{"title":"Impact of Telecounselling, Home Monitoring and Exercise on Hospital Readmissions and Quality of Life in Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial","authors":"Nejla Köksal, Hanife Durgun","doi":"10.1111/ijn.70021","DOIUrl":"https://doi.org/10.1111/ijn.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Individuals with Chronic Obstructive Pulmonary Disease (COPD) should engage in regular exercise, emphasizing the importance of home-based practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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 (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jiayi Shao, Qiaoying Wang, Yanchun Peng, Feixin Yan, Yaqin Chen, Baolin Luo, Liangwan Chen, Yanjuan Lin
{"title":"A Cross-Sectional Study on Emotional Eating and Its Influencing Factors Among Clinical Nurses","authors":"Jiayi Shao, Qiaoying Wang, Yanchun Peng, Feixin Yan, Yaqin Chen, Baolin Luo, Liangwan Chen, Yanjuan Lin","doi":"10.1111/ijn.70022","DOIUrl":"https://doi.org/10.1111/ijn.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aim of this study is to investigate the prevalence of emotional eating and the influencing factors among clinical nurses in China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This is a cross-sectional survey study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of Treadmill Training Intervention for the Management of Patients With Stroke: A Systematic Review and Meta-Analysis","authors":"Chenyi Shi, Yuxi Xiao, Dawei Zang, Hongjun Ren","doi":"10.1111/ijn.70020","DOIUrl":"https://doi.org/10.1111/ijn.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Treadmill training, particularly when combined with BWSTT, effectively enhances walking speed and endurance in stroke survivors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143925992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Siyao Duan, Penelope Casey, Maryann Street, Elizabeth Manias, Emily Jane Tomlinson
{"title":"Early-Career Registered Nurses' Experiences of Implementing Non–Pharmacological Interventions for Delirium Management: A Qualitative Descriptive Study","authors":"Siyao Duan, Penelope Casey, Maryann Street, Elizabeth Manias, Emily Jane Tomlinson","doi":"10.1111/ijn.70019","DOIUrl":"https://doi.org/10.1111/ijn.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to describe early-career registered nurses' experiences of using non–pharmacological interventions for delirium management in general medicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Non–pharmacological interventions are recommended for delirium management, but implementation can be challenging because of the complex and time-consuming nature of delirium behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study employs a qualitative exploratory descriptive design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-two nurses participated. Two conceptual areas with seven themes were identified: <i>factors that prepare and support nurses</i>, 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 <i>experiences of applying knowledge to manage delirium</i>, 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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigation on the Relationship Between Difficult Patients and Quality of Care: The Moderating Effect of Psychological Resilience","authors":"Feng-Hsia Kao, Tsui-Yao Liu","doi":"10.1111/ijn.70018","DOIUrl":"https://doi.org/10.1111/ijn.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to investigate the association between difficult patients and work burnout, work passion, quality of care and psychological resilience in nursing personnel.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this descriptive, cross-sectional survey study, we collected 250 valid questionnaires from nursing personnel at a regional hospital in Taipei City.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to “Barriers in adopting health-promoting behaviours among nurses: A qualitative systematic review and meta-synthesis”","authors":"","doi":"10.1111/ijn.70017","DOIUrl":"https://doi.org/10.1111/ijn.70017","url":null,"abstract":"<p>\u0000 <span>Chong, K. E.</span>, & <span>Shorey, S.</span> (<span>2022</span>). <span>Barriers in adopting health-promoting behaviours among nurses: A qualitative systematic review and meta-synthesis</span>. <i>International Journal of Nursing Practice</i>, <span>28</span>(<span>1</span>), e13030. https://doi.org/10.1111/ijn.13030.\u0000 </p><p>In Section 3.1 Search Outcomes, the following text was incorrect:</p><p>“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.”</p><p>The correct text should read:</p><p>“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.”</p><p>We apologize for this error.</p>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"Integrating Nursing–Teleophthalmology Improves Diabetic Retinopathy Screening in Primary Healthcare, Reducing Unnecessary Referrals to Specialist Healthcare","authors":"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","doi":"10.1111/ijn.70016","DOIUrl":"https://doi.org/10.1111/ijn.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Quality and Reliability Analysis of YouTube Videos About Insulin Administration","authors":"Merve Günbaş, Merve Dervişoğlu, Dilek Büyükkaya Besen","doi":"10.1111/ijn.70015","DOIUrl":"https://doi.org/10.1111/ijn.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to assess the quality and reliability of Turkish YouTube videos on insulin administration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xiao Yang, Yingli Song, Yan Wang, Ji Zhang, Hui Huang, Jing Zhang, Rongrong Han, Zhixuan Xiang, Lu Chen, Lingling Gao
{"title":"Physical Inactivity Among Pregnant Women at High Risk for Gestational Diabetes Mellitus: A Cross-Sectional Study","authors":"Xiao Yang, Yingli Song, Yan Wang, Ji Zhang, Hui Huang, Jing Zhang, Rongrong Han, Zhixuan Xiang, Lu Chen, Lingling Gao","doi":"10.1111/ijn.70013","DOIUrl":"https://doi.org/10.1111/ijn.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the prevalence and predictors of physical inactivity among pregnant women at high risk for gestational diabetes mellitus (GDM) in mainland China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Negative Consequences of Sleep Deprivation Experienced by Informal Caregivers of People With Dementia on Caregivers and Care Recipients: A Scoping Review","authors":"Jieyu Mao, Miyae Yamakawa, Xujing Hu, Hitomi Chikama, Toshiyuki Swa, Yasushi Takeya","doi":"10.1111/ijn.70010","DOIUrl":"https://doi.org/10.1111/ijn.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}