Reminiscence therapy is an independent nursing intervention that may be helpful in maintaining or improving self-esteem and life satisfaction for the elderly, but the effects of reminiscence therapy are difficult to measure. For a greater understanding of reminiscence as a nursing therapeutic, this article reviewed the developmental history and theoretical basis of reminiscence and evaluated the empirical evidence concerning the use and effectiveness of reminiscence in the elderly. A lack of consist research findings resulted from selecting different therapeutic goals, different types of reminiscence, different dependent measures, different data collection tools, different sample populations, and small sample size. Future nursing research should redefine the concept and attempt to standardize the measurement of reminiscence and then forge ahead using rigorous research designs to develop a body of knowledge regarding reminiscence.

Eight studies that investigated sleep patterns in heart surgery patient and nine studies that examined factors associated with sleep disturbances in this patient group were analyzed and synthesized. Serious problems including low sleep efficiency and difficulty in maintaining sleep often happened during the first postoperative week. It took 2 months for sleep to recover to preoperational levels. Although sleep quality improved over time, sleep disturbances still persisted through 6 months of recovery. Physical factors, including pain, dyspnea, nocturia, and cardiac function, and environmental factors, including noise, light, and procedures on patients, were associated with sleep disturbances during hospitalization. Psychological factors, including anxiety and depression, affected sleep during the first -6 months after discharge. Individual factors of age and gender affected sleep through the entire recovery course. CONCLUSIONS/IMPLICATION FOR PRACTICE: Sleep disturbances persist over the course of recovery in heart surgery patients, and sleep disturbance is associated with individual, physiological, psychological, and environmental factors. Findings suggest that management of major symptoms and control of the patient's sleeping environment during hospitalization and at early recovery stage as well as mental healthcare after discharge may improve sleep quality and recovery in heart surgery patients.

Background: Low bone mass is common in end-stage renal disease patients, especially those undergoing hemodialysis. It can lead to serious bone health problems such as fragility fractures. The purpose of this study is to investigate the risk factors of low bone mass in the hemodialysis patients.

Symptom clusters play an important role in the prognoses of patients with HF. Both patients and healthcare providers may use the information that is provided by this study to improve the surveillance and management of related symptoms.