Holistic Nursing Practice最新文献

Su Jok therapy is used as an energy-based complementary and alternative method in cancer patients. The study was conducted to determine the effects of Su Jok therapy on pain, fatigue, insomnia, nausea, and vomiting experienced by patients with gastrointestinal cancer. This randomized controlled trial was conducted with 48 patients. Data were collected by the researcher by using an introductory information form, the short form McGill pain questionnaire, the cancer fatigue scale, the insomnia severity index, the Rhodes index of nausea, vomiting, and retching, and the visual analog scale. It was found that, after the application of Su Jok seed treatment, there was a significant decrease in the mean scores of the intervention group on the McGill pain scale, the cancer fatigue scale, the insomnia severity index, and the Rhodes index of nausea, vomiting, Su Jok therapy was effective in reducing the pain, fatigue, insomnia, nausea, and vomiting scores of patients with gastrointestinal cancer.

This paper showcases exhibits of the art of nursing through storying the call to serve that is grounded in nursing knowledge. Storying, a dimension of story theory, is defined as dialoging a meaningful unbounded happening in the integral nurse person relationship The exhibits represent storying the art of nursing with advanced practice and operating room practice. In the storying descriptions, the call to be truly present and serve one who was distressed, and suffering was lived with intentional dialogue about what mattered most to the person. The exhibits represent nursing wisdom about attending to the call to serve and may be inspiring and enlightening to others. Implications based on the exhibits for holistic nursing practice and education are offered.

Guilt in nursing is not just an individual emotion but an ethical experience rooted in the tension between care values and the conditions that constrain their practice. This systematic literature review analyzes guilt as a multidimensional phenomenon shaped by institutional, relational, and subjective factors. Eight key categories emerged: moral distress, institutional constraints, emotional and physical effects, end-of-life care, ethical conflicts with families, spirituality, informed consent, and coping strategies. The review reveals that guilt often stems not from personal error but from ethical dissonance between nurses' values and clinical realities. Hierarchies, rigid protocols, bureaucratic procedures, and lack of resources undermine nurses' moral agency and reinforce a logic of ethical isolation. This individualization of guilt obscures systemic responsibility and frames moral distress as personal failure. The findings call for a political reconceptualization of care, moving beyond resilience to foster shared ethical responsibility within teams. Recognizing guilt as a systemic indicator of ethical dysfunction is vital to rehumanize nursing, strengthen ethical subjectivity, and create more just and transformative care environments. Addressing guilt in this way empowers nurses not only to resist moral suffering but to reshape the structural conditions that perpetuate it.

The aim of this essay is to reflect on the concept of human energy in light of Martha Rogers' Humanistic Theory. Rogers presents a humanistic and holistic view of nursing, describing the human being as a synergistic unit in constant interaction with the environment. Her principles, such as integrality, resonance, and helicy, emphasize the continuous dynamics between the human and environmental fields. Human and environmental energy fields are open and fluid systems in continual interaction and influencing energy balance. The transition from the nursing diagnosis "Disturbed energy field" to "Imbalanced energy field" marks an advancement in the understanding of energy practices. Recent evidence supports the effectiveness of Integrative and Complementary Health Practices (ICHP), such as reiki and therapeutic touch, in restoring energy balance. Rogers' holistic approach is essential for modern nursing, promoting the integration and well-being of the human being in a broad manner.

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.

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.