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Efficacy of Mind-body Exercise to Reduce Sleep Disturbance and Depression Among Older Adults: A Systematic Review and Meta-analysis 身心锻炼对减少老年人睡眠障碍和抑郁的功效:系统回顾与荟萃分析。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.anr.2024.08.002
Makhfudli Makhfudli , Santo I. Tonapa , Eka M.M. Has , Mei-Chan Chong , Ferry Efendi

Purpose

Mind-body exercise is a promising non-pharmacological approach for managing sleep disturbance and depression that are prevalent among older adults, but its efficacy remains inconclusive across the studies. This study aimed to systematically evaluate and quantify the overall effectiveness of mind-body exercises on sleep disturbance and depression in older adults.

Methods

We searched eight databases to identify relevant articles from their inception to April 2024. Experimental studies that evaluate the effects of mind-body movement therapy on sleep disturbance and depression in older adults were included. The Cochrane Risk of Bias tool version 2.0 was used to appraise included studies. The pairwise meta-analysis was performed through the software Comprehensive Meta-Analysis Version 3.0. Moreover, subgroup analysis was utilized to understand the effect size on each form of mind-body exercise and to determine the source of heterogeneity.

Results

A total of 27 studies were eligible and synthesized. The mind-body exercise appears statistically significant in reducing sleep disturbance (SMD = −0.60, 95% CI: 0.76 ∼ 0.44) and depression (SMD = −0.56, 95% CI: 0.75 ∼ 0.36) among older adults. Each form of mind-body exercise, including pilates, yoga, qigong, and tai-chi, effectively decreases sleep disturbance and depression, but there were no significant differences in the effects between these practices.

Conclusion

The cumulative evidence concludes that older adults who participated in mind-body exercise programs showed potential improvements in sleep disturbance and depression. This finding may serve as evidence for professionals to use this approach as a non-pharmacological approach to help older adults in the community and long-term care facilities who are having sleep disturbance and depression. More clinical trials are needed for an in-depth meta-analysis that can rank and compare the efficacy of each mind-body exercise practice.
目的:身心锻炼是一种很有前景的非药物疗法,可用于治疗老年人中普遍存在的睡眠障碍和抑郁症,但其疗效在各项研究中仍无定论。本研究旨在系统地评估和量化身心锻炼对老年人睡眠障碍和抑郁症的总体疗效:我们检索了八个数据库,以确定从开始到 2024 年 4 月的相关文章。方法:我们检索了 8 个数据库,找出了从 2024 年 4 月开始的相关文章,其中包括评估身心运动疗法对老年人睡眠障碍和抑郁症影响的实验研究。使用 Cochrane Risk of Bias 工具 2.0 版对纳入的研究进行评估。配对荟萃分析通过软件 Comprehensive Meta-Analysis Version 3.0 进行。此外,还利用亚组分析来了解每种身心锻炼方式的效应大小,并确定异质性的来源:共有 27 项研究符合条件并进行了综合分析。身心锻炼在减少老年人睡眠障碍(SMD= -0.60,95% CI:-0.76 至 -0.44)和抑郁(SMD= -0.56,95% CI:-0.75 至 -0.36)方面具有显著的统计学意义。包括普拉提、瑜伽、气功和太极拳在内的每一种身心锻炼方式都能有效减少睡眠障碍和抑郁,但这些锻炼方式之间的效果没有显著差异:累积的证据表明,参加身心锻炼计划的老年人在睡眠障碍和抑郁方面有可能得到改善。这一发现可作为专业人士使用这种方法的证据,作为一种非药物疗法,帮助社区和长期护理机构中出现睡眠障碍和抑郁的老年人。还需要更多的临床试验来进行深入的荟萃分析,以便对每种身心锻炼方法的功效进行排序和比较。
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引用次数: 0
Optimizing the Regulation of Nursing in the Asian Context: Development and Application of a Legal Framework 优化亚洲护理监管:法律框架的制定与应用。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.anr.2024.09.004
Sungkyoung Choi , Won Lee

Purpose

It is essential to regulate nursing to protect the population's health. As regulation constantly changes in response to societal trends, periodic reviews of nursing regulations become imperative. Therefore, we developed a legal framework by extracting essential elements for nursing regulation and explored its potential application.

Methods

This study consisted of two parts. First, the legal framework for nursing regulation was developed through reviewing literature that mentions the content that can be included in nursing regulations, and through a content validity assessment by five experts. Second, this legal framework was applied to the nursing laws of China, Hong Kong, Japan, and Taiwan to confirm the suitability of the framework.

Results

In the first part of the study, the legal framework for nursing regulation consists of seven categories (purpose, definitions, standards for practice, license acquisition and registration to practice, regulatory body, protection of the legal authority of nurses, offenses/penalties, and disciplinary procedures) and 17 items was developed. As a result of applying this framework to nursing laws in four countries, the average utilization rate for all 17 items was 68.4%. The matching scores between the framework and the law were over 60% for all four laws.

Conclusion

Regulations, especially in the form of legislation, must be carefully considered because laws involve enforcement and potential penalties. This study is significant for identifying essential nursing regulation elements and offering a practical reference tool, expected to be widely utilized in future nursing policy and regulatory research.
目的:必须对护理工作进行监管,以保护人民的健康。随着社会发展趋势,护理法规也在不断变化,因此定期审查护理法规势在必行。因此,我们通过提取护理法规的基本要素制定了一个法律框架,并探索了其潜在的应用范围:本研究由两部分组成。首先,通过查阅提及可纳入护理法规内容的文献,并由五位专家进行内容效度评估,制定了护理法规的法律框架。其次,将该法律框架应用于中国、香港、日本和台湾的护理法律,以确认该框架的适用性:在研究的第一部分,制定了由七个类别(目的、定义、执业标准、执业许可的获取和注册、监管机构、护士法律权威的保护、违法行为/处罚和惩戒程序)和 17 个条目组成的护理监管法律框架。将该框架应用于四个国家的护理法后,所有 17 个项目的平均利用率为 68.4%。在所有四部法律中,该框架与法律之间的匹配得分均超过 60%:法规,尤其是立法形式的法规,必须仔细斟酌,因为法律涉及执行和潜在的惩罚。本研究的重要意义在于确定了护理法规的基本要素,并提供了一个实用的参考工具,有望在未来的护理政策和法规研究中得到广泛应用。
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引用次数: 0
An Evaluation Index System to Assess Nurse Competency in Enhanced Recovery After Surgery Programs: A Delphi Study 评估术后恢复强化项目中护士能力的评价指标体系:德尔菲研究。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.anr.2024.09.006
Gongjie Shi, Hongxia Xu, Yihong Xu, Hongying Pan

Purpose

To construct an index system to evaluate the competencies of nurses in enhanced recovery after surgery (ERAS) programs and provide a scientific foundation for their training and assessment.

Methods

Utilizing a literature review and semi-structured interviews, a preliminary indicator system was constructed. Based on the preliminary indicator system, a Delphi questionnaire was developed and utilized to achieve consensus among experts in two rounds of Delphi studies. The indicators were selected based on a mean importance score greater than 4 and a coefficient of variation less than .25. The weights of the indicators were calculated using the Analytic Hierarchy Process.

Results

The study developed a system that evaluates the competencies of nurses involved in ERAS programs, offering a reference for their training and evaluation. The final index system includes 7 primary indicators, 20 secondary indicators, and 66 tertiary indicators. The primary indicators consist of competencies in the following components: 1) Direct clinical practice (20 items); 2) Expert coaching and guidance (9 items); 3) Consultation (6 items); 4) Research (7 items); 5) Leadership (11 items); 6) Collaboration (8 items); and 7) Ethical decision-making (5 items).

Conclusion

The developed competency evaluation index system is reliable and can serve as a foundation for the selection, training, and assessment of ERAS nurses.
目的:构建一套指标体系来评估护士在术后恢复强化项目中的能力,为其培训和评估提供科学依据:方法:利用文献综述和半结构式访谈,构建初步指标体系。在初步指标体系的基础上,制定了德尔菲调查问卷,并通过两轮德尔菲研究在专家之间达成共识。指标的选择以平均重要度大于 4 分和变异系数小于 0.25 为基础。指标权重采用层次分析法计算:研究开发了一套系统,用于评估参与 ERAS 计划的护士的能力,为其培训和评估提供参考。最终的指标体系包括 7 个一级指标、20 个二级指标和 66 个三级指标。一级指标包括以下几个方面的能力:1) 直接临床实践(20 项);2) 专家辅导和指导(9 项);3) 咨询(6 项);4) 研究(7 项);5) 领导(11 项);6) 协作(8 项);7) 道德决策(5 项):所开发的能力评价指标体系是可靠的,可作为 ERAS 护士选拔、培训和评估的基础。
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引用次数: 0
Evaluation of the Psychometric Properties of the Translated Physical Self-Perception Profile Among Chinese Breast Cancer Survivor 中国乳腺癌幸存者身体自我感知档案翻译版的心理计量特性评估
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.anr.2024.09.011
Sek Ying Chair , Aileen Wai Kiu Chan , Kai Chow Choi , Ting Liu , Winnie Kwok Wei So , Ruitong Gao , Kenneth R. Fox

Purpose

The purpose of this study was to translate the original English version of the Physical Self-Perception Profile into Cantonese Chinese, while considering linguistic and socio-cultural characteristics, and to evaluate its psychometric properties among Chinese breast cancer survivors in Hong Kong, China, thus providing a valid, culturally relevant tool for assessing physical self-esteem among this population.

Methods

The 30-item, 5 subscale Physical Self-Perception Profile was translated into Chinese by the combined translation technique. The psychometric properties of the Cantonese version of the Physical Self-Perception Profile were examined in 292 Hong Kong Chinese breast cancer survivors for internal consistency and test–retest reliability. A confirmatory factor analysis was conducted to evaluate the structural validity. A panel of five experts examined its content validity. The concurrent validity was examined by correlating the Physical Self-Perception Profile and a validated global self-esteem measure.

Results

The Cantonese version of the Physical Self-Perception Profile demonstrated satisfactory content validity, also satisfactory internal consistency with Cronbach's α ranging from .64 to .80, as well as good test–retest reliability, with an intraclass correlation coefficient ranging from .77 to .81. The confirmatory factor analysis showed a fairly good fit of the four-factor subdomain structure, namely, physical condition, physical strength, body attractiveness, and sports competence. The concurrent validity of the Chinese version Physical Self-Perception Profile was demonstrated by a significant positive correlation between the physical self-worth domain and four subdomains with global self-esteem. In addition, the four subdomains had statistically significant positive correlations, with the physical self-worth domain indicating the instrument's hierarchical structure.

Conclusion

The study translated the Physical Self-Perception Profile from English to Cantonese and demonstrated its desirable psychometric properties among Chinese Hong Kong breast cancer survivors. The linguistical and cultural adaptation of this instrument can serve as a valid and reliable tool for assessing physical self-esteem among breast cancer survivors in Hong Kong, China.
目的:在考虑语言和社会文化特点的前提下,将体能自我感知量表的英文原版翻译成粤语,并评估其在中国香港华裔乳腺癌幸存者中的心理测量特性,从而为评估该人群的体能自尊提供一个有效的、与文化相关的工具:方法:采用联合翻译技术将 30 个项目的 "身体自我认知量表 "翻译成中文。在 292 名香港华裔乳癌幸存者中检验了粤语版 "身体自我认知量表 "的心理计量特性,以确定其内部一致性和重测可靠性。为评估其结构效度,还进行了确认性因子分析。由 5 位专家组成的小组对其内容效度进行了检验。通过将 "身体自我认知档案 "与一个经过验证的全面自尊测量指标进行关联,对其并发效度进行了检验:结果:粤语版的 "体格自我认知档案 "显示出令人满意的内容效度,以及令人满意的内部一致性(Cronbach's α介于 0.64 和 0.80 之间)和良好的测试-再测可靠性(类内相关系数介于 0.77 和 0.81 之间)。确认性因素分析表明,身体状况、体力、身体吸引力和运动能力这四个因素子域结构的拟合程度相当高。体能自我价值域和四个子域与总体自尊之间存在显著的正相关,这证明了中国版体能自我概念量表的并发效度。此外,四个子域与体能自我价值域在统计上有显著的正相关,这表明该工具具有层次结构:本研究将 "身体自我认知档案 "从英语翻译成了粤语,并在香港华裔乳腺癌幸存者中证明了其理想的心理测量特性。该工具的语言和文化适应性可作为有效和可靠的工具,用于评估中国香港乳腺癌幸存者的身体自尊。
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引用次数: 0
Impacts of Just Culture on Perioperative Nurses' Attitudes and Behaviors With Regard to Patient Safety Incident Reporting: Cross-Sectional Nationwide Survey 正义文化对围术期护士报告患者安全事件的态度和行为的影响:全国横断面调查。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.anr.2024.09.001
Nara Han , Seok Hee Jeong , Myung Ha Lee , Hee Sun Kim

Purpose

Just culture refers to a culture that encourages members of an organization to exchange important safety information and compensates them when they perform such information exchanges. The establishment of a just culture in hospital organizations might be an important means of enhancing patient safety incident reporting. This study aimed to investigate the impact of just culture on the attitudes and behaviors toward patient safety incident reporting in perioperative nurses.

Methods

A nationwide cross-sectional survey was performed using structured questionnaires. The participants were 208 perioperative nurses in tertiary general hospitals in South Korea. Data were collected by self-reported on-line questionnaires, from August to September 2020. Data were analyzed with descriptive statistics, independent t-test, chi-square test, Fisher's exact test, one-way ANOVA, Scheffé test, Pearson's correlation analysis, Spearman rank correlation analysis, hierarchical multiple regression, and hierarchical logistic regression using the SPSS WIN 23.0 program.

Results

Hierarchical multiple regression analysis revealed that just culture explained an additional 34.5%p of the attitudes on patient safety incident reporting. Hierarchical logistic regression analysis showed that just culture was a significant predictor of behaviors regarding patient safety incident reporting (odds ratio = 2.25, p = .017). The final regression model accounted for 16.0% of the behaviors regarding patient safety incident reporting.

Conclusion

This study empirically shows that just culture impacted the attitudes and behaviors regarding patient safety incident reporting in perioperative nurses. This study provides an evidence about the importance of the just culture in every day nursing practice setting. Personnel and organizational efforts for improving or implementing just culture are required to ensure greater patient safety by enhancing the patient safety incident reporting of perioperative nurses in hospitals.
目的:公正文化是指一种鼓励组织成员交流重要安全信息,并在他们进行此类信息交流时给予补偿的文化。在医院组织中建立公正文化可能是加强患者安全事件报告的重要手段。本研究旨在探讨公正文化对围术期护士报告患者安全事件的态度和行为的影响:方法:采用结构化问卷在全国范围内进行横断面调查。调查对象为韩国三级综合医院的 208 名围手术期护士。于 2020 年 8 月至 9 月通过自我报告的在线问卷收集数据。使用SPSS WIN 23.0程序对数据进行了描述性统计、独立t检验、卡方检验、费雪精确检验、单因素方差分析、Scheffé检验、皮尔逊相关分析、斯皮尔曼等级相关分析、层次多元回归和层次逻辑回归分析:层次多元回归分析表明,仅文化就能解释患者安全事件报告态度的 34.5%p。层次逻辑回归分析表明,单纯文化是患者安全事件报告行为的重要预测因素(几率比=2.25,P=0.017)。最终的回归模型解释了 16.0% 的患者安全事件报告行为:本研究通过实证研究表明,围手术期护士对患者安全事件报告的态度和行为会受到医院文化的影响。这项研究为公正文化在日常护理实践环境中的重要性提供了证据。需要人员和组织努力改进或实施公正文化,通过加强医院围手术期护士的患者安全事件报告来确保更高的患者安全。
{"title":"Impacts of Just Culture on Perioperative Nurses' Attitudes and Behaviors With Regard to Patient Safety Incident Reporting: Cross-Sectional Nationwide Survey","authors":"Nara Han ,&nbsp;Seok Hee Jeong ,&nbsp;Myung Ha Lee ,&nbsp;Hee Sun Kim","doi":"10.1016/j.anr.2024.09.001","DOIUrl":"10.1016/j.anr.2024.09.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Just culture refers to a culture that encourages members of an organization to exchange important safety information and compensates them when they perform such information exchanges. The establishment of a just culture in hospital organizations might be an important means of enhancing patient safety incident reporting. This study aimed to investigate the impact of just culture on the attitudes and behaviors toward patient safety incident reporting in perioperative nurses.</div></div><div><h3>Methods</h3><div>A nationwide cross-sectional survey was performed using structured questionnaires. The participants were 208 perioperative nurses in tertiary general hospitals in South Korea. Data were collected by self-reported on-line questionnaires, from August to September 2020. Data were analyzed with descriptive statistics, independent t-test, chi-square test, Fisher's exact test, one-way ANOVA, Scheffé test, Pearson's correlation analysis, Spearman rank correlation analysis, hierarchical multiple regression, and hierarchical logistic regression using the SPSS WIN 23.0 program.</div></div><div><h3>Results</h3><div>Hierarchical multiple regression analysis revealed that just culture explained an additional 34.5%p of the attitudes on patient safety incident reporting. Hierarchical logistic regression analysis showed that just culture was a significant predictor of behaviors regarding patient safety incident reporting (odds ratio = 2.25, <em>p</em> = .017). The final regression model accounted for 16.0% of the behaviors regarding patient safety incident reporting.</div></div><div><h3>Conclusion</h3><div>This study empirically shows that just culture impacted the attitudes and behaviors regarding patient safety incident reporting in perioperative nurses. This study provides an evidence about the importance of the just culture in every day nursing practice setting. Personnel and organizational efforts for improving or implementing just culture are required to ensure greater patient safety by enhancing the patient safety incident reporting of perioperative nurses in hospitals.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 4","pages":"Pages 323-330"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combined Effect of Alcohol Consumption Patterns and Marital Status on All-cause Mortality Among Middle- and Old-aged People: A Longitudinal Study From Korea 饮酒模式和婚姻状况对中老年人全因死亡率的综合影响:韩国的一项纵向研究。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.anr.2024.09.008
Yoonjung Ji , Wonhee Baek , Suran Lee

Purposes

The association between alcohol consumption, health, and mortality is intricate, with marital status being a determinant of drinking behavior. This study investigated the combined effect of alcohol consumption patterns and marital status on mortality in middle-aged and older Korean individuals.

Methods

This prospective longitudinal study used data from the Korean Longitudinal Study of Aging, conducted from 2006 to 2020. The study population comprised individuals who were consuming alcohol around the time of the basic survey and participated in the 1st wave 2006 study. We divided 3,823 drinkers older than 45 into four groups: “normal drinker and married (NM),” “normal drinker and unmarried (NUM),” “excessive drinker and married (EM),” and “excessive drinker and unmarried (EUM).” A Cox proportional hazards regression analysis was performed for survival analysis.

Results

The median survival time of the EUM group was 11.9 years. After adjusting for the covariates, the mortality risk among the NUM, EM, and EUM were approximately 1.67 times, 1.33 times, and 3.10 times higher than that among the NM, respectively.

Conclusion

Middle- and old-aged unmarried people with excessive drinking patterns constitute a high-risk group for mortality. Community healthcare providers should focus on characteristics that differ by age, considering family-related factors, and assessing alcohol consumption patterns to reduce mortality. Among middle- and old-aged people, support for unmarried and excessive drinkers should be strengthened, and consultation on visiting community-based clinics should be promoted to improve firmly established alcohol consumption patterns.
目的:饮酒、健康和死亡率之间的关系错综复杂,其中婚姻状况是饮酒行为的决定因素。本研究调查了饮酒模式和婚姻状况对韩国中老年人死亡率的综合影响:这项前瞻性纵向研究使用了韩国老龄化纵向研究(Korean Longitudinal Study of Aging)的数据,研究时间为 2006 年至 2020 年。研究人群包括在基本调查前后饮酒并参与 2006 年第一波研究的人。我们将 3,823 名 45 岁以上的饮酒者分为四组:"已婚正常饮酒者(NM)"、"未婚正常饮酒者(NUM)"、"已婚过度饮酒者(EM)"和 "未婚过度饮酒者(EUM)"。生存分析采用了 Cox 比例危险回归分析:EUM组的中位生存时间为11.9年。调整协变量后,NUM、EM 和 EUM 组的死亡风险分别是 NM 组的约 1.67 倍、1.33 倍和 3.10 倍:结论:饮酒过度的中老年未婚人群是死亡的高危人群。社区医疗服务提供者应关注不同年龄段的特征,考虑与家庭相关的因素,评估饮酒模式,以降低死亡率。在中老年人中,应加强对未婚和过度饮酒者的支持,并推广到社区诊所就诊的咨询方式,以改善牢固确立的饮酒模式。
{"title":"Combined Effect of Alcohol Consumption Patterns and Marital Status on All-cause Mortality Among Middle- and Old-aged People: A Longitudinal Study From Korea","authors":"Yoonjung Ji ,&nbsp;Wonhee Baek ,&nbsp;Suran Lee","doi":"10.1016/j.anr.2024.09.008","DOIUrl":"10.1016/j.anr.2024.09.008","url":null,"abstract":"<div><h3>Purposes</h3><div>The association between alcohol consumption, health, and mortality is intricate, with marital status being a determinant of drinking behavior. This study investigated the combined effect of alcohol consumption patterns and marital status on mortality in middle-aged and older Korean individuals.</div></div><div><h3>Methods</h3><div>This prospective longitudinal study used data from the Korean Longitudinal Study of Aging, conducted from 2006 to 2020. The study population comprised individuals who were consuming alcohol around the time of the basic survey and participated in the 1<sup>st</sup> wave 2006 study. We divided 3,823 drinkers older than 45 into four groups: “normal drinker and married (NM),” “normal drinker and unmarried (NUM),” “excessive drinker and married (EM),” and “excessive drinker and unmarried (EUM).” A Cox proportional hazards regression analysis was performed for survival analysis.</div></div><div><h3>Results</h3><div>The median survival time of the EUM group was 11.9 years. After adjusting for the covariates, the mortality risk among the NUM, EM, and EUM were approximately 1.67 times, 1.33 times, and 3.10 times higher than that among the NM, respectively.</div></div><div><h3>Conclusion</h3><div>Middle- and old-aged unmarried people with excessive drinking patterns constitute a high-risk group for mortality. Community healthcare providers should focus on characteristics that differ by age, considering family-related factors, and assessing alcohol consumption patterns to reduce mortality. Among middle- and old-aged people, support for unmarried and excessive drinkers should be strengthened, and consultation on visiting community-based clinics should be promoted to improve firmly established alcohol consumption patterns.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 4","pages":"Pages 377-383"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Tele-exercise Interventions on Quality of Life in Cancer Patients: A Meta-analysis 远程锻炼干预对癌症患者生活质量的影响:荟萃分析。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.anr.2024.09.005
Xiaoli Chen , Chuanmei Zhu , Juejin Li , Lin Zhou , Shu Zhang , Yun Zhang , Xiaolin Hu

Purpose

To evaluate the impacts of tele-exercise intervention with cancer patients’ quality of life, taking into account the influence of the duration of tele-exercise intervention, type of intervention, and gender of cancer patients on quality of life.

Methods

The PubMed (MEDLINE), Embase, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, and PsycINFO databases were searched from inception to August 21, 2023. The Cochrane Collaboration's risk of bias tool 2 was utilized to estimate the risk of bias, and the Grading of Recommendations, Assessment. For statistical analyses, R Studio was employed.

Results

This meta-analysis contained eight trials. When compared to controls, tele-exercise interventions (SMD = 0.41, 95% CI: 0.12 to 0.70, p < .010; I2 = 54%, p = .030) have a positive influence on boosting the quality of life within cancer patients. Subgroup analyses demonstrated the greater effectiveness of tele-exercise in enhancing the quality of life of cancer patients when the duration was greater than or equal to 10 weeks. Furthermore, tele-exercise was found to have a stronger advantageous effect on quality of life among female cancer. In addition, among the types of interventions for tele-exercise, neither web-based nor telephone-based formats significantly enhanced quality of life among cancer patients.

Conclusion

Tele-exercise interventions are a cost-effective and feasible non-pharmacologic complementary way to promote cancer patients' quality of life. Additional large-sample, carefully designed randomized controlled trials are warranted to further validate the impact of tele-exercise concerning cancer patients’ quality of life.

Registration number

CRD42023477147.
目的:评估远程锻炼干预对癌症患者生活质量的影响,同时考虑远程锻炼干预的持续时间、干预类型和癌症患者性别对生活质量的影响:方法:对 PubMed (MEDLINE)、Embase、CINAHL、Cochrane Central Register of Controlled Trials (CENTRAL)、Web of Science 和 PsycINFO 数据库中从开始到 2023 年 8 月 21 日进行了检索。利用 Cochrane 协作组织的偏倚风险工具 2 估算偏倚风险,并进行了 "推荐分级 "评估。统计分析采用 R Studio:该荟萃分析包含八项试验。与对照组相比,远程锻炼干预(SMD=0.41,95% CI:0.12 至 0.70,p < .010;I2=54%,p=.030)对提高癌症患者的生活质量有积极影响。分组分析表明,当远程锻炼持续时间大于或等于 10 周时,远程锻炼对提高癌症患者的生活质量更有效。此外,研究还发现远程锻炼对女性癌症患者的生活质量有更大的优势。此外,在远程锻炼的干预类型中,基于网络或电话的形式都不能显著提高癌症患者的生活质量:结论:远程锻炼干预是提高癌症患者生活质量的一种具有成本效益且可行的非药物补充方式。有必要进行更多的大样本、精心设计的随机对照试验,以进一步验证远程锻炼对癌症患者生活质量的影响:注册编号:CRD42023477147。
{"title":"Effect of Tele-exercise Interventions on Quality of Life in Cancer Patients: A Meta-analysis","authors":"Xiaoli Chen ,&nbsp;Chuanmei Zhu ,&nbsp;Juejin Li ,&nbsp;Lin Zhou ,&nbsp;Shu Zhang ,&nbsp;Yun Zhang ,&nbsp;Xiaolin Hu","doi":"10.1016/j.anr.2024.09.005","DOIUrl":"10.1016/j.anr.2024.09.005","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the impacts of tele-exercise intervention with cancer patients’ quality of life, taking into account the influence of the duration of tele-exercise intervention, type of intervention, and gender of cancer patients on quality of life.</div></div><div><h3>Methods</h3><div>The PubMed (MEDLINE), Embase, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, and PsycINFO databases were searched from inception to August 21, 2023. The Cochrane Collaboration's risk of bias tool 2 was utilized to estimate the risk of bias, and the Grading of Recommendations, Assessment. For statistical analyses, R Studio was employed.</div></div><div><h3>Results</h3><div>This meta-analysis contained eight trials. When compared to controls, tele-exercise interventions (SMD = 0.41, 95% CI: 0.12 to 0.70, <em>p</em> &lt; .010; I<sup>2</sup> = 54%, <em>p</em> = .030) have a positive influence on boosting the quality of life within cancer patients. Subgroup analyses demonstrated the greater effectiveness of tele-exercise in enhancing the quality of life of cancer patients when the duration was greater than or equal to 10 weeks. Furthermore, tele-exercise was found to have a stronger advantageous effect on quality of life among female cancer. In addition, among the types of interventions for tele-exercise, neither web-based nor telephone-based formats significantly enhanced quality of life among cancer patients.</div></div><div><h3>Conclusion</h3><div>Tele-exercise interventions are a cost-effective and feasible non-pharmacologic complementary way to promote cancer patients' quality of life. Additional large-sample, carefully designed randomized controlled trials are warranted to further validate the impact of tele-exercise concerning cancer patients’ quality of life.</div></div><div><h3>Registration number</h3><div>CRD42023477147.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 4","pages":"Pages 348-357"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of a Customized Diet Education Program Using a Mobile Instant Messenger for People Undergoing Peritoneal Dialysis: A Feasibility Test 使用移动即时通讯工具为腹膜透析患者定制饮食教育计划的效果:可行性测试。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.anr.2024.09.007
Hyun-Jung Lee , Hee-Young Kang

Purpose

The study was conducted to develop a customized diet education program using mobile instant messenger for people undergoing peritoneal dialysis (PD). Our goal was to examine the program's effects on diet-related self-efficacy, dietary self-care compliance, and physiological indices (hemoglobin, albumin, potassium, and phosphorus).

Methods

This was a quasi-experimental study with a non-equivalent control group pre-post-test design. We applied the Cox interaction model of client health behaviors. Overall, 43 patients (21 in the experimental group and 22 in the control group) attending the renal clinic and undergoing PD at three hospitals were included. The experimental group underwent a customized diet education program using a mobile instant messenger for five weeks. Patients in the control group received routine care. This study was conducted in the following order: pre-test, treatment, post-test 1 (immediately after), and post-test 2 (four weeks after).

Results

This study showed significant differences in dietary self-care compliance (F = 15.29, p < .001) and hemoglobin level (F = 7.55, p = .001) in interactions between times and groups.

Conclusion

The diet education program is an effective strategies to preventing complications and helping PD patients perform dietary self-care compliance through systematic and continuous interactions with educational nurse who is an expert in PD management of people undergoing PD.
目的:本研究旨在利用移动即时通讯工具为腹膜透析(PD)患者量身定制饮食教育计划。我们的目标是研究该项目对饮食相关自我效能、饮食自我护理依从性和生理指标(血红蛋白、白蛋白、钾和磷)的影响:这是一项准实验研究,采用了非等效对照组的前测-后测设计。我们采用了客户健康行为的 Cox 交互模型。共有 43 名患者(实验组 21 人,对照组 22 人)在三家医院的肾脏门诊就诊并接受了腹膜透析治疗。实验组使用移动即时通讯工具接受了为期五周的定制饮食教育计划。对照组患者接受常规护理。本研究按照以下顺序进行:前测试、治疗、后测试 1(紧接着)和后测试 2(四周后):研究结果表明,在不同时间和组别的交互作用下,饮食自我护理依从性(F = 15.29,p < .001)和血红蛋白水平(F = 7.55,p = .001)存在明显差异:饮食教育计划是预防并发症和帮助帕金森氏症患者进行饮食自我护理的有效策略,通过与帕金森氏症患者管理专家的教育护士进行系统和持续的互动,可以帮助帕金森氏症患者进行饮食自我护理。
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引用次数: 0
Therapeutic communication using mirroring interventions in nursing education: A mixed methods study. 在护理教育中使用镜像干预进行治疗性交流:混合方法研究。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2024-09-26 DOI: 10.1016/j.anr.2024.09.012
Seung Hee Lee, Hye Jin Yoo

Purpose: Therapeutic communication between nurses and patients is a method of interaction occurring throughout the process of identifying and resolving the patient's health problems. This study investigated the effects of interventions on nursing students' therapeutic communication competency.

Methods: This mixed methods study used a sequential exploratory design involving four sessions of therapeutic communication interventions with 40 third-year nursing students in South Korea. A pre- and post-therapeutic communication competence survey was conducted, and the effect was confirmed through individual interviews. Paired t-tests assessed the difference in therapeutic communication competence, while qualitative data underwent content analysis.

Results: Therapeutic communication competence results improved from 79.30 to 89.58 points out of 100. Three themes were derived: "the process of properly recognizing myself," "active learning to understand communication between myself and others," and "successful steps toward practicing sincere nursing."

Conclusions: Therapeutic communication interventions involving mirroring interviews and shared experiences improves nursing students' patient-centered communication skills. The findings provided evidence for strategies needed to improve therapeutic communication competency in clinical settings.

目的:护士与患者之间的治疗性沟通是一种互动方法,贯穿于发现和解决患者健康问题的整个过程。本研究调查了干预措施对护理专业学生治疗沟通能力的影响:这项混合方法研究采用顺序探索设计,对 40 名韩国三年级护理专业学生进行了四次治疗沟通干预。进行了治疗沟通能力前后调查,并通过个别访谈确认了效果。配对 t 检验评估了治疗沟通能力的差异,同时对定性数据进行了内容分析:结果:治疗沟通能力从 79.30 分提高到 89.58 分(满分 100 分)。得出了三个主题:结果:治疗沟通能力成绩从 79.30 分提高到 89.58 分(满分 100 分),得出了三个主题:"正确认识自己的过程"、"积极学习理解自己与他人之间的沟通 "和 "成功迈向真诚护理":涉及镜像访谈和分享经验的治疗性沟通干预提高了护理专业学生以患者为中心的沟通技能。研究结果为临床环境中提高治疗性沟通能力所需的策略提供了证据。
{"title":"Therapeutic communication using mirroring interventions in nursing education: A mixed methods study.","authors":"Seung Hee Lee, Hye Jin Yoo","doi":"10.1016/j.anr.2024.09.012","DOIUrl":"https://doi.org/10.1016/j.anr.2024.09.012","url":null,"abstract":"<p><strong>Purpose: </strong>Therapeutic communication between nurses and patients is a method of interaction occurring throughout the process of identifying and resolving the patient's health problems. This study investigated the effects of interventions on nursing students' therapeutic communication competency.</p><p><strong>Methods: </strong>This mixed methods study used a sequential exploratory design involving four sessions of therapeutic communication interventions with 40 third-year nursing students in South Korea. A pre- and post-therapeutic communication competence survey was conducted, and the effect was confirmed through individual interviews. Paired t-tests assessed the difference in therapeutic communication competence, while qualitative data underwent content analysis.</p><p><strong>Results: </strong>Therapeutic communication competence results improved from 79.30 to 89.58 points out of 100. Three themes were derived: \"the process of properly recognizing myself,\" \"active learning to understand communication between myself and others,\" and \"successful steps toward practicing sincere nursing.\"</p><p><strong>Conclusions: </strong>Therapeutic communication interventions involving mirroring interviews and shared experiences improves nursing students' patient-centered communication skills. The findings provided evidence for strategies needed to improve therapeutic communication competency in clinical settings.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Subjective Study on Pediatric Emergency Department Nurses′ Perceptions of Urgency Using Q Methodology 使用 Q 方法对儿科急诊室护士对急诊的感知进行主观研究。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.anr.2024.07.002
Hyeyeon Yeon , Sunhui Choi , Danbi Park , Min Jeong Seo

Purpose

In the emergency department (ED), triage significantly impacts patient safety. Therefore, triage nurses must make decisions accurately and timeously. This study aims to investigate how South Korean pediatric emergency nurses perceive urgency and classify severity using the Q methodology, which examines individuals' subjectivity.

Methods

We collected 84 statements from a Q population based on a literature review and interviews and selected 33 Q samples. The P samples included 30 pediatric emergency nurses at a Seoul tertiary care hospital. The principal component factor analysis method was used to analyze data using the PC-QUANL program.

Results

Four urgency perception types were identified among pediatric ED nurses—Type 1: “Experiential coping”; Type 2: “Careful reasoning”; Type 3: “Patient-centered thinking”; and Type 4: “Intuitive prediction.” These types appear to be an integrated process of knowledge and clinical experience that considers children's characteristics and developmental stages.

Conclusion

This study may serve as a basis for future education to improve pediatric ED nurses′ urgency judgment and severity classification skills.

目的:在急诊科(ED)中,分诊对患者安全有重大影响。因此,分诊护士必须准确、及时地做出决定。本研究旨在利用考察个人主观性的 Q 方法,调查韩国儿科急诊护士如何感知紧迫性并对严重程度进行分类:我们根据文献综述和访谈,从 Q 人群中收集了 84 份陈述,并选出了 33 个 Q 样本。P 样本包括首尔一家三级医院的 30 名儿科急诊护士。使用 PC-QUANL 程序对数据进行主成分因子分析:结果:在儿科急诊室护士中发现了四种紧迫感类型。类型1:"经验应对";类型2:"谨慎推理";类型3:"以患者为中心的思考";类型4:"直觉预测"。这些类型似乎是一个综合知识和临床经验的过程,考虑到了儿童的特点和发展阶段:本研究可作为未来教育的基础,以提高儿科急诊室护士的紧急程度判断和严重程度分类技能。
{"title":"Subjective Study on Pediatric Emergency Department Nurses′ Perceptions of Urgency Using Q Methodology","authors":"Hyeyeon Yeon ,&nbsp;Sunhui Choi ,&nbsp;Danbi Park ,&nbsp;Min Jeong Seo","doi":"10.1016/j.anr.2024.07.002","DOIUrl":"10.1016/j.anr.2024.07.002","url":null,"abstract":"<div><h3>Purpose</h3><p>In the emergency department (ED), triage significantly impacts patient safety. Therefore, triage nurses must make decisions accurately and timeously. This study aims to investigate how South Korean pediatric emergency nurses perceive urgency and classify severity using the Q methodology, which examines individuals' subjectivity.</p></div><div><h3>Methods</h3><p>We collected 84 statements from a Q population based on a literature review and interviews and selected 33 Q samples. The P samples included 30 pediatric emergency nurses at a Seoul tertiary care hospital. The principal component factor analysis method was used to analyze data using the PC-QUANL program.</p></div><div><h3>Results</h3><p>Four urgency perception types were identified among pediatric ED nurses—Type 1: “Experiential coping”; Type 2: “Careful reasoning”; Type 3: “Patient-centered thinking”; and Type 4: “Intuitive prediction.” These types appear to be an integrated process of knowledge and clinical experience that considers children's characteristics and developmental stages.</p></div><div><h3>Conclusion</h3><p>This study may serve as a basis for future education to improve pediatric ED nurses′ urgency judgment and severity classification skills.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 3","pages":"Pages 246-252"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000690/pdfft?md5=4fed61f00217068f49c25b29c81bc51e&pid=1-s2.0-S1976131724000690-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141728368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Asian Nursing Research
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