Nursing & Health Sciences最新文献_第9页

Metabolic control and quality of life in type 1 diabetes: Do adherence, family support, and school support matter? 1型糖尿病患者的代谢控制和生活质量:依从性、家庭支持和学校支持重要吗?

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2023-09-01 DOI: 10.1111/nhs.13042

Ana C Almeida, Fabiana Tavares, M Graça Pereira

{"title":"Metabolic control and quality of life in type 1 diabetes: Do adherence, family support, and school support matter?","authors":"Ana C Almeida, Fabiana Tavares, M Graça Pereira","doi":"10.1111/nhs.13042","DOIUrl":"https://doi.org/10.1111/nhs.13042","url":null,"abstract":"This study analyzed the relationship between clinical and demographic variables, family support, school support, and adherence on adolescents' metabolic control and quality of life (QoL) based on Adaptation to Chronic Disease in Childhood's model. The sample included 100 adolescents and 100 parents. Adolescents were assessed on adherence, family support, school support, and QoL. Parents were assessed on family functioning and parental coping. A path analysis was performed to assess the adequacy of the theoretical model to the sample. Daily glycemic monitoring was associated with better metabolic control and diabetes hospitalizations with worse metabolic control. The final model showed adherence, family support, school support, and family functioning having an indirect effect on the relationship between adolescence stage, number of daily glycemic monitorings, number of hospitalizations, and metabolic control/QoL. Adherence had an indirect effect on the relationship between glycemic monitoring and family and school support, suggesting that adolescents need both types of support to perform diabetes self-care tasks. QoL showed a direct effect on metabolic control revealing the importance of QoL in the design of interventions to promote metabolic control in adolescents.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"25 3","pages":"456-465"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10212770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 1

An exploratory international survey of the assessments and interventions used by occupational therapists and physiotherapists during the hospitalization of people with Guillain-Barré syndrome. 一项关于职业治疗师和物理治疗师在格林-巴罗综合征患者住院期间使用的评估和干预措施的探索性国际调查。

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2023-09-01 DOI: 10.1111/nhs.13022

Madeline Houlahan, Nicole Gintings, Madeline Burdon, Samantha Ashby

{"title":"An exploratory international survey of the assessments and interventions used by occupational therapists and physiotherapists during the hospitalization of people with Guillain-Barré syndrome.","authors":"Madeline Houlahan, Nicole Gintings, Madeline Burdon, Samantha Ashby","doi":"10.1111/nhs.13022","DOIUrl":"https://doi.org/10.1111/nhs.13022","url":null,"abstract":"Guillain-Barré syndrome is a rare neurological condition. Although some people make a substantial functional recovery, almost half require intensive rehabilitation. Data were collected using a cross-sectional survey which investigated the assessments and interventions used by occupational therapists and physiotherapists for people with Guillain-Barré syndrome. Seventy valid responses were received from 10 countries. The survey highlighted four factors about current practice: (i) practitioners did not identify the use of formal clinical guidelines or protocols for Guillain-Barré Syndrome treatment of the upper limb; (ii) a range of standardized and non-standardized assessment and goal-setting tools are utilized; (iii) interventions include passive and active range of motion exercises, and the prescription of upper limb/hand splints; and (iv) interdisciplinary practice is common in the intensive care unit and during acute phases of Guillain-Barré syndrome, whereas discipline-specific work is more common during rehabilitation. A range of goal-setting and assessment tools are used by occupational therapists and physiotherapists during the hospitalization of people with Guillain-Barré syndrome. The type and duration of interventions vary and may reflect the lack of international protocols for Guillain-Barré syndrome rehabilitation.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"25 3","pages":"302-310"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10198603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Pregnant and postnatal women's experiences of interacting with health care providers about their tobacco smoking. 孕妇和产后妇女就吸烟问题与医疗服务提供者交流的经验。

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2023-09-01 Epub Date: 2023-07-05 DOI: 10.1111/nhs.13007

引用次数: 0

Better safe than sorry: Exploring the collective sensemaking process in pregnancy virtual communities through thematic analysis. 安全总比遗憾好:通过主题分析探索怀孕虚拟社区的集体意义构建过程。

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2023-09-01 DOI: 10.1111/nhs.13035

Wan-Ru Wu, Li-Chun Lee, Pei-Jung Yu

{"title":"Better safe than sorry: Exploring the collective sensemaking process in pregnancy virtual communities through thematic analysis.","authors":"Wan-Ru Wu, Li-Chun Lee, Pei-Jung Yu","doi":"10.1111/nhs.13035","DOIUrl":"https://doi.org/10.1111/nhs.13035","url":null,"abstract":"Physical symptoms induced by pregnancy are often perceived as a normal part of the physiological process and therefore not commonly discussed in clinical settings during prenatal care. This study aimed to explore how pregnant individuals adapt to physical symptoms related to their pregnancy, using the perspective of collective sensemaking. A retrospective study design with an inductive thematic analysis approach of qualitative data extracted from web-based forum posts was conducted. Among 574 initial posts and 2801 comments, three themes were identified: (i) awareness of changing pregnancy body, (ii) uncertainty about physical symptoms, and (iii) coping with discomforts associated with pregnancy. A shared identity as a group of individuals dealing with similar challenges enables pregnant individuals to develop a better comprehension of their experiences. Healthcare professionals should recognize the importance of individual and collective sensemaking in pregnancy forums and strive to provide a supportive and empathetic environment for pregnant individuals to share their experiences and seek guidance.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"25 3","pages":"381-388"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10262561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Factors associated with COVID-19 vaccination hesitancy in South Korea: A cross-sectional study. 与韩国COVID-19疫苗接种犹豫相关的因素:一项横断面研究

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2023-09-01 DOI: 10.1111/nhs.13031

Sophia Jihey Chung, Kihye Han, Chaehee Kim, Jieun Kim

{"title":"Factors associated with COVID-19 vaccination hesitancy in South Korea: A cross-sectional study.","authors":"Sophia Jihey Chung, Kihye Han, Chaehee Kim, Jieun Kim","doi":"10.1111/nhs.13031","DOIUrl":"https://doi.org/10.1111/nhs.13031","url":null,"abstract":"Vaccination against COVID-19 has been promoted as a way to protect oneself and others from infection. To ensure the comprehensive acceptance of COVID-19 vaccines, the factors that affect COVID-19 vaccination hesitancy should be examined. This study aimed to identify the factors that affect COVID-19 vaccination hesitancy among Korean adults, focusing on COVID-19 knowledge and attitudes toward vaccination. This was a cross-sectional study conducted with 2286 Korean adults aged 20-64 years. Demographic characteristics, knowledge regarding COVID-19, and attitudes toward vaccination were assessed. A generalized linear model with Poisson regression was used to identify factors associated with COVID-19 vaccination hesitancy. Approximately 67% of the COVID-19 knowledge-related questions were correctly answered. A neutral attitude toward vaccination and relatively low vaccination hesitancy were found. COVID-19 vaccination hesitancy was affected by individuals' attitudes toward vaccination, as well as their gender and age, but not by their knowledge. Interventions or policies considering gender and age could be helpful in reducing COVID-19 vaccination hesitancy. Strategies to disseminate more accurate and novel information related to the COVID-19 vaccines should be implemented.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"25 3","pages":"332-340"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10263100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Mapping the clinical care pathways for advanced stage non-small cell lung cancer patients in Victoria: A retrospective cohort study of supportive and palliative care. 绘制维多利亚州晚期非小细胞肺癌患者的临床护理路径:支持和姑息治疗的回顾性队列研究。

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2023-09-01 DOI: 10.1111/nhs.13044

Shantelle Smith, Daniel Sapkaroski, Margaret Brand, Anh Tran, John Zalcberg, Robert G Stirling

{"title":"Mapping the clinical care pathways for advanced stage non-small cell lung cancer patients in Victoria: A retrospective cohort study of supportive and palliative care.","authors":"Shantelle Smith, Daniel Sapkaroski, Margaret Brand, Anh Tran, John Zalcberg, Robert G Stirling","doi":"10.1111/nhs.13044","DOIUrl":"https://doi.org/10.1111/nhs.13044","url":null,"abstract":"The lung cancer Optimal Care Pathway recommends supportive care and palliative care integration throughout its various steps, with early referral to appropriate services improving the quality of life in advanced stage non-small cell lung cancer patients. Using Victorian Lung Cancer Registry data and linked administrative datasets, this retrospective cohort study mapped clinical care pathways of 525 Stage III-IV non-small cell lung cancer patients in Victoria to 11 recommendations in the Optimal Care Pathway, identifying unwarranted variations in clinical care. Supportive care and palliative care delivery were further examined to understand the involvement and timing of specialist care teams. Our findings showed that palliative care utilization is highest at the time of treatment, despite recommendations that it should be provided early after diagnosis to improve patient outcomes and satisfaction. Early supportive care screening was observed in half the cohort and almost three-quarters of the patients had been presented at a multidisciplinary meeting. Multidisciplinary meeting presentations and supportive care provide an opportunity to improve communication about palliative care needs and integration into routine clinical practice, such as at the time of treatment planning.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"25 3","pages":"411-423"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10264153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 comparisons between active and inactive transport modes in urban adults with chronic conditions: A cross-sectional study. 患有慢性病的城市成年人采用积极和不积极交通方式的健康比较：一项横断面研究。

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2023-09-01 Epub Date: 2023-06-19 DOI: 10.1111/nhs.13028

Hsien-Jang Hong, Wen-Hsin Huang, Hsin-Yen Yen

{"title":"Health comparisons between active and inactive transport modes in urban adults with chronic conditions: A cross-sectional study.","authors":"Hsien-Jang Hong, Wen-Hsin Huang, Hsin-Yen Yen","doi":"10.1111/nhs.13028","DOIUrl":"10.1111/nhs.13028","url":null,"abstract":"An active transport mode provides an opportunity for integrating physical activity into one's daily life through walking, cycling, and the use of public transportation. The purpose of this study was to compare urban adults with chronic conditions who used active and inactive transport modes and to find differences in their health outcomes. A cross-sectional study was conducted from September 2019 to May 2020. Participants were urban adults who self-reported being overweight or obese, or having a diagnosis of chronic disease. Anonymous structured self-reported questionnaires were used for data collection, including the World Health Organization Quality-of-Life Scale, International Physical Activity Questionnaire Short-Form, and the frequency of eight modes of transportation. According to differences between the frequency score of weekly active and inactive transportation, participants were categorized into inactive, balanced, and active transport modes. In total, 617 valid responses were obtained. Participants who engaged in an active transport mode were found to have significantly less sedentary time, and better comprehensive, social, and environmental aspects of quality of life than those with an inactive transport mode. Engaging in active transportation and avoiding inactive transportation are recommended for urban adults with chronic diseases.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"25 3","pages":"323-331"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10206814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Qualitative inquiry of a community dance program for older adults in Singapore. 新加坡老年人社区舞蹈项目的定性调查。

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2023-09-01 DOI: 10.1111/nhs.13032

Vivien Xi Wu, Xin Yi Yap, Wai San Wilson Tam, Jorming Goh, Wei Yi Jeremy Mok, Sheena Ramazanu

{"title":"Qualitative inquiry of a community dance program for older adults in Singapore.","authors":"Vivien Xi Wu, Xin Yi Yap, Wai San Wilson Tam, Jorming Goh, Wei Yi Jeremy Mok, Sheena Ramazanu","doi":"10.1111/nhs.13032","DOIUrl":"https://doi.org/10.1111/nhs.13032","url":null,"abstract":"Dance programs promote physical and psychosocial well-being. However, studies focusing on the experiences of older adults in dancing are limited. This study aims to develop a community dance program (CDP) for older adults at senior activity centers in Singapore, as well as to explore the older adults' and student instructors' experiences of the CDP. A qualitative inquiry of semi-structured and in-depth focus group discussions was conducted. In total, 20 older adults and 10 student dance instructors participated in the study. Student instructors who were undergraduate students from a dance society were trained in how to provide step-by-step instructions for the older adults. An inductive approach of thematic analysis was undertaken. Three main themes were identified: (i) promotion of physical, cognitive, and psychosocial health with dance; (ii) imagination is power-travel through dance; and (iii) further enhancement of the dance program. The themes highlighted the prominence of CDP in improving memory, physical health, mood, and social interactions-thus mitigating the risk of social isolation. The findings illustrated the benefits of CDP in cultivating intergenerational bonds amongst older adults and student instructors.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"25 3","pages":"341-353"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10208165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Impact of symptom burden and self-efficacy on functional status in advanced breast cancer patients: A path analysis. 症状负担和自我效能感对晚期乳腺癌患者功能状态的影响:一项通径分析

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2023-09-01 DOI: 10.1111/nhs.13033

Beyza Erdemsoy Karahan, Nur Izgu

{"title":"Impact of symptom burden and self-efficacy on functional status in advanced breast cancer patients: A path analysis.","authors":"Beyza Erdemsoy Karahan, Nur Izgu","doi":"10.1111/nhs.13033","DOIUrl":"https://doi.org/10.1111/nhs.13033","url":null,"abstract":"This correlational study aims at exploring the correlations between symptom burden, functional status, and self-efficacy in advanced breast cancer patients and to analyze their paths of influence. The study was performed with 122 patients with advanced breast cancer receiving outpatient chemotherapy between April 10, 2021 and April 29, 2022. Data were collected using a sociodemographic information form, the MD Anderson Symptom Inventory, the Functional Living Index-Cancer, and the Symptom Management Self-Efficacy Scale for Breast Cancer Related to Chemotherapy. Kruskal-Wallis, Mann-Whitney U, and Spearman correlation tests and path analysis were used for data evaluation. Less-educated individuals had a higher symptom burden and poorer self-efficacy. Low-income level was related to poor self-efficacy. Symptom severity did not directly influence functional status but affected it indirectly through self-efficacy, while symptom interference and self-efficacy had a direct impact on functional status. This study mainly concludes that symptom burden and self-efficacy affect functional status in advanced breast cancer patients receiving chemotherapy. Self-efficacy-enhancing interventions may be helpful strategies for symptom relief and improvement in functional status in this population.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"25 3","pages":"354-364"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10208166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Healthcare staff's experiences of using manual physical restraint: A meta-synthesis review. 卫生保健人员使用手动身体约束的经验:一项综合综述。

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2023-09-01 DOI: 10.1111/nhs.13045

Michael Kodua, Joy Duxbury, Winifred Oluchukwu Eboh, Lilla Asztalos, Justin Tweneboa

{"title":"Healthcare staff's experiences of using manual physical restraint: A meta-synthesis review.","authors":"Michael Kodua, Joy Duxbury, Winifred Oluchukwu Eboh, Lilla Asztalos, Justin Tweneboa","doi":"10.1111/nhs.13045","DOIUrl":"https://doi.org/10.1111/nhs.13045","url":null,"abstract":"Manual restraint is a hands-on type of physical restraint used to prevent harm to service users and staff, and to administer necessary treatments. This article reports on a review and meta-synthesis of the qualitative literature on healthcare staff's experiences of using manual restraint. Three electronic databases (CINAHL Complete, MEDLINE, and PsycINFO) were systematically searched, and 19 studies were included. Thematic synthesis was used to synthesize the findings. The Critical Appraisal Skills Programme (CASP) checklist was used to appraise study quality. The synthesis generated one overarching interpretive theme, \"unpleasant but necessary,\" and five subthemes: \"maintaining safety triumphs all,\" \"emotional distress,\" \"significance of coping,\" \"feeling conflicted,\" and \"depletion.\" Seven studies indicated that, from staff perspectives, manual restraint was not always used as a last resort. Healthcare staff experience manual restraint as a psychologically and physically unpleasant practice, yet paradoxically deem its use to be sometimes necessary to keep themselves and service users safe from harm. The findings indicate a need for healthcare staff support, post-restraint debriefing meetings with service users, and the implementation of manual restraint minimization programs in healthcare settings.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"25 3","pages":"271-289"},"PeriodicalIF":2.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10264155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 1