Holistic Nursing Practice最新文献

The purpose of this study was to understand the relationship between the characteristics, health status, and health-promoting lifestyles of volunteer workers who participate in the community among middle-aged and older adults. A cross-sectional study was conducted to collect data from 173 middle-aged and older adults volunteers from 2 communities in North Taiwan. Data were collected using a structured questionnaire that included Demographic Characteristics Form, Self-Rated Health Status Scale, and Health Promotion Lifestyle Scale. Most of the volunteers were female, with an average age of 60.41 (±9.30) years. The average item score for the health promotion lifestyle was 74.07 ( SD  = 19.27). Participants scored highest on the social support subscales and lowest on the exercise subscales, followed by health responsibility subscales. Multiple regression analysis revealed that an average of 6 to 8 hours of volunteer services per week, diversity of volunteer services, and self-rated health status were each significantly associated with a greater health promotion lifestyle. Community health care workers should strengthen community volunteer support networks and motivate volunteers to attend health-related classes. Various community activities can remind each volunteer of their health responsibilities and awareness of a healthy promotion lifestyle.

The use of theories in nursing reflects the discipline's progression toward autonomy and delineates its scope, directly guiding practice, research, education, and administration. This paper analyzes and evaluates the theoretical model for nursing care of women involved in health care decisions-The Wittmann-Price Theory of Emancipated Decision-Making in Women's Health Care-based on McEwen's systematic theory 3-phase evaluation method. Developed through a rigorous process, this theory centers on the concept of emancipation and its associated subconcepts crucial to decision-making in women's health. This included crafting explanatory propositions and incorporating them into a structured theoretical framework. Having been applied and refined in various clinical settings, the theory has improved in applicability and proven effective for guiding nursing care across diverse environments. Furthermore, fostering a flexible environment that enhances personal knowledge significantly contributes to emancipated decision-making, which is closely linked to decision satisfaction.

This study was conducted to determine the effect of breathing and relaxation exercises training on psychological well-being and sleep quality in individuals diagnosed with schizophrenia. This study was conducted at a community mental health center between October 2022 and April 2023 as a randomized controlled study with a pretest-posttest control group. The study's participants were 64 individuals diagnosed with schizophrenia (31 in the experimental group and 33 in the control group). The Descriptive Characteristics Form, the Psychological Well-being Scale, and the Pittsburg Sleep Quality Index were used to collect data. The individuals in the experimental group underwent 6 sessions of breathing and relaxation exercises training in the form of group training, and no training was applied to the individuals in the control group. It was determined that the individuals in the experimental group had an increase in the total mean score of psychological well-being and a decrease in the total mean score of sleep quality after breathing and relaxation exercise training. In addition, a statistically significant difference was found between the posttest psychological well-being and sleep quality total mean scores of the experimental and control groups ( P < .05). It can be said that breathing and relaxation exercises training can be used as an effective intervention to increase the psychological well-being and sleep quality of individuals diagnosed with schizophrenia and can be used in addition to pharmacological treatment.

This study aimed to investigate the effect of Damask rose aromatherapy on pain and anxiety in primiparas during the incubation and latent periods of the first stage of labor. The study randomly divided participants into aroma, placebo, and control groups. The control group received daily care, while the aroma group received at least 30 minutes of aromatherapy. The placebo group received the same aromatherapy device as the aroma group but inhaled saline. Pain, anxiety, and uterine contractions were measured at enrollment and at 30, 60, and 120 minutes. Data from 76 participants were analyzed, and the results showed that the aroma group had lower anxiety and pain scores than the placebo and control groups at 60 and 120 minutes. Additionally, the effect gradually appeared and was maintained even with increased contractions. Damask rose aromatherapy can be used as a safe and effective adjuvant therapy for reducing the anxiety and pain of women in the latent period of labor.

This review delves into the potential benefits of integrating yoga into the care of patients with heart failure. A systematic literature review was undertaken through electronic searches of indexed databases. Quality assessment utilized the Cochrane risk-of-bias tool, and data on population characteristics, interventions, and clinical, biochemical, and functional outcomes were meticulously extracted. Six randomized trials, encompassing 296 individuals with a left ventricular ejection fraction between 30 and 50%, and functionally classified per the New York Heart Association as I, II, or III, were included. Despite limited published experimental research, yoga demonstrates promising effectiveness in enhancing outcomes such as quality of life, functional capacity, and clinical markers. Notably, safety and adherence outcomes remain unexplored. Future studies should prioritize a representative sample size, methodological rigor, and adherence to established yoga intervention guidelines in randomized clinical trials, ensuring comprehensive evaluation across short-, medium-, and long-term perspectives.

In this article, two long-time practitioners of Code Lavender (a holistic nurse and board-certified chaplain) describe its history and current state. They analyze what makes it such a successful tool in addressing staff stress and sketch possible future directions. Case studies as well as techniques are discussed.