International Journal of Nursing Practice最新文献

{"title":"Construction and Validation of a Risk Prediction Model for Cancer-Related Cognitive Impairment in Lung Cancer Patients","authors":"Mengyuan Qiao, Li Luo, Hui Zhang","doi":"10.1111/ijn.70178","DOIUrl":"10.1111/ijn.70178","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cancer-related cognitive impairment (CRCI) is a major clinical challenge faced by lung cancer patients during or after treatment. Early identification of at-risk populations by healthcare professionals is inadequate, and little is known about measures that can be taken to enhance their prevention. Existing systematic reviews and meta-analyses have summarized common risk factors for CRCI in lung cancer patients, but integrated predictive models based on holistic theoretical frameworks remain scarce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To construct a visual assessment tool for the identification of CRCI in lung cancer survivors based on the theory of unpleasant symptoms (TOUS), complementing existing predictive models with a multidimensional theoretical perspective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A prospective, observational, single-centre study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The present study was conducted in a major hospital in Urumqi, China, between October 2023 and July 2024. A total of 350 lung cancer survivors participated in this survey, which was divided into a training and validation group in a 7:3 ratio. Lasso regression and logistic regression analyses were employed to identify the risk factors for CRCI, construct a nomogram prediction model and test the prediction effect in the validation set. Model performance was evaluated using the area under the curve (<i>AUC</i>) and goodness-of-fit statistics, and the model was internally validated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 350 lung cancer patients, comprising 245 in the training and 105 in validation groups, were included. Of these, 117 (33.4%) experienced CRCI. The predictive model identified significant predictors, including age, pathological stage, chemotherapy, post-traumatic stress disorder (PTSD), depression and social support scores. At the 32.3% optimal cut-off, the model had <i>AUC</i> values of 0.863 and 0.818 in the training and validation groups. Calibration plots demonstrated a strong correlation between predicted and observed rates, and decision curve analysis revealed optimal net benefit at threshold probabilities ranging from 10% to 80%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The risk prediction model constructed in this study, based on TOUS, demonstrates satisfactory predictive ability superior to some existing models. It integrates physiological, psychological and environmental factors, ","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148678552","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":"The Rehabilitative Effects of Online Pelvic Floor Muscle Exercises on Female Urinary Incontinence Across Various Life Stages: A Systematic Review and Meta-Analysis","authors":"Yu Wang,&nbsp;Hailian Zhang,&nbsp;Jinyang Wang,&nbsp;Wanqiu Feng,&nbsp;Zihan Sun,&nbsp;Yuanyuan Chen","doi":"10.1111/ijn.70177","DOIUrl":"10.1111/ijn.70177","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This paper aims to evaluate the effects of online pelvic floor muscle training on urinary incontinence frequency, symptom severity, quality of life and adherence across defined female life stages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Urinary incontinence is a significant public health issue affecting women's physical and mental well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The paper is designed as a systematic review and meta-analysis of randomized controlled trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review Methods</h3>\u0000 \u0000 <p>Nine databases were searched for RCTs of online PFMT in women with UI. Outcomes included UI incidence, symptom severity, quality of life and compliance. Data extraction, risk-of-bias (RoB 2) and GRADE assessment were performed. Random-effects meta-analyses used RevMan 5.4.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixteen studies were included. Online pelvic floor muscle training significantly reduced postpartum urinary incontinence incidence (RR = 0.56; 95% CI: 0.38 to 0.82) and symptom severity (SMD = −0.25; 95% CI: −0.45 to −0.05), but not in elderly patients (SMD = −0.12; 95% CI: −0.25 to 0.02). Exercise compliance improved in both subgroups. No significant difference was found in quality of life. Moderate-to-high heterogeneity was observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Online pelvic floor muscle exercise may improve urinary incontinence outcomes across different life stages. In postpartum women, it reduces incontinence incidence, alleviates symptom severity and enhances training compliance, whereas in elderly patients, its benefit is limited to improved compliance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664160","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":"Nurse-Led Nutritional Interventions in Nursing Care for Malnourished Patients: A Systematic Review and Meta-Analysis","authors":"Fengyuan Yang,&nbsp;Shuai Tao,&nbsp;Xiaonan Liu,&nbsp;Haimeng Wei","doi":"10.1111/ijn.70176","DOIUrl":"https://doi.org/10.1111/ijn.70176","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses play a central role in day-to-day nutrition care through mealtime support, monitoring and implementation of nutrition strategies, yet the effectiveness of nursing-oriented nutrition interventions across settings remains variably described. This review aimed to determine the effectiveness of nursing nutrition strategies on malnourished patients in clinical and long-term care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted this review following PRISMA 2020 guidelines. MEDLINE (PubMed), Embase, CINAHL and CENTRAL were searched from database inception to January 2026, supplemented by trial registries and reference screening. Random-effects inverse-variance meta-analyses (DerSimonian–Laird) were performed using standardized mean differences (SMDs) or weighted mean differences (WMDs) and odds ratios (ORs) for mortality. Publication bias was assessed using funnel plots and Egger's regression test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nursing-oriented nutrition strategies significantly increased energy and protein intake, with substantial heterogeneity. No significant effects were observed for body weight, handgrip strength, ADL or length of hospital stay. Mortality did not differ between groups with low heterogeneity. Publication bias was suggested for intake outcomes but not for weight, length of stay or mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nursing-oriented nutrition strategies improve energy and protein intake in malnourished or at-risk patients, but integration with broader multidisciplinary and rehabilitation pathways may be required to influence distal clinical outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148617336","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":"Exploratory Analysis of Factors Associated With Pressure Injuries in Surgical Patients Assessed With the ELPO Scale","authors":"Manuela de Mendonça Figueirêdo Coelho,&nbsp;Beatriz Alves de Olivera,&nbsp;Thalia Alves Chagas Menezes,&nbsp;Viviane Mamede Vasconcelos Cavalcante,&nbsp;Ivina Maria Angelo Araújo,&nbsp;Manuela do Santos Gomes,&nbsp;Pedro Miguel Alves Rocha,&nbsp;Eliane Maria da Silva de Paula,&nbsp;Idevânia Geraldina Costa","doi":"10.1111/ijn.70170","DOIUrl":"https://doi.org/10.1111/ijn.70170","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study is to analyse predictors associated with pressure injury occurrence and to explore the relationship between preventive resources and pressure injury outcomes in surgical patients assessed with the ELPO Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective cross-sectional study was conducted in a university hospital surgical centre in Brazil. Data from 2698 adult surgical patients (2020–2022) were analysed. Variables included the ELPO score, surgical characteristics, preventive resources and clinical factors. Logistic regression, Random Forest and decision tree (CART) models were applied. Performance was assessed using AUC, sensitivity, specificity, positive predictive value, negative predictive value and F1 score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The incidence of PI was 2.9%. Male sex (OR = 1.74), lateral surgical position (OR = 4.75) and use of a thermal mattress (OR = 2.11) were associated with increased risk. Surgical time ≥ 2 h was associated with lower odds of pressure injury occurrence in the adjusted model. A greater number of cushions was associated with reduced pressure injury occurrence in unadjusted analyses; however, this association was not consistently maintained after multivariable adjustment. Predictive models demonstrated limited discriminative performance (AUC≈0.60). The ELPO total score was the most influential predictor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>ELPO-based assessment and structured perioperative risk evaluation may support perioperative risk assessment and identification of patients at higher risk of pressure injury; however, the predictive models should be considered exploratory and require external validation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70170","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148616980","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":"Psychometric Properties of the Turkish Version of the EORTC QLQ-ELD14 in Older Patients With Cancer","authors":"Sümeyra Şaşmaz,&nbsp;Didem Karadibak,&nbsp;Ezgi Ergin,&nbsp;Merve Keskinkılıç,&nbsp;Tuğba Yavuzşen","doi":"10.1111/ijn.70175","DOIUrl":"https://doi.org/10.1111/ijn.70175","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to evaluate the validity and reliability of the Turkish version of the European Organization for Research and Treatment of Cancer (EORTC) QLQ-ELD14 in older patients with cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One hundred thirteen older patients with cancer were included in the study. The validity and reliability of the EORTC QLQ-ELD14 were evaluated via exploratory and confirmatory factor analyses, correlation analyses with the EORTC QLQ-C30, known-group comparisons, Cronbach's alpha, test–retest and the intraclass correlation coefficient. Known-group comparisons were evaluated in patient groups divided according to cancer stage, Karnofsky performance status and Charlson Comorbidity Index.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Factor analysis results demonstrated that the Turkish EORTC QLQ-ELD14, with its seven-factor structure, is a sufficient measurement instrument. Moderate to high correlations were observed between the EORTC QLQ-ELD14 and the QLQ-C30 (<i>r</i> = −0.40 to −0.83; <i>p</i> &lt; 0.05). The clinical validity of the EORTC QLQ-ELD14 has been demonstrated by its ability to discriminate between different clinical profiles. Cronbach's <i>α</i> coefficient was determined to be 0.719. The intraclass correlation coefficients of all subscales were above 0.80. Excellent agreement was observed in test–retest reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Turkish version of EORTC QLQ-ELD14 is valid and reliable and is suitable for use by researchers and clinicians.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148616981","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":"The Effectiveness of Animal-Assisted Interventions for People Living With Dementia: An Overview of Systematic Reviews and Meta-Analysis","authors":"Jia Zhou,&nbsp;Siqi Li,&nbsp;Hanyu Liu,&nbsp;Yue Sun,&nbsp;Zhiwen Wang","doi":"10.1111/ijn.70172","DOIUrl":"10.1111/ijn.70172","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This overview aims to provide high-quality evidence synthesis of animal-assisted interventions (AAIs) among people living with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dementia has become the seventh leading cause of death in the world. Unfortunately, currently effective pharmacological interventions remain elusive. As a non-pharmacological treatment, AAI is gaining more attention while the effectiveness of AAI for people living with dementia remains unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>EMBASE, PubMed, Cochrane Library, CINAHL, CNKI, VIP, CBM and Wanfang databases were searched from inception to March 2026. The AMSTAR2 was used to assess the methodological quality of the included reviews. Meta-analysis was conducted using STATA 16 for the original studies identified from the included reviews. Evidence quality of main outcomes was assessed according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixteen systematic reviews were included in the overview. A significant improvement was found in depression among dementia patients, but not in agitation, quality of life (QOL), cognition and activities of daily living (ADL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is moderate evidence that AAI has positive effects on depression for people living with dementia. Despite searches, no sufficient evidence has been found to substantiate the positive effects of AAI on other outcomes in people living with dementia. Due to the small number of studies, small sample sizes and significant heterogeneity, more randomised controlled trials with large samples are needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562017","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 eHealth Interventions on Health Outcomes in Adult Patients With Intestinal Stoma: A Systematic Review and Network Meta-Analysis","authors":"Ziwei Li,&nbsp;Liping He,&nbsp;Xiaozhuan Yao,&nbsp;Xuefei Jiang","doi":"10.1111/ijn.70173","DOIUrl":"10.1111/ijn.70173","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess the effectiveness of various eHealth interventions on health outcomes among patients with intestinal stomas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched nine databases for relevant articles from inception to 31 December 2025. Pairwise and network meta-analyses (NMA) were conducted to compare the effects of various eHealth interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-eight studies, encompassing 4463 stoma patients, were included. Network meta-analysis revealed that APPs were the most effective interventions for reducing complications (SUCRA = 10.7%, OR = 0.25, 95% CI: 0.18, 0.36) and enhancing self-care ability (SUCRA = 94.2%, MD = 18.11, 95% CI: 11.79, 24.43). Web-based plus phone calls ranked highest for improving QOL (SUCRA = 100.0%, SMD = 9.76, 95% CI: 6.36, 13.16) and self-efficacy (SUCRA = 85.9%, MD = 30.32, 95% CI: 13.67, 46.97). APPs plus telemonitoring performed best in enhancing stoma adaptation (SUCRA = 82.7%, SMD = 3.10, 95% CI: −1.39, 7.59). APPs plus phone calls ranked highest for improving anxiety (SUCRA = 15.1%, SMD = −2.06, 95% CI: −4.79, 0.66), depression (SUCRA = 18.1%, SMD = −1.59, 95% CI: −3.19, 0.87) and satisfaction (SUCRA = 82.7%, OR = 7.14, 95% CI: 0.58, 88.16).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>eHealth interventions, particularly APPs and combined interventions, appear to improve health outcomes in stoma patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561959","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":"Factors Affecting Depressive Symptoms in Patients According to Haemodialysis Duration","authors":"Ae Kyung Chang,&nbsp;Jin Yi Choi","doi":"10.1111/ijn.70174","DOIUrl":"10.1111/ijn.70174","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Depression in patients undergoing haemodialysis (HD) can cause significant physical and emotional problems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to identify the factors affecting depressive symptoms in HD patients according to HD duration (i.e., time since first starting HD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A descriptive cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In total, 470 HD patients in South Korea completed a questionnaire including validated measures of social support, self-efficacy, symptoms, self-management, quality of life and adaptation. The data were analysed using stepwise multiple regression to identify factors that influenced depressive symptoms in the participants according to HD duration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis of factors influencing depressive symptoms, segmented by haemodialysis duration into periods of less than 6 months, 6–11 months and more than 12 months, yielded models with explanatory powers of 56.8% (dialysis symptom index [DSI], quality of life, self-management, age, spouse), 62.8% (DSI, quality of life, social support), and 46.5% (DSI, psychosocial adaptation, self-efficacy), respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings of this study can serve as a foundation for developing tailored depression interventions for HD patients, taking into account their HD duration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535907","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":"The Effect of Preoperative Chewing Gum on Anxiety and Postoperative Sore Throat in Patients Using a Laryngeal Mask Airway: A Randomized Controlled Trial","authors":"Ela Erten,&nbsp;Emine Arıcı Parlak,&nbsp;Neslihan Ilkaz","doi":"10.1111/ijn.70171","DOIUrl":"https://doi.org/10.1111/ijn.70171","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to evaluate the effects of preoperative chewing gum on anxiety levels and postoperative sore throat in patients undergoing breast surgery using a laryngeal mask airway.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study was conducted in the Anaesthesia and Reanimation Department of a training and research hospital. Patients in the intervention group (<i>n</i> = 46) were instructed to chew gum for 2 min during the preoperative period, whereas the control group (<i>n</i> = 47) received standard nursing care. Anxiety levels were assessed using the Amsterdam Preoperative Anxiety and Information Scale during premedication and immediately before surgery. Post-extubation, the severity of sore throat was measured via the Visual Analogue Scale, whereas the presence of cough and hoarseness was recorded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was no significant difference between the groups in terms of postoperative sore throat and cough at the second, fourth and sixth hours (<i>p</i> &gt; 0.05). However, at the second postoperative hour, the incidence of hoarseness was significantly higher in the control group (<i>p</i> = 0.004). There was no difference between the groups in terms of hoarseness at the fourth and sixth hours after surgery (<i>p</i> &gt; 0.05). Immediately before surgery, the control group exhibited significantly higher total Amsterdam Preoperative Anxiety and Information Scale scores (<i>p</i> = 0.047) and anxiety subscale scores (<i>p</i> = 0.023). There was no significant difference between groups in the information requirement subscale (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Preoperative chewing gum effectively reduces anxiety levels before breast surgery. Although it does not significantly alleviate postoperative sore throat, it appears to reduce hoarseness 2 h post-extubation. As a simple and non-pharmacological intervention, chewing gum is recommended for managing preoperative anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>Clinicaltrials.gov: NCT06168981</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467475","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":"The Effect of Music During Chemotherapy Treatment on Depression, Anxiety, Stress Levels and Chemotherapy Symptoms: A Randomized Controlled Trial","authors":"Merve Silgan,&nbsp;Şenay Öztürk","doi":"10.1111/ijn.70169","DOIUrl":"10.1111/ijn.70169","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to determine the effect of listening to music during chemotherapy sessions on depression, anxiety, stress, and treatment-related symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A randomised controlled trial was conducted between June and September 2023 with stable, non-metastatic patients receiving outpatient chemotherapy at a university hospital oncology unit. Sixty-three eligible patients were randomised to the intervention or control group, and 49 participants completed the study (intervention <i>n</i> = 24; control <i>n</i> = 25). Both groups received routine care, while the intervention group additionally listened to music during chemotherapy sessions for 4 weeks. Depression, anxiety, stress, and chemotherapy-related symptoms were assessed before and after the intervention using validated measurement tools. The study was reported according to the CONSORT guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants who listened to music showed significant reductions in depression, anxiety, and stress, together with improvements in treatment-related symptoms, including pain, fatigue, nausea, sadness, worry, insomnia, appetite loss, well-being, and shortness of breath.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Listening to music during chemotherapy may improve psychological well-being and alleviate treatment-related symptoms. As a simple, non-invasive, low-cost intervention, music can be incorporated into routine nursing care as a complementary therapeutic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrials.gov identifier: NCT06180629</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148411746","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}