Nursing Research and Practice最新文献

{"title":"Effectiveness of the 5A Self-Management Nursing Intervention on Psychosocial Adaptation Among Patients With Diabetes: A Randomized Controlled Trial.","authors":"Rafat Rezapour-Nasrabad, Sina Nasrollahi-Nasrabad, Sohaila Dehno Khalaji, Seyedeh Narjes Mousavizadeh","doi":"10.1155/nrp/2814645","DOIUrl":"10.1155/nrp/2814645","url":null,"abstract":"<p><strong>Background: </strong>Diabetes management requires not only biomedical control but also psychosocial adaptation, which is often overlooked in routine care. The 5A model (Assess, Advise, Agree, Assist, and Arrange) has shown promise in chronic disease management, yet its impact on psychosocial outcomes in diabetes remains underexplored.</p><p><strong>Aim: </strong>This study aimed to determine the effect of the 5A self-management program on psychosocial adaptation among hospitalized patients with type 2 diabetes in selected teaching hospitals affiliated with Shahid Beheshti University of Medical Sciences.</p><p><strong>Methods: </strong>In this randomized controlled trial (RCT), 80 patients with type 2 diabetes who met the inclusion criteria were selected through convenience sampling and randomly assigned to either the intervention group (<i>n</i> = 40) or the control group (<i>n</i> = 40). The intervention group received the 5A self-management program, while the control group received routine care. Data were collected using demographic questionnaires, the Diabetes Knowledge Questionnaire, the Diabetes Self-Management Questionnaire, and the Derogatis Psychosocial Adjustment Questionnaire. Data analysis was performed using SPSS Version 20 with descriptive and inferential statistical tests.</p><p><strong>Results: </strong>The findings showed no significant differences between the two groups in demographic characteristics (<i>p</i> > 0.05). After the intervention, the mean score of psychosocial adaptation in the intervention group (58.6 ± 7.9) was significantly lower than that in the control group (72.4 ± 8.3) (<i>p</i> < 0.001). Within-group comparison revealed a significant decrease in PAIS scores (indicating improvement) in the intervention group.</p><p><strong>Conclusion: </strong>The 5A self-management program can be considered an effective intervention for improving psychosocial adaptation among patients with type 2 diabetes. It is recommended that this program be utilized in the healthcare system to enhance psychosocial adaptation in these patients.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"2814645"},"PeriodicalIF":2.5,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13181269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Fundamental Care Needs After Cytoreductive Surgery Combined With Hyperthermic Intraperitoneal Chemotherapy: A Qualitative Study.","authors":"Pernilla Bangsparr, Jenny Jakobsson","doi":"10.1155/nrp/6689299","DOIUrl":"10.1155/nrp/6689299","url":null,"abstract":"<p><strong>Aim: </strong>To explore how patients experience their fundamental care needs during the early phase of recovery after cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy.</p><p><strong>Design: </strong>Qualitative with deductive approach.</p><p><strong>Methods: </strong>Thirteen participants were interviewed approximately 2 weeks after surgery. A deductive, qualitative content analysis was performed based on the Fundamentals of Care framework.</p><p><strong>Results: </strong>All three dimensions in the Fundamentals of Care framework were represented, most of which were physical needs: personal hygiene, toilet needs, nutrition, mobility, sleep and rest, and physical well-being. The most evident psychological needs were participation and information. Participants highly valued the nurse-patient partnership as promoting recovery but expressed that environmental factors could hamper care and recovery.</p><p><strong>Conclusion: </strong>Physical needs are commonly interrelated with psychological needs and the relation with nurses, highlighting the complexity of nursing and importance of a person-centred approach. Environmental factors and organisational policies impact patients' opportunities to have their physical and psychological needs met.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"6689299"},"PeriodicalIF":2.5,"publicationDate":"2026-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Navigating Recovery After Stroke in Tanzania: A Descriptive Qualitative Study.","authors":"Evans Luvanda, Rashid Heri, Menti Ndile","doi":"10.1155/nrp/1450052","DOIUrl":"10.1155/nrp/1450052","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a leading cause of disability globally, with increasing prevalence in sub-Saharan Africa. Little is known about how Tanzanian survivors navigate recovery within their social and healthcare environments. This study aimed to explore stroke survivors' lived experiences of barriers to accessing and utilizing poststroke management services at a tertiary hospital in Tanzania.</p><p><strong>Methods: </strong>A qualitative study using an interpretive descriptive approach was conducted among stroke survivors attending follow-up care at a tertiary referral hospital in Tanzania. A homogeneous purposive sampling strategy was used to recruit participants who shared key characteristics relevant to the study. The sample comprised 20 stroke survivors, including 8 males and 12 females. In-depth interviews were conducted and analysed using reflexive thematic analysis to identify patterns of meaning across participants' experiences.</p><p><strong>Results: </strong>Four interrelated themes captured survivors' experiences: (1) living with financial uncertainty, where costs of care and prescribed diets created practical and emotional barriers; (2) making sense of care amid constraints, reflecting adaptive decision-making and reliance on personal beliefs or home remedies; (3) negotiating healthcare relationships, highlighting family support and the importance of ongoing communication with providers and (4) enduring the healthcare system, where long waiting times, administrative hurdles, frequent provider changes and conditional access disrupted continuity of care.</p><p><strong>Conclusion: </strong>Stroke recovery in Tanzania extends beyond clinical treatment, which is shaped by intertwined socioeconomic, relational and health system influences. Strengthening discharge planning, enhancing continuity of professional support, integrating family-centred rehabilitation and leveraging mobile health technologies may improve equitable engagement with stroke care in resource-constrained settings.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"1450052"},"PeriodicalIF":2.5,"publicationDate":"2026-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of Clinical Algorithms in Complex Wound Care: A Pilot Study on Feasibility and Professional Acceptance.","authors":"Marques R, Lopes M, Pais-Vieira C, Neves-Amado J, Alves P","doi":"10.1155/nrp/1833733","DOIUrl":"10.1155/nrp/1833733","url":null,"abstract":"<p><strong>Purpose: </strong>Mobile applications that integrate clinical algorithms have the potential to standardize wound assessment and to support clinical decision-making across assessment, diagnostic support, and therapeutic planning in complex wound care. This pilot study explored the feasibility of implementing such algorithms in a mobile application and examined concordance with nurse assessments and professional acceptance.</p><p><strong>Methods: </strong>A prospective multicenter pilot cohort study was conducted between June and October 2023 in rehabilitation units, outpatient clinics, primary healthcare, homecare, and hospitals. Adults aged ≥ 18 years with pressure injuries/pressure ulcers, venous leg ulcers, arterial ulcers, or diabetic foot ulcers were eligible. Nurses recorded data using the <i>CWS_Validation</i> application at three time points over 4 weeks. Agreement between algorithm-generated classifications and nurse assessments was analyzed using Cohen's kappa, Fleiss' kappa, and Krippendorff's alpha. Nurse adherence to therapeutic recommendations and perceptions of the alert system were also evaluated.</p><p><strong>Results: </strong>A total of 49 patients with 56 wounds (mean age = 79 years) were included. Pressure injuries/pressure ulcers were most prevalent (71.4%), particularly categories 3 (25%) and 4 (23.2%). The algorithm provided diagnoses for 46 wounds, with fair overall concordance with nurse assessments (<i>κ</i> = 0.41; 95% CI: 0.24-0.57). Adherence to therapeutic recommendations was high: 85.3% in complete monitoring and 90.3% in partial monitoring. Nurses rated the alert system positively (mean = 4.34, SD = 0.82) in complete monitoring sessions (<i>n</i> = 109).</p><p><strong>Conclusions: </strong>Clinical algorithms can be feasibly integrated into mobile applications and are well accepted by nurses across diverse care contexts. These preliminary findings highlight the potential of algorithm-driven tools to support wound assessment and decision-making, while underscoring the need for larger studies with more robust designs to confirm clinical impact.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"1833733"},"PeriodicalIF":2.5,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Prenatal Depression and Psychological Capital in Pregnant Women in Guangdong, China: The Mediating Role of Coping Styles.","authors":"Wenting Liu, Yibing Tan, Weiting Li, Jiagen Xiang, Ming Yang, Min Li, Xiaowan Luo, Yifei Wang, Honglin Chen, Lili Deng","doi":"10.1155/nrp/5368362","DOIUrl":"10.1155/nrp/5368362","url":null,"abstract":"<p><strong>Background: </strong>Coping styles and psychological capital are both associated with the mental health of pregnant women. However, the relationships among psychological capital, coping styles, and prenatal depression in pregnant women have not yet received sufficient attention. This study examines how coping styles mediate the link between psychological capital and prenatal depression in pregnant women.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from March 2024 to December 2024. Pregnant women (<i>n</i> = 769) were recruited from two hospitals in Guangdong Province, China. All participants completed the Positive PsyCap Questionnaire, the Simple Coping Style Questionnaire, and the Edinburgh Postnatal Depression Scale. Spearman correlation analysis was applied to explore the relationships among psychological capital, coping style, and prenatal depression and to evaluate the mediating role of coping style.</p><p><strong>Results: </strong>Prenatal depression was detected in 34.70% of participants. Both psychological capital and positive coping strategies were significantly negatively correlated with prenatal depression (<i>r</i> = -0.46, <i>p</i> < 0.001 and <i>r</i> = -0.26, <i>p</i> < 0.001, respectively). In contrast, a significant positive correlation was observed between negative coping strategies and prenatal depression (<i>r</i> = 0.18, <i>p</i> < 0.001). Psychological capital can directly affect prenatal depression, and coping style is the intermediary variable between psychological capital and depression, with a mediating effect of -0.51 and accounting for approximately 11.87% of the total effect of psychological capital on prenatal depression.</p><p><strong>Conclusion: </strong>Psychological capital can not only directly affect prenatal depression, but it can also alleviate it by increasing positive coping or suppressing negative coping. Healthcare professionals should pay attention to the mental health status of pregnant women, improve the level of psychological capital, and guide positive responses to improve prenatal depression.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"5368362"},"PeriodicalIF":2.5,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of an Evidence-Based Yoga Programme for Community-Dwelling Older Adults: A Mixed-Methods Pilot Study.","authors":"Ka-Yan Ko, Helen Yue-Lai Chan, Zoe Ching Man Kwok","doi":"10.1155/nrp/9910769","DOIUrl":"10.1155/nrp/9910769","url":null,"abstract":"<p><strong>Aims: </strong>To develop an evidence-based yoga programme and test its feasibility among community-dwelling older adults.</p><p><strong>Design: </strong>A mixed-methods pilot study using a two-arm randomised controlled trial with qualitative interviews.</p><p><strong>Methods: </strong>An 8-week evidence-based yoga programme was developed for older adults based on a systematic review, guidelines and expert advice. Participants from two community centres were randomly assigned to an intervention group receiving the yoga programme or a control group receiving usual care between January and October 2021. The study's feasibility was assessed based on rates of recruitment and retention, intervention adherence and adverse events. Acceptability was evaluated by individual semistructured interviews to understand their experience with the programme. Physical and psychological outcomes were measured by the Short Physical Performance Battery and Depression Anxiety Stress Scale-21, respectively. Preliminary effects of the intervention were examined based on changes in outcomes using a generalised estimation equation, adhering to the intention-to-treat principle. Qualitative data were analysed through content analysis.</p><p><strong>Results: </strong>A total of 74 of 80 participants were eligible and recruited (female: 97.3%; mean age: 67.6 [SD 5.5] years), with an attrition rate of 14.9% (<i>n</i> = 11). The mean attendance rate for yoga sessions was 89.9%. Participants found the experience with the programme novel and perceived benefits for pain reduction and improvements in mood and health; however, two-thirds did not adhere to home practice due to implementation barriers. Exploratory analyses suggested greater improvements in gait speed, flexibility and depressive, anxiety and stress symptoms in the yoga group compared with controls.</p><p><strong>Conclusions: </strong>This pilot study showed that the yoga programme was feasible and acceptable to community-dwelling older adults, whereas the adherence to home practice was low, highlighting the need for strategies to enhance motivation.</p><p><strong>Implications: </strong>This study suggests that the programme can be integrated into primary care to promote healthy ageing. A robust study with a longer follow-up period is needed to evaluate the intervention effects. <b>Trial Registration:</b> Chinese Clinical Trial Registry: ChiCTR2200054859.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"9910769"},"PeriodicalIF":2.5,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13172739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Psychometric Validation of the Physical Activity and Health Literacy Scale (PA-HLS) for College Students.","authors":"Pei Duan, Xia Song, Xinrui Zhang, Liqian Ruan, Song Chen","doi":"10.1155/nrp/9980613","DOIUrl":"10.1155/nrp/9980613","url":null,"abstract":"<p><strong>Background: </strong>Declining physical fitness among college students has become a global public health concern. Existing physical literacy and health literacy instruments do not adequately capture the competencies required to access, interpret, and critically evaluate physical activity-related health information in contemporary digital environments.</p><p><strong>Objective: </strong>This study aimed to develop and psychometrically validate the Physical Activity and Health Literacy Scale (PA-HLS) for college students based on Nutbeam's hierarchical model of health literacy.</p><p><strong>Methods: </strong>An initial item pool was generated through a systematic literature review and refined via two rounds of Delphi expert consultation (<i>n</i> = 19) and pilot testing (<i>n</i> = 30). The final 15-item PA-HLS was administered to 442 Chinese college students. Psychometric evaluation included content validity assessment, item analysis, exploratory and confirmatory factor analyses, internal consistency reliability (Cronbach's α and McDonald's ω), discriminant validity testing, and Rasch model analysis.</p><p><strong>Results: </strong>All items demonstrated good discrimination (critical ratios = 6.74-31.90, <i>p</i> < 0.001) and strong factor loadings (0.59-0.93). Content validity was excellent (I-CVI = 1.00; S-CVI = 1.00). Exploratory factor analysis supported a three-factor structure explaining 77.1% of the total variance, which was confirmed by confirmatory factor analysis with acceptable model fit. Internal consistency was high for the total scale (<i>α</i> = 0.892; <i>ω</i> = 0.869) and all subscales. Rasch analysis further supported the scale's measurement quality.</p><p><strong>Conclusion: </strong>The PA-HLS is a theoretically grounded and psychometrically robust instrument for assessing physical activity-related health literacy among college students and may inform targeted health promotion interventions in university settings.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"9980613"},"PeriodicalIF":2.5,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13172606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Dynamics of Perceived Organizational Support, Psychological Safety, and Organizational Justice in Enhancing Nurses' Meaningful Work: A Moderated Mediation Model.","authors":"Ibrahim Abdullatif Ibrahim","doi":"10.1155/nrp/3204260","DOIUrl":"10.1155/nrp/3204260","url":null,"abstract":"<p><strong>Background: </strong>Meaningful work is a critical psychological resource that enhances nurse engagement, retention, and quality of patient care. Organizational factors, including perceived organizational support, psychological safety, and organizational justice, play key roles in shaping nurses' perceptions of meaningful work. While previous studies have examined these factors individually, limited evidence exists on how they interact.</p><p><strong>Aim: </strong>To explore the relationships between perceived organizational support, psychological safety, and organizational justice in enhancing nurses' meaningful work.</p><p><strong>Methods: </strong>This multicenter cross-sectional study surveyed a convenience sample of 349 nurses from four general hospitals. Data were collected using online survey, and partial least squares approach was employed to examine the hypothesized relationships.</p><p><strong>Results: </strong>Perceived organizational support was positively associated with meaningful work (<i>β</i> = 0.421, <i>p</i> < 0.001) and psychological safety (<i>β</i> = 0.319, <i>p</i> < 0.001), whereas organizational justice was positively associated with psychological safety (<i>β</i> = 0.287, <i>p</i> < 0.001). Psychological safety was positively associated with meaningful work (<i>β</i> = 0.199, <i>p</i> < 0.01) and partially mediated the associations of perceived organizational support (<i>β</i> = 0.064, <i>p</i> < 0.05) and organizational justice (<i>β</i> = 0.057, <i>p</i> < 0.05) with meaningful work. Moderated mediation analysis revealed a small but statistically significant negative effect of organizational justice on the association between perceived organizational support and psychological safety (<i>f</i> ² = 0.015), and the indirect association of perceived organizational support with meaningful work via psychological safety was weaker at higher levels of organizational justice.</p><p><strong>Conclusion: </strong>Meaningful work among nurses is supported by organizational support and fairness through psychological safety. High organizational justice may reduce reliance on perceived support. Nurse leaders should foster fair, supportive environments and policies that promote psychological safety, recognition, and engagement, ultimately enhancing retention, well-being, and patient care.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"3204260"},"PeriodicalIF":2.5,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13168866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Mindfulness on Self-Management Behaviors in Inflammatory Bowel Disease Patients: The Suppression Effect of Ego Depletion.","authors":"Wen Zhang, Liyun Shang, Chun Gao, Su E Yan, Xueqin Pang, Fanzhen Kong, Jie Gu","doi":"10.1155/nrp/2043487","DOIUrl":"10.1155/nrp/2043487","url":null,"abstract":"<p><strong>Background: </strong>Based on ego depletion theory, this study investigates the mediating role of ego depletion in the relationship between mindfulness and self-management behaviors in inflammatory bowel disease (IBD) patients, providing a reference for improving self-management strategies.</p><p><strong>Methods: </strong>Using convenience sampling, IBD inpatients from the gastroenterology department of a tertiary hospital in Suzhou were selected as participants. Data were collected through the General Information Questionnaire, Mindful State Questionnaire (MSQ), Ego Depletion Scale, and IBD Self-Management Behavior Questionnaire. Structural equation modeling (SEM) was applied to analyze the mediating effect of ego depletion between mindfulness and self-management behaviors.</p><p><strong>Results: </strong>The model fit well (CFI = 0.97, RMSEA = 0.08). Mindfulness showed a direct positive relationship with self-management (<i>β</i> = 0.45, <i>p</i> < 0.01) but was also associated with higher levels of ego depletion (<i>β</i> = 0.24, <i>p</i> < 0.01), which had a negative relationship with self-management (<i>β</i> = -0.26, <i>p</i> < 0.01). A significant negative indirect effect was found (<i>β</i> = -0.065, 95% CI [-0.117, -0.027]), confirming ego depletion's suppressor role.</p><p><strong>Conclusion: </strong>Ego depletion acts as a suppressor in the relationship between mindfulness and self-management in this sample of hospitalized IBD patients. These findings suggest that mindfulness may be associated with increased feelings of ego depletion in this clinical population, which in turn undermines self-management. This highlights a complex interplay where the beneficial direct association of mindfulness on behavior is partially offset by its relationship with resource depletion.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"2043487"},"PeriodicalIF":2.5,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13162127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Long COVID-19 Syndrome and Hospital Admissions Among COVID-19-Diagnosed Adult Patients Who Self-Isolated at Home in KwaZulu-Natal Province, South Africa.","authors":"Moshibudi Poncho Phafane, Alone Isabirye, Poovendhree Reddy","doi":"10.1155/nrp/9317685","DOIUrl":"10.1155/nrp/9317685","url":null,"abstract":"<p><p>Long COVID-19 (LC) syndrome is a complex systemic illness that is currently recognised to have a high morbidity rate and hospitalisations. The study analysed factors linked to LC in adults self-isolated during COVID-19 infection in KwaZulu-Natal Province, South Africa, focusing on two densely populated districts (uMgungundlovu and eThekwini Metro Municipality). We employed a cross-sectional study among individuals aged 18 years and above who self-isolated at home. Demographic data, COVID-19 vaccination status, and post-COVID-19 health symptoms were collected using a standardised questionnaire. The National Health and Nutrition Survey's Physical Functioning Questionnaire was adapted to evaluate health and functional outcomes six months after a COVID-19 diagnosis, addressing both physical and psychosocial symptoms during that timeframe. A modified Poisson regression model was used to determine the predictors of LC and hospitalisation. Of the 280 participants, 46% (<i>n</i> = 130) reported having at least one health-related symptom, while 36% (<i>n</i> = 47) had ≥ five symptoms. Approximately half of the participants (50%, <i>n</i> = 139) had at least one hospital admission following infection due to persistent symptoms. Older age (aIRR 1.5; 95% CI: 1.2-3.2; <i>p</i> = 0.021), reinfection (aIRR 2.0; 95% CI: 1.3-3.0; <i>p</i> = 0.001), having positive household contacts (aIRR 2.1; 95% CI: 1.4-3.2; <i>p</i> < 0.001) and hospitalisation (aIRR 7.7; 95% CI: 3.8-15.6; <i>p</i> < 0.001) increased the risk of developing LC. Post-infection hospitalisation was significantly associated with symptoms such as anxiety (aIRR 1.4; 95% CI: 1.1-1.7; <i>p</i> = 0.009), depression (aIRR 1.9; 95% CI: 1.6-2.3; <i>p</i> < 0.001), sore throat (aIRR 1.5; 95% CI: 1.7-2.0; <i>p</i> = 0.002) and weight loss (aIRR 1.8; 95% CI: 1.4-2.4; <i>p</i> < 0.001). A considerable percentage of participants with post-SARS-CoV-2 infections presented with long-term complications and required medical intervention. Postpandemic healthcare planning and resource allocation need to be considered since increased morbidities associated with LC place a burden on the already inadequately funded healthcare system.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"9317685"},"PeriodicalIF":2.5,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}