Journal of Education and Health Promotion最新文献

Background: Menopause, a crucial stage in women's lives, is often accompanied by various symptoms. Phytoestrogen, found in many foods, has been shown to reduce these symptoms. Given the importance of phytoestrogen consumption, there is a clear need for educational interventions in this area. This study aimed to fill this gap by investigating and comparing the effects of virtual and face-to-face education on menopausal women's use of phytoestrogen.

Materials and methods: This quasi-experimental study was performed on 134 women in middle age 45-55 years old who have family physician databases of Jahrom University of Medical Sciences, south of Iran, 2022. The sampling method and assigning the subjects to two educational intervention groups (67 in the face-to-face group and 67 in the virtual group) were conducted randomly. The educational intervention for the face-to-face intervention group and the virtual group consisted of five 60-minute education sessions using the methods of lecture, question and answer, and group discussion, and the virtual education group would receive five short (3-4 minutes) video clips, text, and image messages through WhatsApp Messenger, respectively. Data were analyzed using SPSS 24 software, which used a paired t test, an independent t test, and a Chi-square.

Results: The results of the independent t test showed that before (P = 0.071) and after (P = 0.72) the educational intervention, no significant difference was observed between the two intervention groups in terms of phytoestrogen consumption however, according the paired test in regard to phytoestrogen consumption, significant increases in the amount of phytoestrogen consumed by both the virtual education group (P < 0.001) and face-to-face education group (P < 0.001) were seen. Moreover, after the intervention, there were no significant differences in mean scores of MRS (P = 0.37), somatic dimension (P = 1.00), Psychological dimension (P = 0.15), and urogenital dimension (P = 0.52).

Conclusion: This study demonstrates the potential of both virtual and face-to-face educational interventions in increasing women's knowledge and attitude about menopause symptoms and promoting the consumption of phytoestrogen-containing foods. These interventions, with a focus on enabling conditions, can significantly influence health-seeking habits among the menopausal population, offering a promising avenue for improving menopausal health.

Home-based physical activity (PA) programs have been identified as a potentially effective strategy for reducing sedentary behaviors and promoting physical health. This scoping review aims to collect strategies for increasing home-based PA for healthy adults. The search conducted in November 2022 encompassed PubMed, Scopus, Cochrane Database of Systematic Reviews, Web of Science, EMBASE, and Google Scholar. The focus of the search was to identify primary studies on strategies to increase home-based PA in healthy individuals. The extracted data from the identified studies were recorded in a data-charting form specifically designed. Two authors thoroughly reviewed the extracted data to ensure accuracy and consistency. To summarize and present the findings, a narrative synthesizing approach was employed. Strategies based on characteristics of PA, individual characteristics, social support, establishing suitable conditions at home, using technology to engage in PA, strategies based on theoretical foundations, and pursuing PA programs were analyzed. The valuable results of the present study can become the basis for increasing PA, especially at home and in developing societies. Health policymakers, health promotion professionals, researchers, and healthcare providers can implement the most appropriate strategies for PA at home.

Background: Clinical dependence and the quality of the work life of nurses can affect nurses' motivation and, consequently, the quality of nursing care and patients' health. Explaining the causes related to health promotion is one of the primary goals of health services. This study was conducted to determine the relationship between clinical dependence and quality of work life for Iranian nurses working in intensive care units.

Materials and methods: The present study is a cross-sectional, descriptive, analytical study conducted on 126 nurses working in the adult intensive care units (ICU) of Yasuj hospitals in 2023. The participants were selected by census. Clinical belongingness and quality-of-work questionnaires were used. Independent Samples Test, One-way ANOVA, and Pearson Correlation were used to investigate the relationship between quality of work life and SPSS software 26.

Results: According to the results of this study, the mean and standard deviation of the total score of clinical belongingness and quality of work life of nurses were 109.68 ± 13.75 and 211.68 ± 15.44, respectively. A statistically significant relationship was observed between the ward and clinical belongingness (P = 0.02). Also, a statistically significant relationship was observed between clinical belongingness and quality of work life (r = 0.24 and P = 0.007).

Conclusion: The results of the present study showed that clinical belongingness and the quality of work life for nurses are related. It is recommended that nursing officials and managers use the results of this study to plan to improve the sense of belonging to the clinical environment and increase the quality of the work life of nurses.

Background: This study aimed to investigate whether the different lunar phases have any effect on prothrombin time and international normalized ratio levels in patients diagnosed with deep vein thrombosis who are undergoing warfarin therapy. Understanding potential external influences, such as lunar phases, on anticoagulant therapy could provide new insights into optimizing patient outcomes.

Material and methods: Data were retrospectively analyzed from 1418 international normalized ratio records of 124 patients with deep vein thrombosis who received warfarin therapy between March 2017 and August 2023. The lunar phase data were integrated with the corresponding international normalized ratio results, and statistical analyses were performed. The Jonckheere-Terpstra test for ordered alternatives was used to detect trends, while the Pettitt test assessed the presence of change points in the data.

Results: An increasing trend in international normalized ratio values was observed during the third quarter lunar phase. While this trend suggested a potential tendency toward statistical significance, it did not reach the threshold for significance (Jonckheere-Terpstra test: Z = 0.916, P = 0.360) and no distinct change point was detected (Pettitt test: U = 6, P > 0.999).

Conclusion: Although not statistically significant, this retrospective cohort study demonstrated a potential shift toward elevated prothrombin time levels during the third quarter lunar phase. While the results do not provide definitive evidence, they highlight the need for further large-scale, multicenter studies to explore the potential relationship between lunar phases and fluctuations in international normalized ratio values in patients undergoing warfarin therapy. Such research may provide clinicians with additional insights into managing anticoagulant treatments effectively.

Background: Tuberculosis is a contagious and potentially fatal infectious disease caused by Mycobacterium tuberculosis, leading to widespread clinical infections. To improve the prevention, control, management, and monitoring of tuberculosis, standardized data collection with consistent definitions is essential. Therefore, this study aimed to develop a minimum data set (MDS) as the initial phase in creating a tuberculosis information management system.

Materials and methods: This applied-descriptive and cross-sectional study was performed in 2023. First, a comprehensive literature review was carried out to determine potential data elements. For this purpose, both Persian and English scientific databases, as well as grey literature such as medical guidelines, medical websites, and patient medical records, were reviewed. Then, a two-step Delphi survey was conducted to determine important data elements to be included in the final tuberculosis MDS. Data analysis was performed using descriptive statistics in SPSS 21 software.

Results: The MDS of the tuberculosis information management system was divided into two sections: administrative and clinical. The administrative section consisted of 33 data elements, and the clinical section consisted of 90 data elements.

Conclusions: This study provided a practical MDS for tuberculosis that can help collect integrated and inclusive data for information: management systems in this domain. It will be useful for policymakers, healthcare providers, and researchers to collaborate and prevent, control, and manage tuberculosis, and reduce the burden of disease.

Background: Attention-deficit/hyperactivity/impulsivity disorder (ADHD) and oppositional defiant disorder (ODD) are prevalent neurodevelopmental disorders in children, often co-occurring and leading to significant academic and behavioral challenges. Despite global studies, there is limited data on the prevalence of these disorders in rural Thailand. This research aimed to identify the prevalence of ADHD and ODD among primary school children in rural Chiang Mai, Thailand, from parent and teacher perspectives and to assess the relationships between ADHD and ODD symptoms.

Methods and material: This study, conducted in two primary schools in the rural area of Chiang Mai, Thailand, involved 198 students, 11 teachers, and 198 parents, and used multistage random sampling to ensure representativeness. A cross-sectional study was conducted. Teachers evaluated the children's behaviors using the SNAP-IV scale. Descriptive statistics were used to summarize the demographic data, and Pearson's correlations were calculated to assess relationships between ADHD and ODD symptoms.

Results: Parent assessments reported 3.03% of children at risk for inattention, 3.54% for hyperactivity/impulsivity, and 4.55% for ODD. On the contrary, teacher assessments indicated higher risks of inattention (3.54%), hyperactivity/impulsivity (13.13%), and ODD (14.65%). Strong correlations emerged between inattention and hyperactivity/impulsivity (r = 0.780) and between hyperactivity/impulsivity and ODD (r = 0.645) in parent ratings, with similar patterns in teacher ratings, showing a correlation of r = 0.674 between hyperactivity/impulsivity and ODD.

Conclusions: ADHD and ODD are common among primary school children in rural Thailand, with significant symptom overlap. Differences in parent and teacher reports highlight the need for multi-informant assessments.

Background: Leveraging digital media platforms can enhance communication between healthcare providers and patients, ensuring timely, accurate, and personalized medical information, especially amid the global shift toward telemedicine. This research addresses the inadequate communication between doctors and patients, particularly in areas with limited digital literacy and access, exacerbating healthcare disparities in underserved communities. Despite previous studies highlighting the potential benefits of digital health tools, there remains a need for comprehensive, empirical evidence on their optimization to bridge the digital divide and enhance health outcomes.

Material and methods: This study employs a quantitative research design, utilizing surveys and standardized questionnaires to gather data from a diverse sample of 1,000 patients and 200 healthcare providers in Indonesia. The research focuses on key variables such as patient engagement, satisfaction, health literacy, and adherence to treatment plans, analyzing the data to identify patterns and relationships.

Results: The results demonstrate significant improvements in patient engagement (30%), satisfaction (25%), health literacy (35%), and treatment adherence (40%), particularly in rural populations, indicating that digital tools can effectively bridge the digital divide. These findings underscore the transformative potential of digital media in fostering equitable healthcare communication and outcomes.

Conclusions: The implications for theory and practice in health communication are profound, suggesting that targeted digital health interventions can enhance healthcare quality and accessibility. Future research should focus on longitudinal studies to establish causality, explore digital literacy's role, and identify the most effective features of digital media platforms to advance healthcare equity further.

Background: Q fever is a serious and contagious disease that has the potential to cause an epidemic. Therefore, this research paper was prepared to inform health workers about the disease in order to prevent the spread of the disease, as happened with the coronavirus. We found that most health workers had little information about Q fever. Coxiella burnetii is the microscopic organism that causes Q fever. The study aimed to assess healthcare provider knowledge regarding the prevention of Coxiella burnetii infection (Q Fever) in Hilla City Hospitals and its associated sociodemographic variables.

Materials and methods: A descriptive correlational study design was conducted in Hilla City Hospitals from November 2023 to March 2024. The study sample, consisting of 95 nurses was chosen according to nonprobability sampling methods. The questionnaire, consisting of 20 items, was validated by experts and tested for reliability through a pilot study. Data collection involved self-reporting, and both descriptive and inferential statistical analyses were applied for data analysis.

Results: The study findings indicate an average age of 26.38 years, with a majority being female (55.8%). About 65.3% were unmarried, 47.4% had Bachelor's degrees, 32.6% had diplomas, and 20.0% had postgraduate degrees. Nurses had experience ranging from 1 to 13 years (average 3.86 years). The study revealed that 73.7% exhibited low knowledge of Q fever, with an average score of 6.57. Gender (P = 0.000) and education level (P = 0.00) significantly predicted knowledge, with females and higher education correlating with greater understanding.

Conclusion: It highlights a serious issue of healthcare provider irresponsiveness, in regard to this infection, during the provision of medical care. Male nurses and those who are more educated are more knowledgeable about the subject. The fact that knowledge is greater among those who are educated and male nurses again highlights the need for special education and training of people who fall between these gender and educational categories.

First aid training for early childhood educators is crucial due to the inherent vulnerability of young children to accidents and injuries. This review examines the knowledge and training of first aid skills among early childhood educators globally, with a specific focus on China. The literature search covered publications from 2009 to 2024, using databases, such as PubMed, Google Scholar, ERIC, Web of Science, and China National Knowledge Infrastructure. Keywords and phrases used in the search included "first aid training," "early childhood educators," "emergency preparedness," "childcare safety," and "first aid knowledge." The review identifies gaps and challenges in existing training programs and proposes strategies for improvement. Developed countries have well-established first aid training protocols, while many developing countries face significant challenges, including limited resources and lack of standardized programs. In China, significant challenges remain, such as fragmented training programs and insufficient ongoing professional development. Government policies acknowledge the need for first aid training, yet implementation is often inconsistent. Addressing these issues requires standardized training programs, equitable resource allocation, and continuous professional development. This review provides a roadmap for meaningful improvements, emphasizing the need for collaborative efforts from policymakers, educational institutions, and stakeholders to create a consistent and effective approach to first aid training. Despite the recognized importance of first aid training, there is a notable scarcity of research on the knowledge and skills of early childhood educators in both domestic and global contexts. This review aims to address this research gap by conducting a comprehensive analysis of existing literature on the subject.