Context: According to Dr Viktor Frankl's existential framework, distress in patients' spiritual dimensions could manifest as symptoms in both physical/biological and the psychological dimensions. Meaning-focused interventions (MFI) refer to the subset of spiritual care/existential interventions designed to prominently address cancer patients' loss of meaning in life.
Objectives: To evaluate the effects of MFI on cancer-related physical and psychological symptoms.
Intensive Crit Care Nurs
August 2025
Aims: To assess cognitive impairment, frailty, and depression among culturally and linguistically diverse (CALD) older adults, and to examine their associations with age, cultural background, education, and health-related factors.
Design: Cross-sectional study.
Methods: Data were collected from June to September 2023 across two community healthcare organisations in Sydney.
Worldviews Evid Based Nurs
August 2025
Background: Instant messaging-based applications are increasingly used to deliver interventions designed to promote health behavior change. However, the effectiveness of these interventions has not been evaluated.
Aims: This systematic review and meta-analysis aimed to evaluate the effectiveness of instant messaging-based interventions on health behavior change, addressing a gap in the literature regarding the impact of instant messaging on various health behaviors.
Background: Accessible, real-time cancer-related cognitive impairment (CRCI) assessments remain limited.
Objectives: The aims of this study were to develop and validate the Single Item Mobile Cognitive Screening (SIM-Cog Screening) tool to detect CRCI, establish its concurrent validity and test-retest reliability, and assess feasibility through momentary assessments.
Methods: A secondary analysis was conducted on data from 175 newly diagnosed patients with non-small cell lung cancer.
Cognitive frailty can lead to an impaired functional capacity and a poor quality of life, especially in patients on hemodialysis. This study aimed to investigate cognitive frailty and its risk factors in patients with chronic kidney disease (CKD) receiving hemodialysis. A cross-sectional study was conducted between April and June 2021 involving 220 patients with CKD receiving hemodialysis at a hospital-based hemodialysis center in northern Taiwan.
View Article and Find Full Text PDFIntensive Crit Care Nurs
October 2025
Aims: To determine the treatment effectiveness associated with mobile health-delivered cognitive behavioural therapy for insomnia (mCBT-I) interventions for adults with insomnia and to identify the potential characteristics associated with better treatment outcomes.
Design: A systematic review and meta-analysis was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines.
Methods: Seven English- and two Chinese-language databases were searched, without restrictions on publication dates, up to July 2024.
Intensive Crit Care Nurs
June 2025
Objective: To identify research priorities for the prevention of delirium in adult intensive care unit (ICU) patients.
Research Methodology: We conducted an iterative, consensus-based modified Delphi methodology combined with initial literature search to establish a prioritized research agenda. As a first round of an anonymised modified Delphi procedure, a 10-member international expert panel, selected on basis of their academic and clinical expertise, were asked to add topics they perceived missing from a list of potential research gaps regarding ICU delirium prevention.
Background: Optimal glycemic control is known to be challenging for people with type 2 diabetes (T2D) due to the maintenance of long-term self-management behavior. Incorporating the transtheoretical model (TTM) components into motivational interviewing (MI) has been applied to promote self-management behaviors such as physical activity in T2D patients. However, the effectiveness of the TTM-based MI intervention in improving glycemic control, self-management, and self-efficacy in adults with T2D remains unclear.
View Article and Find Full Text PDFIntensive Crit Care Nurs
August 2025
Objectives: To synthesise family members' perceptions of technology in intensive care units. For this study, critical care technology encompasses all electronic, mechanical, and digital equipment used for therapeutic, monitoring, and supportive purposes. Understanding these experiences suggests the importance of maintaining meaningful human connection and emotional support whilst navigating the complexities of critical care technology.
View Article and Find Full Text PDFAm J Geriatr Psychiatry
September 2025
Objectives: This study aims to investigate the longitudinal impact of dementia on social isolation and vice versa, with a focus on racial and ethnic variations in these relationships.
Methods: Data from 4,403 adults aged 65 and older were gathered from the National Health and Aging Trends Study (2011-2021). Dementia was categorized as no, possible, or probable, and social isolation was classified as socially isolated or not.
Background: Dyspnea is a significant symptom in advanced cancer patients, yet comprehensive evidence on its prevalence and related factors is lacking.
Objective: This review aims to summarize the prevalence of dyspnea among advanced cancer survivors and identify associated factors.
Methods: MEDLINE, EMBASE, Cochrane Library, PsycINFO, CINAHL Plus, and Web of Science were searched from inception to May 2024.
Intensive Crit Care Nurs
August 2025
Purpose: Cancer-related cognitive impairment is one of the symptoms of neurotoxicity among patients receiving chimeric antigen receptor (CAR) T cell therapy. Evidence of the overall estimated prevalence of cancer-related cognitive impairment following CAR T-cell therapy among patients with hematologic malignancies at short-term and long-term follow-ups is lacking. This review aimed to summarize the cognitive functioning status and estimate the prevalence of cancer-related cognitive impairment at follow-up within 1 month, 1 to 12 months, and > 12 months after CAR T cell therapy.
View Article and Find Full Text PDFBackground: Cancer-related cognitive impairment is a common complication of cancer and its treatment. The effectiveness of Traditional Chinese Medicine (TCM)-based interventions in improving subjective and objective cognitive function has not yet been investigated in previous network meta-analyses. This study aimed to evaluate the comparative effectiveness of nonpharmacological interventions including TCM-based interventions, and to rank the best option for improving cognitive function among adults with non-central nervous system cancer.
View Article and Find Full Text PDFNurs Health Sci
March 2025
Sleep quality in adult inpatients is frequently and severely disturbed by various factors such as noise, pain, and unfamiliar surroundings, which can impair disease recovery. Acupressure is widely used to improve sleep quality in hospitalized patients, but its overall effectiveness is unclear. This meta-analysis aims to analyze the efficacy of acupressure therapy on sleep quality and sleep parameters in adult inpatients.
View Article and Find Full Text PDFObjectives: This systematic review synthesized literature evidence and compared midazolam's risks and clinical outcomes with other sedatives in critically ill mechanically ventilated patients.
Methods: We included randomized controlled trials (RCTs) from databases of PubMed, Embase, Cochrane Library, Web of Science, and CINAHL without language restrictions. We used relative risk (RR) for binary outcomes and standardized mean difference (SMD) for continuous outcomes, with corresponding 95% confidence interval (CI).
Objective: Evidence of the overall estimated prevalence of post-intensive care cognitive impairment among critically ill survivors discharged from intensive care units at short-term and long-term follow-ups is lacking. This study aimed to estimate the prevalence of the post-intensive care cognitive impairment at time to < 1 month, 1 to 3 month(s), 4 to 6 months, 7-12 months, and > 12 months discharged from intensive care units.
Methods: Electronic databases including PubMed, Cochrane Library, EMBASE, CINAHL Plus, Web of Science, and PsycINFO via ProQuest were searched from inception through July 2024.
Objective: To evaluate the effects of a 4-week Delirium Introduction and Maintenance programme based on the knowledge-to-action framework on nurses' knowledge, self-confidence, attitudes, and screening accuracy for delirium in the paediatric intensive care unit (PICU).
Research Methodology/design: A quasi-experimental study with a pretest-posttest design.
Setting: This study was conducted between January and February 2024 with nurses in two Indonesian PICUs.
J Acad Consult Liaison Psychiatry
May 2025
Background: Delirium is a common symptom following a traumatic brain injury that is often overlooked by healthcare professionals. Early detection of posttraumatic delirium is crucial to improving patient outcomes and quality of life. The 4 As Test (4AT: alertness, attention, abbreviated mental test-4, and acute mental changes) is a brief and rapid tool for delirium assessment with acceptable reliability and validity.
View Article and Find Full Text PDFBackground: Smart wearable technology has potential benefits for promoting physical activity and preventing sarcopenia.
Objective: The purpose of this study was to explore the efficacy of a wearable activity tracker with 2-stage goal-setting for daily steps on older adults' physical activity and sarcopenia indicators.
Methods: The study used a clustered trial design and was conducted in March to June 2022.