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Purpose: Lung cancer patients are often stigmatized since lung cancer is closely associated with smoking, which is a self-administered life style. The stigma of lung cancer has been examined in some qualitative studies; however, their findings were diverse and not yet synthesized. Therefore, this meta-synthesis study aimed to explore how lung cancer patients experience stigma. Methods: A meta-synthesis method, as suggested by Sandelowski and Barroso in 2007, was applied by aggregating the findings after an evaluation according to consolidated criteria for reporting qualitative research (COREQ). Results: By synthesizing the findings of the selected seven papers, a synthesized theme was emerged as “experiencing external and internal distances, which mandates authentic and consistent supports.” The four sub-themes included ‘experiencing some distance from the surrounded world,’ ‘experiencing self-made distance between the disease and oneself,’ ‘the disease experience causes social isolation and loneliness,’ and ‘there is lack of supportive care for myself.’ Conclusion: Health care providers should be more attentive to supporting lung cancer patients by providing more effective advocacy programs that improve patients’ quality of life. [ABSTRACT FROM AUTHOR]

Purpose: We aimed to systematically review and synthesize qualitative evidence on the experiences of nurses caring for hemodialysis patients. Methods: We used Noblit and Hare's meta-ethnography. Seven databases (PubMed, EMBASE, CINAHL, Web of Science, RISS, KISS, National Assembly Electronic Library) were used for the literature search. There were no restrictions placed on publication dates. A total of 10 studies published in English and Korean up until July 2021 were finally selected for review. Results: Three themes were identified from the literature review, which were then divided into six subthemes: acquiring the technical skills of hemodialysis, responsibility for prolonging patients' lives, and maintaining stable hemodialysis in patients' daily lives. Conclusion: The results of this study provide basic data that emphasizes the specific role of nurses in the hemodialysis unit, a specialized area of nursing, and can be utilized as educational material for hemodialysis unit nurse education. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to systematically review the literature on the effects of mobile health applications in older adults with dementia or Mild Cognitive Impairment (MCI) and to quantify the effect size of these interventions through meta-analysis. Methods: A systematic review and meta-analysis was conducted, with a total of seven databases searched on April 18, 2023. The risk of bias was evaluated using the Revised Cochrane Risk of Bias and the Risk of Bias in Non-randomized Studies of Interventions tools. Effect sizes were calculated using Hedges' g within a random effects model, and subgroup analyses were also performed. Results: A total of 10 studies were included in the systematic review, and six studies were included in the meta-analysis. Intervention groups exhibited a statistically significant improvement in cognitive function (Hedges' g=0.33, 95% Confidence Interval [CI]=0.09~0.56, p=.007). Subgroup analyses revealed that older adults with MCI (Hedges' g=0.41, 95% CI=0.12~0.69, p=.006) and interventions lasting more than 4 weeks (Hedges' g=0.47, 95% CI=0.09~0.85, p=.016) demonstrated a significant cognitive improvement. Conclusion: The results of this study indicate that mobile health applications may represent a suitable approach for improving cognitive function in older adults with MCI, emphasizing the need for at least a four-week intervention. These findings underscore the potential of mobile health interventions as a practical option for cognitive improvement in the early stages of cognitive decline. [ABSTRACT FROM AUTHOR]

Purpose: This study explored tools to measure service experiences for families of older adults living in long-term care facilities, with the goal of suggesting directions for developing service experience measurement indicators for these families in the Korean context. Methods: In this scoping review, English-language literature on the service experiences of families of older adults in long-term care facilities published in academic journals from January 1990 to December 2021 was reviewed. The CINAHL, Embase, and PubMed databases were searched. The review process involved identifying the research question; searching for relevant published studies; selecting studies; mapping the data; and collating, summarizing, and reporting the results. This method helped identify knowledge gaps, explore, and define key concepts, and obtain an overview of extant studies' focus by determining the literature scope. Among 118 articles, seven were finally selected according to predetermined criteria. Results: Through an analysis of the sub-factors of the tools used in the seven selected articles, the following themes were derived: environment, information and family member involvement, tailored care, respect, and responsive workforce. Concept definitions were clarified and examined. Conclusion: Measuring the service experiences of families serving as surrogates for older adults who are in long-term care facilities and cannot express their opinions is essential for improving service quality. Developing a measurement tool for experiences of facility service experience that accurately reflects the perspectives of family members of older adults in these facilities in the Korean context is a pressing need given South Korea's rapidly aging population. [ABSTRACT FROM AUTHOR]

Purpose: This systematic review and meta-analysis aimed to investigate the effects of aromatherapy interventions on stroke symptoms in stroke patients. Methods: This study adhered to the Preferred Reporting Items of Systematic Reviews and Meta-Analysis guidelines. Relevant studies published between 2004 and 2022 were searched in the PubMed, CINAHL, Cochrane Library, EMBASE, ERIC, and RISS databases. The review included randomized and non-randomized studies of stroke patients who received aromatherapy interventions targeting stroke symptoms. The extracted literature was evaluated via the ROB 2 and ROBINS-1 quality appraisal checklists and visualized using a risk-of-bias visualization tool. Results: The review included five randomized controlled trials and five quasi-experimental studies. The results showed that aromatherapy, administered through massage, inhalation, acupressure, mouth care, and olfactory stimulation, was effective in alleviating pain, constipation, oral health, motor power, muscle strength, balance, fatigue, and sleep quality. Aromatherapy also demonstrated beneficial effects in reducing depression, stress, delirium, blood pressure, pulse rate, respiration rate, serum cortisol, and antioxidants, while enhancing happiness, body temperature, and quality of life. A meta-analysis of mean differences in post-test results revealed that three studies reported a significant effect on pain, with an effect size of 1.85 (95% CI, 0.18~3.51). Conclusion: Aromatherapy had positive effects on physical, physiological, psychological, cognitive, and integrative health outcomes. We recommend the use of aromatherapy in stroke patients to improve pain relief and health outcomes. [ABSTRACT FROM AUTHOR]

Purpose: Continuous Glucose Monitoring (CGM) plays a crucial role in helping patients with diabetes manage their blood sugar levels. This review aimed to understand the context and scope of CGM-related studies in Korea and identified areas for future research, particularly in nursing science. Methods: The search strategy involved examining eight electronic databases for published studies on CGM, with the search period ending in March 2022. Four independent reviewers conducted screening, selection, and narrative review of the studies. Results: Descriptive and substantive analyses were performed for 68 studies on CGM, which covered diverse areas, including: (1) evaluating the CGM performance through comparisons with self-monitoring of blood glucose and correlations with existing indices; (2) validating the efficacy of CGM in improving patient outcomes and assessing various interventions; and (3) expanding the use of CGM, such as clinical guidelines and reviews, developing predictive models, and other clinical studies. Conclusion: Research on CGM has expanded to include early performance evaluation, efficacy verification, and utilization in various clinical settings. However, there is a lack of nursing-focused studies of CGM. It is recommended to incorporate CGM in nursing research aimed at enhancing self-management for patients with diabetes. Future projects should focus on developing and applying patient-customized CGM user manuals, comparing the effectiveness of CGM among patients with different types of diabetes, exploring qualitative experiences of CGM use, and addressing related issues. [ABSTRACT FROM AUTHOR]

Purpose: This meta-analysis was conducted to analyze the effect of Diabetes Mellitus (DM) on the risk of Parkinson Disease (PD). Methods: Original prospective observational studies were searched through PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), ProQuest, Web of Science, Science Direct, Koreanstudies Information Service System (KISS), and DBpia published up to March 2020. The Relative Risks (RRs) were calculated using the random-effects model. Results: An integrated analysis of ten large population-based cohort studies, involving 10,730,117 participants, showed that patients with DM had a 30% higher risk of PD than those without DM (pooled RR=1.30, 95% Confidence Interval [CI]=1.14~1.48). Subgroup analyses based on the characteristics of the studies were conducted, and the association between DM and PD was significant in studies conducted in Asia (RR=1.30, 95% CM.01~1.69) and Europe (RR=1.45, 95% CM.09~1.94), and for patients with DM durations less than ten years (RR=1.31, 95% CI=1.27~1.37) and stroke (RR=1.16, 95% CM.03~1.31 ). Each study included in the analysis had methodologically good quality and showed no evidence of publication bias. Conclusion: DM resulted in a significantly increased risk of PD; therefore, prevention and early detection of PD in patients with DM should be encouraged. [ABSTRACT FROM AUTHOR]