Journal of evaluation in clinical practice最新文献_第6页

Evaluating the Impact of a Safe Exercise Training on Clinician Knowledge and Self-Efficacy in Managing Dysfunctional Exercise in an Eating Disorder Treatment Setting

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2025-01-27 DOI: 10.1111/jep.14319

Danika A. Quesnel, Marita Cooper, Brian Cook, Rachel M. Calogero

Introduction

Dysfunctional exercise (DEX) is common among individuals with an eating disorder (ED) and poses significant challenges to treatment and recovery. While safe and nutritionally supported physical activity can enhance treatment outcomes without hindering weight restoration, clinicians often hesitate to address DEX with their patients. This mixed-method study aimed to evaluate the impact of a Safe Exercise at Every Stage (SEES) informed training on clinician knowledge and self-efficacy in managing DEX during ED treatment.

Methods

Clinicians from a national ED centre completed measures of knowledge and self-efficacy about managing DEX before (n = 96) and after (n = 44) a synchronous virtual training. A subset of participants (n = 7) participated in semi-structured interviews to gather their perceptions of exercise in the context of EDs and feedback on the training.

Results

Paired sample t-tests revealed a significant increase in both self-efficacy and knowledge following the SEES training. Thematic analysis identified three key themes: (1) the Current State, (2) the Training Impact and (3) bridging the Gap Through Staff and Community Support. Results are contextualized within the broader ED field, highlighting how training and policy changes can enhance clinician confidence in managing DEX.

Conclusion

DEX continues to be preceived as a core ED symptom. To improve its managment clinician training and shifts in overarching field ideologies are needed. Providing programme-wide training is fundamental to equipping clinicians with the skills needed to address DEX and ultimately improve patient outcomes.

{"title":"Evaluating the Impact of a Safe Exercise Training on Clinician Knowledge and Self-Efficacy in Managing Dysfunctional Exercise in an Eating Disorder Treatment Setting","authors":"Danika A. Quesnel, Marita Cooper, Brian Cook, Rachel M. Calogero","doi":"10.1111/jep.14319","DOIUrl":"10.1111/jep.14319","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Dysfunctional exercise (DEX) is common among individuals with an eating disorder (ED) and poses significant challenges to treatment and recovery. While safe and nutritionally supported physical activity can enhance treatment outcomes without hindering weight restoration, clinicians often hesitate to address DEX with their patients. This mixed-method study aimed to evaluate the impact of a Safe Exercise at Every Stage (SEES) informed training on clinician knowledge and self-efficacy in managing DEX during ED treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Clinicians from a national ED centre completed measures of knowledge and self-efficacy about managing DEX before (<i>n</i> = 96) and after (<i>n</i> = 44) a synchronous virtual training. A subset of participants (<i>n</i> = 7) participated in semi-structured interviews to gather their perceptions of exercise in the context of EDs and feedback on the training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Paired sample <i>t</i>-tests revealed a significant increase in both self-efficacy and knowledge following the SEES training. Thematic analysis identified three key themes: (1) the Current State, (2) the Training Impact and (3) bridging the Gap Through Staff and Community Support. Results are contextualized within the broader ED field, highlighting how training and policy changes can enhance clinician confidence in managing DEX.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>DEX continues to be preceived as a core ED symptom. To improve its managment clinician training and shifts in overarching field ideologies are needed. Providing programme-wide training is fundamental to equipping clinicians with the skills needed to address DEX and ultimately improve patient outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Performance-Based Outcome Measures After Hip or Knee Arthroplasty: A Systematic Review and Content Analysis Using the International Classification of Functioning, Disability and Health (ICF)

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2025-01-24 DOI: 10.1111/jep.14307

Motahareh Karimijashni, Forough Abtahi, Shokoofih Abbasalipour, Armaghan Dabbagh, Parisa Ranjbar, Marie Westby, Tim Ramsay, Paul Beaulé, Stéphane Poitras

Rational

One of the important considerations to select the appropriate outcome measures is determining if the tool is relevant to patients. Despite the availability of various performance-based tests to objectively assess function, it is unknown which performance-based tests best capture important aspects of function after hip or knee arthroplasty.

Aims and Objectives

Our systematic review aimed to identify the existing performance-based tests used in hip or knee arthroplasty and link the activity component of each test to the modified International Classification of Functioning, Disability and Health (ICF) core set for osteoarthritis (OA).

Method

We searched four databases from inception until April 2024. A performance-based test was included if an individual performs one or more activities, evaluated by an assessor and resulted in a numerical value. Two reviewers independently screened and extracted data and assessed the included performance-based tests.

Results

From 449 studies included in this review, we identified 28 performance-based tests which covered 15 categories of OA core set activity and participation. The categories of d4500:walking short distances, d4104:standing and d4103:sitting were the most frequently used, employed in 14, 10 and 10 performance-based tests, respectively. However, 34 categories of activity and participation were not found in any performance-based tests. A-test (‘A’ like Activity or Assessment) had the widest coverage covering 10 out of 49 core set categories. Four performance tests covered four activity and participation categories, one covered three categories, 10 covered two categories and 12 covered one category.

Conclusion

Our ICF-based content analysis revealed that the existing performance-based tests covered certain OA core set activity and participation categories, but overlooked multiple categories. This analysis can serve as a guide for researchers and clinicians in selecting suitable performance-based tests or a battery of tests to assess function following hip or knee arthroplasty.

{"title":"Performance-Based Outcome Measures After Hip or Knee Arthroplasty: A Systematic Review and Content Analysis Using the International Classification of Functioning, Disability and Health (ICF)","authors":"Motahareh Karimijashni, Forough Abtahi, Shokoofih Abbasalipour, Armaghan Dabbagh, Parisa Ranjbar, Marie Westby, Tim Ramsay, Paul Beaulé, Stéphane Poitras","doi":"10.1111/jep.14307","DOIUrl":"10.1111/jep.14307","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rational</h3>\u0000 \u0000 <p>One of the important considerations to select the appropriate outcome measures is determining if the tool is relevant to patients. Despite the availability of various performance-based tests to objectively assess function, it is unknown which performance-based tests best capture important aspects of function after hip or knee arthroplasty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>Our systematic review aimed to identify the existing performance-based tests used in hip or knee arthroplasty and link the activity component of each test to the modified International Classification of Functioning, Disability and Health (ICF) core set for osteoarthritis (OA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We searched four databases from inception until April 2024. A performance-based test was included if an individual performs one or more activities, evaluated by an assessor and resulted in a numerical value. Two reviewers independently screened and extracted data and assessed the included performance-based tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From 449 studies included in this review, we identified 28 performance-based tests which covered 15 categories of OA core set activity and participation. The categories of d4500:walking short distances, d4104:standing and d4103:sitting were the most frequently used, employed in 14, 10 and 10 performance-based tests, respectively. However, 34 categories of activity and participation were not found in any performance-based tests. A-test (‘A’ like Activity or Assessment) had the widest coverage covering 10 out of 49 core set categories. Four performance tests covered four activity and participation categories, one covered three categories, 10 covered two categories and 12 covered one category.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our ICF-based content analysis revealed that the existing performance-based tests covered certain OA core set activity and participation categories, but overlooked multiple categories. This analysis can serve as a guide for researchers and clinicians in selecting suitable performance-based tests or a battery of tests to assess function following hip or knee arthroplasty.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143032969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of Stress, Anxiety, Depression, and Sleep Quality Among Young Adults in Turkiye: A Cross-Sectional Study 土耳其年轻人的压力、焦虑、抑郁和睡眠质量患病率：一项横断面研究。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2025-01-22 DOI: 10.1111/jep.70002

Hanifi Dülger, Sultan Ayaz-Alkaya

Aim

The current study was conducted to measure the prevalence of stress, anxiety, depression, and sleep quality and identify predisposing factors of psychological distress among young adults during the pandemic.

Methods

A cross-sectional design was adopted. The target population consisted of students studying at an associate degree health services school at a university in Turkiye. Overall, 704 students were included in the sample. Multiple logistic regression was implemented to predict risk factors.

Results

The prevalence of moderate to extremely severe stress, anxiety, and depression was found to be 39%, 48.4% and 47.6%, respectively. There was a strong positive association between stress and anxiety (r = 0.869, p < 0.001), stress and depression (r = 0.912, p < 0.001), and between anxiety and depression (r = 0.857, p < 0.001). A moderate positive relationship was found between sleep quality and stress (r = 0.484, p < 0.001), sleep quality and anxiety (r = 0.484, p < 0.001), and sleep quality and depression (r = 0.481, p < 0.001). Young adults with poor sleep quality, those who find safety measures for the pandemic outbreak insufficient, those who use alcohol, and those who feel despair were more likely to have stress, anxiety, and depression risk. Age and gender did not affect their stress, anxiety, or depression risk.

Conclusions

Nearly half of the young adults experienced varying degrees of stress, anxiety, and depression, and most had poor sleep quality. The insufficiency of outbreak measures, poor sleep quality, using alcohol, and feelings of despair were mutual predictive factors of stress, anxiety, and depression.

目的：目前的研究旨在测量大流行期间年轻人中压力、焦虑、抑郁和睡眠质量的患病率，并确定心理困扰的易感因素。方法：采用横断面设计。目标人群包括在土耳其一所大学卫生服务学院攻读副学士学位的学生。总共有704名学生被纳入样本。采用多元逻辑回归对危险因素进行预测。结果：中重度压力、焦虑和抑郁患病率分别为39%、48.4%和47.6%。结论：近一半的年轻人经历了不同程度的压力、焦虑和抑郁，大多数人睡眠质量较差。爆发措施不足、睡眠质量差、饮酒和绝望感是压力、焦虑和抑郁的相互预测因素。

{"title":"Prevalence of Stress, Anxiety, Depression, and Sleep Quality Among Young Adults in Turkiye: A Cross-Sectional Study","authors":"Hanifi Dülger, Sultan Ayaz-Alkaya","doi":"10.1111/jep.70002","DOIUrl":"10.1111/jep.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The current study was conducted to measure the prevalence of stress, anxiety, depression, and sleep quality and identify predisposing factors of psychological distress among young adults during the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional design was adopted. The target population consisted of students studying at an associate degree health services school at a university in Turkiye. Overall, 704 students were included in the sample. Multiple logistic regression was implemented to predict risk factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of moderate to extremely severe stress, anxiety, and depression was found to be 39%, 48.4% and 47.6%, respectively. There was a strong positive association between stress and anxiety (<i>r</i> = 0.869, <i>p</i> < 0.001), stress and depression (<i>r</i> = 0.912, <i>p</i> < 0.001), and between anxiety and depression (<i>r</i> = 0.857, <i>p</i> < 0.001). A moderate positive relationship was found between sleep quality and stress (<i>r</i> = 0.484, <i>p</i> < 0.001), sleep quality and anxiety (<i>r</i> = 0.484, <i>p</i> < 0.001), and sleep quality and depression (<i>r</i> = 0.481, <i>p</i> < 0.001). Young adults with poor sleep quality, those who find safety measures for the pandemic outbreak insufficient, those who use alcohol, and those who feel despair were more likely to have stress, anxiety, and depression risk. Age and gender did not affect their stress, anxiety, or depression risk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nearly half of the young adults experienced varying degrees of stress, anxiety, and depression, and most had poor sleep quality. The insufficiency of outbreak measures, poor sleep quality, using alcohol, and feelings of despair were mutual predictive factors of stress, anxiety, and depression.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Machine Learning in Optimising Nursing Care Delivery Models: An Empirical Analysis of Hospital Wards 优化护理服务模式中的机器学习：医院病房的实证分析。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2025-01-21 DOI: 10.1111/jep.70001

Manar Aslan, Ergin Toros

<div> <section> <h3> Objective</h3> <p>This study aims to assess the performance of machine learning (ML) techniques in optimising nurse staffing and evaluating the appropriateness of nursing care delivery models in hospital wards. The primary outcome measures include the adequacy of nurse staffing and the appropriateness of the nursing care delivery system.</p> </section> <section> <h3> Background</h3> <p>Historical and current healthcare challenges, such as nurse shortages and increasing patient acuity, necessitate innovative approaches to nursing care delivery. For instance, the COVID-19 pandemic highlighted the need for flexible and scalable staffing models to manage surges in patient volume and acuity.</p> </section> <section> <h3> Materials and Methods</h3> <p>A descriptive study was conducted in 39 inpatient wards across a university hospital and three state hospitals, involving 117 ward-level observations. Data were collected using the Rush Medicus Patient Classification Scale and analysed using k-Nearest Neighbour, Support Vector Machine, Random Forest, and Logistic Regression algorithms. Effectiveness was measured by the accuracy of machine learning predictions regarding nurse staffing adequacy, while suitability was determined by the congruence between observed nursing care models and patient needs.</p> </section> <section> <h3> Reporting Method</h3> <p>STROBE checklist.</p> </section> <section> <h3> Results</h3> <p>The Random Forest algorithm demonstrated the highest accuracy in predicting both nurse staffing adequacy and the appropriateness of nursing care delivery systems. The study found that 68.4% of wards had sufficient nurse staffing and 26.5% of wards used appropriate care delivery models, with functional nursing and total patient care models being the most commonly used.</p> </section> <section> <h3> Discussion</h3> <p>The study highlights functional nursing and total patient care models, emphasising the need to consider nurse qualifications and patient needs in selecting care systems. Machine learning, particularly the Random Forest algorithm, proved effective in aligning staffing with patient requirements.</p> </section> <section> <h3> Conclusion</h3> <p>Machine learning, particularly the Random Forest algorithm, proves effect

目的：本研究旨在评估机器学习（ML）技术在优化护士配置和评估医院病房护理服务模式的适当性方面的表现。主要结果措施包括护士人员配备的充分性和护理服务系统的适当性。背景：历史和当前的医疗保健挑战，如护士短缺和患者的日益敏锐，需要创新的护理方法。例如，2019冠状病毒病大流行凸显了灵活和可扩展的人员配备模式的必要性，以应对患者数量和敏锐度的激增。材料和方法：在一所大学医院和三所州立医院的39个住院病房进行了一项描述性研究，涉及117个病房水平的观察。使用Rush Medicus患者分类量表收集数据，并使用k近邻、支持向量机、随机森林和逻辑回归算法进行分析。有效性是通过机器学习预测护士人员配备充分性的准确性来衡量的，而适用性是通过观察到的护理模式和患者需求之间的一致性来确定的。报告方式：STROBE核对表。结果：随机森林算法在预测护士人员配备充足性和护理服务系统的适当性方面表现出最高的准确性。研究发现68.4%的病房配备了足够的护士，26.5%的病房使用了适当的护理模式，其中功能护理和全面病人护理模式是最常用的。讨论：该研究强调功能护理和全面病人护理模式，强调在选择护理系统时需要考虑护士资格和病人需求。事实证明，机器学习，尤其是随机森林算法，在调整人员配备与患者需求方面是有效的。结论：机器学习，特别是随机森林算法，在优化护理交付模型方面被证明是有效的，这表明在提高患者护理和护士满意度方面具有巨大的潜力。启示：该研究强调了机器学习在改善护理服务、使护士人员配备与患者需求保持一致以及提高医疗保健结果方面的作用。影响：研究结果提倡将机器学习整合到护理服务模式的规划中。该研究开创了使用数据驱动方法改善护士人员配置和护理服务的先例，有可能提高全球临床结果和运营效率。全球临床社区可以从这项研究中学习到使用机器学习技术在医疗保健管理中做出明智的、基于证据的决策的价值。患者或公众贡献：虽然该研究缺乏患者的直接参与，但其目标是提高患者护理和医疗保健效率。未来的研究将旨在更直接地结合患者和公众的见解。

{"title":"Machine Learning in Optimising Nursing Care Delivery Models: An Empirical Analysis of Hospital Wards","authors":"Manar Aslan, Ergin Toros","doi":"10.1111/jep.70001","DOIUrl":"10.1111/jep.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to assess the performance of machine learning (ML) techniques in optimising nurse staffing and evaluating the appropriateness of nursing care delivery models in hospital wards. The primary outcome measures include the adequacy of nurse staffing and the appropriateness of the nursing care delivery system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Historical and current healthcare challenges, such as nurse shortages and increasing patient acuity, necessitate innovative approaches to nursing care delivery. For instance, the COVID-19 pandemic highlighted the need for flexible and scalable staffing models to manage surges in patient volume and acuity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A descriptive study was conducted in 39 inpatient wards across a university hospital and three state hospitals, involving 117 ward-level observations. Data were collected using the Rush Medicus Patient Classification Scale and analysed using k-Nearest Neighbour, Support Vector Machine, Random Forest, and Logistic Regression algorithms. Effectiveness was measured by the accuracy of machine learning predictions regarding nurse staffing adequacy, while suitability was determined by the congruence between observed nursing care models and patient needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Reporting Method</h3>\u0000 \u0000 <p>STROBE checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Random Forest algorithm demonstrated the highest accuracy in predicting both nurse staffing adequacy and the appropriateness of nursing care delivery systems. The study found that 68.4% of wards had sufficient nurse staffing and 26.5% of wards used appropriate care delivery models, with functional nursing and total patient care models being the most commonly used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The study highlights functional nursing and total patient care models, emphasising the need to consider nurse qualifications and patient needs in selecting care systems. Machine learning, particularly the Random Forest algorithm, proved effective in aligning staffing with patient requirements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Machine learning, particularly the Random Forest algorithm, proves effect","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge, Attitude, and Practice Toward Liver Fibrosis/Cirrhosis and Traditional Chinese Medicine Treatment Among Medical Staff 医务人员对肝纤维化/肝硬化及中医治疗的认识、态度与实践

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2025-01-20 DOI: 10.1111/jep.14261

Aize Xie, Sarisak Soontornchai, Somchai Bovornkitti, Dewen Mao, Qinglan Shi, Jianpeng You

Rationale

Liver fibrosis is a critical stage in the progression from liver injury to cirrhosis or tumor formation. Traditional Chinese medicine (TCM) has shown certain effectiveness in treating liver fibrosis. However, there is currently a lack of knowledge, attitude, and practice (KAP) studies regarding this topic.

Aims and Objectives

This study aimed to assess medical staff's KAP toward liver fibrosis/cirrhosis and TCM treatment, and to explore the association between KAP scores and demographic factors.

Methods

Demographic information and KAP scores were collected through a self-administered questionnaire.

Results

A total of 262 questionnaires were collected, with 155 (69.82%) females and a mean age of 32.83 ± 8.17 years. Mean knowledge, attitude, and practice scores were 15.99 ± 4.58, 22.69 ± 4.11, and 23.09 ± 3.36, respectively. Working in a teaching hospital (OR = 3.562, 95% CI: 1.214–10.448) was independently associated with adequate knowledge. Knowledge score (OR = 1.104, 95% CI: 1.026–1.186) was independently linked to a positive attitude. Knowledge (OR = 1.263, 95% CI: 1.166–1.368) and attitude score (OR = 1.105, 95% CI 1.010–1.198) were independent predictors of proactive practice. Pathway analysis revealed that knowledge positively affected attitude (β = 0.24, p < 0.001) and practice (β = 0.30, p < 0.001), and attitude directly influenced practice (β = 0.22, p < 0.001).

Conclusion

Medical staff demonstrated adequate knowledge, a negative attitude, and proactive practices regarding liver fibrosis/cirrhosis and TCM treatment. Targeted educational programs, interdisciplinary training, and awareness campaigns should be implemented to improve attitudes and promote proactive patient care.

理论基础：肝纤维化是肝损伤发展为肝硬化或肿瘤形成的关键阶段。中药治疗肝纤维化已显示出一定的疗效。然而，目前缺乏关于这一主题的知识，态度和实践（KAP）研究。目的与目的：本研究旨在评估医务人员对肝纤维化/肝硬化及中医治疗的KAP评分，并探讨KAP评分与人口统计学因素的关系。方法：采用自填问卷收集人口统计信息和KAP评分。结果：共回收问卷262份，其中女性155份（69.82%），平均年龄32.83±8.17岁。平均知识、态度和实践得分分别为15.99±4.58分、22.69±4.11分和23.09±3.36分。在教学医院工作（OR = 3.562, 95% CI: 1.214-10.448）与知识充足独立相关。知识得分（OR = 1.104, 95% CI: 1.026-1.186）与积极态度独立相关。知识（OR = 1.263, 95% CI: 1.166 ~ 1.368）和态度评分（OR = 1.105, 95% CI 1.010 ~ 1.198）是主动性实践的独立预测因子。结论：医护人员对肝纤维化/肝硬化及中医治疗的认知程度充分，态度消极，行动积极。应该实施有针对性的教育计划、跨学科培训和意识运动，以改善态度并促进积极主动的患者护理。

{"title":"Knowledge, Attitude, and Practice Toward Liver Fibrosis/Cirrhosis and Traditional Chinese Medicine Treatment Among Medical Staff","authors":"Aize Xie, Sarisak Soontornchai, Somchai Bovornkitti, Dewen Mao, Qinglan Shi, Jianpeng You","doi":"10.1111/jep.14261","DOIUrl":"10.1111/jep.14261","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Liver fibrosis is a critical stage in the progression from liver injury to cirrhosis or tumor formation. Traditional Chinese medicine (TCM) has shown certain effectiveness in treating liver fibrosis. However, there is currently a lack of knowledge, attitude, and practice (KAP) studies regarding this topic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>This study aimed to assess medical staff's KAP toward liver fibrosis/cirrhosis and TCM treatment, and to explore the association between KAP scores and demographic factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Demographic information and KAP scores were collected through a self-administered questionnaire.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 262 questionnaires were collected, with 155 (69.82%) females and a mean age of 32.83 ± 8.17 years. Mean knowledge, attitude, and practice scores were 15.99 ± 4.58, 22.69 ± 4.11, and 23.09 ± 3.36, respectively. Working in a teaching hospital (OR = 3.562, 95% CI: 1.214–10.448) was independently associated with adequate knowledge. Knowledge score (OR = 1.104, 95% CI: 1.026–1.186) was independently linked to a positive attitude. Knowledge (OR = 1.263, 95% CI: 1.166–1.368) and attitude score (OR = 1.105, 95% CI 1.010–1.198) were independent predictors of proactive practice. Pathway analysis revealed that knowledge positively affected attitude (β = 0.24, <i>p</i> < 0.001) and practice (β = 0.30, <i>p</i> < 0.001), and attitude directly influenced practice (β = 0.22, <i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Medical staff demonstrated adequate knowledge, a negative attitude, and proactive practices regarding liver fibrosis/cirrhosis and TCM treatment. Targeted educational programs, interdisciplinary training, and awareness campaigns should be implemented to improve attitudes and promote proactive patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Women's Lives and Birth Experiences Are Important! Evaluation of Women's Perceptions of Respectful Maternal Care: The Mother-Friendly Hospital Difference 妇女的生活和分娩经历很重要！妇女对恭敬母性照护的认知评价：亲母医院的差异。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2025-01-20 DOI: 10.1111/jep.14316

Elif Dağlı, Feyza Aktaş Reyhan, Betül Uncu

Aim

The aim of this study is to determine women's perceptions of respectful maternity care, the effect of giving birth in a mother-friendly hospital on this perception and other factors affecting this perception.

Background

The philosophy of a mother-friendly hospital includes respectful maternity care. Few quantitative studies have been conducted in Turkey to assess the prevalence of respectful maternity care during childbirth and none have examined the difference between respectful maternity care in mother-friendly and nonmother-friendly hospitals.

Methods

This descriptive and comparative study was conducted between December 2023 and September 2024 with 319 primiparous women who applied to the Obstetrics and Gynecology Outpatient Clinic of a mother-friendly and a nonmother-friendly hospital in Turkey for postpartum follow-up. The data were collected face-to-face using the Descriptive Characteristics Form and Women's Perception of Respectful Maternity Care Scale. For data analysis, χ² and independent samples t test methods were used in SPSS 26 program.

Results

In the study, a significant difference was obtained between the Perception of Respectful Maternity Care Scale scores of women according to the type of hospital where the birth was performed and the level of education (p < 0.05). The mean scale scores of women who gave birth in a mother-friendly hospital and whose educational level was secondary education and above were higher than other women (p < 0.05). There was no significant difference between the scale scores of women according to the variables of age, employment status, place of residence, number of pregnancies and the last pregnancy being planned (p > 0.05).

Conclusions and Implications for Practice

It was determined that women's perception of respectful maternity care was highly positive, and the factors affecting this perception were delivery in a mother-friendly hospital and educational level. The current study may contribute to the development of policies for the dissemination of mother-friendly practices and the provision of respectful birth services, and may also support efforts to improve the quality of care.

目的：本研究的目的是确定妇女对尊重产妇护理的看法，在母亲友好型医院分娩对这种看法的影响以及影响这种看法的其他因素。背景：母亲友好型医院的理念包括尊重产妇护理。土耳其很少进行定量研究，以评估分娩期间尊重产妇护理的普遍程度，也没有研究尊重产妇护理在母亲友好型医院和非母亲友好型医院之间的差异。方法：对2023年12月至2024年9月在土耳其一家母婴友好医院和一家非母婴友好医院的妇产科门诊进行产后随访的319名初产妇进行描述性和对比性研究。使用描述性特征表和妇女对尊重性产妇护理的感知量表面对面收集数据。数据分析采用SPSS 26软件χ2和独立样本t检验方法。结果：在本研究中，不同医院类型和受教育程度的产妇在尊重产妇护理感知量表得分上有显著差异（p < 0.05）。结论和对实践的影响：确定妇女对尊重产妇护理的看法是高度积极的，影响这种看法的因素是在母亲友好的医院分娩和教育水平。目前的研究可能有助于制定政策，传播对母亲友好的做法和提供尊重分娩的服务，也可能支持提高护理质量的努力。

{"title":"Women's Lives and Birth Experiences Are Important! Evaluation of Women's Perceptions of Respectful Maternal Care: The Mother-Friendly Hospital Difference","authors":"Elif Dağlı, Feyza Aktaş Reyhan, Betül Uncu","doi":"10.1111/jep.14316","DOIUrl":"10.1111/jep.14316","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study is to determine women's perceptions of respectful maternity care, the effect of giving birth in a mother-friendly hospital on this perception and other factors affecting this perception.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The philosophy of a mother-friendly hospital includes respectful maternity care. Few quantitative studies have been conducted in Turkey to assess the prevalence of respectful maternity care during childbirth and none have examined the difference between respectful maternity care in mother-friendly and nonmother-friendly hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive and comparative study was conducted between December 2023 and September 2024 with 319 primiparous women who applied to the Obstetrics and Gynecology Outpatient Clinic of a mother-friendly and a nonmother-friendly hospital in Turkey for postpartum follow-up. The data were collected face-to-face using the Descriptive Characteristics Form and Women's Perception of Respectful Maternity Care Scale. For data analysis, <i>χ</i><sup>2</sup> and independent samples <i>t</i> test methods were used in SPSS 26 program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the study, a significant difference was obtained between the Perception of Respectful Maternity Care Scale scores of women according to the type of hospital where the birth was performed and the level of education (<i>p</i> < 0.05). The mean scale scores of women who gave birth in a mother-friendly hospital and whose educational level was secondary education and above were higher than other women (<i>p</i> < 0.05). There was no significant difference between the scale scores of women according to the variables of age, employment status, place of residence, number of pregnancies and the last pregnancy being planned (<i>p</i> > 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications for Practice</h3>\u0000 \u0000 <p>It was determined that women's perception of respectful maternity care was highly positive, and the factors affecting this perception were delivery in a mother-friendly hospital and educational level. The current study may contribute to the development of policies for the dissemination of mother-friendly practices and the provision of respectful birth services, and may also support efforts to improve the quality of care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of Intern Nurses Returning From Distance Education to Clinical Practice During the COVID-19 Pandemic: A Qualitative Study 新型冠状病毒肺炎大流行期间实习护士远程教育回归临床经验的定性研究

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2025-01-20 DOI: 10.1111/jep.14305

Şeyda Dülgerler, Hacer Demirkol, Gülay Yılmaz, Esra Engin

Rationale

The present study aimed to understand the experiences of intern nurses returning to clinical practice after a year-long distance education during the pandemic.

Methods

The study was conducted using the qualitative content analysis method. The participants were 32 intern nurses. The data included specific narratives on the experience of intern nurses returning from distance education to clinical practice during the pandemic. Data were collected through a total of four focus group interviews. Data analysis was conducted using an inductive qualitative analysis approach.

Results

The content analysis identified three main categories. The category ‘Feelings during Clinical Practice’ included the subcategories ‘fear’, ‘uncertainty’ and ‘intolerance’. The category ‘Challenges during Clinical Practice’ included the subcategories ‘sleep problems’, ‘alienation from clinical placement’, ‘lack of knowledge and experience’, ‘hospital staff’, ‘difficulty reaching nurse educator’ and ‘lack of protective equipment’. The category ‘Suggestions for Clinical Practice’ included the subcategories ‘psychological support’, ‘case discussion and academic counselling’ and ‘protective equipment support’.

Conclusions

The study revealed that intern nurses faced various challenges in clinical settings following their year-long distance education. The results may help nurse educators understand the experiences of intern nurses returning to clinical practice after a year-long distance education and determine the teaching strategies to be followed in specific situations like pandemics in the future.

理由：本研究旨在了解实习护士在大流行期间经过一年的远程教育后返回临床实践的经历。方法：采用定性含量分析法进行研究。参与者为32名实习护士。这些数据包括大流行期间实习护士从远程教育返回临床实践的具体经历。通过四次焦点小组访谈收集数据。数据分析采用归纳定性分析方法。结果：内容分析确定了三个主要类别。“临床实践中的感受”类别包括“恐惧”、“不确定”和“不宽容”等子类别。“临床实践中的挑战”类别包括“睡眠问题”、“与临床实习脱节”、“缺乏知识和经验”、“医院工作人员”、“难以联系到护士教育工作者”和“缺乏防护设备”等子类别。“对临床实践的建议”类别包括“心理支持”、“案例讨论和学术咨询”和“防护设备支持”等子类别。结论：研究显示实习护士在接受了一年的远程教育后，在临床环境中面临着各种挑战。研究结果可以帮助护理教育者了解实习护士在经过一年的远程教育后返回临床实践的经验，并确定在未来流行病等特定情况下应遵循的教学策略。

{"title":"Experiences of Intern Nurses Returning From Distance Education to Clinical Practice During the COVID-19 Pandemic: A Qualitative Study","authors":"Şeyda Dülgerler, Hacer Demirkol, Gülay Yılmaz, Esra Engin","doi":"10.1111/jep.14305","DOIUrl":"10.1111/jep.14305","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>The present study aimed to understand the experiences of intern nurses returning to clinical practice after a year-long distance education during the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted using the qualitative content analysis method. The participants were 32 intern nurses. The data included specific narratives on the experience of intern nurses returning from distance education to clinical practice during the pandemic. Data were collected through a total of four focus group interviews. Data analysis was conducted using an inductive qualitative analysis approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The content analysis identified three main categories. The category ‘Feelings during Clinical Practice’ included the subcategories ‘fear’, ‘uncertainty’ and ‘intolerance’. The category ‘Challenges during Clinical Practice’ included the subcategories ‘sleep problems’, ‘alienation from clinical placement’, ‘lack of knowledge and experience’, ‘hospital staff’, ‘difficulty reaching nurse educator’ and ‘lack of protective equipment’. The category ‘Suggestions for Clinical Practice’ included the subcategories ‘psychological support’, ‘case discussion and academic counselling’ and ‘protective equipment support’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study revealed that intern nurses faced various challenges in clinical settings following their year-long distance education. The results may help nurse educators understand the experiences of intern nurses returning to clinical practice after a year-long distance education and determine the teaching strategies to be followed in specific situations like pandemics in the future.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of Children's Perceived Nursing Image Scale: A Validity and Reliability Study 儿童护理感知形象量表的编制：效度与信度研究。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2025-01-20 DOI: 10.1111/jep.14315

Vildan Apaydin Cirik, Bahar Aksoy, Murat Bektaş

Aim

Professional knowledge and awareness of children begins to create at the age of 3–5, and the professional knowledge have acquired at this age was effective in their future career decision-making. This study aimed to develop the Children's Perceived Nursing Image Scale (CPNIS) and evaluate its psychometric properties.

Methods

The methodological study was carried out in a cross-sectional, descriptive, and correlational design. This study was conducted with 614 children aged 8–11 between 21 January–April 2022. The data were collected using a Child Information Form and the CPNIS. The CPNIS is a scale compatible with the deductive approach. The data were analysed using various statistical methods including descriptive statistics (numbers and percentages), t-tests, factor analysis, and correlation analysis. Item-total score analysis, the Intraclass Correlation Coefficient (ICC), and the internal consistency were employed to evaluate the reliability of the measurements. Three-stage cross-sectional study, which followed the STROBE checklist was conducted: (1) development of items, (2) assessing content validity and (3) validity and reliability of the scale.

Results

The CPNIS is a valid scale consisting of four factors as subdimensions. The total Cronbach's alpha of the scale is 0.93. The scale explained 46.4% of the total variance. The scale Test-Retest analysis, the total ICC value of the scale was found to be 0.84 and p = 0.001.

Conclusion

Evaluation of the children's perceived nursing image can contribute to the identification of children with negative perceptions in clinics and the planning of interventions that will lead to positive perceptions.

目的：儿童的专业知识和意识在3-5岁时开始创造，在这个年龄段获得的专业知识对他们未来的职业决策是有效的。本研究旨在编制儿童感知护理形象量表（CPNIS），并评估其心理测量学性质。方法：方法学研究采用横断面、描述性和相关性设计。这项研究是在2022年1月21日至4月期间对614名8-11岁的儿童进行的。使用儿童信息表和CPNIS收集数据。CPNIS是一个与演绎方法兼容的量表。使用各种统计方法对数据进行分析，包括描述性统计（数字和百分比）、t检验、因素分析和相关分析。采用项目总分分析法、类内相关系数（Intraclass Correlation Coefficient， ICC）和内部一致性来评价测量结果的信度。采用STROBE量表进行三阶段横断面研究：(1)项目开发；(2)内容效度评估；(3)量表效度和信度评估。结果：CPNIS量表是一个有效的量表，由四个因素组成子维度。量表的总Cronbach's alpha值为0.93。该量表解释了总方差的46.4%。经量表Test-Retest分析，该量表的总ICC值为0.84,p = 0.001。结论：对儿童感知护理形象的评价有助于在临床中识别儿童的负面感知，并制定干预措施，从而产生积极的感知。

{"title":"Development of Children's Perceived Nursing Image Scale: A Validity and Reliability Study","authors":"Vildan Apaydin Cirik, Bahar Aksoy, Murat Bektaş","doi":"10.1111/jep.14315","DOIUrl":"10.1111/jep.14315","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Professional knowledge and awareness of children begins to create at the age of 3–5, and the professional knowledge have acquired at this age was effective in their future career decision-making. This study aimed to develop the Children's Perceived Nursing Image Scale (CPNIS) and evaluate its psychometric properties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The methodological study was carried out in a cross-sectional, descriptive, and correlational design. This study was conducted with 614 children aged 8–11 between 21 January–April 2022. The data were collected using a Child Information Form and the CPNIS. The CPNIS is a scale compatible with the deductive approach. The data were analysed using various statistical methods including descriptive statistics (numbers and percentages), t-tests, factor analysis, and correlation analysis. Item-total score analysis, the Intraclass Correlation Coefficient (ICC), and the internal consistency were employed to evaluate the reliability of the measurements. Three-stage cross-sectional study, which followed the STROBE checklist was conducted: (1) development of items, (2) assessing content validity and (3) validity and reliability of the scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The CPNIS is a valid scale consisting of four factors as subdimensions. The total Cronbach's alpha of the scale is 0.93. The scale explained 46.4% of the total variance. The scale Test-Retest analysis, the total ICC value of the scale was found to be 0.84 and <i>p</i> = 0.001.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Evaluation of the children's perceived nursing image can contribute to the identification of children with negative perceptions in clinics and the planning of interventions that will lead to positive perceptions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Health Literacy Level of Caregivers of Individuals With Diabetes on Care Activities and Supportive Behaviours 糖尿病照护者健康素养水平对照护活动及支持行为的影响。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2025-01-20 DOI: 10.1111/jep.70000

Vahide Semerci Çakmak, Zahide Akeren, Ebru Sönmez Sarı, Servet Kalyoncuo

Background

To determine the effect of the health literacy levels of caregivers of individuals with T2DM on caregiving activities and supportive behaviours.

Methods

Cross sectional study. The sample for the study comprised of people who provided care for 442 individuals who were diagnosed with diabetes. The data were collected using the Personal Information Form, HLS-14 and D-CASS. Descriptive statistics, Independent samples t test, One-Way ANOVA and multiple linear regression analysis were used to analyse the data.

Results

According to the results of the multiple linear regression analysis, the model was found to be statistically significant, and the variables that were incorporated into the model were able to explain 68.1% of the variance. Among the variables included in the model, HLS-14, educational status, employment status, income status and diabetes-related education were found to affect the care activities and supportive behaviours of caregivers of individuals with diabetes.

Conclusion

In the research, it was determined that care activities and supportive behaviours were higher in those with higher levels of HL, higher levels of education, those who were not employed, those with higher income levels, and those who received education about diabetes. Nurses should develop training programmes to increase the HL levels of caregivers.

背景：探讨2型糖尿病患者照护者健康素养水平对照护活动和支持行为的影响。方法：横断面研究。该研究的样本包括为442名被诊断患有糖尿病的人提供护理的人员。数据收集采用个人信息表、HLS-14和D-CASS。采用描述性统计、独立样本t检验、单因素方差分析和多元线性回归分析。结果：根据多元线性回归分析结果，发现模型具有统计学显著性，纳入模型的变量能够解释68.1%的方差。在模型所包含的变量中，HLS-14、教育状况、就业状况、收入状况和糖尿病相关教育程度会影响糖尿病患者照护者的照护活动和支持行为。结论：本研究确定HL水平较高、受教育程度较高、未就业、收入水平较高、接受过糖尿病教育的患者的护理活动和支持行为较高。护士应制定培训计划，提高护理人员的HL水平。

{"title":"The Effect of Health Literacy Level of Caregivers of Individuals With Diabetes on Care Activities and Supportive Behaviours","authors":"Vahide Semerci Çakmak, Zahide Akeren, Ebru Sönmez Sarı, Servet Kalyoncuo","doi":"10.1111/jep.70000","DOIUrl":"10.1111/jep.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To determine the effect of the health literacy levels of caregivers of individuals with T2DM on caregiving activities and supportive behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross sectional study. The sample for the study comprised of people who provided care for 442 individuals who were diagnosed with diabetes. The data were collected using the Personal Information Form, HLS-14 and D-CASS. Descriptive statistics, Independent samples <i>t</i> test, One-Way ANOVA and multiple linear regression analysis were used to analyse the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>According to the results of the multiple linear regression analysis, the model was found to be statistically significant, and the variables that were incorporated into the model were able to explain 68.1% of the variance. Among the variables included in the model, HLS-14, educational status, employment status, income status and diabetes-related education were found to affect the care activities and supportive behaviours of caregivers of individuals with diabetes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In the research, it was determined that care activities and supportive behaviours were higher in those with higher levels of HL, higher levels of education, those who were not employed, those with higher income levels, and those who received education about diabetes. Nurses should develop training programmes to increase the HL levels of caregivers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Boosting Dietary Compliance After Bariatric Surgery: Winning Tactics for Patients 减肥手术后提高饮食依从性：患者的制胜策略。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2025-01-20 DOI: 10.1111/jep.14317

Ling Deng, Yuli Tao, Nianxing Li

Background

Bariatric metabolic surgery has emerged as a pivotal intervention for managing obesity, with strict adherence to postoperative nutritional guidelines being paramount for patient outcomes. This study seeks to evaluate dietary compliance levels and the factors that influence them among patients who have undergone bariatric surgery, offering insights to enhance clinical strategies.

Method

Our research encompassed patients who underwent bariatric metabolic surgery at our institution from February 2022 to December 2023. We utilised a validated dietary compliance scale to assess how well patients followed postoperative nutritional advice. To determine factors linked to dietary compliance, we conducted Pearson correlation and logistic regression analyses.

Results

The study comprised 176 individuals who underwent bariatric metabolic surgery, with a concerning 60.23% exhibiting inadequate dietary compliance. The Pearson correlation analysis revealed significant correlations between poor dietary compliance and several demographic factors: age (r = −0.516), gender (r = 0.467), educational attainment (r = −0.605) and monthly household income (r = −0.558). Logistic regression analysis confirmed age (OR = −2.157, 95% CI: −3.120 to −1.403), gender (OR = 2.006, 95% CI: 1.821–2.665), education level (OR = −3.081, 95% CI: −4.147 to −1.679), and average monthly family income (OR = −2.847, 95% CI: −3.516 to −1.225) as independent predictors of poor dietary compliance in post-bariatric metabolic surgery patients.

Conclusion

The high incidence of poor dietary compliance among patients following bariatric metabolic surgery is a significant concern and is notably influenced by demographic variables such as age, gender, education and economic status. It is imperative for healthcare professionals to consider these variables when developing personalised interventions aimed at improving dietary compliance within this patient group.

背景：减肥代谢手术已成为控制肥胖的关键干预措施，严格遵守术后营养指南对患者预后至关重要。本研究旨在评估接受减肥手术患者的饮食依从性水平及其影响因素，为加强临床策略提供见解。方法：我们的研究纳入了2022年2月至2023年12月在我们机构接受减肥代谢手术的患者。我们使用一个有效的饮食依从性量表来评估患者对术后营养建议的依从程度。为了确定与饮食依从性相关的因素，我们进行了Pearson相关分析和逻辑回归分析。结果：该研究包括176名接受减肥代谢手术的患者，其中60.23%的患者表现出饮食依从性不足。Pearson相关分析显示，不良饮食依从性与年龄（r = -0.516）、性别（r = 0.467）、受教育程度（r = -0.605）和家庭月收入（r = -0.558）等人口统计学因素存在显著相关。Logistic回归分析证实，年龄（OR = -2.157, 95% CI: -3.120 ~ -1.403）、性别（OR = 2.006, 95% CI: 1.821 ~ 2.665）、教育程度（OR = -3.081, 95% CI: -4.147 ~ -1.679）和家庭月平均收入（OR = -2.847, 95% CI: -3.516 ~ -1.225）是减肥代谢手术后患者饮食依从性差的独立预测因素。结论：肥胖代谢手术后患者饮食依从性不良的高发率值得关注，并受到年龄、性别、教育程度和经济状况等人口统计学变量的显著影响。医疗保健专业人员在制定个性化干预措施以改善该患者群体的饮食依从性时，必须考虑这些变量。

{"title":"Boosting Dietary Compliance After Bariatric Surgery: Winning Tactics for Patients","authors":"Ling Deng, Yuli Tao, Nianxing Li","doi":"10.1111/jep.14317","DOIUrl":"10.1111/jep.14317","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bariatric metabolic surgery has emerged as a pivotal intervention for managing obesity, with strict adherence to postoperative nutritional guidelines being paramount for patient outcomes. This study seeks to evaluate dietary compliance levels and the factors that influence them among patients who have undergone bariatric surgery, offering insights to enhance clinical strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Our research encompassed patients who underwent bariatric metabolic surgery at our institution from February 2022 to December 2023. We utilised a validated dietary compliance scale to assess how well patients followed postoperative nutritional advice. To determine factors linked to dietary compliance, we conducted Pearson correlation and logistic regression analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study comprised 176 individuals who underwent bariatric metabolic surgery, with a concerning 60.23% exhibiting inadequate dietary compliance. The Pearson correlation analysis revealed significant correlations between poor dietary compliance and several demographic factors: age (<i>r</i> = −0.516), gender (<i>r</i> = 0.467), educational attainment (<i>r</i> = −0.605) and monthly household income (<i>r</i> = −0.558). Logistic regression analysis confirmed age (OR = −2.157, 95% CI: −3.120 to −1.403), gender (OR = 2.006, 95% CI: 1.821–2.665), education level (OR = −3.081, 95% CI: −4.147 to −1.679), and average monthly family income (OR = −2.847, 95% CI: −3.516 to −1.225) as independent predictors of poor dietary compliance in post-bariatric metabolic surgery patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The high incidence of poor dietary compliance among patients following bariatric metabolic surgery is a significant concern and is notably influenced by demographic variables such as age, gender, education and economic status. It is imperative for healthcare professionals to consider these variables when developing personalised interventions aimed at improving dietary compliance within this patient group.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0