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Objective:To explore the hope level and influencing factors of infertile patients with first or repeated in vitro fertilization-embryo transfer (IVF-ET).Methods:Female patients receiving IVF-ET treatment during January to June, 2019 in reproductive Medicine Center, Ruijin Hospital, Shanghai Jiaotong University School of medicine, were enrolled in this study. All patients were divided into first and repeated cycles (≥2 cycles), then a questionnaire survey was conducted. The questionnaire included demographic information, Herth hope index (HHI) scale, Locke-Wallace short marital-adjustment test scale and social support rating scale. Multiple linear regression was used to analyze the associated influencing factors of hope level.Results:A total of 251 IVF-ET patients were recruited in the study, including 142 (56.6%) in the first cycle and 109 (43.4%) in the repeated cycle. The HHI score of the repeated cycle was significantly lower than that of the first cycle [(32.0±3.3) vs (36.0±3.1) points] ( P<0.001). Multiple linear regression analysis indicated that repeated IVF-ET was independently negatively correlated with HHI, with a standardized coefficient β of -0.406 ( P<0.001). While living in a city ( P=0.013), high monthly income ( P=0.026), high degree short marital-adjustment test ( P=0.006) and social support rating ( P=0.002) were independently positively correlated with HHI. Conclusions:Repeated IVF-ET treatment patients have a significantly lower HHI score. The residence, monthly income, marital-adjustment, and social support are significantly associated with hope level.
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Objective:To analyzed effect of stratified positive psychological intervention based on Self-reporting Inventory (SCL-90) in patients with digestive tract tumors.Methods:Totally 78 patients with digestive tract cancer from January 2019 to February 2020 were divided into observation group (78 cases) and control group (76 cases), the control group given disease knowledge education, psychological intervention, diet and exercise management, and complication prevention etc routine nursing intervention, the observation group combined with stratified positive psychological intervention based on SCL-90 assessment strategy. Cancer-related fatigue, hope level and nurse satisfaction were compared between two groups.Results:6 months after intervention, the observation group cognitive fatigue, mental fatigue, physical fatigue, the influence of fatigue on life, cancer-related fatigue score were respectively (7.24±1.21), (7.58±1.16), (5.16±1.24), (7.65±1.42), (27.63±4.32) points. The control group were respectively (8.35±1.32), (8.02±1.12), (5.87±1.16), (8.72±1.56), (30.96±4.56) points. There were statistically significant of difference between the two groups ( t values were 2.265-5.442, P<0.05 or 0.01). Observation group Grade Ⅲ cancer-related fatigue total score were respectively (27.34±4.32), (27.65±4.25), (27.63±4.41) points, and the control group were respectively (29.56±5.12), (30.23±4.35), (40.77±5.45) points. There were statistically significant of difference between the two groups ( t values were 8.528, 2.163, 5.812, P<0.05 or 0.01). Observation group attitudes towards reality and the future, maintain close relationships with others, adopt positive action, hope level total score were respectively (10.35±2.01), (9.87±1.43), (10.16±1.42), (30.28±5.20) points, and control group were respectively (9.12±1.45), (9.15±1.32), (9.24±1.36), (27.51±4.36) points. There were statistically significant of difference between the two groups ( t values were 3.245-4.104, P<0.05 or 0.01). Observation group second and third grade hope level total score were respectively (30.24±5.20), (31.87±5.45) points, control group were respectively (27.24±4.23), (19.41±3.52) points. There were statistically significant of difference between the two groups ( t values were 2.271, 5.644, P<0.05 or 0.01). 6 months after intervention, The observation group nurse satisfaction 94.87% (74/78) higher than that control group 82.89% (63/76) ( χ2 value was 5.623, P=0.021) . Conclusion:Stratified positive psychological intervention based on SCL-90 assessment strategy help to ensure the balance of the intervention effect, alleviate cancer-related fatigue, Promote development of hope levels, and improve nurse satisfaction.
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Objective@#To explore the influence of peer participation nursing on preoperative anxiety and hope level of female breast cancer patients.@*Methods@#A total of 30 patients with breast cancer admitted from January 2016 to December were allocated to the control group, they were given routine nursing. Another 40 patients with breast cancer from January 2017 to December were set as the observation group, they were given peer participation nursing based on the control group. The scores of anxiety, hope level and vital signs were compared between the two groups.@*Results@#The S-AI scores in the observation group and the control group were 43.92±7.56, 44.05±7.17, higher than those of the domestic norm (39.78±8.89), and the difference was statistically significant (t=1.943,2.004, P<0.05). The S-AI score in the morning of operation day in the observation group was 46.21±5.73, lower than that in the control group (47.82±6.85) (t=2.365, P<0.05). The score of positive attitude, positive action, intimacy and total score of hope were 12.78±1.53, 12.89±1.63, 13.75±1.38, 38.62±2.94 in the observation group, which were higher than 10.13±1.75, 10.81±1.24, 12.21±1.44, 31.34±2.68 in the control group, and the difference was statistically significant (t=4.535-10.643, P<0.05). The heart rate, systolic blood pressure and diastolic blood pressure in the observation group were (76.58±7.24) times/min, (121.18±7.53) mmHg,(75.85±6.45) mmHg, lower than (88.45±9.23) times/min,(130.82±8.31) mmHg, (85.56±7.14) mmHg of the control group, and the differences were statistically significant (t=6.031, 5.070, 5.953, P<0.05).@*Conclusions@#Peer participation nursing can relieve anxiety level of female breast cancer patients, raise their hope level, stabilize their vital signs, and achieve safe operation.
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Objective To explore the influence of peer participation nursing on preoperative anxiety and hope level of female breast cancer patients. Methods A total of 30 patients with breast cancer admitted from January 2016 to December were allocated to the control group, they were given routine nursing. Another 40 patients with breast cancer from January 2017 to December were set as the observation group, they were given peer participation nursing based on the control group. The scores of anxiety, hope level and vital signs were compared between the two groups. Results The S-AI scores in the observation group and the control group were 43.92 ± 7.56, 44.05 ± 7.17, higher than those of the domestic norm (39.78±8.89), and the difference was statistically significant (t=1.943,2.004, P<0.05). The S-AI score in the morning of operation day in the observation group was 46.21±5.73, lower than that in the control group (47.82±6.85) (t=2.365, P<0.05). The score of positive attitude, positive action, intimacy and total score of hope were 12.78±1.53, 12.89±1.63, 13.75±1.38, 38.62±2.94 in the observation group, which were higher than 10.13 ± 1.75, 10.81 ± 1.24, 12.21 ± 1.44, 31.34 ± 2.68 in the control group, and the difference was statistically significant (t=4.535-10.643, P<0.05). The heart rate, systolic blood pressure and diastolic blood pressure in the observation group were (76.58±7.24) times/min, (121.18±7.53) mmHg, (75.85±6.45) mmHg, lower than (88.45±9.23) times/min,(130.82±8.31) mmHg, (85.56±7.14) mmHg of the control group, and the differences were statistically significant (t=6.031, 5.070, 5.953, P<0.05). Conclusions Peer participation nursing can relieve anxiety level of female breast cancer patients, raise their hope level, stabilize their vital signs, and achieve safe operation.
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Objective To investigate the status quo of hope level as well as the relationship between the hope level and social support in patients with chronic heart failure (CHF). Method A total of 120 CHF patients were surveyed by Herth hope index (HHI) and social support rating scale (SSRS). Results The overall HHI score and SSRS were (30.2±4.2) and (38.4±6.2), respectively. Both were at a medium level. The general score of HHI was positively related to general SSRS (r=0.527, P＜0.01). Conclusions Both of HHI and SSRS of patients with CHF are at moderate level. The patients with higher level of social support have better hope level. Nurses should take pertinent interventions to improve the social support of CHF, helping them to improve their hope and respond to diseases effectively.
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Objective To explore the effect of advance directives on hope level and coping style in cancer patients. Methods A total of 168 cancerous person were selected as the research sample according to conveniences sampling. They were divided into two groups according to whether they were set up or not advance directives. A total of 88 patients without advance directives (control group) was given full rescue, and a total of 80 patients (experimental group) was given medical care according to the patient's prior wishes. The scores of the Cancer Hope Scale and the Medical Coping Questionnaire were compared between the two groups. Results The score of the Cancer Hope Scale was (24.83 ± 2.59) points in experimental group, (30.09±3.36) points in control group. The score of the Medical Coping Questionnaire was (41.21±2.65) points in experimental group, (35.85±2.63) points in control group. There was significant difference between the two groups (t=11.861, 17.817, P <0.01). Conclusions There are many mental health problems in cancer patients. Patients with advance directives can face the disease with a more positive attitude.
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Objective To analyze the effect and clinical value of health behavior intervention on postoperative hope level and negative emotional in patients with lung cancer surgery.Methods From December 2014 to October 2017,170 cases with lung cancer in Taizhou Hospital of Zhejiang were selected.According to the intervention methods,85 cases were divided into control group and observation group.The patients in the control group were treated with routine nursing,the observation group received routine nursing combined with healthy behavior intervention nursing mode,and the nursing effect of the two groups was analyzed.Results After intervention,the anxiety self-rating scale score,depression self-rating scale score in the observation group were(45.43 ±3.08)points,(46.02 ±3.45)points,respectively,which in the control group were(50.02 ±6.62)points,(53.65 ±6.31)points,respectively,and the differences between the two groups were statistically significant(t=5.287,5.187,all P<0.05).After intervention,the positive attitude,positive action,and keep close relationship with others in the observation group were(13.04 ±2.88)points,(12.99 ±2.97)points,(13.23 ±2.96)points,respectively,which in the control group after intervention were(10.02 ± 1.71)points,(10.13 ±1.86)points,(10.09 ±1.69)points,the differences between the two groups were statistically significant(t=4.871,5.017,4.418,all P<0.05).After intervention,the scores of physical function,role function,emotional function,cognitive function,social function,fatigue,nausea and vomiting,pain in the observation group were(74.04 ±7.73)points,(76.99 ±6.34)points,(75.01 ±7.86)points,(73.76 ±8.54)points,(75.92 ± 6.18)points,(77.98 ±7.08)points,(79.32 ±8.32)points,(72.11 ±7.18)points,respectively,which were higher than those in the control group,the differences were statistically significant(t=11.387,10.386,12.487,11.672,13.987,9.438,14.687,10.438,all P<0.05).Conclusion The application of healthy behavior intervention in patients with lung cancer can reduce anxiety and depression negative emotions,improve the hope level,improve the quality of life,and deserve to be applied in clinical application.
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Objective To investigate the level of hope, personality characteristics and the care of burden of the primary caregivers of advanced cancer patients, and to analyze the correlation between the level of hope and personality characteristics and care of burden. Methods 201 primary caregivers of terminal cancer patients were selected from May to September in 2016. HHI, NEO-FFI and ZBI were used to investigate the participants. Results The hope of the participants were all in moderate to high levels. The level of hope of the participants was significantly positively correlated with the scores of extraversion and conscientiousness(r =0.165, 0.235, P<0.05). It was significantly negatively correlated with neuroticism, openness, agreeableness and burden care, r =-0.258--0.179, P<0.05. Conclusions The medical staff should give interventions timely according to the personality characteristics and care burden of the main caregivers of patients with advanced cancer, so that the level of hope could be improved in order to improve their psychological health.
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Objective To explore the status of early postoperative social relationship quality and hope level in patients with breast cancer and analyze the correlation between them. Method A questionnaire survey was conducted among 100 patients with breast cancer using the social relationship quality scale and Herth hope scale. Results The total score and expected total score of early postoperative social relationship were (47.86±6.10)and (30.81±1.86), respectively. There was a positive correlation between the two groups (r=0.324,P<0.05). Conclusions The quality of social relations in the postoperative patients with breast cancer is positively correlated with the level of hope. Nursing staff should give breast cancer patients hope and strength at the same time, helping them understand and use social relations to improve the quality of life.
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Objective To investigate the correlation between hope level and self-management behaviors among patients with type 2 diabetes.Method One hundred and ninety-eight hospitalized patients with type 2 diabetes were recruited in the investigation by convenience sampling in a first-class grade I hospital from December 2015 to April 2016 to understand the status of hope and self-management behaviors as well as the correlation between them.Results The score on hope level was (35.0±3.6),which was in a medium or above level.The total score of self-management behaviors was (84.1 ±13.0),which indicated their self-management remained in the middle level.The total score on the hope level and its all dimensions were positively correlated with the total score on self-management behaviors and the dimensions such as drug compliance,foot care,high and low blood sugar processing (all P ＜0.05).There was a positive relationship between maintain close relationship with others and regular exercise (P＜0.05).The average score on hope and each dimension were insignificantly correlated with diet control and blood glucose monitoring (all P＞0.05).Conclusions The hope of 2 diabetic patients is in a medium or above level.The hope level is closely related to their self-management behaviors.The nurses should pay attention to the hope level of patients.Effective nursing interventions should be adopted to improve the self-management ability and quality of life in patients with type 2 diabetes.
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Objective To explore the relationship between hope level and quality of life with psoria-sis vulgaris patients, and to make a reference for improving quality life of with psoriasis vulgaris patients. Methods 126 psoriasis vulgaris patients were investigated using the questionnaires of Herth Hope Inedx ( HHI) and Dermatology Life Quality Index( DLQI) .Results The average scores of HHI and DLQI of pso-riasis vulgaris patients were(33.37 ±5.15),(11.18 ±4.83)respectively,and the HHI score of psoriasis vul-garis patients was negatively correlated with the DLQI score ( r=-0.433, P<0.01) .The stepwise multivari-able regression showed that interconnectedness( R 2=0.177),education level( R 2=0.054) and years of psoriasis vulgaris( R 2=0.037) were the main influential factors on life quality of psoriasis vulgaris patients. Conclusion The hope level of psoriasis vulgaris patients is positively related with quality of life,so effective and targeted measures should be taken to improve their hope level in order to improve quality of life of psoria-sis vulgaris patients.
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Objective To explore the mediator effect of coping styles in relationship between hope level and subjective well-being of empty-nesters in urban community.Methods 208 empty-nesters were tested with Herth Hope Scale,Coping Style Questionnaire and Subjective Well-Being to investigate the influence and the pathways of hope and coping styles on subjective well-being with structural equation modeling.Results Influence of hope level on subjective well-being of empty-nesters in urban community accorded with completely-mediated model (x2/df =1.971,GFI =0.955,AGFI =0.911,RMSEA =0.068),and influence of hope level mediated by positive coping styles accounted for 41.76％(Z=3.692,P＜0.01).Conclusion The influence of hope level on subjective well-being is mediated mainly by positive coping styles for empty-nesters in urban community.
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Objective To study the hope level in patients with high-risk gestational trophoblastic neoplasm and to explore its related factors.Methods 83 cases of patients with high-risk gestational trophoblastic neoplasm were collected and investigated with Herth Hope Scale,Social Support Rating Scale (SSRS) and self-designed questionnaire.The results underwent analysis.Results The hope level of most patients underwent investigation was at the moderate level,among which the positive attitude for future and reality scored (10.80 ± 1.77),adopting positive action scored (10.30 ± 2.36),keeping close relationship with others scored (9.63 ± 2.13),the total scored (30.74 ± 4.82).The hope oevel was positively correlated with rigor personality (r=0.254),but negatively correlated with neuroticism (r=0.237),the difference was statistically significant.Conclusions The hope level of patients with high-risk gestational tropoblastic neoplasm is above the moderate level and is correlated with many factors.Doctors and nurses should evaluate carefully enough and take nursing measures to improve the hope level and life quality.
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Objective To explore the relationship between acceptance of disability and hope level in patients with total laryngectomy.Methods Totally 84 patients with total laryngectomy were recruited and investigated with the general information questionnaire,Acceptance of Disability Scale (ADS)and Herth Hope Index (HHI).Results The total score of ADS was (85.82±12.64),which showed medium level acceptance of disability.The total score of Herth Hope Index (HHI) was (35.50±8.12),which showed high level HHI.Significantly positive correlation was found between acceptance of disability and HHI.Conclusions Nurses should pay more attention to the acceptance of disability in patients with total laryngectomy,and provide effective psychological intervention to improve the patients' menial health and quality of life.
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Objective To investigate the correlation between hope and medical coping styles among patients with diabetic foot ulcer.Method Fifty-four inpatients and outpatients with diabetic foot ulcer were investigated by the demographic questionnaire,the Herth hope index(HHI)and medical coping modes questionnaire(MCMQ)to investigate the status of their hope and coping styles and the correlation between them.Results The average score of hope was(36.50±5.06),which was at the high level.Confrontation was lower than the norm in coping styles(all P0.05).The average score on hope was positively correlated with confrontation but negatively correlated with avoidance(all P0.05).Conclusions The hope of patients with diabetic foot is high.It is positively correlated with confrontation and negatively correlated with acceptance-resignation in coping styles.Nurses should instruct the patients to adopt positive coping styles,avoid negative coping styles and keep them at a higher level of hope.
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Objective To explore the effects of patient mutual help-oriented nursing model on social support and hope level in lung cancer patients.Methods Totally 72 lung cancer patients were recruited into the study and divided into the experimental group and the control group with 36 patients in each group.The control group was given routine care,while the experimental group received additional patient mutual help-oriented nursing interventions:physically and psychologically well recovered patients were asked to give emotional communication and interaction to patients newly diagnosed with lung cancer,The Social Support Scale and Herth Hope Index were used for evaluation after the intervention.Results The patients' social support and hope level of the intervention group were significantly better than those of the control group after intervention.Conclusions Patient mutual help-oriented nursing model can improve social support and hope level of lung cancer.
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Objective The aim of this study was to examine hope level in patients with coronary heart disease after per-cutaneous coronary intervention and explore correlation with illness perception.Methods 176 patients in outpatient department were recruited after per-cutaneous coronary intervention.The Herth Hope Index (HHI),Illness perception Questionnaire-Revised and demographic and clinical characteristics were collected.Results The hope level score of patients after per-cutaneous coronary intervention was (36.18±3.21),the hope level was correlated with seven dimensions of illness perception and was influenced by degree of education,income level,whether the disease is acute or chronic and control belief.Conclusions The patients after per-cutaneous coronary intervention show high level of hope and is affected by many factors,this provides the basis for taking effective measures to improve the patients' level of hope.
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Objective To explore the correlations of between expectations and anxiety and depression of cervical cancer patients. Method Herth hope index,self-rating anxiety scale(SAS)and self rating depression scale(SDS)and self-made general information questionnaire were used to investigate the levels of hope,anxiety and depression as well as the correlations between them.Results The overall level of hope in cervical cancer patients was(36.89±4.21)in a moderate to high level. The scores on hope level and keeping intimate relationships with other in the group of patients,aged above 50 years,married,with high school education or above and monthly income of 1,500 yuan were significantly higher than those of the other group patients.The incidences of anxiety and depression were 47.83%and 52.17%, respectively. The general hope level and its three dimensions was negatively related to the anxiety and depression(P<0.01).Conclusions The hope of cervical cancer patients are at moderate to high level and are negatively correlated between anxiety and depression.Improving the hope level of cervical cancer patients can effectively improve patients bad feelings.
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Objective To probe into the relationship of self-management behavior and hope level in patients with coronary heart disease after percutaneous coronary intervention (PCI).Methods The research instruments included three questionnaires:the Coronary Artery Disease Self-management Scale,the Herth Hope Scale and the demographic characteristics of respondents.Results Self-management behavior was in medium level and it was necessary to be improved.The total score of self-management behavior was positively correlated with hope level.Conclusions Medical workers should fully understand the status of selfmanagement behavior,and promote desirable self-management behavior through increase of hope level.
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Objective To explore the influence of the hope level and family function on the quality of life of the schizophrenia convalescence patients.Methods One hundred and twenty schizophrenia convalescence patients were investigated with Herth Hope Scale,Family APGAR Index (APGAR) and the Schizophrenia Quality of Life Scale (SQLS) to analyze the influence of the level of hope and family function on their quality of life.Results The mean score of the hope level and family function of the schizophrenia convalescence patients was (30.1 ±7.0) points and (4.5± 1.5) points respectively,they both played a significant role on the effect of the quality of life.Through the simple effect analysis,the quality of life was different in the various hope level under the various family function situation,and the quality of life was also different in the various family function situation under the medium hope level.Conclusions Both hope level and family function have effect on the quality of life of patients.The medical staff should take targeted measures to improve their quality of life effectively.