{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:08:18Z","timestamp":1790672898519,"version":"4.1.0"},"reference-count":56,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to systematically evaluate the effectiveness of non\u2010pharmacological interventions in reducing intradialytic hypotension among adult patients undergoing haemodialysis and to examine their implications for nursing practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review and meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, EMBASE, CINAHL, SCOPUS, DBpia and RISS were searched for studies published between January 2000 and July 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Randomized controlled trials and quasi\u2010experimental studies evaluating non\u2010pharmacological interventions were included. Methodological quality was assessed using Joanna Briggs Institute critical appraisal tools. Random\u2010effects meta\u2010analysis and subgroup analyses were conducted and certainty of evidence was evaluated using GRADE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen studies were included in the meta\u2010analysis. Non\u2010pharmacological interventions were associated with modest improvements in systolic blood pressure during haemodialysis, although substantial heterogeneity was observed. Dialysis technology\u2010based interventions showed a significant improvement in systolic blood pressure, whereas nurse\u2010led interventions showed a numerically similar effect but did not reach statistical significance. The overall certainty of evidence was very low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Non\u2010pharmacological interventions may support haemodynamic stability during haemodialysis; however, improvement in systolic blood pressure represents a surrogate haemodynamic outcome and does not necessarily indicate a reduced incidence of intradialytic hypotension. Further well\u2010designed studies using clinically meaningful and patient\u2010centred outcomes are needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Nurses can contribute to intradialytic hypotension prevention through assessment, monitoring, early recognition of haemodynamic instability, timely bedside interventions and patient education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>The findings highlight the potential complementary roles of nurse\u2010led care and dialysis technology\u2010based approaches in the individualized management of adults undergoing haemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>PRISMA 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>No Patient or Public Contribution<\/jats:title>\n                    <jats:p>Patients or members of the public were not involved because this study was a systematic review and meta\u2010analysis of previously published studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial and Protocol Registration<\/jats:title>\n                    <jats:p>PROSPERO (CRD420251150743)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70832","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T04:45:21Z","timestamp":1789533921000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Nursing and Non\u2010Pharmacological Interventions in Reducing Intradialytic Hypotension Among Haemodialysis Patients: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1406-1149","authenticated-orcid":false,"given":"Mi\u2010Kyoung","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Nursing Science, College of Nursing Chungbuk National University  Cheongju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5555-6650","authenticated-orcid":false,"given":"Yoon Hee","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Nursing Dankook University  Cheonan 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