1.Rehabilitation exercise attitudes and compliance of patients undergoing coronary artery bypass grafting and their influencing factors
Jing ZHANG ; Jiashuai ZHANG ; Jianling DING ; Jianshuang TAO ; Xiuxiu TAO ; Yanli BEN
Chinese Journal of Modern Nursing 2023;29(12):1569-1575
Objective:To explore the status quo of exercise rehabilitation attitudes and compliance in patients undergoing coronary artery bypass grafting (CABG), and analyze the influencing factors, so as to provide evidence for improving the compliance of rehabilitation exercise in CABG patients.Methods:From January to August 2022, convenience sampling was used to select 228 patients with CABG in three ClassⅢ Grade A hospitals in Urumqi City as the survey subject. One month after surgery, a questionnaire survey was conducted using the General Information and Disease Information Questionnaire, the Questionnaire of Rehabilitation Exercises (QRE), the Chinese version of the Tampa Scale of Kinesiophobia for the Heart (TSK Heart), and the Chinese version of the Multidimensional Fatigue Symptom Inventory-Short Form (MFSI-SF-C). This study conducted a latent category analysis of rehabilitation exercise attitudes and compliance among CABG patients, and identified the influencing factors of their latent categories through Logistic regression. A total of 220 valid questionnaires were collected, with an effective recovery rate of 96.49% (220/228) .Results:The fitting results of latent category analysis showed that the rehabilitation exercise attitudes and compliance of 220 CABG patients could be divided into 4 latent categories, which were respectively named as: excellent attitude-excellent compliance group, good attitude-single exercise group, moderate attitude-poor compliance group, poor attitude-poor compliance group. Logistic regression showed that education level, nationality, pain, exercise fear and fatigue were independent influencing factors for the latent categories of exercise rehabilitation attitudes and compliance in CABG patients ( P<0.05) . Conclusions:Postoperative exercise rehabilitation attitudes and compliance in CABG patients have 4 latent categories, and patient education level, nationality, pain, exercise fear and fatigue are all factors that affect compliance. Medical and nursing workers should formulate targeted interventions based on influencing factors to improve the compliance of exercise rehabilitation in patients with CABG.
2.Correlation analysis between technical anxiety and home care readiness in aged caregivers of stroke patients
Xiuxiu TAO ; Fang LIAO ; Lingling WANG ; Yanli BEN
Chinese Journal of Modern Nursing 2023;29(19):2601-2606
Objective:To explore the correlation between technical anxiety and home care readiness in aged caregivers of stroke patients.Methods:From March to June 2022, 160 aged caregivers of stroke patients from the Department of Neurology and Rehabilitation of Xinjiang Uygur Autonomous Region People's Hospital were selected as research objects by convenience sampling and investigated with the general information questionnaire, the Chinese version of the Technical Anxiety Scale for the Aged and the Chinese version of the Caregiver's Readiness for Home Care Scale. Pearson correlation analysis was used to explore the correlation between technical anxiety and home care readiness in aged caregivers of stroke patients. Hierarchical linear regression analysis was used to explore the influencing factors of home care readiness of aged caregivers of stroke patients. A total of 160 questionnaires were distributed in this study, and 151 valid questionnaires were recovered, with an effective recovery rate of 94.4% (151/160) .Results:The home care readiness score of the aged caregivers of stroke patients was (49.42±7.54), and the technical anxiety score was (30.44±6.76). Pearson correlation analysis showed a negative correlation between home care readiness and technical anxiety among aged caregivers of stroke patients ( r=-0.577, P<0.01). Hierarchical regression analysis indicated that technical anxiety was an influencing factor of home care readiness among aged caregivers of stroke patients ( P<0.01), which could account for 9.50% of the variance in home care readiness. Conclusions:The home care readiness of the aged caregivers of stroke patients needs to be improved, and technical anxiety is an influencing factor of their home care readiness. Nursing staffs and community workers should help aged caregivers of stroke patients overcome anxiety and fear of new technologies, help them use digital health information and medical services, so as to improve home care readiness.
3.The effect of disease uncertainty on caregiving burden in major caregivers of stroke:an intermediary model with regulation
Xiuxiu TAO ; Jing ZHANG ; Fang LIAO ; Yanli BEN ; Xinhua SHI
Chinese Journal of Practical Nursing 2023;39(24):1892-1898
Objective:To investigate the relationship and intrinsic mechanism between disease uncertainty, coping style, social support and caregiver burden of primary caregivers of stroke, in order to provide a theoretical basis for reducing the burden of care and improving the quality of care for stroke caregivers.Methods:In this study, the main caregivers of 314 stroke patients hospitalized in Xinjiang Uygur Autonomous Region People's Hospital from December 2021 to May 2022 were selected by convenience sampling method, and cross-sectional surveys were conducted using the general data questionnaire, the Family Scale of Disease Uncertainty, the Simple Coping Style Questionnaire, the Social Support Rating Scale, and the Caregiver Burden Scale. Model 4 in Hayes′ SPSS-Process program was used to test the mediation effect, and Model 15 was used to test the mediation effect of social support.Results:The positive predictive effect of disease uncertainty in the primary caregiver of stroke patients on the burden of caregivers was significant ( β=0.665, P<0.01). Active coping played a partial mediating role between disease uncertainty and caregiver burden, with a mediating effect of 0.306 and a mediating effect of 31.8%. The interaction between disease uncertainty and social support had a significant predictive effect on caregiver burden ( β=-0.033, P<0.05), and the interaction item between active response and social support had a significant predictive effect on caregiver burden ( β=-0.019, P<0.05). Conclusions:Positive coping is an important psychological mechanism between disease uncertainty and caregiver burden, and social support can alleviate the influence of disease uncertainty on caregiver′s burden, and can also strengthen the weakening effect of positive coping on caregiver′s burden.
4.Correlation analysis of mobile nurse workstation with the acceptance of minority nursing staffs
Ximei? YU ; Jiangping BAI ; Caiwei WU ; Yanli BEN
Chinese Journal of Modern Nursing 2015;(19):2251-2255
Objective To explore the correlation analysis of mobile nurse workstation with the acceptance of minority nursing staffs. Methods We designed the acceptance of mobile nurse workstation for minority nursing staffs scale to investigate 317 minority nursing staffs in one first class grade three hospital in Xinjiang. Results The total score of mobile nurse workstation among minority nursing staffs was ( 74. 93 ± 10. 55), which was above the average;the recognition, usage intention and smooth degree about nurse workstation had statistical significance with the acceptance of mobile nurse workstation (P<0. 05). Conclusions We should strengthen and promote the recognition, usage intention and smooth degree of mobile nurse workstation, so as to make mobile nurse workstation to be a tool suited whole nursing staffs and improve infromatization quality of nursing.