Asian Nursing Research最新文献

{"title":"Effectiveness of Nursing Interventions on Anxiety, Depression, and Quality of Life in Patients with Advanced Schistosomiasis: A Meta-analysis","authors":"Meng-Rui Huang MD,&nbsp;Yu-Xin Qi MD,&nbsp;Hui-Ying Sun MD,&nbsp;Han-Xiang Zhang MD,&nbsp;Qing Xu MD,&nbsp;Da-Bing Lu PhD","doi":"10.1016/j.anr.2025.09.008","DOIUrl":"10.1016/j.anr.2025.09.008","url":null,"abstract":"<div><h3>Purpose</h3><div>Advanced schistosomiasis, the most severe stage of <em>Schistosoma japonicum</em> infection, profoundly impairs patients’ quality of life (QoL) and increases vulnerability to anxiety and depression. Since 2004, China has launched a medical assistance program for the patients with access to medical and/or surgical treatment, in which health workers have incorporated nursing interventions to address these challenges. This meta-analysis evaluated the effects of nursing interventions on QoL, anxiety, depression, and complications in advanced schistosomiasis patients.</div></div><div><h3>Methods</h3><div>Seven databases [PubMed, Web of Science, the Cochrane Library, China Biology Medicine, China National Knowledge Infrastructure, China Science and Technology Journal Database, and Wanfang] were systematically searched for randomized controlled trials up to August 1, 2024. Data were analyzed using Review Manager 5.4 (Cochrane Collaboration) and R 4.2.3 (R Project, a free, open-source language and environment primarily used for statistical computing and graphics). Outcomes included QoL (World Health Organization Quality of Life Brief scale and Karnofsky performance status), anxiety (Self-rating Anxiety Scale), depression (Self-rating Depression Scale), and complications. The protocol was previously registered with the International Prospective Register of Systematic Reviews (CRD42023406707).</div></div><div><h3>Results</h3><div>A total of 23 studies with 2232 patients were included. Nursing interventions improved QoL with greater benefits observed in longer intervention periods. Anxiety (standardized mean difference: -1.52, 95% confidence interval (CI): -2.10 to −0.94) and depression (standardized mean difference: -1.13, 95% CI: -1.43 to −0.84) scores were markedly reduced. The risk of complications decreased by 64% (relative risk: 0.36, 95% CI: 0.27 to 0.48). Subgroup analyses highlighted age as a key modifier of intervention efficacy.</div></div><div><h3>Conclusion</h3><div>Nursing interventions effectively enhance QoL, alleviate psychological distress, and reduce complications in advanced schistosomiasis patients. These findings advocate for integrating structured nursing protocols into China’s national healthcare programs and global schistosomiasis management strategies.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 2","pages":"Pages 119-128"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Climate Change Anxiety and Environmental Sustainability Attitudes on Pro-environmental Behaviors Among Nursing Students: A Cross-sectional Study","authors":"Yeonju Lee ,&nbsp;Sun Joo Jang ,&nbsp;Haeyoung Lee","doi":"10.1016/j.anr.2025.08.005","DOIUrl":"10.1016/j.anr.2025.08.005","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the effects of climate change anxiety and environmental sustainability attitudes on pro-environmental behaviors among nursing students. As the core workforce of future nursing, nursing students must adapt to various nursing environments affected by climate change and be empowered to address its risks and impacts. They can play a crucial role in contributing to a healthy environment by enhancing their capacity to respond to climate change and practicing pro-environmental behaviors.</div></div><div><h3>Methods</h3><div>Data were collected from April 15 to 22, 2024, through an online survey distributed to junior and senior nursing students with clinical experience. Responses from 334 participants were analyzed using multiple regression analysis to examine the relationships between climate change anxiety, environmental sustainability attitudes, and pro-environmental behaviors.</div></div><div><h3>Results</h3><div>Multiple regression analysis revealed environmental sustainability attitudes, and academic year (in decreasing order of effect size) to be significant predictors of pro-environmental behaviors. The regression model explained 16% of the variance in pro-environmental behaviors.</div></div><div><h3>Conclusion</h3><div>Higher environmental sustainability attitudes were associated with increased pro-environmental behaviors. To promote such behaviors among nursing students, interventions aimed at strengthening environmental sustainability attitudes, while also considering the potential role of climate change anxiety, may be beneficial.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 2","pages":"Pages 219-225"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Effects of Nurse-Led Health Education on Parental Knowledge and Child Health Outcomes in Congenital Heart Surgery: A Quasi-Experimental Study","authors":"Huong T.M. Tran ,&nbsp;Joanne Ramsbotham ,&nbsp;Debbie A. Long","doi":"10.1016/j.anr.2025.12.006","DOIUrl":"10.1016/j.anr.2025.12.006","url":null,"abstract":"<div><h3>Purpose</h3><div>In developing countries, delayed diagnosis and limited access to treatment often complicate the post-operative course for children with congenital heart disease, who require complex care to optimize cardiac function. Effective recovery depends on collaboration between healthcare providers and parents, with health education serving as a critical support mechanism. However, research in these settings has faced limitations restricting generalizability, and the role of nurses in health education remains underutilized. This study aimed to evaluate the effectiveness of a nurse-led health education program for parents of children undergoing congenital heart surgery.</div></div><div><h3>Methods</h3><div>A quasi-experimental design was employed in a Vietnamese pediatric cardiac facility. Eligible parent-child dyads were assigned to control or intervention groups based on enrollment period, separated by a washout period. The intervention group received five teaching sessions facilitated by teach-back plus standard care, while the control group received standard care only. Data were collected at admission, discharge, and first and second outpatient appointments. Co-primary outcomes were parental knowledge and child weight.</div></div><div><h3>Results</h3><div>One-hundred thirty-eight dyads were recruited (control: <em>n</em> = 74; intervention: <em>n</em> = 64). Primary caregivers were mothers (92.8%) in their 30s, with high school being the most common education level. Children's median age was 6 months (<em>IQR</em> = [2.43, 14.47]), with 50% (<em>n</em> = 69) undergoing low-to-moderate risk surgical procedures. Compared with controls, the intervention group showed significantly greater parental knowledge (<em>b</em> = −3.24, 95% CI [−3.79, −2.70], <em>p</em>&lt;.001), increased child weight (<em>b</em> = −0.07, 95% CI [−0.11, −0.04], <em>p</em>&lt;.001), lower risk of abnormal oxygen saturation (RR = 2.53, 95% CI [1.14, 5.59], <em>p</em> = .022).</div></div><div><h3>Conclusions</h3><div>Nurse-led health education can enhance parental knowledge and improve child growth and cardiac function, highlighting its potential implications in routine pediatric cardiac care, particularly in resource-constrained settings. Further research should confirm long-term effects and broader applicability.</div></div><div><h3>Trial registration</h3><div>ACTRN12623000388617p (18/04/2023).</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 2","pages":"Pages 209-218"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influencing Factors of Unmet Care Needs Among Taiwanese Non-Muscle Invasive Bladder Cancer during Acute Stage of Survivorship: A Preliminary Study","authors":"Yi-Rong Chen ,&nbsp;Yeong-Chin Jou ,&nbsp;Yung-Chang Lin ,&nbsp;Hsiang-Ping Huang ,&nbsp;Randal D. Beaton ,&nbsp;Sui-Whi Jane","doi":"10.1016/j.anr.2025.12.001","DOIUrl":"10.1016/j.anr.2025.12.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify predictors of various dimensions of unmet care needs and to longitudinally investigate the unmet care needs, psychological distress, and quality of life (QoL) over a three-month post-treatment period among Taiwanese nonmuscle invasive bladder cancer (NMIBC) survivors.</div></div><div><h3>Methods</h3><div>This preliminary study employed a longitudinal repeated measurement design one day after TURBT and initial intravesical chemotherapy (T0) a convenience sampling in NMIBC survivors (<em>n</em> = 50).</div></div><div><h3>Results</h3><div>The results of the study revealed that the highest levels of unmet care needs were in the informational and physical/psychological domains, and significant improvements in unmet care needs, anxiety levels, and various QoL domains were noted over the 3-month period. Predictors varied by four domains of unmet care needs: higher anxiety levels were associated with greater unmet needs across domains (<em>β</em> = 0.60 ∼ 0.18); concerns about future worries predicted higher physical/psychological needs (<em>β</em> = 0.07); bloating and flatulence symptoms predicted greater informational and medical care needs (<em>β</em> = 0.07 ∼ 0.04); and the presence of informal caregiver support was linked to higher physical/psychological needs (<em>β</em> = 1.99). Receiving more transurethral resection of bladder tumor (TURBT) cycles was associated with lower communication and medical care needs (<em>β</em> = −1.05 ∼ −1.38).</div></div><div><h3>Conclusion</h3><div>The preliminary study indicated that survivors' diverse dimensions of unmet care needs varied by personal characteristics, psychological distress, and QoL. It is recommended to closely monitor NMIBC survivors especially those undergoing 1-2 cycles of TURBT and experiencing anxiety, concerns about the future worries, and bloating and flatulence symptoms, to alleviate the impacts of their care needs. In addition, these survivors may benefit from the provision of tailored survivorship care plans to address their diverse unmet care needs.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 2","pages":"Pages 177-188"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Factors Affecting Oral Health Changes Among Community-Dwelling Older Adults: A Retrospective Study","authors":"Yoonjung Ji ,&nbsp;Eunkyung Kim ,&nbsp;SangA Lee ,&nbsp;Taewha Lee","doi":"10.1016/j.anr.2025.09.009","DOIUrl":"10.1016/j.anr.2025.09.009","url":null,"abstract":"<div><h3>Introduction</h3><div>In the era of longevity, oral health has become increasingly important for maintaining the quality of life of older adults. However, the factors that influence their oral health remain unclear. Given that oral health tends to decline with age, it is crucial to identify the early predictors of changes in the oral health of older adults. Therefore, this study identified the factors influencing changes in the oral health of Korean older adults.</div></div><div><h3>Methods</h3><div>This retrospective study used nationally representative panel data from the 2018 and 2020 waves of the Korean Longitudinal Study of Aging. The study population of 3859 individuals aged 65 years or older was divided into four groups (good-good, good-poor, poor-good, and poor-poor groups) based on changes in their oral health as assessed by the Geriatric Oral Health Assessment Index. Data were analyzed using multinomial logistic regression to examine factors influencing changes in oral health, with the good-good group set as the reference category.</div></div><div><h3>Results</h3><div>Individuals in the Poor-Poor group were the highest in number (33.7%). Factors affecting oral health changes included age, education level, body weight status, diabetes, heart disease, depression, cognitive impairment, and Medical aid coverage. Being underweight or overweight and having cognitive impairment contributed to declining oral health. Depression showed a dual association, being linked to both improvement and persistence of poor oral health. Furthermore, diabetes, heart disease, being underweight, and insufficient healthcare coverage perpetuated poor oral health. These factors explained 29.9% of the variance in oral health changes among older adults.</div></div><div><h3>Conclusion</h3><div>Study findings highlight the need for multi-level actions in clinical care, community health promotion, and policy to expand dental insurance. Future research should extend longitudinal analyses, address unmet oral health needs, and draw cross-national insights to inform strategies and policies for healthy aging.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 2","pages":"Pages 129-136"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Reasons of Late Diagnosis in Patients With HIV/AIDS: A Meta-Synthesis","authors":"Jing Shen ,&nbsp;Juan Tan ,&nbsp;Chuntao Wu ,&nbsp;Shiping Feng ,&nbsp;Peisha Du ,&nbsp;Xia Zhao ,&nbsp;Yulan Yang ,&nbsp;Qian Wen ,&nbsp;Bin Wan","doi":"10.1016/j.anr.2025.10.005","DOIUrl":"10.1016/j.anr.2025.10.005","url":null,"abstract":"<div><h3>Purpose</h3><div>To comprehensively integrate qualitative findings on the reasons for late diagnosis in HIV/AIDS patients and to encourage timely clinic consultations for advisory purposes.</div></div><div><h3>Methods</h3><div>A qualitative systematic review utilizing a meta-aggregation approach. Extensive searches were conducted across PubMed, Embase, Cochrane Library, Web of Science, CINAHL, ProQuest, Scopus, Medline, CNKI, VIP, Chinese Biomedical, and Wanfang databases. The search was completed on December 10, 2024. Studies were screened according to predefined inclusion and exclusion criteria. Quality assessment was performed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. The review adhered to the PRISMA 2020 guidelines.</div></div><div><h3>Results</h3><div>A total of 13 articles were included, and 113 original findings were extracted and categorized into 13 new categories, which were further synthesized into three integrated findings: (1) lack of proper knowledge about HIV; (2) complex psychological distress and (3) inadequate medical resources and limited services.</div></div><div><h3>Conclusion</h3><div>This meta-synthesis of qualitative research focused on the reasons for late diagnosis in people living with HIV(PLWH). It is based on an in-depth exploration of patients' personal feelings and experiences, as well as insights into their genuine desires. Patients' lack of disease knowledge may amplify fears, leading to anxiety, depression, and other adverse psychological conditions that reduce their willingness to seek medical care and contribute to late HIV diagnosis. Furthermore, this reduced healthcare-seeking behavior contributes to the underutilization of healthcare resources and impairs system efficiency. Consequently, the risk of late-stage consultation for serious conditions such as AIDS increases. Given these diagnostic challenges, enhancing early detection among PLWH is critical for reducing viral transmission and improving the quality of life of those infected.</div></div><div><h3>Clinical trial registration</h3><div>The study protocol was registered on the PROSPERO website (CRD42025631287).</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 2","pages":"Pages 137-150"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Human Value of Peer Review in Nursing","authors":"Kyoung Suk Lee","doi":"10.1016/j.anr.2026.04.004","DOIUrl":"10.1016/j.anr.2026.04.004","url":null,"abstract":"","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 2","pages":"Pages 117-118"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dyadic Effects of Family Function and Financial Toxicity on Quality of Life in Lung Cancer Patients and Family Caregivers: An Actor–Partner Interdependence Mediation Model","authors":"Hui Shan ,&nbsp;Weisong Wang ,&nbsp;Xiaoying Wang ,&nbsp;Liu Fang","doi":"10.1016/j.anr.2025.09.004","DOIUrl":"10.1016/j.anr.2025.09.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Lung cancer has a profound impact on the whole family, particularly patients and family caregivers. This research adopted a dyadic method to examine the dyadic effect of family function on quality of life (QoL) and the mediating role of financial toxicity in lung cancer patient–caregiver dyads.</div></div><div><h3>Methods</h3><div>This was a cross-sectional research that included 218 pairs of participants. Family function, financial toxicity, and QoL were assessed by the General Function of Family Assessment Device (FAD-GF), Comprehensive Scores for Financial Toxicity based on Patient-Reported Outcome Measures (COST-PROM) and Global Health Status/Quality of Life (GHS/QoL) subscale of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30). SPSS 24.0 and AMOS 23.0 statistical software were used for statistical analysis.</div></div><div><h3>Results</h3><div>The actor–partner interdependence mediation model analysis demonstrated good model fit (χ²/df = 1.300, root mean square error of approximation (RMSEA) = 0.037, normed fit index (NFI) = 0.997, Tucker-Lewis index (TLI) = 0.998, comparative fit index (CFI) = 0.992, and standard root mean squared residual (SRMR) = 0.004). Results revealed significant dyadic interdependence, showing that both patients’ and family caregivers’ QoL was associated with their own and their partner’s family function and financial toxicity. Notably, family function exerted both actor effects (individual's family function influencing their own QoL) and partner effects (individual’s family function influencing their partner’s QoL). Mediation analysis further indicated that these effects operated through both direct pathways and indirect pathways mediated by financial toxicity—where one’s family function could impact either their own or their partner’s QoL via their own or their partner’s financial toxicity.</div></div><div><h3>Conclusion</h3><div>The findings highlight the need for integrated interventions targeting both family dynamics and financial distress to enhance well-being in cancer care dyads. Adopting this dyadic approach may significantly improve QoL for patients and caregivers, particularly in oncological settings where financial toxicity intensifies disease-related challenges.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 2","pages":"Pages 226-234"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kinesiophobia and Physical Activity in Patients After Percutaneous Coronary Intervention: The Mediating role of Self-Efficacy and the Moderating Role of Type D Personality","authors":"Yingtong Chen ,&nbsp;Minjuan Xie ,&nbsp;Ruinan Xia ,&nbsp;Jingfang Xiao ,&nbsp;Junfeng Zhang ,&nbsp;Rui Wang ,&nbsp;Xiuhong Weng","doi":"10.1016/j.anr.2025.11.003","DOIUrl":"10.1016/j.anr.2025.11.003","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the interconnections among kinesiophobia, self-efficacy, Type D personality, and physical activity (PA) among patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI). The explicit objective was to investigate whether self-efficacy mediated and Type D personality moderated the relationship between kinesiophobia and PA in this population.</div></div><div><h3>Methods</h3><div>Between November 2021 and October 2022, 328 patients who had undergone PCI were enrolled from cardiac wards at three different hospitals. The participants were instructed to finalize the International Physical Activity Questionnaire, the Tampa Scale of Kinesiophobia for Heart, the Cardiac Exercise Self-Efficacy Instrument, and the Type D Personality Scale. We used SPSS 22.0 (IBM Corp., Armonk, NY, USA) and the PROCESS macro for SPSS (developed by Andrew F. Hayes, The Ohio State University, Columbus, OH, USA) for the statistical analysis.</div></div><div><h3>Results</h3><div>(1) Mediation analysis revealed that self-efficacy partially mediated this relationship. (2) This study demonstrated that kinesiophobia was significantly associated with PA with Type D personality moderating the association between kinesiophobia and self-efficacy as well as the direct link between kinesiophobia and PA. However, kinesiophobia was associated with PA both directly and indirectly through self-efficacy. The simple slope graph revealed that patients with Type D personality exhibited substantially lower levels of PA than those with non–Type D personality as kinesiophobia increased. Patients with Type D personality had weaker self-efficacy than those without Type D personality when it came to strong kinesiophobia.</div></div><div><h3>Conclusion</h3><div>Self-efficacy and Type D personality play important roles in the relationship between kinesiophobia and PA. Interventions after PCI should focus on reducing kinesiophobia and enhancing self-efficacy to improve PA. Personality assessment allows tailored strategies, with Type D patients requiring targeted approaches for fear and emotion regulation, while non–Type D patients may benefit more from self-efficacy enhancement.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 2","pages":"Pages 151-159"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Digital Health Interventions in Pregnant Women with Gestational Diabetes: A Systematic Review and Meta-analysis","authors":"Jeung-Im Kim ,&nbsp;Haejin Park ,&nbsp;So-Hee Park ,&nbsp;Jung-Mi Ko ,&nbsp;Ju-Eun Song","doi":"10.1016/j.anr.2025.11.005","DOIUrl":"10.1016/j.anr.2025.11.005","url":null,"abstract":"<div><h3>Purpose</h3><div>This review aimed to evaluate the effectiveness of digital health interventions (DHIs) for gestational diabetes mellitus management, focusing on the improvement of blood glucose and lipid levels, as well as maternal and neonatal outcomes.</div></div><div><h3>Methods</h3><div>The PubMed, Embase, Cochrane Library, and CINAHL databases were searched for studies published up to September 30, 2024. Randomized controlled trials evaluating the effects of DHIs for gestational diabetes were included. The search terms included concepts related to gestational diabetes, digital health, and randomized trials. The quality of the included studies was assessed using the Cochrane Risk of Bias 2.0 tool. Meta-analyses were performed using the Review Manager software (RevMan version 5.4).</div></div><div><h3>Results</h3><div>A total of 26 studies were included. DHIs significantly reduced postprandial glucose levels (standardized mean difference [SMD] = −0.67, 95% confidence interval [CI]: −1.25 to −0.08) and improved off-target fasting glucose (MD = −3.70, 95% CI: −3.83 to −3.57). DHIs also improved lipid profiles, resulting in a reduction in total cholesterol (SMD = −0.25, 95% CI: −0.49 to −0.01) and triglyceride levels (SMD = −0.28, 95 % CI: −0.51 to −0.04), and an increase in high-density lipoprotein cholesterol levels (SMD = 0.28, 95% CI: 0.05–0.52). However, given the very high heterogeneity (I² = 99%) and the small number of studies (k = 3), this pooled estimate should be interpreted with caution. Furthermore, DHIs enhanced compliance with blood glucose monitoring (MD = 15.86, 95% CI: 10.92–20.79). However, no significant effects were observed on fasting glucose, HbA1c levels, delivery, and postnatal outcomes.</div></div><div><h3>Conclusion</h3><div>DHIs offer a promising solution for managing gestational diabetes mellitus, particularly through postprandial glucose control, lipid regulation, and self-monitoring adherence. Their limited impact on fasting glucose, HbA1c levels, and perinatal outcomes suggests that enhanced personalization, professional integration, and long-term monitoring are essential to maximize their effectiveness. Digital health strategies should evolve into comprehensive care models that support maternal and neonatal health, particularly in high-risk situations.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 2","pages":"Pages 160-169"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}