دورية أكاديمية

Effects of social support, anxiety, and hope levels on cognitive bias in patients with nasogastric/nasoenteric tubes.

التفاصيل البيبلوغرافية
العنوان: Effects of social support, anxiety, and hope levels on cognitive bias in patients with nasogastric/nasoenteric tubes.
المؤلفون: Luo J; Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China; Institute of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China., Chen XY; Department of Nursing, Shanxi Bethune Hospital, Taiyuan, China., Fan SJ; Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China., Jin AY; Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, China., Sui WJ; Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, China.
المصدر: Annals of palliative medicine [Ann Palliat Med] 2023 May; Vol. 12 (3), pp. 561-570. Date of Electronic Publication: 2023 May 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: AME Publishing Company Country of Publication: China NLM ID: 101585484 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2224-5839 (Electronic) Linking ISSN: 22245820 NLM ISO Abbreviation: Ann Palliat Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hong Kong : AME Publishing Company
مواضيع طبية MeSH: Anxiety*/etiology , Anxiety Disorders*, Humans ; Cross-Sectional Studies ; Social Support ; Cognition
مستخلص: Background: Unplanned extubation is a common adverse event and an important indicator of quality and safety of care. It is well recognized that the incidence of unplanned extubation of nasogastric/nasoenteric tubes is higher than that of other devices. Theory and previous research have suggested that cognitive bias in conscious patients with nasogastric/nasoenteric tubes may lead to unplanned extubation, and that social support, anxiety, and hope are influencing factors of cognitive bias. Therefore, the objective of this study was to investigate the effects of social support, anxiety, and hope levels on cognitive bias in patients with nasogastric/nasoenteric tubes.
Methods: In this cross-sectional study, 438 patients with nasogastric/nasoenteric tubes were selected from 16 hospitals in Suzhou from December 2019 to March 2022 by convenience sampling method. The participants were assessed using the General Information Questionnaire, Perceived Social Support Scale, Generalized Anxiety Disorder-7, Herth Hope Index, and Cognitive Bias Questionnaire for patients with nasogastric/nasoenteric tubes. The structural equation model was established with AMOS 22.0 software.
Results: The cognitive bias score of patients with nasogastric/nasoenteric tubes was 2.82±0.61. Patients' perceived levels of social support and hope were negatively correlated with their cognitive bias (r=-0.395 and -0.427, respectively, P<0.05), and anxiety was positively correlated with cognitive bias (r=0.446, P<0.05). Structural equation model analysis showed that anxiety had a direct positive effect on cognitive bias, with an effect value of 0.35 (P<0.001), and hope level had a direct negative effect on cognitive bias with an effect value of -0.33 (P<0.001). Social support had a direct negative effect on cognitive bias and was also shown to indirectly affect cognitive bias through anxiety and hope levels. The effect values were -0.22, -0.12, and -0.19 (P<0.001), for social support, anxiety, and hope, respectively. Social support, anxiety, and hope explained 46.2% of the total variation in cognitive bias.
Conclusions: Moderate cognitive bias is noted in patients with nasogastric/nasoenteric tubes, and social support significantly affects cognitive bias. Anxiety and hope level play a mediating role in social support and cognitive bias. Positive psychological intervention and the obtention of positive support could improve the cognitive bias of patients with nasogastric/nasoenteric tubes.
فهرسة مساهمة: Keywords: Nasogastric/nasoenteric tube; anxiety; cognitive bias; hope level; social support
تواريخ الأحداث: Date Created: 20230522 Date Completed: 20230606 Latest Revision: 20230606
رمز التحديث: 20240628
DOI: 10.21037/apm-22-932
PMID: 37211785
قاعدة البيانات: MEDLINE
الوصف
تدمد:2224-5839
DOI:10.21037/apm-22-932