Journal of Education and Health Promotion最新文献

Gamification takes advantage of game designs to add dynamicity to educational environments and develop students' sociocognitive skills. As technological advances continue to shape many aspects of life, incorporating gamification into prenatal education has emerged as an innovative approach. Therefore, the present study aimed to review the use of educational interventions based on gamification in prenatal care. In the present study, studies indexed in PubMed, Scopus, ScienceDirect, Google Scholar, and Web of Science databases were searched for until March 2023. The main keywords and synonyms of gamification and pregnancy were used to search for studies. The inclusion criteria were English language studies with a gamification intervention and RCT. Abstracts of studies or conferences, book chapters, review articles, and non-randomized studies were excluded from the study. The Jadad scale was used to assess the quality of the studies. Five clinical trials were reviewed. The effects of gamification-based education were divided into four categories: effectiveness of gamification in acquiring knowledge, effectiveness of gamification in increasing prenatal healthcare, emotional and psychological benefits, and compliance with prenatal healthcare advice. Gamification can positively affect pregnancy outcomes through increasing knowledge retention, improving attitudes, promoting healthy behaviors, and reducing stress and anxiety.

Cybersecurity is a major concern in managing hospital data concerning patients, and its knowledge is requisite for all healthcare professionals. The aim of this study was to assess the awareness regarding cybersecurity amongst healthcare professionals in India. This cross-sectional survey study was conducted upon healthcare professionals. The questionnaire items were based on recommendations by the European Union Agency for Network and Information Security and the US Department of Health and Human Services. The survey forms were distributed through electronic mail. Institutional ethical committee clearance was obtained before beginning this study. Two hundred healthcare persons were randomly selected, and consent forms were taken. A total of 195 fully filled survey forms alongside consent forms were obtained. The inclusion criteria were a) healthcare professionals, b) those with access to computers for the acquisition/entry of data, and c) hospitals thatemployed software for the entry of data. The exclusion criteria of the study were a) anyone who was not in healthcare b) those with no accessibility to computers for the entry of data and c) those who did not consent for participating in the study. Statistical analysis: SPSS software tool was used for analyzing collected data. Results for independent questions were analyzed in form of percentage distribution for observational data. Low knowledge and awareness werefound among healthcare professionals with nursing and physiotherapy professionals have least awareness regarding cybersecurity requirement for storage and data protection in hospital set-ups.

Background: Satisfaction of patients and their families is a major indicator of healthcare quality improvement. The study aimed to determine the satisfaction of the families of the hospitalized patients in the intensive care unit (ICU).

Materials and methods: This cross-sectional study was conducted in 2022-2023 with the participation of 500 family members of patients hospitalized in the intensive care unit (ICU). The families were recruited by convenient sampling. Four hospitals were randomly selected in Tehran. The modified FS-ICU24 questionnaire was used for data gathering. Finally, the questionnaires were given and completed by the family members on the third day of the patient's hospitalization. Stepwise multiple regression was used to investigate the demographic factors influencing the satisfaction of the patients'^, families.

Results: The results indicated that the level of satisfaction^, of patients' families was high with the quality of care in the ICU (71%). Families were less satisfied with meeting religious needs with an average of 3.07 (.86) and the most satisfied with respect to the patient with an average of 3.37 (.65). Also, the history of the patient's hospitalization in the ICU (P < 0.001), the number of visits to the unit (P < 0.001), and the relationship with the patient (P = 0.024) were significantly related to family satisfaction.

Conclusion: There has not been enough attention to spiritual, religious, and educational needs and communication with the families of patients hospitalized in the ICU. It is suggested to educate intensive care nurses about psychosocial and behavioral skills to support family members during the hospitalization of their patients in the ICU.

Background: High-risk pregnancies pose significant challenges to maternal and perinatal health, necessitating effective identification and management strategies. The development of reliable prediction tools is critical for early intervention and improving outcomes in this vulnerable population to identify high-risk pregnancy and assess its maternal and perinatal outcome.

Material and methods: It is a prospective cross-sectional research design. A non-probability convenience sampling was used to collect 300 samples who met the inclusion criteria. The data were collected from antenatal mothers who were visiting selected primary health centers (PHCs) demographic, obstetric data collected, and a scoring system of high-risk pregnancies were used. Data analysis was performed by using one-way ANOVA and logistic regression.

Results: A total of 58% of antenatal mothers were at extremely high risk of pregnancy. By using one-way ANOVA for regression analysis, a statistically significant variation was found between regression and residual (F = 2.137, P = 0.040). By using logistic regression analysis, only educational status (P = 0.007) is statistically associated with high-risk pregnancy. The association of high-risk pregnancy scores was not associated with sociodemographic variables except age and educational status.

Conclusion: This study establishes the significance of prenatal prediction in identifying high-risk pregnancies and offering a valuable tool for maternal and perinatal risk assessment. The findings underscore the potential for prenatal care strategies to mitigate the risk associated with high-risk pregnancies and contribute to enhanced overall prenatal and perinatal outcomes.

Background: Regionalized health systems are expected to provide an integrated chain of services for a defined population. However, developing such systems is possible only through alignment across policy, administrative/coordinative, and operational levels. The present study aimed to identify the requirements for such alignment among various levels of Iran's health system.

Methods and material: This qualitative study was conducted with experts in related departments of the Ministry of Health and Medical Education in Iran and selected universities over five months in 2023-2024. Fifteen semi-structured interviews were conducted with policymakers and academic experts to collect the study data. The data were grouped into three themes based on thematic content analysis using the MAXQDA software.

Results: Three main categories of requirements for developing regionalized health systems, encompassing policy, administrative/coordinative, and operational levels, and 23 sub-themes, were extracted. Like other hierarchical health systems, the country's health system faces fundamental challenges due to insufficient organizational infrastructure, which hinders its transition into an integrated healthcare management system.

Conclusions: Given the legal obligations imposed on the Ministry of Health and Medical Education to establish an integrated regionalized health system and the failure of the relevant initiatives, it is critical to develop the essential infrastructural requirements across levels to achieve this goal.

This study aimed to describe the current understanding of rehabilitation professors and students of the challenges and opportunities of artificial intelligence (AI) in rehabilitation services. This cross-sectional study was conducted from December 2023 to January 2024. A predeveloped, standard questionnaire was used to collect the data. Questionnaires were distributed via e-mail among rehabilitation students and professors at the Mashhad University of Medical Sciences, northeastern Iran. The majority of students (88.9%) and professors (100.0%) had basic knowledge about AI intelligence. The most important benefits of AI in rehabilitation, according to students (86.9%) and rehabilitation professors (100.0%), are assistive technologies. For the majority of students, their main concern in the implementation of AI intelligence in rehabilitation was the inability to empathize with or understand the complexity of the human experience (48.4%). However, the majority of professors considered the main concern to be the inability to provide judgment in unforeseen situations outside of its planning scope (57.1%). The lack of practical knowledge was identified as an obstacle to the adoption of AI in rehabilitation among students and professors. In addition, the cost and available resources of AI in rehabilitation were the most common barriers noted by experts and students.

Background: Anemia is a global health issue in both developing and developed countries with major outcomes on human health as well as economic and social development. During pregnancy, anemia is the most common form of nutrient deficiency and the most frequent pregnancy complication. Indeed, maternal anemia contributes directly or indirectly to maternal mortality and morbidity in developing countries. Anemia can have negative outcomes not only on pregnant women but also their newborns.

Materials and methods: The aims of the present cross sectional study were to determine the prevalence of anemia in pregnant women (111 women) and the effects of the pathology on the course of delivery and pregnancy of these women as well as its effects on the growth and neuropsycomotor development of the newborn (111 newborns) in Ouarzazate, Morocco. The study was carried out from April 15 to June 19, 2022 at the Ouarzazate Provincial Hospital, which receives women from the province of Ouarzazate, Morocco. Data were collected through a well-structured interview, an evaluation sheet, and performing a set of manual measurements. Descriptive analysis of data was performed using SPSS software.

Results: Our results showed elevated prevalence (44.1%) of maternal anemia (among women aged between 17 and 45 years). Additionally, there was a strong association between the husband's profession and the occurrence of anemia as we found that 80% of the wives of husbands without profession are anemic. As well, there was a strong association between the nonmonitoring of pregnancy, the history of anemia, and the occurrence of anemia. Moreover, the most frequent complication in the women included in our study was premature rupture of membranes (RPM) and a high risk of scar uterus. Finally, the most frequent newborns' complications included in our research were prematurity and respiratory distress, while the Apgar score and the archaic reflexes assessment did not show significant impairments.

Conclusion: The prevalence of maternal anemia is elevated in our study, and it is still a major problem for not only pregnant women but also their newborns, leading to several complications. The most frequent complication in the women included in our study is premature rupture of membranes and a high risk of scar uterus. However, the most frequent newborns' complications included in our research are prematurity and respiratory distress.

Background: Hospital Information System is one of the effective factors on the knowledge management of health care organizations; this research was conducted with the aim of determining the impact of the use of the hospital information system on the knowledge management of managers in educational-therapeutic hospitals of Isfahan University of Medical Sciences.

Materials and method: This applied research is descriptive-analytical and was conducted in 2023. The studied population included 106 managers of top, middle, and operational levels in teaching-treatment hospitals of Isfahan University of Medical Sciences. The data collection tool was a questionnaire, whose validity and reliability were checked and confirmed. Descriptive and inferential data analysis was done in SPSS version 20 software.

Result: The data were determined in terms of financial, clinical, and human resources criteria. The information system was significant in the financial (t_ (0/05) =1.72) and clinical (z_0 = 1.96) components, and it was not significant in the human resources component.

Conclusion: According to the findings of this research that the hospital information system has no effect on the knowledge management of managers in human resources and also has less effect on clinical criteria, it is recommended that the reasons for not paying attention to these two things in hospitals are investigated. It is expected that by developing the power and increasing the experience of both groups, a change of attitude will occur in our country in line with the evolution that these systems have undergone in advanced countries.

Background: Cerebrovascular disease is a chronic neurological condition and the economy by causing disability and isone of the leading causes of death.

Materials and method: This study was a cross-sectional descriptive study aimed at examining the risk of stroke and the predictive factors influencing stroke prevention behaviors among hypertensive patients with uncontrolled blood pressure in Chaiyaphum Province. The sample comprised 416 hypertensive patients with uncontrolled blood pressure, selected using multi-stage random sampling. The research instruments consisted of six parts as follows: 1) general information, 2) access to health information, 3) knowledge about stroke, 4) social support, 5) health literacy, and 6) stroke prevention behavior. The data were analyzed using descriptive statistics and multiple logistic regression.

Results: The research findings found that 47. A total of 12% of the sample group had a high risk of stroke. Most participants exhibited a moderate level of stroke prevention behavior of 64.66%. Furthermore, patients who lack knowledge and understanding of stroke were found to be 2.949 times more likely to demonstrate low stroke prevention behavior compared to those with sufficientknowledge and understanding. Moreover, it was found that individuals with low health literacy were 7.096 times more likely to exhibit low stroke prevention behaviors compared to those with high health literacy.

Conclusion: The findings of this study can provide a guideline for developing care strategies for hypertensive patients and designing activities to promote disease prevention that are consistent with the lifestyles of hypertensive patients with uncontrolled blood pressure.