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Abstract A deeper understanding of the key elements that should be included in heart failure (HF) disease self‐management support (DSMS) programmes is crucial to enhance programme effectiveness and applicability to diverse settings. We investigated the characteristics and effectiveness of DSMS programmes designed to improve survival and decrease acute care readmissions for people with HF and determine the generalizability and applicability of the evidence to low‐ and middle‐income countries (LMICs). A narrative meta‐synthesis approach was used, and systematic reviews of randomized controlled trials (RCTs) of DSMS programmes were included. The Cochrane Database of Systematic Reviews, MEDLINE, and Embase were searched without language restriction and guided by the adapted Preferred Reporting Items for Systematic Reviews and Meta‐Analyses. Eight high‐quality systematic reviews were identified representing 250 studies, of which 138 were unique RCTs measuring the outcomes of interest. The findings revealed statistically significant reductions in HF readmissions [relative risk (RR) range 0.64–0.85, P

Background: Critically ill patients face challenges in hypercatabolism due to crisis states, as it may lead to malnutrition. An early Enteral Nutrition (EN) within 24–48 h is recommended to use in order to improve clinical outcomes. This systematic scoping review is examined recently with the evidence of the early EN protocol led by nurses to drive and achieve the daily calorie target and improve clinical outcomes. Materials and Methods: The database of CINAHL, MEDLINE via PubMed and Scopus, Web of Science, and Embase through Ovid from January 2019 to September 2020, comprised of 221 articles which four articles are chosen and entered into the final analysis. Results: The findings show the benefits of the early EN to guide nurses to start the EN as soon as possible after admitted to the Intensive Care Unit or when hemodynamic is stable in order to achieve a daily calorie target regarding the reduced hospitalization, duration of mechanical ventilation, morbidity, and mortality. Conclusions: The synthesized results show the early EN led by a nurse to address the specific needs and the vital role of nutritional support, and also drive the enteral feeding for critically ill patients to reach the calorie target goals in short times to enhance clinical outcomes.

Background: Tuberculosis (TB) has become a significant public health problem leading to a top ten morality. Directly Observed Therapy, Short-course (DOTS) is recommended as a critical element for curing and preventing TB. However, patients who have been living with TB often receive barriers and challenges, which may lead them to discontinue the DOTS treatment. Objective: This study aimed to understand patients’ experiences living with TB and receiving DOTS regimens. Methods: A qualitative descriptive study was employed. Semi-structured interviews were done among twenty tuberculosis patients selected using convenience sampling from the slum community in Bangkok, Thailand. The thematic approach was used for data analysis. Results: Two main themes were developed: (1) troublesome disease and (2) emotional challenges. The first theme comprises three subthemes: confronting death, accepting lifestyle change, and DOTS challenges. The second theme consists of two subthemes: isolation from others and stigma. Conclusion: The findings could guide nurses and other healthcare professionals to develop the treatment guideline and the DOTS strategy using a holistic approach.

Purpose: Early enteral nutrition (EN) can improve clinical outcomes in critically ill patients. This study aimed to evaluate the effects of this clinical nursing practice guideline (CNPG) of EN care on the duration of mechanical ventilator in critically ill patients to investigate whether it was able to improve clinical outcomes. Methods: This study compares a pretest-posttest design for the two groups, which was done before and after to determine the effects of a CNPG of EN care on the duration of a mechanical ventilator in critically ill patients. This study was performed on 44 critically ill patients admitted to the intensive care unit (ICU). The patients were divided into two groups according to EN. For the intervention group, CNPG started within the first 48 hours of admission to the ICU, and for the control group, they received standard nursing care. Results: After the implementation, it showed significant associations between the duration of mechanical ventilator in ICU. The intervention group who received the CNPG had significantly shorter starting time of EN and a reduced duration of mechanical ventilator than those in the control group (p

The purpose of this study was to compare the effects of shoulder movement Yoga on life quality of breast cancer patients after modified radical mastectomy. The sample group consisted of 60 breast cancer patients who received modified radical mastectomy, selected by criteria-based purposive sampling. The sample group was divided into 2 equal Test Group and Control Group of which the subjects in each group had similar age, marital status, income, stage of disease, personality, and body mass index. The Control Group received normal treatment and advice, while the Test Group received Yoga training in 3 steps: (a) relationship forming; (b) medical information giving; and (c) 45-min Yoga sessions 3 times⋅wk-1 for 12 wks. In addition, the Test Group was encouraged to practice Yoga at home via a phone. The data collection tools consisted of a personal information questionnaire, Yoga training form, shoulder movement degree assessment form, WHOQOL assessment form, and clinical information plan on breast cancer and shoulder training via Yoga. Content validity was verified by the expert to be 0.90. Data analysis was done by using statistics, percentage, standard deviation and f-test. The study found that the average degree of shoulder movement in the breast cancer patients after modified radical mastectomy was significantly increased (P<0.05) post-test versus the pre-test value, and there was no limb swelling or other complications. Average life quality score, both overall and in detail (e.g., physical, mental, social, and environmental factors) were good. Also, after Yoga training, life quality of the Test Group was significantly higher (P<0.05) than the Control Group. [ABSTRACT FROM AUTHOR]