International Journal of Nursing Studies最新文献

{"title":"The effect of postoperative back massage on pain, sleep outcomes and serum cortisol after open-heart surgery: A randomized controlled trial","authors":"Yasemin Özhanlı ,&nbsp;Ayşegül Güneş ,&nbsp;Nuray Akyüz ,&nbsp;Suna Uzun ,&nbsp;Müşerref Kurt ,&nbsp;Oğuz Omay ,&nbsp;Berna Yıldırım Şık ,&nbsp;Şükriye Şahin","doi":"10.1016/j.ijnurstu.2026.105343","DOIUrl":"10.1016/j.ijnurstu.2026.105343","url":null,"abstract":"<div><h3>Background</h3><div>Massage is widely recognized as an effective non-pharmacological intervention for reducing pain and anxiety after cardiac surgery. However, its effects on <strong>sleep outcomes</strong> and <strong>biological stress markers</strong> remain underexplored.</div></div><div><h3>Aim</h3><div>To evaluate the impact of back massage on postoperative pain, subjective and objective sleep outcomes, and serum cortisol levels in patients undergoing open-heart surgery.</div></div><div><h3>Methods</h3><div>A prospective randomized controlled trial was conducted with 72 patients scheduled for elective open-heart surgery. Participants were randomized (1:1) to an intervention group (back massage) or a control group (routine care with light touch). The intervention consisted of three standardized sessions (15–20 min each) on the first postoperative day. Outcomes included pain (Numeric Rating Scale-Pain), subjective sleep quality (Richard–Campbell Sleep Scale), objective sleep duration (smartwatch measurement), and serum cortisol levels. Data were analyzed using repeated-measures analysis of variance and Brunner–Langer tests in a per-protocol population (n = 64).</div></div><div><h3>Results</h3><div>Back massage was associated with significantly longer total sleep duration (p = 0.037) and greater reduction in pain scores, with significant group, time, and group × time effects (p = 0.002, p &lt; 0.001, p = 0.048). Cortisol levels decreased over time in both groups (p &lt; 0.001), but without significant between-group differences. Subjective sleep quality improved in both groups, and analgesic use declined, with no significant variation between groups. No adverse events were observed.</div></div><div><h3>Conclusion</h3><div>This randomized controlled trial demonstrates that back massage is a safe and feasible intervention after open-heart surgery, improving objectively measured sleep duration and reducing pain. By incorporating objective sleep measures and a biological stress marker (serum cortisol), this study provides novel insights that extend beyond the traditionally reported outcomes of pain and anxiety, supporting massage as a complementary strategy within multimodal nursing care.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"176 ","pages":"Article 105343"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145995296","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":"Factors affecting pregnant women’s adherence to exercise interventions based on the COM-B model and the theoretical domains framework: A mixed-methods systematic review","authors":"Hongyue Dai ,&nbsp;Ju Wang","doi":"10.1016/j.ijnurstu.2026.105425","DOIUrl":"10.1016/j.ijnurstu.2026.105425","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"178 ","pages":"Article 105425"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826549","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":"RNA sequencing exploration of low-frequency vibration responses in healthy and senescent fibroblasts","authors":"Chihiro Takizawa ,&nbsp;Qin Qi ,&nbsp;Sanai Tomida ,&nbsp;Gojiro Nakagami","doi":"10.1016/j.ijnurstu.2026.105473","DOIUrl":"10.1016/j.ijnurstu.2026.105473","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"178 ","pages":"Article 105473"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826587","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":"Implementing a nurse-led educational intervention for promoting cervical cancer screening in rural areas: A mixed-methods process evaluation","authors":"Mengyue Zhang ,&nbsp;Janet W.H. Sit ,&nbsp;Carmen W.H. Chan","doi":"10.1016/j.ijnurstu.2026.105510","DOIUrl":"10.1016/j.ijnurstu.2026.105510","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"178 ","pages":"Article 105510"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826624","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":"The effects of a nurse-led smartphone-based intervention after coronary artery bypass grafting: A randomised controlled trial","authors":"Mohammadamin Mahmoodi ,&nbsp;Mahnaz Antikchi ,&nbsp;Shaghayegh Saeidinasab ,&nbsp;Fatemeh Bakhshi","doi":"10.1016/j.ijnurstu.2026.105341","DOIUrl":"10.1016/j.ijnurstu.2026.105341","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Patients after coronary artery bypass grafting often face suboptimal recovery, including pain, reduced quality of life, and haemodynamic instability, worsened by limited self-care knowledge and inadequate post-discharge support. Nurse-led smartphone-based interventions may offer a scalable solution for resource-limited settings.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate the effects of a nurse-led, smartphone-based educational and follow-up intervention on pain, quality of life, and haemodynamic stability in patients undergoing elective coronary artery bypass grafting.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Single-blind, randomized controlled trial.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Settings&lt;/h3&gt;&lt;div&gt;A tertiary cardiac surgery center in Shiraz, Iran, from July 2024 to April 2025.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Eighty-four adults undergoing elective coronary artery bypass grafting, randomized (1:1) to intervention or control groups, with 80 completing the study (40 per group).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The intervention group received a three-phase programme: (1) pre-operative education via videos, messages, and a face-to-face session; (2) in-hospital education and daily symptom monitoring for pain and self-care; (3) 30-day post-discharge follow-up with weekly nurse-led calls and real-time messaging. Controls received standard care with one handout. Outcomes included pain (visual analog scale), quality of life (SF-36 Health Survey), and hemodynamic indices (blood pressure, heart rate). Pain and haemodynamic indices were assessed at baseline, three times daily for four days in the general ward following post-intensive care unit discharge (12 time points), and weekly post-discharge (days 7, 14, 21, 30; 4 time points), totaling 17 assessments. Quality of life was assessed at baseline and 30 days post-discharge. Data were analyzed using Mann–Whitney U tests, t-tests, and repeated-measures analysis of variance.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The intervention group had lower pain scores (in-hospital: 3.96 ± 0.42 vs. 4.29 ± 0.35, p &lt; 0.001, d = −&lt;!--&gt; &lt;!--&gt;0.85, 95% CI -0.50 to −&lt;!--&gt; &lt;!--&gt;0.16; post-discharge: 1.45 ± 0.38 vs. 2.01 ± 0.50, p &lt; 0.001, d = −&lt;!--&gt; &lt;!--&gt;1.26, 95% CI -0.76 to −&lt;!--&gt; &lt;!--&gt;0.36) and reduced post-discharge blood pressure and heart rate. Total quality of life scores showed no significant between-group differences at 30 days (adjusted ANCOVA: adjusted mean difference = 0.15, 95% CI −&lt;!--&gt; &lt;!--&gt;1.27 to 1.57, p = 0.832), while the pain domain improved significantly in the intervention group (p = 0.002, r = −&lt;!--&gt; &lt;!--&gt;0.35). Group-by-time interactions were significant for pain and haemodynamic outcomes (p &lt; 0.05).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This nurse-led, smartphone-based intervention reduced pain, improved pain-related quality of life, and stabilized haemodynamic parameters post-coronary artery bypass grafting. Easily integrated into nursing practice, it support","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"176 ","pages":"Article 105341"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145962452","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":"How community nurses handle concerns voiced by older adults: A conversation analytic study","authors":"Leonie Slots ,&nbsp;Bogdana Humă ,&nbsp;Hedwig te Molder ,&nbsp;Marjolein den Ouden ,&nbsp;Ellen Oosterkamp-Szwajcer ,&nbsp;Geke Ludden","doi":"10.1016/j.ijnurstu.2025.105326","DOIUrl":"10.1016/j.ijnurstu.2025.105326","url":null,"abstract":"<div><h3>Background</h3><div>Community nurses play an important role in supporting older adults who live at home by encouraging self-determination, autonomy, and self-management, all of which are becoming increasingly important in home care. This study aims to identify and describe the ways in which community nurses deal with the concerns raised by older adults, who live independently at home with care support.</div></div><div><h3>Data and method</h3><div>We analysed a corpus of 21 recorded conversations that took place during home visits conducted in a large Dutch city between 2020 and 2022. To examine the data, we used conversation analysis, an inductive qualitative approach that is particularly suited to the analysis of real-life interactions, including healthcare interactions.</div></div><div><h3>Analysis</h3><div>We identified three different trajectories that characterise how community nurses handle clients' concerns and that yield distinct outcomes. The exploratory trajectory is characterised by nurses stimulating clients both to identify the cause or source of the concern as well as a solution to it. By contrast, the presumptive trajectory involves nurses proposing solutions themselves, while leaving the origins of the concern unexplored. Finally, the reassuring trajectory entails nurses normalising the concern which leads to clients volunteering possible remedies that they have already implemented.</div></div><div><h3>Conclusion</h3><div>Our findings highlight the crucial role of language in how concerns of clients are constructed during home visits and the importance of community nurses in shaping how those concerns unfold and get resolved.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"176 ","pages":"Article 105326"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844825","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":"Experience of living with mild cognitive impairment: A meta-synthesis and conceptual integration of dynamic cognitive, psychological, and social dimensions","authors":"Rose Lin ,&nbsp;Sara Laureen Bartels ,&nbsp;Jing Jing Su","doi":"10.1016/j.ijnurstu.2026.105349","DOIUrl":"10.1016/j.ijnurstu.2026.105349","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Mild cognitive impairment is a transitional stage between normal aging and dementia, marked by cognitive decline alongside emotional distress and disruption in self-identity and social roles. Unlike those with advanced dementia, individuals with mild cognitive impairment often retain insight into their condition, leading to a complex interplay of uncertainty, stigma, and fluctuating symptoms. While neurobiological research has advanced understanding of structural and functional changes in mild cognitive impairment, it offers limited insight into how individuals psychologically and socially adjust to these changes in everyday life. This gap hindered the development of a conceptual model that reflects the dynamic, context-sensitive nature of coping, emotional regulation, and cultural meaning-making that are central to psychosocial adaptation. Therefore, we conducted a meta-synthesis of qualitative studies to develop a novel conceptual framework that integrates these psychosocial dimensions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To synthesize qualitative research on the lived experiences of individuals with mild cognitive impairment and to develop a conceptual framework that captures their dynamic, context-sensitive nature of coping.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Meta-synthesis of qualitative studies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;469 individuals (mean age = 74.94) with mild cognitive impairment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A systematic literature search across six databases identified 20 eligible qualitative studies. Thematic analysis synthesized first- and second-order interpretations into third-order constructs, generating overarching insights.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Three overarching themes emerged: (1) Living with mild cognitive impairment: cognitive decline disrupted daily routines, social roles, and self-perception, often triggering fear, grief, and frustration tied to a mismatch between expected and actual abilities; (2) Coping as a dynamic and contextual process: coping as a fluid and context-dependent process shaped by shifting personal goals, emotional states, and social environments; and (3) Making sense of mild cognitive impairment: individuals and families sought to interpret the diagnosis and understand its implications. Cultural norms, stigma, and access to information influenced how people perceived their condition and adjusted to uncertainty.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Integrating our findings with stress-coping theory and the psychological flexibility framework, we developed the Dynamic Stress-Response for Cognitive Decline Model, which captures how the perceived mismatch between expected and actual cognitive performance drives distress and the coping process. Psychological flexibility supports our understanding of the psychological processes underlying both adaptive and maladaptive coping responses, as well as the impact of contextual factors suc","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"176 ","pages":"Article 105349"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032881","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":"Gene expression profile of host cells in a healing dysbiotic pressure injury: A case study","authors":"Mao Kunimitsu ,&nbsp;Chihiro Takizawa ,&nbsp;Kazuki Shigeta ,&nbsp;Sanai Tomida ,&nbsp;Sanae Sasaki ,&nbsp;Shunsuke Miura ,&nbsp;Gojiro Nakagami","doi":"10.1016/j.ijnurstu.2026.105440","DOIUrl":"10.1016/j.ijnurstu.2026.105440","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"178 ","pages":"Article 105440"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826554","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":"Comparing traditional and machine learning-enhanced colorectal cancer screening strategies: A microsimulation modelling study","authors":"Junjie Lan ,&nbsp;Boheng Liang ,&nbsp;Minmin Zhu ,&nbsp;Jichuan Shen ,&nbsp;Yingru Liang ,&nbsp;Xi Cao ,&nbsp;Shuxian Chen ,&nbsp;Yang Bai","doi":"10.1016/j.ijnurstu.2026.105441","DOIUrl":"10.1016/j.ijnurstu.2026.105441","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"178 ","pages":"Article 105441"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826555","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":"Systemic and molecular determinants of anxiety: insights from plasma atherogenicity and MCOLN2 channel dysfunction","authors":"Haipeng Li ,&nbsp;Jiaqi Yan ,&nbsp;Keying Guo ,&nbsp;Yuxi Liu ,&nbsp;Jing Zhang","doi":"10.1016/j.ijnurstu.2026.105444","DOIUrl":"10.1016/j.ijnurstu.2026.105444","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"178 ","pages":"Article 105444"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826558","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}