Holistic Nursing Practice最新文献

This randomized controlled trial aimed to investigate the impact of preoperative progressive relaxation exercises on postoperative pain, comfort, and quality of recovery. The study was conducted between June and November 2023, involving 68 patients undergoing surgical intervention and hospitalized in the surgical clinic. Data were collected using the Personal Information Form, the Visual Analog Scale (VAS)-Pain, the Perianesthesia Comfort Scale, and the Quality of Recovery Questionnaire. At the sixth postoperative hour, no significant difference was observed in pain levels between the experimental and control groups ( P > .05). However, the VAS scores for the experimental group at the 12th and 24th postoperative hours were significantly lower than those of the control group ( P < .001). Furthermore, 24 hours postoperatively, the experimental group demonstrated significantly higher quality of recovery ( P < .001) and comfort levels ( P < .001) than the control group. This study concludes that patients engaged in relaxation exercises exhibited lower VAS scores and higher levels of recovery and comfort.

Cupping therapy is an ancient traditional and complementary treatment practice. Cupping therapy has recently attracted global attention in the promotion, protection, and treatment of health. Research is also being conducted on the potential benefits of cupping therapy in the treatment of conditions related to women's health. This study provides an overview of the application of cupping therapy in the field of women's health and an understanding its importance.

The existing guidelines and expert consensus on Traditional Chinese Medicine (TCM) nursing technology for chronic fatigue syndrome (CFS) are few and not prominent. The relevant systematic reviews and randomized controlled trials lack scientific quality evaluation resulting in a lack of systematic and standardized evidence-based evidence of TCM nursing technology in clinical practice. Therefore, this study aimed to systematically evaluate and summarize the best evidence to provide an evidence-based platform for clinical practice. According to the "6S" evidence model, the clinical decisions, guidelines, expert consensus, evidence summary and systematic review related to TCM nursing technology for patients with CFS were systematically searched in UpToDate, BMJ Best Practice, PubMed, China National Knowledge Infrastructure and other Chinese and English databases and guideline networks. The retrieval time limit was from establishment of the database until March 2024. A total of 12 articles were included, including 1 clinical decision, 3 guidelines, 7 systematic reviews and 1 expert consensus. The 27 best pieces of evidences were summarized from 6 aspects, such as acupoint massage, traditional Chinese mind-body exercises, 5-element music therapy, dietetic therapy, acupuncture and moxibustion, and acupoint application. This study summarized the best evidence of TCM nursing technology for CFS, and provided a reference for clinical practice. Nursing staff should choose the evidence according to clinical practice to provide safe, scientific and effective individualized TCM nursing programs for patients with CFS and improve the quality of nursing.

Withdrawing life-sustaining treatment (WLST) in terminally ill patients' presents significant ethical and emotional challenges for health care professionals. This cross-sectional study surveyed 436 health care providers at a teaching hospital in central Taiwan to explore the conflicts and stressors they face during WLST. Key ethical conflicts included unclear definitions of terminal illness, differing family attitudes, and ambiguous responsibility for extubation. Major stressors involved performing extubation, disclosing medical conditions, providing grief support, and navigating institutional procedures. Unmarried, younger, less experienced staff, particularly those without children or working in pediatric or surgical ICUs, were more susceptible to ethical stress ( P <.01). Nurses and respiratory therapists reported more conflict over extubation responsibility, while physicians struggled more with defining terminal illness ( P <.05). The findings highlight the need for clear guidelines, structured family meetings, multidisciplinary coordination, targeted education, emotional support systems, and broader public engagement with advance medical directives to reduce the ethical burden on health care professionals involved in WLST.

This systematic review and meta-analysis evaluate the effects of energy therapies on pulmonary function (forced expiratory volume in 1 second [FEV1], forced vital capacity [FVC], and FEV1/FVC), exercise capacity (6-Minute Walking Test [6MWT]), and quality of life (St George's Respiratory Questionnaire [SGRQ]) in chronic obstructive pulmonary disease (COPD) patients. Conducted per PRISMA guidelines and registered in PROSPERO, this meta-analysis included 8 randomized controlled trials (RCTs) identified through systematic searches of Web of Science, PubMed, Google Scholar, EBSCO, Embase, and Cochrane Library (June 2024-January 2025). Data were analyzed using Comprehensive Meta-Analysis Version 3 software, with heterogeneity and publication bias assessments. Energy therapies significantly improved 6MWT scores (95% CI, P < .05) and SGRQ scores, enhancing quality of life. Patients receiving energy therapy showed increased walking distance, particularly when combined with pulmonary rehabilitation. SGRQ results indicated better quality of life, mainly due to reduced stress and anxiety. However, no significant improvement was found in FEV1, FVC, or FEV1/FVC values (P > 0.05), suggesting limited direct effects on pulmonary function. Methodological variations and sample size differences contributed to result inconsistencies. Energy therapies may complement COPD treatment by improving exercise capacity and quality of life. However, large-scale, long-term RCTs are needed to clarify their impact on pulmonary function.

Although yoga has become popular for women's health in recent years, little is known about its hotspots and global trends over time. The aim of the current study was to examine the bibliometric patterns of yoga research in women's health. The data were collected from the Web of Science (WoS) Core Collection database. Data analysis was performed by using WoS Core Collection, VOSviewer, and Bibliometrix package in R software. We performed co-occurrence and co-citation analyses. In total, 562 articles were reviewed. Overall, there were 2409 authors and 733 institutions from 48 countries that contributed to yoga research in the field of women's health. Cramer H. was the most prolific author with 16 articles. The most productive country was the US with 219 articles, and the most productive institution was the University of California with 79 articles. The first 10 keywords in this research area are women, health, exercise, yoga, depression, quality of life, physical activity, intervention, symptoms, and prevalence. The study will inform potential collaborators, countries, and institutions for prospective research. This study will also serve as a guide for researchers, practitioners, and academics in further studies including development of health policies; and evidence-based practice on yoga in women's health.

Postoperative nausea and vomiting (PONV) is a major practice concern. It can cause adverse patient experiences and contribute to an increased length of stay. This is especially true among orthopedic surgery patients. This study utilized aromatherapy, a holistic intervention to better manage PONV. This study is a quality improvement project that used a pre- and post-intervention design to determine significance. Participants scored their perceived nausea and vomiting on a scale of 0 (no nausea) to10 (severe nausea) at intervals of 4 hours. The practice change utilized QueaseEASE©, an aromatherapy clip that is a blend of peppermint, lavender, spearmint, and ginger. This product was attached to orthopedic surgical patient's gowns during the intervention phase of the project. The infusion clips provided continuous aromatherapy for the entirety of a postoperative course and were used in addition to the standard of care. Data were collected by clinical staff at the specified intervals. Information from the preintervention and postintervention groups were compared to determine the impact on perceived PONV. A total of 290 participants provided data during the practice change. A Chi-square test showed a value of (P = .035) and a Wilcoxon sign-rank test of (P = .058). Evidence-based literature supports the utilization of an aromatherapy intervention for the management of PONV. There was a significant decrease in instances of perceived PONV amongst compared groups. Despite a decrease in nausea severity, there was no significance determined in this measure. Aromatherapy is a valid tool to mitigate the impact of perceived PONV.

Headaches have emerged as a prevailing global health concern, impacting millions of individuals and posing challenges to public health care systems. With an escalating number of patients seeking complementary therapies to attain a more holistic approach for headaches, Traditional Chinese Medicine has gained significant popularity. It plays a pivotal role in advancing the safeguarding of health and the alleviation of prevalent, recurrent, and complex medical conditions. Traditional Chinese Medicine covers a diverse array of therapeutic procedures for headaches, incorporating Chinese herbal medicine, acupuncture, auricular acupuncture, and life cultivation. This narrative review delves into the fundamental principles of Traditional Chinese Medicine and its categorization of headaches while exploring the potential selected applications of their treatment. Based on recent scientific findings and the ancient history of Traditional Chinese Medicine in the field of headaches, we conclude that selected Traditional Chinese Medicine therapies can be used as an alternative and complementary therapy against headaches.

This study aimed to investigate the effects of progressive relaxation exercises on emergency aid station employees' COVID-19-related fear, anxiety, and sleep quality levels. This study was conducted as a randomized, controlled, and experimental design and included 30 emergency aid station employees (emergency medical technicians and paramedics). The descriptive information form, Generalized Anxiety Disorder Test, COVID-19 Fear Scale, and Pittsburgh Sleep Quality Index (PSQI) were used for data collection. There was no significant difference between the groups in terms of their scale scores before the intervention ( P > .05). After the intervention, there was a significant difference between the groups only in the sleep duration dimension of the PSQI. In the intervention group, on the other hand, there were significant differences in the anxiety, economic dimension of the Fear scale and the total sleep quality, and subjective sleep quality, sleep latency and daytime dysfunction dimensions after the intervention ( P < .05). In this study, in comparison to the control group, the intervention group lowered their anxiety and fear levels and improved their sleep quality at the end of the 5 days. It was determined that anxiety and fear had a 35% cumulative effect on sleep quality ( P > .05). According to the results of this study, progressive muscle relaxation exercises had a positive effect in improving the sleep quality and reducing the anxiety and fear levels of the emergency aid station employees.