International Journal of Nursing Studies最新文献

{"title":"Comment on Miao et al. (2024) ‘A dynamic online nomogram for predicting the heterogeneity trajectories of frailty among elderly gastric cancer survivors’","authors":"Yeping Zheng, Fengyan Pu","doi":"10.1016/j.ijnurstu.2024.104921","DOIUrl":"10.1016/j.ijnurstu.2024.104921","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104921"},"PeriodicalIF":7.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479631","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":"Healthcare professionals' experience with nutritional care beyond formal quality systems — A qualitative study","authors":"Randi Olsson Haave , Sigrid Nakrem , Line Melby","doi":"10.1016/j.ijnurstu.2024.104860","DOIUrl":"10.1016/j.ijnurstu.2024.104860","url":null,"abstract":"<div><h3>Background</h3><div>Numerous formal strategies, screening tools, and interventions have been used to prevent malnutrition in long-term care patients. Despite these efforts, the proportion of screened patients is low, and a large proportion are malnourished. Previous research has revealed that healthcare professionals use a broad approach in their nutritional care but has also emphasised the need for further investigation into these approaches.</div></div><div><h3>Objective</h3><div>To explore how healthcare professionals working in long-term care experience and apply nutritional care.</div></div><div><h3>Design</h3><div>A descriptive, exploratory, qualitative design containing 240 h of participant observation, 12 focus groups and 2 individual interviews.</div></div><div><h3>Setting(s)</h3><div>Twelve nursing homes and home care units in three Norwegian municipalities.</div></div><div><h3>Participants</h3><div>Participant observation of interactions between healthcare professionals and patients. Forty-three registered nurses participated in focus group or individual interviews.</div></div><div><h3>Methods</h3><div>The data were analysed using inductive thematic analysis.</div></div><div><h3>Results</h3><div>The analysis identified three themes: The first theme, limited significance of nutritional screening, showed that healthcare professionals experienced the limited value of nutritional screening, as it often did not capture patients' nutritional challenges. They also perceived nutritional screening as unsuitable for patients at the end of their lives, those with overweight-related complications, or undergoing rehabilitation. In addition, nutritional screening was perceived as something healthcare professionals did for their managers or administrators, not because it was crucial to providing good nutritional care. The second theme, provision of individualised food, captures the healthcare professionals' efforts in adapting and preparing food according to the patient's preferences. Facilitation to enable patients to make individual food choices and the use of food cards or lists were two approaches to individualising nutrition care. The third theme, making meals more than about food, elucidated how healthcare professionals used meals to help patients cope with their situations and experience social belonging. Conversations about or around meals were used to provide patients with a sense of belonging to their past or present situation. The meals were also used as a diversion strategy for patients with unrest, as arenas for daily activity training, and for meaningful social interactions between patients around the tables.</div></div><div><h3>Conclusions</h3><div>Nutritional screening and prevention of malnutrition are only one part of healthcare professionals' nutritional care. Individualised food and meals that create coping, a sense of belonging, and social experiences are equally important parts of their care. Emphasising healthcare prof","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104860"},"PeriodicalIF":7.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367282","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":"Authors' response to “Comment on Miao et al. (2024) ‘A dynamic online nomogram for predicting the heterogeneity trajectories of frailty among elderly gastric cancer survivors’”","authors":"Yinning Guo, Xueyi Miao, Shuqin Zhu, Qin Xu","doi":"10.1016/j.ijnurstu.2024.104922","DOIUrl":"10.1016/j.ijnurstu.2024.104922","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104922"},"PeriodicalIF":7.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479629","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":"Experiences and needs of family members following sudden cardiac death: A meta-synthesis","authors":"Dan Zhang ,&nbsp;Yiting Liu ,&nbsp;Niu Chen ,&nbsp;Yamin Li ,&nbsp;Xiaofei Li","doi":"10.1016/j.ijnurstu.2024.104872","DOIUrl":"10.1016/j.ijnurstu.2024.104872","url":null,"abstract":"<div><h3>Objective</h3><div>This meta-synthesis of qualitative studies aimed to explore the experiences and needs of family members of victims of sudden cardiac death.</div></div><div><h3>Design</h3><div>A meta-synthesis was conducted.</div></div><div><h3>Data sources</h3><div>Five databases (PubMed, CINAHL, EMBASE, Web of Science, and China National Knowledge Infrastructure) were searched from establishment to May 2024. From initial searches with essential keywords (sudden cardiac death, family members, and qualitative studies), 3021 articles were retrieved. There were eight studies in the meta-synthesis, selected on the basis of inclusion and exclusion criteria.</div></div><div><h3>Review methods</h3><div>We evaluated the quality of the included studies using the Critical Appraisal Skills Programme-Qualitative Research Checklist.</div></div><div><h3>Results</h3><div>Eight studies from six countries reported on the experiences and needs of family members who had lost someone to sudden cardiac death, and five analytical themes were synthesized: negative emotional reaction, finding cause of death, rebuilding life, meaning reconstruction and need for support. These experiences and needs fuse with each other and are relevant to the health and future of the family members.</div></div><div><h3>Conclusion</h3><div>Negative emotional reaction is a necessary process for family members dealing with sudden cardiac death, and rebuilding life is a challenge that family members must face. In the process of family members rebuilding normal life, finding the cause of death is the foundation, and meaning reconstruction is the core. Many of the needs faced by these family members are not well met, and policymakers and bereavement teams should provide comprehensive and personalized interventions for them.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104872"},"PeriodicalIF":7.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057127","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":"Is the PhD in nursing advancing or in retreat?","authors":"David R. Thompson ,&nbsp;Hugh P. McKenna","doi":"10.1016/j.ijnurstu.2024.104915","DOIUrl":"10.1016/j.ijnurstu.2024.104915","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104915"},"PeriodicalIF":7.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299971","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":"Corrigendum to ‘Effectiveness of nurse-led electronic health interventions on illness management in patients with chronic heart failure: A systematic review and meta-analysis’ [Int. J. Nurs. Stud. 150 (2024) 104630]","authors":"Na Zhang ,&nbsp;Qing Li ,&nbsp;Shuoxin Chen ,&nbsp;Yixin Wu ,&nbsp;Bo Xin ,&nbsp;Qiuyuan Wan ,&nbsp;Panpan Shi ,&nbsp;Yuxin He ,&nbsp;Shan Yang ,&nbsp;Wenhui Jiang","doi":"10.1016/j.ijnurstu.2024.104913","DOIUrl":"10.1016/j.ijnurstu.2024.104913","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104913"},"PeriodicalIF":7.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331577","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":"Health changes from trans-theoretical model-based education in older adults with mild cognitive impairment: A randomized controlled trial","authors":"Lulu Shi ,&nbsp;Bei Wu ,&nbsp;Xiaoshen Liu ,&nbsp;Yinxia Ren ,&nbsp;Chen Zhang ,&nbsp;Xiaoyan Wang ,&nbsp;Lina Wang","doi":"10.1016/j.ijnurstu.2024.104961","DOIUrl":"10.1016/j.ijnurstu.2024.104961","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Low awareness and misconceptions surrounding mild cognitive impairment highlight the urgent need for effective health education. Reluctance to seek intervention and poor adherence to management strategies make behavior-oriented health education essential.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To assess the effectiveness and clinical significance of a trans-theoretical model-based health education program on cognitive-behavioral outcomes in older adults with mild cognitive impairment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A two-arm and assessor-blinded randomized controlled trial.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Settings and participants&lt;/h3&gt;&lt;div&gt;100 community-dwelling older adults with mild cognitive impairment in Huzhou, China.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Participants were randomly assigned to a trans-theoretical model-based health education program (weekly 45–60 min sessions for 8 weeks, followed by 12 weeks of unsupervised practice) or a wait-list control group receiving standard health education. Disease knowledge, behavioral stage, and adherence to health management behaviors were assessed at baseline, 8-week, and 20-week. Effects were evaluated at the group level via generalized estimating equation and at the individual level using reliable and clinically significant change.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The trans-theoretical model-based health education program demonstrated significant effects over the wait-listed control. Generalized estimating equation analyses showed statistically significant effects on behavioral stage (β&lt;sub&gt;8-week&lt;/sub&gt; = 1.04, 95%CI = 0.34–1.75; β&lt;sub&gt;20-week&lt;/sub&gt; = 1.72, 95%CI = 0.95–2.49), disease knowledge (β&lt;sub&gt;8-week&lt;/sub&gt; = 1.14, 95%CI = 0.26–2.02; β&lt;sub&gt;20-week&lt;/sub&gt; = 1.78, 95%CI = 0.87–2.69), and adherence to health management behaviors (β&lt;sub&gt;8-week&lt;/sub&gt; = 6.20, 95%CI = 2.03–10.37; β&lt;sub&gt;20-week&lt;/sub&gt; = 10.74, 95%CI = 6.47–15.01) at both measured intervals. Additionally, global cognitive function (β&lt;sub&gt;8-week&lt;/sub&gt; = 0.60, 95%CI = − 0.18–1.38; β&lt;sub&gt;20-week&lt;/sub&gt; = 2.42, 95%CI = 1.64–3.20), Purdue Pegboard Test Assembly and Bimanual Tasks (β&lt;sub&gt;8-week&lt;/sub&gt; = 0.16/0.38, 95%CI = − 0.21–0.53/−&lt;!--&gt; &lt;!--&gt;0.18–0.94; β&lt;sub&gt;20-week&lt;/sub&gt; = 0.96/1.80, 95%CI = 0.57–1.35/1.17–2.43) improved significantly over time. Reliable and clinically significant change analyses at 8 weeks indicated significant improvements in the intervention group: 57 % of participants improved in disease knowledge (22 % clinically significant), 90 % in adherence to health management behaviors (17 % clinically significant), and 61 % in global cognitive function (10 % clinically significant). By 20 weeks, these rates increased to 63 % (29 %), 100 % (25 %), and 78 % (27 %). However, non-significant improvements in depression symptoms and sleep quality were found at individual-level assessment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This study shows that the trans-theoretical model-based health education pr","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104961"},"PeriodicalIF":7.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746117","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":"Sickness presenteeism, job burnout, social support and health-related productivity loss among nurses in the Chinese nurses' health cohort study (TARGET): A cross-sectional survey","authors":"Xinyue Zhang ,&nbsp;Na Wei ,&nbsp;Mengli Li ,&nbsp;Li Li ,&nbsp;Xiaoyan Lv ,&nbsp;Youjuan Zhang ,&nbsp;Patricia M. Davidson ,&nbsp;Yingjuan Cao","doi":"10.1016/j.ijnurstu.2024.104962","DOIUrl":"10.1016/j.ijnurstu.2024.104962","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Sickness presenteeism has potential negative impacts on job burnout and health-related productivity loss among clinical nurses, whereas social support has been identified as a potential mitigating factor for such impacts. However, there is limited evidence regarding the relationships and mechanisms between sickness presenteeism, job burnout, social support, and health-related productivity loss.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To explore the role of job burnout and social support in the association between sickness presenteeism and health-related productivity loss among female nurses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A cross-sectional study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;105 hospitals conveniently selected from 36 cities in 15 provinces in China.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;50,653 registered female nurses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This study utilizes the cross-sectional data from the baseline survey of the Chinese nurses' health cohort study (Towards A Revolution in GETting nurses' health ticked, TARGET), conducted from December 2020 to February 2024. Variables were measured using the Sickness Presenteeism Questionnaire, Stanford Presenteeism Scale, Maslach Burnout Inventory, and Perceived Social Support Scale. Data analyses were performed using independent sample t-tests, Pearson correlation analysis, one-way analysis of variance, multivariate linear regression analysis, and the Process 4.0 macro plug-in method.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 42,843 valid questionnaires were collected with an 85% response rate. The incidence of sickness presenteeism among female nurses was 62 %. Sickness presenteeism was positively correlated with job burnout and health-related productivity loss, and job burnout was also positively correlated with health-related productivity loss. Conversely, social support was negatively associated with sickness presenteeism, job burnout and health-related productivity loss. The findings showed that the association between sickness presenteeism and health-related productivity loss was partially mediated by job burnout. Moreover, the direct and indirect effects within the mediation model were moderated by social support. When levels of social support were high, the impact of sickness presenteeism on job burnout and health-related productivity loss was weaker, as was the impact of job burnout on health-related productivity loss.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Hospital administrators and nurses themselves can mitigate the adverse effects of sickness presenteeism on health-related productivity loss by alleviating job burnout and increasing levels of social support. By addressing these significant challenges, they can more effectively manage the consequences of sickness presenteeism and job burnout among nurses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;The protocol of TARGET was registered in the China Clinical Trial Registry (ChiCT","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104962"},"PeriodicalIF":7.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746026","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":"A child-centred research checklist to improve the design and reporting of paediatric research studies: A descriptive mixed methods study","authors":"Mandie Foster ,&nbsp;L. Lisa Whitehead ,&nbsp;Therese A. O'Sullivan ,&nbsp;Julie Hill ,&nbsp;Evalotte Mörelius","doi":"10.1016/j.ijnurstu.2024.104958","DOIUrl":"10.1016/j.ijnurstu.2024.104958","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;No internationally developed child-centred research checklist is currently available to enhance the quality and transparency of the development, reporting and evaluation of research undertaken with children.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To develop an internationally relevant, expert informed child-centred research checklist.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A descriptive mixed methods study was undertaken in five sequential phases, including a Delphi component.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;Academic/international context.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This study involved five sequential stages:&lt;/div&gt;&lt;div&gt;1. Literature review using four databases (CINAHL, MEDLINE, Scopus, PsycINFO) and analysis to identify key themes in child-centred research (January 2020).&lt;/div&gt;&lt;div&gt;2. Generate a questionnaire based on the key themes for international experts in child research to provide their opinions on what should be included in a child-centred research checklist (March 2020).&lt;/div&gt;&lt;div&gt;3. Inductive thematic analysis of the experts' responses to generate the initial draft checklist (June 2020).&lt;/div&gt;&lt;div&gt;4. The checklist progressed through three rounds of Delphi study for a wider range of experts to provide their consensus on what a child-centred research checklist should contain (August 2020–February 2021).&lt;/div&gt;&lt;div&gt;5. Refinement of the child-centred research checklist based on the Delphi study (March 2021–November 2022).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 160 articles met the inclusion criteria for review and were considered in the development of a 10-item open-ended questionnaire, adapted for four age-brackets (0-1 yrs., 2-4 yrs., 5-10 yrs., &gt;&lt;!--&gt; &lt;!--&gt;11 yrs). Responses from 14 experts across 10 countries generated 205 generic statements and 76 examples to inform a child-centred research checklist. Following this, 158 experts from eleven disciplines across 18 countries participated in the three round Delphi study (38 % retention rate over the three rounds). The final checklist includes 11 statements and 17 examples represented under three categories of “child-parent consent, assent and dissent”, “code of conduct” and “child focused methods”.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The child-centred research checklist was generated from a mixed methods study undertaken in five sequential phases, with input by 172 experts from 11 disciplines across 19 countries. The child-centred research checklist is the first international, expert informed tool to support good quality and transparent child-centred research. We call on researchers, clinicians, journal editors, organisations, and ethics committees to use this checklist for future research with children. The next phase of this project is engagement with children and their families to refine the checklist.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;&lt;strong&gt;Tweetable abstract&lt;/strong&gt;&lt;/h3&gt;&lt;div&gt;New checklist to support good quality child research practices @","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104958"},"PeriodicalIF":7.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746118","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":"Global incidence and prevalence of delirium and its risk factors in medically hospitalized older patients: A systematic review and meta-analysis","authors":"Chia-Rung Wu ,&nbsp;Kai-Mei Chang ,&nbsp;Victoria Tranyor ,&nbsp;Hsiao-Yean Chiu","doi":"10.1016/j.ijnurstu.2024.104959","DOIUrl":"10.1016/j.ijnurstu.2024.104959","url":null,"abstract":"<div><h3>Background</h3><div>Delirium is a common complication among older medical patients that can lead to undesirable outcomes.</div></div><div><h3>Objectives</h3><div>This study systematically investigated the incidence, prevalence, and risk factors of delirium to improve its recognition, prevention, and management in medically hospitalized older patients.</div></div><div><h3>Methods</h3><div>The study protocol was registered at PROSPERO on April 29, 2024 (registration number: CRD42024536624). We searched the PubMed, Embase, and ProQuest databases for relevant articles published between database inception and September 25, 2024. We included observational studies reporting the prevalence, incidence, and risk factors of delirium among medically hospitalized older patients. Two independent reviewers extracted the data. A random-effects model was used for data analysis.</div></div><div><h3>Results</h3><div>A total of 35 studies encompassing 12,097 participants met the inclusion criteria, yielding a 23.6 % pooled prevalence of delirium (95 % confidence interval = 19 % to 29 %) and a 13.5 % pooled incidence of delirium (n = 32, 95 % confidence interval = 11 % to 17 %) among medically hospitalized older patients. Study quality and country were significant moderators for explaining the heterogeneity observed in the prevalence and incidence of delirium, respectively (both P &lt; 0.001). The risk factors of delirium included frailty (odds ratio = 2.05), physical restraints (5.01), prior falls (1.99), severe illness (1.32) (evaluated using the Acute Physiology and Chronic Health Evaluation II), and cognitive impairment (2.61). Older age increased delirium risk, whereas years of education mitigated it (B = 1.69 and 0.92, respectively).</div></div><div><h3>Conclusion</h3><div>Our findings considerably enhance the understanding of the prevalence of delirium and its influencing factors in medically hospitalized older patients. The insights this study provides can enable health-care providers to apply quick and effective assessment tools and can thereby support the implementation of interventions to prevent delirium.</div></div><div><h3>Registration</h3><div>The study protocol has been prospectively registered on PROSPERO (registration no. CRD42024536624).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104959"},"PeriodicalIF":7.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700774","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}