Objective:To analyze the effect of interventional nursing on the therapeutic effect,negative emotion and quality of life of patients undergoing cardiovascular and cerebrovascular interventional therapy.Methods:Eighty-...Objective:To analyze the effect of interventional nursing on the therapeutic effect,negative emotion and quality of life of patients undergoing cardiovascular and cerebrovascular interventional therapy.Methods:Eighty-four patients who received cardio-cerebral vascular interventional therapy in a hospital during January 2024–December 2024 were selected,and were divided into the control group and the observation group by the mean score method,each with 42 cases.The control group was given standardized perioperative care,and the observation group was given interventional nursing intervention on this basis.The two groups were compared in terms of clinical efficacy,negative emotion score,incidence of related complications,quality of life score and nursing satisfaction.Results:The total effective rate of treatment of patients in the observation group(95.24%)was significantly higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05);before nursing care,the difference between SDS and SAS scores of patients in the two groups was insignificant(P>0.05);after nursing care,the scores of various indexes of the two groups were significantly reduced and the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);the patients in the observation group had more negative moods than those in the control group;the complication rate of patients in the observation group(2.38%)was significantly lower than that of the control group(19.04%),and the difference was statistically significant(P<0.05);the quality of life scores of patients in the observation group were higher than that of the control group,and the difference was statistically significant(P<0.05);the satisfaction rate of patients’nursing care in the observation group was 97.62%,which was higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05).The difference is statistically significant(P<0.05).Conclusion:The implementation of interventional nursing intervention for patients with cardiovascular and cerebrovascular interventional therapy can further enhance the clinical therapeutic effect,improve the negative emotions of patients’anxiety and depression,reduce the risk of related complications,improve the quality of life of patients,and obtain higher satisfaction.展开更多
BACKGROUND China has recently encountered severe challenges associated with population aging.Parents of first-generation only children face significant challenges regarding elderly care needs and the associated negati...BACKGROUND China has recently encountered severe challenges associated with population aging.Parents of first-generation only children face significant challenges regarding elderly care needs and the associated negative emotions.AIM To analyze the elderly care needs of first-generation only child parents in China and identify factors that influence negative emotions.METHODS This study used a cross-sectional design.Convenience sampling was used to select 1580 elderly individuals who met the inclusion criteria in a Chinese city between June and September 2022.A questionnaire was administered to collect general information about participants.Depression and anxiety were assessed using the patient health questionnaire-9 and generalized anxiety disorder-7 scale,respectively.A logistic regression analysis was performed to evaluate the relevant correlations.RESULTS Among 1580 first-generation only child parents,1120(70.89%)preferred family based care,324(20.51%)opted for community care,and 136(8.61%)chose institutional care,with 460(29.11%)reporting negative emotions.Significant differences in the distribution of negative emotions among only child parents were observed based on age,marital status,living conditions,disability,type of chronic disease,frailty status,and family support(P<0.05).The regression analysis indicated that disability,type of chronic disease,living environment,frailty status,and level of family support were independent risk factors for negative emotions among parents with only children(P<0.05).CONCLUSION Elderly care for parents of only children is primarily family-based.Independent risk factors for negative emotions in this group include disability,chronic disease type,and living environment.展开更多
Maintaining optimal quality of life(QoL)is a pivotal for“successful aging”.Understanding how the QoL of the elderly develops and what role psychological factors play in its development will help improve QoL from a p...Maintaining optimal quality of life(QoL)is a pivotal for“successful aging”.Understanding how the QoL of the elderly develops and what role psychological factors play in its development will help improve QoL from a psychological perspective.Embedded within the lifespan theory of control,this longitudinal study aimed to(1)map the temporal trajectory of QoL among Chinese older adults,(2)examine differential effects of tripartite negative emotions(stress,anxiety,depression),and(3)test themoderating role of control strategies(goal engagement,goal disengagement,self-protection)in emotion-QoL dynamics.A prospective cohort of 345 community-dwelling older adults(Mage=83.84±8.49 years;55.1%female)completed validated measures-SF-36 for QoL,DASS-21 for negative emotions,and an adapted Control Strategies Questionnaire(CAS)-at three waves spanning 12 months.Hierarchical linear modeling(HLM)with time-nested structure analyzed intraindividual changes and interindividual differences.QoL exhibited a significant linear decline over time(β=−4.75,p<0.001).Stress(β=−14.12,p<0.001)and anxiety(β=−11.24,p<0.001)robustly predicted QoL decline,whereas depression showed no significant effect.Control strategies had divergent associations:goal engagement(β=3.51,p<0.001)and self-protection(β=2.38,p=0.015)predicted higher baseline QoL,while goal disengagement accelerated decline(β=−7.00,p<0.001;interaction with time:β=−2.46,p<0.001).Contrary to hypotheses,control strategies did not moderate emotion-QoL associations(ΔR2=0.02,p=0.21).The results showed that stress and anxiety played an important role in the QoL of the elderly.At the same time,goal engagement and self-protection were beneficial to the QoL of the elderly,while goal disengagement was not conducive to QoL and its development among the elderly.Meanwhile,the negative effect of anxiety and stress on the QoL of the elderly was not affected by the control strategies.展开更多
BACKGROUND Visceral hypersensitivity is the core pathogenesis of irritable bowel syndrome(IBS)and is often accompanied by negative emotions such as anxiety or depression.Paraventricular hypothalamic nucleus(PVN)cortic...BACKGROUND Visceral hypersensitivity is the core pathogenesis of irritable bowel syndrome(IBS)and is often accompanied by negative emotions such as anxiety or depression.Paraventricular hypothalamic nucleus(PVN)corticotropin-releasing factor(CRF)is involved in the stress-related gastrointestinal dysfunction.Electroacupuncture(EA)has unique advantages for the treatment of visceral hypersensitivity and negative emotions in IBS patients.However,the underlying mechanisms remain unclear.AIM To investigate the pathological mechanisms visceral hypersensitivity and negative emotions in IBS,as well as the effect mechanism of EA.METHODS A model of diarrhoeal IBS(IBS-D)with negative emotions was prepared by chronic restraint combined with glacial acetic acid enema.The effect of EA was verified by abdominal withdrawal reflex and open-field test.PVN CRFcolonic mast cell(MC)/transient potential receptor vanilloid type 1(TRPV1)pathway was detected by immunofluorescence,Western blot,ELISA,and toluidine blue staining.Moreover,PVN CRFergic neurons were activated or inhibited by chemogenetical technique to observe the changes of effect indicator.RESULTS In the model group,IBS-D symptoms and negative emotions were successfully induced.Notably,the combination of Baihui(GV20)with Tianshu(ST25)and Dachangshu(BL25)acupoints showed the greatest efficacy in improving the negative emotions and visceral hypersensitivity in model mice.Furthermore,we found that EA inhibited overactivated PVN CRFergic neurons and the overexpression of serum CRF,colonic CRF,CRF-receptor 1(CRFR1),mast cell tryptase(MCT),protease-activated receptor 2 and TRPV1 in model mice.Moreover,we found that activating PVN CRFergic neurons induced negative emotions and visceral hypersensitivity in normal mice;however,inhibiting PVN CRFergic neurons alleviated negative emotions and intestinal symptoms in model mice and decreased the expression of colonic CRF-R1,MCT,and TRPV1.CONCLUSION This research highlights the key role of PVN CRF-MC CRF-R1 and the downstream MC/TRPV1 pathway in the pathological process of IBS-D and the mechanism of the effect of EA.展开更多
BACKGROUND Acute pancreatitis(AP),as a common acute abdomen disease,has a high incidence rate worldwide and is often accompanied by severe complications.Negative emotions lead to increased secretion of stress hormones...BACKGROUND Acute pancreatitis(AP),as a common acute abdomen disease,has a high incidence rate worldwide and is often accompanied by severe complications.Negative emotions lead to increased secretion of stress hormones,elevated blood sugar levels,and enhanced insulin resistance,which in turn increases the risk of AP and significantly affects the patient's quality of life.Therefore,exploring the intervention effects of narrative nursing programs on the negative emotions of patients with AP is not only helpful in alleviating psychological stress and improving quality of life but also has significant implications for improving disease outcomes and prognosis.AIM To construct a narrative nursing model for negative emotions in patients with AP and verify its efficacy in application.METHODS Through Delphi expert consultation,a narrative nursing model for negative emotions in patients with AP was constructed.A non-randomized quasi-experimental study design was used in this study.A total of 92 patients with AP with negative emotions admitted to a tertiary hospital in Nantong City of Jiangsu Province,China from September 2022 to August 2023 were recruited by convenience sampling,among whom 46 patients admitted from September 2022 to February 2023 were included in the observation group,and 46 patients from March to August 2023 were selected as control group.The observation group received narrative nursing plan,while the control group was given with routine nursing.Self-rating anxiety scale(SAS),self-rating depression scale(SDS),positive and negative affect scale(PANAS),caring behavior scale,patient satisfaction scale and 36-item short form health survey questionnaire(SF-36)were used to evaluate their emotions,satisfaction and caring behaviors in the two groups on the day of discharge,1-and 3-month following discharge.RESULTS According to the inclusion and exclusion criteria,a total of 45 cases in the intervention group and 44 cases in the control group eventually recruited and completed in the study.On the day of discharge,the intervention group showed significantly lower scores of SAS,SDS and negative emotion(28.57±4.52 vs 17.4±4.44,P<0.001),whereas evidently higher outcomes in the positive emotion score,Caring behavior scale score and satisfaction score compared to the control group(P<0.05).Repeated measurement analysis of variance showed that significant between-group differences were found in time effect,inter-group effect and interaction effect of SAS and PANAS scores as well as in time effect and inter-group effect of SF-36 scores(P<0.05);the SF-36 scores of two groups at 3 months after discharge were higher than those at 1 month after discharge(P<0.05).CONCLUSION The application of narrative nursing protocols has demonstrated significant effectiveness in alleviating anxiety,ameliorating negative emotions,and enhancing satisfaction among patients with AP.展开更多
BACKGROUND Breast cancer is among the most common malignancies worldwide.With progress in treatment methods and levels,the overall survival period has been prolonged,and the demand for quality care has increased.AIM T...BACKGROUND Breast cancer is among the most common malignancies worldwide.With progress in treatment methods and levels,the overall survival period has been prolonged,and the demand for quality care has increased.AIM To investigate the effect of individualized and continuous care intervention in patients with breast cancer.METHODS Two hundred patients with breast cancer who received systemic therapy at The First Affiliated Hospital of Hebei North University(January 2021 to July 2023)were retrospectively selected as research participants.Among them,134 received routine care intervention(routing group)and 66 received personalized and continuous care(intervention group).Self-rating anxiety scale(SAS),self-rating depression scale(SDS),and Functional Assessment of Cancer Therapy-Breast(FACT-B)scores,including limb shoulder joint activity,complication rate,and care satisfaction,were compared between both groups after care.RESULTS SAS and SDS scores were lower in the intervention group than in the routing group at one and three months after care.The total FACT-B scores and five dimensions in the intervention group were higher than those in the routing group at three months of care.The range of motion of shoulder anteflexion,posterior extension,abduction,internal rotation,and external rotation in the intervention group was higher than that in the routing group one month after care.The incidence of postoperative complications was 18.18%lower in the intervention group than in the routing group(34.33%;P<0.05).Satisfaction with care was 90.91% higher in the intervention group than in the routing group(78.36%;P<0.05).CONCLUSION Personalized and continuous care can alleviate negative emotions in patients with breast cancer,quicken rehabilitation of limb function,decrease the incidence of complications,and improve living quality and care satisfaction.展开更多
Breast cancer(BC)is the most common malignant tumor in women,and the treatment process not only results in physical pain but also significant psychological distress in patients.Psychological intervention(PI)has been r...Breast cancer(BC)is the most common malignant tumor in women,and the treatment process not only results in physical pain but also significant psychological distress in patients.Psychological intervention(PI)has been recognized as an important approach in treating postoperative psychological disorders in BC patients.It has been proven that PI has a significant therapeutic effect on postoperative psychological disorders,improving patients'negative emotions,enhancing their psychological resilience,and effectively enhancing their quality of life and treatment compliance.展开更多
Objective:To explore the impact of a continuity of care model on negative emotions and self-efficacy in patients undergoing digestive endoscopic tumor resection.Methods:A retrospective analysis was conducted on 80 pat...Objective:To explore the impact of a continuity of care model on negative emotions and self-efficacy in patients undergoing digestive endoscopic tumor resection.Methods:A retrospective analysis was conducted on 80 patients who underwent digestive endoscopic tumor resection in the Gastroenterology Department of Baoying County People’s Hospital between October 2022 and October 2024.Patients were randomly divided into a control group(n=40)and an observation group(n=40)using a random number table.The control group received routine nursing care,while the observation group was additionally provided with continuity of care interventions.After two months of intervention,the negative emotions and self-efficacy of the two groups were compared and statistically analyzed.Results:There was no statistically significant difference in baseline data between the two groups(P>0.05).After two months of intervention,the observation group demonstrated significantly lower HAMD and HAMA scores compared to the control group(both P=0.000),and significantly higher GSES scores(P=0.000).Conclusion:Applying a continuity of care model to patients undergoing digestive endoscopic tumor resection can alleviate negative emotions,enhance self-efficacy,and improve self-care abilities.展开更多
BACKGROUND Leukemia is a broad term for blood cell cancer.Leukemia is divided into acute or chronic,depending on cell differentiation.Leukemia patients are prone to adverse reactions during chemotherapy,such as anxiet...BACKGROUND Leukemia is a broad term for blood cell cancer.Leukemia is divided into acute or chronic,depending on cell differentiation.Leukemia patients are prone to adverse reactions during chemotherapy,such as anxiety,depression,and even suicide,affecting prognosis.As a nursing model developed by three well-known cognitive psychologists,empathetic nursing with mindfulness cognitive therapy(ENMCT)can effectively reduce anxiety and depression and improve the quality of life in patients with chronic disease.AIM To explore the effect of ENMCT on cancer-induced fatigue,hope level,and negative emotions in patients with long-term leukemia chemotherapy.METHODS A total of 103 patients with long-term leukemia chemotherapy diagnosed and treated in our hospital from July 2017 to October 2019 were enrolled and randomly assigned to observation and control groups using the random number table approach.Fifty-one patients in the control group received routine nursing,while 52 patients in the observation group received empathic nursing with mindfulness cognitive therapy.After three months of nursing care,cancerinduced fatigue was measured with the Piper Fatigue Scale(PFS),hope level with the Herth Hope Index(HHI),and negative emotion with the Hamilton Anxiety Scale(HAMA)/Hamilton Depression Scale(HAMD).Self-management(Chinese Strategies Used by People to Promote Health)was also recorded.RESULTS The observation group’s total scores in behavior,cognition,emotion,feeling,and PFS were lower than the control group after the intervention(P<0.05).Keeping close contact with others,the attitude of taking positive actions,the attitude toward reality and future,and the total HHI score were higher in the observation group than the control group(P<0.05).The observation group’s HAMA and HAMD scores were lower than the control group(P<0.05).The observation group’s positive attitude,self-decision,and self-relief scores were greater than the control group(P<0.05).CONCLUSION Empathetic nursing with cognitive mindfulness therapy is beneficial in improving cancer-related fatigue,negative emotions,expectation level,and self-management ability in patients with longterm leukemia chemotherapy.展开更多
<div style="text-align:justify;"> <strong>Objective:</strong> To study the application of specific nursing in perioperative patients of thoracic surgery and postoperative recovery and impro...<div style="text-align:justify;"> <strong>Objective:</strong> To study the application of specific nursing in perioperative patients of thoracic surgery and postoperative recovery and improvement of patients’ negative emotions. <strong>Patients and Methods:</strong> A total of 88 patients in the thoracic surgery operating room of our hospital were selected and divided into group A (specific nursing, n = 44) and group B (routine nursing, n = 44). The anxiety and depression status of the two groups were assessed by the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS). The relevant respiratory parameters after surgery, including total lung capacity, maximum respiration flow-rate, tidal volume, and vital capacity were observed. The extubation time, ICU hospitalization time, and VAS scores of postoperative pain were compared, with a score of 10 being full. The higher the score, the higher the pain. The in-cidence of postoperative wound infection, pulmonary infection, respiratory tract infection and the satisfaction with the operation were compared. Sf-36 scale was used to score the physical function, life function, psychological function and quality of life of the patients in the two groups. <strong>Results:</strong> The surgical effect of group A was significantly higher than that of group B (all p < 0.05). The total lung capacity, maximum respiration flow-rate, tidal volume and vital capacity of group A were significantly higher than those of group B (all p < 0.05). The extubation time and hospitalization time of group A were significantly higher than those of group B (all p < 0.05). VAS score of group A was significantly lower than that of group B (all p < 0.05). The infection rate of group A was significantly lower than that in group B (all p < 0.05). <strong>Conclusion:</strong> Specific nursing has higher application value than routine nursing, which is worth further promotion in clinic. </div>展开更多
BACKGROUND Primiparas are usually at high risk of experiencing perinatal depression,which may cause prolonged labor,increased blood loss,and intensified pain,affecting maternal and fetal outcomes.Therefore,interventio...BACKGROUND Primiparas are usually at high risk of experiencing perinatal depression,which may cause prolonged labor,increased blood loss,and intensified pain,affecting maternal and fetal outcomes.Therefore,interventions are necessary to improve maternal and fetal outcomes and alleviate primiparas’negative emotions(NEs).AIM To discusses the impact of nursing responsibility in midwifery and postural and psychological interventions on maternal and fetal outcomes as well as primiparas’NEs.METHODS As participants,115 primiparas admitted to Quanzhou Maternity and Child Healthcare Hospital between May 2020 and May 2022 were selected.Among them,56 primiparas(control group,Con)were subjected to conventional midwifery and routine nursing.The remaining 59(research group,Res)were subjected to the nursing model of midwifery and postural and psychological interventions.Both groups were comparatively analyzed from the perspectives of delivery mode(cesarean,natural,or forceps-assisted),maternal and fetal outcomes(uterine inertia,postpartum hemorrhage,placental abruption,neonatal pulmonary injury,and neonatal asphyxia),NEs(Hamilton Anxiety/Depressionrating Scale,HAMA/HAMD),labor duration,and nursing satisfaction.RESULTS The Res exhibited a markedly higher natural delivery rate and nursing satisfaction than the Con.Additionally,the Res indicated a lower incidence of adverse events(e.g.,uterine inertia,postpartum hemorrhage,placental abruption,neonatal lung injury,and neonatal asphyxia)and shortened duration of various stages of labor.It also showed statistically lower post-interventional HAMA and HAMD scores than the Con and pre-interventional values.CONCLUSION The nursing model of midwifery and postural and psychological interventions increase the natural delivery rate and reduce the duration of each labor stage.These are also conducive to improving maternal and fetal outcomes and mitigating primiparas’NEs and thus deserve popularity in clinical practice.展开更多
BACKGROUND Illness perception has long been hypothesized to be linked to psychological well-b eing in patients with rheumatic diseases,although substantial evidence is lacking,and the contribution of ruminative coping...BACKGROUND Illness perception has long been hypothesized to be linked to psychological well-b eing in patients with rheumatic diseases,although substantial evidence is lacking,and the contribution of ruminative coping style to this relationship is unclear.AIM To investigate the roles of illness perception and rumination in predicting fatigue and negative emotions in patients with chronic rheumatic diseases.METHODS Illness perception,rumination,fatigue and negative emotions(i.e.depression,anxiety and stress)were assessed by the Illness Perception Questionnaire-Revised,Stress Reactive Rumination Scale,Multidimensional Assessment of Fatigue,and the Depression,Anxiety and Stress Scale respectively.Multivariate regression analysis,the Sobel test,and the bootstrap were used to identify the mediating effect of rumination.RESULTS All five subscales of illness perception,including perceived illness identity,chronicity,cyclical nature,consequences and coherence of illness,were significantly associated with fatigue and negative emotions.In mediational analysis,rumination was found to mediate three components of illness perception(the identity,cyclical nature and consequences of illness)and negative emotions/fatigue.CONCLUSION Perceived identity,cyclical nature,and consequences of illness are significantly associated with fatigue and negative emotions in patients with chronic rheumatic diseases and these associations are mediated by rumination.Our findings suggest that psychological intervention should target rumination to improve physical and emotional well-being of patients with chronic rheumatic diseases.展开更多
Objectives:The purpose of this study was to describe relationships between negative emotions and perceived emotional support in parents of children admitted to the pediatric intensive care unit(PICU).Methods:This cros...Objectives:The purpose of this study was to describe relationships between negative emotions and perceived emotional support in parents of children admitted to the pediatric intensive care unit(PICU).Methods:This cross-sectional descriptive study conducted face-to-face interviews between January 2019 and January 2020.Study variables included depression(PHQ-9 Scale),anxiety(Emotional Distress-Anxiety-Short Form 8a),anger(Emotional Distress-Anger-Short Form 5a),fear(Fear-Affect Computerized Adaptive Test),somatic fear(Fear-Somatic Arousal-Fixed Form),loneliness(Revised 20-item UCLA Loneliness Scale),and perceived emotional support(Emotional Support-Fixed Form).Results:Eighty parents reported symptoms of depression 8.00(4.00,13.75),anxiety(23.43±7.80),anger(13.40±5.46),fear(72.81±27.26),somatic fear 9.00(6.00,12.75),loneliness(39.35±12.00),and low perceived emotional support(32.14±8.06).Parents who were young,single,low-income,and with limited-post secondary education reported greater loneliness and lower perceived emotional support.Fear correlated with depression(r=0.737,P<0.01)and anxiety(r=0.900,P<0.01).Inverse relationships were discovered between perceived emotional support and loneliness(r=-0.767,P<0.01),anger(r=-0.401,P<0.01),and depression(r=-0.334,P<0.01).Conclusions:The cluster of negative emotions identified will serve as potential targets for future interventions designed to enhance support for parents of critically ill children.展开更多
<strong>Objective:</strong> <span><span><span style="font-family:""><span style="font-family:Verdana;">To explore the negative emotions of mothers during ch...<strong>Objective:</strong> <span><span><span style="font-family:""><span style="font-family:Verdana;">To explore the negative emotions of mothers during chemotherapy of their children with malignant brain tumors. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">The phenomenological method for qualitative studies was adopted;convenience sampling was used to conduct semi-structured interviews to the mothers of 9 children with malignant brain tumors who received chemotherapy from June 2019 to December 2019;the Colaizzi 7-step analytical method was implemented to collate and analyze the original data. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">The results were summarized into six subjects: stressed, exhausted because of trying to control everything </span><span style="font-family:Verdana;">in home care, prone to excessive care, financially burdened, desperate for</span><span style="font-family:Verdana;"> knowledge of patient care, and desperate for psychosocial support. </span><b><span style="font-family:Verdana;">Conclusions: </span></b><span style="font-family:Verdana;">Understanding the real experiences and inner feelings of mothers during</span><span style="font-family:Verdana;"> chemotherapy of their children with malignant brain tumors is helpful for medi</span><span style="font-family:Verdana;">cal staff to learn about the psychological distress and needs of mothers of</span><span style="font-family:Verdana;"> children with malignant brain tumors, so as to give them psychological support and even social support, and help the mothers and the families of children with malignant brain tumors get through a special period.</span></span></span></span>展开更多
Background:Recently,cognitive behavioral therapy interventions have been extensively applied in the field of nursing education.However,no consensus has been reached on whether these interventions can reduce negative e...Background:Recently,cognitive behavioral therapy interventions have been extensively applied in the field of nursing education.However,no consensus has been reached on whether these interventions can reduce negative emotions in nursing students.Objective:This meta-analysis was designed to systematically discuss the effect of cognitive behavioral therapy interventions on levels of anxiety,fear of denial,social avoidance and social distress for nursing students.Methods:The following Chinese and English databases were searched for relevant articles:PubMed,Embase,Cochrane library,Web of Science,China National Knowledge Infrastructure,Wangfang Database,VIP Database and Chinese Biomedical Literature Database.The search encompassed the establishment of these databases up until May 2021.Two reviewers separately entered the data into Review Manager Software 5.3.Results:A total of 6 studies were reviewed.It was found that cognitive behavioral therapy interventions significantly lowered levels of anxiety(SMD=−0.98,95%CI:−1.46 to−0.50,P<0.001),fear of denial(MD=−3.22,95%CI:−5.60 to−0.84,P<0.01),social avoidance(MD=−1.74,95%CI:−2.32 to−1.16,P<0.001),and social distress(MD=−2.15,95%CI:−2.81 to−1.49,P<0.001)in nursing students.Conclusion:Cognitive behavioral therapy could effectively decrease anxiety,fear of negation,and social negative emotions of nursing students as well as enhance their mental health level.However,more studies are needed to verify whether internet-based cognitive behavioral therapy has an impact on nursing students’negative emotions.展开更多
Objective:To analyze domestic and international studies on the effects of positive thought intervention therapy on negative emotions and the quality of life of stroke patients to provide a reference for future related...Objective:To analyze domestic and international studies on the effects of positive thought intervention therapy on negative emotions and the quality of life of stroke patients to provide a reference for future related studies.Methods:Using the scoping review method as a guide,computer searches of PubMed,Web of Science,Embase,Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,China Vipers Full Text Database and China Biomedical Literature Database were conducted to collect relevant studies on the application of positive thinking interventions in stroke patients from the establishment to January 2023,and the literature was screened according to the inclusion and exclusion criteria,and the data were extracted and analyzed by two investigators independently.Results:The search yielded 964 publications,and a total of 19 were included.The time of publication,study site,study population,study design,study length,and type of results of the included studies was summarized and analyzed.Conclusions:Positive thinking-based interventions have shown significant changes in negative emotions such as anxiety and depression in stroke patients and can reduce somatic pain,enhance their social integration,and improve their quality of life.However,interventions in the areas of self-compassion,artificial intelligence and the adoption of tailoring need to be further explored.展开更多
Objective: to explore the effect of high-quality nursing on improving the negative emotion and treatment compliance of patients in cardiovascular department. Methods: 80 patients admitted to our hospital from January ...Objective: to explore the effect of high-quality nursing on improving the negative emotion and treatment compliance of patients in cardiovascular department. Methods: 80 patients admitted to our hospital from January 2020 to December 2020 were selected for average grouping of 40 patients each, and different nursing methods were implemented. Results: there were significant differences in negative emotions, treatment compliance and quality of life between patients (P < 0.05). Conclusion: the implementation of professional nursing measures while receiving treatment for such patients is of great help to the change of patients' physiological and psychological state.展开更多
Objective: to study the effect of implementing detailed nursing to improve puerpera's bad mood and sleep condition and reduce postpartum hemorrhage. Methods: the number of parturients: 84. The first group of partu...Objective: to study the effect of implementing detailed nursing to improve puerpera's bad mood and sleep condition and reduce postpartum hemorrhage. Methods: the number of parturients: 84. The first group of parturients and the second group of parturients received routine and detailed intervention respectively, and the final intervention effect was observed. Results: compared with maternal group A, maternal group B had less hemorrhage, lower SDS and SAS scores and lower PSQI scores (P < 0.05). Conclusion: detailed nursing can not only improve the negative emotion and sleep condition of parturients, but also reduce the amount of postpartum hemorrhage.展开更多
BACKGROUND Lung cancer is a clinical disease with multiple malignant tumors.Currently,it is difficult for patients to benefit from routine clinical nursing due to the lack of a pertinent and systematic approach.AIM To...BACKGROUND Lung cancer is a clinical disease with multiple malignant tumors.Currently,it is difficult for patients to benefit from routine clinical nursing due to the lack of a pertinent and systematic approach.AIM To investigate the effect of integrated nursing care on the negative emotions and satisfaction of lung cancer patients.METHODS From January 2018 to December 2019,92 patients with lung cancer were selected and divided into the study group and the control group;there were 46 patients in each group.The control group received routine nursing,and the study group received integrated medical care in addition to the care received by the control group.Negative emotions before and after the intervention,the self-management ability score after the intervention,family care burden after the intervention and nursing satisfaction after the intervention were measured in the two groups.RESULTS After the intervention,the self-rating anxiety scale and self-rating depression scale scores in the study group were lower than those in the control group(P<0.05);the scores for health knowledge,self-concept,self-responsibility and self-care skills in the study group were higher than those in the control group(P<0.05);the scores for individual burden and responsibility burden in the study group were lower than those before the intervention(P<0.05);and the nursing satisfaction in the study group(93.48%)was higher than that in the control group(78.26%,P<0.05).CONCLUSION An integrated nursing care approach for lung cancer patients can effectively relieve the patient’s negative feelings,improve their self-management ability,help to reduce the burden of family care and improve patient satisfaction with nursing activities.展开更多
BACKGROUND Patients with chronic hepatitis B(CHB)experience various problems,including low psychological flexibility,negative emotions,and poor sleep quality.Therefore,effective nursing interventions are required to r...BACKGROUND Patients with chronic hepatitis B(CHB)experience various problems,including low psychological flexibility,negative emotions,and poor sleep quality.Therefore,effective nursing interventions are required to reduce adverse events.Acceptance and commitment therapy(ACT)combined with enabling cognitivebehavioral education(ECBE)can improve patients'psychological and sleep.Therefore,we speculate that this may also be effective in patients with CHB.AIM To investigate the effects of different intervention methods on psychological flexibility,negative emotions,and sleep quality in patients with CHB.METHODS This retrospective study examined clinical and evaluation data of 129 patients with CHB.Intervention methods were divided into a conventional group(routine nursing,n=69)and a combination group(ACT combined with ECBE,n=60).We observed changes in psychological flexibility,negative emotions,sleep quality,and self-care ability in both groups.Observation items were evaluated using the Acceptance and Action Questionnaire-2nd Edition(AAQ-II),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Pittsburgh Sleep Quality Index(PSQI),and Exercise of Self-Care Agency Scale(ESCA).RESULTS Compared with the conventional group,the AAQ-II score of the combined group was lower(F_(between-group effect)=8.548;F_(time effects)=25.020;F_(interaction effects)=52.930;all P<0.001),the SAS score(t=5.445)and SDS score(t=7.076)were lower(all P<0.001),as were the PSQI dimensions(tsleep quality=4.581,tfall sleep time=2.826,tsleep time=2.436,tsleep efficiency=5.787,tsleep disorder=5.008,thypnotic drugs=3.786,tdaytime dysfunction=4.812);all P<0.05).The ESCA scores for all dimensions were higher(thealth knowledge level=6.994,t self-concept=5.902,tself-responsibility=19.820,tself-care skills=8.470;all P<0.001).CONCLUSION ACT combined with ECBE in patients with CHB can improve psychological flexibility and sleep quality,alleviate negative emotions,and improve self-care.展开更多
文摘Objective:To analyze the effect of interventional nursing on the therapeutic effect,negative emotion and quality of life of patients undergoing cardiovascular and cerebrovascular interventional therapy.Methods:Eighty-four patients who received cardio-cerebral vascular interventional therapy in a hospital during January 2024–December 2024 were selected,and were divided into the control group and the observation group by the mean score method,each with 42 cases.The control group was given standardized perioperative care,and the observation group was given interventional nursing intervention on this basis.The two groups were compared in terms of clinical efficacy,negative emotion score,incidence of related complications,quality of life score and nursing satisfaction.Results:The total effective rate of treatment of patients in the observation group(95.24%)was significantly higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05);before nursing care,the difference between SDS and SAS scores of patients in the two groups was insignificant(P>0.05);after nursing care,the scores of various indexes of the two groups were significantly reduced and the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);the patients in the observation group had more negative moods than those in the control group;the complication rate of patients in the observation group(2.38%)was significantly lower than that of the control group(19.04%),and the difference was statistically significant(P<0.05);the quality of life scores of patients in the observation group were higher than that of the control group,and the difference was statistically significant(P<0.05);the satisfaction rate of patients’nursing care in the observation group was 97.62%,which was higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05).The difference is statistically significant(P<0.05).Conclusion:The implementation of interventional nursing intervention for patients with cardiovascular and cerebrovascular interventional therapy can further enhance the clinical therapeutic effect,improve the negative emotions of patients’anxiety and depression,reduce the risk of related complications,improve the quality of life of patients,and obtain higher satisfaction.
基金Supported by General Projects of Henan Province Universities Humanities and Social Sciences Research in 2023,No.2023-ZDJH-533.
文摘BACKGROUND China has recently encountered severe challenges associated with population aging.Parents of first-generation only children face significant challenges regarding elderly care needs and the associated negative emotions.AIM To analyze the elderly care needs of first-generation only child parents in China and identify factors that influence negative emotions.METHODS This study used a cross-sectional design.Convenience sampling was used to select 1580 elderly individuals who met the inclusion criteria in a Chinese city between June and September 2022.A questionnaire was administered to collect general information about participants.Depression and anxiety were assessed using the patient health questionnaire-9 and generalized anxiety disorder-7 scale,respectively.A logistic regression analysis was performed to evaluate the relevant correlations.RESULTS Among 1580 first-generation only child parents,1120(70.89%)preferred family based care,324(20.51%)opted for community care,and 136(8.61%)chose institutional care,with 460(29.11%)reporting negative emotions.Significant differences in the distribution of negative emotions among only child parents were observed based on age,marital status,living conditions,disability,type of chronic disease,frailty status,and family support(P<0.05).The regression analysis indicated that disability,type of chronic disease,living environment,frailty status,and level of family support were independent risk factors for negative emotions among parents with only children(P<0.05).CONCLUSION Elderly care for parents of only children is primarily family-based.Independent risk factors for negative emotions in this group include disability,chronic disease type,and living environment.
文摘Maintaining optimal quality of life(QoL)is a pivotal for“successful aging”.Understanding how the QoL of the elderly develops and what role psychological factors play in its development will help improve QoL from a psychological perspective.Embedded within the lifespan theory of control,this longitudinal study aimed to(1)map the temporal trajectory of QoL among Chinese older adults,(2)examine differential effects of tripartite negative emotions(stress,anxiety,depression),and(3)test themoderating role of control strategies(goal engagement,goal disengagement,self-protection)in emotion-QoL dynamics.A prospective cohort of 345 community-dwelling older adults(Mage=83.84±8.49 years;55.1%female)completed validated measures-SF-36 for QoL,DASS-21 for negative emotions,and an adapted Control Strategies Questionnaire(CAS)-at three waves spanning 12 months.Hierarchical linear modeling(HLM)with time-nested structure analyzed intraindividual changes and interindividual differences.QoL exhibited a significant linear decline over time(β=−4.75,p<0.001).Stress(β=−14.12,p<0.001)and anxiety(β=−11.24,p<0.001)robustly predicted QoL decline,whereas depression showed no significant effect.Control strategies had divergent associations:goal engagement(β=3.51,p<0.001)and self-protection(β=2.38,p=0.015)predicted higher baseline QoL,while goal disengagement accelerated decline(β=−7.00,p<0.001;interaction with time:β=−2.46,p<0.001).Contrary to hypotheses,control strategies did not moderate emotion-QoL associations(ΔR2=0.02,p=0.21).The results showed that stress and anxiety played an important role in the QoL of the elderly.At the same time,goal engagement and self-protection were beneficial to the QoL of the elderly,while goal disengagement was not conducive to QoL and its development among the elderly.Meanwhile,the negative effect of anxiety and stress on the QoL of the elderly was not affected by the control strategies.
基金Supported by the Excellent Youth Project of Anhui Universities,No.2022AH030065National Natural Science Foundation of China,No.82474224 and No.82405244+3 种基金Anhui Provincial Natural Science Foundation,No.2408085MH223Open Projects of Anhui Province Key Laboratory of Meridian Viscera Correlationship,No.2024AHMVC04Research Project of Xin’an Medical and Chinese Medicine Modernization Research Institute,No.2023CXMMTCM016the Anhui Province Scientific Research Planning Project,No.2022AH050438.
文摘BACKGROUND Visceral hypersensitivity is the core pathogenesis of irritable bowel syndrome(IBS)and is often accompanied by negative emotions such as anxiety or depression.Paraventricular hypothalamic nucleus(PVN)corticotropin-releasing factor(CRF)is involved in the stress-related gastrointestinal dysfunction.Electroacupuncture(EA)has unique advantages for the treatment of visceral hypersensitivity and negative emotions in IBS patients.However,the underlying mechanisms remain unclear.AIM To investigate the pathological mechanisms visceral hypersensitivity and negative emotions in IBS,as well as the effect mechanism of EA.METHODS A model of diarrhoeal IBS(IBS-D)with negative emotions was prepared by chronic restraint combined with glacial acetic acid enema.The effect of EA was verified by abdominal withdrawal reflex and open-field test.PVN CRFcolonic mast cell(MC)/transient potential receptor vanilloid type 1(TRPV1)pathway was detected by immunofluorescence,Western blot,ELISA,and toluidine blue staining.Moreover,PVN CRFergic neurons were activated or inhibited by chemogenetical technique to observe the changes of effect indicator.RESULTS In the model group,IBS-D symptoms and negative emotions were successfully induced.Notably,the combination of Baihui(GV20)with Tianshu(ST25)and Dachangshu(BL25)acupoints showed the greatest efficacy in improving the negative emotions and visceral hypersensitivity in model mice.Furthermore,we found that EA inhibited overactivated PVN CRFergic neurons and the overexpression of serum CRF,colonic CRF,CRF-receptor 1(CRFR1),mast cell tryptase(MCT),protease-activated receptor 2 and TRPV1 in model mice.Moreover,we found that activating PVN CRFergic neurons induced negative emotions and visceral hypersensitivity in normal mice;however,inhibiting PVN CRFergic neurons alleviated negative emotions and intestinal symptoms in model mice and decreased the expression of colonic CRF-R1,MCT,and TRPV1.CONCLUSION This research highlights the key role of PVN CRF-MC CRF-R1 and the downstream MC/TRPV1 pathway in the pathological process of IBS-D and the mechanism of the effect of EA.
文摘BACKGROUND Acute pancreatitis(AP),as a common acute abdomen disease,has a high incidence rate worldwide and is often accompanied by severe complications.Negative emotions lead to increased secretion of stress hormones,elevated blood sugar levels,and enhanced insulin resistance,which in turn increases the risk of AP and significantly affects the patient's quality of life.Therefore,exploring the intervention effects of narrative nursing programs on the negative emotions of patients with AP is not only helpful in alleviating psychological stress and improving quality of life but also has significant implications for improving disease outcomes and prognosis.AIM To construct a narrative nursing model for negative emotions in patients with AP and verify its efficacy in application.METHODS Through Delphi expert consultation,a narrative nursing model for negative emotions in patients with AP was constructed.A non-randomized quasi-experimental study design was used in this study.A total of 92 patients with AP with negative emotions admitted to a tertiary hospital in Nantong City of Jiangsu Province,China from September 2022 to August 2023 were recruited by convenience sampling,among whom 46 patients admitted from September 2022 to February 2023 were included in the observation group,and 46 patients from March to August 2023 were selected as control group.The observation group received narrative nursing plan,while the control group was given with routine nursing.Self-rating anxiety scale(SAS),self-rating depression scale(SDS),positive and negative affect scale(PANAS),caring behavior scale,patient satisfaction scale and 36-item short form health survey questionnaire(SF-36)were used to evaluate their emotions,satisfaction and caring behaviors in the two groups on the day of discharge,1-and 3-month following discharge.RESULTS According to the inclusion and exclusion criteria,a total of 45 cases in the intervention group and 44 cases in the control group eventually recruited and completed in the study.On the day of discharge,the intervention group showed significantly lower scores of SAS,SDS and negative emotion(28.57±4.52 vs 17.4±4.44,P<0.001),whereas evidently higher outcomes in the positive emotion score,Caring behavior scale score and satisfaction score compared to the control group(P<0.05).Repeated measurement analysis of variance showed that significant between-group differences were found in time effect,inter-group effect and interaction effect of SAS and PANAS scores as well as in time effect and inter-group effect of SF-36 scores(P<0.05);the SF-36 scores of two groups at 3 months after discharge were higher than those at 1 month after discharge(P<0.05).CONCLUSION The application of narrative nursing protocols has demonstrated significant effectiveness in alleviating anxiety,ameliorating negative emotions,and enhancing satisfaction among patients with AP.
基金Supported by Zhangjiakou Science and Technology Plan Project,No.2322112D.
文摘BACKGROUND Breast cancer is among the most common malignancies worldwide.With progress in treatment methods and levels,the overall survival period has been prolonged,and the demand for quality care has increased.AIM To investigate the effect of individualized and continuous care intervention in patients with breast cancer.METHODS Two hundred patients with breast cancer who received systemic therapy at The First Affiliated Hospital of Hebei North University(January 2021 to July 2023)were retrospectively selected as research participants.Among them,134 received routine care intervention(routing group)and 66 received personalized and continuous care(intervention group).Self-rating anxiety scale(SAS),self-rating depression scale(SDS),and Functional Assessment of Cancer Therapy-Breast(FACT-B)scores,including limb shoulder joint activity,complication rate,and care satisfaction,were compared between both groups after care.RESULTS SAS and SDS scores were lower in the intervention group than in the routing group at one and three months after care.The total FACT-B scores and five dimensions in the intervention group were higher than those in the routing group at three months of care.The range of motion of shoulder anteflexion,posterior extension,abduction,internal rotation,and external rotation in the intervention group was higher than that in the routing group one month after care.The incidence of postoperative complications was 18.18%lower in the intervention group than in the routing group(34.33%;P<0.05).Satisfaction with care was 90.91% higher in the intervention group than in the routing group(78.36%;P<0.05).CONCLUSION Personalized and continuous care can alleviate negative emotions in patients with breast cancer,quicken rehabilitation of limb function,decrease the incidence of complications,and improve living quality and care satisfaction.
文摘Breast cancer(BC)is the most common malignant tumor in women,and the treatment process not only results in physical pain but also significant psychological distress in patients.Psychological intervention(PI)has been recognized as an important approach in treating postoperative psychological disorders in BC patients.It has been proven that PI has a significant therapeutic effect on postoperative psychological disorders,improving patients'negative emotions,enhancing their psychological resilience,and effectively enhancing their quality of life and treatment compliance.
文摘Objective:To explore the impact of a continuity of care model on negative emotions and self-efficacy in patients undergoing digestive endoscopic tumor resection.Methods:A retrospective analysis was conducted on 80 patients who underwent digestive endoscopic tumor resection in the Gastroenterology Department of Baoying County People’s Hospital between October 2022 and October 2024.Patients were randomly divided into a control group(n=40)and an observation group(n=40)using a random number table.The control group received routine nursing care,while the observation group was additionally provided with continuity of care interventions.After two months of intervention,the negative emotions and self-efficacy of the two groups were compared and statistically analyzed.Results:There was no statistically significant difference in baseline data between the two groups(P>0.05).After two months of intervention,the observation group demonstrated significantly lower HAMD and HAMA scores compared to the control group(both P=0.000),and significantly higher GSES scores(P=0.000).Conclusion:Applying a continuity of care model to patients undergoing digestive endoscopic tumor resection can alleviate negative emotions,enhance self-efficacy,and improve self-care abilities.
文摘BACKGROUND Leukemia is a broad term for blood cell cancer.Leukemia is divided into acute or chronic,depending on cell differentiation.Leukemia patients are prone to adverse reactions during chemotherapy,such as anxiety,depression,and even suicide,affecting prognosis.As a nursing model developed by three well-known cognitive psychologists,empathetic nursing with mindfulness cognitive therapy(ENMCT)can effectively reduce anxiety and depression and improve the quality of life in patients with chronic disease.AIM To explore the effect of ENMCT on cancer-induced fatigue,hope level,and negative emotions in patients with long-term leukemia chemotherapy.METHODS A total of 103 patients with long-term leukemia chemotherapy diagnosed and treated in our hospital from July 2017 to October 2019 were enrolled and randomly assigned to observation and control groups using the random number table approach.Fifty-one patients in the control group received routine nursing,while 52 patients in the observation group received empathic nursing with mindfulness cognitive therapy.After three months of nursing care,cancerinduced fatigue was measured with the Piper Fatigue Scale(PFS),hope level with the Herth Hope Index(HHI),and negative emotion with the Hamilton Anxiety Scale(HAMA)/Hamilton Depression Scale(HAMD).Self-management(Chinese Strategies Used by People to Promote Health)was also recorded.RESULTS The observation group’s total scores in behavior,cognition,emotion,feeling,and PFS were lower than the control group after the intervention(P<0.05).Keeping close contact with others,the attitude of taking positive actions,the attitude toward reality and future,and the total HHI score were higher in the observation group than the control group(P<0.05).The observation group’s HAMA and HAMD scores were lower than the control group(P<0.05).The observation group’s positive attitude,self-decision,and self-relief scores were greater than the control group(P<0.05).CONCLUSION Empathetic nursing with cognitive mindfulness therapy is beneficial in improving cancer-related fatigue,negative emotions,expectation level,and self-management ability in patients with longterm leukemia chemotherapy.
文摘<div style="text-align:justify;"> <strong>Objective:</strong> To study the application of specific nursing in perioperative patients of thoracic surgery and postoperative recovery and improvement of patients’ negative emotions. <strong>Patients and Methods:</strong> A total of 88 patients in the thoracic surgery operating room of our hospital were selected and divided into group A (specific nursing, n = 44) and group B (routine nursing, n = 44). The anxiety and depression status of the two groups were assessed by the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS). The relevant respiratory parameters after surgery, including total lung capacity, maximum respiration flow-rate, tidal volume, and vital capacity were observed. The extubation time, ICU hospitalization time, and VAS scores of postoperative pain were compared, with a score of 10 being full. The higher the score, the higher the pain. The in-cidence of postoperative wound infection, pulmonary infection, respiratory tract infection and the satisfaction with the operation were compared. Sf-36 scale was used to score the physical function, life function, psychological function and quality of life of the patients in the two groups. <strong>Results:</strong> The surgical effect of group A was significantly higher than that of group B (all p < 0.05). The total lung capacity, maximum respiration flow-rate, tidal volume and vital capacity of group A were significantly higher than those of group B (all p < 0.05). The extubation time and hospitalization time of group A were significantly higher than those of group B (all p < 0.05). VAS score of group A was significantly lower than that of group B (all p < 0.05). The infection rate of group A was significantly lower than that in group B (all p < 0.05). <strong>Conclusion:</strong> Specific nursing has higher application value than routine nursing, which is worth further promotion in clinic. </div>
文摘BACKGROUND Primiparas are usually at high risk of experiencing perinatal depression,which may cause prolonged labor,increased blood loss,and intensified pain,affecting maternal and fetal outcomes.Therefore,interventions are necessary to improve maternal and fetal outcomes and alleviate primiparas’negative emotions(NEs).AIM To discusses the impact of nursing responsibility in midwifery and postural and psychological interventions on maternal and fetal outcomes as well as primiparas’NEs.METHODS As participants,115 primiparas admitted to Quanzhou Maternity and Child Healthcare Hospital between May 2020 and May 2022 were selected.Among them,56 primiparas(control group,Con)were subjected to conventional midwifery and routine nursing.The remaining 59(research group,Res)were subjected to the nursing model of midwifery and postural and psychological interventions.Both groups were comparatively analyzed from the perspectives of delivery mode(cesarean,natural,or forceps-assisted),maternal and fetal outcomes(uterine inertia,postpartum hemorrhage,placental abruption,neonatal pulmonary injury,and neonatal asphyxia),NEs(Hamilton Anxiety/Depressionrating Scale,HAMA/HAMD),labor duration,and nursing satisfaction.RESULTS The Res exhibited a markedly higher natural delivery rate and nursing satisfaction than the Con.Additionally,the Res indicated a lower incidence of adverse events(e.g.,uterine inertia,postpartum hemorrhage,placental abruption,neonatal lung injury,and neonatal asphyxia)and shortened duration of various stages of labor.It also showed statistically lower post-interventional HAMA and HAMD scores than the Con and pre-interventional values.CONCLUSION The nursing model of midwifery and postural and psychological interventions increase the natural delivery rate and reduce the duration of each labor stage.These are also conducive to improving maternal and fetal outcomes and mitigating primiparas’NEs and thus deserve popularity in clinical practice.
文摘BACKGROUND Illness perception has long been hypothesized to be linked to psychological well-b eing in patients with rheumatic diseases,although substantial evidence is lacking,and the contribution of ruminative coping style to this relationship is unclear.AIM To investigate the roles of illness perception and rumination in predicting fatigue and negative emotions in patients with chronic rheumatic diseases.METHODS Illness perception,rumination,fatigue and negative emotions(i.e.depression,anxiety and stress)were assessed by the Illness Perception Questionnaire-Revised,Stress Reactive Rumination Scale,Multidimensional Assessment of Fatigue,and the Depression,Anxiety and Stress Scale respectively.Multivariate regression analysis,the Sobel test,and the bootstrap were used to identify the mediating effect of rumination.RESULTS All five subscales of illness perception,including perceived illness identity,chronicity,cyclical nature,consequences and coherence of illness,were significantly associated with fatigue and negative emotions.In mediational analysis,rumination was found to mediate three components of illness perception(the identity,cyclical nature and consequences of illness)and negative emotions/fatigue.CONCLUSION Perceived identity,cyclical nature,and consequences of illness are significantly associated with fatigue and negative emotions in patients with chronic rheumatic diseases and these associations are mediated by rumination.Our findings suggest that psychological intervention should target rumination to improve physical and emotional well-being of patients with chronic rheumatic diseases.
基金This work was supported by the West Virginia University School of Nursing Research Investment Fund.
文摘Objectives:The purpose of this study was to describe relationships between negative emotions and perceived emotional support in parents of children admitted to the pediatric intensive care unit(PICU).Methods:This cross-sectional descriptive study conducted face-to-face interviews between January 2019 and January 2020.Study variables included depression(PHQ-9 Scale),anxiety(Emotional Distress-Anxiety-Short Form 8a),anger(Emotional Distress-Anger-Short Form 5a),fear(Fear-Affect Computerized Adaptive Test),somatic fear(Fear-Somatic Arousal-Fixed Form),loneliness(Revised 20-item UCLA Loneliness Scale),and perceived emotional support(Emotional Support-Fixed Form).Results:Eighty parents reported symptoms of depression 8.00(4.00,13.75),anxiety(23.43±7.80),anger(13.40±5.46),fear(72.81±27.26),somatic fear 9.00(6.00,12.75),loneliness(39.35±12.00),and low perceived emotional support(32.14±8.06).Parents who were young,single,low-income,and with limited-post secondary education reported greater loneliness and lower perceived emotional support.Fear correlated with depression(r=0.737,P<0.01)and anxiety(r=0.900,P<0.01).Inverse relationships were discovered between perceived emotional support and loneliness(r=-0.767,P<0.01),anger(r=-0.401,P<0.01),and depression(r=-0.334,P<0.01).Conclusions:The cluster of negative emotions identified will serve as potential targets for future interventions designed to enhance support for parents of critically ill children.
文摘<strong>Objective:</strong> <span><span><span style="font-family:""><span style="font-family:Verdana;">To explore the negative emotions of mothers during chemotherapy of their children with malignant brain tumors. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">The phenomenological method for qualitative studies was adopted;convenience sampling was used to conduct semi-structured interviews to the mothers of 9 children with malignant brain tumors who received chemotherapy from June 2019 to December 2019;the Colaizzi 7-step analytical method was implemented to collate and analyze the original data. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">The results were summarized into six subjects: stressed, exhausted because of trying to control everything </span><span style="font-family:Verdana;">in home care, prone to excessive care, financially burdened, desperate for</span><span style="font-family:Verdana;"> knowledge of patient care, and desperate for psychosocial support. </span><b><span style="font-family:Verdana;">Conclusions: </span></b><span style="font-family:Verdana;">Understanding the real experiences and inner feelings of mothers during</span><span style="font-family:Verdana;"> chemotherapy of their children with malignant brain tumors is helpful for medi</span><span style="font-family:Verdana;">cal staff to learn about the psychological distress and needs of mothers of</span><span style="font-family:Verdana;"> children with malignant brain tumors, so as to give them psychological support and even social support, and help the mothers and the families of children with malignant brain tumors get through a special period.</span></span></span></span>
文摘Background:Recently,cognitive behavioral therapy interventions have been extensively applied in the field of nursing education.However,no consensus has been reached on whether these interventions can reduce negative emotions in nursing students.Objective:This meta-analysis was designed to systematically discuss the effect of cognitive behavioral therapy interventions on levels of anxiety,fear of denial,social avoidance and social distress for nursing students.Methods:The following Chinese and English databases were searched for relevant articles:PubMed,Embase,Cochrane library,Web of Science,China National Knowledge Infrastructure,Wangfang Database,VIP Database and Chinese Biomedical Literature Database.The search encompassed the establishment of these databases up until May 2021.Two reviewers separately entered the data into Review Manager Software 5.3.Results:A total of 6 studies were reviewed.It was found that cognitive behavioral therapy interventions significantly lowered levels of anxiety(SMD=−0.98,95%CI:−1.46 to−0.50,P<0.001),fear of denial(MD=−3.22,95%CI:−5.60 to−0.84,P<0.01),social avoidance(MD=−1.74,95%CI:−2.32 to−1.16,P<0.001),and social distress(MD=−2.15,95%CI:−2.81 to−1.49,P<0.001)in nursing students.Conclusion:Cognitive behavioral therapy could effectively decrease anxiety,fear of negation,and social negative emotions of nursing students as well as enhance their mental health level.However,more studies are needed to verify whether internet-based cognitive behavioral therapy has an impact on nursing students’negative emotions.
文摘Objective:To analyze domestic and international studies on the effects of positive thought intervention therapy on negative emotions and the quality of life of stroke patients to provide a reference for future related studies.Methods:Using the scoping review method as a guide,computer searches of PubMed,Web of Science,Embase,Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,China Vipers Full Text Database and China Biomedical Literature Database were conducted to collect relevant studies on the application of positive thinking interventions in stroke patients from the establishment to January 2023,and the literature was screened according to the inclusion and exclusion criteria,and the data were extracted and analyzed by two investigators independently.Results:The search yielded 964 publications,and a total of 19 were included.The time of publication,study site,study population,study design,study length,and type of results of the included studies was summarized and analyzed.Conclusions:Positive thinking-based interventions have shown significant changes in negative emotions such as anxiety and depression in stroke patients and can reduce somatic pain,enhance their social integration,and improve their quality of life.However,interventions in the areas of self-compassion,artificial intelligence and the adoption of tailoring need to be further explored.
文摘Objective: to explore the effect of high-quality nursing on improving the negative emotion and treatment compliance of patients in cardiovascular department. Methods: 80 patients admitted to our hospital from January 2020 to December 2020 were selected for average grouping of 40 patients each, and different nursing methods were implemented. Results: there were significant differences in negative emotions, treatment compliance and quality of life between patients (P < 0.05). Conclusion: the implementation of professional nursing measures while receiving treatment for such patients is of great help to the change of patients' physiological and psychological state.
文摘Objective: to study the effect of implementing detailed nursing to improve puerpera's bad mood and sleep condition and reduce postpartum hemorrhage. Methods: the number of parturients: 84. The first group of parturients and the second group of parturients received routine and detailed intervention respectively, and the final intervention effect was observed. Results: compared with maternal group A, maternal group B had less hemorrhage, lower SDS and SAS scores and lower PSQI scores (P < 0.05). Conclusion: detailed nursing can not only improve the negative emotion and sleep condition of parturients, but also reduce the amount of postpartum hemorrhage.
文摘BACKGROUND Lung cancer is a clinical disease with multiple malignant tumors.Currently,it is difficult for patients to benefit from routine clinical nursing due to the lack of a pertinent and systematic approach.AIM To investigate the effect of integrated nursing care on the negative emotions and satisfaction of lung cancer patients.METHODS From January 2018 to December 2019,92 patients with lung cancer were selected and divided into the study group and the control group;there were 46 patients in each group.The control group received routine nursing,and the study group received integrated medical care in addition to the care received by the control group.Negative emotions before and after the intervention,the self-management ability score after the intervention,family care burden after the intervention and nursing satisfaction after the intervention were measured in the two groups.RESULTS After the intervention,the self-rating anxiety scale and self-rating depression scale scores in the study group were lower than those in the control group(P<0.05);the scores for health knowledge,self-concept,self-responsibility and self-care skills in the study group were higher than those in the control group(P<0.05);the scores for individual burden and responsibility burden in the study group were lower than those before the intervention(P<0.05);and the nursing satisfaction in the study group(93.48%)was higher than that in the control group(78.26%,P<0.05).CONCLUSION An integrated nursing care approach for lung cancer patients can effectively relieve the patient’s negative feelings,improve their self-management ability,help to reduce the burden of family care and improve patient satisfaction with nursing activities.
文摘BACKGROUND Patients with chronic hepatitis B(CHB)experience various problems,including low psychological flexibility,negative emotions,and poor sleep quality.Therefore,effective nursing interventions are required to reduce adverse events.Acceptance and commitment therapy(ACT)combined with enabling cognitivebehavioral education(ECBE)can improve patients'psychological and sleep.Therefore,we speculate that this may also be effective in patients with CHB.AIM To investigate the effects of different intervention methods on psychological flexibility,negative emotions,and sleep quality in patients with CHB.METHODS This retrospective study examined clinical and evaluation data of 129 patients with CHB.Intervention methods were divided into a conventional group(routine nursing,n=69)and a combination group(ACT combined with ECBE,n=60).We observed changes in psychological flexibility,negative emotions,sleep quality,and self-care ability in both groups.Observation items were evaluated using the Acceptance and Action Questionnaire-2nd Edition(AAQ-II),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Pittsburgh Sleep Quality Index(PSQI),and Exercise of Self-Care Agency Scale(ESCA).RESULTS Compared with the conventional group,the AAQ-II score of the combined group was lower(F_(between-group effect)=8.548;F_(time effects)=25.020;F_(interaction effects)=52.930;all P<0.001),the SAS score(t=5.445)and SDS score(t=7.076)were lower(all P<0.001),as were the PSQI dimensions(tsleep quality=4.581,tfall sleep time=2.826,tsleep time=2.436,tsleep efficiency=5.787,tsleep disorder=5.008,thypnotic drugs=3.786,tdaytime dysfunction=4.812);all P<0.05).The ESCA scores for all dimensions were higher(thealth knowledge level=6.994,t self-concept=5.902,tself-responsibility=19.820,tself-care skills=8.470;all P<0.001).CONCLUSION ACT combined with ECBE in patients with CHB can improve psychological flexibility and sleep quality,alleviate negative emotions,and improve self-care.
