Journal of Clinical Nursing最新文献

{"title":"Behaviour Change Techniques Used in the Dietary Management of Patients With Type 2 Diabetes: A Systematic Review and Meta-Analysis.","authors":"Aichun Wen, Kailu Wu, Meihua Ji","doi":"10.1111/jocn.17782","DOIUrl":"https://doi.org/10.1111/jocn.17782","url":null,"abstract":"<p><strong>Aims and objective: </strong>To evaluate the effects of dietary intervention and the commonly used behaviour change techniques (BCTs) on clinical outcomes in patients with T2DM.</p><p><strong>Background: </strong>Effective dietary management is crucial in the management of diabetes. Behavioural change strategies are important in improving dietary adherence, but limited understanding of available evidence currently exists.</p><p><strong>Design: </strong>A systematic review and meta analysis using the PRISMA checklist were used to synthesise the evidence.</p><p><strong>Methods: </strong>Systematic review of five databases was completed using selected key terms. Meta-analysis was conducted to test the effects of the dietary interventions and to identify effective BCTs.</p><p><strong>Results: </strong>Nine studies were included in this research. Overall, the dietary interventions showed significant HbA1c reduction, with merits from personalised dietary interventions tailored to patient characteristics. Meanwhile, there was a sustained reduction in HbA1c after three, six, and twelve months post intervention. Moreover, significant improvements in weight and lipid profile were observed by the sixth month. Regarding employed BCTs, 'Credible Source' and'Conserving Mental Resources' were deemed to be both clinically and statistically significant in reducing HbA1c (> 0.3%), while 14 other BCTs were identified as being associated with a clinically meaningful reduction in HbA1c (> 0.3%).</p><p><strong>Conclusion: </strong>Comprehensive dietary interventions incorporating selective BCTs significantly improved HbA1c, weight, and lipid profiles in patients with T2DM. Identified BCTs and the commonly used intervention features tailored to patient characteristics were most effective in dietary behaviour interventions.</p><p><strong>Relevance to clinical practice: </strong>It is suggested that, besides the commonly used BCTs (e.g., 'Goals and Planning' and 'Feedback on Behavior'), the application of 'Conserving Mental Resources' and ensuring 'Credible Source' should be incorporated into dietary interventions for patients with T2DM in clinical practice.</p><p><strong>Patient or public contribution: </strong>The is no patient or public contribution in this paper.</p><p><strong>Trial registration: </strong>This study was registered at the International Prospective Register of Systematic Reviews.</p><p><strong>Prospero id: </strong>CRD42023459274.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081678","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}

{"title":"The Psychological Status of Elderly Patients During the Acute Phase of Stroke: A Mixed Methods Analysis.","authors":"Yan Lin, Weiqing Zhou, Mengjiao He, Zhihan Chen, Jinhua Zhang, Hua Guo, Lina Wang","doi":"10.1111/jocn.17737","DOIUrl":"https://doi.org/10.1111/jocn.17737","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to understand the experiences of elderly patients in the acute phase of stroke, to determine the factors that predict the level of psychological resilience, and to examine the moderating role of rumination between illness perception and psychological resilience.</p><p><strong>Methods: </strong>A mixed-method of embedded design was employed in this study. In the qualitative study, 13 elderly patients with acute stroke were interviewed based on semi-structured interview guides and recordings. The data were transcribed, and thematic content analysis was conducted. In the quantitative study, a cross-sectional survey was conducted on 240 elderly acute stroke patients using paper-based questionnaires, and data analysis was performed using SPSS25.0 and AMOS24.0.</p><p><strong>Results: </strong>From the qualitative analysis, we identified risk factors affecting the psychological status of elderly patients with acute stroke, which can be summarised into four major themes and six categories. The content of the four major themes is: lack of disease cognition, facing disease threats and challenges, prominent psychological issues, sense of disease gain. The content of the six categories is: lack of stroke-related disease knowledge and cognitive bias, single source of disease information; significant sequelae, concern about medical expenses; apparent symptoms of anxiety and depression, disease uncertainty and fear. In the Quantitative analysis, results indicated that illness perception had a direct effect on psychological resilience (β = -0.34, p < 0.01) and rumination (β = 0.51, p < 0.01). Also, rumination was directly related to psychological resilience (β = -0.24, p < 0.01). In addition, illness perception was indirectly related to psychological resilience (β = 0.51*-0.24 = -0.12, p < 0.01) mediated through rumination.</p><p><strong>Conclusion: </strong>Improving the level of rumination in elderly patients with acute stroke can mitigate adverse Illness perception and enhance psychological resilience. This study provides a theoretical basis for developing relevant intervention measures.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080938","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}

{"title":"eHealth Solutions for Symptom Assessment and Monitoring in Adults With Chronic Kidney Disease: A Systematic Review.","authors":"Khanh Linh Bui, Louise Purtell, Areum Hyun, Ann Bonner","doi":"10.1111/jocn.17827","DOIUrl":"https://doi.org/10.1111/jocn.17827","url":null,"abstract":"<p><strong>Aims: </strong>This systematic review examined eHealth solutions used to assess and monitor symptoms among adults with CKD.</p><p><strong>Design: </strong>A systematic review was conducted and reported in accordance with the PRISMA checklist. The review protocol was registered in PROSPERO (CRD4202452973).</p><p><strong>Methods: </strong>Seven databases were searched for English language studies that reported eHealth solutions for symptom assessment and monitoring in CKD between January 2000 and May 2024. The methodological quality of studies was evaluated using the Mixed Methods Appraisal Tool and a co-design evaluation tool.</p><p><strong>Results: </strong>Thirty-eight studies involving 4345 participants with CKD were included. Most of the included studies were non-randomised controlled trials (n = 16) and non-experimental studies (n = 13); only a few studies (n = 9) were randomised controlled trials. Current eHealth solutions varied in technologies and functions but were primarily focused on self-monitoring (n = 22), data recording (n = 14), education (n = 13), providing information (n = 10) and reminders/alerts (n = 10). There was limited evidence from few intervention studies involving eHealth solutions showing improvements in CKD symptoms and/or health-related quality of life. Among the 14 studies that assessed user satisfaction, satisfaction was high, but challenges and barriers to implementing these solutions were reported.</p><p><strong>Conclusion: </strong>eHealth solutions have the potential to facilitate symptom assessment and monitoring for adults with CKD, but further high-quality experimental studies are required to provide better evidence in practice.</p><p><strong>Summary: </strong>eHealth symptom assessment and monitoring are increasing in practice. While some adults are willing and able to use eHealth solutions, barriers remain due to limited digital health literacy. As few randomised controlled trials exist, further studies are needed to evaluate the benefits of reducing chronic kidney disease symptom burden.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080485","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}

{"title":"Self-Efficacy and e-Health Literacy Among Caregivers of Patients With Lung Cancer: The Chain-Mediating Roles of Negative Emotions and Caregiver Readiness.","authors":"Jiali Wu, Congling Li, Xianning Wu, Dan Su","doi":"10.1111/jocn.17807","DOIUrl":"https://doi.org/10.1111/jocn.17807","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the chain-mediating roles of negative emotions and caregiver readiness between self-efficacy and e-health literacy among caregivers of patients with lung cancer.</p><p><strong>Background: </strong>With the rise of Internet health services, caregivers of patients with lung cancer, who are one of the health decision makers, are encountering new challenges. In order to develop appropriate interventions, it is necessary to explore in depth the various influencing factors associated with them.</p><p><strong>Design: </strong>A cross-sectional survey.</p><p><strong>Methods: </strong>A total of 293 caregivers of patients with lung cancer were recruited between November 2023 and April 2024 through a convenience sampling method. These participants completed the demographic data questionnaire, General Self-Efficacy Scale (GSES), Hospital Anxiety and Depression Scale (HADS), Caregivers Preparedness Scale (CPS), and eHealth Literacy Scale (eHEALS). Independent samples t-tests and a one-way ANOVA were employed to identify the primary influencing factors. Structural equation modelling was employed to detect the mediating effects of negative emotions and caregiver readiness.</p><p><strong>Reporting method: </strong>The STROBE checklist was used for this study.</p><p><strong>Results: </strong>The total e-health literacy score of caregivers of patients with lung cancer was 29.65 ± 7.11, and there was a correlation between self-efficacy, negative emotions, caregiver readiness, and e-health literacy. The results of the path analysis showed that negative emotions and caregiver readiness had chain-mediating roles between self-efficacy and e-health literacy among caregivers of patients with lung cancer, with the total indirect effect accounting for 31.17% of the total effect.</p><p><strong>Conclusions: </strong>Caregivers of patients with lung cancer exhibit moderate levels of e-health literacy. This research suggests that self-efficacy not only has a direct and positive influence on e-health literacy but may also amplify it by mediating the interplay between negative emotions and caregiver readiness.</p><p><strong>Relevance to clinical practice: </strong>Healthcare providers should be cognizant of the negative emotions and readiness displayed by family caregivers in the hospital setting to aid them in cultivating strong health literacy for more efficient management of illness care tasks.</p><p><strong>Patient or public contribution: </strong>Nurses at the hospitals assisted us in collecting data from family caregivers of patients with lung cancer, and the caregivers actively cooperated in completing the questionnaires.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080728","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}

{"title":"Digital Health Literacy in Patients With Hypertension: A Cross-Sectional Study.","authors":"Melania Totaro, Giancarlo Cicolini, Alessandro Bianconi, Matteo Fiore, Anastasia Angelini, Gloria Ciampechini, Mirko Ferretti, Cesare Luigi Nonnis, Paola Quaranta, Dania Comparcini, Valentina Simonetti","doi":"10.1111/jocn.17811","DOIUrl":"https://doi.org/10.1111/jocn.17811","url":null,"abstract":"<p><strong>Aim: </strong>To assess Digital Health Literacy (DHL) levels among hypertensive patients.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>The study, conducted from March to August 2024 among hypertensive patients using convenience sampling, employed a 35-item questionnaire assessing: (I) sociodemographic; (II) physical activity, dietary habits, antihypertensive pharmacological treatment and medical history; (III) online health-related information knowledge and confidence; (IV) DHL, through the HLS₁₉-DIGI questionnaire with subscales on: (i) dealing with digital health information (HL-DIGI), (ii) interaction with digital resources (HL-DIGI-INT), (iii) frequency of digital device use for health (HL-DIGI-DD).</p><p><strong>Results: </strong>Among 311 participants (mean age 63.9 years, SD = 14.8), 42.1% completed high school, 25.4% held a bachelor's degree and 22.8% were physically inactive. While 49.8% were aware of online health-related information, 28.9% were uncertain and 47.6% lacked confidence in using it for health decisions. On average, participants showed a problematic level of DHL in HL-DIGI, a sufficient level in HL-DIGI-INT, and used digital health devices just over once a week. Older age emerged as a predictor of higher online health-related knowledge and DHL, while higher education level predicted higher knowledge, confidence and DHL. Physical inactivity was associated with lower online health-related information knowledge and confidence.</p><p><strong>Conclusions: </strong>These findings point to the need to design proactive strategies and implement targeted training and educational interventions to improve DHL in hypertensive patients.</p><p><strong>Implications for the profession and/or patient care: </strong>Enhancing DHL levels through targeted interventions in patient care allows patients to effectively benefit from digital healthcare, achieve positive health outcomes and reduce disparities in care pathways.</p><p><strong>Reporting method: </strong>This study adhered to the STROBE checklist for reporting.</p><p><strong>Patient or public contribution: </strong>Patients were involved as the study population.</p><p><strong>Protocol registration: </strong>Local Ethical Committee of the University Hospital Company of the Marche Region, Italy (protocol: 2023/279, date: 28/09/2023).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081682","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}

{"title":"The Relationship Between Sleep Quality and the Risk of Medication Errors in Nurses Working in Surgical Wards: A Multicenter Study.","authors":"Tuğçe Aksel Demir, Sema Koçaşli","doi":"10.1111/jocn.17798","DOIUrl":"https://doi.org/10.1111/jocn.17798","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;Determination of the relationship between sleep quality and the risk of medication errors in nurses working in surgical services.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This multicenter, descriptive and correlational study was conducted with 192 nurses working in surgical wards of all training and research hospitals in Ankara, the capital of Türkiye, between January and December 2023. Data were collected using the \"Nurse Information Form,\" \"Pittsburgh Sleep Quality Index,\" \"Epworth Sleepiness Scale,\" and \"Medication Administration Error Scale.\" The suitability of numerical variables for normal distribution was examined graphically and with the Shapiro-Wilk test. Additionally, Mann-Whitney test, Kruskal-Wallis, Bonferroni, and Spearman's Rank Correlation Coefficient tests were used in the analyses. The STROBE checklist was followed in writing the study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The median age of nurses was 27.0 (IQR = 8.0) years, and 38.5% were in the 21-25 age group. Among the nurses, 81.3% stated that they had sleep problems due to working hours, and 44.3% stated that they made medication errors due to insomnia. The nurses' Pittsburgh Sleep Quality Index total score median was 12.00 (IQR = 9.00), Epworth Sleepiness Scale score was 11.00 (IQR = 8.75), and Medication Administration Error Scale score was 85.00 (IQR = 25.75). No statistically significant relationship was found between nurses' Epworth Sleepiness Scale and Medication Administration Error Scale scores (r&lt;sub&gt;s&lt;/sub&gt; = 0.042; p = 0.565). A statistically significant low-level relationship was found between the nurses' Epworth Sleepiness Scale score and the total Pittsburgh Sleep Quality Index score (r&lt;sub&gt;s&lt;/sub&gt; = 0.387; p &lt; 0.001). Statistically significant weak and very weak relationships were found between Medication Administration Error Scale and subjective sleep quality, sleeping pill use, and daytime dysfunction (p &lt; 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The study found that nurses had poor sleep quality and daytime sleepiness. It was determined that nurses with sleep problems were at a higher risk of making medication errors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Public contribution: &lt;/strong&gt;Based on these results, it is recommended that nurses' working hours be planned to support their sleep patterns, and nurses be provided with adequate rest time during shift work hours. Additionally, nurses should be educated about sleep hygiene and the effects of sleep disorders, and more research should be conducted to understand the causes of medication errors and develop preventive strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Relevance to clinical practice: &lt;/strong&gt;The basic principle of healthcare is to \"do no harm.\" Among healthcare professionals, nurses have great responsibility in preventing medical errors. However, the excessive workload, high number of patients under their care, and working in a day-night shift system lead to fatigue and sleep deprivation. Sleep problems increases their tendency","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081535","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}

{"title":"Digital Creative Art Interventions on Health Promotion Among Older Adults: A Scoping Review.","authors":"Yunfei Du, Ruotong Peng, Xiao Wan, Chi Zhang, Jing Chang, Yongzhen Guo, Yishi Chen, Hui Feng, Zeng Cao","doi":"10.1111/jocn.17787","DOIUrl":"https://doi.org/10.1111/jocn.17787","url":null,"abstract":"<p><strong>Background: </strong>Digital Creative Art Interventions (DCAIs) are innovative approaches to art interventions using digital technology, which can improve older adults' health. However, a comprehensive summary of the implementation of this intervention among older adults is lacking.</p><p><strong>Aims: </strong>To summarise the deliveries and categories of DCAIs, review their feasibility and roles in older adults' healthcare, and explore the barriers and facilitators to implementing DCAIs in older adults.</p><p><strong>Design: </strong>Scoping review.</p><p><strong>Method: </strong>This scoping review followed Arksey and O'Malley's framework, and PRISMA-ScR was used to guide the report.</p><p><strong>Data sources: </strong>PubMed, Embase, EBSCOhost, Web of Science and Cochrane Library on 26 February 2024.</p><p><strong>Results: </strong>Thirty-one studies were selected in this review. We summarised the deliveries and categories of DCAIs in older adults. Besides, we cleared DCAIs to offer music, dance, museum, photo collage, drama, visual art interaction and mixed art intervention to older adults, primarily through videoconferencing or mobile applications. The five health promotion roles were physiological health enhancer, psychological caregiver, socialisation supporter, cognitive promoter and life optimiser. Most older adults believed DCAIs were not only feasible and acceptable, but they also met some barriers such as technological problems, problems brought about by older adults' decline in functioning, experience and privacy.</p><p><strong>Conclusion: </strong>Despite the unique advantages of DCAIs, continuous improvements are needed. In the future, researchers and healthcare workers should focus on platform improvements, increasing interactivity, diversifying formats and ensuring security and privacy.</p><p><strong>Impact: </strong>This review found that DCAIs offered new approaches to treatment options for older adults' physical and mental health. Therefore, it is recommended that they be continuously optimised and put into clinical practice.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p><p><strong>Contribute: </strong>This study summarised the DCAIs and provides the new approach for health promotion in older adults.</p><p><strong>Trial registration: </strong>OSF (https://osf.io/m62x9/, registration DOI: https://doi.org/10.17605/OSF.IO/4ZGE6).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081680","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}

{"title":"Family Involvement Interventions on Fear of Cancer Recurrence Management Among Women With Breast Cancer and Their Caregivers: A Systematic Review and Meta-Analysis.","authors":"Xiaofan Bu, Ling Jiang, Doris Y P Leung","doi":"10.1111/jocn.17790","DOIUrl":"https://doi.org/10.1111/jocn.17790","url":null,"abstract":"<p><strong>Background: </strong>Family strengths can be used to help families adapt to hardship and strain. However, meta-analytic evidence of the effectiveness of family involvement interventions on fear of cancer recurrence (FCR) in women with breast cancer and their caregivers is lacking.</p><p><strong>Objective: </strong>To evaluate the effectiveness of family involvement interventions on FCR in women with breast cancer and their caregivers and to identify the characteristics of effective family involvement interventions.</p><p><strong>Method: </strong>Ten electronic databases were searched from database inception to October 2023. The updated Cochrane risk-of-bias tool was used to assess the quality of the included randomised controlled trials (RCTs). Data analyses were executed with Revman 5.3 software, and subgroup analyses were performed on the basis of interventional dosage. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020 checklist was employed to provide guidance.</p><p><strong>Results: </strong>Seven studies were included in the review, and six were included in the meta-analysis. The main contents included content related to the disclosure of disease-related feelings/worries/concerns/experiences, education/psychological support plus some disclosure and education/counselling based on disclosure content. The results of the meta-analysis showed that family involvement interventions have large short-term positive effects on relieving FCR in women with breast cancer. The pooled results of subgroup analysis demonstrated that compared with usual care, education/psychological support plus some disclosure is ineffective, and disclosure alone has a moderate-to-large effect size, whereas disclosure with education or counselling targeting the specific needs of participants has an extremely large effect size. Only one study focused on FCR in caregivers, with an unfavourable result.</p><p><strong>Conclusions: </strong>Family involvement interventions, especially those using disclosure combined with education or counselling targeting their specific needs, have considerable short-term effects on women's FCR alleviation. However, the evidence in caregivers is insufficient. Only a few interventional studies targeting patients and caregivers exist. Further high-quality RCTs with follow-ups are encouraged.</p><p><strong>Patient and public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080553","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}

{"title":"Letter Regarding 'Predictors of Oral Chemotherapy Adherence at Home Among Chinese Cancer Patients: An Observational Prospective Study'.","authors":"Yunfeng Chen, Yilong Hu","doi":"10.1111/jocn.17828","DOIUrl":"https://doi.org/10.1111/jocn.17828","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080703","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}

{"title":"Patient Engagement in Mobile Technology-Based Rehabilitation for Arthroplasty: A Scoping Review.","authors":"Qingling Wang, Jing Gao, Aiyong Zhu, Cheng Cheng, Sally Wai-Chi Chan","doi":"10.1111/jocn.17802","DOIUrl":"https://doi.org/10.1111/jocn.17802","url":null,"abstract":"<p><strong>Aims: </strong>To map the evidence on patient engagement in mobile technology-based rehabilitation for arthroplasty, including outcome indicators, data collection methods, assessment results, facilitators and barriers, and promoting strategies.</p><p><strong>Design: </strong>A scoping review.</p><p><strong>Methods: </strong>This study was conducted using a five-stage methodological framework, which included identifying the research questions, identifying relevant studies, selecting the studies, charting the data, and collating, summarising, and reporting the results.</p><p><strong>Data sources: </strong>Ten computerised databases were searched to identify eligible studies published between January 2015 and March 2024.</p><p><strong>Results: </strong>Forty-seven studies were included in this review. Most studies used data on patient adherence to interventions and programme usage to indicate patient engagement in mobile arthroplasty rehabilitation. Data were primarily collected through mobile device records and online or paper-based surveys. Over half of the studies reported a high level of patient engagement in mobile arthroplasty rehabilitation. Patient engagement was influenced by individual and environmental factors, such as the design of programmes, patients' ability to engage with technology, and the accessibility and functionality of equipment. Strategies to promote patient engagement include applying user-centred design principles, offering support from healthcare professionals, caregivers, and peer patients, and employing behaviour-changing strategies.</p><p><strong>Conclusions: </strong>Existing studies have shown promising results in patient adherence to and use of mobile arthroplasty rehabilitation programmes. Further research can explore engaging patients in programme development, optimising outcome evaluation and data collection, identifying the mechanisms of patient engagement, and testing the effectiveness of promoting strategies.</p><p><strong>Impact: </strong>The study findings provide practical implications for nurses and other healthcare professionals to deepen their understanding of patient engagement in mobile arthroplasty rehabilitation. They may consider employing strategies, such as user-centred design, to enhance patient engagement in mobile rehabilitation programmes, thereby improving patient care.</p><p><strong>Reporting method: </strong>This review adhered to the PRISMA-ScR checklist.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041616","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}