摘要：
China is experiencing an increasingly serious aging population. Cognitive function is an important factor and guarantee for the quality of life of older people. Therefore, to achieve healthy aging, this study aimed to examine the sequential multiple mediating effects of indoor ventilation frequency and cognitive function on anxiety and self-rated health in the Chinese older people population. Using the 2018 China Longitudinal Health and Longevity Survey (CLHLS) dataset, we finally selected 10,372 Chinese seniors over the age of 65. First, we describe the basic socio-demographic information of the sample population. Second, Spearman correlation analysis was used to determine whether there was a correlation between indoor ventilation frequency, anxiety, self-rated health, and cognitive function among Chinese older people. Finally, the SPSS macro process program was used to complete the sequence multiple mediation analysis. Indoor ventilation frequency, anxiety, self-rated health and cognitive function were significantly correlated (p < 0.01). Indoor ventilation frequency not only has a direct positive impact on the cognitive function of older people (effect = 0.1427; Standard error = 0.0201; 95%CI: LL = 0.1034, UL = 0.1821), but also indirectly affected cognitive function through three pathways: independent mediation of anxiety (effect = 0.0078; Standard error = 0.0021; 95%CI: LL = 0.0041, UL = 0.0121), independent mediating effect of self-rated health (effect = 0.0154; Standard error = 0.0030; 95%CI: LL = 0.0098, UL = 0.0215), and the chain mediating effect between anxiety and self-rated health (effect = 0.0046; Standard error = 0.0009; 95%CI: LL = 0.0029, UL = 0.0065). All projects are self-reported and some results may be biased. In the future, it may be more inspiring to explore more detailed and specific effects of indoor air quality on cognitive function in older people. Studies have shown that indoor ventilation frequency can improve cognitive function by reducing anxiety and improving self-rated health in older people Chinese. Encouraging older adults to increase the frequency of indoor ventilation will benefit their mental health and cognitive function. This study provides empirical evidence for the association between indoor ventilation frequency and cognitive function in older people Chinese adults. We used nationally representative data to investigate the relationship between indoor ventilation frequency and cognitive function and further explored the mediating role of anxiety and self-rated health in Chinese older adults. Indoor ventilation frequency can not only directly affect cognitive function in older people, but also indirectly affect cognitive function through anxiety and self-rated health. Anxiety and self-rated health have a series of mediating effects between indoor ventilation frequency and cognitive function.
摘要：
Aim To explore and explain the mechanisms that influence surface acting in nursing students with different characteristics.
To explore and explain the mechanisms that influence surface acting in nursing students with different characteristics.
Background Nurses are now expected to deliver patient-centered care which necessitates the emotional labor. Surface acting, a form of emotional labor, can lead to negative outcomes. Given that nursing students are the backbone of the future nursing profession, there is an urgent need to investigate their surface acting tendencies and identify potential factors for early intervention.
Nurses are now expected to deliver patient-centered care which necessitates the emotional labor. Surface acting, a form of emotional labor, can lead to negative outcomes. Given that nursing students are the backbone of the future nursing profession, there is an urgent need to investigate their surface acting tendencies and identify potential factors for early intervention.
Design A cross-sectional study.
A cross-sectional study.
Methods This study was surveyed in a vocational college in Gansu, China. Participants completed the general information questionnaire, Bem Sex Role Inventory, Professional Identity Questionnaire of Nursing Students and Surface Acting Scale. K-means cluster analysis was performed, followed by random forest algorithm and SHapley Additive exPlanations based on Python program.
This study was surveyed in a vocational college in Gansu, China. Participants completed the general information questionnaire, Bem Sex Role Inventory, Professional Identity Questionnaire of Nursing Students and Surface Acting Scale. K-means cluster analysis was performed, followed by random forest algorithm and SHapley Additive exPlanations based on Python program.
Results A total of 1241 nursing students from vocational college were investigated and were clustered into 4 groups. The five dimensions of professional identity had higher feature importance in all four groups, with professional self-image having the highest feature importance in Cluster 3. Professional self-image and understanding retention benefits and turnover risks were negative predictors of surface acting in all four groups. Social comparison and self-reflection, independence of career choice and social modeling regarding nursing profession were positively correlated with surface acting in specific groups. In Cluster 1, there exists a positive correlation between professional self-image and the constructs of social comparison and self-reflection; as well as a negative correlation between maternal education and understanding of retention benefits and turnover risks.
A total of 1241 nursing students from vocational college were investigated and were clustered into 4 groups. The five dimensions of professional identity had higher feature importance in all four groups, with professional self-image having the highest feature importance in Cluster 3. Professional self-image and understanding retention benefits and turnover risks were negative predictors of surface acting in all four groups. Social comparison and self-reflection, independence of career choice and social modeling regarding nursing profession were positively correlated with surface acting in specific groups. In Cluster 1, there exists a positive correlation between professional self-image and the constructs of social comparison and self-reflection; as well as a negative correlation between maternal education and understanding of retention benefits and turnover risks.
Conclusions Professional identity significantly influences surface acting behaviors among nursing students, with professional self-image serving as a key negative predictor. Positive family conditions, access to educational resources, parental literacy, masculine or feminine gender roles and first-year nursing students, these traits have implications when dimensions of professional identity are used to predict surface acting behaviors.
Professional identity significantly influences surface acting behaviors among nursing students, with professional self-image serving as a key negative predictor. Positive family conditions, access to educational resources, parental literacy, masculine or feminine gender roles and first-year nursing students, these traits have implications when dimensions of professional identity are used to predict surface acting behaviors.
期刊：
Asia-Pacific Journal of Oncology Nursing,2025年12:100702 ISSN：2347-5625
通讯作者：
Chen, YY
作者机构：
[Guo, Junchen; Xu, Xianghua; Chen, Yongyi; Hu, Yonghong] Hunan Canc Hosp, Dept Palliat Care, Changsha, Peoples R China.;[Guo, Junchen] Univ Wollongong, Sch Nursing, Wollongong, NSW, Australia.;[Zeng, Linghao] Univ South China, Sch Nursing, Hengyang, Peoples R China.;[Dai, Yunyun] Univ Wollongong, Hlth Serv Res Inst, Wollongong, NSW, Australia.
通讯机构：
[Chen, YY ] H;Hunan Canc Hosp, Dept Palliat Care, Changsha, Peoples R China.
关键词：
Palliative care;Shared-care management;Delphi technique;End of life care
摘要：
Objective Shared-care management (SCM) in palliative care is a collaborative model where shared care teams work in partnership with patients' original health care providers, employing multimodal strategies including consultations and coordinated referrals to enhance quality of care for patients. The evidence regarding its implementation remains fragmented and lacks detailed explanations, which impedes its application in clinical practice. This study aimed to develop a SCM standard of palliative care in adults in mainland regions of China.
Shared-care management (SCM) in palliative care is a collaborative model where shared care teams work in partnership with patients' original health care providers, employing multimodal strategies including consultations and coordinated referrals to enhance quality of care for patients. The evidence regarding its implementation remains fragmented and lacks detailed explanations, which impedes its application in clinical practice. This study aimed to develop a SCM standard of palliative care in adults in mainland regions of China.
Methods Initial standard framework identification was achieved via literature evidence summary. From April to August 2024, two rounds of Delphi method was conducted with the purposes of modifying the standard. To establish consensus, items with a mean importance score > 3.50 and the coefficient of variation of item scores < 0.25 were retained.
Initial standard framework identification was achieved via literature evidence summary. From April to August 2024, two rounds of Delphi method was conducted with the purposes of modifying the standard. To establish consensus, items with a mean importance score > 3.50 and the coefficient of variation of item scores < 0.25 were retained.
Results The first round involved 35 experts, with a follow-up participation of 33 in the second round. The Kendall concordance coefficients of the two rounds of experts consultation were 0.128 and 0.134, respectively (all P < 0.001), indicating consensus among the experts. At the end of the second round, the average importance score of each item was 4.73–5.00. A total of 8 modules including SCM team, applicable population, process of SCM, contents of SCM, start time, precautions, effectiveness evaluation and quality control, and the corresponding 22 items were finally identified in this standard.
The first round involved 35 experts, with a follow-up participation of 33 in the second round. The Kendall concordance coefficients of the two rounds of experts consultation were 0.128 and 0.134, respectively (all P < 0.001), indicating consensus among the experts. At the end of the second round, the average importance score of each item was 4.73–5.00. A total of 8 modules including SCM team, applicable population, process of SCM, contents of SCM, start time, precautions, effectiveness evaluation and quality control, and the corresponding 22 items were finally identified in this standard.
Conclusions The establishment of the standard in this study provides a critical framework that can be adopted by health care institutions to ensure that SCM services are delivered uniformly and effectively in mainland regions of China.
The establishment of the standard in this study provides a critical framework that can be adopted by health care institutions to ensure that SCM services are delivered uniformly and effectively in mainland regions of China.
摘要：
BACKGROUND: Good adherence to pre-exposure prophylaxis (PrEP) is critical for effective HIV prevention. Despite the growing awareness of PrEP, many individuals remain at a preliminary understanding stage and struggle to achieve sustained adherence. mHealth (mobile Health) technology is emerging as one of the promising tools in the HIV prevention cascade. While research on mHealth applications for HIV prevention is rapidly advancing, their effectiveness in promoting robust PrEP adherence and optimizing cascade outcomes remains inconclusive, with fragmented evidence limiting scalable implementation. OBJECTIVE: To evaluate the efficacy of mHealth tools in optimizing the HIV prevention cascade (from risk identification to PrEP adherence) among key populations (including men who have sex with men, bisexual individuals, sex workers, transgender populations and some other groups who at elevated risk of HIV acquisition). METHODS: We searched in PubMed, Cochrane Library, Web of Science, Embase, Ovid and CINAHL (EBSCO) from the inception to February 3, 2025. Our inclusion criteria focused on randomized controlled trials (RCTs). Literature screening and data extraction were performed independently by two authors. Methodological quality was assessed using Cochrane's Risk of Bias in Randomized Controlled Trials tool. The primary outcome was adherence to PrEP and secondary outcomes included PrEP use, HIV testing and number of condomless sex events. Analyses were performed using standardized mean difference (SMD) and 95% confidence interval (CI) for continuous variables and using odds ratios (OR) and 95% CI for categorical variables. Data analysis and forest plotting were carried out using R Statistical Software version 4.4.0. RESULTS: 16 RCT studies met the inclusion criteria. The results of the meta-analysis showed that mHealth interventions significantly promoted PrEP adherence (OR = 1.60, 95% CI [1.09, 2.35], ρ = 0.016) and HIV testing (OR = 1.63, 95% CI [1.39, 1.90], ρ < 0.01). It had also shown some effectiveness in promoting the use of PrEP. However, there were no significant effects on reducing the number of condomless sex events during the entire follow-up period. CONCLUSION: mHealth effectively enhances specific stages of the prevention cascade. However, further optimization of technology design and intervention is needed to address complex difficulties. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=533772, identifier PROSPERO CRD42024533772.
摘要：
Background Anxiety is a common and significant problem in patients who need to undergo colonoscopy. However, the question of which non-pharmacological intervention is the best strategy to reduce anxiety in patients undergoing colonoscopy remains unanswered.
Anxiety is a common and significant problem in patients who need to undergo colonoscopy. However, the question of which non-pharmacological intervention is the best strategy to reduce anxiety in patients undergoing colonoscopy remains unanswered.
Objectives To evaluate and rank the effectiveness of various non-pharmacological interventions for reducing anxiety in patients undergoing colonoscopy in order to identify the most effective strategies.
To evaluate and rank the effectiveness of various non-pharmacological interventions for reducing anxiety in patients undergoing colonoscopy in order to identify the most effective strategies.
Methods We searched PubMed, Cochrane Library, Embase, Web of Science, and Medline for randomized controlled trials published from the database construction to March 2024. The primary outcome was the difference between pre- and post-intervention anxiety means. A network meta-analysis was conducted utilizing the “gemtc” package based on R4.3.0.
We searched PubMed, Cochrane Library, Embase, Web of Science, and Medline for randomized controlled trials published from the database construction to March 2024. The primary outcome was the difference between pre- and post-intervention anxiety means. A network meta-analysis was conducted utilizing the “gemtc” package based on R4.3.0.
Results The analysis encompassed 24 randomized controlled trials, incorporating 2525 participants and evaluating 9 non-pharmacological interventions. All non-pharmacological interventions reduced anxiety in patients undergoing colonoscopy compared to standard care, with music intervention (SMD = -0.52, 95 %CI (−0.84,-0.20)), audiovisual distraction (SMD = -0.54, 95 %CI(−0.96,-0.12)), video information (SMD = -1.47, 95 %CI(−2.03,-0.90)), individual education (SMD = -1.72, 95 %CI(−2.76,-0.70)), and electroacupuncture (SMD = -1.12, 95 %CI(−2.10,-0.13)) having statistically significant effects. SUCRA ranking identified the priority of individual education (SUCRA: 92.5 %) and video information (SUCRA: 87.7 %). Meta-regression and sensitivity analysis further demonstrated the stability of the evidence. The certainty of the evidence was mostly rated as medium to low.
The analysis encompassed 24 randomized controlled trials, incorporating 2525 participants and evaluating 9 non-pharmacological interventions. All non-pharmacological interventions reduced anxiety in patients undergoing colonoscopy compared to standard care, with music intervention (SMD = -0.52, 95 %CI (−0.84,-0.20)), audiovisual distraction (SMD = -0.54, 95 %CI(−0.96,-0.12)), video information (SMD = -1.47, 95 %CI(−2.03,-0.90)), individual education (SMD = -1.72, 95 %CI(−2.76,-0.70)), and electroacupuncture (SMD = -1.12, 95 %CI(−2.10,-0.13)) having statistically significant effects. SUCRA ranking identified the priority of individual education (SUCRA: 92.5 %) and video information (SUCRA: 87.7 %). Meta-regression and sensitivity analysis further demonstrated the stability of the evidence. The certainty of the evidence was mostly rated as medium to low.
Conclusion This review highlights the superior effects of individual education and video information in reducing anxiety in patients undergoing colonoscopy. The findings of our review could provide clinical decision-makers and healthcare practitioners, such as doctors and nurses, with evidence-based practices for selecting interventions to reduce anxiety in patients undergoing colonoscopy.
This review highlights the superior effects of individual education and video information in reducing anxiety in patients undergoing colonoscopy. The findings of our review could provide clinical decision-makers and healthcare practitioners, such as doctors and nurses, with evidence-based practices for selecting interventions to reduce anxiety in patients undergoing colonoscopy.
期刊：
Asia-Pacific Journal of Oncology Nursing,2025年12:100762 ISSN：2347-5625
通讯作者：
Ye, ZJ;Knobf, MT;Li, JY
作者机构：
[Li, Siyu; Zhang, Qihan; Chen, Furong; Deng, Yiguo; Ye, Zengjie] Guangzhou Med Univ, Sch Nursing, Guangzhou, Guangdong, Peoples R China.;[Xiao, Zhirui] Univ South China, Sch Nursing, Hengyang, Hunan, Peoples R China.;[Knobf, M. Tish] Yale Univ, Sch Nursing, Orange, CT 06520 USA.;[Li, Jiaying] Chinese Univ Hong Kong, Fac Med, Nethersole Sch Nursing, Hong Kong, Peoples R China.;[Li, Jiaying] Johns Hopkins Univ, Sch Nursing, Baltimore, MD 21218 USA.
通讯机构：
[Ye, ZJ ] G;[Li, JY ] C;[Knobf, MT ] Y;Guangzhou Med Univ, Sch Nursing, Guangzhou, Guangdong, Peoples R China.;Yale Univ, Sch Nursing, Orange, CT 06520 USA.
关键词：
Cervical cancer;Fear of progression;Johnson–Neyman analysis;Moderated network model;Psychological flexibility;Self-perceived burden
摘要：
Objective Self-perceived burden (SPB) and Fear of progression (FoP) have been reported in people living with cancer and together may increase overall distress. Acceptance and Commitment Theory (ACT) posits that psychological flexibility (PF) may ameliorate the effects of the co-occurrence of these symptoms, yet empirical evidence is scarce. We examined the symptoms associated with SPB and FoP in women with cervical cancer and tested whether PF moderates the association.
Self-perceived burden (SPB) and Fear of progression (FoP) have been reported in people living with cancer and together may increase overall distress. Acceptance and Commitment Theory (ACT) posits that psychological flexibility (PF) may ameliorate the effects of the co-occurrence of these symptoms, yet empirical evidence is scarce. We examined the symptoms associated with SPB and FoP in women with cervical cancer and tested whether PF moderates the association.
Methods In a cross-sectional study, 307 cervical cancer survivors enrolled in the 2024 “Be Resilient to Cervical Cancer” (BRCC) program completed the Personalized Psychological Flexibility Index (PPFI), the Self-Perceived Burden Scale for Cancer Patients (SPBS-CP), and the Fear of Progression Questionnaire-Short Form (FoP-Q-SF). We constructed symptom-level networks to identify the strongest SPB–FoP connections, and explored the moderating role of PF using Johnson–Neyman analyses.
In a cross-sectional study, 307 cervical cancer survivors enrolled in the 2024 “Be Resilient to Cervical Cancer” (BRCC) program completed the Personalized Psychological Flexibility Index (PPFI), the Self-Perceived Burden Scale for Cancer Patients (SPBS-CP), and the Fear of Progression Questionnaire-Short Form (FoP-Q-SF). We constructed symptom-level networks to identify the strongest SPB–FoP connections, and explored the moderating role of PF using Johnson–Neyman analyses.
Results Among the 307 participants, the mean scores for PPFI were 59.13 (standard deviation [SD] = 10.18), for FoP-Q-SF, 31.12 (SD = 4.98), and for SPBS-CP, 48.18 (SD = 17.12) indicating moderate levels of PF, fear of progression and SPB. Network analysis highlighted the “future worries”- “psychological burden” link as the strongest SPB-FoP link ( β = 0.34). Johnson–Neyman probing revealed threshold-dependent moderation by PF. PF attenuated one link at high levels (> 84.95) but amplified three links at moderate levels (> 47.51).
Among the 307 participants, the mean scores for PPFI were 59.13 (standard deviation [SD] = 10.18), for FoP-Q-SF, 31.12 (SD = 4.98), and for SPBS-CP, 48.18 (SD = 17.12) indicating moderate levels of PF, fear of progression and SPB. Network analysis highlighted the “future worries”- “psychological burden” link as the strongest SPB-FoP link ( β = 0.34). Johnson–Neyman probing revealed threshold-dependent moderation by PF. PF attenuated one link at high levels (> 84.95) but amplified three links at moderate levels (> 47.51).
Conclusions PF significantly moderates symptom-level associations between self-perceived burden on fear of progression among cervical cancer survivors. ACT-based interventions may attenuate such association to minimize patients’ psychological distress.
PF significantly moderates symptom-level associations between self-perceived burden on fear of progression among cervical cancer survivors. ACT-based interventions may attenuate such association to minimize patients’ psychological distress.
摘要：
Objective This study examined the heterogeneity of illness perceptions in patients with lung cancer and evaluated the mediating role of self-transcendence in the relation between illness perception and demoralization.
This study examined the heterogeneity of illness perceptions in patients with lung cancer and evaluated the mediating role of self-transcendence in the relation between illness perception and demoralization.
Methods A convenience sample of 477 patients with lung cancer was selected from three tertiary hospitals in Wuhan, China, between January and June 2024. Participants completed the Brief Illness Perception Questionnaire, Self-Transcendence Scale, and Demoralization Scale. Data were analyzed using Mplus 8.3 and SPSS 25.0.
A convenience sample of 477 patients with lung cancer was selected from three tertiary hospitals in Wuhan, China, between January and June 2024. Participants completed the Brief Illness Perception Questionnaire, Self-Transcendence Scale, and Demoralization Scale. Data were analyzed using Mplus 8.3 and SPSS 25.0.
Results Three latent illness perception profiles were identified among patients with lung cancer: low (27.25%), moderate (40.04%), and high (32.71%). Mediation analyses revealed a partial mediation effect in the relation between illness perception and demoralization in the low versus moderate (SE = 1.56, 95% CI = 14.71, 20.86) and high versus low illness perception groups (SE = 1.71, 95% CI = 35.44, 42.71).
Three latent illness perception profiles were identified among patients with lung cancer: low (27.25%), moderate (40.04%), and high (32.71%). Mediation analyses revealed a partial mediation effect in the relation between illness perception and demoralization in the low versus moderate (SE = 1.56, 95% CI = 14.71, 20.86) and high versus low illness perception groups (SE = 1.71, 95% CI = 35.44, 42.71).
Conclusions Patients with lung cancer exhibited heterogeneous illness perceptions, and self-transcendence partially mediated the relation between illness perception and demoralization. Promoting self-transcendence may help mitigate the negative impact of illness perceptions on demoralization. Clinical interventions aimed at reducing negative illness perceptions and enhancing self-transcendence should be prioritized in the care of patients with lung cancer.
Patients with lung cancer exhibited heterogeneous illness perceptions, and self-transcendence partially mediated the relation between illness perception and demoralization. Promoting self-transcendence may help mitigate the negative impact of illness perceptions on demoralization. Clinical interventions aimed at reducing negative illness perceptions and enhancing self-transcendence should be prioritized in the care of patients with lung cancer.
摘要：
Purpose The study aimed to identify the profiles of psychological flexibility in patients with cervical cancer and how self-perceived burden networked to different psychological flexibility profiles.
The study aimed to identify the profiles of psychological flexibility in patients with cervical cancer and how self-perceived burden networked to different psychological flexibility profiles.
Methods The Personalized Psychological Flexibility Index and the Self-Perceived Burden for Cancer Patients were used to measure psychological flexibility and self-perceived burden in patients from the “Be Resilient to Cancer” project. Latent profile analysis was used to identify profiles and computer-simulated network analysis was conducted to determine if self-perceived burden networked to any of the psychological flexibility profiles.
The Personalized Psychological Flexibility Index and the Self-Perceived Burden for Cancer Patients were used to measure psychological flexibility and self-perceived burden in patients from the “Be Resilient to Cancer” project. Latent profile analysis was used to identify profiles and computer-simulated network analysis was conducted to determine if self-perceived burden networked to any of the psychological flexibility profiles.
Results A total of 325 patients with cervical cancer were recruited in this study. Mean age was 42.26 years, the majority were married (71%) and 75.4% had early stage disease (I or II). Three profiles of psychological flexibility were identified: moderate avoidance-low acceptance/harnessing (34.8%), high avoidance-moderate acceptance/harnessing (36.9%), low avoidance and high acceptance/harnessing (28.3%). Furthermore, “worrying about damaging family relationships” and “feeling guilty about affecting family's life plans” were the most bridge symptoms as well as the targeted intervention symptoms for alleviating and aggravating the self-perceived burden respectively.
A total of 325 patients with cervical cancer were recruited in this study. Mean age was 42.26 years, the majority were married (71%) and 75.4% had early stage disease (I or II). Three profiles of psychological flexibility were identified: moderate avoidance-low acceptance/harnessing (34.8%), high avoidance-moderate acceptance/harnessing (36.9%), low avoidance and high acceptance/harnessing (28.3%). Furthermore, “worrying about damaging family relationships” and “feeling guilty about affecting family's life plans” were the most bridge symptoms as well as the targeted intervention symptoms for alleviating and aggravating the self-perceived burden respectively.
Conclusion Three patterns of psychological flexibility were recognized with two symptoms might be targeted to improve the self-perceived burden in women with cervical cancer.
Three patterns of psychological flexibility were recognized with two symptoms might be targeted to improve the self-perceived burden in women with cervical cancer.
期刊：
FRONTIERS IN PSYCHOLOGY,2025年16:1478849 ISSN：1664-1078
通讯作者：
Qi, SY
作者机构：
[Na, Ou; Hu, Jimei; Hu, Minmin] Univ South China, Affiliated Nanhua Hosp, Dept Oncol, Hengyang, Hunan, Peoples R China.;[Na, Ou] St Paul Univ Manila, Coll Nursing & Allied Hlth Sci, Malate Manila, Philippines.;[Qi, Sanyang] Fourth Peoples Hosp Shenzhen, Dept Psychol, Shenzhen, Guangdong, Peoples R China.;[Li, Pengxin] Univ South China, Coll Nursing, Hengyang, Hunan, Peoples R China.
通讯机构：
[Qi, SY ] F;Fourth Peoples Hosp Shenzhen, Dept Psychol, Shenzhen, Guangdong, Peoples R China.
关键词：
career calling;incivility;learning burnout;nursing interns;self-efficacy
摘要：
INTRODUCTION: Incivility in clinical nursing education (ICNE) is a pervasive issue globally, adversely affecting nursing interns' psychological well-being and professional development. However, the mediating mechanisms linking ICNE to learning burnout remain underexplored, particularly in non-Western contexts. This study investigates the impact of incivility in clinical nursing education on learning burnout among Chinese nursing interns and examines the mediating roles of career calling and self-efficacy. METHODS: Using a sample of 250 nursing interns from a tertiary hospital in Hunan Province, China, data were collected through validated questionnaires. Statistical analyses, including regression and structural equation modeling, were conducted to explore relationships among variables. RESULTS: Incivility significantly increased learning burnout levels (β = 0.784, p < 0.001), explaining 78.6% of the variance. Career calling and self-efficacy were found to mediate this relationship, accounting for 27.3 and 20.6% of the indirect effects, respectively. The total indirect effect was 47.9%, while the direct effect was 52.1%. CONCLUSION: Incivility in clinical nursing education significantly contributes to learning burnout. Career calling and self-efficacy partially mediate this effect, suggesting that enhancing these factors may mitigate the negative impact of incivility. These findings highlight the importance of improving the educational environment and providing personalized support to nursing interns.
摘要：
AIMS: To explore risk factors for Coronary Heart Disease (CHD) in secondary prevention for patients with the disease in China. DESIGN: Cross-sectional study. METHODS: A two-stage sampling method was used (stratified sampling and systematic sampling). Patients who met WHO diagnostic criteria for CHD, had the capacity to give informed consent and volunteered to participate were recruited from five districts in Hengyang city, Hunan province, China. Six instruments were used: A general socio-demographic questionnaire, Coronary Heart Disease Self-Management Scale, International Physical Activity Questionnaires, Chinese Eight-Item Morisky Medication Adherence Scale, Zung's Self-Rating Anxiety Scale and Sexual Health Questionnaires. Participants completed the questionnaires in person or via telephone. Single-factor correlation analysis, Pearson correlation analysis and multiple linear regression analysis were carried out. RESULTS: A total of 373 patients were recruited with a mean age of 66.25 years (standard deviation = 9.98). The mean score was 57.00 (14.23) for self-management, 5.41 (1.82) for medication adherence, 53.61 (9.26) for anxiety, 8.66 (3.18) for sexual knowledge and 22.20 (9.68) for the need for sexual health education. The median was 1563.90 MET-min/day for total energy consumption of physical activity. Self-management, physical activity, medication adherence, anxiety and sexual health were significantly correlated with a range of demographic variables (age, gender, marital status, occupation, education levels, types of medical insurance, personal monthly income, living arrangements) and illness-related variables (illness duration, number of hospital admissions, type of therapy, number of other chronic diseases, cardiac function grading and BMI). CONCLUSION: This research has showed the risk factors related to self-management skills, medication adherence, anxiety, physical activity, sexual knowledge and the need for sexual health education in secondary prevention for patients with CHD. Health professionals play an important role in helping patients reduce risk factors for CHD to minimise its reoccurrence and mortality. RELEVANCE TO CLINICAL PRACTICE: Both hospital-based and community-based health professionals, especially nurses, have an important role to play in developing and implementing health promotion interventions to help patients with CHD reduce risk factors for the disease and thus reduce mortality. PATIENT OR PUBLIC CONTRIBUTION: No patient contribution. Community nursing staff contributed to the design of the general socio-demographic questionnaire for this study. REPORTING METHOD: The STROBE checklist was used to ensure comprehensive reporting (Appendix S1).
作者机构：
[Peng, Tong; Huang, Li-Li; Yue, Qian-Qian; Feng, Ge-Hui; Tang, Tian; Zeng, Ying; Meng, Xin-Ru; Zhao, Ke-Hao; Huang, Hui-Lin; Sun, Ying-Xue] Univ South China, Sch Nursing, Hengyang Med Sch, Dept Int & Humanist Nursing,Hunan Sci Popularizat, Hengyang, Hunan, Peoples R China.;[Zeng, Ying] Univ South China, Hengyang Sch Med, Canc Res Inst, Hunan Prov Key Lab Tumor Cellular & Mol Pathol, Hengyang, Peoples R China.
通讯机构：
[Zeng, Y ] U;Univ South China, Sch Nursing, Hengyang Med Sch, Dept Int & Humanist Nursing,Hunan Sci Popularizat, Hengyang, Hunan, Peoples R China.;Univ South China, Hengyang Sch Med, Canc Res Inst, Hunan Prov Key Lab Tumor Cellular & Mol Pathol, Hengyang, Peoples R China.
关键词：
Colonoscopy;Anxiety;Influencing factors;Mental health
摘要：
Background Anxiety in patients undergoing colonoscopy may also result in adverse effects, including altered vital signs such as elevated heart rate and blood pressure, exacerbation of symptoms like bloating and gastrointestinal discomfort, a decline in cooperation and satisfaction, and even colonoscopy failure. However, limited studies have explored the level of anxiety, factors that influence it, and its specific causes. Methods A cross-sectional study was conducted, recruiting 825 patients undergoing colonoscopy in Hunan Province between January and July 2023 using stratified sampling. The Spielberger State-Trait Anxiety Inventory (STAI), a self-designed demographic characteristics questionnaire, and a colonoscopy patient anxiety influencing factor questionnaire were used. The data were analyzed in SPSS (version 26) using Mann-Whitney U, Kruskal-Wallis, and multiple regression analysis tests. Results The final study included 825 participants, of whom 19.8% exhibited mild anxiety, 37.0% exhibited moderate anxiety, and 43.2% exhibited severe anxiety. The results indicated that insomnia (beta=-0.080, p = 0.013), no comorbidities (beta=-0.147, p < 0.001), not smoking or drinking (beta=-0.158, p < 0.001), and poor health (moderate: beta=-0.183, p < 0.001; poor: beta=-0.164, p < 0.001) were negatively associated with anxiety levels. In contrast, marital status (beta = 0.177, p < 0.001), education level (beta = 0.204, p < 0.001), age (beta = 0.114, p = 0.007), medical insurance (Basic Medical Insurance for Urban Residents beta = 0.204, p < 0.001; Commercial medical insurance: beta = 0.112, p < 0.001), care provided by relatives (beta = 0.102, p = 0.002), diarrhoea (beta = 0.089, p = 0.005), occupation (farmers: beta = 0.099, p = 0.009; self-employed: beta = 0.082, p = 0.014), and paternal upbringing (beta = 0.067, p = 0.034) were positively correlated with anxiety. Several factors had a greater impact on the anxiety level of the patients: education level (beta = 0.204), health status (moderate: beta=-0.183; not good: beta=-0.164), and marital status (beta = 0.177). It probably because higher education levels may increase awareness of potential risks associated with colonoscopy, contributing to greater anxiety. The five common reasons for anxiety included the presence of bloody faeces, enemas, need for further treatment, lack of timely feedback from the physician, lack of an accurate diagnosis. Conclusion The level of anxiety experienced by patients during the colonoscopy phase was more severe and should be alleviated with targeted interventions based on the cause of anxiety, such as pre-procedural counseling, patient education materials, and enhanced communication with healthcare providers.
期刊：
Asia-Pacific Journal of Oncology Nursing,2025年12:100763 ISSN：2347-5625
通讯作者：
Ye, ZJ;Knobf, MT
作者机构：
[Li, Siyu; Zhang, Qihan; Chen, Furong; Deng, Yiguo; Ye, Zengjie] Guangzhou Med Univ, Sch Nursing, Guangzhou, Guangdong, Peoples R China.;[Xiao, Zhirui] Univ South China, Sch Nursing, Hengyang, Hunan, Peoples R China.;[Knobf, M. Tish] Yale Univ, Sch Nursing, Orange, CT 06520 USA.
通讯机构：
[Ye, ZJ ] G;[Knobf, MT ] Y;Guangzhou Med Univ, Sch Nursing, Guangzhou, Guangdong, Peoples R China.;Yale Univ, Sch Nursing, Orange, CT 06520 USA.
关键词：
Breast cancer;Fear of cancer recurrence;Pain catastrophizing;Network analysis
摘要：
Objective This study aimed to identify core symptom nodes and examine directional relationships within the networks of fear of cancer recurrence (FCR) and pain catastrophizing (PC), and to investigate high-impact targets for intervention.
This study aimed to identify core symptom nodes and examine directional relationships within the networks of fear of cancer recurrence (FCR) and pain catastrophizing (PC), and to investigate high-impact targets for intervention.
Methods From September to November 2024, a total of 346 eligible patients with breast cancer were enrolled from a multi-center trial named as Be Resilient to Breast Cancer (BRBC). The Fear of Cancer Recurrence Inventory and the Pain Catastrophizing Scale was used to collect data. A Gaussian network analysis was performed to identify the key components for FCR, PC and the connections between them. Bayesian networks were used to identify pathways of symptom activation at the symptom-level network architecture, and computer-simulated interventions were used to identify specific intervention targets.
From September to November 2024, a total of 346 eligible patients with breast cancer were enrolled from a multi-center trial named as Be Resilient to Breast Cancer (BRBC). The Fear of Cancer Recurrence Inventory and the Pain Catastrophizing Scale was used to collect data. A Gaussian network analysis was performed to identify the key components for FCR, PC and the connections between them. Bayesian networks were used to identify pathways of symptom activation at the symptom-level network architecture, and computer-simulated interventions were used to identify specific intervention targets.
Results In the analysis of separate networks, “Severity” emerged as the primary component of FCR, exhibiting the highest centrality metrics. For the PC, “Terrible” was identified as the central symptom, with notable centrality values. The dimension “Assurance” and the item “Awful” served as critical bridging elements, facilitating the interaction between FCR and PC when they co-occur. Bayesian network analysis identified 36 directed edges, with “Insight” in FCR and “Anxious” in PC acting as parent nodes, indicating their influential roles in the network structure. Computer-simulated interventions demonstrated that amplifying the “Terrible” node in PC maximized the total score and network connectivity. Conversely, attenuating the “Triggers” node in FCR minimized the total score.
In the analysis of separate networks, “Severity” emerged as the primary component of FCR, exhibiting the highest centrality metrics. For the PC, “Terrible” was identified as the central symptom, with notable centrality values. The dimension “Assurance” and the item “Awful” served as critical bridging elements, facilitating the interaction between FCR and PC when they co-occur. Bayesian network analysis identified 36 directed edges, with “Insight” in FCR and “Anxious” in PC acting as parent nodes, indicating their influential roles in the network structure. Computer-simulated interventions demonstrated that amplifying the “Terrible” node in PC maximized the total score and network connectivity. Conversely, attenuating the “Triggers” node in FCR minimized the total score.
Conclusions This study demonstrates that FCR and PC exhibit distinct network structures, which have their own specific core symptoms and corresponding core bridging nodes when the two coexist. This may serve as primary targets for personalized interventions for patients with breast cancer.
This study demonstrates that FCR and PC exhibit distinct network structures, which have their own specific core symptoms and corresponding core bridging nodes when the two coexist. This may serve as primary targets for personalized interventions for patients with breast cancer.
通讯机构：
[Yin, XH ] U;Univ South China, Sch Nursing, Hengyang, Hunan, Peoples R China.
关键词：
Prehabilitation;Frailty;Aged;Meta-analysis
摘要：
Objective The study investigates the impact of preoperative rehabilitation on the surgical prognosis of frail older patients.
The study investigates the impact of preoperative rehabilitation on the surgical prognosis of frail older patients.
Method The effect sizes of all studies retrieved and included by the nine databases were analyzed and expressed as RR and WMD.
The effect sizes of all studies retrieved and included by the nine databases were analyzed and expressed as RR and WMD.
Results 8 studies with 902 participants met the criteria for inclusion. A significant reduction in total complications (RR = 0.84, 95 % CI = 0.73 to 0.97, P = 0.021) and the 6MWT after surgery (WMD = 74.76, 95 % CI = 44.75 to 104.77, P = 0.000) was observed in the prehabilitation group. But it had no differences in mortality(RR = 1.89, 95 % CI = 0.75 to 4.72, P = 0.176), readmission rates(RR = 1.04, 95 % CI = 0.56 to 1.91, P = 0.906) and LOS(WMD = -0.24, 95 % CI = -1.00 to 0.52, P = 0.540).
8 studies with 902 participants met the criteria for inclusion. A significant reduction in total complications (RR = 0.84, 95 % CI = 0.73 to 0.97, P = 0.021) and the 6MWT after surgery (WMD = 74.76, 95 % CI = 44.75 to 104.77, P = 0.000) was observed in the prehabilitation group. But it had no differences in mortality(RR = 1.89, 95 % CI = 0.75 to 4.72, P = 0.176), readmission rates(RR = 1.04, 95 % CI = 0.56 to 1.91, P = 0.906) and LOS(WMD = -0.24, 95 % CI = -1.00 to 0.52, P = 0.540).
Conclusions Prehabilitation had positive effect on postoperative complications and functional recovery in frail older patients.
Prehabilitation had positive effect on postoperative complications and functional recovery in frail older patients.
期刊：
Western Journal of Nursing Research,2024年46(2):68-80 ISSN：0193-9459
通讯作者：
Ouyang, Xinping;He, PP
作者机构：
[Li, Junyi; Wen, Min; Chen, Yeshi; Wen, Xiaohui; He, Pingping] Univ South China, Sch Nursing, Hengyang Med Sch, Hengyang, Peoples R China.;[Wen, Min] Yueyang Vocat Tech Coll, Sch Nursing, Yueyang, Peoples R China.;[Yu, Juping] Univ South Wales, Fac Life Sci & Educ, Pontypridd, Wales.;[He, Pingping; Ouyang, Xinping] Hunan Normal Univ, Med Coll, Changsha, Peoples R China.;[Ouyang, Xinping; He, Pingping] Hunan Normal Univ, Med Coll, Changsha 410013, Hunan, Peoples R China.
通讯机构：
[Ouyang, XP; He, PP ] H;Hunan Normal Univ, Med Coll, Changsha 410013, Hunan, Peoples R China.
关键词：
fatigue;self-management;quality of life;coronary heart disease
摘要：
<jats:sec><jats:title>Objective:</jats:title><jats:p> This research aimed to determine how a 12-week PRECEDE-PROCEED model-based intervention affected fatigue in patients with coronary heart disease. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> This cluster randomized controlled trial recruited participants diagnosed with coronary heart disease at 2 community health centers in China. Participants in the control group (n = 36) received routine health education, whereas those in the intervention group (n = 38) were given a 12-week PRECEDE-PROCEED model-based intervention and routine health education. The intervention consisted of 6 training sessions on coronary heart disease, fatigue, fatigue management, self-management skills and social support. A primary outcome (fatigue) and 4 secondary outcomes (knowledge of fatigue, self-management, quality of life and body mass index) were assessed using the Fatigue Scale-14, Fatigue Cognitive Questionnaire for Patients with Coronary Heart Disease, Coronary Artery Disease Self-Management Scale, Chinese Cardiovascular Questionnaire of Quality of Life, and electronic weighing scale, respectively. Data were collected 3 times over 12 weeks. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> Compared with the control group, the intervention group showed a statistically significant improvement in the level of fatigue (8.72 vs 7.06, P < .001), knowledge of fatigue ( P < .001), self-management skills ( P < .001), and quality of life ( P < .001). However, there was no significant difference in body mass index between the 2 groups ( P = .504). </jats:p></jats:sec><jats:sec><jats:title>Conclusions:</jats:title><jats:p> The findings suggest that a well-designed intervention based on the PRECEDE-PROCEED model could alleviate fatigue symptoms and increase knowledge of fatigue, self-management skills and quality of life in patients with coronary heart disease. </jats:p></jats:sec>
摘要：
BACKGROUND: Depressive symptoms in older adults have been a major public health problem. Although many studies have suggested a potential relationship between Internet use and depressive symptoms, the underlying mechanisms of this relationship among older adults remain unclear. This study aimed to explore the multiple mediating effects of physical exercise and self-rated health on the relationship between Internet use and depressive symptoms in older adults. METHODS: Utilizing the 2020 data from the China Family Panel Studies (CFPS), we assessed the depressive status among the older population through the application of the Ambulatory Self-Rating Depression Scale. To validate the associations, we conducted a Pearson correlation analysis. Furthermore, we constructed a mediating effect model, which aimed to delve into the intricate pathways mediating the influence of Internet usage on depressive symptoms in the older adults. Additionally, we employed a latent class analysis to uncover the intricate heterogeneity of depression among older individuals who do not utilize the Internet, offering insights into the diverse manifestations of this condition. RESULTS: After controlling for age, sex, marital status, chronic disease, and education level, regression results showed that the use of the Internet had a significant direct effect on depressive symptoms in the older adults (β = -0.684, t = -4.318, p < 0.001). Physical exercise and self-rated health significantly affected depressive symptoms in the older adults (β = -0.176, t = -7.939, p < 0.001; β = -0.937, t = -18.681, p < 0.001). Mediating results showed that the mediating effect of physical exercise between Internet use and depressive symptoms in the older adults was -0.220 (95%CI: -0.2877--0.1598), and the mediating effect of self-rated health between Internet use and depressive symptoms in the older adults was -0.084 (95%CI: -0.1716--0.0008), and the chain mediation effect was -0.022 (95%CI: -0.0371--0.0076). The potential profile analysis of depressive symptoms in the older adults without using the Internet showed that they could be divided into three groups, namely, high loneliness-high depression group (7.4%), medium loneliness-moderate depression group (14.7%), and low loneliness-low depression group (77.9%). CONCLUSION: Internet use can directly affect the depressive symptoms of the older adults, and can also indirectly affect the depressive symptoms of the older adults through physical exercise and self-rated health. The depressive symptoms of the older adults who do not use the Internet are heterogeneous and can be divided into three categories. With the popularization of the Internet, the use of the Internet should be promoted for the older adults, and the frequency of physical exercise should be enhanced to achieve physical and mental health.
期刊：
Public Health Nursing,2024年41(3):476-486 ISSN：0737-1209
通讯作者：
Zeng, Y
作者机构：
[Peng, Tong; Huang, Li-li; Yue, Qian-qian; Feng, Ge-hui; Tang, Tian; Zeng, Ying; Meng, Xin-ru; Zhao, Ke-hao; Sun, Ying-xue] Univ South China, Sch Nursing, Hengyang Med Sch, Dept Int & Human Nursing Hunan Sci Popularizat Edu, Hengyang, Peoples R China.;[Zeng, Ying; Zeng, Xi] Univ South China, Canc Res Inst, Hunan Prov Key Lab Tumor Cellular & Mol Pathol, Hengyang, Peoples R China.;[Zeng, Ying; Zeng, Xi] Univ South China, Hengyang Med Sch, Hengyang, Peoples R China.;[Zeng, Ying] Univ South China, Sch Nursing, Dept Int & Humanist Nursing, Hengyang, Peoples R China.;[Zeng, Ying] Canc Res Inst Univ South China, Key Lab Tumor Cellular & Mol Pathol, Hengyang, Peoples R China.
通讯机构：
[Zeng, Y ] U;Univ South China, Hengyang Med Sch, Hengyang, Peoples R China.;Univ South China, Sch Nursing, Dept Int & Humanist Nursing, Hengyang, Peoples R China.;Canc Res Inst Univ South China, Key Lab Tumor Cellular & Mol Pathol, Hengyang, Peoples R China.
摘要：
BACKGROUND: Hepatocellular carcinoma (HCC) is the sixth most common cancer worldwide and the third leading cause of cancer mortality. HCC has high morbidity, high mortality, and low survival rates. Screening is one of the most significant methods of lowering incidence and death while also increasing survival. OBJECTIVES: The aim of this study was to identify the facilitators and barriers to participation in HCC screening among high-risk populations. METHODS: A comprehensive and systematic search was undertaken in PubMed, Web of Science, MEDLINE, EMBACE, EBSCOhost and the Cochrane Library. A combination of synonyms of the keywords including HCC, screening, factors and adherence were used for searching. Studies addressing the facilitators and barriers to HCC screening compliance in at-risk individuals were included. Data were synthesized using Review Manager version 5.4. A random/fixed effects model meta-analysis was performed to estimate the pooled data and expressed with odds ratio (OR) and 95% confidence interval (CI). RESULTS: A total of seven articles met the inclusion criteria. Qualitative (n=1) and quantitative (n=6) studies using various types of surgery were conducted. The most commonly mentioned barriers were insufficient knowledge and awareness of HCC screening, unawareness of the necessity for early detection of HCC and lack of physician recommendation. A meta-analysis of seven studies showed that individuals with a family history of HCC increased screening uptake by nearly three times (OR: 2.69, 95% CI: 1.93, 3.75). Other most frequently reported facilitators include age, education level, and perceived risk etal. CONCLUSIONS: Many barriers to HCC screening were found. Meanwhile, this review points out that improving the awareness of high-risk populations toward HCC screening is expected to enhance compliance, thereby promoting early diagnosis of liver cancer, reducing mortality, and alleviating the burden of HCC.
作者机构：
[Guo, Junchen; Xu, Xianghua; Chen, Yongyi; Wang, Ying; Liu, Chaoyi] Hunan Canc Hosp, Dept Palliat care, 283 Tongzipo Rd, Changsha 410006, Hunan, Peoples R China.;[Guo, Junchen] Univ South China, Sch Nursing, 28 Changsheng West Rd, Hengyang 421001, Hunan, Peoples R China.
通讯机构：
[Chen, YY ] H;Hunan Canc Hosp, Dept Palliat care, 283 Tongzipo Rd, Changsha 410006, Hunan, Peoples R China.
关键词：
Telemedicine;End of life;Family caregiver;Qualitative study
摘要：
Despite being driven by a strong sense of duty and familial obligation, providing care for patients nearing the end of life poses challenges for family caregivers. Telemedicine has rapidly gained traction as a transformative approach to healthcare delivery, offering an array of benefits that could be particularly valuable in end-of-life care. However, research on the perspectives of telemedicine-based services among family caregivers of patients with end-of-life cancer is limited. Therefore, this study aims to explore the perspectives and preferences of telemedicine-based services among family caregivers of patients with end-of-life cancer and provide a framework for developing and executing a tailored telemedicine-based end-of-life care program that addresses the unique needs of family caregivers in mainland China. A descriptive phenomenological approach was used. Family caregivers were selected using purposive sampling at a tertiary cancer hospital. One-on-one semi-structured interviews were conducted with the participants from November to December 2022. Colaizz’s method was used to analyze the interviews. Fourteen participants participated in interviews. Three themes and ten subthemes were identified: motivation to receive telemedicine services (relief from the burden of home care; access to professional health care services), supportive care needs for telemedicine services (support for symptom management; negative emotional adjustment; death education; daily life care guidance), and functional expectations of telemedicine service platforms (ease of use; real-time online guidance and response; personalized automatic reminder; targeted matching push of health knowledge). Family caregivers expressed interest in telemedicine-based services and identified various care needs before receiving telemedicine services. The findings of this study can help policymakers and healthcare providers develop more effective and culturally appropriate telemedicine-based service programs that can better support family caregivers of end-of-life cancer patients.
关键词：
cancer;experiential avoidance;fear of cancer recurrence;generalized estimating equations;longitudinal study;newly diagnosed cancer patients;oncology;psycho-oncology
摘要：
<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>The fear of cancer recurrence (FCR) is an ongoing and common psychological problem faced by cancer patients. The objective of this study was to explore the variation trend of FCR and its influencing factors in Chinese newly diagnosed cancer patients from admission to 2months after discharge. Demographic and tumor characteristics, as well as experiential avoidance (EA), were used as predictors.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>A longitudinal design and a consecutive sampling method were used to select 266 newly diagnosed cancer patients admitted to a tertiary cancer hospital in China from July to December 2022. Measurements of FCR and EA were obtained at admission (T1), 1month after discharge (T2), and 2months post‐discharge (T3). Generalized estimating equations were used to identify factors associated with FCR for longitudinal data analysis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 266 participants completed the follow‐up. Both FCR and EA scores of patients with newly diagnosed cancer showed a significant trend of first increasing and then decreasing at baseline and follow‐up (<jats:italic>p</jats:italic><0.001). The junior secondary and less education level, rural residence, advanced tumor and high EA level were risk factors for higher FCR.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Our findings suggest that the FCR levels of most newly diagnosed cancer patients in China are different at the three time points and affected by different factors, with the highest level at 1month after discharge. These results have significant implications for future identifying populations in need of targeted intervention based on their FCR trajectories.</jats:p></jats:sec>
