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Objective:To explore the relationship between the level of mindfulness, illness uncertainty, negative coping style and fear of recurrence in patients after radical resection of gastric cancer, and to understand the internal mechanism of how mindfulness affects the fear of recurrence.Methods:This was a cross sectional survey. From January 2019 to March 2021, the convenience sampling method was used to select 227 patients undergoing radical gastric cancer surgery in the Affiliated Hospital of Naval Medial University of Chinese PLA as the research objects. The general information questionnaire, Mindfulness Attention and Awareness Scale, Fear of Disease Progression Simplified Scale, Mishel′s Illness Uncertainty Scale and Simplified Coping Style Questionnaire were used for questionnaire surveys. The relationship between the level of mindfulness, illness uncertainty, negative coping style and fear of recurrence was explored and the model was tested.Results:The returned questionnaires were 207 with a recovery rate of 91.19%(207/227). Pearson correlation analysis showed that the level of mindfulness was negatively correlated with illness uncertainty, negative coping style, and fear of recurrence ( r=-0.176, -0.269, -0.480, all P<0.01). Illness uncertainty, negative coping styles were positively correlated with fear of recurrence ( r=0.433, 0.420, both P<0.01). The mediation model test showed that mindfulness had a significant direct effect on fear of relapse (effect value was -0.220), illness uncertainty and negative coping styles had significant partial mediating effect between mindfulness level and fear of recurrence (effect value were -0.036, -0.030). And the chain mediating effect of illness uncertainty and negative coping style was also significant (effect value was -0.006). Conclusions:The level of mindfulness can not only have a direct impact on the fear of recurrence in patients after radical gastrectomy, but also indirectly affect the fear of recurrence through the chain mediating effect of illness uncertainty, negative coping style, and disease uncertainty→negative coping style.
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Objective:This study aimed to investigate the present status of professional identity in internship nursing students and to find the moderate role of mindfulness in the relationship between neuroticism and professional identity.Methods:This was a cross sectional investigation. From October to December 2021, 819 internship nursing students from four hospitals of Shandong Province were invited to participate in the study and to finish a questionnaire survey including the general information questionnaire, Professional Identity Questionnaire for Nurse Students (PIQNS), the Big Five Inventory(BFI) and Mindful Attention Awareness Scale (MAAS).Results:The average score of PIQNS was (61.41 ± 11.59). Pearson correlation analysis showed that professional identity was negatively associated with neuroticism ( r=-0.405, P<0.01) and positively associated with mindfulness ( r=0.301, P<0.01). Neuroticism was negatively associated with mindfulness ( r=-0.439, P<0.01). The hierarchical regression showed that mindfulness level could moderate the correlation between neuroticism and professional identity. Furthermore, the Johnson-Neyman technique revealed that the moderating role was significant only when the positive level was greater than 47.085. Conclusions:The professional identity of internship nursing students deserves attention. Mindfulness level could moderate the correlation between neuroticism and professional identity. It is suggested that clinical managers to carry out targeted training, to enhance the professional identity of internship nursing students during internship.
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Objective@#To explore the mediating effect of the childbirth self-efficacy between mindfulness level and fear of childbirth in pregnant women.@*Methods@#A total of 285 pregnant women were measured with five facet mindfulness questionnaire(FFMQ), childbirth attitude questionnaire(FOC), and the short form of the Chinese childbirth self-efficacy inventory(CBSEI-C32).@*Results@#The scores of mindfulness level, fear of childbirth, outcome expectancy and self-efficacy expectancy were(127.51±11.12), (31.44±8.84), (109.36±30.52)and(110.02±30.03), respectively.Pearson correlation analysis showed that mindfulness level was positively correlated with outcome expectancy and self-efficacy expectancy(r=0.247, r=0.235, both P<0.01), while negatively correlated with fear of childbirth(r=-0.274, P<0.01). Outcome expectancy and self-efficacy expectancy were negatively correlated with fear of childbirth(r=-0.251, r=-0.233, both P<0.01). The mediating effect of outcome expectancy and self-efficacy expectancy between mindfulness level and fear of childbirth was significant(P<0.01), and the mediating effect sizes were 17.8% and 15.6%, respectively.@*Conclusion@#Childbirth self-efficacy partly mediates mindfulness level and fear of childbirth in pregnant women.
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Objective To explore the mediating effect of the childbirth self-efficacy between mind-fulness level and fear of childbirth in pregnant women. Methods A total of 285 pregnant women were measured with five facet mindfulness questionnaire(FFMQ),childbirth attitude questionnaire(FOC),and the short form of the Chinese childbirth self-efficacy inventory(CBSEI-C32). Results The scores of mindful-ness level, fear of childbirth, outcome expectancy and self-efficacy expectancy were ( 127. 51 ± 11. 12), (31. 44±8. 84),(109. 36±30. 52) and(110. 02±30. 03),respectively. Pearson correlation analysis showed that mindfulness level was positively correlated with outcome expectancy and self-efficacy expectancy ( r=0. 247,r=0. 235,both P<0. 01),while negatively correlated with fear of childbirth(r=-0. 274,P<0. 01). Outcome expectancy and self-efficacy expectancy were negatively correlated with fear of childbirth ( r=-0. 251,r=-0. 233,both P<0. 01). The mediating effect of outcome expectancy and self-efficacy expectancy between mindfulness level and fear of childbirth was significant(P<0. 01),and the mediating effect sizes were 17. 8% and 15. 6%, respectively. Conclusion Childbirth self-efficacy partly mediates mindfulness level and fear of childbirth in pregnant women.
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Objective To study the level of mindfulness,mental toughness and clinical practice of nursing internship, to analyze the relationship between the level of mindfulness and mental toughness and clinical practice, to further improve the level and ability of nursing internship in clinical practice. Methods A total of 298 nursing internship in our hospital from January 2014 to December 2016 were included in the study. The level of mindfulness, resilience and clinical practice ability of all nursing internship were examined. The level of mindfulness, resilience and clinical practice ability of nursing students were analyzed. The relationship between mindfulness level, resilience and clinical practice ability of nursing students in our hospital were observed. Results The score of male nursing internshipin observation and description dimensions were 3.36±0.45, 3.52±0.43, significantly higher than female nursing internship 3.02 ± 0.41, 3.19 ± 0.38, the difference was statistically significant (t=6.815, 7.028, P<0.05). The scores of male nursing internship in individual ability, social ability, planning style, social resources and family cohesion dimensions were 4.82±0.36, 5.09±0.46, 4.06±0.42, 4.73±0.35, 5.04± 0.39, which were higher than those of female nursing students 4.51 ± 0.34, 4.89 ± 0.42, 3.91 ± 0.38, 4.58 ±0.31, 4.88 ± 0.32, the difference was statistically significant (t=3.268-6.847, P<0.05). Male nursing internship in the use of theoretical knowledge, communication and clinical skills scores were 3.35 ± 0.38, 3.76±0.45, 3.59±0.46, lower than that of female nursing internship 3.56±0.39, 3.54±0.42, 3.42±0.41, the difference was statistically significant (t=4.678, 2.851, 2.243, P<0.05). The level of mindfulness and the level of resilience of the male and female nursing internship were positively correlated with the ability of clinical practice (r=0.823- 0.884,P<0.05). Conclusions The level of mindfulness and mental toughness is the influencing factors of nursing internship in clinical practice ability, through the cultivation of the level of mindfulness and mental toughness for clinical nursing internship, we can effectively improve the clinical practice ability of nursing students,improve the level of nursing and ensure medical safety.
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Objective To investigate the relationships among perceived stress,mindfulness level,and sleep problems,and to indicate the mediating role of mindfulness level in the relationship between perceived stress and sleep problems.Methods For 179 undergraduate students,the Five Facet Mindfulness Questionnaire (FFMQ),Chinese Perceived Stress Scales (CPSS) and Athens Insomnia Scale (AIS) were used to measure.Results The scores of the scales were (120.43 ± 1 1.23) for FFMQ,(40.17 ± 6.86) for CPSS and (5.28 ± 4.04)for AIS.Pearson correlation analysis showed that perceived stress was negatively correlated to mindfulness level (r =-0.602,P =0.000) and positively correlated to sleep problems (r =0.459,P =0.000) and that there was significant negative correlation between mindfulness level and sleep problems (r =-0.427,P =0.000).Hierarchical linear modeling showed significant partial mediation of mindfulness level on the association between perceived stress and sleep problems.Conclusion Mindfulness level partly mediated the positive link between perceived stress and sleep problems.
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Objective To explore the effects of the mindfulness mode intervention on the adverse reaction of the patients with breast cancer during the period of chemotherapy.Methods 75 patients with breast cancer during the period of chemotherapy were randomly assigned to the control group(38 cases) and the intervention group(37 cases).All patients received the routing nursing of chemotherapy.In addition the intervention group received the mindfulness intervention.The adverse reaction of chemotherapy questionnaire was used to investigate the level of their adverse reaction before the intervention and two months after the intervention.Results After the intervention,the scores of the adverse reaction in the intervention group was (32.19± 7.70)points,less than that of the control group,which was (36.97±10.03)points.There was statistically significant difference between two groups.Conclusions The mindfulness model intervention could reduce the adverse reaction of the patients with breast cancer.