Holistic Nursing Practice最新文献

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.

Reiki, a recognized biofield therapy, channels universal life energy to promote healing and restore balance. This review explores Reiki's historical origins with Dr Mikao Usui, its global dissemination, and distinctions from related practices such as Qigong and Tai Chi. It outlines the structured training levels, including attunement processes that enhance practitioners' capacity to channel energy. Theoretical frameworks-particularly Martha Rogers' Science of Unitary Human Beings and the concept of quantum entanglement-are examined to elucidate Reiki's potential mechanisms. Current evidence suggests Reiki benefits stress reduction, pain management, and emotional well-being, with systematic reviews indicating improved quality of life in diverse populations. Despite promising findings, challenges in protocol standardization and research rigor persist. This review advocates for rigorous trials to validate efficacy and optimize clinical practice. As integrative therapies gain prominence, a comprehensive understanding of Reiki's foundations and clinical impact remains essential for advancing holistic patient care.

The Coronavirus 2019 (COVID-19) pandemic changed the way health care workers manage working with patients globally by increasing demands and resulting in burnout. With limited access to interventions targeting stress, anxiety, and well-being in health care workers, Reiki is a promising intervention that can be conducted virtually with a Reiki practitioner and even be used to treat oneself (self-Reiki). This integrative review highlights Reiki's opportunity to help health care workers combat stress and anxiety and promote healthy well-being. Further research using Reiki with large sample sizes, multi-sites, and outcome evaluation is needed.

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.

Frailty in older adults is often viewed as an irreversible condition characterized by physical decline. However, the integral conceptual model of frailty (ICMF) presents frailty as a multidimensional, dynamic state shaped by physical, psychological, and social domains. This paper explores how holistic nursing interventions aligned with the ICMF can support resilience and recovery in older adults experiencing frailty. Using a clinical exemplar of an older adult named Pearl, this paper illustrates practical strategies that holistic nurses can implement to address each domain of frailty. Interventions included nutritional support, goal-directed movement, cognitive stimulation, mood enhancement, reminiscence therapy, family engagement, hospice coordination, and therapeutic touch. Tailored interventions restore function, enhance quality of life, and preserve dignity through a whole-person approach. The exemplar demonstrates that frailty is not synonymous with decline and that holistic nursing can reframe the narrative toward recovery. Uniquely positioned, holistic nurses deliver strengths-based care that transforms frailty from a deficit-focused condition into an opportunity for healing and human connection.

The global utilization of complementary and alternative medicine (CAM) has risen substantially in recent decades, with prevalence rates ranging between 10% and 76%. This study investigated CAM practices for self-care within the Ubud community in Bali by identifying their types, modalities, frequency, and purposes of use in daily life. A descriptive design with non-probability purposive sampling was implemented, employing the Complementary Therapies Use Questionnaire, and data were analyzed using descriptive statistics. A total of 425 respondents participated, with Balinese traditional remedies (56.9%) and massage (33.6%) identified as the most frequently utilized practices. Herbal remedies were most often used monthly (27.74%). Mind-body interventions, particularly religious prayer, were reported monthly by the majority (95.3%). Meditation and yoga were embedded in daily routines, reflecting Ubud's cultural emphasis on spiritual well-being. These findings highlight the relevance of biologically based therapies rooted in Balinese traditions and recommend integrating culturally embedded CAM practices into holistic nursing care. Future studies should examine diverse CAM modalities across broader populations to strengthen evidence-based and culturally responsive health care frameworks.