Background
Mindfulness‐based interventions are becoming increasingly popular and are effective in lowering depressive symptoms and caregiver burden. However, the overall efficacy of therapies in ...stress and anxiety management is unreported, and no study to date has performed a subgroup analysis to investigate the intervention dose response of outcomes.
Aims
To quantitatively identify the effectiveness of mindfulness‐based interventions for caregivers of persons living with dementia.
Methods
A comprehensive literature search of six databases was undertaken from the date of inception to June 18, 2023. The DerSimonian–Laird model with random effects was used to examine the overall effect and its heterogeneity in the studies. Version 2 of the risk of bias (RoB 2) tool was employed to analyze the publication bias of each randomized study. Funnel and forest plots were created to represent the findings.
Results
Thirteen randomized trials were included in the meta‐analysis. Mindfulness‐based interventions significantly reduced stress and anxiety of caregivers of persons living with dementia. In addition, interventions provided for ≥8 weeks were beneficial in reducing depression in caregivers. However, mindfulness‐based interventions did not offer significant benefits in reducing depression or caregiver burden immediately after the intervention.
Conclusion
Mindfulness‐based interventions have the potential to help caregivers of people living with dementia. This study could be used as a model for future research into and implementation of mindfulness‐based therapies for caregivers.
Linking Evidence to Action
Mindfulness‐based therapies appear to alleviate stress and anxiety but are ineffective in reducing depression and burden in caregivers of persons living with dementia. Well‐designed RCTs with more rigorous methodology and a larger sample size should be conducted to firm the conclusion of the effectiveness of mindfulness‐based interventions for caregivers of persons living with dementia.
Background
Studies have identified that nurse‐led telephone health coaching benefited the continuity of care in patients with heart failure. However, the effect of nurse‐led telephone health coaching ...remains inconclusive among the previous studies.
Aim
This review aimed to determine the effects of nurse‐led telecoaching among patients with heart failure.
Design
This study was a systematic review and meta‐analysis of randomised controlled trials. This study was reported in accordance with the PRISMA guideline.
Methods
Seven databases (PubMed, Embase, CINAHL, Web of Science, MEDLINE, Cochrane library and Ovid) were electronically searched up to 20 October 2020. The eligibility criteria were a randomised controlled trial study on heart failure patients, with the intervention led by a nurse through telephone coaching. Two authors independently evaluated the methodological quality using the modified Jadad scale. The Comprehensive Meta‐Analysis software version 3.0 with a random effect model was used to conduct a meta‐analysis, and Begg's and Egger's tests were performed to assess publication bias. Furthermore, sensitivity analysis was carried out.
Results
A total of 12 randomised controlled trials were met eligibility criteria and representing 1938 heart failure patients. The results showed that the nurse‐led telecoaching significantly enhanced patients’ self‐care behaviour (SMD = .84, 95%CI 0.45–1.24, p < .001) and improved quality of life (SMD = .23, 95%CI 0.06–0.39, p = .007).
Conclusion
Nurse‐led telecoaching appears to enhance self‐care behaviour and improve quality of life in patients with heart failure. Further research needs to build the evidence for nurse‐led telecoaching intervention, including understanding its mechanisms of action (e.g. frequency, components) and identifying its moderating factors.
Relevance to clinical practice
Implementation of nurse‐led telecoaching is deemed helpful in promoting continuity of care because it was an accessible and sustainable intervention to improve patients’ self‐care and quality of life.
Purpose
To conduct a systematic review and meta-analysis of current studies to determine whether exercise affects chemotherapy-induced peripheral neuropathy (CIPN) symptoms in cancer patients.
Design
...The Medline, Embase, Cochrane Library, CINAHL, PubMed, and National Central Library databases, and the reference lists of the included studies were surveyed. The Consolidated Standards of Reporting Trials (CONSORT) extension checklist for non-pharmacologic treatment was used to evaluate the literature.
Setting and participants
Exercise interventions offered in hospitals or at home. A total of 178 participants from 5 studies were assessed in the meta-analysis, with their mean age ranging from 48.56 to 71.82 years.
Methods
The randomized control trials were summarized in a systematic review. The effects of the exercise interventions were compiled for meta-analysis. A forest plot was constructed using a fixed effect model to obtain a pooled mean difference.
Results
The pooled results indicated that exercise interventions significantly improved the CIPN symptoms of the participants (mean difference: 0.5319; 95% confidence interval: 0.2295 to 0.8344;
Z
= 3.45;
P
= 0.0006). A combination of exercise protocols including a nerve gliding exercise intervention was found to have improved CIPN symptoms. In addition, a sensorimotor-based exercise intervention was found to have reduced CIPN-induced loss of postural stability.
Conclusions and implications
The findings indicated that the effects of exercise could improve CIPN symptoms in cancer patients. Nevertheless, further investigations of different exercise protocols and intensity of intervention utilizing larger sample sizes and more specific outcome measures will further inform the best practices for cancer patients.
Aims
To evaluate the effect of earplugs and eye masks on the sleep quality of patients in intensive care unit (ICU).
Design
Systematic review and meta‐analysis.
Data Sources
Randomized controlled ...trial studies conducted before May 5, 2020 were searched for in Embase, MEDLINE, Cochrane Library, CINAHL and Index to Taiwan Periodical Literature System databases.
Review Methods
Analyses in this study were according to the PRISMA statement. The heterogeneity of the data was investigated through sub‐group analysis while a meta‐analysis was performed using the Review Manager 5.3 software.
Results
A total of 797 patients from 13 studies were included in this study. Without considering alone or combined use of earplugs and eye masks, the meta‐analysis supported that there was a significant effect on self‐reported sleep quality. The overall standardized mean difference of the effect size was 1.44 (95% confidence interval CI: 0.80, 2.09). Sub‐group analysis indicated that the use of earplugs alone had no significant effect on sleep quality (effect size: 0.07, 95% CI: −0.50, 0.64). The use of eye masks alone had a significant effect on sleep quality (effect size: 1.56, 95% CI: 1.08, 2.05). The use of both earplugs and eye masks proved to have the largest effect size on sleep quality (effect size: 2.08, 95% CI: 0.95, 3.21).
Conclusion
The combined use of earplugs and eye masks or the standalone use of eye masks is a non‐invasive, economical and effective way to promote sleep quality in adult ICU patients.
Impact
Clinical nurses could use this meta‐analysis as it recommends that nurses provide adult ICU patients with either one or both earplugs and eye masks to improve the patients’ sleep quality.
Study Registration
The review protocol was registered a priori and published online in the PROSPERO database of systematic reviews (www.crd.York.ac.uk/Prospero with the registration number # CRD42021221185).
Aims and objectives
This study explored the physical and psychological effects of scar massage on burn patients.
Background
Hypertrophic scar development is highly prevalent following burn injuries. ...Scar massage may have physical and psychological effects, although evidence of its effectiveness for burn scar improvement remains inconsistent.
Design
A systematic review and meta‐analysis of randomised controlled trials and quasi‐experimental trials.
Methods
This study was conducted following the Centre of Reviews and Dissemination guidelines and the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement. Cochrane Library, Web of Science, Cumulative Index to Nursing and Allied Health Literature, PubMed, EMBASE, and Chinese Electronic Periodical Services were searched for studies published between January 1990 and February 2022. Quality was assessed using the Joanna Briggs Institute (JBI) Appraisal Checklist. The final recommendation strength was assessed according to the JBI recommendation rating. A meta‐analysis was performed using Review Manager Version 5.4 software with a random‐effect model.
Results
Seven studies (420 participants) investigating scar massage for burn patients were included. The scar massage sessions lasted 5–30 min and were delivered by massage therapists 1–3 times a week for 12 weeks. Overall, scar massage decreased pain levels (standardised mean difference SMD: −2.39; 95% confidence interval CI: −3.96 to −0.83), improved scar thickness (mean difference: ‐0.05; 95% CI: −0.1 to −0.0), reduced pruritus (SMD: ‐1.89; 95% CI: −2.95 to −0.82) and reduced anxiety (SMD: ‐1.52; 95% CI: −2.73 to −0.32), but no significant effect on depression(SMD: ‐0.92; 95% CI:‐2.28 to 0.44).
Conclusions
The meta‐effects of scar massage among burn patients are significantly improved scar formation and reduced pruritus and anxiety. Providing scar massage is feasible and effective for burn patients. Future research should evaluate its long‐term effects.
Relevance to clinical practice
Scar massage is relatively convenient and effective in preventing and alleviating hypertrophic burn scarring. Further research can provide detailed suggestions for effective scar massage implementation.
Aim
The aim of the study was to compare the effects of massage interventions on sleep quality among patients in the adult critical care unit.
Background
Massage interventions have positive effects ...when applied to manage sleep quality in critical care units. However, research identifying the effect of massage intervention is limited.
Design
This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines.
Methods
Five databases were searched from their inception to 15 April 2022 (the last search was conducted on 15 November 2022, but it yielded no additional eligible studies). The literature search was conducted using Embase, MEDLINE, the Cochrane Library, CINAHL, PsycINFO and additional sources such as Google Scholar. The Cochrane risk of bias tool for randomised trials (RoB 2.0) was used to assess the risk of bias. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system assessed the certainty of evidence and recommendations.
Results
In total, ten randomised controlled trials comprising 569 participants were used in the systematic review, and eight trials were included in the meta‐analysis. Subgroup analysis revealed significant effects of foot reflexology massage on subjective sleep quality. Massage therapy for a two‐night duration in cardiac care unit patients exhibited a significant effect on subjective sleep quality. The overall GRADE certainty of evidence was low.
Conclusion
Massage intervention, particularly foot reflexology massage, with a two‐night duration showed improvement in subjective sleep quality among critically ill patients. Although evidence quality was low, the results suggest that massage interventions provide a non‐invasive, low‐cost and effective way to promote sleep quality in critically ill adult patients.
Relevance to clinical practice
Massage interventions can enable nurses to recommend and implement strategies promoting and improving sleep quality among critically ill patients.
Study registration
The review protocol was registered a priori and published online in the PROSPERO database of systematic reviews (www.crd.York.ac.uk/Prospero with the registration number # CRD42022332371).
Patient or public contribution
No patient or public contribution if such details are not necessary or do not apply to your work and state why.
Accessible Summary
What is known on the subject?
Women are more likely to experience intimate partner violence (IPV) than men; 19.2%–69.0% of women have experienced IPV, and the percentage is ...increasing.
Survivors of IPV suffer from physical, psychological, social and reproductive health problems and numerous adverse health consequences such as post‐traumatic stress disorder, depression and anxiety. These are considered IPV comorbidities, especially among women.
What the paper adds to existing knowledge?
This study reviews and reinforces existing scientific knowledge regarding the application of trauma‐informed care (TIC), including intervention content or type, frequency, duration of session and length.
This study focused on the effects of TIC. Furthermore, it examines short‐term (3 months) and medium‐term (6 months) outcome effects, which are more significant for clinical practice.
What are the implications for practice?
Development of a standardized protocol to address specific needs for TIC in IPV care settings.
Among multidisciplinary teams, nurses are the ideal professionals to support women experiencing IPV. They can understand their traumatic experiences better, improve their therapeutic relationships and engage patients in collaborative care.
Introduction
Post‐traumatic stress disorder (PTSD), depression and anxiety are considered intimate partner violence (IPV) comorbidities, especially among women. Trauma‐informed care (TIC) is the most common element of IPV care.
Aim
This study analysed the short‐term (3 months) and medium‐term (6 months) outcomes of TIC on PTSD, depression and anxiety in women experiencing IPV.
Method
The Preferred Items for Systematic Reviews and Meta‐Analysis guidelines were followed, and databases were searched from their inception to September 2022.
Results
Thirteen randomized controlled trials included 850 women randomly assigned to the TIC and usual care groups. Overall, TIC showed a superior psychological health‐improving effect. Depression and anxiety significantly improved after treatment and at three and 6 months. No difference was observed in PTSD between the two groups at 3 and 6 months.
Discussion
The growing evidence demonstrates that the lack of IPV intervention effects reported by reviews may be due to the attributes of PTSD, heterogeneity of TIC intervention design and components of TIC. Therefore, its clinical efficacy remains inconclusive.
Implications for Practice
We analysed studies by stratifying intervention frequencies of once or twice a week. Regardless of the intervention frequency, length and design, PTSD decreased immediately after the TIC intervention. However, a significant difference in depression was observed after a TIC intervention of above 9 weeks.
Aim
To examine female youth's intentions for safe sex with the relationship partners based on the extended theory of planned behaviour (TPB) model and explore the direct and indirect impact of ...parent–child communication about sex, peer interaction related to sexual issues, and exposure to sexually explicit materials on female youth's safe sexual behaviour intentions.
Design
A non‐experimental, cross‐sectional research design.
Methods
A convenience sampling was employed for data collection and 731 female youth aged 15–24 years old were recruited in 2013–2014. An anonymous, self‐report structured questionnaire was used as a research instrument to collect participants' basic information and measure the internal and additional variables in the extended TPB model.
Results
The extended TPB model explained 42–45% of the total variance. Perceived behavioural control (PBC) and subjective norms had a positive effect on female youth's intentions for contraceptive use, condom use, and dual use with relationship partner; PBC was found to have the greatest influence. Among the additional variables in the extended TPB model, more parent–child communication about sex was found to lead to more positive dual use intentions. More peer interaction related to sexual issues was found to lead to less dual use intentions.
Conclusions
To improve female youth's sexual health, the priorities are to reinforce their PBC and subjective norms and enhance parent–child communication about sex. Future efforts should strengthen sex education in families and schools and shape a social environment that facilitates safe sex.
Impact
The extended TPB model can successfully predict female youth's safe sexual behaviour intentions. Empowering female youth to establish a sense of subjectivity and awareness of being a mature individual with physical autonomy, is importance for their sexual health.
目的
根据扩展计划行为理论(TPB)模型,研究青年女性与伴侣进行安全性行为的倾向,并探讨父母与子女就性行为和与性话题相关的同伴互动的沟通的直接和间接影响,以及接触色情材料对青年女性安全性行为倾向的直接和间接影响。
设计
非实验性横向研究设计。
方法
采用方便抽样方法进行数据收集,2013年至2014年共招募了731名15‐24岁的青年女性。采用匿名、自我报告结构化问卷作为调研工具,收集参与者的基本信息,并测量扩展计划行为理论模型中的内部变量和附加变量。
结果
扩展计划行为理论模型解释说明了总方差的42‐45%。感知行为控制(PBC)和主观规范对青年女性服用避孕药、使用避孕套、与伴侣采取双重避孕措施的倾向有正向影响,且感知行为控制的影响最大。在扩展计划行为理论模型的附加变量中,我们发现,父母与子女之间进行更多的性行为沟通对采取双重避孕措施的倾向具有积极影响。而更多的有关性话题的同伴互动对采取双重避孕措施的倾向影响较低。
结论
为改善青年女性的性健康水平,重点在于加强她们的感知行为控制和主观规范,增加父母与子女之间有关性行为的沟通交流。今后应加强家庭和学校的性教育,形成有利于安全性行为的社会环境。
影响
扩展计划行为理论模型可成功预测青年女性的安全性行为倾向。帮助青年女性建立主体性意识以及掌握身体自主性的成熟个体意识,对其性健康具有重要意义。
Purpose
A stroke survivor who is discharged to home care faces many challenges during the transition from the hospital to home, including managing their care at home and engaging in rehabilitation ...and recovery. Case management was developed to ease the transition from hospital to home and help people with stroke cope with their care management challenges. However, the effects of case management intervention remain inconclusive. Case management was designed to direct care and may represent a novel method for reducing the burden of care. This study was designed to evaluate the effects of case management interventions on mental health outcomes, activities of daily living capacity, physical function, and social function among stroke survivors.
Design
Systematic review and meta‐analysis.
Methods
This study included studies examining the impacts of case management interventions for stroke survivors that were published in English and identified by searching eight databases, from database inception to February 20, 2022. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were used to pool effect sizes using a random‐effects model (in Stata 16.0). The revised Cochrane risk‐of‐bias tool for randomized trials (RoB‐2) was used to assess the methodological quality of each study.
Findings
The inclusion criteria were satisfied by eight studies (including a total of 1119 stroke survivors). Case management had positive effects on mental health (SMD: 0.26; 95% CI: 0.07 to 0.45, p = 0.001) and activities of daily living (SMD: 0.68; 95% CI: 00.37 to 0.99, p < 0.001). However, no significant effects were observed for either physical function or social function.
Conclusion
Case management appears to enhance the mental health and activities of daily living among stroke survivors.
Clinical Relevance
Case management interventions hold promise as efficient, cost‐effective, and accessible strategies to positively influence care for stroke survivors. This intervention strategy could be applied to the hospital‐to‐home transition to guide care among this population.
A measure concerning family management of children with chronic conditions is needed to identify the relationship between family management and family and child outcomes. This study aimed to use ...cognitive interviews to apply the Family Management Measure (FaMM) to Taiwanese families with children who have chronic conditions. When using a measure from other cultures, cultural adaption should be considered besides the language translation from foreign language to first language. Conducting a cognitive interviewing study is an efficient way to examine semantic equivalence and culture applicability of a measure. Our study involved cognitive interviews with 28 caregivers to develop the Family Management Measure Taiwanese Version (FaMM-TW). Through cognitive interviews, three types of problems in the initial translation version were identified. Four items were modified due to semantic problems. One language expression and three items with colloquial and idiomatic problems were rephrased. One item was revised for cultural and experiential reasons. Each modified item in the translated version was culturally adapted, but the key concepts in the original measure were still reserved. This paper shed light on the application of cognitive interviews to cross-culturally adapt the FaMM for Taiwanese participants with different family types.
Celotno besedilo
Dostopno za:
BFBNIB, DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
