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Reliability and Validity Study of the Turkish Version of the Motivation and Attitude to Change Health (MATCH) Scale 土耳其语版健康改变动机与态度量表的信度与效度研究。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-12-10 DOI: 10.1111/ijn.13317
Duygu Ayhan Başer, Ezgi Ağadayı, İzzet Fidancı, Hilal Aksoy, Mustafa Cankurtaran

Objective

This study aims to culturally adapt the ‘Motivation and Attitudes Towards Changing Health (MATCH)’ scale into Turkish and assess its reliability and validity within the Turkish population.

Methods

The Turkish version of the MATCH questionnaire, designed to gauge patient motivation for initiating or sustaining behaviour changes, was created through translation and adaptation. A total of 305 patients diagnosed with chronic illnesses completed the questionnaire and scale to evaluate its validity and reliability.

Results

The Turkish version of MATCH demonstrated strong internal consistency and reliability. The Cronbach's alpha coefficient for the entire scale was 0.737, with subdimensions ranging between 0.69 and 0.75. Notably, no item displayed a total correlation value below 0.40. Furthermore, test–retest analysis indicated high intraclass correlation coefficients. Consequently, no items were removed due to their consistently high reliability values among all nine items.

Conclusion

The Turkish-adapted MATCH scale proves to be a valid and reliable instrument for assessing motivational status within the Turkish population.

目的:本研究旨在将“改变健康的动机和态度(MATCH)”量表融入土耳其文化,并评估其在土耳其人群中的信度和效度。方法:土耳其语版MATCH问卷,旨在衡量患者启动或维持行为改变的动机,通过翻译和适应创建。共有305名慢性疾病患者完成了问卷和量表,以评估其效度和信度。结果:土耳其版MATCH具有较强的内部一致性和可靠性。整个量表的Cronbach's alpha系数为0.737,子维度范围为0.69 ~ 0.75。值得注意的是,没有项目显示的总相关值低于0.40。此外,重测分析表明,班级内相关系数较高。因此,没有项目因其在所有九个项目中始终具有高可靠性值而被删除。结论:土耳其适应MATCH量表被证明是评估土耳其人口动机状态的有效和可靠的工具。
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引用次数: 0
Exercise and Sexuality in Women With Menopausal Symptoms: A Systematic Review and Meta-Analyses of Randomized Controlled Trials 绝经期症状妇女的运动和性行为:随机对照试验的系统回顾和荟萃分析
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-12-09 DOI: 10.1111/ijn.13318
Aysu Yıldız Karaahmet, Duygu Dişli Çetinçay, Nevin Hotun Şahin

Aims

This systematic review and meta-analysis study aim to assess the impact of different exercise modalities interventions in postmenopausal women on sexuality and the severity of menopausal symptoms.

Methods

The preparation of this systematic review and meta-analysis rigorously adhered to the PRISMA 2020. This systematic review of the literature was conducted between May and June 2023, utilizing four electronic databases: PubMed, Cochrane Library, Web of Science and ULAKBİM. Articles were screened using MeSH-based keywords. Randomized Controlled Trials conducted within the last decade were included in the screening. Data analysis was performed using the Review Manager computer program.

Results

The analysis encompassed eight studies involving 1127 postmenopausal women. According to the results of the pooled random-effects model, applied to women after 12 weeks of exercise, the data were significant, indicating a positive impact on sexuality (MD: 0.86, 95% CI: 0.72 to 1.01, Z = 11.47, p < 0.00001). Concerning the psychological symptoms of menopause, the data were also found to be significant, with improvements observed after 12 weeks of exercise in women (MD: 0.25, 95% CI: 0.02 to 0.49, Z = 2.15, p = 0.03).

Conclusion

This study provides evidence that a 12-week exercise regimen administered during the postmenopausal period positively influences postmenopausal women's sexuality and ameliorates psychological menopausal symptoms. However, it does not appear to have an effect on vasomotor menopausal symptoms.

PROSPERO Number

CRD42023427991.

目的:本系统回顾和荟萃分析研究旨在评估绝经后妇女不同运动方式干预对性行为和更年期症状严重程度的影响。方法:本系统综述和荟萃分析的编制严格遵循PRISMA 2020。该文献的系统综述是在2023年5月至6月期间进行的,利用了四个电子数据库:PubMed, Cochrane Library, Web of Science和ULAKBİM。文章使用基于mesh的关键词进行筛选。在过去十年中进行的随机对照试验被纳入筛选范围。使用Review Manager计算机程序进行数据分析。结果:该分析包括8项研究,涉及1127名绝经后妇女。根据合并随机效应模型的结果,应用于12周运动后的女性,数据显着,表明对性行为有积极影响(MD: 0.86, 95% CI: 0.72至1.01,Z = 11.47, p)。结论:本研究提供了证据,证明在绝经后时期进行12周的运动方案对绝经后女性的性行为有积极影响,并改善了绝经后心理症状。然而,它似乎对血管舒缩性更年期症状没有影响。普洛斯彼罗号码:CRD42023427991。
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引用次数: 0
Psychometric Testing of the Cross-Culturally Adapted Thai Version of the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale in Caregivers of Patients With Chronic Illnesses 跨文化改编泰语版慢性病患者照护者促进患者自我照护自我效能感量表的心理测试
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-11-06 DOI: 10.1111/ijn.13310
Saowannee Chaiyawan, Jom Suwanno, Chonchanok Bunsuk, Wanna Kumanjan, Nuntaporn Klinjun, Kannika Srisomthrong, Ladda Thiamwong

Aim

To evaluate the psychometric properties of the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC).

Background

The CSE-CSC scale was developed congruently with the Caregiver Contribution to Self-Care of Patient with Chronic Illness Inventory (CC-SC-CII) to assess caregiver self-efficacy (CSE), the motivation factor of caregiving. Its applicability in Asian populations, including Thailand, was limited.

Methods

Psychometric tests were guided by COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) principles. This included translating the English version into Thai, following the principles of good practice for the translation and cultural adaptation process for patient-reported outcome (PRO) measures. Nine nursing experts evaluated the content validity. The analysis included caregivers of patients with chronic conditions from 16 primary care centres in Thailand. We tested the structural validity using exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and concurrent validity for CC-SC-CII-v2. We tested the scale's reliability with methods for multidimensional and unidimensional constructs, the intraclass correlation coefficients (ICCs) and measurement error variance.

Results

Kappa coefficient (k = 1.00) indicated the scale's excellent content validity. The final analysis included a total of 407 samples. The EFA with the first split-half subsample (n = 194) extracted a two-dimensional structure. One reflected CSE in Maintenance and Monitoring behaviour and another captured CSE in Management behaviour. CFA with the second split-half subsample (n = 213) and the overall sample (n = 407) supported the scale's bidimensional model with high factor loadings. Each dimension and the overall CSE-CSC scale positively correlated with each scale and the overall CC-SC-CII-v2. McDonald's ω and Cronbach's α (both ranged from 0.91–0.94) indicated excellent internal reliability. Test–retest reliability showed ICCs between 0.95 and 0.96. Measurement error yielded satisfactory results.

Conclusion

Testing of the Thai CSE-CSC scale supported validity and reliability, indicating that the scale can apply to Thai caregivers. This scale can be used in clinical practice and research to evaluate CSE in contribution to patient self-care.

目的:评估照护者促进患者自我照护自我效能感量表(CSE-CSC)的心理测量学特性。背景:CSE-CSC量表是与照护者促进慢性病患者自我照护量表(CC-SC-CII)共同开发的:背景:CSE-CSC量表是根据护理者对慢性病患者自我护理贡献量表(CC-SC-CII)开发的,用于评估护理者自我效能(CSE),即护理的动机因素。该量表在包括泰国在内的亚洲人群中的适用性有限:心理测试以基于共识的健康测量工具选择标准(COSMIN)原则为指导。其中包括按照患者报告结果(PRO)测量的翻译和文化适应过程的良好实践原则,将英文版翻译成泰文。九位护理专家对内容有效性进行了评估。分析对象包括泰国 16 个初级护理中心的慢性病患者护理人员。我们使用探索性因子分析 (EFA)、确证性因子分析 (CFA) 测试了 CC-SC-CII-v2 的结构效度和并发效度。我们使用多维和单维结构、类内相关系数(ICC)和测量误差方差等方法测试了量表的可靠性:结果:卡帕系数(k = 1.00)表明量表具有良好的内容效度。最终分析共包括 407 个样本。对第一分半子样本(n = 194)进行的 EFA 提取了一个二维结构。其中一个反映了维护和监控行为中的 CSE,另一个反映了管理行为中的 CSE。第二个半分子样本(n = 213)和总体样本(n = 407)的 CFA 支持量表的二维模型,并具有较高的因子载荷。每个维度和 CSE-CSC 总量表与每个量表和 CC-SC-CII-v2 总量表呈正相关。McDonald's ω和Cronbach's α(均为0.91-0.94)显示了良好的内部信度。重测信度的 ICC 在 0.95 和 0.96 之间。测量误差结果令人满意:泰国 CSE-CSC 量表的测试结果表明,该量表的效度和信度良好,适用于泰国的护理人员。该量表可用于临床实践和研究,以评估 CSE 对患者自我护理的贡献。
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引用次数: 0
Establishment of Evidence-Based Nursing Indices for Dysphagia After Anterior Cervical Spine Surgery 建立颈椎前路手术后吞咽困难的循证护理指标。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-10-31 DOI: 10.1111/ijn.13308
Chen Yu, Chunmei Luo, Caiping Song
<div> <section> <h3> Aim</h3> <p>To select and obtain relevant evidence for the management of dysphagia after anterior cervical spine surgery both domestically and internationally, clinical quality evaluation indicators were developed based on evidence-based nursing practices, and obstacles and promoting factors in evidence-based nursing practices were analysed. This research was aimed to provide a basis for evidence-based nursing practices to promote standardized management of dysphagia after anterior cervical surgery.</p> </section> <section> <h3> Background</h3> <p>Dysphagia is the most common complication following anterior cervical surgery, but there is a lack of standard protocols and guidelines to direct clinical practice.</p> </section> <section> <h3> Design</h3> <p>Mixed methods were employed for the translational research to support evidence-based practice.</p> </section> <section> <h3> Data Sources</h3> <p>This study was based on the JBI evidence-based health care model. According to the ‘6S Evidence Resource Pyramid Model’, we searched from top to bottom.</p> </section> <section> <h3> Methods</h3> <p>This study is guided by the knowledge to action (KTA) evidence-based practice model. Utilizing a comprehensive evidence-based approach and following the 6S evidence resource pyramid model, relevant evidence on the management of swallowing disorders after cervical anterior surgery was selected from both domestic and international sources. Based on the best available evidence, the Delphi expert consultation method was used to establish a management plan for swallowing disorders post-cervical anterior surgery. Semi-structured interviews were then conducted to identify barriers to clinical implementation, and clinical quality evaluation indicators, as well as promoting factors, were subsequently developed.</p> </section> <section> <h3> Results</h3> <p>Based on the 31 best evidence points, 12 evaluation indicators were developed. The baseline results of these indicators reveal that, apart from evaluation indicator 8, which has a compliance rate of 72.2%, the compliance rates for most of the other indicators are relatively low. Based on the results of the clinical quality review, the following main obstacles were analysed: negative behaviours and attributes, lack of professional knowledge, and lack of standardized management.</p> </section> <section> <h3> Conclusions</h3> <p>Effective manag
目的:选择和获取国内外颈椎前路手术后吞咽困难管理的相关证据,根据循证护理实践制定临床质量评价指标,分析循证护理实践的障碍和促进因素。该研究旨在为循证护理实践提供依据,促进颈椎前路手术后吞咽困难的规范化管理:背景:吞咽困难是颈椎前路手术后最常见的并发症,但目前缺乏指导临床实践的标准方案和指南:设计:采用混合方法进行转化研究,以支持循证实践:本研究基于 JBI 循证医疗模式。根据 "6S 证据资源金字塔模型",我们从上到下进行搜索:本研究以 "从知识到行动(KTA)"循证实践模式为指导。利用综合循证方法,按照 "6S 证据资源金字塔模型",从国内外资料中筛选出颈前路手术后吞咽障碍管理的相关证据。在现有最佳证据的基础上,采用德尔菲专家咨询法制定了颈椎前路手术后吞咽障碍的管理方案。然后进行了半结构式访谈,以确定临床实施的障碍,随后制定了临床质量评价指标和促进因素:结果:根据 31 个最佳证据点,制定了 12 个评价指标。这些指标的基线结果显示,除评价指标 8 的达标率为 72.2%外,其他大部分指标的达标率相对较低。根据临床质量审查的结果,分析出以下主要障碍:消极行为和属性、缺乏专业知识、缺乏标准化管理:结论:颈椎手术后吞咽障碍的有效管理对于提高治疗效果、减少并发症、缩短住院时间和改善患者生活质量至关重要。本研究确定了处理颈椎前路手术后吞咽困难的最佳证据,并制定了相应的解决方案。下一步将在临床实践中应用这些措施,改善患者预后,提高护理质量。
{"title":"Establishment of Evidence-Based Nursing Indices for Dysphagia After Anterior Cervical Spine Surgery","authors":"Chen Yu,&nbsp;Chunmei Luo,&nbsp;Caiping Song","doi":"10.1111/ijn.13308","DOIUrl":"10.1111/ijn.13308","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To select and obtain relevant evidence for the management of dysphagia after anterior cervical spine surgery both domestically and internationally, clinical quality evaluation indicators were developed based on evidence-based nursing practices, and obstacles and promoting factors in evidence-based nursing practices were analysed. This research was aimed to provide a basis for evidence-based nursing practices to promote standardized management of dysphagia after anterior cervical surgery.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Dysphagia is the most common complication following anterior cervical surgery, but there is a lack of standard protocols and guidelines to direct clinical practice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Mixed methods were employed for the translational research to support evidence-based practice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data Sources&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study was based on the JBI evidence-based health care model. According to the ‘6S Evidence Resource Pyramid Model’, we searched from top to bottom.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study is guided by the knowledge to action (KTA) evidence-based practice model. Utilizing a comprehensive evidence-based approach and following the 6S evidence resource pyramid model, relevant evidence on the management of swallowing disorders after cervical anterior surgery was selected from both domestic and international sources. Based on the best available evidence, the Delphi expert consultation method was used to establish a management plan for swallowing disorders post-cervical anterior surgery. Semi-structured interviews were then conducted to identify barriers to clinical implementation, and clinical quality evaluation indicators, as well as promoting factors, were subsequently developed.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Based on the 31 best evidence points, 12 evaluation indicators were developed. The baseline results of these indicators reveal that, apart from evaluation indicator 8, which has a compliance rate of 72.2%, the compliance rates for most of the other indicators are relatively low. Based on the results of the clinical quality review, the following main obstacles were analysed: negative behaviours and attributes, lack of professional knowledge, and lack of standardized management.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Effective manag","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"30 6","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545409","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}
引用次数: 0
Prevalence and influencing factors of cognitive frailty among Chinese older adults: A systematic review and meta-analysis 中国老年人认知虚弱的患病率和影响因素:系统回顾与荟萃分析。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-10-24 DOI: 10.1111/ijn.13306
Xie Lin PHD Student, Zhong Nian PHD, Liu Yang Master, Zhang Qing Master, Niu Zhenjun Master, Heng Yanlin Master

Aims

Cognitive frailty refers to the coexistence of physical frailty and cognitive impairment in older adults, without a concurrent diagnosis of Alzheimer's disease or other dementias. This review aims to evaluate the prevalence of CF subtypes and identify influencing factors among Chinese older adults.

Methods

The following databases were searched: PubMed/Medline, Embase, Cochrane Library, WOS, PsycINFO and CNKI et al (1 January 2001 to 20 October 2022). The risk of bias was assessed using the Agency for Healthcare Research and Quality Evidence-based Practice Center Methods Guide. Stata 17.0 software was used to pool the prevalence of cognitive frailty, and the pooled odds ratio and 95% CI of the influencing factors were calculated.

Results

The meta-analysis (56 studies and 80,320 participants) revealed the following prevalence rates: CF (18.9%), reversible CF (19.5%), potentially reversible CF (17.5%), CF in community-dwelling older adults (14.3%), CF in nursing homes (22.7%) and CF in older inpatients (25.2%). Influential factors identified included age, gender, education, nutrition, depression, exercise, sleep and comorbidity.

Conclusions

The prevalence of CF among Chinese older adults is notably high, and it probably underestimates the prevalence of reversible cognitive frailty. It is crucial to encourage adherence to healthy behaviours, as it can effectively reduce and delay the onset of cognitive frailty.

目的:认知功能虚弱是指老年人在未同时确诊阿尔茨海默病或其他痴呆症的情况下,同时存在身体虚弱和认知功能障碍。本综述旨在评估中国老年人认知虚弱亚型的患病率,并确定其影响因素:方法:检索了以下数据库:方法:检索了以下数据库:PubMed/Medline、Embase、Cochrane Library、WOS、PsycINFO 和 CNKI et al(2001 年 1 月 1 日至 2022 年 10 月 20 日)。采用美国医疗保健研究与质量机构循证实践中心方法指南对偏倚风险进行了评估。使用Stata 17.0软件汇总认知虚弱的发生率,并计算影响因素的汇总几率比和95% CI:荟萃分析(56 项研究和 80,320 名参与者)显示了以下患病率:CF(18.9%)、可逆性CF(19.5%)、潜在可逆性CF(17.5%)、社区老年人CF(14.3%)、疗养院老年人CF(22.7%)和老年住院病人CF(25.2%)。影响因素包括年龄、性别、教育、营养、抑郁、运动、睡眠和合并症:结论:中国老年人的 CF 患病率明显偏高,而且可能低估了可逆性认知虚弱的患病率。鼓励老年人坚持健康行为至关重要,因为这可以有效减少和延缓认知功能衰弱的发生。
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引用次数: 0
Examining the Influence of Health-Related Quality of Life on Job Satisfaction Among Nurses in Kazakhstan 研究与健康相关的生活质量对哈萨克斯坦护士工作满意度的影响。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-10-23 DOI: 10.1111/ijn.13315
Katarina Seryakova, Jonas Preposi Cruz, Gulnur Nadirbekova, Paolo Colet, Joseph Almazan

Aims

This study evaluated health-related quality of life (HRQOL) and job satisfaction among Kazakh nurses and investigated the relationship between HRQOL and job satisfaction.

Background

Nurses' HRQOL may, directly and indirectly, affect their job satisfaction, which could subsequently result in poorer productivity and quality patient care.

Methods

A cross-sectional research design utilizing a standardized questionnaire was employed among 615 nurses working at the University Medical Center in Astana, Kazakhstan.

Results

Nurses generally reported moderate HRQOL and low job satisfaction. Marital status and the number of children were significant predictors of high HRQOL. Married nurses had lower job satisfaction than single nurses. Nurses' number of children contributed to an increase in job satisfaction. Experiencing better environmental health may lead to greater general, intrinsic and extrinsic job satisfaction among nurses. Positive physical health is associated with higher levels of extrinsic and general job satisfaction. Better social health is linked to better intrinsic and general job satisfaction, whereas positive psychological health is related to better intrinsic job satisfaction.

Conclusion

This investigation provided evidence of the influence of HRQOL on nurses' job satisfaction in Kazakhstan. Healthcare facilities can create organizational cultures and working environments that prioritize the well-being of healthcare workers.

目的:本研究评估了哈萨克护士与健康相关的生活质量(HRQOL)和工作满意度,并调查了 HRQOL 与工作满意度之间的关系:背景:护士的 HRQOL 可能会直接或间接影响其工作满意度,进而导致工作效率和患者护理质量下降:方法:利用标准化问卷对哈萨克斯坦阿斯塔纳大学医疗中心的 615 名护士进行横断面研究设计:结果:护士们普遍报告说,他们的 HRQOL 中等,工作满意度较低。婚姻状况和子女数量是高 HRQOL 的重要预测因素。已婚护士的工作满意度低于单身护士。护士的子女人数有助于提高工作满意度。较好的环境健康可能会提高护士的总体、内在和外在工作满意度。积极的身体健康与较高的外在和总体工作满意度相关。较好的社会健康与较好的内在和一般工作满意度有关,而积极的心理健康与较好的内在工作满意度有关:这项调查提供了哈萨克斯坦人力资源品质生活对护士工作满意度影响的证据。医疗机构可以创建优先考虑医护人员健康的组织文化和工作环境。
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引用次数: 0
The Effects of Different Nursing Positions During Preterm Infants Feeding on Gastric Residual Volume and Emptying Rate: A Systematic Review and Network Meta-Analysis 早产儿喂养期间不同哺乳姿势对胃剩余容积和排空率的影响:系统回顾与网络元分析》。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-10-23 DOI: 10.1111/ijn.13309
Amal Mohamed Elhusein, Hammad Ali Fadlalmola
<div> <section> <h3> Background and Objectives</h3> <p>Preterm infants need nutritional support due to their premature digestive system, undeveloped anatomy and functional limitations. Neonatal positioning in the proper position is one of the nurses' main principles that affect the residual volume. We performed our systematic review and network meta-analysis to determine the best feeding position for preterm infants in reducing gastric residual volume and increasing the rate of gastric emptying.</p> </section> <section> <h3> Methods</h3> <p>We systematically searched PubMed, Cochrane, CINHAL, Scopus and Web of Science from their inception to August 2023. We included studies that assess the effect of different feeding positions for preterm infants on gastric residuals. The Cochrane risk of bias tool (ROB2) appraised the included clinical trials. Cohort studies were assessed by the NIH tool and quasi-experimental studies by the relevant items from (Downs and Black) checklist. RevMan Version 5.4 was used for analysing the pooled data. Our study included a frequentist network meta-analysis of the aggregate data to obtain network estimates for the outcomes of interest. Network meta-analysis was done using R software.</p> </section> <section> <h3> Results</h3> <p>We included 16 studies with 1139 premature infants, comparing six preterm feeding positions. The pooled MD and 95% CI for GRV at 30 min for right lateral, prone, right anterior oblique and left lateral compared to supine position were as follows: (−12.08 [−20.09, −4.07]), (−11.14 [−18.26, −4.01]), (−9.02 [−21.66, 3.61]) and (−0.18 [−7.87, 7.5]), respectively. Moreover, the pooled MD and 95% CI for GRV at 180 min for right lateral, prone and left lateral compared to supine position were as follows: (−0.69 [−1.29, −0.09]), (−0.56 [−1.22, 0.1]) and (0.09 [−0.63, 0.81]), respectively. Nevertheless, the pooled MD and 95% CI for GRV at 120 min for right anterior oblique, prone, right lateral and left lateral compared to supine position were as follows: (−6.09 [−11.33, −0.86]), (−5.07 [−7.71, −2.43]), (−3.08 [−5.89, −0.27]) and (−0.44 [−3.41, 2.53]), respectively.</p> </section> <section> <h3> Conclusion</h3> <p>We concluded that the best nursing position after preterm infants feeding for lower gastric residuals and higher gastric emptying rate is the right lateral position after 30 and 180 min post-feeding. Also, the right anterior oblique was the best after 120 min. Although the prone position can lower the GRV better than the left lateral and supine positions, it is not advisable to use this position because it raises the SIDS risk. Our results could help healthcare professionals t
背景和目的:早产儿由于消化系统发育不成熟、解剖结构不完善以及功能限制,需要营养支持。将新生儿安置在合适的位置是护士的主要原则之一,会影响残余量。我们进行了系统综述和网络荟萃分析,以确定早产儿的最佳喂养姿势,从而减少胃残余容积,提高胃排空率:我们系统地检索了 PubMed、Cochrane、CINHAL、Scopus 和 Web of Science 从开始到 2023 年 8 月的内容。我们纳入了评估早产儿不同喂养姿势对胃剩余物影响的研究。科克伦偏倚风险工具(ROB2)对纳入的临床试验进行了评估。队列研究采用 NIH 工具进行评估,准实验研究采用(Downs 和 Black)核对表中的相关项目进行评估。RevMan 5.4 版用于分析汇总数据。我们的研究包括对汇总数据进行频数网络荟萃分析,以获得相关结果的网络估计值。网络荟萃分析使用 R 软件完成:我们纳入了 16 项研究,对 1139 名早产儿的六种早产儿喂养姿势进行了比较。与仰卧位相比,右侧卧位、俯卧位、右前斜卧位和左侧卧位在 30 分钟内的 GRV 的汇总 MD 和 95% CI 如下:(分别为(-12.08 [-20.09, -4.07])、(-11.14 [-18.26, -4.01])、(-9.02 [-21.66, 3.61])和(-0.18 [-7.87, 7.5])。此外,与仰卧位相比,右侧卧位、俯卧位和左侧卧位在 180 分钟时的 GRV 的汇总 MD 和 95% CI 如下:(分别为(-0.69 [-1.29, -0.09])、(-0.56 [-1.22, 0.1])和(0.09 [-0.63, 0.81])。然而,与仰卧位相比,120 分钟时右前斜位、俯卧位、右外侧位和左外侧位 GRV 的汇总 MD 和 95% CI 如下(分别为(-6.09 [-11.33, -0.86])、(-5.07 [-7.71, -2.43])、(-3.08 [-5.89, -0.27])和(-0.44 [-3.41, 2.53]):我们得出的结论是,早产儿喂奶后 30 分钟和 180 分钟后的右侧卧位是降低胃残余物和提高胃排空率的最佳哺乳姿势。此外,右前斜位也是 120 分钟后的最佳姿势。虽然俯卧位比左侧卧位和仰卧位能更好地降低胃残留率,但由于俯卧位会增加婴儿猝死综合症的风险,因此不建议使用这种体位。我们的研究结果有助于医护人员为早产儿提供合适的体位。
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引用次数: 0
‘Development and Psychometric Testing of the Lean Management Scale for Nursing Services in Hospitals’ 医院护理服务精益管理量表的开发与心理测试"。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-10-23 DOI: 10.1111/ijn.13314
Çiğdem Torun Kılıç, Havva Öztürk

Aim

The aim of this study is to develop a new instrument (The Lean Management Scale for Nursing Services in Hospitals- LMS-N) to evaluate the lean levels of nursing services in hospitals and to evaluate its psychometric properties.

Method

A three-phase construct was used to develop this scale and to determine its psychometric properties: (1) creating the item pool, (2) preliminarily evaluating items and (3) evaluating psychometric properties. This methodological study evaluated the scale's face, content and construct validities, internal consistency, and temporal stability. The psychometric properties of the scale were tested with a total of 695 nurses in different sample groups. Data were collected between 18 November 2020 and 15 May 2021.

Results

The scale's content validity index was 0.75. According to principal component analysis, the scale included 22 items and five subdimensions, and the total variance was 60.32%. In confirmatory factor analysis, the fit indices were good or acceptable for this construct. Its internal consistency was good or acceptable according to reliability analysis. Test–retest showed that the scale had temporal stability.

Conclusion

Lean Management Scale in Nursing Services in Hospitals is a valid and reliable tool that can evaluate the level of leanness of nursing services. It provides a comprehensive evaluation with five subdimensions: management support, visual stock management, work environment layout, preventive notification system and waste detection.

目的:本研究旨在开发一种新的工具(医院护理服务精益管理量表-LMS-N),用于评价医院护理服务的精益化水平,并评估其心理测量学特性:方法:采用三阶段构建法来编制该量表并确定其心理测量学特性:(1) 创建项目库;(2) 初步评估项目;(3) 评估心理测量学特性。这项方法研究评估了量表的表面效度、内容效度和结构效度、内部一致性和时间稳定性。对不同样本组共 695 名护士进行了量表心理特性测试。数据收集时间为 2020 年 11 月 18 日至 2021 年 5 月 15 日:量表的内容效度指数为 0.75。根据主成分分析,量表包括 22 个项目和 5 个子维度,总方差为 60.32%。在确认性因素分析中,该构念的拟合指数为良好或可接受。根据信度分析,其内部一致性良好或可以接受。重测表明,该量表具有时间稳定性:医院护理服务精益管理量表是一个有效、可靠的工具,可以评价护理服务的精益化水平。该量表从管理支持、可视化库存管理、工作环境布局、预防通知系统和浪费检测五个子维度进行综合评价。
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引用次数: 0
Economic Analysis of Falls in a Private Hospital in Southern Brazil—A Case–Control Study 巴西南部一家私立医院跌倒的经济分析--病例对照研究。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-10-21 DOI: 10.1111/ijn.13313
Victor Antoniazi Gonzalez, Larissa Luma Tomasi Febras, Cássia Cristina Damásio de Lima, Belisa Marin Alves, Daniel Teixeira dos Santos, Mariana Almudi Souza, Sidiclei Machado Carvalho, Vania Rohsig, Arthur Pille, Jonas Wolf, Juçara Gasparetto Maccari, Mohamed Parrini Mutlaq, Luiz Antônio Nasi

Introduction

In-hospital falls represent significant health and economic concerns, but previous studies regarding the economic cost of falls do not account for other cofounders (comorbidities and clinical aspects) in this cost evaluation.

Aim

The aim of this study is to analyse the cost of in-hospital falls comparing those who had falls to nonfalls patients while accounting for several risk factors associated with falls.

Methods

Data were collected from January 2020 to December 2022, in a private hospital in Brazil. The sample was divided into two groups: one with patients who fell and the other with nonfallers on a 1:2 ratio, and these groups were matched to avoid confounding variables.

Results

The median cost for patients who experienced falls was US$7520.26 compared to US$6144.24 for those without falls (p < 0.01). This trend was especially marked in men aged 20–40 who suffered falls and showed a significantly elevated median cost of US$29 722.02 distinguishing them from those without falls with a median cost of US$1179.48 (p < 0.01).

Conclusion

Hospital falls significantly increase financial costs compared to nonfall cases, irrespective of comorbidities, length of stay or case-mix variations. The findings recommend a universal precautions approach to fall prevention in hospitals, targeting all hospitalised patients to effectively minimise the economic burden associated with in-hospital falls.

导言:院内跌倒是重大的健康和经济问题,但以往有关跌倒经济成本的研究并没有在成本评估中考虑其他共同因素(合并症和临床方面):院内跌倒是重大的健康和经济问题,但之前有关跌倒经济成本的研究并未考虑成本评估中的其他共同因素(合并症和临床方面)。目的:本研究旨在分析院内跌倒的成本,将跌倒患者与未跌倒患者进行比较,同时考虑与跌倒相关的几个风险因素:数据收集时间为 2020 年 1 月至 2022 年 12 月,地点在巴西的一家私立医院。样本分为两组:一组为跌倒患者,另一组为未跌倒患者,比例为 1:2,两组患者进行匹配以避免混杂变量:结果:发生过跌倒的患者的费用中位数为 7520.26 美元,而未发生过跌倒的患者的费用中位数为 6144.24 美元:与非跌倒病例相比,医院跌倒会大幅增加经济成本,与合并症、住院时间或病例组合变化无关。研究结果表明,医院应针对所有住院病人普遍采取预防跌倒的措施,以有效降低与院内跌倒相关的经济负担。
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引用次数: 0
Effectiveness of Mobile Application Disease Self-Management Programme on Mental Health and Self-Management of Patients With Hypertension: A Randomised Controlled Trial 移动应用疾病自我管理计划对高血压患者心理健康和自我管理的影响:随机对照试验
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-10-21 DOI: 10.1111/ijn.13312
Mei-Chen Lee, Chuan-Chieh Liu, Wen-Hug Wang, Mei-Hsiang Lin, Pei-Hung Liao, Meng-Qi Chen

Background

Hypertension is a chronic disease that consumes considerable medical resources.

Aim

The aim of this study is to evaluate a model able to develop and assess the effectiveness of a mobile application disease self-management programme regarding mental health and self-management for patients with hypertension.

Methods

A randomised controlled trial and single-blind random assignment was employed to group the participants. A total of 100 patients were collected from the cardiology clinic of a teaching hospital in Taiwan. There were 50 participants in each group: the mobile application group (experimental group) and the routine care (control group). The primary outcome measures were mental health and self-management.

Results

This study discovered that the intervention improved the mental health and self-management of the experimental group. The results for the experimental group revealed significantly improved effects and outcomes superior to those of the control group.

Conclusions

The study results verified that a mobile application disease self-management programme could improve the mental health and disease self-management of patients with hypertension.

背景:高血压是一种消耗大量医疗资源的慢性疾病:目的:本研究旨在评估一种模式,该模式能够开发和评估移动应用疾病自我管理计划在高血压患者心理健康和自我管理方面的有效性:方法:采用随机对照试验和单盲随机分配法对参与者进行分组。方法:采用随机对照试验和单盲随机分配的方法对参与者进行分组。移动应用组(实验组)和常规护理组(对照组)各有 50 名参与者。主要结果指标为心理健康和自我管理:研究发现,干预改善了实验组的心理健康和自我管理。实验组的结果显示,实验组的效果和结果明显优于对照组:研究结果验证了移动应用疾病自我管理计划能够改善高血压患者的心理健康和疾病自我管理。
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引用次数: 0
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International Journal of Nursing Practice
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