Journal of Integrative Nursing

Integrative nursing as a rudder for salutogenic system change

Martha Mathews LIBSTER

2024, 6(1): 1-2. doi:10.4103/jin.jin_10_24

Abstract ( 17 )

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The effect of traditional Chinese medicine rehabilitation exercise (pulmonary Daoyin) in patients with chronic obstructive pulmonary disease: A systematic review and meta-analysis

Yuyin CHEN, Yuhua QIU, Kaimin ZHOU, Ruyi TAN, Wanlin PENG, Xiuhong LONG, Meijiang CHEN

2024, 6(1): 3-14. doi:10.4103/jin.jin_153_23

Abstract ( 15 )

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Objective: Previous research has demonstrated that pulmonary Daoyin could be an efficacious way to ameliorate the physical and psychological

state of sufferers with chronic obstructive pulmonary disease (COPD) and bolster the quality of life. However, the results are not consistent. Thus, the objective of this research is to assess the impacts of pulmonary Daoyin in individuals with COPD.

Methods: Relevant articles were searched in Web of Science, Cochrane Library, PubMed, EMBASE, SinoMed, CNKI, Wanfang, and VIP

from database inception to January 2024.

Results: There were a total of 15 randomized controlled trials (RCTs) included in this meta?analysis involving 1732 patients, of which 864

participated in the intervention group and 868 in the control group. When comparing with the control group, the COPD patients practicing pulmonary Daoyin demonstrated a significant improvement in 6 min walking distance (mean difference [MD] = 24.53, 95% confidence interval [CI] [18.55, 30.52], P <0.00001), forced expiratory volume in the 1 s (FEV1 ) (MD = 0.39, 95% CI [0.18, 0.59], P = 0.0002), percentage of FEV1 to the predicted value (FEV1 %) (MD = 5.35, 95% CI [3.22, 7.48], P < 0.0001), the forced vital capacity (FVC) (MD = 0.39, 95% CI [0.06, 0.73], P = 0.02), percentage of FVC to the predicted value (FVC%) (MD = 7.52, 95% CI [4.91, 10.13], P < 0.00001), the ratio of FEV1 /FVC (MD = 4.95, 95% CI [0.91, 8.99], P = 0.02), peak expiratory flow rate (standardized MD = 0.98, 95% CI [0.74, 1.22], P < 0.00001), modified Medical Research Council (mMRC) scale (MD= ?0.47, 95% CI [?0.89, ?0.04], P=0.03), and Borg scale (MD =?0.65, 95% CI [?0.75, ?0.55], P < 0.00001).

Conclusions: Our findings may illuminate the influence of pulmonary Daoyin on exercise ability, breathlessness, and pulmonary function in COPD patients. More rigorous RCTs with larger samples and longer?term interventions will be required moving forward.

Changes in acute and late toxicity and patient-reported health-related quality of life following radiotherapy in women with breast cancer: A 1-year longitudinal study

Gonca Hanedan USLU, Aydanur AYDIN, Ayla GÜRSOY

2024, 6(1): 15-21. doi:10.4103/jin.jin_122_23

Abstract ( 20 )

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Objective: The objective of this study was to investigate the frequency of acute and late toxicities, as well as changes in the quality of life (QOL) for breast cancer patients following radiotherapy (RT).

Materials and Methods: A total of 108 breast cancer women were recruited for this prospective study. Data were collected at various intervals; prior to, and 1, 3, 6 months, and 1 year after radiation therapy. The primary outcomes were toxicity radiation therapy oncology group/European Organization for Research and Treatment of Cancer (EORTC) criteria. Our secondary outcome was QOL, measured using EORTC QLQ?C30 and Edmonton Symptom Assessment Scale. We employed Friedman’s two?way analysis to evaluate the changes in QOL over the course of 1 year.

Results: The early toxicities that are most commonly experienced include pharyngeal, skin, and mucous membrane toxicity. Late toxicities frequently involve skin and submucosal toxicity. To measure patient functionality, all functional subscale scores except for the patient’s emotional

state increased over time compared to pre?RT. Symptoms of the patients, which were included in the QOL symptom scale, decreased during

the follow?up period, except for fatigue; however, changes in pain, insomnia, and loss of appetite did not significantly change. We identified the

analogous symptom profiles in Edmonton. Although patients’ overall health scores declined in the 1st and 3rd months after radiotherapy (RT),

they rebounded at 6 and 12 months.

Conclusion: For breast cancer patients, RT did not adversely affect functional capacity or exacerbate symptoms, but persistent fatigue did

increase during the observation period. Health?care professionals ought to devise strategies to assist patients with skin toxicity and fatigue.

Evaluating the influence of a structured nursing protocol on targeted outcomes in rheumatoid arthritis patients

Mohammed Elsayed ZAKY, Shimaa Magdi FARGHALY, Osama Mohamed Elsayed RAMADAN, Rehab M. ABDELKADER, Mostafa SHABAN

2024, 6(1): 22-28. doi:10.4103/jin.jin_141_23

Abstract ( 14 )

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Objective: Rheumatoid arthritis (RA) requires comprehensive management. Structured nursing protocols may enhance outcomes, but evidence is limited. This study evaluated the effect of a structured nursing protocol on RA outcomes.

Materials and Methods: In this one?group pre?post study, 30 Egyptian RA patients completed assessments before and after a 12?week

nursing protocol comprising education, psychosocial support, and self?management promotion. Assessments included clinical evaluation of joint

counts, erythrocyte sedimentation rate (ESR), and C?reactive protein (CRP) and patient?reported Arthritis Self?Efficacy Scale (ASES), Health

Assessment Questionnaire (HAQ), Visual Analog Scale (VAS) for pain, and Hospital Anxiety and Depression Scale (HADS).

Results: The study demonstrated significant improvements in both clinical? and patient?reported outcomes. Joint count decreased from

18.4 ± 4.2 to 14.2 ± 3.8 (P < 0.001), ESR from 30.1 ± 6.8 mm/h to 25.5 ± 6.8 mm/h (P < 0.01), and CRP levels from 15.2 ± 3.6 mg/L

to 11.8 ± 2.9 mg/L (P < 0.01) postintervention. Patient?reported outcomes showed a marked increase in ASES score from 140 ± 25 to

170 ± 30 (P < 0.001) and reductions in HAQ from 1.6 ± 0.4 to 1.3 ± 0.3 (P < 0.01), VAS pain score from 7.8 ± 1.7 to 6.2 ± 1.2 (P < 0.001), and HADS anxiety and depression scores from 11 ± 3 to 8 ± 2 (P < 0.05) and 10 ± 2 to 7 ± 1 (P < 0.05), respectively.

Conclusion: A structured nursing protocol significantly improved clinical disease activity, physical functioning, pain, self?efficacy, and emotional

well?being in RA patients. A multifaceted nursing intervention appears beneficial for optimizing RA outcomes.

Knowledge and practice skills on home‑based urinary catheter care among parents of under‑five children with urinary catheter

Kurvatteppa HALEMANI, Sanjay DHIRAAJ, Basant KUMAR, Saadhat HUSSAN, Premalata Prerna PAWAN, Priyanshi Raviraj GUPTA

2024, 6(1): 29-34. doi:10.4103/jin.jin_123_23

Abstract ( 19 )

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Objectives: The objectives of this study were to assess the knowledge and practice skills on home?based urinary catheter care among parents of under?five children with urinary catheter.

Materials and Methods: This cross?sectional study was conducted from June 1, 2021, to September 11, 2021, in a tertiary hospital in north India. Purposive sampling was used to select 50 participants. Three instruments were employed for data collection after fulfilling sample

criteria; for baseline information demographic tool, knowledge questionnaires, and a practice checklist. Data were analyzed using descriptive and inferential statistics.

Results: On assessment of 50 participants, the majority of parents aged above 30 years (74%). Most of the participants were male (82%), graduated (38%), and working in the private sector (58%). Similarly, two?thirds of participants were residing in a nuclear family (64%) with a single child 32 (64%) and family income <5000 rupees per month (60%). The mean score of knowledge was 1.94 ± 0.81 and that of practice skills was 1.98 ± 0.85 on home?based care. Regression analysis showed that knowledge of parents was significantly associated with qualification (β: 1.821, P = 0.002). Similarly, association of practice skills of parents with gender (β: 1.235, P = 0.050) and qualification (β: 1.889,P = 0.00) was significant.

Conclusion: The general findings of our study showed that parents’ education and occupation played a significant role in a child’s care. Parental education and catheter care skills positively affect the child and reduce readmission rates.

Oketani massage with jasmine oil improves breast milk production on postpartum days 1–3

Ni Made Ratih Comala DEWI, Made Ririn Sri WULANDARI, Yupin AUNGSUROCH

2024, 6(1): 35-40. doi:10.4103/jin.jin_117_23

Abstract ( 21 )

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Objective: This study aimed to determine the effect of Oketani massage with jasmine oil on improving breast milk production on days 1–3.

Materials and Methods: This preexperimental one?group pretest–posttest design was conducted with 44 eligible respondents, selected using an incidental sampling technique. Oketani massage with jasmine oil was conducted once a day for 3 consecutive days. A total of 44 respondents were selected with incidental sampling. Sufficient breast milk production was observed through the frequency of baby urination in 24 h, the frequency of baby defecation in 24 h, the baby’s weight, and the length of time the baby slept or remained calm after breastfeeding.

Results: Results showed that Oketani massage using jasmine oil impacted on increasing breast milk production in postpartum on days 1–3 (Z = 6.633, P = 0.000). The baby’s weight in 3 days was increased after intervention compared with intervention before (2858.25 ± 180.62 g vs. 2881.66 ± 180.96 g, t = 55.33, P = 0.000), the baby’s urination frequency was increased after intervention (4.55 ± 0.50 vs. 7.20 ± 0.70, t = 17.87, P = 0.000), the breastfeeding frequency has decreased (10.27 ± 1.42 vs. 8.82 ± 0.82, t = 6.94, P = 0.000), and the time of baby’s sleeping or calming state has increased (5.14 ± 6.46 h vs. 8.48 ± 10.24 h, t = 2.11, P = 0.041).

Conclusion: Oketani massage combined with jasmine oil has been shown to be effective on improving breast milk production on days 1–3.

Transcultural adaptation of Odia version of health-related kidney disease and quality of life-36 instrument

Rashmimala PRADHAN, Pravati TRIPATHY, Debaprasad KAR

2024, 6(1): 41-48. doi:10.4103/jin.jin_112_23

Abstract ( 19 )

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Objective: The study objective was to translate, validate, and test the reliability of the original kidney disease and quality of life?36 (KDQOL?36?) instruments in Odia.

Materials and Methods: A cross?sectional design with a purposive sampling technique was used. According to RAND Corporation guidelines, initially, the items of the KDQOL?36? questionnaires were translated into Odia by two independent, bilingual, professional translators, and then back?translated to English, followed by tryout and field testing. The experts validated the KDQOL?36? instrument review committee for review related to kidney health conditions. The tool was implemented among 180 patients undergoing “maintenance” hemodialysis. The following tests evaluated reliability and validity: test–retest reliability with Cronbach’s alpha correlation (stability), (reliability) internal consistency, and contents validity index.

Results: The Cronbach’s alpha value and intraclass correlation coefficient (ICC) score of all five domains, namely “physical component summary, mental component summary (MCS), the burden of kidney disease, symptoms and problems of kidney disease, and effects of kidney disease” of both KDQOL?36? English and Odia (KDQOL?36?E? and KDQOL?36?O?) version, recommended excellent homogeneity. A high positive correlation (r = 0.998) was found between the Odia version of KDQOL?36? and the English version KDQOL?36? questionnaire. The ICC score ranges from 0.889 to 0.997 at a 95% confidence interval for test–retest reliability, and Cronbach’s alpha was 0.832.

Conclusion: This study explores the Odia version of KDQOL?36? psychometric properties, depicted at an acceptable level of internal

consistency. The KDQOL?36?O? instrument is a valid and reliable tool for assessing the kidney disease?related quality of life in Odia?speaking hemodialysis patients.

Association of spiritual well-being with quality of life among undergraduate nursing students

Ahmad SHAHID, Hina HUSSAIN, Nazia SHUAIB, Ahmad RASOOL, Fatima YOUNIS, Zoya NASAB

2024, 6(1): 49-54. doi:10.4103/jin.jin_149_23

Abstract ( 19 )

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Objective: The study was conducted with the aim of determining the spiritual well?being (SWB) of nursing students and its association with quality of life (QOL).

Materials and Methods: A cross?sectional analytical study was conducted with a sample size of 504 nursing students collected from January 2023 to March 2023 in the nursing institutes of Khyber Pakhtunkhwa, Pakistan, using convenient sampling techniques. A Spiritual Health and Life?Orientation Measure (SHALOM) questionnaire for SWB and K?27 QOL (K?27 QOL) instrument were used for data collection that contains three parts.

Results: The number of female participants was in the majority (50.4%) compared to male nurses (49.6%). The overall mean score of SWB of the students was 3.79 ± 0.48, while the mean K?27 QOL score was 3.73 ± 0.57. There were significant differences between the groups of gender (P = 0.001), while no significant difference within the groups of semester (P = 0.061) and college status (0.285). In QOL, there were significant differences within the groups of semester (P = 0.000) and college status (P = 0.036) while no significant difference in gender category (P = 0.480). SHALOM score is positively and moderately correlated with QOL score (r = 0.597, P < 0.05).

Conclusion: Spiritual practices are one of the important factors that are associated positively with QOL, therefore to enhance the QOL, it will require spiritual practices.

A systematic review of the efficacy of traditional Chinese medicine retention enema in the treatment of ulcerative colitis

Jiaji LI, Ling TANG, Ye LI, Jingjin XU, Jing ZHANG

2024, 6(1): 55-61. doi:10.4103/jin.jin_115_23

Abstract ( 23 )

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The objective of this study is to summarize the efficacy and safety of traditional Chinese medicine (TCM) enema in the treatment of ulcerative

colitis (UC). The randomized controlled trials on TCM enema intervention in the treatment of UC were searched in seven databases: PubMed,

Embase, Web of Science, CBM, CNKI, Wanfang Database, and VIP Database from January 1, 2013 to June 6, 2022, and the data were analyzed using RevMan 5.3 software. A total of 18 studies involving 1514 UC patients were included. Meta analysis results showed that compared with conventional Western medicine, Chinese medicine enema had a significant effect on UC, and the clinical effective rate of the experimental group using Chinese medicine enema was 4.45 times that of the control group using conventional Western medicine (odds ratio = 4.45, 95% confidence interval [3.27, 6.06]). Therefore, Chinese medicine enema is effective in the treatment of UC, and can significantly reduce related symptoms.

Continuous ambulatory peritoneal dialysis telemonitoring and education: A scoping review

Muhammad Syamsul BAKHRI, Yulian Wiji UTAMI, Dina Dewi Sartika Lestari ISMAIL

2024, 6(1): 62-68. doi:10.4103/jin.jin_121_23

Abstract ( 15 )

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The risk of peritonitis complications in continuous ambulatory peritoneal dialysis (CAPD) can be prevented or reduced by providing proper education and continuous monitoring. Telemedicine and telemonitoring are methods that enable remote monitoring and patient care. This study aimed to determine the success and factors affecting telemonitoring in CAPD patient care. This study is a scoping review (ScR) using the Preferred Reporting Items for Systematic Reviews and Meta?Analyses?ScR method. Article searches were carried out on ProQuest, PubMed, and ScienceDirect with a time range of 2018–2023. Data extraction was performed regarding knowledge level, quality of life, clinical outcomes (peritonitis), and risk of hospitalization. Of the 12 articles and studies included, 6 articles were related to the effect of telemonitoring on CAPD patient outcomes, and 6 articles were associated with the effect of education on CAPD patient outcomes. Education provided to patients can improve patient understanding of therapeutic modalities for renal disorders, reduce the potential for peritonitis and dialysis complications, and improve the quality of life of patients with CAPD. CAPD patients who received telemonitoring had a better quality of life, good clinical outcomes, and a lower risk of hospitalization than those who did not receive telemonitoring and had fewer health?care visits. In summary, the mplementation of telemonitoring and education in chronic kidney disease patients with CAPD modality therapy has been proven effective in improving quality of life and reducing dialysis?related risks.

Relationship of demoralization with anxiety, depression, and demographics of Chinese dialysis patients: Erratum

2024, 6(1): 69. doi:10.4103/jin.jin_36_24

Abstract ( 14 )

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Correlation between psychological resilience and burnout among female employees in a shopping mall in Xi Xian new area, China: A cross-sectional survey – Retraction

2024, 6(1): 70. doi:10.4103/jin.jin_34_24

Abstract ( 13 )

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Analysis of risk factors for lymphedema of the lower limbs after endometrial cancer surgery and suggestions for prevention and treatment: Retraction

2024, 6(1): 71. doi:10.4103/jin.jin_35_24

Abstract ( 11 )

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