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Burden and its associated factors of neonatal necrotizing enter colitis among neonates admitted in neonatal intensive care unit in Ethiopia. A systematic review and meta-analysis 埃塞俄比亚新生儿重症监护病房新生儿坏死性进入性结肠炎的负担及其相关因素系统回顾和荟萃分析
Q2 Nursing Pub Date : 2025-01-01 DOI: 10.1016/j.ijans.2025.100899
Demewoz Kefale , Worku Necho Asferie , Tigabu Munye Aytenew , Gedefaw Abeje Masresha , Mahilet Wondim , Misganaw Abie Tassew , Kidist Hunegn Setargew , Yeshiambaw Eshetie , Solomon Demis Kebede
Neonatal Necrotizing enterocolitis is the most critical and recurrent gastrointestinal disorder in neonatal intensive care units. Although the overall mortality extends to 50 % related to necrotizing enterocolitis, it can approach 100 % with perforation, peritonitis and sepsis complications. It is the first step to planning management approaches that can contribute to decreasing long term morbidity and mortality. The aim of this systematic review and meta-analysis was to assess the prevalence and its determinant factors of necrotizing enterocolitis among admitted neonates in Ethiopia. The procedure of this systematic review and meta-analysis was registered at the Prospero with a registration number of CRD42023409175. Universal online databases such as PubMed, Cochrane, Google, Google Scholar, SCOPUS, and Web of science and Global health were used to search for articles. Data extraction was commenced with Microsoft Excel and STATA17 was used to conduct the Meta-Analysis. Random effect model analysis was considered when there was evidence of heterogeneity among the studies. The overall pooled prevalence of neonatal necrotizing enterocolitis was 14.4 % (95 % CI; 7.04, 21.85, I2 = 95.80 %, p = 0.000). The pooled odds ratio of Birth weight (AOR = 3.75 (95 % CI; 1.72, 5.79), Apgar score (AOR = 2.37 (95 % CI; 1.83, 2.91), maternal infection (AOR = 5.24 (95 % CI; 4.04, 6.45) and prolonged labor (AOR = 2.70 (95 % CI; 1.65, 3.74) had significant statistical association with neonatal necrotizing enterocolitis. This finding concluded that high prevalence and multiple determinant factors of neonatal necrotizing enterocolitis in Ethiopia. This finding recommend that neonatal care programs prioritize targeting maternal infection prevention, improved labor management, and enhanced care for low birth weight neonates and those with low Apgar scores to decrease the unacceptably high burden of neonatal necrotizing enterocolitis and its devastating consequences.
新生儿坏死性小肠结肠炎是新生儿重症监护病房最严重和复发性的胃肠道疾病。虽然坏死性小肠结肠炎的总死亡率可达50%,但穿孔、腹膜炎和脓毒症并发症的死亡率可接近100%。这是规划有助于降低长期发病率和死亡率的管理办法的第一步。本系统综述和荟萃分析的目的是评估埃塞俄比亚住院新生儿坏死性小肠结肠炎的患病率及其决定因素。本系统评价和荟萃分析的程序在普洛斯彼罗注册,注册号为CRD42023409175。使用PubMed、Cochrane、谷歌、谷歌Scholar、SCOPUS和Web of science and Global health等通用在线数据库搜索文章。使用Microsoft Excel开始数据提取,使用STATA17进行meta分析。当有证据表明研究之间存在异质性时,考虑随机效应模型分析。新生儿坏死性小肠结肠炎的总总患病率为14.4% (95% CI; 7.04, 21.85, I2 = 95.80%, p = 0.000)。出生体重(AOR = 3.75 (95% CI; 1.72, 5.79)、Apgar评分(AOR = 2.37 (95% CI; 1.83, 2.91)、母体感染(AOR = 5.24 (95% CI; 4.04, 6.45)、产程延长(AOR = 2.70 (95% CI; 1.65, 3.74)与新生儿坏死性小肠结肠炎的合并优势比具有统计学意义。这一发现表明埃塞俄比亚新生儿坏死性小肠结肠炎的高患病率和多重决定因素。这一发现建议新生儿护理计划优先针对孕产妇感染预防,改善分娩管理,加强对低出生体重新生儿和低Apgar评分的新生儿的护理,以减少新生儿坏死性小肠结肠炎的不可接受的高负担及其破坏性后果。
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引用次数: 0
Sub-optimal birth spacing and associated factors among mothers of children admitted to therapeutic feeding centers with severe acute malnutrition in Oda Bultum Woreda, Eastern Ethiopia: A cross-section study 埃塞俄比亚东部Oda Bultum worreda治疗性喂养中心严重急性营养不良患儿母亲的次优生育间隔及相关因素:一项横断面研究
Q2 Nursing Pub Date : 2025-01-01 DOI: 10.1016/j.ijans.2025.100867
Sultan Feyiso , Tegenu Balcha , Elias Yadeta , Yadeta dessie , Abera kenay Tura

Introduction

Although several strategies have been implemented, sub-optimal birth space continues to be a serious public health issue in Ethiopia. There is limited information regarding sub-optimal birth spacing among mothers of children with severe acute malnutrition in the study area. Thus, this study aimed to assess the magnitude of sub-optimal birth spacing and it is associated factors among mothers of children admitted to therapeutic feeding centers with severe acute malnutrition in Oda-Bultum Woreda, eastern Ethiopia.

Methods

An institutional-based cross-sectional study was carried out among 404 randomly selected mothers of children admitted to therapeutic feeding center with severe acute malnutrition in Oda BultumWoreda, Eastern Ethiopia from October 5 to December 4, 2020. A pretested structured interviewer-administered questionnaire was used. The collected data were entered into EpiData version 3.1 and then exported to SPSS version 25 for analysis. Binary logistic regression was used to examine the association between suboptimal birth spacing and independent variables. A P-value < 0.05 was used to declare a statistical significance.

Results

More than half of 213 (52.7%) of the study participants had sub-optimal birth spacing (<33 months). Rural residence (AOR: 1.87; 95% CI: 1.11 – 3.15), younger age at marriage (AOR: 2.92; 95%CI: 1.67––5.10), (AOR: 1.78; 95%CI: 1.07–2.95), not knowing the duration of optimal birth spacing (AOR: 4.12; 95%CI: 1.89–9.00), and shorter breastfeeding duration (AOR: 3.36, 95% CI: 2.09–5.39), and no formal education (AOR: 1.78; 95%CI: 1.07–2.95) were significantly associated with suboptimal birth spacing.

Conclusion

In this study, slightly more than half mothers' whose of children with severe acute malnutrition had suboptimal birth spacing. Rural residence, lack of education, younger marital age, lack of knowledge of ideal birth space, and shorter breastfeeding duration were the identified factors that increase the odds of having sub-optimal birth spacing. To optimize birth spacing in the study area, strategies concerning young women and rural communities are recommended.
虽然已经实施了若干战略,但次优生育空间仍然是埃塞俄比亚一个严重的公共卫生问题。在研究地区,关于患有严重急性营养不良儿童的母亲的次优生育间隔的信息有限。因此,本研究旨在评估埃塞俄比亚东部奥达-布尔图姆沃雷达治疗性喂养中心患有严重急性营养不良的儿童的母亲的次优生育间隔的程度及其相关因素。方法对2020年10月5日至12月4日在埃塞俄比亚东部Oda bultumworda的治疗性喂养中心就诊的404名患有严重急性营养不良的儿童的母亲进行基于机构的横断面研究。采用预先测试的结构化访谈者管理问卷。将收集到的数据输入EpiData 3.1版本,然后导出到SPSS 25版本进行分析。采用二元logistic回归检验次优生育间隔与自变量之间的关系。A p值<;采用0.05表示差异有统计学意义。结果213名研究参与者中超过一半(52.7%)的生育间隔不理想(33个月)。农村居民(AOR: 1.87;95% CI: 1.11 - 3.15),较年轻的结婚年龄(AOR: 2.92;95%ci: 1.67—5.10),(aor: 1.78;95%CI: 1.07-2.95),不知道最佳生育间隔的持续时间(AOR: 4.12;95%CI: 1.89-9.00),较短的母乳喂养时间(AOR: 3.36, 95%CI: 2.09-5.39),以及没有接受过正规教育(AOR: 1.78;95%CI: 1.07-2.95)与次优生育间隔显著相关。结论在本研究中,略多于一半的严重急性营养不良儿童的母亲生育间隔不理想。农村居住、缺乏教育、较年轻的结婚年龄、缺乏对理想生育间隔的认识和较短的母乳喂养时间是增加次优生育间隔几率的因素。为优化研究地区的生育间隔,提出了涉及年轻妇女和农村社区的策略。
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引用次数: 0
Factors associated with utilization of cervical cancer screening services among women at a tertiary hospital in eastern Uganda: A cross sectional study 乌干达东部三级医院妇女使用宫颈癌筛查服务的相关因素:一项横断面研究
Q2 Nursing Pub Date : 2025-01-01 DOI: 10.1016/j.ijans.2025.100897
Priscillah Kwehayo , Milton W. Musaba , Faith Oguttu , Samuel Olowo , Lydia Ssenyonga , Brendah Nambozo , Solomon Wani , Ritah Nantale , David Mukunya , Julius N Wandabwa

Background

Globally, cervical cancer can be cured if diagnosed at an early stage and treated promptly. However, this is rarely done in low- and middle-income countries, where the highest rates of cervical cancer incidence and mortality are reported. In Uganda, less than 20% of the targeted population utilize cervical cancer screening services despite these being readily available in health facilities across the country at no cost. We aimed to determine the factors associated with utilization of cervical cancer screening services among women of reproductive age at Mbale regional referral hospital in eastern Uganda.

Methods

This was a cross-sectional study involving 355 participants, we recruited clients attending the family planning clinic at Mbale regional referral hospital. We conducted multivariable logistic regression to determine the factors associated with utilization of cervical cancer screening services. Data were analyzed in Stata version 14.1.

Results

Only 33/355 (9.3 %) women had ever utilized cervical cancer screening services. Majority of the women 23/33(69.7 %) who had ever screened for cervical cancer, did so after recommendation by a health worker. Utilization of cervical cancer screening services was associated with: maternal age of 30 years and above [Adjusted Odds Ratio (AOR) 11.25 Confidence Interval (CI) (3.67–34.55)] and being more knowledgeable about cervical cancer [AOR 5.13 95 % CI (1.75–15.08)].

Conclusion

Adequate knowledge about cervical cancer and level of utilization of cervical cancer screening services was low among women at a regional referral hospital in Eastern Uganda. We recommend the following interventions targeted at increasing access to services and health literacy levels in the community. 1. Integrating cervical cancer screening into existing community outreach programs such as immunization. 2. Use of mass media and text messages in local dialects to communicate information about cervical cancer. 3. Community led campaigns and outreaches aimed at educating the public about risk factors and available methods of prevention of cervical cancer. 4. Health workers are also encouraged to routinely recommend and encourage cervical cancer screening services to all women of reproductive age that are under their care.
在全球范围内,如果早期诊断并及时治疗,宫颈癌是可以治愈的。然而,在报告子宫颈癌发病率和死亡率最高的低收入和中等收入国家很少这样做。在乌干达,不到20%的目标人口利用宫颈癌筛查服务,尽管这些服务在全国各地的卫生机构都可以免费获得。我们的目的是确定乌干达东部Mbale地区转诊医院育龄妇女使用宫颈癌筛查服务的相关因素。方法本研究为横断面研究,共纳入355名受试者,招募在Mbale地区转诊医院计划生育门诊就诊的患者。我们进行了多变量logistic回归来确定与宫颈癌筛查服务使用相关的因素。在Stata 14.1版本中分析数据。结果355名妇女中仅有33人(9.3%)曾接受过宫颈癌筛查服务。在接受过宫颈癌筛查的妇女中,有23/33(69.7%)是在卫生工作者的建议下进行筛查的。宫颈癌筛查服务的使用与以下因素相关:产妇年龄在30岁及以上[调整优势比(AOR) 11.25可信区间(3.67-34.55)]和对宫颈癌的了解程度[调整优势比(AOR) 5.13 95% CI(1.75-15.08)]。结论乌干达东部地区转诊医院的妇女对宫颈癌的充分认识和宫颈癌筛查服务的利用水平较低。我们建议采取以下干预措施,以增加社区获得服务的机会和提高卫生知识水平。1. 将宫颈癌筛查纳入现有的社区外展计划,如免疫接种。2. 利用大众传媒及本地方言短讯,传递有关子宫颈癌的资讯。3. 由社区主导的运动和外展活动,旨在教育公众了解宫颈癌的危险因素和现有的预防方法。4. 还鼓励保健工作者定期建议和鼓励向其照顾的所有育龄妇女提供宫颈癌筛查服务。
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引用次数: 0
Perception, intention and barriers to breast self-examination practice among reproductive age women attending maternal and child health services at Dilla public health facilities; Dilla, Ethiopia 2024:- a qualitative study 在迪拉公共卫生机构接受妇幼保健服务的育龄妇女对乳房自我检查的认识、意图和障碍;迪拉,埃塞俄比亚2024:-一项定性研究
Q2 Nursing Pub Date : 2025-01-01 DOI: 10.1016/j.ijans.2025.100901
Hana Bekele Hailu , Semarya Berhe Lemlem , Bazie Mekonnen , Tigistu Gebreyohannis Gebretensaye

Background

The primary goal of breast self-examination (BSE) is to detect breast cancer at an early stage, which is crucial in reducing its morbidity. However, in low-income countries, many women do not perform BSE due to factors such as lack of knowledge and misconceptions about the practice.

Objective

This study aimed to explore the perceptions, intentions, and barriers to BSE among women of reproductive age at Dilla public health facilities.

Methods

A qualitative, exploratory study was conducted from February 26 to March 22, 2024, involving women attending maternal and child health services at Dilla public health facilities. Participants were purposively selected, and data were collected through semi-structured in-depth interviews until saturation was reached, with 24 participants interviewed. Each interview lasted 20–30 min. Atlas ti 9 software was used for data analysis.

Results

Three main themes emerged: perception, intention, and barriers to BSE. Many women had no intention to practice BSE, believing it was unnecessary. Women who recognized the benefits of BSE for early breast cancer detection were more likely to practice it. Barriers included lack of knowledge about BSE and breast cancer, as well as religious and traditional beliefs that hindered practice.

Conclusion

Women who underestimated the importance of BSE were less likely to intend to practice SBE. Personal beliefs, lack of knowledge, and religious and cultural factors mentioned as barriers to Breast self-examination practice among reproductive age women.
背景乳房自我检查(BSE)的主要目的是在早期发现乳腺癌,这对降低其发病率至关重要。然而,在低收入国家,由于缺乏知识和对这种做法的误解等因素,许多妇女不做疯牛病手术。目的探讨迪拉市公共卫生机构育龄妇女对疯牛病的认知、意图和障碍。方法于2024年2月26日至3月22日对在迪拉市公共卫生机构妇幼保健服务的妇女进行定性、探索性研究。有目的地选择参与者,通过半结构化的深度访谈收集数据,直到达到饱和,采访了24名参与者。每次访谈持续20-30分钟。采用Atlas ti - 9软件进行数据分析。结果出现了三个主要主题:感知、意图和对疯牛病的障碍。许多女性并不打算患上疯牛病,认为这是不必要的。认识到疯牛病对早期乳腺癌检测的好处的妇女更有可能实践它。障碍包括缺乏对疯牛病和乳腺癌的了解,以及阻碍实践的宗教和传统信仰。结论低估了疯牛病重要性的妇女不太可能实施SBE。个人信仰、缺乏知识以及宗教和文化因素被认为是育龄妇女乳房自我检查的障碍。
{"title":"Perception, intention and barriers to breast self-examination practice among reproductive age women attending maternal and child health services at Dilla public health facilities; Dilla, Ethiopia 2024:- a qualitative study","authors":"Hana Bekele Hailu ,&nbsp;Semarya Berhe Lemlem ,&nbsp;Bazie Mekonnen ,&nbsp;Tigistu Gebreyohannis Gebretensaye","doi":"10.1016/j.ijans.2025.100901","DOIUrl":"10.1016/j.ijans.2025.100901","url":null,"abstract":"<div><h3>Background</h3><div>The primary goal of breast self-examination (BSE) is to detect breast cancer at an early stage, which is crucial in reducing its morbidity. However, in low-income countries, many women do not perform BSE due to factors such as lack of knowledge and misconceptions about the practice.</div></div><div><h3>Objective</h3><div>This study aimed to explore the perceptions, intentions, and barriers to BSE among women of reproductive age at Dilla public health facilities.</div></div><div><h3>Methods</h3><div>A qualitative, exploratory study was conducted from February 26 to March 22, 2024, involving women attending maternal and child health services at Dilla public health facilities. Participants were purposively selected, and data were collected through semi-structured in-depth interviews until saturation was reached, with 24 participants interviewed. Each interview lasted 20–30 min. Atlas ti 9 software was used for data analysis.</div></div><div><h3>Results</h3><div>Three main themes emerged: perception, intention, and barriers to BSE. Many women had no intention to practice BSE, believing it was unnecessary. Women who recognized the benefits of BSE for early breast cancer detection were more likely to practice it. Barriers included lack of knowledge about BSE and breast cancer, as well as religious and traditional beliefs that hindered practice.</div></div><div><h3>Conclusion</h3><div>Women who underestimated the importance of BSE were less likely to intend to practice SBE. Personal beliefs, lack of knowledge, and religious and cultural factors mentioned as barriers to Breast self-examination practice among reproductive age women.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"23 ","pages":"Article 100901"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158052","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
Motivating and inhibitory factors in mask-wearing: Chronic patients’ experiences during the COVID-19 pandemic 新型冠状病毒肺炎大流行期间慢性患者戴口罩的激励与抑制因素
Q2 Nursing Pub Date : 2025-01-01 DOI: 10.1016/j.ijans.2025.100858
Parvaneh Aghajari , Mina Hosseinzadeh
In COVID-19 pandemic mask-wearing has emerged as a critical preventive measure to minimize the risk of virus transmission, particularly for those with underlying health conditions. Chronic patients may face unique challenges related to mask-wearing that can impact their willingness to adhere to recommended practices. This study explores the experiences of chronic patients regarding mask usability and adherence during the COVID-19 pandemic. This qualitative study utilized a conventional content analysis approach to explore the experiences of chronic patients regarding mask usage during the COVID-19 pandemic. Participants were purposively selected from chronic patients visiting healthcare centers in Maragheh, Iran. A total of 25 individuals with various chronic conditions were interviewed. Data were collected through semi-structured interviews. Conventional content analysis as described by Graneheim and Lundman was used to analysis the data. Findings led to the emergence of two categories: 1. Incentives for Mask Wearing with these subcategories: new habit formation and sense of security 2.Barriers to mask usage with these subcategories: uncertainty About the Effectiveness of Masks, Perceived invulnerability after vaccination, Ineffective training of caregivers and Challenges of mask usage. This study highlights that while participants acknowledged the importance of masks, barriers such as skepticism about their effectiveness and discomfort hindered adherence. The findings underscore the need for targeted educational initiatives to address these challenges and promote understanding of mask benefits. A comprehensive approach that combines education, community support, and open communication is essential for empowering chronic patients to protect their health in future public health crises.
在COVID-19大流行中,戴口罩已成为一项关键的预防措施,以尽量减少病毒传播的风险,特别是对于那些有潜在健康问题的人。慢性病患者可能面临与戴口罩相关的独特挑战,这可能会影响他们坚持推荐做法的意愿。本研究探讨了COVID-19大流行期间慢性患者在口罩可用性和依从性方面的经验。本定性研究采用传统的内容分析方法,探讨了COVID-19大流行期间慢性患者对口罩使用的体验。参与者是有意从访问伊朗马拉赫医疗保健中心的慢性患者中挑选出来的。共有25名患有各种慢性疾病的人接受了采访。数据通过半结构化访谈收集。采用Graneheim和Lundman所描述的常规内容分析来分析数据。研究结果导致了两类的出现:1。戴口罩的动机分为以下几类:新习惯的形成和安全感。使用口罩的障碍包括以下子类别:口罩有效性的不确定性、疫苗接种后的不脆弱性、护理人员培训的无效以及口罩使用的挑战。这项研究强调,虽然参与者承认口罩的重要性,但对口罩有效性的怀疑和不适等障碍阻碍了他们的坚持。研究结果强调,需要有针对性的教育举措来应对这些挑战,并促进对口罩益处的理解。结合教育、社区支持和公开沟通的综合方法对于增强慢性病患者在未来公共卫生危机中保护自己健康的能力至关重要。
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引用次数: 0
Self-care in nursing: A bibliometric analysis (1976–2023) 护理中的自我护理:文献计量学分析(1976-2023)
Q2 Nursing Pub Date : 2025-01-01 DOI: 10.1016/j.ijans.2025.100821
Mahsa Hosseini , Soheila Shamsikhani , Masoomeh Noruzi Zamengani , Sediqullah Ahmadi , Ali Jadidi

Context

This study conducted a science mapping analysis of Self-care for nurses research until 1 January 2024. Self-care is a crucial element in promoting global health. Self-care can lead to the health and happiness of nurses. The purpose of this study was to identify the authoritative journals in this field, and topics related to nurses’ self-care.

Evidence Acquisition

The present study was a bibliometric analysis that used science mapping techniques and data was extracted from the Web of Science and Scopus. Based on the study population and the outcome, Self-care and nurses were considered as the main search terms. Data collection and analysis may be divided into two main: descriptive and bibliometric. The use of VOSviewer for analysis.

Results

This study retrieved 102 publications which, 74 (58%) were articles and 12 (11%) were reviewed articles. The United States is the most effective country in this field with the most publications and citations. Common related to self-care, nursing, work factors, and health-related. The International Journal of Nursing Studies from Elsevier has the most citations in the WOS and Scopus databases.

Conclusions

Due to the lack of research in the field, there is a concern to produce information and research in this field. The importance of research in this field is related to the role of nurses in the health system. self-care can help improve global health by improving the physical and mental health of nurses. Therefore, it is suggested that pay special attention to Self-care for nurses.
本研究对截至2024年1月1日的护士自我护理研究进行科学制图分析。自我保健是促进全球健康的一个关键因素。自我照顾可以给护士带来健康和快乐。本研究的目的是找出该领域的权威期刊,以及与护士自我护理相关的主题。证据获取本研究采用文献计量学分析,采用科学制图技术,数据提取自Web of science和Scopus。根据研究人群和结果,自我护理和护士被认为是主要的搜索词。数据收集和分析可分为两个主要:描述性和文献计量学。使用VOSviewer进行分析。结果本研究共检索到文献102篇,其中文献74篇(58%),综述12篇(11%)。美国是这一领域最有效的国家,拥有最多的出版物和引用。常见与自我照顾、护理、工作因素和健康相关。爱思唯尔的《国际护理研究杂志》在WOS和Scopus数据库中被引用最多。由于该领域的研究不足,因此需要关注该领域的信息和研究。这一领域研究的重要性与护士在卫生系统中的作用有关。自我保健可以通过改善护士的身心健康来帮助改善全球健康。因此,建议护士要特别重视自我护理。
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引用次数: 0
A Three-Way Challenge Faced by Patients Living with Diabetic Foot Ulcers at Komfo Anokye Teaching Hospital, Ghana: A Qualitative Study 加纳Komfo Anokye教学医院糖尿病足溃疡患者面临的三方面挑战:一项定性研究
Q2 Nursing Pub Date : 2025-01-01 DOI: 10.1016/j.ijans.2025.100856
Ajaratu Lampinley , Isaac Hayford Budu , Abigail Kusi-Amponsah Diji , Alberta Yemotsoo Lomotey , Olivia Nyarko Mensah , Saviour Yao Davor , Felix Apiribu

Background

Diabetes Foot Ulcer, DFU, remains a significant public health challenge worldwide, especially in low and middle-income countries LMICs, like Ghana. However, not much has been done to address the challenges facing patients living with DFU in Ghana. This qualitative study investigated the challenges facing patients living with DFU at the Komfo Anokye Teaching Hospital in Ghana, KATH.

Methods

In-depth interviews were conducted among 11 purposively sampled individuals living with DFU at KATH to the point of data saturation and analysed using content analysis.

Results

The study found three main challenges facing patients living with DFU at KATH. These challenges were economic (cost of treatment of DFU), psychological (fear of amputation, hopelessness and sadness) and social (stigmatization, mobility and inability to attend social functions) in nature.

Conclusion

The study advocates for policy interventions to address the economic, psychological, and social challenges faced by patients with DFU. Key among them include regular counselling programs by healthcare providers and religious bodies, strengthening social support networks, integrating psychological support, and incorporating DFU treatment.
糖尿病足溃疡(DFU)仍然是世界范围内的一个重大公共卫生挑战,特别是在加纳等低收入和中等收入国家。然而,加纳在解决DFU患者面临的挑战方面做得并不多。本定性研究调查了加纳Komfo Anokye教学医院DFU患者面临的挑战。方法对11名在KATH生活的DFU患者进行深度访谈,直至数据饱和,并采用内容分析法进行分析。结果该研究发现了KATH的DFU患者面临的三个主要挑战。这些挑战本质上是经济上的(治疗DFU的费用)、心理上的(害怕截肢、绝望和悲伤)和社会上的(污名化、行动不便和无法参加社会活动)。结论本研究提倡政策干预,以解决DFU患者面临的经济、心理和社会挑战。其中的关键措施包括医疗保健提供者和宗教团体定期提供咨询方案,加强社会支持网络,整合心理支持,并纳入DFU治疗。
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引用次数: 0
Exploring the unmet needs of family caregivers of cancer patients in Southwest Nigeria 探索尼日利亚西南部癌症患者家庭照顾者未满足的需求
Q2 Nursing Pub Date : 2025-01-01 DOI: 10.1016/j.ijans.2025.100864
P.O. Amoo, N. Busisiwe

Background

Cancer imposes a significant burden on family caregivers in low-resource settings like Southwest Nigeria, where financial strain, limited information, and emotional distress are prevalent but often unaddressed. Understanding these unmet needs is vital for enhancing caregiver support and patient outcomes.

Purpose

This study aimed to explore the unmet needs of family caregivers of cancer patients in Southwest Nigeria and evaluate the adequacy of information provided for effective caregiving.

Methods

An ethnographic approach was employed, involving semi-structured interviews, focus group discussions, and ethnographic observations. Data were collected from 35 caregivers across multiple hospitals and home settings in Southwest Nigeria over six months and analysed using thematic analysis with NVIVO version 12.

Results

findings showed that majority of the caregivers are female 60 %, mean age 39.6 years, key unmet needs included financial strain due to high treatment costs (reported by most participants), insufficient information about cancer and caregiving (lack of guidance on patient care), emotional and psychological stress (distress from patient suffering), inadequate support from healthcare providers (poor communication), and social isolation exacerbated by misconceptions about cancer contagiousness. Caregivers emphasised the need for transparent communication, financial aid, and emotional support.

Conclusion

This study underscores the critical unmet needs of family caregivers in Southwest Nigeria, highlighting the necessity for improved communication, financial assistance, and psychosocial interventions. Policy changes are essential to recognize caregivers as integral to cancer care. Future research should investigate tailored intervention models for diverse settings.
背景:在尼日利亚西南部等资源匮乏的地区,癌症给家庭照顾者带来了沉重的负担,在这些地区,经济压力、信息有限和情绪困扰普遍存在,但往往得不到解决。了解这些未满足的需求对于加强护理人员支持和患者预后至关重要。目的本研究旨在探讨尼日利亚西南部癌症患者家庭照护者未被满足的需求,并评估为有效照护提供的信息的充分性。方法采用民族志方法,包括半结构化访谈、焦点小组讨论和民族志观察。在六个月的时间里,从尼日利亚西南部多家医院和家庭环境中收集了35名护理人员的数据,并使用NVIVO version 12进行了专题分析。结果发现,大多数护理人员为女性,占60%,平均年龄39.6岁,未满足的主要需求包括治疗费用高导致的经济压力(大多数参与者报告),关于癌症和护理的信息不足(缺乏患者护理指导),情绪和心理压力(患者痛苦的痛苦),卫生保健提供者的支持不足(沟通不周),医疗保健服务提供者的支持不足(沟通不周)。对癌症传染性的误解加剧了社会孤立。护理人员强调需要透明的沟通、经济援助和情感支持。结论:本研究强调了尼日利亚西南部家庭照顾者未被满足的关键需求,强调了改善沟通、经济援助和社会心理干预的必要性。必须改变政策,以认识到护理人员是癌症护理的组成部分。未来的研究应该针对不同的环境探索量身定制的干预模式。
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引用次数: 0
The mediating effect of empathy in the relationship between humanistic practice competence and caring ability among newly employed nurses 共情在新入职护士人文实践能力与关怀能力关系中的中介作用
Q2 Nursing Pub Date : 2025-01-01 DOI: 10.1016/j.ijans.2025.100866
Rongxiu Jin , Yi Wang , Ying Shan , Jiuqun Li

Background

The transition period for newly employed nurses is critical for the development of professional competencies, particularly in humanistic practice and caring ability. While previous research has established the importance of humanistic practice competence in nursing, the mediating role of empathy in the enhancement of caring ability remains underexplored. This study aims to analyze the relationship between humanistic practice competence and the caring abilities of newly hired nurses, specifically focusing on the mediating role of empathy in this context.

Methods

A cross-sectional study was conducted Among 129 newly employed nurses from a tertiary hospital in Shenzhen. Three validated instruments—the Humanistic Practice Competence Assessment Scale, the Interpersonal Reactivity Index Questionnaire (Empathy Ability Scale), and the Caring Ability Inventory (CAI)—were employed to collect data. Descriptive statistics were used to analyze the scores of humanistic practice competence, empathy, and caring ability. Correlation analysis and mediation analysis were performed to examine the relationships between these variables.

Results

The findings highlighted that newly employed nurses excelled in humanistic practice competence with an average score of 106.50 ± 18.79 but did not meet the international standard in caring ability, scoring only 187.00 ± 21.62.
The analysis demonstrated that newly employed nurses exhibited a humanistic practice competence score exceeding the average benchmark (106.50 ± 18.79), while their caring ability (187.00 ± 21.62) fell below established international standards.
A significant positive correlation was identified between humanistic practice competence and caring ability. Furthermore, empathy was found to mediate the relationship between humanistic practice competence and caring ability, with an indirect effect value of 0.495, which accounted for 86.84 % of the total effect.

Conclusion

This study highlights the pivotal role of empathic capacity in enhancing humanistic practice competence and caring ability among newly employed nurses, providing empirical support for nursing administrators to develop targeted intervention programs. The findings suggest that educational strategies should prioritize strengthening novice nurses’ humanistic cognition and professional identity, while systematically implementing humanistic practice protocols. Through clinical immersion, these practitioners can progressively refine their humanistic literacy, with particular emphasis on optimizing nurse-patient communication through evidence-based interaction techniques. Such multidimensional cultivation enables continuous delivery of high-quality, efficient, and patient-centered care that meets contemporary healthcare expectations.
新入职护士的过渡期是专业能力发展的关键时期,尤其是在人文实践和护理能力方面。虽然以往的研究已经确立了人文实践能力在护理中的重要性,但共情在护理能力增强中的中介作用尚未得到充分的探讨。本研究旨在分析新聘护士人文实践能力与关怀能力的关系,特别关注共情在这一背景下的中介作用。方法对深圳某三级医院129名新入职护士进行横断面调查。采用人文实践能力评估量表、人际反应指数问卷(共情能力量表)和关爱能力量表(CAI)进行数据收集。采用描述性统计分析人文实践能力、共情能力和关怀能力得分。通过相关分析和中介分析来检验这些变量之间的关系。结果新入职护士人文实践能力得分平均为106.50±18.79分,但护理能力得分仅为187.00±21.62分,不符合国际标准。分析表明,新入职护士人文实践能力得分高于平均水平(106.50±18.79)分,而护理能力得分低于国际标准(187.00±21.62)分。人文实践能力与关怀能力呈显著正相关。共情在人文实践能力与关怀能力之间具有中介作用,其间接效应值为0.495,占总效应的86.84%。结论本研究突出了共情能力在提高新入职护士人文实践能力和关怀能力中的关键作用,为护理管理者制定有针对性的干预方案提供了实证支持。研究结果提示,教育策略应以加强新手护士的人文认知和职业认同为重点,同时系统实施人文实践方案。通过临床沉浸,这些从业者可以逐步完善他们的人文素养,特别强调通过循证互动技术优化护患沟通。这种多维培养能够持续提供高质量、高效和以患者为中心的护理,满足当代医疗保健的期望。
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引用次数: 0
The untold psychosocial experiences of men with partners diagnosed with breast cancer in Ghana: A qualitative Exploration 在加纳,被诊断患有乳腺癌的男性伴侣的不为人知的心理社会经历:一项定性探索
Q2 Nursing Pub Date : 2025-01-01 DOI: 10.1016/j.ijans.2025.100900
Ernestina Ayim-Aboagye , Merri Iddrisu , Hadiru Iddris Mumuni , Helena Sarfoa Opare , Benedicta Boateng

Background

Breast cancer has psychological and socioeconomic impacts on not only patients but also their families especially male partners. The impacts on patients is well-documented, but less attention has been given to that of male partners of patients living with breast cancer.

Aim

This study explored and described the psychosocial experiences of men with partners living with breast cancer in the Accra metropolis.

Method

Design; An exploratory, descriptive qualitative design was employed and 15 male participants purposively recruited to share their experiences. After the Korle-Bu Teaching Hospital Ethics Review Board approved the study, a semi-structured interview guide was used to conduct face-to-face individual interviews. Braun and Clarke’s thematic analysis approach used to analyse data.

Findings

Two major themes and eight subthemes generated. 1) Psychological Impact of breast cancer and 2) Socioeconomic Impact of breast cancer, on Male Partners. Subthemes under Psychological Impact include emotional turmoil, increased caregiver burden, strengthened marital bonds, and intimacy changes. The Socioeconomic impact also had four subthemes: financial strain, work disruptions, increased healthcare expenses, shifting family responsibilities.

Conclusion

This study reveals the complex interplay of psychological, and socioeconomic factors affecting men whose partners have been diagnosed with breast cancer and going through treatment. The findings underscore the need for comprehensive support systems addressing the emotional, financial, and informational needs of male partners throughout the breast cancer journey. Healthcare providers should consider adopting a family-centered approach to care that includes male partners in treatment discussions and decision-making processes.
乳腺癌不仅对患者,而且对其家庭尤其是男性伴侣产生心理和社会经济影响。对患者的影响是有据可查的,但很少有人关注乳腺癌患者的男性伴侣。目的探讨和描述阿克拉市区男性乳腺癌患者的心理社会经历。采用探索性描述性定性设计,并有意招募15名男性参与者分享他们的经历。在Korle-Bu教学医院伦理审查委员会批准该研究后,采用半结构化访谈指南进行面对面的个人访谈。Braun和Clarke的主题分析方法用于分析数据。产生了两个主要主题和八个次要主题。1)乳腺癌对男性伴侣的心理影响;2)乳腺癌对男性伴侣的社会经济影响。心理影响的次主题包括情绪动荡、照顾者负担增加、婚姻关系加强和亲密关系改变。社会经济影响还包括四个主题:经济压力、工作中断、医疗费用增加、家庭责任转移。结论:本研究揭示了心理因素和社会经济因素之间复杂的相互作用,这些因素会影响伴侣被诊断患有乳腺癌并正在接受治疗的男性。研究结果强调,在整个乳腺癌过程中,需要一个全面的支持系统来解决男性伴侣在情感、经济和信息方面的需求。医疗保健提供者应考虑采用以家庭为中心的护理方法,在治疗讨论和决策过程中包括男性伴侣。
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引用次数: 0
期刊
International Journal of Africa Nursing Sciences
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