Holistic Nursing Practice最新文献

This study aimed to examine the effect of foot reflexology and knee massage with black cumin seed oil on pain and fatigue symptoms in elderly individuals with knee osteoarthritis and assess which of these 2 applications is more effective. Our randomized controlled trial was conducted with 150 participants. Study data were collected from participants over 65 years who received outpatient treatment in a university hospital's physical therapy and rehabilitation unit and were determined to have no perception problems based on the Mini-Mental Test. After randomization, the study sample was classified into 5 groups, each including 30 participants: (1) foot reflexology with black cumin seed oil, (2) foot reflexology with a placebo, (3) knee massage with black cumin oil, (4) knee massage with a placebo, and (5) control. Participants were administered a Patient Descriptive Information Form, the Lequesne Knee Osteoarthritis Index, the Pain-Visual Analog Scale, the Fatigue Severity Scale, and the Western Ontario and McMaster Universities Osteoarthritis Index. Control group participants received standard of care, while participants in treatment groups received the studied interventions for 6 weeks. Data were collected by administering questionnaires to the participants in the first and sixth weeks and analyzed using IBM Statistical Package for Social Sciences 22.0 software. The study showed that foot reflexology and knee massage administered using black cumin oil effectively reduced pain and fatigue severity in Osteoarthritis (OA) patients, and overall, foot reflexology administered using black cumin oil was the most effective treatment to reduce pain and fatigue.

This study investigates the state of communication between nursing staff and patients concerning complementary and alternative medicine (CAM) in a university hospital in Taiwan. The study employed a validated cross-sectional survey to gather data from 90 nurses in the internal medicine ward. The results indicate a notable need for more initiation and documentation of CAM discussions by nurses, with less than a quarter recording patients' CAM usage. Barriers such as limited time, access to evidence-based information, and workplace culture were identified as significant obstacles. Additionally, nurse characteristics like age, experience, and seniority also played a role in the extent of CAM communication. The study underscores the urgent need for health care institutions to prioritize CAM communication as a vital component of patient-centered care. It suggests the development of strategies to facilitate proactive discussions and referrals.

This study aimed to evaluate the impact of auricular acupressure therapy on obesity and sleep quality in middle-aged Korean women. The single-blind, randomized, sham-controlled trial included participants aged 40-65 years with a Body Mass Index (BMI) of 25-34 kg/m 2 , divided into an experimental group (n = 30) and a control group (n = 29). The intervention involved 8 weeks of auricular acupressure using ear seeds on five acupoints associated with obesity and sleep. Obesity outcomes were assessed using anthropometric indices (body weight, BMI, waist circumference, body fat mass, body fat percentage), while sleep outcomes were evaluated using the Pittsburgh Sleep Quality Index and actigraphy. Measurements were taken thrice: before the intervention, and at 4 and 8 weeks post-intervention start. The experimental group demonstrated a significant reduction in obesity measures and improvement in sleep quality over time compared to the control group. The findings suggest that auricular acupressure may serve as an alternative nursing intervention for managing obesity and improving sleep quality in middle-aged women.

The purpose of this study was to clarify the heart rate variability (HRV) transition after a single yoga program. Participants were 22 females who were healthy university students and had never practiced yoga before. They practiced yoga while recording their HRV. Heart rate (HR), high frequency (HF; 0.15-0.4 Hz) as parasympathetic and low frequency (LF; 0.04-0.15 Hz) components were extracted, and then the LF/HF ratio as sympathetic and normalized units of HF HFnu = HF/(LF + HF) as parasympathetic modulation in autonomic activity were calculated. HR and HRV indices after yoga were divided into four 5-minute periods (after 5, 10, 15, and 20 minutes) and compared before yoga. HR and LF/HF at all periods after yoga were significantly lower than before yoga ( P < .01, all). HF after yoga was not significantly changed, but HFnu after 5, 10, and 15 minutes was significantly higher than before yoga ( P < .01, <.01, and =.02, respectively). The short-term effects of yoga on HRV implied a decrease in sympathetic modulation and a relative increase in parasympathetic modulation. Therefore, yoga may be used as a fast-acting alternative therapy to significantly improve sympathetic activity.

Dyspnea, fatigue, and self-care are common occurrences of heart failure. This study evaluated the effects of yoga breathing and progressive muscle relaxation exercises on dyspnea, fatigue, and self-care in heart failure. The study conducted between April 2023 and March 2024 randomized 66 heart failure patients into 3 groups (yoga breathing exercise, progressive muscle relaxation exercise, and control). The intervention groups engaged in specific exercises tailored to their assigned regimen for 10 minutes twice daily over a 2-week period, while the control group maintained their pharmacological treatment. At the end of the intervention (second week) yoga breathing exercise notably ameliorated fatigue, dyspnea, and self-care ( P < .001), changes in saturation, heart rate, and respiratory rate favoring the intervention groups ( P < .05). Yoga breathing exercises enhance self-care, alleviate fatigue, and dyspnea in heart failure. Additionally, yoga breathing and progressive muscle relaxation exercises provide benefits in regulating saturation, heart rate, and respiratory rate in heart failure.

This study aimed to evaluate the efficacy and safety of Chinese herbal medicine (CHM) for treating perimenopausal insomnia using data from randomized controlled trials (RCTs). A comprehensive search was conducted in PubMed, Web of Science, Embase, Cochrane Library, Chinese Biomedical Literature Service System (SinoMed), Chinese Science Journals Database (VIP), and Wanfang Database through March 2024. Two reviewers independently performed literature screening, data extraction, and risk-of-bias assessment. The meta-analysis incorporated 20 RCTs with a total of 1700 patients. The results demonstrated that CHM, both as monotherapy and in combination with Western medicine (WM), significantly improved sleep quality and clinical total effective rate in patients with perimenopausal insomnia. Specifically, outcomes such as the Pittsburgh Sleep Quality Index (PSQI) scores, total effective rate, and serum follicle-stimulating hormone (FSH) levels favored CHM, either as monotherapy or combined with WM, over WM alone. However, CHM and WM showed no significant differences in PSQI sleep efficiency, PSQI sleep disorders, or serum luteinizing hormone (LH) levels. Moreover, CHM combined with WM did not demonstrate superiority over WM alone in PSQI overall score or serum estradiol (E 2 ) levels. No severe CHM-related adverse events were reported. These findings suggest that CHM may serve as a safe and effective therapeutic option for managing perimenopausal insomnia. Nonetheless, these conclusions should be interpreted cautiously, and further research with larger sample sizes is needed to validate the efficacy and safety of CHM in this population.

It is well known that nursing is the art and science of caring. The nurse's professional identity is defined through caring as it is one of the significant components of nursing knowledge. Nursing is a discipline-a way of knowing, being, valuing, and living. The quality of health care in the Kingdom of Saudi Arabia has advanced recently, and there are factors affecting this progress which could be classified into patients' factors as access to health care and health professional factors such as workload and job satisfaction. The aim of this study is to explore the relationship between nurses' caring behavior, missed care, and quality of nursing care. The study was a descriptive, correlational, and cross-sectional design. A total of 267 participants (170 nurses and 97 patients) were recruited through convenience sampling. Nurses with at least 1 year of clinical experience and inpatients admitted for 1 day or more were included. Caring behavior was measured using the Caring Behaviors Inventory (CBI-24), and missed nursing care was assessed using the MISSCARE Survey. The study revealed a negative relationship between caring behavior and missed care. Also, a positive relationship between caring behavior and quality of nursing care was revealed. Moreover, the study showed that there was no relationship between missed care and quality of nursing care. Addressing issues that may lead to missed nursing care such as shortage of staff is essential and needs to be solved.