Journal of Clinical Nursing最新文献

{"title":"Comparative Effectiveness of Multicomponent Exercise Interventions on Cognitive Function in People With Cognitive Impairmsent: A Systematic Review and Network Meta-Analysis.","authors":"Ziyu Deng, Deqing Zeng, Yuxuan Zhang, Dandan Jia, Xiuxiu Huang","doi":"10.1111/jocn.70067","DOIUrl":"https://doi.org/10.1111/jocn.70067","url":null,"abstract":"<p><strong>Background: </strong>Although multicomponent exercise is a popular nonpharmacological treatment, its effects on cognition vary across studies because of the diversities in exercise combinations. Identifying the most effective combination is of great importance to the prevention and treatment of cognitive impairment.</p><p><strong>Aims: </strong>To compare and rank the efficacy of various multicomponent exercise interventions on cognition in people with cognitive impairment.</p><p><strong>Methods: </strong>We searched PubMed, Web of Science, Embase, Cochrane, SPORTDiscus and PsycInfo databases up to April 2025 for eligible randomised controlled trials about multicomponent exercise interventions in people with cognitive impairment. Primary outcome was global cognition, with secondary outcomes being executive function and memory. Pairwise and network meta-analyses were performed using random-effects models.</p><p><strong>Results: </strong>Twenty-five trials involving 2298 participants were included. Pairwise meta-analyses showed multicomponent exercise interventions were effective on global cognition (standardised mean difference (SMD) = 0.59; 95% confidence interval (CI): 0.30, 0.89; p < 0.001) and executive function (SMD = 0.28; 95% CI: 0.12, 0.45; p < 0.001). Network meta-analyses revealed that aerobic exercise (AE) + balance & flexibility (BF) training had the highest probability (70.8%) of being the optimal exercise combination for global cognition (SMD = 1.07; 95% CI: 0.23, 1.90; p = 0.016), and AE + resistance exercise (RE) had the highest probability (43.1%) of being the optimal exercise combination for executive function (SMD = 0.56; 95% CI: 0.03, 0.10; p = 0.042). We did not observe significant effects of multicomponent exercise on memory.</p><p><strong>Conclusion: </strong>AE + BF training is likely the most effective multicomponent exercise combination for global cognition, while AE + RE showed the optimal effect on executive function in people with cognitive impairment.</p><p><strong>Relevance to clinical practice: </strong>Our study contributes to guiding clinical professionals to design and conduct targeted multicomponent exercise interventions as per individual cognitive impairment characteristics to protect individual cognition.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution applies to this work.</p><p><strong>Study registration: </strong>The study protocol was registered with PROSPERO (CRD42023489517).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800834","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":"Telehealth in Haemodialysis: Beyond Self-Efficacy to Tangible Clinical Impact.","authors":"Hongfei Yang, Qing Liu, Jimei Sun","doi":"10.1111/jocn.70070","DOIUrl":"https://doi.org/10.1111/jocn.70070","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800835","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 to the Editor: Re-Examining the PACU Hypothermia Nomogram: Calibration, Context and Clinical Use.","authors":"Zhenhua Ruan, Changbing Chen, Zhiyong Huang","doi":"10.1111/jocn.70062","DOIUrl":"https://doi.org/10.1111/jocn.70062","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790623","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 to the Editor: 'Nursing Interventions for the Management of a Stoma Complicated by a Parastomal Hernia or Bulge: A Scoping Review'.","authors":"Jing Liu, Kaili Wang, Zhaojie Lv","doi":"10.1111/jocn.70069","DOIUrl":"https://doi.org/10.1111/jocn.70069","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790622","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":"Peer Review in Nursing: A Guide for Early Career Scholars.","authors":"Hye Ri Choi, Jed Montayre","doi":"10.1111/jocn.70054","DOIUrl":"https://doi.org/10.1111/jocn.70054","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790624","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":"Impact of Social Support on Health Literacy Among People With Diabetes: A Cross-Sectional Study.","authors":"Xuanxuan Gu, Qianwen Hou, Keli Ma, Haiyang Liu, Leilei Guo, Jinlong Li, Yunxiao Lei, Xiaoping Li, Lu Sun, Liu Yang, Ting Yuan, Congzhi Wang, Dongmei Zhang, Jing Li, Mingming Liu, Ying Hua, Lin Zhang","doi":"10.1111/jocn.70056","DOIUrl":"https://doi.org/10.1111/jocn.70056","url":null,"abstract":"<p><strong>Aim: </strong>In recent years, the critical role of health literacy in diabetes management has become increasingly prominent. The aim of this study was to investigate the impact of social support on health literacy among patients with diabetes, to test the mediating role of self-efficacy and empowerment between social support and health literacy, and the moderating role of eHealth literacy.</p><p><strong>Design: </strong>A cross-sectional study conducted between August 2023 and June 2024.</p><p><strong>Methods: </strong>This study adopted the cluster sampling method and conducted a questionnaire survey among 251 patients with diabetes in a tertiary hospital in Wuhu City, Anhui Province. The questionnaires included the Social Support Rating Scale, the Self-Efficacy for Diabetes scale, the Health Empowerment Scale, the eHealth Literacy Scale and the Diabetes Health Literacy Scale.</p><p><strong>Results: </strong>Social support was positively associated with health literacy in patients with diabetes. Self-efficacy and empowerment mediated the relationship and formed chained mediation pathways respectively. eHealth literacy has a moderating role between self-efficacy and empowerment.</p><p><strong>Conclusion: </strong>The results revealed that social support influences health literacy among patients with diabetes through the mediating pathways of self-efficacy and empowerment, and that this process is moderated by eHealth literacy. These findings provide a theoretical basis and practical insights for improving health literacy among patients with diabetes.</p><p><strong>Implications: </strong>Enhancing health literacy among people with diabetes by strengthening social support, self-efficacy and empowerment levels, while focusing on the technology-enabling role of eHealth literacy in this context.</p><p><strong>Reporting method: </strong>This study adheres to the relevant EQUATOR guidelines based on the STROBE cross-sectional reporting method.</p><p><strong>Patient or public contribution: </strong>We thank all patients who participated in the study for their understanding and support.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790621","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 Effectiveness of Family Health Conversations Delivered by Nurses: A Systematic Review.","authors":"Birte Østergaard, Erla Kolbrun-Svavarsdottir, Anne Brødsgaard, Stine Rosenstrøm, Cristina Garcia-Vivar, Hanne Konradsen, Karin Brochstedt-Dieperink, Lorenz Imhof, Romy Mahrer-Imhof, Marie Louise Luttik","doi":"10.1111/jocn.70058","DOIUrl":"https://doi.org/10.1111/jocn.70058","url":null,"abstract":"<p><strong>Aim: </strong>To extract and interpret quantitative data exploring the effectiveness of family health conversations (FHCs) on family functioning, perceived support, health-related quality of life, caregiver burden and family health in families living with critical or chronic health conditions.</p><p><strong>Background: </strong>Addressing the health of families affected by critical or chronic illnesses requires focused attention. The effective integration of FHCs is hampered by a scarcity of rigorous quantitative studies that provide solid evidence on best practices and outcomes.</p><p><strong>Design: </strong>A systematic review following the Joanna Briggs Institute guidelines.</p><p><strong>Methods: </strong>The review is reported according to the PRISMA 2020 checklist. Appropriate studies were searched in PubMed, CINAHL, PsycINFO, Scopus and Cochrane Databases. Results of the search were imported into the Covidence web-based program. Included were studies with a quantitative research design, delivered to families with critical or chronic health conditions, describing FHCs based on the Calgary Family Assessment Model and/or the Calgary Family Intervention Model, and/or the Illness Beliefs Model, using reliable and validated instruments, published between 2008 and 2023, and written in English.</p><p><strong>Results: </strong>In total, 24 papers met the inclusion criteria. Sixteen papers used a quasi-experimental design, eight of which included a control group. Two papers used a mixed methods design, and six papers were randomised controlled trials (RCTs). A statistically significant effect of FHCs on family functioning was reported in two RCTs and three quasi-experimental papers. We also found that a statistically significant effect of FHCs was reported on perceived support in 9 of 15 papers, quality of life in 4 of 11 papers and caregiver burden in 1 of 3 papers.</p><p><strong>Conclusion and implications for clinical practice: </strong>The interventions reviewed revealed variability and partial results concerning the effectiveness of FHCs on family functioning. More rigorous research about short-term, intermediate- and long-term effectiveness is needed before conclusions can be drawn.</p><p><strong>Reporting method: </strong>The study is reported according to the PRISMA 2020 (Preferred Reporting Items for Systematic reviews and Meta-Analyses) (File S1).</p><p><strong>Patient or public contribution: </strong>No patient or public contribution. Data were gathered from previously published studies.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785854","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 'How Nurses' Interventions Promote Health Literacy in Patients With Noncommunicable Diseases: A Systematic Review'.","authors":"Xiaoyi Huang, Guihao Huang, Chutong Zhang, Man Jiang, Guiju Wei","doi":"10.1111/jocn.70065","DOIUrl":"https://doi.org/10.1111/jocn.70065","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785845","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 Exclusion and Health Literacy Among Older Adults: The Mediating Effects of Social Support and Self-Efficacy.","authors":"Chenxi Zhou, Yangchun Xiao, Mei Wang, Yun Wang, Xiao Yue","doi":"10.1111/jocn.70004","DOIUrl":"https://doi.org/10.1111/jocn.70004","url":null,"abstract":"<p><strong>Background: </strong>Digital exclusion has been linked to adverse health outcomes among older adults. However, its relationship with health literacy, a midstream determinant of health outcomes in aging populations, remains insufficiently explored.</p><p><strong>Aim: </strong>To investigate the relationship between digital exclusion and health literacy among older adults, and to assess the mediating effects of social support and self-efficacy.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>Data from the 2021 Psychology and Behaviour Investigation of Chinese Residents (PBICR) survey were used. Digital exclusion was assessed through self-reported non-use of computers or smartphones. Health literacy, social support and self-efficacy were measured using the Short-Form Health Literacy Instrument, the 12-item Perceived Social Support Scale and the New General Self-Efficacy Scale. Generalised linear models (GLM) were employed to examine the relationships between digital exclusion and health literacy, while mediation analysis with bootstrapping assessed the mediating roles of social support and self-efficacy.</p><p><strong>Results: </strong>A total of 1147 older adults participated in the study, with 27.64% identified as digitally excluded and a moderate level of health literacy. GLM analysis identified several significant factors influencing health literacy, including digital exclusion, social support, self-efficacy, higher education levels, household monthly income per capita > 3000 RMB, non-agricultural hukou, chronic conditions and medication use. Mediation analysis revealed that digital exclusion negatively impacted health literacy. Social support and self-efficacy partially mediated the relationship between digital exclusion and health literacy.</p><p><strong>Conclusion: </strong>Digital exclusion is negatively associated with health literacy among older adults, with social support and self-efficacy partially mediating the relationship.</p><p><strong>Implications for the profession and/or patient care: </strong>This study underscores the importance of addressing digital exclusion, as well as promoting social support and self-efficacy to enhance health literacy in ageing populations.</p><p><strong>Impact: </strong>This study provides insights into the relationship between digital exclusion and health literacy among older adults, as well as the mediating effects of social support and self-efficacy, offering potential targets for health literacy improvement.</p><p><strong>Reporting method: </strong>STROBE Statement (STrengthening the Reporting of OBservational studies in Epidemiology).</p><p><strong>Patient or public contribution: </strong>No patient or public contribution was involved.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776770","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":"Latent Profile Analysis of Dyadic Decision Self-Efficacy Among Stroke Patients and Their Caregivers.","authors":"Yinan Shi, Mei Sin Chong, Yongxia Mei, Zhenxiang Zhang, Yating Liu, Sixun Zhang, Beilei Lin, Suyan Chen, Xin Li","doi":"10.1111/jocn.70061","DOIUrl":"https://doi.org/10.1111/jocn.70061","url":null,"abstract":"<p><strong>Objective: </strong>To explore the latent categories and influencing factors of dyadic decision self-efficacy among stroke patients and their caregivers.</p><p><strong>Methods: </strong>A cross-sectional survey involving 305 patient-caregiver pairs was conducted using standardised questionnaires. Latent profile analysis was used to identify dyadic self-efficacy categories and multinomial logistic regression was employed to analyse influencing factors.</p><p><strong>Results: </strong>The dyadic decision self-efficacy of stroke patients and their caregivers was classified into three categories: low common decision self-efficacy group (35.6%), patients' high decision self-efficacy and caregivers' moderate decision self-efficacy group (38.6%), and high common decision self-efficacy group (25.8%). Influencing factors included patients' education level, income and health literacy, as well as caregivers' education, caregiving duration and social support.</p><p><strong>Conclusion: </strong>The levels of dyadic decision self-efficacy among stroke patients and their caregivers are heterogeneous. Clinicians can develop targeted interventions involving both patients and caregivers, based on the population's characteristics and influencing factors, to improve their dyadic decision self-efficacy.</p><p><strong>Reporting method: </strong>This study was conducted and reported in accordance with the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776773","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}