Journal of Multidisciplinary Healthcare最新文献

Self-Determination Theory (SDT) posits that satisfying the needs for autonomy, competence, and relatedness enhances motivation, which may influence return to work (RTW) outcomes. However, its specific impact on RTW remains unclear, warranting further investigation.Following PRISMA-ScR guidelines, we searched PubMed, Web of Science, Embase, Scopus, CINAHL and PsycINFO up to September 2025 for studies examining SDT constructs in RTW contexts. Eleven studies met with inclusion, covering diverse work disability populations. Evidence suggests that greater SDT need satisfaction is associated with higher quality motivation and more sustained RTW engagement, potentially reducing RTW duration and improving employment stability. SDT-informed interventions appear to promote need satisfaction and motivational internalization, with Motivational Interviewing and SDT-aligned tele-rehabilitation or organizational supports identified as common effective components. Our findings support SDT as a coherent framework for understanding RTW dynamics and imply that SDT-guided interventions may enhance vocational rehabilitation outcomes across populations. Future multidisciplinary work should develop explicit SDT-based theories, standardized measures, and integrated intervention pathways to optimize RTW trajectories and long-term employment outcomes.

Introduction: Pediatric cancer treatments significantly affect children's physical, emotional, and social well-being. Virtual reality (VR) is emerging as a promising non-pharmacological tool to enhance quality of life during hospitalization, yet little is known about parents perceive its potential role in supportive care.

Methods: This qualitative study used semi-structured interviews with five parents of children in remission from cancer. It explored their experiences during chemotherapy and their perspectives on how VR could help support children and families during treatment.

Results: Parents described multiple challenges during hospitalization, including emotional distress, physical side effects, social isolation, logistical difficulties, and communication issues. While most had limited prior exposure to VR, they expressed openness toward its use to reduce anxiety, boredom, and loneliness. Parents emphasized that VR should complement, not replace, human interaction, and suggested age-specific applications, interactive content for adolescent and calming, passive experiences for younger children.

Discussion: This study provides novel insights by integrating parental voices early in the co-design process of VR interventions for pediatric oncology. It identifies concrete psychosocial needs and offers recommendations to ensure future digital tools are developmentally appropriate and family-centered. While the small, homogeneous sample and absence of child participants limit generalizability, the in-depth qualitative approach offers valuable groundwork for future participatory research and VR intervention development in pediatric cancer care.

Background: Fear of disease progression is a prevalent psychological challenge among breast cancer survivors, often leading to significant psychological dysfunction and serious sequelae, such as post-traumatic stress syndrome and impaired immunity. However, the factors influencing this dysfunction in the early postoperative period remain unclear. Therefore, this study aimed to identify the influencing factors and construct a risk-prediction model for psychological dysfunction in breast cancer patients with postoperative fear of disease.

Methods: Using convenience sampling, we selected 202 patients who underwent breast cancer surgery in a Class III Grade A hospital in Jiangsu Province, between January and August 2024. All patients completed a general information questionnaire (which collected data on tumor stage), disease-related scales, the Fear of Progression Questionnaire-Short Form, a breast cancer quality-of-life scale, the Posttraumatic Growth Inventory, and the Fear of Cancer Recurrence-Short Form.

Results: Of the 202 patients, 75 (37.1%) developed psychological dysfunction. Single-factor analyses revealed that factors such as tumor stage, education level, surgical method, fear of cancer recurrence, and quality of life (P < 0.05) were significantly related to psychological dysfunction. Logistic regression revealed education level, surgical method, fear of cancer recurrence, and quality of life as influencing factors for psychological dysfunction (P < 0.05). The Hosmer-Lemeshow goodness-of-fit test of the model showed a result of χ² = 4.179 (P = 0.841). The area under the receiver operating characteristic curve was 0.860 (95% confidence interval: 0.807-0.912). The Youden index was 0.617; the sensitivity and specificity of the optimal cut-off value were 0.853 and 0.764, respectively.

Conclusion: Breast cancer patients with postoperative fear of disease have a high risk of psychological dysfunction, which is influenced by factors such as surgical method, education level, postoperative quality of life, and fear of cancer recurrence.

As neurosurgical nursing continues to evolve alongside technological advancements, a systematic examination of its research landscape has become increasingly imperative. This study employed bibliometric analysis to investigate global research trends in neurosurgical nursing from 2014 to 2024, utilizing 5677 records extracted from the Web of Science Core Collection (WOSCC). Through the application of bibliometric techniques and CiteSpace visualization tools, we quantitatively analyzed publication outputs, geographical distributions, institutional contributions, and keyword evolution patterns. Our temporal analysis revealed three key findings: (1) a steady annual growth in publication volume (average increase of 12.3% per year), with the United States contributing 39.90% of total publications; (2) dominant institutional contributors including Harvard University, the University of California System, and the University of Toronto, which collectively accounted for 28.5% of high-citation publications; and (3) emerging research foci centered on seven primary themes: clinical interventions ("clinical article", "external ventricular drain"), patient populations ("neurosurgical patients"), treatment modalities ("radiotherapy"), evidence synthesis ("meta analysis"), care delivery models ("patterns"), and anatomical considerations ("central nervous system"). These findings provided empirical evidence for understanding current research priorities, identifying knowledge gaps, and forecasting future developmental trajectories in neurosurgical nursing. The study established a foundational bibliometric framework that may guide strategic research planning and international collaboration in this specialized nursing field.

Objective: To evaluate the effectiveness of discharge planning interventions in improving health outcomes among individuals with stroke and heart conditions, synthesizing evidence from randomized controlled trials and quasi-experimental studies.

Methods: Following PRISMA guidelines, seven electronic databases (PubMed/MEDLINE, Scopus, ScienceDirect, CINAHL Plus with Full Text, Web of Science, Ovid, and ClinicalKey Nursing) were searched for studies published between 2019 and 2024. Eligible studies included adults with stroke or heart conditions who received discharge planning interventions, with outcomes compared to usual care or alternative interventions. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool for randomized controlled trials and ROBINS-I for quasi-experimental studies. Data were extracted with a standardized chart and synthesized using a convergent integrated approach in accordance with the Joanna Briggs Institute methodology.

Results: Sixteen studies (11 randomized controlled trials and 5 quasi-experimental studies) met the inclusion criteria, representing diverse populations across 11 countries. Interventions included structured discharge programs, early supported discharge, interdisciplinary planning, family-based care, nurse-led eHealth rehabilitation, and technology-enhanced approaches such as SMS, telephone, and interactive voice response systems. Six major outcome themes emerged: (1) healthcare utilization and cost outcomes, (2) patient activation and health behavior change, (3) psychological well-being, (4) functional recovery, (5) health-related quality of life, and (6) caregiver outcomes and support. Although mortality and long-term outcomes showed mixed results, most interventions demonstrated positive short-term effects across clinical, behavioral, and psychosocial domains.

Conclusion: Discharge planning interventions improve transitional care and support recovery in stroke and heart disease populations, with particular benefits when multidisciplinary, nurse-led, or digitally supported. This review highlights the value of structured and innovative discharge planning models for clinical practice. Incorporating patient- and caregiver-centered strategies can reduce readmissions, strengthen adherence, and improve long-term health outcomes.

Tuberculosis remains a common and clinically significant infectious disease in elderly Homo sapiens aged 60 and above, characterized by atypical manifestations and complex treatment. This review provides a comprehensive analysis of tuberculosis-related pulmonary damage in elderly Homo sapiens, evaluates current care practices, and discusses associated challenges. Key areas of discussion include early detection and diagnosis, optimized management of medication regimens, provision of adequate nutritional support, rehabilitation-focused care, and psychosocial support. The necessity of regular follow-up and long-term management is emphasized to prevent complications and promote functional recovery. Future research and clinical practice directions should focus on developing personalized, technology-integrated care strategies to enhance care quality, improve clinical outcomes, and support the overall health of this Homo sapiens population.

Objective: Fire needle therapy has shown promise in treating acne vulgaris (AV), improving facial lesions and patient quality of life. This study aims to investigate the effects of combining fire needle therapy with doxycycline hydrochloride tablets (DHT) on the Global Acne Grading System (GAGS), the échelle d'évaluation clinique des cicatrices d'acné (ECCA) grading scale, the Dermatology Life Quality Index (DLQI), and the serum levels of inflammatory factors interleukin-17 (IL-17), tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6) in patients with moderate-to-severe AV.

Methods: 70 patients with moderate-to-severe AV were randomly assigned to the control group (n=35) to receive oral DHT treatment once a day and the intervention group (n=35) to be treated with fire needle therapy on the basis of DHT once a week. The total treatment duration for both groups was 8 weeks. Therapeutic efficacy was evaluated at the 4-week and 8-week marks. The primary outcome measure evaluated was the GAGS score. The secondary outcome measures included the ECCA score, the DLQI score, and the serum levels of the inflammatory factors IL-17, TNF-α, and IL-6.

Results: Compared to baseline data, both groups exhibited marked improvements in skin lesions at both the 4-week and 8-week treatment marks. Significant reductions were observed in the GAGS, ECCA, and DLQI scores, as well as in the serum levels of the inflammatory factors IL-17, TNF-α, and IL-6. Notably, the intervention group demonstrated significantly greater improvements than the control group at both the 4-week and 8-week assessments.

Conclusion: An 8-week regimen of fire needle therapy combined with DHT improved lesion severity, scar symptoms, quality of life, and serum inflammatory cytokine levels in patients with moderate-to-severe AV compared to DHT monotherapy.

Purpose: To analyze and summarize research hotspots and development trends in the health-related quality of life (HRQoL) of patients undergoing extracorporeal membrane oxygenation (ECMO), providing a reference for future studies on survivor outcomes.

Methods: Articles published between 2013 and 2024 were retrieved from the Web of Science Core Collection. VOS viewer was used to assess contributions by countries, institutions, and authors in ECMO-related research. Collaboration networks, trending topics, and keyword patterns were analyzed using VOS viewer and Pajek.

Results: A total of 164 publications from 22 countries were included, accumulating 2870 citations overall. Research on ECMO patients' health-related quality of life demonstrated an annual growth rate of approximately 15% over the past decade. The United States, Germany, and Australia were the primary contributors. High-frequency keywords included outcomes, survivors, and ARDS, with COVID-19 emerging prominently from 2020 to 2024.

Conclusion: This bibliometric analysis, the first to focus specifically on ECMO survivors' HRQoL, demonstrates steady progress in the field. The analysis highlights three major research hotspots: survivor outcomes, rehabilitation strategies, and the impact of COVID-19, offering concrete insights into evolving directions and areas requiring future investigation.

Objective: To provide an overview of the current state of mixed reality (MR) technology's application in medical education and to review a research scope of the area.

Methods: According to the Joanna Briggs Institute's scope-based review procedures, searches were conducted in the following databases: PubMed, Embase, Web of Science Core Collection, Cochrane Library, CNKI, WanFang Database, and VIP Database. The included literatures were compiled and examined, and the search period was limited to the period from the database's creation to April 20, 2025.

Results: In all, 4118 records were found. After eligibility assessment, 28 studies in English or Chinese that examine the use of MR in education for medical students were included. Data extraction focused on theoretical/skills test scores, students' satisfaction, testing and evaluation of the system operation as well as students' learning interest of MR. The majority of studies indicated MR technology effectively enhances students' theoretical knowledge and skill proficiency. Eighteen studies consistently reported a high students' satisfaction level with MR-assisted instruction; MR systems demonstrated favorable usability due to its high consistency. Ten studies showed students in the MR-assisted learning groups exhibit heightened learning interest.

Conclusion: MR Technology has demonstrated excellent performance in enhancing students' mastery of theories/skills, improving students' satisfaction, and increasing students' interest. However, it has not yet been widely adopted due to the high costs associated with teacher training and the purchase and maintenance of equipment. The future should prioritize continuously developing the immersive experience and engagement of MR technology, integrating ecological instantaneous evaluation methodologies and artificial intelligence technology, and combining economic benefit analysis and feasibility testing to perform higher-quality original research.

Objective: Using network analysis, this study examined the interactions between positive psychological capital (PsyCap) and quality of life (QoL) in patients after percutaneous coronary intervention (PCI), identifying core psychological dimensions and cross-domain bridging symptoms to inform targeted psychological interventions.

Methods: In this cross-sectional study, 186 post-PCI patients were enrolled. PsyCap dimensions (resilience, optimism, hope, self-efficacy) were measured with the Positive Psychological Capital Scale (PPC), and QoL domains (physical strength, illness, medical conditions, daily activities, social psychology, work status) were assessed using the Chinese Quality of Life Questionnaire for Cardiovascular Patients (CQQC). Gaussian graphical models combined with LASSO regularization were employed to construct network structures. Centrality and bridge strength analyses identified key nodes, and bootstrap resampling was used to evaluate network stability.

Results: PsyCap demonstrated a dual-core structure comprising "self-efficacy-hope" and "resilience-optimism." Among QoL dimensions, the strongest interaction was observed between "daily activities" and "social psychology." "hope" emerged as the central hub within the PsyCap network and a critical bridge node, forming a robust link with the "daily function" domain of QoL. Stability analyses confirmed high network reliability, with statistically significant differences in edge weights and node strength.

Conclusion: As the first application of network analysis in this population, this study elucidates the multilevel psychological rehabilitation mechanisms post-PCI and reveals that "hope" is associated with synergistic improvements in both PsyCap and QoL through the integration of goal-directed cognitive and behavioral activation. These findings transcend conventional unidimensional intervention approaches and provide actionable network-based targets for implementing integrated psychological-functional rehabilitation models.