International Journal of Nursing Studies最新文献

{"title":"Corrigendum to \"The effects of a facilitator-enabled online multicomponent iSupport for dementia programme: A multicentre randomised controlled trial\" [Int. J. Nurs. Stud. 159 (2024) 104868].","authors":"Lily Xiao, Shahid Ullah, Rujun Hu, Jing Wang, Huali Wang, Chia-Chi Chang, Timothy Kwok, Mingxia Zhu, Julie Ratcliffe, Henry Brodaty, Bianca Brijnath, Hui-Chen Rita Chang, Bel Wong, Yunrui Zhou, Jinjie He, Mengmeng Xia, Jhih-Yang Hong, Shirley Che, Rachel Milte","doi":"10.1016/j.ijnurstu.2024.104960","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2024.104960","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":" ","pages":"104960"},"PeriodicalIF":7.5,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical characteristics and influencing factors of serious fall injuries among older inpatients: A secondary analysis of multicenter cross-sectional administrative data.","authors":"Jingcan Xu, Shuyi Peng, Li Yao, Minhui Liu, Liqing Yue","doi":"10.1016/j.ijnurstu.2024.104956","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2024.104956","url":null,"abstract":"<p><strong>Background: </strong>Inpatient falls are common adverse events in hospitals, particularly among older adults. However, current research on falls in the older population is limited by small sample sizes and reliance on single-center designs without distinguishing the different levels of fall injuries.</p><p><strong>Objective: </strong>To examine the circumstances of falls in older inpatients and investigate the factors influencing serious fall injuries.</p><p><strong>Design: </strong>A secondary analysis of multicenter cross-sectional administrative data from the China National Database of Nursing Quality (CNDNQ).</p><p><strong>Setting(s): </strong>67 hospitals in Hunan, China.</p><p><strong>Participants: </strong>5143 fall incidents from 5048 older inpatients were included from January 2019 to December 2022.</p><p><strong>Methods: </strong>Descriptive statistics (means, standard deviations, frequencies, and percentages) were used to describe fall characteristics. Given the multilevel data structure, a Generalized Linear Mixed Model (GLMM) with a Logistic link function was employed, treating hospitals and wards as random effects. Univariate and multivariate analyses were conducted.</p><p><strong>Results: </strong>The prevalences of fall-related injuries and serious fall injuries in this study were 63.3 % and 25.0 %, respectively. Nurse-to-patient ratio at the time of fall ≤0.05 (aOR = 1.522, 95 % CI: 1.297-1.785), female gender (aOR = 1.304, 95 % CI: 1.137-1.497), a lengthy hospital stay (aOR = 1.009, 95 % CI: 1.001-1.018) were associated with an increased risk of serious fall injuries. Surgical (aOR = 0.655, 95 % CI: 0.482-0.889) and orthopedic wards (aOR = 0.649, 95 % CI: 0.449-0.939) exhibited lower risks of serious fall injuries than internal medicine wards. The period from 8:00 to 15:59 was associated with a higher risk of serious fall injuries compared to the period from 0:00 to 7:59 (aOR = 1.416, 95 % CI: 1.171-1.713). Compared to lying, standing (aOR = 2.594, 95 % CI: 1.733-3.883), getting in/out of bed (aOR = 1.403, 95 % CI: 1.009-1.951), walking or rehabilitating (aOR = 3.039, 95 % CI: 2.194-4.208), toileting (aOR = 1.411, 95 % CI: 1.038-1.917), and showering (aOR = 2.170, 95 % CI: 1.391-3.385) were associated with an increased risk of serious fall injuries.</p><p><strong>Conclusions: </strong>Fall-related injuries and serious fall injuries are highly prevalent among older inpatients. The study provides insights for targeted fall prevention strategies, improving nursing management and patient safety.</p><p><strong>Registration: </strong>Not registered.</p>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"104956"},"PeriodicalIF":7.5,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on Tan et al. (2024) 'Interventions to promote readiness for advance care planning: A systematic review and meta-analysis'","authors":"Dongpo Song","doi":"10.1016/j.ijnurstu.2024.104957","DOIUrl":"10.1016/j.ijnurstu.2024.104957","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"Article 104957"},"PeriodicalIF":7.5,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on Raya-Benítez et al. (2024) 'Effectiveness of non-instrumental early mobilization to reduce the incidence of deep vein thrombosis in hospitalized patients'","authors":"Xuerong Zhang,&nbsp;Xiaoping Wang","doi":"10.1016/j.ijnurstu.2024.104954","DOIUrl":"10.1016/j.ijnurstu.2024.104954","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"Article 104954"},"PeriodicalIF":7.5,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who gets the bed: Factors influencing the intensive care exit block: A qualitative study","authors":"Frances Fengzhi Lin ,&nbsp;Jacqueline Peet ,&nbsp;Lauren Murray ,&nbsp;Mahesh Ramanan ,&nbsp;Kylie Jacobs ,&nbsp;Jane Brailsford ,&nbsp;Amelia Osmond ,&nbsp;Moreblessing Kajevu ,&nbsp;Peter Garrett ,&nbsp;Alexis Tabah ,&nbsp;Carol Mock ,&nbsp;Yingyan Chen","doi":"10.1016/j.ijnurstu.2024.104949","DOIUrl":"10.1016/j.ijnurstu.2024.104949","url":null,"abstract":"<div><h3>Background</h3><div>Patient flow problems, including discharge delay and after-hours discharge, have been a consistently major issue, especially for intensive care units (ICUs). Evidence suggests that discharge delay and after-hours discharge are associated with increased ICU and hospital length of stay, leading to worsened patient outcomes and increased healthcare costs. They can also increase ICU readmission and post-ICU mortality. The factors influencing discharge processes are not well elucidated.</div></div><div><h3>Objective</h3><div>This study aimed to explore the barriers and facilitators to the ICU patient discharge processes in adult ICUs.</div></div><div><h3>Methods</h3><div>This qualitative exploratory multisite observational study was conducted in three regional adult ICUs in Queensland, Australia. We used staff interviews, fieldnotes, and document analysis as data collection techniques. Data analysis commenced with a deductive content analysis using the Structure, Process, and Outcomes framework. Following this, an inductive process was taken using the Theoretical Domains Framework.</div></div><div><h3>Findings</h3><div>We conducted 59 staff interviews and analysed the discharge documents across three sites. Four domains, including context and resources, beliefs about consequences, social/professional role and identity, and behaviour regulation, were strongly related to the factors that influenced the discharge processes. The findings revealed barriers to discharge, including finding the right bed, disconnected and ineffective information systems, ineffective communication and coordination within and across teams and departments, and uncertainty and inconsistency in discharge decision making. Facilitators included clarity on professional roles in ICU discharge, effective communication within the ICU team, and context specific strategies to support the discharge processes.</div></div><div><h3>Conclusions</h3><div>The findings provide an in-depth understanding of the barriers and facilitators to the ICU discharge processes. Multifaceted strategies should be considered to facilitate and manage ICU discharge safely and efficiently, including the use of clearer discharge criteria and guidelines, digital systems that aid communication and coordination, and early planning of ICU patient discharge.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"Article 104949"},"PeriodicalIF":7.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dyadic interventions for cancer patient-caregiver dyads: A systematic review and network meta-analysis.","authors":"Xiaoxu Wang, Lili Zang, Xueyuan Hui, Xiaoxuan Meng, Shuo Qiao, Liping Fan, Qinghui Meng","doi":"10.1016/j.ijnurstu.2024.104948","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2024.104948","url":null,"abstract":"<p><strong>Background: </strong>Cancer imposes significant psychological distress on both patients and caregivers. Dyadic interventions are designed to concurrently address the health problems of both, yet there remains limited evidence as to which specific dyadic interventions yield the most effective outcomes for both partners.</p><p><strong>Objectives: </strong>To systematically synthesize and evaluate the comparative efficacy of various dyadic interventions on a wide range of outcomes within cancer patient-caregiver dyads.</p><p><strong>Methods: </strong>Searches of eight electronic databases from inception to July 2, 2023, were performed. Data extraction and quality assessment were independently conducted by two reviewers utilizing the Cochrane risk of bias tool and the Jadad score. Stata 17.0 was used for network meta-analysis, with the Surface Under the Cumulative Ranking (SUCRA) curve employed to rank interventions based on efficacy for each outcome. Effect sizes were reported using standardized mean difference (SMD) with a 95 % confidence interval (CI), and publication bias was assessed via Egger's test. The study protocol was registered in PROSPERO under CRD42023467172.</p><p><strong>Result: </strong>A total of 37 studies, spanning 8 countries, were included. According to SUCRA rankings, WeChat couple-based psychosocial support and the eHealth symptom and complication management program were identified as the most effective interventions for improving quality of life in both patients and caregivers (SUCRA = 82.1 %, SMD = 7.30, 95 % CI: 1.02, 13.58; SUCRA = 86.6 %, SMD =1.17, 95 % CI: 0.04, 2.31, respectively). Emotionally focused therapy was ranked as the most effective intervention for enhancing dyadic adjustment (SUCRA = 100 %, SMD = 1.63, 95 % CI: 0.91, 2.36; SUCRA = 99.9 %, SMD = 2.04, 95 % CI: 1.26, 2.82, respectively). Couple-based intimacy enhancement and telephone-based dyadic psychosocial interventions were deemed most effective interventions in alleviating anxiety (SUCRA = 88.2 %, SMD = -0.83, 95 % CI: -1.65, -0.00; SUCRA = 95.6 %, SMD = -1.08, 95 % CI: -1.76, -0.41, respectively), while telephone-based dyadic psychosocial intervention and coping skills training were the most efficacious interventions for reducing depression in both partners (SUCRA = 95.2 %, SMD = -0.89, 95 % CI: -1.55, -0.23; SUCRA = 99.8 %, SMD = -2.31, 95 % CI: -3.27, -1.35, respectively). Additionally, caregiver educational program was ranked highest for reducing caregivers burden (SUCRA = 95.6 %, SMD = -1.20, 95 % CI: -1.55, -0.23).</p><p><strong>Conclusion: </strong>The highest-ranked dyadic interventions identified in this analysis offer valuable insights for clinical practice, providing strategies to enhance the quality of life, strengthen dyadic relationships, and alleviate anxiety, depression, and caregiver burden. Nevertheless, further robust randomized controlled trials are necessary to confirm these findings.</p>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"104948"},"PeriodicalIF":7.5,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative effectiveness of multi-sensory interventions for reducing pain among premature infants: A systematic review and network meta-analysis","authors":"Mei-di Shen ,&nbsp;Xiang-dong Ding ,&nbsp;Li Fu ,&nbsp;Hong-xiao He ,&nbsp;Si-bing Chen ,&nbsp;Yin-chu Hu ,&nbsp;Chong-kun Wang ,&nbsp;Li-hua Ren","doi":"10.1016/j.ijnurstu.2024.104947","DOIUrl":"10.1016/j.ijnurstu.2024.104947","url":null,"abstract":"<div><h3>Background</h3><div>A series of multi-sensory interventions are proved to be effective in reducing pain among premature infants. Nevertheless, there lacks a comparison of these interventions to find the most suitable and optimal one for clinical decision-making.</div></div><div><h3>Objective</h3><div>This systematic review and network meta-analysis aims to compare the effectiveness of various multi-sensory interventions, and to identify the optimal intervention for alleviating pain in premature infants.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was performed on August 19, 2024 to identify pertinent clinical trials. The Cochrane Risk of Bias (version 2) was used to assess the quality and potential bias of each included study. Network meta-analysis was used to assess the effectiveness of various interventions and to identify the optimal ones.</div></div><div><h3>Results</h3><div>A total of 18 clinical trials involving 1408 premature infants were included. Three multi-sensory interventions were shown to be superior to routine practice in reducing pain among premature infants, including tactile-kinesthetic intervention, tactile-auditory intervention and tactile-visual-gustatory-olfactory intervention (all, <em>P</em> &lt; 0.05). Among these interventions, tactile-kinesthetic intervention ranks the best for its effectiveness in alleviating procedural pain among premature infants. Subgroup network meta-analysis demonstrated that the tactile-visual-gustatory-auditory-olfactory intervention ranked the best for its effectiveness in reducing pain from invasive procedures, with the tactile-auditory intervention best for non-invasive procedures.</div></div><div><h3>Conclusions</h3><div>Our study suggests that cautious assessment and identification should be prioritized to select appropriate multi-sensory interventions based on pain procedures, thus to effectively reduce pain in premature infants. Subsequent studies are needed to refine and optimize these strategies for broader application.</div></div><div><h3>PROSPERO registry</h3><div>CRD42024510352.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"Article 104947"},"PeriodicalIF":7.5,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family involvement in preventing delirium in critically ill patients: A systematic review and meta-analysis","authors":"Jiaqi Li ,&nbsp;Yingying Fan ,&nbsp;Ruoyu Luo ,&nbsp;Yangyang Wang ,&nbsp;Na Yin ,&nbsp;Wenhao Qi ,&nbsp;Tiancha Huang ,&nbsp;Ju Zhang ,&nbsp;Jiyong Jing","doi":"10.1016/j.ijnurstu.2024.104937","DOIUrl":"10.1016/j.ijnurstu.2024.104937","url":null,"abstract":"<div><h3>Background</h3><div>Humanized care is a novel concept in the prevention of delirium, with family involvement being a crucial component. Currently, there is controversy regarding the effectiveness of family involvement in preventing delirium among critically ill patients, and the impact of varying levels of family involvement on delirium prevention remains unclear.</div></div><div><h3>Objective</h3><div>The purpose of this study is twofold: (a) to investigate the influence of family involvement on delirium among critically ill patients, and (b) to explore the effectiveness of different levels of family involvement in preventing delirium in these patients.</div></div><div><h3>Design</h3><div>A systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>From database inception to July 2024, a comprehensive search was conducted across PubMed, EMBASE, CINAHL, Web of Science, and the Cochrane CENTRAL database. Randomized controlled trials that examined family involvement were included in the review.</div></div><div><h3>Results</h3><div>This review included a total of 11 randomized controlled trials, encompassing 3113 critically ill patients. Family involvement was found to significantly reduce the incidence of delirium among critically ill patients (RR = 0.46, 95%CI = 0.31 to 0.69), decrease the duration of delirium (WMD = −<!--> <!-->2.18, 95 % CI = −<!--> <!-->4.14 to −<!--> <!-->0.22), and shorten the length of Intensive Care Unit (ICU) stay (WMD = −<!--> <!-->1.46, 95%CI = −<!--> <!-->2.43 to −<!--> <!-->0.50). Three different levels of family involvement—direct participation in care (RR = 0.37, 95%CI = 0.26 to 0.51), family visits and companionship (RR = 0.56, 95 % CI = 0.25 to 1.25), and indirect participation (RR = 0.77, 95 % CI = 0.29 to 2.07)—varies in their effectiveness for delirium prevention.</div></div><div><h3>Conclusions</h3><div>Family involvement significantly impacts delirium prevention in critically ill patients. The effectiveness of delirium prevention varies depending on the level of family involvement, with direct participation of family members in caregiving demonstrating a more pronounced effect in reducing delirium incidence among critically ill patients.</div></div><div><h3>Registration</h3><div>The review protocol has been registered in the PROSPERO International prospective register of systematic reviews (CRD42024563095).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"Article 104937"},"PeriodicalIF":7.5,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142561414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using nudges to promote health among older adults: A scoping review","authors":"Ruotong Peng ,&nbsp;Yunfei Du ,&nbsp;Jing Chang ,&nbsp;Yongzhen Guo ,&nbsp;Shaolong Hu ,&nbsp;Xiao Wan ,&nbsp;Zeng Cao ,&nbsp;Hui Feng","doi":"10.1016/j.ijnurstu.2024.104946","DOIUrl":"10.1016/j.ijnurstu.2024.104946","url":null,"abstract":"<div><h3>Background</h3><div>Nudge is an attempt to easily and cheaply influence an individual's health judgments, decisions, or behaviors in nuanced and predictable ways. To date, there are no published reviews of the evidence for or against nudges as health promotion strategies in older adults.</div></div><div><h3>Objective</h3><div>This review aims to summarize what is known about the impact of various nudges that target different kinds of health behavior in older adults.</div></div><div><h3>Design</h3><div>A scoping review.</div></div><div><h3>Review methods</h3><div>We conducted a comprehensive search across the PubMed, Web of Science, Embase, EBSCOhost, and the Cochrane Library databases from the earliest available date to March 2024. To gain a broad understanding of this field, we used relevant search terms related to ‘nudge’ and ‘older adult’. All articles selected and data extracted were double-checked. Nudges were summarized and analyzed according to Thaler's dual-systems theory taxonomy.</div></div><div><h3>Results</h3><div>Overall, 18 articles were selected. Nudges have been applied to reduce overuse in healthcare (n = 7), enhance vaccination uptake (n = 4), raise dietary intake (n = 3), increase physical activity (n = 1), improve lifestyle management (n = 1), improve hand hygiene (n = 1), and improve terminal treatment (n = 1). Twelve nudges were used to promote health for older adults. Type I nudges included environmental cues, reminders, default options, and feedback. Type II nudges were framing, social norms, social comparison, highlighted suggested choices, pre-commitment, accountability justification, expert authority, and gamification. Most, but not all, nudges have proven to be feasible and effective for health promotion among older adults.</div></div><div><h3>Conclusions</h3><div>This encouraging evidence suggests there is potential for nudges to promote health among older adults. Future research should tailor nudges to individual and cultural characteristics, explore the most effective nudges and long-term effects, expand nudges to more health domains, implement age-friendly digital nudges, and analyze the nursing economics of nudges.</div></div><div><h3>Registration</h3><div>Open Science Framework websites (OSF.IO/PGY25).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"Article 104946"},"PeriodicalIF":7.5,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142561413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term patient outcomes from a multidisciplinary cardiac rehabilitation programme with integrated nurse specialist support: A retrospective cohort study","authors":"Paul W. Marshall ,&nbsp;Jocelyne R. Benatar ,&nbsp;Angie Hennessy ,&nbsp;Tia Lindbom ,&nbsp;Cara Gallagher ,&nbsp;Imran Khan-Niazi ,&nbsp;Usman Rashid ,&nbsp;Michael Kingsley","doi":"10.1016/j.ijnurstu.2024.104945","DOIUrl":"10.1016/j.ijnurstu.2024.104945","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Cardiac rehabilitation programmes, while demonstrating benefits, face challenges in universal adoption, particularly in New Zealand. This study evaluates the long-term impact of cardiac rehabilitation participation and attendance on survival and readmission rates in the Auckland Health District.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To examine the impact of patient participation in nurse-led lifestyle rehabilitation and physiotherapy exercise rehabilitation on key outcomes, including all-cause mortality, and all-cause, cardiac-specific, and kidney disease readmission rates.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Retrospective cohort study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Auckland Health District, New Zealand.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;3331 patients registered in the Auckland cardiac rehabilitation programme between 2016 and 2020.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Data analysis included examining associations between attendance at nurse-led lifestyle and physiotherapy-led exercise sessions and outcomes at 12, 24 months, and 2022 year-end, including all-cause mortality, all-cause readmission, and cardiac-specific readmission rates. Analysis methods included survival analysis, Cox proportional regression, and logistic binary regression, controlling for confounders using propensity score weights and baseline factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;1363 (40.9 %) patients attended at least one lifestyle rehabilitation session (average 5.0 ± 2.9 sessions), 1121 (33.7 %) patients attended at least one exercise rehabilitation session (average 6.8 ± 7.4 sessions), and 649 (19.5 %) patients attended at least one lifestyle and one exercise rehabilitation session. Increased likelihood of participation in rehabilitation was explained by ethnicity, while current and historical tobacco use, history of heart failure, receiving an angiogram, PCI, or other treatment such as medical management or implantable devices were associated with lower odds of participation. Participation in rehabilitation (average 7.9 ± 6.1 sessions) was associated with a higher mean survival estimate (7.6 years vs. 6.4 years, p &lt; 0.001) while Cox proportional hazard regression, controlling for baseline factors and propensity score weights showed that a single session of rehabilitation attended had a 2.1 % decreased risk of mortality (hazard ratio = 0.98, 95 % CI: 0.96 to 0.99, p = 0.29). The cumulative hazard ratio for average attendance (7.9 ± 6.1 sessions) was 0.85 (95 % CI: 0.83 to 0.86, p &lt; 0.001) indicating a 15 % decreased risk of mortality during follow-up. 20 % lower kidney disease readmission rates were observed among participants over the next 24 months (p &lt; 0.05). However, no differences in all-cause or cardiac-specific readmission rates were observed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The study supports the effectiveness of cardiac rehabilitation in improving long-term survival for Auckland Health District ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"Article 104945"},"PeriodicalIF":7.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}