Background Nursing students experience high levels of stress. Previous studies on nursing students have explored the relationship between mindfulness and stress response, sense of coherence (SOC) and stress response, and mindfulness and SOC. However, whether SOC affects the relationship between mindfulness and stress response is yet to be explored. This study aimed to clarify how SOC affects the relationship between mindfulness and stress response in Japanese nursing students. The results of this study will be useful in considering appropriate mental health interventions for nursing students in the future. Methods An anonymous self-administered questionnaire survey using the Mindful Attention Awareness Scale, SOC Scale, and Perceived Stress Scale was conducted, which yielded 130 (74.7%) valid responses. Subsequently, a mediation analysis was performed with stress response as the dependent variable, mindfulness as the independent variable, and SOC as the mediator. Results Spearman’s correlation analysis was used to analyze the data and revealed a statistically significant correlation between mindfulness and SOC, mindfulness and stress response, and SOC and stress response. Mediation analysis showed that: the direct effect of mindfulness on stress responses was significant (β = − .40; p < .001). However, the direct effect of mindfulness on stress responses was not significant when SOC was included as a mediator. The bootstrap method was conducted, and the results revealed that the indirect effect of mindfulness on SOC-mediated stress responses was significant (β = − .38; 95% CI = − .47 to − .29, p = .01). Conclusions SOC mediated the relationship between mindfulness and stress responses. Improving SOC is necessary to reduce stress responses in nursing students. Additionally, mindfulness should be increased to improve SOC. Future studies should explore enhancing the nursing curricula with mindfulness and SOC training.
Objective: This study examined the relationship between SDM: shared decision making and selfmanagement behavior in the selection of renal replacement therapy when introducing hemodialysis.Methods: We conducted a survey by sending self-administered questionnaires to 61 hemodialysis patients. The survey items included personal attributes, the hemodialysis self-management behavior scale, the SDM-C-patient, the motivation scale for medical treatment behavior, and the self-efficacy scale for health behavior of patients with chronic diseases. We constructed a relational model of self-management behavior and SDM, self-efficacy, and motivation, based on the conceptual framework and the results of the univariate analysis, and conducted covariance structure analysis.Results: SDM had direct effects on compliance with dietary restrictions and water restrictions and indirect effects through positive coping behavior against disease. Regarding the management of therapy and prevention of complications, SDM had indirect effects through positive coping behavior against disease and autonomous motivation. Regarding the adjustment of physical and psychosocial living, SDM had indirect effects through positive coping behavior against disease.Conclusion: Self-management behavior of hemodialysis patients was influenced by SDM in the selection of renal replacement therapy.
Objective: This study aims to develop a Japanese version of the multiple sclerosis selfmanagement scale-revised (MSSM-R) developed in the United States and test its reliability and validity.Methods: A back-translation procedure was used to develop the Japanese version of the scale, a preliminary survey was conducted, and the primary survey was administered to 524 patients with multiple sclerosis. Reliability was examined for stability and internal consistency, and validity was examined for concurrent validity and construct validity.Result: The ICC for the stability of the test-retest conducted 2 weeks after the primary survey was 0.93. Overall, the Cronbach's α for the Japanese version of the MSSM-R was 0.85. The correlation coefficient with the external criteria scale was r = 0.64. An exploratory factor analysis revealed that the factor structure of the Japanese version of the MSSM-R was similar to that of the original version except for one item. The Japanese version of the MSSM-R had a goodness of fit of GFI = 0.84, AGFI = 0.80, CFI = 0.83, and RMSEA = 0.08. Conclusion:The overall reliability and validity of the Japanese version of the MSSM-R were confirmed, and this scale was deemed usable. However, as only one item in the international comparison differs from the original version in terms of factors, international comparisons of subscales should be approached with caution. 要 旨 目的:米国で開発された多発性硬化症セルフマネジメント尺度(MSSM-R)の日本語版を作成し,日 本語版尺度の信頼性と妥当性を検証する. 方法:逆翻訳の手順を踏んで日本語版尺度を作成し予備調査を実施後,MS 患者 524 名に対して本調 査を実施した.信頼性を安定性および内的整合性で検討し,妥当性を併存妥当性および構成概念妥当性 で検討した. 結果:本調査実施 2 週間後の再テスト法による安定性は ICC(1, 2)で 0.93 であった.MSSM-R 日本語 版尺度全体でクロンバック α 係数 0.85 であった.また,外的基準との相関は r = 0.64 であった.探索的 受付日:2022 年 11 月 30 日 受理日:2022 年 12 月 23 日
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