Holistic Nursing Practice最新文献

The number of individuals benefiting from traditional, complementary, and integrative medicine (TCIM) is increasing daily across the world. This descriptive study was conducted in order to determine the use of TCIM in 301 women who attended the in vitro fertilization center and obstetrics clinic of a university hospital for infertility treatment between July 4, 2021, and October 1, 2022. The data were collected using an Introductory Information Form, and a TCIM checklist. In the data analysis, count and percentages were used for descriptive data, mean-standard deviation and its test for continuous variables, and the chi-squared and Fisher's exact test for categorical variables. It was determined that the women had the most awareness about the use of vitamins and minerals (88.7%), prayer (76.1%), herbal treatments (73.4%), imagery (69.8%), and diet (68.4%). The types of TCIM they used most were vitamins and minerals (81.4%), prayer (66.4%), imagery (62.8%), and probiotics (50.5%). It was also determined that they were most satisfied with exercise (80.5%), Reiki (80%), and relaxation techniques (78.6%). The study found that approximately half of the women used TCIM during their infertility treatment. It is extremely important for health care personnel to be knowledgeable about TCIM methods, to question the use of TCIM in women during infertility treatment without prejudice, and to inform these women about the benefits and possible risks of TCIM use.

The rapid pace of urbanization and growing environmental challenges have led to increased stress levels, sedentary behaviors, and deteriorating mental and physical health. In response to these pressing issues, this study introduces the concept of the Taichi Lifestyle, a holistic framework designed to harmonize the body, mind, and environment. Grounded in the principles of dynamic balance, Yin-Yang harmony, and a mindful connection with nature, the Taichi Lifestyle offers a countermeasure to the negative impacts of modern living. This article explores the theoretical structure, core principles, and potential health benefits of the Taichi Lifestyle, emphasizing its integration of dietary balance, physical activity, social engagement, and environmental awareness. The Taichi Lifestyle not only enhances individual health outcomes but also encourages a sustainable and mindful relationship with the environment. These findings suggest that adopting the Taichi Lifestyle may serve as an effective intervention for addressing contemporary health and environmental challenges.

Headaches are a common symptom. However, procedures for the use of aromatherapy and its effects on patients with cervicogenic headaches (CGHs) have yet to be determined. This study investigated the effects of a 14-day aromatherapy intervention on pain, life function, and neck flexion endurance in patients with CGHs. This pretest-posttest randomized controlled trial involved 24 patients with physician-diagnosed CGHs and used matching, single-blinding, and independent samples. Participants were divided into aromatherapy massage (AM) and placebo massage groups, with aromatherapy involving 15-min inhalations of essential oil/placebo and 5-min applications to cervical muscles daily for 14 days. Assessments included the Brief Pain Inventory-Short Form and neck flexion endurance tests. The AM group showed significant improvement in pain relief and life function scores but no notable increase in cervical muscle endurance. Fourteen days of aromatherapy effectively relieved pain and improved life functions.

The use of cold vibration through the Buzzy device appears promising in reducing pain and anxiety levels in children and adolescents during needle-related procedures. This systematic review and meta-analysis summarizes and evaluates the evidence on this non-pharmacological treatment for pediatric patients undergoing venipuncture or injection procedures. A search was conducted across 6 databases in January 2025. Sixteen randomized controlled trials, involving a total of 1486 patients, were included. Cold vibration stimulation significantly reduced pain (Standard Mean Difference SMD -1.06, 95% confidence interval [-1.39, -0.72], P < .00001) and anxiety levels (SMD -1.60, 95% confidence interval [-2.70, -0.51], P = .004) compared to the control group. The judgment for the direction of the recommendation was rated "for" the Buzzy intervention, with the strength of the recommendation rated as "weak." The use of cold vibration through the Buzzy device may have beneficial effects in reducing anxiety and pain levels in children and adolescents undergoing needle procedures.

Due to the nature of the events in war, posttraumatic stress disorder (PTSD) is more difficult to treat in veterans than in other people. Nowadays, using art-making methods such as mandala coloring has attracted the attention of researchers. This randomized controlled trial was conducted with 84 male veterans diagnosed with PTSD. Veterans were recruited by convenience sampling method and randomly assigned to an intervention group (n = 42) and a control group (n = 42). Participants in the intervention group colored a mandala, whereas the control group colored freely for 15 minutes 2 times a week for 3 weeks. All participants completed Brown and Ryan's Mindful Attention Awareness Scale and Posttraumatic Stress Disorder Checklist for diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). Mean baseline mindfulness scores were not significantly different between the mandala coloring group and the free coloring group (41.73 ± 5.29 vs 40.23 ± 4.59, P = .169). After the intervention, the mean mindfulness score was significantly higher in the mandala coloring group than in the free coloring group (52.23 ± 5.89 vs 46.04 ± 7.28, P < .001). Mean baseline PTSD scores were not significantly different between the mandala coloring group and the free coloring group (65.45 ± 5.89 vs 67.47 ± 4.66, P = .085). After the intervention, the mean PTSD score was significantly lower in the mandala coloring group than in the free coloring group (47.21 ± 5.77 vs 52.38 ± 5.52, P < .001). Both mandala coloring and free coloring increase mindfulness and decrease PTSD symptom severity. However, the mandala coloring method was more effective.

This experimental study aimed to determine the effects of online laughter yoga on the sleep quality and vasomotor symptoms (VMS) of menopausal women through a prospective, randomized controlled trial. About 36 women who attend the Menopause School were randomized into either the laughter yoga (n = 18) or the control group (n = 18). The laughter yoga group participated in eight online laughter yoga sessions, with two sessions per week for four weeks, whereas the control group did not receive any intervention. Data were collected using the Descriptive Characteristics Form, Visual Analog Scale (VAS), and Pittsburgh Sleep Quality Index (PSQI). The laughter yoga group had significantly lower posttest VAS scores compared with the control group in all VMS ( P < .05). Furthermore, the posttest PSQI score of the laughter yoga group was significantly lower than that of the control group ( P < .05). Although there was no significant difference in the pretest and posttest scores obtained by the control group from the VAS and PSQI ( P > .05), the intervention group exhibited a statistically significant difference in their pretest and posttest VAS and PSQI scores ( P < .05; P < .001, respectively). The results indicate that laughter yoga is an effective method for reducing VMS and improving sleep quality.

This article explores the evolution of the concept of presence as a therapeutic and care measure in nursing from 1962 to the present. The findings are derived from an extensive bibliographic search conducted through documentary sources such as PubMed and Google Scholar, utilizing and interlinking descriptors including "nursing," "presence," "care," "intentionality," "humanization," and "concept." The results reveal a progressive refinement and enrichment of the concept of presence, culminating in recent developments that emphasize an intentional perspective, which seeks to enhance the human, integral, and ethical dimensions of health relationships. Intentional Presence represents a novel approach to accompaniment and care, which has become fundamental in holistic nursing, fostering a deeper and more human connection between nurse and patient, leading to more comprehensive and meaningful care.

Many healthcare professionals are experiencing increased stress and burnout, worsened by the COVID-19 pandemic, leading to negative individual and organizational outcomes such as mental illness, maladaptive coping, job dissatisfaction, poor patient care, and higher turnover costs. Mindfulness practice is a promising evidence-based approach to impact stress and burnout. This quality improvement pilot project evaluated the impact of a free mindfulness smartphone application on stress and burnout levels in certified or licensed adult healthcare professionals over 6 weeks. Using a quasi-experimental pre- and post-intervention design, the project assessed the Mindfulness Coach application's (app) impact on stress and burnout using the Perceived Stress Scale and the Mini Z 2.0 survey. The results indicated that using the app significantly reduced perceived stress but did not impact burnout symptoms.

Comfort has increasingly been employed as a key goal in a variety of contexts, including health, justice, the economy, and the environment. Comfort has long been a primary concern in nursing, and it is especially significant in defining the nature of nursing knowledge and the profession. The goal of analysis this is to comprehend the various principles of comfort and to investigate the linked nursing features required for successful patient care. Patient-centered care is a critical indicator of health care quality, and comfort is essential for the patient experience. Katherine Kolcaba introduced the philosophy of comfort in nursing care in the 1990s, when she defined comfort as having three components: relief, ease, and transcendence. Because comfort is a core patient aim and central to the patient experience, maximizing comfort is a universal goal for health care. The design is a concept analysis. Walker and Avant analysis approach was employed to investigate the concept of comfort. Various internet databases were searched extensively for the term "comfort." A total of 31 papers were analyzed to find comfort attribute common themes. The results of analysis showed that disease process, self-esteem, positioning, approach of staff, and hospital life are considered antecedents of comfort; meanwhile, consequences of comfort include symptom relief, reduced suffering, an increased sense of control, and emotions of belonging. Tools that measure the comfort concept can be subjective or objective. In conclusion, nurses could apply many theories such as Kolcaba's Comfort Theory to guide their practice.

With Chapman's Radical Loving Care as a framework, this article shares practical wisdom and habits that occur daily in a busy community hospital to help all nurse leaders to develop a holistic view to shape their vision and embed radical loving care in their connections. The application of Chapman's concepts to the mentoring of others is viewed as a form of love and helps to strengthen not only the mentee, but the entire system of nurses caring for each other. Radical loving care is seen as a far reaching, progressive and humanistic strategy to show a deep, abiding kindness and caring to other human beings in the world of health care.