Clinical Nursing Research最新文献

{"title":"The Effect of Mindfulness-Based Psychoeducation Program on Mindfulness, Self-Compassion, and Forgiveness Tendencies of Patients with Bipolar Disorder: A Randomized Controlled Trial.","authors":"Merve Şahin, Ömer Uslu, Mustafa Durmuş, Hava Salik","doi":"10.1177/10547738261466378","DOIUrl":"10.1177/10547738261466378","url":null,"abstract":"<p><p>This study examined the effects of a mindfulness-based psychoeducation program on mindfulness, self-compassion, and forgiveness in patients with bipolar disorder using a pretest-posttest randomized controlled experimental design. The study sample comprised of 40 patients (experimental group, <i>n</i> = 20; control group, <i>n</i> = 20). A mindfulness-based psychoeducation program was administered to the experimental group, while no intervention was administered to the control group. Data were collected using a personal information form, the Mindfulness Scale, the Self-Compassion Scale Short Form, and the Heartland Forgiveness Scale. The study revealed that the experimental group's mean scores on the mindfulness, self-compassion, and forgiveness scales following the intervention were significantly higher than those of the control group (<i>p</i> < .05). This study found that a mindfulness-based psychoeducation program increased mindfulness, self-compassion, and forgiveness in patients with bipolar disorder. The findings are limited to a small outpatient sample from a single CMHC and may not be generalizable to hospitalized patients with more severe clinical presentations. Mindfulness-based educational programs may enhance mental health, improve illness insight, support symptom management, and strengthen social functioning in individuals with bipolar disorder. The results emphasize the importance of integrating these programs into treatment processes and reveal the necessity for psychiatric nurses to actively implement mindfulness-based interventions. Psychiatric nurses should consider incorporating mindfulness-based techniques into their practice to improve the mental health of individuals with bipolar disorder, better understand the disorder, control symptoms, and improve social interactions.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"379-391"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translating Evidence on Pulse Oximetry Bias Into Equitable Nursing Practice: Commentary on Cotton et al. (2025).","authors":"Chun-Ling Wang, Cheng-Zhou Liu","doi":"10.1177/10547738261473668","DOIUrl":"10.1177/10547738261473668","url":null,"abstract":"","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"351-353"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep Characteristics and Cognitive Symptoms Among Adults with Inflammatory Bowel Disease.","authors":"Stacy Al-Saleh, Melanie Schneekloth, Sunanda Kane, Kendra Kamp, Nancy S Redeker, Samantha Conley","doi":"10.1177/10547738261427988","DOIUrl":"10.1177/10547738261427988","url":null,"abstract":"<p><p>Individuals with inflammatory bowel disease (IBD) experience overlooked deficits in objectively measured cognitive functioning; however, there is limited knowledge about self-reported cognitive symptoms in this group. Sleep characteristics, such as insomnia, poor sleep quality, or fragmented sleep, may be key modifiable factors that are associated with cognitive symptoms among individuals with IBD. This study aimed to describe cognitive symptoms and examine the relationship between these symptoms and sleep characteristics among adults with IBD. We conducted a descriptive, cross-sectional study using the Pittsburgh Sleep Quality Index, wrist actigraphy, the Insomnia Severity Index, and the FACT-Cog Perceived Cognitive Impairments subscale. Bivariate statistics were used to evaluate relationships between variables. The sample included 83 participants (mean age 40.44 years [standard deviation 10.7], 71% female). Over 77% (<i>n</i> = 60) had poor self-reported sleep quality, and 69.5% (<i>n</i> = 57) had clinically meaningful insomnia. The most frequently reported cognitive symptoms (experienced two or more times a week) were trouble concentrating (51.3%), forgetting names (43.8%), forgetting intended tasks (38.9%), and slow thinking (37.6%). Insomnia severity was moderately correlated with three out of the four most common cognitive symptoms (trouble concentrating: <i>r</i>_s = .51, <i>p</i> < .01; forgetting intended tasks: <i>r</i>_s = .38, <i>p</i> < .01; slow thinking: <i>r</i>_s = .46, <i>p</i> < .01). Future research is needed to examine relationships between objective cognitive measures and sleep characteristics and to test the effects of insomnia treatment on daytime cognitive symptoms in this complex patient population.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"361-367"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147459799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Get Your Game Face On: Utilizing Alternative Forms of Patient Education for Cardiac Care - A Pilot Study.","authors":"Kayla Lucena-Glass","doi":"10.1177/10547738261428069","DOIUrl":"10.1177/10547738261428069","url":null,"abstract":"<p><p>To respond to the local cardiovascular health literacy need through means of alternative forms of education utilizing serious games. A quality improvement project design utilizing pretest-posttest with in-depth literature review. A Cardiovascular (CV) BINGO game was developed, implemented, and analyzed for efficacy. Focus group participants (<i>n</i> = 10) were asked to recommend or advise against implementation of the serious game, then pilot study participants (<i>n</i> = 7) were asked to complete a five question Likert-scale survey along with one fill-in-the-blank action plan goal pre- and postgame implementation. Comparison between pretest and posttest surveys revealed an improved participant-perceived understanding and completion of personal action plans postimplementation. Overall, participants and instructors voiced satisfaction and lobbied for future use of this education tool. Literature supports the efficacy of serious games in knowledge and outcome improvement. The CV Bingo game applies alternative forms of education to establish deeper understanding of the material, spark health consumer interest, and open dialogue barriers. Application of serious games can be applied to any chronic disease process. The goal for the dissemination of this pilot study is to introduce new educational concepts and encourage fellow clinicians to utilize alternative forms of patient education.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"354-360"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Obstetric Violence on Maternal Attachment and Postpartum Depression in Mothers.","authors":"Hacer Alan Dikmen, Selma Abay Kaya, Havva Tokgöz Kekeç, Recep Yücel","doi":"10.1177/10547738261444970","DOIUrl":"10.1177/10547738261444970","url":null,"abstract":"<p><p>This descriptive and correlational study investigated the relationship between exposure to obstetric violence and mother-infant attachment and postpartum depression (PPD) among women who had vaginal births. The sample comprised 292 mothers with infants aged 3 to 12 months who attended the outpatient clinics of a hospital in Konya between March and August 2024. Data were collected using a personal information form, an obstetric violence assessment form, the Maternal Attachment Scale, and the Edinburgh Postpartum Depression Scale. Independent samples <i>t</i>-tests and multiple linear regression analyses were conducted. The mean age of the participants was 29.50 ± 6.02 years. Emotional obstetric violence was reported by 32.9% of mothers, followed by verbal violence (19.5%), physical violence (7.9%), and sexual violence (6.2%). Mothers who reported exposure to any form of obstetric violence had significantly lower maternal attachment scores and significantly higher PPD scores (<i>p</i> < .001). Regression analyses indicated that verbal and sexual obstetric violence were significant predictors of both maternal attachment and PPD. Greater exposure to verbal and sexual violence was associated with weaker maternal attachment and higher levels of postpartum depressive symptoms. These findings highlight the detrimental impact of obstetric violence on maternal psychological well-being and early mother-infant attachment. Policies and clinical practices aimed at preventing obstetric violence and promoting respectful maternity care are essential to safeguard the health and well-being of both mothers and their infants.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"368-378"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trajectories of Kinesiophobia and Influencing Factors in Patients With Acute Myocardial Infarction.","authors":"Ying Wang, Jiawei Fan, Hongji Qian, Xiaoqing Shi","doi":"10.1177/10547738261476790","DOIUrl":"https://doi.org/10.1177/10547738261476790","url":null,"abstract":"<p><p>It is widely acknowledged that kinesiophobia is prevalent among patients suffering from acute myocardial infarction (AMI). Although heightened kinesiophobia significantly predicts adverse outcomes, it should be recognized that this fear is dynamic and typically evolves during the recovery process. This study aims to identify distinct trajectories of kinesiophobia and analyze associated influencing factors to accurately detect patients with high levels of kinesiophobia. AMI patients were enrolled from November 2023 to July 2024. Data on kinesiophobia, demographic and clinical characteristics, depression, exercise self-efficacy, and exercise social support were collected. Latent Class Growth Modeling was employed to identify distinct trajectories of kinesiophobia. Subsequently, multivariate logistic regression analysis was performed to identify predictors associated with different kinesiophobia trajectory categories. Initially, 239 patients were recruited, and after 4 follow-up assessments, 207 patients who completed at least 2 assessments were included in the analysis. The total scores of the Tampa Scale for Kinesiophobia-Heart generally demonstrated a decreasing trend (<i>p</i> < .05). Three trajectories of kinesiophobia were identified: persistently high (<i>N</i> = 49, 24.9% of the sample), persistently low (<i>N</i> = 50, 24.5% of the sample), and high-to-critical (<i>N</i> = 108, 50.6% of the sample). Predictive factors distinguishing the persistently high group from the persistently low group included exercise self-efficacy, age, gender, length of hospitalization, and the number of stents implanted. Predictors for the high-to-critical group included exercise self-efficacy, age, and the number of stents implanted. Kinesiophobia in AMI patients exhibited significant heterogeneity, with trajectories demonstrating relative stability over time. Consequently, individuals with high initial kinesiophobia levels often experienced limited alleviation during rehabilitation. Therefore, timely interventions to mitigate fear of movement are critical. Such interventions can reduce kinesiophobia to low levels during rehabilitation and improve patient prognosis.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":"35 7","pages":"392-405"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding Counseling Protocol During Hospitalization of Mother/Infant Dyads in Rooming-in: A Methodological Development Study.","authors":"Mariana Torreglosa Ruiz, Elisa da Conceição Rodrigues, Karine Emanuelle Peixoto Oliveira da Silva, Cynthya Viana de Resende, Michele Curcino Cavalcanti, Luciano Marques Dos Santos, Monika Wernet, Ana Letícia Monteiro Gomes, Marialda Moreira Christoffel, Maria Beatriz Guimarães Raponi, Jéssica Aparecida da Silva, Jacqueline Faria de Oliveira, Divanice Contim, Ana Maria Linares","doi":"10.1177/10547738261451530","DOIUrl":"10.1177/10547738261451530","url":null,"abstract":"<p><p>Breastfeeding counseling is an effective public health intervention. However, there is a scarcity of studies detailing protocols, especially those applied during the dyad's stay in the Rooming-In Unit. Thus, this research aimed to describe a breastfeeding counseling protocol during the dyad's hospitalization in Rooming-in. A methodological development study was carried out from June to September 2022 in four stages: discovering from a bibliographical survey; defining the target audience, contexts, and answers to the research question; developing from the construction of the instrument; and delivering the final product after content validation by eight experts. The intervention components protocol includes items necessary for execution; intervention script; breastfeeding assessment instrument; adverse situations, solutions, and initial difficulties in breastfeeding; and counseling approach in the face of situations. For each item of the protocol, a Likert scale was applied, and the Content Validity Index was calculated to verify the agreement between the experts. Items with agreement above 80% were considered valid. Content validation was performed in a single evaluation round. The final version of the protocol consisted of 11 sections. It describes in detail the necessary conditions, expected and unexpected procedures, and how to intervene using the counseling approach in the initial difficulties presented during the hospitalization of the dyad in Rooming-in.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"291-299"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse-Led Animated Video Nutrition Education and Its Effects on Dietary Knowledge and Fluid-Diet Adherence in Hemodialysis Patients: A Difference-in-Differences Analysis.","authors":"Döndü Şanlıtürk","doi":"10.1177/10547738261441460","DOIUrl":"10.1177/10547738261441460","url":null,"abstract":"<p><p>Inadequate nutritional knowledge among hemodialysis (HD) patients can lead to poor fluid and dietary adherence, increasing the risk of complications. This study aimed to evaluate the effects of a nurse-led, animated video-based nutrition education program on dietary knowledge and fluid-diet adherence in individuals receiving HD. This experimental study employed a pretest-posttest control group design and included 107 HD patients, 48 in the intervention group and 59 in the control group. Data were collected using a patient information form, a nutritional knowledge survey, and the Dialysis Diet and Fluid Non-Adherence Questionnaire. Descriptive statistics and initial data entry were conducted using SPSS 24.0. The difference-in-differences (DiD) analysis was performed in Stata 18.0. The intervention group received nurse-led nutrition education supported by a 10-min animated video. Measurements were taken at baseline and 12 weeks after the intervention. There were no significant differences between groups in baseline nutritional knowledge or fluid-diet adherence scores. However, at week 12, the intervention group demonstrated a significant increase in nutritional knowledge and a decrease in fluid-diet nonadherence compared to the control group (<i>p</i> < .05). A DiD analysis revealed that the educational intervention resulted in a 4.4-point increase in knowledge scores, which was statistically significant (<i>p</i> < .05). Nurse-led animated video education significantly improved nutritional knowledge and fluid-diet adherence among HD patients. This approach may be an effective tool for supporting patient education and self-management of chronic kidney disease.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"312-322"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of the Benson Relaxation Technique on Anxiety and Hemodynamic Parameters in Patients with Cardiovascular Diseases: A Systematic Review and Meta-Analysis.","authors":"Selma Turan Kavradim, Şefika Tuğba Yangöz, Zeynep Özer","doi":"10.1177/10547738261442767","DOIUrl":"10.1177/10547738261442767","url":null,"abstract":"<p><p>To reveal the effectiveness of the Benson's relaxation technique on the anxiety and hemodynamic parameters of patients with cardiovascular disease. A systematic review and meta-analysis of randomized controlled studies. Eight electronic databases were searched. The Cochrane Handbook 2023 and the preferred reporting items for systematic reviews and meta-analysis 2020 guideline were used to perform the study. A random effects model was used to calculate the combined effects of the interventions, and the robustness of the pooled estimates was assessed through sensitivity analyses. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias Tool version 2. The Grading of Recommendations, Development, and Evaluation approach was used to evaluate the certainty of the evidence. This systematic review and meta-analysis included 8 trials with 538 patients. The Benson's relaxation technique had moderate-quality evidence for anxiety (Hedge's <i>g</i> = -0.662, <i>p</i> < .001) and saturation (Hedge's <i>g</i> = 0.657, <i>p</i> = .001), low-quality evidence for heart rate (Hedge's <i>g</i> = -0.507, <i>p</i> = .006), and diastolic blood pressure (Hedge's <i>g</i> = -0.280, <i>p</i> = .036) and very-low-quality evidence for systolic blood pressure (Hedge's <i>g</i> = -0.687, <i>p</i> = .002). No significant effect was observed on respiratory rate (Hedge's <i>g</i> = -0.578, <i>p</i> = .051) with very low-quality evidence. Sensitivity analyses showed variable robustness. An additional subgroup analysis of the Benson's relaxation intervention's effect on anxiety in surgical and nonsurgical patient groups revealed that this intervention significantly reduced anxiety in nonsurgical patient groups (Hedge's <i>g</i> = -0.603, <i>p</i> < .001) and systolic blood pressure (Hedge's <i>g</i> = -0.822, <i>p</i> < .001), but it was not effective in the surgical patient population (<i>p</i> = .072 and <i>p</i> = .097, respectively). This systematic review and meta-analysis indicate that, although the certainty of the evidence varies, Benson's relaxation techniques may offer potential benefits for certain outcomes. The current evidence supports cautious clinical interpretation and emphasizes the need for high-quality randomized controlled trials.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"332-348"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined Use of Personalized Music Intervention and Earplugs (MUSE) to Prevent Delirium in Mechanically Ventilated Patients: A Pilot Randomized Controlled Trial.","authors":"Ting-Jhen Chen, Yi-Ying Lin, An-Yi Wang, Victoria Traynor, Steven A Frost, Yi-Wei Chung, Chia-Jou Lin, Chia-Rung Wu, Meng-Chun Tu, Kevin Shu-Leung Lai, Hsiao-Yean Chiu","doi":"10.1177/10547738261445264","DOIUrl":"10.1177/10547738261445264","url":null,"abstract":"<p><p>Personalized music interventions and earplugs have shown promise in preventing intensive care unit (ICU) delirium, but evidence on their combined effects is limited. To evaluate the feasibility and preliminary effects of personalized music intervention combined with earplugs (MUSE) and personalized music intervention (PMI) on delirium prevention and clinical outcomes in mechanically ventilated patients. In this randomized controlled trial, 63 participants were assigned to MUSE, PMI, or usual care (UC). Delirium was assessed during each nursing shift using the Intensive Care Delirium Screening Checklist, alongside measures of pain, sedation, sleep, and clinical outcomes. The delirium incidence was 50% in the UC group, 25% in the PMI group, and 33% in the MUSE group. The median number of delirium or coma-free days was 7 (interquartile range [IQR] = 4-7) in the PMI group, 5 (IQR = 4-7) in the MUSE group, and 5 (IQR = 3-7) in the UC group. No significant between-group differences in either primary or secondary outcomes were identified. The exploratory post hoc subgroup analysis indicates that age may influence the effects of treatment on delirium. In this pilot study, neither MUSE nor PMI had significant effects in reducing delirium incidence among patients undergoing mechanical ventilation when compared with UC. However, PMI appeared more effective at preventing delirium relative to MUSE and UC, and the potential additional benefit of earplugs remains uncertain in this study. This study is registered at www.clinicaltrials.gov. Trial registration number is NCT04065256.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"300-311"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}