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Journal of Health, Medicine and Nursing最新文献

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Socio-Economic Implications of Family Size on Child Health in Ibadan, Oyo State 奥约州伊巴丹家庭规模对儿童健康的社会经济影响
Pub Date : 2023-05-01 DOI: 10.7176/jhmn/108-01
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引用次数: 0
Mindfulness Contributing to Publication Anxiety Reduction: A Random Controlled Trial Analysis 正念有助于减少出版焦虑:一项随机对照试验分析
Pub Date : 2023-05-01 DOI: 10.7176/jhmn/108-03
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引用次数: 0
An Information System Model for Integrating Knowledge of Uganda Herbal Medicine 乌干达草药知识整合的信息系统模型
Pub Date : 2023-05-01 DOI: 10.7176/jhmn/108-02
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引用次数: 0
Positivity Rate of SARS-COV-2 Using Reverse Transcription- Polymerase Chain Reaction Among Pediatric Population Admitted in a Tertiary Hospital in Southern Philippines 菲律宾南部某三级医院儿童SARS-COV-2逆转录-聚合酶链反应阳性率分析
Pub Date : 2023-05-01 DOI: 10.7176/jhmn/108-05
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引用次数: 0
Modeling the Incidence of Uterine Fibroids among Women in the US 模拟美国女性子宫肌瘤的发病率
Pub Date : 2023-05-01 DOI: 10.7176/jhmn/108-04
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引用次数: 0
Determinants of Implementation of Kangaroo Mother Care Services among Healthcare Workers in Makueni County, Kenya 在肯尼亚Makueni县卫生保健工作者中实施袋鼠妈妈护理服务的决定因素
Pub Date : 2023-04-19 DOI: 10.47604/jhmn.1941
Seraphine Matheka, P. Kabue, Antony Wanyoro, F. Muoki
Purpose: Kangaroo Mother Care (KMC) entails infants and mothers having constant skin-to-skin contact. KMC is done in the hospital after delivery to preterm infants or after early discharge. Mothers or caregivers are sensitized on proper positioning, breastfeeding, hygiene, and preventive measures to protect infants from infections. Proper follow-up is critical to ensure effective results are achieved. The use of KMC was endorsed by the World Health Organization (WHO) as routine care for preterm infants with a birth weight of ≤2000 grams, especially the clinically stable infants. This recommendation was based on the available moderate-quality evidence that it works by providing warmth (thermal care) and increasing breastfeeding opportunities irrespective of setting, birth weight, or gestational age. Also, KMC has been strongly acclaimed and used as a natural thermoregulator, infection prevention, and nutrition for preterm infants, which are critical for physiological functions that are strongly affected by physical immaturity. Although this technique offers quality care to these babies, its implementation is low. There is a need to determine the suitable methods to improve its implementation in Kenya's healthcare facilities. This study aimed to determine factors influencing the implementation of KMC in Makueni County health facilities. Methodology: The study was conducted in maternity units of six sub-county hospitals (Makueni county referral hospital, Makindu sub-county hospital, Kibwezi sub-county hospital, Mbooni sub-county hospital, Kilungu sub-county hospital, and Sultan-Hamud sub-county hospital) in Makueni County. Cross-sectional study design with mixed methods was used. Semi-structured questionnaires and KMC checklist were filled by the researcher and research assistants. The convenience sampling technique was carried out, and 90 healthcare providers and 6 Key Informants were interviewed. Data was analyzed using version 23 of a statistical package for social sciences using descriptive and inferential statistics. Findings: The study results reveal that young health care providers portrayed better KMC implementation compared to the old (r=-.210, p=0.047). In relation to gender, female health care providers had better KMC implementation compared to the male (r= -.290, p=0.006).Knowledge (r=.282, p=0.007) and health workers' perception of KMC (r=.245, p=0.02) had a positive and significant relationship with implementing KMC. Perception (β=1.149, p=0.05) and funds (β=0.958, p=0.05) had a positive and significant effect on implementing KMC. R squared indicated that jointly, age, gender, perception, and budget accounted for 29.4% of the overall variation in the KMC implementation. Results demonstrated a high level of KMC (33.3%) implementation among the health facilities. The study concluded that funds and collaboration had a positive and significant effect on implementing KMC. Unique Contribution to Theory, Practice and Policy: The study reco
目的:袋鼠妈妈护理(KMC)需要婴儿和母亲有持续的皮肤接触。KMC是在早产婴儿分娩后或早产出院后在医院进行的。对母亲或照顾者进行适当体位、母乳喂养、卫生和预防措施方面的宣传,以保护婴儿免受感染。适当的后续行动对确保取得有效结果至关重要。世界卫生组织(WHO)认可使用KMC作为出生体重≤2000克的早产儿,特别是临床稳定的婴儿的常规护理。这一建议是基于现有的中等质量证据,即无论环境、出生体重或胎龄如何,通过提供温暖(热护理)和增加母乳喂养机会起作用。此外,KMC还被广泛用作天然的体温调节剂、感染预防剂和早产儿的营养剂,这对受身体不成熟严重影响的生理功能至关重要。虽然这项技术为这些婴儿提供了高质量的护理,但其实施程度很低。有必要确定适当的方法,以改进其在肯尼亚保健设施中的实施。本研究旨在确定影响马库尼县卫生机构实施KMC的因素。方法:本研究在马库埃尼县6家县二级医院(马库埃尼县转诊医院、马金杜县二级医院、基布维齐县二级医院、Mbooni县二级医院、基伦古县二级医院和苏丹-哈穆德县二级医院)的产科进行。采用混合方法的横断面研究设计。半结构式问卷和KMC清单由研究人员和研究助理填写。采用方便抽样法,对90名卫生保健提供者和6名关键举报人进行了访谈。数据分析使用版本23的统计软件包的社会科学使用描述性和推理统计。结果:研究结果显示,年轻的医疗保健提供者描绘更好的KMC实施相比,老年人(r=-)。210年,p = 0.047)。就性别而言,女性卫生保健提供者比男性更好地实施了KMC (r= -)。290年,p = 0.006)。知识(r =。282, p=0.007)和卫生工作者对KMC的认知(r=。245, p=0.02)与实施KMC有显著正相关。知觉(β=1.149, p=0.05)和资金(β=0.958, p=0.05)对实施知识管理有显著的正向影响。R平方表明,年龄、性别、认知和预算共同占KMC实施总体变化的29.4%。结果表明,在卫生机构中,KMC的实施水平很高(33.3%)。研究结果表明,资金和合作对KMC的实施具有积极和显著的影响。对理论、实践和政策的独特贡献:研究建议医院管理层应确保提供足够的资源来支持KMC的实施。特别是,医院管理应注重加强物质和人力资源。还需要将新生儿基本护理和新生儿和儿童疾病综合管理(IMNCI)等所有相关规划联系起来,以支持KMC的实施。
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引用次数: 1
The Usage of Contraceptive among Adolescent School Girls in a Semi-Urban Settlement, Cameroon 喀麦隆半城市定居点中青春期女学生避孕药具的使用情况
Pub Date : 2023-04-01 DOI: 10.7176/jhmn/107-04
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引用次数: 0
Assessment of Saudi Public Knowledge and Attitudes Toward Mental Health Disorders and Its Demographic Correlation 沙特公众对精神健康障碍的知识和态度评估及其人口统计学相关性
Pub Date : 2023-04-01 DOI: 10.7176/jhmn/107-01
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引用次数: 0
CD4-T Cells as a Predictor of Immune Status and Its Outcomes Following Second-Line Combination Antiretroviral Therapy in Adult HIV-1 Infected Patients Attending Apin/Juth HIV Clinic in Jos, Plateau State, Nigeria CD4-T细胞作为在尼日利亚乔斯高原州Apin/Juth HIV诊所接受二线联合抗逆转录病毒治疗的成年HIV-1感染患者免疫状态及其结果的预测因子
Pub Date : 2023-04-01 DOI: 10.7176/jhmn/107-02
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引用次数: 0
A Narrative Literature Review Addressing Causal, Risk, and Treatment of Paroxysmal Atrial Fibrillation 关于阵发性心房颤动的原因、风险和治疗的叙述性文献综述
Pub Date : 2023-04-01 DOI: 10.7176/jhmn/107-03
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引用次数: 0
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Journal of Health, Medicine and Nursing
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