Objective:To review the current status of research on kinesiophobia,assessment tools,influencing factors,and intervention strategies in patients with chronic obstructive pulmonary disease,aiming to provide a reference...Objective:To review the current status of research on kinesiophobia,assessment tools,influencing factors,and intervention strategies in patients with chronic obstructive pulmonary disease,aiming to provide a reference for promoting pulmonary rehabilitation in these patients.Methods:A scoping review framework was employed to search databases including CNKI,Wanfang,VIP,China Biology Medicine(CBM),PubMed,Web of Science,and Wiley Online Library.The search time frame spanned from the database inception to May 20,2024.Two researchers independently screened the literature,summarized,and analyzed the data.Results:A total of 18 articles were included.Commonly used assessment tools included the Tampa Scale for kinesiophobia and the dyspnea beliefs questionnaire.Influencing factors encompassed demographic,disease-related,psychosocial,and BMI-related factors.Intervention methods included inspiratory muscle training,narrative nursing,and cognitive interventions combined with active cycle of breathing techniques.Conclusion:The incidence of kinesiophobia in COPD patients is relatively high and varies among individuals,influenced by multiple factors.There is a need to develop localized assessment tools to identify kinesiophobia in a timely and accurate manner and to further refine intervention strategies.展开更多
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
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
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
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 Idiopathic myointimal hyperplasia of the mesenteric veins(IMHMV)is a rare disease characterized by narrowing of the lumen caused by mesenteric vein intimal hyperplasia,resulting in chronic intestinal ischem...BACKGROUND Idiopathic myointimal hyperplasia of the mesenteric veins(IMHMV)is a rare disease characterized by narrowing of the lumen caused by mesenteric vein intimal hyperplasia,resulting in chronic intestinal ischemia.Although the colorectum is the primary site affected by this condition,involvement of the small intestine is even more rare.Recurrence of IMHMV after surgical resection of the affected bowel is uncommon.CASE SUMMARY In this case report,we present a unique instance of IMHMV exclusively occurring in the small intestine.The patient experienced small intestinal perforation,infarction,and obstruction before receiving a clear diagnosis,which was achieved only during the third operation.In this review,we analyzed 84 reported cases to summarize the etiology,clinical manifestations,and diagnostic challenges of IMHMV,with the aim of raising awareness regarding this rare condition among clinicians.CONCLUSION Notably,IMHMV can also affect the small intestine alone.When refractory enteritis with endoscopic findings of nonspecific ischemic changes is encountered,IMHMV should be considered for potential diagnosis.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
背景全科医学作为一种新兴医疗模式,强调以社区为基础的全面医疗服务,旨在提高医疗的可及性和效率。然而,尽管全科医学在提升基本医疗卫生服务能力中扮演关键角色,但全科医学研究仍处于发展滞后的状态,需要通过科学研究和社会支持来改...背景全科医学作为一种新兴医疗模式,强调以社区为基础的全面医疗服务,旨在提高医疗的可及性和效率。然而,尽管全科医学在提升基本医疗卫生服务能力中扮演关键角色,但全科医学研究仍处于发展滞后的状态,需要通过科学研究和社会支持来改善这一状况,并提高其学科地位。目的在研究人员、科研机构和学科整体三个自下而上的层级中,分层次地分析影响全科医学领域科研能力发展的因素。方法于2023年12月—2024年3月,本文采用范围综述方法,对中国知网、万方数据知识服务平台、PubMed、Web of Science数据库进行检索,并手动浏览国际全科医学科研和行业学会的信息发布平台,以及谷歌搜索引擎,收集2000—2023年发表的全科医学科研能力发展影响因素的相关文献,并通过手动检索补充灰色文献。通过两阶段的筛选,最终纳入相关文献,使用Excel进行数据整理,归类影响因素,并通过归纳性的主题分析法分析数据,最终以日冕图的形式展示研究结果。结果本研究最终纳入122篇文献,包括原创研究62篇、系统综述2篇、非原创论文54篇、灰色文献4篇,基于文献分析,共归纳出21项影响全科医学科研能力发展的因素。相关因素被分为个体(研究人员)、群体(机构)和整体(学科)三个层级。个体层面的因素涉及研究人员的科研知识和技能、申请资金的能力、对科研的兴趣和积极性、学习科研知识和发展科研合作的机遇、用于科研工作的时间以及科研和临床工作的结合情况;群体层面的因素涉及科研机构的科研人力、科研资源、科研环境、科研管理机制、科研培训能力、外部科研合作资源和机构管理者的重视程度;学科层面的因素则涉及学科的科研特点、核心的科研和协调机构、政府、学协会、学术期刊和国际合作者的外部影响,以及科研经费等方面。结论本研究综述了全球范围内关于全科医学科研能力发展的文献,识别出21个关键的影响因素。在我国的实际环境中,上述因素可能会集中表现为学科组织分散、总体资源有限、学科理论不清、社会认知不足等一系列相互影响的问题。这要求该领域的研究者更加主动地以学科核心理念为导向,对机构的科研绩效导向和管理机制,以及个人的科研领域和路径进行合理的调整和重塑,并增强对全科医生具有全科医学学科特色的科研理论、方法和能力的培养,以增强形成学科合力的基础。展开更多
背景胃肠道癌症患者症状群受生理、心理等因素影响,现有研究多集中于肺癌、乳腺癌等高发癌症,针对胃肠道癌症领域症状群的研究不足,缺乏动态评估和机制探讨。目的通过对胃肠道癌症患者的症状群进行广泛的综述分析,以期为不同类型胃肠道...背景胃肠道癌症患者症状群受生理、心理等因素影响,现有研究多集中于肺癌、乳腺癌等高发癌症,针对胃肠道癌症领域症状群的研究不足,缺乏动态评估和机制探讨。目的通过对胃肠道癌症患者的症状群进行广泛的综述分析,以期为不同类型胃肠道癌症患者的精准化管理提供参考依据。方法系统检索Embase、PubMed、Web of Science、Cochrane Library、中国知网、万方数据知识服务平台、维普网和中国生物医学文献服务系统共8个数据库,检索时限为建库—2024年7月。根据纳入、排除标准提取关于胃肠道癌症患者症状群相关的文献,并对纳入文献的基本特征、胃肠道癌症患者症状群评估工具以及种类特点和影响因素进行分析。结果共检索到4163篇文献,最终纳入14篇。通过文献分析,提取出4个常见的症状群,包括胃肠道症状群、心理相关症状群、疲劳症状群和神经相关症状群。对症状群评估使用的工具较为多样,其中多症状评估工具被广泛应用。影响因素主要包括社会人口学特征、疾病相关因素、生物学指标以及个体心理因素。结论未来可聚焦于开发针对胃肠道癌症患者的特异性症状评估工具,并结合网络分析法、多模态预测建模等先进的分析技术,进一步探索如何构建个性化的症状群管理方案,以提高症状群识别的准确性,实现精准化的症状管理。展开更多
背景膝骨关节炎(KOA)是全球第四大致残性疾病,其发生率和致残率逐年升高。衰弱与KOA相互关联,严重降低KOA患者生活质量。目的对KOA患者衰弱的发生现状、评估工具、影响因素和干预措施进行范围综述,为有效早期预测衰弱进展,制订个性化的...背景膝骨关节炎(KOA)是全球第四大致残性疾病,其发生率和致残率逐年升高。衰弱与KOA相互关联,严重降低KOA患者生活质量。目的对KOA患者衰弱的发生现状、评估工具、影响因素和干预措施进行范围综述,为有效早期预测衰弱进展,制订个性化的干预措施提供理论支持。方法采取主题词和自由词相结合的方法,检索Web of Science、PubMed、Embase、Cochrane Library及中国知网、万方数据知识服务平台、维普网、中国生物医学文献服务系统中有关KOA患者衰弱发生现状、评估工具、影响因素及干预方法的相关研究,检索期限为建库至2024-12-12。由2名研究者独立对文献数据进行汇总、归类及分析。结果最终纳入13篇文献,研究结果显示KOA患者衰弱的发生率为8.2%~67.8%,患者衰弱发生率和严重程度在不同研究结果之间存在一定差异;评估工具种类多,但总体上缺乏特异性评估工具,研究中较为常用的工具为骨质疏松性骨折研究(SOF)指数、FRAIL量表及Fried衰弱表型;影响因素主要包括社会人口学因素、疾病相关因素及心理行为因素;干预措施包括运动训练、中医联合运动治疗以及注射治疗。结论KOA患者衰弱发生率存在一定程度差异,且缺少特异性的评估工具,未来可编制更适合我国KOA患者的衰弱预测评估工具,为精准干预衰弱提供参考;同时应聚焦影响KOA患者衰弱的危险因素,以延缓KOA患者衰弱进展,提升其生活质量。展开更多
文摘Objective:To review the current status of research on kinesiophobia,assessment tools,influencing factors,and intervention strategies in patients with chronic obstructive pulmonary disease,aiming to provide a reference for promoting pulmonary rehabilitation in these patients.Methods:A scoping review framework was employed to search databases including CNKI,Wanfang,VIP,China Biology Medicine(CBM),PubMed,Web of Science,and Wiley Online Library.The search time frame spanned from the database inception to May 20,2024.Two researchers independently screened the literature,summarized,and analyzed the data.Results:A total of 18 articles were included.Commonly used assessment tools included the Tampa Scale for kinesiophobia and the dyspnea beliefs questionnaire.Influencing factors encompassed demographic,disease-related,psychosocial,and BMI-related factors.Intervention methods included inspiratory muscle training,narrative nursing,and cognitive interventions combined with active cycle of breathing techniques.Conclusion:The incidence of kinesiophobia in COPD patients is relatively high and varies among individuals,influenced by multiple factors.There is a need to develop localized assessment tools to identify kinesiophobia in a timely and accurate manner and to further refine intervention strategies.
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.
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.
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 the National Natural Science Foundation of China,No.81970493 and No.82270590.
文摘BACKGROUND Idiopathic myointimal hyperplasia of the mesenteric veins(IMHMV)is a rare disease characterized by narrowing of the lumen caused by mesenteric vein intimal hyperplasia,resulting in chronic intestinal ischemia.Although the colorectum is the primary site affected by this condition,involvement of the small intestine is even more rare.Recurrence of IMHMV after surgical resection of the affected bowel is uncommon.CASE SUMMARY In this case report,we present a unique instance of IMHMV exclusively occurring in the small intestine.The patient experienced small intestinal perforation,infarction,and obstruction before receiving a clear diagnosis,which was achieved only during the third operation.In this review,we analyzed 84 reported cases to summarize the etiology,clinical manifestations,and diagnostic challenges of IMHMV,with the aim of raising awareness regarding this rare condition among clinicians.CONCLUSION Notably,IMHMV can also affect the small intestine alone.When refractory enteritis with endoscopic findings of nonspecific ischemic changes is encountered,IMHMV should be considered for potential diagnosis.
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.
文摘背景全科医学作为一种新兴医疗模式,强调以社区为基础的全面医疗服务,旨在提高医疗的可及性和效率。然而,尽管全科医学在提升基本医疗卫生服务能力中扮演关键角色,但全科医学研究仍处于发展滞后的状态,需要通过科学研究和社会支持来改善这一状况,并提高其学科地位。目的在研究人员、科研机构和学科整体三个自下而上的层级中,分层次地分析影响全科医学领域科研能力发展的因素。方法于2023年12月—2024年3月,本文采用范围综述方法,对中国知网、万方数据知识服务平台、PubMed、Web of Science数据库进行检索,并手动浏览国际全科医学科研和行业学会的信息发布平台,以及谷歌搜索引擎,收集2000—2023年发表的全科医学科研能力发展影响因素的相关文献,并通过手动检索补充灰色文献。通过两阶段的筛选,最终纳入相关文献,使用Excel进行数据整理,归类影响因素,并通过归纳性的主题分析法分析数据,最终以日冕图的形式展示研究结果。结果本研究最终纳入122篇文献,包括原创研究62篇、系统综述2篇、非原创论文54篇、灰色文献4篇,基于文献分析,共归纳出21项影响全科医学科研能力发展的因素。相关因素被分为个体(研究人员)、群体(机构)和整体(学科)三个层级。个体层面的因素涉及研究人员的科研知识和技能、申请资金的能力、对科研的兴趣和积极性、学习科研知识和发展科研合作的机遇、用于科研工作的时间以及科研和临床工作的结合情况;群体层面的因素涉及科研机构的科研人力、科研资源、科研环境、科研管理机制、科研培训能力、外部科研合作资源和机构管理者的重视程度;学科层面的因素则涉及学科的科研特点、核心的科研和协调机构、政府、学协会、学术期刊和国际合作者的外部影响,以及科研经费等方面。结论本研究综述了全球范围内关于全科医学科研能力发展的文献,识别出21个关键的影响因素。在我国的实际环境中,上述因素可能会集中表现为学科组织分散、总体资源有限、学科理论不清、社会认知不足等一系列相互影响的问题。这要求该领域的研究者更加主动地以学科核心理念为导向,对机构的科研绩效导向和管理机制,以及个人的科研领域和路径进行合理的调整和重塑,并增强对全科医生具有全科医学学科特色的科研理论、方法和能力的培养,以增强形成学科合力的基础。
文摘背景胃肠道癌症患者症状群受生理、心理等因素影响,现有研究多集中于肺癌、乳腺癌等高发癌症,针对胃肠道癌症领域症状群的研究不足,缺乏动态评估和机制探讨。目的通过对胃肠道癌症患者的症状群进行广泛的综述分析,以期为不同类型胃肠道癌症患者的精准化管理提供参考依据。方法系统检索Embase、PubMed、Web of Science、Cochrane Library、中国知网、万方数据知识服务平台、维普网和中国生物医学文献服务系统共8个数据库,检索时限为建库—2024年7月。根据纳入、排除标准提取关于胃肠道癌症患者症状群相关的文献,并对纳入文献的基本特征、胃肠道癌症患者症状群评估工具以及种类特点和影响因素进行分析。结果共检索到4163篇文献,最终纳入14篇。通过文献分析,提取出4个常见的症状群,包括胃肠道症状群、心理相关症状群、疲劳症状群和神经相关症状群。对症状群评估使用的工具较为多样,其中多症状评估工具被广泛应用。影响因素主要包括社会人口学特征、疾病相关因素、生物学指标以及个体心理因素。结论未来可聚焦于开发针对胃肠道癌症患者的特异性症状评估工具,并结合网络分析法、多模态预测建模等先进的分析技术,进一步探索如何构建个性化的症状群管理方案,以提高症状群识别的准确性,实现精准化的症状管理。
文摘背景膝骨关节炎(KOA)是全球第四大致残性疾病,其发生率和致残率逐年升高。衰弱与KOA相互关联,严重降低KOA患者生活质量。目的对KOA患者衰弱的发生现状、评估工具、影响因素和干预措施进行范围综述,为有效早期预测衰弱进展,制订个性化的干预措施提供理论支持。方法采取主题词和自由词相结合的方法,检索Web of Science、PubMed、Embase、Cochrane Library及中国知网、万方数据知识服务平台、维普网、中国生物医学文献服务系统中有关KOA患者衰弱发生现状、评估工具、影响因素及干预方法的相关研究,检索期限为建库至2024-12-12。由2名研究者独立对文献数据进行汇总、归类及分析。结果最终纳入13篇文献,研究结果显示KOA患者衰弱的发生率为8.2%~67.8%,患者衰弱发生率和严重程度在不同研究结果之间存在一定差异;评估工具种类多,但总体上缺乏特异性评估工具,研究中较为常用的工具为骨质疏松性骨折研究(SOF)指数、FRAIL量表及Fried衰弱表型;影响因素主要包括社会人口学因素、疾病相关因素及心理行为因素;干预措施包括运动训练、中医联合运动治疗以及注射治疗。结论KOA患者衰弱发生率存在一定程度差异,且缺少特异性的评估工具,未来可编制更适合我国KOA患者的衰弱预测评估工具,为精准干预衰弱提供参考;同时应聚焦影响KOA患者衰弱的危险因素,以延缓KOA患者衰弱进展,提升其生活质量。
