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Task-based weight management programme delivered in primary care promotes better long-term weight loss among women from lower socioeconomic groups than usual practice
Commentary on: McRobbie H, Hajek P, Peerbux S, et al.. Tackling obesity in areas of high social deprivation: clinical effectiveness and cost-effectiveness of a task-based weight management group programme—a randomised controlled trial and economic evaluation. Health Technol Assess 2016;20:1–150. Implications for practice and research The study is important in demonstrating that a task-based weight management programme can potentially be effective in reducing obesity among lower socioeconomic groups. The role of nurses in delivering such weight loss interventions should be evaluated. Context Obesity is recognise...
Source: Evidence-Based Nursing - March 22, 2017 Category: Nursing Authors: Bambra, C. Tags: Health promotion and public health Source Type: research

Addressing anxiety and insecure attachment in close relationships could improve quality of life for gynaecological cancer survivors
This study by Hsieh and colleagues addresses these important...
Source: Evidence-Based Nursing - March 19, 2015 Category: Nursing Authors: Andrykowski, M. Tags: Health policy, Adult nursing, Pain (neurology), Stroke, Health service research, Health education Source Type: research

Sexual dysfunction common in people with coronary heart disease, but few cardiovascular changes actually occur during sexual activity
Commentary on: Bispo GS, de Lima Lopes J, de Barros AL. Cardiovascular changes resulting from sexual activity and sexual dysfunction after myocardial infarction: integrative review. J Clin Nurs 2013;22:3522–31. Implications for practice and research Risk of myocardial infarction (MI) or arrhythmia with sexual activity is low, despite anxieties expressed by patients. Sexual counselling is needed to assist patients who wish to be sexually active and maintain the quality of their sex life. Further research is needed to identify the most efficacious sexual counselling interventions. Context Patients with post-MI often re...
Source: Evidence-Based Nursing - December 10, 2014 Category: Nursing Authors: Steinke, E. E. Tags: Adult nursing, Drugs: cardiovascular system, Stroke, Hypertension, Ischaemic heart disease, Sexual and gender disorders, Internet, Arrhythmias, Health education, Smoking, Tobacco use Source Type: research

Earlier thrombolytic treatment is associated with better outcomes following acute ischaemic stroke
Commentary on Saver JL, Fonarow GC, Smith EE, et al.. Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischaemic stroke, JAMA 2013;309:2480–8. Implications for practice and research Optimisation is necessary in public education and hospital triage of the identification of factors such as arrival by ambulance and the importance of requesting emergency medical services (EMS) at scene of the stroke occurrence.1 The results of previous studies suggest that a disparity, observed between hospital-based outcomes for admissions that presented during regular hours and off hours, is not se...
Source: Evidence-Based Nursing - September 15, 2014 Category: Nursing Authors: Ullah, N., Thompson, M. J., Qureshi, A. I. Tags: Adult nursing, Drugs: cardiovascular system, Stroke Source Type: research

In women, increased dietary antioxidants are associated with reduced risk of developing heart failure
Commentary on Rautiainen S, Levitan EB, Mittleman MA, et al.. Total antioxidant capacity of diet and risk of heart failure: a population-based prospective cohort of women. Am J Med 2013;126:494–500. Implications for practice and research A diet rich in natural antioxidants may reduce the risk of developing heart failure. Well-designed intervention studies are needed to investigate the effect of a diet rich in antioxidants on heart failure incidence. Context Heart failure is a syndrome comprising symptoms such as breathlessness alongside objective evidence of cardiac dysfunction. This is a common condition with a cons...
Source: Evidence-Based Nursing - June 17, 2014 Category: Nursing Authors: McKeown, P., McKeag, N. Tags: Drugs: cardiovascular system, Heart failure, Stroke, Diet, Vitamins and supplements, Ischaemic heart disease, Diabetes, Medical humanities, Alcohol, Health education, Smoking, Health effects of tobacco use, Tobacco use Women ' s health Source Type: research

Small study finds that 3 years after prostate cancer treatment, men may report high quality of life and functioning
Commentary on: Jakobsson L, Persson L, Lundqvist P. Daily life and life quality 3 years following prostate cancer treatment. BMC Nurs 2013;12:11. Implications for practice and research The male patients in this study reported high levels of quality of life, with high ratings for overall physical functioning and health. They appeared to adjust to the diminished sexual function. Nurses can use these outcomes and the results from other studies to inform patients. Nurses should understand that each individual will have a different prediagnosis level of and valuation of sexual activity/function. Further multicentred large studi...
Source: Evidence-Based Nursing - March 14, 2014 Category: Nursing Authors: Albaugh, J. Tags: Adult nursing, Stroke, Prostate cancer, Urological cancer, Sexual and gender disorders, Prostate, Health education Source Type: research

In men and women with COPD the presence of urinary incontinence is associated with poorer quality of life
Commentary on: Hrisanfow E, Hägglund D. Impact of cough and urinary incontinence on quality of life in women and men with chronic obstructive pulmonary disease. J Clin Nurs 2013;22:97–105. Implications for practice and research The combination of coughing, as a result of chronic obstructive pulmonary disease (COPD), and urinary incontinence (UI), can adversely affect quality of life. Healthcare providers must actively screen for UI in patients who smoke, have a chronic cough and/or who are diagnosed with COPD, as early treatment may improve quality of life. Context It is estimated that worldwide, over 200 milli...
Source: Evidence-Based Nursing - December 10, 2013 Category: Nursing Authors: Newman, D. K. Tags: Primary health care, Stroke, Incontinence, Pregnancy, Reproductive medicine, Health education, Smoking, Tobacco use Primary healthcare Source Type: research

Overweight and obese middle-aged women have increased risk of venous thromboembolism, particularly following surgery
Commentary on Parkin L, Sweetland S, Balkwill A, et al.. for the Million Women Study Collaborators. Body mass index, surgery and risk of venous thromboembolism in middle-aged women: a cohort study. Circulation 2012;125:1897–904. Implications for practice and research Obesity is associated with an increased risk of venous thromboembolism (VTE) including both spontaneous and postoperative events. Further research is needed regarding factors responsible for the increase in postoperative VTE in overweight patients, and whether management should be altered (eg, increased focus on postoperative mobilisation, altered doses ...
Source: Evidence-Based Nursing - March 8, 2013 Category: Nursing Authors: McRae, S. Tags: Drugs: cardiovascular system, Stroke, Hypertension, Obesity (nutrition), Venous thromboembolism, Health education, Obesity (public health), Screening (public health), Smoking, Tobacco use Women ' s health Source Type: research

Orlistat reduces weight but its cost-effectiveness remains unclear
This study aimed to evaluate the effectiveness and cost effectiveness of three pharmacological interventions (orlistat, sibutramine and rimonabant) in obese patients in...
Source: Evidence-Based Nursing - March 8, 2013 Category: Nursing Authors: Veerman, L. Tags: Health policy, General practice / family medicine, Drugs: cardiovascular system, Stroke, Obesity (nutrition), Health service research, Health education, Obesity (public health) Primary healthcare Source Type: research