The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses最新文献

Nurse-led Transitional Care and Postdischarge Outcomes in Stroke Survivors: A Systematic Review and Meta-analysis. 护士主导的过渡护理和中风幸存者出院后的结果：系统回顾和荟萃分析。

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The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2026-10-15 DOI: 10.1097/JNN.0000000000000921

Ping Ma, Juan Ma, Peijuan Zhang, Bin Liu, Xiuling Wei

{"title":"Nurse-led Transitional Care and Postdischarge Outcomes in Stroke Survivors: A Systematic Review and Meta-analysis.","authors":"Ping Ma, Juan Ma, Peijuan Zhang, Bin Liu, Xiuling Wei","doi":"10.1097/JNN.0000000000000921","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000921","url":null,"abstract":"Background: Nurse-led transitional care may improve continuity of care after stroke, but its effects on postdischarge outcomes remain uncertain. This systematic review and meta-analysis evaluated its effects on readmission, functional outcomes, quality of life, and caregiver burden in stroke survivors.Methods: PubMed, Embase, the Cochrane Library, CINAHL, and Web of Science were searched from January 2015 to November 19, 2025. English-language randomized controlled trials of nurse-led transitional care in adult stroke survivors were included. Random-effects meta-analyses were performed. Risk of bias was appraised using the Cochrane risk-of-bias tool, and evidence certainty was rated using GRADE.Results: Sixteen trials involving 7487 participants were included. Nurse-led transitional care was associated with a lower risk of readmission than usual care (RR, 0.43; 95% CI: 0.26-0.73; I²=0%); however, this finding should be interpreted cautiously because the readmission analysis included only 4 trials involving 455 participants. It was also associated with improved functional outcomes (SMD, 0.58; 95% CI: 0.20-0.96; I²=93%) and quality of life (SMD, 1.09; 95% CI: 0.40-1.78; I²=90%). Caregiver burden did not differ significantly between groups (MD, -0.68; 95% CI: -2.22 to 0.86; I²=81%). Evidence certainty was low for readmission, functional outcomes, and quality of life and very low for caregiver burden.Conclusion: Nurse-led transitional care may be associated with a lower risk of readmission and improved functional outcomes and quality of life after stroke. However, risk of bias, imprecision, and substantial heterogeneity limit confidence in these findings. Rigorous trials using standardized outcomes are needed. Neuroscience nurses may promote continuity through structured discharge preparation, early follow-up, and home-based support.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198515","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

Nursing Management of Epidural Spinal Cord Stimulation in a Patient With Chronic Paraplegia: A Case Report. 慢性截瘫患者硬膜外脊髓刺激的护理管理1例报告。

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The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2026-10-14 DOI: 10.1097/JNN.0000000000000919

Hsiang-Ling Huang, Li-Syuan Liou, Sheng-Tzung Tsai

{"title":"Nursing Management of Epidural Spinal Cord Stimulation in a Patient With Chronic Paraplegia: A Case Report.","authors":"Hsiang-Ling Huang, Li-Syuan Liou, Sheng-Tzung Tsai","doi":"10.1097/JNN.0000000000000919","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000919","url":null,"abstract":"Background: Epidural spinal cord stimulation (E-SCS) is a breakthrough intervention for functional restoration in chronic spinal cord injury (SCI). The nursing role in translating neuromodulation into daily living remains underexplored.Methods: We recently managed the care of a 50-year-old man with American Spinal Injury Association Impairment Scale grade B paraplegia. Interventions ranged from preoperative psychosocial evaluation and education to postoperative outpatient follow-up. For E-SCS mapping, the team utilized a dual-verification approach (electromyography and muscle recruitment). We used a multimodal stimulation strategy (2-100 Hz) and an E-SCS activity diary to facilitate long-term self-management.Results: At 3 months, the patient's neurological level of injury improved from T11 to L1. The motor score increased by 9 points, and neuropathic pain decreased (NRS 4 to 2). The Barthel Index increased from 60 to 80, and the World Health Organization Quality of Life-BREF score improved from 89 to 110, reflecting enhanced independence.Conclusion: Nurse practitioners serve as vital clinical integrators. This case highlights how comprehensive nursing management and patient empowerment can effectively bridge complex neuromodulation to sustainable daily living and social reintegration in patients with SCI, suggesting that E-SCS combined with tailored nursing strategies was associated with marked improvements in neurological recovery, motor function, and quality of life in this patient with chronic SCI.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187278","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

A Case of Persisting Hyponatremia After Severe Traumatic Brain Injury. 重型颅脑外伤后持续性低钠血症1例。

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The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2026-09-30 DOI: 10.1097/JNN.0000000000000918

Fiza Alam, Tanishka Mhaskar, Diane Mortimer

{"title":"A Case of Persisting Hyponatremia After Severe Traumatic Brain Injury.","authors":"Fiza Alam, Tanishka Mhaskar, Diane Mortimer","doi":"10.1097/JNN.0000000000000918","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000918","url":null,"abstract":"Background: Hyponatremia is a common and clinically significant complication following traumatic brain injury (TBI), with important implications for neurological stability and functional recovery. Etiologies include syndrome of inappropriate antidiuretic hormone secretion and cerebral salt wasting syndrome. These can present with similar laboratory findings but require different management approaches. Failure to accurately identify the underlying mechanism can lead to ineffective treatment and impeded recovery.Methods: This is a case study describing an older adult male with severe TBI who developed persistent hyponatremia during inpatient rehabilitation despite standard interventions, including salt supplementation, fluid management, and intravenous fluid therapy. Clinical evaluation, serial laboratory monitoring, and multidisciplinary management guided diagnostic assessment and treatment.Results: The patient demonstrated refractory hyponatremia despite conventional therapy. Following nephrology consultation, treatment with oral urea was initiated, resulting in stabilization and gradual normalization of serum sodium levels without further electrolyte deterioration.Conclusion: This case highlights the diagnostic and therapeutic challenges of managing hyponatremia after TBI, particularly in the rehabilitation setting where neurological recovery and electrolyte disturbances may overlap. It underscores the importance of individualized treatment strategies and close monitoring of serum sodium trends. Neuroscience nurses play a critical role in early recognition, ongoing assessment, and timely intervention to prevent complications and support optimal patient outcomes.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121396","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

Dual Perspectives: A Nurse-Patient's Lived Experience Informing Holistic Perioperative Care and Rehabilitation for Acoustic Neuroma. 双重视角：护患生活经验对听神经瘤围手术期整体护理与康复的启示。

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The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2026-09-23 DOI: 10.1097/JNN.0000000000000916

Yuanxia Liu, Qianxia Liu, Yongmei Yu

{"title":"Dual Perspectives: A Nurse-Patient's Lived Experience Informing Holistic Perioperative Care and Rehabilitation for Acoustic Neuroma.","authors":"Yuanxia Liu, Qianxia Liu, Yongmei Yu","doi":"10.1097/JNN.0000000000000916","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000916","url":null,"abstract":"Background: Acoustic neuroma (AN), or vestibular schwannoma, accounts for 8% to 10% of intracranial neoplasms and 80% of cerebellopontine angle tumors. Postoperative vestibular symptoms are common, yet research has largely failed to integrate the perspectives of both health care providers and patients.Method: This case report documents the perioperative experiences of a nurse diagnosed with AN, including psychological changes, symptom progression, and rehabilitation, from a dual nurse-patient perspective.Results: The patient presented with vertigo and an unsteady gait and was diagnosed with AN located at the left pontocerebellar angle. Microsurgical resection via retrosigmoid approach was performed, with no major postoperative complications. A structured rehabilitation program and staged vocational adaptation facilitated full recovery and return to work 4 months postoperatively.Conclusion: This reflective nurse-patient case narrative provides new information on a previously underrecognized phenomenon: clinically literate vestibular schwannoma patients experience heightened somatic hypervigilance and self-diagnostic cognitive bias that intensify perioperative distress, yet their medical training does not eliminate the perceptual gap between clinician-graded and self-reported facial outcomes. The dual-perspective introspection yields a novel three-pronged sensory-psychological-social rehabilitation framework-integrating objective facial assessment, patient-reported outcome capture, early vestibular rehabilitation, cognitive coping strategies, and phased vocational re-entry.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032421","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

Research Priorities for Neuroscience Nursing: 2026 Update. 神经科学护理研究重点：2026年更新。

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The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2026-09-23 DOI: 10.1097/JNN.0000000000000911

Elizabeth Kozub, Cynthia Bautista, Elizabeth Byrd, Beth Hundt, Maureen Lall, Lori Rhudy

{"title":"Research Priorities for Neuroscience Nursing: 2026 Update.","authors":"Elizabeth Kozub, Cynthia Bautista, Elizabeth Byrd, Beth Hundt, Maureen Lall, Lori Rhudy","doi":"10.1097/JNN.0000000000000911","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000911","url":null,"abstract":"Background: The American Association of Neuroscience Nurses established a 6-member Research Agenda Task Force in 2025 to update and define neuroscience nursing research priorities to lead the field for the next 5 years. The last research priority setting was completed in 2021.Methods: A 6-member Research Agenda Task Force selected potential research priorities based on a literature search and review of neuroscience nursing research. Using a 2-round, Delphi methodology, electronic surveys were distributed to neuroscience nursing experts to gain consensus on the research priorities for neuroscience nursing. Survey data included demographics, agreement with selected gaps in neuroscience nursing research, and the impact of selected neuroscience nursing research topics on the field.Results: Thirty-three of 58 experts (57% response rate) participated in round 1, and 32 of 58 experts (55% response rate) participated in round 2. In round 1, 26 topics achieved ≥70% agreement, and 2 new topics were identified by the expert panel: \"Technology: Artificial Intelligence in Neuroscience Nursing\" and \"Nursing Care Outcomes: Value of Neuroscience Nursing.\" In round 2, 14 topics were ranked ≥70% impactful and identified as the top neuroscience nursing research priorities.Conclusions: These priorities span 6 categories: assessment, biomarkers, nursing care outcomes, professional development, quality of life, and technology. The priorities reflect not only the foundation of neuroscience nursing but also raise questions concerning both the nature and volume of scientific evidence being generated by nursing scientists in the field.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032405","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

Letter to the Editor: Neurological Check Frequency. 给编辑的信：神经检查频率。

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The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2026-09-21 DOI: 10.1097/JNN.0000000000000915

Rachel Malloy, Katherine Archer, Erin Collins, Minna Masor

引用次数: 0

Fifty Years of Coma Assessment: Divergent Paths of the Japan Coma Scale, Glasgow Coma Scale, and the Emergence of the Full Outline of UnResponsiveness Score. 昏迷评估的五十年：日本昏迷量表、格拉斯哥昏迷量表的不同路径，以及无反应评分完整大纲的出现。

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The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2026-09-21 DOI: 10.1097/JNN.0000000000000917

Julie Joseph, Michael A Rubin, Asmiet K Techan, DaiWai M Olson, Hitoshi Kobata

引用次数: 0

Expressions of Pain and Spasticity in People With Stroke. 脑卒中患者疼痛和痉挛的表达。

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The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2026-09-09 DOI: 10.1097/JNN.0000000000000912

Rozina Bhimani, Kaif Charania, Jiayue Xiong, Lisa Anderson

{"title":"Expressions of Pain and Spasticity in People With Stroke.","authors":"Rozina Bhimani, Kaif Charania, Jiayue Xiong, Lisa Anderson","doi":"10.1097/JNN.0000000000000912","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000912","url":null,"abstract":"Background: Pain and spasticity are prevalent poststroke symptoms that frequently co-occur. The coexistence of spasticity and pain in patients with neurological injury can be attributed to maladaptive neuronal changes within the central nervous system. This secondary analysis aimed to explore the patterns, descriptors, and temporal trajectories of pain as they relate to spasticity experiences in people with stroke.Methods: A secondary analysis was conducted on data acquired from a sample of 22 people with stroke. Data included longitudinal numerical ratings and expressions of pain and spasticity from admission to the rehabilitation unit to 1-month follow-up, alongside qualitative descriptors of these sensations.Results: Graphical analysis revealed that spasticity scores generally remained higher than or equal to pain scores, acting as the primary physical driver. Pain trajectories exhibited an overall upward linear trend despite daily fluctuations. Participants used distinct descriptors for each symptom, though \"heaviness\" and \"numbness\" emerged as common overlapping terms, indicating sensory blurring. The intensity of pain reported on the evening of the first admission day appears to set the subsequent pain trajectory; participants with lower initial evening pain maintained consistently lower levels throughout the study period. Notably, while 100% of participants were prescribed acetaminophen, only 30% received antispasticity medication baclofen, despite high spasticity ratings (levels 8-10).Conclusion: Poststroke pain is inextricably linked to spasticity, with the latter serving as a foundational trigger. The commingling nature of these symptoms and the identified temporal surges suggest that clinical management should prioritize early antispasticity interventions. Neuroscience nurses play a vital role in identifying these trajectories early to prevent chronic symptom escalation.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914737","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

Own Your Words: Harnessing AI Responsibly. 承认你的话：负责任地利用人工智能。

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The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2026-09-01 Epub Date: 2026-07-21 DOI: 10.1097/JNN.0000000000000902

Lori M Rhudy

引用次数: 0

Initiating Apomorphine Therapy Without Antiemetic Pretreatment: Real-World Data From a Nurse-led Parkinson Disease Support Program. 在没有止吐剂的情况下启动阿波啡治疗：来自护士主导的帕金森病支持计划的真实世界数据。

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The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2026-09-01 Epub Date: 2026-08-03 DOI: 10.1097/JNN.0000000000000904

Cindy Happel, Mindy Grall, Andrea Formella

{"title":"Initiating Apomorphine Therapy Without Antiemetic Pretreatment: Real-World Data From a Nurse-led Parkinson Disease Support Program.","authors":"Cindy Happel, Mindy Grall, Andrea Formella","doi":"10.1097/JNN.0000000000000904","DOIUrl":"10.1097/JNN.0000000000000904","url":null,"abstract":"Background: Trimethobenzamide has been the antiemetic of choice in the United States for people with Parkinson disease initiating subcutaneous apomorphine injection (SC-APO) therapy to rapidly manage OFF episodes. Following a cessation of trimethobenzamide production in 2021, SC‑APO was increasingly initiated without antiemetic pretreatment.The US labeling was subsequently updated in 2022 to recommend a lower SC-APO starting dose when initiating treatment without trimethobenzamide.Methods: Data from the SC-APO Clinical Nurse Navigator support program were analyzed for new patient starts between January 2019 and March 2024, spanning periods before and after trimethobenzamide absence and SC-APO labeling changes. SC-APO starting dose patterns and 90-day treatment continuation were compared between patients who started with and without antiemetic pretreatment.Results: Among 2634 patients, SC-APO initiations without trimethobenzamide increased from 32.8% before cessation of production (2019-2020) to nearly 100% by the end of 2021. During 2021, most prescribers (56.7%) continued to use the 0.2 mL (2.0 mg) starting dose; following the 2022 labeling update, use of the 0.1 mL (1.0 mg) starting dose increased, reaching 86% by early 2024. The 90-day SC-APO continuation rates increased from 75.4% when used with trimethobenzamide pretreatment to 83.1% without it.Conclusion: SC-APO is now routinely started without antiemetic pretreatment, with higher overall rates of early treatment continuation. Flexible starting doses and titration, together with nurse‑led patient education and support, may facilitate successful treatment initiation and continuation in contemporary clinical practice.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"196-200"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13592819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0