Clinical Nursing Research最新文献_第8页

Implementation of Tunneled Peripherally Inserted Central Catheters Placement in Cancer Patients: A Randomized Multicenter Study. 在癌症患者中实施隧道式外周置入中心导管：随机多中心研究

IF 1.7 4区医学

Clinical Nursing Research Pub Date : 2024-01-01 Epub Date: 2023-08-19 DOI: 10.1177/10547738231194099

Yuan Sheng, Li-Hong Yang, Yan Wu, Wei Gao, Sheng-Yi Dongye

{"title":"Implementation of Tunneled Peripherally Inserted Central Catheters Placement in Cancer Patients: A Randomized Multicenter Study.","authors":"Yuan Sheng, Li-Hong Yang, Yan Wu, Wei Gao, Sheng-Yi Dongye","doi":"10.1177/10547738231194099","DOIUrl":"10.1177/10547738231194099","url":null,"abstract":"This study sought to evaluate the impact of the subcutaneous tunneling technique on peripherally inserted central catheter (PICC) placement. We randomized 694 patients who needed PICC placement to either the tunneled PICCs (experimental group) or the non-tunneled PICCs (control group) from August to December 2021. The cumulative frequency of complications was assessed as the primary outcome. Secondary outcomes comprised of the amount of bleeding, catheter insertion time, self-reported pain score, and one-puncture success rate. After 6 months of follow-up, the tunneled PICCs group showed a significant decrease in the frequency of total complications, especially in infection (3.0% vs. 7.1%, p = .021) and catheter-related thrombosis (3.3% vs. 8.3%, p = .008), although approximately 0.5 ml bleeding and 3.5 min time were increased. This randomized multicenter study supports the efficacy of subcutaneous tunneling technology in reducing PICC-related complications, enhancing patient comfort, and encouraging using subcutaneous tunneling technology for PICC placement.","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10401459","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}

引用次数: 0

Perceptions Toward Exercise or Mindful Exercise Participation Among Patients With Primary Osteoporosis: A Qualitative Study. 原发性骨质疏松患者对运动或正念运动参与的认知:一项定性研究。

IF 1.7 4区医学

Clinical Nursing Research Pub Date : 2024-01-01 Epub Date: 2023-11-16 DOI: 10.1177/10547738231198561

Fang Fei Lyu, Vimala Ramoo, Ping Lei Chui, Chong Guan Ng

引用次数: 0

Sociolocation: A Proposed Conceptual Element in Lifespan Development. 社会学：寿命发展中的一个概念元素。

IF 1.7 4区医学

Clinical Nursing Research Pub Date : 2024-01-01 Epub Date: 2023-10-30 DOI: 10.1177/10547738231206606

Candace W Burton

引用次数: 0

A Randomized Controlled Trial, Non-Nutrition Based mHealth Program: The Potential Impact on Dietary Intake in College Students. 随机对照试验、非营养型移动保健计划：对大学生膳食摄入的潜在影响。

IF 1.7 4区医学

Clinical Nursing Research Pub Date : 2024-01-01 Epub Date: 2023-08-30 DOI: 10.1177/10547738231197864

Dieu-My T Tran, Chad L Cross, James W Navalta

{"title":"A Randomized Controlled Trial, Non-Nutrition Based mHealth Program: The Potential Impact on Dietary Intake in College Students.","authors":"Dieu-My T Tran, Chad L Cross, James W Navalta","doi":"10.1177/10547738231197864","DOIUrl":"10.1177/10547738231197864","url":null,"abstract":"The aims of this study were to (1) explore this sample's pre- and post-intervention dietary intake, specifically the macro- and micronutrients, and their eating habits related to location of consumption and use of electronic devices, and (2) compare this sample's nutritional measures to the current Dietary Guidelines 2020 to 2025. Twenty-eight participants were included in the secondary data analysis. Participants reported a total of 822 items consumed during this study. Most items were consumed at home (n = 629, 76.5%). We found significant differences in the intake of energy, protein, total fat, carbohydrates, total vegetables, total grains, and total meat in different locations. For most of these measures, consumption at home and/or restaurants resulted in a greater magnitude of consumption than at other locations (e.g., car, daycare). Participants reported consuming most of their energy and nutrients while either using electronic devices alone (n = 365, 44.4%) or using no devices (n = 346, 42.1%). Significant differences were found among three measures including energy, total fat, and total fiber. The majority of the macronutrients (total fiber, fruits, vegetables, meat, and dairy) consumed by our sample were under the threshold recommended in the 2020 to 2025 Dietary Guidelines.","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10495158","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}

引用次数: 0

Discrimination, Mental Health, and Readiness to Quit Smoking. 歧视、心理健康和戒烟准备。

IF 1.7 4区医学

Clinical Nursing Research Pub Date : 2023-11-01 Epub Date: 2023-06-26 DOI: 10.1177/10547738231183210

Alexandria Jones-Patten, Sanghyuk S Shin, Dawn T Bounds, Adeline Nyamathi

{"title":"Discrimination, Mental Health, and Readiness to Quit Smoking.","authors":"Alexandria Jones-Patten, Sanghyuk S Shin, Dawn T Bounds, Adeline Nyamathi","doi":"10.1177/10547738231183210","DOIUrl":"10.1177/10547738231183210","url":null,"abstract":"We conducted a cross-sectional study, examining the mediation effects of depression and anxiety on the association between discrimination and readiness to quit cigarette smoking among African American adult cigarette smokers experiencing homelessness. Using a convenience sample, participants were recruited from a homeless shelter in Southern California. Scores of discrimination, depressive, and anxiety symptoms, and readiness to quit smoking were analyzed using linear regression modeling. We enrolled 100 participants; 58 participants were male. In the final model, discrimination had no association with readiness to quit (b = 0.02; 95% CI [-0.04, 0.08]; p = 0.47). The indirect effects of depression (b = 0.04, [0.01, 0.07]; p = 0.02) and anxiety (b = 0.03; [0.01, 0.05]; p = 0.04) reached statistical significance; the direct effects of depression (b = -0.01; [-0.09, 0.04]; p = 0.70) and anxiety (b = -0.00; [-0.09, 0.06]; p = 0.86) did not. Future studies should explore these associations to enhance smoking cessation programs for this population.","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10664462","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}

引用次数: 0

"Psychological Injuries Are Not Visible": Experiences and Perceptions of Midwives and Nurses about Domestic Violence during Pregnancy. “心理伤害是不可见的”：助产士和护士对妊娠期家庭暴力的经历和看法。

IF 1.7 4区医学

Clinical Nursing Research Pub Date : 2023-11-01 Epub Date: 2023-06-22 DOI: 10.1177/10547738231182190

Şahika Simsek-Cetinkaya, Simge Evrenol Ocal

引用次数: 1

Beyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum. 除了被保险：拒绝保险是怀孕和产后获得护理的主要障碍。

IF 1.7 4区医学

Clinical Nursing Research Pub Date : 2023-11-01 Epub Date: 2023-06-02 DOI: 10.1177/10547738231177332

Jusung Lee, Krista J Howard, Caleb Leong, Timothy J Grigsby, Jeffrey T Howard

{"title":"Beyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum.","authors":"Jusung Lee, Krista J Howard, Caleb Leong, Timothy J Grigsby, Jeffrey T Howard","doi":"10.1177/10547738231177332","DOIUrl":"10.1177/10547738231177332","url":null,"abstract":"This study investigates the association between insurance coverage denial and delays in care during pregnancy and postpartum. An online survey was administered in March and April 2022 to women who were either pregnant or within 1 year postpartum (n = 1,113). The outcome was delayed care, measured at four time points: during pregnancy and 1 week, 2 to 6 weeks, and after 7 weeks postpartum. The key covariate was insurance coverage denial by providers during pregnancy. Delayed care due to having an unaccepted insurance and being \"out-of-network\" was more pronounced at 1 week postpartum with 3.37 times and 3.47 times greater odds and in 2 to 6 weeks postpartum with 5.74 times and 2.97 times greater odds, respectively. The association between insurance denial and delays in care encapsulated transportation, rural residency, time issues, and financial constraints. The findings suggest that coverage denial is associated with significant delays in care, providing practical implications for effective perinatal care.","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10350913","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}

引用次数: 0

Impact of Dementia on Incidence and Severity of Postoperative Pulmonary Complications Following Hip Fracture Surgery Among Older Patients. 老年患者髋部骨折术后痴呆对肺部并发症发生率和严重程度的影响。

IF 1.7 4区医学

Clinical Nursing Research Pub Date : 2023-11-01 Epub Date: 2023-08-17 DOI: 10.1177/10547738231194098

Hideyo Tsumura, Eleanor S McConnell, Tingzhong Michelle Xue, Sijia Wei, Chiyoung Lee, Wei Pan

{"title":"Impact of Dementia on Incidence and Severity of Postoperative Pulmonary Complications Following Hip Fracture Surgery Among Older Patients.","authors":"Hideyo Tsumura, Eleanor S McConnell, Tingzhong Michelle Xue, Sijia Wei, Chiyoung Lee, Wei Pan","doi":"10.1177/10547738231194098","DOIUrl":"10.1177/10547738231194098","url":null,"abstract":"Postoperative pulmonary complications (PPCs) are the leading cause of death following hip fracture surgery. Dementia has been identified as a PPC risk factor that complicates the clinical course. By leveraging electronic health records, this retrospective observational study evaluated the impact of dementia on the incidence and severity of PPCs, hospital length of stay, and postoperative 30-day mortality among 875 older patients (≥65 years) who underwent hip fracture surgery between October 1, 2015 and December 31, 2018 at a health system in the southeastern United States. Inverse probability of treatment weighting using propensity scores was utilized to balance confounders between patients with and without dementia to isolate the impact of dementia on PPCs. Regression analyses revealed that dementia did not have a statistically significant impact on the incidence and severity of PPCs or postoperative 30-day mortality. However, dementia significantly extended the hospital length of stay by an average of 1.37 days.","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10811580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10630460","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}

引用次数: 0

Decisional Regret in Long-Term Australian Allogeneic Hematopoietic Stem Cell Transplantation Survivors: A Cross-Sectional Survey. 澳大利亚长期异基因造血干细胞移植幸存者的决定性遗憾：一项横断面调查。

IF 1.7 4区医学

Clinical Nursing Research Pub Date : 2023-11-01 Epub Date: 2023-06-16 DOI: 10.1177/10547738231180337

Gemma McErlean, Caley Tapp, Lisa Brice, Anisha Pradhan, Nicole Gilroy, Masura Kabir, Matt Greenwood, Stephen R Larsen, John Moore, David Gottlieb, Mark Hertzberg, Louisa Brown, Megan Hogg, Gillian Huang, Christopher Ward, Ian Kerridge

{"title":"Decisional Regret in Long-Term Australian Allogeneic Hematopoietic Stem Cell Transplantation Survivors: A Cross-Sectional Survey.","authors":"Gemma McErlean, Caley Tapp, Lisa Brice, Anisha Pradhan, Nicole Gilroy, Masura Kabir, Matt Greenwood, Stephen R Larsen, John Moore, David Gottlieb, Mark Hertzberg, Louisa Brown, Megan Hogg, Gillian Huang, Christopher Ward, Ian Kerridge","doi":"10.1177/10547738231180337","DOIUrl":"10.1177/10547738231180337","url":null,"abstract":"Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is an intensive but effective treatment for malignant and non-malignant diseases. However, long-term survival often comes at a cost, with survivors experiencing chronic morbidity and are at risk of relapse and secondary malignancy. This study aimed to describe decisional regret in a large cohort of Australian long-term allo-HSCT survivors. A cross-sectional survey was conducted with 441 adults in New South Wales, assessing quality of life (QoL), psychological, social, demographic, and clinical variables. Less than 10% of survivors expressed regret, with chronic graft-versus-host disease being the most important clinical factor. Psycho-socioeconomic factors such as depression, lower QoL scores, lower household income, higher treatment burden, and not resuming sex post-HSCT were also associated with regret. Findings highlight the need for valid informed consent and ongoing follow-up and support for allo-HSCT survivors dealing with life post-transplant. Nurses and healthcare professionals play a critical role in addressing decisional regret in these patients.","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10299397","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}

引用次数: 0

Symptom Clusters in Adults with Post-COVID-19: A Cross-Sectional Survey. COVID-19后成人的症状群：一项跨部门调查。

IF 1.7 4区医学

Clinical Nursing Research Pub Date : 2023-11-01 Epub Date: 2023-08-11 DOI: 10.1177/10547738231191655

Janet L Larson, Weijiao Zhou, Philip T Veliz, Sheere Smith

引用次数: 1