International Journal of Nursing Studies最新文献

{"title":"Effects of nurse-led interventions on enhancing patient-related outcomes in colorectal cancer management throughout the cancer care continuum: A systematic review and meta-analysis","authors":"Yitong Han, Yujie Han, Wenshan Huang, Yantong Liu, Ziqi Wang, Wei Zhao, Wei Zhang","doi":"10.1016/j.ijnurstu.2025.105100","DOIUrl":"10.1016/j.ijnurstu.2025.105100","url":null,"abstract":"<div><h3>Background</h3><div>Colorectal cancer ranks third in global incidence and second in cancer-related mortality worldwide. Despite persistent challenges across the care continuum, nurses play a pivotal role in optimizing patient outcomes through tailored interventions. However, robust evidence on the clinical efficacy and optimal delivery of nurse-led interventions remains limited.</div></div><div><h3>Objective</h3><div>To describe the health problems of the participants and nurse-led interventions in accordance with the Omaha System and summarize evidence on the effects of these interventions throughout the continuum from colorectal cancer screening to survivorship.</div></div><div><h3>Methods</h3><div>Eight databases, namely, Web of Science, the Cochrane Library, the Cumulative Index to Nursing and Allied Health Literature, EMBASE, PubMed, Scopus, China National Knowledge Infrastructure and Wanfang Data, were searched from their inception to May 2024. Additionally, the reference lists of the included studies were examined. Content analysis was applied to identify problems and interventions based on the Omaha System. Meta-analysis and descriptive analysis were adopted. Subgroup analyses were conducted on the basis of the study design, treatment history and mode of intervention delivery.</div></div><div><h3>Results</h3><div>Twenty-eight studies identified problems and types of nurse-led interventions. There were 13 problems in the psychosocial, physiological and health-related behaviors domains. The nurse-led interventions included teaching, guidance and counseling; case management; and treatments and procedures. Nurse-led interventions improved screening rates for colonoscopy and fecal occult blood testing (odds ratio [OR] = 2.51; 95 % confidence interval [CI]: 2.16 to 2.92; p < 0.001; OR = 6.14; 95 % CI: 1.93 to 19.47; p = 0.002), the adequacy of bowel preparation (OR = 1.69; 95 % CI: 1.40 to 2.03; p < 0.001), stoma self-efficacy (standardized mean difference [SMD] = 2.48; 95 % CI: 0.71 to 4.25; p = 0.006), and quality of life (SMD = 0.72; 95 % CI: 0.21 to 1.22; p = 0.005), and reduced the incidence of stoma complications (OR = 0.28; 95 % CI: 0.18 to 0.42; p < 0.001), anxiety (SMD = −<!--> <!-->1.19; 95 % CI: −<!--> <!-->1.40 to −<!--> <!-->0.99; p < 0.001), and depression (SMD = −<!--> <!-->1.00; 95 % CI: −<!--> <!-->1.20 to −<!--> <!-->0.79; p < 0.001). However, nurse-led interventions were ineffective in reducing distress and addressing unmet supportive care needs.</div></div><div><h3>Conclusion</h3><div>Nurse-led interventions can reduce stoma complications, anxiety and depression and increase the screening rate for colorectal cancer, the adequacy of bowel preparation, stoma self-efficiency and quality of life. Nevertheless, future rigorous research is needed to validate their effects and inform wider implementation.</div></div><div><h3>Registration</h3><div>PROSPERO (CRD42024505730) registered on February 18, 2024.</di","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105100"},"PeriodicalIF":7.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948705","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":"Effects of different frequencies of ventilator circuit changes on the incidence of ventilator-associated pneumonia: A network meta-analysis","authors":"Kangle Guo ,&nbsp;Xue Shang ,&nbsp;Yinghua Zhang ,&nbsp;Xiuxia Li ,&nbsp;Kehu Yang ,&nbsp;Yan Wang","doi":"10.1016/j.ijnurstu.2025.105099","DOIUrl":"10.1016/j.ijnurstu.2025.105099","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the effect of different frequencies of ventilator circuit changes on the occurrence of ventilation-associated pneumonia using network meta-analysis.</div></div><div><h3>Methods</h3><div>Chinese and English databases were systematically searched to collect eligible studies on the relationship between ventilator circuit changes and ventilation-associated pneumonia. The incidence of pneumonia for each change frequency was pooled using R software, and network meta-analysis was performed using Stata software to determine the optimal change frequency.</div></div><div><h3>Results</h3><div>A total of 23 studies were included, including nine ventilator circuit changes with different frequencies. The meta-analysis showed that the combined incidence of pneumonia was 25 %. Network meta-analysis showed 3-day circuit changes significantly reduced ventilation-associated pneumonia incidence compared with 1 day (odds ratio (OR) = 0.26, 95 % confidence interval (CI) [0.10, 0.69]), 2 days (OR = 0.41, 95 % CI [0.20, 0.87]), 4 days (OR = 0.17, 95 % CI [0.04, 0.72]), and 14 days (OR = 0.11, 95 % CI [0.02, 0.50]). Direct meta-analysis showed no significant difference in 3-day circuit changes versus 1 day, 3-day circuit changes versus 14 days, and 7-day circuit changes versus 14 days. The probability ranking indicated that a 3-day frequency of ventilator circuit changes had the greatest probability of being the optimal intervention, followed by 5 days and 7 days.</div></div><div><h3>Conclusion</h3><div>The meta-analysis showed that ventilator circuit changes every 3 days had the best effect, but once a week also showed a positive preventive effect, with no significant effect on ventilation-associated pneumonia occurrence. These findings combined with existing evidence indicate that high frequency changes in the ventilator circuit should be avoided.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105099"},"PeriodicalIF":7.5,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895427","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":"Asking the tough questions and having crucial conversations: promoting the value and quality of healthcare simultaneously.","authors":"Patricia M Davidson,David C Currow,Steven Z Pantilat,Kenneth Hillman","doi":"10.1016/j.ijnurstu.2025.105098","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105098","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"8 1","pages":"105098"},"PeriodicalIF":8.1,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143897309","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":"Effects of advance care planning for patients with advanced cancer: A meta-analysis of randomized controlled studies","authors":"Shu Zhang ,&nbsp;Juejin Li ,&nbsp;Yun Zhang ,&nbsp;Xiaolin Hu","doi":"10.1016/j.ijnurstu.2025.105096","DOIUrl":"10.1016/j.ijnurstu.2025.105096","url":null,"abstract":"<div><h3>Background</h3><div>Patients with advanced cancer often have to make difficult end-of-life decisions, which are closely associated with their access to anticipated care after loss of mental capacity. Advance care planning, an approach of discussing, documenting, and deciding on end-of-life preferences, helps with better decision-making. However, despite being recommended for oncology care, its efficacy for patients with advanced cancer remains unclear.</div></div><div><h3>Objective</h3><div>To explore the effects of advance care planning in patients with advanced cancer.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>Twelve electronic databases, including Embase, Medline, the Cochrane Central Register of Controlled Trials, PsycINFO, Web of Science, CINAHL complete, CBM, CNKI, VIP, Wanfang, Google Scholar and Proguest Dissertations and Theses, were searched from inception to December 2024. The Cochrane Risk of Bias Tool 2.0 was used to evaluate the quality of the included studies. Meta-analysis was performed with R software, and outcomes not amenable to meta-analysis were narratively synthesized.</div></div><div><h3>Results</h3><div>Fourteen studies were included. The results of the meta-analysis implied that advance care planning significantly improved the completion of advance directives (OR = 7.93, 95 % CI: 2.76–22.77, P = 0.0001) and palliative care utilization (OR = 1.39, 95 % CI: 1.08–1.78, P = 0.0009). Anxiety (SMD = −<!--> <!-->0.14, 95 % CI: −<!--> <!-->0.52–0.23, P = 0.45), depression (SMD = −<!--> <!-->0.10, 95 % CI: −<!--> <!-->0.55–0.34, P = 0.66), decisional conflicts (MD = −<!--> <!-->1.25, 95 % CI: −<!--> <!-->3.67–1.18, P = 0.31), patient satisfaction (SMD = 0.19, 95 % CI: −<!--> <!-->0.23–0.70, P = 0.47), and quality of life (SMD = 0.32, 95 % CI: −<!--> <!-->0.83–1.48, P = 0.58) were not improved. In the narrative synthesis, dignity was enhanced, but the effects of concordance between actual care received and preferences were inconsistent. In general, existing advance care planning is primarily delivered in a face-to-face format in hospitals and focuses on older patients.</div></div><div><h3>Conclusions</h3><div>Advance care planning may have desirable impacts on improving the completion of advance directives and palliative care utilization for patients with advanced cancer. It was not effective in improving anxiety, depression, decisional conflicts, patient satisfaction, and quality of life. The effects of dignity and care concordance need to be further validated. Young patient-specific, digital technology-based, and in-home advance care planning is encouraged, and the optimal timing of interventions also needs to be clarified.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105096"},"PeriodicalIF":7.5,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948704","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":"Risk prediction model for chemotherapy-induced nausea and vomiting in cancer patients: a systematic review","authors":"Yongjian Wang ,&nbsp;Ruishuang Zheng ,&nbsp;Yunting Wu ,&nbsp;Ting Liu ,&nbsp;Liqian Hao ,&nbsp;Jue Liu ,&nbsp;Lili Shi ,&nbsp;Qing Guo","doi":"10.1016/j.ijnurstu.2025.105094","DOIUrl":"10.1016/j.ijnurstu.2025.105094","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Chemotherapy-induced nausea and vomiting increase the healthcare burden and lead to adverse clinical outcomes in cancer patients. Although many risk prediction models for chemotherapy-induced nausea and vomiting have been developed, their methodological quality and applicability remain uncertain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To systematically review and evaluate existing studies on risk prediction models for chemotherapy-induced nausea and vomiting in cancer patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;PubMed, the Cochrane Library, Embase, Web of science, CINAHL, Scopus, China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), Wanfang Database, Chinese Biomedical literature Database (CBM) were systematically searched from inception to October 1, 2024. Studies were appraised critically and data extracted by two authors independently based on the Prediction Model Risk of Bias Assessment Tool (PROBAST) and Data Extraction for Systematic Reviews of Prediction Modeling Studies (CHARMS).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 4195 articles were retrieved, ultimately including 17 studies with 62 models for chemotherapy-induced nausea and vomiting. The sample size of the included studies ranged from 137 to 2215, with areas under the curve ranging from 0.602 to 0.850. In this study, the deep forest model demonstrated strong discrimination and calibration, outperforming conventional machine learning and traditional regression models. The five most important predictors in the deep forest model were creatinine clearance, age, sex, anticipatory nausea and vomiting, and antiemetic regimen. Across all included studies, age, chemotherapy regimens, cycles of chemotherapy, history of alcohol consumption, prior episodes of chemotherapy-induced nausea and vomiting, sleep quality before chemotherapy, sex, antiemetic regimens, history of morning sickness, anticipatory nausea and vomiting, were the most frequently reported predictors. All studies were rated as high risk of bias mainly due to poor reporting of the participants and analysis domains, with high concerns regarding applicability in 9 studies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The research on prediction models for chemotherapy-induced nausea and vomiting model is in its developing stage, with both commonalities and differences in predictors. Despite the overall acceptable performance of chemotherapy-induced nausea and vomiting models, most studies have methodological shortcomings, and few models have been validated. Future studies should refer to the Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis or Diagnosis (TRIPOD) guideline for model design, implementation, and reporting. Moreover, studies with larger sample sizes and multicenter external validation are necessary to enhance the robustness of predictive models.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;The protocol for th","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105094"},"PeriodicalIF":7.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895509","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":"Workplace stressors and mental health outcomes among personal support workers: A systematic review","authors":"Batholomew Chireh ,&nbsp;Samuel Kwaku Essien ,&nbsp;Kyle Swerhun ,&nbsp;Carl D'Arcy ,&nbsp;Jeremiah W. Acharibasam","doi":"10.1016/j.ijnurstu.2025.105093","DOIUrl":"10.1016/j.ijnurstu.2025.105093","url":null,"abstract":"<div><h3>Background</h3><div>Although there is a growing focus on the mental well-being of licensed clinicians, there remains a scarcity of comprehensive evidence concerning the mental well-being of personal support workers (broadly defined as direct care workers), a vital segment of the healthcare workforce, particularly for aging populations. This review aims to identify, summarize, and synthesize the literature on work-related stressors associated with mental health problems among personal support workers, while also examining the potential influence of gender or sex differences in this relationship.</div></div><div><h3>Methods</h3><div>This systematic review searched the EMBASE, PsycINFO, PubMed/Medline, and Web of Science databases for relevant studies. Studies published between 1 January 2003 and 30 June 2024 were included in the review. A quality assessment of each study was conducted using the Joanna Briggs Institute Checklist for Analytical Cross-Sectional Studies and the Joanna Briggs Institute Critical Appraisal Checklist for Cohort Studies. Meta-analysis was not performed due to the heterogeneity of the studies' characteristics.</div></div><div><h3>Results</h3><div>Fourteen (14) articles met the inclusion criteria. They assessed burnout, depression, and/or anxiety among personal support workers who were exposed to various work-related stressors including high workload, aggressive client behavior, insufficient resources (e.g., physical and staffing), role ambiguity, conflict, personal growth, job satisfaction, discrimination, lack of co-workers or supervisors support, emotional suppression, extended working hours, complicated grief, and organizational support or respect. Aggressive client behavior, role ambiguity, resource inadequacy, and high workload emerged as the most frequently reported stressors. Burnout was the most frequently observed outcome. These relationships persisted in many multivariable analyses, even after adjusting for potential confounders. Also, females who experienced work-related stressors were more likely than males to report burnout, depression, or anxiety.</div></div><div><h3>Limitations</h3><div>The considerable heterogeneity of various work-related stressors and measurements among selected studies prevented a meta-analysis.</div></div><div><h3>Conclusions</h3><div>Collectively, this review's results suggest a significant association between major work-related stressors and mental disorders among personal support workers, while also emphasizing notable gender/sex differences in this relationship. These findings not only guide future research into the mental well-being of personal support workers but also underscore the importance for healthcare institutions of implementing organizational interventions to mitigate stressors and cultivate a more supportive work environment.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105093"},"PeriodicalIF":7.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899158","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":"Digital exclusion in older adults: A scoping review","authors":"Hui Ge,&nbsp;Jiashuai Li,&nbsp;Huiling Hu,&nbsp;Tingting Feng,&nbsp;Xue Wu","doi":"10.1016/j.ijnurstu.2025.105082","DOIUrl":"10.1016/j.ijnurstu.2025.105082","url":null,"abstract":"<div><h3>Background</h3><div>The intersection of aging and digitalization is a distinctive feature of this new era. While digitalization brings convenience, it also forces older people to use tools that did not exist during their formative or working years. Understanding digital exclusion in older adults, the primary demographic affected, is essential to better support integration into the digital society, particularly in enhancing digital healthcare services' usability, continuity, and precision.</div></div><div><h3>Objective</h3><div>This study aims to conduct a scoping review of digital exclusion to better understand its current state in older adults.</div></div><div><h3>Methods</h3><div>The scoping review followed a five-stage framework and the PRISMA-ScR checklist statement. We systematically searched PubMed, CINAHL Plus with Full Text, Academic Search Complete, ACM digital library, Web of Science, and ProQuest from the earliest available date to May 2024.</div></div><div><h3>Results</h3><div>A total of 39 articles were included in the scoping review. The attributes of digital exclusion were identified as resource exclusion, skills exclusion, and motivational exclusion. Contributing factors were categorized into three domains: sociodemographic characteristics, physiological conditions, and psychological states. The consequences of digital exclusion were separated into social exclusion and technology anxiety. Intervention strategies included accessibility, ability, and willingness, aligning with the attributes of digital exclusion in older adults.</div></div><div><h3>Conclusions</h3><div>The findings of this scoping review contribute to understanding and clarifying digital exclusion in older adults. Digital exclusion is a prevalent, complex, multi-causal, and multidimensional phenomenon that predisposes individuals to social exclusion. Identifying attributes, contributing factors, and consequences can guide digital product developers, sociologists, and geriatric clinicians in addressing digital exclusion in older adults to improve their mental and physical well-being. Future research should focus more on empirical studies to deepen our understanding of digital exclusion in older adults.</div><div><strong>Tweetable abstract</strong>: The definition of digital exclusion is inconsistent. Further clarification of contributing factors, developing measurement tools, and formulating interventions for digital exclusion in older adults can contribute to achieving consensus on the concept.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105082"},"PeriodicalIF":7.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143863421","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":"Reminiscence therapy delivery formats for older adults with dementia or mild cognitive impairment: A systematic review and network meta-analysis","authors":"Yuhang Pu ,&nbsp;Guangwei Zhang ,&nbsp;Simiao You ,&nbsp;Hayley Gains ,&nbsp;Kexin Huang ,&nbsp;Yongliang Jiao ,&nbsp;Rendong He ,&nbsp;Bingyue Han ,&nbsp;Haiqi Yang ,&nbsp;Yong Jia ,&nbsp;Li Chen","doi":"10.1016/j.ijnurstu.2025.105085","DOIUrl":"10.1016/j.ijnurstu.2025.105085","url":null,"abstract":"<div><h3>Background</h3><div>Reminiscence therapies are beneficial for people who have dementia or mild cognitive impairment and are widely used among older adults in service institutions and community health care. However, it is not clear which reminiscence therapy delivery format is the most effective.</div></div><div><h3>Objectives</h3><div>To evaluate all reminiscence therapy delivery formats with regard to comparative cognitive function, depressive symptoms, quality of life and adherence, among people with dementia or mild cognitive impairment.</div></div><div><h3>Methods</h3><div>Nine databases were searched systematically to screen pertinent randomized controlled trials (RCTs) published as of March 7, 2025. The effects of and adherence to reminiscence therapy delivery formats were ranked by using a network meta-analysis based on frequentist approaches. The inconsistency between direct comparison and indirect comparison was examined by the node-splitting method. The surface under the cumulative ranking curve (SUCRA) was calculated to rank probability of all reminiscence therapy delivery formats.</div></div><div><h3>Results</h3><div>Fifty-three RCTs involving 4582 participants were included from 4363 records. Compared to the control groups, reminiscence therapy improved cognitive function, reduced depressive symptoms and improved quality of life and this differed according to delivery format. Digital reminiscence therapy had better effects relative to treatment as usual (<em>SMD</em> = 5.02, 95 % <em>CI</em>: 2.57, 7.48) was the highest ranking (SUCRA = 93.6 %) for cognitive function. Digital reminiscence therapy had better effects compared to treatment as usual (<em>SMD</em> = −<!--> <!-->5.98, 95 % <em>CI</em>: −<!--> <!-->10.67, −<!--> <!-->1.30) with highest ranking (SUCRA = 94.9 %) for depressive symptoms. Individual reminiscence therapy had better effects compared to treatment as usual (<em>SMD</em> = 5.15, 95 % <em>CI</em>: 3.61, 6.70) and ranked first (SUCRA = 98.3 %) for quality of life. Group reminiscence therapy was the best format compared to individual reminiscence therapy (<em>SMD</em> = 2.36, 95 % <em>CI</em>: 1.37, 4.06) and treatment as usual (<em>SMD</em> = 1.71, 95 % <em>CI</em>: 1.07, 2.73) with highest ranking (SUCRA = 95.6 %).</div></div><div><h3>Conclusions</h3><div>This review suggests that digital reminiscence therapy seems to be the most effective format for people with dementia or mild cognitive impairment and adherence is likely to be higher following group reminiscence therapy. Considering the limitations of this review, more comprehensive multi-group randomized controlled trials are warranted to compare the effects of and adherence to reminiscence therapy delivery formats for people with dementia or mild cognitive impairment.</div></div><div><h3>Registration</h3><div>This review was registered with PROSPERO (CRD42024530754).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105085"},"PeriodicalIF":7.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143863420","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":"Effects of a nurse-led individualized mHealth nutrition intervention for post-discharged gastric cancer patients following gastrectomy: A randomized controlled trial","authors":"Xiao-han Jiang ,&nbsp;Xiu-hong Yuan ,&nbsp;Jia-min Chen ,&nbsp;Hong Yu ,&nbsp;Xi-jie Chen ,&nbsp;Yong-he Chen ,&nbsp;Si-jia Li ,&nbsp;Yue-e Wen ,&nbsp;Jun-sheng Peng","doi":"10.1016/j.ijnurstu.2025.105092","DOIUrl":"10.1016/j.ijnurstu.2025.105092","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effects of a nurse-led individualized mHealth nutrition intervention on nutritional status, nutritional intake, cognitive beliefs related to nutritional behavior, weight loss, blood parameters, gastrointestinal symptoms, and quality of life in post-discharged gastric cancer patients following gastrectomy.</div></div><div><h3>Design</h3><div>This was an assessor-blinded parallel-arm randomized controlled trial with a repeated-measures design.</div></div><div><h3>Setting(s)</h3><div>The participants were recruited from inpatient gastric surgery units of two tertiary hospitals in Guangzhou, China.</div></div><div><h3>Participants</h3><div>A total of 108 patients with gastric cancer who underwent gastrectomy and were scheduled to be discharged to their homes were included.</div></div><div><h3>Method</h3><div>Participants were randomly allocated to either the intervention or the control group (n = 54 per group). The intervention group received the nurse-led individualized mHealth nutrition intervention in addition to the usual care, whereas the control group received only usual care. The intervention included face-to-face education before discharge, the use of an applet and phone consultations. Baseline data were collected on the day of discharge from the hospital (T0). The patients' nutritional status, cognitive beliefs related to nutritional behavior, nutritional intake, weight loss, blood parameters, gastrointestinal symptoms and quality of life were repeatedly measured at 4-week (T1) and 12-week (T2) after discharge.</div></div><div><h3>Results</h3><div>Compared with the control group, the intervention group showed significant improvement in nutritional status (<em>ꞵ₄ weeks</em> = −<!--> <!-->1.08, 95 % CI −<!--> <!-->2.12 to 0.04, <em>p</em> = 0.042; <em>ꞵ₁₂ weeks</em> = −<!--> <!-->1.52, 95 % CI −<!--> <!-->2.57 to −<!--> <!-->0.47, <em>p</em> = 0.005). Improvements were also observed in energy and protein intake, weight loss, and cognitive beliefs related to nutritional behavior, including risk perception, outcome expectancy, self-efficacy, intention, and action plan (<em>p</em> &lt; 0.05). However, no statistically significant differences were observed in coping plan, gastrointestinal symptoms, blood parameters, and quality of life (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>The nurse-led individualized mHealth nutrition intervention was effective for improving the cognitive beliefs related to nutritional behavior, energy and protein intake, and nutritional status, as well as reducing weight loss among post-discharged gastric cancer patients following gastrectomy.</div></div><div><h3>Registration number</h3><div>ChiCTR2200064808.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105092"},"PeriodicalIF":7.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847473","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":"Exploring the perceptions and experiences of caregivers with the application of socially assistive robots in dementia care: A systematic review of qualitative studies","authors":"Wen Shi,&nbsp;Wenlu Zhou,&nbsp;Rui Wang,&nbsp;Haifei Shen,&nbsp;Niying Xu,&nbsp;Junjie Wang","doi":"10.1016/j.ijnurstu.2025.105084","DOIUrl":"10.1016/j.ijnurstu.2025.105084","url":null,"abstract":"<div><h3>Background</h3><div>The use of socially assistive robots in dementia care is growing, aimed at improving patient well-being and alleviating caregiver burden. Refining the utilisation of robotic assistance in individuals with dementia is critical, drawing on feedback and insights from caregivers. While numerous qualitative studies have examined how caregivers view and interact with socially assistive robots, a comprehensive synthesis of these insights is missing. This study seeks to integrate existing research on caregiver perceptions and experiences regarding socially assistive robots, offering guidance for applying and developing such technology in dementia care.</div></div><div><h3>Methods</h3><div>A computerised search of the Cochrane Library, PubMed, Embase, CINAHL, Web of Science Core Collection, CNKI, Wanfang, Vip and SinoMed was conducted to identify relevant qualitative studies. The search covered the period from establishing each database until July 2024. The Joanna Briggs Institute criteria for qualitative research were utilised to evaluate the quality of the studies, and a thematic synthesis approach was employed to integrate the findings.</div></div><div><h3>Results</h3><div>A total of 15 studies were included, yielding four new integrated findings: (1) mixed attitudes of caregivers towards socially assistive robots, (2) perceived benefits of using socially assistive robots in people with dementia from caregivers, (3) realistic barriers in applying socially assistive robots for dementia care, and (4) future expectations for socially assistive robots from caregivers. Most caregivers actively embrace socially assistive robots, while a minority express concerns and doubts. These devices have significantly improved the psychological and physical conditions of people with dementia, concurrently reducing the burden for caregivers. However, the current models of these robots still exhibit several shortcomings and technical limitations, and caregivers maintain high expectations for their improvement.</div></div><div><h3>Conclusion</h3><div>During the implementation of socially assistive robots, the requirements and intentions of people with dementia and their caregivers must be addressed. This involves conducting essential knowledge dissemination and relevant educational activities to enhance user acceptance of these robotic assistants. Simultaneously, efforts should be made to improve the functionality and design aesthetics of these robots, refine the social support system and further enhance the quality of care for people with dementia while alleviating caregiver burden.</div></div><div><h3>Registration</h3><div>PROSPERO CRD42024511500.</div></div><div><h3>Tweetable abstract</h3><div>Socially assistive robots improve the well-being of people with dementia.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105084"},"PeriodicalIF":7.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856065","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}