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The Effects of Inhalational Lavender Essential Oil Aromatherapy on Sleep Quality in Hemodialysis Patients: A Before-and-After-Intervention Trial. 吸入薰衣草精油芳香疗法对血液透析患者睡眠质量的影响:干预前后试验。
IF 1.3 4区 医学 Pub Date : 2023-11-01 Epub Date: 2022-06-01 DOI: 10.1097/HNP.0000000000000521
Harish Beerappa, Kavana Gt, Ramesh Chandrababu

One of the most essential physical prerequisites for human survival is sleep. Patients undergoing hemodialysis often experience a lack of sleep, and it is one of the decisive variables in dialysis patients' quality of life. The objective of this study was to assess the effects of inhaling lavender essential oil on sleep quality in hemodialysis patients. A total of 30 patients were enrolled in the before-and-after intervention trial, which took place in a tertiary care hospital's dialysis unit. The study participants were selected using the purposive sampling technique and they received lavender oil inhalation therapy. The sleep quality was measured using the Pittsburgh Sleep Quality Index. The mean age of the participants was 55.11 (SD = 8.45) years. The mean posttherapy Pittsburgh Global Sleep Quality Index score was 8.8 ± 1.89 compared with the pretherapy score of 14.73 ± 1.53. Patients undergoing hemodialysis experienced a substantial improvement in sleep quality ( P < .05). Aromatherapy using lavender oil is effective in enhancing sleep quality in hemodialysis patients.

人类生存最基本的生理先决条件之一是睡眠。接受血液透析的患者经常会经历睡眠不足,睡眠不足是透析患者生活质量的决定性变量之一。本研究的目的是评估吸入薰衣草精油对血液透析患者睡眠质量的影响。共有30名患者参加了干预前后的试验,该试验在一家三级护理医院的透析室进行。研究参与者采用有目的的采样技术进行选择,并接受薰衣草油吸入治疗。睡眠质量采用匹兹堡睡眠质量指数进行测量。参与者的平均年龄为55.11岁(SD=8.45)。治疗后匹兹堡全球睡眠质量指数的平均得分为8.8±1.89,而治疗前的得分为14.73±1.53。接受血液透析的患者睡眠质量显著改善(P<0.05)。使用薰衣草油进行芳香疗法可有效提高血液透析患者的睡眠质量。
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引用次数: 0
Acupuncture Reduces Severity of Hot Flashes in Breast Cancer: A Randomized Single-Blind Trial. 针灸降低癌症热闪光的严重程度:一项随机的单盲试验。
IF 1.3 4区 医学 Pub Date : 2023-11-01 DOI: 10.1097/HNP.0000000000000612
Diane Serra, Stewart B Fleishman, Carol White, Tung Ming Leung, Manjeet Chadha

This study evaluated the effectiveness of traditional Chinese medicine-based therapeutic acupuncture (TA) in reducing the severity of hot flashes (HFs) in breast cancer patients and compared the effectiveness of TA to "sham" placebo acupuncture (SA). Subjects experiencing more than 10 episodes of HF/week were randomly assigned to TA or SA. The response was assessed by the Menopause-specific Quality of Life (MenQoL) scale, scoring the subject's perception of the severity of HFs. HFs were scored at baseline, after treatment, and 1-month follow-up. A total of 54 subjects enrolled (28 TA and 26 SA). Seven women withdrew from the study. A hot flash diary documented the number of HFs a subject experienced. Analysis included 47 subjects (27 TA and 20 SA). A statistically significant response in HF scores was noted in the TA group compared with the SA group (P = .0064.) On average HF scores dropped by 1.89 with TA, and only 0.16 with SA. At follow-up, TA subjects had a sustained response. TA is effective in reducing the intensity and severity of HF. With SA, no relative response/change in HF scores was noted. Larger studies and longer follow-up to assess durability of response to TA are needed.

本研究评估了中医治疗针灸(TA)在降低癌症患者潮热(HFs)严重程度方面的有效性,并将其与“假”安慰剂针灸(SA)的有效性进行了比较。每周出现10次以上HF发作的受试者被随机分配到TA或SA。通过更年期特异性生活质量(MenQoL)量表评估反应,对受试者对HF严重程度的感知进行评分。在基线、治疗后和1个月随访时对HFs进行评分。共有54名受试者入选(28名TA和26名SA)。七名女性退出了这项研究。一本热门日记记录了受试者经历的HFs的数量。分析包括47名受试者(27名TA和20名SA)。与SA组相比,TA组的HF评分有统计学意义的反应(P=.0064)。TA组的平均HF评分下降了1.89,SA组仅下降了0.16。随访时,TA受试者有持续的反应。TA可有效降低HF的强度和严重程度。SA治疗后,HF评分无相对反应/变化。需要进行更大规模的研究和更长时间的随访,以评估TA反应的持久性。
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引用次数: 0
Influence of Job Burnout on Decision-Making and Coping With Stress Among Nurses. 护士工作倦怠对决策和压力应对的影响。
IF 1.3 4区 医学 Pub Date : 2023-11-01 DOI: 10.1097/HNP.0000000000000609
Yana Gao, Jun Liu, Jie Liu, Ting Duan

Job burnout is highly prevalent among health care workers. This study determined the effect of job burnout on decision-making and coping with stress among nurses. Two hundred seventy-seven nurses in Xijing Hospital were investigated using the Job Burnout Scale, Decision Scale, and Simple Stress Coping Style Scale. The total score of job burnout was 107.8 ± 16.479 (severe burnout) and clinical decision-making consciousness was 123.75 ± 16.094 (moderate decision-making consciousness). No statistical differences existed in different gender samples (P > .05). Burnout and clinical decision-making awareness of clinical nurses were stronger than nursing interns and regular trainee nurses, but the occupational pressure of nursing interns was the highest (P < .05). Marital status also showed significant differences in job burnout; unmarried nurses were more prone to burnout (P < .05). In conclusions, burnout is a serious issue among nurses, which is closely related with clinical decision-making awareness, negative coping, and occupational stress. Nurse identity and marital status had significant effects on burnout.

工作倦怠在医护人员中非常普遍。本研究确定了护士工作倦怠对决策和应对压力的影响。采用工作倦怠量表、决策量表和简单压力应对方式量表对西京医院277名护士进行调查。工作倦怠总分为107.8±16.479(重度倦怠),临床决策意识总分为123.75±16.094(中度决策意识)。不同性别样本之间无统计学差异(P>0.05)。临床护士的倦怠感和临床决策意识强于实习护士和普通实习护士,但实习护士的职业压力最大(P<0.05)。婚姻状况在工作倦怠方面也存在显著差异;未婚护士更容易产生倦怠(P<0.05)。结论:护士倦怠是一个严重的问题,与临床决策意识、消极应对和职业压力密切相关。护士身份和婚姻状况对职业倦怠有显著影响。
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引用次数: 0
The Effect of Reiki and Aromatherapy on Vital Signs, Oxygen Saturation, and Anxiety Level in Patients Undergoing Upper Gastrointestinal Endoscopy: A Randomized Controlled Study. 灵气和芳香疗法对上消化道内窥镜检查患者生命体征、血氧饱和度和焦虑水平的影响:一项随机对照研究。
IF 1.3 4区 医学 Pub Date : 2023-11-01 DOI: 10.1097/HNP.0000000000000611
Esra Keşer, Sevgin Samancıoğlu Bağlama, Cem Sezer

This randomized controlled study aimed to determine the effect of Reiki and aromatherapy on vital signs, oxygen saturation, and anxiety level in patients undergoing upper gastrointestinal endoscopy. The sample consisted of 100 patients divided into Reiki (n = 34), aromatherapy (n = 33), and control (n = 33) groups. Data were collected 3 times (before, during, and after the procedure) using a descriptive characteristics questionnaire, a follow-up form, and the State Anxiety Subscale. The Reiki group had a mean State Anxiety Subscale score of 53.59 ± 2.98 and 43.94 ± 4.31 before and after the procedure, respectively. The aromatherapy group had a mean State Anxiety Subscale score of 54.03 ± 4.03 and 43.85 ± 3.91 before and after the procedure, respectively. The control group had a mean State Anxiety Subscale score of 38.79 ± 4.68 and 53.30 ± 7.26 before and after the procedure, respectively (P < .05). The results showed that the Reiki and aromatherapy groups had significantly lower State Anxiety Subscale scores than the control group after the procedure, indicating that Reiki and aromatherapy help reduce anxiety levels. There was a significant difference in the mean respiratory rates and oxygen saturation levels between the groups (P < .05). In conclusion, patients who do Reiki or undergo aromatherapy are less likely to experience anxiety before upper gastrointestinal endoscopy.

这项随机对照研究旨在确定灵气和芳香疗法对上消化道内窥镜检查患者生命体征、血氧饱和度和焦虑水平的影响。样本由100名患者组成,分为灵气组(n=34)、芳香疗法组(n=33)和对照组(n=33%)。使用描述性特征问卷、随访表和状态焦虑亚量表收集数据3次(手术前、手术中和手术后)。灵气组在手术前后的平均状态焦虑亚量表得分分别为53.59±2.98和43.94±4.31。芳香疗法组在手术前后的平均状态焦虑亚量表得分分别为54.03±4.03和43.85±3.91。对照组在手术前和手术后的平均状态焦虑亚量表得分分别为38.79±4.68和53.30±7.26(P<0.05)。结果表明,灵气和芳香疗法组在手术后的状态焦虑亚分量表得分显著低于对照组,表明灵气和芳香治疗有助于降低焦虑水平。两组之间的平均呼吸频率和血氧饱和度水平存在显著差异(P<.05)。总之,在上消化道内窥镜检查之前,进行灵气或芳香疗法的患者不太可能出现焦虑。
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引用次数: 0
Effects of Reiki on the Perception of Quality of Life Determined by the Questionnaire WHOQOL-BREF. 通过WHOQOL-BREF问卷测定灵气对生活质量感知的影响。
IF 1.3 4区 医学 Pub Date : 2023-11-01 DOI: 10.1097/HNP.0000000000000614
Elisabete Pereira, Caroline Valente, Morgana Kretzschmar, Mirele Titton Calderari, Caio Maurício Mendes de Cordova

Reiki is a philosophy and healing technique that directs the use of vital energy (ki) for energy rebalance, as well as healing, in a holistic sense, of physical, emotional, mental, and spiritual processes. The practice is part of the integrative and complementary practices recognized by the World Health Organization. This study aimed to evaluate the Reiki effects on people's life quality perception, by using the World Health Organization Quality of Life-BREF (WHOQOL-BREF). We analyzed the answers of 144 individuals, and the data were categorized in quartiles according to the number of Reiki sessions attended. The results of each question and dimension of the questionnaire were analyzed by Student's t test (individual questions) and analysis of variance (dimensions). We observed significant improvement in the perception of physical pain, need for medical treatment, meaning of life, physical environment, availability of money, availability of information, locomotion, work capacity, access to health, place of residence, and transportation facilities. Reiki sessions have improved people's quality of life perception in many aspects, proving its therapeutic efficacy in a broader approach to health promotion.

灵气是一种哲学和治疗技术,指导使用生命能量(ki)来重新平衡能量,以及从整体意义上治疗身体、情感、心理和精神过程。这种做法是世界卫生组织认可的综合和补充做法的一部分。本研究旨在通过使用世界卫生组织生活质量BREF(WHOQOL-BREF)来评估灵气对人们生活质量感知的影响。我们分析了144个人的答案,并根据参加灵气课程的次数将数据分为四分之一。通过学生t检验(单项问题)和方差分析(维度)对问卷的每个问题和维度的结果进行分析。我们观察到,在对身体疼痛的感知、医疗需求、生活意义、物理环境、资金可用性、信息可用性、行动能力、工作能力、获得健康的机会、居住地和交通设施方面有了显著改善。灵气疗法在许多方面改善了人们的生活质量,在更广泛的健康促进方法中证明了其治疗效果。
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引用次数: 0
The Patient Is Not a Mannequin!: Rethinking Clinical Nursing Education. 病人不是人体模型!:临床护理教育的再思考。
IF 1.3 4区 医学 Pub Date : 2023-11-01 DOI: 10.1097/HNP.0000000000000617
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引用次数: 0
The Relationship Between Yoga Practice Dosage and Perceived Stress, Anxiety, and Self-reported Health Among Breast Cancer Survivors Who Practice Yoga. 练习瑜伽的癌症乳腺癌幸存者瑜伽练习量与压力、焦虑和自我报告健康之间的关系。
IF 1.3 4区 医学 Pub Date : 2023-11-01 DOI: 10.1097/HNP.0000000000000610
M Velma Weitz, Joan R Bloch, Yosefa Birati, Albert Rundio, Kathleen Fisher, Sharon Byrne, Linda Guerra
The aim of this anonymous online study was to explore the yoga practice of breast cancer survivors to determine if yoga dosage (frequency and duration of practice) was related to stress, anxiety, and self-reported health in female survivors. Participants were recruited from online breast cancer support groups during a 3-month period (June-September 2019). Demographic information, stage and treatment of breast cancer, and frequency of yoga participation, including a home yoga practice were reported. Measures include the Perceived Stress Scale, State-Trait Anxiety Inventory, and self-reported health. Cumulative yoga dosage was calculated. Thirty-five women participated (mean age = 55 years) and were divided into low and high yoga dosage groups based on the sample distribution. Low dosage of yoga was operationally defined as a cumulative dosage that fell within the lowest quartile (≤25%). Findings indicated no difference between the low-dosage group compared with the high-dosage group for perceived stress and self-reported health; but the high dosage yoga group had lower state anxiety scores (P < .05). All participants reported good self-reported health. These findings contribute to our knowledge of the psychosocial aspects of breast cancer survivorship and raise questions for further research quantifying the therapeutic dosing of yoga practice.
这项匿名在线研究的目的是探索癌症幸存者的瑜伽练习,以确定瑜伽剂量(练习频率和持续时间)是否与女性幸存者的压力、焦虑和自我报告的健康状况有关。参与者从癌症在线支持小组招募,为期3个月(2019年6月至9月)。报告了癌症的人口学信息、阶段和治疗,以及参加瑜伽的频率,包括家庭瑜伽练习。测量包括感知压力量表、状态特质焦虑量表和自我报告的健康状况。计算累计瑜伽用量。35名女性参与(平均年龄=55岁),并根据样本分布分为瑜伽低剂量组和高剂量组。瑜伽的低剂量在操作上被定义为处于最低四分位数(≤25%)内的累积剂量。研究结果表明,与高剂量组相比,低剂量组在感知压力和自我报告健康方面没有差异;但高剂量瑜伽组的状态焦虑评分较低(P<0.05)。所有参与者都报告了良好的自我报告健康状况。这些发现有助于我们了解癌症生存率的心理社会方面,并为进一步研究瑜伽练习的治疗剂量提出了问题。
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引用次数: 0
Empowering Women in Methadone Maintenance Therapy: Addressing Unique Challenges in Addiction Treatment. 在美沙酮维持治疗中赋予妇女权力:应对成瘾治疗中的独特挑战。
IF 1.3 4区 医学 Pub Date : 2023-11-01 DOI: 10.1097/HNP.0000000000000615
Nader Aghakhani, Maryam Mesgarzadeh, Samereh Eghtedar
Health professionals must provide comprehensive care that considers all aspects of women’s health and well-being. This includes reproductive and sexual health, mental health, and social support. Addressing the underlying social determinants of health that contribute to addiction and poor outcomes, such as poverty and lack of access to health care, is essential to improving treatment outcomes for women in MMT.9,10
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引用次数: 0
Representation Matters to the Whole: Assuring Accessibility Into Nursing for People With Disabilities. 代表权关系到全体:确保残疾人无障碍进入护理。
IF 1.3 4区 医学 Pub Date : 2023-11-01 DOI: 10.1097/HNP.0000000000000619
Mary Yost, Patti Rager Zuzelo
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引用次数: 0
The Effect of Pranayama Applied to Hemodialysis Patients on Fatigue: A Randomized Controlled Trial. 普拉纳亚马应用于血液透析患者对疲劳的影响:一项随机对照试验。
IF 1.3 4区 医学 Pub Date : 2023-11-01 DOI: 10.1097/HNP.0000000000000613
Sümeyra Mihrap İlter, Özlem Ovayolu

The present study was conducted to examine the effects of Pranayama applied to hemodialysis patients on fatigue. The study was completed with 91 patients, including Pranayama (n = 30), Relaxation (n = 30), and Control groups (n = 31). The patients in the Pranayama group applied the interventions 15 to 20 minutes every day, once a day, for a total of 3 months, and the patients in the relaxation practice group applied the interventions 15 to 20 minutes every day, once a day, for a total of 3 months. Before the study commenced, permission was obtained from health care institutions, the ethics committee, and the patients. The data were collected with a Questionnaire, Piper Fatigue Scale (PFS), visual analog scale, and Vital Findings Form. Piper Fatigue Scale consists of 4 subdimensions, the total score obtained from the scale varies between 0 and 10, and as the score increases, the level of fatigue also increases. It was found that the patients in the Pranayama Group had decreased PFS total and subdimension mean scores after the procedure (P < .05); however, no significant changes were detected in the PFS total and subdimension mean scores of the patients in the Relaxation and Control groups (P > .05). Although the decrease in the daily fatigue severity of the patients in the Pranayama group was at a statistically significant level (P < .05), no statistically significant changes were detected in the fatigue severity of the patients in the Relaxation and Control groups (P > .05). It was also found that the blood pressure values of the patients in the Pranayama and Relaxation groups decreased (P < .05). It was found in the present study that Pranayama reduced the fatigue levels of hemodialysis patients. In this respect, it is recommended to teach and apply Pranayama techniques to patients with the support of nurses.

本研究旨在检验普拉纳亚马在血液透析患者中应用对疲劳的影响。该研究共有91名患者完成,包括Pranayama组(n=30)、松弛组(n=30)和对照组(n=31)。Pranayama组的患者每天应用干预措施15至20分钟,每天一次,共计3个月,放松练习组的患者每日应用干预措施15-20分钟,每日一次,总计3个月。在研究开始之前,获得了卫生保健机构、伦理委员会和患者的许可。数据通过问卷、Piper疲劳量表(PFS)、视觉模拟量表和生命体征表收集。Piper疲劳度表由4个子维度组成,从量表中获得的总分在0到10之间变化,随着分数的增加,疲劳程度也会增加。研究发现,Pranayama组的患者在手术后PFS总分和亚维度平均分下降(P<0.05);然而,放松组和对照组患者的PFS总分和亚维度平均分没有显著变化(P>0.05)。尽管Pranayama组患者的日常疲劳严重程度下降处于统计学显著水平(P<0.05),放松组和对照组患者的疲劳程度没有统计学意义的变化(P>0.05)。此外,Pranayama和放松组患者的血压值降低(P<0.05)。本研究发现,Pranayama降低了血液透析患者的疲劳水平。在这方面,建议在护士的支持下向患者教授和应用Pranayama技术。
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引用次数: 0
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Holistic Nursing Practice
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