Abstract：
AIM:To critically review and synthesize the findings of studies that evaluated the effectiveness of nursing interventions for improving breathlessness in adults with chronic obstructive pulmonary disease. BACKGROUND:Systematic reviews of nursing interventions for breathlessness in people with chronic obstructive pulmonary disease have not been specifically addressed. DESIGN:Systematic review with meta-analysis. DATA SOURCES:A systematic search of Medline, CINAHL, PsycINFO and Embase was performed for studies published between January 2000 and June 2017. REVIEW METHODS:Risk of bias, data extraction and meta-analysis were conducted using Cochrane methodology. The quality of evidence was assessed using the GRADE approach. RESULTS:Twenty papers were included. A meta-analysis of interventions performed at home, including two trials, showed a significant effect in favour of experimental groups for the symptom score of the St. George Respiratory Questionnaire compared with controls. A meta-analysis of interventions performed in clinics with home follow-up showed a significant effect in favour of experimental groups for the mastery and fatigue scores of the Chronic Respiratory Questionnaire compared with controls. In this category of intervention, an additional meta-analysis showed a significant effect in favour of experimental groups for the symptom, activity and total scores of the St. George Respiratory Questionnaire compared with controls. The quality of evidence was assessed to be very low to moderate. CONCLUSION:The results are equivocal as to whether nursing interventions performed at home and nursing interventions performed in hospital with follow-up improve breathlessness in people with chronic obstructive pulmonary disease. :目的: 批判性回顾和综合关于评估为改进患有慢性阻塞性肺病的成人气喘所采取的护理干预有效性的研究研究结果 背景: 对慢性阻塞性肺疾病患者呼吸困难的系统回顾护理干预措施尚未得到明确处理。 设计: 系统回顾和综合分析。 资料来源: 在2000年1月至2017年6月期间发表的研究中,对联机医学文献分析和检索系统、护理学数据库、心理学文摘和荷兰医学文摘数据库进行了系统的搜索。 审核方法: 采用考科兰方法分析偏倚风险,数据提取和综合分析。采用等级方法评估证据的质量。 结果: 包括20篇论文。对在家进行的干预措施进行综合分析,包括两项试验,结果显示,与对照组相比,圣乔治呼吸问卷的症状评分更有利于实验组。一项对门诊进行的家庭随访干预措施的综合分析显示,与对照组相比,实验组在慢性呼吸系统问卷的掌握程度和疲劳评分方面具有显著的优势。在这类干预中,另一项综合分析显示,与对照组相比,圣乔治呼吸问卷的症状、活动和总分对实验组有显著的帮助。证据的质量被评估为非常低到中等水平。 结论: 对于在家进行的护理干预和在医院进行的随访护理干预是否能改善慢性阻塞性肺病患者的呼吸困难,结果尚不明确。.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Steindal SA,Torheim H,Oksholm T,Christensen VL,Lee K,Lerdal A,Markussen HØ,Gran G,Leine M,Borge CRdoi
10.1111/jan.13902subject
Has Abstractpub_date
2019-05-01 00:00:00pages
927-945issue
5eissn
0309-2402issn
1365-2648journal_volume
75pub_type
杂志文章,meta分析abstract：AIM:First to give a brief introduction to some dimensions of phenomenology as philosophy, and then to discuss some problems related to empirical research. The objectives of the discussion are: (1) to show what is involved in investigating changes in the life-world caused by illness and (2) to show what must be taken in...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.2002.02340.x
更新日期：2002-10-01 00:00:00
abstract：:Theories and models on the concept of nursing are reviewed briefly and their contribution then assessed in terms of their potential to advance the scientific basis of nursing practice. The constructs are acknowledged to have moved the focus of nursing from disease to patient need and provided different ways of looking...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1982.tb00218.x
更新日期：1982-03-01 00:00:00
abstract：:This paper describes some aspects of a study which looked at clients' perceptions of health visiting, and how, if at all, these related to their perceptions of health needs. The researcher explored the alterations of these perceptions over time, and also examined how they related to professional perceptions. The backg...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb01686.x
更新日期：1991-05-01 00:00:00
abstract：BACKGROUND:Changing health care practice is commonly attempted by feedback of performance data measured by clinical audit. However, empirical evidence of the effectiveness of clinical audit in changing practice is limited. Few studies have attempted to evaluate practice development or clinical outcomes within the conce...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.02228.x
更新日期：2002-06-01 00:00:00
abstract：AIM:This paper reports a study of nurses' perceptions about medical emergency teams and their impact on patient care and the nursing work environment. BACKGROUND:In many acute care hospitals, nurses can summon emergency help by calling a medical emergency team, which is a team of expert critical care professionals ade...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2006.03901.x
更新日期：2006-07-01 00:00:00
abstract：:Collaboration is a complex phenomenon, yet one that is of significance to nursing. This concept analysis presents definitions and defining characteristics of collaboration so that the concept may be used in the creation of operational definitions, or to develop and evaluate tools for measuring collaboration. Anteceden...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.21010103.x
更新日期：1995-01-01 00:00:00
abstract：AIM:To longitudinally describe stroke caregivers' quality of life, anxiety, depression and burden and to identify predictors of stroke caregivers' quality of life, anxiety, depression and burden. BACKGROUND:Caregivers have a key role in stroke survivor care and the first year of caregiving is the most challenging. To ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13695
更新日期：2018-04-27 00:00:00
abstract：AIM:To explore and understand patterns of mealtime culture, environment and social practice from the perspective of staff, volunteers and visitors on the hospital ward. BACKGROUND:Inadequate food intake is a common and complex problem in hospital and can lead to malnutrition. Mealtime interventions have been implement...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13477
更新日期：2018-03-01 00:00:00
abstract：BACKGROUND:Despite a plethora of information on the prevention of pressure sores, they remain a significant problem in both hospital and community settings. The need to reduce the incidence of pressure sores has been well documented; unfortunately there is little evidence to suggest improvement. The reasons for this la...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2002.02370.x
更新日期：2002-11-01 00:00:00
abstract：BACKGROUND:The Internet provides the opportunity for international comparative study and collaboration when learning about ethics in clinical nursing practice. AIM:This paper aims to discuss Internet links developed between US and UK postregistration nursing students who were reflecting on clinical practice in order t...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2004.03187.x
更新日期：2004-10-01 00:00:00
abstract：AIM:This review examined evidence regarding computer- or web-based interventions to increase preadolescent and adolescent physical activity. BACKGROUND:Today's youth are less active and more overweight than their counterparts from 25 years ago. Overweight youth tend to become overweight adults with weight-related mala...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2010.05493.x
更新日期：2011-02-01 00:00:00
abstract：AIMS:To discuss a potentially powerful approach to safer medication administration on the hospital ward, based on principles of safety developed in other high-risk industries, and consistent with recent national reports on safety in health care released in the United Kingdom (UK) and United States of America (USA). To ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2001.01820.x
更新日期：2001-07-01 00:00:00
abstract：AIMS:The aim of this study was to provide an overview of existing knowledge about self-management assessment tools used in patients with schizophrenia, and levels of self-management and associated factors in these patients. BACKGROUND:Self-management empowers patients with chronic conditions to manage their illness an...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.13023
更新日期：2016-11-01 00:00:00
abstract：:This paper reviews the ways in which quality measures have been defined by reference to objective measures and applied by the producers of health care to patients. Patient satisfaction surveys may be thought to redress this imbalance and will be addressed as a precursor to the discussion of the SERVQUAL methodology, d...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.1996.tb01030.x
更新日期：1996-12-01 00:00:00
abstract：:This descriptive study examined the differences in beliefs and social influences between patients who decided to quit or to continue smoking following diagnosis of chronic peripheral vascular disease. A consecutive quota sample of 20 patients who had quit smoking (quitters) and 22 who had continued smoking (continuers...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1989.tb01607.x
更新日期：1989-08-01 00:00:00
abstract：AIMS OF THE STUDY:This study describes three tacit definitions of informal caregiving and explores the extent to which differences in these tacit definitions explain variation in caregivers' negative mood over time. BACKGROUND/RATIONALE:There is a growing need to understand the sources of stress and gratification for ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2001.01650.x
更新日期：2001-01-01 00:00:00
abstract：:This study of 156 Dutch general hospital nurses tested a theoretically derived model of specific relationships between work stressors and stress reactions. The model proposes four central domains of the work situation, namely work content, working conditions, social and labour relations, and conditions of employment. ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01022.x
更新日期：1999-06-01 00:00:00
abstract：:The death of a spouse is one of the most stressful events in a person's life. Social support has been shown to be widely beneficial in moderating the effects of both chronic and acute stress. The answers of Finnish widows and widowers (n=318) were analysed in order to investigate the sources of social support, what is...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01220.x
更新日期：1999-12-01 00:00:00
abstract：AIMS: To test a model that suggests the ward's climate of service facilitates nurses' patient-centred care behaviours through its effect on nurses' work engagement. BACKGROUND: Organizational efforts to promote patient-centred care focused on interventions aimed to improve nurses' communication skills, or to improve...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2011.05834.x
更新日期：2012-06-01 00:00:00
abstract：AIMS:To provide a comprehensive collection of evidence on the effectiveness of exercise interventions to prevent falls and support clinical decision-making. DESIGN:A systematic literature review and meta-analysis of randomized controlled trails were performed by combining trials from published systematic reviews and m...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,meta分析
doi：10.1111/jan.14238
更新日期：2020-01-01 00:00:00
abstract：:Waiting lists for coronary artery bypass surgery (CABS) are common in many developed countries. Yet, there is limited information available regarding patients' health care needs at this time. This paper reports on a prospective study which aimed to investigate the experience of waiting for CABS from a qualitative pers...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01595.x
更新日期：2000-11-01 00:00:00
abstract：AIMS:To investigate newly graduated Chinese nurses' intention to leave their jobs and to explore the association of intention to leave with nurse characteristics, person-environment fit, and social support. DESIGN:This was a cross-sectional descriptive study. METHODS:Newly graduated nurses (N = 1,313) were recruited ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14545
更新日期：2020-12-01 00:00:00
abstract：AIM:This paper is a report of a study conducted to identify the difference between mode of group exercise and health-related quality of life (HRQOL), to determine the associations between mode of group exercise chosen by participants and their demographic characteristics, and to identify themes from narrative comments ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2010.05456.x
更新日期：2011-03-01 00:00:00
abstract：:This paper describes the processes involved in selecting a sample, from the eight English regional health authorities, of nurse qualifiers from all four branches of the Project 2000 pre-registration diploma course, for a longitudinal study of nurses' careers. A simple random sample was not feasible since accurate info...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01355.x
更新日期：2000-04-01 00:00:00
abstract：AIM:To understand parents' experiences and needs during a child's end-of-life care at home and to identify systemic factors that influence its provision. BACKGROUND:A child's end-of-life phase is an extremely difficult time for the whole family. Parents have specific needs, especially when they care for a dying child ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13304
更新日期：2017-10-01 00:00:00
abstract：AIM:This paper is a report of a concept analysis to identify a meaning of care dependency that can be shared by both care givers and care recipients. BACKGROUND:Care dependency can be perceived from the care recipient's and the care giver's perspective. To allow for comparisons, both sides should share the same unders...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2007.04456.x
更新日期：2007-12-01 00:00:00
abstract：AIM:This paper is a report of an integrative review conducted to critically analyse the contemporary use of qualitative case study methodology in nursing research. BACKGROUND:Increasing complexity in health care and increasing use of case study in nursing research support the need for current examination of this metho...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2009.04998.x
更新日期：2009-06-01 00:00:00
abstract：AIM:To report a study conducted to explore childrearing concerns through an analysis of online parenting message boards managed by popular parenting magazines. Background. Increasingly, mothers appear to be turning to the Web for childrearing advice and support. However, no previous studies have examined the childrear...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2012.06030.x
更新日期：2013-03-01 00:00:00
abstract：:This paper examines the phenomenon of family 'interference' in the health care of a sick member from a new angle. The 'interfering' behaviours are located within the context of the family's evolving relationships with health care providers. The authors argue that the behaviours are an understandable product of the fam...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1984.tb00416.x
更新日期：1984-11-01 00:00:00
abstract：AIM:To determine the effectiveness of the 'sleep enhancement' nursing intervention (Nursing Interventions Classification) in patients hospitalized with mental illness and having a disturbed sleep pattern and to identify the possible effect of psycho-active medications on this disturbed sleep pattern. DESIGN:A quasi-ex...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2012.06116.x
更新日期：2013-06-01 00:00:00
