This scoping review aims to synthesize evidence on exercise interventions for adolescents with depression by examining their components and evaluating their effects,thereby informing the development of standardized ex...This scoping review aims to synthesize evidence on exercise interventions for adolescents with depression by examining their components and evaluating their effects,thereby informing the development of standardized exercise programs for this population.Based on the Arksey and O’Malley framework for scoping reviews,the following databases were systematically searched:PubMed,Web of Science,Cochrane Library,Embase,EBSCO,China National Knowledge Infrastructure,Wanfang Database,VIP Database,and China Biomedical Literature Database.Based on the inclusion and exclusion criteria,the original studies applying exercise intervention in adolescents with depression were screened.A total of 9 papers were included,including 7 randomized controlled trials,1 quasi-experimental study,and 1 mixed study.The types of exercise interventions included aerobic exercise,resistance training,anti-gravity exercise,and stretching.The frequency of exercise was 30–60 min,3–5 times per week in most studies,with most intensities being moderate to high.Exercise intervention is feasible and effective in adolescents with depression.Nursing staff play a crucial role in implementing and supervising these interventions,from initial assessment to continuous monitoring of motivation and safety.In future studies,healthcare professionals should focus on assessing the condition and physical functional status of adolescents with depression and improving the specific content of exercise intervention to develop a scientific and standardized exercise training program for adolescents with depression.展开更多
目的:总结水中运动疗法作为单一治疗方式或辅助治疗方式在孤独症谱系障碍患者运动功能训练中的应用。方法:检索建库至2024年3月5日的PubMed、Web of Science、中国知网、万方数据库等数据库中水中运动疗法训练对孤独症谱系障碍患者运动...目的:总结水中运动疗法作为单一治疗方式或辅助治疗方式在孤独症谱系障碍患者运动功能训练中的应用。方法:检索建库至2024年3月5日的PubMed、Web of Science、中国知网、万方数据库等数据库中水中运动疗法训练对孤独症谱系障碍患者运动功能治疗效果的文献,采用Scoping综述方法提取文献内容。结果:共检索到135篇相关文献,最终纳入2004~2024年来自7个国家的8篇文献。孤独症谱系障碍疾病的身体结构和功能障碍主要涉及粗大运动障碍、肌肉力量、肌肉耐力和平衡能力。评价工具包括粗大运动能力指标如粗大运动功能测试(GMFM)、粗大运动发育测试(TGMD-2),力量测试工具如立定跳远、手持式握力计,肌肉耐力评估工具如肺活量测量仪、改良的仰卧起坐和等长俯卧撑试验。水中运动疗法的形式有Halliwick方法、游泳技能训练、冲浪训练和水上游戏训练。结论:水中运动疗法训练干预孤独症谱系障碍患者的粗大运动、肌肉力量、耐力、平衡等问题是当前的研究热点。未来需要进一步探讨水中运动疗法训练介入的时机、持续时间等问题,为基于循证医学推广水中运动疗法训练提供更充分的理论依据。展开更多
目的对儿童身体活动与脑健康的认知神经科学研究技术范式与进展进行Scoping综述。方法系统检索PubMed、Web of Science、Scopus、Cochrane Library、中国知网和万方数据库中关于身体活动干预儿童脑健康的随机对照试验、系统综述和Meta分...目的对儿童身体活动与脑健康的认知神经科学研究技术范式与进展进行Scoping综述。方法系统检索PubMed、Web of Science、Scopus、Cochrane Library、中国知网和万方数据库中关于身体活动干预儿童脑健康的随机对照试验、系统综述和Meta分析,检索时限为建库至2024年5月。提取数据并进行Scoping综述,采用PEDro量表和系统评价方法学质量评价工具(AMSTAR 2)评估文献质量。结果共纳入6项研究,来自中国、美国、新西兰和澳大利亚4个国家,涉及1363例5~16.8岁健康儿童。主要结局指标包括通过磁共振成像、功能磁共振成像、弥散张量成像和功能性近红外光谱测量的脑结构、脑功能和脑神经网络模式。长期、结构化身体活动对儿童大脑健康具有积极影响,可提高大脑白质微观结构的完整性,优化任务相关脑区的激活模式,改善大脑功能网络的模式化属性。接受身体活动干预儿童的大脑皮质神经环路模式呈现更精细和优化的趋势。结论身体活动能够对儿童大脑产生积极的结构性和功能性影响。展开更多
Cancer significantly impacts patients'physical and mental health,leading to a wide range of effects from physical pain to psychological issues such as anxiety and depression,severely diminishing their quality of l...Cancer significantly impacts patients'physical and mental health,leading to a wide range of effects from physical pain to psychological issues such as anxiety and depression,severely diminishing their quality of life.As an emerging psychosomatic intervention,mindfulness interventions have gained increasing attention.This scoping review systematically searches and filters relevant literature,covering databases from their inception to January 2025,aiming to comprehensively outline the application,research characteristics,and main outcomes of mindfulness interventions in cancer recovery.We employed the Arksey and O'Malley framework,utilizing electronic databases and manual searches to rigorously select studies and extract key data.Results indicate that mindfulness interventions show broad potential in improving cancer patients'mental health,physical symptoms,and quality of life,despite the heterogeneity of the evidence.Future research should focus on higher-quality randomized controlled trials to explore different intervention modalities and long-term effects and to analyze their underlying mechanisms.This paper particularly highlights the advancements in Mindfulness-Based Cancer Recovery,providing valuable references for clinical practice.展开更多
[Objectives]To explore the effectiveness of exercise therapy for lower limb lymphedema after cervical cancer surgery,and to inform future research and clinical practice in developing evidence-based nursing interventio...[Objectives]To explore the effectiveness of exercise therapy for lower limb lymphedema after cervical cancer surgery,and to inform future research and clinical practice in developing evidence-based nursing interventions.[Methods]Using the JBI scoping review guidelines as a methodological framework,relevant studies were retrieved from PubMed,Embase,Web of Science,Cochrane Library,CINAHL,CNKI,Wanfang Data,and Chinese Biomedical Literature Database from their inception to December 2024.[Results]The findings of included 18 studies showed that exercise therapy,mainly including progressive resistance training,aerobic exercise,aquatic exercise,and mixed exercise modalities,could effectively alleviate lower limb lymphedema symptoms in patients after cervical cancer surgery and improve quality of life.Progressive resistance training has been proven to be a safe and feasible preventive intervention;aerobic exercise and aquatic exercise have certain relieving effects on established lymphedema;mixed exercise interventions can improve patients functional activity capacity.[Conclusions]Exercise therapy is a feasible,safe,and effective intervention for lower limb lymphedema after cervical cancer surgery.Future high-quality randomized controlled trials are required to validate the effectiveness of different exercise modalities and to develop individualized exercise prescriptions that enhance patient adherence and reduce complications.展开更多
BACKGROUND Type 2 diabetes(T2D)is a major health concern globally and its prevalence is expected to continue to escalate.Lifestyle intervention is an integral part of T2D management.Meal replacements are often used as...BACKGROUND Type 2 diabetes(T2D)is a major health concern globally and its prevalence is expected to continue to escalate.Lifestyle intervention is an integral part of T2D management.Meal replacements are often used as part of lifestyle intervention programs in T2D and weight management programs.There are various trials being carried out to date;however,a thorough review regarding the usage of meal replacement on its types,dosage and associated outcomes and adverse events is still lacking.AIM To provide a comprehensive overview on existing studies regarding meal replacement usage among patients with T2D,and map out glycemic and weightrelated outcomes along with adverse effects incidences.METHODS This scoping review is conducted based on Arksey and O’Malley’s seminal framework for scoping reviews.A systematic search has been done for studies published between January 2020 and January 2024 across six online databases(Cochrane Library,PubMed,Science Direct,Scopus,Web of Science and Ebscohost Discovery)using specific keywords.Two researchers independently assessed the eligibility of the studies and extracted the data.The selected articles and extracted data were reviewed by all researchers.RESULTS The initial search resulted in an initial count of 53922 articles from which 133 articles were included in this review after eligibility screening.Included studies were categorized based on meal replacement type into low calorie/energy,low glycemic index,protein-rich,low-fat,diabetes-specific formulas,and combined lifestyle intervention programs.Fifty-nine studies reported improvements on hemoglobin A1c,and 70 studies reported positive changes in weight or BMI after the meal replacement intervention.The combination of meal replacements with education,counseling or structured lifestyle interventions has proved to be effective.Only 13 studies reported occurrence of adverse events related to the intervention.Most of the reported incidents were of mild occurrences with constipation being the most reported adverse event.CONCLUSION The results suggest that meal replacements,especially when combined with lifestyle intervention programs and counseling,are an effective and safe strategy in glycemic and weight management among patients with T2D.展开更多
Objective:To conduct a scoping review on the application status of the Functional Activity Score(FAS)in postoperative active pain management in China,providing a reference for its standardized and normative promotion....Objective:To conduct a scoping review on the application status of the Functional Activity Score(FAS)in postoperative active pain management in China,providing a reference for its standardized and normative promotion.Methods:Computerized searches of Chinese and English databases were performed to collect studies published by Chinese scholars from 2005 to July 2025 on the application of FAS in postoperative active pain management.After strict screening,the basic characteristics,application fields,assessment models,evaluation timing,types of functional activities,and clinical outcomes of the included literature were systematically analyzed.Results:A total of 18 studies were included,involving surgical types such as thoracic surgery,general surgery,and orthopedics.All studies adopted FAS combined with the Numeric Rating Scale(NRS)for assessment,with evaluation timing mostly concentrated within 72 hours postoperatively.The selected functional activities primarily included respiration-related and limb movements.Evaluation indicators covered pain control,functional recovery,complications,adverse events,patient experience,and tool assessment,with most studies reporting positive outcomes.Conclusion:FAS can effectively enhance pain control and promote functional recovery in postoperative active pain management in China,demonstrating high clinical value.However,existing studies exhibit inconsistencies in assessment criteria,selection of activity types,and research quality.展开更多
Objective:This study aimed to describe the implementation of advance care planning(ACP)in patients with stroke.Methods:A scoping review was conducted according to the Arksey and O'Malley framework.Accordingly,we s...Objective:This study aimed to describe the implementation of advance care planning(ACP)in patients with stroke.Methods:A scoping review was conducted according to the Arksey and O'Malley framework.Accordingly,we searched for articles published in ScienceDirect,PubMed,Scopus,ProQuest,and Medline.The inclusion criteria were original research on ACP among adult or elderly stroke patients,hospital-or community-based studies,and those published in English or Indonesian.Qualitative analysis was then used to identify keywords,categories,and themes.Results:Among the 1,050 articles identified,only 8 satisfied the inclusion criteria,indicating that limited studies were available for ACP interventions among stroke patients.Four themes were ultimately identified:the strategy implementation of AC,the challenges of ACP implementation,the benefits of ACP,and the factors influencing ACP.Strategy ACP implementation included the ACP method,the communication style,participation role,media used,and ACP documentation.Lack of information about ACP,facilities,incapacitated patients,and reluctance to implement have become challenges to implementation in stroke.The benefits of ACP,particularly the outcomes of the ACP program,included awareness of ACP engagement,patients can express their wishes,and increased advance directive(AD)documentation.The factors influencing ACP included patient condition,knowledge,and appropriate ACP methods.Conclusion:ACP has not been widely used when providing interventions for stroke patients.The implementation of ACP in stroke patients is full of challenges due to various patient conditions.Effective strategies are needed to improve ACP in stroke patients.It is necessary to develop an ACP for stroke patients'method that involves interprofessional collaboration,and studies on AcP in stroke patients need to be further conducted through interprofessional collaboration.展开更多
Background:Methodological issues and challenges hinder the high-quality development of acupuncture clinical studies.Objective:To systematically summarize the methodological issues,challenges,and recommendations in acu...Background:Methodological issues and challenges hinder the high-quality development of acupuncture clinical studies.Objective:To systematically summarize the methodological issues,challenges,and recommendations in acupuncture clinical research using the participant,intervention,comparison,outcome,and study design(PICOS)framework to generate a comprehensive list of methodological questions and recommendations.Methods:We searched seven databases for articles on the methodological aspects of clinical acupuncture research from their inception to March 24,2023.Two researchers independently screened the titles,ab-stracts,and full text of each article.Data extraction and analyses were performed for the eligible studies.Finally,the methodological challenges and recommendations for acupuncture clinical studies are listed,and the frequency of methodological challenges is displayed in a sunburst chart.Results:A total of 226 studies were included in the review,most of which originated in China(173,77%),followed by the United States(25,11%)and the United Kingdom(12,5%).Clinical research on acupuncture faces methodological challenges that span the five elements of the PICOS framework.The most frequently mentioned issues were related to comparison,followed by study design and interven-tions.If further categorized,the establishment of the control group is undoubtedly the most concerning issue for researchers.Conclusion:This review provides a comprehensive overview of the challenges and recommendations for each aspect of the PICOS framework in clinical acupuncture research.展开更多
目的:采用Scoping综述总结运动对心血管代谢健康的干预效果。方法:检索Pub Med、Cochrane Library、Web of Science、Embase、中国知网、万方数据知识服务平台、维普等数据库中运动对心血管代谢健康干预效果的相关文献,并辅以参考文献...目的:采用Scoping综述总结运动对心血管代谢健康的干预效果。方法:检索Pub Med、Cochrane Library、Web of Science、Embase、中国知网、万方数据知识服务平台、维普等数据库中运动对心血管代谢健康干预效果的相关文献,并辅以参考文献回溯和手工检索,提取文献内容,按照PRISMA规范清单逐一检查并对PICO架构进行编码,采用Scoping综述对运动干预心血管代谢健康的效果进行综述与提炼。结果:运动可提高宿主心肺功能,促进“运动因子”释放,增加线粒体信号,调节自噬与凋亡能力,起到代谢重塑和抗炎作用,促进心肌再生、血管重构,增强心血管重塑能力。结论:运动对促进宿主心血管代谢健康有一定的效果。展开更多
To describe and analyze the current status of benefit-finding research in patients with chronic diseases and to provide a reference for clinical practice and future research in this field.Using Arksey and O’Malley’s...To describe and analyze the current status of benefit-finding research in patients with chronic diseases and to provide a reference for clinical practice and future research in this field.Using Arksey and O’Malley’s scoping review methodology as a framework,we searched PubMed,Web of Science,Science Direct,and CINAHL(4 English databases);and China National Knowledge Infrastructure,the VIP Database for Chinese Technical Periodicals,the Wan Fang Database and China Biomedical Database(4 Chinese databases)for literature on benefit finding in patients with chronic diseases,with a search time frame of construction to April 20,2024,and the literature was screened,extracted,and summarized.A total of 44 papers were included,comprising 18 in Chinese and 26 in English.Among them,a total of 19 assessment tools were used,and the influential factors investigated were categorized into socio-demographic characteristics,disease-related characteristics,psychological and behavioral characteristics,coping styles,and social support.Benefit finding is found to be a positive psychological experience and important for patients with chronic diseases,and the influencing factors are complex and diverse,with a wide range of assessment tools.However,domestic tools lack autonomy and specificity.Clinical caregivers and staff should develop relevant assessment tools and formulate a personalized research plan based on the characteristics of patients with chronic diseases in China to promote the adoption of healthy lifestyles by patients with chronic diseases,improve their self-management ability,and provide a practical basis for improving the quality of life of patients with chronic diseases.展开更多
Perceived control plays a critical role in improving psychosocial health outcomes following a cardiac event.However,a comprehensive analysis and synthesis of the current research on the association between perceived c...Perceived control plays a critical role in improving psychosocial health outcomes following a cardiac event.However,a comprehensive analysis and synthesis of the current research on the association between perceived control and heart disease are lacking.We conducted this scoping review following the methodological framework of Arksey and O’Malley.A comprehensive literature search was performed up to April 15,2025.Covering five English language databases(Web of Science,PubMed,Scopus,CINAHL,and Embase)and four Chinese databases(WanFang,WeiPu,CNKI,and Chinese Biomedical Literature Database).The review included 22 studies.Our analysis organized the associations between perceived control and heart disease into four key domains:demographic characteristics,psychological factors,disease-related factors,and health behaviors.In addition,we examined aspects of study design,data analysis approaches,and the strengths and limitations of the measurement tools employed in the literature.Healthcare professionals should consider the identified factors connecting perceived control and heart disease when designing personalized health management plans.Digital health technologies could substantially advance psychological recovery and self-management support.Future research progress depends on implementing more varied study designs to detect finer associations,alongside three critical improvements:utilizing sophisticated statistical techniques,refining specialized assessment tools,and creating well-defined grading systems to enhance the precision and applicability of future evidence.展开更多
Objective: To conduct a scoping review of research on the professional self-concept (PSC) of undergraduate nursing students, comprehensively analyzing its status, influencing factors, and significance, and providing a...Objective: To conduct a scoping review of research on the professional self-concept (PSC) of undergraduate nursing students, comprehensively analyzing its status, influencing factors, and significance, and providing a reference for enhancing the PSC of undergraduate nursing students in China. Methods: Using the methodological framework of Arksey and O’Malley’s scoping review, six literature databases were searched, including CNKI, Wanfang, Chinese Biomedical Literature Database, PudMed, Web of Science, and ScienceDirect. Studies on the factors influencing undergraduate nursing students’ PSC from database inception to July 31, 2023, were reviewed and data extracted. Results: A total of 1,955 articles were retrieved, and 27 studies were included. The current status of PSC primarily focuses on self-perception. Factors influencing undergraduate nursing students’ PSC are mainly individual and demographic, while external factors include various teaching methods and environments. PSC impacts professional maturity, mental health, self-concept, and pre-internship stress among nursing students. Conclusion: PSC profoundly influences undergraduate nursing students’ future career choices and professional development. Nursing educators and administrators should adopt measures to enhance and improve PSC levels, thereby fostering a larger pool of nursing professionals.展开更多
目的基于《国际功能、残疾和健康分类(儿童青少年版)》(ICF-CY)的理论与方法,分析青少年久坐行为相关环境影响因素的内容与结构,并对相关文献中涉及的问题进行Scoping综述。方法采用Scoping综述方法,以中国知网、万方数据库、Web of Sci...目的基于《国际功能、残疾和健康分类(儿童青少年版)》(ICF-CY)的理论与方法,分析青少年久坐行为相关环境影响因素的内容与结构,并对相关文献中涉及的问题进行Scoping综述。方法采用Scoping综述方法,以中国知网、万方数据库、Web of Science核心合集为检索库,英文检索时间为建库至2020年1月31日,中文检索截止时间为建库至2020年4月20日,采用主题检索方式检索与青少年久坐相关的文献。提取文献内容,包括作者、国家、发表时间、发表期刊、研究目的、研究对象和年龄、数据收集工具以及主要研究结果和结论。结果共检索文献3217篇,最终纳入21篇,主要来自8个国家,多数文献源于公共健康、公共卫生相关主题期刊,研究主要集中在2015年至2019年,研究方法多为调查法,对久坐行为的测量包括问卷和客观测量。根据ICF-CY环境因素架构,共得到17个影响因素,具有促进或障碍作用的因素共14个,其中用品和技术9项(e150、e160、e110、e115、e120、e125、e140、e165、e130),包括社区居所/锻炼场所设计、街道/土地利用,学校灵活学习空间、可调节高度课桌,家庭娱乐/运动设备;自然环境和对环境的人为改变2项(e225、e245),包括温度、湿度、季节、降雨量、日照时长;支持和相互联系3项(e310、e320、e325),包括家人、朋友、同伴活动参与/支持程度。态度,服务、体制和政策两个类目的研究较少。土地混合利用率、步行设施完善程度、感知邻里美学程度、行人/汽车交通安全程度、可调节桌椅设施与灵活教学空间的使用程度等指标越好,青少年久坐时间越短;家庭娱乐设备越多、街道连通性越高、日照时长较短、气候条件越差,青少年久坐时间越长。家人、朋友及同伴活动支持程度,空气质量,客观测量的社区居所/邻里等指标对青少年久坐行为的影响还有待进一步检验。结论基于ICF-CY环境类目架构,影响青少年久坐行为的环境因素包括用品和技术、自然环境和对环境的人为改变以及支持和相互联系三大类。为使青少年养成健康生活方式,减少久坐时间,应从上述三类因素入手,消除消极环境因素的影响。展开更多
目的综述人工智能在老年人睡眠障碍识别、监测与干预中的应用及效果。方法检索建库至2024年6月PubMed、Web of Science、中国知网、万方数据库人工智能在老年人睡眠障碍领域应用的相关文献,并进行Scoping综述。结果共纳入10篇文献,来自...目的综述人工智能在老年人睡眠障碍识别、监测与干预中的应用及效果。方法检索建库至2024年6月PubMed、Web of Science、中国知网、万方数据库人工智能在老年人睡眠障碍领域应用的相关文献,并进行Scoping综述。结果共纳入10篇文献,来自7个国家,涉及36344例老年参与者,发表时间集中于2020年至2024年,研究类型涉及横断面研究6篇、前瞻性研究1篇、自身前后对照研究1篇、随机对照试验2篇,主要来源于临床医学、睡眠、康复医学、信息工程学等领域。人工智能主要应用于监测老年人睡眠全过程,预测与识别睡眠障碍,基于移动平台进行生物反馈、线上咨询和认知行为治疗等干预。结论人工智能不仅可提高睡眠障碍的诊断准确性,还能为临床干预提供有力的数据支撑,基于大数据及智能算法的线上睡眠干预可以为老年人提供有效的健康管理。展开更多
文摘This scoping review aims to synthesize evidence on exercise interventions for adolescents with depression by examining their components and evaluating their effects,thereby informing the development of standardized exercise programs for this population.Based on the Arksey and O’Malley framework for scoping reviews,the following databases were systematically searched:PubMed,Web of Science,Cochrane Library,Embase,EBSCO,China National Knowledge Infrastructure,Wanfang Database,VIP Database,and China Biomedical Literature Database.Based on the inclusion and exclusion criteria,the original studies applying exercise intervention in adolescents with depression were screened.A total of 9 papers were included,including 7 randomized controlled trials,1 quasi-experimental study,and 1 mixed study.The types of exercise interventions included aerobic exercise,resistance training,anti-gravity exercise,and stretching.The frequency of exercise was 30–60 min,3–5 times per week in most studies,with most intensities being moderate to high.Exercise intervention is feasible and effective in adolescents with depression.Nursing staff play a crucial role in implementing and supervising these interventions,from initial assessment to continuous monitoring of motivation and safety.In future studies,healthcare professionals should focus on assessing the condition and physical functional status of adolescents with depression and improving the specific content of exercise intervention to develop a scientific and standardized exercise training program for adolescents with depression.
文摘目的:总结水中运动疗法作为单一治疗方式或辅助治疗方式在孤独症谱系障碍患者运动功能训练中的应用。方法:检索建库至2024年3月5日的PubMed、Web of Science、中国知网、万方数据库等数据库中水中运动疗法训练对孤独症谱系障碍患者运动功能治疗效果的文献,采用Scoping综述方法提取文献内容。结果:共检索到135篇相关文献,最终纳入2004~2024年来自7个国家的8篇文献。孤独症谱系障碍疾病的身体结构和功能障碍主要涉及粗大运动障碍、肌肉力量、肌肉耐力和平衡能力。评价工具包括粗大运动能力指标如粗大运动功能测试(GMFM)、粗大运动发育测试(TGMD-2),力量测试工具如立定跳远、手持式握力计,肌肉耐力评估工具如肺活量测量仪、改良的仰卧起坐和等长俯卧撑试验。水中运动疗法的形式有Halliwick方法、游泳技能训练、冲浪训练和水上游戏训练。结论:水中运动疗法训练干预孤独症谱系障碍患者的粗大运动、肌肉力量、耐力、平衡等问题是当前的研究热点。未来需要进一步探讨水中运动疗法训练介入的时机、持续时间等问题,为基于循证医学推广水中运动疗法训练提供更充分的理论依据。
文摘目的对儿童身体活动与脑健康的认知神经科学研究技术范式与进展进行Scoping综述。方法系统检索PubMed、Web of Science、Scopus、Cochrane Library、中国知网和万方数据库中关于身体活动干预儿童脑健康的随机对照试验、系统综述和Meta分析,检索时限为建库至2024年5月。提取数据并进行Scoping综述,采用PEDro量表和系统评价方法学质量评价工具(AMSTAR 2)评估文献质量。结果共纳入6项研究,来自中国、美国、新西兰和澳大利亚4个国家,涉及1363例5~16.8岁健康儿童。主要结局指标包括通过磁共振成像、功能磁共振成像、弥散张量成像和功能性近红外光谱测量的脑结构、脑功能和脑神经网络模式。长期、结构化身体活动对儿童大脑健康具有积极影响,可提高大脑白质微观结构的完整性,优化任务相关脑区的激活模式,改善大脑功能网络的模式化属性。接受身体活动干预儿童的大脑皮质神经环路模式呈现更精细和优化的趋势。结论身体活动能够对儿童大脑产生积极的结构性和功能性影响。
基金Supported by the Teacher Education Research Project of Meizhouwan Vocational and Technical College,No.MZY2407Fujian Province Lifelong Education Quality Enhancement and Excellence Training Project,No.ZS24037.
文摘Cancer significantly impacts patients'physical and mental health,leading to a wide range of effects from physical pain to psychological issues such as anxiety and depression,severely diminishing their quality of life.As an emerging psychosomatic intervention,mindfulness interventions have gained increasing attention.This scoping review systematically searches and filters relevant literature,covering databases from their inception to January 2025,aiming to comprehensively outline the application,research characteristics,and main outcomes of mindfulness interventions in cancer recovery.We employed the Arksey and O'Malley framework,utilizing electronic databases and manual searches to rigorously select studies and extract key data.Results indicate that mindfulness interventions show broad potential in improving cancer patients'mental health,physical symptoms,and quality of life,despite the heterogeneity of the evidence.Future research should focus on higher-quality randomized controlled trials to explore different intervention modalities and long-term effects and to analyze their underlying mechanisms.This paper particularly highlights the advancements in Mindfulness-Based Cancer Recovery,providing valuable references for clinical practice.
文摘[Objectives]To explore the effectiveness of exercise therapy for lower limb lymphedema after cervical cancer surgery,and to inform future research and clinical practice in developing evidence-based nursing interventions.[Methods]Using the JBI scoping review guidelines as a methodological framework,relevant studies were retrieved from PubMed,Embase,Web of Science,Cochrane Library,CINAHL,CNKI,Wanfang Data,and Chinese Biomedical Literature Database from their inception to December 2024.[Results]The findings of included 18 studies showed that exercise therapy,mainly including progressive resistance training,aerobic exercise,aquatic exercise,and mixed exercise modalities,could effectively alleviate lower limb lymphedema symptoms in patients after cervical cancer surgery and improve quality of life.Progressive resistance training has been proven to be a safe and feasible preventive intervention;aerobic exercise and aquatic exercise have certain relieving effects on established lymphedema;mixed exercise interventions can improve patients functional activity capacity.[Conclusions]Exercise therapy is a feasible,safe,and effective intervention for lower limb lymphedema after cervical cancer surgery.Future high-quality randomized controlled trials are required to validate the effectiveness of different exercise modalities and to develop individualized exercise prescriptions that enhance patient adherence and reduce complications.
文摘BACKGROUND Type 2 diabetes(T2D)is a major health concern globally and its prevalence is expected to continue to escalate.Lifestyle intervention is an integral part of T2D management.Meal replacements are often used as part of lifestyle intervention programs in T2D and weight management programs.There are various trials being carried out to date;however,a thorough review regarding the usage of meal replacement on its types,dosage and associated outcomes and adverse events is still lacking.AIM To provide a comprehensive overview on existing studies regarding meal replacement usage among patients with T2D,and map out glycemic and weightrelated outcomes along with adverse effects incidences.METHODS This scoping review is conducted based on Arksey and O’Malley’s seminal framework for scoping reviews.A systematic search has been done for studies published between January 2020 and January 2024 across six online databases(Cochrane Library,PubMed,Science Direct,Scopus,Web of Science and Ebscohost Discovery)using specific keywords.Two researchers independently assessed the eligibility of the studies and extracted the data.The selected articles and extracted data were reviewed by all researchers.RESULTS The initial search resulted in an initial count of 53922 articles from which 133 articles were included in this review after eligibility screening.Included studies were categorized based on meal replacement type into low calorie/energy,low glycemic index,protein-rich,low-fat,diabetes-specific formulas,and combined lifestyle intervention programs.Fifty-nine studies reported improvements on hemoglobin A1c,and 70 studies reported positive changes in weight or BMI after the meal replacement intervention.The combination of meal replacements with education,counseling or structured lifestyle interventions has proved to be effective.Only 13 studies reported occurrence of adverse events related to the intervention.Most of the reported incidents were of mild occurrences with constipation being the most reported adverse event.CONCLUSION The results suggest that meal replacements,especially when combined with lifestyle intervention programs and counseling,are an effective and safe strategy in glycemic and weight management among patients with T2D.
基金School-level Educational Reform Project of Hangzhou Normal University(Project No.:HLXYJG202304)。
文摘Objective:To conduct a scoping review on the application status of the Functional Activity Score(FAS)in postoperative active pain management in China,providing a reference for its standardized and normative promotion.Methods:Computerized searches of Chinese and English databases were performed to collect studies published by Chinese scholars from 2005 to July 2025 on the application of FAS in postoperative active pain management.After strict screening,the basic characteristics,application fields,assessment models,evaluation timing,types of functional activities,and clinical outcomes of the included literature were systematically analyzed.Results:A total of 18 studies were included,involving surgical types such as thoracic surgery,general surgery,and orthopedics.All studies adopted FAS combined with the Numeric Rating Scale(NRS)for assessment,with evaluation timing mostly concentrated within 72 hours postoperatively.The selected functional activities primarily included respiration-related and limb movements.Evaluation indicators covered pain control,functional recovery,complications,adverse events,patient experience,and tool assessment,with most studies reporting positive outcomes.Conclusion:FAS can effectively enhance pain control and promote functional recovery in postoperative active pain management in China,demonstrating high clinical value.However,existing studies exhibit inconsistencies in assessment criteria,selection of activity types,and research quality.
基金funded by the Center for Education Financial Service(Puslapdik)and the Indonesia Endowment Fund for Education(LPDP)(Grant number:02651/J5.2.3/BPI.06/9/2022).
文摘Objective:This study aimed to describe the implementation of advance care planning(ACP)in patients with stroke.Methods:A scoping review was conducted according to the Arksey and O'Malley framework.Accordingly,we searched for articles published in ScienceDirect,PubMed,Scopus,ProQuest,and Medline.The inclusion criteria were original research on ACP among adult or elderly stroke patients,hospital-or community-based studies,and those published in English or Indonesian.Qualitative analysis was then used to identify keywords,categories,and themes.Results:Among the 1,050 articles identified,only 8 satisfied the inclusion criteria,indicating that limited studies were available for ACP interventions among stroke patients.Four themes were ultimately identified:the strategy implementation of AC,the challenges of ACP implementation,the benefits of ACP,and the factors influencing ACP.Strategy ACP implementation included the ACP method,the communication style,participation role,media used,and ACP documentation.Lack of information about ACP,facilities,incapacitated patients,and reluctance to implement have become challenges to implementation in stroke.The benefits of ACP,particularly the outcomes of the ACP program,included awareness of ACP engagement,patients can express their wishes,and increased advance directive(AD)documentation.The factors influencing ACP included patient condition,knowledge,and appropriate ACP methods.Conclusion:ACP has not been widely used when providing interventions for stroke patients.The implementation of ACP in stroke patients is full of challenges due to various patient conditions.Effective strategies are needed to improve ACP in stroke patients.It is necessary to develop an ACP for stroke patients'method that involves interprofessional collaboration,and studies on AcP in stroke patients need to be further conducted through interprofessional collaboration.
基金Supported by National Natural Science Foundation of China:81973968,82274660China Center for Evidence Based Traditional Chinese Medicine:2020YJSZX-1.
文摘Background:Methodological issues and challenges hinder the high-quality development of acupuncture clinical studies.Objective:To systematically summarize the methodological issues,challenges,and recommendations in acupuncture clinical research using the participant,intervention,comparison,outcome,and study design(PICOS)framework to generate a comprehensive list of methodological questions and recommendations.Methods:We searched seven databases for articles on the methodological aspects of clinical acupuncture research from their inception to March 24,2023.Two researchers independently screened the titles,ab-stracts,and full text of each article.Data extraction and analyses were performed for the eligible studies.Finally,the methodological challenges and recommendations for acupuncture clinical studies are listed,and the frequency of methodological challenges is displayed in a sunburst chart.Results:A total of 226 studies were included in the review,most of which originated in China(173,77%),followed by the United States(25,11%)and the United Kingdom(12,5%).Clinical research on acupuncture faces methodological challenges that span the five elements of the PICOS framework.The most frequently mentioned issues were related to comparison,followed by study design and interven-tions.If further categorized,the establishment of the control group is undoubtedly the most concerning issue for researchers.Conclusion:This review provides a comprehensive overview of the challenges and recommendations for each aspect of the PICOS framework in clinical acupuncture research.
文摘目的:采用Scoping综述总结运动对心血管代谢健康的干预效果。方法:检索Pub Med、Cochrane Library、Web of Science、Embase、中国知网、万方数据知识服务平台、维普等数据库中运动对心血管代谢健康干预效果的相关文献,并辅以参考文献回溯和手工检索,提取文献内容,按照PRISMA规范清单逐一检查并对PICO架构进行编码,采用Scoping综述对运动干预心血管代谢健康的效果进行综述与提炼。结果:运动可提高宿主心肺功能,促进“运动因子”释放,增加线粒体信号,调节自噬与凋亡能力,起到代谢重塑和抗炎作用,促进心肌再生、血管重构,增强心血管重塑能力。结论:运动对促进宿主心血管代谢健康有一定的效果。
文摘To describe and analyze the current status of benefit-finding research in patients with chronic diseases and to provide a reference for clinical practice and future research in this field.Using Arksey and O’Malley’s scoping review methodology as a framework,we searched PubMed,Web of Science,Science Direct,and CINAHL(4 English databases);and China National Knowledge Infrastructure,the VIP Database for Chinese Technical Periodicals,the Wan Fang Database and China Biomedical Database(4 Chinese databases)for literature on benefit finding in patients with chronic diseases,with a search time frame of construction to April 20,2024,and the literature was screened,extracted,and summarized.A total of 44 papers were included,comprising 18 in Chinese and 26 in English.Among them,a total of 19 assessment tools were used,and the influential factors investigated were categorized into socio-demographic characteristics,disease-related characteristics,psychological and behavioral characteristics,coping styles,and social support.Benefit finding is found to be a positive psychological experience and important for patients with chronic diseases,and the influencing factors are complex and diverse,with a wide range of assessment tools.However,domestic tools lack autonomy and specificity.Clinical caregivers and staff should develop relevant assessment tools and formulate a personalized research plan based on the characteristics of patients with chronic diseases in China to promote the adoption of healthy lifestyles by patients with chronic diseases,improve their self-management ability,and provide a practical basis for improving the quality of life of patients with chronic diseases.
文摘Perceived control plays a critical role in improving psychosocial health outcomes following a cardiac event.However,a comprehensive analysis and synthesis of the current research on the association between perceived control and heart disease are lacking.We conducted this scoping review following the methodological framework of Arksey and O’Malley.A comprehensive literature search was performed up to April 15,2025.Covering five English language databases(Web of Science,PubMed,Scopus,CINAHL,and Embase)and four Chinese databases(WanFang,WeiPu,CNKI,and Chinese Biomedical Literature Database).The review included 22 studies.Our analysis organized the associations between perceived control and heart disease into four key domains:demographic characteristics,psychological factors,disease-related factors,and health behaviors.In addition,we examined aspects of study design,data analysis approaches,and the strengths and limitations of the measurement tools employed in the literature.Healthcare professionals should consider the identified factors connecting perceived control and heart disease when designing personalized health management plans.Digital health technologies could substantially advance psychological recovery and self-management support.Future research progress depends on implementing more varied study designs to detect finer associations,alongside three critical improvements:utilizing sophisticated statistical techniques,refining specialized assessment tools,and creating well-defined grading systems to enhance the precision and applicability of future evidence.
文摘Objective: To conduct a scoping review of research on the professional self-concept (PSC) of undergraduate nursing students, comprehensively analyzing its status, influencing factors, and significance, and providing a reference for enhancing the PSC of undergraduate nursing students in China. Methods: Using the methodological framework of Arksey and O’Malley’s scoping review, six literature databases were searched, including CNKI, Wanfang, Chinese Biomedical Literature Database, PudMed, Web of Science, and ScienceDirect. Studies on the factors influencing undergraduate nursing students’ PSC from database inception to July 31, 2023, were reviewed and data extracted. Results: A total of 1,955 articles were retrieved, and 27 studies were included. The current status of PSC primarily focuses on self-perception. Factors influencing undergraduate nursing students’ PSC are mainly individual and demographic, while external factors include various teaching methods and environments. PSC impacts professional maturity, mental health, self-concept, and pre-internship stress among nursing students. Conclusion: PSC profoundly influences undergraduate nursing students’ future career choices and professional development. Nursing educators and administrators should adopt measures to enhance and improve PSC levels, thereby fostering a larger pool of nursing professionals.
文摘目的基于《国际功能、残疾和健康分类(儿童青少年版)》(ICF-CY)的理论与方法,分析青少年久坐行为相关环境影响因素的内容与结构,并对相关文献中涉及的问题进行Scoping综述。方法采用Scoping综述方法,以中国知网、万方数据库、Web of Science核心合集为检索库,英文检索时间为建库至2020年1月31日,中文检索截止时间为建库至2020年4月20日,采用主题检索方式检索与青少年久坐相关的文献。提取文献内容,包括作者、国家、发表时间、发表期刊、研究目的、研究对象和年龄、数据收集工具以及主要研究结果和结论。结果共检索文献3217篇,最终纳入21篇,主要来自8个国家,多数文献源于公共健康、公共卫生相关主题期刊,研究主要集中在2015年至2019年,研究方法多为调查法,对久坐行为的测量包括问卷和客观测量。根据ICF-CY环境因素架构,共得到17个影响因素,具有促进或障碍作用的因素共14个,其中用品和技术9项(e150、e160、e110、e115、e120、e125、e140、e165、e130),包括社区居所/锻炼场所设计、街道/土地利用,学校灵活学习空间、可调节高度课桌,家庭娱乐/运动设备;自然环境和对环境的人为改变2项(e225、e245),包括温度、湿度、季节、降雨量、日照时长;支持和相互联系3项(e310、e320、e325),包括家人、朋友、同伴活动参与/支持程度。态度,服务、体制和政策两个类目的研究较少。土地混合利用率、步行设施完善程度、感知邻里美学程度、行人/汽车交通安全程度、可调节桌椅设施与灵活教学空间的使用程度等指标越好,青少年久坐时间越短;家庭娱乐设备越多、街道连通性越高、日照时长较短、气候条件越差,青少年久坐时间越长。家人、朋友及同伴活动支持程度,空气质量,客观测量的社区居所/邻里等指标对青少年久坐行为的影响还有待进一步检验。结论基于ICF-CY环境类目架构,影响青少年久坐行为的环境因素包括用品和技术、自然环境和对环境的人为改变以及支持和相互联系三大类。为使青少年养成健康生活方式,减少久坐时间,应从上述三类因素入手,消除消极环境因素的影响。
文摘目的综述人工智能在老年人睡眠障碍识别、监测与干预中的应用及效果。方法检索建库至2024年6月PubMed、Web of Science、中国知网、万方数据库人工智能在老年人睡眠障碍领域应用的相关文献,并进行Scoping综述。结果共纳入10篇文献,来自7个国家,涉及36344例老年参与者,发表时间集中于2020年至2024年,研究类型涉及横断面研究6篇、前瞻性研究1篇、自身前后对照研究1篇、随机对照试验2篇,主要来源于临床医学、睡眠、康复医学、信息工程学等领域。人工智能主要应用于监测老年人睡眠全过程,预测与识别睡眠障碍,基于移动平台进行生物反馈、线上咨询和认知行为治疗等干预。结论人工智能不仅可提高睡眠障碍的诊断准确性,还能为临床干预提供有力的数据支撑,基于大数据及智能算法的线上睡眠干预可以为老年人提供有效的健康管理。
