Applied Nursing Research最新文献

{"title":"Nurse's perspective: Evaluating importance and satisfaction with hospital patient infotainment terminal","authors":"Cheng-Hsun Ho PhD ,&nbsp;Chia-Lin Chang MS ,&nbsp;Hsyien-Chia Wen PhD ,&nbsp;Yu-Tien Chang PhD ,&nbsp;Nai-Chia Chang MS ,&nbsp;Heng-Ching Lin MS","doi":"10.1016/j.apnr.2025.151902","DOIUrl":"10.1016/j.apnr.2025.151902","url":null,"abstract":"<div><h3>Background</h3><div>The Patient Infotainment Terminal (PIT) plays a pivotal role in Smart Health, enabling hospitals to actively pursue the objective of fostering Shared Decision-Making. By providing General information, Medical information, and Entertainment options, the system fosters effective patient-clinician communication and significantly elevates the standard of care.</div></div><div><h3>Objective</h3><div>This study aimed to investigate how registered nurses utilized the PIT and prioritized functions based on their perception of importance and satisfaction to find out high-importance but low-satisfaction PIT functions.</div></div><div><h3>Method</h3><div>Our study included registered nurses who served in the medical, surgical, gynecological, and pediatric wards of a hospital in northern Taiwan. We employed a structured questionnaire grounded in the Importance-Satisfaction model to gather nurses' perceptions of “importance” and “satisfaction” with Patient Infotainment Terminal functions.</div></div><div><h3>Results</h3><div>We collected 189 valid questionnaires with a recovery rate of 85 %. The results showed that nurses scored highest on the importance and satisfaction of the “Medical information” function of the PIT (mean: 4.05; 3.28), followed by “ general information” (3.82 and 3.25) and “entertainment” (3.55 and 3.13). Among the subcategories of “Medical information,” the “My Examination” feature, which enables patients to access their examination schedules and results, was highlighted as a critical area. Despite its high importance (mean: 3.98), the feature received lower satisfaction scores (mean: 3.17), reflecting the need for improvements in scheduling precision and user experience.</div></div><div><h3>Conclusions</h3><div>Most nurses expressed satisfaction with the PIT functions, and prioritized enhancement should be directed toward the “My Examination” feature to better align with user expectations and improve patient-centered care.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151902"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048314","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":"Parnell, T. A. (2015). Health literacy in nursing: Providing person-centered care. Springer Publishing Company","authors":"Alsacia L. Sepúlveda-Pacsi","doi":"10.1016/j.apnr.2024.151895","DOIUrl":"10.1016/j.apnr.2024.151895","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151895"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048316","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":"Exploring EntrepreNursing: The influence of internal locus of control and organizational innovativeness on nurses' innovative behavior - A cross-sectional study","authors":"Gillie Gabay ,&nbsp;Sigal-Shafran Tikva ,&nbsp;Ilya Kagan","doi":"10.1016/j.apnr.2025.151900","DOIUrl":"10.1016/j.apnr.2025.151900","url":null,"abstract":"<div><h3>Background</h3><div>The concept of ‘EntrepreNursing’ improves healthcare outcomes by enhancing quality, accessibility, and cost-effectiveness, but remains underutilized by clinical nurses. Research on how to promote EntrepreNursing is scant.</div></div><div><h3>Purpose</h3><div>To examine how personal characteristics (internal locus of control, capacity to innovate) and organizational innovativeness influence nurses' innovative behaviors.</div></div><div><h3>Method</h3><div>A cross-sectional study of 205 registered nurses from diverse clinical settings completed a validated 62-item questionnaire measuring innovativeness and related factors.</div></div><div><h3>Findings</h3><div>The results revealed that internal locus of control strongly predicts innovative behaviors and correlates with organizational innovativeness. Nurses in managerial positions demonstrate significantly higher personal innovativeness. A combination of internal locus of control, personal innovativeness, and organizational culture explained 54 % of the variance in innovative behaviors.</div></div><div><h3>Discussion</h3><div>Findings suggest that strengthening nurses' internal locus of control through targeted organizational support and professional development may enhance healthcare innovation. Implementation strategies should focus on building both individual and organizational innovation capabilities.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151900"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048292","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 association between adolescents' knowledge and perception of HPV vaccination and parents' characteristics: A cross-sectional study","authors":"Valentina Simonetti ,&nbsp;Giancarlo Cicolini ,&nbsp;Marco Tomietto ,&nbsp;Barbara Forastefano ,&nbsp;Francesco Pastore ,&nbsp;Patrizia Ballerini ,&nbsp;Antonio Di Lorenzo ,&nbsp;Silvio Tafuri ,&nbsp;Dania Comparcini","doi":"10.1016/j.apnr.2025.151899","DOIUrl":"10.1016/j.apnr.2025.151899","url":null,"abstract":"<div><h3>Background</h3><div>In Italy, the anti-Human Papillomavirus (HPV) vaccination campaign began in 2008. To date, despite the effectiveness and safety of HPV vaccines, coverage among Italian adolescents is still suboptimal. Evidence suggests that different factors could influence parents' choices regarding their children's vaccination uptake.</div></div><div><h3>Aim</h3><div>This study aimed to assess the association of parents' sociodemographic characteristics and vaccine hesitancy with adolescents' perceptions and knowledge of the HPV/HPV vaccine.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among Italian students aged 11–13 and their parents. The data were collected by structured questionnaires including sociodemographic questions, the HPV Adolescent Vaccine Intervention Questionnaire (HAVIQ) to assess students' knowledge and perceptions on HPV/HPV vaccination, and the Parent Attitudes about Childhood Vaccines (PACV) Survey to measure parents' vaccine hesitancy.</div></div><div><h3>Results</h3><div>This study involved 74 adolescents and 74 parents. Overall, adolescents showed high levels of confidence in “involvement in decision-making”, “self-efficacy”, “feelings” and “knowledge” factors of the HAVIQ. 94.6 % of parents were categorized as “non-hesitant” reporting a PACV overall score &lt; 50. Having one or both parents with a university degree in the family was statistically associated with higher students' knowledge (<em>p</em> = 0.048) and lower feelings of fear and anxiety (<em>p</em> = 0.011).</div></div><div><h3>Conclusions</h3><div>This study identified parents' characteristics related to adolescents' knowledge and perceptions regarding the HPV/HPV vaccination. Specifically, results showed that parents' educational level was associated with adolescents' knowledge and feelings about HPV and HPV vaccination. These factors in turn could play a pivotal role in a shared vaccine decision-making process between parents and their children.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151899"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048415","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":"The impact of psychological resilience on professional commitment among caregiving students in Taiwan: A cross-sectional study","authors":"Chia-Chen Chang ,&nbsp;Chen-Yin Tung ,&nbsp;Su-Hao Fan ,&nbsp;Wei-Hsiang Huang","doi":"10.1016/j.apnr.2024.151891","DOIUrl":"10.1016/j.apnr.2024.151891","url":null,"abstract":"<div><h3>Aim/objective</h3><div>To explore the impact of psychological resilience and its dimensions on professional commitment among caregiving students in Taiwan.</div></div><div><h3>Background</h3><div>Professional commitment is crucial in caregiving professions, yet its relationship with psychological resilience among caregiving students in Taiwan remains underexplored. Understanding this relationship can guide educational strategies to enhance students' professional commitment.</div></div><div><h3>Design</h3><div>A cross-sectional study was conducted.</div></div><div><h3>Methods</h3><div>The study included 258 students from 23 colleges specializing in caregiver programs in Taiwan in 2021. A stratified random sampling method was used. Data were collected using the Resilience Scale for Adults (measuring dimensions like personal strengths, social resources, and family resources) and the Professional Commitment Scale. Validity and reliability were confirmed through expert review, item analysis, exploratory factor analysis, and internal consistency analysis.</div></div><div><h3>Results</h3><div>Personal strengths emerged as the strongest predictor of professional commitment (β = 0.26), followed by participation in extracurricular activities (β = 0.13). Background factors such as college type and experience in campus club explained 13 % of the variance in professional commitment (adjusted R² = 0.13). Future organizational style, family resources, and personal strengths explained an additional 2.0 %, 2.0 %, and 3.0 % of the variance, respectively, leading to a total explanatory power of 24.0 %.</div></div><div><h3>Conclusions</h3><div>To improve caregivers' future professional commitment, it is recommended that caregiving programs focus on enhancing students' psychological resilience and encourage their participation in extracurricular activities.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151891"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048515","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 lived experiences of nurse practitioners during a nursing strike","authors":"Shelby E. O'Rourke,&nbsp;Jane Dimmitt Champion","doi":"10.1016/j.apnr.2024.151896","DOIUrl":"10.1016/j.apnr.2024.151896","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to understand the lived experiences of nurse practitioners (NPs) providing patient care during a nursing strike in a hospital setting.</div></div><div><h3>Background</h3><div>The nursing shortage afflicts the provision of health care. A recurring loss of seasoned nurses represents a loss of expertise and organizational knowledge, leading to internal burnout, inadequate resources, and recently, nursing strikes. Many strikes have occurred in health care, yet little is known about NPs experiences when caring for patients during nursing strikes.</div></div><div><h3>Methods</h3><div>A qualitative research design included personal interviews. Snowball sampling included identification of an initial key informant meeting inclusion criteria, followed by subsequent requests to refer other potentially eligible individuals.</div></div><div><h3>Results</h3><div>Interviews (<em>n</em> = 10) contained candid stories about primarily negative experiences creating moral and ethical dilemmas for NPs. Content analysis identified five themes: a) What do I do? b) We didn't know it was coming, c) COVID-19 caused it, d) It put our patients at risk, and e) I never want this to happen again. Experienced, older NPs tended to disagree with nursing strikes while younger, less experienced NPs expressed greater support of the strike.</div></div><div><h3>Conclusions</h3><div>Results call attention to NPs concerns while providing guidance for those preparing for these events. NPs experiences reflected moral and ethical dilemmas impacting patient care. Recommendations include integration of information via professional, educational programming to address these ethical and moral dilemmas. Incorporating a framework for management of ethical dilemmas and offering insights regarding expectations should one be required to practice during a nursing strike, is recommended.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151896"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048622","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":"Factors influencing shared decision-making on hospital wards as perceived by healthcare professionals: A qualitative study","authors":"J. Bakker ,&nbsp;E.M. Huntink ,&nbsp;L.J. Peters ,&nbsp;I.M. Brugman ,&nbsp;D.T. Ubbink ,&nbsp;L. Schoonhoven","doi":"10.1016/j.apnr.2024.151892","DOIUrl":"10.1016/j.apnr.2024.151892","url":null,"abstract":"<div><h3>Objectives</h3><div>The extent to which healthcare professionals apply Shared Decision Making (SDM) on hospital wards is still unknown. The aim was to explore the current knowledge of SDM among healthcare professionals and the experienced factors influencing SDM on the wards of Dutch hospitals, regarding both treatment and care decisions.</div></div><div><h3>Setting</h3><div>Twelve hospital wards in two university medical centres and one teaching hospital.</div></div><div><h3>Design</h3><div>Explorative qualitative design including semi-structured interviews with healthcare professionals working on hospital wards.</div></div><div><h3>Results</h3><div>23 Healthcare professionals of 12 different wards were interviewed about their knowledge and the factors influencing SDM on their hospital ward. Most healthcare professionals had heard about SDM, but their understanding of the concept of SDM differed. Influencing factors were found on three levels. Organizational factors: lack of a clear vision, various approaches of ward rounds, time, and the organizational structure. Patient-related factors: the situation of the patient, participation of relatives and perceptual differences. Healthcare professional-related factors: motivation, experience, workload, continuity of care, familiarity with the patient, interprofessional communication, tools, and education.</div></div><div><h3>Conclusion</h3><div>All healthcare professionals recognize the importance of SDM and involving the patient in healthcare decisions, because they feel it enhances the quality of care and prioritizes patient-centered care. Nevertheless, healthcare professionals frequently encounter barriers in this setting. To facilitate SDM on hospital wards in the Netherlands, it is beneficial to embed SDM in the inpatient setting and establish a clear structure for interprofessional SDM regarding both treatment and care decisions, in which physicians, nurses and patients play an essential role.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151892"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048299","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":"Psychometric testing of the caring for the caregiver survey for healthcare providers","authors":"Kathryn Sabo PhD, RN, CNE ,&nbsp;Perman Gochyyev PhD ,&nbsp;Kristen Sethares PhD, RN, CNE, FAHA, FHFSA ,&nbsp;Elizabeth Chin PhD, RN","doi":"10.1016/j.apnr.2024.151880","DOIUrl":"10.1016/j.apnr.2024.151880","url":null,"abstract":"<div><h3>Aim</h3><div>The purpose of this study was to assess the factorial structure and model fit of the Caring for the Caregiver Scale.</div></div><div><h3>Background</h3><div>Caregiving is an all-encompassing role that results in negative health consequences. Healthcare providers require specific knowledge and clinical skills to support caregivers with health promotion. There is no instrument to measure healthcare providers' knowledge, attitudes, and practices on assessing and supporting caregivers. The Healthcare Provider Caring for the Caregiver Scale was developed to identify gaps in healthcare providers' knowledge and clinical practices and help pinpoint areas where interventions may be necessary.</div></div><div><h3>Methods</h3><div>Exploratory factor analysis and absolute fit measures were used to evaluate the factorial structure and model fit of the instrument. A multidimensional ordinal Rasch and differential item functioning test was used to fit a three-dimensional partial credit model and ensure the validity of the use of the instrument across subgroups.</div></div><div><h3>Results</h3><div>A three-factor model was confirmed based on fit statistics and the clustering of the inter-item correlations. The composite measure across 30 items demonstrated strong internal consistency and excellent reliability. Item fit indices estimated from the Rasch model indicated an overall good fit except for two items showing a misfit.</div></div><div><h3>Conclusions</h3><div>The Caring for the Caregiver Scale demonstrates sufficient factorial structure and model fit making it valuable in evaluating healthcare providers' knowledge, attitudes, and practices with assessing and supporting caregivers. Data collected from this instrument may identify gaps in knowledge and clinical skills and guide intervention development that enhances healthcare providers' ability to deliver quality care to caregivers.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151880"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048405","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 quality of orientation for newly hired nurses in acute care settings in a university hospital: A cross-sectional study","authors":"Satu Rauta RN, PhD ,&nbsp;Kristiina Junttila RN, PhD ,&nbsp;Camilla Strandell-Laine RN, PhD ,&nbsp;Jaana Peltokoski RN, PhD ,&nbsp;Toni Haapa RN, PhD","doi":"10.1016/j.apnr.2025.151903","DOIUrl":"10.1016/j.apnr.2025.151903","url":null,"abstract":"<div><h3>Aims</h3><div>This study aims to describe how newly hired nurses assess the quality of the orientation in acute care settings in a university hospital.</div></div><div><h3>Background</h3><div>Orientation for newly hired nurses in acute care settings, where special competence, ability to collaborate with different professional groups, and wide technical and technological skills are required, is crucial to ensure patient safety and high-quality standards in nursing care.</div></div><div><h3>Methods</h3><div>A cross-sectional study design was applied. Strengthening the Reporting of Observational studies in Epidemiology (STROBE) guidelines were followed. A convenience sample consisted of nurses (N = 120) from nine operating rooms and four intensive care units. The participants were newly hired (for one year). The data was collected via an online questionnaire including three parts: 1) socio-demographic and orientation-related items; 2) the Comprehensive Orientation Process Evaluation (OPE-instrument© Peltokoski, 2016); and 3) an adopted version of the Clinical Learning Environment, Supervision and Nurse Teacher Scale (CLES+ T Scale© Saarikoski et al., 2008). Descriptive and bivariate statistical analyses were used.</div></div><div><h3>Results</h3><div>66 newly hired nurses answered the survey; the response rate was 44 %. The comprehensive orientation process was assessed as follows: goals and responsibilities, and standardized content of the comprehensive orientation process (mean 3.98), implementation of the comprehensive orientation process (mean 3.95), and evaluation of the comprehensive orientation process (mean 3.31). The quality of the clinical learning environment and supervision was assessed as follows: premises of learning on the ward (mean 4.04), supervisory relationship (mean 4.04), atmosphere on the ward (mean 3.77), and premises of nursing care on the ward (mean 3.65). Setting and achieving learning goals and professional growth supporting orientation were most often statistically significantly associated with a comprehensive orientation process and a clinical learning environment and supervision.</div></div><div><h3>Conclusion</h3><div>Although newly hired nurses assessed the quality of the orientation at an appropriate level, evaluation should be systematically performed at different checkpoints of the orientation process. Learning goals should be set individually, and their achievement monitored to confirm the quality of the orientation.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151903"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048668","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":"Effects of a 12-week lower limb resistance training with breathing regulation in patients with diabetes-related foot ulcers: A randomized controlled trial","authors":"Jia-Ling Wu MS, RN ,&nbsp;Mei-Ling Yeh PhD, DMS, RN, FAAN (Distinguished Professor) ,&nbsp;Jocelyn Liao","doi":"10.1016/j.apnr.2025.151911","DOIUrl":"10.1016/j.apnr.2025.151911","url":null,"abstract":"<div><div>Patients with diabetes-related foot ulcers may require hospitalization and face an increased risk of amputation, which can significantly impact their quality of life. One potential solution is exercise, which can regulate blood glucose levels, improve wound healing, and enhance overall well-being. This randomized controlled trial aimed to evaluate the impact of a lower limb resistance training program combined with breathing-regulation techniques on glycemic control, wound healing, and quality of life in patients with diabetes-related foot ulcers. Patients hospitalized for type 2 diabetes-related foot ulcers were recruited from a single medical center and randomly divided into two groups. The control group (<em>n</em> = 31) received standard treatment, while the exercise group (<em>n</em> = 28) received standard treatment along with lower limb resistance training and breathing-regulation techniques. Assessments of fasting blood glucose levels, hemoglobin A1c (HbA1c) levels, wound healing, and quality of life were carried out at the start of the study and week 4, week 8, and week 12 of the intervention. The exercise group demonstrated significant improvements in fasting blood glucose and HbA1c levels, as well as in physical health, psychological well-being, social relationships, and environmental aspects of quality of life over the 12 weeks compared to both the control group and the baseline (<em>p</em> &lt; .05). However, no significant change was observed in wound healing (<em>p</em> &gt; .05). The resistance training program for the lower limbs, combined with breathing-regulation techniques, is recommended for improving blood glucose levels and quality of life over 12 weeks.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151911"},"PeriodicalIF":2.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348618","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}