Nursing & Health Sciences最新文献_第9页

Neutrophil-to-Lymphocyte Ratio, Lipid Profile, and Diabetic Peripheral Neuropathy Risk: Mediation and Synergy in a Community-Based Cross-Sectional Study. 中性粒细胞与淋巴细胞比率、脂质谱和糖尿病周围神经病变风险：社区横断面研究中的中介和协同作用。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70306

Siti Fadlilah, Tri Budi Wahyuni Rahardjo, Hari Kusnanto, Sumarni Sumarni, Jia Ruey Tsai, Wei-Jun Wang, Hsiu Ting Tsai

{"title":"Neutrophil-to-Lymphocyte Ratio, Lipid Profile, and Diabetic Peripheral Neuropathy Risk: Mediation and Synergy in a Community-Based Cross-Sectional Study.","authors":"Siti Fadlilah, Tri Budi Wahyuni Rahardjo, Hari Kusnanto, Sumarni Sumarni, Jia Ruey Tsai, Wei-Jun Wang, Hsiu Ting Tsai","doi":"10.1111/nhs.70306","DOIUrl":"10.1111/nhs.70306","url":null,"abstract":"Diabetic peripheral neuropathy (DPN) remains under-detected in primary care despite available bedside tests and laboratory markers. We assessed whether lipid profile components mediate and synergize with systemic inflammation, indexed by the neutrophil-to-lymphocyte ratio (NLR), in relation to DPN. In a cross-sectional study in Indonesia (July 2023-January 2024), 738 participants completed questionnaires, laboratory testing, and sensory screening with a 10-g Semmes-Weinstein monofilament and 128-Hz tuning fork. Multivariate logistic regression showed that an abnormally increased NLR (AOR 8.39; p < 0.001), total cholesterol (AOR 3.10; p < 0.001) and LDL-C (AOR 2.25; p < 0.001) were independently associated with a higher DPN risk. Combined abnormalities markedly amplified the risk (AOR 33.30; p < 0.001). Path analysis supported partial mediation of the NLR-DPN association via LDL-C and total cholesterol (total indirect β = 0.03; 95% CI 0.02-0.05; p < 0.001). Integrating NLR and lipid monitoring with routine foot screening in nurse-led primary care may enable earlier identification and risk stratification, particularly among individuals with longer duration or suboptimal glycemic control, thereby supporting targeted education and prevention to reduce disability and advance diabetes care.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70306"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208407","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

Experiences of health care professionals in intensive care when families participate in clinician handovers. 家庭参与临床医生交接时重症监护医疗专业人员的经验。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70289

引用次数: 0

Contributions of Artificial Intelligence to Decision Making in Nursing: A Scoping Review. 人工智能对护理决策的贡献：范围综述。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70308

Filipe Fernandes, Lucy Shinners, Mauro Mota, Paulo Santos, Luís Sá

{"title":"Contributions of Artificial Intelligence to Decision Making in Nursing: A Scoping Review.","authors":"Filipe Fernandes, Lucy Shinners, Mauro Mota, Paulo Santos, Luís Sá","doi":"10.1111/nhs.70308","DOIUrl":"10.1111/nhs.70308","url":null,"abstract":"Recognizing the complexity of decision-making is essential in nursing practice, where Artificial Intelligence (AI) can serve as a valuable tool to support nurses in the process of decision-making. This scoping review aims to map and systematize evidence regarding AI's contributions to nursing decision-making, following the Joanna Briggs Institute (JBI) methodological approach. Databases consulted: CINAHL Complete; MEDLINE Complete; Nursing & Allied Health Collection: Comprehensive; Cochrane Databases; MedicLatina; SciELO; Scopus; LILACS; JBI Database of Systematic Reviews and RCAAP. Thirteen studies in English, Portuguese, and Spanish were included. AI can support the nursing decision-making process by improving diagnostic accuracy and workflows. However, interpretability remains a limiting factor that affects the adoption of AI. Although critical healthcare units represent the primary areas of application, meeting the ethical, legal, and technical requirements necessary for effective integration into practice continues to be a challenge. AI offers meaningful contributions to nursing decision-making, particularly through explainable and clinically aligned systems. However, successful integration demands transparency, ethics, and usability, with further studies to ensure safe adoption.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70308"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12917350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Uncertainty on Depression in Women Undergoing Assisted Reproductive Technology: The Mediating Role of Perceived Stigma and the Moderated Mediation by Spousal Support. 不确定性对辅助生殖技术妇女抑郁的影响：污名感的中介作用及配偶支持的调节作用

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70305

Miok Kim

{"title":"Effects of Uncertainty on Depression in Women Undergoing Assisted Reproductive Technology: The Mediating Role of Perceived Stigma and the Moderated Mediation by Spousal Support.","authors":"Miok Kim","doi":"10.1111/nhs.70305","DOIUrl":"10.1111/nhs.70305","url":null,"abstract":"Women undergoing assisted reproductive technology (ART) often experience depression linked to treatment-related uncertainty. This study examined whether perceived stigma mediates the relationship between uncertainty and depression and whether spousal support moderates this effect. PROCESS Macro Model 14 was used, controlling for miscarriage experience, counseling history, and spousal proactiveness. Conditional indirect effects and the moderated mediation index were assessed using bootstrapping with 95% confidence intervals. Uncertainty significantly predicted perceived stigma (β = 0.56, p < 0.001) and depression (β = 0.54, p = 0.002). Perceived stigma also significantly affected depression (β = 0.61, p < 0.001). However, spousal support (β = -0.09, p = 0.617) and its interaction with stigma (β = 0.02, p = 0.913) were not significant. While indirect effects remained significant at all spousal support levels, the moderated mediation index was nonsignificant (95% CI: -0.15 to 0.21). Perceived stigma mediates the effect of uncertainty on depression, but spousal support does not moderate this pathway. Interventions should target uncertainty and stigma reduction to improve mental health in women undergoing ART.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70305"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of an Educational Intervention With Home Visits and Telephone Follow-Up on Knowledge and Quality of Life in Patients With Heart Failure: A Randomized Clinical Trial. 家访和电话随访对心衰患者知识和生活质量的教育干预效果：一项随机临床试验。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70309

Cleidinaldo Ribeiro de Goes Marques, Eduesley Santana Santos, Luciane Souza da Silva, Eryck Araujo de Castro Guimarães, Tarcisio Gois Dos Santos, Vinícius Barbosa Dos Santos Sales, Wanessa Alves Silva, Antônio Carlos Sobral Sousa

{"title":"Effectiveness of an Educational Intervention With Home Visits and Telephone Follow-Up on Knowledge and Quality of Life in Patients With Heart Failure: A Randomized Clinical Trial.","authors":"Cleidinaldo Ribeiro de Goes Marques, Eduesley Santana Santos, Luciane Souza da Silva, Eryck Araujo de Castro Guimarães, Tarcisio Gois Dos Santos, Vinícius Barbosa Dos Santos Sales, Wanessa Alves Silva, Antônio Carlos Sobral Sousa","doi":"10.1111/nhs.70309","DOIUrl":"10.1111/nhs.70309","url":null,"abstract":"Cardiovascular diseases, particularly heart failure (HF), are leading causes of morbidity and mortality worldwide. Limited patient knowledge about HF is associated with poor treatment adherence and worse health outcomes, emphasizing the importance of educational interventions. This randomized clinical trial evaluated the effectiveness of a nurse-led educational intervention combining home visits and telephone follow-up on patients' knowledge and quality of life (QoL). Conducted in six Brazilian hospitals, the study included 120 patients hospitalized with decompensated HF and randomly assigned to a control group (CG) or an intervention group (IG). The IG received structured education at discharge, followed by home visits on days 7, 30, and 60 and telephone follow-up on days 15 and 45, while the CG received usual care. Outcomes were assessed at 60 days. At this time point, adequate HF knowledge was observed in 82% of patients in the IG compared with 38% in the CG, and good QoL in 73% versus 33%, respectively (p < 0.001). The intervention was effective in improving knowledge and QoL in patients with HF.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70309"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Why Some Nursing Students Sleep Soundly While Others Don't: Resilience, Reappraisal, and Hidden Profiles. 为什么有些护生睡得好，而另一些却睡不好：恢复力、重新评估和隐藏的概况。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70302

Dongmei Chen, Hong Tan

引用次数: 0

Comment on "Relationship Between Preoperative Fasting Duration and Anxiety Levels With Postoperative Pain, Nausea-Vomiting, and Sleep Quality in Orthopedic Surgical Patients". 对“骨科手术患者术前禁食时间和焦虑水平与术后疼痛、恶心呕吐和睡眠质量的关系”的评论。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70313

Walaa Badawy, Mostafa Shaban

引用次数: 0

A Small Problem Can Knock Everything Down Like Dominoes: Turkish Nursing Students' Experiences of Incivility in Clinical Practice. 一个小问题可以像多米诺骨牌一样击倒一切：土耳其护理专业学生在临床实践中的不文明经历。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70310

Esra Danacı, Ebru Turhal, Yeter Kurt

{"title":"A Small Problem Can Knock Everything Down Like Dominoes: Turkish Nursing Students' Experiences of Incivility in Clinical Practice.","authors":"Esra Danacı, Ebru Turhal, Yeter Kurt","doi":"10.1111/nhs.70310","DOIUrl":"10.1111/nhs.70310","url":null,"abstract":"Clinical education plays a crucial role in nursing students' learning process, where they apply theoretical knowledge and develop their professional identities. However, experiences of incivility encountered during this process can negatively impact students' psychological well-being, academic performance, and professional motivation. This study explored incivility among Turkish nursing students and examined the potential consequences. A descriptive qualitative study design was used. This descriptive qualitative study was conducted between 11.03.2025 and 30.03.2025, involving 19 nursing students from the nursing program at a state university in Turkey. Data were collected through face-to-face interviews, and thematic analysis was employed to analyze the data. The data analysis yielded four primary themes and five subthemes: (I) Types of Incivility, (II) Effects of Incivility, (III) Coping Strategies, and (IV) Solutions and Suggestions. The experience of uncivil behavior during clinical practice significantly affected students' academic performance and professional career development. Beyond documenting experiences of incivility, the findings demonstrate how repeated low-intensity uncivil behaviors cumulatively undermine nursing students' professional identity development, learning engagement, and willingness to provide holistic patient care.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70310"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195507","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

Effect of Problem-Based Learning Combined With Rational Emotive Behavior Therapy on Psychological Outcomes, Self-Efficacy, Adverse Events, Quality of Life, and Treatment Compliance in Breast Cancer Care: A Non-Randomized Study. 问题学习联合理性情绪行为治疗对乳腺癌患者心理结局、自我效能感、不良事件、生活质量和治疗依从性的影响：一项非随机研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70299

Yanru Zhou, Yuanyuan Han, Runhao Jin

{"title":"Effect of Problem-Based Learning Combined With Rational Emotive Behavior Therapy on Psychological Outcomes, Self-Efficacy, Adverse Events, Quality of Life, and Treatment Compliance in Breast Cancer Care: A Non-Randomized Study.","authors":"Yanru Zhou, Yuanyuan Han, Runhao Jin","doi":"10.1111/nhs.70299","DOIUrl":"10.1111/nhs.70299","url":null,"abstract":"To evaluate the effectiveness of combined problem-based learning (PBL) and rational emotive behavior therapy (REBT) on Psychological Outcomes, Self-Efficacy, Adverse Events, Quality of Life, and Treatment Compliance in breast cancer care. In this non-randomized study conducted at a tertiary hospital in China, 180 patients with breast cancer treated between October 2021 and August 2022 were divided into a control group (n = 90) receiving conventional education and a study group (n = 90) receiving PBL combined with REBT. Outcomes were assessed using validated scales including the Hamilton Anxiety/Depression Rating Scales, EORTC QLQ-C30, General Self-Efficacy Scale, a hospital-designed compliance questionnaire, and adverse event follow-up. After intervention, the study group demonstrated significantly greater improvements in psychological outcomes (p < 0.05), self-efficacy (p < 0.05), lower adverse event rates (13.33% vs. 31.11%; p < 0.01), quality of life domains (p < 0.05), treatment compliance (p < 0.05), compared to the control group. The combined PBL and REBT approach enhances postoperative care for patients with breast cancer by improving psychological outcomes (e.g., reducing anxiety), enhancing self-efficacy, minimizing adverse events, improving quality of life, and promoting treatment compliance.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70299"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221852","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

Comparison of Perceived Learning Needs Among Patients, Caregivers, and Nurses After Coronary Artery Bypass Grafting: A Mixed-Methods Study. 冠状动脉搭桥术后患者、护理人员和护士感知学习需求的比较：一项混合方法研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70284

Qi Yang, Pan Peng, Shiqi Zhou, Yuting Liu, Li Geng, Yu Zhu, Wen Zhang, Qiongyan Zou, Yinghong Zhang

{"title":"Comparison of Perceived Learning Needs Among Patients, Caregivers, and Nurses After Coronary Artery Bypass Grafting: A Mixed-Methods Study.","authors":"Qi Yang, Pan Peng, Shiqi Zhou, Yuting Liu, Li Geng, Yu Zhu, Wen Zhang, Qiongyan Zou, Yinghong Zhang","doi":"10.1111/nhs.70284","DOIUrl":"10.1111/nhs.70284","url":null,"abstract":"Coronary artery bypass grafting (CABG) is a common treatment for coronary heart disease, yet postoperative learning needs are often unmet. To compare the perceived learning needs of patients who underwent CABG, caregivers, and nurses, and to explore reasons behind their top priorities, an explanatory sequential mixed-methods design was employed. In the quantitative phase, 307 patients, 150 caregivers, and 69 nurses completed the Modified Cardiac Patients Learning Needs Inventory. Group differences were examined with one-way ANOVA when homogeneity of variances was met and with Welch's ANOVA when it was violated, and robustness to distributional departures was assessed using the Kruskal-Wallis test. Learning needs were ranked by mean scores. The subsequent qualitative phase comprised purposive semi-structured interviews analyzed using Colaizzi's method, and integration findings was through joint displays. Medication knowledge was the top-ranked domain among patients, dietary considerations among caregivers, and complications among nurses. The three groups differed significantly in the total score (p < 0.05). Qualitative findings linked these to medication burden, dietary culture, and risk perception. Perceived learning needs vary by group, underscoring tailored education for patient-centered recovery.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70284"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999347","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