Journal of Nursing Science Practice, Research and Advancements

Home-Based Nursing Management of Hypothyroidism in an Adult Woman: A Community Case Report

2026-06-18T09:16:17+00:00

This case study details the care of “Y”, a 45-year-old woman with hypothyroidism residing in Narag village, District Sirmaur, Himachal Pradesh. The study aimed to assess the condition, identify health needs, implement nursing interventions, and provide health education to improve the quality of life. Data were collected through interviews, physical examination, and environmental assessment. The client complained of fatigue, weight gain, cold intolerance, constipation, dry skin, and lethargy. Physical examination revealed mild thyroid enlargement and generalized weakness. Nursing diagnoses included fatigue, activity intolerance, knowledge deficit, and risk for impaired skin integrity. Interventions focused on medication adherence, nutritional guidance, energy conservation, lifestyle modification, and health education. Following nursing interventions, the client demonstrated improved understanding of the disease, adherence to treatment, and better management of symptoms. This case highlights the vital role of community health nurses in providing comprehensive home-based care for clients with hypothyroidism.

Nurse-Led Interventions for Hypertension Control: A Narrative Review

2026-08-01T06:52:58+00:00

Background: Hypertension is one of the most significant global public health challenges and remains a major contributor to cardiovascular disease, stroke, renal impairment, and premature mortality. Approximately 1.28 billion adults aged 30–79 years worldwide have hypertension, and nearly 46% are unaware of their condition, while only about 21% achieve adequate blood pressure control¹. Hypertension contributes to approximately 10 million deaths annually, mainly through cardiovascular and renal complications. Despite effective pharmacological therapies, achieving adequate blood pressure control remains difficult due to poor medication adherence, insufficient lifestyle modification, limited healthcare access, and inadequate long-term monitoring. Nurses, as key members of healthcare teams, have expanded their roles in chronic disease management through patient education, lifestyle counselling, blood pressure monitoring, adherence support, and digital health interventions.

Objective: The objective of this narrative review is to summarize and evaluate the current evidence on nurse-led interventions for hypertension control, including their effectiveness, key components, challenges, and implications for nursing practice. The review aims to highlight the role of nurses in improving blood pressure management through patient education, lifestyle modification, medication adherence support, blood pressure monitoring, telehealth services, and community-based care.

Methods: A narrative review approach was adopted. Relevant literature was identified from databases including PubMed, Scopus, CINAHL, and Google Scholar using keywords such as hypertension, nurse-led intervention, blood pressure control, nursing management, and chronic disease management. Recent systematic reviews, clinical trials, and international guidelines were considered.

Conclusion: Evidence indicates that nurse-led interventions significantly improve blood pressure control, medication adherence, patient knowledge, and self-management behaviors. Nurse-led models incorporating structured education, regular follow-up, home monitoring, and digital health approaches represent effective strategies for improving hypertension outcomes.

The Effectiveness of a Structured Education Program on Vaginitis and How to Prevent It Among Teenage Girls at a Particular Pre-University College in Mangaluru

2026-07-15T06:04:42+00:00

Background: Among Indian teenagers, vaginitis is a very common reproductive tract illness. The term "vaginitis" is frequently used in medicine to refer to a number of disorders that cause irritation, inflammation, or infection of the vulva and vagina. It usually happens as a result of chemical irritants, hormonal fluctuations, or a disturbance in the natural balance of good vaginal flora and yeast. Bacterial vaginosis (BV), yeast infections (candidiasis), and trichomoniasis (a sexually transmitted infection) are the three most prevalent forms. The symptoms, which include unusual discharge, itching, burning, and odour, can be extremely uncomfortable even though it is very treatable. This study assessed the effectiveness of a structured education program on vaginitis awareness and how to prevent it among Teenage Pre-University (PU) girls in Mangaluru.

Methods: A one-group pre-test/post-test pre-experimental design was used. Forty teenage Pre-University girls, ages 15 to 19, were chosen using purposeful sampling. Before and after the structured education program was administered, information was gathered using a structured knowledge questionnaire. Descriptive and inferential statistics (paired t-test and chi-square test) were used for analysis.

Findings: In the pre-test, 10% of individuals had sufficient knowledge, 17.5% had insufficient knowledge, and 72.5% had moderately sufficient knowledge. Overall knowledge increased statistically significantly, according to post-test results. Pre-test knowledge levels and a few chosen demographic factors did not significantly correlate according to chi-square analysis.

Conclusion: Adolescent Pre-university (PU) girls' knowledge and comprehension of vaginitis and how to prevent it were greatly improved by the organised education program. The girls showed significant knowledge gaps about menstrual hygiene, reproductive health, and preventing vaginal infections before the intervention. The quantifiable increase in their post-test knowledge scores demonstrates how successful school-based, focused educational initiatives are in empowering young women. Misconceptions are successfully dispelled, good self-care practices are encouraged, and important gaps in adolescent healthcare education are filled by providing factual medical information in an organised manner.

Healthy Eating Behaviour, Organic Food Consumption, and Health Outcomes

2026-05-21T11:20:18+00:00

Food behaviour and its outcome have become an important area of research. Multiple linear regression analysis was applied to a dataset of 503 adults, and the associations between consumption of organic food products, overall diet, and multiple health outcomes were examined. Three important health outcomes (Body Mass Index (BMI), SBP, and the self-reported health score) were modelled as a function of consumption of organic food, diet quality, physical activity, age, income, and education level. Even after controlling for other possible confounding variables, results showed that increased intake of organic food significantly correlated with lower BMI (β = -0.075, p < 0.001), lower systolic blood pressure (β = -0.122, p < 0.001), and higher self-reported health scores (β = 0.029, p < 0.001). Physical activity was the greatest predictor in all models. The results indicate that eating organic food may be an indicator of healthier lifestyle patterns, but because the research was conducted as a cross-sectional study, it is not possible to draw causal inferences.

Role of Nurses in Promoting Sleep Hygiene: Systematic Review

2026-07-21T10:53:29+00:00

Background: Sleep is a fundamental biological process that is essential for maintaining physical, psychological, and cognitive health. Adequate sleep supports immune function, metabolic regulation, tissue repair, emotional stability, and memory consolidation. Sleep disturbances have become increasingly prevalent worldwide owing to urbanization, technological advancements, chronic diseases, psychological stress, and changing lifestyles. Poor sleep quality is associated with cardiovascular diseases, obesity, diabetes mellitus, depression, anxiety, impaired immunity, and reduced quality of life. Nurses are uniquely positioned to identify sleep disturbances, implement evidence-based interventions, and educate patients regarding healthy sleep behaviours.

Objective: To systematically review current evidence regarding the role of nurses in promoting sleep hygiene and evaluate evidence-based nursing interventions that improve sleep quality among patients across different healthcare settings.

Methods: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) statement. Electronic databases, including PubMed/MEDLINE, Scopus, Web of Science, CINAHL, Embase, Cochrane Library, and Google Scholar, were searched for studies published between January 2015 and June 2026. Studies evaluating nursing interventions aimed at improving sleep hygiene were included. Two independent reviewers performed study selection, data extraction, and methodological quality assessment using Joanna Briggs Institute critical appraisal tools.

Results: The reviewed evidence demonstrates that nurses play a significant role in improving sleep quality through comprehensive assessment, individualized patient education, environmental modification, pain management, behavioural interventions, relaxation therapy, and interdisciplinary collaboration. Nursing-led non-pharmacological interventions consistently improved sleep quality, reduced sleep latency, minimized nocturnal awakenings, and decreased the use of sedative medications.

Conclusion: Sleep hygiene promotion is an integral component of holistic nursing care. Integrating standardized sleep assessment and evidence-based nursing interventions into routine clinical practice can improve patient outcomes, accelerate recovery, and enhance quality of life.