Nursing & Health Sciences最新文献

英文中文

Comparative efficacy of energy-restricted dietary interventions in overweight and obese populations: A systematic review and network meta-analysis 能量限制饮食干预对超重和肥胖人群的疗效比较：系统回顾和网络荟萃分析

IF 2.7 3区医学 Q2 NURSING

Nursing & Health Sciences

Pub Date : 2024-01-16 DOI: 10.1111/nhs.13083

Jun Zhao, Xincheng Duan, Longwei Zhang, Xuelian Zhao, Jingyu Yang, Na Sun, Wenxiao Zhao

This meta-analysis compared the effectiveness of different energy-restricted diets on body composition, glucose metabolism, and lipid metabolism in overweight and obese populations. Five databases were searched to identify relevant studies in English from inception until July 20, 2023, for randomized controlled trials of at least 2 weeks duration assessing the effects of continuous energy-restricted diets compared with any intermittent energy-restricted diet in obesity adults. The risk of bias was assessed using the Cochrane Risk of Bias Tool version 2.0, while the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system was used to assess the certainty of the evidence. A non-informative prior distribution Bayesian network meta-analysis was conducted. Thirty-eight studies (3039 participants) assessing four energy-restricted diets were included. Three RCTs were at high risk of bias with a very low to moderate certainty of evidence. Combined with pairwise comparisons and surface under the cumulative ranking curve, alternate-day fasting may be the best energy restriction regimen with the potential to have the most beneficial effects on various aspects of the obesity population. More rigorously designed and long-term follow-up studies are warranted.

这项荟萃分析比较了不同能量限制饮食对超重和肥胖人群的身体组成、葡萄糖代谢和脂质代谢的效果。研究人员检索了五个数据库，以确定从开始到 2023 年 7 月 20 日的相关英文研究，其中包括至少持续两周的随机对照试验，这些试验评估了持续性能量限制饮食与任何间歇性能量限制饮食对肥胖成年人的影响。采用 Cochrane Risk of Bias Tool 2.0 版评估偏倚风险，同时采用建议、评估、发展和评价分级（GRADE）系统评估证据的确定性。进行了非信息先验分布贝叶斯网络荟萃分析。共纳入 38 项研究（3039 名参与者），评估了四种能量限制饮食。三项 RCT 存在高偏倚风险，证据确定性为极低至中等。结合成对比较和累积排名曲线下表面，隔日禁食可能是最佳的能量限制方案，有可能对肥胖人群的各个方面产生最有益的影响。还需要进行更严格的设计和更长期的跟踪研究。

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引用次数: 0

The association between fear of childbirth and social support through the Internet and Social Networking Services in pregnant women: A cross-sectional study 孕妇对分娩的恐惧与通过互联网和社交网络服务获得的社会支持之间的关系：横断面研究

IF 2.7 3区医学 Q2 NURSING

Nursing & Health Sciences

Pub Date : 2024-01-16 DOI: 10.1111/nhs.13082

Seto Natsuki, Emi Tahara-Sasagawa, Kaori Yonezawa, Hikita Naoko, Yuriko Usui, Megumi Haruna

Social support is an important factor in reducing fear of childbirth (FOC). Recently, the Internet and Social Networking Services (SNS) have become new forms of social support. However, it is unclear whether such support can reduce pregnant women's fear. This study aimed to investigate the association between FOC and social support through the Internet and SNS in pregnant women. A cross-sectional study using a web-based questionnaire including questions about FOC, social support, the Internet and SNS usage, psychological variables, and sociodemographic variables was conducted. Data from 111 participants were analyzed. A greater number of social support from people who are often seen during pregnancy, and becoming relieved by interaction with others through the Internet and SNS were negatively associated with FOC. This study showed that face-to-face social support was associated with lower FOC, while social support through the Internet and SNS was not. Further research is needed on how to use Internet and SNS to reduce FOC in pregnant women.

社会支持是减少分娩恐惧（FOC）的一个重要因素。最近，互联网和社交网络服务（SNS）已成为新的社会支持形式。然而，这种支持是否能减轻孕妇的恐惧还不清楚。本研究旨在通过互联网和社交网络服务调查孕妇分娩恐惧与社会支持之间的关系。本研究采用网络问卷进行横断面研究，问卷内容包括FOC、社会支持、互联网和SNS使用情况、心理变量和社会人口变量等问题。对 111 名参与者的数据进行了分析。结果表明，在怀孕期间获得更多经常见面的人的社会支持，以及通过互联网和社交网络服务与他人互动来缓解焦虑与焦虑症呈负相关。这项研究表明，面对面的社会支持与较低的 FOC 相关，而通过互联网和社交网络服务获得的社会支持则与之无关。如何利用互联网和社交网络服务来降低孕妇的 FOC 还需要进一步研究。

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引用次数: 0

Establishing the feasibility and preliminary efficacy of a health belief model based educational training program on health belief perceptions and dementia-preventive behaviors in people with type 2 diabetes 确定基于健康信念模式的教育培训计划对 2 型糖尿病患者的健康信念认知和痴呆症预防行为的可行性和初步疗效

IF 2.7 3区医学 Q2 NURSING

Nursing & Health Sciences

Pub Date : 2024-01-16 DOI: 10.1111/nhs.13081

Noppamas Pipatpiboon, Jirapas Sripetchwandee, Nut Koonrungsesomboon, Pataporn Bawornthip, Daniel Bressington

This quasi-experimental study evaluated feasibility and preliminary efficacy of dementia-preventive educational training intervention program based on the health belief model for improving perceived health beliefs and dementia-preventive behaviors among people with type 2 diabetes mellitus. Two community hospitals with 72 eligible participants were chosen from 12 local institutions using simple random sampling method. One hospital (22 patients) was allocated to dementia-preventive educational training intervention, and the other hospital (23 patients) was allocated to control intervention (using simple random sampling). Primary study outcome was feasibility, and secondary outcomes were changes in dementia prevention behaviors and health belief perceptions. Recruitment rate was 62.5% (45/72) and 22 patients in each group totally completed outcome measures and attended sessions, indicating feasibility of the intervention and study design. There were no significant differences between groups at baseline. After training, participants in the intervention group had significantly higher scores than control group in prevention behaviors and perceptions of health beliefs. The intervention group experienced significant with-group changes in outcomes. Results show that conducting a subsequent fully powered experimental study is feasible, and the intervention has promising efficacy.

这项准实验研究评估了基于健康信念模型的痴呆症预防教育培训干预项目在改善2型糖尿病患者的健康信念感知和痴呆症预防行为方面的可行性和初步疗效。研究采用简单随机抽样方法，从当地 12 家机构中选择了两家社区医院，共 72 名符合条件的参与者。其中一家医院（22 名患者）被分配到痴呆预防教育培训干预项目中，另一家医院（23 名患者）被分配到对照干预项目中（采用简单随机抽样法）。研究的主要结果是可行性，次要结果是痴呆症预防行为和健康观念的变化。招募率为 62.5%（45/72），各组中均有 22 名患者完成了结果测量并参加了治疗，这表明干预措施和研究设计是可行的。基线时各组之间无明显差异。培训后，干预组参与者在预防行为和健康信念认知方面的得分明显高于对照组。干预组的结果与对照组相比有明显变化。研究结果表明，进行后续的完全有效的实验研究是可行的，而且干预措施具有良好的效果。

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引用次数: 0

Predictors of physical inactivity among pregnant women 孕妇缺乏运动的预测因素

IF 2.7 3区医学 Q2 NURSING

Nursing & Health Sciences

Pub Date : 2024-01-16 DOI: 10.1111/nhs.13086

Zhixuan Xiang, Ke Sun, Rongrong Han, Lu Chen, Zhong Wang, Lingling Gao

It is recommended that pregnant women be physically active to promote maternal and child health. This study aimed to explore the prevalence of physical inactivity and its modifiable predictors in the three trimesters in Chinese pregnant women. Four hundred forty-four pregnant women completed the Pregnant Physical Activity Questionnaire in the first, second, and third trimesters. The prevalence of physical inactivity reached its highest (66.2%) in the first trimester and lowest (19.4%) in the second trimester. Pregnant women with inadequate physical activity knowledge and low self-efficacy were at higher risk for physical inactivity. Monitoring physical inactivity could be incorporated into antenatal care and start from the first trimester. Prenatal care professionals should take action to increase pregnant women's physical activity self-efficacy and knowledge to enhance their physical activity.

建议孕妇积极参加体育锻炼，以促进母婴健康。本研究旨在探讨中国孕妇在三个孕期缺乏体力活动的发生率及其可改变的预测因素。444 名孕妇在第一、第二和第三孕期填写了《孕妇体力活动调查问卷》。孕妇缺乏体力活动的比例在妊娠头三个月最高（66.2%），在妊娠后三个月最低（19.4%）。缺乏体育锻炼知识和自我效能感低的孕妇缺乏体育锻炼的风险较高。可以将监测缺乏运动纳入产前护理，并从怀孕头三个月开始。产前护理专业人员应采取行动，提高孕妇的体育锻炼自我效能和知识，以加强她们的体育锻炼。

引用次数: 0

Obesity care for youth during the COVID-19 pandemic: Challenges youth healthcare nurses experienced in providing obesity care in the Netherlands 在 COVID-19 大流行期间为青少年提供肥胖护理：荷兰青年保健护士在提供肥胖护理时遇到的挑战

IF 2.7 3区医学 Q2 NURSING

Nursing & Health Sciences

Pub Date : 2024-01-11 DOI: 10.1111/nhs.13084

Siegnella Concincion, Lieke van Houtum, Birgitta van de Vorst, Arnoud Verhoeff, Christine Dedding

The COVID-19 pandemic deeply affected the lives of children and young people; studies report adverse effects on mental, physical, and social well-being. However, the impact of the pandemic on obesity care for children received little attention. The aim of this study was to gain insight into the challenges youth healthcare nurses experienced and to describe implications for future obesity care and policy. We conducted interviews, participant observations, and a group session with youth healthcare nurses during the pandemic in Amsterdam, the Netherlands. Youth healthcare nurses reported a deterioration in the problems of children and young people who were already in the highest classification for pediatric obesity, such as increased weight gain, mental health problems, and socio-economic problems. The nurses experienced immense challenges while trying to provide obesity care, such as a decrease in face-to-face contact with youth and their families, as well as loss of continuity of care. It is important to reconnect with these families, invest in a trusted relationship with youth receiving obesity care, and prioritize available and accessible obesity care for those who need it the most.

COVID-19 大流行对儿童和青少年的生活产生了深刻影响；研究报告称，它对儿童的心理、身体和社会福祉产生了不利影响。然而，大流行病对儿童肥胖护理的影响却很少受到关注。本研究旨在深入了解青少年保健护士所经历的挑战，并阐述对未来肥胖症护理和政策的影响。大流行期间，我们在荷兰阿姆斯特丹对青少年保健护士进行了访谈、参与观察和小组讨论。青少年保健护士报告说，已被列入儿科肥胖症最高级别的儿童和青少年的问题有所恶化，如体重增加、心理健康问题和社会经济问题。护士们在提供肥胖症护理的过程中遇到了巨大的挑战，例如与青少年及其家人面对面接触的机会减少，以及失去了护理的连续性。重要的是，要重新与这些家庭建立联系，与接受肥胖症护理的青少年建立信任关系，并优先为最需要的人提供可获得的肥胖症护理。

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引用次数: 0

Decision aids for promoting shared decision-making: A review of systematic reviews 促进共同决策的决策辅助工具：系统回顾综述

IF 2.7 3区医学 Q2 NURSING

Nursing & Health Sciences

Pub Date : 2024-01-11 DOI: 10.1111/nhs.13071

Myonghwa Park, Thao Thi-Thu Doan, Jihye Jung, Thi-Thanh-Tinh Giap, Jinju Kim

In the context of shared decision-making (SDM), experts have advocated the use of validated decision aids (DAs) as valuable tools for facilitating SDM in various healthcare scenarios. This comprehensive review attempts to analyze a vast corpus of DA research by performing thorough searches across four prominent databases (PubMed, CINAHL, Embase, and Web of Science). Independent reviewers selected relevant reviews, extracted data, and assessed review quality using the AMSTAR II tool. A total of 34 systematic reviews were identified and evaluated in this review, encompassing a wide range of outcomes associated with using DAs. These outcomes include patient knowledge, patient involvement in SDM, decision conflict, decision regret, satisfaction, and adherence. In addition, DAs positively affect healthcare provider outcomes by increasing satisfaction, reducing decision conflicts, and lengthening clinical consultations. This review highlights the need for additional research in specific contexts such as long-term care, mental health, and reproductive health to better understand the benefits and challenges of implementing DAs in these settings. Such research can contribute to the improvement of SDM practices and patient-centered care.

在共同决策（SDM）的背景下，专家们提倡使用经过验证的决策辅助工具（DAs），将其作为在各种医疗场景中促进 SDM 的重要工具。本综合综述试图通过对四个著名数据库（PubMed、CINAHL、Embase 和 Web of Science）进行全面检索，分析大量的决策辅助工具研究。独立审稿人选择相关综述、提取数据，并使用 AMSTAR II 工具评估综述质量。本综述共确定并评估了 34 篇系统性综述，涵盖了与使用 DAs 相关的各种结果。这些结果包括患者知识、患者参与 SDM、决策冲突、决策遗憾、满意度和依从性。此外，DAs 还通过提高满意度、减少决策冲突和延长临床会诊时间对医疗服务提供者的结果产生积极影响。本综述强调了在长期护理、心理健康和生殖健康等特定环境中开展更多研究的必要性，以更好地了解在这些环境中实施DAs的益处和挑战。此类研究有助于改善 SDM 实践和以患者为中心的护理。

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引用次数: 0

Fostering cultural competence: Exploring client perception in a health coaching intervention among college students. 培养文化能力：探索大学生健康指导干预中的客户感知。

IF 2.7 3区医学 Q2 NURSING

Nursing & Health Sciences

Pub Date : 2024-01-04 DOI: 10.1111/nhs.13077

Seungbin Oh, Sarah Benes, Zi Yan

Health coaching could be an innovative approach to develop student coaches' cultural competence (CC) among future health professionals. The current mix-method study design explored the impact of an 8-week peer health coaching intervention among college students on CC, from both student health coaches (i.e., students majored in health sciences who completed health coaching training and acted as health coach) and student clients' perspective. Nine student coaches and 24 student clients participated in the study. The quantitative analysis showed an increase in the clients' perceived level of coaches' CC between the pre- and posttest. The qualitative analysis revealed three themes, including varying levels of awareness, respectful and culturally responsive coaching, and cultural connection. Implications and recommendations for educators and researchers are discussed.

健康指导可以作为一种创新方法，在未来的卫生专业人员中培养学生教练的文化能力（CC）。本研究采用混合方法设计，从学生健康教练（即完成健康教练培训并担任健康教练的健康科学专业学生）和学生客户的角度，探讨了为期 8 周的大学生朋辈健康教练干预对 CC 的影响。9 名学生教练和 24 名学生客户参与了研究。定量分析显示，在前测和后测之间，客户对教练的CC感知水平有所提高。定性分析揭示了三个主题，包括不同程度的意识、尊重和文化回应型教练以及文化联系。本文讨论了对教育工作者和研究人员的启示和建议。

引用次数: 0

How do nursing home nurses conceptualize the management of behavioral and psychological symptoms of dementia? A phenomenographic study. 养老院护士如何看待痴呆症行为和心理症状的管理？一项现象学研究。

IF 2.7 3区医学 Q2 NURSING

Nursing & Health Sciences

Pub Date : 2024-01-01 DOI: 10.1111/nhs.13079

Dayeong Kim, Young-Rim Choi, Ye-Na Lee, Sung Ok Chang

The behavioral and psychological symptoms of dementia (BPSD) present complex challenges for nursing home (NH) nurses, leading to confusion and difficulties in providing effective care. To address these issues, investigating how NH nurses perceive and manage the BPSD is crucial since it can lead to the development of tailored and effective care plans. This study therefore aimed to explore the ways in which NH nurses approach the management of the BPSD by using phenomenography. The study identified five categories of assessment and four categories of intervention in managing the BPSD, with their hierarchical structure represented as an outcome space. Each category's description provides a clear conceptualization of the complex and challenging nature of the BPSD care, offering insights into how NH nurses perceive the BPSD management. The study's findings can enhance NH nurse education and lead to effective care plans for residents with BPSD.

痴呆症的行为和心理症状（BPSD）给疗养院（NH）护士带来了复杂的挑战，导致她们在提供有效护理时感到困惑和困难。为了解决这些问题，调查养老院护士如何看待和处理 BPSD 至关重要，因为这可以帮助制定量身定制的有效护理计划。因此，本研究旨在采用现象学的方法，探讨 NH 护士管理 BPSD 的方法。研究确定了管理 BPSD 的五个评估类别和四个干预类别，其层次结构表现为一个结果空间。每个类别的描述都对 BPSD 护理的复杂性和挑战性提供了清晰的概念，为了解 NH 护士如何看待 BPSD 管理提供了见解。这项研究的发现可以加强护理院护士的教育，并为患有 BPSD 的住院患者制定有效的护理计划。

引用次数: 0

Knowledge of osteoporosis prevention among people with endocrine disorders: A cross-sectional study. 内分泌失调患者的骨质疏松症预防知识：一项横断面研究。

IF 2.7 3区医学 Q2 NURSING

Nursing & Health Sciences

Pub Date : 2023-12-27 DOI: 10.1111/nhs.13074

Yaqiong Tan, Bihua Luo, Zhifeng Sheng

People with endocrine disorders are at an increased risk of osteoporosis, yet their knowledge of osteoporosis prevention is rarely studied. This study aimed to assess the knowledge related to osteoporosis prevention and its associated factors among people with endocrine disorders in China. A cross-sectional study was conducted in a Chinese hospital's Department of Metabolism and Endocrinology. A total of 562 people with endocrine disorders completed the Chinese version of the Osteoporosis Prevention and Awareness Tool to assess their knowledge of osteoporosis prevention. Results showed that participants had a mean knowledge of 59.36 ± 23.90 out of 100, with only 52.1% scoring above 60 points. Being female, having higher education, with comorbidities, with a recent osteoporosis diagnosis, and having received health education related to osteoporosis prevention were associated with higher knowledge of osteoporosis prevention. Our study indicates that more efforts are needed to improve the knowledge related to osteoporosis prevention among people with endocrine disorders. This may be realized by strengthening and expanding diverse education, focusing on males and those with lower education and without comorbidities.

内分泌失调患者罹患骨质疏松症的风险增加，但他们对骨质疏松症预防知识的了解却鲜有研究。本研究旨在评估中国内分泌失调患者预防骨质疏松症的相关知识及其相关因素。这项横断面研究在一家中医院的代谢与内分泌科进行。共有562名内分泌失调患者完成了骨质疏松症预防和认知工具的中文版，以评估他们对骨质疏松症预防知识的了解程度。结果显示，参与者的平均知识水平为（59.36 ± 23.90）分（满分100分），只有52.1%的人得分超过60分。女性、受过高等教育、有合并症、最近诊断出骨质疏松症以及接受过与骨质疏松症预防相关的健康教育与骨质疏松症预防知识较高相关。我们的研究表明，要提高内分泌失调患者对骨质疏松症预防知识的了解，还需要付出更多的努力。这可以通过加强和扩大多样化教育来实现，重点是男性和教育程度较低且无合并症的人群。

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引用次数: 0

The measurement of fatigue in clinicians within hospital settings: A systematic review of measurement properties. 医院环境中临床医生疲劳度的测量：对测量特性的系统回顾。

IF 2.7 3区医学 Q2 NURSING

Nursing & Health Sciences

Pub Date : 2023-12-27 DOI: 10.1111/nhs.13070

Stephen John Walters, Janine Dizon, Cindy Stern, Matthew Stephenson

Medical staff fatigue leads to accidents and mistakes and puts patient safety at risk. A measure of fatigue in the workplace may help to quantify, predict, and manage fatigue. This review aimed to evaluate instruments used to measure fatigue in medical staff within hospitals. A systematic review following the JBI methodology was undertaken. A search for articles was conducted in 2021. Included articles (all validation studies) were assessed for methodological quality using the COSMIN checklist. Measurement property data was evaluated for Quality of Evidence using GRADE methodology. Ten studies representing five instruments were reviewed: Occupational Fatigue Exertion and Recovery scale (now superseded); Occupational Fatigue Exertion and Recovery scale (15-item); Multidimensional Fatigue Inventory; Need for Recovery Scale; and the Swedish Occupational Fatigue Inventory. Four instruments show promise for measuring fatigue in hospital medical staff, however, there is limited certainty in the measure property estimates. The Quality of Evidence for measurement properties for all instruments is insufficient. Further validation studies following the COSMIN standards are needed before recommendations for use can be made.

医务人员的疲劳会导致事故和失误，危及患者安全。对工作场所疲劳的测量有助于量化、预测和管理疲劳。本综述旨在评估用于衡量医院医务人员疲劳程度的工具。本研究采用 JBI 方法进行了系统性综述。文章搜索于 2021 年进行。采用 COSMIN 检查表对纳入的文章（所有验证研究）进行方法学质量评估。采用 GRADE 方法对测量属性数据进行证据质量评估。对代表五种工具的十项研究进行了审查：职业疲劳劳累与恢复量表（现已被取代）、职业疲劳劳累与恢复量表（15 项）、多维疲劳量表、需要恢复量表和瑞典职业疲劳量表。四种工具显示出测量医院医务人员疲劳的前景，但测量属性估计值的确定性有限。所有工具的测量属性的证据质量都不充分。在提出使用建议之前，还需要按照 COSMIN 标准进行进一步的验证研究。

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