Journal of Clinical Nursing最新文献

{"title":"Interventions in the Sexuality of Men With Stomas: A Scoping Review.","authors":"Ariana Luiza Rabelo, Isabella Félix Meira Araújo, Juliana Bezerra do Amaral, Rayssa Fagundes Batista Paranhos, Ricardo Souza Evangelista Sant'ana, Rose Ana Rios David, Oscar Javier Vergara Escobar, Anderson Reis de Sousa","doi":"10.1111/jocn.17613","DOIUrl":"https://doi.org/10.1111/jocn.17613","url":null,"abstract":"<p><strong>Aims: </strong>To map interventions in the sexuality of men with stomas.</p><p><strong>Design: </strong>Scoping review, following JBI and PRISMA-ScR guidelines to report results.</p><p><strong>Methods: </strong>Databases consulted were PubMed, via National Library of Medicine, Latin American and Caribbean Health Sciences Literature, Web of Science, Scopus, Embase, Scientific Electronic Library Online, Brazilian Electronic Library of Thesis and Dissertations, CAPES Catalogue of Thesis and Dissertations and Open Access Scientific Repository of Portugal. Texts were read by independent reviewers, with no time or language restrictions.</p><p><strong>Results: </strong>The final sample included 10 studies. Data were synthesised and grouped for its similarity to approach models, preoperative orientations, self-care promotion, collecting pouch hygiene and safety, sexual health discussion and education, construction of bonds and sexual function evaluation.</p><p><strong>Conclusion: </strong>Interventions in the sexuality of men with stomas included adherence to models for approaching sexuality, focusing on the permission and coparticipation of the patient, open conversations on the topic, self-care promotion, collecting pouch hygiene and safety, encouragement to the creation of bonds, sexual function evaluation in pre- and postoperative periods and individual and/or collective sexual health education.</p><p><strong>Implications for the profession and/or patient care: </strong>This study contributes to the sexuality of men with stomas. It identified recommendations to approach and conduct the topic at hand, addressing the rehabilitation process since the surgery to place the stoma is considered.</p><p><strong>Impact (addressing): </strong>This study addressed scientific literature on the sexuality of men with stomas. Most were from Europe and results demonstrated a gap in knowledge. This research will impact the stoma therapy research, affecting teams involved in the care to men with stomas, encouraging reflections on the sexuality of these patients.</p><p><strong>Reporting method: </strong>This study complies with the PRISMA-ScR.</p><p><strong>Patient or public contribution: </strong>There was no patient or public contribution.</p><p><strong>Protocol registration: </strong>The protocol of this scoping review was registered in the Open Science Framework, registered under DOI 10.17605/OSF.IO/X9DSC. It can be accessed through the following link: https://osf.io/x9dsc/?view_only=a9c62ef6c11f44499f7b2bfe1fe379f9.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985235","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":"'See Me as a Person': A Qualitative Study of Long-Term Care Recipients Perceptions of High-Quality Care.","authors":"Randi Olsson Haave, Marianne Sundlisæter Skinner, Aud Obstfelder, Line Melby","doi":"10.1111/jocn.17646","DOIUrl":"https://doi.org/10.1111/jocn.17646","url":null,"abstract":"<p><strong>Aim: </strong>To explore long-term care recipients' perceptions of high-quality care and how person-centred approaches are applied in the services.</p><p><strong>Design: </strong>A descriptive explorative qualitative design.</p><p><strong>Methods: </strong>Data were collected through individual interviews with 19 care recipients and 197 h of participant observation at 10 nursing homes and home care units in three Norwegian municipalities. The data were analysed using qualitative content analysis.</p><p><strong>Results: </strong>The analysis revealed a main theme-to be seen and cared for as an individual-describing the core of the recipients' perceptions of high-quality care. This main theme encompassed two sub-themes. The first-individually adapted care-showed that the recipients valued whether their healthcare workers understood them and their individual care needs and preferences. The second theme-interpersonal encounters-captured the recipients' appreciation of their healthcare workers' presence and ability to create moments where they were seen and treated as human beings.</p><p><strong>Conclusion: </strong>From the perspective of care recipients, high-quality care services depend on how they are treated as individuals and how the care they receive is adapted to their individual needs and preferences. These recipients' perceptions of individualised care delivered by healthcare workers are consistent with the goal of person-centred care. These results highlight the value of and need for non-standard approaches to providing high-quality care.</p><p><strong>Implications for the profession and/or patient care: </strong>Despite the long-term care services' extensive caregiving tasks and time pressure, they should enable healthcare workers to be present in the moment with care recipients.</p><p><strong>Reporting method: </strong>Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines are used for this study (Tong, Sainsbury, and Craig 2007).</p><p><strong>Patient or public contribution: </strong>Long-term care recipients and the units where they received care contributed to this study. The recipients' perceptions of the care and the units' arrangements facilitating participant observation played significant roles in this research.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985252","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 'Effectiveness of Integrated Care for Older Adults-Based Interventions on Depressive Symptoms: A Systematic Review and Meta-Analysis'.","authors":"Feifei Ye, Caihong Kong","doi":"10.1111/jocn.17663","DOIUrl":"https://doi.org/10.1111/jocn.17663","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985159","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":"Understanding the Challenges of Readiness for Hospital Discharge in Stoma Patients: A Mixed-Methods Study.","authors":"Liying Lin, Jianwei Zheng, Zhenglong Lin, Huimin Xiao","doi":"10.1111/jocn.17654","DOIUrl":"https://doi.org/10.1111/jocn.17654","url":null,"abstract":"<p><strong>Aim: </strong>To identify key factors influencing readiness for hospital discharge and delve into the experiences of stoma patients regarding their discharge.</p><p><strong>Design: </strong>A mixed-methods study.</p><p><strong>Method: </strong>A total of 374 colorectal cancer patients with stomas were involved to assess discharge readiness and its influencing factors. Additionally, 28 stakeholders-comprising surgeons, nursing managers, surgical nurses, enterostomal therapists, stoma patients and their family caregivers-participated in semistructured interviews. Data on discharge readiness, discharge teaching quality, stoma self-efficacy and social support were collected using validated scales. In-depth interviews provided further insights into discharge preparation experiences. Multivariate logistic regression analysis using IBM SPSS 26.0 and thematic analysis via NVivo 12.0 were employed for data analysis.</p><p><strong>Results: </strong>Six variables accounted for 80% of the variance in discharge readiness: quality of discharge teaching, stoma self-efficacy, social support, age, gender and family income. Four main themes emerged: ambivalence towards discharge, insufficient preparation time, inadequate communication of discharge information and personal planning needs.</p><p><strong>Conclusion: </strong>Discharge readiness among stomas patients is influenced by perceived discharge teaching quality, self-efficacy, social support, age, gender and family income. Insufficient preparation and poor communication hinder effective discharge information transfer. Enhanced, patient-centred discharge planning is expected to improve the transition from hospital to home.</p><p><strong>Implications for the profession and/or patient care: </strong>To improve hospital discharge readiness and facilitate a smooth transition to family care, it is essential to implement patient-centred discharge planning.</p><p><strong>Reporting method: </strong>Reported with the Mixed Methods Reporting in Rehabilitation & Health Sciences guidelines.</p><p><strong>Patient or public contribution: </strong>None.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: ChiCTR2200058756. https://www.chictr.org.cn/bin/home.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985291","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":"Development and Validation of a Risk Prediction Model for Cognitive Frailty in Elderly Patients With Type 2 Diabetes Mellitus.","authors":"Qian Yu, Hongyu Yu","doi":"10.1111/jocn.17508","DOIUrl":"https://doi.org/10.1111/jocn.17508","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to develop and validate a risk prediction model for cognitive frailty in elderly patients with Type 2 diabetes mellitus (T2DM).</p><p><strong>Design: </strong>A cross-sectional design.</p><p><strong>Methods: </strong>From February to November 2023, a convenience sample of 430 older adults with T2DM was enrolled at a tertiary hospital in Jinzhou. The study analysed 22 indicators, including sociodemographic characteristics, behavioural factors, information related to T2DM, nutritional status, instrumental activities of daily living (IADL) and depression. Independent risk factors related to cognitive frailty were identified using LASSO and multivariate logistic regression analysis. A prediction model was created using a nomogram. The calibration curve, decision curve analysis (DCA) and receiver operating characteristic (ROC) curve were used to evaluate model performance. This study was reported using the STARD checklist (Data S1).</p><p><strong>Results: </strong>The study found that cognitive frailty was prevalent in 30.7% of elderly patients with T2DM. Age, physical activity, glycosylated haemoglobin (HBA1c), duration of diabetes, nutritional status, IADL and depression were predictors of cognitive frailty. The ROC curve shows that the nomogram has good discriminative power. The calibration plots demonstrated a good fit between the observed and ideal curves. Additionally, DCA highlighted the clinical application of the nomogram.</p><p><strong>Conclusions: </strong>This study provided an effective and convenient approach to evaluating the risk of cognitive frailty among elderly T2DM patients, which can help in the clinical screening of high-risk individuals.</p><p><strong>Impact: </strong>Nurses should emphasise the care of comorbid cognitive frailty in elderly patients with T2DM. The intuitive and noninvasive nomogram can help clinical nurses assess the risk probability of cognitive frailty in this population. Tailored prevention strategies for high-risk populations can be rapidly developed with this tool, significantly improving patients' quality of life.</p><p><strong>Patient or public contribution: </strong>Some patients were involved in data interpretation. No public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985163","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":"Effect of Inter-Generational Living Arrangement and Digital Exclusion on Unmet Healthcare Needs Among Older Adults: Findings From Two National Cohort Studies.","authors":"Zeyi Zhang, Longshan Yang, Heng Cao","doi":"10.1111/jocn.17638","DOIUrl":"https://doi.org/10.1111/jocn.17638","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To analyse how refined living arrangements, in the context of digital access, affect elderly healthcare resource utilisation and satisfaction with healthcare needs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A prospective cohort study. The study reporting is conformed to the STROBE checklist.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Data sources: &lt;/strong&gt;This longitudinal study utilised data from the 2018-2020 waves of the United States-based Health and Retirement Study and the 2013-2015 waves of the China Health and Retirement Longitudinal Study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Baseline living arrangement was categorised into living alone, intergenerational living, living with spouse, nuclear living and proximate residence. Unmet healthcare needs at follow-up waves (i.e., 2020 wave of Health and Retirement Study and 2015 wave of China Health and Retirement Longitudinal Study) were classified into unmet clinical care needs and unmet preventive care needs, which were measured using three measurements on whether the participant had disorders, whether the participants use any clinical care, and whether the participants use any preventive care. Digital exclusion was assessed using a single question about internet access at baseline.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 7116 participants from the China Health and Retirement Longitudinal Study cohort (female: 48.6%, mean age: 57.4 years) and 7266 from the Health and Retirement Study cohort (female: 64.9%, mean age: 65.1 years) were included. Compared with older adults living a nuclear arrangement, those living an inter-generational arrangement with digital exclusion had higher clinical care utilisation, but not necessarily lower risk of unmet clinical needs; they also had lower preventive care utilisation in the Health and Retirement Study cohort, while living with spouse led to higher preventive care utilisation in the China Health and Retirement Longitudinal Study cohort.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Living arrangements can affect older adults' healthcare utilisation and unmet healthcare needs, which can be moderated by digital exposure.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and/or patient care: &lt;/strong&gt;These findings suggest that healthcare providers should tailor care strategies by considering both living situations and digital literacy. Enhancing digital access, especially for those in inter-generational households, could help address unmet healthcare needs and improve overall care satisfaction.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Reporting method: &lt;/strong&gt;This study using the STROBE CHECKLIST for reporting guideline.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient or public contribution: &lt;/strong&gt;No patient or public contribution. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY: By comparing data from both the United States and China, it highlights the importance of considering family structure and digital inclusion when addressing healthcare needs globally. The findings suggest that older adults in inter-genera","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958228","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 Experiences of Receiving Stroke Discharge Information in Accordance With Preferences.","authors":"Kristy Fakes, Amy Waller, Mariko Carey, Erin Forbes, Michael Pollack, Matthew Clapham, Robert Sanson-Fisher","doi":"10.1111/jocn.17636","DOIUrl":"https://doi.org/10.1111/jocn.17636","url":null,"abstract":"<p><strong>Aims: </strong>To examine survivors' experiences of discharge information including risk communication after hospitalisation for a stroke and the characteristics associated with receiving information in accordance with their preferences.</p><p><strong>Background: </strong>With advances in acute stroke care and an ageing population, the number of survivors of stroke is increasing. It is important that healthcare providers ensure patients have adequate information after a stroke-related hospitalisation.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Adults recently discharged after a stroke from eight Australian hospitals were mailed a survey. Items examined risk and discharge care information, with participants asked to indicate both their preferences for and receipt of the information. Concordance with preferences was calculated, and characteristics associated with information preference concordance were assessed with binomial logistic regression. Study reported in accordance with STROBE Checklist.</p><p><strong>Results: </strong>Of 1161 eligible patients invited, 403 (35%) completed the survey. All items were endorsed by 80% or more of respondents as being wanted. However, for all items, fewer respondents reported the care as received. Only 28% of participants received information on all five items according to their preferences. Hospital site, Body Mass Index and age were statistically significantly associated with participants receiving information in accordance with their preferences.</p><p><strong>Conclusion: </strong>Most participants indicated a preference to receive recommended discharge information. Findings suggest that patients may benefit from increased information provision prior to hospital discharge after stroke.</p><p><strong>Relevance to clinical practice and patient care: </strong>Nurses have an important role in the provision of stroke care and information. The findings of this study may be used to improve the provision of post-hospital discharge care and support for survivors of stroke, and assist in identifying patients at lower odds of experiencing information aligned with their preferences and who may benefit from support.</p><p><strong>Reporting method: </strong>Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for cross-sectional studies.</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":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958231","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":"Capacity and Capability for Nursing, Midwifery and Allied Health Professional Principal Investigator Roles in Healthcare Research: A National Survey.","authors":"Heather Jarman, Suzanne Bench, Teresa Melody, Sarah Brand, Julie C Menzies, Linda Tinkler, Karen Kemp, Sharon Dorgan, Catherine Henshall","doi":"10.1111/jocn.17628","DOIUrl":"https://doi.org/10.1111/jocn.17628","url":null,"abstract":"<p><strong>Aims: </strong>To understand the current capacity and capability for nursing, midwifery and allied health professional (NMAHP) principal investigator roles in England.</p><p><strong>Design: </strong>Quantitative online survey.</p><p><strong>Methods: </strong>Online national quantitative survey across England analysed using descriptive statistics.</p><p><strong>Results: </strong>The number of NMAHP PIs in an organisation was unrelated to the size of the NMAHP workforce. NMAHP PIs were more common in non-CTIMP studies. A quarter of organisations had no specific education or support for NMAHP PIs. Most respondents indicated that a national approach to support and training would be helpful.</p><p><strong>Conclusions: </strong>Having more research-active NMAHPs provides career progression, improved staff retention and improves the evidence base for practice. Having a broader range of CI/PIs allows for more targeted and specialty-specific oversight of research studies and streamlines the acceptance process to allow research to be delivered in a more timely manner.</p><p><strong>Implications for practice: </strong>This will require more collaboration between NMAHP, medical and industry communities to promote a multidisciplinary approach to healthcare research delivery and to ensure that CI/PI roles are fulfilled by the most appropriate person, regardless of their profession.</p><p><strong>Impact: </strong>To ascertain NMAHP capacity and capability for PI research roles. Shows where national and organisational effort should be focused to increase this nationally.</p><p><strong>Reporting method: </strong>Cross reporting guidance for survey studies was utilised.</p><p><strong>Patient contribution: </strong>No patient or patient contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958224","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":"Incidence and Risk Factors of Post-Operative Delirium in Glioma Patients.","authors":"Kaijie Yu, Weili Wang, Tian Zhou, Jianmin Zhang, Jianlie Yuan","doi":"10.1111/jocn.17641","DOIUrl":"https://doi.org/10.1111/jocn.17641","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958229","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":"Disease Severity, Illness Perceptions, Depression and Health-Related Quality of Life in Patients With Heart Failure.","authors":"Zehao Huang, Sek Ying Chair","doi":"10.1111/jocn.17653","DOIUrl":"https://doi.org/10.1111/jocn.17653","url":null,"abstract":"<p><strong>Background: </strong>Disease severity negatively affects health-related quality of life (HRQOL) among people with heart failure (HF). However, the underlying mechanisms remain underexplored. Illness perceptions and depression serve as potential mediators of this relationship, but the evidence supporting this is limited.</p><p><strong>Objective: </strong>To investigate the relationships among disease severity, illness perceptions, depression and HRQOL in people with HF, as well as to explore the mediating roles of illness perceptions and depression in the relationship between disease severity and HRQOL.</p><p><strong>Methods: </strong>People with HF were recruited from a tertiary hospital in China between January and May 2023. All the participants were assessed for disease severity, illness perceptions, depression, HRQOL and sociodemographic and clinical characteristics. The mediation analysis was performed using PROCESS macro in SPSS. The STROBE checklist was followed.</p><p><strong>Results: </strong>This study recruited 164 subjects. Disease severity had a significant total effect on HRQOL (β = 0.716, 95% CI: 4.475, 12.068). The results showed that illness perceptions mediated the relationship between disease severity and HRQOL (β = 0.172, 95% CI: 0.042, 0.337), accounting for 24.02% of the total effect. However, a significant mediating role of depression in this relationship was not found. Furthermore, we found that illness perceptions and depression sequentially mediated the relationship between disease severity and HRQOL (β = 0.194, 95% CI: 0.005, 0.395), which accounted for 27.09% of the total effect.</p><p><strong>Conclusions: </strong>The effect of disease severity on HRQOL is sequentially mediated by illness perceptions and depression. Illness perceptions are important predictors of HRQOL. Targeted interventions should be employed to improve illness perceptions, thereby enhancing HRQOL among people with HF.</p><p><strong>Relevance to clinical practice: </strong>Medical staff can carefully assess patient's illness perceptions and implement appropriate strategies to enhance these illness perceptions, thereby improving their HRQOL.</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":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958227","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}