Journal of clinical nursing
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The aim of this study is to describe and compare three statistical methods to allow for therapist effects in individually randomised controlled trials. ⋯ We recommend that researchers should be aware of any potential clustering, by health professional, in their randomised controlled trial and use appropriate methods to account for this clustering in the statistical analysis of the data.
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Randomized Controlled Trial Multicenter Study
Community-based interventions to reduce falls among older adults in Taiwan - long time follow-up randomised controlled study.
The aim of the study was to examine the effects of different interventions that are used to prevent falls. These were education, Tai Chi Chuan and education plus Tai Chi Chuan; the study involved a five-month implantation period and a one-year follow-up period. ⋯ The prevention of falls among older adults seems to needs multiple interventions. Education plus Tai Chi Chuan has both an immediately and a long-term effect and it is possible that a shorter intervention period using this approach would also be successful.
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In recent years, the nursing profession used technology and pharmacology to relieve conditions such as pain, anxiety and insomnia that were once treated with massage. However, interest in massage has grown with the move to more holistic nursing. This review examines the physiological and psychological effects of slow-stroke back massage and hand massage on relaxation in older people and identifies effective protocols for massage in older people. ⋯ Studies are needed to analyse the feasibility and cost effectiveness of massage to develop best practices for massage interventions in older people.
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Controlled Clinical Trial
Effects of relaxation training on sleep quality and fatigue in patients with breast cancer undergoing adjuvant chemotherapy.
The purpose of this study was to investigate the effect of progressive muscle relaxation training on sleep quality and fatigue in Turkish women with breast cancer undergoing adjuvant chemotherapy. ⋯ Progressive muscle relaxation training given by a nurse can improve sleep quality and fatigue in patients with breast cancer. It is important to start relaxation training just before chemotherapy to decrease the frequency and severity of sleep problems and symptoms such as fatigue during chemotherapy.
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Clinical Trial
Pivotal moments and changes in the Bonny Method of Guided Imagery and Music for patients with depression.
To explore pivotal moments and changes during the Bonny Method of Guided Imagery and Music from the perspective of patients with depression. ⋯ Patients with depression particularly need comfort and caring. It is important that nurses offer interventions as adjuvants to medication. This study supports the feasibility of incorporating the Bonny Method of Guided Imagery and Music into the nursing management of patients with depression. Future studies are suggested to examine the interactive process of music stimulus and the multidimensional nature of imagery.