International Journal of Nursing Practice最新文献_第10页

Impact of Telecounselling, Home Monitoring and Exercise on Hospital Readmissions and Quality of Life in Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial 远程咨询、家庭监护和运动对慢性阻塞性肺疾病患者再入院和生活质量的影响：一项随机对照试验

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-05-19 DOI: 10.1111/ijn.70021

Nejla Köksal, Hanife Durgun

Background

Individuals with Chronic Obstructive Pulmonary Disease (COPD) should engage in regular exercise, emphasizing the importance of home-based practices.

Aim

This study aimed to investigate the effects of home follow-up, counselling and exercise training through telecounselling on hospital readmissions and the quality of life of individuals with COPD.

Methods

This was a single-blind, randomized controlled clinical trial. Individuals in the intervention group were given breathing exercise training and following the training, the patients received weekly exercise programmes. It was added as a control tally on the back page of the training booklet, and a phone call was made to the patients once a week for 12 weeks. No intervention was applied to the control group patients during the 12 weeks. The research report was structured according to CONSORT.

Results

There was a statistically significant difference between the pretest and posttest difference averages of the SF 36 Quality of Life Scale and the number of hospital readmissions of individuals with COPD in the intervention and control groups (p < 0.05).

Conclusion

It was determined that exercise training and 12-week teleconsultancy and home-based monitoring service applied to the intervention group patients increased the quality of life of individuals with COPD and reduced hospital readmissions.

背景：慢性阻塞性肺疾病（COPD）患者应定期进行锻炼，强调以家庭为基础的锻炼的重要性。目的本研究旨在探讨通过远程咨询进行家庭随访、咨询和运动训练对慢性阻塞性肺病患者再入院和生活质量的影响。方法采用单盲、随机对照临床试验。干预组的个体接受呼吸运动训练，训练结束后，患者每周接受锻炼计划。它被作为对照记录添加到培训手册的最后一页，并且每周给患者打一次电话，持续12周。对照组患者在12周内不进行干预。该研究报告是根据CONSORT编写的。结果干预组与对照组SF 36生活质量量表的测前、测后差异均值及COPD患者再入院次数比较，差异均有统计学意义（p < 0.05）。结论运动训练、12周远程咨询和家庭监测服务可提高COPD患者的生活质量，降低再入院率。

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引用次数: 0

A Cross-Sectional Study on Emotional Eating and Its Influencing Factors Among Clinical Nurses 临床护士情绪饮食及其影响因素的横断面研究

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-05-15 DOI: 10.1111/ijn.70022

Jiayi Shao, Qiaoying Wang, Yanchun Peng, Feixin Yan, Yaqin Chen, Baolin Luo, Liangwan Chen, Yanjuan Lin

Aims

The aim of this study is to investigate the prevalence of emotional eating and the influencing factors among clinical nurses in China.

Background

Emotions are closely associated with eating behaviours, and individuals' coping mechanisms for various emotions may manifest in their eating habits. Emotional eating may harm nurses' physical and mental health, ultimately affecting the quality of care.

Design

This is a cross-sectional survey study.

Methods

An online survey was conducted among clinical nurses in a tertiary hospital in China from September to November 2023 using a convenience sampling method. A basic demographic questionnaire, the Chinese version of the Three-Factor Eating Questionnaire, the Pittsburgh Sleep Quality Index and the Depression Anxiety Stress Scale-21 were used.

Results

A total of 785 nurses participated and reported an overall emotional eating score of 12.08 (standard deviation = 4.63); 296 (37.7%) were in the high emotional eating group. Female gender, age 20–30 years, higher body mass index, work in the intensive care unit, family financial contribution ≤ 10 000 RMB, poor sleep quality and anxiety were risk factors for emotional eating among clinical nurses.

Conclusion

The study highlights a prevalent issue of emotional eating among clinical nurses, indicating a pressing need for timely intervention to improve physical and mental health.

目的调查临床护士情绪饮食的流行情况及其影响因素。情绪与饮食行为密切相关，个体对各种情绪的应对机制可能表现在饮食习惯上。情绪化进食可能损害护士的身心健康，最终影响护理质量。设计本研究为横断面调查研究。方法采用方便抽样法，于2023年9月至11月对国内某三级医院的临床护士进行在线调查。采用基本人口统计问卷、中国版三因素饮食问卷、匹兹堡睡眠质量指数和抑郁焦虑压力量表-21。结果共785名护士参与调查，情绪性饮食总分为12.08分（标准差为4.63）；高情绪饮食组296例（37.7%）。女性、年龄20 ~ 30岁、体重指数较高、在重症监护室工作、家庭经济贡献≤1万元、睡眠质量差、焦虑是临床护士情绪性进食的危险因素。结论临床护士情绪进食问题普遍存在，迫切需要及时干预，改善身心健康。

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引用次数: 0

Effectiveness of Treadmill Training Intervention for the Management of Patients With Stroke: A Systematic Review and Meta-Analysis 跑步机训练干预对脑卒中患者管理的有效性：系统回顾和荟萃分析

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-05-09 DOI: 10.1111/ijn.70020

Chenyi Shi, Yuxi Xiao, Dawei Zang, Hongjun Ren

Background

Treadmill training, including body weight–supported treadmill training (BWSTT), is widely used in stroke rehabilitation. However, its efficacy in improving walking outcomes may vary depending on patients' baseline functional status.

Objective

This study aims to systematically evaluate effectiveness of treadmill training on walking speed and endurance in stroke survivors and to assess influence of baseline dependency and use of BWSTT.

Methods

We performed systematic review and meta-analysis as per PRISMA 2020 guidelines. Comprehensive search was conducted using Scopus, MEDLINE, EMBASE, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Cochrane Library, Google Scholar and ScienceDirect for studies published from January 1964 to April 2024. Eligible studies were randomized controlled trials assessing treadmill training in stroke patients with outcomes as walking speed and/or endurance. Data extraction and risk of bias assessment were independently performed by two reviewers using Cochrane Risk of Bias-2 tool. Standardized mean differences (SMDs) and 95% confidence intervals (CIs) were calculated using random effects model. Subgroup analyses were conducted based on baseline dependency and BWSTT use.

Results

Fifty-nine studies were included. Meta-analysis demonstrated significant improvements in walking speed (SMD = 0.255; 95%CI: 0.141–0.369) and walking endurance (SMD = 0.277; 95%CI: 0.134–0.421) among stroke survivors receiving treadmill training. Subgroup analysis revealed that independent participants experienced greater benefits in walking speed (SMD = 0.345) and endurance (SMD = 0.374) compared to dependent participants. Studies employing BWSTT reported enhanced outcomes relative to those without BWSTT. Moderate to high heterogeneity was observed, and publication bias was detected.

Conclusion

Treadmill training, particularly when combined with BWSTT, effectively enhances walking speed and endurance in stroke survivors.

跑步机训练，包括体重支撑跑步机训练（BWSTT），广泛应用于脑卒中康复。然而，其改善步行结果的功效可能因患者的基线功能状态而异。目的本研究旨在系统评估跑步机训练对脑卒中幸存者步行速度和耐力的影响，并评估基线依赖性和BWSTT使用的影响。方法按照PRISMA 2020指南进行系统评价和荟萃分析。综合检索了Scopus、MEDLINE、EMBASE、中国生物医学文献数据库、中国国家知识基础设施、Cochrane图书馆、谷歌Scholar和ScienceDirect，检索了1964年1月至2024年4月发表的研究。符合条件的研究是随机对照试验，评估跑步机训练对中风患者步行速度和/或耐力的影响。数据提取和偏倚风险评估由两位审稿人使用Cochrane risk of bias -2工具独立完成。采用随机效应模型计算标准化平均差（SMDs）和95%置信区间（ci）。根据基线依赖性和BWSTT使用情况进行亚组分析。结果共纳入59项研究。meta分析显示步行速度显著改善(SMD = 0.255；95%CI: 0.141 ~ 0.369)和步行耐力(SMD = 0.277；95%CI: 0.134-0.421)。亚组分析显示，与依赖者相比，独立参与者在步行速度（SMD = 0.345）和耐力（SMD = 0.374）方面有更大的好处。采用BWSTT的研究报告了相对于不采用BWSTT的患者的改善结果。观察到中度至高度异质性，并发现发表偏倚。结论跑步机训练，特别是与BWSTT联合训练，可有效提高脑卒中幸存者的步行速度和耐力。

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引用次数: 0

Early-Career Registered Nurses' Experiences of Implementing Non–Pharmacological Interventions for Delirium Management: A Qualitative Descriptive Study 早期职业注册护士对谵妄管理实施非药物干预的经验：一项定性描述性研究

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-05-06 DOI: 10.1111/ijn.70019

Siyao Duan, Penelope Casey, Maryann Street, Elizabeth Manias, Emily Jane Tomlinson

Aim

This study aims to describe early-career registered nurses' experiences of using non–pharmacological interventions for delirium management in general medicine.

Background

Non–pharmacological interventions are recommended for delirium management, but implementation can be challenging because of the complex and time-consuming nature of delirium behaviours.

Design

This study employs a qualitative exploratory descriptive design.

Methods

Semi-structured interviews and focus groups were conducted between May and June 2022 with early-career registered nurses from general medical wards of two hospitals in Australia. Transcripts were analysed using thematic analysis in NVivo.

Results

Twenty-two nurses participated. Two conceptual areas with seven themes were identified: factors that prepare and support nurses, which include (1) comprehensive education that supports readiness to manage delirium, (2) accessing the expertise of colleagues and (3) valuing family as essential in delirium care; and experiences of applying knowledge to manage delirium, which include (4) enacting delirium care within the context of the work environment, (5) nurses' use of non–pharmacological interventions, (6) communicating through the confusion and (7) managing escalating behavioural symptoms for safety.

Conclusions

This study highlights the elements needed to prepare and support early-career nurses in delirium care. Delirium care is complex, and nurses identified the need for more preparatory education. Support from experienced nurses and family was essential for delirium management, de-escalation of behavioural symptoms and safety.

目的本研究旨在描述早期职业注册护士在全科医学中使用非药物干预治疗谵妄的经验。背景：非药物干预被推荐用于谵妄管理，但由于谵妄行为的复杂性和耗时性，实施可能具有挑战性。本研究采用定性探索性描述性设计。方法于2022年5 - 6月对澳大利亚两家医院普通内科病房的早期职业注册护士进行半结构化访谈和焦点小组调查。转录本在NVivo中使用专题分析进行分析。结果共有22名护士参与。确定了七个主题的两个概念领域：准备和支持护士的因素，其中包括(1)支持准备管理谵妄的全面教育，(2)获取同事的专业知识，(3)重视家庭在谵妄护理中的重要性；以及运用知识管理谵妄的经验，其中包括(4)在工作环境中实施谵妄护理，(5)护士使用非药物干预，(6)通过混乱进行沟通，(7)管理不断升级的行为症状以确保安全。结论本研究强调了准备和支持早期职业护士谵妄护理所需的要素。谵妄的护理是复杂的，护士认为需要更多的预备教育。经验丰富的护士和家属的支持对于谵妄管理、行为症状降级和安全至关重要。

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引用次数: 0

Investigation on the Relationship Between Difficult Patients and Quality of Care: The Moderating Effect of Psychological Resilience 困难患者与护理质量关系的调查：心理弹性的调节作用

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-05-04 DOI: 10.1111/ijn.70018

Feng-Hsia Kao, Tsui-Yao Liu

Aim

This study aims to investigate the association between difficult patients and work burnout, work passion, quality of care and psychological resilience in nursing personnel.

Background

Dealing with difficult patients is a common managerial problem in hospitals, and this topic has received increasing attention in healthcare studies. Understanding how difficult patients influence the quality of care may assist increase in patient safety and healthcare quality.

Methods

In this descriptive, cross-sectional survey study, we collected 250 valid questionnaires from nursing personnel at a regional hospital in Taipei City.

Results

The results revealed a significant negative correlation between difficult patients and negative care behaviours, with work burnout mediating this association. In addition, work passion mediated the associations among difficult patients and negative behaviours, supportive behaviours and service performance. The interaction between psychological resilience and difficult patients also affected the quality of care through work passion.

Conclusions

Hospital administrators should implement interventions to mitigate the influence of difficult patients on the quality of care, strengthen the psychological resilience of nursing staff to prevent burnout and enhance the work passion of personnel.

目的探讨护理人员工作倦怠、工作热情、护理质量和心理弹性与困难患者的关系。处理难处患者是医院管理中常见的问题，在卫生保健研究中越来越受到重视。了解困难患者如何影响护理质量可能有助于提高患者安全和医疗保健质量。方法采用横断面调查法，以台北市某地区医院护理人员为对象，收集有效问卷250份。结果困难患者与消极护理行为之间存在显著负相关，工作倦怠在其中起中介作用。此外，工作热情在难相处患者消极行为、支持行为和服务绩效之间起中介作用。心理弹性与困难患者的交互作用也通过工作热情影响护理质量。结论医院管理人员应实施干预措施，减轻难处患者对护理质量的影响，增强护理人员的心理弹性，预防倦怠，提高护理人员的工作热情。

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引用次数: 0

Correction to “Barriers in adopting health-promoting behaviours among nurses: A qualitative systematic review and meta-synthesis” 更正 "护士采取促进健康行为的障碍：定性系统综述和元综合"

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-04-21 DOI: 10.1111/ijn.70017

Chong, K. E., & Shorey, S. (2022). Barriers in adopting health-promoting behaviours among nurses: A qualitative systematic review and meta-synthesis. International Journal of Nursing Practice, 28(1), e13030. https://doi.org/10.1111/ijn.13030.

In Section 3.1 Search Outcomes, the following text was incorrect:

“A total of 8,769 articles were retrieved from the six electronic databases and 1,352 duplicates were removed. Screening of titles and abstracts for eligibility were performed on 7,422 articles, and 7,362 articles were deemed irrelevant. Eventually, 60 full-text reviews were retrieved but 46 articles were excluded for not meeting the inclusion criteria. The search process yielded 14 studies that were incorporated in this review. The PRISMA flow diagram is presented in Figure 1.”

The correct text should read:

“A total of 26,887 articles were retrieved from the six electronic databases and other sources, and subsequently, 2,597 duplicates were removed. Screening of titles and abstracts for eligibility was performed on 24,290 articles, and 24,186 articles were deemed irrelevant. Eventually, 104 papers were retrieved for full-text reviews, of which 90 articles were excluded for not meeting the inclusion criteria. This process yielded 14 studies that were incorporated in this review. The PRISMA flow diagram is presented in Figure 1.”

We apologize for this error.

张坤恩，&；肖雷，S.（2022）。护士采取健康促进行为的障碍：定性系统回顾和综合。国际护理实践杂志，28(1),e13030。https://doi.org/10.1111/ijn.13030。在Section 3.1 Search Outcomes中，以下文字是不正确的：“从六个电子数据库中共检索到8,769篇文章，删除了1,352篇重复的文章。对7,422篇文章的标题和摘要进行了筛选，其中7,362篇文章被认为不相关。最终，检索到60篇全文综述，但有46篇因不符合纳入标准而被排除。检索过程产生了14项纳入本综述的研究。PRISMA的流程图如图1所示。正确的案文应该是：“从六个电子数据库和其他来源共检索了26 887篇文章，随后删除了2 597篇重复的文章。筛选24,290篇文章的标题和摘要，其中24,186篇文章被认为不相关。最终检索到104篇论文进行全文评审，其中90篇因不符合纳入标准而被排除。这一过程产生了14项纳入本综述的研究。PRISMA的流程图如图1所示。我们为这个错误道歉。

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引用次数: 0

Integrating Nursing–Teleophthalmology Improves Diabetic Retinopathy Screening in Primary Healthcare, Reducing Unnecessary Referrals to Specialist Healthcare 整合护理-远眼医学改善初级保健中的糖尿病视网膜病变筛查，减少不必要的专科医疗转诊

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-04-15 DOI: 10.1111/ijn.70016

Jacira Xavier de Carvalho, Fernando K. Malerbi, Silvia Ferreira Bortoto, Mozania Reis de Matos, Cristiane das Graças Dias Cavalcante, Elenilda Almeida Silva Andrade, Gabriela Bonfim Vieira, Márcia Silva Queiroz

Aim

This work aimed to evaluate the use of teleophthalmology by a primary healthcare nursing team for the diagnosis and referral for diabetic retinopathy to specialized healthcare in relation to numbers referred for specialized healthcare.

Methods

In this quantitative, cross-sectional service evaluation study, participants with type 2 diabetes mellitus underwent a fundoscopy examination between February and June 2020. Using a portable retinal camera attached to a smartphone, nurses acquired fundus images that were stored on a cloud platform, enabling remote reading by a retinal specialist. The study was conducted at a primary healthcare urban centre on the outskirts of São Paulo, Brazil.

Results

The study enrolled 779 participants, of whom 150 were identified as having diabetic retinopathy present; in another 434, evidence of diabetic retinopathy was absent, and 195 individuals (25%) were classified as having ungradable images. In total, 345 participants were referred for specialized appraisal, 150 of whom due to evidence of diabetic retinopathy and for another 195 participants owing to ungradable images. Thus, more than half of the imaged participants (56%) were not eligible for referral to specialist healthcare and remained treated in primary care.

Conclusions

Nursing–teleophthalmology integration reduced specialized healthcare referral numbers by more than half. This approach contributed to better triage with a more robust evaluation for diabetic retinopathy diagnostic suspicion, reducing unnecessary referral.

目的本研究旨在评估基层医疗护理团队在糖尿病视网膜病变的诊断和转诊中使用远距眼科的情况与转诊到专科医疗的人数之间的关系。方法在这项定量、横断面的服务评估研究中，2型糖尿病患者在2020年2月至6月期间接受了眼底镜检查。护士使用连接在智能手机上的便携式视网膜摄像头获取眼底图像，这些图像存储在云平台上，视网膜专家可以远程读取。这项研究是在巴西圣保罗郊区的一个初级保健城市中心进行的。结果：该研究共招募了779名参与者，其中150人被确定患有糖尿病视网膜病变；在另外434例中，没有糖尿病视网膜病变的证据，195人（25%）被归类为无法分级的图像。共有345名参与者被推荐进行专门评估，其中150人由于糖尿病视网膜病变的证据，另外195人由于无法分级的图像。因此，超过一半的成像参与者（56%）没有资格转诊到专科医疗机构，仍然在初级医疗机构接受治疗。结论护理与眼远一体化使专科医疗转诊人数减少了一半以上。这种方法有助于更好的分诊，更有力地评估糖尿病视网膜病变的诊断怀疑，减少不必要的转诊。

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引用次数: 0

The Quality and Reliability Analysis of YouTube Videos About Insulin Administration YouTube胰岛素给药视频的质量与可靠性分析

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-04-06 DOI: 10.1111/ijn.70015

Merve Günbaş, Merve Dervişoğlu, Dilek Büyükkaya Besen

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.

背景数字医疗已将社交媒体，尤其是 YouTube 转变为患者教育的重要平台。有关胰岛素管理的视频吸引了大量观众，但内容的可靠性仍是一个令人担忧的问题。目的本研究旨在评估土耳其 YouTube 上有关胰岛素管理的视频的质量和可靠性。方法回顾 YouTube 平台上与 "胰岛素管理 "相关的前 200 个视频，并使用 DISCERN、全球质量评分 (GQS) 和基于指南的胰岛素实用性调查对符合纳入标准的 33 个视频进行评估。结果在符合纳入标准的 33 个视频中，39.4% 是由护士发布的。使用 DISCERN 和 GQS 分析了这些视频在胰岛素管理方面的实用性，并根据其实用性评分进行了评估。根据这一分类，45.4% 的视频被认为非常有用，36.4% 的视频被认为中等有用，18.2% 的视频被认为有点有用。视频的平均（± SD）GQS 得分为 2.51 ± 1.09（介于 "一般差 "和 "中等 "之间），平均（± SD）DISCERN 得分为 30.21 ± 8.33，表明视频缺乏必要的循证信息。结论许多视频的教育价值令人担忧，只有一小部分信息量很大。这对健康素养产生了负面影响，并使教育变得更加复杂。提供准确、可靠的内容至关重要，护士可以通过高质量的材料提高健康素养、安全性和公平性。

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引用次数: 0

Physical Inactivity Among Pregnant Women at High Risk for Gestational Diabetes Mellitus: A Cross-Sectional Study 缺乏运动的妊娠期糖尿病高危孕妇：一项横断面研究

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-03-27 DOI: 10.1111/ijn.70013

Xiao Yang, Yingli Song, Yan Wang, Ji Zhang, Hui Huang, Jing Zhang, Rongrong Han, Zhixuan Xiang, Lu Chen, Lingling Gao

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.

目的探讨中国大陆妊娠期糖尿病（GDM）高危孕妇缺乏运动的患病率及预测因素。方法于2021年10月至2022年2月在中国郑州实施横断面研究。研究招募了252名GDM高危孕妇。通过妊娠身体活动问卷对缺乏身体活动进行评估。收集《孕期体育活动自我效能感量表》、《体育活动知识量表》、《体育活动社会支持量表》、《7项广发性焦虑障碍量表》、《爱丁堡产后抑郁量表》和《社会人口学及产前特征问卷》对缺乏体育活动进行预测。采用二元逻辑回归。计算校正优势比和95%置信区间（ci）。结果缺乏身体活动的患病率为53.2%。缺乏身体活动的危险因素包括：低水平的身体活动自我效能（aOR: 6.05, 95% CI: 1.13-32.31）、中等水平的身体活动自我效能（aOR: 5.13, 95% CI: 1.45-18.20）、无孕期身体活动目标（aOR: 3.06, 95% CI: 1.18-8.0）、低水平的孕期身体活动目标（aOR: 2.64, 95% CI: 1.02-6.8）、未生育（aOR: 7.17, 95% CI: 3.74-13.75）、大专及以下学历（aOR: 2.03, 95% CI: 3.03）。1.10-3.74)和丈夫没有规律体育活动习惯（aOR: 2.07, 95% CI: 1.06-4.04）。结论GDM高危孕妇缺乏运动是中国大陆的一个公共卫生问题。体育活动自我效能感和孕期体育活动目标可用于制定干预措施，以加强体育活动。

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引用次数: 0

Negative Consequences of Sleep Deprivation Experienced by Informal Caregivers of People With Dementia on Caregivers and Care Recipients: A Scoping Review 失智症患者的非正式照护者睡眠剥夺对照护者和受照护者的负面影响：范围审查

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-03-26 DOI: 10.1111/ijn.70010

Jieyu Mao, Miyae Yamakawa, Xujing Hu, Hitomi Chikama, Toshiyuki Swa, Yasushi Takeya

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.

本研究旨在总结有关睡眠剥夺对痴呆症患者（PwD）的非正式照顾者及其照顾者的影响的研究结果。方法本研究是一项范围综述，遵循PRISMA范围综述指南。我们检索了七个电子数据库，并纳入了2022年7月之前发表的所有研究，这些研究提供了与PwD非正式护理人员睡眠剥夺相关的任何结果的信息。结果共纳入60项研究。看护人睡眠不足所造成的心理和生理影响已经被观察到。压力、认知功能、免疫系统功能和精神状态的生物标志物，包括负担、抑郁和痛苦，是护理人员在睡眠剥夺方面最常提到的。至于残疾人士，抑郁和行为改变等心理健康指标与照顾者睡眠不足有关。护理人员与残疾患者之间的关系，以及家庭经济状况的变化也被确定。结论睡眠剥夺对PwD照顾者双方都有伤害，需要适当的照顾者休息和针对睡眠问题的干预措施。未来的研究应探索更多的护理因素和标准化睡眠剥夺指标，提高对护理人员和患者护理的支持。

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引用次数: 0