Conectar
Chronic pruritus has a significant global impact, which is common in the elderly population. Developing a standardised and validated assessment tool is the basis for managing chronic pruritus. However, there is little research on standardised assessment tools for self-management in older people with chronic pruritus.
To construct and test the Self-management Scale for Chronic Pruritus in older people and provide a scientific and reliable tool to measure the self-management level of older people with chronic pruritus.
A three-phased exploratory sequential mixed-method design was used. In phase I, the initial construction of scale dimensions and items was conducted through literature review, semi-structured interviews and the Delphi method. In phase II, the scale was optimised, and the test version of the scale was formed. In phase III, we used the scale for practical evaluation. This research was conducted according to the STROBE guidelines.
Based on literature reviews and examination by experts, a draft scale was formulated. From October 2023 to December 2023, a total of 180 older people were recruited for item analysis and 206 older people were recruited for practical evaluation.
A total of 20 items were finally retained by the item analysis from the initial pool. In the exploratory factor analysis, the five-factor model explained 75.491% of the total variation, and the data fit was good. Based on multiple linear regression, the self-management level of older people with chronic pruritus was significantly correlated with gender, occupation, income, pruritus-related diagnosis, awareness of pruritus predisposing factors and receipt of pruritus treatment.
Self-management Scale for Chronic Pruritus in older people has good reliability and validity, providing a reference basis for healthcare professionals to assess the self-management levels of older people with chronic pruritus.
Healthcare professionals can use this scale to evaluate the self-management level of chronic pruritus in older people and explore the influencing factors, which can help develop targeted health education programmes.
Experts provided suggestions for developing the scale. Older people with chronic pruritus participated in the scale revision process to improve wording.
To determine the effectiveness of brief reminiscence-based psychosocial interventions in alleviating psychological distress in cancer patients.
Cancer patients suffer tremendous psycho-spiritual pain, which affects their quality of life. Brief reminiscence-based psychosocial interventions have demonstrated positive effects on the mental health of cancer patients; however, the efficacy of these interventions has been inconsistent.
A systematic review and meta-analysis.
This review was conducted and reported in accordance with the PRISMA 2020 checklist provided by the EQUATOR network. The Cochrane Library, Web of Science, PsycINFO, PubMed, Embase, CINAHL and Scopus databases were systematically searched from inception to 27 November 2022 to identify randomised controlled trials (RCTs) published in English.
Twenty studies involving 1744 cancer participants were included. The meta-analysis showed statistically significant effects of brief reminiscence-based psychosocial interventions on hope, anxiety and depression at post-intervention. A separate analysis revealed that brief reminiscence-based psychosocial interventions had a sustainable effect on hope, spiritual well-being, anxiety and depression at 1 month after the intervention. However, no statistically significant effect on quality of life was found in our study either immediately after the intervention or at 1 month.
Brief reminiscence-based psychosocial interventions can significantly reduce anxiety and depressive symptoms and improve hope and spiritual well-being in cancer patients.
This study further supports that brief reminiscence-based psychosocial interventions should be incorporated into the routine care of cancer patients to address their psychosocial distress.
All authors of this article contributed to the study conception and design. All authors of the included studies provided original data for this paper.
FreshRSS 