Biological research for nursing最新文献

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Nonpharmacological Interventions for Managing Symptom Clusters in Adults: A Systematic Review. 用于控制成人症状群的非药物干预措施:系统回顾。
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-06-20 DOI: 10.1177/10998004241261258
Taekyeong Lee, Jongmin Park
{"title":"Nonpharmacological Interventions for Managing Symptom Clusters in Adults: A Systematic Review.","authors":"Taekyeong Lee, Jongmin Park","doi":"10.1177/10998004241261258","DOIUrl":"10.1177/10998004241261258","url":null,"abstract":"<p><p><b>Objectives</b>: The complex effects of multiple co-occurring symptoms are a major cause of reduced quality of life; thus, it is necessary to identify symptom clusters experienced by patients and explore interventions. This study aimed to provide an overview of non-pharmacological interventions based on symptom clusters in adults to identify effective intervention strategies and methods. <b>Methods</b>. This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. For the search databases, PubMed, Embase, Cochrane Library, CINAHL, RISS, KISS, and KISTI were used. It includes English and Korean experimental studies published up to May 2023. The literature quality was evaluated using the Joanna Briggs Institute Quality Assessment Tool. <b>Results</b>. Of the 18 studies selected, 15 were randomized controlled trials and three were quasi-experimental studies, all of which were conducted on patients with cancer. The symptom clusters-based interventions in the literature are classified as movement-based, relaxation-based, integrated, and miscellaneous interventions. Integrated interventions, which were effective in all studies, might prove to be very effective for managing symptom clusters. Movement-based intervention studies, which include dance, Qigong, and Tai Chi, might be very effective in improving health-related quality of life (HRQoL). <b>Conclusions</b>. This review demonstrates that non-pharmacological interventions reduce the occurrence and severity of symptom clusters, thereby improving HRQoL. Further studies are required to evaluate the effects of these interventions in patients with various chronic conditions other than cancer.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"657-674"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DNA Methylation, Inflammation, and Neurobehavior in Preterm Infants. 早产儿的 DNA 甲基化、炎症和神经行为
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-06-05 DOI: 10.1177/10998004241257664
Marliese Dion Nist, Rita H Pickler, Abigail B Shoben, Yvette P Conley
{"title":"DNA Methylation, Inflammation, and Neurobehavior in Preterm Infants.","authors":"Marliese Dion Nist, Rita H Pickler, Abigail B Shoben, Yvette P Conley","doi":"10.1177/10998004241257664","DOIUrl":"10.1177/10998004241257664","url":null,"abstract":"<p><p><b>Objectives:</b> Inflammation contributes to disparate neurodevelopmental outcomes between preterm and term-born infants. In this context, DNA methylation may contribute to inflammation by affecting gene expression. Brain-derived neurotrophic factor (<i>BDNF</i>) and nuclear factor-kappa-B-inhibitor alpha (<i>NFKBIA</i>) are important genes for targeted DNA methylation analysis. The aims of this study were to (1) identify associations between inflammatory factors and <i>BDNF</i> and <i>NFKBIA</i> methylation<i>,</i> and (2) identify associations between <i>BDNF</i> and <i>NFKBIA</i> methylation and early neurobehavior in preterm infants. <b>Methods:</b> In a longitudinal cohort study of preterm infants born 28-31 weeks gestational age, blood samples were collected weekly for the quantification of inflammatory factors. We extracted DNA from saliva samples and quantified methylation of six <i>BDNF</i> cytosine-phosphate-guanine (CpG) sites and five <i>NFKBIA</i> CpG sites. Neurobehavior was assessed using the Neurobehavioral Assessment of the Preterm Infant. <b>Results:</b> Sixty-five infants were included in the analysis. In females, inflammatory factors were positively associated with <i>BDNF</i> methylation of most CpG sites. Interleukin-1 receptor antagonist was negatively associated with <i>NFKBIA</i> methylation at two CpG sites. In males, interleukin-6 was negatively associated with <i>BDNF</i> and <i>NFKBIA</i> methylation at most CpG sites. In females, <i>BDNF</i> methylation at two sites was inversely associated with motor performance. In males, <i>NFKBIA</i> methylation at one site was inversely associated with motor performance. <b>Conclusion:</b> This study provides evidence for the relationship between inflammation and neurobehavior in preterm infants, working mechanistically through DNA methylation. The finding of a difference between males and females suggests that female infants are potentially more vulnerable to inflammation and warrants future study.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"547-558"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MicroRNA Profiles in Hematopoietic Stem Cell Transplant Recipients. 造血干细胞移植受者的微 RNA 图谱
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-05-31 DOI: 10.1177/10998004241257847
Lathika Mohanraj, Christiane Carter, Jinze Liu, Theresa Swift-Scanlan
{"title":"MicroRNA Profiles in Hematopoietic Stem Cell Transplant Recipients.","authors":"Lathika Mohanraj, Christiane Carter, Jinze Liu, Theresa Swift-Scanlan","doi":"10.1177/10998004241257847","DOIUrl":"10.1177/10998004241257847","url":null,"abstract":"<p><p><b>Background:</b> Hematopoietic Stem Cell Transplant (HCT) is a potentially curative treatment for hematologic malignancies, including multiple myeloma. Biomarker investigation can guide identification of HCT recipients at-risk for poor outcomes. MicroRNAs (miRNAs) are a class of non-coding RNAs involved in the modulation and regulation of pathological processes and are emerging as prognostic and predictive biomarkers for multiple health conditions. This pilot study aimed to examine miRNA profiles associated with HCT-related risk factors and outcomes in patients undergoing autologous HCT. <b>Methods:</b> Patients eligible for autologous HCT were recruited and blood samples and HCT-related variables were collected. Differential expression analysis of miRNA was conducted on 24 patient samples to compare changes in miRNA profile in HCT eligible patients before and after transplant. <b>Results:</b> Unsupervised clustering of differentially expressed (<i>p <</i> .05) miRNAs pre- and post- HCT identified clusters of up- and down-regulated miRNAs. Four miRNAs (miR-125a-5p, miR-99b-5p, miR-382-5p, miR-145-5p) involved in hematopoiesis (differentiation of progenitor cells, granulocyte function, thrombopoiesis, and tumor suppression) were significantly downregulated post-HCT. Correlation analyses identified select miRNAs associated with risk factors (such as frailty, fatigue, cognitive decline) and quality of life pre- and post-HCT. Select miRNAs were correlated with platelet engraftment. <b>Conclusion:</b> Future studies should examine miRNA signatures in larger cohorts in association with HCT outcomes; and expand investigations in patients receiving allogeneic transplants. This will lead to identification of biomarkers for risk stratification of HCT recipients.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"559-568"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Systemic Immune Inflammation Indexes and DVT in Patients With Malignancy Requiring PICC Insertion. 需要插入 PICC 的恶性肿瘤患者全身免疫炎症指数与深静脉血栓之间的关系
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-05-07 DOI: 10.1177/10998004241252468
Na Li, Jing Huang, You Feng, Hucheng Yan, Shihui Min, Xin Chen
{"title":"Association Between Systemic Immune Inflammation Indexes and DVT in Patients With Malignancy Requiring PICC Insertion.","authors":"Na Li, Jing Huang, You Feng, Hucheng Yan, Shihui Min, Xin Chen","doi":"10.1177/10998004241252468","DOIUrl":"10.1177/10998004241252468","url":null,"abstract":"<p><p><b>Background</b>: In order to reduce the risk of leakage of cytotoxic agents, peripherally inserted central catheters (PICC) are widely used in patients diagnosed with malignancy before chemotherapy. While inflammation has been demonstrated to be associated with deep vein thrombosis (DVT), the connection between systemic immune inflammation indexes and the formation of PICC-DVT remains unclear. <b>Purpose</b>: This study aims to evaluate the association between PICC-DVT and systemic immune inflammation indexes including platelet-to-lymphocyte ratio (PLR), systemic immune-inflammatory index (SII), and systemic inflammatory response index (SIRI). <b>Methods</b>: From August 2018 to October 2021, we enrolled consecutive patients diagnosed with malignancy who underwent PICC implantation before chemotherapy. DVT was assessed using color Doppler ultrasonography. <b>Results</b>: Among the 513 patients, 57 patients (11.1%) developed PICC-DVT. The optimal cutoff values for PLR, SII and SIRI were 260.1, 1318.7, and 2.7, respectively. Based on the multiple logistic regression analysis, correlations were found between PICC-DVT and elevated PLR (<i>p</i> = .014), SII (<i>p</i> = .012), and SIRI (<i>p</i> = .022). Patients with malignancy having higher values of PLR, SII or SIRI tended to be more likely to develop PICC-DVT. <b>Conclusions</b>: The systemic immune inflammation indexes increases the risk of PICC-DVT and could be used as auxiliary predictive tests for PICC-DVT.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"518-525"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prenatal Gut Microbiota Predicts Temperament in Offspring at 1-2 Years. 产前肠道微生物群可预测1-2岁后代的性情
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-06-12 DOI: 10.1177/10998004241260894
Yanan Cao, Xu Zhang, Qianping Zhang, Xiaoxiao Fan, Tianzi Zang, Jinbing Bai, Yuanyuan Wu, Wenjie Zhou, Yanqun Liu
{"title":"Prenatal Gut Microbiota Predicts Temperament in Offspring at 1-2 Years.","authors":"Yanan Cao, Xu Zhang, Qianping Zhang, Xiaoxiao Fan, Tianzi Zang, Jinbing Bai, Yuanyuan Wu, Wenjie Zhou, Yanqun Liu","doi":"10.1177/10998004241260894","DOIUrl":"10.1177/10998004241260894","url":null,"abstract":"<p><p>The purpose of this study was to explore whether prenatal gut microbiota (GM) and its functions predict the development of offspring temperament. A total of 53 mothers with a 1-year-old child and 41 mothers with a 2-year-old child were included in this study using a mother-infant cohort from central China. Maternal fecal samples collected during the third trimester were analyzed using 16S rRNA V3-V4 gene sequences. Temperament of the child was measured by self-reported data according to the primary caregiver. The effects of GM in mothers on offspring's temperament were evaluated using multiple linear regression models. The results demonstrated that the alpha diversity index Simpson of prenatal GM was positively associated with the activity level of offspring at 1 year (adj. <i>P</i> = .036). <i>Bifidobacterium</i> was positively associated with high-intensity pleasure characteristics of offspring at 1 year (adj. <i>P</i> = .031). Comparatively, the presence of <i>Bifidobacterium</i> found in the prenatal microbiome was associated with low-intensity pleasure characteristics in offspring at 2 years (adj. <i>P</i> = .031). There were many significant associations noted among the functional pathways of prenatal GM and temperament of offspring at 2 years. Our findings support the maternal-fetal GM axis in the setting of fetal-placental development with subsequent postnatal neurocognitive developmental outcomes, and suggest that early childhood temperament is in part associated with specific GM in the prenatal setting.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"569-583"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Virtual Reality Glasses Application on Pain, Anxiety, and Patient Satisfaction During a Transrectal Prostate Biopsy: A Randomized Controlled Trial. 虚拟现实眼镜应用对经直肠前列腺活检过程中疼痛、焦虑和患者满意度的影响:随机对照试验。
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-02-28 DOI: 10.1177/10998004241236154
Rumeysa Lale Toraman, Vesile Eskici Ilgin
{"title":"Effect of Virtual Reality Glasses Application on Pain, Anxiety, and Patient Satisfaction During a Transrectal Prostate Biopsy: A Randomized Controlled Trial.","authors":"Rumeysa Lale Toraman, Vesile Eskici Ilgin","doi":"10.1177/10998004241236154","DOIUrl":"10.1177/10998004241236154","url":null,"abstract":"<p><strong>Background: </strong>This study aims to determine the effect of virtual reality glasses application on pain, anxiety, and patient satisfaction during a transrectal prostate biopsy.</p><p><strong>Materials and methods: </strong>The study was conducted with pre-tests, post-tests, and a control group, using a randomized controlled experimental research design. A total of 70 patients (35 in the intervention group and 35 in the control group) were included in the study. The intervention group watched a video with virtual reality glasses during the biopsy process. A Descriptive Information Form, State-Trait Anxiety Inventory (STAI-I, STAI-II), Scale of Patient Perception of Hospital Experience with Nursing Care (PPHEN), and Visual Analog Scale for Pain (VAS) were used for data collection. To evaluate the data, numbers, percentages, mean, standard deviation, chi-square, paired sample <i>t</i> test, independent samples <i>t</i> test, regression analysis, and Cronbach's alpha Reliability Coefficient were used.</p><p><strong>Results: </strong>There was no significant difference between the groups in terms of descriptive and clinical characteristics (<i>p</i> > .05). The mean VAS and STAI post-test scores of the patients in the intervention group were lower than the control group, and the difference between them was statistically significant (<i>p <</i> .05). The mean PPHEN post-test scores of the patients in the intervention group were significantly higher than those in the control group (<i>p <</i> .05).</p><p><strong>Conclusion: </strong>The application of virtual reality glasses during a transrectal prostate biopsy significantly reduced the level of pain and anxiety and increased patient satisfaction.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"485-497"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139992082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Gut Microbiome and Symptom Burden After Kidney Transplantation: An Overview and Research Opportunities. 肠道微生物组与肾移植后的症状负担:概述与研究机会。
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-06-05 DOI: 10.1177/10998004241256031
Mark B Lockwood, Choa Sung, Suzanne A Alvernaz, John R Lee, Jennifer L Chin, Mehdi Nayebpour, Beatriz Peñalver Bernabé, Lisa M Tussing-Humphreys, Hongjin Li, Mario Spaggiari, Alessandro Martinino, Chang G Park, George E Chlipala, Ardith Z Doorenbos, Stefan J Green
{"title":"The Gut Microbiome and Symptom Burden After Kidney Transplantation: An Overview and Research Opportunities.","authors":"Mark B Lockwood, Choa Sung, Suzanne A Alvernaz, John R Lee, Jennifer L Chin, Mehdi Nayebpour, Beatriz Peñalver Bernabé, Lisa M Tussing-Humphreys, Hongjin Li, Mario Spaggiari, Alessandro Martinino, Chang G Park, George E Chlipala, Ardith Z Doorenbos, Stefan J Green","doi":"10.1177/10998004241256031","DOIUrl":"10.1177/10998004241256031","url":null,"abstract":"<p><p>Many kidney transplant recipients continue to experience high symptom burden despite restoration of kidney function. High symptom burden is a significant driver of quality of life. In the post-transplant setting, high symptom burden has been linked to negative outcomes including medication non-adherence, allograft rejection, graft loss, and even mortality. Symbiotic bacteria (microbiota) in the human gastrointestinal tract critically interact with the immune, endocrine, and neurological systems to maintain homeostasis of the host. The gut microbiome has been proposed as an underlying mechanism mediating symptoms in several chronic medical conditions including irritable bowel syndrome, chronic fatigue syndrome, fibromyalgia, and psychoneurological disorders via the gut-brain-microbiota axis, a bidirectional signaling pathway between the enteric and central nervous system. Post-transplant exposure to antibiotics, antivirals, and immunosuppressant medications results in significant alterations in gut microbiota community composition and function, which in turn alter these commensal microorganisms' protective effects. This overview will discuss the current state of the science on the effects of the gut microbiome on symptom burden in kidney transplantation and future directions to guide this field of study.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"636-656"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141246707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aerobic Exercise Improves Heart Rate Variability After an Implantable Cardioverter Defibrillator (ICD). 有氧运动可改善植入心律转复除颤器 (ICD) 后的心率变异性。
Biological research for nursing Pub Date : 2024-10-01 Epub Date: 2024-06-16 DOI: 10.1177/10998004241261273
Cynthia M Dougherty, Makayla Cordoza, Di Wang, Afnan Hamad Alsoyan, Phyllis K Stein, Robert L Burr
{"title":"Aerobic Exercise Improves Heart Rate Variability After an Implantable Cardioverter Defibrillator (ICD).","authors":"Cynthia M Dougherty, Makayla Cordoza, Di Wang, Afnan Hamad Alsoyan, Phyllis K Stein, Robert L Burr","doi":"10.1177/10998004241261273","DOIUrl":"10.1177/10998004241261273","url":null,"abstract":"<p><strong>Clinical trial registration: </strong>Clinicaltrials.gov: NCT00522340.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"584-596"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Astaxanthin Supplementation on Fatigue, Motor Function and Cognition: A Meta-Analysis of Randomized Controlled Trials. 补充虾青素对疲劳、运动功能和认知的影响:随机对照试验的元分析》。
Biological research for nursing Pub Date : 2024-07-01 Epub Date: 2024-01-20 DOI: 10.1177/10998004241227561
Changjiang Liu, Xiaoling Dong, Jia Jia, Mei Ha
{"title":"Effects of Astaxanthin Supplementation on Fatigue, Motor Function and Cognition: A Meta-Analysis of Randomized Controlled Trials.","authors":"Changjiang Liu, Xiaoling Dong, Jia Jia, Mei Ha","doi":"10.1177/10998004241227561","DOIUrl":"10.1177/10998004241227561","url":null,"abstract":"<p><p>Dietary astaxanthin supplementation has been demonstrated to have many beneficial and health-promoting effects. The purpose of this systematic review and meta-analysis was to assess the effect of astaxanthin supplementation on fatigue, cognition, and exercise efficiency. A total of 11 randomized controlled trials (RCTs) with 346 healthy participants were included. The random effects model and pooled standardized mean difference (SMDs) were used according to Hedge's g for the meta-analysis, and a meta-regression was also conducted. The results of the two existing studies showed a positive trend for astaxanthin in subjective fatigue relief. The effects of astaxanthin supplementation for 8-12 weeks on cognitive accuracy were marginally significant (SMD: .12; 95% CI: -.02-.26) and on reaction time was not significant (SMD: -.08; 95% CI: -.26 to .10). Remarkably, astaxanthin supplementation combined with regular training could enhance the fat oxidation (SMD: 2.56; 95% CI: 1.24-3.89), and significantly improve the physical performance (SMD: .62; 95% CI: .17-1.06). The subgroup analysis further showed significantly greater benefits when performing the aerobic exercises performance (SMD: .45; 95% CI: .13-.76), when the dose was ≥ 20 mg (SMD: .37; 95% CI: .11-.63), and when the supplementation duration was > 12 weeks (SMD: .66; 95% CI: .13-.63). We conclude that astaxanthin supplementation could significantly enhance aerobic exercise efficiency, especially at higher doses and for longer durations. Further studies based on large sample sizes are imperatively warranted.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"469-480"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influencing Factors of Constipation in Elderly Patients With Intracerebral Hemorrhage: Implication for Clinical Care. 老年脑出血患者便秘的影响因素:对临床护理的启示
Biological research for nursing Pub Date : 2024-07-01 Epub Date: 2024-02-26 DOI: 10.1177/10998004241229181
Meng Wang, Jue Lu, Ziwei Lu, Zhong Wang, Zhuo Wang, Chao Wu
{"title":"Influencing Factors of Constipation in Elderly Patients With Intracerebral Hemorrhage: Implication for Clinical Care.","authors":"Meng Wang, Jue Lu, Ziwei Lu, Zhong Wang, Zhuo Wang, Chao Wu","doi":"10.1177/10998004241229181","DOIUrl":"10.1177/10998004241229181","url":null,"abstract":"<p><p><b>Background:</b> Constipation is common in elderly inpatients with intracerebral hemorrhage. This study aimed to construct a model for predicting the risk of constipation in elderly inpatients with intracerebral hemorrhage and to provide reference for formulating targeted intervention measures. <b>Methods:</b> Elderly patients with intracerebral hemorrhage who were treated in the department of Neurosurgery of a third-class hospital in Suzhou from January 2018 to September 2023 were included. Clinical data of patients with and without constipation were compared. Logistic regression analysis was used to explore the influencing factors of constipation in elderly patients with intracerebral hemorrhage, and R software was used to construct a line chart model to verify its predictive effect. <b>Results:</b> A total of 504 elderly patients with intracerebral hemorrhage were included. The incidence of constipation in elderly patients with cerebral hemorrhage was 63.9%. Logistic regression analysis showed that GCS score (OR = 1.094, 95%CI: 1.019∼1.174), hypertension (OR = 2.911, 95%CI: 1.797∼4.715), use of dehydrating agent (OR = 3.794, 95%CI: 2.337∼6.158), surgical treatment (OR = 3.986, 95%CI: 2.339∼6.793), use of sedative drugs (OR = 4.212, 95%CI:2.386-7.435), and limb paralysis (OR = 6.313, 95%CI:3.689∼10.803) were the independent risk factors for constipation in elderly patients with intracerebral hemorrhage. The area under the ROC curve of the prediction model was 0.872 (95%CI: 0.8401∼0.9033), the best critical value was 0.705, the sensitivity was 0.748, and the specificity was 0.857. <b>Conclusion:</b> The constipation risk prediction model of elderly patients with cerebral hemorrhage has good differentiation and calibration, which is helpful for health care providers to identify the risk of constipation in elderly patients with intracerebral hemorrhage.</p>","PeriodicalId":93901,"journal":{"name":"Biological research for nursing","volume":" ","pages":"390-398"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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