International Journal of Nursing Studies最新文献

{"title":"Effects on health outcomes following a nurse-led hearing loss management intervention designed for older adults: A randomized controlled trial","authors":"Ya-Chuan Tseng , Nien-Tzu Chang , Sara Hsin-Yi Liu , Bih-Shya Gau , Tien-Chen Liu , Meei-Fang Lou","doi":"10.1016/j.ijnurstu.2025.105050","DOIUrl":"10.1016/j.ijnurstu.2025.105050","url":null,"abstract":"<div><h3>Background</h3><div>Hearing loss is prevalent in older adults, which can negatively impact health. However, providing strategies for managing hearing loss is often not prioritized and it is not well understood whether interventions providing older adults with information to improve living with hearing loss can impact health.</div></div><div><h3>Objectives</h3><div>To investigate the effects of a nurse-led hearing loss management intervention designed for older adults on communication ability, loneliness, depression, quality of life and hearing aid satisfaction.</div></div><div><h3>Methods</h3><div>This single-blind, parallel-arm, randomized controlled trial with a repeated measure design recruited adults aged ≥<!--> <!-->65 years with hearing loss (N = 57) from an otolaryngology clinic of a university-affiliated hospital in northern Taiwan from September 2021 to October 2023. Participants were randomly assigned to a 10-week nurse-led hearing loss management program (intervention group, n = 28), or 10 weeks of usual care while wait-listed for the program (wait-list control group, n = 29). The program included (1) ten 60-min one-on-one health education sessions on hearing loss management strategies; (2) a printed booklet on hearing loss; (3) a consultation with communication partners of the participants; and (4) weekly follow-up calls. Self-report assessments were conducted at baseline (T0), immediately after completion of the intervention (3 months, T1), and at the 3-month follow-up (6 months from baseline, T2). Data were analyzed using the intention-to-treat principle. Generalized estimating equations analyzed changes in measures from T0 to T1 and T0 to T2 for the intervention group compared with the wait-list control group.</div></div><div><h3>Results</h3><div>Post-intervention, after adjusting for age, participants in the intervention group had greater improvements in communication ability compared with the wait-list control group (mean difference = −<!--> <!-->8.51, 95 % CI: −<!--> <!-->12.37 to −<!--> <!-->4.65, p < 0.001) and an increase in perceived hearing aid satisfaction (mean difference = 3.90, 95 % CI: 1.84 to 5.96, p = 0.001). The greater improvements in communication ability for the intervention group compared with the wait-list control group were sustained at the 3-month follow-up (mean difference = −<!--> <!-->5.95, 95 % CI: −<!--> <!-->10.48 to −<!--> <!-->1.42, p = 0.007). No differences were identified between the two groups in terms of loneliness, depression or quality of life.</div></div><div><h3>Conclusions</h3><div>Significant improvements were seen in communication abilities and hearing aid satisfaction for older adults in the intervention group after participation in the nurse-led hearing program. The sustained communication ability improvements at 3-month follow-up suggest hearing loss management programs positively impact the health of older adults with hearing loss.</div></div><div><h3>Registration</h3><div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105050"},"PeriodicalIF":7.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725275","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":"Corrigendum to “Survivorship concerns among posttreatment cancer survivors in South Korea: A secondary analysis of a cross-sectional survey” [Int. J. Nurs. Stud. 162 (2025) 104982]","authors":"Soo Hyun Kim","doi":"10.1016/j.ijnurstu.2025.105042","DOIUrl":"10.1016/j.ijnurstu.2025.105042","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105042"},"PeriodicalIF":7.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606980","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":"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’”","authors":"Melati Fajarini , Kuei-Ru Chou","doi":"10.1016/j.ijnurstu.2025.105051","DOIUrl":"10.1016/j.ijnurstu.2025.105051","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105051"},"PeriodicalIF":7.5,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630904","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":"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’”","authors":"Soo Hyun Kim","doi":"10.1016/j.ijnurstu.2025.105039","DOIUrl":"10.1016/j.ijnurstu.2025.105039","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105039"},"PeriodicalIF":7.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634932","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":"Skin-to-skin contact and breastfeeding after caesarean section: A systematic review and meta-analysis of intervention studies","authors":"José Alberto Martínez-Hortelano ,&nbsp;Alicia Saz-Lara ,&nbsp;Jorge Luis Gómez González ,&nbsp;Soledad Cristóbal-Aguado ,&nbsp;Laura Iglesias-Rus ,&nbsp;Vicente Martínez-Vizcaíno ,&nbsp;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; I²: 85.3), increased the breastfeeding rates in the first 2 h after birth (RR: 4.86; 95 % CI: 2.71 to 7.01; I²: 44.1) and the exclusive breastfeeding rate at discharge (RR: 1.69; 95 % CI 1.36 to 2.01; I²: 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; I²: 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}

{"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 ,&nbsp;Yamei Bai ,&nbsp;An Tao ,&nbsp;Yayi Zhao ,&nbsp;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}

{"title":"‘Comment on Kim (2025) Survivorship concerns among post-treatment cancer survivors in South Korea: A secondary analysis of a cross-sectional survey’","authors":"Beilei Chen ,&nbsp;Sheng Li","doi":"10.1016/j.ijnurstu.2025.105041","DOIUrl":"10.1016/j.ijnurstu.2025.105041","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105041"},"PeriodicalIF":7.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143583085","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 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 ,&nbsp;Haixia Ma ,&nbsp;Haoyan Ge ,&nbsp;Yuying Sun ,&nbsp;Tyrone Tai-On Kwok ,&nbsp;Xianliang Liu ,&nbsp;Yanping Wang ,&nbsp;Way Kwok Wai Lau ,&nbsp;Wen Zhang","doi":"10.1016/j.ijnurstu.2025.105037","DOIUrl":"10.1016/j.ijnurstu.2025.105037","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;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&lt;sup&gt;2&lt;/sup&gt; 0%).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;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}

{"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 ,&nbsp;Qin Jiang ,&nbsp;Fei Ye ,&nbsp;Sushun Liu ,&nbsp;Yamin Li ,&nbsp;Mimi Zhai","doi":"10.1016/j.ijnurstu.2025.105036","DOIUrl":"10.1016/j.ijnurstu.2025.105036","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;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&lt;sup&gt;+&lt;/sup&gt; &lt;!--&gt;T cell count and viral load, among newly diagnosed HIV-positive men who have sex with men.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;This randomized controlled trial involved random assignment of participants to either the intervention or control group in a 1:1 ratio.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Participants were recruited through Changsha First Hospital and Changsha Zhongda Sunshine Social Work Service Center.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;A total of 70 participants were included in the study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The intervention group participated in an 8-week “Towards the Sun” program delivered via the WeChat platform, while the control group received standard follow-up care. Outcomes were measured at baseline (T1), post-intervention (T2), and three months post-intervention (T3). Generalized Estimating Equations were used to analyze the intervention effects over time.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The intervention group demonstrated a significant increase in sense of coherence scores from T1 to T3 (ME = 10.23, 95%CI 7.14–13.31, &lt;em&gt;p&lt;/em&gt; &lt; 0.001), whereas the control group showed a declining trend from T1 to T3 (ME = -7.35, 95%CI -10.39- -4.32, &lt;em&gt;p&lt;/em&gt; &lt; 0.001). Stress in the intervention group significantly decreased at T3 compared to T1 (ME = −&lt;!--&gt; &lt;!--&gt;3.66, 95%CI -5.56- -1.76, &lt;em&gt;p&lt;/em&gt; &lt; 0.001), while the control group experienced a significant increase (ME = 1.93, 95%CI 0.06–3.80, &lt;em&gt;p&lt;/em&gt; = 0.043). Additionally, depression only increased in the control group (ME = 3.17, 95%CI 1.53–4.81, &lt;em&gt;p&lt;/em&gt; &lt; 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, &lt;em&gt;p&lt;/em&gt; = 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, &lt;em&gt;p&lt;/em&gt; = 0.001). No significant differences were found between groups regarding CD4&lt;sup&gt;+&lt;/sup&gt; T cell count or viral load.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;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}

{"title":"Energy conservation education intervention for people with end-stage kidney disease receiving haemodialysis (EVEREST): A two-arm parallel group study","authors":"Sita Sharma ,&nbsp;Kimberly E. Alexander ,&nbsp;Theresa Green ,&nbsp;Min-Lin Wu (Winnie) ,&nbsp;Ann Bonner","doi":"10.1016/j.ijnurstu.2025.105032","DOIUrl":"10.1016/j.ijnurstu.2025.105032","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate the effectiveness of an energy conservation education intervention for people with kidney failure receiving haemodialysis (EVEREST).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A two-arm parallel group study with haemodialysis shift randomisation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Participants who received the energy conservation education program showed a significant reduction in fatigue severity (mean difference [MD] = −&lt;!--&gt; &lt;!--&gt;1.88, 95 % confidence intervals [CI] [−&lt;!--&gt; &lt;!--&gt;2.36 to −&lt;!--&gt; &lt;!--&gt;1.40], &lt;em&gt;p&lt;/em&gt; &lt; .001), fatigue interference (MD = -1.52, 95 % CI [−&lt;!--&gt; &lt;!--&gt;2.02 to −&lt;!--&gt; &lt;!--&gt;1.02], &lt;em&gt;p&lt;/em&gt; &lt; .001), number of fatigue days (MD = -1.12, 95 % CI [−&lt;!--&gt; &lt;!--&gt;1.60 to −&lt;!--&gt; &lt;!--&gt;0.64], &lt;em&gt;p&lt;/em&gt; &lt; .001), and percent of day fatigued (MD = -18.47, 95 % CI [−&lt;!--&gt; &lt;!--&gt;23.60 to −&lt;!--&gt; &lt;!--&gt;13.34], &lt;em&gt;p&lt;/em&gt; &lt; .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, &lt;em&gt;p&lt;/em&gt; &lt; .001), fatigue interference (ES = 1.68, &lt;em&gt;p&lt;/em&gt; &lt; .001), number of fatigue days (ES = 0.74, &lt;em&gt;p&lt;/em&gt; &lt; .001), and percent of day fatigued (ES = 2.10, &lt;em&gt;p&lt;/em&gt; &lt; .001) were observed in the intervention group compared to the control group. Similarly, significant improvements were detected in the CKD symptom (ES = 1.49, &lt;em&gt;p&lt;/em&gt; &lt; .001), occupational performance (ES = 1.17, &lt;em&gt;p&lt;/em&gt; &lt; .001), and satisfaction with the performance (ES = 1.59, &lt;em&gt;p&lt;/em&gt; &lt; .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, &lt;em&gt;p&lt;/em&gt; &lt; .001) and mental health (ES = 2.06, &lt;em&gt;p&lt;/em&gt; &lt; .001)] at week 12 compared to the control group.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;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}