Journal of Clinical Nursing最新文献

{"title":"Information Needs and Attributes of Breast Cancer Radiotherapy Patients Based on the Kano Model: A Cross-Sectional Study.","authors":"Xiaocen Chen, Zhao Wang, Yixuan Liu, Fang Zhang, Jiayun Sun, Congcong Lian, Lixian Yin, Junjun Sun, Xueyu Li","doi":"10.1111/jocn.17797","DOIUrl":"https://doi.org/10.1111/jocn.17797","url":null,"abstract":"<p><strong>Background: </strong>Identifying the core information needs of breast cancer radiotherapy patients serves as the foundation for delivering targeted information services. The Kano model, a qualitative tool for classifying service needs, is increasingly being employed to prioritise patient needs and enhance healthcare quality.</p><p><strong>Objective: </strong>This study aims to examine the informational needs of breast cancer patients undergoing radiotherapy using the Kano model as the analytical framework.</p><p><strong>Methods: </strong>Between October 2024 and February 2025, 260 patients with breast cancer undergoing radiotherapy were recruited as study participants. A cross-sectional survey was conducted using the Information Needs Questionnaire. Kano analysis was applied to identify and assess the information needs of these patients. This study adhered to the STROBE guidelines.</p><p><strong>Results: </strong>Among the 36 items analysed, 15 items (41.7%) were classified as one-dimensional attributes, primarily related to adverse reaction identification and self-management information. 11 items (30.5%) were identified as attractive attributes, mainly concerning the impact of radiation therapy and social-emotional needs five items (13.9%) were must-be attributes, focusing on basic radiotherapy information. Five items (13.9%) were indifference attributes, including the impact of radiotherapy on breast reconstruction, and guidance on image-related concerns during radiotherapy. The quadrant chart findings revealed that 15 needs were predominant in Area I, five in Improving Area II, five in Secondary Improving Area III and 11 in Reserving Area IV.</p><p><strong>Conclusion: </strong>The information needs of breast cancer radiotherapy patients are diverse. Kano model analysis aids medical staff in developing health guidance and meeting patients' informational needs.</p><p><strong>Relevance to clinical practice: </strong>Understanding the differentiated informational needs of patients with breast cancer undergoing radiotherapy provides valuable insights for developing targeted educational interventions, ultimately improving patient engagement and outcomes.</p><p><strong>Patient or public contribution: </strong>The contributions of patients/members of the public were limited solely to data collection.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041550","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":"Changes in Health Risks, Daily Activities and Antipsychotic Use After Humanitude Care for People With Dementia: A Retrospective Study.","authors":"Sungjun Kim, Jiyoung Kim, SungWoo Chung, Ju Young Sim","doi":"10.1111/jocn.17800","DOIUrl":"https://doi.org/10.1111/jocn.17800","url":null,"abstract":"<p><strong>Aim: </strong>This study examined changes in health risk, daily activities and antipsychotic use after receiving Humanitude care for people with dementia.</p><p><strong>Design: </strong>Retrospective study design.</p><p><strong>Methods: </strong>A total of 67 people with dementia were admitted to two municipal nursing hospitals and were receiving Humanitude care. Participants' medical records were collected at 5 time points: February 2023 (6 months before), May 2023 (3 months before), August 2023 (when over 70% of healthcare workers completed Level 1 Humanitude care training), November 2023 (3 months after) and February 2024 (6 months after). The changes were analysed using a generalised estimating equation model.</p><p><strong>Results: </strong>A statistically significant change in the fall risk group was observed in August 2023, November 2023 and February 2024, with 6%, 11% and 19% increases in the odds of moving to a lower-risk group, respectively, compared to February 2023. In the activities of daily living subscale, gargling showed significant changes in November 2023 and February 2024. This resulted in 62.7% and 58.7% increases in the odds of moving to the high-independence category, respectively. The number of antipsychotic agents used was significantly lower in February 2024 (3.82) compared to that in February 2023 (4.47), May 2023 (4.74) and August 2023 (4.6).</p><p><strong>Conclusions: </strong>The results demonstrate that Humanitude care significantly contributes to reducing fall risk, improving gargling in activities of daily living and decreasing the number of antipsychotic agents in people with dementia.</p><p><strong>Impact: </strong>Problem the study addresses: The impact of Humanitude care remains understudied.</p><p><strong>Main findings: </strong>Humanitude care helps in not only reducing health risks but also circumventing coercive pharmacological treatments. Impact on research: Humanitude care focuses on the dignity and autonomy of people with dementia.</p><p><strong>Reporting method: </strong>This study was conducted following the Strengthening the Reporting of Observational Studies in Epidemiology.</p><p><strong>Patient or public contribution: </strong>No patient or public involvement.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048023","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 Characteristics and Effectiveness of Oral Healthcare Education Interventions for Stroke Clinicians: A Scoping Review.","authors":"Ajesh George, Lien Lombardo, Shilpi Ajwani, Rochelle Wynne, Paula Sanchez, Ariana Kong, Bhavya Talluri, Scott William, Caleb Ferguson","doi":"10.1111/jocn.17795","DOIUrl":"https://doi.org/10.1111/jocn.17795","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;To explore the characteristics of oral healthcare education interventions for stroke clinicians and the effectiveness of these interventions in improving the oral health knowledge, attitudes, confidence, and practice among acute stroke clinicians.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Scoping review, guided by Arksey and O'Malley's (2005) framework.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Original full-text studies reporting educational oral healthcare interventions for stroke clinicians, including but not limited to nurses, were eligible for inclusion. Included studies were extracted and appraised using the Joanna Briggs Institute (JBI) Checklist aligned to the study methodology. Narrative synthesis was used to describe heterogeneous findings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Data sources: &lt;/strong&gt;Key electronic bibliographic databases including CINAHL, Cochrane, MEDLINE (Ovid), ProQuest, Pubmed, and Scopus, in addition to grey literature, were searched for studies published between 1st January 2000 and 20th January 2024.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Five studies conducted in acute inpatient settings were included: two randomised controlled trials, two mixed-methods studies, and one quality improvement project. Most (n = 4) studies developed complex interventions that included education and other components (products, referral pathways, assessment tools), and were delivered either face-to-face or as an online program. Most studies reported positive changes in oral health knowledge, attitudes, and confidence. There was limited measurement of the acceptability and feasibility of the interventions, with only one study reporting positive feedback from clinicians. There was no evidence to support changes in clinical practice following any of the included interventions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Existing evidence indicates interventions for stroke clinicians have some potential for building stroke clinicians' capacity to provide adequate oral healthcare. There is however no evidence linking these interventions to optimised patient outcomes. There is a need for research focused on the implementation and dissemination of tailored oral health educational interventions incorporating clinically meaningful outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for profession/patient care: &lt;/strong&gt;Existing oral healthcare educational interventions appear to have a positive effect on stroke clinicians' oral health knowledge, confidence, and attitudes. Educational interventions in oral healthcare are perceived to be acceptable and feasible; however, further research is needed to design and test the effect of new interventions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;Integrated oral healthcare is particularly important for stroke survivors who are at greater risk of preventable aspiration pneumonia. This scoping review highlights the characteristics of existing educational programs for stroke clinicians, their effectiveness, and gaps in existing evidence. Review findings substantia","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059774","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":"Experiences and Needs of Caregivers of Community-Dwelling Frail Older Adults: A Mixed Methods Systematic Review.","authors":"Wendie Zhou, Qigao Liang, Yanhui Bian, Qinqin Liu, Yanyan Li, Jiaqi Yu, Hejing Chen, Cuili Wang","doi":"10.1111/jocn.17799","DOIUrl":"https://doi.org/10.1111/jocn.17799","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to synthesise current evidence about the experiences and needs of informal caregivers of community-dwelling frail older adults to inform targeted interventions for improving their caregiving situations.</p><p><strong>Design: </strong>This was a mixed methods systematic review using the convergent integrated analysis framework.</p><p><strong>Methods: </strong>We conducted systematic searches across 11 databases, including CINAHL, CNKI, EMBASE, OpenGrey, ProQuest, PsycINFO, PubMed, SinoMed, VIP, WanFang and Web of Science, as well as reference lists, for studies published between January 1, 2000 and March 12, 2025. Quality appraisal was performed using the Mixed Methods Appraisal Tool. Findings were synthesised using a narrative approach.</p><p><strong>Results: </strong>Of the 5297 citations, 2905 were screened for titles and abstracts, 176 were further screened for full-texts and eight studies were included (n = 6 quantitative, n = 2 qualitative; 1949 caregivers). The themes of caregiving experiences related to (1) influential factors contributing to negative, (2) or positive caregiver outcomes; (3) coping strategies or resources that caregivers employed to address caregiving situations; the outcomes that could be (4) negatively, (5) or positively impacted by caregiving; and (6) difficulties they encountered related to caring for frail older adults. Caregivers expressed needs for psychological support, detailed information on available resources, and family-centred and integrated public services with self-advocacy and coordinators.</p><p><strong>Conclusions: </strong>This review highlights broad areas that require more attention for enhancing the well-being of these caregivers. More research is warranted on caregivers' experiences, needs, and interventions, especially their support needs. A theoretical framework, comparative analyses between child caregivers and spousal caregivers, as well as emphasising both mastery and competence, is recommended for future research and practice.</p><p><strong>Relevance to clinical practice: </strong>Our findings hold the potential to guide the development of needs-oriented and evidence-based interventions tailored to the unique challenges faced by caregivers, thereby supporting them in their caregiving roles.</p><p><strong>Reporting method: </strong>This review followed the PRISMA 2020 guidelines.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution due to design.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038619","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":"Authors' Response to Letter to the Editor.","authors":"Jia Yin Ruan, Wing Fai Yeung","doi":"10.1111/jocn.17803","DOIUrl":"https://doi.org/10.1111/jocn.17803","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037073","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":"Climate Anxiety and COPD: Unveiling Its Impact on Patients' Quality of Life Through a Multivariate Lens.","authors":"Maha Gamal Ramadan Asal, Samira Ahmed Alsenany, Manal Saeed Mohammed, Nadia Waheed Elzohairy, Ahmed Abdelwahab Ibrahim El-Sayed","doi":"10.1111/jocn.17805","DOIUrl":"https://doi.org/10.1111/jocn.17805","url":null,"abstract":"<p><strong>Objective: </strong>To examine the impact of climate anxiety on the quality of life (QoL) of patients with COPD. It also explores how climate anxiety interacts with clinical factors, such as disease severity and comorbidities, to influence QoL.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Methods: </strong>A total of 270 COPD patients were recruited using a convenience sampling method. Data were collected through structured interviews and clinical assessments, incorporating the Climate Anxiety Scale, the St. George's Respiratory Questionnaire and the BODE Index. Hierarchical multiple regression analysis was performed to determine the predictors of QoL.</p><p><strong>Results: </strong>The study found a statistically significant association between climate anxiety and both QoL (r = 0.81, p < 0.01) and COPD severity (r = 0.76, p < 0.01). COPD severity (B = 4.68, p < 0.01) and climate anxiety (B = 0.28, p < 0.01) were predictors of QoL. Among the covariates, former smokers, older patients and multiple comorbidities reported significantly worse QoL (B = 4.80, p = 0.03; B = 0.43, p < 0.01; B = 0.85, p = 0.02, respectively). Collectively all predictors explained 86% of the variance in QoL.</p><p><strong>Conclusion: </strong>Climate anxiety significantly contributes to reduced QoL in COPD patients, beyond disease severity and demographic factors. Addressing psychological distress in COPD management is essential to improving patient outcomes.</p><p><strong>Implications for practice: </strong>Nurses should recognise climate anxiety as a key variable influencing COPD management. Incorporating climate anxiety screening into nursing assessments and providing targeted interventions can enhance patient support and improve overall COPD care.</p><p><strong>Impact: </strong>Climate anxiety is an emerging concern in COPD. While previous research has focused on physical and clinical determinants of COPD-related QoL, climate anxiety remains underexplored. This study provides new evidence that climate anxiety is a predictor of poorer QoL, highlighting the need for holistic nursing interventions that address both physical and psychological health.</p><p><strong>Reporting method: </strong>This study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE).</p><p><strong>Patient or public contribution: </strong>Patients with COPD were involved in this study.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057382","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":"Comment on: Meeting Parents' Health Literacy Needs-Designing and Feasibility Testing of a Three-Step Intervention in the Childhood Epilepsy Context.","authors":"Hongli Qi, Shanshan Pu, Huipin Zhai","doi":"10.1111/jocn.17801","DOIUrl":"https://doi.org/10.1111/jocn.17801","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006559","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":"Construction and Evaluation of a Novel Nomogram for Predicting Dual Dimensional Frailty in Older Maintenance Haemodialysis Patients.","authors":"Xu-Hua Zhou, Ying Zhu, Lin Chen, Ying-Jun Zhang, Qin Zhang, Mei Shi","doi":"10.1111/jocn.17796","DOIUrl":"https://doi.org/10.1111/jocn.17796","url":null,"abstract":"<p><strong>Objective: </strong>To construct and evaluate a novel nomogram for predicting the risk of dual dimensional frailty (comorbidity between physical frailty and social frailty) in older maintenance haemodialysis.</p><p><strong>Methods: </strong>A cross-sectional investigation was conducted. A total of 386 older MHD patients were recruited between September and December 2024 from four haemodialysis centres in four tertiary hospitals in Sichuan Province, China. LASSO regression and binary logistic regression were employed to determine the predictors of dual dimensional frailty. The prediction performance of the model was evaluated by discrimination and calibration. The decision curve was utilised to estimate the clinical utility. Internal validation with 1000 bootstrap samples was conducted to minimise overfitting.</p><p><strong>Results: </strong>In the overall sample (386 cases), a total of 92 (23.8%) of patients exhibited dual dimensional frailty. Five relevant predictors, including physical activity, self-perceived health status, ADL impairment, malnutrition, and self-perceptions of aging, were identified for constructing the nomogram. Internal validation indicated excellent discriminatory power and calibration of the model, while the clinical decision curve demonstrated its remarkable clinical utility.</p><p><strong>Conclusions: </strong>The novel nomogram constructed in this study holds promise for aiding healthcare professionals in identifying physical and social frailty risks among older patients on maintenance haemodialysis, potentially informing early and targeted interventions.</p><p><strong>Relevance to clinical practice: </strong>This nomogram enables nurses to efficiently stratify dual-dimensional frailty risk during routine assessments, facilitating early identification of high-risk patients. Its visual output can guide tailored interventions, such as exercise programmes, nutritional support, and counselling, while optimising resource allocation.</p><p><strong>Patient or public contribution: </strong>Data were collected from self-reported conditions and patients' clinical information.</p><p><strong>Reporting method: </strong>STROBE checklist was employed.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042127","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 Psychological Resilience, Ruminative Thoughts, and Spiritual Well-Being of Individuals Diagnosed With Cancer: Descriptive and Correlational Research.","authors":"Gülay Taşdemir, Nesrin Çunkuş Köktaş, Fatma Aşcı, Ezgi Kara","doi":"10.1111/jocn.17780","DOIUrl":"https://doi.org/10.1111/jocn.17780","url":null,"abstract":"<p><strong>Aim: </strong>This study was conducted to examine the relationship between psychological resilience, ruminative thoughts and spiritual well-being of individuals diagnosed with cancer.</p><p><strong>Background: </strong>Cancer, which can cause fear, anger and future anxiety in individuals from the moment of diagnosis, is a disease that individuals can associate with death, pain, and suffering.</p><p><strong>Design: </strong>A descriptive and correlational research design was employed.</p><p><strong>Methods: </strong>The study sample consisted of 382 patients receiving outpatient treatment at an oncology center affiliated with a university hospital in Turkey. Data were collected using the Introductory Information Form, Ruminative Reactions Scale, Psychological Resilience Scale, and FACIT-Sp Spiritual Well-Being Scale. We evaluated the data via descriptive statistics, Pearson correlation, and multiple regression analyses.</p><p><strong>Results: </strong>The resilience score of the participants was 52.48 ± 6.96, the ruminative reactions score was 44.26 ± 15.11, and the FACIT-Sp total score was 38.97 ± 8.23. In the study, there was a moderate and statistically significant positive relationship between the mean psychological resilience score and the mean scores of FACIT-Sp on the meaning, FACIT-Sp peace, FACIT-Sp faith sub-dimensions, and the total scale of FACIT-Sp (p < 0.05). Also, a moderate and statistically significant negative relationship existed between the mean psychological resilience and the ruminative response scores (p < 0.05).</p><p><strong>Conclusion: </strong>Participants' psychological resilience was slightly higher than moderate, their ruminative thoughts were moderate, and their spiritual well-being was high. In addition, there was a relationship between psychological resilience, ruminative reactions, and spiritual well-being.</p><p><strong>Relevance to clinical practice: </strong>They may be important for nurses to plan and implement interventions that will reduce patients' ruminative thinking and increase their spiritual well-being and resilience. Therefore, the results obtained in this study may help nursing care be more effective.</p><p><strong>Reporting method: </strong>The reporting of the results of the study was conducted in accordance with the STROBE guidelines.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025879","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 Effects of Interventions on Health-Related Quality of Life of People Living With Cardiovascular Disease: A Systematic Review.","authors":"Amineh Rashidi, Lisa Whitehead, Lisa Newson, Helen Walthall, Clare Van Miert, Vivien Kemp, Ian Jones","doi":"10.1111/jocn.17770","DOIUrl":"https://doi.org/10.1111/jocn.17770","url":null,"abstract":"<p><strong>Aim: </strong>To synthesise the evidence from randomised controlled trials on the effectiveness of interventions to improve health-related quality of life in people living with cardiovascular disease.</p><p><strong>Design: </strong>Systematic review and narrative synthesis.</p><p><strong>Data sources: </strong>A systematic search of eight databases was conducted to identify relevant papers that were published in English and peer-reviewed.</p><p><strong>Review methods: </strong>The titles and abstracts of the articles were screened by two independent reviewers. The remaining articles underwent full text screening, followed by quality appraisal conducted by two independent reviewers.</p><p><strong>Results: </strong>This review included 13 studies. The intervention in all studies was cardiac rehabilitation. In spite of this, the studies used different measures of health-related quality of life (HRQL) which prevented the conduct of a meta-analysis. Four themes were identified in the reported findings.</p><p><strong>Conclusion: </strong>Understanding the specific aspects of cardiac rehabilitation that are related to the improvement of physical and mental HRQL of people living with cardiovascular disease requires further consideration and then incorporation into nursing plans and nursing interventions to enhance health outcomes.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994083","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}