Journal of Education and Health Promotion最新文献

Background: To evaluate the quality of life (QoL) in patients living with rheumatoid arthritis (RA) using a capability-based approach.

Materials and methods: A prospective, descriptive study was conducted at Agadir Regional Hospital, involving 30 RA patients. Participants completed a self-administered questionnaire based on the capability approach, assessing four key dimensions: physical health, emotional wellbeing, access to leisure activities, and control over the material environment. The Health Assessment Questionnaire (HAQ) was used to validate the capability-based approach.

Results: The findings indicated that 80% of participants reported moderate to good QoL, while 20% experienced low QoL. Emotional wellbeing scored the lowest (3.50 ± 1.31), highlighting significant emotional distress. Physical health (2.77 ± 0.75) and access to leisure activities (2.83 ± 0.75) were in the moderate range. Control over the material environment had a higher QoL score (2.52 ± 0.94), indicating relatively stable financial conditions. Significant correlations were found between age and physical health (r = 0.54, P = 0.002), and education level and QoL (P = 0.028), with older and less educated participants reporting lower QoL.

Conclusion: This study demonstrates that RA significantly impacts multiple dimensions of patients' QoL, particularly emotional wellbeing. The capability-based approach offers valuable insights into the broader aspects of RA's impact on daily life. However, limitations such as the small sample size and single-site study suggest that further research is needed with larger and more diverse populations to validate these findings and explore changes in QoL over time.

Background: The increasing consumption of social media among students has caused concerns about its influence on nutrition-related attitudes and behaviors. Research suggests that exposure to food trends, diet culture, and health influencers on platforms, like Instagram and Facebook, can shape students' perceptions of nutrition. This study examines the relationship between social media use and dietary attitudes, exploring its potential impact on eating habits and nutritional choices.

Materials and methods: Study design was a cross-sectional and data collection was done from a public sector university; a stratified sample technique was used to recruit a sample size of 509. Validated and organized questionnaires were used. Correlation and regression analyses were used to examine the relationship between social media engagement and attitudes toward nutrition.

Results: Study result revealed that higher social media use was significantly associated with increased odds of disordered eating behaviors, with those using social media for 1-3 h/day having an adjusted odd ratio (AOR) of 2.31 (95% confidence interval [CI]: 1.02-11.36; P = 0.004) and those using it for more than 3 h/day showing an AOR of 5.31 (95% CI: 1.00-28.13; P = 0.050). Married individuals have an AOR of 5.76 (95% CI: 1.68-19.77; P = 0.005) for developing eating disorders.

Conclusion: The study highlights a substantial association between high social media use and disordered eating behaviors, with prolonged engagement (more than 3 h/day) contributing to increased risk. Marital status emerged as an important predictor. This result emphasizes the need for further research to explore the effect of social media and other sociodemographic factors on eating behaviors, particularly in the context of prevention and intervention strategies.

[This corrects the article DOI: 10.4103/jehp.jehp_1404_24.].

Background: In order to end preventable neonatal morbidity and mortality, every newborn should receive skilled care at birth, with evidence-based practices, in a humane, respectful, and supportive environment. To address safety concerns during planned deliveries in hospitals, the Safe Delivery Checklist was developed by the World Health Organization. Therefore, this study aimed to determine the effectiveness of the Labor and Delivery Management Program on neonatal clinical outcomes of vaginal delivery.

Materials and methods: The present study was a clinical trial study that was conducted on 470 mothers with vaginal delivery in hospitals in Ahvaz in 1402. Subjects were randomly assigned to two control and intervention groups. In the intervention group, care and delivery were performed based on the World Health Organization childbirth checklist. Finally, the data were analyzed using SPSS version 22 software (IBM, SPSS Inc, Chicago, Illinois, USA).

Results: The results of the Chi-square test of the two intervention and control groups in terms of the frequency of neonatal hospitalization in the neonatal intensive care unit (P = 0.001), the frequency of shoulder dystocia (P = 0.039), and the frequency of first-minute Apgar scores less than 7 in newborns (P = 0.031) show that the frequency of these outcomes was higher in the control group than in the intervention group, and these differences were reported to be statistically significant (P = 0.001), but the frequency of fifth-minute Apgar scores less than 7 in newborns had almost the same distribution in both groups and no statistically significant difference was reported (P = 0.413).

Conclusion: Based on the results of the study on the effectiveness of the World Health Organization childbirth program, it is recommended that this program be used in maternity hospitals and centers providing childbirth facilities to improve the health of newborns.

Background: Stroke is one of the world's leading causes of long-term disability and leads to diminished sense of self-efficacy, compromised functional capacities, and reduced quality of life (QoL). The study aims to evaluate the effect of Nurse-Led Rehabilitation Enhancement Program (NLREP) on self-efficacy, functional ability, QoL and perceived dependence among stroke survivors.

Materials and methods: A quasi-experimental pretest-posttest control group design was used to evaluate the effect of NLREP among 148 stroke survivors conveniently enrolled in a tertiary care hospital in South India from November 1, 2023, to October 31, 2024. The experimental group received initial orientation on stroke management, daily follow-ups and hotline service, followed by two empowerment sessions at the 2^nd and 6^th weeks, respectively. The control group received standard routine discharge instructions. Outcomes were assessed at baseline, 10 weeks, and 14 weeks using the Stroke Self-Efficacy Questionnaire, the Barthel Index, the Stroke-Specific Quality of Life Scale, and a Likert scale on perceived dependence. The two-way repeated measures ANOVA was performed to check the effectiveness of NLREP on outcome variables. The complete analysis was performed using SPSS 16, and P < 0.05 is considered statistically significant.

Results: The study shows significant improvement (P < 0.001) in Self-efficacy, Functional ability, and QoL following NLREP among stroke survivors. A significant decrease (P < 0.001) in Perceived dependence was observed across different time points in experimental and control group.

Conclusion: NLREP featuring a hotline was effective in improving self-efficacy, functional ability, and QoL among stroke survivors.

Background: Cardiovascular disease (CVD) is the leading cause of death in women. Therefore, this study aimed to identify the level of knowledge, behavior, and needs of young women related to health applications in CVD prevention in Makassar City.

Materials and methods: A qualitative method was used with a phenomenological design. Data were collected through in-depth interviews and Focus Group Discussion (FGD) of young women aged 17 to 25 years who live in Makassar City. Subsequently, data analysis was carried out using NVivo 12 Plus software.

Results: The results showed that most informants had a basic understanding of CVD risk factors, such as genetic history, lifestyle, and hormonal conditions. However, the majority still engaged in risky behavior, including a lack of physical activity and unhealthy diets. An information gap was also found regarding CVD, with the majority of informants not having received adequate education through conventional or digital media. Informants proposed key features in the CVD prevention applications, such as nutritional calculations, physical activity monitoring, disease risk detection, and the provision of interactive educational materials.

Conclusion: This study identified gaps in education and preventive behavior among young women. The results showed need for a more comprehensive policy, including a digital technology-based method as a medium for health education. In line with the analysis, integration of digital technology-based health education was proven effective strategy in encouraging behavioral change and improving cardiovascular health among young women.

Background: Kidney diseases are a global public health concern. In Morocco as elsewhere, nurses constitute the most important workforce in nephrology care. This study aims to assess the level of student nurses' knowledge, attitude, and practices (KAP) at the end of their undergraduate education toward the care of patients with kidney disease.

Materials and methods: A descriptive and correlational study was conducted between May 10 and June 20, 2023, at the Higher Institute of Nurse Professions and Health Technical in Fez, Morocco. Out of a total of 210 general nurse students, 115 responded to all items of the questionnaire based on the five-point Likert scale. The data analysis was performed using R software.

Results: Nearly 50% of participants had adequate KAP related to kidney anatomy and physiology, and treatment of acute and chronic kidney disease. However, more than 70% of participants had KAP below expectations related to nursing care of the patient on peritoneal dialysis, nursing care for hemodialysis patients, nursing management of the candidate patients for transplantation, conservative and palliative care, and pharmacology. Similarly, there was significant relationship between theoretical initial education, practical initial education and clinical training, and scores obtained by participants (P < 0.05, Cramer's V > 50%).

Conclusion: As a result, providing continuing education for the newly graduated general nurses before being involved in nephrology nurse care is a suitable recommendation. In addition, an initial education program development in nephrology nurse care is relevant.

Background: Nursing students experience multiple challenges related to patients, educators, clinical learning environment, and also professional identity. This study aims to investigate the relationship among perceived social support, self-esteem, and the help-seeking behavior of nursing students in Iran.

Materials and methods: The present study is a cross-sectional study conducted on 216 nursing students in 2023. The sampling method was proportional stratified random sampling. Inclusion criteria were nursing students at bachelor's, master's, and PhD. levels, who have passed more than one semester since their studies. Data collection tools included a demographic information questionnaire, Rosenberg self-esteem scale, perceived social support questionnaire, help-seeking behavior, and general help-seeking behavior questionnaire. Data analysis was conducted using descriptive statistical tests and analytical tests (independent t-test, Mann-Whitney-U test, Spearman correlation coefficient, and multivariate linear regression), at a significance level of less than 0.05, using SPSS software version 20.

Results: The results showed that there is a positive correlation among perceived social support and students' self-esteem (r = 0.448, P < 0.001), social support and general help-seeking behavior (r = 0.331, P < 0.001), and social support and academic help-seeking behavior of students (r = 0.402, P < 0.001), which means that students' help-seeking behavior and academic help-seeking behavior are strengthened by improving perceived social support.

Conclusion: The findings of the present study can facilitate the help-seeking behavior of nursing students, by identifying and activating the sources of social support and strengthening self-esteem. Therefore, it is suggested to provide such an environment in the university that strengthens the feelings of being valuable and cultivates a positive attitude in students, while increasing their self-esteem by meeting their needs and providing emotional support.

Background: Amblyopia, or "lazy eye," is a common visual disorder in children. Early diagnosis and treatment prevent permanent vision loss. This study investigates the effect of visualization as an innovative educational method, combined with flipped learning, on the knowledge and satisfaction of community-oriented health education students regarding amblyopia screening.

Material and methods: This quasi-experimental study, which used a pre-test and post-test design, was conducted on community-oriented health education students. Thirty-three students were selected through convenience sampling in 2023. In this study, students first received the educational content through illustrated videos using engaging animations and motion graphics through micro learning on the Eitaa Messenger platform. This was followed by in-person classes focusing on scenario presentation, discussion-based learning, and problem solving. The evaluation was based on the first two levels of the Kirkpatrick Model. A standardized satisfaction questionnaire and a multiple-choice question test were used to assess levels one and two, respectively. Data were analyzed using SPSS 29.

Results: The findings showed that students' knowledge significantly increased after training (P = 0.000). Furthermore, 72.8% of participants reported excellent satisfaction with the teaching method.

Conclusion: The study results indicate that using visualization as an innovative method and active teaching methods such as flipped learning can create an engaging learning environment that enhances students' motivation and understanding of complex medical topics. Integrating learner-centered, technology-driven methods in curricula not only improves learning outcomes but also helps reduce the burden of preventable diseases, ultimately improving public health and increasing the efficiency of the healthcare system.