Abstract:
AIM:To develop and psychometrically test the distress thermometer for caregivers (DT-C) and document the distress level in primary caregivers of children and adolescents diagnosed with schizophrenia. DESIGN:A validation diagnostic accuracy study and descriptive cross-sectional survey. METHODS:DT-C was adopted based on Harverman's distress thermometer for parents. The cut-off score was detected by using receiver operating characteristic analysis with the Depression Anxiety Stress Scale-21 as a reference standard in a sample of 324 caregivers of children and adolescents diagnosed with schizophrenia in China collected between Jan 2017 and Feb 2018. RESULTS:One-item DT of DT-C indicated a good retest reliability (r = 0.86) and one-item DT and the Problem List (PL) indicated good convergent validity (r = 0.67-0.88). Overall and individual PL domains showed good internal consistency (KR 20 values ranged from 0.70-0.90). Setting seven as the cut-off score, the values of sensitivity (0.72-0.81), specificity (0.86-0.90), Youden's index (0.61-0.70), positive predictive value (0.67-0.74), and negative predictive value (0.84-0.92) were most satisfactory and area under curve values showed significantly excellent discrimination (0.88-0.90). The average DT score for the 324 participants was 6.34 (SD 2.49), with 46.9% of the participants above the cut-off. Caregivers above the cut-off score faced significant multiple problems in practical, family/social, cognitive, emotional, and parenting domains. CONCLUSION:The DT-C, with six domains containing 35 items in Problem List and with the cut-off score at seven, can be a rapid screening tool to measure distress in these caregivers. The level of distress in caregivers was relatively high. Psychoeducation on specific needs and a solid mutual support network are recommended for mitigating caregivers' distress. IMPACT:This study adapted a reliable DT-C to measure distress of caregivers, which has the potential to be introduced to caregivers of other types of child and adolescent mental disorders in research, assessments and care planning for health professionals. :目的: 开发和护理者的痛苦温度计(DT-C),从心理测量学上进行测试,并记录被诊断为精神分裂症的儿童和青少年的主要护理者的痛苦程度。 设计: 验证诊断准确性研究和描述性横断面调查。 方法: 采用的痛苦温度计是在Harverman的父母痛苦温度计的基础上设计的。采用焦虑抑郁压力量表-21进行接受者操作特征分析,检测出临界值,作为中国2017年1月至2018年2月之间诊断出儿童精神分裂症儿童和青少年324名护理者的参照标准。 结果: 痛苦温度计中的一项DT表示良好的重测信度(r =0.86),一项DT和问题表(PL)表示良好的收敛效度(r =0.67-0.88)。整体和个别问题表域显示出良好的内部一致性(KR 20值范围为0.70-0.90)。以7为临界值时,敏感性(0.72-0.81)、特异性(0.86-0.90)、尤登指数(0.61-0.70)、阳性预测值(0.67-0.74)和阴性预测值(0.84-0.92)最为满意,曲线下面积值显示出显著的优异区分性(0.88-0.90)。324名参与者的平均DT得分为6.34(SD为2.49),46.9%的参与者高于临界值。高于临界值的护理者在工作、家庭/社会、认知、情感和养育方面面临着重大的多重问题。 结论: 痛苦温度计有6个领域,包含问题列表中的35个项目,临界值为7,可以作为一个快速筛查工具来测量这些护理者的痛苦程度。护理者的痛苦程度相对较高。建议针对特定需要进行心理教育,并建立稳固的互助网络,以减轻护理者的痛苦。 影响: 本研究采用了可靠的痛苦温度计来测量护理者的痛苦程度,有可能被引入到其他类型儿童和青少年精神障碍的护理者的研究、评估和保健专业人员的护理计划中。.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Bai X,Wang A,Cross W,Lam L,Plummer V,Guan Z,Sun M,Tang Sdoi
10.1111/jan.14233subject
Has Abstractpub_date
2020-02-01 00:00:00pages
687-698issue
2eissn
0309-2402issn
1365-2648journal_volume
76pub_type
杂志文章abstract:BACKGROUND:Effective communication with patients is critical to effective nursing practice. Surprisingly, there is little information on nurses' experiences in caring for patients who are unable to speak. PURPOSE AND METHOD:This study provides descriptive information from interviews with 20 nurses who cared for patien...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01920.x
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND AND RATIONALE:With an increasing demand for intensive care beds more nurses in acute and high dependency wards will be expected to care competently for patients with tracheostomy tubes. Tracheal suctioning is an essential aspect of effective airway management. However, this has many associated risks and comp...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02240.x
更新日期:2002-07-01 00:00:00
abstract:AIMS:To explore the effects of preferred music therapy on peer attachment, depression, and salivary cortisol among early adolescents. BACKGROUND:As adolescents enter puberty, they start to seek partnering relationships among peers. Peer attachment is central for adolescents and greatly influences their physical and ps...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13975
更新日期:2019-09-01 00:00:00
abstract::The purpose of this study was to explore the perceived needs and anxiety levels of adult family members of intensive care unit (ICU) patients. The study was conducted over a 3-month period, on a convenience sample of 166 subjects selected from the total adult population of family members visiting an ICU patient in thr...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1991.tb01796.x
更新日期:1991-08-01 00:00:00
abstract::There is no published research on coping with muscular dystrophy among adults. In the present study, two questionnaires, the Reaction to the Diagnosis of Cancer Questionnaire (RDCQ) and the Mental Adjustment to Cancer scale (MAC), were modified in order to measure coping with muscular dystrophy (MD). A total of 60 peo...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1994.20020314.x
更新日期:1994-08-01 00:00:00
abstract:AIMS:This paper is a report of a descriptive study of Chinese abdominal surgical patients' and nurses' perceptions of discharge information needs. BACKGROUND:Discharge from hospital poses a potential threat to surgical patients' lives because they have to cope in daily life with the consequences of the illness and sur...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05528.x
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:The United Kingdom National Health Service aims to provide a holistic 'cradle to grave' service. In order to achieve this, systems are in place for effective communication between providers of services for babies and children. However, when children leave school, communication between the school health servi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02877.x
更新日期:2004-01-01 00:00:00
abstract::Research utilization and attitudes towards research among learning disability nurses in Northern Ireland The current emphasis on evidence-based practice has focused attention once again on the research activities of health professionals in general and their research utilization in particular. While there has been a li...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01316.x
更新日期:2000-03-01 00:00:00
abstract:AIMS:To describe the type and the amount of formal and informal care received during the first year after home discharge and to identify the baseline predictors of the formal and informal care needs of stroke survivors. DESIGN:Longitudinal study. Data were collected between June 2013-May 2016. METHODS:Survivors (N = ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13998
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Only a few studies are available of team supervision and its challenges to supervisors. A multiprofessional team supervision project was accomplished in 1995-1998 in one university hospital in Finland. Eighty-two practitioners from five wards participated in the project and 10 experienced supervisors impleme...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02192.x
更新日期:2002-05-01 00:00:00
abstract::The aim of the study reported in this paper was to examine the effect of postnatal stay on breast-feeding rates at one month using a randomized control trial. Participants were recruited during parent-craft classes at a large teaching hospital in the north of England. Nulliparous women in the last trimester of pregnan...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2648.2000.01586.x
更新日期:2000-11-01 00:00:00
abstract:AIMS:To synthesize studies that explored simulation as preparation of nursing students for recognition and response to the deteriorating patient. BACKGROUND:New graduate nurses are expected to have the skills to recognize and respond to rapidly deteriorating patient conditions. To this end, education programmes have t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12174
更新日期:2013-11-01 00:00:00
abstract::This paper is based on the authors' experience of teaching and supervising the first intake of the management unit of the diploma for charge nurses offered by the Department of Professional Development and Training, Glasgow College of Nursing and Midwifery, Glasgow, Scotland. The students on this course undertake a pr...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00560.x
更新日期:1998-04-01 00:00:00
abstract::A meta-analysis of randomized controlled trials (RCTs) assessing the effectiveness of a non-pharmacological intervention on the management of pain was conducted. Forty-nine relevant primary studies were identified and retrieved. Individual mean pain scores from these studies were converted to standardized effect sizes...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析
doi:10.1111/j.1365-2648.1996.tb01020.x
更新日期:1996-12-01 00:00:00
abstract::The fragmented nature of maternity services in the UK has led to the introduction of various forms of team midwifery scheme. The aim of such schemes is usually to increase continuity through the provision of antenatal, intrapartum and postnatal care to women by a small team of midwives. Few published studies of this o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00554.x
更新日期:1998-03-01 00:00:00
abstract::Action research is growing in popularity as an approach to research in the nursing profession. Action research seeks to engage practitioners collaboratively into taking action to improve their situation; therefore, one could argue it is ideally suited to nursing since it is a practice-based profession. This paper exam...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb01124.x
更新日期:1994-03-01 00:00:00
abstract::The aims of this research project were to identify areas for research in Australian critical care nursing with potential for improvement in patient care, and to advise nursing research policy and priorities with relevance to areas of patients' needs. Research participants represented a national sample of clinical nurs...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1996.tb03146.x
更新日期:1996-01-01 00:00:00
abstract::Problematic situations comprise a significant proportion of nurse administrators' practice. Reflective inquiry is recommended as a method for identifying the problem and its solution. This approach is consistent with pragmatic philosophy which recognizes the fallacy of basing one's action on an a priori conclusion. De...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.01134.x
更新日期:1999-09-01 00:00:00
abstract:TITLE:Community health: an evolutionary concept analysis. AIM:This paper is a report of a concept analysis of community health. BACKGROUND:Community health is a term that has been broadly used in both research and practice. Although local communities are invested in community health improvement, this process often oc...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05068.x
更新日期:2009-11-01 00:00:00
abstract:AIM:This paper is a report of a study conducted to evaluate a resource-enhancing family nursing intervention to identify and meet mothers', fathers' and children's psychosocial support needs. BACKGROUND:Although a family's resources are a central concept in nursing science, descriptions of the content of the concept a...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05080.x
更新日期:2009-10-01 00:00:00
abstract:AIM:To identify the theories used to explain learning in simulation and to examine how these theories guided the assessment of learning outcomes related to core competencies in undergraduate nursing students. BACKGROUND:Nurse educators face the challenge of making explicit the outcomes of competency-based education, e...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.13416
更新日期:2018-02-01 00:00:00
abstract:AIM:To synthesize what is known about elder abuse and relationship factors associated with abuse between caregivers and older people with memory disorders at home. BACKGROUND:Concerns about abuse in the caring relationship between older people with memory disorders and family caregivers have increased. Abuse is associ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14397
更新日期:2020-04-17 00:00:00
abstract:AIMS:This paper is a report of a study conducted to explore the relationship between nurses' personal and professional factors and evidence-based nursing practice. BACKGROUND:Like most health-related professions, nursing is shifting from the traditional intuition-based paradigm to evidence-based nursing practice. MET...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05488.x
更新日期:2011-01-01 00:00:00
abstract:AIM:To evaluate the feasibility, appropriateness, meaningfulness and effectiveness of bedside shift reporting in a minimum of five interventions and five control wards. BACKGROUND:Hospitals continually improve their quality of care. Next to improvements in clinical performance, more patient participation is stimulated...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13154
更新日期:2017-02-01 00:00:00
abstract:AIMS:To explore the extent to which patient ratings of perceived caring and person-centredness are associated with perceived nursing care quality in an acute hospital sample of inpatients. BACKGROUND:Self-reported patient experiences have had limited attention in conceptualizations of healthcare quality as described i...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13105
更新日期:2017-01-01 00:00:00
abstract:AIM:This paper reports a comparison of nurses affected by the restructuring associated with healthcare organization mergers (1998-2000) in the United Kingdom and those of non-affected nurses in the UK. BACKGROUND:Restructuring, a feature of healthcare organizations for decades, has been associated internationally with...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03723.x
更新日期:2006-02-01 00:00:00
abstract::Recent studies have indicated that significant numbers of nurses are ineffective in performing cardiopulmonary resuscitation (CPR). Furthermore, the studies indicate that many nurses are unable to appraise realistically their own CPR performance. This study sought to ascertain the reasons why qualified nurses are unab...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1991.tb01696.x
更新日期:1991-05-01 00:00:00
abstract::The purpose of this qualitative study was to gain an understanding of the response of English speaking adults with low literacy skills to screening of reading ability in order to facilitate the planning of patient teaching in a hospital setting. The Rapid Estimate of Literacy in Medicine (REALM) was the screening tool...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1997.19970251040.x
更新日期:1997-05-01 00:00:00
abstract::This paper is concerned with the conceptual frameworks which could be applied to nurse practitioners in general practice in reaching decisions during patient consultations. Four strategies of decision making are explained within a practice context: hypothetico-deductive method, decision analysis, pattern recognition a...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00823.x
更新日期:1998-11-01 00:00:00
abstract::This study explores the meaning of excellence in nursing care held by nurses. Qualitative data were collected from 156 undergraduate and postgraduate nurses by means of an open-ended questionnaire. Respondents were asked to reflect on practice which enabled a clear understanding of the meanings given to excellence in ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.25921.x
更新日期:1996-10-01 00:00:00