International Journal of Africa Nursing Sciences最新文献_第6页

Postpartum hemorrhage and associated risk factors in Africa: a systematic review and meta-analysis 非洲产后出血及相关危险因素：系统回顾和荟萃分析

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2026.100989

Ahmed Mohammed Ibrahim , Mohamed Omar Osman , Mohamud Hussein Ali , Abdilahi Ibrahim Muse , Abdulahi Hussen Abdinur , Ramadan Budul Yusuf , AbdiHamid Osman Ibrahim , Ahmed Mohamud Omar , Sualiha Abdulkader Muktar , Seid Muhumed Abdilaahi

Background

Postpartum hemorrhage (PPH) is a major public health problem and remains one of the leading causes of maternal morbidity and mortality, with sub-Saharan Africa carrying the highest burden. This study aimed to determine the prevalence and risk factors of postpartum hemorrhage in Africa.

Methods

A systematic review and meta-analysis of observational studies estimating PPH was undertaken through literature searches in biomedical databases. The protocol has been registered at PROSPERO and is available at https://www.crd.york.ac.uk/, under the registration number (CRD42020206087). All statistical analyses were conducted using STATA-Version 13 software. To assess heterogeneity, the I² test was used across the studies. A random-effect model was used to estimate the pooled prevalence of PPH. Odds ratios (OR) with 95% confidence intervals (CI) were also used to determine the association of variables with PPH.

Result

Twenty-nine articles were included in this meta-analysis with a total sample size of 179,730 from countries in Africa. The pooled prevalence of PPH in Africa from 2003 to 2023 was 4.2% (95% CI; 3–4). The regional distribution was 1% (95% CI: 1–1) in Eastern Africa, 3% (95% CI: 3–4) in Southern Africa, 4% (95% CI: 3–5) in Northern Africa, 5% (95% CI: 4–5) in Western Africa, and 5% (95% CI: 4–5) in Central Africa. Macrosomia and cesarean section were shown to be risk factors for PPH.

Conclusion

This analysis demonstrated that the prevalence of PPH was low. This result will inform risk factor-based prevention, cause-based treatment, and the planning and implementation of applicable public health strategies.

产后出血（PPH）是一个重大的公共卫生问题，仍然是孕产妇发病和死亡的主要原因之一，其中撒哈拉以南非洲地区负担最重。本研究旨在确定非洲产后出血的患病率和危险因素。方法通过生物医学数据库的文献检索，对估计PPH的观察性研究进行系统回顾和meta分析。该协议已在PROSPERO注册，并可在https://www.crd.york.ac.uk/上获得，注册号为CRD42020206087。所有统计分析均使用STATA-Version 13软件进行。为了评估异质性，在所有研究中使用I2检验。采用随机效应模型估计PPH的总患病率。比值比（OR）和95%置信区间（CI）也用于确定变量与PPH的关联。结果本荟萃分析纳入29篇文章，总样本量为179,730，来自非洲国家。2003年至2023年，非洲PPH的总患病率为4.2% （95% CI; 3-4）。东非的区域分布为1% (95% CI: 1-1)，南部非洲为3% (95% CI: 3-4)，北非为4% (95% CI: 3-5)，西非为5% (95% CI: 4-5)，中部非洲为5% （95% CI: 4-5）。巨大儿和剖宫产是PPH的危险因素。结论PPH的患病率较低。这一结果将为基于风险因素的预防、基于原因的治疗以及规划和实施适用的公共卫生战略提供信息。

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引用次数: 0

Emotional quotient, communication skills, and social support predict psychological capital in nursing students: a cross-sectional study 情商、沟通技巧和社会支持预测护生心理资本：一项横断面研究

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2026.100974

Maryam Shaygan , Negar Yazdani , Hajar Haghshenas

Background

Psychological capital (PsyCap), encompassing self-efficacy, hope, resilience, and optimism, is critical for nursing students to cope with academic and professional stressors. However, the predictive roles of emotional intelligence (EQ), communication skills, and social support on PsyCap remain underexplored. This study investigated predictive role of these factors’ influence on PsyCap among first-year nursing students in Iran.

Methods

This cross-sectional study included 291 first-year BSc nursing students at Shiraz University of Medical Sciences, Iran. Data were collected from September 2019 to February 2020, which covered one academic semester to ensure inclusion of all eligible students. The sample size was calculated using G*Power based on previous studies, and participants were recruited via convenience sampling. Data were collected online using validated self-report questionnaires: the Psychological Capital Questionnaire, Barton Communication Skills Questionnaire, Multidimensional Scale of Perceived Social Support, and Bradberry–Greaves Emotional Intelligence Test. Data were analyzed using SPSS-26 with univariate and hierarchical multiple regression models.

Results

Among 291 nursing students, PsyCap showed strong correlations with emotional intelligence, communication skills, and social support (all P < 0.001). Female and married students reported higher PsyCap. In hierarchical regression, demographic variables explained 21% of the variance, which increased to 69% after adding emotional intelligence and communication skills, and to 72% with social support. Emotional intelligence was the strongest predictor (β = 0.59, P < 0.001).

Conclusion

Enhancing EQ, communication skills, and social support can significantly boost nursing students’ PsyCap, fostering resilience and optimism for academic and clinical challenges. Nursing educators should implement targeted interventions, such as emotional regulation workshops and peer mentoring programs. Future longitudinal and multicenter studies are needed to validate these findings across diverse populations and resolve discrepancies related to demographic predictors.

心理资本（PsyCap），包括自我效能、希望、恢复力和乐观，是护理专业学生应对学术和职业压力源的关键。然而，情绪智力（EQ）、沟通技巧和社会支持在PsyCap中的预测作用仍未得到充分探索。本研究旨在探讨这些因素对伊朗护生心理cap的预测作用。方法采用横断面研究方法，选取291名伊朗设拉子医科大学护理学学士一年级学生。数据收集时间为2019年9月至2020年2月，涵盖一个学期，以确保纳入所有符合条件的学生。样本量在前人研究的基础上使用G*Power计算，采用方便抽样的方式招募参与者。本研究采用心理资本量表、巴顿沟通技巧量表、多维感知社会支持量表和布雷德伯里-格里夫斯情绪智力量表进行数据收集。数据分析采用SPSS-26单变量和分层多元回归模型。结果在291名护生中，PsyCap与情绪智力、沟通技巧和社会支持有较强的相关性（P < 0.001）。女性和已婚学生的心理cap值更高。在层次回归中，人口变量解释了21%的差异，在加上情商和沟通技巧后，这一比例增加到69%，加上社会支持后，这一比例增加到72%。情绪智力是最强的预测因子（β = 0.59, P < 0.001）。结论提高护生的情商、沟通能力和社会支持水平能显著提高护生的心理能力，培养护生对学术和临床挑战的适应力和乐观态度。护理教育者应该实施有针对性的干预措施，如情绪调节研讨会和同伴指导计划。未来的纵向和多中心研究需要在不同的人群中验证这些发现，并解决与人口预测因子相关的差异。

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引用次数: 0

The sources and effects of moral distress on nursing performance in emergency departments; a review of literature 急诊护士道德困扰的来源及对护理绩效的影响文献综述

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100947

Soheila ShamsiKhani , Mahsa Hosseini , Mehdi Safarabadi , Ali Jadidi

Background

Moral distress is a prevalent issue in healthcare settings, particularly among nurses in Emergency Departments (EDs), where ethical dilemmas frequently arise. This literature review aims to explore the sources and effects of moral distress on nursing performance, focusing on the unique challenges faced by ED nurses.

Methods

A systematic literature review was conducted using multiple electronic databases, including PubMed, CINAHL, Scopus, and PsycINFO, to identify relevant studies published from 2010 to 2024. The search strategy included medical subject headings (MeSH) and free-text keywords related to moral distress in nursing. Inclusion criteria focused on studies that specifically addressed moral distress experienced by ED nurses and its impact on patient care and nurse well-being.

Results

Eleven studies met the inclusion criteria, revealing key sources of moral distress such as ethical dilemmas in decision-making, organizational constraints, conflicts with healthcare providers, and unrealistic patient expectations. The findings indicated that moral distress significantly affects job satisfaction, increases burnout, impairs clinical judgment, and compromises patient care. Coping strategies identified included organizational support programs, ethics training, peer support, and resilience-building practices.

Conclusion

This review highlights the critical need for healthcare institutions to address moral distress among ED nurses through systemic changes and support mechanisms. By fostering a supportive environment and providing adequate resources, healthcare organizations can enhance nurse well-being and improve patient care outcomes.

道德困境是医疗环境中普遍存在的问题，特别是在急诊科（EDs）的护士中，道德困境经常出现。本文献综述旨在探讨道德困扰对护理绩效的来源和影响，重点关注急诊科护士面临的独特挑战。方法采用PubMed、CINAHL、Scopus、PsycINFO等多个电子数据库，对2010 ~ 2024年发表的相关研究进行系统文献综述。搜索策略包括医学主题标题（MeSH）和与护理道德困扰相关的自由文本关键词。纳入标准侧重于专门针对急诊科护士所经历的道德困扰及其对患者护理和护士福祉的影响的研究。结果11项研究符合纳入标准，揭示了道德困境的主要来源，如决策中的道德困境、组织约束、与医疗服务提供者的冲突以及患者不切实际的期望。研究结果显示，道德困扰显著影响工作满意度，增加倦怠，损害临床判断，并损害患者护理。确定的应对策略包括组织支持计划、道德培训、同伴支持和恢复力建设实践。结论本综述强调医疗机构迫切需要通过系统变革和支持机制来解决急诊科护士的道德困境。通过营造支持性环境和提供充足的资源，医疗保健组织可以增强护士的幸福感，并改善患者护理结果。

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引用次数: 0

Prevalence and determinants of effort-reward imbalance, job strain, and co-exposure among Ethiopian healthcare workers 埃塞俄比亚卫生保健工作者中努力-报酬不平衡、工作压力和共同暴露的患病率和决定因素

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2026.100985

Yitagesu Habtu , Abera Kumie , Medhine Selamu , Eshetu Girma

Background

Evidence on psychosocial stressors, such as effort-reward imbalance (ERI) and job strain (JS), among healthcare workers (HCWs) in Ethiopia is limited, despite their high exposure to demanding working conditions. This study aimed to estimate the prevalence of ERI, JS, and their co-occurrence, and to identify associated factors among Ethiopian HCWs.

Methods

A cross-sectional study was conducted in nine Ethiopian public hospitals between January and February 2023. Stratified cluster random sampling was applied, with hospitals serving as strata and hospital units as clusters. Data were collected using the Job Content Questionnaire (JCQ-17) and ERI-10. Analyses included confirmatory factor analyses, descriptive statistics, and robust Poisson regression models.

Results

Of 1,426 participants, 65% reported ERI, 65% reported JS, and 47% experienced both. The strongest predictors were work-family conflict, sleep problems, organisational injustice, and low social support increased the prevalence ratio of effort-reward imbalance, job strain, and their co-occurrence. Additionally, higher scores of list of threatening events (LTEs), longer working hours, and high job demands were associated with higher prevalence of ERI, and higher decision latitude was associated with lower prevalence of ERI.

Conclusion

The high prevalence of ERI, JS and both highlights a considerable psychosocial strain among healthcare workers. Work–family conflict, organisational injustice, limited social support, sleep problems, list of threatening events, longer working hours, and high job demands contributed to these outcomes, while greater decision latitude was protective. These findings highlight the need for targeted interventions that strengthen organisational justice, enhance support systems, establish work-family wellness schemes, and promote healthier work schedules.

背景在埃塞俄比亚的卫生保健工作者（HCWs）中，关于社会心理压力源的证据有限，例如努力-回报不平衡（ERI）和工作压力（JS），尽管他们高度暴露于苛刻的工作条件下。本研究旨在估计ERI、JS及其共发的患病率，并确定埃塞俄比亚卫生保健工作者的相关因素。方法于2023年1 - 2月在埃塞俄比亚9所公立医院进行横断面研究。采用分层整群随机抽样，医院为分层，医院单位为聚类。使用工作内容问卷（JCQ-17）和ERI-10收集数据。分析包括验证性因子分析、描述性统计和稳健泊松回归模型。结果在1426名参与者中，65%报告ERI， 65%报告JS， 47%两者都有。工作-家庭冲突、睡眠问题、组织不公和低社会支持增加了努力-回报不平衡、工作压力及其共存的患病率。此外，较高的威胁事件列表得分、较长的工作时间和较高的工作要求与较高的ERI患病率相关，而较高的决策纬度与较低的ERI患病率相关。结论ERI、JS和两者的高患病率表明医护人员存在相当大的社会心理压力。工作与家庭冲突、组织不公、有限的社会支持、睡眠问题、一系列威胁事件、更长的工作时间和高工作要求都是导致这些结果的原因，而更大的决策自由度则是保护性的。这些发现突出表明，需要采取有针对性的干预措施，加强组织公正，加强支持系统，建立工作-家庭健康计划，并促进更健康的工作时间表。

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引用次数: 0

Prevalence and associated factors of prolonged emergency department length of stay among adults patients attending University Hospital, South Ethiopia: a cross-sectional study 南埃塞俄比亚大学医院成年患者急诊住院时间延长的患病率及相关因素：一项横断面研究

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100958

Twedrose Fentahun Mamo, Nigus Habtamu Zenebe, Ytbarek Jemberie Getnet, Paulos Mada Mazga, Sorressa Letta Desisa, Hindu Argeta Hailemariam, Wondimagegn Genaneh Shiferaw

Background

Prolonged length of stay in the emergency department is closely associated with hospital occupancy, contributes to increased healthcare costs, and may compromise patient safety. Extended stays have also been linked to adverse outcomes, including longer inpatient hospitalizations, higher treatment expenses, and increased risk of mortality. Evidence on the prevalence and determinants of such events in Ethiopia remains limited.

Objective

To assess the prevalence and factors associated with prolonged Emergency Department Length of Stay among adult patients at Wolaita Sodo University Comprehensive and Specialized Hospital, 2025.

Methods

An institution-based cross-sectional study was conducted from May 9 to June 18, 2025, including 401 adult patients selected through systematic random sampling. Data were collected using structured interviewer-administered questionnaires and observation checklists. Binary logistic regression identified factors associated with prolonged stay, with significance set at p < 0.05 in the multivariate analysis.

Results

Prolonged length of Emergency Department stay occurred in 56.1 % of patients. Independent predictors included altered mental status (AOR = 0.399; 95 % CI: 0.22–0.72), undergoing at least one laboratory investigation (AOR = 5.29; 95 % CI: 1.665–16.8), nurse shift changes during stay (AOR = 2.043; 95 % CI: 1.221–3.419), yellow triage category (AOR = 0.421; 95 % CI: 0.216–0.821), prior treatment before Emergency department arrival (AOR = 2.837; 95 % CI: 1.626–4.949), and lower educational attainment (AOR = 1.94; 95 % CI: 1.002–3.758).

Conclusion

More than half of adult Emergency department patients experienced prolonged stays. System and patient-related factors such as, laboratory delays, shift handovers, triage processes, and health literacy influenced length of stay. Interventions to improve laboratory turnaround, standardize handovers, optimize triage, and enhance patient communication may reduce overcrowding and improve outcomes in resource-limited settings.

背景急诊住院时间的延长与医院占用率密切相关，增加了医疗费用，并可能危及患者安全。延长住院时间也与不良后果有关，包括住院时间更长、治疗费用更高和死亡风险增加。关于这类事件在埃塞俄比亚的流行程度和决定因素的证据仍然有限。目的了解武汉大学附属综合专科医院成人急诊科住院时间延长的流行情况及相关因素。方法于2025年5月9日至6月18日，采用系统随机抽样的方法，选取401例成人患者进行横断面研究。数据收集采用结构化的访谈者管理问卷和观察清单。二元逻辑回归确定了与住院时间延长相关的因素，多因素分析的显著性设置为p <； 0.05。结果急诊住院时间延长的占56.1%。独立预测因素包括精神状态改变（AOR = 0.399; 95% CI: 0.22-0.72）、至少接受过一次实验室检查（AOR = 5.29; 95% CI: 1.665-16.8）、住院期间护士换班（AOR = 2.043; 95% CI: 1.221-3.419）、黄色分类（AOR = 0.421; 95% CI: 0.216-0.821）、到达急诊科前接受过治疗（AOR = 2.837; 95% CI: 1.626-4.949）、教育程度较低（AOR = 1.94; 95% CI: 1.002-3.758）。结论超过半数的成人急诊科患者住院时间过长。系统和患者相关因素，如实验室延误、轮班交接、分诊过程和卫生素养影响住院时间。改善实验室周转、标准化移交、优化分诊和加强患者沟通的干预措施可能会减少过度拥挤，并在资源有限的情况下改善结果。

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引用次数: 0

Neonatal outcomes and Cesarean delivery in pregnancies complicated by IUGR with abnormal umbilical artery Doppler: A global systematic review and Meta-analysis 新生儿结局和剖宫产妊娠合并IUGR并脐动脉多普勒异常：一项全球系统综述和荟萃分析

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100949

Anteneh Gashaw , Daniel Kebede , Yayeh Adamu

Introduction

Intrauterine growth restriction (IUGR) is a condition characterized by fetal growth below the 10th percentile for gestational age, often associated with adverse perinatal outcomes. Abnormal umbilical artery Doppler findings, such as reduced or absent end-diastolic flow, are frequently observed in IUGR pregnancies and are indicative of placental insufficiency. This systematic review and meta-analysis aim to estimate the pooled rates of cesarean delivery, low APGAR score, and various neonatal complications based on global literature.

Method

This systematic review and meta-analysis (SRMA) adhered to PRISMA guidelines. A comprehensive search was conducted across international databases, including PubMed, Google Scholar, PsycINFO, ScienceDirect, Web of Science, and African Online Journals, using PICO-based search terms. Duplicates were removed with EndNote X20 software, and data were organized in Microsoft Excel. Pooled estimates were calculated using a weighted inverse variance random-effects model. Heterogeneity was assessed with the Cochrane Q-test and I2 statistics, and publication bias was examined using a funnel plot and Egger’s test. All analyses were performed using Stata version 17.

Result

A total of 1003 records were identified, with 31 studies included in the final analysis. The pooled cesarean section rate was 68.82 % (95 % CI: 57.61 %–80.02 %), and 31.18 % of neonates had low APGAR scores (95 % CI: 20.20 %–42.17 %). The prevalence of birth asphyxia was 20.27 % (95 % CI: 7.05–33.5 %), and 41.04 % of neonates required positive pressure ventilation (PPV) (95 % CI: 21.18–60.90 %). Respiratory distress syndrome (RDS) occurred in 51.95 % (95 % CI: 32.99–70.92 %), neonatal sepsis in 27.39 % (95 % CI: 15.38–39.40 %), intraventricular hemorrhage (IVH) in 10.75 % (95 % CI: 6.81–14.7 %), and necrotizing enterocolitis (NEC) in 10.07 % (95 % CI: 5.13–15.01 %).

Conclusion

The pooled estimates demonstrated significantly elevated rates of low APGAR scores at the 5th minute, birth asphyxia, neonatal sepsis, respiratory distress syndrome, positive pressure ventilation requirement, intraventricular hemorrhage, and necrotizing enterocolitis. Additionally, the cesarean delivery rate was notably high at 68.82 %.

宫内生长受限（IUGR）是一种以胎儿生长低于胎龄第10百分位为特征的疾病，通常与不良的围产期结局有关。脐动脉多普勒异常表现，如舒张末期血流减少或缺失，在IUGR妊娠中经常观察到，是胎盘功能不全的指示。本系统综述和荟萃分析旨在根据全球文献估计剖宫产、低APGAR评分和各种新生儿并发症的总发生率。方法系统评价和荟萃分析（SRMA）遵循PRISMA指南。使用基于pico的搜索词，在国际数据库中进行了全面的搜索，包括PubMed、b谷歌Scholar、PsycINFO、ScienceDirect、Web of Science和非洲在线期刊。使用EndNote X20软件删除重复，并在Microsoft Excel中组织数据。使用加权逆方差随机效应模型计算合并估计。采用Cochrane q检验和I2统计量评估异质性，采用漏斗图和Egger检验检验发表偏倚。所有分析均使用Stata version 17进行。结果共纳入1003份文献，最终纳入31份文献。合并剖宫产率为68.82% (95% CI: 57.61% ~ 80.02%)， 31.18%的新生儿APGAR评分较低（95% CI: 20.20% ~ 42.17%）。新生儿窒息的发生率为20.27% (95% CI: 7.05 - 33.5%)， 41.04%的新生儿需要正压通气（PPV）（95% CI: 21.18 - 60.90%）。呼吸窘迫综合征（RDS）发生率为51.95% (95% CI: 32.99 ~ 70.92%)，新生儿败血症发生率为27.39% (95% CI: 15.38 ~ 39.40%)，脑室内出血（IVH）发生率为10.75% (95% CI: 6.81 ~ 14.7%)，坏死性小肠结肠炎（NEC）发生率为10.07% （95% CI: 5.13 ~ 15.01%）。结论综合估计显示，第5分钟低APGAR评分、出生窒息、新生儿败血症、呼吸窘迫综合征、正压通气要求、脑室内出血和坏死性小肠结肠炎的发生率显著升高。剖宫产率高达68.82%。

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引用次数: 0

The effect of completion of continuum of maternal healthcare on birth outcomes in Southwest Ethiopia: A prospective follow-up study 在埃塞俄比亚西南部，完成连续的孕产妇保健对分娩结果的影响：一项前瞻性随访研究

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2025.100942

Sena Belina Kitila , Muluemebet Abera Wordofa , Garumma Tolu Feyissa

Background

There is scarcity of evidence on the effect of completion of maternal healthcare on birth outcomes. Such evidence is essential to prioritize health system interventions to improve perinatal health outcomes.

Objective

This study was aimed to investigate the effect of the continuum of care completion on birth outcomes in Southwest Ethiopia.

Methods

We prospectively followed a cohort 987 women in Jimma Zone from pregnancy up to 42 days postpartum. We collected data three times using a pretested interviewer-administered questionnaire. We conducted descriptive statistics, multivariate logistic regression, and propensity score matching models were fitted to identify the determinants of birth outcomes.

Results

The overall prevalence of completion of the maternal healthcare continuum and adverse birth outcomes were 16.1 % and 7.2 %, respectively. Being a spouse of a partner who has attended formal education (AOR: 3.73, 95 % CI: 1.65, 8.42), being a spouse of a partner who is a public employee (AOR: 5.33, 95 % CI: 1.03, 27.53), having a small family size (AOR: 6.40, 95 % CI: 2.48, 16.51), being grand multiparous (AOR: 0.18, 95 % CI: 0.07, 0.44), receiving complete service during service contacts (AOR: 3.08, 95 % CI: 1.75, 5.40), receiving advice during the service contacts (AOR: 4.67, 95 % CI: 1.10, 19.92), and having social support (AOR: 2.05, 95 % CI: 1.18, 3.56) were associated with higher odds of favorable birth outcome. There is no statistically significant added benefit of the completion of the continuum of care in improving birth outcomes.

Conclusion

A remarkable proportion of pregnancies end up with adverse birth outcomes. The completion of care alone doesn’t lead to better birth outcomes. Having a husband who had formal education and is public employee, receiving a complete service packages and advice during service contacts, having a small family size, and social support were associated with favorable birth outcomes. In addition to increasing the frequency of contacts, there should be improvement in the quality and comprehensiveness of service packages. Further research with a large sample size is needed to precisely determine factors associated with each adverse birth outcomes.

关于完成产妇保健对分娩结果的影响，缺乏证据。这些证据对于优先考虑卫生系统干预措施以改善围产期健康结果至关重要。目的本研究旨在调查连续护理完成对埃塞俄比亚西南部出生结局的影响。方法对吉马地区987名妇女进行前瞻性随访，随访时间为妊娠至产后42天。我们使用预先测试的访谈者管理的问卷收集了三次数据。我们进行了描述性统计、多元逻辑回归和倾向评分匹配模型，以确定出生结果的决定因素。结果孕产妇保健连续体完成率和不良分娩结局发生率分别为16.1%和7.2%。配偶的合伙人参加正规教育(优势比:3.73,95% CI: 1.65, 8.42),配偶的伴侣是一个公共雇员(优势比:5.33,95% CI: 1.03, 27.53),拥有一个小型的家庭规模(优势比:6.40,95% CI: 2.48, 16.51),被大多产的(优势比:0.18,95% CI: 0.07, 0.44),接受完整的服务在服务接触(优势比:3.08,95% CI: 1.75, 5.40),接收建议在服务接触(优势比:4.67,95%置信区间CI:1.10, 19.92)，拥有社会支持（AOR: 2.05, 95% CI: 1.18, 3.56）与良好出生结局的几率较高相关。完成连续护理在改善出生结局方面没有统计学上显著的额外益处。结论妊娠结局不良分娩比例显著。仅仅完成护理并不能带来更好的分娩结果。丈夫受过正规教育，是公务员，在服务接触期间接受完整的服务包和建议，家庭规模小，社会支持与良好的生育结果有关。除了增加接触的频率外，还应提高一揽子服务的质量和全面性。需要进一步的大样本量研究，以精确确定与每种不良出生结果相关的因素。

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引用次数: 0

The impact of unmet needs on the quality of life of family caregivers of adult patients with cancer in Oman: A Cross-Sectional study 未满足的需求对阿曼成年癌症患者家庭照顾者生活质量的影响：一项横断面研究

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2026.100982

Joshua K. Muliira, Eilean R. Lazarus, Nasser Al Salmi

Background

Family caregivers (FCs) of patients with cancer often experience unmet needs that can negatively impact their quality of life (QOL). In Oman, limited evidence exists regarding these unmet needs and their impact on caregivers’ QOL.

Purpose

To explore the impact of unmet needs on the QOL of FCs of adult patients with cancer in Oman.

Methods

A descriptive cross-sectional design utilizing a self-administered questionnaire were used to collect data from 198 FCs recruited from all major oncology centers in Oman. Consecutive sampling was employed to recruit FCs. Data were collected using adapted versions of the Needs Assessment of Family Caregivers-Cancer (NAFC-C) and the Caregiver Quality of Life Index-Cancer (CQOLC) scales. Descriptive, correlation, and multiple regression analyses were conducted.

Results

Many FCs (51 %) reported high levels of unmet needs, and these were mostly related to medical care (60.6 %), psychosocial support (53 %), and daily activity assistance (52.5 %). The FCs’ mean QOL score was 63.33 (SD = 18.51), with 51 % scoring below the mean, indicating poor QOL. Positive adaptation was particularly low, with 95.5 % of caregivers scoring below the mean. The psychosocial and financial unmet needs were significant predictors of caregivers’ QOL.

Conclusions

The FCs of cancer patients in Oman have significant psychosocial and medical unmet needs. The psychosocial and financial unmet needs had the most significant impact on QOL and require intervention to improve caregivers’ health outcomes. Developing structured support programs focusing on psychosocial support and social support may enhance health outcomes of FCs in Oman and other settings with similar characteristics.

癌症患者的家庭照顾者（fc）经常会遇到需求未满足的情况，这可能会对他们的生活质量（QOL）产生负面影响。在阿曼，关于这些未满足的需求及其对护理人员生活质量的影响的证据有限。目的探讨未满足需求对阿曼成年癌症患者生活质量的影响。方法采用描述性横断面设计，采用自我管理问卷，收集来自阿曼所有主要肿瘤中心的198名fc患者的数据。采用连续抽样方法招募fc。数据收集使用家庭照顾者癌症需求评估（NAFC-C）和照顾者生活质量指数-癌症（CQOLC）量表的改编版本。进行了描述性、相关性和多元回归分析。结果许多fc（51%）报告了高水平的未满足需求，这些需求主要与医疗护理（60.6%），心理社会支持（53%）和日常活动援助（52.5%）有关。FCs的平均生活质量评分为63.33 (SD = 18.51)，其中51%的评分低于平均值，表明生活质量较差。积极适应尤其低，95.5%的护理人员得分低于平均水平。未满足的心理社会需求和经济需求是照护者生活质量的重要预测因子。结论阿曼癌症患者的FCs有明显的心理社会和医疗需求未得到满足。未满足的心理社会和经济需求对生活质量影响最大，需要干预以改善照顾者的健康结果。制定以社会心理支持和社会支持为重点的结构化支持方案，可提高阿曼和其他具有类似特点的环境中难民的健康状况。

{"title":"The impact of unmet needs on the quality of life of family caregivers of adult patients with cancer in Oman: A Cross-Sectional study","authors":"Joshua K. Muliira, Eilean R. Lazarus, Nasser Al Salmi","doi":"10.1016/j.ijans.2026.100982","DOIUrl":"10.1016/j.ijans.2026.100982","url":null,"abstract":"<div><h3>Background</h3><div>Family caregivers (FCs) of patients with cancer often experience unmet needs that can negatively impact their quality of life (QOL). In Oman, limited evidence exists regarding these unmet needs and their impact on caregivers’ QOL.</div></div><div><h3>Purpose</h3><div>To explore the impact of unmet needs on the QOL of FCs of adult patients with cancer in Oman.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional design utilizing a self-administered questionnaire were used to collect data from 198 FCs recruited from all major oncology centers in Oman. Consecutive sampling was employed to recruit FCs. Data were collected using adapted versions of the Needs Assessment of Family Caregivers-Cancer (NAFC-C) and the Caregiver Quality of Life Index-Cancer (CQOLC) scales. Descriptive, correlation, and multiple regression analyses were conducted.</div></div><div><h3>Results</h3><div>Many FCs (51 %) reported high levels of unmet needs, and these were mostly related to medical care (60.6 %), psychosocial support (53 %), and daily activity assistance (52.5 %). The FCs’ mean QOL score was 63.33 (SD = 18.51), with 51 % scoring below the mean, indicating poor QOL. Positive adaptation was particularly low, with 95.5 % of caregivers scoring below the mean. The psychosocial and financial unmet needs were significant predictors of caregivers’ QOL.</div></div><div><h3>Conclusions</h3><div>The FCs of cancer patients in Oman have significant psychosocial and medical unmet needs. The psychosocial and financial unmet needs had the most significant impact on QOL and require intervention to improve caregivers’ health outcomes. Developing structured support programs focusing on psychosocial support and social support may enhance health outcomes of FCs in Oman and other settings with similar characteristics.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100982"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coping strategies of caregivers of children with chronic renal failure on automated peritoneal dialysis at a hospital in Gauteng, South Africa 南非豪登省一家医院慢性肾衰竭儿童自动腹膜透析护理人员的应对策略

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2026.101004

Sibongile Khumalo , Anna van der Wath , Seretlo Raikane , Nombulelo Sepeng

Background

Renal failure is a common chronic condition which affect both adults and children worldwide and is characterized by a gradual loss of kidney function over time. There are several ways to treat kidney failure and one of the methods is automated peritoneal dialysis (APD), which is mainly used in children. Children with chronic renal failure are cared for by caregivers at home. When a child is diagnosed with chronic renal failure, the caregivers’ lives change drastically, and they must adapt to this change of caring for the child undergoing APD.

Aim

The study aimed at exploring and describing the coping strategies of caregivers of children with chronic renal failure on APD at the selected academic hospital in the Gauteng Province, South Africa.

Methods

An exploratory-descriptive design was used to conduct this study. The study used purposive sampling to select a total number of ten participants. These participants were invited for face-to-face interviews conducted using a semi-structured interview guide. The interview questions were open ended to allow participants to provide rich information. A digital audio recorder was used to record the interviews. Data was analysed using thematic analysis.

Findings

Five themes emerged from the data: Psychological coping strategies, social and emotional support systems, spiritual coping strategies, substance use as a coping mechanism and recommended informational support systems by caregivers.

Conclusion

Although caregivers use various coping strategies associated with caring for children on APD, they require additional effective coping strategies and support from the hospital, family members and support groups.

肾功能衰竭是一种常见的慢性疾病，影响全世界的成人和儿童，其特征是随着时间的推移肾功能逐渐丧失。治疗肾衰竭有几种方法，其中一种方法是自动腹膜透析（APD），主要用于儿童。患有慢性肾衰竭的儿童在家中由护理人员照顾。当一个孩子被诊断为慢性肾衰竭时，照顾者的生活发生了巨大的变化，他们必须适应这种照顾患有APD的孩子的变化。目的本研究旨在探讨和描述在南非豪登省选定的学术医院慢性肾衰竭APD患儿的护理人员的应对策略。方法采用探索性描述设计进行本研究。本研究采用有目的抽样的方法，共选取10名参与者。这些参与者被邀请使用半结构化的面试指南进行面对面的面试。面试问题是开放式的，让参与者提供丰富的信息。一个数字录音机被用来记录采访。数据采用专题分析进行分析。研究结果从数据中得出了五个主题：心理应对策略、社会和情感支持系统、精神应对策略、作为应对机制的物质使用以及护理人员推荐的信息支持系统。结论：虽然照顾者在照顾APD患儿时使用了各种应对策略，但他们需要额外的有效应对策略以及来自医院、家庭成员和支持团体的支持。

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引用次数: 0

Unintended pregnancy among pregnant women living with HIV IN Bahirdar town public health facilities, Northwest Ethiopia 在埃塞俄比亚西北部巴希尔达尔镇公共卫生机构，携带艾滋病毒的孕妇意外怀孕

Q2 Nursing

International Journal of Africa Nursing Sciences

Pub Date : 2026-01-01 DOI: 10.1016/j.ijans.2026.101006

Samuel Kefelegn , Abayneh Aklilu , Fisseha Yetwale , Eyuel Amare , Anteneh Gashaw

Background

Unintended pregnancy is a pregnancy that is untimely or unforeseen at the time of conception but may be wanted later. The burden and negative consequences of unintended pregnancy are serious if it happens among HIV positive women. There was a limited evidence regarding unintended pregnancy among HIV positive women in the study area.

Methods

An institution-based cross-sectional study was conducted from February 1st to March 1st, 2022. A systematic sampling technique was used to select 408 eligible HIV-positive pregnant women. A structured, pretested interview administered questionnaire and chart review was used to collect the data. Data were entered in to Epidata version 4.6 and exported to SPSS version 23 for data analysis. Multivariable logistic regression model fitted to identify factors associated with unintended pregnancy. Statical association was claimed based on the adjusted odds ratio (AOR) with its 95 % CI and a p-value of ≤ 0.05.

Result

Prevalence of unintended pregnancy among HIV positive pregnant women in Bahirdar town public health facilities was 22.4 % with 95 % CI = 18.2––26.4). Factors significantly associated with unintended pregnancy were, women who did not want more children (AOR = 4.24, 95 % CI: 2.31, 7.77), who don’t know about dual method (AOR = 2.49, 95 % CI: 1.44, 4.30), women taking ARV for more than five years (AOR = 2.29, 95 % CI: 1.32, 3.95) and having non-regular sexual partner (AOR = 0.30, 95 % CI: 0.12, 0.70) were significantly associated with unintended pregnancy.

Conclusion

The prevalence of unintended pregnancy among women living with HIV in Bahir Dar town was lower than the global average, but a notable proportion remained affected. Unintended pregnancy was associated with not wanting more children, long-term ART use, and poor knowledge of dual contraceptive methods. Strengthening counseling on dual contraception and promoting safe sexual practices within PMTCT services is recommended to reduce unintended pregnancies and improve maternal and child health outcomes.

意外怀孕是指在受孕时不及时或无法预料，但以后可能想要的怀孕。如果发生在艾滋病毒阳性妇女中，意外怀孕的负担和负面后果是严重的。在研究地区，关于艾滋病毒阳性妇女意外怀孕的证据有限。方法于2022年2月1日至3月1日进行基于机构的横断面研究。采用系统抽样方法，选取408例符合条件的hiv阳性孕妇。采用结构化的、预先测试的访谈管理问卷和图表回顾来收集数据。数据输入到Epidata 4.6版本，导出到SPSS 23版本进行数据分析。拟合多变量logistic回归模型以确定与意外怀孕相关的因素。根据校正优势比（AOR）得出统计相关性，其95% CI和p值≤0.05。结果巴希尔达尔镇公共卫生机构HIV阳性孕妇意外怀孕发生率为22.4%,95% CI = 18.2—26.4。与意外怀孕显著相关的因素有：不想多生（AOR = 4.24, 95% CI: 2.31, 7.77）、不了解双重避孕法（AOR = 2.49, 95% CI: 1.44, 4.30）、服用抗逆转录病毒药物5年以上（AOR = 2.29, 95% CI: 1.32, 3.95）、性伴侣不规律（AOR = 0.30, 95% CI: 0.12, 0.70）与意外怀孕显著相关。结论Bahir Dar镇艾滋病毒感染妇女意外怀孕率低于全球平均水平，但仍有显著比例受到影响。意外怀孕与不想要更多孩子、长期使用抗逆转录病毒药物以及对双重避孕方法的了解不足有关。建议在预防母婴传播服务中加强双重避孕咨询和促进安全性行为，以减少意外怀孕并改善孕产妇和儿童健康结果。

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引用次数: 0