Nursing Open最新文献

{"title":"Health and Quality of Life in Nursing Homes: A Repeated Cross-Sectional Study on the Impact of Leadership and Person-Centred Care.","authors":"Håkan Bäckman, Marie Lindkvist, Johan Niklasson, Annica Backman","doi":"10.1002/nop2.70283","DOIUrl":"10.1002/nop2.70283","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this work was to investigate whether leadership, person-centred care and social interactions are associated with residents' health, including cognitive impairment, neuropsychiatric symptoms, activities of daily living and health-related quality of life, and to assess whether these relationships change over a period of 5 years.</p><p><strong>Design: </strong>A repeated cross-sectional survey study was carried out in 2014 and 2019. Valid and reliable scales were used to assess leadership, person-centred care, neuropsychiatric symptoms, cognition, activities of daily living and health-related quality of life. The study involved care units participating in both surveys (n = 182). At T1, there were 1587 residents and 1239 staff. At T2, there were 1382 residents and 1169 staff. Regression analyses were used. Interaction analyses explored changes over time, emphasising leadership and PCC as the main explanatory variables.</p><p><strong>Results: </strong>Stability was observed over time for person-centred care in relation to health-related quality of life, neuropsychiatric symptoms, activities of daily living function and cognitive function. Person-centred care was associated with a higher level of health-related quality of life and cognitive function, and a lower level of neuropsychiatric symptoms. Leadership showed no significant association with the outcomes.</p><p><strong>Patient or public contribution: </strong>Residents did not actively participate in the study, as data was obtained by proxy rating. No public was involved in the design, data collection, or dissemination plans of this study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70283"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual and Reproductive Health for Women Who Live With Inflammatory Bowel Disease: An Integrative Review.","authors":"Kate O'Reilly, Susan McInnes, Eleanor Holroyd, Kath Peters","doi":"10.1002/nop2.70269","DOIUrl":"10.1002/nop2.70269","url":null,"abstract":"<p><strong>Aims: </strong>To provide an understanding of the sexual and reproductive health issues for women who live with inflammatory bowel disease.</p><p><strong>Design: </strong>Whittemore and Knaffle's integrative review.</p><p><strong>Methods: </strong>Databases searched in this integrative review included: CINAHL Plus, Google Scholar, SCOPUS and Web of Science databases. A defined research aim guided the search strategy and facilitated the accurate extraction of data from primary qualitative and quantitative research conducted between 2012 and 2022.</p><p><strong>Results: </strong>Nineteen papers were included in this review. All papers were appraised using the Mixed Methods Appraisal Tool and were found to be of good methodological quality. The following three themes were identified: (1) inflammatory bowel disease negatively impacts sexual, reproductive and social health; (2) inflammatory bowel disease and sexual functioning and (3) reproductive knowledge and reservedness to discuss sexual health. This review of the literature highlights that sexual and reproductive health issues for women who live with inflammatory bowel disease are very focused on sexual dysfunction and reproduction. The review illuminates that there is a dearth of information that explores women's sexuality more broadly across the lifespan.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70269"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accepting the Legitimacy of Difference: Tools to Support the Decolonisation of Human Research Ethics in Western Health Research.","authors":"Erin J Rooney, Melsina Makaza, Rhonda L Wilson","doi":"10.1002/nop2.70262","DOIUrl":"10.1002/nop2.70262","url":null,"abstract":"<p><p>Within the context of health research, the values, traditions and worldviews of First Nations populations need to be represented in an inclusive and ethically sensitive way. Current human research ethics processes are deeply rooted in Western philosophy, which may result in frequent tension and misalignment with the values of First Nations populations, indicating the need for the decolonisation of Western human research ethics processes. While it is important to acknowledge potential points of alignment between the Western and First Nations peoples' research ethics paradigms, it is crucial to recognise and address the inherent complexities and discrepancies between these two standpoints. These discrepancies can also manifest themselves in healthcare provision, healthcare education, and the delivery of other services to First Nations peoples. This may exacerbate current disparities in the ability of First Nations peoples to access quality care. Cultural insensitivity, systemic biases, and a lack of representation of First Nations peoples may also worsen these issues. The purpose of this discussion paper is to examine the prevailing Western philosophical standpoint that influences health research and to explore its misalignment with the beliefs and cultural practices of First Nations peoples. Existing literature that examines the multifaceted challenges faced by First Nations populations when navigating norms associated with Western ethics in the health research process will be explored. The historical context of colonisation and its impact on ethical paradigms within First Nations communities will also be considered. The need for decolonisation of Westernised dominant approaches within health research ethics for First Nations populations is evident because such approaches can pose significant challenges to the well-being and rights of First Nations communities. By promoting a fairer, inclusive, and culturally informed research ethics framework, researchers can contribute to the development of processes that address historical injustices and promote investigations that are tailored to examine phenomena experienced by First Nations peoples. IMPLICATIONS FOR THE PROFESSION: This paper provides a critique of current Western health research ethics processes and proposes an evidence-based tool to guide researchers in promoting inclusivity and cultural safety. Implementing these recommendations can improve health and well-being outcomes for First Nations peoples and communities. IMPACT: The paper addresses the problem of cultural insensitivity and systemic biases in Western health research ethics, highlighting the need for decolonisation to ensure equitable healthcare access for First Nations populations. The findings will impact researchers, healthcare professionals, and policymakers by promoting culturally safe research practices and fostering better health outcomes for First Nations communities. WHAT PROBLEM DID THE STUDY ADDRESS?: The study add","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70262"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12274084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of an App-Based Multimodal Cancer Rehabilitation Programme on Sense of Coherence of Women With Gynaecological Cancer: Study Protocol for a Randomised Controlled Trial.","authors":"Ka Ming Chow, Carmen Wing Han Chan, Alexandra Leigh McCarthy, Jiemin Zhu, Kai Chow Choi, Ka Yi Siu, Alice Wai Yi Leung","doi":"10.1002/nop2.70260","DOIUrl":"10.1002/nop2.70260","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the effects and cost-effectiveness of an app-based multimodal cancer rehabilitation programme promoting sense of coherence for women treated for gynaecological cancer, and to understand participants' experience of the programme.</p><p><strong>Design: </strong>An assessor-blinded, concurrent mixed-method randomised controlled trial.</p><p><strong>Methods: </strong>Gynaecological cancer patients (N = 160) will be recruited and randomly assigned to an intervention group (n = 80) or an attention control group (n = 80). The intervention group will receive the multimodal cancer rehabilitation programme over 12 weeks, in which they will access a Hong Kong-adapted version of the Australian Women's Wellness after Cancer Programme via a mobile application, plus three virtual individual counselling sessions and reminder phone calls. The attention control group will receive usual care plus telephone calls to deliver general greetings. The outcome variables of sense of coherence, cancer-specific distress, health-promoting behaviours and health-related quality of life (HRQoL) will be measured at baseline (T0), on the completion of the programme (T1) and 12 weeks after intervention completion (T2). HRQoL of the participants will be further reassessed every 3 months from T2 till 12-month post-intervention to evaluate cost-effectiveness. Semi-structured interviews will explore the participants' experience and perceptions of the programme. This study will adhere to the CONSORT-EHEALTH checklist.</p><p><strong>Conclusion: </strong>This study will offer the first empirical evidence regarding the effectiveness of the multimodal cancer rehabilitation programme in enhancing sense of coherence, reducing cancer-specific distress, promoting positive lifestyle changes, and improving quality of life for women treated for gynaecological cancer.</p><p><strong>Implications for the profession and/or patient care: </strong>Women treated for gynaecological cancer experience unmet rehabilitation needs, yet healthcare professionals might not have the time or resources to meet these needs after intensive treatment is complete. This digital intervention could be incorporated into routine service delivery and adapted to other female cancer groups to improve patient outcomes.</p><p><strong>Reporting method: </strong>This protocol adhered to the SPRIT 2013 statement.</p><p><strong>Patient or public contribution: </strong>None.</p><p><strong>Trial registration: </strong>ISRCTN registry number: ISRCTN17629214 (registered in November 2023).</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70260"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Knowledge of Caregivers About Care for People Living With Dementia and Its Associations in Nursing Homes and Home Care-A Quantitative Study.","authors":"Sabien Johanna Everdina Bosman, Marlijn Abbink, Marleen Hermien Lovink, Anke Persoon","doi":"10.1002/nop2.70263","DOIUrl":"10.1002/nop2.70263","url":null,"abstract":"<p><strong>Aim: </strong>This study is intended to generate insight into the knowledge possessed by formal caregivers in the Netherlands about care for people living with dementia. More specifically, it explores the association between the knowledge and characteristics of caregivers in nursing homes and home care. The formal caregivers included in this study served a variety of functions, primarily as nursing staff.</p><p><strong>Design: </strong>A quantitative retrospective cohort study.</p><p><strong>Methods: </strong>We analysed two datasets based on two Dementia Knowledge Monitors (DKMs): one for the nursing-home setting (DKM-NH; n = 5807) and one for the home-care setting (DKM-HC; n = 532). Total scores and subscale scores ranged from 0 to 100. Analyses were conducted at both the total level and the subscale level.</p><p><strong>Results: </strong>On average, nursing-home caregivers scored 68.3 out of 100, as compared to 62.9 for home caregivers. Scores for nursing-home caregivers were associated with age, function, educational training, region and experience (working in a specialised dementia department, private experience and years of working in a nursing home). Scores for home caregivers were associated with function, age and the number of PwD for whom they had provided care.</p><p><strong>Conclusion: </strong>Knowledge of dementia care leaves room for improvement for formal caregivers in all functions, in both nursing-home and home-care settings. Professional function, experience with dementia and previous extra training have a significant impact on a caregiver's level of knowledge concerning dementia care.</p><p><strong>Public contribution: </strong>Offering educational programmes to caregivers could increase dementia-care knowledge. Additionally, caregiver experience in caring for PwD could potentially be optimised through short internships, shadowing and staff retention. Future research should explore valid, effective and attractive educational programmes for the various functional groups, in addition to identifying strategies for accelerating the process of acquiring experience in care for people with dementia.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70263"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Impact of COVID-19 on Redeployed Nurses in China: A Cross-Sectional Survey.","authors":"Beibei Wu, Ying Liao, Zhimin Kang, Qian Kong, Haiyan Zhang, Zhifang Di, Manyuan Wang","doi":"10.1002/nop2.70277","DOIUrl":"10.1002/nop2.70277","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the prevalence of anxiety, depression, post-traumatic stress disorder (PTSD) in nurses redeployed to intensive care units (ICUs) during the COVID-19 pandemic.</p><p><strong>Design: </strong>A cross-sectional survey study was used to collect quantitative data.</p><p><strong>Methods: </strong>An online survey comprising validated instruments and demographic questions was administered to 137 redeployed ICU nurses at a tertiary hospital in Shijiazhuang, China, between December 1 and 30, 2022. Regression analyses were performed to identify factors that influence anxiety, depression and PTSD. The study followed the STROBE checklist.</p><p><strong>Results: </strong>Among respondents, 75.9% reported anxiety, 75.9% depression, 94.1% experienced anxiety-depression syndrome and 40.1% showed moderate to severe PTSD symptoms. Multifactorial logistic regression revealed that fear of patient death (p = 0.001) and a history of burnout syndrome (p = 0.017) were independent predictors of PTSD.</p><p><strong>Conclusion: </strong>Redeployed ICU nurses experienced high rates of anxiety, depression and PTSD during the COVID-19 pandemic. Nurses with a history of burnout syndrome and fear of death were more likely to develop PTSD.</p><p><strong>Patient or public contribution: </strong>A nurse leader and four senior nurses experienced in the ICU contributed to the design of the questionnaire and recruitment of participants. WHAT DOES THIS PAPER CONTRIBUTE TO THE BROADER GLOBAL CLINICAL COMMUNITY?: Enhances understanding of the psychological effects of the COVID-19 pandemic on ICU nurses. Informs the development of mental health interventions to support ICU nurses' well-being.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70277"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12274083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Health Promotion Programs on Blood Pressure in People With Hypertension and Prehypertension in Southeast Asian Populations: Systematic Review and Meta-Analysis.","authors":"Pataporn Bawornthip, Andrea Driscoll, Damien Khaw, Anastasia Hutchinson","doi":"10.1002/nop2.70252","DOIUrl":"10.1002/nop2.70252","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate health promotion programmes for managing hypertension in Southeast Asia.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Methods: </strong>A systematic search was conducted across five databases: MEDLINE, APA PsycInfo, Scopus, Web of Science, and CINAHL, covering studies conducted in Southeast Asia and published in English from January 2003 to December 2023. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and the protocol was registered in PROSPERO. Eligibility criteria included adults aged 18 years and older with prehypertension or hypertension, evaluating health promotion programmes focusing on exercise intervention, dietary modification, and health education compared with usual care.</p><p><strong>Results: </strong>Eleven of the twenty-six studies were included in meta-analyses and showed a statistically significant effect of the interventions on blood pressure. Two studies of dietary interventions demonstrated decreased systolic blood pressure with a pooled mean difference of 8.32 mmHg (95% CI -11.29, -5.34, p ≤ 0.001). Four studies of endurance exercise reduced systolic blood pressure with a pooled mean difference of 15.95 mmHg (95% CI -19.45, -12.46, p < 0.001). Two studies of combined diet and exercise with intensive coaching decreased systolic blood pressure with a pooled mean difference of 6.41 mmHg (95% CI -7.49, -5.33, p < 0.001). Two studies of health education show a clinically significant decrease in systolic blood pressure by 5-18 mmHg.</p><p><strong>Patient or public contribution: </strong>Health promotion interventions are feasible and acceptable in Southeast Asian populations and significantly reduce blood pressure, particularly systolic blood pressure. Consuming a healthy diet such as the Dietary Approaches to Stop Hypertension Diet (DASH), restricting sodium, and increasing potassium intake is feasible and effective in the Southeast Asian context. To optimise impacts on blood pressure control, endurance exercise interventions should adhere to established exercise principles. Health education programs should incorporate effective coaching strategies to enhance their impact.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70252"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Conducting Research Amidst Hustle and Bustle': A Qualitative Study of the Research Challenges Faced by Part-Time Nursing Postgraduates.","authors":"Jianou Xu, Fei Lv, Jun Zhang, Caifeng Luo, Zhengxia Yang, Jing Wu","doi":"10.1002/nop2.70254","DOIUrl":"10.1002/nop2.70254","url":null,"abstract":"<p><strong>Aim: </strong>To explore the research challenges and experiences faced by part-time postgraduate nursing students and reveal the underlying reasons behind these challenges.</p><p><strong>Design: </strong>A descriptive qualitative study design was applied in this study.</p><p><strong>Methods: </strong>Fourteen part-time postgraduate nursing students were recruited using a combination of purposeful sampling and snowball sampling. Data were collected via in-depth semi structured interviews and analysed using reflexive thematic analysis. Consolidated criteria for reporting qualitative studies (COREQ): 32-item checklist was used to report this study.</p><p><strong>Results: </strong>Two main themes and six subthemes were identified. The first theme revealed that part-time postgraduate nursing students 'conducting research amidst hustle and bustle'. Conflicting commitments, time and space constraints that weakened interpersonal research support, and difficulty in meditating on research were the main challenges they faced in the research process. The second theme described part-time postgraduate nursing students' experiences of 'perplexity' about nursing research, including differences from expectations, self-doubt and a painful process. Compared to full-time postgraduate nursing students, part-time postgraduate nursing students faced unique research challenges that impacted their physical, mental and academic completion. Students, nursing educators and healthcare facility administrators should be aware of these challenges and experiences, and all three should work together to address them. Part-time postgraduate nursing students need to improve their time management and other skills to ensure learning engagement and efficiency. Nursing educators should guide students through transformative learning at critical junctures for research challenges. Collaboration between schools and healthcare organisations to create supportive environments for part-time postgraduate nursing students needs to be further explored.</p><p><strong>Patient or public contribution: </strong>One interviewee participated in the design of the interview guide, and 14 part-time postgraduate nursing students expressed their challenges and experiences in the nursing research process. Thanks to them for sharing, enabling researchers to access the data and analyse it.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70254"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes of Generation Y Nurses Toward Evidence-Based Nursing Practice: A Mixed-Methods Study.","authors":"Juste Kiviliene, Aurelija Blazeviciene","doi":"10.1002/nop2.70257","DOIUrl":"10.1002/nop2.70257","url":null,"abstract":"<p><strong>Aim: </strong>To identify the attitudes of Generation Y nurses toward evidence-based nursing practice in university and municipality level hospitals in Lithuania.</p><p><strong>Design: </strong>A mixed-methods study with a convergent parallel design was used, allowing simultaneous collection and analysis of quantitative and qualitative data.</p><p><strong>Methods: </strong>The Evidence-Based Practice Attitude Scale-50 (EBPAS-50) was employed in the quantitative phase, while focus group interviews were conducted in the qualitative phase. Of the 1955 surveys distributed, 1388 were fully completed (71% response rate), with Generation Y nurses (born 1980-2000) selected for further analysis (n = 368; 27.2%). Out of 14 invited nurses, eight participated in two focus group interviews.</p><p><strong>Results: </strong>Generation Y nurses exhibited a positive attitude toward evidence-based practice, valuing its relevance to patient needs and feedback. However, time constraints and administrative challenges were identified as key barriers. Qualitative analysis further revealed resources and organisational limitations in applying evidence-based practice.</p><p><strong>Conclusion: </strong>Generation Y nurses view evidence-based practice positively and recognise its role in enhancing patient care. However, barriers like time constraints, administrative challenges, and limited resources hinder implementation. Critical thinking, teamwork, and organisational support are essential for successfully integrating evidence-based practice into clinical practice.</p><p><strong>Implications for the profession and/or patient care: </strong>Generation Y nurses' attitudes toward evidence-based practice, along with their perceptions of barriers and facilitators, can guide administration in developing strategies to enhance evidence-based practice integration.</p><p><strong>Patient or public contribution: </strong>Participants contributed to this study by agreeing to complete a questionnaire and answer questions during focus group interviews.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70257"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Nursing Care Intervention for Patients With Pulmonary Tuberculosis: A Systematic Review and Meta-Analysis.","authors":"Yumei Yan, Xue Bai","doi":"10.1002/nop2.70242","DOIUrl":"10.1002/nop2.70242","url":null,"abstract":"<p><strong>Aim: </strong>This review aimed to evaluate the effectiveness of nursing care interventions on various clinical outcomes in patients with pulmonary TB.</p><p><strong>Design: </strong>Systematic review and meta-analysis of randomised controlled trials and observational studies.</p><p><strong>Methods: </strong>Databases searched included PubMed, Cochrane Library and Web of Science, up to June 2023. Studies were included if they evaluated nursing care interventions for pulmonary TB patients and reported on the specified outcomes. Data were extracted and analysed using a random-effects model, and heterogeneity was assessed using Cochran's Q test and I² statistics.</p><p><strong>Results: </strong>Sixteen studies were included. Nursing care interventions significantly improved compliance to TB medications (OR = 3.601, 95% CI: 2.366-5.481) and psychological function (SMD = 2.080, 95% CI: 0.502-3.658). Social function and satisfaction also showed significant improvements (SMD = 2.649, 95% CI: 1.496-3.802; OR = 4.943, 95% CI: 2.265-10.786). There was a notable reduction in anxiety (SMD = -2.728, 95% CI: -4.354 to -1.102) and depression (SMD = -1.389, 95% CI: -2.706 to -0.072). Negative sputum conversion rates were higher in the intervention group (OR = 4.943, 95% CI: 2.265-10.786), and the incidence of adverse drug reactions was lower (OR = 0.259, 95% CI: 0.099-0.680).</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70242"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12132774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}