International Journal of Nursing Sciences最新文献

{"title":"Technological nursing interventions on nutritional status of middle-aged and older adults undergoing hemodialysis: A systematic review","authors":"Amélia Pernas ,&nbsp;Sara Pires ,&nbsp;Idalina Gomes ,&nbsp;César Fonseca ,&nbsp;Ana Ramos","doi":"10.1016/j.ijnss.2025.08.008","DOIUrl":"10.1016/j.ijnss.2025.08.008","url":null,"abstract":"<div><h3>Objective</h3><div>Malnutrition is common in hemodialysis patients, increasing mortality and significantly impacting quality of life. This study aimed to identify technological nursing interventions that promote self-care and improve the nutritional status of middle-aged and older adults undergoing hemodialysis.</div></div><div><h3>Methods</h3><div>A systematic literature review was conducted in accordance with the Joanna Briggs Institute (JBI) and PRISMA guidelines. Searches were conducted in Medline, CINAHL, the Cochrane Library, Scopus, Web of Science, and grey literature. Studies published between 2018 and 2024, involving patients aged 40 years or more undergoing regular hemodialysis, and available in Portuguese, English, or Spanish, were included. JBI’s critical appraisal tools were used to conduct a rigorous analysis and methodological quality assessment of the articles.</div></div><div><h3>Results</h3><div>Out of a total of 738 articles, 10 were included for analysis. Five key dimensions of technology-driven self-care interventions were established. 1) Mobile applications and digital platforms with features like nutritional databases, food logging, and personalized feedback; 2) E-learning and virtual education using social media and chat-based communication; 3) Telenursing employing a hybrid follow-up model of face-to-face, telephone, and SMS contact; 4) Educational strategies focused on nutritional status, utilizing methods such as teach-back and pictorial learning within a multidisciplinary team; and 5) Comprehensive assessment tools evaluating treatment adherence (hemodialysis, medication, diet, fluid) and laboratory markers. Significant improvements were reported across several outcomes: eight studies showed enhanced biochemical markers (e.g., phosphorus, sodium, potassium, calcium, iron, albumin, urea, and hemoglobin) and nutritional status, three demonstrated increased self-efficacy, and two reported improved quality of life.</div></div><div><h3>Conclusion</h3><div>Integrating technology and face-to-face education enhances nutritional status, highlighting the importance of comprehensive strategies to improve treatment adherence and prevent malnutrition in hemodialysis patients.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 493-500"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160420","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}

{"title":"Attitudes toward caring for terminally ill patients among community nurses in Shanghai: A cross-sectional study","authors":"Yifei Xie ,&nbsp;Tingting Cai ,&nbsp;Aiyong Zhu ,&nbsp;Xian Zhang ,&nbsp;Chunjian Xu ,&nbsp;Lijuan Song","doi":"10.1016/j.ijnss.2025.06.004","DOIUrl":"10.1016/j.ijnss.2025.06.004","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate attitudes toward caring for terminally ill patients and identify the associated factors among community nurses in Shanghai.</div></div><div><h3>Methods</h3><div>The study was conducted among community nurses using convenience sampling in Shanghai between August and November 2023. The demographic questionnaire, the Frommelt Attitude Toward Care of the Dying Scale-B (FATCOD-B), and the Coping with Death Scale (CDS) were used for data collection. Data analysis was conducted using independent sample <em>t</em>-test, one-way analysis of variance, and multiple linear regression analysis.</div></div><div><h3>Results</h3><div>A total of 1,396 community nurses participated in this study. The overall FATCOD-B score among community nurses was 102.27 ± 10.23, the attitude toward caring for the dying person’s family dimension scored the highest (4.03 ± 0.53), whereas the attitude toward the communication dimension scored the lowest (2.86 ± 0.52). The overall CDS score was 130.78 ± 20.25. Multiple linear regression analysis showed that death coping ability and blended death education accounted for 13.7 % of the variance in community nurses’ attitudes toward caring for terminally ill patients.</div></div><div><h3>Conclusions</h3><div>Community nurses in Shanghai exhibit moderate attitudes toward caring for terminally ill patients. Nurses with greater death coping ability and those who participated in blended death education tended to have more positive attitudes toward terminally ill patients. These findings underscore the potential of blended death education as a practical strategy to enhance hospice care quality in community health service centers.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 401-407"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723608","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}

{"title":"Translation, validity, and reliability of the Thai de Morton Mobility Index in patients following hip surgery","authors":"Chanokporn Jitpanya ,&nbsp;Surachai Maninet ,&nbsp;Chanipa Yoryuenyong","doi":"10.1016/j.ijnss.2025.04.003","DOIUrl":"10.1016/j.ijnss.2025.04.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to translate the de Morton Mobility Index (DEMMI) into Thai and assess its measurement properties.</div></div><div><h3>Methods</h3><div>The de Morton Mobility Index (DEMMI) was translated into Thai using a cross-cultural translation method. A cross-sectional study was conducted in four public hospitals in Thailand between January and March 2023. A total of 260 patients were recruited from outpatient clinics. Convergent and known-group validity were evaluated through hypothesis testing. Construct validity was examined using confirmatory factor analysis. Reliability was assessed using Cronbach’s α coefficient. We also employed the Rasch analysis to validate validity and person reliability.</div></div><div><h3>Results</h3><div>Content validity was high (S-CVI = 0.96, I-CVI range: 0.80–1.00). Strong convergent validity was observed, with a significant correlation (<em>r</em> = 0.761, <em>P</em> &lt; 0.001) between the Thai DEMMI and the Parker Mobility Scale (PMS). Known-group validity was evident, demonstrating differences in scores across various patient groups. A confirmatory factor analysis supported the hypothesized factor structure of the Thai DEMMI with good fit indices: <em>χ</em>² (<em>df</em> = 4) = 5.101, <em>P</em> = 0.2771; <em>χ</em>²/<em>df</em> = 1.275, RMSEA = 0.033; CFI = 0.998; TLI = 0.995; SRMR = 0.016. The Thai DEMMI exhibited high internal consistency (Cronbach’s α = 0.88). Rasch analysis revealed good person reliability (0.91) and acceptable information-weighted fit means square statistic (0.73–1.06). However, most items showed good fit based on the outlier-sensitive fit means square statistics (Outfit MNSQ), one exhibited a high Outfit MNSQ value of 29.94, suggesting a potential misfit.</div></div><div><h3>Conclusion</h3><div>This study demonstrated the acceptable validity and reliability of the Thai DEMMI. Further evaluation of its responsiveness to change is still recommended.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 386-392"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724237","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}

{"title":"Implementation strategies of a national standard for comprehensive care in acute care hospitals: An interview study","authors":"Beibei Xiong ,&nbsp;Christine Stirling ,&nbsp;Daniel X. Bailey ,&nbsp;Paul Prudon ,&nbsp;Melinda Martin-Khan","doi":"10.1016/j.ijnss.2025.06.002","DOIUrl":"10.1016/j.ijnss.2025.06.002","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the strategies used by acute care hospitals in implementing a national standard for comprehensive care.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study was conducted with 28 care professionals (20 nurses, two doctors, and six allied health professionals) recruited from a broad range of Australian acute care hospitals. Data were collected using semi-structured interviews from March to August 2023. The interviews were audio-recorded, transcribed, and thematically analyzed.</div></div><div><h3>Results</h3><div>Strategies for implementing the Comprehensive Care Standard (CCS) vary, even within a health service organization. We identified strategies hospitals used regarding the implementation team and plan, communication, education and training, documentation system, patient care plan, networking, incentives and pressure, feedback, and reflecting and evaluating.</div></div><div><h3>Conclusions</h3><div>This interview study sheds light on the various strategies adopted by hospitals in implementing the CCS, providing a practical foundation to inform implementation efforts both within Australia and internationally.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 369-378"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724235","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}

{"title":"Managing uncertainty: A grounded theory study of restoring normality in young and middle-aged patients with lymphoma","authors":"Chunfeng Wang ,&nbsp;Yong Wu ,&nbsp;Rong Hu","doi":"10.1016/j.ijnss.2025.06.008","DOIUrl":"10.1016/j.ijnss.2025.06.008","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to generate a theoretical framework based on empirical data to explain the behavioral patterns closely related to young and middle-aged patients with lymphoma throughout the disease.</div></div><div><h3>Methods</h3><div>This study followed the classic grounded theory methodology, involving procedures such as theoretical sampling, substantive coding, theoretical coding, constant comparison, and memo writing and sorting. Multiple data types were used based on the principle of “all is data,” including 34 participants providing interview data along with observation notes and 40 relevant secondary texts from the “Lymphoma House” network platform and the “Lymphoma House 086” public account. Two autobiographical books written by lymphoma patients were also selected as data resources. Data collection and analysis were conducted in an iterative process until theoretical saturation was reached. The COREQ checklist was followed to report this study.</div></div><div><h3>Results</h3><div>The main concern of middle-aged and young patients with lymphoma was identified as restoring normality, while managing uncertainty was the main behavioral pattern for restoring normality. Uncertainty consists of two interrelated types: inherent uncertainty of illness and perceived uncertainty of patients. Four strategies are used to manage uncertainty: reconstructing certainty, adaptive coping, defensive buffering, and compensatory changing. Managing uncertainty is influenced by disease characteristics and perceptions, social resources, and cultural concepts. The consequence of managing uncertainty is reaching a new normality.</div></div><div><h3>Conclusions</h3><div>Pervasive uncertainty significantly affects the daily lives of young and middle-aged patients with lymphoma. Consequently, strategies for managing disease-related uncertainty to sustain normality are commonly observed in this population. This theoretical framework for addressing uncertainty can serve as a foundation for understanding and developing tailored interventions to manage uncertainty. Future research should focus on managing uncertainty to help patients restore normality.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 393-400"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723609","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}

{"title":"Effectiveness of a theory-based tailored individual and family self-management education in adults with uncontrolled diabetes: A randomized controlled trial","authors":"Yohanes Andy Rias ,&nbsp;Ratsiri Thato ,&nbsp;Margareta Teli ,&nbsp;Ferry Efendi","doi":"10.1016/j.ijnss.2025.06.001","DOIUrl":"10.1016/j.ijnss.2025.06.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to determine the effectiveness of an individual and family self-management (IFSM) education program on triglyceride-glucose (TyG) index, self-management, and diabetes distress among adults with uncontrolled diabetes mellitus type 2 (T2DM).</div></div><div><h3>Methods</h3><div>A multicentre randomized controlled trial was employed. The study included 68 dyads (adults with uncontrolled T2DM and one family member) that were randomly allocated to the intervention (<em>n</em> = 34) and control groups (<em>n</em> = 34) from March to September 2024. Participants in the intervention group received an 8-week IFSM education program, whereas those in the control group received standard routine care. An automated hematology analyzer XP-100 was used to evaluate triglyceride and fasting blood glucose levels. The Diabetes Distress Scale and Diabetes Self-Management Questionnaire were used to measure diabetes distress and self-management, respectively.</div></div><div><h3>Results</h3><div>A total of 67 participants completed the intervention. The generalized estimating equation demonstrated a significant interaction between group and time. The IFSM education intervention group had a higher diabetes self-management (<em>β</em> = 16.68; 95 %<em>CI =</em> 15.23, 18.09; <em>P</em> &lt; 0.001), lower diabetes distress (<em>β</em> = −30.74; 95 %<em>CI</em> = −32.57, −28.90; <em>P</em> &lt; 0.001), and lower TyG index (<em>β</em> = −1.97; 95 %<em>CI</em> = −2.41, −1.53; <em>P</em> &lt; 0.001) than the control group.</div></div><div><h3>Conclusions</h3><div>The findings documented the capacity of IFSM education to reduce TyG and diabetes distress, which could potentially escalate diabetes self-management among individuals with T2DM.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 320-327"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723595","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}

{"title":"Nursing management of the neurogenic bladder: Evidence map of quality and recommendations from clinical practice guidelines","authors":"Yuanyuan Li ,&nbsp;Jinhui Tian ,&nbsp;Luying Cheng ,&nbsp;Jing Ni ,&nbsp;Lin Li ,&nbsp;Jiaoyan Zhang ,&nbsp;Liang Zhao ,&nbsp;Jingjie Zou ,&nbsp;Wentao Wei ,&nbsp;Duanying Cai","doi":"10.1016/j.ijnss.2025.06.009","DOIUrl":"10.1016/j.ijnss.2025.06.009","url":null,"abstract":"<div><h3>Objectives</h3><div>This study employed evidence mapping to systematically evaluate clinical practice guidelines (CPGs) for neurogenic bladder (NB) care. We aimed to identify research trends, evidence gaps, and consensus patterns to inform evidence-based nursing practices and support the formulation of high-quality CPGs.</div></div><div><h3>Methods</h3><div>A systematic search of electronic databases and guideline repositories was conducted, included PubMed, Web of Science, Embase, Guidelines International Network (GIN), ect. Eligible NB guidelines underwent dual-researcher screening and extraction, and methodological and recommendation quality were assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) and Evaluation-Recommendations Excellence (AGREE-REX) instruments. Five researchers independently evaluated recommendation specificity, evidence grading systems, and implementation consistency. Discrepancies were resolved through consensus discussion or third-party arbitration.</div></div><div><h3>Results</h3><div>Analysis of 19 CPGs (2006–2023) from 11 countries/regions revealed that 78.95 % (15/19) incorporated evidence grading systems and 68.42 % (13/19) specified recommendation strength. The AGREE II evaluation identified critical methodological deficiencies, with three domains scoring below the acceptable thresholds: Rigor of Development (41.70 %), Editorial Independence (43.30 %), and Applicability (30.00 %). The AGREE-REX results showed moderate performance in Clinical Applicability (55.56 %) and implantability (41.67 %) but severe gaps in Values and Preferences (25.00 %). A systematic synthesis identified 40 recommendations: 90 % (36/40) demonstrated consensus and 10 % (4/40) contradictions. These studies addressed the following six clinical themes: 1) nursing assessment, 2) manipulation-assisted voiding, 3) behavioral therapy, 4) intermittent catheterization, 5) indwelling catheterization, and 6) other therapies.</div></div><div><h3>Conclusions</h3><div>The methodologies and recommendations of the CPGs for NB in nursing demonstrated substantial variability. Therefore, there is an urgent need to improve the quality of the NB-related CPGs. More in-depth research and timely updates are required to enhance the practical utility of CPGs and narrow the gap between CPGs and clinical practice.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 415-423"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724119","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}

{"title":"Latent profiles of ambivalence over emotional expression in young breast cancer patients: A cross-sectional study","authors":"Xiaocen Chen,&nbsp;Zhao Wang,&nbsp;Sibo Wang,&nbsp;Fang Zhang,&nbsp;Xueyu Li,&nbsp;Jing Zhao","doi":"10.1016/j.ijnss.2025.06.005","DOIUrl":"10.1016/j.ijnss.2025.06.005","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to classify young breast cancer patients into distinct ambivalence over emotional expression and to explore the factors influencing the level of ambivalence over emotional expression.</div></div><div><h3>Methods</h3><div>A total of 217 young breast cancer patients were enrolled from a tertiary Grade A oncology hospital in Tianjin, China, using the convenience sampling method. All participants completed the general questionnaire, Ambivalence over Emotion Expression Questionnaire (AEQ), and Family Adapt-Ability and Cohesion Evaluation Scales-Chinese Version (FACES-CV). We employed exploratory latent profile analysis for ambivalence over emotional expression profiling and logistic regression analysis to identify the influential factors</div></div><div><h3>Results</h3><div>The results of the latent profile analysis supported the models of four latent profiles, which were defined as “low conflict-low expression reflection” (19.2 %), “high conflict-high inhibition expression” (43.9 %), “moderate conflict-high regret expression” (18.1 %), and “moderate conflict-desire understand” (18.8 %). Logistic regression revealed that family cohesion, marital status, residence, per capita monthly income, and cancer stage were the influencing factors of ambivalence over emotional expression in young breast cancer patients (<em>P</em> &lt; 0.05)</div></div><div><h3>Conclusions</h3><div>Levels of ambivalence over emotional expression ameast cancer patients with breast cancer were highly heterogeneous. Medical staff should provide psychological counseling and health education tailored to the unique characteristics of emotional expression ambivalence in different patient groups to promote healthy emotional expression among patients.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 379-385"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724236","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}

{"title":"In-home respite care in dementia: An evolutionary concept analysis","authors":"Huiyue Zhang ,&nbsp;Min Yin ,&nbsp;Xue Nan ,&nbsp;Xin Liu ,&nbsp;Rujia Zhang","doi":"10.1016/j.ijnss.2025.06.010","DOIUrl":"10.1016/j.ijnss.2025.06.010","url":null,"abstract":"<div><h3>Objective</h3><div>To clarify the concept of in-home respite care in dementia care and identify changes in the service content over time to help providers and users better understand this sustainable service.</div></div><div><h3>Method</h3><div>A literature search was conducted through Chinese databases China National Knowledge Infrastructure (CNKI), Wanfang, VIP, and SinoMed, as well as English databases PubMed, the Cochrane Library, Web of Sciences, and Embase. Articles published from January 1980 to December 2024 were identified. Rogers’ conceptual analysis of evolution was used for this concept analysis, including six steps: identifying the concept and its context, selecting appropriate databases, determining relevant literature, identifying the concept’s attributes, antecedents, and consequences, choosing a concept exemplar if appropriate, and defining hypotheses and implications for further concept development.</div></div><div><h3>Results</h3><div>Thirty-one articles were included. This conceptual analysis revealed the evolution of in-home respite care service content over time and summarized three key attributes. The antecedents included factors related to people with dementia, family caregivers, and the social environment (aging society, government support). The consequences of in-home respite services include delayed institutional placement and reduced security risk events for people with dementia. For family caregivers, consequences include reduced caregiving stress, improved quality of life, and perceived benefits from rest periods.</div></div><div><h3>Conclusion</h3><div>In-home respite care can be interpreted as family-centered home care that provides temporary relief from family caregivers’ responsibilities in caring for people with dementia to reduce caregiver burden. The trend of service specialization and attention on dementia families’ needs in service provision are future research focus.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 352-360"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724583","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}

{"title":"Quality of life experience in physically frail people on renal dialysis: A qualitative meta-synthesis on the difficulties and resources for better health care","authors":"Anabel Ramírez-García ,&nbsp;Alba Torné-Ruiz ,&nbsp;Aida Bonet ,&nbsp;Olga Monistrol ,&nbsp;Marta Banqué ,&nbsp;Judith Roca","doi":"10.1016/j.ijnss.2025.06.012","DOIUrl":"10.1016/j.ijnss.2025.06.012","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to summarize the quality of life experiences of individuals with physical frailty undergoing hemodialysis or peritoneal dialysis and to identify the difficulties and resources that enable better person-centered health care.</div></div><div><h3>Methods</h3><div>The study described is a qualitative meta-synthesis literature review. The search was performed in databases such as CINAHL, Scopus, PubMed, Web of Science, the Cochrane Library, and Cuiden Plus through Medical Subject Headings and free terms. Qualitative and mixed studies were included on individuals undergoing hemodialysis or peritoneal dialysis, 18 years of age or older, published in English or Spanish, between January 2013 and January 2024. The Mixed Methods Appraisal Tool was used to assess the methodological quality. The information was analyzed and coded through a socioecological model and the social determinants of health.</div></div><div><h3>Results</h3><div>Fourteen qualitative and two mixed articles were selected. A total of 256 individuals participated in the study. Seventeen themes and 25 sub-themes were identified and grouped into two blocks (difficulties and resources). The difficulties that stood out were a low tolerance for activities of daily living and physical activity, loss of self-control over life and social roles, and lack of community and public resources. As for the resources, the following was found: the positive meaning of dialysis, the safety offered by close individuals and the healthcare team, the activation of specific programs, and person-centered policies<em>.</em></div></div><div><h3>Conclusions</h3><div>The analysis and interpretation of the identified difficulties and resources revealed key elements to consider when designing and implementing health programs for individuals undergoing dialysis. Future research should explore these dimensions in diverse cultural and geographical contexts to enhance generalizability and support health equity.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 344-351"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723607","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}