International Journal of Nursing Practice最新文献

Background

Digital healthcare has turned social media, especially YouTube, into a key platform for patient education. Videos on insulin administration attract significant viewership, but content reliability remains a concern.

Aim

This study aimed to assess the quality and reliability of Turkish YouTube videos on insulin administration.

Methods

The first 200 videos on the YouTube platform related to “insulin administration” were reviewed, and 33 videos that met the inclusion criteria were evaluated using DISCERN, the Global Quality Score (GQS), and a guideline-based survey for insulin usefulness.

Results

Among the 33 videos that met the inclusion criteria, 39.4% were posted by nurses. The usefulness of the videos regarding insulin administration was analyzed using DISCERN and GQS and was evaluated based on their usefulness scores. According to this classification, 45.4% of the videos were found to be very useful, 36.4% were moderately useful, and 18.2% were somewhat useful. The mean ± SD GQS score of the videos was 2.51 ± 1.09 (between “generally poor” and “moderate”) and the mean ± SD DISCERN score was 30.21 ± 8.33, indicating that the videos lacked essential evidence-based information.

Conclusion

Many videos raise concerns about their educational value, with only a small portion being highly informative. This negatively impacts health literacy and complicates education. Providing accurate, reliable content is crucial, and nurses can enhance health literacy, safety, and equity through quality materials.

Aim

To examine the prevalence and predictors of physical inactivity among pregnant women at high risk for gestational diabetes mellitus (GDM) in mainland China.

Methods

A cross-sectional study was implemented in Zhengzhou, China from October 2021 to February 2022. Two hundred fifty-two pregnant women at high risk for GDM were recruited. Physical inactivity was assessed by the Pregnancy Physical Activity Questionnaire. The Pregnancy Physical Activity Self-Efficacy Scale, Knowledge of Physical Activity Questionnaire, Social Support for Physical Activity Scale, 7-item Generalized Anxiety Disorder Scale, Edinburgh Postnatal Depression Scale and sociodemographic and antenatal characteristics questionnaire were collected and used to predict physical inactivity. Binary logistic regression was applied. Adjusted odds ratios and 95% confidence intervals (CIs) were calculated.

Results

The prevalence of physical inactivity was 53.2%. The risk factors for physical inactivity included low level of physical activity self-efficacy (aOR: 6.05, 95% CI: 1.13–32.31), middle levels of physical activity self-efficacy (aOR: 5.13, 95% CI: 1.45–18.20), no pregnancy physical activity goals (aOR: 3.06, 95% CI: 1.18–8.0), low pregnancy physical activity goals (aOR: 2.64, 95% CI: 1.02–6.8), nulliparity (aOR: 7.17, 95% CI: 3.74–13.75), having a junior college degree or below (aOR: 2.03, 95% CI: 1.10–3.74) and husbands having no habits of regular physical activity (aOR: 2.07, 95% CI: 1.06–4.04).

Conclusion

This study revealed that physical inactivity among pregnant women at high risk for GDM was a public health concern in mainland China. Physical activity self-efficacy and pregnancy physical activity goals may be used to develop interventions to enhance physical activity.

Aims

This study aimed to summarise the results of research concerning the impact of sleep deprivation among informal caregivers of People with Dementia (PwD) and their care recipients.

Methods

This was a scoping review and followed the PRISMA Scoping Review guideline. Seven electronic databases were searched, and all studies that provided information regarding any outcomes related to sleep deprivation among informal caregivers of PwD published before July 2022 were included.

Results

Sixty studies were identified. Mental and physical effects caused by caregivers' sleep deprivation have been observed. Biomarkers of stress, cognitive functions, immune system functions, and mental status, including burden, depression, and distress, were most frequently mentioned in caregivers with regards to sleep deprivation. As for PwD, mental health indicators like depression and behavioural change were related to sleep deprivation of caregivers. The relationship between caregivers and PwD, as well as the family's financial situation change were also identified.

Conclusion

Sleep deprivation in caregivers of PwD harms both parties, underscoring the need for adequate caregiver rest and interventions targeting sleep issues. Future research should explore more care factors and standardise sleep deprivation metrics, improving support for caregivers and patient care.

Background

Self-efficacy is an important factor in nursing students' academic success. Thus, task-dependent self-efficacy should be evaluated in terms of learning. Valid and reliable tools are needed to measure learning self-efficacy in different societies.

Aim

The study aimed to test the ‘Nursing Learning Self-Efficacy Scale’ psychometric properties in the Turkish population.

Methods

It is a methodological study of instrument translation and validation. The psychometric properties of the Nursing Learning Self-Efficacy Scale were tested with 345 nursing students. For reliability, 50 nursing students were included in the retest. The study was conducted between May and June 2024 in a Health Sciences Faculty located in the Central Anatolia region of Türkiye.

Findings

The Content Validity Index of the scale was determined as 0.95 for linguistic compatibility and 0.92 for content compatibility. Exploratory factor analysis revealed a four-dimensional factor structure with a cumulative variance contribution rate of 62.84%, and 20 items in the scale were included in the analysis. In the confirmatory factor analysis of the scale, the fit indices for the classes were acceptable. The Cronbach's alpha coefficient for Turkish culture was determined to be 0.926.

Conclusion

The Turkish version of the Nursing Learning Self-Efficacy Scale is a valid and reliable assessment tool for measuring self-efficacy in the learning skills of nursing students.

Introduction

Pain and anxiety are commonly reported complications following coronary angiography (CA). Acupressure was reported to decrease anxiety and pain in patients undergoing CA.

Methods

By methodically searching PubMed, Web of Science, SCOPUS and Cochrane through 3 August 2023, a systematic review and meta-analysis synthesizing randomized controlled trials (RCTs) were retrieved. We used the fixed-effect or random-effects model, according to heterogeneity, to pool continuous data using mean difference (MD) with a 95% confidence interval (CI).

Results

We included five RCTs, with a total of 573 participants. Acupressure was significantly effective in reducing pain intensity (MD: 2.16, 95% CI [−2.82 to −1.52], p < 0.0001) and anxiety (MD: 8.50, 95% CI [−13.66 to −3.35], p = 0.001). However, acupressure had no significant effect on in systolic blood pressure (MD: 4.68, 95% CI [−18.99 to 9.63], p = 0.52), diastolic blood pressure (MD: 0.43, 95% CI [−8.40 to 7.55], p = 0.92), heart rate (MD: 1.28, 95% CI [−2.57 to 5.13], p = 0.52) and respiratory rate (MD: 1.26, 95% CI [−3.57 to 1.04], p = 0.28).

Conclusion

Acupressure decreased pain and anxiety in patients undergoing CA, with no effect on vitals. However, the available evidence is limited to a few RCTs; larger trials are warranted before receiving clinical approval.

Background

Incentive spirometry is used in addition to care, especially in reducing pulmonary complications after surgery. Complications in the cardiovascular and pulmonary systems can basically be determined by blood values and vital signs, which are important objective data of haemodynamics.

Aim

This study aimed to test the hypothesis that the use of incentive spirometry in conjunction with postoperative pulmonary rehabilitation care has a notable impact on arterial blood gas, oxygen saturation (SpO2) and vital signs.

Methods

This randomised, controlled trial used repeated-measures design. It was conducted between 2021 and 2022, and data from 58 patients who underwent coronary artery bypass graft surgery at the cardiovascular surgery clinic of a university hospital were analysed. All patients received pulmonary rehabilitation, and incentive spirometry was added for the experimental group.

Results

In the experimental group, on post-op day 3, the arterial partial pressure of oxygen (PaO2) (p = 0.01), arterial oxygen saturation (SaO2) (p = 0.002) and oxygen saturation (SpO2) (p < 0.001) values were statistically significantly higher. Additionally, on post-op day 3 the experimental group had significantly lower systolic blood pressure (p = 0.03), diastolic blood pressure (p = 0.004) and respiratory rate (p < 0.001).

Conclusion

Incentive spirometry after coronary artery bypass graft surgery improves oxygen levels and vital signs.

Aim

This study was conducted to determine the effect of motivational interviewing on the level of self-efficacy and addiction in smoking cessation in nursing students.

Background

It is important for nursing students to be informed and supported about quitting smoking during their university years, as they will be involved in health services as health professionals.

Method

The study was carried out between May 15, 2022, and April 1, 2023, as a single-blind randomized controlled trial study with one experimental and two control groups. The population of the study consisted of nursing students who were studying at the Faculty of Health Sciences, Department of Nursing of two different universities and who smoked, and the sample consisted of 78 nursing students who met the research criteria and accepted to participate in the study. The data of the study were collected using the ‘Personal Information Form’, ‘Fagerström Nicotine Addiction Test’, ‘Self-Efficacy Scale’ and ‘Stage of Change Question’. The nursing students in the experimental group were given face-to-face motivational interviews in the 1st month, online interviews in the 2nd and 3rd months and face-to-face motivational interviews in the 4th, 5th and 6th months. No intervention was applied to the nursing students in the control groups during the research process.

Results

A statistically significant difference was found between the pretest and posttest difference values of the ‘Self-Efficacy Scale’ and ‘Fagerström Test for Nicotine Dependence’ of the students in the experimental and control groups (p < 0.05). No statistically significant difference was found between the pretest and posttest difference values of the ‘Self-Efficacy Scale’ and ‘Fagerström Nicotine Dependence Test’ of the students in the control groups (p > 0.05).

Conclusions

In the study, it was found that the motivational interview applied to the experimental group of nursing students increased self-efficacy and decreased the level of addiction.

Trial Registration: ClinicalTrials.gov registration number: NCT05639699

Background

This study aimed to assess the psychometric properties of the Turkish version of the Partners in Health Scale (PIH-TR), which was developed to assess the perceptions of patients with chronic conditions in primary care. Accurate assessment of facilitators and barriers to self-management of chronic conditions, from the patients' perspective, is important for working effectively with them to promote better health outcomes.

Methods

A cross-sectional validation study was conducted and designed according to the STROBE guidelines. One hundred thirty-six patients, aged 30–90 years (86.7% aged > 60), were recruited from family care centres. Data were collected using the revised PIH, an adapted version of Model-2 (PIH-TR), which is a 12-item self-rated measure of self-management of chronic conditions. The PIH was translated into Turkish using Beaton et al.'s method. Content, construct validity and internal consistency analyses were undertaken to evaluate the data.

Results

The PIH-TR had satisfactory reliability and validity and revealed a four-factor structure appropriate to the original scale: knowledge, partnership in treatment, recognition and management of symptoms and coping. Omega coefficient (0.860), test–retest reliability (0.841) and comparative fit indices (CFI) (0.99) were high.

Conclusion

The PIH-TR has good specifics and is reliable and valid as an objective self-rated tool to assess self-management of Turkish patients' chronic conditions.

Aim

To investigate the relationship between kinesiophobic attitudes and their causes and frailty in older people.

Methods

This descriptive, relationship-seeking study was conducted with 302 people aged over 65 years. The data were collected through face-to-face interviews between July and September 2023, using a personal information form, the Tampa Scale of Kinesiophobia, the Kinesiophobia Causes Scale (KCS) and the Edmonton Frail Scale (EFS). The data were analysed using Pearson's correlation test, linear regression and binary logistic regression.

Results

A total of 92.7% of older adults experienced high levels of kinesiophobia, while 80.5% presented various degrees of frailty. Most people's kinesiophobia is caused by psychological factors. There is a positive and significant correlation between kinesiophobia and frailty, as well as between the causes of kinesiophobia and frailty. The linear regression model showed that age, sex, physical activity, pain score, kinesiophobic attitudes and causes explained 52.1% of the variation in the EFS score. The binary logistic regression model, based on the frailty categorical variable (frail vs. non-frail), found that age, sex, physical activity, pain score and kinesiophobic attitudes accounted for 49.0% of the variation in the EFS score.

Conclusions

Kinesiophobic attitudes and causes are important risk factors for frailty and can predict an individual's frailty state.