International Journal of Nursing Sciences最新文献

{"title":"Corrigendum to “Exploring social movement concepts and actions in a knowledge uptake and sustainability context: A concept analysis” [Int J Nurs Sci 9/4 (2022) 411–421]","authors":"Doris Grinspun , Katherine Wallace , Shelly-Anne Li , Susan McNeill , Janet Elaine Squires , Jesús Bujalance , Maryanne D'Arpino , Gina De Souza , Nataly Farshait , John Gabbay , Ian D. Graham , Alison Hutchinson , Kim Kinder , Celia Laur , Tina Mah , Julia E. Moore , Jennifer Plant , Jodi Ploquin , P. Jim A. Ruiter , Daphney St-Germain , Junqiang Zhao","doi":"10.1016/j.ijnss.2023.02.002","DOIUrl":"10.1016/j.ijnss.2023.02.002","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9394051","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}

{"title":"Development and validation of dynamic nomogram of frailty risk for older patients hospitalized with heart failure","authors":"Qian Li ,&nbsp;Yanping Chen ,&nbsp;Dechun Qin ,&nbsp;Shumei Li ,&nbsp;Shiyu Zhang ,&nbsp;Liu Fang ,&nbsp;Jiafeng Zhu ,&nbsp;Yingchao Wang ,&nbsp;Yanan Mao ,&nbsp;Lane Zhang","doi":"10.1016/j.ijnss.2023.03.014","DOIUrl":"10.1016/j.ijnss.2023.03.014","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to establish and validate a dynamic online nomograph for predicting the risk of frailty in older patients hospitalized with heart failure in China.</p></div><div><h3>Methods</h3><p>A total of 451 older adults with heart failure hospitalized were selected between December 2021 and November 2022 at the Department of Cardiovascular Medicine in a Class A tertiary hospital in Shandong, China. The data of patients were obtained by using Barthel Index, instrumental activity of daily living scale, mini nutrition assessment-short form, Pittsburgh sleep quality index scale, Morse fall risk assessment scale and general information scale. The brain natriuretic peptide and echocardiographic indexes of patients were collected by electronic medical records. All participants were randomly divided into the training set (<em>n</em> = 319) and the validation set (<em>n</em> = 132) at the ratio of 7:3. The training set is used for model construction, and the validation set is used for internal validation. Using the Least Absolute Shrinkage and Selection Operator (LASSO) regression method to filter modeling variables, while the multivariable logistic regression was used to establish the nomogram based on the screened optimal variables. The performance of the model was evaluated by the area under the curve (AUC) of the receiver operator characteristic (ROC) curve, Hosmer-Lemeshow test, calibration plot, and decision curve analysis (DCA).</p></div><div><h3>Results</h3><p>The prevalence of frailty in 451 patients was 50.6%, 51.4%, and 48.5% in the training and validation sets, respectively. Drinking, grip strength, New York Heart Association (NYHA) class, multimorbidity, hospitalization history of heart failure, Barthel Index, the instrumental activities of daily living, nutritional status, sleep, fall, and left atrial end-diastolic diameter were used for LASSO regression analysis as the significant predictors of frailty. According to internal validation, the AUC of the ROC curve for the nomogram was 0.920, with a sensitivity of 86.8% and specificity of 84.4%. Moreover, in the validation set, the <em>P</em>-values of the H-L test were 0.742, and the calibration curve had good concordance between the estimated frailty risk and actual observation, indicating the model was well-calibrated. The DCA results confirmed that the nomogram had a well-performance in clinical suitability.</p></div><div><h3>Conclusions</h3><p>An online dynamic nomogram predicting frailty for older patients hospitalized for heart failure in China was well-established and identified in this study. This model benefits medical professionals in identifying high-risk frailty in older hospitalized patients with heart failure, which could reduce the medical and disease burden of heart failure to a certain extent. However, further verification is needed in the future.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/37/0c/main.PMC10148265.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752312","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}

{"title":"Receiving antenatal care via mobile clinic: Lived experiences of Jordanian mothers","authors":"Hala A. Bawadi ,&nbsp;Asma’a S. Abu Abed ,&nbsp;Zaid M. Al-Hamdan ,&nbsp;Safa M. Alzubi","doi":"10.1016/j.ijnss.2023.03.005","DOIUrl":"10.1016/j.ijnss.2023.03.005","url":null,"abstract":"<div><h3>Objective</h3><p>To understand the perceptions of pregnant Jordanian women who received antenatal care via mobile clinic, and to contribute new insights into the experiences of these mothers and how they evaluated the services that were available.</p></div><div><h3>Methods</h3><p>Ten Jordanian mothers who had received antenatal care at a mobile clinic discussed their experiences in semi-structured, audiotaped interviews in a study that adopted a qualitative research design. The analysis was done using interpretative phenomenological analysis.</p></div><div><h3>Results</h3><p>Three main themes were identified: Being informed about the medical campaign or missing the opportunity of being informed; The experience of receiving antenatal care was wonderful, although there was only one thing lacking; and they safeguard our life and take any opportunity to educate us.</p></div><div><h3>Conclusion</h3><p>Data indicate that the mothers were largely satisfied with most facets of the antenatal care services they had received at the mobile clinics. However, while services are generally well received, there are clear opportunities for ameliorating the quality of services provided. For mothers living in remote, deprived areas, outreach is not just an ‘optional extra’ but rather an essential service.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9456292","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}

{"title":"The experiences of menstrual symptom changes among international students studying in China during the acculturation period: A phenomenology study","authors":"Asem Alkhatib ,&nbsp;Weizi Wu ,&nbsp;Hoda Alshikh Ahmad ,&nbsp;Ratee Pakwan Suwal ,&nbsp;Zhao Ni ,&nbsp;Xianhong Li","doi":"10.1016/j.ijnss.2023.03.004","DOIUrl":"10.1016/j.ijnss.2023.03.004","url":null,"abstract":"<div><h3>Objectives</h3><p>Menstruation is a normal physiological phenomenon among female which could be influenced by the process of acculturation. Few studies have explored the experience of menstrual symptom changes among international female students studying in China. Therefore, this paper aims to summarize international female students’ experiences of menstrual symptom changes when they were studying in China and interpret these changes through considering the influence of acculturation on their social and academic lives.</p></div><div><h3>Methods</h3><p>We used a descriptive phenomenology approach. Structured in-depth face-to-face interviews were conducted between May and November 2019 among ten international female students studying in one Province located in south central China. Participants were those who reported having experienced menstrual symptom changes during the acculturation period, which was defined as the first six months of living in China. All interviews were audio-recorded, transcribed verbatim, and analyzed using NVivo 11.0 with the guidance of Colaizzi's seven-step method.</p></div><div><h3>Results</h3><p>The international female students’ experiences of menstrual symptom changes were summarized and grouped into five main categories and 13 subcategories. The main categories include: 1) demonstration of menstrual symptom changes, 2) challenges of maintaining menstrual function in the new setting, 3) coping styles to take care of menstrual health, 4) consequences of the menstrual symptom changes, and 5) culture-based attitude toward menstruation.</p></div><div><h3>Conclusions</h3><p>International female students reported experiences of menstrual symptom changes, including somatic and psychological symptoms during the acculturation period. Culture barriers, academic stress, and sleep patterns are common factors influencing their menstrual symptom changes. More culturally-tailored interventions should be explored to improve the menstrual health of international female students in China.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752305","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}

{"title":"Validation of the Portuguese version of the social isolation scale with a sample of community-dwelling older adults","authors":"João Tavares ,&nbsp;Ana Faria ,&nbsp;Delphine Gonçalves ,&nbsp;Diana Mendes ,&nbsp;Sofia Silva ,&nbsp;Liliana Sousa","doi":"10.1016/j.ijnss.2023.03.002","DOIUrl":"10.1016/j.ijnss.2023.03.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this study was to analyze the psychometric properties (reliability and validity) of the Social Isolation Scale (SIS) in a sample of Portuguese community-dwelling older adults.</p></div><div><h3>Methods</h3><p>A transversal descriptive study was carried out with a convenience sample of 250 community-dwelling older adults (≥65 years). The survey comprised a sociodemographic questionnaire, SIS, Geriatric Depression Scale-4 (GDS-4), 6-item Lubben Social Network Scale (LSNS-6), a loneliness self-assessment question, and Satisfaction with Life Scale (SWLS). Construct validity (confirmatory factor analysis) and convergent validity were analyzed, and ISI internal reliability (composite reliability), external reliability (test-retest, intraclass correlation coefficient) and inter-rater reliability (Cohen’s kappa coefficient) were evaluated.</p></div><div><h3>Results</h3><p>Confirmatory factor analysis showed a two-factor model with an excellent index of fit. The SIS showed significant correlations with LSNS-6 (<em>r</em>_<em>s</em> = 0.47), SWLS (<em>r</em>_<em>s</em> = 0.26), the loneliness self-assessment question (<em>r</em>_s = 0.35), and GDS-4 (<em>r</em>_<em>s</em> = −0.16). SIS composite reliability was good (0.708). The inter-class correlation coefficient varied from 0.84 to 0.98. The Cohen’s kappa coefficient ranged from 0.936 to 1.</p></div><div><h3>Conclusions</h3><p>SIS has been shown to be a valid and reliable instrument for assessing social isolation among Portuguese community-dwelling older adults. Healthcare professionals, particularly nurses working in community settings, can use SIS to assess social isolation in older adults to design, implement, and evaluate interventions.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9400207","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}

{"title":"Nurses’ and midwives’ participation and utilization of health-related research in Kenya: Implications for evidence-based practice","authors":"Daniel M. Nzengya ,&nbsp;Albanus K. Mutisya ,&nbsp;Miriam C.A. Wagoro ,&nbsp;Molly Secor-Turner ,&nbsp;Joan Edwards","doi":"10.1016/j.ijnss.2023.02.001","DOIUrl":"10.1016/j.ijnss.2023.02.001","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the level of participation of nurses and midwives in health-related research, determine the status of utilization of research to inform nursing and midwifery practice in Kenya, and explore perspectives of nurses and midwives about strategies to empower nurses/midwives to engage in health research in Kenya.</p></div><div><h3>Methods</h3><p>Data were extracted from online survey responses of 156 nurse and midwife educators, practitioners, and managers/administrators. SPSS version 26 was used to analyze quantitative data; qualitative data were analyzed using Excel to organize data into categories.</p></div><div><h3>Results</h3><p>Over one-third of participants reported ever publishing research (37.2%, 58/156). Participants reported using knowledge gained in nursing school to guide practice most frequently (<em>n</em> = 148). Utilization of research findings to guide practice was reported by 80.3% (110/137) of participants. Strategies to enhance participation in the research included research training, research forums, policy reforms, and emphasis on research in curricula.</p></div><div><h3>Conclusions</h3><p>There is need to intensify and prioritize proposed strategies to empower nurses/midwives to engage in health research.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752310","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}

{"title":"Knowledge, attitude, and practice toward disease prevention among a high-risk population for chronic obstructive pulmonary disease: A cross-sectional study","authors":"Lulu Zhao ,&nbsp;Qinghua Zhao","doi":"10.1016/j.ijnss.2023.03.012","DOIUrl":"10.1016/j.ijnss.2023.03.012","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to describe the current situation of knowledge, attitude, and practice (KAP) of chronic obstructive pulmonary disease (COPD) prevention among a high-risk population for COPD.</p></div><div><h3>Methods</h3><p>A cross-sectional survey was conducted. A total of 241 participants at risk of COPD were selected who visited the respiratory outpatient department of a Class A tertiary hospital in Chongqing, China from January to December 2021. A self-developed COPD prevention KAP assessment was used for evaluation which included knowledge (21 items), attitude (9 items), and practice (9 items) three dimension, 39 items.</p></div><div><h3>Results</h3><p>The average overall KAP score was 68.29 ± 12.91, with scores for the knowledge, attitude, and practice dimension was 68.75 ± 18.07, 71.13 ± 15.09 and 65.00 ± 20.93, respectively. Among the people at risk of COPD, 76.8% experienced a moderate level of KAP toward COPD prevention, while 22.0% were at a poor level. Significant differences in the KAP scores were based on gender, educational level, occupation, type of medical insurance, smoking, and passive smoking status (<em>P</em> &lt; 0.05). The male COPD high-risk group has better KAP toward COPD prevention than the female group (<em>P</em> &lt; 0.05). The knowledge and attitude of COPD prevention present worse in people with a high risk of COPD aged 70 or above, primary school and below educational level, and farmers (<em>P</em> &lt; 0.05). Smoking and passive smoking groups have higher recognition of the knowledge but the lower practice of COPD prevention (<em>P</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>The participants with a high risk of COPD had a moderate level of KAP for COPD prevention, in which the understanding and action on vaccination and lung function test was weak, but an active attitude for health. It is necessary to implement tailored health education interventions to their characteristics to reduce the incidence and development of COPD.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752311","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}

{"title":"The relationship between experience of knee pain and physical activity participation: A scoping review of quantitative studies","authors":"Lu Yang ,&nbsp;Peipei Wang ,&nbsp;Bronwyn McGill","doi":"10.1016/j.ijnss.2023.03.010","DOIUrl":"10.1016/j.ijnss.2023.03.010","url":null,"abstract":"<div><h3>Objectives</h3><p>Physical activity (PA) in people with knee pain can help to relieve pain and prevent health problems. However, engaging in regular PA is challenging for them due to chronic musculoskeletal pain. An understanding of how the experience of knee pain affects PA is important to minimize the negative effects of knee pain on participation in PA among this population. We examined the quantitative evidence describing the relationship between the experience of knee pain and participation in PA.</p></div><div><h3>Methods</h3><p>We conducted a scoping review based on the PRISMA-ScR process across 27 items and Peters’ methodological framework. Searches using keywords were performed in Medline, PsycINFO, CINAHL and Scopus.</p></div><div><h3>Results</h3><p>Nine studies were included in this review. While one study clearly showed that increased knee pain increased PA, four studies indicated that knee pain decreased PA among individuals with knee pain. One study revealed that increased knee pain decreased moderate PA, but no significant difference with light intensity PA. Three studies showed that knee pain had no impact on PA. Moreover, psychological factors (catastrophizing and pain-related activity interference) and certain activities of daily living were risk factors for insufficient PA among people with knee pain.</p></div><div><h3>Conclusions</h3><p>The limited quantitative evidence on the relationship between the experience of knee pain and PA participation highlights a gap in the knowledge base. The review findings found mixed results, with a negative, positive or no relationship between knee pain and levels of PA among individuals with knee pain. The findings also suggest that the relationship can be affected by psychological factors and different levels and types of PA. Therefore, practitioners should consider multi-component interventions which aim to increase PA levels of individuals with knee pain, after considering the above mediating factors.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9456286","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}

{"title":"Research hotspots and theme trends in post-traumatic growth: A co-word analysis based on keywords","authors":"Kaihan Yang ,&nbsp;Jiaxin Lu ,&nbsp;Lingyan Duan ,&nbsp;Haiyang Tang ,&nbsp;Zufei Bao ,&nbsp;Ying Liu ,&nbsp;Xiaolian Jiang","doi":"10.1016/j.ijnss.2023.03.001","DOIUrl":"10.1016/j.ijnss.2023.03.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To analyze and summarize the research hotspots and advancement of post-traumatic growth (PTG) over the past 15 years based on co-word analysis of keywords, and provide references for PTG-related research and clinical intervention.</p></div><div><h3>Methods</h3><p>All studies related to PTG were retrieved from PubMed and Web of Science (WOS) from January 2013 to July 2022. A total of 11 Medical Subject Headings (MeSH) and keywords were used to identify qualified studies. Bibliographic Item Co-occurrence Matrix Builder (BICOMB; version 2.0) was used to conduct high-frequency keywords extraction and matrix setup, Graphical Clustering Toolkit (gCLUTO; version 1.0) was employed to perform clustering analysis, and SPSS (version 25.0) was used to carry out strategic diagram analysis.</p></div><div><h3>Results</h3><p>A total of 2,370 publications were selected, from which 38 high-frequency keywords were extracted. The results revealed six research hotspots on PTG during the period from 2013 to 2022, including research on i) emotional reactions after negative life events, ii) PTG among cancer survivors, iii) rumination and resilience after trauma, iv) PTG among children and adolescents, v) role of social support and coping strategy in PTG, and vi) association between PTG and quality of life.</p></div><div><h3>Conclusions</h3><p>This co-word analysis effectively reveals an overview of PTG over the past 15 years. The six research categories deduced from this study can reflect that the research content in the field of PTG is abundant, but some research topics have not yet been mature. The findings of this study are of great value to future investigations associated with PTG.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9768477","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}

{"title":"Comparison of the effects of three kinds of hand exercises on improving limb function in patients after transradial cardiac catheterization","authors":"Xinyue Zhang,&nbsp;Zhipeng Bao,&nbsp;Lan Wei,&nbsp;Zairan Zhang,&nbsp;Yanli Hu,&nbsp;Dandan Xu,&nbsp;Wei Sun,&nbsp;Dongmei Xu","doi":"10.1016/j.ijnss.2023.03.011","DOIUrl":"10.1016/j.ijnss.2023.03.011","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to compare effects of different hand exercises on improving limb function in patients after transradial cardiac catheterization.</p></div><div><h3>Methods</h3><p>This single-center, randomized clinical trial was conducted from August 20, 2020, to July 20, 2021, at an academic medical center. A total of 102 participants were selected from a Class A tertiary hospital in Nanjing, China and randomized into three groups: finger exercise group (<em>n</em> = 34), acupoint massage group (<em>n</em> = 34), and handgrip exercise group (<em>n</em> = 34). Symptoms of edema and pain were defined as primary outcomes, while skin temperature and degree of bleeding as secondary outcomes, which were monitored and measured 1, 2, and 4 h, after the intervention.</p></div><div><h3>Results</h3><p>Among the 99 participants who completed the process, the palm edema was gradually relieved in the handgrip exercise group at 2 h (<em>H</em> = 6.710, <em>P</em> = 0.035) and 4 h (<em>H</em> = 10.060, <em>P</em> &lt; 0.001) following the intervention. The edema of fingers in the handgrip exercise group was obviously relieved at 2 h (<em>H</em> = 9.353, <em>P</em> &lt; 0.01) and 4 h (<em>H</em> = 10.699, <em>P</em> &lt; 0.001) following the intervention compared with the other two groups. In addition, the pain score at 4 h (<em>H</em> = 7.048, <em>P</em> = 0.029) was clearly decreased in the handgrip exercise group. However, there was no significant difference in the punctured limb’s skin temperature (<em>H</em> = 0.922, <em>P</em> = 0.631) and the degree of bleeding (<em>H</em> = 0.123, <em>P</em> = 0.940) among the three groups.</p></div><div><h3>Conclusions</h3><p>We found that handgrip exercise is more effective in reducing the edema of the limbs than finger exercise and acupoint massage.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a0/79/main.PMC10148249.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9768479","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}