Clinical Nursing Research最新文献

{"title":"Brain Changes Linked to Cognitive Symptomatology in Homeless Youth.","authors":"Dawn Bounds,&nbsp;Mary A Woo,&nbsp;Adeline Nyamathi,&nbsp;Priscilla Kehoe,&nbsp;Bhaswati Roy,&nbsp;Kartik Yadav,&nbsp;Cristina Cabrera-Mino,&nbsp;Rajesh Kumar","doi":"10.1177/10547738231168465","DOIUrl":"https://doi.org/10.1177/10547738231168465","url":null,"abstract":"<p><p>Youth impacted by homelessness experience diminished cognition due to a variety of reasons including mental health symptoms, alcohol and substance use, and adverse childhood experiences. However, the status of specific brain regions which could impact important cognitive functions in homeless youth remains unclear. In this pilot comparative and correlational study, a series of demographic, psychological, cognitive assessments, and brain magnetic resonance imaging were performed in 10 male youth experiencing homelessness and 9 age-matched healthy male controls (age range: 18-25 years). Participants experiencing homelessness had significantly decreased regional brain gray matter tissue in comparison to the controls. Moreover, there were strong inverse correlations between the brain regions classically associated with executive decision-making (prefrontal cortices), depression (insular lobes), and conflict resolution (anterior cingulate), and the level of the symptoms detected by their questionnaires.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/23/10.1177_10547738231168465.PMC10265299.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9674516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Socio-Demographic Variables Associated With Long COVID-19: A Cross-Sectional Study.","authors":"Zohreh Mahmoodi,&nbsp;Giti Bahrami,&nbsp;Ehsan Shahrestanaki,&nbsp;Hamed Seddighi,&nbsp;Nooshin Ghavidel","doi":"10.1177/10547738231177395","DOIUrl":"https://doi.org/10.1177/10547738231177395","url":null,"abstract":"<p><p>Considering the importance of long COVID-19 (LC), this study aimed to investigate the relationship between clinical/sociodemographic factors and LC symptoms (LCS). This online cross-sectional study was conducted on 308 people infected with COVID-19 in Alborz, Iran, from April 1 to June 1, 2022. Multivariable logistic regression models were applied to measure the association between the LCS with other variables. Overall, 76.6% of participants had at least one LCS. Results from the multivariate logistic regression analysis showed that females (crude odds ratio [OR] [95% confidence interval (CI)]: 2.725 [1.42, 5.22]), educated persons (3.747 [1.58, 8.84]), people with a higher number of COVID-19 reinfection (2.280 [1.30, 3.97]), having an underlying disease (1.996 [1.01, 3.93]), and COVID-19 severity (3.321 [1.037, 10.635]) had higher odds of LC than others (all <i>p</i> < .05). Study findings provide additional clinical/sociodemographic data on risk for LC. These data may inform future research and clinical practice for potential risk identification and early intervention.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240294/pdf/10.1177_10547738231177395.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10040671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"She is My Work\": Caregiving for Older Adults With Hypertension and Diabetes Mellitus.","authors":"Rosemary Agyapomah,&nbsp;Edward Appiah Boateng,&nbsp;Isaac Amankwaa,&nbsp;Veronica Millicent Dzomeku,&nbsp;Lawrencia Oppong Peprah","doi":"10.1177/10547738231165886","DOIUrl":"https://doi.org/10.1177/10547738231165886","url":null,"abstract":"<p><p>To explore the lived experiences of informal caregivers of older adults with hypertension and/or diabetes mellitus in Kumasi, Ghana. A qualitative research approach was used to conduct the study using informal caregivers of older adults with hypertension and/or diabetes mellitus at a teaching hospital in Ghana. In all, 20 participants were purposively sampled, interviewed, and data were analyzed using thematic analysis. Three main themes emerged: \"Experience with care demands,\" \"Coping with care demands,\" and \"Motivation for caregiving.\" Older adults with hypertension and/or diabetes mellitus had needs that placed a burden on informal caregivers' work life, health, and social life. Informal caregivers of older adults with hypertension and/or diabetes mellitus are under strain. Caregiving is a difficult task, requiring a lot of time, effort, attention, and devotion. Nurses should plan the care of older adults with hypertension and/or diabetes mellitus in collaboration with their informal caregivers.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9503487","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":"Home-Based Pilot Pulmonary Program for Dyspneic Patients Post-COVID-19.","authors":"Sandra Morgan, Constance Visovsky, Bini Thomas, Aimee B Klein, Ming Ji, Lauren Schwab, Jillian Coury","doi":"10.1177/10547738231170496","DOIUrl":"10.1177/10547738231170496","url":null,"abstract":"<p><p>It is estimated that at least 10% of people who have had COVID-19 will experience ongoing symptoms such as shortness of breath, fatigue, and cognitive disturbances. Pulmonary exercise has demonstrated improved dyspnea outcomes in other respiratory conditions. Thus, the purpose of this study was to assess the efficacy of a home-based pulmonary rehabilitation program in post-COVID-19 survivors who continue to experience dyspnea. This was a longitudinal, single group pilot study in which 19 patients received a home-based expiratory muscle strength training program over 12 weeks. Outcomes measured at baseline, 6 weeks, and 12 weeks included pulmonary symptoms, functional performance, thoracic expansion, forced expiratory volume, and expiratory resistance measures. Significant improvements were found in pulmonary symptoms (<i>p</i> < .001), functional performance (<i>p</i> = .014), and progressive expiratory resistance capabilities (<i>p</i> < .001). A home-based pulmonary program may be an inexpensive strategy for post-COVID-19 survivors who continue to experience dyspnea.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158807/pdf/10.1177_10547738231170496.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9501230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COPD-Related Fatigue: A Scoping Review.","authors":"Lindsey A Clark,&nbsp;Robert Reed,&nbsp;Kirsten N Corazzini,&nbsp;Shijun Zhu,&nbsp;Cynthia Renn,&nbsp;N Jennifer Klinedinst","doi":"10.1177/10547738221141224","DOIUrl":"https://doi.org/10.1177/10547738221141224","url":null,"abstract":"Millions of people worldwide have chronic obstructive pulmonary disease (COPD), and one of the most common and troublesome symptoms that must be managed is fatigue. While there are existing interventions to address COPD-related fatigue, not all patients experience benefit. A better understanding of the factors associated with COPD-fatigue could elucidate new approaches to address COPD-related fatigue, thereby offering relief to a greater number of patients. The purpose of this review was to identify the physiologic, psychologic, and situational factors associated with COPD-related fatigue. A total of four databases, PubMed, CINAHL, Scopus, and Google Scholar, were searched. Those that were peer reviewed, in English, and published between 2000 and 2021, were included in the review. A total of 25 articles were included in this scoping review. The following factors were related to fatigue in COPD: dyspnea, pain, anxiety, depression, and sleep. Fatigue is a debilitating symptom with factors influential to the symptom and outcomes. Research is indicated to explore targeted and personalized interventions addressing the factors related to fatigue to mitigate this widespread symptom.","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9493280","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 Influence of the Fear of Negative Evaluation on Activity Avoidance in Fibromyalgia: Exploring Pain Acceptance and Positive Affect as Resilience Variables.","authors":"Carmen Ecija,&nbsp;Patricia Catala,&nbsp;Lorena Gutierrez,&nbsp;Manuel Javier Arrayás-Grajera,&nbsp;Cecilia Peñacoba","doi":"10.1177/10547738221122670","DOIUrl":"https://doi.org/10.1177/10547738221122670","url":null,"abstract":"<p><p>To examine the mediating role of pain acceptance (PAcc) between fear of negative evaluation (FNE) and activity avoidance (AV) at different levels of positive affect (PA) (moderator) among women diagnosed with fibromyalgia (FM) (moderate mediation model). This study was cross-sectional in design. A convenience sample of women with FM (<i>n</i> = 231) completed measures of pain severity, FNE, PAcc, AV, and PA. A simple mediation model and a moderate mediation model was constructed and analyzed using the SPSS macro-PROCESS. First, PAcc mediated the effect of FNE on AV (β = .02, <i>SE</i> = 0.008; [95% CI [0.0075, 0.0394]). Second, a mediated effect of PAcc between FNE and AV moderated by PA at medium and high levels of PA were found (<i>m</i>: 0.23; β = -.22, <i>p</i> = .0006; <i>h</i>: 9.59; β = -.34, <i>p</i> = .0002. Future work should seek to validate study findings in diverse samples of FM patients. Additionally, future work should explore how FM self-management interventions that include PAcc can promote increased activity among women suffering from FM with medium to high levels of PA.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9854867","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":"Psychotropic Medication Use and Changes During Hospitalization for Older Adults Living With Dementia.","authors":"Barbara Resnick,&nbsp;Marie Boltz,&nbsp;Elizabeth Galik,&nbsp;Ashley Kuzmik,&nbsp;Brittany Drazich,&nbsp;Rachel McPherson,&nbsp;Nayeon Kim,&nbsp;Chris Wells,&nbsp;Shijun Zhu","doi":"10.1177/10547738231165721","DOIUrl":"10.1177/10547738231165721","url":null,"abstract":"<p><p>To describe the use of psychotropic medications among older hospitalized patients. This was a descriptive study using baseline data from the first 308 older patients in a function focused care intervention study. Age, gender, race, comorbidities, admitting diagnosis, and medications (antidepressants, antianxiety medications, anticonvulsants, dementia drugs, antipsychotics, sedative-hypnotics, and opioids) were obtained at baseline and discharge. To compare change over time, generalized estimating equations were used. Participants were mostly female (63%) and White (69%) and were 83.1 years old on average. Antidepressant, antianxiety, anticonvulsant, dementia medication, sedative-hypnotic, and opioid use remained essentially unchanged between admission and discharge. Antipsychotic medication use increased significantly from 16% to 21% at discharge. There was persistent use of psychotropic medication among hospitalized older adults living with dementia and little evidence of deprescribing. There was some indication of changes made during hospitalization that may be appropriate, even without a focused deprescribing initiative.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508902/pdf/nihms-1929103.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10141667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Faith Community Nursing Intervention for Informal Caregiver-Older Adult Dyads.","authors":"Sherry H Pomeroy,&nbsp;Yvonne Askew,&nbsp;Kathleen McDonald-Shanahan,&nbsp;Akie Yanagi,&nbsp;Loralee Sessanna","doi":"10.1177/10547738231167377","DOIUrl":"https://doi.org/10.1177/10547738231167377","url":null,"abstract":"<p><p>The purpose of this study was to test the impact of embedding trained Faith Community Nurse (FCN) interventionists in a Catholic Health System affiliated primary care practice as liaisons of care in the homes of older adult clients (OACs) and their informal caregiver (IC). Specific aims were to examine if a FCN intervention improved IC and OAC health, well-being, knowledge and understanding of chronic disease management, self-advocacy, and self-care. A non-random quasi-experimental design was used. Most ICs were spouses or adult children (<i>M</i> age = 66) who lived with the older adult (<i>M</i> age = 79). The ICs' scores significantly increased after the intervention on the Preparedness for Caregiving Scale (<i>p</i> = .002), Spirituality as Life, Meaning, and purpose (<i>p</i> = .026), and Rosenberg Self Esteem Scale (<i>p</i> = .005). Future research is needed examining the FCN intervention with larger sample sizes in more diverse communities and acute care settings.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9506525","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":"Making the Case for a Change in Patient Education Techniques: Moving Toward Scenario and Simulation-Based Approaches.","authors":"Elizabeth A Edmiston,&nbsp;Heather K Hardin,&nbsp;Mary A Dolansky","doi":"10.1177/10547738231173754","DOIUrl":"https://doi.org/10.1177/10547738231173754","url":null,"abstract":"Patient education has an important role in nursing. Historically, nurses were trained to provide patient education on disease and self-management using knowledge-transfer resources (Wittink & Oosterhaven, 2018). As health profession education models move toward simulation, patient education may also benefit from greater use of simulation. Simulation is a teaching method that assesses both knowledge and skill levels by placing the learner in a problemsolving scenario. Using simulation in patient education may enhance the patients’ ability to self-manage chronic disease by having them demonstrate problem-solving skills, which can illuminate gaps in knowledge, understanding, and application that can be addressed. This recommendation for greater use of simulation in patient education is supported by the results of a study (Edmiston et al., 2023a, 2023b) in which advanced heart failure patients were assessed concerning three self-management components: knowledge, ability, and problem-solving in a scenario. The people with advanced heart failure consistently scored adequate or high in heart failure knowledge; however, they performed poorly in heart failure self-management ability and problem-solving in a scenario. The patients seemed to have general heart failure self-management knowledge, such as how often to weigh themselves and the causes of heart failure but could not apply that knowledge to problem solve in a scenario about heart failure symptoms. There was a discordance among heart failure self-management knowledge, ability, and decision-making in this sample of people with advanced heart failure. General adult learning theory and principles (Bloom et al., 2001; Kennedy & Parish, 2021) emphasize a hierarchy of learning that builds on knowledge with understanding, followed by application skills. Patients are often given written reading material and are expected to read, understand, and apply the material to their chronic condition. Patients may be quizzed on chronic disease self-management (e.g., How often do you weigh yourself? How much sodium can you have each day?). However, a gap remains between patients’ self-management knowledge, understanding, and application, which results in inadequate self-management and readmissions for fluid overload or other symptoms. Patients must be able to apply knowledge and understanding for effective self-management of chronic disease. Simulation can help bridge this gap. A small number of studies have shown that patient education using scenarios and simulation are successful. Koulas et al. (2021) developed and tested virtual patient scenarios for people with rheumatic disorders and received the “best imaginable” positive reviews from participants. In a randomized controlled trial of people with type 2 diabetes, participants randomized to the group who received simulation education in addition to basic diabetes self-management education had superior glycosylated hemoglobin, fasting plasma glucose, and postprandi","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9856814","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":"Postal Delivery of Sleep Monitoring Devices: Research Implications.","authors":"Valerie Boebel Toly, Marisa Fiala, Sharon Cohen","doi":"10.1177/10547738221146603","DOIUrl":"10.1177/10547738221146603","url":null,"abstract":"<p><p>The purpose of this article is to describe the protocol development, feasibility, and lessons learned in the postal mail delivery of sleep monitoring devices to study participants. The original study protocol included four in-person visits with distribution of a sleep monitoring device (Actiwatch) and return of the Actiwatch via the postal service in a self-addressed, stamped envelope. The COVID-19 pandemic limited in-person research contact thus requiring a remote study protocol for application and return of the Actiwatches using postal delivery. While there were postal delivery and return challenges, the overall return rate of 94.4% confirmed remote protocol feasibility. Key lessons learned were: consistent and frequent communication via telephone calls and/or text; confirming required postage; and use of package tracking labels. All these strategies contributed to successful postal delivery/return and concomitantly decreased the potential loss of data and valuable research equipment.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10838624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9467888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}