1.Influence factors analysis of nurse self-compassion in a psychiatric hospital
Xiashu YAN ; Jiankui LIN ; Qiuling WU ; Yunling LU ; Yongmei ZHOU
Chinese Journal of Practical Nursing 2017;33(8):623-626
Objective To understand psychiatry hospital nurse' s self-compassion situation, explore the influencing factors, for nursing managers to know about the clinical nurses psychological health and to provide a reference data of intervention to improve the level of self-compassion. Methods A total of 381 clinical nurses from the Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital) completed the survey using the questionnaire including the Self-Compassion Scale (SCS) and general information questionnaire. The influence factors were analyzed by chi-square test and Logistic regression analysis. Results The total score of SCS was (85.43 ± 10.23) points in 381 clinical nurses with the medium level, which was less than that of other nurse group (109.21±9.76) points, and there was significant difference(t=-45.388, P < 0.01).The Logistic regression analysis showed that female and working in the psychiatric ward were the risk factors of self compassion(OR=1.772, 1.995, P<0.05 or 0.01). While on the night shift was the protective factor(OR=0.536, P < 0.01). Conclusions Psychiatric hospital nurse' s self-compassion is at medium level. When the nurses cope with the negative events may lack adjustment method. Nursing managers should pay attention to train the ability of the nurse individual self-compassion, targeted to carry out active intervention measures.
2.Influencing factors on the resilience of major caregivers for disabled elderly
Xiashu YAN ; Ying ZHOU ; Cuilan CHU ; Lian JIANG
Chinese Journal of Behavioral Medicine and Brain Science 2017;26(1):70-75
Objective To explore the influencing factors of disabled elderly caregivers' resilience,and to provide evidence for further intervention studies.Method Totally 221 caregivers in several communities were investigated with self-design general questionnaire,Activity of Daily Living Scale (ADL),ConnerDavidson Resilience Scale(CD-RISC) Chinese version,Simplified Coping Style Questionnaire(SCSQ),General Self-Efficacy Scale(GSES) and Perceived Social Support Scale (PSSS).Results The caregivers' resilience score was 59.99 ± 15.86,at a medium level and lower compared with normal population (t =-5.07,P<0.01).It was positively correlated with the positive coping(r=0.468,P<0.01),general self-efficacy (r=0.546,P<0.01)and perceived (r=0.372,P<0.01).Multiple stepwise regression analysis showed the positive coping,self-efficacy and social support of caregivers were influencing factors of caregivers' resilience (P<0.01).Conclusion Disabled elderly caregivers' resilience is lower than the general population,and implementation of the intervention should be taken according to different resilience levels at clinical practice.
3.Reliability and validity of Chinese version of Revised Attribution Questionnaire-27 as used in medical students
Shengmao PAN ; Ying ZHOU ; Xiashu YAN ; Huan ZHANG ; Yaxin REN ; Weiquan LIN
Chinese Journal of Practical Nursing 2013;29(23):4-7
Objective To develop the Chinese version of Attribution Questionnaire-27 and examine its replicability,reliability and validity.Methods The questionnaire was translated using the standard translation/back-translation method and examine its replicability,reliability and validity in 230 medical students who were selected by convenient method.Results The Cronbach α coefficient for Attribution Questionnaire-27 was 0.82 and ranging between 0.55 and 0.84 for the subscales.The test-retest reliabilities of the total scale was 0.77 and the subscales was between 0.61 to 0.81 after one week.Confirmatory factor analysis confirmed the hypothesized six factors attribution of responsibility model (x2/df=3,GFI=0.925,NFI=0.880,CFI=0.856,IFI=0.761,RMSEA=0.094) and three factors dangerous model (x2/df=1.773,GFI=0.959,NFI=0.941,CFI=0.973,IFI=0.973,RMSEA=0.058).The path analysis results support the existing theoretical assumptions.Condusions The Chinese version of Attribution Questionnaire-27 has good reliability and validity and can be used in medical student.
4.Study on resilience and its related factors of nurses
Yaxin REN ; Ying ZHOU ; Meiling HUANG ; Shouzhen CHENG ; Xiashu YAN ; Huan ZHANG ; Shengmao PAN
Chinese Journal of Practical Nursing 2013;29(35):7-10
Objective To investigate the status of nurses' resilience and to explore the related factors.Methods 1356 nurses from 11 level Ⅱ and level Ⅲ hospitals of Guangzhou were assessed by using the general information questionnaire and the Chinese version of Conner-Davidson resilience scale.Results The score of nurses' resilience was(59.99±13.59)points and it was significantly lower than that of the domestic norm.There was statistical difference of the score of nurses' resilience on different genders,educational background,professional titles,hospital level and night shifts.There was a positive correlation among educational background,night shifts and nurses' resilience,and a negative correlation between hospital level and nurses' resilience.The hospital level,night shifts and educational background were the influencing factors of nurses' resilience.Conclusions The level of nurses' resilience is low.The higher hospital level and educational background,and the less night shift,the higher of nurses' resilience.
5.Comparative analysis of demands for knowledge of mental health between schizophrenics and their primary caregivers during rehabilitation period
Jiankui LIN ; Yongmei ZHOU ; Xiashu YAN ; Hongtao CAI ; Xiaodan LU ; Gang ZENG
Chinese Journal of Modern Nursing 2017;23(3):341-345
Objective To explore the demands of schizophrenics and their primary caregivers for knowledge of mental health during rehabilitation period,so as to provide some references for improving their mental health knowledge.Methods Using the convenience sampling method,49 schizophrenics and 59 primary caregivers completed the general information questionnaire and needs for knowledge of mental health questionnaire.Results The total score of demands for knowledge of mental health of schizophrenics was (55.83±19.29),while the total score of caregivers was (64.88±19.83)(t=-2.376,P=0.019). Conclusions Demands for mental health knowledge of schizophrenics and their primary caregivers are different. Implementation of health education programs should be targeted and individualized.
6.Investigation of abuse tendency among disabled elderly caregivers
Cuilan CHU ; Tingting LIN ; Ying ZHOU ; Guocheng WANG ; Zhi YANG ; Lexin YUAN ; Xiashu YAN ; Honglian RUAN
Chinese Journal of Practical Nursing 2018;34(8):573-576
Objective To investigate the abuse tendency of disabled elderly caregivers and analyze its causes.Methods With the convenience sampling method,The main caregivers of 300 disabled elderly people were investigated by the general questionnaire, Activities Daily Living Scale (ADLs) and Caregiver Abuse Screen (CASE) in Guangzhou. Results The degree of disability of the elderly was moderate to severe degree.The average score of the elderly caregiver′s propensity for abuse tendency was(3.3 ± 2.3).178 (59.4 %, 178/300) of the elderly caregivers have abuse tendency (the average score was more than 3). Conclusion Caregivers′ abuse tendency against the elderly is high. The situation of the elderly is not optimistic.
7.Psychological resilience and its influencing factors of patients with lung cancer
Huan ZHANG ; Ying ZHOU ; Hongmei LI ; Yalan SONG ; Shouzhen CHENG ; Jieya CHEN ; Ying CHEN ; Shaoqing YUAN ; Bikun YANG ; Chun YANG ; Minna ZHANG ; Lian JIANG ; Xiashu YAN
Chinese Journal of Modern Nursing 2015;(30):3640-3645
Objective To investigate the psychological resilience status and its influencing factors of lung cancer patients. Methods A total of 182 patients with lung cancer were selected by convenient sampling method and were investigated the psychological resilience with Chinese Version Connor and Davidson′s resilience scale ( CD-RISC ) , the Chinese version of medical coping modes questionnaire ( MCMQ ) , and the hospital anxiety and depression Scale ( HAD) . Results The total score of resilience in 182 lung cancer patients acquired (65. 2 ± 15. 0). The total score of resilience in 82 preoperative patients was (68. 9 ± 15. 4), postoperative patients (63.5 ±13.6), chemotherapy patients (60.3 ±14.3); resilience status showed down trend (F=5.530,P<0. 05). Different educational background, marriage status, medical insurance type, treatment stage and cancer metastasis had difference of psychological resilience (P<0. 05). The average anxiety score of 182 cancer patients was (5. 72 ± 4. 52) and depression score obtained (4. 74 ± 4. 39). The correlation analysis presented that lung cancer patients′psychological resilience had negative correlation with anxiety, depression and surrender while it had positive correlation with confrontation (P <0. 05), but had no correlation with avoidance (P>0.05). Multiple regression analysis revealed treatment stages, copying strategies and depression were the main influencing factors which all explained 45. 8% of total variation. Conclusions Resilience of patients with lung cancer are at a lower level, which effected by many factors. Nursing staffs should pay attention to patients psychological status, take effective measures to help them to get higher level of psychological resilience, so as to improve quality of life.
8.Caregiver burden and influencing factors of primary caregivers of disabled elders in Guangzhou
Xiashu YAN ; Ying ZHOU ; Cuilan CHU
Chinese Journal of Modern Nursing 2017;23(4):449-453
Objective To investigate the caregiver burden of primary caregivers of disabled elders in Guangzhou, and analyze its influencing factors.Methods Totally 221 primary caregivers of disabled elders in Guangzhou were investigated by the general information questionnaire, activities of daily living scale (ADL), the Conner-Davidson resilience scale (CD-RISC), Zarit burden interview (ZBI) and perceived social support scale (PSSS).Results The burden score of primary caregivers was (34.81±15.51), which was significantly higher than other caregivers (21.12±10.32) in China (t=13.048,P<0.01). Multiple linear regression showed that, the burden of primary caregivers were mainly affected by their resilience level, social support level, marital status, the amount of financial support that patients provided, and the disabled level of elders (β'= -0.219, -0.155, -0.157, 0.218, 0.202;P<0.05). All factors above explained 19.4% variance of the burden of caregivers.Conclusions The burdens of primary caregivers of disabled elders are in different level. Multiple factors directly influence the level of burden of caregivers and may indirectly reduce their quality of life. Hence, attention should be paid by the society and government.
9.Effect of quantitative assessment of grading nursing model on nursing quality and satisfaction of psychiatric inpatients
Sha NIE ; Xiashu YAN ; Hongxing LI ; Xiaozhen SU ; Xiuqun MEI
Chinese Journal of Modern Nursing 2017;23(31):3969-3972
Objective To explore the effect of quantitative assessment of grading nursing model on nursing quality and satisfaction of psychiatric inpatients. Methods From September to December 2016, 77 psychiatric inpatients from a class Ⅲ grade A psychiatric hospital of Guangzhou were selected as the research object. The patients were randomly divided into two groups according to the order of hospitalization, 47 cases in the study group and 30 cases in the control group. The study group was the quantitative evaluation group, and the nurses grouped with the doctor. The medical team consisted of 2 nurses (1 nurse-in-charge or over and 1 senior nurse) and 1 doctor. The control group, that was, the traditional routine group, the doctor in charge was responsible for delivering the order, and the nursing staff was responsible for the implementation. After 6 weeks of the intervention of quantitative evaluation and classified nursing mode in psychiatric department, two groups of patients were investigated by using self-made general information questionnaire, grading nursing quality evaluation table and patient satisfaction questionnaire. Results The total average score of nursing quality of the study group was (97.61±2.19) points, the hospital satisfaction was (33.28±1.79) points, while in the control group the total average score of nursing quality was (96.48±1.37) points, the satisfaction score was (28.83±4.71) points. There was a significant difference in the score of nursing quality between the two groups (t=2.515, 5.802;P<0.05). Conclusions The preliminary results show that quantitative assessment of grading nursing model can improve nursing quality and hospitalization satisfaction of psychiatric hospitalized patients.
10.Correlation between resilience and psychological status of main caregivers among disabled elderly
Cuilan CHU ; Tingting LIN ; Ying ZHOU ; Guocheng WANG ; Zhi YANG ; Xiashu YAN ; Lexin YUAN ; Honglian RUAN ; Guilian HE
Chinese Journal of Modern Nursing 2018;24(26):3168-3171
Objective To explore the correlation between resilience and psychological status of main caregivers among disabled elderly of Guangzhou region.Methods From June 2015 to December 2015, a total of 300 main caregivers of disabled elders were investigated with the general information questionnaire, the Chinese version of Connor-Davidson Resilience Scale (CD-RISC), Activities Daily Living Scale (ADLS), Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) by convenience sampling.Results The total score of resilience, standard score of anxiety and depression were (58.2±15.8), (49.05±10.5) and (51.73±11.52) respectively among main caregivers of disabled elders. The competence dimension of CD-RISC had negative correlations with anxiety (r=-0.260,P<0.01) and depression (r=-0.316,P<0.01) in main caregivers of disabled elders, and the toughness dimension was negatively correlated with the depressive symptoms (r=-0.147,P<0.05).Conclusions Main caregivers of disabled elderly of Guangzhou region are with poor resilience along with the high ratio of detection in anxiety and depression suggesting that the mental status is not optimistic.