International Journal of Nursing Studies最新文献_第2页

Authors' response to "Comment on Fajarini et al. (2024) 'Effects of advanced practice nurses on health-care costs, quality of care, and patient well-being in health-care settings: A meta-analysis of randomized controlled trials'".

IF 7.5 1区医学

International Journal of Nursing Studies Pub Date : 2025-03-08 DOI: 10.1016/j.ijnurstu.2025.105051

Melati Fajarini, Kuei-Ru Chou

引用次数: 0

Author's responses to "Comment on Kim (2025) 'Survivorship concerns among posttreatment cancer survivors in South Korea: A secondary analysis of a cross-sectional survey".

IF 7.5 1区医学

International Journal of Nursing Studies Pub Date : 2025-03-07 DOI: 10.1016/j.ijnurstu.2025.105039

Soo Hyun Kim

引用次数: 0

Skin-to-skin contact and breastfeeding after caesarean section: A systematic review and meta-analysis of intervention studies

IF 7.5 1区医学

International Journal of Nursing Studies Pub Date : 2025-03-05 DOI: 10.1016/j.ijnurstu.2025.105038

José Alberto Martínez-Hortelano , Alicia Saz-Lara , Jorge Luis Gómez González , Soledad Cristóbal-Aguado , Laura Iglesias-Rus , Vicente Martínez-Vizcaíno , Miriam Garrido-Miguel

{"title":"Skin-to-skin contact and breastfeeding after caesarean section: A systematic review and meta-analysis of intervention studies","authors":"José Alberto Martínez-Hortelano , Alicia Saz-Lara , Jorge Luis Gómez González , Soledad Cristóbal-Aguado , Laura Iglesias-Rus , Vicente Martínez-Vizcaíno , Miriam Garrido-Miguel","doi":"10.1016/j.ijnurstu.2025.105038","DOIUrl":"10.1016/j.ijnurstu.2025.105038","url":null,"abstract":"<div><h3>Background</h3><div>Breastfeeding has been widely studied as a factor that improves maternal and newborn health outcomes. Immediate or early skin-to-skin contact interventions have been proposed in health care services to increase breastfeeding or exclusive breastfeeding rates following caesarean births although the findings are inconclusive.</div></div><div><h3>Objective</h3><div>This systematic review and meta-analysis aimed to synthesize the available evidence on early or immediate skin-to-skin contact and breastfeeding in women and newborns following caesarean birth.</div></div><div><h3>Methods</h3><div>A systematic search was performed using in the MEDLINE, EMBASE, Cochrane Library and Web of Science databases from inception to June 2024. The effects of early or immediate skin-to-skin contact were reported as relative risks (RRs) with 95 % confidence intervals (CIs) provided by the original articles. Pooled estimates were calculated using the DerSimonan and Laird methods. The intervention groups received early or immediate skin-to-skin contact and the control group received standard care after caesarean birth. The risk of the bias of the randomized controlled trials was assessed using the Cochrane risk of bias tool for randomized controlled trials (RoB 2) and the risk of bias in nonrandomized studies of interventions (ROBINS-I) assessment tool for nonrandomized studies. Publication bias was assessed with funnel plot asymmetry and Egger's test. Zotero reference manager and Stata 17 software were used.</div></div><div><h3>Results</h3><div>Eight randomized controlled trials and three quasiexperimental studies involving a total of 1.990 participants were included. The findings indicate that skin-to-skin contact decreased the time to first attachment by 51.73 min (95 % CI: −68.54 to −34.91; I<sup>2</sup>: 85.3), increased the breastfeeding rates in the first 2 h after birth (RR: 4.86; 95 % CI: 2.71 to 7.01; I<sup>2</sup>: 44.1) and the exclusive breastfeeding rate at discharge (RR: 1.69; 95 % CI 1.36 to 2.01; I<sup>2</sup>: 13.7), but not the exclusive breastfeeding rate at one month from birth or later (RR: 1.13; 95 % CI 0.73 to 1.54; I<sup>2</sup>: 0.0).</div></div><div><h3>Conclusion</h3><div>This study revealed that early or immediate skin-to-skin contact after caesarean birth improved breastfeeding rates and exclusive breastfeeding rates during the health care stay. Trials with longer follow-up times are needed to assess whether interventions based on early or immediate skin-to-skin contact maintain their effectiveness over time and to clarify whether early or immediate skin-to-skin contact is safe for preterm newborns or women with certain health conditions.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105038"},"PeriodicalIF":7.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610611","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}

引用次数: 0

Effects of psychoeducation interventions on psychological outcomes among spousal caregivers of community-dwelling older adults: A systematic review and meta-analysis 心理教育干预对社区老年人配偶照顾者心理结果的影响：系统回顾和荟萃分析

IF 7.5 1区医学

International Journal of Nursing Studies Pub Date : 2025-03-03 DOI: 10.1016/j.ijnurstu.2025.105049

Ning Zhang , Yamei Bai , An Tao , Yayi Zhao , Helen Yue Lai Chan

{"title":"Effects of psychoeducation interventions on psychological outcomes among spousal caregivers of community-dwelling older adults: A systematic review and meta-analysis","authors":"Ning Zhang , Yamei Bai , An Tao , Yayi Zhao , Helen Yue Lai Chan","doi":"10.1016/j.ijnurstu.2025.105049","DOIUrl":"10.1016/j.ijnurstu.2025.105049","url":null,"abstract":"<div><h3>Background</h3><div>Spouses often assume the role of primary informal caregivers for ageing partners. Spousal caregivers are more likely than other family members to experience negative psychological outcomes due to their unique identities. However, little is known as to whether psychoeducation interventions can support them in the caregiving process.</div></div><div><h3>Objectives</h3><div>To systematically identify and synthesise evidence regarding the effects of psychoeducation interventions on psychological outcomes among spousal caregivers of community-dwelling older adults.</div></div><div><h3>Design</h3><div>A systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>Eight electronic databases, including Cochrane Library, PubMed, CINAHL, MEDLINE, Embase, PsycINFO, Chinese Journal Net and Wanfang were searched from inception to August 2024. Randomised controlled trials of psychoeducation interventions on psychological outcomes in spousal caregivers of older adults were included. The quality of the evidence was evaluated using The Cochrane Risk of Bias Tool v2. The certainty of the evidence was assessed by the GRADE approach. Data synthesis methods, including meta-analysis and narrative synthesis, were conducted based on data availability. Meta-analysis was performed using a random-effects model given the substantial heterogeneity in the intervention design and outcomes. Sensitivity analyses were used to assess the robustness of the findings.</div></div><div><h3>Results</h3><div>Among the 18 reviewed studies, the overall risk of bias indicated that four had low risk, eight had some concerns, and six had high risk. The pooled analysis suggested that psychoeducation interventions had significant effects on improving marital satisfaction (SMD = 0.28, 95 % CI: 0.09 to 0.47; low certainty) and positive aspects of caregiving (SMD = 1.30, 95 % CI: 0.44 to 2.16; very low certainty). However, the effects on depressive symptoms, caregiving burden, anxiety, mental health, coping and self-efficacy were negligible. Narrative synthesis of evidence suggested potential beneficial effects on posttraumatic growth, family functioning, family relationship and life satisfaction.</div></div><div><h3>Conclusions</h3><div>Psychoeducation interventions have potential to improve marital satisfaction and positive aspects of caregiving among spousal caregivers of older adults. However, the evidence has a low level of certainty with considerable variability in intervention design and outcome measures, indicating the need for further rigorous investigation. The non-significant effects on enhancing caregiving competence or alleviating negative psychological outcomes highlight the importance of exploring the specific needs and expectations of spousal caregivers.</div></div><div><h3>Registration</h3><div>PROSPERO (CRD42024498599).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105049"},"PeriodicalIF":7.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628350","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}

引用次数: 0

Comment on ‘Survivorship concerns among post-treatment cancer survivors in South Korea: A secondary analysis of a cross-sectional survey’

IF 8.1 1区医学

International Journal of Nursing Studies Pub Date : 2025-02-28 DOI: 10.1016/j.ijnurstu.2025.105041

Beilei Chen, Sheng Li

引用次数: 0

The use of gamified interventions to enhance social interaction and communication among people with autism spectrum disorder: A systematic review and meta-analysis

IF 7.5 1区医学

International Journal of Nursing Studies Pub Date : 2025-02-27 DOI: 10.1016/j.ijnurstu.2025.105037

Tingxuan Wang , Haixia Ma , Haoyan Ge , Yuying Sun , Tyrone Tai-On Kwok , Xianliang Liu , Yanping Wang , Way Kwok Wai Lau , Wen Zhang

{"title":"The use of gamified interventions to enhance social interaction and communication among people with autism spectrum disorder: A systematic review and meta-analysis","authors":"Tingxuan Wang , Haixia Ma , Haoyan Ge , Yuying Sun , Tyrone Tai-On Kwok , Xianliang Liu , Yanping Wang , Way Kwok Wai Lau , Wen Zhang","doi":"10.1016/j.ijnurstu.2025.105037","DOIUrl":"10.1016/j.ijnurstu.2025.105037","url":null,"abstract":"<div><h3>Background</h3><div>Traditional gamified interventions and serious games have been widely employed by therapists and researchers working with people with autism spectrum disorder. Recent studies have also indicated a trend towards technology-based gamification for training behavioral and social skills in autistic people. Nevertheless, the effectiveness of these gamified interventions in enhancing social interaction and communication outcomes among autistic people remains unclear.</div></div><div><h3>Objective</h3><div>This systematic review and meta-analysis of existing gamified interventions focused on people with autism spectrum disorder aimed to provide an overview of commonly used gamification elements and features for enhancing their social interaction and communication outcomes.</div></div><div><h3>Methods</h3><div>A total of 11 bibliographic databases were systematically searched from inception to April 2024. Experimental studies, including but not limited to randomized controlled trials, quasi-experimental studies (e.g., non-randomized studies, pre-post studies), and pilot studies. Medical Subject Heading terms, keywords, and free words such as ‘ASD’, ‘gamification’, and ‘social interaction and communication’ were used for the search. The extracted data were subjected to a narrative synthesis, and the study outcomes were subjected to a meta-analysis. Gamified elements were classified based on the most widely adopted gamification elements for learning purposes.</div></div><div><h3>Results</h3><div>Twenty studies involving 349 participants were eligible. Of 297 participants included for descriptive synthesis, 246 (82.8 %) were male, with a mean age at study entry of 11.55 years. Children and adolescents with autism spectrum disorder were the most common target populations (k = 19, 95 %), followed by the general adult population (k = 1, 5 %). Two main themes related to the application of gamification interventions emerged from the included studies: the augmentation of engagement in the intervention and the amplification of the desired interventional outcomes. Commonly used gamification elements included feedback (k = 10, 50 %), rewards (k = 10, 50 %), custom learning (k = 9, 45 %), monitoring (k = 9, 45 %), and personalization (k = 8, 40 %). Four of the included studies applied 5–7 elements in their interventions. Five studies were included in the meta-analysis, showing a positive overall effect of gamified interventions on social interaction and communication (pooled standardized mean difference: 0.46; 95 % CI 0.08, 0.85; I<sup>2</sup> 0%).</div></div><div><h3>Conclusion</h3><div>This study offers a comprehensive review of gamification elements and gamified interventions currently used in social interaction and communication skills among people with autism spectrum disorder. The potential benefits of included studies targeting social interaction and communication skills highlight the need for further in-depth investigation in this ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105037"},"PeriodicalIF":7.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535007","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}

引用次数: 0

The effects of a salutogenic strength-based intervention on sense of coherence and health outcomes in newly diagnosed HIV-positive MSM: A randomized controlled trial

IF 7.5 1区医学

International Journal of Nursing Studies Pub Date : 2025-02-27 DOI: 10.1016/j.ijnurstu.2025.105036

Jianhai Long , Qin Jiang , Fei Ye , Sushun Liu , Yamin Li , Mimi Zhai

{"title":"The effects of a salutogenic strength-based intervention on sense of coherence and health outcomes in newly diagnosed HIV-positive MSM: A randomized controlled trial","authors":"Jianhai Long , Qin Jiang , Fei Ye , Sushun Liu , Yamin Li , Mimi Zhai","doi":"10.1016/j.ijnurstu.2025.105036","DOIUrl":"10.1016/j.ijnurstu.2025.105036","url":null,"abstract":"<div><h3>Background</h3><div>Newly diagnosed HIV-positive men who have sex with men (MSM) often face significant psychological stress, resulting in a high prevalence of issues such as anxiety and depression. Sense of coherence, an internal strength factor, is known to offer protective effect against health challenges. However, interventions specifically designed to enhance sense of coherence in this population remain limited.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of the salutogenic strength-based intervention in enhancing sense of coherence as the primary outcome and improving related health outcomes as secondary outcomes, including stress, depression, and antiretroviral therapy adherence, CD4<sup>+</sup>  <!-->3.66, 95%CI -5.56- -1.76, <em>p</em> < 0.001), while the control group experienced a significant increase (ME = 1.93, 95%CI 0.06–3.80, <em>p</em> = 0.043). Additionally, depression only increased in the control group (ME = 3.17, 95%CI 1.53–4.81, <em>p</em> < 0.001) and was significantly lower in the intervention group than that in the control group at T3 (ME = -3.21, 95%CI -5.76-0.65, <em>p</em> = 0.014). Antiretroviral therapy adherence remained stable in the intervention group but declined significantly in the control group (ME = -1.31, 95%CI -2.10- -0.52, <em>p</em> = 0.001). No significant differences were found between groups regarding CD4<sup>+</sup> T cell count or viral load.</div></div><div><h3>Conclusions</h3><div>The salutogenic strength-based intervention significantly enhanced sense of coherence, reduced stress and depression, and maintained antiretroviral therapy adherence among newly di","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105036"},"PeriodicalIF":7.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578662","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}

引用次数: 0

Energy conservation education intervention for people with end-stage kidney disease receiving haemodialysis (EVEREST): A two-arm parallel group study

IF 7.5 1区医学

International Journal of Nursing Studies Pub Date : 2025-02-24 DOI: 10.1016/j.ijnurstu.2025.105032

Sita Sharma , Kimberly E. Alexander , Theresa Green , Min-Lin Wu (Winnie) , Ann Bonner

{"title":"Energy conservation education intervention for people with end-stage kidney disease receiving haemodialysis (EVEREST): A two-arm parallel group study","authors":"Sita Sharma , Kimberly E. Alexander , Theresa Green , Min-Lin Wu (Winnie) , Ann Bonner","doi":"10.1016/j.ijnurstu.2025.105032","DOIUrl":"10.1016/j.ijnurstu.2025.105032","url":null,"abstract":"<div><h3>Background</h3><div>Fatigue is a common symptom in kidney failure and impacts on health-related quality of life. Educational interventions involving energy conservation strategies have effectively reduced fatigue in people with other chronic diseases.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of an energy conservation education intervention for people with kidney failure receiving haemodialysis (EVEREST).</div></div><div><h3>Design</h3><div>A two-arm parallel group study with haemodialysis shift randomisation.</div></div><div><h3>Methods</h3><div>Recruitment commenced in April 2022 and included 126 participants receiving haemodialysis who met the eligibility criteria. They were randomised based on haemodialysis shifts. The intervention group received a structured energy conservation education program plus usual care over 12 weeks. The control group received the usual care. The energy conservation education program consisted of three individual face-to-face educational sessions, one booster session, and a booklet. Outcomes were fatigue, other chronic kidney disease (CKD) symptoms, occupational performance, and health-related quality of life. Data were collected at baseline, week 4, week 8, and week 12. Intention-to-treat analysis was used.</div></div><div><h3>Results</h3><div>Participants who received the energy conservation education program showed a significant reduction in fatigue severity (mean difference [MD] = −1.88, 95 % confidence intervals [CI] [−2.36 to −1.40], <em>p</em> < .001), fatigue interference (MD = -1.52, 95 % CI [−2.02 to −1.02], <em>p</em> < .001), number of fatigue days (MD = -1.12, 95 % CI [−1.60 to −0.64], <em>p</em> < .001), and percent of day fatigued (MD = -18.47, 95 % CI [−23.60 to −13.34], <em>p</em> < .001) at week 8 compared to the control group. At week 12, medium to large effect sizes for fatigue severity (effect size [ES] = 2.37, <em>p</em> < .001), fatigue interference (ES = 1.68, <em>p</em> < .001), number of fatigue days (ES = 0.74, <em>p</em> < .001), and percent of day fatigued (ES = 2.10, <em>p</em> < .001) were observed in the intervention group compared to the control group. Similarly, significant improvements were detected in the CKD symptom (ES = 1.49, <em>p</em> < .001), occupational performance (ES = 1.17, <em>p</em> < .001), and satisfaction with the performance (ES = 1.59, <em>p</em> < .001) in the intervention group compared to the control group. A significant effect was seen for health-related quality of life in the intervention group [physical health (ES = 2.14, <em>p</em> < .001) and mental health (ES = 2.06, <em>p</em> < .001)] at week 12 compared to the control group.</div></div><div><h3>Conclusions</h3><div>The energy conservation education program was successful in reducing fatigue in the haemodialysis population. This si","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105032"},"PeriodicalIF":7.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632229","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}

引用次数: 0

Comparative effect of nonpharmacological interventions on emergence delirium prevention in children following sevoflurane general anesthesia: A systematic review and network meta-analysis of randomized controlled trials

IF 7.5 1区医学

International Journal of Nursing Studies Pub Date : 2025-02-22 DOI: 10.1016/j.ijnurstu.2025.105035

Yi-Chen Chen , Jann Foster , Iftitakhur Rohmah , Virginia Schmied , Anne Marks , Man-Ling Wang , Hsiao-Yean Chiu

{"title":"Comparative effect of nonpharmacological interventions on emergence delirium prevention in children following sevoflurane general anesthesia: A systematic review and network meta-analysis of randomized controlled trials","authors":"Yi-Chen Chen , Jann Foster , Iftitakhur Rohmah , Virginia Schmied , Anne Marks , Man-Ling Wang , Hsiao-Yean Chiu","doi":"10.1016/j.ijnurstu.2025.105035","DOIUrl":"10.1016/j.ijnurstu.2025.105035","url":null,"abstract":"<div><h3>Background</h3><div>Children receiving general anesthesia while undergoing surgery have a significantly high incidence of emergence delirium (ED). Nonpharmacological interventions yield beneficial effects on preventing pediatric ED. However, the relative effects of nonpharmacological interventions on pediatric ED prevention based on various perioperative phases remain unknown.</div></div><div><h3>Objective</h3><div>To compare the effects of nonpharmacological interventions on pediatric ED prevention at different surgical phases.</div></div><div><h3>Design</h3><div>A systematic review and network meta-analysis.</div></div><div><h3>Data sources</h3><div>A comprehensive search of five electronic databases (PubMed, CINAHL via EBSCOhost, Embase via Elsevier, Cochrane Trials, and ProQuest Dissertations and theses) for identifying randomized control trials published from inception to October 15, 2023.</div></div><div><h3>Methods</h3><div>Two reviewers independently screened, assessed, and extracted data from the eligible studies. A random-effects network meta-analysis was used to determine the comparative effect of nonpharmacological interventions on preventing pediatric ED.</div></div><div><h3>Results</h3><div>A total of 19 studies involving 2522 children were included in this network meta-analysis. Thirteen studies reported on the prevention of pediatric ED in the preoperative phase, and six studies reported on the prevention of pediatric ED in the intraoperative phases. Multimedia devices (OR 0.39, 95 % CIs 0.20–0.74), a multicomponent program (OR 0.20, 95 % CI 0.14–0.28) significantly reduced the incidence of pediatric ED during the preoperative phase compared with usual care. During the intraoperative phase, listening to regular heartbeat sounds significantly reduced the risk of pediatric ED compared with usual care (OR 0.06, 95 % CI 0.02–0.22), placebo (OR 0.11, 95 % CI 0.03–0.36), acupuncture (OR 0.17, 95 % CI 0.03–0.88), acupuncture with electrical stimulus (OR 0.16, 95 % CI 0.04–0.68), and acupuncture with midazolam (OR 0.04, 95 % CI 0.00–0.41).</div></div><div><h3>Conclusions</h3><div>Our study results suggest that the multicomponent program and listening to heartbeat sounds are relatively effective nonpharmacological interventions for preventing pediatric ED during the perioperative phase. This study compared the effectiveness and ranking of various interventions, and the findings can serve as a guide to assist health professionals in choosing the optimal strategy for preventing ED.</div></div><div><h3>Registration</h3><div>The study protocol was registered at PROSPERO (CRD42023459541).</div><div><strong>Tweetable abstract:</strong> Nonpharmacological interventions can reduce the high incidence of pediatric emergence delirium after surgery. Our systematic review highlights the efficacy of multicomponent programs and listening to heartbeat sounds intraoperatively in reducing ED risk. The findings aid health professionals in selecting ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105035"},"PeriodicalIF":7.5,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578663","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}

引用次数: 0

Effectiveness of a low-intensity nurse-led lifestyle intervention on glycaemic control in individuals with prediabetes: The PREDIPHONE randomized controlled clinical trial

IF 7.5 1区医学

International Journal of Nursing Studies Pub Date : 2025-02-22 DOI: 10.1016/j.ijnurstu.2025.105034

María Arias-Fernández , Aina Huguet-Torres , Manuela Abbate , Sergio Fresneda , Marina Torres-Carballo , Ana Carvalho-Azevedo , Aina M. Yañez , Miquel Bennasar-Veny

{"title":"Effectiveness of a low-intensity nurse-led lifestyle intervention on glycaemic control in individuals with prediabetes: The PREDIPHONE randomized controlled clinical trial","authors":"María Arias-Fernández , Aina Huguet-Torres , Manuela Abbate , Sergio Fresneda , Marina Torres-Carballo , Ana Carvalho-Azevedo , Aina M. Yañez , Miquel Bennasar-Veny","doi":"10.1016/j.ijnurstu.2025.105034","DOIUrl":"10.1016/j.ijnurstu.2025.105034","url":null,"abstract":"<div><h3>Background</h3><div>Lifestyle changes can effectively prevent diabetes onset in individuals with prediabetes. Although nurse-led interventions have proven to be cost-effective and feasible in the management of diabetes and hypertension in primary care, low-intensity lifestyle interventions for people with prediabetes led by nurses remain poorly evaluated.</div></div><div><h3>Objective</h3><div>To assess whether a low-intensity nurse-led telephone lifestyle intervention is effective in reducing fasting plasma glucose levels in individuals with prediabetes.</div></div><div><h3>Design</h3><div>A two-arm, parallel, randomized controlled clinical.</div></div><div><h3>Settings</h3><div>Five Primary Care Centres in the Balearic Islands, Spain.</div></div><div><h3>Participants</h3><div>A total of 206 participants were enrolled, 103 in each group.</div></div><div><h3>Methods</h3><div>Consenting participants aged 25–75 years, with fasting plasma glucose levels of 100–125 mg/dL, and body mass index ≥27 and < 40 kg/m2 were randomly assigned (1:1) to either a 9-month nurse-led telephone lifestyle intervention (intervention) or short text messages with general lifestyle advice (control). Research staff and the statistician were masked to group allocation. The primary outcome was fasting plasma glucose at 9-month follow-up, analyzed per protocol and by intention-to-treat.</div></div><div><h3>Results</h3><div>Among the 206 participants (103 in each group), 189 (91·8 %; n = 91 in the intervention group, n = 98 in the control group) completed the 4-month follow-up and 181 (87·9 %; n = 87 in the intervention group, n = 94 in the control group) completed the 9-month follow-up. Among the 206 randomized participants, 52.9 % were women, 73.8 % were obese, and 69.4 % were of Spanish nationality. Differences in fasting plasma glucose between groups at 9-months were not statistically significant (Intervention group n = 85 mean 103·4 mg/dL [SD 9·6] vs Control group n = 91 mean 104·8 mg/dL [SD 9·7]; adjusted mean difference 1·1 mg/dL [95 % CI -1·6 to 3·8]; p-value = 0·43). Difference in waist circumference at 9 months were statistically significant (Intervention group n = 85 mean 100.6 cm [SD 10.2] vs Control group n = 91 mean 104.0 cm [SD 10.2]; adjusted mean difference 1.9 cm [95 % CI 0.6 to 3.3]; p-value <0.01). At 9-month follow-up, diet quality improved in the intervention group (intervention group n = 86 mean 8.4 points [SD 2.0] vs control group n = 93 mean 7.5 points [SD 2.1], adjusted mean difference − 1.3 points [95 CI -1.7 to −0.7]; p-value <0.01). Likewise, sedentary behavior presented statistically significant differences at 9-month follow-up (intervention group n = 86 mean 5.4 H/d [SD 1.8] vs control group n = 93 mean 6.3 H/d [SD 1.9], adjusted mean difference 1.0 H/d [95 CI 0.5 to 1.4]; p-value <0.01).</div></div><div><h3>Conclusions</h3><div>These results do not support the effectiven","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105034"},"PeriodicalIF":7.5,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578661","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}

引用次数: 0