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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
Microbiota and the Immune System, Part 1. 微生物群与免疫系统,第1部分。
IF 1.3 4区 医学 Pub Date : 2023-11-01 DOI: 10.1097/HNP.0000000000000620
Stephanie Maxine Ross
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引用次数: 0
We Know the Task-How About the Point? Considering the Purpose Behind What We Practice and Preach. 我们知道任务,要点如何?思考我们实践和传教的目的。
IF 1.3 4区 医学 Pub Date : 2023-11-01 DOI: 10.1097/HNP.0000000000000618
Victoria Daughen
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引用次数: 0
The Effectiveness of a Yoga Program on Psychological and Cardiovascular Outcomes of Undergraduate Nursing Students. 瑜伽课程对护理本科生心理和心血管结果的影响。
IF 1.3 4区 医学 Pub Date : 2023-09-01 DOI: 10.1097/HNP.0000000000000599
Mudasir Andrabi, Mercy Mumba, Jeremiah Mathews, Jesse Rattan, Andrea Scheiner

Psychological problems among nursing students are well documented. Unfortunately, only a minority of these populations seek help related to their psychological distress. Yoga exercises improve individuals' psychological distress and cardiovascular outcomes. Therefore, we conducted this study to test the feasibility and preliminary efficacy of our health promotion theme-based yoga program to reduce the participants' stress levels and anxiety symptoms and improve their blood pressure and heart rate. This study has a pre/posttest quasi-experimental design. A convenience sampling method was used to recruit the participants who were 18 years or older and could speak and read English. Individuals with any contraindication to participate in yoga or receiving any medications for their mental health or cardiovascular health were excluded from the study. The Perceived Stress Scale and the Depression Anxiety Stress Scale-21 were used to measure the participants' stress levels and anxiety symptoms, respectively. Their blood pressure and heart rate were measured by using a standard blood pressure measuring machine. Participants received 50 minutes of weekly yoga sessions in groups and also performed individual yoga sessions 3 times a week for 8 weeks. Descriptive statistics were used to answer our research questions. Our recruitment rate of 47% (n = 19) was lower than our anticipated rate of 80%; however, we had a retention rate of 90%. There was a reduction in participants' stress levels and anxiety symptoms from the preintervention phase to the postintervention phase. A larger study and a randomized controlled trial are warranted to draw conclusions.

护理专业学生的心理问题有据可查。不幸的是,这些人群中只有少数人寻求与心理困扰有关的帮助。瑜伽练习可以改善个人的心理困扰和心血管后果。因此,我们进行了这项研究,以测试我们基于健康促进主题的瑜伽项目在降低参与者的压力水平和焦虑症状以及改善他们的血压和心率方面的可行性和初步疗效。本研究采用了测试前/测试后的准实验设计。采用方便抽样的方法招募了18岁或以上、会说和读英语的参与者。有任何瑜伽禁忌症或接受任何心理健康或心血管健康药物治疗的个人被排除在研究之外。感知压力量表和抑郁焦虑压力量表-21分别用于测量参与者的压力水平和焦虑症状。他们的血压和心率是用标准的血压测量机测量的。参与者每周分组进行50分钟的瑜伽训练,并在8周内每周进行3次个人瑜伽训练。描述性统计被用来回答我们的研究问题。我们47%(n=19)的招募率低于我们预期的80%;然而,我们的保留率为90%。从干预前阶段到干预后阶段,参与者的压力水平和焦虑症状有所下降。有必要进行更大规模的研究和随机对照试验来得出结论。
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引用次数: 0
The Whole of Diabetes Management: Low Carbohydrate Diet as an Opportunity for Remission. 糖尿病管理的整体:低碳水化合物饮食是缓解的机会。
IF 1.3 4区 医学 Pub Date : 2023-09-01 DOI: 10.1097/HNP.0000000000000605
Barbara Osborne, Patti Rager Zuzelo
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引用次数: 0
Holistic Hypertension Management. 整体高血压管理。
IF 1.3 4区 医学 Pub Date : 2023-09-01 DOI: 10.1097/HNP.0000000000000604
Rachel K Berry, Jessica L Peck

Hypertension (HTN) is a major health care problem affecting nearly half of American's adult population. HTN is one of the costliest diagnoses among cardiovascular disease and leads to other major cardiovascular complications, which increase overall morbidity and mortality. Of those diagnosed with HTN in America, only one-fourth of patients are living with well-controlled HTN. This evidenced-based HTN management practice innovation was conducted to explore evidenced-based, holistic nursing practice of a low-sodium dietary approach to stop hypertension (DASH) diet, and exercise alongside antihypertensive medication management in decreasing systolic blood pressure (SBP) and diastolic blood pressure (DBP) in adult patients diagnosed with HTN. This community-based holistic care initiative supports data previously published, which suggests a low-sodium DASH diet, exercise, and antihypertensive medication management are effective in decreasing SBP and DBP. This project supported clinicians seeking to integrate a complementary holistic and traditional approach to HTN management in patients diagnosed with HTN.

高血压(HTN)是影响美国近一半成年人口的主要医疗保健问题。HTN是心血管疾病中最昂贵的诊断之一,并会导致其他主要心血管并发症,从而增加总体发病率和死亡率。在美国被诊断为HTN的患者中,只有四分之一的患者生活在控制良好的HTN中。这项基于证据的HTN管理实践创新旨在探索基于证据的整体护理实践,即低钠饮食方法来停止高血压(DASH)饮食,以及在降压药物管理的同时进行运动,以降低诊断为HTN的成年患者的收缩压(SBP)和舒张压(DBP)。这项基于社区的整体护理倡议支持了先前发表的数据,该数据表明,低钠DASH饮食、锻炼和降压药物管理可有效降低SBP和DBP。该项目支持临床医生寻求在诊断为HTN的患者中整合一种互补的整体和传统的HTN管理方法。
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Holistic Nursing Practice
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