International Journal of Nursing Sciences最新文献

{"title":"Effectiveness of nurse-led heart failure clinic: A systematic review","authors":"","doi":"10.1016/j.ijnss.2024.04.001","DOIUrl":"10.1016/j.ijnss.2024.04.001","url":null,"abstract":"<div><h3>Objectives</h3><p>Heart failure is a stage of various cardiovascular diseases and constitutes a growing major public health problem worldwide. Nurse-led heart failure clinics play an important role in managing heart failure. All nurse-led heart failure clinic services are clinic-based. We conducted a systematic review to describe the contents and impact of nurse-led heart failure clinics.</p></div><div><h3>Methods</h3><p>A review of nurse-led heart failure clinic research was undertaken in PubMed, Embase, Web of Science, and Cochrane Library. The search was initially conducted on October 23, 2022 and updated on November 21, 2023. Articles were appraised using the Joanna Briggs Institute Appraisal criteria by two independent reviewers. This review was registered on PROSPERO (CRD42022352209).</p></div><div><h3>Results</h3><p>Twelve articles were included in this systematic review. The nurse-led heart failure clinic contents were: medication uptitration, educational counselling, evidence-based transitional care, psychosocial support, physical examination and mental well-being assessment, therapy monitoring and adjustment, follow-up, and phone consultations. Most studies reported largely positive clinical outcomes in nurse-led heart failure clinics. Four studies examined the quality of life and reported conflicting results; four studies examined medication titration efficacy, and the results were generally positive. Only two studies examined cost-effectiveness.</p></div><div><h3>Conclusions</h3><p>Nurse-led heart failure clinics have shown a largely positive impact on patient outcomes, quality of life, and medication titration efficacy. More randomised controlled trials and other studies are needed to obtain more robust conclusions.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 3","pages":"Pages 315-329"},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000516/pdfft?md5=5effbd8f953a6dafe7ce01e3cd6f9f64&pid=1-s2.0-S2352013224000516-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140791066","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 role expectations of young women as wives after breast cancer treatment: A qualitative study","authors":"Wenjuan Gao ,&nbsp;Qian Zhang ,&nbsp;Dan Wang ,&nbsp;Xiaoxu Li ,&nbsp;Linping Zhang ,&nbsp;Mengjiao Xu ,&nbsp;Jing Han","doi":"10.1016/j.ijnss.2024.05.001","DOIUrl":"10.1016/j.ijnss.2024.05.001","url":null,"abstract":"<div><h3>Objectives</h3><p>Through the reflection of young breast cancer women on their selves and identities, we explored expectations of the wife role that they need to fulfill to return to their families, aimed to provide a reference basis for medical professionals to develop interventions related to cancer family rehabilitation.</p></div><div><h3>Methods</h3><p>Descriptive phenomenological methods and purposive sampling were used. Young breast cancer patients and their spouses were selected for semi-structured face-to-face interviews in the study from March to April 2023 at the department of breast surgery and oncology center of a Class A tertiary hospital in Xuzhou City, China. The interviews were transcribed verbatim and analyzed using Colaizzi’s phenomenological approach.</p></div><div><h3>Results</h3><p>Twenty patients and six spouses were interviewed. The mean patient age was (35.95 ± 3.36) years, and the mean spouse was (37.67 ± 5.28) years. Young breast cancer patients were concerned about three main wife expectations during their treatment and rehabilitation: preserving self-love and self-esteem (paying attention to physical health, embracing the disease, and regaining confidence in female characters); adjustment of conjugal relationships (harmonious and effective couple communication, providing support for marriage and love, and creating a beautiful married life together); assisting in family recovery (relieving stress on spouses from caregiving and finances, and management of daily household chores).</p></div><div><h3>Conclusions</h3><p>The wife role expectations of young breast cancer women and their spouses encompass three core aspects: self, couple, and family. Self-esteem and self-love are the most fundamental expectations of the wife role, while adjusting the couple’s relationship and assistance in family rehabilitation represent higher expectations. This study can help healthcare professionals and cancer families gain a more comprehensive understanding of the wife role expectations for young cancer women, thereby enabling the development of couple-centered interventions to promote patient recovery and enhance the resilience of marriages and families.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 3","pages":"Pages 366-373"},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235201322400053X/pdfft?md5=bb1e66be30002951fa064ce83f3ccd5c&pid=1-s2.0-S235201322400053X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141954353","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, attitudes, and practices (KAP) regarding intra-abdominal pressure monitoring among pediatric intensive care nurses: A cross-sectional study","authors":"Zhiru Li ,&nbsp;Fangyan Lu ,&nbsp;Yanhong Dai ,&nbsp;Meijun Sheng ,&nbsp;Lidan Su ,&nbsp;Ping Yao ,&nbsp;Huafen Wang","doi":"10.1016/j.ijnss.2024.05.002","DOIUrl":"10.1016/j.ijnss.2024.05.002","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to assess the knowledge, attitudes, and practices (KAP) and the training requirements of pediatric intensive care nurses regarding intra-abdominal pressure (IAP) monitoring, in order to provide a reference for the development of relevant training programs and operational procedures in clinical practice.</p></div><div><h3>Methods</h3><p>This descriptive cross-sectional survey was conducted from April 2023 to June 2023. A convenience sample was created by recruiting 212 pediatric intensive care nurses in eight hospitals in Zhejiang Province. A self-developed IAP monitoring KAP assessment tool was used for evaluation, which included knowledge (14 items), attitude (6 items), and practice (8 items), three dimensions, 28 items.</p></div><div><h3>Results</h3><p>The overall KAP score was 60.73 ± 8.35; the knowledge score was 7.84 ± 2.35, with a scoring rate of 56.0%; the attitude score was 25.16 ± 3.23, with a scoring rate of 83.9%; and the practice score was 28.44 ± 6.46, with a scoring rate of 69.3%. Nurses wh-o have received IAP monitoring training have higher KAP score, knowledge score and practice score than those who have not received it (<em>P</em> &lt; 0.05). Nurses aged ≤ 30 showed better knowledge of IAP monitoring than those aged &gt; 30 (<em>P</em> &lt; 0.05). Among the participants, 55.7% of the nurses believed the current knowledge was insufficient to perform IAP measurement effectively. Difficulty in identifying the high-risk population of intra-abdominal hypertension (IAH) (64.6%), unfamiliarity with the operation process of IAP measurement (55.6%), and unreasonable nurse-patient ratio allocation (52.8%) were the main obstacles for nurses to monitor IAP.</p></div><div><h3>Conclusions</h3><p>Pediatric intensive care nurses have a positive attitude towards IAP monitoring, but the knowledge level and practical behavior still need to be strengthened. In particular, the knowledge of published consensus definitions, measurement techniques, and frequency for IAP monitoring is inadequate. It is necessary to implement tailored IAP monitoring training based on their training needs and potential obstacles to promote the standardization and scientificity of IAP monitoring.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 3","pages":"Pages 381-386"},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000541/pdfft?md5=1d90d90e74e0ff32daef745f1a2dbb19&pid=1-s2.0-S2352013224000541-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141954354","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":"Influencing factors associated with mental workload among nurses: A latent profile analysis","authors":"Man Jin ,&nbsp;Rong Qian ,&nbsp;Jialin Wang ,&nbsp;Juan Long ,&nbsp;Zhongqing Yuan ,&nbsp;Li Zeng ,&nbsp;Dan Liao ,&nbsp;Xu Liu ,&nbsp;Sikai Tang ,&nbsp;Shuangying Huang","doi":"10.1016/j.ijnss.2024.04.002","DOIUrl":"10.1016/j.ijnss.2024.04.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to examine the latent profile of nurses' mental workload (MWL) and explore the influencing factors via a person-centred approach.</p></div><div><h3>Methods</h3><p>From March to July 2023, a quantitative cross-sectional study was carried out to investigate 526 Chinese clinical nurses from five tertiary hospitals in Sichuan Province, China, by using demographic information, the Perceived Social Support Scale, Simplified Coping Skill Questionnaire, and NASA-Task Load Index. Latent profile analyses were performed using Mplus 7.3 software. Pearson’s chi-squared and logistic regression analysis was done using SPSS 24.0 software.</p></div><div><h3>Results</h3><p>Three profiles of mental workload were identified based on the nurses’ responses to the mental workload assessment, designated as “low MWL-high self-rated (<em>n</em> = 70, 13.3%)”, “moderate MWL (<em>n</em> = 273, 51.9%)”, and “high MWL-low self-rated (<em>n</em> = 183, 34.8%)”. Based on the analysis of the three subtypes, nurses with working years &lt; 5 years (<em>χ</em>^<em>2</em> = 12.135, <em>P</em> &lt; 0.05), no children (<em>χ</em>^<em>2</em> = 16.182, <em>P</em> &lt; 0.01), monthly income &lt; 6000 (<em>χ</em>^<em>2</em> = 55.231, <em>P</em> &lt; 0.001), poor health status (<em>χ</em>^<em>2</em> = 39.658, <em>P</em> &lt; 0.001), no psychological training in the past year (χ² = 56.329, <em>P</em> &lt; 0.001) and suffering from workplace violence (<em>χ</em>^<em>2</em> = 19.803, <em>P</em> &lt; 0.001) were significantly associated with MWL. Moreover, the multivariate logistic regression analysis showed that negative coping styles (<em>OR</em> = 1.146, 95% CI: 1.060–1.238, <em>P</em> = 0.001) were accompanied by higher MWL while negatively associated with perceived social support (<em>OR</em> = 0.927, 95% CI: 0.900–0.955, <em>P</em> &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>Our results showed that the MWL of nurses could be classified into three subtypes. Monthly income, health status, psychological training, workplace violence, negative coping style, and perceived social support were the factors influencing MWL. Managers can employ personalised intervention strategies according to the individual characteristics of different subgroups to reduce nurses’ MWL.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 3","pages":"Pages 330-337"},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000528/pdfft?md5=a923008a880d40a6bb1fe851525dc1a9&pid=1-s2.0-S2352013224000528-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141954351","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":"Reliability and validity of the Italian Version of the Chase Nurse Manager Competencies Scale","authors":"","doi":"10.1016/j.ijnss.2024.06.001","DOIUrl":"10.1016/j.ijnss.2024.06.001","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to translate and test the psychometric properties of the Chase Nurse Manager Competency Instrument (CNMCI) among Italian nurse managers and to provide further support for the scale’s validity testing.</p></div><div><h3>Methods</h3><p>An instrument translation and cross-sectional validation study was conducted. The English version was translated into Italian using the translation method, which included pre-translation (establishing equivalence), initial translation, pretesting, review, and administration. From August 2022 to June 2023, 349 nurse managers were recruited through a web survey from 31 public and private healthcare organizations in North, Central, and Southern Italy. Validity assessments included content and structural validity. Reliability was evaluated using Cronbach’s α coefficient and test-retest reliability.</p></div><div><h3>Results</h3><p>The content validity confirmed all the items of the CNMCI in the Italian version, including the two measurement sections, “knowledge and understand” and “ability to implement and/or use.” The instrument’s item-content validity index (I-CVI) ranged from 0.83 to 1.00, while the scale-level content validity index (S-CVI) for both instrument sections was 0.97. The confirmatory factor analysis showed an acceptable fit. In the “knowledge and understand” section, Cronbach’s α coefficient was 0.978, and in the “ability to implement and/or use” section, Cronbach’s α coefficient was 0.976. The correlation coefficient between each dimension was 0.494–0.908. The test-retest reliability score was 0.82, suggesting good instrument consistency.</p></div><div><h3>Conclusions</h3><p>Overall, the Italian CNMCI demonstrates good reliability and validity for measuring nurse managers’ core competencies and supports the construct’s multi-dimensionality. Also, our findings support the hierarchical nature of the factors, further supporting the validity of the instrument.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 3","pages":"Pages 338-348"},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000553/pdfft?md5=6761a1af3978d132f9dba55fcf91d38f&pid=1-s2.0-S2352013224000553-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141390899","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":"Effectiveness of mobile health applications on clinical outcomes and health behaviors in patients with coronary heart disease: A systematic review and meta-analysis","authors":"Yining Zhu,&nbsp;Yuhan Zhao,&nbsp;Ying Wu","doi":"10.1016/j.ijnss.2024.03.012","DOIUrl":"10.1016/j.ijnss.2024.03.012","url":null,"abstract":"<div><h3>Objective</h3><p>Mobile health applications (apps) have gained significant popularity and widespread utilization among patients with coronary heart disease (CHD). The objective of this study is to evaluate the effects of mHealth apps on clinical outcomes and health behaviors in patients with CHD.</p></div><div><h3>Methods</h3><p>Databases were searched from inception until December 2023, including Cochrane Library, PubMed, EMBASE, Web of Science, CINAHL, China National Knowledge Infrastructure (CNKI), Chinese BioMedical Literature Service System (SinoMed), Wanfang Data, China Science and Technology Journal Database (VIP), for randomized controlled trials (RCTs) regarding the effectiveness of mHealth apps in patients with CHD. Two researchers conducted a comprehensive review of the literature, extracting relevant data and evaluating each study’s methodological quality separately. The meta-analysis was performed utilizing Review Manager v5.4 software.</p></div><div><h3>Results</h3><p>A total of 34 RCTs were included, with 5,319 participants. The findings demonstrated that using mHealth apps could decrease the incidence of major adverse cardiac events (<em>RR</em> = 0.68, <em>P</em> = 0.03), readmission rate (<em>RR</em> = 0.56, <em>P</em> &lt; 0.001), total cholesterol (<em>WMD</em> = −0.19, <em>P</em> = 0.03), total triglycerides (<em>WMD</em> = −0.24, <em>P</em> &lt; 0.001), waist circumference (<em>WMD</em> = −1.92, <em>P</em> = 0.01), Self-Rating Anxiety Scale score (<em>WMD</em> = −6.70, <em>P</em> &lt; 0.001), and Self-Rating Depression Scale score (<em>WMD</em> = −7.87, <em>P</em> &lt; 0.001). They can also increase the LVEF (<em>WMD</em> = 6.50, <em>P</em> &lt; 0.001), VO₂ max (<em>WMD</em> = 1.89, <em>P</em> &lt; 0.001), 6-min walk distance (6MWD) (<em>WMD</em> = 19.43, <em>P</em> = 0.004), Morisky Medication Adherence Scale-8 score (<em>WMD</em> = 0.96, <em>P</em> = 0.004), and medication adherence rate (<em>RR</em> = 1.24, <em>P</em> = 0.03). Nevertheless, there is no proof that mHealth apps can lower low-density lipoprote in cholesterol, blood pressure, BMI, or other indicator (<em>P</em> &gt; 0.05).</p></div><div><h3>Conclusion</h3><p>Mobile health apps have the potential to lower the incidence of major adverse cardiac events (MACEs), readmission rates, and blood lipids in patients with CHD. They can also help enhance cardiac function, promote medication adherence, and alleviate symptoms of anxiety and depression. To further corroborate these results, larger-scale, multi-center RCTs with longer follow-up periods are needed.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 2","pages":"Pages 258-275"},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000292/pdfft?md5=d39befe228c8f083c6c3577019262919&pid=1-s2.0-S2352013224000292-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277013","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 quality of dying and death of patients with cancer from Shanghai in China from the perspective of healthcare providers: A cross-sectional study","authors":"Jiawei Min ,&nbsp;Peihao Liu ,&nbsp;Kaifeng Xiao ,&nbsp;Zhe Huang ,&nbsp;Xiaobin Lai","doi":"10.1016/j.ijnss.2024.03.010","DOIUrl":"https://doi.org/10.1016/j.ijnss.2024.03.010","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the quality of dying and death among deceased patients with cancer in Shanghai from the perspective of healthcare providers.</p></div><div><h3>Methods</h3><p>This cross-sectional study was conducted in Shanghai from April to July 2023. A convenience sample of 261 healthcare providers working at eight healthcare institutions participated. Each participant was asked to evaluate the quality of dying and death of one deceased patient who had been cared for recently using the Good Death Scale for patients in China (GDS-PCN). The scale included family companionship (eight items), dying with peace (six items), professional care (six items), preparation &amp; no regrets (five items), maintaining dignity (four items), keeping autonomy (four items), and physical wellbeing (three items) seven dimensions, 36 items.</p></div><div><h3>Results</h3><p>The total GDS-PCN score was 144.11 ± 17.86. The professional care dimension scored the highest (4.21 ± 0.58), whereas the preparation and no regret dimension scored the lowest (3.75 ± 0.70). Significant differences in the GDS-PCN scores were based on the healthcare institution grade, ward type, hospitalization duration, communication about the condition, treatment, and death-related topics with the healthcare provider, and decision-making style (<em>P</em> &lt; 0.05). The quality of dying and death of the deceased patients was higher among those who received care in community health service centers and hospice wards, those who had been hospitalized for more than 15 days, those who had discussed their personal conditions, treatment, and death-related topics with healthcare providers to a greater extent; and those who were involved in decision-making (<em>P</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>The overall quality of dying and death among cancer patients in Shanghai is moderate to high, but the quality of dying and death in the preparation and no regret dimension and the keeping autonomy dimension still have room for improvement. Increased utilization of hospice care and better communication between patients and healthcare providers may enhance decedents’ quality of dying and death. Future research on this topic is required from different perspectives and on a broader scale in the mainland of China.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 2","pages":"Pages 179-186"},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000279/pdfft?md5=d3e100d212697b29bcd4d77395bd354b&pid=1-s2.0-S2352013224000279-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140646565","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":"Transforming education: Developing a practice-ready workforce","authors":"Gwen Sherwood","doi":"10.1016/j.ijnss.2024.03.002","DOIUrl":"10.1016/j.ijnss.2024.03.002","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 2","pages":"Pages 159-161"},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235201322400019X/pdfft?md5=9cd64227e4221c66fa23b2740864aa0f&pid=1-s2.0-S235201322400019X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140268355","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":"Symptom networks analysis among people with Meniere’s disease: Application for nursing care","authors":"Xuejiao Cao ,&nbsp;Yue Zhou ,&nbsp;Tang Li ,&nbsp;Chennan Wang ,&nbsp;Peixia Wu","doi":"10.1016/j.ijnss.2024.03.014","DOIUrl":"10.1016/j.ijnss.2024.03.014","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to explore and visualize the relationships among multiple symptoms in patients with Meniere’s disease (MD) and aid clinical nurses in the design of accurate, individualized interventions.</p></div><div><h3>Methods</h3><p>This study included 790 patients with MD at the Eye and ENT Hospital of Fudan University from October 2014 to December 2021. A self-designed symptom checklist was used to assess 15 MD-related symptoms and construct contemporaneous networks with all 15 symptoms in R software. Qgraph package and Fruchterman-Reingold layout were used for network visualization. Bootstrapping methods were performed to assess network accuracy and stability, and three centrality indices were adopted to describe relationships among symptoms.</p></div><div><h3>Results</h3><p>Symptom networks showed good accuracy and stability. “Anxiety and nervousness”(98.2%), “aural fullness”(84.4%) and “tinnitus”(82.7%) were the common symptom in MD patients, while “tinnitus”, “aural fullness” and “decline in word recognition”, were more serious. MD patients with longer disease duration had higher prevalence and severity for all symptoms (<em>P</em> &lt; 0.05). Symptom networks showed good accuracy and stability. “Decline in word recognition,” “fatigue,” and “anxiety and nervousness” were at the center of the symptom networks, which had the largest strength values and closeness. “Decline in word recognition,” “headache,” and “spatial discrimination and poor orientation” were the symptoms with the highest betweenness with the strongest bridging effect. The ≥1-year disease group exhibited higher centralities for “drop attack” and “anxiety and nervousness,” and a lower centrality for “headache” compared with the &lt;1-year disease group.</p></div><div><h3>Conclusions</h3><p>The symptom networks of MD patients with varying disease durations were revealed. Clinicians and nurses must provide precision interventions tailored to modifying symptom severity and centrality. Nursing interventions should focus on word recognition issues and associated discomfort in MD patients with multiple symptoms.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 2","pages":"Pages 214-221"},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000310/pdfft?md5=4982f59d01fe935f4538f9ab977c64fd&pid=1-s2.0-S2352013224000310-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277992","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":"Perspectives and experiences of community-dwelling older adults who experience falling: A qualitative meta-synthesis","authors":"Huimin Jiang ,&nbsp;Haobin Yuan ,&nbsp;Stephen Tee ,&nbsp;Oi Ching Bernice Lam Nogueira","doi":"10.1016/j.ijnss.2024.03.009","DOIUrl":"10.1016/j.ijnss.2024.03.009","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to systematically review and synthesize the perspectives and experiences of community-dwelling older adults who experience falling, to inform the subsequent development of fall prevention and management interventions, and to provide recommendations for healthcare policy and practice.</p></div><div><h3>Methods</h3><p>The review was a qualitative meta-aggregation study following the JBI qualitative systematic review methodology. Databases searched included Medline (through PubMed), CINAHL, PsycINFO, Embase, and the Web of Science. Peer-reviewed articles published in the English language from January 2010 to May 2023 were retrieved. The JBI Qualitative Assessment and Review Instrument (JBI-QARI) was used to assess the quality of the methodology. The ConQual ranking system was used to establish confidence in the synthesized findings. The protocol was registered with PROSPERO (CRD 42023421789).</p></div><div><h3>Results</h3><p>This review included ten qualitative studies with an overall quality score of 60%–90%. Data extracted from eligible studies resulted in 59 findings, which were then aggregated into seven categories based on the similarity in meaning. Three synthesized findings were generated and rated as moderate for synthesized finding 2 and low for synthesized finding 1 and 3 on the ConQual score. Synthesized finding 1: Older adults experience physical injuries and pain, restricted daily activities, and limitations in social activities, reduction or loss of in independence, and have feelings of fear and helplessness. Synthesized finding 2: After experiencing a fall, older adults reflect on the cause of the fall and recognize and interpret the risk factors. Synthesized finding 3: Older adults’ reflections on the causes and impact of falls reveal both positive and negative reactions. They perceive a number of strategies for coping with falls and their consequences, such as using assistive devices, correcting risk factors, seeking medical help, and receiving ongoing physical and psychological attention.</p></div><div><h3>Conclusions</h3><p>Healthcare providers should pay attention to the feelings and experiences of older adults after falling, as well as their reflection on the causes and impacts of falling, and develop tailored plans for intervention. There is also a need for longitudinal studies to examine the longer-term impact of falls on older adults to provide insights into the stability and changes in their reflections, perceptions, attitudes, and preventive behaviors over time.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 2","pages":"Pages 276-285"},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000267/pdfft?md5=72c7637fd3e165054dca5ac21487e5be&pid=1-s2.0-S2352013224000267-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140280680","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}