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Effect of health locus of control on the quality of life among hemodialysis patients
Mahdi MOSHKI, Jahanshir TAVAKOLIZADEH, Mohammad Vahedian SHAHROODI, Mahmoud NABIANSANI, Atefeh DEHNOALIAN
Journal of Integrative Nursing    2021, 3 (1): 5-11.   doi: 10.4103/jin.jin_56_20
Abstract84)      PDF(pc) (668KB)(89)      

Objective: The purpose of this study was to determine the effect of health locus of control on the quality of life on hemodialysis patients.

Materials and Methods: This study is a randomized controlled trial. Participants were 78 dialysis patients among 17–70 years old including 39 cases in the training program and 39 cases in control groups. Kidney disease quality of life-short form and the health locus of control scale-form A were used. Questionnaires were completed before and 8 weeks after the intervention by two groups.

Results: The results of the paired t-test showed that the mean scores of physical component summary, mental component summary, and components of renal disease in the test group increased significantly after the intervention. There was also a significant difference between the test and control groups only about powerful others.

Conclusion: The education based on health locus of control can have a positive effect on the life quality of hemodialysis patients.

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Correlation between psychological factors and the expression of galanin and 5‑hydroxytryptamine in different subtypes of gastroesophageal reflux disease
Yuan YUAN, Hui-Wen XU, Song ZHANG, En TAKASHI, Kitayama AKIO, Jing‑Yan LIANG
Journal of Integrative Nursing    2021, 3 (1): 36-41.   doi: 10.4103/jin.jin_57_20
Abstract74)      PDF(pc) (829KB)(71)      
 Objective: The aim of this study is to analyze the differences in galanin (GAL) and 5-hydroxytryptamine (5-HT) levels in patients with different subtypes of gastroesophageal reflux disease (GERD) and its correlation with anxiety and depression in patients.
Methods: Using the reflux disease questionnaire, 238 patients with GERD were selected as the study group. According to the endoscopic performance, they were divided into the nonerosive reflux disease (NERD) group (114 patients) and the RE group (124 patients). Sixty healthy people were selected as the control group. All research subjects were tested using the self-rating anxiety scale (SAS) and the self?rating depression scale (SDS) to assess the severity of anxiety and depression. The levels of 5-HT and GAL were analyzed using enzyme?linked immunosorbent assay.
Results: Compared with the control group, 5-HT level in GERD patients without anxiety and depression was higher (t = 1.97, P < 0.05) and GAL level was lower (t = 1.97, P < 0.05). NERD patients demonstrated more server anxiety (F = 55.92, P < 0.05) and depression problems (F = 36.51, P < 0.05) compared to reflux esophagitis (RE) patients. The 5-HT level was lower (F = 54.53, P < 0.05) and the GAL level was higher (F = 8.00, P < 0.05) in NERD patients compared with the control group. Furthermore, 5-HT level was negatively correlated with SAS (r = 0.789, P < 0.05) and SDS (r =  0.787, P < 0.05) scores; GAL level was positively correlated with SAS (r = 0.688, P < 0.05) and SDS (r = 0.705, P < 0.05) scores; 5-HT and GAL level were negatively correlated (r=  0.744, P < 0.05).
Conclusions: 5-HT level is higher and GAL level was lower in GERD patients without anxiety and depression than healthy people; the ymptoms of anxiety and depression of NERD patients are more severe compared to those of RE patients; the severity of anxiety and depression was negatively correlated with the level of 5-HT and positively with GAL level.
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Mediating effect of undergraduate nursing students’ professional commitment on positive psychological capital and learning burnout
Huanze LI, Hongfang CHEN, Miaoqing ZHUANG, Yue LIU, Jiayi WANG, Luyu ZHANG
Journal of Integrative Nursing    2021, 3 (1): 25-29.   doi: 10.4103/jin.jin_01_20
Abstract71)      PDF(pc) (726KB)(88)      
Objective: The objective of this study is to explore the mediating role of professional commitment of undergraduate nursing students between positive psychological capital (PsyCap) and learning burnout.
Materials and Methods: A cluster sampling method was used to survey 442 students of a bachelor’s degree in freshman to the junior
in a medical college in Shaanxi Province.
Results: Professional commitment was positively related to positive PsyCap (= 0.487, P < 0.01), while positive PsyCap and professional commitment were negatively related to learning burnout (r = 0.456, r = 0.411, P all < 0.01). There are certain mediating effects of professional commitment in the relationship between positive PsyCap and learning burnout. The mediating effect value of professional commitment is - 0.065, accounting for 16.08% of the total effect.
Conclusion: Nursing educators in medical colleges and universities should focus on developing and training the positive PsyCap of undergraduate nursing students, thereby enhancing and stabilizing their professional commitment level and reducing the risk of learning burnout.
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Application of empowerment education in health education for cancer patients
Yan PENG, Lin HAN, Fang‑Fang AN, Li LI, Yue‑Li HOU
Journal of Integrative Nursing    2021, 3 (1): 46-50.   doi: 10.4103/jin.jin_58_20
Abstract70)      PDF(pc) (519KB)(79)      
Empowerment education aims to stimulate the intrinsic motivation of patients and make them pay more attention to their own health so as to control the disease. This paper expounds the concept, theoretical framework, implementer, object, implementation steps, forms, and evaluation methods of empowerment education for cancer patients, in order to provide practical guidance for clinical workers.
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Teaching traditional Chinese medicine classics to clinical nurses: Taking Treatise on Cold Damage for example
Ling TANG, Jing LIU, Jing‑Jin XU, Xue‑Ling MA
Journal of Integrative Nursing    2021, 3 (1): 1-4.   doi: 10.4103/jin.jin_04_20
Abstract67)      PDF(pc) (464KB)(69)      
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Analysis of the necessity of implementing the “dual specialty” training model from the perspective of nursing master students
Miao‑Qing ZHUANG, Hong‑Fang CHEN, Huan‑Ze LI
Journal of Integrative Nursing    2021, 3 (1): 30-35.   doi: 10.4103/jin.jin_60_20
Abstract66)      PDF(pc) (531KB)(53)      

Objective: The objective is to understand the current situation of clinical practice training for nursing master’s degree postgraduates, and discuss the necessity of implementing the “dual specialty” training mode for nursing master’s degree postgraduates in China.

Methods: Phenomenological research method was used to conduct semi-structured in-depth interviews with 10 nursing master’s degree graduates, and the data were analyzed by Colaizzi 7-step analysis method.

Results: Four topics were extracted: The objective of clinical practice training for nursing master degree postgraduates was not specific; the cultivation direction is not refined; the ability of clinical practice is weak; the research direction is not consistent with the required position.

Conclusion: Implementing special double training mode can solve nursing professional master degree postgraduate education lacking the ability to service the needs of society, graduate students and the existing problems of specialist nurse training and the cultivation of “heavy science, light clinical practice” status quo and the effective way of guiding graduate students career planning, so the implementation of special “double” training mode is necessary.

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The impacts of resilience on the association between illness uncertainty and sleep quality among patients with type 2 diabetes mellitus
Xin‑Ge WANG, Yu‑Qiong WEN, Hui‑Bing KUANG, Li‑Xia LIN, Hong CUI
Journal of Integrative Nursing    2021, 3 (1): 12-18.   doi: 10.4103/jin.jin_59_20
Abstract63)      PDF(pc) (644KB)(68)      
Objective: The objective was to investigate the relationship between resilience, illness uncertainty, and sleep quality in patients with type 2
diabetes mellitus (T2DM).
Methods: This cross?sectional study was conducted from September 2019 to August 2020 from a tertiary hospital in Guangzhou, China. Totally, 205 participants completed questionnaires concerning demographic characteristics, Pittsburgh sleep quality index, Mishel uncertainty in illness scale (MUIS), and Connor–Davidson Resilience Scale (CD-RISR) were collected by convenience sampling. Multiple hierarchical regression
analysis was used to evaluate the interaction of illness uncertainty, resilience, and sleep quality. The mediating role of resilience was also tested.
Results: The total score of illness uncertainty was 94.68 ± 11.19 in T2DM patients, which was proved in the medium level. There was a significant negative correlation between the total CD-RISR score and total MUIS score (r = 0.716, P < 0.01); there was a significant negative
correlation between the total CD-RISR score and total PISQ score (r = 0.806, P < 0.01); total MUIS score was positively correlated with PISQ score (r = 0.872, P < 0.01). Psychological resilience could partially mediate the association between sleep quality and the level of illness uncertainty, and the mediating effect was 0.293, accounting for 34.20% of the total effect.
Conclusion: Patients with T2DM have a moderate level of illness uncertainty, and it was negatively correlated with mental resilience level and positively associated with sleep quality. Medical staff should strengthen psychological intervention for T2DM patients to reduce the sense of uncertainty.
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A nursing study on five‑animal frolics in improving anxiety and depression of inpatients
Xiaoxin LI, Xu WANG, Fang REN, Jinyu GUO, Shufen ZHANG, Ling TANG
Journal of Integrative Nursing    2021, 3 (1): 42-45.   doi: 10.4103/jin.jin_03_20
Abstract55)      PDF(pc) (624KB)(55)      
 
Objective: The objective is to investigate the effect of five-animal frolics on anxiety and depression of hospitalized inpatients.
Materials and Methods: Totally 50 inpatients from departments of Internal Medicine, Surgery and General Medicine with hospital admission date between January 2019 and July 2020 were included. All patients exercise five-animal frolics under the professional guidance of the nurse in charge. The Hospital Anxiety and Depression Scale (HADS) was used to assess the conditions of anxiety and depression of patients before and after taking five-animal frolics exercise.
Results: The overall score of anxiety patients was significantly lower after five-animal frolics exercise than before [6.0 (5.0, 8.0) vs. 10.0 (8.0, 12.0), Z=-5.466, P 0.001]; the overall depression score of patients was significantly lower after five-animal frolics exercise than before [6.5 (4.0, 8.0) vs. 10.0 (8.0, 14.0), Z=-5.175, P 0.001]. There were 26 (52.0%) very effective cases after exercise, 16 (32.0%) effective cases, 8 (16.0%) invalid cases, and the effective rate was 84.0%
Conclusion: Taking five-animal frolics exercise can improve anxiety and depression of inpatients.
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Control effect of structured skin care plan of integrated Chinese and Western medicine in elderly patients with incontinence‑associated dermatitis
Jian‑Hua DENG, Xiu‑Li LI, Li‑Li NIU, Yuan‑Yuan LI, Jing ZHANG, Ling TANG
Journal of Integrative Nursing    2021, 3 (2): 62-66.   doi: 10.4103/jin.jin_013_20
Abstract53)      PDF(pc) (577KB)(58)      
Objective: The objective of this study is to explore the clinical effects of structured skin care plan of integrated Chinese and Western medicine in intervening elderly patients with incontinence-associated dermatitis (IAD).
Materials and Methods: Totally, 66 elderly patients with IAD were randomly divided into the experiment group (32 cases) and control group (34 cases). The control group was given routine nursing care, while the experiment group was given a structured skin care plan. The observational course was 2 weeks. The treatment efficiency and healing time were compared between the two groups.
Results: After 2-week intervention, the total effective rate of the experiment group was higher than that of the control group (97.1% vs. 78.1%, X2 = 3.913, P = 0.048). The skin assessment tool score of the experiment group was lower than that of the control group (0.56 ± 1.58 vs. 1.75 ± 2.46, Z = ?2.401, P = 0.016). The healing time of the experiment group was shorter than that of the control group (7.29 ± 4.76 days vs. 10.69 ± 6.36 days, Z = ?2.280, P = 0.026).
Conclusion: The structured skin care plan of integrated Chinese and Western medicine showed a good effect in elderly IAD patients, and provided a reference for clinical treatment and care of elderly patients with IAD.
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Improving the delivery of medical education in rural medical colleges
Saurabh RamBihariLal SHRIVASTAVA, Prateek Saurabh SHRIVASTAVA
Journal of Integrative Nursing    2021, 3 (1): 51-52.   doi: 10.4103/jin.jin_07_20
Abstract46)      PDF(pc) (452KB)(58)      
It is a fact that in most of the rural settings, especially in low- and middle-income nations, the access to health care services and facilities is quite difficult. The primary reason for origin of this problem lies in the fact that a major proportion of medical professionals are not willing to serve in rural areas. This is in turn can be linked with the obvious geographical disparity in distribution of medical colleges in both rural and urban settings, with most of them being present in urban locations. In order to accomplish the vision to create a cadre of competent medical professionals, who are fit to work in the capacity of a primary health care physician, it is an indispensable requirement to sensitize and give adequate number of learning experiences pertaining to rural medical education. The process of planning and execution of rural medical education needs careful and systematic consideration, otherwise we will find ourselves short in achieving the intended learning outcomes. To conclude, rural medical education is an important aspect of the medical training. It is high time that all the stakeholders join their hands and work together to improve the competence level of medical students and play our part in the making of a community health physician.
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Scientific publications in nursing journals from East Asia: A survey of literature
Zhi-Chen LIU, Ya-Lou PU, Yong-Hua WANG, Li GAO, Jing WANG, Bao-Hua CAO
Journal of Integrative Nursing    2021, 3 (1): 19-24.   doi: 10.4103/jin.jin_51_20
Abstract44)      PDF(pc) (944KB)(46)      
Background: East Asia is one of the most important economy and research force in the world. However, the trend of published articles in various areas of East Asia has not been reported.
Methods: We used PubMed and Web of Science databases to search for articles published from China, South Korea, and Japan in 59 nursing journals, from January 2008 to December 2017.
Results: The results indicated that Journal of Clinical Nursing is the most popular journal in East Asia and the number of articles published in China has shown a steady upward trend, surpassing Japan and South Korea (from 204 in 2008 to 320 in 2017). South Korea has increased rapidly since 2013 (from 65 in 2013 to 144 in 2017).
Conclusion: We conclude that China is the most influenced country with the largest number of articles in the field of nursing in East Asia. It is worth noting that the number of articles published in Japan has been slowly declining since 2015.
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Analysis of licensure examination anxiety and its influencing factors among undergraduate nursing students
Doreen Asantewa ABEASI, Frank Bediako AGYEI
Journal of Integrative Nursing    2021, 3 (3): 110-106.   doi: 10.4103/jin.jin_33_21
Abstract44)      PDF(pc) (512KB)(40)      
Background: Examination anxiety is a concern for educational policymakers because of the impact it can have on the overall outcome of the performance of the candidates who partake in such examinations.

Aim: The aim of this study is to determine the examination anxiety level of students of Nursing and Midwifery College, Agogo, and Presbyterian University College and to evaluate the factors affecting them. 

Materials and Methods: A total of 160 undergraduate nursing students comprising 80 degree and 80 diploma students were conveniently sampled for the study. The study was conducted in September 2019 using a descriptive cross-sectional design. The Westside Test Anxiety Scale was used to measure examination anxiety among the participants. A researcher-designed questionnaire in which participants responded to a three-point Likert scale was used to assess factors influencing examination anxiety.

Results: The findings of the study showed that test anxiety was higher among the diploma candidates (M = 3.60) than the degree candidates (M = 2.95) and the difference was statistically significant (P = 0.024). Demographic characteristics such as age (P = 0.009), sex (P = 0.003), study hours per day (P = 0.001) were found to be significantly associated with test anxiety. The factors found to influence examination anxiety among students were volume of materials to study (P = 0.044), level of preparation (P = 0.005) perceived difficulty of the questions (P = 0.033) and myth about examinations (P = 0.000). The perceived importance of the examination (P = 0.057) and schedule of the exams (P = 0.68) did not influence examination anxiety.

Conclusion: Candidates for the licensure examination organized by the Nursing and Midwifery Council of Ghana should be assessed for test anxiety and offered the necessary psychological support where necessary.
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Effect of a traditional Chinese medicine theory-based mobile app on improving symptoms in patients with type 2 diabetes mellitus: A randomized controlled trial
Huiwen XU, Yuan YUAN, Li YANG, En TAKASHI, Akio KITAYAMA
Journal of Integrative Nursing    2021, 3 (3): 97-105.   doi: 10.4103/jin.jin_19_21
Abstract43)      PDF(pc) (604KB)(34)      
Objective: The aim of this study was to evaluate the effect of the Traditional Chinese Medicine (TCM) theory-based mobile app on improving symptoms in patients with type 2 diabetes mellitus (T2DM) in China.
Materials and Methods: A randomized controlled trial was conducted. Ninety?seven patients with T2DM were enrolled and they were randomized into the control group and the experimental group. The control group was given usual diabetes education and follow-up with telephone call, while the experimental group was followed up by using the TCM theory-based mobile app. After 6-month intervention, the diabetic symptom scores, the blood glucose levels, and self?management ability of the two groups were compared. 
Results: Compared with intervention before, the levels of fasting blood glucose (FBG), 2-h postprandial blood glucose (2hPG), and glycated hemoglobin (HbA1c) decreased in the control group (9.28 ± 3.05 vs. 8.26 ± 2.73 mmol/L, 12.65 ± 4.18 vs. 10.65 ± 3.79 mmol/L, and 8.78% ±1.76% vs. 7.96% ±1.47%, respectively, all P < 0.05) and also decreased in the experimental group (8.36 ± 2.64 vs. 7.35 ± 2.45 mmol/L, 11.50 ± 4.29 vs. 9.85 ± 2.71 mmol/L, and 8.64% ±2.04% vs. 7.29% ±1.56%, respectively, all P < 0.05) after 6?month intervention, while the summary of diabetes self-care activities (SDSCAs) scale scores after 6?month intervention increased significantly in the control group (35.20 ± 14.68 vs. 44.78 ± 10.21, P < 0.05) and the experimental group (32.16 ± 13.21 vs. 50.37 ± 10.06, P < 0.05). After 6-month intervention, the diabetic symptom scores (18.16 ± 2.74 vs. 22.18 ± 4.77) and HbA1c (7.29 ± 1.56% vs. 7.96% ±1.47%) were lower, and SDSCA scale scores (50.37 ± 10.06 vs. 44.78 ± 10.21) were higher in the experimental group than the control group (all P < 0.05). 

Conclusion: The mobile app based on TCM theory can effectively improve diabetes-related symptoms in patients with T2DM and help control their blood glucose as well as enhance their self-management ability.

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Effect of structured education program on physiological and psychosocial outcomes in type 2 diabetes patients: A randomized controlled trial
Qianqian ZHOU, Xiaorong LIU, Jianing LI, Jinlan YAO, Qingqing LOU
Journal of Integrative Nursing    2021, 3 (2): 72-79.   doi: 10.4103/jin.jin_09_20
Abstract40)      PDF(pc) (659KB)(47)      
Objective: This study was conducted to compare the effect of structured education program versus traditional diabetes education on insulin injection technique as well as physiologically and psychosocially related outcomes in adults with Type 2 diabetes.
Materials and Methods: This study was a randomized controlled trial. Totally, 71 Type 2 diabetes patients of using the insulin pen were enrolled and randomly divided into the intervention group (n = 36) and the control group (n = 35) according to random number table method. Patients in the intervention group received structured education program, while patients in the control group received traditional diabetes education. The levels of glycosylated hemoglobin (HbA1c), blood glucose, and lipids were monitored before and 3 months after intervention, and the insulin injection techniques, diabetes distress, and diabetes self-management skills between groups were assessed after 3 months.
Results: Finally, 65 participants (intervention group: n = 33, control group: n = 32) finished the study. After the intervention, HbA1c was lower (7.42 ± 0.80 vs. 8.35 ± 1.40, P = 0.002), fasting blood glucose (FBG) was lower (7.27 ± 1.06 vs. 9.40 ± 3.16, P < 0.001), and postprandial blood glucose (PBG) was lower (10.33 ± 2.20 vs. 12.77 ± 4.94, P = 0.012) in the intervention group than in the control group. No statistically significance was identified between the two groups in scores of Diabetes Distress Scale and summary of diabetes self-care activities.
Conclusion: Patients with Type 2 diabetes received structured education program, with greater improvements achieved in HbA1c, FBG, PBG, and measures about insulin injection techniques compared to the traditional education group, but there was no significant difference in diabetes distress or self-management behavior between groups.
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Analysis of risk factors for lymphedema of the lower limbs after endometrial cancer surgery and suggestions for prevention and treatment
Qian ZHANG, Li-Xiu LIU
Journal of Integrative Nursing    2021, 3 (2): 67-71.   doi: 10.4103/jin.jin_13_21
Abstract38)      PDF(pc) (580KB)(40)      
Objective: The objective of this study is to investigate the risk factors for the occurrence of lower limb lymphedema in patients with endometrial cancer after surgery and to make recommendations for prevention and treatment.
Materials and Methods: We retrospectively reviewed the clinical data of 135 patients with endometrial cancer treated in the Department of Gynecology of the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine from January 2013 to December 2019 and analyzed the risk factors of lower limb lymphedema in patients with endometrial cancer after surgery using single factor analysis and multi-factor logistic regression analysis.
Results: The incidence of postoperative lower limb lymphedema in patients with endometrial cancer was 11.11%. The results of one-way Chi-square test analysis showed that body mass index (BMI), surgical method, number of lymph node dissection, and radiotherapy were related to the occurrence of lower limb lymphedema, and multi-factor logistic analysis showed that BMI (odds ratio [OR] = 6.207), number of lymph node dissection (OR = 4.223), and radiotherapy (OR = 8.081) were the risk factors for lower limb lymphedema after endometrial cancer surgery.
Conclusion: Patients with endometrial cancer with BMI ≥25 kg/m2, high number of lymph node dissection, and postoperative radiotherapy are more likely to develop lower limb lymphedema, and they should be given priority attention and timely preventive and curative measures.

 

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Musculoskeletal problems and expressed practices of body mechanics among nursing officers at All India Institute of Medical Sciences Jodhpur, Rajasthan, India
Subhash Kumar SAINI, Vandna PANDEY, Ashok KUMAR, Abhay ELHENCE
Journal of Integrative Nursing    2021, 3 (3): 128-134.   doi: 10.4103/jin.jin_22_21
Abstract37)      PDF(pc) (554KB)(42)      

Objective: The objective of the study was to identify musculoskeletal problems (MSPs) among nursing officers. 

Materials and Methods: A nonexperimental research design was used. Two hundred and seventy nursing officers were selected by purposive sampling technique. The standardized Nordic questionnaire was used to assess the MSPs and self-structured three-point rating scale was used to assess expressed practice of body mechanics of nursing officers.

Results: The study findings revealed that 64.4% of nursing officers suffered from MSP such as ache, pain, and discomfort during the past 12 months and 43.7% during the past 7 days. The problem in the low back and the neck were highest 45.1% and 22.2%, respectively. This was followed by MSP of the upper back (14.0%), ankles (13.7%), knees (10.7%), shoulder (10.3%), hip/thighs (5.9%), wrists (4.4%), and elbows (3.3%). Around 49.2% complained that MSPs limit their work. There was significant association of MSP with selected personal variables like body mass index (P = 0.001) and family history (P = 0.02). There were also significant association of expressed practices of body mechanics with gender (P = 0.01), area of current work (P = 0.00), professional experience (P = 0.03) and physical activity (P = 0.00).
Conclusion: The study indicates the large number of nursing officers had MSPs with the two most common sites being the lower back and the neck. This creates a need for prompt hospital education programs aimed to create awareness among nursing officers on the prevalence of MSPs.
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Operations of school health program assessment at selected secondary schools in Egor Local Government Area, Benin City, Nigeria
Eunice Amaechi OSIAN, Osagumwenro IGBINOBA, Olaolorunpo OLORUNFEMI, Monday Ugiagbe AGBONKPOLOR
Journal of Integrative Nursing    2021, 3 (2): 56-61.   doi: 10.4103/jin.jin_5_21
Abstract35)      PDF(pc) (545KB)(37)      
Background: School health program (SHP) is the most cost-effective investment a nation can make to simultaneously improve education and health conditions of her citizen. In spite of this, the adoption of SHP in developing countries is still below set standard. Therefore, this study assesses the operations of SHP in secondary schools in Egor Local Government Area (LGA), Benin City, Nigeria.
Materials and Methods: A descriptive cross-sectional survey was conducted with accidental sampling method to select 56 school health teachers from secondary schools in Egor LGA. A self-structured instrument was used to collect data based on the research objectives. Data collected were analyzed using percentages, means, and standard deviation.
Results: This study showed that despite high level of the program awareness, the actualization of its objective was found to be poor, and this was found to be related with the lack of government support, lack of needed personnel and materials, lack of effective supervision of the program and inappropriate funding.
Conclusion: In-service training on SHP should be provided to enhance the skills needed for implementation of SHP. The government should provide needed materials and equipment and employ competent health personnel to take charge of the school health services, and other policymakers should mobilize and strengthen SHP and education activities at the state.
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Discussion on optimizing nursing rounds model based on the inheritance of traditional Chinese medicine nursing
Xue‑Jian ZHANG, Ling TANG, Jing ZHANG, Yue TANG
Journal of Integrative Nursing    2021, 3 (2): 53-55.   doi: 10.4103/jin.jin_05_20
Abstract34)      PDF(pc) (409KB)(37)      
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Comparison of in‑vial exhaust method versus conventional exhaust method in the injection of COVID‑19 vaccine
Jingjin XU, Hui ZHI, Ye LI, Jinjing LIU, Wen ZHENG, Ling TANG
Journal of Integrative Nursing    2021, 3 (3): 106-109.   doi: 10.4103/jin.jin_28_21
Abstract34)      PDF(pc) (752KB)(35)      
Objective: The objective of the study was to compare the application effects of in-vial exhaust method and conventional exhaust method in the process of coronavirus disease 2019 vaccine injection.
Materials and Methods: Using convenient sampling method, 102 vaccines were selected as experiment group during the process of vaccine injection, and the in-vial exhaust method was used. One hundred and five vaccines were selected as the control group and the conventional exhaust method was adopted. The incidence of vaccine solution spillage and exhausting time in the two groups during exhaust were observed.

Results: The incidence of solution spillage in the experiment group was lower than that in the control group (0 vs. 6.67%, P < 0.05). The exhausting time of the experiment group was shorter than that of the control group ([15.12 ± 4.43] s vs. [22.74 ± 6.53] s, P < 0.05). 

Conclusion: Implementing the in-vial exhaust method in the vaccine injection can effectively reduce the incidence of solution spillage, reduce nucleic acid contamination, and ensure that the vaccine is injected at the prescribed dose. Moreover, the operation is simple and easy, which improves the nurse’s vaccination efficiency, and has a higher promotion and application value.

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The effect of baduanjin exercise in rehabilitation for functional ankle instability: A study protocol for a randomized controlled pilot trial
Li ZHOU, Juanjuan AI, Qingwen GENG, Kuangshi LI, Yiting SUN, Ruyu YAN, Diyang LYU, Zongheng LI
Journal of Integrative Nursing    2021, 3 (2): 85-92.   doi: 10.4103/jin.jin_012_20
Abstract30)      PDF(pc) (663KB)(36)      
Introduction: Patients with functional ankle instability (FAI) have problems with joint control, balance, gait, and postural symmetry. Baduanjin is a type of traditional Chinese exercise that has been shown to be effective in treating many diseases and symptoms. However, to date, the effect of Baduanjin in patients with FAI has not been proved. This pilot trial is an assessor-blinded randomized controlled trial, and its objective is to study the efficacy and safety of Baduanjin on the rehabilitation of patients with FAI.
Methods: Seventy-two participants, who are eligible according to specified inclusion and exclusion criteria, will be randomized (in a 1:1 ratio), using a random number table, into two groups: a Baduanjin group and a conventional treatment group. The Baduanjin group will be subjected to the Baduanjin exercise in addition to the conventional treatment therapy. Participants' exercise programs will be implemented for 4 weeks (5 days a week). All participants will be assessed at baseline, and after two and 4 weeks of treatment. The surface electromyography results of the bilateral erector spinae, tibialis anterior, and peroneus longus will be the primary outcomes, while the balance function under different conditions and the level of FAI in daily life measured using the Cumberland Ankle Instability Tool will be the secondary outcomes.
Ethics and Dissemination: The trial has been approved by the Research Ethical Committee of Dongzhimen Hospital, the First Affiliated Hospital of Beijing University of Chinese Medicine (no. DZMEC-KY-2019-18), and it will follow the principles of the Consolidated Standards of Reporting Trials statements as well as the Declaration of Helsinki. The findings of this study will be submitted for publication in peer-reviewed journals. The results will also be disseminated to the participants via phone calls or e-mail.
Trial registration: Chinese Clinical Trial Register ID: ChiCTR1900021939 (March 17, 2019). http://www.chictr.org.cn/.
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Application of rehabilitation nursing technology in the pulmonary rehabilitation of the patients after lung cancer operation
Yuzhen XU, Lin HAN
Journal of Integrative Nursing    2021, 3 (2): 79-84.   doi: 10.4103/jin.jin_4_21
Abstract25)      PDF(pc) (497KB)(34)      
The rehabilitation nursing of lung function at home for lung cancer patients after operation can not only improve the level of lung function and the quality of life but also improve the compliance of patients with treatment and improve their psychological status. Studies have shown that respiratory training, exercise training and rehabilitation nursing techniques of Chinese medicine, such as Six-Word Qigong , Tai Chi and Baduanjin have better effects on lung function recovery in patients after lung cancer surgery. In this paper, we made review and discussion on the application of the above methods in patients with lung cancer at home after operation.
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Nursing care of a patient with programmed cell death protein‑1 immunotherapy‑related myocarditis combined with coronary heart disease
Wen-Qi HUANG, Yan-Bing QING, Li-Fang MA, Zhang-Qi LI, Chun-Xiang SU
Journal of Integrative Nursing    2021, 3 (2): 93-96.   doi: 10.4103/jin.jin_17_21
Abstract24)      PDF(pc) (485KB)(29)      
This report introduced and summarized the nursing care experience for a senior patient with lung cancer and developed programmed cell death protein 1 (PD-1) immunotherapy-related myocarditis combined with coronary heart disease (CHD) after receiving said treatment. In this case, immune myocarditis with CHD occurred shortly after implementing the PD-1 immunotherapy, yet the patient presented no clinical symptoms. Frequent nursing attention and close observation are so required for monitoring the patient's status and updating the physicians for a swift control of the myocarditis. For this case, nursing care procedures vital for the successful recovery of the patient included condition observation, position management, pre- and postcoronary angiography care, infection prevention, hemorrhage prevention, venous access port maintenance, pain care, trachea care, psychological care, diet care, environment management, and health education. After receiving effective, successful treatment and care, the patient was discharged after 13 days of treatment with generally satisfying overall conditions.
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Insignificant small can still be mighty: Trend of chronic kidney disease in Nigeria
Oluwaseyi Abiodun AKPOR, Abigael Oluwaseyi ADEOYE, Blessing AWHIN, Olaolorunpo OLORUNFEMI
Journal of Integrative Nursing    2021, 3 (4): 141-147.   doi: 10.4103/jin.jin_43_21
Abstract20)      PDF(pc) (852KB)(5)      

The global burden of chronic kidney diseases (CKDs) kept increasing, and it is a leading cause of mortality and morbidity rate in most African countries. The burden of CKD is felt more in developing countries where there is no adequate social security system or health insurance to meet the huge financial demands the disease places on its sufferers and their families. It is also noted that this disease affects the economically productive age group unlike in developed countries where the elderly are more affected. The prevalence of CKD was found to be highly related to age, gender, hypertension, obesity, history of diabetes mellitus, use of herbal medicines, and prolonged use of nonsteroidal anti-inflammatory drugs in Nigeria. The majority of CKD cases were not clinically recognized promptly, mainly because of the lack of patients’ awareness about CKD and associated risk factors. Therefore, health awareness should be intensified by the nurses on lifestyle modification by individuals at risk of CKD, prompt management, good compliance with prescribed medications, avoidance of self-medication, and indiscriminate use of over-the-counter drugs. In addition to that, nurses also need to advocate for regular population screening, and efforts should be made at all levels of care to reduce the negative impact of the disease and complications on the patients.

 

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Status quo and influencing factors of comfort with touch among nursing staff in rehabilitation department: A cross‑sectional study
Yun Jie TONG, Dan‑Dan LU, Mei-Fen LYU, Yan‑Mei LIU, Shi‑Yun TAN
Journal of Integrative Nursing    2021, 3 (3): 122-127.   doi: 10.4103/jin.jin_10_21
Abstract20)      PDF(pc) (528KB)(27)      

Objective: The objective of this study is to investigate the current status of comfort with touch among nursing staff in the rehabilitation department and analyze its influencing factors. 

Materials and Methods: The convenience sampling method was used to select 131 nursing staff in the rehabilitation department of 3A-level hospitals in Yunnan Province, China, from March to June 2020 to conduct a questionnaire survey.

Results: The nurses’ comfort with touch score of 131 clinical nurses in the rehabilitation department was 58.82 ± 4.85. Multivariate regression analysis showed that compassion fatigue (t = -2.968, P < 0.01) and occupational social support (t = 2.767, P < 0.01) were the influencing factors of the physical comfort of nursing staff; average monthly income (t = -2.160, P < 0.05), occupational cognitive evaluation (t = 4.924, P < 0.01), and secondary traumatic stress (t = 2.833, P < 0.01) were the influencing factors of task-oriented contact among nursing staff; marital status (t = 2.656, P < 0.01) and occupational social support (t = 2.078, P < 0.05) were the influencing factors for private nursing comfort of nurses. 

Conclusion: The comfort with touch among nurses in the rehabilitation department is at a medium level. Nursing managers should pay attention to their comfort with touch. In order to promote the development of medical service, hospitals should constantly improve the security and social support of nursing practitioners from the aspects of system, management, and salary performance.

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Self-management of cataract extraction among diabetes patients
Funke Elizabeth AKINTUNDE, Olaolorunpo OLORUNFEMI, Rasidi Akinade SALAWU, Mary Olabisi OYEKANMI, Babatunde Abdul-latef ADEYENI, Olawale Rasheed OLADAPO, Jeminat Omotade SODIMU
Journal of Integrative Nursing    2021, 3 (4): 170-175.   doi: 10.4103/jin.jin_39_21
Abstract20)      PDF(pc) (488KB)(4)      

Background: Diabetes-related cataract extraction is a minor surgery required to regain full vision. One of the recognized factors that can delay or prevent full-vision recovery is poor management, and most of this management is being carried out by patients themselves.
Objective: This study aimed to assess the knowledge of diabetes patients on self-management after cataract extraction in two tertiary hospitals in Osun State.
Methods: A cross-sectional descriptive design was conducted among 97 diabetes patients who underwent cataract extraction and were attending clinics and follow-up visits in Osun State. A self-structured questionnaire was used for data collection.
Results: Moderate knowledge was found among the participants on an appropriate diet (56.7%), prevention of injury risk (57.5%), prevention of infection risk (50.9%), and low knowledge on the technique of administration of eye drop (60.8%) after cataract extraction, whereas 74.7% of the total respondents were knowledgeable on the indication for follow-up visit after cataract extraction, these results were found to be below the expected knowledge level.
Conclusion: An intensive and comprehensive educational initiative by nurses should be tailored to meet the specific needs of diabetes patients with cataract surgery. Nurses also need to implement the use of checklist which will enhance learning and improve patient understanding of self-management after cataract extraction.

 

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Evidence summaries for nutritional screening of head‑and‑neck cancer patients
Ye LI, Yi‑Yuan LIU, Ya‑Juan TIAN, Ling TANG
Journal of Integrative Nursing    2021, 3 (3): 135-140.   doi: 10.4103/jin.jin_7_21
Abstract19)      PDF(pc) (545KB)(24)      
The guidelines for nutritional screening of head-and-neck cancer patients were systematically searched and screened from BMJ Best Practice, National Comprehensive Cancer Network, Britain's National Institute for Health and Clinical Excellence, National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, Guidelines International Network, New Zealand Guidelines Group, Australian National Health and Medical Research Council, Medlive, PubMed, Embase, CINAHL, China Biology Medicine, VIP, Chinese National Knowledge Infrastructure, and Wanfang. Four researchers evaluated the quality of the included literature and extracted evidence from the literature that met the quality standards. Finally, a total of six guidelines were included and ten best evidences were concluded. As only one guideline in this study is from China, and the rest are from other countries, the applicability and effectiveness of some evidence in the Chinese population still need to be further explored and studied. Therefore, when using evidence, medical staff should make appraisal on working environment in their hospital, factors that facilitate or hinder the use of evidence, and willingness of patients, and thus scientifically provide the best evidence for the management of clinical nutrition for head-and-neck cancer patients and provide a reference for the establishment of the standard process of nutritional screening for head-and-neck cancer patients.
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Correlation between psychological resilience and burnout among female employees in a shopping mall in Xi Xian New Area, China: A cross‑sectional survey
Qian ZHANG, Lixiu LIU
Journal of Integrative Nursing    2021, 3 (3): 117-121.   doi: 10.4103/jin.jin_14_21
Abstract18)      PDF(pc) (557KB)(20)      
Objective: The objective of this study is to investigate the correlation between psychological resilience and burnout levels of female employees in a shopping mall.
Materials and Methods: A convenience sampling method was used to select 213 female employees of a shopping mall in Xi Xian New District, Shaanxi Province, in October 2020, who were surveyed using general condition questionnaire, Connor-Davidson Resilience Scale, and burnout scale.
Results: The psychological resilience score of 213 female employees was 60.52 ± 10.12 and the burnout score was 52.44 ± 10.76. The differences were statistically significant in psychological resilience scores regarding female employees’ different age (F = 46.715, P = 0.000), educational level (F = 3.955, P = 0.021), and whether they suffered from polycystic ovary syndrome (PCOS) (F = 11.660, P < 0.01). The differences in burnout scores were statistically significant among female employees’ different age (F = 19.805, P < 0.01), years of work (F = 53.277, P < 0.01), and whether they suffered from PCOS (F = 16.119, P < 0.01). There was a negative correlation between psychological resilience and burnout (r = 0.787, P < 0.01).
Conclusion: The psychological resilience score of female employees was generally low, and they suffered from a certain level of burnout. The mall managers should take corresponding measures for female employees to improve their psychological resilience level and reduce the degree of burnout.
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Knowledge on malaria among caregivers with children aged under 5 years at Kenyasi Health Cente
Cecilia Ackon ANSONG, Frank Bediako AGYEI, Ramatu AGAMBIRE, Jonathan BAYUO
Journal of Integrative Nursing    2021, 3 (4): 176-180.   doi: 10.4103/jin.jin_45_21
Abstract18)      PDF(pc) (695KB)(4)      

Background: Malaria remains one of the leading causes of morbidity and mortality among children under 5 years old in many low- and middle-income countries. According to the Ghana National Malaria Control Program, malaria kills at least three children every day and also tops the outpatient department cases in Ghana.
Objective: The present study sought to determine the knowledge of malaria among caregivers of children under 5 years at Kenyasi Health Center, Ghana.
Materials and Methods: The study was a descriptive, cross-sectional study. One hundred and three caregivers with children under 5 years old were recruited using the systematic random sampling technique, and data were collected using a structured questionnaire.
Results: The findings revealed that majority (98%) of the respondents knew at least one cause of malaria. Furthermore, all respondents knew at least one complication of malaria and majority (97%) knew at least one preventive measure of malaria.
Conclusion: Caregivers of children have adequate knowledge about malaria and its mode of transmission. Further education on the implementation of the preventive methods is still needed to help reduce the incidence of malaria among children.

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Application of five-element music therapy in pain coping skills training in patients with knee osteoarthritis
Suqian LI, Jingjin XU, Ling TANG, Ye LI, Huaxin WANG, Lixue ZHAO, Jianshuang YAO, Shuying WANG, Nan LI
Journal of Integrative Nursing    2021, 3 (4): 161-164.   doi: 10.4103/jin.jin_34_21
Abstract18)      PDF(pc) (577KB)(8)      

Objective: The objective of this study is to assess the application effect of five elements music therapy introduced in the pain coping skills training of knee osteoarthritis (KOA).
Materials and Methods: Totally, 80 patients with KOA were selected and randomly divided into the experimental group (39 cases) and the control group (41 cases). The control group was only given routine nursing measures, and the experimental group was additionally treated with five-element music therapy on the basis of the control group, twice a day, 28 days in total. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to evaluate the functional status of the knee joint of the two groups. The clinical efficacy of the two groups was evaluated by Guiding Principles for Clinical Research of New Chinese Medicine in the Treatment of Osteoarthritis.
Results: WOMAC score statistically significantly decreased in the experimental group (35.92 ± 9.48 vs. 16.17 ± 5.43, P < 0.01) and the control group (36.73 ± 6.42 vs. 22.53 ± 7.51, P < 0.01) after 28 days of intervention when compared with that before intervention; WOMAC score in the experimental group was lower than that of the control group after 28 days of intervention (16.17 ± 5.43 vs. 22.53 ± 7.51, P < 0.01). The total effective rate of the experimental group was statistically higher than that of the control group (82.0% vs. 51.2%, χ2 = 11.97, P= 0.003).
Conclusion: The combination of five-element music therapy and routine nursing measures has better effect in relieving pain and bad emotions of patients with KOA when compared with routine nursing measures alone.

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A study on the correlation between function motivation and professional identity among nursing volunteers
Juan XU, Wenjun HAO, Hui YANG, Xuanxuan LI
Journal of Integrative Nursing    2021, 3 (4): 165-169.   doi: 10.4103/jin.jin_37_21
Abstract18)      PDF(pc) (499KB)(4)      

Objective: The objective of this study is to understand the status quo of function motivation and professional identity among nursing volunteers and explore the correlation between the two.
Materials and Methods: A total of 3375 nursing volunteers from Nightingale Volunteer Service Group in Shanxi Province were investigated by using Occupational Identity Scale and Volunteer Functional Motivation Scale.
Results: A total of 3375 questionnaires were issued and 3330 were recovered, among which 3324 were valid, with an effective recovery rate of 99.82% (3324/3330). The overall score of professional identity of nurses was 110.31 ± 18.71, and the score of each dimension was 32.17 ± 6.62 for professional cognitive evaluation dimension, 22.77 ± 3.74 for professional social support, 21.31 ± 4.09 for professional social skills, 22.78 ± 3.79 for professional frustration coping, and 11.32 ± 2.03 for professional self-reflection. The total score of function motivation was 157.12 ± 29.92. The above five dimensions of nurse's professional identity scale were positively correlated with the total score of function motivation of nursing volunteers (r = 0.044, 0.035, 0.034, 0.035, and 0.042, respectively, all P < 0.05).
Conclusion: The functional motivation and professional identity of nursing volunteers in Shanxi Province are in the middle level in China. Therefore, it is necessary for the hospital to stimulate nursing staff's enthusiasm about participation by carrying out multi-channel and multi-form volunteer service projects, enhance their professional identity, and make them better give back nursing professional skills to the society.

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Moxibustion plus acupuncture improves the efficacy and quality of life of patients with polycystic ovary syndrome: A randomized controlled trial
Qian ZHANG, Li-Xiu LIU
Journal of Integrative Nursing    2021, 3 (4): 148-154.   doi: 10.4103/jin.jin_47_21
Abstract17)      PDF(pc) (543KB)(5)      
Objective: To observe the effect of moxibustion combined with acupuncture on the efficacy and quality of life of spleen-kidney-yang-deficiency patients with polycystic ovary syndrome (PCOS).
Materials and Methods: A total of 90 patients with PCOS of spleen-kidney yang deficiency type from January 2020 to March 2021 were selected and randomly divided into three groups, 30 patients each in the moxibustion group, acupuncture group, and moxibustion combined with acupuncture group (combined group). The changes of body mass index (BMI), waist-to-hip ratio (WHR), fasting insulin (FINS), fasting plasma glucose (FPG), homeostasis model assessment-insulin resistance index (HOMA-IR), follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T), triglycerides (TG), total cholesterol (TC), traditional Chinese medicine (TCM) clinical symptom score, efficacy, and quality of life score in the three groups were observed before and 3 months after treatment.
Results: After treatment, (1) compared with the moxibustion and acupuncture groups, the combined group was more effective in reducing BMI (F = 5.274, P < 0.05) and WHR (F = 8.246, P < 0.05) in PCOS patients; (2) FINS, FPG, and HOMA-IR were reduced in all three groups, and the reduction in these three indicators was more pronounced in combined group (FINS: F = 5.637, P < 0.05, FPG: F = 4.915, P < 0.05, HOMA-IR: F = 3.817, P < 0.05); (3) The FSH, LH, and T levels of patients in the combined group were better than those in the remaining two groups (FSH: F = 4,163, P < 0.05, LH: F = 5.098, P < 0.05, T: F = 7.038, P < 0.05); (4) The TG and TC of patients in the combined group were lower than those in the remaining two groups (TG: F = 4.806, P < 0.05, TC: F = 3.828, P < 0.05); (5) The TCM clinical symptom score of the combined group was significantly lower than those of the moxibustion and acupuncture groups (F = 4.547, P < 0.05); (6) The quality of life of patients in the combined group improved more significantly than the moxibustion and acupuncture groups (F = 6.239, P < 0.05); (7) The total effective rate of the combined group was higher than that of the moxibustion and acupuncture groups (χ2 = 6.947, P = 0.031).
Conclusion: The combination of moxibustion and acupuncture can effectively reduce the BMI and WHR of PCOS patients, improve the endocrine function, sex hormone level, TCM symptoms and quality of life of patients, and has significant efficacy and high safety, which is worthy of wide clinical application.
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Relationship of demoralization with anxiety, depression, and demographics of Chinese dialysis patients
Cai-Lan ZHUANG, Juan-Lian ZHENG, Lei GAO, Ying-Ling HUANG, Wen-Jing HU
Journal of Integrative Nursing    2021, 3 (4): 155-160.   doi: 10.4103/jin.jin_46_21
Abstract17)      PDF(pc) (530KB)(7)      

Objective: The purpose of this study is to investigate the demoralization level of dialysis patients in China and analyze the influencing factors.
Materials and Methods: A convenience sample of 278 dialysis patients from a tertiary hospital participated in a cross-sectional descriptive study using a structured questionnaire including assessments of demographic data, Demoralization Scale-II (DS-II), and Hospital Anxiety and Depression Scale. The main analysis consisted of descriptive statistics, correlation coefficients, and multiple linear regression.
Results: The mean standard deviation DS-II score was 11.87 (7.72). Dialysis patients had a high level of demoralization. Findings from multiple linear regression indicated that demoralization was positively correlated with marital status (β = 0.141; P = 0.001), employment status (β = 0.113; P = 0.006), anxiety (β = 0.393; P < 0.001), and depression (β = 0.224; P < 0.001). These variables explained 57.1% of the variance in patient demoralization.
Conclusions: Demoralization is common in dialysis patients and is associated with marital status, employment status, anxiety, and depression. Health-care providers might regularly assess demoralization in dialysis patients, and develop related interventions to improve the quality of life.

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