European journal of psychotraumatology, Год журнала: 2025, Номер 16(1)
Опубликована: Янв. 13, 2025
Background: Demoralization in the face of adversity is a common existential state. However, it has not been examined reaction to warfare, and mediators between extent exposure war demoralization this context are also unknown.
Язык: Английский
Процитировано
1International Journal of General Medicine, Год журнала: 2025, Номер Volume 18, С. 787 - 797
Опубликована: Фев. 1, 2025
This observational study aimed to investigate the prevalence and influencing factors of demoralization syndrome (DS) in elderly maintenance hemodialysis (MHD) patients, with a focus on improving their psychological distress levels. Convenient sampling was used select 350 MHD patients aged 60 or older from three tertiary hospitals China. Data collected using questionnaires, including Chinese version DS Scale. Statistical analysis conducted SPSS 26.0 software. Single factor revealed that sex, average monthly household income, living alone, dialysis duration, complications, self-care abilities were significant influencers The score moderately high, 59.4% scoring high range. Multivariable linear regression identified self-management as independent impacting DS. highlighted importance addressing enhancing social support, skills, tailoring individualized plans reduce levels alleviate patients. These findings provide valuable insights for healthcare providers aiming enhance patient well-being this population.
Язык: Английский
Процитировано
1Journal of Palliative Medicine, Год журнала: 2024, Номер 27(12), С. 1657 - 1665
Опубликована: Май 10, 2024
Mental health issues are widespread and significant among individuals with serious illness. Among patients receiving palliative care (PC), psychiatric comorbidities common impact patient quality of life. Despite their prevalence, PC clinicians face challenges in effectively addressing the intricate relationship between medical disorders due to complex, intertwined bidirectionally influential nature. This article, created collaboratively a team psychiatric-palliative experts, is second two-part series examining bidirectional illness PC. article explores 10 prevalent manifestations associated severe its treatment. Building upon first which focused on physical PC, these two articles advocate for an integrated approach that prioritizes mental emotional wellbeing across continuum
Язык: Английский
Процитировано
3Oncology nursing forum, Год журнала: 2025, Номер unknown
Опубликована: Янв. 1, 2025
Objectives: To determine clinically meaningful cut points for the Herth Hope Index and evaluate differences in demographic clinical characteristics, as well stress, resilience, coping, between patients with lower versus higher levels of hope.Sample & Setting: Outpatients cancer receiving chemotherapy (N = 1,295).Methods Variables: Patients completed Index, Multidimensional Quality Life Scale–Patient Version, coping measures prior to their second or third cycle chemotherapy.Results: Optimal were 40 less (i.e., level hope) greater than hope). The Lower group had a comorbidity burden functional status.Implications Nursing: Clinicians can use this information educate about interventions that decrease stress improve abilities. may benefit from having conversations clinicians authentically convey prognosis provide realistic sense hope.
Язык: Английский
Процитировано
0Journal of Multidisciplinary Healthcare, Год журнала: 2025, Номер Volume 18, С. 369 - 379
Опубликована: Янв. 1, 2025
Objective: This study aimed to assess the determinants of demoralization syndrome among patients with breast cancer (BC) in southwestern region China.Methods: investigation constituted a single-center cross-sectional which 176 BC were surveyed through questionnaire covering current status and social support.Results: Majority developed moderate-to-severe levels demoralization.The degree was complex influenced by variety factors.Among BC, demographic variables such as age, education level, residential address, monthly income, occupation, receipt chemotherapy main influencing factors (P < 0.05), whereas children, surgical methods not 0.05).Additionally, all reported receiving support exceeding moderate levels, no statistically significant difference data observed those reporting heightened > 0.05). Conclusion:There are many BC.Nursing interventions play pivotal role minimizing BC.We should pay more attention commitment level.Positive communication patients, involving attentive listening, guidance encouragement, is essential for providing effective psychological care support, fostering trust between healthcare providers patients.
Язык: Английский
Процитировано
0Psycho-Oncology, Год журнала: 2025, Номер 34(2)
Опубликована: Фев. 1, 2025
This study aimed to elucidate the mechanisms by which symptom burden affects demoralization in Chinese lung cancer patients, with a focus on roles of family functionality, resilience, and coping strategies. The also explored differences these pathways between two distinct categories. A cross-sectional survey was conducted among 567 patients who completed questionnaires assessing burden, functioning, strategies, demoralization. Data were analyzed using partial least squares structural equation modeling (PLS-SEM), multigroup (MG-SEM) employed compare psychological distress-subjective incompetence group (PDSIG) low demoralization-emotional disturbance (LDEDG). PLS-SEM analysis demonstrated good model fit. Symptom (β = 0.26), confrontation 0.11), acceptance-resignation 0.41) had positive direct effects demoralization, whereas resilience -0.19) function -0.27) negative effects. Additionally, function, mediated relationship MG-SEM revealed that, PDSIG, 0.47) -0.46) similarly strong impacts stronger associated lower In contrast, -1.02) most significant factor LDEDG. These findings highlight importance screening for particularly high maladaptive resignation coping, dysfunction, resilience. Effective strategies should management, support, building, fostering mechanisms. Tailored interventions based subtypes are essential improve well-being this population.
Язык: Английский
Процитировано
0European Journal of Oncology Nursing, Год журнала: 2025, Номер unknown, С. 102870 - 102870
Опубликована: Март 1, 2025
Язык: Английский
Процитировано
0Frontiers in Psychiatry, Год журнала: 2025, Номер 16
Опубликована: Апрель 25, 2025
This study aimed at identifying correlates of demoralization in breast cancer. Information was obtained from outpatients with cancer the Oncology Clinic a university-affiliated hospital United States, using reliable and valid scales, participants' medical records on demographic social characteristics, location, type, stage cancer, whether it re-occurrence or first time diagnosed, type treatment, medications being used, history mental disorder, functional impairment, perceived stress, support, resilience, subjective incompetence, demoralization, depression. Demoralization measured Scale. Bivariable multivariable analyses were conducted as dependent variable. correlated positively depression, negatively months since diagnosed quality life. Forward stepwise regression without depression equation identified emotional wellbeing subscale life, impairment significant. After forced entry support mild ceased to be significant, leaving only moderate severe Perceived stress did not enter any models. Early detection co-occurrence are essential for promoting well-being patients Psychotherapy should focus strengthening modifiable negative countering positive correlates, preventing
Язык: Английский
Процитировано
0Supportive Care in Cancer, Год журнала: 2025, Номер 33(5)
Опубликована: Апрель 28, 2025
Язык: Английский
Процитировано
0BMC Nephrology, Год журнала: 2025, Номер 26(1)
Опубликована: Май 29, 2025
Язык: Английский
Процитировано
0