significant (P<0.05). Score of each CFS dimension and total CFS score in the observation group are all lower than those in the control group, with statistically significant differences (P<0.05). Score of each HHI dimension and total HHI score are higher than those in the control group, and the differences are statistically significant (P<0.05). Conclusion: Positive psychological intervention using the PERMA framework can improve the emotional and fatigue state of lung cancer chemotherapy patients and elevate their level of hope.
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Affiliation(s)
- Min Tu
- Department of Respiratory Medicine, Wuhan No.4 Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Fan Wang
- Department of Drug and Equipment, Wuhan Prevention and Treatment Center for Occupational Diseases, Wuhan, China
| | - Sanying Shen
- Department of Respiratory Medicine, Wuhan No.4 Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Hui Wang
- Nursing College, Chongqing Three Gorges Medical College, Chongqing, China
| | - Jing Feng
- Department of Nursing, Wuhan No.4 Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Zhu W, Wei Y, Meng X, Li J. The mediation effects of coping style on the relationship between social support and anxiety in Chinese medical staff during COVID-19. BMC Health Serv Res 2020; 20:1007. [PMID: 33148229 PMCID: PMC7609823 DOI: 10.1186/s12913-020-05871-6] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2020] [Accepted: 10/28/2020] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND The COVID-19 has been a pandemic around the world, which affirmatively brought mental health problems to medical staff. We aimed to investigate the prevalence of anxiety in Chinese medical staff and examine the mediation effects of coping styles on the relationship between social support and anxiety. METHODS A cross-sectional study via internet survey was conducted from 15 March to 30 March, 2020. The social demographic data, Self-rated Anxiety Scale, Social Support Rate Scale and Trait Coping Style Scale were collected. Pearson correlation and a structural equation model were performed to examine the relationships of these variables. The bootstrap analysis was conducted to evaluate the mediation effects. RESULTS A total of 453 medical staff participated in this study. The mean score of SAS was 46.1 (SD = 10.4). Up to 40.8% of the participants had anxiety symptoms. The participants lived with family members had lower SAS score (45.1 ± 9.8 vs 49.6 ± 11.8). Social support was negatively associated with anxiety, mediated by positive coping and negative coping partially significantly with an effect size of - 0.183. CONCLUSIONS Chinese medical staff had a high level of anxiety during the COVID-19 pandemic. Coping styles had effects on the association between social support and anxiety. Sufficient social support and training on positive coping skills may reduce anxiety in medical staff.
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Affiliation(s)
- Wei Zhu
- West China Hospital, Sichuan University, Chengdu City, Sichuan Province, China
| | - Yi Wei
- West China Hospital, Sichuan University, Chengdu City, Sichuan Province, China
| | - Xiandong Meng
- West China Hospital, Sichuan University, Chengdu City, Sichuan Province, China.
| | - Jiping Li
- West China Hospital, Sichuan University, Chengdu City, Sichuan Province, China
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20
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Artioli G, Foà C, Bertuol M, Benzi L, Deiana L, Meneghetti C, Neri C, Pigoni L, Zanotti M, Sarli L. The impact of a "narrative interview" intervention in oncology. A study protocol for a feasibility study. ACTA BIO-MEDICA : ATENEI PARMENSIS 2020; 91:38-47. [PMID: 32573505 PMCID: PMC7975842 DOI: 10.23750/abm.v91i6-s.10016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 06/09/2020] [Indexed: 11/23/2022]
Abstract
BACKGROUND AND AIM OF THE WORK Oncological diagnosis determines a biographical breakdown and requires the person to adapt to the disease. If patients, after diagnosis, ask professionals for 'compassionate care', research on these issues is still underdeveloped. There are currently no studies that use the narrative interview as an intervention tool. The objectives of the study are to evaluate: (1) the feasibility of the narrative interview intervention on cancer patients in the first diagnosis; (2) the impact of the narrative medicine intervention on the patient's self-perception, his psychological distress and adaptation to the disease. METHODS It is a mixed-method study, with an intervention (narrative interview) and quantitative evaluation before/after intervention and qualitative evaluation post-intervention (reflective writing). The analysis will use the Psychological Distress Inventory scale for the assessment of psychological distress and the Mini-Mental Adjustment to Cancer Scale for the assessment of disease adaptation. Adult patients, with oncological pathology will be recruited one month after the communication of the diagnosis, regardless of the type of tumor. The Wilcoxon test for paired data will be used to verify pre-post-intervention differences. The 'reflective writings' will be subjected to thematic analysis. DISCUSSION AND CONCLUSION The study evaluates the feasibility of the narrative interview intervention as a primary outcome. Secondly, the impact of the intervention is assessed in relation to: a) identification of risk or protective factors on psychological distress and adaptation to the disease; b) re-elaboration of the patient's experiences and experiences related to his/her own illness.
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Affiliation(s)
| | - Chiara Foà
- Department of Medicine and Surgery, University of Parma, Italy.
| | - Maria Bertuol
- Department of Medicine and Surgery, University of Parma, Italy.
| | - Linda Benzi
- Post graduate Specialization in "Case /Care management in hospital and on the territory for health professions", University of Parma, Italy.
| | - Laura Deiana
- Post graduate Specialization in "Case /Care management in hospital and on the territory for health professions", University of Parma, Italy.
| | - Chiara Meneghetti
- Post graduate Specialization in "Case /Care management in hospital and on the territory for health professions", University of Parma, Italy.
| | - Cecilia Neri
- Post graduate Specialization in "Case /Care management in hospital and on the territory for health professions", University of Parma, Italy.
| | - Laura Pigoni
- Post graduate Specialization in "Case /Care management in hospital and on the territory for health professions", University of Parma, Italy.
| | - Martina Zanotti
- Post graduate Specialization in "Case /Care management in hospital and on the territory for health professions", University of Parma, Italy.
| | - Leopoldo Sarli
- Department of Medicine and Surgery, University of Parma, Italy.
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21
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Xu X, Zhang Y, Wang W, Zhang Y, Yang N. Effects of Patients' Perceptions of Physician-Patient Relational Empathy on an Inflammation Marker in Patients with Crohn's Disease: The Intermediary Roles of Anxiety, Self-Efficacy, and Sleep Quality. Psychol Res Behav Manag 2020; 13:363-371. [PMID: 32425624 PMCID: PMC7196771 DOI: 10.2147/prbm.s221435] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Accepted: 02/11/2020] [Indexed: 01/14/2023] Open
Abstract
Background Physician-patient empathy is inextricably linked with outcomes of patients. The purpose of this study was to test whether anxiety, self-efficacy, and sleep quality played intermediary roles in relationships between patients' perceptions of physician-patient relational empathy and an inflammation marker in Crohn's disease patients. Methods The study included 187 patients. At admission (T1) and 3 months after admission (T2), anxiety, self-efficacy, sleep, and the inflammatory marker IL6 of patients were tested and compared. Patients' perceptions of physician-patient relational empathy (CARE scale) was measured at T2. Correlations among patients' anxiety, self-efficacy, sleep quality, IL6, and CARE scores were explored by Pearson's correlation analysis and a structural equation model. Results Compared with T1, patients showed higher self-efficacy and sleep quality and lower anxiety and IL6 at T2. Patients' perceptions of physician-patient relational empathy were negatively related to anxiety and IL6 and connected to self-efficacy and sleep quality positively. Patients' anxiety, self-efficacy, and sleep quality played intermediary roles incorrelations between empathy and IL6. Conclusion In correlations of patients' perceptions of physician-patient relational empathy and IL6 in patients with Crohn's disease, patients' anxiety, self-efficacy, and sleep quality acted as intermediary effects. Therefore, medical staff should empathize with patients.
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Affiliation(s)
- Xianlin Xu
- Department of Gastroenterology, Huiyang Sanhe Hospital, Huizhou, Guangdong, People's Republic of China
| | - Yan Zhang
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, Heilongjiang, People's Republic of China
| | - Wei Wang
- School of Health Sciences, Wuhan University, Wuhan, Hubei, People's Republic of China
| | - Yin Zhang
- Department of Gastroenterology, Huiyang Sanhe Hospital, Huizhou, Guangdong, People's Republic of China
| | - Ningxi Yang
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, Heilongjiang, People's Republic of China
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22
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Xiao H, Zhang Y, Kong D, Li S, Yang N. The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit 2020; 26:e923549. [PMID: 32132521 PMCID: PMC7075079 DOI: 10.12659/msm.923549] [Citation(s) in RCA: 593] [Impact Index Per Article: 148.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Background Coronavirus disease 2019 (COVID-19), formerly known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and 2019 novel coronavirus (2019-nCoV), was first identified in December 2019 in Wuhan City, China. Structural equation modeling (SEM) is a multivariate analysis method to determine the structural relationship between measured variables. This observational study aimed to use SEM to determine the effects of social support on sleep quality and function of medical staff who treated patients with COVID-19 in January and February 2020 in Wuhan, China. Material/Methods A one-month cross-sectional observational study included 180 medical staff who treated patients with COVID-19 infection. Levels of anxiety, self-efficacy, stress, sleep quality, and social support were measured using the and the Self-Rating Anxiety Scale (SAS), the General Self-Efficacy Scale (GSES), the Stanford Acute Stress Reaction (SASR) questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Social Support Rate Scale (SSRS), respectively. Pearson’s correlation analysis and SEM identified the interactions between these factors. Results Levels of social support for medical staff were significantly associated with self-efficacy and sleep quality and negatively associated with the degree of anxiety and stress. Levels of anxiety were significantly associated with the levels of stress, which negatively impacted self-efficacy and sleep quality. Anxiety, stress, and self-efficacy were mediating variables associated with social support and sleep quality. Conclusions SEM showed that medical staff in China who were treating patients with COVID-19 infection during January and February 2020 had levels of anxiety, stress, and self-efficacy that were dependent on sleep quality and social support.
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Affiliation(s)
- Han Xiao
- Department of Respiration, Xuanwu Hospital Capital Medical University, Beijing, China (mainland)
| | - Yan Zhang
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, Heilongjiang, China (mainland)
| | - Desheng Kong
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, Heilongjiang, China (mainland)
| | - Shiyue Li
- School of Health Sciences, Wuhan University, Wuhan, Hubei, China (mainland)
| | - Ningxi Yang
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, Heilongjiang, China (mainland)
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23
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Wu H, Zhang Y, Li S, Liu Q, Yang N. Care Is the Doctor's Best Prescription: The Impact of Doctor-Patient Empathy on the Physical and Mental Health of Asthmatic Patients in China. Psychol Res Behav Manag 2020; 13:141-150. [PMID: 32104114 PMCID: PMC7023901 DOI: 10.2147/prbm.s226706] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2019] [Accepted: 01/17/2020] [Indexed: 12/14/2022] Open
Abstract
Background To explore the impact of empathy between Chinese doctors and patients on anxiety, self-efficacy, sleep and IL-6 levels in hospitalized asthmatic patients. Methods This study included 195 asthmatic patients and 30 respirologists in China. The Jefferson Empathy Scale (JSE) was used to measure the empathy level of doctors, and the consultation and relational empathy (CARE) scale was used to measure patients' perception of empathy between themselves and their doctors. Doctors were divided into three groups, according to JSE scores. Data about anxiety, self-efficacy, sleep and IL-6 were collected and compared between patients in different JSE groups at admission (T1) and 3 months later (T2). The correlation between JSE scores and CARE scores was analyzed. Pearson correlation analysis along with a structural equation model was applied to explore the relevance among anxiety, self-efficacy, sleep, inflammatory factors (IL-6) and patients' perception of empathy shown by their doctors. Results There was no statistical difference between the indices of patients in three groups at admission. For all patients, the changes of indicators were statistically different from T1 to T2. Three months later, patients in high empathy scoring group showed lower anxiety and IL-6, and higher self-efficacy and sleep quality. There was a positive correlation between JSE and CARE scores. Patients' perception of doctor-patient empathy was negatively correlated to anxiety levels and IL-6, and positively correlated to self-efficacy and sleep quality. Anxiety, self-efficacy and sleep quality were mediators in the relationship between patients' perception of empathy and IL-6. Conclusion In the Chinese sample, anxiety, self-efficacy, sleep, empathy between doctors and patients and IL-6 are closely correlated. Anxiety, self-efficacy and sleep may play additional roles in the influence of patients' perception of empathy between doctors and patients on IL-6 in asthmatic patients.
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Affiliation(s)
- Huiduo Wu
- Education and Rehabilitation Department, Faculty of Education, East China Normal University, Shanghai, People's Republic of China
| | - Yan Zhang
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, Heilongjiang, People's Republic of China
| | - Shiyue Li
- School of Health Sciences, Wuhan University, Wuhan, Hubei, People's Republic of China
| | - Qiaoyun Liu
- Education and Rehabilitation Department, Faculty of Education, East China Normal University, Shanghai, People's Republic of China
| | - Ningxi Yang
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, Heilongjiang, People's Republic of China
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24
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Zhang Y, Pi B, Xu X, Li Y, Chen X, Yang N. Influence Of Narrative Medicine-Based Health Education Combined With An Online Patient Mutual Assistance Group On The Health Of Patients With Inflammatory Bowel Disease and Arthritis. Psychol Res Behav Manag 2020; 13:1-10. [PMID: 32021504 PMCID: PMC6954847 DOI: 10.2147/prbm.s213587] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Accepted: 09/17/2019] [Indexed: 12/12/2022] Open
Abstract
Background Inflammatory bowel disease arthritis (IBDA) threatens patients' physical and mental health. Therefore, patients need not only physical therapy, but also adequate health education and psychological support. This study was designed to explore the effect of health education based on narrative medicine combined with an online patient mutual assistance group that was based on the physical and mental health of patients with IBDA. Methods A total of 120 patients with IBDA were randomly divided into four groups (30 patients per group). Patients in the control group were given routine health education on the premise of routine treatment. The three treatment groups were given health education based on narrative medicine, online patient mutual assistance group intervention, or combined intervention. Depression, sleep, arthralgia, irritable bowel syndrome (IBS) symptoms, and inflammatory factors were measured and compared before and 1 month after the intervention. Results Before the intervention, no significant differences were observed in baseline data between the four groups. However, after the intervention, the physical and mental health of patients who received health education based on narrative medicine or online patient mutual assistance groups was improved. Our data showed that patients in the combined intervention group experienced a better outcome. Conclusion Narrative medicine-based health education combined with an online patient mutual assistance group is beneficial to the physical and mental health of IBDA patients. Taken together, this model needs to be further deepened and popularized in clinical practice.
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Affiliation(s)
- Yin Zhang
- Department of Gastroenterology, Huiyang Sanhe Hospital, Huizhou, People's Republic of China
| | - Bin Pi
- Department of Orthopedics, Fifth Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China
| | - Xianlin Xu
- Department of Gastroenterology, Huiyang Sanhe Hospital, Huizhou, People's Republic of China
| | - Ying Li
- School of Health Science, Wuhan University, Wuhan, Hubei, People's Republic of China
| | - Xiangfan Chen
- School of Health Science, Wuhan University, Wuhan, Hubei, People's Republic of China
| | - Ningxi Yang
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, Heilongjiang, People's Republic of China
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Exploring oncology nurses' perception of the consequences of clinical empathy in patients and nurses: a qualitative study. Support Care Cancer 2019; 28:2985-2993. [PMID: 31781947 PMCID: PMC7223450 DOI: 10.1007/s00520-019-05118-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Accepted: 10/06/2019] [Indexed: 12/30/2022]
Abstract
Purpose Clinical empathy is the ability to understand the patient's situation, perspective, feelings, and actions, based on the patient’s perception, in a helping or therapeutic way. This study was conducted with the aim of exploring oncology nurses’ perception of the consequences of clinical empathy in patients and nurses and the factors influencing it. Methods A qualitative study was conducted by semi-structured face-to-face interviews. The participants were 6 male and 9 female oncology nurses who were selected by purposive sampling. Data were analyzed using conventional content analysis. Results The theme of “empathy as a double-sided mirror” was created, based on oncology nurses’ perception of the effects of clinical empathy in patients and nurses. Two themes of “organizational factors” and “contextual factors” were generated in response to influencing factors on clinical empathy. Conclusions By awareness of the effects of clinical empathy, controlling the barriers and strengthening the facilitators, there is a possibility to design interventional programs to develop empathy as a clinical competency in oncology nurses.
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Chen X, Zhang Y, Xu X, Wang W, Yan H, Li S, Yang N. Mediating Roles of Anxiety, Self-Efficacy, and Sleep Quality on the Relationship Between Patient-Reported Physician Empathy and Inflammatory Markers in Ulcerative Colitis Patients. Med Sci Monit 2019; 25:7889-7897. [PMID: 31634896 PMCID: PMC6820358 DOI: 10.12659/msm.917552] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 07/15/2019] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND Empathy between doctor and patient has an important bearing on patient health. The purpose of this study was to assess whether anxiety, sleep quality, and self-efficacy of patients have mediating effects in the relationship of patient-reported physician empathy and inflammatory factor in ulcerative colitis (UC) patients. MATERIAL AND METHODS This study included 242 patients attended by 45 doctors. Self-reported doctors' empathy ability was measured at patient admission (T1), and patient-reported physician empathy was measured 3 months later (T2). Patient anxiety, general self-efficacy, sleep, and inflammatory factor (IL-6) were measured on T1 and T2. Pearson correlation analysis was used to assess the relationships between self-reported doctor empathy ability and patient indices on T1 and T2. The relationships between anxiety, sleep quality, self-efficacy, IL-6, and patient-reported physician empathy were measured by Pearson correlation analysis and structural equation modeling. RESULTS On T1, no significant correlation was reported between self-reported doctors' empathy ability and indices of the patients (P>0.05). On T2, self-reported doctors' empathy ability was significantly positively correlated with patient sleep and self-efficacy (P<0.01), and significantly negatively correlated with patient anxiety and IL-6 (P<0.01). Moreover, on T2, patient-reported physician empathy was negatively correlated with anxiety and IL-6 and was positively correlated with self-efficacy and sleep quality. The effect of patient-reported physician empathy on IL-6 was mediated by anxiety, sleep quality, and self-efficacy. CONCLUSIONS The anxiety, self-efficacy, and sleep quality of UC patients had mediating effects in the relationship between patient-reported physician empathy and IL-6.
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Affiliation(s)
- Xiangfan Chen
- School of Health Science, Wuhan University, Wuhan, Hubei, P.R. China
| | - Yin Zhang
- Department of Gastroenterology, Huiyang Sanhe Hospital, Huizhou, Guangdong, P.R. China
| | - Xianlin Xu
- Department of Gastroenterology, Huiyang Sanhe Hospital, Huizhou, Guangdong, P.R. China
| | - Wei Wang
- School of Health Science, Wuhan University, Wuhan, Hubei, P.R. China
| | - Hong Yan
- School of Health Science, Wuhan University, Wuhan, Hubei, P.R. China
| | - Shiyue Li
- School of Health Science, Wuhan University, Wuhan, Hubei, P.R. China
| | - Ningxi Yang
- College of Humanities and Social Sciences, Harbin Engineering University, Harbin, Heilongjiang, P.R. China
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