International Journal of Nursing Sciences最新文献

{"title":"Views of health care professionals on the implementation of preoperative advance care planning in older patients with head and neck cancer: Q methodology","authors":"Huixian Yang,&nbsp;Ruirui Duan,&nbsp;Yongxia Ding,&nbsp;Jing Xu,&nbsp;Yanzhi Tian","doi":"10.1016/j.ijnss.2024.03.011","DOIUrl":"https://doi.org/10.1016/j.ijnss.2024.03.011","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the views of health care professionals in a head and neck surgical department toward the implementation of advance care planning prior to surgery for older patients with head and neck cancer.</p></div><div><h3>Method</h3><p>Q methodology was used to explore and analyze participants’ views by combining quantitative and qualitative methods. Participants were asked to rank 35 Q statements generated via semi-structured interviews and a literature review and to explain the reasons for their ranking in subsequent interviews. The data was then analyzed and used to develop a factor series to illustrate participants’ views.</p></div><div><h3>Results</h3><p>This study surveyed 15 health care professionals, including eight doctors and seven nurses. The views of health care professionals toward preoperative implementation of advance care planning discussions were varied and could be categorized into three types: defending the autonomy of patients, patients’ knowledge and the Chinese traditional cultural context hinder the implementation of preoperative advance care planning, and lack of confidence in performing preoperative advance care planning.</p></div><div><h3>Conclusions</h3><p>Although the health care professionals in the head and neck surgical department in this study recognized the benefits of preoperative discussions regarding advance care planning, patients’ knowledge level, traditional Chinese values, inadequate capacity among health care professionals, and unsound legal policies have caused these professionals to have misgivings about preoperative counseling and discussing advance care planning with patients. Further studies should be conducted, and strategies to overcome barriers to discussions of preoperative advance care planning should be developed.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000280/pdfft?md5=c3133ae869e4f20e4454ba374e8386f2&pid=1-s2.0-S2352013224000280-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140646564","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":"Effect of banana intake on serum potassium level in patients undergoing maintenance hemodialysis: A randomized controlled trial","authors":"Zilin Quan ,&nbsp;Caixia Li ,&nbsp;Liyan Zhao ,&nbsp;Dongmei Cui ,&nbsp;Shuangxin Liu ,&nbsp;Yan Yin ,&nbsp;Qi Tang ,&nbsp;Dehan Zeng ,&nbsp;Li Song ,&nbsp;Xia Fu","doi":"10.1016/j.ijnss.2024.03.016","DOIUrl":"10.1016/j.ijnss.2024.03.016","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to assess the effect of banana intake during hemodialysis on serum potassium levels in maintenance hemodialysis (MHD) patients.</p></div><div><h3>Methods</h3><p>This study was a single-center, randomized controlled clinical trial conducted from September 15 to December 15, 2021, at a tertiary hospital in southern China. A total of 126 MHD patients were randomly assigned to either the intervention group (<em>n</em> = 64) or the control group (<em>n</em> = 62). Patients in the intervention group consumed approximately 250 g of bananas during hemodialysis, while those in the control group did not consume any food during hemodialysis. Demographic information and hemodialysis-related parameters were collected through case information collection before hemodialysis. Laboratory indicators (such as complete blood count, biochemical indicators, inflammation markers, liver function, kidney function, etc.) were evaluated by collecting pre-hemodialysis blood samples from patients. Serum potassium and blood glucose levels were measured at 2 h and 4 h of hemodialysis, as well as before the next hemodialysis session, and hemodialysis-related complications were recorded. The blood potassium and blood glucose indicators during hemodialysis were compared using repeated measures analysis.</p></div><div><h3>Results</h3><p>A total of 122 MHD patients completed the study (61 in each group). The results showed that there was no significant interaction between group and time on serum potassium levels. However, serum potassium levels in the intervention group were higher than those in the control group at 2 h (3.9 ± 0.5 mmol/L vs. 3.6 ± 0.3 mmol/L, <em>P</em> &lt; 0.01) and 4 h (3.5 ± 0.4 mmol/L vs. 3.3 ± 0.3 mmol/L, <em>P</em> &lt; 0.01) of hemodialysis. There was no interaction between group and time on blood glucose levels. The incidence of arrhythmias (8.2% vs. 29.5%, <em>P</em> = 0.003) and hypokalemia (52.5% vs. 80.3%, <em>P</em> = 0.002) during hemodialysis was significantly lower in the intervention group compared to the control group.</p></div><div><h3>Conclusion</h3><p>Consuming approximately 250 g of bananas at the start of hemodialysis does not lead to hyperkalemia. It can effectively reduce the incidence of hypokalemia and arrhythmias, and prevent a rapid decline in serum potassium levels during hemodialysis.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000334/pdfft?md5=cd0e83ba47db28fa38cbfb975db6160b&pid=1-s2.0-S2352013224000334-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140271449","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 nursing inspiration in research of older adults with subjective cognitive decline from 2003 to 2023: A bibliometric analysis","authors":"Xiaotong Ding ,&nbsp;Jiyuan Shi ,&nbsp;Qing Wang ,&nbsp;Hongli Chen ,&nbsp;Xiuxiu Shi ,&nbsp;Zheng Li","doi":"10.1016/j.ijnss.2024.03.003","DOIUrl":"10.1016/j.ijnss.2024.03.003","url":null,"abstract":"<div><h3>Objectives</h3><p>There has been a significant increase in subjective cognitive decline (SCD) studies in older adults over the years. A bibliometric analysis was conducted to demonstrate the current hotspots and emerging trends in SCD research in older adults and provide references for further research in this field.</p></div><div><h3>Methods</h3><p>The study conducted a bibliometric analysis based on co-citation analysis. From the Web of Science Core Collection database, this study obtained 1,436 manuscripts regarding SCD in older adults published from 2003 to 2023. Software CiteSpace was used to analyse the results for countries, institutions, authors, journals, keywords, top-cited papers, and burst citations scientifically and intuitively.</p></div><div><h3>Results</h3><p>Our result showed an overall upward trend in the volume of publications on SCD in the elderly population, suggesting that the study of SCD in older adults has attracted the attention of researchers. The United States dominates this research field, followed by China and France. The top three institutions were the University of California System, Institut National de la Sante et de la Recherche Medicale (Inserm), and UDICE-French Research Universities. Frank Jessen, Han Ying, and Kathryn Ellis were the top three researchers. The top three cited journals were <em>Neurology</em>, <em>Alzheimers &amp; Dementia</em>, and <em>Journal of Alzheimer’s Disease</em>. The keywords clustering were “depression”, “functional connectivity”, “cognitive reserve”, “cognitive function”, “physical activity”, “recommendations”, “dementia prevention”, “ behavioral disorders”, “primary care”, “early diagnosis”, and “community-based study”. Keywords with the highest citation bursts include “physical activity”, “framework”, “preclinical Alzheimer’s disease”, “future dementia”, and “late life depression”.</p></div><div><h3>Conclusions</h3><p>Parallel to the growth trend, the range of research scopes and topics is expanding steadily, focusing on early screening and prevention, negative emotion, and symptom management, broadening researchers’ perspectives, which can provide reference and guidance for nursing researchers to conduct research.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000206/pdfft?md5=f14ccca67158aabb254274cf4a6846ee&pid=1-s2.0-S2352013224000206-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140281748","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":"Demand analysis of health care services for community-dwelling breast cancer survivors based on the Kano model: A cross-sectional study","authors":"Maomao Zhang,&nbsp;Liuliu Zhang,&nbsp;Xiaoxu Zhi,&nbsp;Fang Cheng,&nbsp;Yufeng Yao,&nbsp;Rong Deng,&nbsp;Chunli Liu,&nbsp;Yan Wang","doi":"10.1016/j.ijnss.2024.03.015","DOIUrl":"10.1016/j.ijnss.2024.03.015","url":null,"abstract":"<div><h3>Objectives</h3><p>Providing satisfactory healthcare services for breast cancer survivors can effectively reduce their burden and the pressure on medical resources. The aim of this study was to explore health care service demands for community-dwelling breast cancer survivors using the Kano model.</p></div><div><h3>Methods</h3><p>A cross-sectional survey was conducted from January to March 2023 among breast cancer survivors discharged from a tertiary cancer hospital. Participants were asked to fill out a self-designed questionnaire involving the Kano model, which helped to categorize and prioritize the attributes of healthcare services. The questionnaire included 30 health care services. Additionally, their social demographic characteristics were collected during the survey.</p></div><div><h3>Results</h3><p>A total of 296 valid questionnaires were collected, and demand attributes of the 30 health care services were evaluated. The findings revealed that one of 30 services was classified as “must-be attributes” (body image management), 13 as “one-dimensional attributes” (focused on medical security support, health management, and health counseling), 3 as “attractive attributes” (focused on communication needs and telehealth services), and 11 as “indifferent attributes” (mainly in the area of psycho-social services).</p></div><div><h3>Conclusions</h3><p>Breast cancer survivors in the community have different levels of need for various health care services. It’s crucial for healthcare providers to identify these needs and devise effective strategies to deliver the appropriate services. Services with must-be and one-dimensional attributes should be given priority, and efforts should be made to provide services with attractive attributes, hence improving the quality of life of breast cancer survivors.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000322/pdfft?md5=64f7121de5385cd2547416f039750b8e&pid=1-s2.0-S2352013224000322-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140271806","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":"Efficacy and safety of continuous nursing in improving functional recovery after total hip or knee arthroplasty in older adults: A systematic review","authors":"Jing Sun ,&nbsp;Yirong Xu ,&nbsp;Juan Zhu ,&nbsp;Bei Zhu ,&nbsp;Wei Gao","doi":"10.1016/j.ijnss.2024.03.013","DOIUrl":"10.1016/j.ijnss.2024.03.013","url":null,"abstract":"<div><h3>Objective</h3><p>This systematic review was conducted to evaluate the efficacy and safety of continuous nursing care for the recovery of joint function in older adults with total hip or knee arthroplasty.</p></div><div><h3>Methods</h3><p>Randomized controlled trials and cohort studies of continuous nursing in older patients after joint replacement were searched from the database of Cochrane Library, Web of Science, PubMed, and Embase from their establishment to October 25, 2023. After literature screening, two researchers completed data extraction, and the risk of bias was assessed using the Cochrane risk-of-bias tool. The risk analysis included in cohort studies was based on the Newcastle-Ottawa Scale (NOS).</p></div><div><h3>Results</h3><p>The study included a total of 15 articles, comprising 34,186 knee and hip replacement patients. In this review, the effects of continuous nursing on the recovery of joint function of knee replacement and hip replacement in older adults were classified and discussed. Continuous nursing interventions targeted for total hip replacement could greatly increase the range of joint mobility, enhance muscle strength during hip movements like flexion, extension, and abduction, maintain joint stability, relieve pain, improve daily activities, and lower the risk of complications. For older patients with knee arthroplasty, continuous nursing programs could markedly improve knee motion range, joint flexion, joint stability, daily activities, and pain management. Despite the implementation of interventions, the incidence of complications caused by total knee replacement did not decrease. Out of all the studies reviewed, only one used a theoretical framework for interventions provided to patients during the postoperative period of hip arthroplasty. The overall quality of the included studies was very high.</p></div><div><h3>Conclusion</h3><p>Continuous nursing can effectively improve the joint function of older patients after joint replacement. However, its effectiveness in terms of clinical outcomes, patient satisfaction, and medical cost of associated continuous nursing needs to be further clarified. In addition, continuous nursing has no significant advantage in the safety of postoperative complications and readmission rates in older adults after knee joint replacement. To enhance the efficacy and safety of continuous nursing effectively, it is crucial to refine the continuous nursing program in the future, thereby elevating the quality of nursing services.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000309/pdfft?md5=90c03c91ef0bd8149eb1196af090a6ba&pid=1-s2.0-S2352013224000309-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140271479","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":"A nursing intervention based on the Zentangle® method: Experiences of patients diagnosed with borderline personality disorder","authors":"Ana Morales-Alonso ,&nbsp;Ángela Iglesias-de-la-Iglesia ,&nbsp;Miriam Alonso-Maza","doi":"10.1016/j.ijnss.2024.03.004","DOIUrl":"10.1016/j.ijnss.2024.03.004","url":null,"abstract":"<div><h3>Objective</h3><p>The application of the Zentangle® Method in relation to relaxation and well-being has not been tested in patients with borderline personality disorder (BPD). This study was to analyze the practising Zentangle® experience in patients with BPD.</p></div><div><h3>Methods</h3><p>With a phenomenological interpretative approach, this qualitative study conducted semi-structured interviews with patients who participated in a 6-session Zentangle® program accomplished monthly over six months in a Personality Disorders Unit. A total of 15 patients were interviewed for this study. Smith, Flowers &amp; Larkin method was applied for evaluation in the data analysis.</p></div><div><h3>Results</h3><p>Based on our findings, three categories were extracted: As you sow, so shall you reap (participants reported improvements in concentration, relaxation, interpersonal relationships, and interaction with their environment as well as positive experiences toward acceptance and change); Many hands make light work (patients admitted feeling better in a group and developed group membership. They described how a group environment influences individual behavior); Drawing your own path (this method provides a medium for self-expression and self-knowledge through drawing, improving well-being through emotional expression, enhancing creativity, and increasing self-confidence).</p></div><div><h3>Conclusions</h3><p>By practicing Zentangle®, patients achieve behavioral responses such as flexibility and adaptability, reaching greater emotional well-being through anxiety management, impulse control, learning to cope with problems, or improving self-esteem or concentration. Mental health nursing plays a critical active role in the comprehensive treatment of BPD, as well as the mobilization and coordination of complementary and diverse interventions.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000218/pdfft?md5=ae7da5f88f70a770f0b917dd9be16e73&pid=1-s2.0-S2352013224000218-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140272560","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":"Nursing leadership: Key element of professional development","authors":"Xiaoying Jiang","doi":"10.1016/j.ijnss.2023.12.015","DOIUrl":"10.1016/j.ijnss.2023.12.015","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001576/pdfft?md5=68803de8aa119f7fef144072824c01e2&pid=1-s2.0-S2352013223001576-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392663","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":"Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review","authors":"Beibei Xiong ,&nbsp;Daniel X. Bailey ,&nbsp;Paul Prudon ,&nbsp;Elaine M. Pascoe ,&nbsp;Leonard C. Gray ,&nbsp;Frederick Graham ,&nbsp;Amanda Henderson ,&nbsp;Melinda Martin-Khan","doi":"10.1016/j.ijnss.2023.11.001","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.11.001","url":null,"abstract":"<div><h3>Objectives</h3><p>Recognition of the cognitive status of patients is important so that care can be tailored accordingly. The objective of this integrative review was to report on the current practices that acute care hospitals use to identify people with cognitive impairment and how information about cognition is managed within the healthcare record as well as the approaches required and recommended by policies.</p></div><div><h3>Methods</h3><p>Following Whittemore &amp; Knafl’s five-step method, we systematically searched Medline, CINAHL, and Scopus databases and various grey literature sources. Articles relevant to the programs that have been implemented in acute care hospitals regarding the identification of cognitive impairment and management of cognition information were included. The Mixed Methods Appraisal Tool and AACODS (Authority, Accuracy, Coverage, Objectivity, Date, Significance) Checklist were used to evaluate the quality of the studies. Thematic analysis was used to present and synthesise results. This review was pre-registered on PROSPERO ( CRD42022343577).</p></div><div><h3>Results</h3><p>Twenty-two primary studies and ten government/industry publications were included in the analysis. Findings included gaps between practice and policy. Although identification of cognitive impairment, transparency of cognition information, and interaction with patients, families, and carers (if appropriate) about this condition were highly valued at a policy level, sometimes in practice, cognitive assessments were informal, patient cognition information was not recorded, and interactions with patients, families, and carers were lacking.</p></div><div><h3>Discussion</h3><p>By incorporating cognitive assessment, developing an integrated information management system using information technology, establishing relevant laws and regulations, providing education and training, and adopting a national approach, significant improvements can be made in the care provided to individuals with cognitive impairment.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001412/pdfft?md5=dd886be80b9e871f80cab1865b018e62&pid=1-s2.0-S2352013223001412-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139674848","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 prevalence and factors associated with sarcopenia in Thai older adults: A systematic review and meta-analysis","authors":"Phatcharaphon Whaikid,&nbsp;Noppawan Piaseu","doi":"10.1016/j.ijnss.2023.11.002","DOIUrl":"10.1016/j.ijnss.2023.11.002","url":null,"abstract":"<div><h3>Objective</h3><p>This systematic review and meta-analysis aimed to assess the prevalence and identify factors associated with sarcopenia in older Thais.</p></div><div><h3>Methods</h3><p>Research studies were searched in online databases, including PubMed, Embase, Scopus, and Thai-Journal Citation Index. The articles included in this review were limited to being published between January 1, 2013 and January 31, 2023 and observational study designs. The research quality was evaluated using the Joanna Briggs Institute (JBI) critical appraisal tool for prevalence studies. A meta-analysis was performed using the JBI SUMARI software. The review protocol has been registered on PROSPERO with the assigned ID CRD42023420514.</p></div><div><h3>Results</h3><p>A total of 265 research articles were initially identified, out of which 17 articles were included in this study, including a total of 4,668 participants aged 60 years and over, consisting of 1,380 (29.6%) men and 3,288 (70.4%) women. The overall prevalence of sarcopenia in Thai older adults was 20.7% (95% CI 14.4%–27.8%). Subgroup analysis of the sarcopenia prevalence based on the study areas revealed that the prevalence was 33.4% (95% CI 28.7%–38.3%) in hospitalized individuals, 23.2% (95% CI 12.5%–35.9%) in outpatient clinic settings, and 17.3% (95% CI 9.4%–26.8%) in community-living older adults. Advanced age (<em>OR</em> = 4.60, 95% CI 3.07–6.91), being male (<em>OR</em> = 2.30, 95% CI 1.37–3.85), low body mass index (BMI) (<em>OR</em> = 8.95, 95% CI 6.05–13.25), and malnutrition (<em>OR</em> = 2.78, 95% CI 2.09–3.70) are strong predictors of sarcopenia in older adults in Thailand.</p></div><div><h3>Conclusions</h3><p>This systematic review represents the first assessment of the overall prevalence and factors associated with sarcopenia in Thai older adults, indicating its significant concern within this population. These findings are of importance for public health management aimed at preventing and managing sarcopenia in the country.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001424/pdfft?md5=ec1c4f2195df8aa65216ed51e10a9220&pid=1-s2.0-S2352013223001424-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138613464","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":"Symptoms and symptom clusters in patients with hepatocellular carcinoma and commonly used instruments: An integrated review","authors":"Thitiporn Pathomjaruwat ,&nbsp;Yaowarat Matchim ,&nbsp;Jane M. Armer","doi":"10.1016/j.ijnss.2023.09.009","DOIUrl":"10.1016/j.ijnss.2023.09.009","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to synthesize the available knowledge of identifying hepatocellular carcinoma (HCC) symptoms and symptom clusters in patients with HCC and instruments used for these assessments to maximize symptom management.</p></div><div><h3>Methods</h3><p>Whittemore and Knafl’s integrative review method was employed to guide a systematic search for literature in five databases (PubMed, ScienceDirect, Scopus, CINAHL, and ThaiJO). The retrieved articles were limited to those which were peer-reviewed, published between 2005 and 2022, and had English abstracts. All of identified studies were screened, extracted, and analyzed independently by two researchers.</p></div><div><h3>Result</h3><p>Fourteen articles were included in this review. They were grouped into three themes: symptoms, symptom assessment, and symptom clusters of HCC patients. Fatigue, lack of energy, stomach or abdominal pain/distension, loss of appetite, change in taste, sleep disturbance, distress, and sadness are the most prevalent symptoms reported in HCC patients. The different concurrent symptoms are related to the stage and treatment. Five types of symptom assessment instruments were commonly used (symptoms-specific HCC, general cancer symptom, measuring non-symptom constructs, measuring specific symptoms, such as fatigue, sleep disturbance, anxiety, and depression, and symptom assessment with clinical examination). Furthermore, the symptom clusters in HCC patients were classified into five categories: 1) pain-related symptoms, 2) gastrointestinal symptoms, 3) neuropsychological symptom clusters and sensory symptoms, 4) liver dysfunction-related symptom clusters, and 5) others (including sickness symptom clusters, fatigue clusters, location pain symptoms, and asymptomatic or symptomatic).</p></div><div><h3>Conclusion</h3><p>The findings of this review add to the body of knowledge on symptoms, symptom assessment, and symptom clusters in patients with HCC. Despite a variety of instruments being available, none covers all symptoms experienced by HCC patients. It is recommended that future studies should include larger and more homogenous samples to evaluate assessment instruments more precisely, avoid ambiguity in classifying symptoms into symptom clusters, and increase the effectiveness of symptom management.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001023/pdfft?md5=d4e037082a45e11279a0ba5bc37f6c7f&pid=1-s2.0-S2352013223001023-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135389863","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}