Henny Suzana Mediani, Fidy Randy Sada, Aan Nuraeni, Muhammad Arsyad Subu
Background: In the Intensive Care Unit (ICU), it is vital to meticulously monitor symptoms and thoroughly understand the treatment objectives for critically ill patients. This highlights the necessity of integrating palliative care in this environment. Despite the potential advantages, several barriers impede the effective integration of palliative care in the ICU. Notably, many healthcare professionals (HCPs) in Indonesian ICUs have not fully leveraged the incorporation of palliative care. Purpose: This study aimed to investigate and clarify the experiences of healthcare providers (HCPs) involved in administering palliative care to ICU patients in Indonesia. Methods: This research employed a qualitative descriptive phenomenological approach. Semi-structured, in-depth individual interviews were conducted with four nurses and three doctors working in an Indonesian hospital. Colaizzi’s method was used for data analysis. Results: The analysis identified six themes from the interviews, reflecting the experiences of healthcare professionals in delivering palliative care in the ICU. These themes are: 1) Provide Professional Caring, 2) Caring and curing collaboration, 3) Quality Intensive Communication, 4) End-of-Life Care, 5) Controlling Feelings, and 6) Provide Holistic Caring. Conclusion: Providing care for ICU patients demands not only the expertise of HCPs but also compassion, communication skills, and a holistic approach to patient care. By offering comprehensive palliative care in the ICU, healthcare professionals can address the diverse needs of patients and their families, promoting comfort, respect, and an improved quality of life throughout the illness. This inclusive approach enhances the experience for both patients and their families while supporting healthcare providers in delivering empathetic and patient-centered care. It is recommended that hospitals develop policies to enhance palliative care services in Indonesia.
{"title":"Healthcare Professionals’ Experiences in Providing Palliative Care in an Intensive Care Unit in Indonesia: A Phenomenological Study","authors":"Henny Suzana Mediani, Fidy Randy Sada, Aan Nuraeni, Muhammad Arsyad Subu","doi":"10.2147/jmdh.s486021","DOIUrl":"https://doi.org/10.2147/jmdh.s486021","url":null,"abstract":"<strong>Background:</strong> In the Intensive Care Unit (ICU), it is vital to meticulously monitor symptoms and thoroughly understand the treatment objectives for critically ill patients. This highlights the necessity of integrating palliative care in this environment. Despite the potential advantages, several barriers impede the effective integration of palliative care in the ICU. Notably, many healthcare professionals (HCPs) in Indonesian ICUs have not fully leveraged the incorporation of palliative care.<br/><strong>Purpose:</strong> This study aimed to investigate and clarify the experiences of healthcare providers (HCPs) involved in administering palliative care to ICU patients in Indonesia.<br/><strong>Methods:</strong> This research employed a qualitative descriptive phenomenological approach. Semi-structured, in-depth individual interviews were conducted with four nurses and three doctors working in an Indonesian hospital. Colaizzi’s method was used for data analysis.<br/><strong>Results:</strong> The analysis identified six themes from the interviews, reflecting the experiences of healthcare professionals in delivering palliative care in the ICU. These themes are: 1) Provide Professional Caring, 2) Caring and curing collaboration, 3) Quality Intensive Communication, 4) End-of-Life Care, 5) Controlling Feelings, and 6) Provide Holistic Caring.<br/><strong>Conclusion:</strong> Providing care for ICU patients demands not only the expertise of HCPs but also compassion, communication skills, and a holistic approach to patient care. By offering comprehensive palliative care in the ICU, healthcare professionals can address the diverse needs of patients and their families, promoting comfort, respect, and an improved quality of life throughout the illness. This inclusive approach enhances the experience for both patients and their families while supporting healthcare providers in delivering empathetic and patient-centered care. It is recommended that hospitals develop policies to enhance palliative care services in Indonesia.<br/><br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142207106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: To investigate and analyse the status quo of the self-management of patients living with HIV/AIDS (PLWHA) and its influencing factors and to provide the basis for formulating intervention strategies. Methods: In this cross-sectional study, 300 PLWHA who visited the Infection Center of Beijing Youan Hospital, Capital Medical University between September 2021 and December 2021 were enrolled using the convenience sampling method. Demographic characteristics and disease-related data were collected for each participant. The HIV/AIDS Self-Management Scale was used to evaluate the self-management ability of PLWHA. Results: A total of 251 male and 49 female PLWHA were included in this study, with an average age of 39.08 ± 12.09 years and an average disease duration of 9.61 ± 37.04 months. Univariate analysis showed that the PLWHA’s place of residence, educational level, physical condition, family relations, duration of HIV disease, receipt or not of antiviral therapy and knowledge of disease had an influence on the scores of the HIV Self-Management Scale (all p < 0.05). The results of the self-management scores indicated that the total score for self-management was 41.5 ± 6.4 points, with a scoring rate of 69.6%, which was at a medium level. Long-term self-management had the highest scoring rate (12.2 ± 2.5 points), followed by daily health management (22.3 ± 4.3 points), and social support for self-management had the lowest scoring (5.1 ± 0.9 points). Multivariable analysis showed that the self-management ability of PLWHA was related to educational level, duration of disease and family relations (R2 = 0.67, F = 121.7, p < 0.05). Conclusion: The self-management level of patients with AIDS, especially the social support of daily health management and self-management, needs to be further improved. Educational level, duration of disease and family relations are important factors influencing the self-management of PLWHA.
{"title":"A Study on AIDS Self-Management Status and Its Influencing Factors","authors":"Dong-Xia Wu, Jing-Xian Hu, Jian-Hong Ma, Ke-Yi Chang, Yun Zhang, Xiao-Li Quan, Jia-Ning Han, Hai-Jing Long, Chen Chen, Wei Zhai, Huan-Huan Guo, Li-Li Zhang, Xiao-Lan Wang","doi":"10.2147/jmdh.s466797","DOIUrl":"https://doi.org/10.2147/jmdh.s466797","url":null,"abstract":"<strong>Purpose:</strong> To investigate and analyse the status quo of the self-management of patients living with HIV/AIDS (PLWHA) and its influencing factors and to provide the basis for formulating intervention strategies.<br/><strong>Methods:</strong> In this cross-sectional study, 300 PLWHA who visited the Infection Center of Beijing Youan Hospital, Capital Medical University between September 2021 and December 2021 were enrolled using the convenience sampling method. Demographic characteristics and disease-related data were collected for each participant. The HIV/AIDS Self-Management Scale was used to evaluate the self-management ability of PLWHA.<br/><strong>Results:</strong> A total of 251 male and 49 female PLWHA were included in this study, with an average age of 39.08 ± 12.09 years and an average disease duration of 9.61 ± 37.04 months. Univariate analysis showed that the PLWHA’s place of residence, educational level, physical condition, family relations, duration of HIV disease, receipt or not of antiviral therapy and knowledge of disease had an influence on the scores of the HIV Self-Management Scale (all <em>p</em> < 0.05). The results of the self-management scores indicated that the total score for self-management was 41.5 ± 6.4 points, with a scoring rate of 69.6%, which was at a medium level. Long-term self-management had the highest scoring rate (12.2 ± 2.5 points), followed by daily health management (22.3 ± 4.3 points), and social support for self-management had the lowest scoring (5.1 ± 0.9 points). Multivariable analysis showed that the self-management ability of PLWHA was related to educational level, duration of disease and family relations (<em>R<sup>2</sup></em> = 0.67, <em>F</em> = 121.7, <em>p</em> < 0.05).<br/><strong>Conclusion:</strong> The self-management level of patients with AIDS, especially the social support of daily health management and self-management, needs to be further improved. Educational level, duration of disease and family relations are important factors influencing the self-management of PLWHA.<br/><br/><strong>Keywords:</strong> HIV/AIDS, AIDS, self-management<br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142207114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maomin Jiang, Yisong Yao, Xiaoqian Xia, Yang Kong, Nan Zhang
Background: This study aims to investigate the relationship between older adults’ perceived community services for the elderly (PCSE), life satisfaction (LS), and self-rated health (SRH). Methods: Data from four rounds of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 2008 to 2018 were used. A total of 2454 older adults were obtained. Unconditional Least Squares (ULS) was used to measure PCSE, LS, and SRH growth trajectories without covariates. Finally, a mediating latent growth model was constructed using Mplus 8.3 to examine the mediating role of LS in the relationship between PCSE and SRH after adjusting for some demographic characteristics. Results: The results from the ULS method indicate that the intercepts and slopes for PCSE and LS are significantly negatively correlated (β1 = − 0.629, β2 = − 0.579, p < 0.001). Additionally, there is a significant positive correlation between the intercept and slope of health levels (β = 0.774, p < 0.001). Using a parallel growth model, significant regression coefficients were found between the intercept of PCSE and the intercepts of SRH and LS (β1 = − 0.335, β2 = 0.378, p < 0.01). Similarly, the regression coefficients between the slope of PCSE and the slopes of SRH and LS were also significant (β1 = − 0.532, β2 = 0.344, p < 0.01). Furthermore, the regression coefficient between the intercept of LS and the intercept of SRH was significant (β = 0.415, p < 0.001). The regression coefficient between the slope of LS and the slope of SRH was also found to be significant (β = 0.729, p < 0.001). Conclusion: It is essential to ensure adequate supply and accessibility of community services for older adults. LS especially is, and should be a promising target for assessing the quality of life and utilization of PCSE supply.
{"title":"The Impact of Perceived Community Services for the Elderly on Self-Rated Health: An Analysis Utilizing a Mediated Latent Growth Model","authors":"Maomin Jiang, Yisong Yao, Xiaoqian Xia, Yang Kong, Nan Zhang","doi":"10.2147/jmdh.s476502","DOIUrl":"https://doi.org/10.2147/jmdh.s476502","url":null,"abstract":"<strong>Background:</strong> This study aims to investigate the relationship between older adults’ perceived community services for the elderly (PCSE), life satisfaction (LS), and self-rated health (SRH).<br/><strong>Methods:</strong> Data from four rounds of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 2008 to 2018 were used. A total of 2454 older adults were obtained. Unconditional Least Squares (ULS) was used to measure PCSE, LS, and SRH growth trajectories without covariates. Finally, a mediating latent growth model was constructed using Mplus 8.3 to examine the mediating role of LS in the relationship between PCSE and SRH after adjusting for some demographic characteristics.<br/><strong>Results:</strong> The results from the ULS method indicate that the intercepts and slopes for PCSE and LS are significantly negatively correlated (<em>β</em><sub>1</sub> = − 0.629, <em>β</em><sub>2</sub> = − 0.579, <em>p</em> < 0.001). Additionally, there is a significant positive correlation between the intercept and slope of health levels (<em>β</em> = 0.774, <em>p</em> < 0.001). Using a parallel growth model, significant regression coefficients were found between the intercept of PCSE and the intercepts of SRH and LS (<em>β</em><sub>1</sub> = − 0.335, <em>β</em><sub>2</sub> = 0.378, <em>p</em> < 0.01). Similarly, the regression coefficients between the slope of PCSE and the slopes of SRH and LS were also significant (<em>β</em><sub>1</sub> = − 0.532, <em>β</em><sub>2</sub> = 0.344, <em>p</em> < 0.01). Furthermore, the regression coefficient between the intercept of LS and the intercept of SRH was significant (<em>β</em> = 0.415, <em>p</em> < 0.001). The regression coefficient between the slope of LS and the slope of SRH was also found to be significant (<em>β</em> = 0.729, <em>p</em> < 0.001).<br/><strong>Conclusion:</strong> It is essential to ensure adequate supply and accessibility of community services for older adults. LS especially is, and should be a promising target for assessing the quality of life and utilization of PCSE supply.<br/><br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142207135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jie Jia, Tao Sun, Jiamin Tang, Kaidi Sun, Zhengnan Meng, Hailong Zhu, Xianhong Huang
Purpose: Healthcare professionals’ participation is crucial for the efficient implementation of multidisciplinary team (MDT) collaboration models. We identified the key factors influencing healthcare professionals’ preference to participate in MDTs in tertiary hospitals. Methods: To clarify the attributes and levels of the discrete choice experiment (DCE), we conducted a targeted literature review and conducted in-depth interviews with MDT service providers. Following this, a DCE was designed to evaluate healthcare professionals’ preferences for MDT participation, and the influence of factors such as salary subsidies, leadership attention, patient participation, quality assessment, working intensity, and case complexity. A conditional logit model estimated the utility of each attribute. Willingness-to-pay estimates were derived by taking the negative ratio of the coefficients of non-economic and economic attributes. A series of policy simulation analyses were conducted. Results: Two hundred healthcare professionals completed the questionnaire, with 180 valid responses used for analysis. All attributes were statistically significant. Leadership attention and working intensity were the primary factors influencing staff willingness to participate in MDTs, followed by quality assessment and salary subsidies. Significant preference differences were observed between respondents; compared with mid-level staff, senior-level healthcare professionals believed patient engagement would be more helpful in boosting participation. The policy simulation showed that changing leadership attention from “neglect” to “emphasis” would increase the probability of staff choosing to participate in MDTs from 24.4% to 66.98%. Conclusion: Leadership attention was the primary concern for healthcare professionals in MDTs. To effectively motivate staff participation in MDTs, policymakers should adopt a holistic approach that considers work motivation and individual backgrounds, including competitive salary packages and a positive work environment. They should concurrently introduce MDT case complexity measurement tools to optimize resource allocation. Addressing staff members’ unique needs and career aspirations by creating targeted training programs, pathways for advancement, and personalized career development plans are also crucial.
Keywords: multidisciplinary medical services, participation motivation, health services research, discrete choice experiment
{"title":"Participation in Multidisciplinary Teams Among Healthcare Professionals: A Discrete Choice Experiment in Tertiary Public Hospitals in China","authors":"Jie Jia, Tao Sun, Jiamin Tang, Kaidi Sun, Zhengnan Meng, Hailong Zhu, Xianhong Huang","doi":"10.2147/jmdh.s473675","DOIUrl":"https://doi.org/10.2147/jmdh.s473675","url":null,"abstract":"<strong>Purpose:</strong> Healthcare professionals’ participation is crucial for the efficient implementation of multidisciplinary team (MDT) collaboration models. We identified the key factors influencing healthcare professionals’ preference to participate in MDTs in tertiary hospitals.<br/><strong>Methods:</strong> To clarify the attributes and levels of the discrete choice experiment (DCE), we conducted a targeted literature review and conducted in-depth interviews with MDT service providers. Following this, a DCE was designed to evaluate healthcare professionals’ preferences for MDT participation, and the influence of factors such as salary subsidies, leadership attention, patient participation, quality assessment, working intensity, and case complexity. A conditional logit model estimated the utility of each attribute. Willingness-to-pay estimates were derived by taking the negative ratio of the coefficients of non-economic and economic attributes. A series of policy simulation analyses were conducted.<br/><strong>Results:</strong> Two hundred healthcare professionals completed the questionnaire, with 180 valid responses used for analysis. All attributes were statistically significant. Leadership attention and working intensity were the primary factors influencing staff willingness to participate in MDTs, followed by quality assessment and salary subsidies. Significant preference differences were observed between respondents; compared with mid-level staff, senior-level healthcare professionals believed patient engagement would be more helpful in boosting participation. The policy simulation showed that changing leadership attention from “neglect” to “emphasis” would increase the probability of staff choosing to participate in MDTs from 24.4% to 66.98%.<br/><strong>Conclusion:</strong> Leadership attention was the primary concern for healthcare professionals in MDTs. To effectively motivate staff participation in MDTs, policymakers should adopt a holistic approach that considers work motivation and individual backgrounds, including competitive salary packages and a positive work environment. They should concurrently introduce MDT case complexity measurement tools to optimize resource allocation. Addressing staff members’ unique needs and career aspirations by creating targeted training programs, pathways for advancement, and personalized career development plans are also crucial.<br/><br/><strong>Keywords:</strong> multidisciplinary medical services, participation motivation, health services research, discrete choice experiment<br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142207109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gusgus Ghraha Ramdhanie, Altia Nurrohmah, Adelse Prima Mulya, Henny Suzana Mediani, Nina Sumarni, Aep Maulid Mulyana, Mega Hasanul Huda
Background: Invasive procedures in children can lead to painful and uncooperative procedures. It is essential to determine the appropriate method to create a comfortable environment for children during invasive procedures. However, audiovisuals are one of the distraction techniques used in pain management. Purpose: This study aims to identify and categorize related audiovisual distraction techniques in reducing pain due to invasive procedures among children. Methods: This study uses a systematic scoping review. A literature review was conducted using PubMed, EBSCO, Science Direct, Scopus and grey literature through Google Scholar. The study was eligible for inclusion if it included articles published from 2012 to 2022, full-text and open accessed articles, and in Indonesian and English language. Studies were excluded if they were review studies and the adult population. The keywords in English were ”Children” OR ‘Child’ OR ”Kids” OR ‘Youth’ OR ‘Adolescents’ OR ‘Teenager’ OR ‘Teens’ OR ‘Young People’ OR ‘Pediatric’ OR ‘Paediatric’ OR ‘Childhood’ AND ”Audiovisual” OR ‘Movie’ OR ‘Video’ OR ‘Animation’ AND ”Pain” AND ”Invasive procedures” and keyword in Indonesia were ”Anak” OR ‘Remaja’ OR ‘Bayi’ OR ‘Balita’ AND ”Audiovisual” OR ‘Film’ OR ”Video” OR ‘Animasi’ OR “Nyeri” AND ‘Prosedur invasif’. Results: We found 15 articles showing audiovisual distraction techniques in managing pain among children undergoing invasive procedures. Three types of audiovisual interventions were used, including virtual reality (VR), video music, and animated cartoons. In addition, types of invasive procedures that benefited from the analyzed interventions were infusion, surgery, injection, blood draw, dressing change, circumcision, endoscopy, and phlebotomy. Conclusion: Our findings highlight that virtual reality, video music, and animated cartoons have clinical implications in helping to distract from pain in children undergoing invasive procedures. Our study indicates that the potential of audiovisual intervention can be used as an intervention strategy in the pediatric nursing area.
{"title":"A Scoping Review of Audiovisual Distraction Techniques Among Children in Reducing Invasive Procedure Pain","authors":"Gusgus Ghraha Ramdhanie, Altia Nurrohmah, Adelse Prima Mulya, Henny Suzana Mediani, Nina Sumarni, Aep Maulid Mulyana, Mega Hasanul Huda","doi":"10.2147/jmdh.s479107","DOIUrl":"https://doi.org/10.2147/jmdh.s479107","url":null,"abstract":"<strong>Background:</strong> Invasive procedures in children can lead to painful and uncooperative procedures. It is essential to determine the appropriate method to create a comfortable environment for children during invasive procedures. However, audiovisuals are one of the distraction techniques used in pain management.<br/><strong>Purpose:</strong> This study aims to identify and categorize related audiovisual distraction techniques in reducing pain due to invasive procedures among children.<br/><strong>Methods:</strong> This study uses a systematic scoping review. A literature review was conducted using PubMed, EBSCO, Science Direct, Scopus and grey literature through Google Scholar. The study was eligible for inclusion if it included articles published from 2012 to 2022, full-text and open accessed articles, and in Indonesian and English language. Studies were excluded if they were review studies and the adult population. The keywords in English were <em>”Children” OR</em> ‘Child’ <em>OR ”Kids” OR</em> ‘Youth’ <em>OR</em> ‘Adolescents’ <em>OR</em> ‘Teenager’ <em>OR</em> ‘Teens’ <em>OR</em> ‘Young People’ <em>OR</em> ‘Pediatric’ <em>OR</em> ‘Paediatric’ <em>OR</em> ‘Childhood’ <em>AND ”Audiovisual” OR</em> ‘Movie’ <em>OR</em> ‘Video’ <em>OR</em> ‘Animation’ <em>AND ”Pain” AND ”Invasive procedures” and keyword in Indonesia were ”Anak” OR</em> ‘Remaja’ <em>OR</em> ‘Bayi’ <em>OR</em> ‘Balita’ <em>AND ”Audiovisual” OR</em> ‘Film’ <em>OR ”Video” OR</em> ‘Animasi’ <em>OR “Nyeri” AND</em> ‘Prosedur invasif’.<br/><strong>Results:</strong> We found 15 articles showing audiovisual distraction techniques in managing pain among children undergoing invasive procedures. Three types of audiovisual interventions were used, including virtual reality (VR), video music, and animated cartoons. In addition, types of invasive procedures that benefited from the analyzed interventions were infusion, surgery, injection, blood draw, dressing change, circumcision, endoscopy, and phlebotomy.<br/><strong>Conclusion:</strong> Our findings highlight that virtual reality, video music, and animated cartoons have clinical implications in helping to distract from pain in children undergoing invasive procedures. Our study indicates that the potential of audiovisual intervention can be used as an intervention strategy in the pediatric nursing area.<br/><br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142207132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erick Sánchez-Peña, Sebastián Andres Rodríguz-Valdés, Daniel Fernando Donoso-Riveros, Máximo Escobar-Cabello, Mariano del Sol, Fernando Valenzuela-Aedo, Rodrigo Lizama-Pérez, Rodrigo Muñoz-Cofré
Purpose: To determine how airway resistance (RAW) and airway conductance (GAW) affect inspiratory time (iT) and expiratory time (eT) in subjects with different nutritional states using the step test. Methods: Forty-eight participants were recruited and divided into three groups: 16 normal weight (NW), 16 overweight (OW), and 16 obese (OB). A lung function test and anthropometric evaluation were performed. iT and eT were measured using a sonographic device before and after the step test. Results: Body Mass Index (BMI) and Body Fat Percentage (BF%) were significantly higher (P< 0.0001; P< 0.0001, respectively) in OB group. RAW was significantly higher in the OB group (P=0.004), and GAW (P=0.004) was significantly lower in the same group. At rest, the Respiratory Rate (RR) was significantly higher in OB group (P< 0.05), while iT and eT showed no significant differences. On the other hand, after the step test, eT was significantly lower (P=0.016), with the multiple linear regression model being the best predictor of post-exercise eT, including BF%/GAW and BF%/sGAW (explained variability of 15.7% and 14.6%, respectively). Conclusion: Nutritional status can significantly impact lung function; at rest, there was a decrease in lung volumes and an increase in RR in OB subjects. In addition, there was a significant decrease in eT of OB subjects post-exercise. Finally, a significant relationship of BF%/GAW and BF%/sGAW with post-exercise eT was noted.
Keywords: airway resistance, airway conductance, respiratory time, nutritional states
目的：通过台阶试验确定气道阻力（RAW）和气道传导性（GAW）如何影响不同营养状况受试者的吸气时间（iT）和呼气时间（eT）：招募了 48 名参与者，并将其分为三组：16 名正常体重者（NW）、16 名超重者（OW）和 16 名肥胖者（OB）。在进行台阶试验前后，使用超声波设备测量 iT 和 eT：结果：OB 组的体重指数（BMI）和体脂率（BF%）明显高于 OW 组（分别为 P< 0.0001 和 P< 0.0001）。OB 组的 RAW 明显高于 OB 组（P=0.004），而 GAW 则明显低于 OB 组（P=0.004）。静息时，OB 组的呼吸频率（RR）明显更高（P< 0.05），而 iT 和 eT 则无明显差异。另一方面，在台阶试验后，eT明显降低（P=0.016），多元线性回归模型是运动后eT的最佳预测指标，包括BF%/GAW和BF%/sGAW（解释变异率分别为15.7%和14.6%）：营养状况会对肺功能产生重大影响；在静息状态下，OB 受试者的肺容量减少，RR 增加。此外，运动后 OB 受试者的 eT 显著下降。最后，BF%/GAW 和 BF%/sGAW 与运动后 eT 有明显关系。
{"title":"Implications of Airway Resistance and Conductance on the Respiratory Rate in individuals With Various Nutritional States Exposed To Exercise","authors":"Erick Sánchez-Peña, Sebastián Andres Rodríguz-Valdés, Daniel Fernando Donoso-Riveros, Máximo Escobar-Cabello, Mariano del Sol, Fernando Valenzuela-Aedo, Rodrigo Lizama-Pérez, Rodrigo Muñoz-Cofré","doi":"10.2147/jmdh.s461165","DOIUrl":"https://doi.org/10.2147/jmdh.s461165","url":null,"abstract":"<strong>Purpose:</strong> To determine how airway resistance (RAW) and airway conductance (GAW) affect inspiratory time (iT) and expiratory time (eT) in subjects with different nutritional states using the step test.<br/><strong>Methods:</strong> Forty-eight participants were recruited and divided into three groups: 16 normal weight (NW), 16 overweight (OW), and 16 obese (OB). A lung function test and anthropometric evaluation were performed. iT and eT were measured using a sonographic device before and after the step test.<br/><strong>Results:</strong> Body Mass Index (BMI) and Body Fat Percentage (BF%) were significantly higher (P< 0.0001; P< 0.0001, respectively) in OB group. RAW was significantly higher in the OB group (P=0.004), and GAW (P=0.004) was significantly lower in the same group. At rest, the Respiratory Rate (RR) was significantly higher in OB group (P< 0.05), while iT and eT showed no significant differences. On the other hand, after the step test, eT was significantly lower (P=0.016), with the multiple linear regression model being the best predictor of post-exercise eT, including BF%/GAW and BF%/sGAW (explained variability of 15.7% and 14.6%, respectively).<br/><strong>Conclusion:</strong> Nutritional status can significantly impact lung function; at rest, there was a decrease in lung volumes and an increase in RR in OB subjects. In addition, there was a significant decrease in eT of OB subjects post-exercise. Finally, a significant relationship of BF%/GAW and BF%/sGAW with post-exercise eT was noted.<br/><br/><strong>Keywords:</strong> airway resistance, airway conductance, respiratory time, nutritional states<br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142207133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Gastric cancer is a significant contributor to the global cancer burden. Risk prediction models aim to estimate future risk based on current and past information, and can be utilized for risk stratification in population screening programs for gastric cancer. This review aims to explore the research design of existing models, as well as the methods, variables, and performance of model construction. Methods: Six databases were searched through to November 4, 2023 to identify appropriate studies. PRISMA extension for scoping reviews and the Arksey and O’Malley framework were followed. Data sources included PubMed, Embase, Web of Science, CNKI, Wanfang, and VIP, focusing on gastric cancer risk prediction model studies. Results: A total of 29 articles met the inclusion criteria, from which 28 original risk prediction models were identified that met the analysis criteria. The risk prediction model is screened, and the data extracted includes research characteristics, prediction variables selection, model construction methods and evaluation indicators. The area under the curve (AUC) of the models ranged from 0.560 to 0.989, while the C-statistics varied between 0.684 and 0.940. The number of predictor variables is mainly concentrated between 5 to 11. The top 5 most frequently included variables were age, helicobacter pylori (Hp), precancerous lesion, pepsinogen (PG), sex, and smoking. Age and Hp were the most consistently included variables. Conclusion: This review enhances understanding of current gastric cancer risk prediction research and its future directions. The findings provide a strong scientific basis and technical support for developing more accurate gastric cancer risk models. We expect that these conclusions will point the way for future research and clinical practice in this area to assist in the early prevention and treatment of gastric cancer.
{"title":"Risk Prediction Models for Gastric Cancer: A Scoping Review","authors":"Linyu Xu, Jianxia Lyu, Xutong Zheng, Aiping Wang","doi":"10.2147/jmdh.s479699","DOIUrl":"https://doi.org/10.2147/jmdh.s479699","url":null,"abstract":"<strong>Background:</strong> Gastric cancer is a significant contributor to the global cancer burden. Risk prediction models aim to estimate future risk based on current and past information, and can be utilized for risk stratification in population screening programs for gastric cancer. This review aims to explore the research design of existing models, as well as the methods, variables, and performance of model construction.<br/><strong>Methods:</strong> Six databases were searched through to November 4, 2023 to identify appropriate studies. PRISMA extension for scoping reviews and the Arksey and O’Malley framework were followed. Data sources included PubMed, Embase, Web of Science, CNKI, Wanfang, and VIP, focusing on gastric cancer risk prediction model studies.<br/><strong>Results:</strong> A total of 29 articles met the inclusion criteria, from which 28 original risk prediction models were identified that met the analysis criteria. The risk prediction model is screened, and the data extracted includes research characteristics, prediction variables selection, model construction methods and evaluation indicators. The area under the curve (AUC) of the models ranged from 0.560 to 0.989, while the C-statistics varied between 0.684 and 0.940. The number of predictor variables is mainly concentrated between 5 to 11. The top 5 most frequently included variables were age, helicobacter pylori (Hp), precancerous lesion, pepsinogen (PG), sex, and smoking. Age and Hp were the most consistently included variables.<br/><strong>Conclusion:</strong> This review enhances understanding of current gastric cancer risk prediction research and its future directions. The findings provide a strong scientific basis and technical support for developing more accurate gastric cancer risk models. We expect that these conclusions will point the way for future research and clinical practice in this area to assist in the early prevention and treatment of gastric cancer.<br/><br/>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142207113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Our study aimed to examine the association between delay discounting (DD) and body mass index (BMI) in individuals with hypertension. Additionally, we sought to explore and compare the potential mediating effects of self-efficacy, physical activity and sedentary behavior in this association.
Methods: A cross-sectional survey was conducted in two cities in the Jiangsu province of China, specifically Nanjing and Yangzhou, from March to June 2023. A total of 972 hypertensive patients completed the questionnaire (Mage = 64.7 years, SDage = 8.2 years, 54.2% female). Participants engaged in a money choice experiment on computers, provided their height and weight, and completed the International Physical Activity Questionnaire-Short Form (IPAQ-SF) and General Self-Efficacy Scale (GSES). The experimental program was generated using the programming software E-Prime version 2.0. Multiple hierarchical regression analysis was conducted to identify potential covariates. Two serial mediation models were conducted using PROCESS macro 4.1 in SPSS 27.0. Physical activity and sedentary behavior were designated as M2 to investigate and contrast their respective mediating effects in the association between delay discounting and body mass index.
Results: Self-efficacy, physical activity, and sedentary behavior served as mediators in the relationship between delay discounting and BMI. Self-efficacy accounted for 14.9% and 14.3% of the total effect in Models 1 and 2, respectively, while physical activity and sedentary behavior each accounted for 14.9% and 9.5% of the total effect, respectively. The serial mediation effects of self-efficacy and physical activity, as well as self-efficacy and sedentary behavior, were significant (B = 0.01, 95% CI [0.01, 0.02]; B = 0.01, 95% CI [0.002, 0.01]), collectively contributing 2.1% and 2.4% of the total effect. Sedentary behavior played a smaller mediating role compared to physical activity in this association.
Conclusion: The results indicated that self-efficacy, physical activity and sedentary behavior could act as mediators in the association between delay discounting and BMI, thus potentially mitigating the risk of obesity in hypertensive individuals.
{"title":"Delay Discounting and BMI in Hypertensives: Serial Mediations of Self-Efficacy, Physical Activity and Sedentary Behavior.","authors":"Yiping Wang, Zhiqing Hu, Yueming Ding, Yanjun Sun, Rui Meng, Yuan He","doi":"10.2147/JMDH.S481425","DOIUrl":"10.2147/JMDH.S481425","url":null,"abstract":"<p><strong>Objective: </strong>Our study aimed to examine the association between delay discounting (DD) and body mass index (BMI) in individuals with hypertension. Additionally, we sought to explore and compare the potential mediating effects of self-efficacy, physical activity and sedentary behavior in this association.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted in two cities in the Jiangsu province of China, specifically Nanjing and Yangzhou, from March to June 2023. A total of 972 hypertensive patients completed the questionnaire (<i>M</i> <sub>age</sub> = 64.7 years, <i>SD</i> <sub>age</sub> = 8.2 years, 54.2% female). Participants engaged in a money choice experiment on computers, provided their height and weight, and completed the International Physical Activity Questionnaire-Short Form (IPAQ-SF) and General Self-Efficacy Scale (GSES). The experimental program was generated using the programming software E-Prime version 2.0. Multiple hierarchical regression analysis was conducted to identify potential covariates. Two serial mediation models were conducted using PROCESS macro 4.1 in SPSS 27.0. Physical activity and sedentary behavior were designated as M<sub>2</sub> to investigate and contrast their respective mediating effects in the association between delay discounting and body mass index.</p><p><strong>Results: </strong>Self-efficacy, physical activity, and sedentary behavior served as mediators in the relationship between delay discounting and BMI. Self-efficacy accounted for 14.9% and 14.3% of the total effect in Models 1 and 2, respectively, while physical activity and sedentary behavior each accounted for 14.9% and 9.5% of the total effect, respectively. The serial mediation effects of self-efficacy and physical activity, as well as self-efficacy and sedentary behavior, were significant (B = 0.01, 95% CI [0.01, 0.02]; B = 0.01, 95% CI [0.002, 0.01]), collectively contributing 2.1% and 2.4% of the total effect. Sedentary behavior played a smaller mediating role compared to physical activity in this association.</p><p><strong>Conclusion: </strong>The results indicated that self-efficacy, physical activity and sedentary behavior could act as mediators in the association between delay discounting and BMI, thus potentially mitigating the risk of obesity in hypertensive individuals.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-04eCollection Date: 2024-01-01DOI: 10.2147/JMDH.S494363
Zhanshuo Xiao, Yilin Jiang, Narina A Samah
{"title":"Building Resilience: A Qualitative Analysis of Bullying Among Children with Disabilities on Parental and Teacher's Perspective [Letter].","authors":"Zhanshuo Xiao, Yilin Jiang, Narina A Samah","doi":"10.2147/JMDH.S494363","DOIUrl":"10.2147/JMDH.S494363","url":null,"abstract":"","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-04eCollection Date: 2024-01-01DOI: 10.2147/JMDH.S480017
Abdullah Dalboh, Walid M Abd El Maksoud, Khaled S Abbas, Hassan A Alzahrani, Mohammed A Bawahab, Fahad S Al Amri, Marei H Alshandeer, Maha A Alghamdi, Meshal S Alahmari, Abdulaziz M Alqahtani, Mansour S Alqahtani, Aljohrah M Alqahtani, Leinah H Alshahrani
Background: The relationship between laparoscopic sleeve gastrectomy (LSG) and gastroesophageal reflux disease (GERD) is intricate. Hiatal hernia repair or gastropexy can have an impact on postoperative GERD.
Aim: To assess the effect of the repair of an accidentally discovered HH and/or gastropexy on the development of de novo postoperative GERD symptoms after LSG.
Methods: This retrospective study included all obese patients who underwent LSG at our hospital from January 2018 to June 2022. The data retrieved from patients' files comprised demographic and clinical data, including BMI, GERD symptoms, and comorbidities. Hiatal hernias, surgical technique, gastropexy, duration, and intraoperative complications were recorded. Postoperative data included early and late postoperative complications, weight loss, de novo GERD, and medication use.
Results: The study included 253 patients, 89 males (35.2%) and 164 females (64.8%), with a mean age of 33.3±10.04 years. De novo GERD was detected in 94 individuals (37.15%). HH was accidentally found and repaired in 29 patients (11.5%). Only 10.3% of LSG and HH repair patients had de novo GERD symptoms, compared to 40.6% of non-HH patients. 149 patients (58.9%) had gastropexy with LSG. Postoperative de novo GERD symptoms were comparable for LSG with gastropexy (40.5%) and LSG alone (40.9%).
Conclusion: After one year, concurrent hiatal hernia repair and LSG seem to be safe and beneficial in lowering postoperative de novo GERD symptoms. The inclusion of gastropexy with LSG had no significant impact on postoperative de novo GERD. Both HH repair and gastropexy lengthened the operation but did not increase its complications.
{"title":"Does the Repair of an Accidentally Discovered Hiatal Hernia and Gastropexy Affect the Incidence of De Novo Postoperative GERD Symptoms After Laparoscopic Sleeve Gastrectomy?","authors":"Abdullah Dalboh, Walid M Abd El Maksoud, Khaled S Abbas, Hassan A Alzahrani, Mohammed A Bawahab, Fahad S Al Amri, Marei H Alshandeer, Maha A Alghamdi, Meshal S Alahmari, Abdulaziz M Alqahtani, Mansour S Alqahtani, Aljohrah M Alqahtani, Leinah H Alshahrani","doi":"10.2147/JMDH.S480017","DOIUrl":"10.2147/JMDH.S480017","url":null,"abstract":"<p><strong>Background: </strong>The relationship between laparoscopic sleeve gastrectomy (LSG) and gastroesophageal reflux disease (GERD) is intricate. Hiatal hernia repair or gastropexy can have an impact on postoperative GERD.</p><p><strong>Aim: </strong>To assess the effect of the repair of an accidentally discovered HH and/or gastropexy on the development of de novo postoperative GERD symptoms after LSG.</p><p><strong>Methods: </strong>This retrospective study included all obese patients who underwent LSG at our hospital from January 2018 to June 2022. The data retrieved from patients' files comprised demographic and clinical data, including BMI, GERD symptoms, and comorbidities. Hiatal hernias, surgical technique, gastropexy, duration, and intraoperative complications were recorded. Postoperative data included early and late postoperative complications, weight loss, de novo GERD, and medication use.</p><p><strong>Results: </strong>The study included 253 patients, 89 males (35.2%) and 164 females (64.8%), with a mean age of 33.3±10.04 years. De novo GERD was detected in 94 individuals (37.15%). HH was accidentally found and repaired in 29 patients (11.5%). Only 10.3% of LSG and HH repair patients had de novo GERD symptoms, compared to 40.6% of non-HH patients. 149 patients (58.9%) had gastropexy with LSG. Postoperative de novo GERD symptoms were comparable for LSG with gastropexy (40.5%) and LSG alone (40.9%).</p><p><strong>Conclusion: </strong>After one year, concurrent hiatal hernia repair and LSG seem to be safe and beneficial in lowering postoperative de novo GERD symptoms. The inclusion of gastropexy with LSG had no significant impact on postoperative de novo GERD. Both HH repair and gastropexy lengthened the operation but did not increase its complications.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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