International Journal of Nursing Practice最新文献

Effects of Lateral Positions in Second-Stage Labour on Maternal and Neonatal Outcomes: An Observational Study Using Propensity Score Matching Analysis 第二产程侧卧位对产妇和新生儿结局的影响：一项使用倾向评分匹配分析的观察性研究。

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2026-02-04 DOI: 10.1111/ijn.70114

Jing Huang, Hong Lu, Jianying Wang, Minghui Yang, Yinchu Hu, Xue Feng, Lihua Ren, Yu Zang, Hou Rui

Aim

This study aims to examine the effects of lateral positions during the second stage of labour on maternal and neonatal outcomes.

Design

A prospective observational study was conducted in three Chinese hospitals from June to November 2020.

Methods

Eligible women were divided into groups based on their use of lithotomy or lateral positions during the second stage of labour. Propensity score matching (PSM) was employed to assess the effects of lateral positions on maternal outcomes (perineal tears, episiotomy use, postpartum blood loss, duration of the second stage of labour, and mode of birth) and neonatal outcomes (Apgar scores at one and 5 min postpartum).

Results

After PSM matching, lateral positions were associated with a 21% reduced risk of episiotomy use among primiparous women. Primiparous women adopting lateral positions also had significantly reduced risks of moderate perineal tears. There were no significant differences in the duration of the second stage of labour, mode of birth or rates of blood loss over 500 mL at 2 h postpartum. However, lateral positions increased the duration of the second stage of labour by 10 min among primiparous women who adopted lateral positions in this study, and both primiparous and parous women using lateral positions had greater postpartum blood loss. Cases of Apgar scores less than seven and severe perineal tears were rare.

Conclusion

This prospective observational study indicates that lateral positions during the second stage of labour may offer protective benefits for the perineum among primiparous women. However, their use requires careful clinical judgement, as they may not be suitable for primiparous women experiencing slower labour progress, and additional attention should be given for monitoring postpartum blood loss, regardless of parity.

目的：本研究旨在探讨产程第二阶段侧位对产妇和新生儿结局的影响。设计：于2020年6月至11月在中国三家医院进行前瞻性观察研究。方法：将符合条件的产妇根据第二产程取石或侧卧位分为两组。采用倾向评分匹配（PSM）来评估侧卧位对产妇结局（会阴撕裂、会阴切开术、产后失血、第二产程持续时间和分娩方式）和新生儿结局（产后1分钟和5分钟的Apgar评分）的影响。结果：在PSM匹配后，侧位与初产妇使用会阴切开术的风险降低21%相关。初产妇女采用侧卧位也显著降低了中度会阴撕裂的风险。在产程第二阶段的持续时间、分娩方式和产后2小时出血量超过500毫升的比率方面没有显著差异。然而，在本研究中采用侧卧位的孕妇中，侧卧位使第二产程的持续时间增加了10分钟，并且使用侧卧位的孕妇和产妇都有更大的产后失血。阿普加评分低于7分和严重会阴撕裂是罕见的。结论：这项前瞻性观察研究表明，分娩第二阶段的侧卧位可能对初产妇的会阴有保护作用。然而，它们的使用需要仔细的临床判断，因为它们可能不适合产程较慢的初产妇，并且应额外注意监测产后失血，无论胎次如何。

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引用次数: 0

Adaptation of the Partners at Care Transitions Measure Into Turkish: A Validity and Reliability Study for Older Adults 护理过渡措施的合作伙伴适应土耳其语：老年人的效度和信度研究。

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2026-02-03 DOI: 10.1111/ijn.70113

Simge Coşkun Palaz, Sergül Duygulu

Aim

This study aimed to adapt and test ‘The Partners at Care Transitions Measure (PACT-M)’ to Turkish culture, and evaluate its psychometric properties.

Methods

This methodological study included 300 patients from a university hospital. The Turkish version of the scale underwent translation, cultural adaptation and content validity review. Construct validity was tested with confirmatory factor analysis, and reliability was assessed through Cronbach's alpha and item–total correlations. Convergent validity was examined using correlations with the Readiness for Hospital Discharge Scale.

Results

The Turkish adaptation of the PACT-M successfully retained the original construct. Cronbach's alpha coefficients and item–total correlations indicated strong internal reliability. The two-factor structure was confirmed through confirmatory factor analysis, demonstrating an acceptable model fit, with all factor loadings statistically significant. In terms of convergent validity, the total PACT-M score showed a significant low-level positive correlation with the Readiness for Hospital Discharge Scale.

Conclusions

This study provides evidence supporting the psychometric adequacy of the Turkish version of the PACT-M. The instrument appears to be a useful tool for assessing older adults' perceptions of care quality and safety during the transition from hospital to home. Its application in clinical practice may help identify patients who require additional support during the discharge and post-discharge process.

目的：本研究旨在适应和测试“合作伙伴在护理过渡措施（PACT-M）”土耳其文化，并评估其心理测量特性。方法：对某大学附属医院的300例患者进行方法学研究。土耳其语版量表进行了翻译、文化适应和内容效度审查。构念效度采用验证性因子分析检验，信度采用Cronbach’s alpha和项目-总量相关评估。使用与出院准备程度量表的相关性来检验收敛效度。结果：土耳其人改良的PACT-M成功保留了原构体。Cronbach’s alpha系数和项目总量相关性显示出较强的内部信度。通过验证性因子分析证实了双因子结构，证明了可接受的模型拟合，所有因子负荷具有统计学意义。在收敛效度方面，PACT-M总分与出院准备量表呈显著的低水平正相关。结论：本研究提供证据支持土耳其版PACT-M的心理测量充分性。该工具似乎是评估老年人在从医院到家庭过渡期间对护理质量和安全的看法的有用工具。它在临床实践中的应用可以帮助识别在出院和出院后过程中需要额外支持的患者。

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引用次数: 0

Effects of Five-Element Music Therapy on Depression Symptoms After Stroke: A Meta-Analysis of Randomized Controlled Trials. 五行音乐疗法对脑卒中后抑郁症状的影响：随机对照试验的荟萃分析

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2026-02-01 DOI: 10.1111/ijn.70112

Ting Yang, Chunmei Zhang, Hui Wei, Hongyan Yang

Background: Depression symptoms are prevalent and persistent psychological problems after a stroke. Five-element music therapy has been used to improve depression symptoms in stroke patients, but the effects have not yet been unified.

Aim: This review aims to evaluate the effects of five-element music therapy on depression symptoms after stroke.

Methods: We performed a literature search in the English databases (PubMed, Cochrane Library, Embase, Web of Science and CINAHL) and Chinese databases (Chinese National Knowledge Infrastructure, WanFang Data Knowledge Service Platform, Chinese BioMedical Database and Weipu Information Chinese Periodical Service Platform). Two investigators independently screened literature, extracted data and assessed the risk of bias according to the eligibility criteria. The RevMan 5.3 software was used to perform the meta-analysis. The review was reported in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

Results: A total of 21 studies involving 1612 participants were included in the analysis. Compared to the control group, five-element music therapy significantly improved depression symptoms (at post-intervention and at follow-up), sleep quality, daily living ability, stroke severity and 5-hydroxytryptamine levels of stroke patients. Subgroup analysis found a significantly positive effect of five-element music therapy on depression symptoms in different scales, intervention durations and types of five-element music.

Conclusions: Five-element music therapy can be a non-pharmacological intervention for managing depression symptoms after stroke. Healthcare providers could encourage stroke patients to engage in home-based five-element music listening to manage depression symptoms, a practical intervention that can be easily integrated into routine post-stroke care. Besides, it would be helpful for future researchers to test the use of other musical traditions relevant to other cultures.

Patient or public contribution: Patient or public contribution is not necessary as the study is a systematic review.

背景：抑郁症状是卒中后普遍存在且持续存在的心理问题。五行音乐疗法已被用于改善中风患者的抑郁症状，但其效果尚未统一。目的：探讨五行音乐疗法对脑卒中后抑郁症状的影响。方法：在英文数据库（PubMed、Cochrane Library、Embase、Web of Science和CINAHL）和中文数据库（中国国家知识基础设施、万方数据知识服务平台、中国生物医学数据库和卫普信息中文期刊服务平台）进行文献检索。两名研究者独立筛选文献、提取数据并根据入选标准评估偏倚风险。采用RevMan 5.3软件进行meta分析。根据系统评价和荟萃分析指南的首选报告项目进行报告。结果：共纳入21项研究，涉及1612名受试者。与对照组比较，五行音乐治疗显著改善脑卒中患者抑郁症状（干预后及随访）、睡眠质量、日常生活能力、脑卒中严重程度及5-羟色胺水平。亚组分析发现，五行音乐治疗对抑郁症状在不同量表、干预时间和五行音乐类型上均有显著的正向影响。结论：五行音乐疗法可作为治疗脑卒中后抑郁症状的非药物干预手段。医疗保健提供者可以鼓励中风患者在家听五行音乐来控制抑郁症状，这是一种实用的干预措施，可以很容易地融入日常的中风后护理中。此外，这将有助于未来的研究人员测试与其他文化相关的其他音乐传统的使用。患者或公众贡献：由于该研究是一项系统评价，因此不需要患者或公众贡献。

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引用次数: 0

Validation of the Chinese Version of the Clients' Perceptions of Providers' Cultural Competency Instrument 顾客对服务提供者文化胜任力感知量表中文版的验证。

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2026-01-29 DOI: 10.1111/ijn.70111

Peijia Zha, Dula Pacquiao, Janet R. Katz, Weiming Wang

Aims

To translate the Clients' Perceptions of Providers' Cultural Competency into Chinese, validate it with Chinese immigrant clients in the United States and explore their healthcare experiences.

Background

Culturally competent care is crucial to promote access, utilization and health outcomes among racial and ethnic minorities. Chinese immigrants represent the largest Asian-American population in the US healthcare providers can enhance patient-centred care with instruments that assess and improve their cultural competency. The Clients' Perceptions of Providers' Cultural Competency instrument can assess healthcare providers' cultural competency, offer feedback and improve patient-centred care.

Design

An online, cross-sectional design was utilized for this psychometric study.

Method

Data from 121 Chinese immigrants in the United States were analysed using Cronbach's alpha and exploratory factor analysis to assess reliability and construct validity. Criterion validity was examined by testing the association between self-reported health and cultural competency using a generalized linear model.

Results

Cronbach's alpha of the instrument was 0.91. The construct validity of the instrument revealed the four-dimensional structure. Self-reported health was significantly associated with cultural competency (p = 0.003).

Conclusion

Findings support the Chinese Clients' Perceptions of Providers' Cultural Competency instrument as a reliable and valid instrument to measure Chinese immigrants' perceptions of healthcare providers' cultural competency.

目的：将客户对医疗服务提供者文化能力的认知转化为中文，并与在美中国移民客户进行验证，并探讨他们的医疗体验。背景：文化上合格的护理对于促进少数种族和族裔群体的获取、利用和健康结果至关重要。中国移民代表了美国最大的亚裔美国人人口，医疗保健提供者可以通过评估和提高他们的文化能力的工具来加强以患者为中心的护理。客户对提供者文化能力的感知工具可以评估医疗保健提供者的文化能力，提供反馈和改善以患者为中心的护理。设计：本心理测量学研究采用在线横断面设计。方法：采用Cronbach's alpha和探索性因子分析对121名在美华人移民的数据进行分析，评估信度和结构效度。通过使用广义线性模型测试自我报告健康与文化能力之间的关系来检验标准效度。结果：仪器的Cronbach’s alpha值为0.91。量表的构效度呈现出四维结构。自我报告的健康状况与文化能力显著相关（p = 0.003）。结论：研究结果支持中国客户对医疗服务提供者文化能力感知量表作为衡量中国移民对医疗服务提供者文化能力感知的可靠和有效的工具。

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引用次数: 0

Clinical Learning Under the Shadow of Impostor Syndrome: A Qualitative Study Among Nursing Students 冒名顶替综合症阴影下的临床学习：护生的质性研究。

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2026-01-27 DOI: 10.1111/ijn.70109

Xi-Yuan Peng, Li-Ping Feng, Meng-Wei Ge, Wei Li, Lu-Ting Shen, Attiq-Ur-Rehman, Rui Feng, Kang Zhong, Rui-Qiu Wang, Hong-Lin Chen

Aim

Given the critical role of nursing students amid global nurse shortages, the impact of impostor syndrome on their career decisions is underexplored. This study aimed to explore nursing students' experiences with and perspectives on impostor syndrome through a phenomenological approach to guide the development of targeted support frameworks.

Methods

The data were collected from 21 nursing students in clinical learning at a Chinese tertiary hospital through in-depth, semistructured, face-to-face interviews conducted from October to December 2024. The analysis was then undertaken using Colaizzi's seven-step analysis method.

Results

The following four themes emerged: unfavourable emotional sensations of the impostor syndrome; the causes of the impostor syndrome; the impacts on clinical practice and the impacts on professional values. The themes were delineated into 10 subthemes. The first theme includes anxiety and depression, inferiority, and shame. The second covers the transition shock from academic to clinical environments, inadequate psychological resilience and distorted feedback. The third includes missed opportunity and lack of enthusiasm and motivation for internships. The fourth is about scepticism of professional competence and denial of the profession.

Conclusions

The impostor syndrome inflicts notable psychological stress on nursing students, potentially affecting their professional development. Nursing educators and administrators must monitor relevant factors, communicate regularly, enhance students' psychological resilience and professional identity, and guide the formation of sound professional values.

目的：鉴于护理学生在全球护士短缺中的关键作用，冒名顶替综合症对他们职业决策的影响尚未得到充分探讨。本研究旨在透过现象学方法探讨护生对冒名顶替者症候群的经验与看法，以指导针对性支持框架的发展。方法：对2024年10月- 12月在某三级医院临床学习的21名护生进行深度、半结构化、面对面访谈。然后使用Colaizzi的七步分析法进行分析。结果：出现了以下四个主题：骗子综合征的不良情绪感受；骗子综合征的成因；对临床实践的影响和对职业价值观的影响。这些主题被划分为10个子主题。第一个主题包括焦虑、抑郁、自卑和羞愧。二是从学术环境到临床环境的过渡冲击、心理弹性不足和反馈扭曲。三是错失实习机会，缺乏实习热情和动力。第四个是关于对专业能力的怀疑和对专业的否定。结论：冒名顶替综合症给护生造成显著的心理压力，可能影响护生的专业发展。护理教育工作者和管理者必须监测相关因素，定期沟通，增强学生的心理弹性和职业认同，引导学生形成良好的职业价值观。

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引用次数: 0

Psychometric Evaluation of Turkish Versions of the Perceived Control in Childbirth Scale and the Satisfaction With Childbirth Scale in Turkish Women 土耳其语版分娩控制感量表及分娩满意度量表的心理测量学评价。

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2026-01-26 DOI: 10.1111/ijn.70108

Sena Dilek Aksoy, Gülennur Suar, Cemile Gokce, Suzi Özdemır

Aim

This study was performed to test the validity and reliability of the translated Turkish version of the Perceived Control in Childbirth Scale (PCCh) and the Satisfaction with Childbirth Scale (SWCh) in Turkish women.

Background

Childbirth control and childbirth satisfaction are interrelated issues, which are extremely important for improving childbirth environments. However, although there are several birth satisfaction scales in Turkey, there is no tool to measure the perception of control during birth.

Methods

This study was conducted with the participation of 320 individuals using a cross-sectional and descriptive design. Data were collected using a Participant Information Form, the PCCh, the SWCh and, as a parallel form, the Birth Satisfaction Scale-Revised. Factor analyses, Cronbach's alpha coefficient and item-total score correlation tests were used to analyse the data.

Results

The Turkish form of the PCCh consisted of 12 items and two dimensions that explained 58% of the total variance in the measured variable. Cronbach's alpha coefficient for the scale in Turkish was found to be 0.90. The Turkish form of the SWCh consisted of seven items and a single dimension that explained 74% of the total variance in the measured variable. Cronbach's alpha coefficient for the scale in Turkish was found to be 0.94.

Conclusions

The PCCh and the SWCh are valid and reliable instruments for measuring perceived control in childbirth and satisfaction with childbirth in Turkish women.

目的：本研究旨在检验土耳其妇女分娩控制感知量表（PCCh）和分娩满意度量表（SWCh）的土耳其语译本的效度和信度。背景：生育控制与分娩满意度是相互关联的问题，对改善分娩环境具有极其重要的意义。然而，尽管土耳其有几个分娩满意度量表，但没有工具来测量分娩过程中的控制感。方法：本研究采用横断面和描述性设计，共有320人参与。数据收集使用参与者信息表、PCCh、SWCh以及作为平行表格的出生满意度量表（修订版）。采用因子分析、Cronbach’s alpha系数和项目总分相关检验对数据进行分析。结果：土耳其形式的PCCh包括12个项目和两个维度，解释了58%的总方差的测量变量。土耳其语量表的Cronbach's alpha系数为0.90。土耳其形式的SWCh由七个项目和一个维度组成，解释了测量变量总方差的74%。土耳其语量表的Cronbach’s alpha系数为0.94。结论：PCCh和SWCh是测量土耳其妇女分娩控制感和分娩满意度的有效和可靠的工具。

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引用次数: 0

Unveiling the Configuration of Symptom Burden in Older Adults With Heart Failure: A Fuzzy-Set Qualitative Comparative Analysis for Enhanced Healthcare Solutions 揭示老年人心力衰竭症状负担的配置：增强医疗保健解决方案的模糊集定性比较分析。

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2026-01-25 DOI: 10.1111/ijn.70110

Yaqi Wang, Bowen Wan, Qingyun Lv, Xueying Xu, Jingwen Liu, Yuan He, Hairong Chang, Bijin Zheng, Xia Chen, Yue Zhao, Xiaoying Zang, Xiaonan Zhang

Background

While previous studies have examined the impact of individual factors on symptom burden among older adults with heart failure (HF), the potential pathways resulting from factor configurations remain unclear.

Aims

This study aims to investigate the diverse pathways of symptom burden in older adults with HF.

Methods

This survey was conducted from January to May 2024 in Tianjin, China, involving older adults with HF. Symptom burden and its associated physiological (age and age-adjusted Charlson Comorbidity Index), psychological (anxiety and depression) and environmental factors (social support and per capita monthly income) were evaluated based on the theory of unpleasant symptoms. Fuzzy-set qualitative comparative analysis (fsQCA) was employed for data analysis.

Results

We included 310 participants. No single factor was a necessary condition for symptom burden, with consistency coefficients below 0.90. Through various factor configurations, six distinct pathways were identified. For example, in Pathway 1, a configuration of high depression and low household income contributed to high symptom burden. These six pathways explained 25.1%–65.3% of high symptom burden.

Conclusions

In clinical nursing practice, nurses should assess the symptom burden of older adults with HF by considering a variety of factors and their potential configurations and then develop personalized, multifactorial interventions to alleviate it.

背景：虽然以前的研究已经检查了个体因素对老年心力衰竭（HF）患者症状负担的影响，但因素配置导致的潜在途径仍不清楚。目的：本研究旨在探讨老年心衰患者症状负担的多种途径。方法：该调查于2024年1月至5月在中国天津进行，涉及老年HF患者。症状负担及其相关的生理（年龄和年龄调整的Charlson共病指数）、心理（焦虑和抑郁）和环境因素（社会支持和人均月收入）基于不愉快症状理论进行评估。采用模糊集定性比较分析法（fsQCA）对数据进行分析。结果：我们纳入了310名参与者。无单一因素为症状负担的必要条件，一致性系数均在0.90以下。通过不同的因子配置，确定了六种不同的途径。例如，在途径1中，高抑郁和低家庭收入的配置导致了高症状负担。这6种途径解释了25.1% ~ 65.3%的高症状负担。结论：在临床护理实践中，护士应综合考虑各种因素及其可能的构成，评估老年心衰患者的症状负担，并制定个性化的、多因素的干预措施来减轻症状负担。

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引用次数: 0

Correction to ‘Effects of Menthol on Thirst During Surgery Patients Fasting: A Systematic Review and Meta-Analysis of Randomized Controlled Studies’ 修正了“薄荷醇对手术患者禁食期间口渴的影响：随机对照研究的系统回顾和荟萃分析”。

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2026-01-14 DOI: 10.1111/ijn.70100

<p> <b>This article corrects the following:</b> </p><p> <span>Wang, R</span>, <span>Wang, L</span>, <span>Liu, T</span>, <span>Peng, C</span>. <span>Effects of Menthol on Thirst During Surgery Patients Fasting: A Systematic Review and Meta-Analysis of Randomized Controlled Studies</span>. <i>International Journal of Nursing Practice</i>. <span>2024</span>; <span>30</span>(<span>3</span>): e13191. https://doi.org/10.1111/ijn.13191. </p><p>We thank the reader for their insightful comments on our systematic review and meta-analysis entitled ‘Effects of menthol on thirst during surgery patients fasting: A systematic review and meta-analysis of randomized controlled studies’ (Wang et al., 2025). We provide the following responses and corrections to the reader's comments.</p><p>In response to the reader's comments, we first note that all included studies in our research reported obtaining appropriate ethical approvals and informed consent.</p><p>We next reviewed the original literature. The study by Garcia et al. (2019) included participants aged 12–65 years, while our systematic review's inclusion criteria specified adult patients (≥ 18 years). We attempted to contact the original authors via email to obtain the raw data for reanalysis; however, we regrettably did not receive a response from the authors of Garcia et al. (2019). Consequently, we have excluded the study by Garcia et al. (2019) and reconducted the analyses of the systematic review excluding all content related to Garcia et al. (2019).</p><p>The corrected results require the following corrected text:</p><p> <b>Abstract</b> </p><p><b>Results:</b> A total of six studies were included in this review, comprising 435 surgical patients. Overall, menthol intervention reduced thirst intensity in surgical patients, with no significant difference observed in thirst discomfort. Further subgroup analysis revealed that menthol intervention significantly improved thirst intensity in surgical patients during both preoperative and postoperative fasting periods. Egger's tests indicated no significant publication bias (<i>p</i> = 0.144 for both thirst intensity and thirst discomfort).</p><p><b>Conclusion:</b> Menthol intervention can effectively improve thirst intensity during fasting in surgical patients but shows no significant impact on thirst discomfort.</p><p> <b>3.1 Literature Search Results</b> </p><p>A PRISMA flow diagram of the search process and article selection is shown in Figure 1. The search identified 410 articles, and after removing duplicates, 124 records were extracted. The 124 studies were screened by title and abstract; 49 articles remained for full-text review. Twenty-one studies not relevant to the research topic were excluded. These studies were deemed not to meet the population, intervention/issue of interest, comparison, outcome and study design method criteria as follows: the stud

Wang， R, Wang， L, Liu， T, Peng， C.薄荷醇对手术禁食患者口渴的影响：随机对照研究的系统回顾和荟萃分析。国际护理实践杂志。2024；30 (3): e13191。https://doi.org/10.1111/ijn.13191。我们感谢读者对我们题为“薄荷醇对手术患者禁食期间口渴的影响：随机对照研究的系统回顾和荟萃分析”的系统综述和荟萃分析的深刻见解（Wang et al., 2025）。对于读者的评论，我们提供了以下回复和更正。在回应读者的评论时，我们首先指出，在我们的研究中，所有纳入的研究报告都获得了适当的伦理批准和知情同意。接下来我们回顾了原始文献。Garcia等人（2019）的研究纳入了12-65岁的参与者，而我们的系统评价纳入标准指定了成人患者（≥18岁）。我们试图通过邮件联系原作者获取原始数据进行再分析；然而，遗憾的是，我们没有收到Garcia等人（2019）的作者的回复。因此，我们排除了Garcia et al.（2019）的研究，并重新进行了系统评价分析，排除了Garcia et al.（2019）的所有相关内容。更正后的结果需要以下更正文本：摘要结果：本综述共纳入6项研究，包括435例手术患者。总体而言，薄荷醇干预降低了手术患者的口渴强度，但在口渴不适方面没有观察到显著差异。进一步的亚组分析显示，薄荷醇干预显著改善了手术患者术前和术后禁食期间的口渴强度。Egger的检验显示没有显著的发表偏倚（对于口渴强度和口渴不适，p = 0.144）。结论：薄荷醇干预可有效改善手术患者禁食时的口渴强度，但对口渴不适无显著影响。3.1文献检索结果检索过程和文章选择的PRISMA流程图如图1所示。搜索确定了410篇文章，在删除重复内容后，提取了124条记录。124项研究按题目和摘要进行筛选；49篇文章仍待全文审查。排除了21项与研究主题不相关的研究。这些研究被认为不符合人群、干预/感兴趣的问题、比较、结果和研究设计方法的标准如下：研究人群不是感兴趣的人群（n = 7），研究没有实施薄荷醇干预（n = 7），研究没有评估感兴趣的结果（n = 1），研究设计不恰当（n = 2），研究是一篇综述文章（n = 4）。最终，6项符合条件的随机对照试验可用于当前的系统评价和荟萃分析，并选择这6项研究进行数据提取。3.2纳入研究的特点纳入6项研究，包括435例外科患者。纳入研究的特征列于表1。纳入的研究于2017年至2022年期间在以下地点进行：三项在巴西（Aroni等人，2020；Conchon等人，2021；Serato等人，2019），一项在中国（Chang等人，2020），一项在韩国（Oh等人，2017）和一项在埃及（Sebaee & & Elhadary, 2017）。所有6项研究均为随机对照试验。在这6项研究中，4项（Conchon et al., 2021; Oh et al., 2017; Sebaee and Elhadary, 2017; Serato et al., 2019）在手术后立即实施薄荷醇干预，2项（Aroni et al., 2020; Chang et al., 2020）在术前禁食期间实施薄荷醇干预。其中薄荷醇干预方法类型包括薄荷冰棒（Aroni et al., 2020; Conchon et al., 2021; Sebaee & Elhadary, 2017; Serato et al., 2019）、薄荷漱口水（Oh et al., 2017）和薄荷穴位应用（Chang et al., 2020）。在随机化过程中，有5项研究陈述了随机化方法- (Aroni等人，2020；Chang等人，2020；Conchon等人，2021；Oh等人，2017；Serato等人，2019)-其中4项为计算机随机数字表方法（Aroni等人，2020；Chang等人，2020；Conchon等人，2021；Serato等人，2019），1项为投掷硬币随机化方法（Oh等人，2017）。一篇文章（Sebaee & Elhadary, 2017）缺乏详细信息；因此，我们无法判断业绩偏差。只有三项研究（Aroni et al., 2020; Conchon et al., 2021; Serato et al., 2019）明确使用封闭信封方法来分配隐藏性。在一项研究中，由于信息不足，评估了从分配到干预措施的偏倚风险（Sebaee & Elhadary, 2017）。一项研究使调查人员和受试者失明（Aroni et al., 2020）。6项研究（Aroni et al., 2020; Chang et al., 2020; Conchon et al., 2021; Oh et al., 2017; Sebaee & Elhadary, 2017; Serato et al., 2019）均被评为具有低消耗偏差风险。总体而言，在6项随机对照试验中，1项研究（Sebaee &; Elhadary, 2017）被确定为高风险偏倚，2项为低风险（Aroni等人，2020；Serato等人，2019），3项为中等偏倚（Chang等人，2020；Conchon等人，2021；Oh等人，2017）。图2显示了符合条件的研究的偏倚风险评估。3.4薄荷醇对口渴强度的影响6项研究，包括435例手术患者，测量了口渴强度。使用随机效应模型，汇总smd为- 1.54 (95% CI: - 2.41, - 0.67)，并且在薄荷醇干预组和对照组之间观察到口渴强度的显著差异（p < 0.001）（图3）。森林图显示研究间的高度异质性（I2 = 93%, p < 0.001）。进一步对干预时间进行亚组分析；亚组间异质性分析显示无异质性（I2 = 17.6%, p = 0.27）。薄荷醇干预对术前禁食影响的森林图结果显示，使用随机效应模型汇总的smd为- 2.02 (95% CI: - 2.70, - 1.35)（图4）。3.5薄荷醇对口渴不适的影响三项研究，包括138名手术患者，使用围手术期口渴不适量表（Aroni et al., 2020; Conchon et al., 2021）和视觉模拟量表（Oh et al., 2017）测量口渴不适。使用随机效应模型，汇总的smd为- 1.60 (95% CI: - 3.34, 0.15)，在口渴不适方面没有显著差异。森林图显示研究之间的异质性很高（I2 = 95%, p < 0.001）（图5）。3.6发表偏倚我们创建了一个漏斗图来评估薄荷醇对口渴强度和口渴不适影响的潜在发表偏倚。目测漏斗图对称，如图6a、b所示。Egger’s检验未显示显著偏差（对于口渴强度和口渴不适，p = 0.144）。4. 我们的荟萃分析结果显示，与接受常规治疗的对照组相比，薄荷醇干预降低了手术患者禁食期间的口渴强度。这在手术前后都很有效。然而，在口渴不适方面没有观察到统计学上的显著差异。这一结果与之前大多数关于薄荷醇对重症监护病房患者解渴效果的研究一致（Vo

{"title":"Correction to ‘Effects of Menthol on Thirst During Surgery Patients Fasting: A Systematic Review and Meta-Analysis of Randomized Controlled Studies’","authors":"","doi":"10.1111/ijn.70100","DOIUrl":"10.1111/ijn.70100","url":null,"abstract":"<p>\u0000 <b>This article corrects the following:</b>\u0000 </p><p>\u0000 <span>Wang, R</span>, <span>Wang, L</span>, <span>Liu, T</span>, <span>Peng, C</span>. <span>Effects of Menthol on Thirst During Surgery Patients Fasting: A Systematic Review and Meta-Analysis of Randomized Controlled Studies</span>. <i>International Journal of Nursing Practice</i>. <span>2024</span>; <span>30</span>(<span>3</span>): e13191. https://doi.org/10.1111/ijn.13191.\u0000 </p><p>We thank the reader for their insightful comments on our systematic review and meta-analysis entitled ‘Effects of menthol on thirst during surgery patients fasting: A systematic review and meta-analysis of randomized controlled studies’ (Wang et al., 2025). We provide the following responses and corrections to the reader's comments.</p><p>In response to the reader's comments, we first note that all included studies in our research reported obtaining appropriate ethical approvals and informed consent.</p><p>We next reviewed the original literature. The study by Garcia et al. (2019) included participants aged 12–65 years, while our systematic review's inclusion criteria specified adult patients (≥ 18 years). We attempted to contact the original authors via email to obtain the raw data for reanalysis; however, we regrettably did not receive a response from the authors of Garcia et al. (2019). Consequently, we have excluded the study by Garcia et al. (2019) and reconducted the analyses of the systematic review excluding all content related to Garcia et al. (2019).</p><p>The corrected results require the following corrected text:</p><p>\u0000 <b>Abstract</b>\u0000 </p><p><b>Results:</b> A total of six studies were included in this review, comprising 435 surgical patients. Overall, menthol intervention reduced thirst intensity in surgical patients, with no significant difference observed in thirst discomfort. Further subgroup analysis revealed that menthol intervention significantly improved thirst intensity in surgical patients during both preoperative and postoperative fasting periods. Egger's tests indicated no significant publication bias (<i>p</i> = 0.144 for both thirst intensity and thirst discomfort).</p><p><b>Conclusion:</b> Menthol intervention can effectively improve thirst intensity during fasting in surgical patients but shows no significant impact on thirst discomfort.</p><p>\u0000 <b>3.1 Literature Search Results</b>\u0000 </p><p>A PRISMA flow diagram of the search process and article selection is shown in Figure 1. The search identified 410 articles, and after removing duplicates, 124 records were extracted. The 124 studies were screened by title and abstract; 49 articles remained for full-text review. Twenty-one studies not relevant to the research topic were excluded. These studies were deemed not to meet the population, intervention/issue of interest, comparison, outcome and study design method criteria as follows: the stud","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145966290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Next-Generation Care: The Impact of an Innovative Urinary Catheter Carrier Bag on Enhancing Patient Satisfaction, Body Image and Self-Esteem 下一代护理：一种创新的导尿管袋对提高患者满意度、身体形象和自尊的影响。

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2026-01-13 DOI: 10.1111/ijn.70107

Ensar Doğan, Bahar Çiftçi

Aim

This study examined the effects of an innovative urinary catheter carrier bag on patient satisfaction, body image, self-esteem and shame. The primary outcome was patient satisfaction, and the secondary outcomes were body image, self-esteem and external shame.

Background

Indwelling urinary catheter users often face psychosocial challenges, including discomfort, altered body perception and reduced self-esteem. Supportive tools that improve comfort and privacy may help mitigate these negative outcomes.

Design

A randomized controlled pretest–posttest design was used.

Methods

The study was conducted in the Emergency Department and the Urology Service of Bingöl State Hospital between July and December 2023. The population consisted of patients using indwelling urinary catheters for at least 3 weeks. Seventy-two patients were randomly assigned to intervention and control groups; two discontinued before the posttest, and per-protocol analyses were conducted on data from 70 participants. Data were collected using the patient information form, satisfaction scale, body image scale, Rosenberg self-esteem scale and the other as shamer scale. Change in satisfaction-visual analogue scale (VAS) score was the primary outcome, whereas changes in body image scale, Rosenberg self-esteem scale and the other as shamer scale scores were secondary outcomes. The intervention group received the urinary catheter carrier bag and was followed for 21 days, while the control group received standard care.

Results

The intervention group showed significantly higher satisfaction levels and notable improvements in body image, self-esteem and shame compared with the control group.

Conclusion

The urinary catheter carrier bag effectively enhances patient satisfaction, body image and self-esteem while reducing shame. Integrating such supportive tools into nursing care may improve the psychosocial well-being of catheter users.

目的：研究一种新型导尿管袋对患者满意度、身体形象、自尊和羞耻感的影响。主要结果是患者满意度，次要结果是身体形象、自尊和外部羞耻感。背景：留置导尿管使用者经常面临心理社会挑战，包括不适、身体感知改变和自尊降低。改善舒适度和隐私的支持性工具可能有助于减轻这些负面结果。设计：采用随机对照前测后测设计。方法：研究于2023年7 - 12月在Bingöl国立医院急诊科和泌尿科进行。人群包括使用留置导尿管至少3周的患者。72例患者随机分为干预组和对照组；其中两名在测试前停止，并对70名参与者的数据进行了协议分析。采用患者信息表、满意度量表、身体形象量表、Rosenberg自尊量表和其他羞耻感量表收集数据。满意度-视觉模拟量表（VAS）得分的变化是主要结果，而身体形象量表、Rosenberg自尊量表和其他as羞耻感量表得分的变化是次要结果。干预组给予尿管携带袋，随访21 d，对照组给予标准护理。结果：干预组的满意度显著高于对照组，身体形象、自尊和羞耻感均有显著改善。结论：导尿袋有效地提高了患者的满意度、身体形象和自尊，同时减少了羞耻感。将这种支持性工具整合到护理中可以改善导管使用者的心理社会健康。

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引用次数: 0

Validity and Reliability Testing of the Turkish Version of the Critical Care Pressure Ulcer Assessment Tool Made Easy (CALCULATE) Scale 土耳其版重症压疮评估工具简易量表（CALCULATE）的效度和信度检验。

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2026-01-11 DOI: 10.1111/ijn.70106

Cansu Polat Dünya, Nurten Özen, Fatma Nur Ceylan, Ayşegül Ünlü, Natalie L. McEvoy

Aim

The aim of this study was to translate the CALCULATE Scale into Turkish in adult intensive care unit (ICU) patients and assess its validity and reliability.

Method

This study was conducted in a general ICU in Turkey. The CALCULATE and Braden scales were evaluated by two nurses at admission and reassessed daily for 72 h or until discharge, death or PI development. Concurrent validity was assessed using Pearson's correlation. Predictive validity was evaluated via ROC analysis, with sensitivity, specificity, AUC and optimal cut-off points calculated using Youden's Index. Interobserver agreement was examined using intraclass correlation coefficients.

Results

In total, 728 assessments (364 CALCULATE and 364 Braden) were performed among 91 patients, resulting in a mean of 4.0 assessments per patient. The Turkish version of the CALCULATE Scale demonstrated excellent content validity (CVI = 0.97) and inter-rater reliability (ICC = 0.952). The CALCULATE Scale demonstrated superior predictive performance (AUC = 0.795) compared with the Braden Scale (AUC = 0.679), showing both higher specificity (78.38%) and greater sensitivity (64.81%). Furthermore, a significant inverse correlation (r = −0.701, p < 0.001) was found between the CALCULATE and Braden scores, confirming concurrent validity.

Conclusion

The Turkish CALCULATE Scale is a valid and reliable instrument for assessing PI risk in adult ICU patients. Its integration into ICU practice can support early detection and timely prevention.

目的：本研究的目的是将成人重症监护病房（ICU）患者的计算量表翻译成土耳其语，并评估其效度和信度。方法：本研究在土耳其的一所普通ICU进行。入院时由两名护士对CALCULATE和Braden量表进行评估，每天重新评估72小时或直到出院、死亡或PI发展。同时效度采用Pearson相关评估。通过ROC分析评估预测效度，使用约登指数计算敏感性、特异性、AUC和最佳截止点。使用类内相关系数检验观察者间的一致性。结果：91例患者共进行728次评估（364次CALCULATE和364次Braden），平均每例患者进行4.0次评估。土耳其语版的CALCULATE量表具有优异的内容效度（CVI = 0.97）和量表间信度（ICC = 0.952）。与Braden量表（AUC = 0.679）相比，CALCULATE量表的预测效果更佳（AUC = 0.795），特异性更高（78.38%），敏感性更高（64.81%）。结论：土耳其计算量表是评估成人ICU患者PI风险的有效、可靠的工具。将其纳入ICU实践可以支持早期发现和及时预防。

{"title":"Validity and Reliability Testing of the Turkish Version of the Critical Care Pressure Ulcer Assessment Tool Made Easy (CALCULATE) Scale","authors":"Cansu Polat Dünya, Nurten Özen, Fatma Nur Ceylan, Ayşegül Ünlü, Natalie L. McEvoy","doi":"10.1111/ijn.70106","DOIUrl":"10.1111/ijn.70106","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to translate the CALCULATE Scale into Turkish in adult intensive care unit (ICU) patients and assess its validity and reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study was conducted in a general ICU in Turkey. The CALCULATE and Braden scales were evaluated by two nurses at admission and reassessed daily for 72 h or until discharge, death or PI development. Concurrent validity was assessed using Pearson's correlation. Predictive validity was evaluated via ROC analysis, with sensitivity, specificity, AUC and optimal cut-off points calculated using Youden's Index. Interobserver agreement was examined using intraclass correlation coefficients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 728 assessments (364 CALCULATE and 364 Braden) were performed among 91 patients, resulting in a mean of 4.0 assessments per patient. The Turkish version of the CALCULATE Scale demonstrated excellent content validity (CVI = 0.97) and inter-rater reliability (ICC = 0.952). The CALCULATE Scale demonstrated superior predictive performance (AUC = 0.795) compared with the Braden Scale (AUC = 0.679), showing both higher specificity (78.38%) and greater sensitivity (64.81%). Furthermore, a significant inverse correlation (<i>r</i> = −0.701, <i>p</i> < 0.001) was found between the CALCULATE and Braden scores, confirming concurrent validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Turkish CALCULATE Scale is a valid and reliable instrument for assessing PI risk in adult ICU patients. Its integration into ICU practice can support early detection and timely prevention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145952009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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