Japan Journal of Nursing Science最新文献

{"title":"Effect of premature infant oral motor intervention (PIOMI) and pacifier intervention on the transition to oral feeding in preterm infants: A randomized controlled study","authors":"Merve Cakirli,&nbsp;Meral Bayat,&nbsp;Ayse Neslihan Tekin","doi":"10.1111/jjns.70009","DOIUrl":"https://doi.org/10.1111/jjns.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to evaluate the effect of premature infant oral motor intervention (PIOMI) and pacifier intervention on the transition to full oral feeding in preterm infants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a randomized controlled trial conducted between January 2021 and April 2023 in a neonatal intensive care unit in Eskişehir, Turkey. Preterm infants born between 29 and 34 weeks of gestation were included in the study. Infants were assigned to the groups by stratified randomization method. The study was completed with a total of 39 infants, 13 infants in each group (PIOMI, pacifier, and control). Data were collected using the “Preterm Infant Demographic Information Form,” “Feeding Monitor Form,” and “Early Feeding Skills Assessment Tool (EFS).” Statistical analysis used paired sample t-tests, ANOVA, Wilcoxon, Kruskal–Wallis H, and Pearson-χ² test methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the research findings, it was determined that infants receiving PIOMI and pacifier intervention had a shorter length of stay, transition to full oral feeding compared to infants in the control group, and consumed a higher amount of feed in the first minute (<i>p</i> &lt; .05). The infants in the PIOMI group started full oral feeding on average 3 days earlier than the infants in the pacifier group and were discharged approximately 4 days earlier (<i>p</i> &gt; .05). It was determined that infants in the PIOMI group had significantly higher EFS-total compared to infants in the control group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>PIOMI intervention and pacifier intervention should be included in nursing care in neonatal intensive care units to improve the oral feeding skills of preterm infants and shorten their discharge time.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative telenursing for hernioplasty and cholecystectomy patients","authors":"Tatiany Marques Bandeira,&nbsp;Rosimere Ferreira Santana,&nbsp;Greiciane da Silva Rocha,&nbsp;Thalita Gomes do Carmo","doi":"10.1111/jjns.70011","DOIUrl":"https://doi.org/10.1111/jjns.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the efficacy of telenursing interventions on the preoperative phase for patients undergoing hernioplasty or cholecystectomy procedures at a healthcare facility in Brazil.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A quasi-experimental study was conducted (July to December 2021) with 151 patients in the control group and 99 in the intervention group. The comparative analysis focused on anxiety, knowledge of preoperative care, postoperative complications, and institutional indicators (cancellation rate, delays, inadequate preparation, fasting, and examinations). The Zung Self-Rating Anxiety Scale measured anxiety, while structured forms collected demographic and knowledge-related data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The intervention group demonstrated superior outcomes compared to controls: knowledge (1.0% vs. 57.6% poor knowledge), anxiety (88.9% vs. 74.8% normal), postoperative complications (20.8% vs. 33.6%), incomplete exams (13.6% vs. 34.8%), and inadequate fasting (8.3% vs. 13.8%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Telenursing had a positive impact on anxiety, knowledge, postoperative complications, and institutional indicators.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143849145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abortion care process based on sexual and reproductive health and rights in Japan: A qualitative study","authors":"Yuka Sato,&nbsp;Akiko Haga,&nbsp;Chitaru Tokutake,&nbsp;Atsuko Samejima,&nbsp;Makoto Kanai,&nbsp;Satoko Nakagomi","doi":"10.1111/jjns.70010","DOIUrl":"https://doi.org/10.1111/jjns.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to clarify the process of abortion care based on sexual and reproductive health and rights (SRHR) practiced by Japanese midwives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The participants were 44 midwives with experience in abortion care. Data were collected based on the framework developed by the World Health Organization's <i>Clinical Practice Handbook for Safe Abortion</i> and through detailed interview sessions. The modified grounded theory approach was used for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The abortion care process was classified into five categories, 16 subcategories, and 49 concepts. The category “supporting women in making their own choices in life and leading their lives in the future” emerged as a foundational attitude toward abortion care. Midwives accompany pregnant women in the decision-making process with a neutral standpoint. They perform procedures to ensure that women experience comfort and safety throughout the abortion process. After a medical procedure, midwives attend to issues associated with SRHR, such as contraception and future pregnancies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Abortion care based on SRHR is a care practice that respects women's bodily autonomy and supports women in a non-judgmental manner. Abortion care also aims to provide women with safe and comfortable medical treatment, thereby supporting them in progressing with hope to their post-abortion lives. The study results will help midwives reaffirm the significance of abortion care, improve care quality in clinical settings, and contribute to the advocacy of women's SRHR.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and evaluation of a rapid skin taurine measurement device using skin blotting for the early detection of dehydration","authors":"Haruka Tsuchiya,&nbsp;Mari Abe,&nbsp;Sanai Tomida,&nbsp;Shiho Higashimura,&nbsp;Daijiro Haba,&nbsp;Takeo Minematsu,&nbsp;Hiromi Sanada,&nbsp;Gojiro Nakagami","doi":"10.1111/jjns.70007","DOIUrl":"https://doi.org/10.1111/jjns.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Skin blotting is a noninvasive method to collect molecules like skin taurine, a dehydration indicator, by applying a membrane to the skin. However, quantifying skin taurine takes an hour due to the long process of staining and measurement. This study aimed to determine optimal staining conditions and assess the reliability and validity of spraying and light transmittance as new methods for skin blotting. Image analysis was used to evaluate the impact of these methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study consisted of two parts. Study 1 focused on determining taurine staining conditions on the anion exchange membrane. Ethanol concentration for dissolving ninhydrin and spray time were optimized using a standard sample. Light transmittance and image analysis were used to quantify taurine. The relationship between taurine concentration and light transmittance or brightness (from image analysis) was evaluated. Study 2 confirmed the reliability and validity of the new methods using human samples. Reliability was assessed using the intraclass correlation coefficient (ICC), and validity was determined by correlation coefficients between taurine levels quantified by the conventional method with those quantified by light transmittance or image analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The optimal spray time and ethanol concentration were 0.5 s and 90%, respectively, reducing measurement time to 7 min (light transmittance) and 10 min (image analysis). The ICC was 0.48 for light transmittance and 0.81 for image analysis. The correlation coefficients were <i>r</i> = 0.530 for light transmittance and <i>r</i> = 0.609 for image analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Image analysis, which measures a wider area, showed better reliability and validity in quantifying skin taurine.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stigmatizing attitudes toward autistic students: A cross-sectional vignette survey among Japanese university students","authors":"Yasuko Fukushima,&nbsp;Yuki Yajima,&nbsp;Michiko Moriyama","doi":"10.1111/jjns.70008","DOIUrl":"https://doi.org/10.1111/jjns.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Stigmatizing attitudes toward autistic students can negatively impact their mental health and social connections. This study examined Japanese university students' attitudes toward autistic students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional vignette study was conducted with 845 Japanese university students. Participants were presented with one of four vignettes depicting an autistic student in a university classroom, based on a 2 (behavior types: disruptive vs. withdrawn) × 2 (autism diagnosis disclosure: open vs. closed) design. Stigmatizing attitudes were measured using a social distance scale. Stigma levels were analyzed using analysis of covariance with multiple independent variables: behavior type, autism diagnosis disclosure, and their interaction terms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 845 participants (response rate: 55.5%), 626 completed the survey and were included in the analysis. Disruptive autism-related behaviors elicited significantly greater stigma than did withdrawn behaviors (<i>p</i> &lt; .01). Those exposed to open autism diagnosis disclosure exhibited greater social distance than did those exposed to closed vignettes (<i>p</i> &lt; .01). No significant interaction effect was observed. These associations remained significant even after controlling participants' knowledge of autism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This finding indicates that autism diagnosis disclosure could unintentionally strengthen negative stereotypes and increase stigma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing the hope of patients with advanced cancer while receiving cancer pharmacotherapy","authors":"Mari Kitashita,&nbsp;Kumi Suzuki","doi":"10.1111/jjns.70006","DOIUrl":"https://doi.org/10.1111/jjns.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to clarify the factors influencing hope in patients with advanced cancer undergoing cancer pharmacotherapy, as influential factors have not been explored in previous studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were patients with advanced lung, colorectal, and breast cancer who were undergoing outpatient pharmacotherapy. A cross-sectional survey was conducted using the Herth Hope Index, the Multidimensional Scale of Perceived Social Support, and the Japanese version of the Integrated Palliative Care Outcome Scale with some additional questions. Data were obtained and analyzed using SPSS version 29.0, with descriptive statistics, t-test, one-way ANOVA, correlation analysis, and multiple regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two hundred valid responses (91.7%) were collected. The average age of the participants was 65.4 years. Multiple regression analysis demonstrated that hope had significant standardized partial regression coefficients with gender (<i>β</i> = −0.137, <i>p</i> = .022), social support (<i>β</i> = −0.246, <i>p</i> = .008), relationship with significant others (<i>β</i> = −0.224, <i>p</i> = .015), sleepiness (<i>β</i> = −0.141, <i>p</i> = .025), nausea (<i>β</i> = −0.159, <i>p</i> = .011), occupation (<i>β</i> = −0.140, <i>p</i> = .021), and economic status (<i>β</i> = −0.124, <i>p</i> = .038) (adjusted <i>R</i>² = 0.341).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Social support, physical symptoms, and economic and occupational status influence the hope of patients with advanced cancer undergoing cancer pharmacotherapy. Assessing the impact of medication and physical symptoms associated with cancer progression on patients' lives, economic impact of long-term medication, and extent of relationship with people available through work and family may lead to early intervention by identifying individuals who are more likely to experience lower levels of hope.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Goldilocks zone of social support: Identifying the optimal number of friends and relatives for health and wellbeing in older adults","authors":"Htet Lin Htun,&nbsp;Rosanne Freak-Poli","doi":"10.1111/jjns.70005","DOIUrl":"https://doi.org/10.1111/jjns.70005","url":null,"abstract":"","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Let my father listen to my heart sounds too: Attachment in fathers who perform Leopold maneuvers and listen to fetal heart sounds, attachment and partner relationships in mothers","authors":"Esra Karataş Okyay,&nbsp;Esra Güney","doi":"10.1111/jjns.70002","DOIUrl":"https://doi.org/10.1111/jjns.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study was carried out to determine the effects of having expectant fathers perform the Leopold maneuvers and listen to fetal heart sounds on antenatal attachment in expecting couples and partner relationships in pregnant women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>The sample of the experimental study consisted of 132 women, 132 men, constituting 66 couples in the experimental group and 66 in the control group. The expectant fathers in the experimental group performed the Leopold maneuvers. They listened to fetal heart sounds for 5–10 min at every practice. In both groups, the pregnant women filled out the Personal Information Form (PIF), the Maternal Antenatal Attachment Scale (MAAS), and the Prenatal Self-Evaluation Questionnaire-Relationship with Partner Subscale (PSEQ-RPS), whereas the expectant fathers filled out the PIF and the Paternal Antenatal Attachment Scale (PAAS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After the expectant fathers in the experimental group performed the Leopold maneuvers and listened to the heart sounds of their fetuses, the pregnant women in the experimental group had significantly higher total MAAS scores and significantly lower total PSEQ-RPS scores than those in the control group (respectively, <i>p</i> &lt; .001 and <i>p</i> &lt; .05). The total PAAS scores of the expectant fathers in the experimental group were significantly higher than the total PAAS scores of those in the control group (<i>p</i> &lt; .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It was determined that having expectant fathers perform the Leopold maneuvers and listen to fetal heart sounds resulted in increased antenatal attachment levels in the expectant fathers and pregnant women and affected the relationships between the pregnant women and their partners positively.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143513775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difficulties in providing nursing care to children with neurodevelopmental disorders admitted to child and adolescent psychiatric units for aggressive behavior","authors":"Yuka Kato,&nbsp;Tae Kawahara,&nbsp;Yoshimi Endo,&nbsp;Akemi Yamazaki","doi":"10.1111/jjns.70001","DOIUrl":"https://doi.org/10.1111/jjns.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with neurodevelopmental disorders admitted to child and adolescent psychiatric units often exhibit aggressive behaviors, posing challenges for nurses. It is unclear what experiences and challenges nurses have in these cases within the unique environment of hospitalization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aimed to elucidate the difficulties faced by nurses in providing care for children due to their aggressive behavior in these units.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>Qualitative descriptive research was conducted through semi-structured interviews with nurses with over 3 years of clinical experience in child and adolescent psychiatric units. The interviews were recorded and transcribed verbatim, and text units related to nursing difficulties were extracted and categorized.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We interviewed 21 nurses, averaging 44 years old, with 6.8 years of experience in child and adolescent psychiatric units. Five categories of difficulties were identified: (1) building patient–nurse relationships, (2) encouraging behavior modification, (3) managing aggressive behavior, (4) facilitating reflection on aggressive behavior, and (5) establishing and maintaining appropriate behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nurses face numerous challenges in providing care for children with aggressive behavior. Despite experiencing physical and mental burdens in managing aggressive behavior, nurses strive to help children achieve social adjustment. Establishing systems to address nurses' difficulties can enhance the quality of nursing care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of multimedia-based education on hypoglycemic events and associated factors in elderly individuals with type 2 diabetes","authors":"Mei-Chuan Huang,&nbsp;Hsiu-Ling Liang,&nbsp;Mei-Yueh Lee,&nbsp;Hua-Tsen Hsiao","doi":"10.1111/jjns.70004","DOIUrl":"https://doi.org/10.1111/jjns.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the effectiveness of multimedia-based hypoglycemia education compared to conventional hypoglycemia education on knowledge, self-care behavior, fear of hypoglycemia, social support, quality of life, nursing hours, education satisfaction, and the recurrence rate of hypoglycemic events among elderly individuals with type 2 diabetes who have experienced hypoglycemic events.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A randomized controlled trial with a repeated-measures design was conducted on 82 elderly patients with type 2 diabetes who had experienced hypoglycemic events. Participants in the experimental group received multimedia-based hypoglycemia education, while those in the contrast group received lecture-based hypoglycemia education. Data were analyzed using descriptive statistics, chi-square tests, t-tests, and Generalized Estimating Equations (GEE).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The experimental group showed significantly higher mean scores in hypoglycemia knowledge (<i>p</i> &lt; .001), hypoglycemia self-care behavior (<i>p</i> = .034), and education satisfaction <i>(p</i> &lt; .001). The nursing hours spent by the experimental group were significantly lower than those of the contrast group (<i>p</i> &lt; .001). Within 6 months after receiving hypoglycemia education, the recurrence rate of hypoglycemic events decreased by 61% in the experimental group and 53.70% in the contrast group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Multimedia-based hypoglycemia education can enhance knowledge and self-care behavior and reduce the recurrence rate of hypoglycemia among elderly patients with type 2 diabetes. Healthcare professionals can utilize multimedia education for hypoglycemia in elderly individuals with diabetes to improve their ability for home hypoglycemia care, thereby reducing the recurrence rate of hypoglycemic events.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}