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Lived experiences: Growing up with a seriously mentally ill parent 生活经历与患有严重精神疾病的父母一起成长。
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2024-01-02 DOI: 10.1111/jnu.12955
Alexander Shestiperov MSN, BSN, RN, Orli Grinstein-Cohen PhD, MSN, BSN, RN, Deborah Lindell DNP, MSN, RN, CNE, ANEF, FAAN, Elliane Irani PhD, RN, Ilya Kagan PhD, MA, MBA, RN
<div> <section> <h3> Introduction</h3> <p>Individuals with serious mental illness often have persistent and disruptive symptoms. These can profoundly affect their children's lives, exposing them to adverse social and psychological conditions. Such conditions can result in traumatic lived experiences during childhood, which can carry over into adulthood, influencing their self-perceptions and shaping their attitudes toward themselves and society. To gain insights into this phenomenon, this study explored the lived experiences of adults who grew up with a parent with serious mental illness and their perceptions of their lives in adulthood.</p> </section> <section> <h3> Design</h3> <p>This study used an interpretive phenomenological design.</p> </section> <section> <h3> Methods</h3> <p>Participants were invited to voluntarily participate in the study through a call posted on social media. Semi-structured interviews were conducted with 30 adults (age range, 20–55 years) who grew up with a parent with serious mental illness. The interviews were recorded and transcribed, and inductive thematic analysis was used to identify main and overarching themes.</p> </section> <section> <h3> Results</h3> <p>The overarching theme of transition from childhood survival to adulthood survival emerged and included four main themes: (1) a traumatic childhood, (2) perceived control, (3) resilience and general self-efficacy, and (4) adult quality of life. A traumatic childhood consisted of experiences of neglect and abuse, while participants used perceived control to achieve personal growth, self-care, and care of others. Resilience and general self-efficacy emerged during the transition to adulthood and helped participants further their social status and strengthen family bonds. Lastly, adult quality of life was described as being disturbed by feelings of loneliness and being burdensome, stemming from an inherent tendency to rely solely on themselves, leading to trust issues and mental health complications. Therefore, these adults found it difficult to reach out and get help or treatment for their concerns, as they initially did not want to appear dysfunctional or in need.</p> </section> <section> <h3> Conclusion</h3> <p>This study has illuminated the lived experiences of a specific, vulnerable population that has not been intentionally explored until now. To delve into these experiences, we employed a distinctive qualitative approach, merging the interpretive phenomenolog
引言患有严重精神疾病的人通常会出现持续性和破坏性症状。这些症状会严重影响其子女的生活,使他们面临不利的社会和心理状况。这些情况可能会导致他们在童年时期遭受创伤性的生活经历,这种经历可能会延续到成年,影响他们的自我认知,并塑造他们对自己和社会的态度。为了深入了解这一现象,本研究探讨了与患有严重精神疾病的父母一起长大的成年人的生活经历,以及他们对自己成年后生活的看法:本研究采用解释现象学设计:方法:通过在社交媒体上发布征集令,邀请参与者自愿参与研究。我们对 30 名与患有严重精神疾病的父母一起长大的成年人(年龄在 20-55 岁之间)进行了半结构化访谈。对访谈进行了记录和转录,并采用归纳式主题分析来确定主要和首要主题:结果:从童年生存到成年生存的过渡这一总主题包括四个主要主题:(1) 创伤性童年,(2) 感知控制,(3) 复原力和一般自我效能,以及 (4) 成人生活质量。创伤性童年包括被忽视和被虐待的经历,而参与者则利用感知控制来实现个人成长、自我照顾和照顾他人。复原力和一般自我效能感出现在向成年过渡的过程中,帮助参与者提高社会地位和加强家庭纽带。最后,成人的生活质量受到孤独感和负担感的干扰,这是因为他们天生倾向于完全依赖自己,从而导致信任问题和心理健康并发症。因此,这些成年人发现自己很难伸出援手,寻求帮助或治疗,因为他们最初并不希望自己显得功能失调或需要帮助:这项研究揭示了一个特殊的弱势群体的生活经历,而到目前为止,我们还没有对这一群体的生活经历进行过有意的探索。为了深入了解这些经历,我们采用了一种独特的定性方法,将解释性现象学视角与归纳式主题分析相结合。这使得我们能够在一个相对较大的参与者群体中获得丰富的洞察力,并在这一方法框架内进行深入探讨。因此,本研究对现有知识体系做出了显著贡献,探索了个人成长的复杂性及其对参与者生活质量的影响。它揭示了复原力和一般自我效能感的本质,揭示了这些因素是如何与所观察到的负面结果交织在一起的。然而,研究结果强调,包括护士和其他护理人员在内的医护人员需要注意重症精神病患者子女的不良经历所带来的长期影响。当务之急是积极开展临床评估并实施有针对性的干预措施,以解决这些儿童在不同成长阶段的特殊需求和困难。这种全面而有针对性的方法对于提供适当的支持和促进这些人的福祉至关重要:加强对精神科整体护理的临床关注对个人及其亲属,尤其是儿童至关重要。对父母患有严重精神疾病的儿童和成人进行全面评估,可以采取有针对性的预防性干预措施,从而对整体生活质量产生积极影响。
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引用次数: 0
Big data research in nursing: A bibliometric exploration of themes and publications 护理领域的大数据研究:对主题和出版物的文献计量学探索。
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2023-12-22 DOI: 10.1111/jnu.12954
Bo Li, Kun Du, Guanchen Qu, Naifu Tang
<div> <section> <h3> Aims</h3> <p>To comprehend the current research hotspots and emerging trends in big data research within the global nursing domain.</p> </section> <section> <h3> Design</h3> <p>Bibliometric analysis.</p> </section> <section> <h3> Methods</h3> <p>The quality articles for analysis indexed by the science core collection were obtained from the Web of Science database as of February 10, 2023.The descriptive, visual analysis and text mining were realized by CiteSpace and VOSviewer.</p> </section> <section> <h3> Results</h3> <p>The research on big data in the nursing field has experienced steady growth over the past decade. A total of 45 core authors and 17 core journals around the world have contributed to this field. The author's keyword analysis has revealed five distinct clusters of research focus. These encompass machine/deep learning and artificial intelligence, natural language processing, big data analytics and data science, IoT and cloud computing, and the development of prediction models through data mining. Furthermore, a comparative examination was conducted with data spanning from 1980 to 2016, and an extended analysis was performed covering the years from 1980 to 2019. This bibliometric mapping comparison allowed for the identification of prevailing research trends and the pinpointing of potential future research hotspots within the field.</p> </section> <section> <h3> Conclusions</h3> <p>The fusion of data mining and nursing research has steadily advanced and become more refined over time. Technologically, it has expanded from initial natural language processing to encompass machine learning, deep learning, artificial intelligence, and data mining approach that amalgamates multiple technologies. Professionally, it has progressed from addressing patient safety and pressure ulcers to encompassing chronic diseases, critical care, emergency response, community and nursing home settings, and specific diseases (Cardiovascular diseases, diabetes, stroke, etc.). The convergence of IoT, cloud computing, fog computing, and big data processing has opened new avenues for research in geriatric nursing management and community care. However, a global imbalance exists in utilizing big data in nursing research, emphasizing the need to enhance data science literacy among clinical staff worldwide to advance this field.</p> </section> <section> <h3> Clinical Relevance</h3> <p>This study focused on the thematic trends and evolution of research on the big data in
目的:了解当前全球护理领域大数据研究的研究热点和新兴趋势:文献计量分析:通过CiteSpace和VOSviewer实现描述性分析、可视化分析和文本挖掘:近十年来,护理领域的大数据研究经历了稳步增长。全球共有 45 位核心作者和 17 种核心期刊为这一领域做出了贡献。作者通过关键词分析发现了五个不同的研究重点集群。它们包括机器/深度学习和人工智能、自然语言处理、大数据分析和数据科学、物联网和云计算,以及通过数据挖掘开发预测模型。此外,还对1980年至2016年的数据进行了比较研究,并对1980年至2019年的数据进行了扩展分析。通过这种文献图谱比较,可以确定当前的研究趋势,并指出该领域未来潜在的研究热点:随着时间的推移,数据挖掘与护理研究的融合稳步发展,并变得更加完善。在技术上,它已从最初的自然语言处理扩展到机器学习、深度学习、人工智能以及融合多种技术的数据挖掘方法。在专业方面,它已从解决患者安全和压疮问题发展到涵盖慢性疾病、重症监护、应急响应、社区和养老院环境以及特定疾病(心血管疾病、糖尿病、中风等)。物联网、云计算、雾计算和大数据处理的融合为老年护理管理和社区护理研究开辟了新途径。然而,在护理研究中利用大数据方面存在着全球性的不平衡,强调需要提高全球临床工作人员的数据科学素养,以推动这一领域的发展:本研究关注护理研究中大数据的主题趋势和研究演变。此外,本研究还有助于世界各国的研究人员、期刊和国家对大数据的了解,并产生可能的合作,以促进护理科学大数据的发展。
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引用次数: 0
An examination of retracted articles in nursing literature 护理文献中被撤回文章的研究
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2023-12-20 DOI: 10.1111/jnu.12952
Leslie H. Nicoll PhD, MBA, RN, FAAN, Heather Carter-Templeton PhD, RN-BC, FAAN, Marilyn H. Oermann PhD, RN, ANEF, FAAN, Hannah E. Bailey MS, Jacqueline K. Owens PhD, RN, CNE, Jordan Wrigley MSLS, MA, Leila S. Ledbetter MLIS, AHIP

Introduction

The output of scholarly publications in scientific literature has increased exponentially in recent years. This increase in literature has been accompanied by an increase in retractions. Although some of these may be attributed to publishing errors, many are the result of unsavory research practices. The purposes of this study were to identify the number of retracted articles in nursing and reasons for the retractions, analyze the retraction notices, and determine the length of time for an article in nursing to be retracted.

Design

This was an exploratory study.

Methods

A search of PubMed/MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, and Retraction Watch databases was conducted to identify retracted articles in nursing and their retraction notices.

Results

Between 1997 and 2022, 123 articles published in the nursing literature were retracted. Ten different reasons for retraction were used to categorize these articles with one-third of the retractions (n = 37, 30.1%) not specifying a reason. Sixty-eight percent (n = 77) were retracted because of an actual or a potential ethical concern: duplicate publication, data issues, plagiarism, authorship issues, and copyright.

Conclusion

Nurses rely on nursing-specific scholarly literature as evidence for clinical decisions. The findings demonstrated that retractions are increasing within published nursing literature. In addition, it was evident that retraction notices do not prevent previously published work from being cited. This study addressed a gap in knowledge about article retractions specific to nursing.

近年来,科学文献中的学术出版物数量成倍增长。文献数量增加的同时,撤稿数量也在增加。虽然其中一些可能是由于出版错误造成的,但许多是不光彩的研究行为造成的。本研究的目的是确定护理领域被撤稿的文章数量和撤稿原因,分析撤稿通知,并确定护理领域文章被撤稿的时间长度。
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引用次数: 0
A cross-sectional study quantifies the independent contribution of nurses and midwives in child health outcomes 一项横断面研究量化了护士和助产士对儿童健康成果的独立贡献。
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2023-12-18 DOI: 10.1111/jnu.12951
Wenpeng You PhD, Frank Donnelly PhD

Introduction

As the largest profession within the healthcare industry, nursing and midwifery workforce (NMW) provides comprehensive healthcare to children and their families. This study quantified the independent role of NMW in reducing under-5 mortality rate (U5MR) worldwide.

Design

A retrospective, observational and correlational study to examine the independent role of NMW in protecting against U5MR.

Methods

Within 266 “countries”, the cross-sectional correlations between NMW and U5MR were examined with scatter plots, Pearson's r, nonparametric, partial correlation and multiple regression. The affluence, education and urban advantages were considered as the potential competing factors for the NMW–U5MR relationship. The NMW–U5MR correlations in both developing and developed countries were explored and compared.

Results

Bivariate correlations revealed that NMW negatively and significantly correlated to U5MR worldwide. When the contributing effects of economic affluence, urbanization and education were removed, the independent NMW role in reducing U5MR remained significant. NMW independently explained 9.36% U5MR variance. Multilinear regression selected NMW as a significant factor contributing an extra 3% of explanation to U5MR variance when NMW, affluence, education and urban advantage were incorporated as the predicting variables. NMW correlated with U5MR significantly more strongly in developing countries than in developed countries.

Conclusion

NMW, indexing nursing and midwifery service, was a significant factor for reducing U5MR worldwide. This beneficial effect explained 9.36% of U5MR variance which was independent of economic affluence, urbanization and education. The NMW may be a more significant risk factor for protecting children from dying under 5 years old in developing countries. As a strategic response to the advocacy of the United Nations to reduce child mortality, it is worthy for health authorities to consider a further extension of nurses and midwives' practice scope to enable communities to have more access to NMW healthcare services.

导言:作为医疗保健行业中最大的职业,护理和助产士队伍(NMW)为儿童及其家庭提供全面的医疗保健服务。本研究量化了 NMW 在降低全球 5 岁以下儿童死亡率(U5MR)方面的独立作用:设计:一项回顾性、观察性和相关性研究,旨在探讨 NMW 在降低 5 岁以下儿童死亡率方面的独立作用:方法:在 266 个 "国家 "中,使用散点图、皮尔逊 r、非参数、偏相关和多元回归等方法研究了 NMW 与五岁以下幼儿死亡率之间的横截面相关性。富裕程度、教育程度和城市优势被认为是影响 NMW-U5MR 关系的潜在竞争因素。对发展中国家和发达国家的 NMW-U5MR 相关性进行了探讨和比较:双变量相关性表明,在全球范围内,NMW 与 U5MR 呈显著负相关。在剔除经济富裕、城市化和教育的影响后,NMW 在降低五岁以下幼儿死亡率方面的独立作用仍然显著。NMW 可独立解释 9.36% 的五岁以下幼儿死亡率变异。当将 NMW、富裕程度、教育程度和城市优势作为预测变量时,多线性回归选择 NMW 作为一个重要因素,为五岁以下幼儿死亡率方差提供了额外 3% 的解释。发展中国家的 NMW 与五岁以下幼儿死亡率的相关性明显高于发达国家:结论:将护理和助产服务指数化的 NMW 是降低全球五岁以下幼儿死亡率的一个重要因素。这一有利影响解释了 9.36% 的五岁以下幼儿死亡率差异,与经济富裕程度、城市化和教育程度无关。在发展中国家,国家最低工资可能是保护 5 岁以下儿童免于死亡的更重要的风险因素。作为对联合国降低儿童死亡率倡议的战略回应,卫生当局值得考虑进一步扩大护士和助产士的执业范围,使社区有更多机会获得国家最低工资医疗保健服务。
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引用次数: 0
Editorial for the special issue about the health of transgender and gender diverse people 为有关变性人和性别多元化人群健康的特刊撰写社论。
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2023-12-15 DOI: 10.1111/jnu.12949
Laura Kelly she/her/hers PhD, PMHNP, Kasey Jackman he/him/his PhD, RN, PMHNP-BC, FAAN
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引用次数: 0
A longitudinal investigation of structural empowerment profiles among healthcare employees 医疗保健员工结构性赋权概况纵向调查
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2023-12-13 DOI: 10.1111/jnu.12950
Baptiste Cougot PhD, Nicolas Gillet PhD, Alexandre J. S. Morin PhD, Jules Gauvin MSc, Florian Ollierou MSc, Leïla Moret MD, PhD, Dominique Tripodi MD, PhD
<div> <section> <h3> Purpose</h3> <p>Research on structural empowerment has typically adopted a variable-centered perspective, which is not ideal to study the combined effects of structural empowerment components. This person-centered investigation aims to enhance our knowledge about the configurations, or profiles, of healthcare employees' perceptions of the structural empowerment dimensions present in their workplace (opportunity, information, support, and resources). Furthermore, this study considers the replicability and stability of these profiles over a period of 2 years, and their outcomes (perceived quality of care, and positive and negative affect).</p> </section> <section> <h3> Design</h3> <p>Participants completed the same self-reported questionnaires twice, 2 years apart.</p> </section> <section> <h3> Methods</h3> <p>A sample of 633 healthcare employees (including a majority of nurses and nursing assistants) participated. Latent transition analyses were performed.</p> </section> <section> <h3> Results</h3> <p>Five profiles were identified: Low Empowerment, High Information, Normative, Moderately High Empowerment, and High Empowerment. Membership into the Normative and Moderately High Empowerment profiles demonstrated a high level of stability over time (79.1% to 83.2%). Membership in the other profiles was either moderately stable (43.5% for the High Empowerment profile) or relatively unstable (19.7% to 20.4% for the Low Empowerment and High Information profiles) over time. More desirable outcomes (i.e., higher positive affect and quality of care, and lower negative affect) were observed in the High Empowerment profile.</p> </section> <section> <h3> Conclusions</h3> <p>These results highlight the benefits of high structural empowerment, in line with prior studies suggesting that structural empowerment can act as a strong organizational resource capable of enhancing the functioning of healthcare professionals. These findings additionally demonstrate that profiles characterized by the highest or lowest levels of structural empowerment were less stable over time than those characterized by more moderate levels.</p> </section> <section> <h3> Clinical Relevance</h3> <p>From an intervention perspective, organizations and managers should pay special attention to employees perceiving low levels of structural empowerment, as they experience the
有关结构性赋权的研究通常采用以变量为中心的视角,这对于研究结构性赋权各组成部分的综合效应并不理想。这项以人为中心的调查旨在增进我们对医疗保健员工对其工作场所中存在的结构性赋权维度(机会、信息、支持和资源)的认知配置或概况的了解。此外,本研究还考虑了这些特征在两年内的可复制性和稳定性,以及它们的结果(感知到的护理质量、积极和消极情绪)。
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引用次数: 0
Correction to “The effect of a lifestyle intervention program using a mobile application versus the effect of a program using a booklet for adults with metabolic syndrome: A three-arm randomized controlled trial” 更正“使用移动应用程序的生活方式干预计划与使用小册子的计划对代谢综合征成人的影响:一项三组随机对照试验”。
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2023-12-07 DOI: 10.1111/jnu.12948

Wong EML, Leung DYP, Wang Q, Leung AYM, Cheung ASP. The effect of a lifestyle intervention program using a mobile application versus the effect of a program using a booklet for adults with metabolic syndrome: A three-arm randomized controlled trial. J Nurs Scheme 2023;55:936-948.

In the Funding Information section, the text “This research is supported by the Health and Medical Research Fund (No. 10110301), Food and Health Bureau, Hong Kong SAR.” was incorrect. This should have read “This research is supported by the Health and Medical Research Fund (No. 16172411), Food and Health Bureau, Hong Kong SAR.”

We apologize for this error.

Wong EML, Leung DYP, Wang Q, Leung AYM, Cheung ASP.针对成人代谢综合征患者的移动应用程序生活方式干预计划与手册计划的效果对比:三臂随机对照试验》。J Nurs Scheme 2023;55:936-948.In the Funding Information section, the text "This research is supported by the Health and Medical Research Fund (No. 10110301), Food and Health Bureau, Hong Kong SAR." was incorrect.我们对此表示歉意。
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引用次数: 0
Parental supporter in pediatric resuscitation: A mixed-method study with Delphi and analytic hierarchy process 儿童复苏中的父母支持:采用德尔菲法和层次分析法的混合方法研究。
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2023-11-29 DOI: 10.1111/jnu.12947
Arezoo Ghavi, Hadi Hassankhani, Kathleen L. Meert
<div> <section> <h3> Introduction</h3> <p>Providing support to parents is an evidence-based practice and a crucial part of family-centered nursing care. However, it is not clear who and how to provide the best support to parents during and after their child's resuscitation attempts.</p> </section> <section> <h3> Purpose</h3> <p>This study was conducted to explore the characteristics and roles of parental supporters responsible for caring for parents during and after their child's resuscitation.</p> </section> <section> <h3> Methods</h3> <p>This is a mixed-method study combining the Delphi technique and the Analytic Hierarchy Process. A list of potentially important items describing the characteristics and roles of parental supporters caring for parents during and after pediatric resuscitation was developed through qualitative interviews with parents and members of the resuscitation team, and a thorough literature search. Then, the Delphi round was conducted with key experts. In the final step, the Analytic Hierarchy Process was used for ranking items in the order of their importance.</p> </section> <section> <h3> Results</h3> <p>A list with 69 items describing the characteristics and roles of parental supporters was developed. 15 items (21.74%) were related to the “Characteristics of parental supporter” category; 8 items (11.59%) were related to the “Roles of a parental supporter during resuscitation” category; 13 items (18.84%) were related to the “Roles of a parental supporter after successful resuscitation” category; 23 items (33.34%) were related to the “Roles of a parental supporter after unsuccessful resuscitation” category; and 10 items (14.49%) were related to the “Roles of a parental supporter after unsuccessful resuscitation with help of other staff of the hospital” category.</p> </section> <section> <h3> Conclusion</h3> <p>The findings of this study can be used to develop guidelines that include parental supporter characteristics and roles to support parents during and after their child's resuscitation according to family-centered care practices in pediatric settings.</p> </section> <section> <h3> Clinical Relevance</h3> <p>Study findings indicate the need for the presence of a parental supporter during and after pediatric resuscitation, whether witnessed by the parents or not. Knowledge regarding the characteristics and roles of parental supporters can be used in practice to uphold family-centered nursing care during critical situations.</p> </sect
为父母提供支持是一种循证实践,也是以家庭为中心的护理的重要组成部分。然而,目前尚不清楚谁以及如何在孩子复苏期间和之后为父母提供最好的支持。目的:本研究旨在探讨在儿童复苏期间和复苏后负责照顾父母的父母支持者的特点和角色。方法:采用德尔菲法和层次分析法相结合的混合方法进行研究。通过对父母和复苏团队成员的定性访谈,以及全面的文献检索,制定了一份描述在儿科复苏期间和之后照顾父母的父母支持者的特征和角色的潜在重要项目清单。然后,与关键专家进行了德尔菲回合。在最后一步中,使用层次分析法对项目的重要性进行排序。结果:编制了一份包含69个条目的表,描述了父母支持者的特征和角色。15项(21.74%)与“父母赡养者特征”相关;8项(11.59%)与“复苏过程中父母赡养者的角色”相关;13项(18.84%)与“成功复苏后父母赡养者的角色”相关;与“复苏失败后父母支持者的角色”相关的题项有23项(33.34%);10项(14.49%)与“在医院其他工作人员帮助下复苏失败后父母支持者的角色”相关。结论:本研究的发现可用于制定指南,包括父母支持者的特征和角色,以支持父母在儿童复苏期间和之后,根据家庭为中心的护理实践。临床相关性:研究结果表明,在儿童复苏期间和之后,无论父母是否在场,都需要父母的支持。关于父母支持者的特征和角色的知识可以在实践中使用,在危急情况下维护以家庭为中心的护理。
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引用次数: 0
Comprehensive lifestyle modification interventions for metabolic syndrome: A systematic review and meta-analysis 综合生活方式改变干预代谢综合征:系统回顾和荟萃分析。
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2023-11-27 DOI: 10.1111/jnu.12946
Sungwon Park PhD, RN, Jiwon Lee PhD, RN, Jo Woon Seok PhD, RN, Chang Gi Park PhD, Jin Jun PhD, RN

Introduction

Previous systematic reviews and meta-analyses have mainly focused on improvements in the number of metabolic syndrome risk factors and individual changes in each risk factor, making it challenging to examine the impact of comprehensive lifestyle modification interventions on adherence to recommended health behaviors. To address this gap, we conducted a systematic and meta-analysis aimed at identifying clinical parameter levels associated with lifestyle modification outcomes and adherence to recommended health behaviors for individuals with metabolic syndrome.

Methods

A total of seven studies retrieved from four databases (CINAHL, Medline via PubMed, American Psychological Association PsycINFO, and Embase) were included in the review. The selected studies, which demonstrated improvements in health behaviors, all included diet and exercise as main factors of comprehensive lifestyle modification in home settings.

Results

Our findings suggest that a 6-month comprehensive intervention including diet and exercise can be effective in decreasing glucose levels and systolic blood pressure. However, given the limited available data, further studies investigating the efficacy of interventions of varying durations are needed.

Discussion

Although our review included a small number of studies, comprehensive lifestyle modifications consisting of at least two components (primarily diet and exercise) can improve health behaviors and some clinical parameters among individuals with metabolic syndrome. Future studies are needed to investigate the long-term effects of lifestyle modifications on health behavior adherence and explore effective interventions to address certain clinical parameters, such as high-density lipoprotein levels. Also, we recommend using objective and quantifiable measure to compare adherence to recommended lifestyle modifications across studies.

Clinical Relevance

This research provides empirical evidence of the effectiveness of comprehensive lifestyle modification and emphasizes the need to develop long-term nursing strategies in public health that can be used to effectively manage metabolic syndrome.

先前的系统综述和荟萃分析主要集中在代谢综合征危险因素数量的改善和每个危险因素的个体变化上,这使得研究综合生活方式改变干预对坚持推荐健康行为的影响具有挑战性。为了解决这一差距,我们进行了一项系统和荟萃分析,旨在确定与代谢综合征患者生活方式改变结果和坚持推荐健康行为相关的临床参数水平。方法:从四个数据库(CINAHL, Medline via PubMed, American Psychological Association PsycINFO和Embase)中检索到的7项研究被纳入本综述。所选的研究证明了健康行为的改善,所有这些研究都将饮食和运动作为家庭环境中全面改变生活方式的主要因素。结果:我们的研究结果表明,6个月的综合干预包括饮食和运动可以有效地降低血糖水平和收缩压。然而,鉴于现有数据有限,需要进一步研究不同持续时间的干预措施的有效性。讨论:尽管我们的综述只包括少量的研究,但至少由两部分组成的全面生活方式改变(主要是饮食和运动)可以改善代谢综合征患者的健康行为和一些临床参数。未来的研究需要调查生活方式改变对健康行为依从性的长期影响,并探索有效的干预措施来解决某些临床参数,如高密度脂蛋白水平。此外,我们建议使用客观和可量化的措施来比较研究中推荐的生活方式改变的依从性。临床意义:本研究为全面改变生活方式的有效性提供了经验证据,并强调了在公共卫生领域制定可用于有效管理代谢综合征的长期护理策略的必要性。
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引用次数: 0
Relations between concussion symptoms and depression among patients with mild traumatic brain injury: A moderated mediation model 轻度创伤性脑损伤患者脑震荡症状与抑郁的关系:一个有调节的中介模型
IF 3.4 3区 医学 Q1 NURSING Pub Date : 2023-11-22 DOI: 10.1111/jnu.12944
Ching-Yuan Ma MSN, Ya-Wen Hsiao MSN, Hsin-Ya Tzeng MSN, Dueng-Yuan Hueng MD, PhD, Hui-Hsun Chiang PhD, RN

Introduction

Concussion symptoms following a traumatic accident are both common and known to adversely affect mental health and recovery in patients with traumatic brain injury. Depression, highly prevalent among patients with traumatic brain injury, is also associated with the important factors of sleep quality and resilience. However, the mediator and moderator roles of depression following concussion in patients with traumatic brain injury have been underexplored. The aims of this study were to investigate the mediating role of sleep quality in the relation between concussion symptoms and depression and to examine the moderating effect of resilience on this mediated model.

Design

Cross-sectional pretest data analysis of a randomized controlled trial.

Methods

A total of 249 adult patients with mild traumatic brain injury (Glasgow Coma Scale 13–15) at admission following brain injury were surveyed at a medical center in Taipei, Taiwan. The outcome variables were concussion symptoms (Rivermead Post-Concussion Symptom Questionnaire), sleep quality (Pittsburgh Sleep Quality Index), resilience (Resilience Scale for Adults), and depression (Beck Depression Inventory II). These data were analyzed using moderated mediation regressions with the SPSS PROCESS macro.

Results

In patients with mild traumatic brain injury, there was a significant positive relation between concussion symptoms and depression, of which sleep quality was a significant mediator. Additionally, resilience had a negative moderating effect on the relations between sleep quality and depression. Patients with less resilience showed a stronger negative effect of sleep quality on depression.

Conclusion

Our findings suggest that ameliorating both concussion symptoms and sleep disturbance is important for reducing the risk of depression in patients with mild traumatic brain injury, especially in those patients with less resilience.

Clinical Relevance

It is essential for clinical nurses to develop interventions for patients with mild traumatic brain injury that will improve their sleep quality, while strengthening their resilience, to alleviate depression.

简介:创伤性事故后的脑震荡症状既常见又已知会对创伤性脑损伤患者的心理健康和康复产生不利影响。抑郁症在创伤性脑损伤患者中非常普遍,它也与睡眠质量和恢复力等重要因素有关。然而,创伤性脑损伤患者脑震荡后抑郁的调节和调节作用尚未得到充分的探讨。本研究旨在探讨睡眠质量在脑震荡症状与抑郁关系中的中介作用,并探讨心理弹性在这一中介模型中的调节作用。设计:随机对照试验的横断面测前数据分析。方法:对台湾省台北市某医疗中心收治的249例轻度外伤性脑损伤(格拉斯哥昏迷量表13-15分)患者进行调查。结果变量为脑震荡症状(Rivermead脑震荡后症状问卷)、睡眠质量(匹兹堡睡眠质量指数)、心理弹性(成人心理弹性量表)和抑郁(贝克抑郁量表II)。这些数据使用SPSS PROCESS宏进行有调节的中介回归分析。结果:在轻度颅脑损伤患者中,脑震荡症状与抑郁呈显著正相关,其中睡眠质量是显著中介。此外,弹性对睡眠质量和抑郁之间的关系有负向调节作用。韧性较差的患者睡眠质量对抑郁症的负面影响更大。结论:我们的研究结果表明,改善脑震荡症状和睡眠障碍对降低轻度创伤性脑损伤患者的抑郁风险很重要,特别是对那些恢复能力较差的患者。临床意义:临床护理人员有必要针对轻度创伤性脑损伤患者制定干预措施,改善其睡眠质量,同时增强其适应能力,以减轻抑郁。
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引用次数: 0
期刊
Journal of Nursing Scholarship
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