Nursing Research最新文献

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Disaggregating 15-Year Trends in Cardiovascular Risk among U.S. Asian Subgroups. 美国亚洲亚群心血管风险15年趋势分析
IF 2.5 4区 医学
Nursing Research Pub Date : 2026-08-07 DOI: 10.1097/NNR.0000000000000936
Xiaoyue Liu, Emerson Ea, Gail Melkus, Arum Lim, Chitchanok Benjasirisan, Binu Koirala, Tiwaloluwa Ajibewa, Bei Wu
{"title":"Disaggregating 15-Year Trends in Cardiovascular Risk among U.S. Asian Subgroups.","authors":"Xiaoyue Liu, Emerson Ea, Gail Melkus, Arum Lim, Chitchanok Benjasirisan, Binu Koirala, Tiwaloluwa Ajibewa, Bei Wu","doi":"10.1097/NNR.0000000000000936","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000936","url":null,"abstract":"<p><strong>Background: </strong>Asian adults in the U.S. face increased burdens of cardiovascular risk factors and cardiovascular disease (CVD). However, trends in cardiovascular health among Asian subgroups remain understudied.</p><p><strong>Objectives: </strong>The purpose of this study was to examine 15-year trends in CVD risk factors and CVD among Chinese, Filipino, and Asian Indian adults living in the U.S.</p><p><strong>Methods: </strong>We conducted a retrospective secondary analysis using data from the 2004-2018 National Health Interview Survey. Age-standardized prevalence rates were calculated for eight variables: hypertension, type 2 diabetes, overweight/obesity, short sleep, alcohol use, smoking, insufficient physical activity (PA), and CVD (defined as having coronary heart disease, heart attack, stroke, or other cardiovascular conditions). Annual percent change and average annual percent change were employed to summarize and compare the trends of each variable over 15 years.</p><p><strong>Results: </strong>The sample consisted of 14,073 adults, with the majority aged 65 years or older and half being female. Filipino adults showed the highest prevalence for most variables, except for diabetes and insufficient PA, compared to Chinese and Asian Indian adults. From 2004 to 2018, Asian adults overall experienced increases in the prevalence of diabetes, overweight/obesity, and alcohol use, and decreases in the prevalence of smoking and insufficient PA. Specifically, Chinese adults exhibited significant upward trends in short sleep. Asian Indian adults exhibited upward trends in overweight/obesity and alcohol use, but downward trends in smoking and insufficient PA. Filipino adults demonstrated similar trends to Asian Indian adults in alcohol use and smoking. No significant trends were found for other study variables in all three groups.</p><p><strong>Discussion: </strong>U.S. Asian adults from different cultural backgrounds experience varying patterns of cardiovascular health. Public health strategies are recommended to be customized to address the specific cardiovascular risk profiles of each Asian subgroup.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Establishing a Cut Point for the Control Attitudes Scale-Revised in an International Sample of Patients With Cardiac Disease. 建立控制态度量表的切入点-在国际心脏病患者样本中修订。
IF 2.5 4区 医学
Nursing Research Pub Date : 2026-08-07 DOI: 10.1097/NNR.0000000000000934
Debra K Moser, Ashmita Thapa, Xiuzhen Fan, Miyuki Makaya, Abigail Latimer, Misook Lee Chung, Jia-Rong Wu
{"title":"Establishing a Cut Point for the Control Attitudes Scale-Revised in an International Sample of Patients With Cardiac Disease.","authors":"Debra K Moser, Ashmita Thapa, Xiuzhen Fan, Miyuki Makaya, Abigail Latimer, Misook Lee Chung, Jia-Rong Wu","doi":"10.1097/NNR.0000000000000934","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000934","url":null,"abstract":"<p><strong>Background: </strong>Perceived control is a construct relevant to emotional and clinical outcomes among individuals with chronic illnesses. We previously demonstrated the reliability and validity of the Control Attitudes Scale-Revised (CAS-R), and it has been used extensively in research to measure perceived control. Yet, there is a gap in interpretation of CAS-R scores. A standardized cut point has not yet been established to facilitate classification of patients into distinct high- and low-perceived control categories. Identifying this cut-off point will be of significant value to clinicians and researchers.</p><p><strong>Objectives: </strong>To identify an evidence-based cut point for the CAS-R to define lower and higher levels of perceived control among patients with a variety of cardiac diagnoses.</p><p><strong>Methods: </strong>In this psychometric secondary analysis, we used data from patients with heart failure or coronary heart disease, which included 4,555 patients from three countries. Data were collected on perceived control, depression and/or anxiety, and/or cardiac events (cardiac hospitalization and cardiac death). We used receiver operating characteristic (ROC) curves and area under the ROC area under the curve (AUC) to test the accuracy of using the CAS-R scores to separate the patients into anxious or non-anxious groups and depressed or non-depressed groups. Kaplan-Meier plots with log-rank tests and Cox-survival analyses were used to compare cardiac event-free survival outcomes between higher and lower perceived control groups.</p><p><strong>Results: </strong>Two possible cut points were identified using ROC curves and AUC. Cut points were identified using anxiety or depression as the state variable and CAS-R scores as the test variable. Using Kaplan-Meier analyses and log-rank tests, we determined that 29 was the cut point that demonstrated patients in the higher CAS-R group had significantly better cardiac event-free survival than those in the lower CAS-R group. Using the cut point of 30, the differences in cardiac event-free survival between groups did not reach a significant level.</p><p><strong>Discussion: </strong>Identifying a CAS-R cut point enhances the practical application of the CAS-R and makes it a valuable instrument for assessing the effect of targeted interventions among cardiac patients with lower perceived control.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unsupervised Learning Identifies Sleep Disturbance Subtypes Among Dementia Caregivers. 无监督学习识别痴呆护理人员的睡眠障碍亚型。
IF 2.5 4区 医学
Nursing Research Pub Date : 2026-08-07 DOI: 10.1097/NNR.0000000000000935
Eunbee Angela Kim, Jiuchen Zhang, Amir M Rahmani, Sanghyuk Shin, Adeline Nyamathi, Jung-Ah Lee
{"title":"Unsupervised Learning Identifies Sleep Disturbance Subtypes Among Dementia Caregivers.","authors":"Eunbee Angela Kim, Jiuchen Zhang, Amir M Rahmani, Sanghyuk Shin, Adeline Nyamathi, Jung-Ah Lee","doi":"10.1097/NNR.0000000000000935","DOIUrl":"10.1097/NNR.0000000000000935","url":null,"abstract":"<p><strong>Background: </strong>Sleep disturbance is highly prevalent among caregivers of persons with dementia (PWD), affecting approximately 67% of the more than 10 million adults in this role in the United States. Accurately characterizing these disturbances is essential to identify individuals at increased risk for chronic sleep problems and related health consequences. However, few studies have examined how sleep disturbance manifests across diverse caregiver characteristics and contexts.</p><p><strong>Objectives: </strong>To address this gap, we applied clustering analyses using wearable sleep data to identify distinct subtypes of sleep disturbance among dementia caregivers.</p><p><strong>Methods: </strong>Clustering analyses were conducted using sleep parameters-total sleep time (TST), sleep efficiency (SE), wake after sleep onset (WASO), and sleep onset latency (SOL)-derived from 14 days of Oura Ring data collected from 143 caregivers of PWD. For each participant, the minimum, maximum, mean, and standard deviation of each sleep metric were computed during the 14-day period. Subsequent one-way ANOVA and chi-square tests were performed to explore differences in caregiver characteristics, caregiving demands, and caregiving support availability across the identified subgroups.</p><p><strong>Results: </strong>The analytic sample included 143 adults. Three distinct sleep disturbance subtypes emerged. Cluster 1 (Optimal Sleep) demonstrated the least nocturnal wakefulness, the most efficient sleep, and ease in falling asleep relative to the other clusters. Cluster 2 (Disturbed Onset & Maintenance) exhibited the greatest difficulty both falling and staying asleep, whereas Cluster 3 (Insufficient Sleep) was characterized by markedly reduced sleep duration. Key contextual characteristics differentiated the clusters. Cluster 2 had the highest prevalence of comorbid conditions, including hypertension, diabetes, and other chronic illnesses, whereas Cluster 3 was predominantly male and had the lowest support availability.</p><p><strong>Discussion: </strong>Findings highlight the potential of wearable-derived nocturnal data to characterize distinct sleep disturbance subtypes using clustering analyses. This work underscores the value of building a risk-profiling framework that integrates sleep disturbance subtypes, caregiver characteristics, caregiving demands, and caregiving support availability to inform the development of more precise and effective sleep interventions for dementia caregivers.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Randomized Controlled Trial Nurse-Led, Home Lymphatic Exercises on Fluid Overload with Heart Failure. 随机对照试验,护士主导,家庭淋巴运动对心力衰竭患者体液超载的影响。
IF 2.5 4区 医学
Nursing Research Pub Date : 2026-08-06 DOI: 10.1097/NNR.0000000000000932
Rida Gharzeddine, Brigitte Cypress, Elizabeth Cerceo, Timothy Marks, Mei Rosemary Fu
{"title":"Randomized Controlled Trial Nurse-Led, Home Lymphatic Exercises on Fluid Overload with Heart Failure.","authors":"Rida Gharzeddine, Brigitte Cypress, Elizabeth Cerceo, Timothy Marks, Mei Rosemary Fu","doi":"10.1097/NNR.0000000000000932","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000932","url":null,"abstract":"<p><strong>Background: </strong>Fluid overload is a major contributor to symptoms and hospitalization in patients with heart failure (HF). Home-based exercise interventions designed to enhance lymphatic drainage may reduce thoracic congestion and fluid overload symptoms, yet limited research has investigated the effectiveness of these exercises using objective measures of thoracic fluid content and body water composition in this population.</p><p><strong>Objective: </strong>To evaluate the effectiveness of The-Optimal-Lymph-Flow (TOLF) intervention, a nurse-led, home-based, and structured exercise program designed to enhance lymphatic drainage and fluid overload, in patients with HF.</p><p><strong>Methods: </strong>A parallel randomized clinical trial design was used. A total of 80 participants were recruited, randomly assigned to either the TOLF intervention or usual care and followed for 4 weeks. Primary outcomes included thoracic fluid content measured by a dielectric sensing device; total body water and extracellular water measured by a bioimpedance device; fluid overload symptom prevalence and burden assessed using a self-reported questionnaire; and hospital readmission rates. Mixed-effects models were used to estimate treatment effects, adjusting for health behaviors.</p><p><strong>Results: </strong>Compared with the control group, participants receiving the TOLF intervention demonstrated significantly greater reductions in thoracic fluid content at 4 weeks post-intervention. Significant treatment effects were also observed for fluid overload symptom prevalence and symptom burden. These effects remained substantial after adjustment for health behaviors. A sizable reduction in rehospitalization rates was observed in participants receiving intervention. No significant treatment effects were observed for body water composition, although within-group reductions were noted in the intervention arm. In addition, findings also demonstrated feasibility and acceptability with 79% retention, > 80% protocol adherence, and 98% participant satisfaction.</p><p><strong>Discussion: </strong>The home-based lymphatic exercise intervention is effective in reducing thoracic congestion, fluid overload symptoms, and hospital readmission. These findings align with the emerging evidence supporting the role of lymphatic system in HF and warrant further evaluation in a larger trial.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of Serum Folate and Mental and Physical Health in Informal Caregivers. 非正式照护者血清叶酸与身心健康的关系
IF 2.5 4区 医学
Nursing Research Pub Date : 2026-08-03 DOI: 10.1097/NNR.0000000000000931
Velda J González-Mercado, Jinyu Hu, Elsa Pedro-Gutiérrez, Megan Jung, Sara J Marrero, Raul D Bernabe-Dones
{"title":"Associations of Serum Folate and Mental and Physical Health in Informal Caregivers.","authors":"Velda J González-Mercado, Jinyu Hu, Elsa Pedro-Gutiérrez, Megan Jung, Sara J Marrero, Raul D Bernabe-Dones","doi":"10.1097/NNR.0000000000000931","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000931","url":null,"abstract":"<p><strong>Background: </strong>Emotional and physical demands of caregiving can affect nutritional intake, particularly of vitamin B9 (folate), which is important in the functioning of the nervous and skeletal systems. Non-caregivers studies in Puerto Rico, a folate-fortified region since 1998, have reported low consumption of folic acid (folate added to foods or taken as a diet supplement) consumption among women, which can potentially affect individuals' subjective mental/physical health well-being. Serum folate levels are a widely used, low-cost, modifiable marker of recent folate status, yet a relationship between serum folate levels and mental/physical health among informal caregivers of patients with chronic diseases in Puerto Rico has not been established. The latter study can be especially vital, as it may allow us to contribute to the initial understanding of caregivers' mental/physical health phenotypes.</p><p><strong>Objective: </strong>To evaluate cross-sectional relationships between serum folate levels and subjective mental health and physical health in informal caregivers of patients with chronic diseases in Puerto Rico.</p><p><strong>Methods: </strong>An observational cross-sectional study from July 2024 to May 2025 was conducted with 69 caregivers. Participants provided blood samples for serum folate levels and answered the PROMIS-10 questionnaire. Descriptive statistics, independent samples t-tests, and multiple regression models were conducted.</p><p><strong>Results: </strong>The sample included 69 participants. In regression analyses, higher folate levels were significantly associated with higher mental health in both unadjusted and fully adjusted models. Folate levels were also positively associated with physical health in unadjusted and partially adjusted models; however, this association was attenuated and no longer statistically substantial after further adjustment for perceived stress.</p><p><strong>Discussion: </strong>Findings suggest that low serum folate levels are a risk factor to consider while assessing the physical/mental health of informal caregivers, with future studies aimed at validating the findings in a larger cohort and with future clinical applications such as screening for folate deficiency, dietary counseling, and supplementation programs to address and mitigate these specific health risks.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrative Review of Needs and Experiences of Lung Transplant Caregivers. 肺移植护理人员的需求和经验的综合评价。
IF 2.5 4区 医学
Nursing Research Pub Date : 2026-07-27 DOI: 10.1097/NNR.0000000000000930
Mary Clare Houlihan, Stephanie Byrd, Claire Morey
{"title":"Integrative Review of Needs and Experiences of Lung Transplant Caregivers.","authors":"Mary Clare Houlihan, Stephanie Byrd, Claire Morey","doi":"10.1097/NNR.0000000000000930","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000930","url":null,"abstract":"<p><strong>Background: </strong>Lung transplantation is a complex, life-sustaining procedure requiring substantial support from informal caregivers (e.g., friends or family members). However, the needs and experiences of these caregivers are underreported.</p><p><strong>Objectives: </strong>The purpose of this review is to examine and synthesize existing research on the needs and experiences of informal caregivers of lung transplant patients.</p><p><strong>Methods: </strong>A systematic search, informed by Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, was conducted to identify peer-reviewed studies focusing on the needs and/or experiences of adult informal caregivers. The biopsychosocial model was used to guide thematic analysis. The quality of each included study was evaluated using the Johns Hopkins Evidence-Based Practice Model.</p><p><strong>Results: </strong>Thirty-five studies were included in this review. Caregivers described how stressors affected their daily lives and ability to care for patients, emphasizing the need for better support systems. Caregivers also reported positive experiences, such as improved caregiver-patient relationships and a sense of fulfillment in their caregiving tasks.</p><p><strong>Discussion: </strong>Caregivers require improved support and education. Future interventions aimed at improving support and educational resources should consider asset-based approaches that focus on caregivers' strengths. Findings suggest that effective clinician engagement during the lung transplant process requires attention to caregivers' comprehensive biopsychosocial needs and experiences.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictive Accuracy of the Framingham Risk Score in the Republic of Korea. 韩国Framingham风险评分的预测准确性。
IF 2.5 4区 医学
Nursing Research Pub Date : 2026-07-16 DOI: 10.1097/NNR.0000000000000929
Sooyoung Park, Sarah J Ratcliffe, Kathryn H Bowles, Connie M Ulrich
{"title":"Predictive Accuracy of the Framingham Risk Score in the Republic of Korea.","authors":"Sooyoung Park, Sarah J Ratcliffe, Kathryn H Bowles, Connie M Ulrich","doi":"10.1097/NNR.0000000000000929","DOIUrl":"10.1097/NNR.0000000000000929","url":null,"abstract":"<p><strong>Background: </strong>Multivariate risk prediction models are recommended for assessing cardiovascular disease (CVD) risk and developing effective management plans. The widely used Framingham Risk Score (FRS) requires validation before application, as the original cohorts primarily comprised White, middle-class individuals in the United States.</p><p><strong>Objectives: </strong>To evaluate the FRS's predictive accuracy over 10 years within the Korean National Health Insurance Service-National Health Screening Cohort.</p><p><strong>Methods: </strong>This retrospective observational study involved 483,643 eligible participants. Discrimination and calibration were assessed using the c statistic, calibration slope, and intercept, supplemented by graphical calibration plots.</p><p><strong>Results: </strong>Over 10 years, 23,681 men and 16,904 women experienced a CVD event. The FRS showed good discrimination in both men and women. It overestimated CVD risk for men, while showing good calibration in women.</p><p><strong>Discussion: </strong>The observed discrepancy in calibration may be related to differences in risk factor profiles and CVD event rates between the original Framingham cohorts and the Korean validation cohort. In the absence of a Korean-specific model, the FRS remains a practical option for use in primary care. However, to enhance accuracy of risk prediction, the development and validation of a population-specific CVD risk model for Korea are recommended.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Photovoice Methods Pilot Study of Cognitive Impairment in Multiple Sclerosis. 光声方法对多发性硬化症患者认知功能损害的初步研究。
IF 2.5 4区 医学
Nursing Research Pub Date : 2026-07-14 DOI: 10.1097/NNR.0000000000000928
Lisa Kelly, Chanam Shin
{"title":"Photovoice Methods Pilot Study of Cognitive Impairment in Multiple Sclerosis.","authors":"Lisa Kelly, Chanam Shin","doi":"10.1097/NNR.0000000000000928","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000928","url":null,"abstract":"<p><strong>Background: </strong>Cognitive impairment (CI) affects upwards of 70% of people with multiple sclerosis (MS) and influences daily living and quality of life. Standard assessments capture performance but provide limited insight into how cognitive changes are experienced. Photovoice may help surface these internal and less visible dimensions, yet its feasibility for CI-focused MS research is not well established.</p><p><strong>Objectives: </strong>To assess the feasibility and methodological utility of photovoice for examining CI as a lived experience in MS and to identify insights that can guide future qualitative study design.</p><p><strong>Methods: </strong>Adults with MS who identified CI as a significant challenge were recruited from a private online support group. Three participants completed a 7-day photovoice activity (38 images with written reflections) and a 90-minute photo-elicitation interview. Analysis focused on methodological illustration rather than saturation.</p><p><strong>Results: </strong>Participants generated images and narratives that depicted key aspects of CI in daily life. Photographs illustrated: (1) a mismatch between internal cognitive difficulties and outward appearances of wellness; (2) humor used to express forgetfulness and mental fatigue; (3) reliance on tools such as lists, reminders, and environmental cues; and (4) variation in how CI was framed, including changes in meaning following disability recognition. These findings show that participants were able to visually and narratively represent CI experiences.</p><p><strong>Discussion: </strong>Visual narratives align with earlier photovoice work on invisible MS symptoms, suggesting that photovoice can document cognitive experiences that traditional methods may overlook. Results support photovoice as a complementary qualitative approach for understanding how adults with MS interpret and manage cognitive changes in daily life.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health Anxiety and Health Behaviors by eHealth Literacy in Older Adults. 老年人电子健康素养对健康焦虑和健康行为的影响
IF 2.5 4区 医学
Nursing Research Pub Date : 2026-07-14 DOI: 10.1097/NNR.0000000000000927
Nawara Khirallah Abd El Fatah, Ayman Mohamed El-Ashry, Marwa Ibrahim Mahfouz Khalil, Ahmed Farghaly Tawfik, Asmaa Mahmoud Ali Ibrahim
{"title":"Health Anxiety and Health Behaviors by eHealth Literacy in Older Adults.","authors":"Nawara Khirallah Abd El Fatah, Ayman Mohamed El-Ashry, Marwa Ibrahim Mahfouz Khalil, Ahmed Farghaly Tawfik, Asmaa Mahmoud Ali Ibrahim","doi":"10.1097/NNR.0000000000000927","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000927","url":null,"abstract":"<p><strong>Background: </strong>Older adults increasingly rely on online health information; however, limited eHealth literacy may amplify health anxiety and cyberchondria, thereby compromising engagement in positive health behaviors. Understanding whether eHealth literacy buffers these adverse psychological influences can inform targeted interventions for aging populations.</p><p><strong>Objective: </strong>To examine whether eHealth literacy moderates the association between health anxiety and health behaviors among older adults, and to identify demographic and psychological predictors of health behaviors.</p><p><strong>Methods: </strong>This was a cross-sectional correlational study reported in accordance with Strengthening the Reporting of Observational Studies in Epidemiology guidelines of a convenience sample of 400 community-dwelling adults aged ≥ 60 years. Data were collected via structured survey administration.</p><p><strong>Results: </strong>Higher eHealth literacy was associated with more favorable health behaviors and lower levels of cyberchondria and health anxiety. In regression models, education, online health information‑seeking frequency, eHealth literacy, cyberchondria, and health anxiety emerged as independent predictors of health behaviors. Moderation analyses indicated that eHealth literacy buffered the negative association between health anxiety and health behaviors.</p><p><strong>Discussion: </strong>eHealth literacy appears to function as a protective factor in later life by reducing the adverse association between health anxiety and engagement in positive health behaviors, while also relating inversely to cyberchondria. Although educational attainment remained a significant predictor, psychological variables accounted for substantial additional amount of variance in health behaviors. Integrating eHealth literacy training with anxiety-informed support in gerontological care may strengthen preventive and self-management behaviors among older adults in community and clinical settings.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ENRS President's Message. ENRS总裁致辞。
IF 2.5 4区 医学
Nursing Research Pub Date : 2026-07-01 Epub Date: 2026-06-25 DOI: 10.1097/NNR.0000000000000925
{"title":"ENRS President's Message.","authors":"","doi":"10.1097/NNR.0000000000000925","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000925","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"75 4","pages":"E214-E215"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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