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When was the last time you cried? 你上次哭是什么时候?
Q3 Nursing Pub Date : 2023-11-28 eCollection Date: 2023-01-01 DOI: 10.51866/mol.508
Mohamed-Syarif Mohamed-Yassin
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引用次数: 0
Should ChatGPT be considered a medical writer? ChatGPT 应该被视为医学作家吗?
Q3 Nursing Pub Date : 2023-11-28 eCollection Date: 2023-01-01 DOI: 10.51866/lte.483
Apichai Wattanapisit, Apichat Photia, Sanhapan Wattanapisit
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引用次数: 0
Corrigendum to "Postpartum health of working mothers: A prospective study". 职业母亲的产后健康:前瞻性研究"。
Q3 Nursing Pub Date : 2023-11-24 eCollection Date: 2023-01-01 DOI: 10.51866/cor.001
Janting Majorie Ensayan Anak, Whye Lian Cheah, Hazmi Helmy
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引用次数: 0
Manpower cost for a hypertension health campaign: A cross-sectional study. 高血压健康运动的人力成本:一项横断面研究。
Q3 Nursing Pub Date : 2023-11-19 eCollection Date: 2023-01-01 DOI: 10.51866/oa.3l4
Hooi Chin Beh, Ping Foo Wong, Bee Nah Chew, Yook Chin Chia

Introduction: The overall prevalence of hypertension is high, and many people are unaware of their condition. Screening campaigns can effectively identify this group of patients. The study aimed to determine the cost of manpower for a health campaign for detecting undiagnosed hypertension and the prevalence of hypertension.

Method: This cross-sectional study was conducted at two health centres. Sociodemographic characteristics, hypertension and treatment statuses were recorded. Blood pressure (BP) was measured by either doctors or nurses using automated BP machines. The cost of manpower was calculated as the average salaries of manpower during the 3-day health campaign divided by the total number of days. The final sum was the cost of detecting undiagnosed hypertension.

Results: A total of 2009 participants median age = 50 (IQR = 18-91) were included in the study. The overall prevalence of hypertension was 41.4% (n=832). Among the patients with hypertension, 49.2% (n=409) were unaware of their hypertension status. Conversely, 21.1% (n=423) were known to have hypertension, among whom 97.4% (n=412) were on medications. Among those who were on medications, 49% (n=202) had good BP control. The average total cost of manpower during the 3-day health campaign was RM 5019.80 (USD 1059). The cost of detecting an individual with elevated BP was RM 12.27 (USD 2.59).

Conclusion: The prevalence of hypertension and unawareness is high. However, the average cost of manpower to detect an individual with elevated BP is low. Therefore, regular public health campaigns aiming to detect undiagnosed hypertension are recommended.

导言:高血压的总体发病率很高,但很多人并不知道自己患有高血压。筛查活动可以有效识别这部分患者。本研究旨在确定检测未确诊高血压的健康运动的人力成本以及高血压的患病率:这项横断面研究在两个医疗中心进行。记录了社会人口学特征、高血压和治疗状况。医生或护士使用自动血压机测量血压。人力成本的计算方法是将 3 天健康运动期间的平均人力工资除以总天数。最后的总和是检测未诊断高血压的成本:研究共纳入 2009 名参与者,中位年龄 = 50(IQR = 18-91)。高血压的总体患病率为 41.4%(n=832)。在高血压患者中,49.2%(约 409 人)不知道自己患有高血压。相反,21.1%的患者(423 人)知道自己患有高血压,其中 97.4%(412 人)正在接受药物治疗。在接受药物治疗的患者中,49%(人数=202)的血压控制良好。在为期 3 天的健康运动中,平均人力总成本为 5019.80 马币(1059 美元)。发现一名血压升高者的成本为 12.27 马币(2.59 美元):结论:高血压的发病率很高,且未被察觉。结论:高血压的患病率和不知晓率都很高,但检测一名血压升高患者的平均人力成本却很低。因此,建议定期开展旨在检测未确诊高血压的公共卫生运动。
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引用次数: 0
Rethinking medical appointments. 重新思考医疗预约。
Q3 Nursing Pub Date : 2023-11-12 eCollection Date: 2023-01-01 DOI: 10.51866/lte.501
Khaled Moustafa
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引用次数: 0
Application of the theory of planned behaviour for predicting the determinants of workplace violence reporting behaviour among public hospital healthcare workers in Malaysia: A cross-sectional study 计划行为理论在预测马来西亚公立医院医护人员工作场所暴力报告行为决定因素中的应用:一项横断面研究
Q3 Nursing Pub Date : 2023-10-29 DOI: 10.51866/oa.312
Halimatus Sakdiah Minhat, Mohammad Nafis Sahiran
Introduction: Reporting workplace violence (WPV) is a crucial preventive measure. Given the great impact of WPV on mental health and well-being, this study aimed to determine the prevalence and determinants of WPV reporting among healthcare workers (HCWs). Methods: A total of 557 public hospital HCWs in Melaka were recruited via probability sampling. A questionnaire guided by the theory of planned behaviour was developed, pre-tested and distributed. Malaysians with a minimum employment period of 12 months who experienced WPV within the same period in the selected public hospitals were eligible for inclusion. Multiple logistic regression analysis was conducted to determine the association between the independent variables and WPV reporting. Results: Psychological violence was the most common WPV (80.3%), with only 177 (31.8%) respondents reporting such. The respondents who had high subjective norm (adjusted odds ratio [AOR]=2.160, 95% confidence interval [CI]=1.32–3.53) and perceived behavioural control scores (AOR=3.976, 95% CI=2.41–6.55); were clinical (AOR=2.679, 95% CI=1.43–5.02) and non-clinical (AOR=4.271, 95% CI=2.23–8.18) support staff; experienced physical WPV (AOR=13.157, 95% CI=3.83–45.24) and both physical and psychological WPV (AOR=2.029, 95% CI=1.13–3.65); and perceived that WPV was intentional (AOR=11.111, 95% CI=6.50–19.00) were more likely to report WPV. Conclusion: HCWs who experience physical WPV have the highest likelihood to report, followed by those who perceive WPV as intentional. The prevalence of reported WPV among public hospital HCWs is low, potentially underestimating its true occurrence owing to underreporting. Ensuring readily available reporting mechanisms for WPV, especially the psychological type, is crucial for HCWs.
介绍:举报工作场所暴力(WPV)是至关重要的预防措施。鉴于WPV对心理健康和福祉的巨大影响,本研究旨在确定卫生保健工作者(HCWs)中WPV报告的患病率和决定因素。方法:采用概率抽样方法对马六甲市557名公立医院卫生保健员进行调查。在计划行为理论的指导下,开发了一份问卷,进行了预先测试并分发。就业时间至少为12个月的马来西亚人,在选定的公立医院同一时期内经历了免疫接种,有资格纳入。采用多元logistic回归分析确定自变量与WPV报告之间的关系。结果:心理暴力是最常见的WPV(80.3%),仅有177人(31.8%)表示有心理暴力。主观规范高(调整优势比[AOR]=2.160, 95%可信区间[CI]=1.32 ~ 3.53)和行为控制感知得分高(AOR=3.976, 95% CI=2.41 ~ 6.55)的被调查者;临床(AOR=2.679, 95% CI=1.43 ~ 5.02)和非临床(AOR=4.271, 95% CI=2.23 ~ 8.18)支持人员;体理性WPV (AOR=13.157, 95% CI=3.83 ~ 45.24)和身心性WPV (AOR=2.029, 95% CI=1.13 ~ 3.65);并且认为WPV是故意的(AOR=11.111, 95% CI= 6.50-19.00)更有可能报告WPV。结论:经历过身体殴打的医护人员报告的可能性最高,其次是那些认为殴打是故意的。公立医院卫生保健人员报告的WPV患病率较低,可能因漏报而低估了其真实发生率。确保有现成的脊髓灰质炎报告机制,特别是心理类型的报告机制,对卫生保健工作者至关重要。
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引用次数: 0
Changing tide of attire: Reflecting on the choice of clothing in primary care settings 服装潮流的变化:对初级保健环境中服装选择的反思
Q3 Nursing Pub Date : 2023-10-27 DOI: 10.51866/mol.457
Prasad Narayanan Haymond
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引用次数: 0
Impacts of accreditation on the performance of primary health care centres: A systematic review 认证对初级卫生保健中心绩效的影响:系统审查
Q3 Nursing Pub Date : 2023-10-27 DOI: 10.51866/rv.274
Jafar Sadegh Tabrizi, Atefeh As’habi, Maryam Nazari, Masoumeh Ebrahimi Tavani, Mehdi Haghi, Farid Gharibi
Introduction: Evidence on the impacts of accreditation on primary health care (PHC) services is inconsistent. Thus, this study aimed to assess the impacts of accreditation on the performance of PHC centres. Methods: This study systematically reviewed articles published from 2000 to 2019 in the Web of Science, Scopus, ScienceDirect, Springer, PubMed and ProQuest. The following keywords were used: ((primary care OR primary health care) AND (accreditation) AND (impact OR effect OR output OR outcome OR influence OR result OR consequences)). The database search yielded a total of 41256 articles, among which 30 articles were finally included in the review. Results: Accreditation showed the most positive impacts on the quality, effectiveness, human resource management and strategic management of PHC services. Accreditation also positively affected safety, responsiveness, accessibility, customer satisfaction, documentation, leadership, efficiency and continuity of care. Few negative impacts were noted, including the possibility of accreditation being used as a bureaucratic tool, high cost of acquiring accreditation, difficulties in understanding the accreditation process, high staff turnover rate in accredited PHC centres and weak sustainability of some accreditation programmes. Conclusion: Given its numerous positive impacts, accreditation could be used to effectively improve the performance of PHC centres.
关于认证对初级卫生保健(PHC)服务影响的证据不一致。因此,本研究旨在评估认证对初级保健中心绩效的影响。方法:本研究系统回顾了2000 - 2019年在Web of Science、Scopus、ScienceDirect、Springer、PubMed和ProQuest上发表的文章。使用了以下关键词:(初级保健或初级卫生保健)和(认证)和(影响或效果或输出或结果或影响或结果或后果))。数据库检索共检索到41256篇文章,其中30篇文章最终纳入综述。结果:认证对初级保健服务的质量、有效性、人力资源管理和战略管理产生了最积极的影响。认证还对安全、响应能力、可及性、客户满意度、文件、领导、效率和护理的连续性产生积极影响。几乎没有注意到负面影响,包括认可可能被用作官僚工具、获得认可的费用高、难以了解认可程序、认可的初级保健中心的工作人员流失率高以及一些认可方案的可持续性弱。结论:鉴于其众多的积极影响,认证可以用来有效地提高初级保健中心的绩效。
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引用次数: 0
Exploratory factor analysis of items for evaluating healthy lifestyles related to mental health among undergraduate students 大学生健康生活方式与心理健康相关评价项目的探索性因子分析
Q3 Nursing Pub Date : 2023-10-21 DOI: 10.51866/oa.448
Zarizi Ab Rahman, Badrul Isa, Mohd Sazili Shahibi, Muhammad Irsyad Mansor
Introduction: A healthy lifestyle is pivotal for improving mental health. As the concept of a healthy lifestyle is comprehensive, there is a need to prioritise components related to mental health in planning proper mental health interventions. In this regard, physical activity, diet, sleep quality, substance abuse and social support have been identified to enhance mental health. It is necessary to develop a valid scale for assessing healthy lifestyles related to mental health. Thus, this study aimed to adapt and validate an existing scale to evaluate healthy lifestyles related to mental health. Methods: This study included 177 (men: n=73, women: n=104) participants from University Teknologi MARA, Puncak Alam, Selangor. The data were presented using descriptive statistics and subjected to an exploratory factor analysis. Results: The 22 scale items evaluated were valid and reliable in assessing the five components of healthy lifestyles related to mental health. The total variance explained for measuring the construct was 68.610%. The Cronbach’s alpha value for the five components ranged from 0.784 to 0.903. Conclusion: The adapted scale is acceptable and reliable in evaluating healthy lifestyles related to mental health within the target population. Thus, it can be used to assess significant components of healthy lifestyles to promote mental health. Accordingly, relevant authorities can formulate the best strategies to enhance mental health.
健康的生活方式对改善心理健康至关重要。由于健康生活方式的概念是全面的,在规划适当的心理健康干预措施时,有必要优先考虑与心理健康有关的组成部分。在这方面,已经确定了身体活动、饮食、睡眠质量、药物滥用和社会支持,以加强心理健康。有必要制定一个有效的量表来评估与心理健康相关的健康生活方式。因此,本研究旨在调整和验证现有的量表来评估与心理健康相关的健康生活方式。方法:本研究纳入来自雪兰莪州punak Alam市玛拉理工大学的177名参与者(男性73人,女性104人)。数据采用描述性统计并进行探索性因素分析。结果:所评估的22个量表项目在评估与心理健康相关的健康生活方式的五个组成部分方面是有效和可靠的。测量结构的总方差解释为68.610%。五个成分的Cronbach’s alpha值在0.784 ~ 0.903之间。结论:所编制的健康生活方式量表在评价目标人群中与心理健康相关的健康生活方式方面是可接受和可靠的。因此,它可以用来评估健康生活方式的重要组成部分,以促进心理健康。因此,有关当局可以制定最佳战略,以加强心理健康。
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引用次数: 0
Financial challenges in the family physician programme in Iran: A systematic review of qualitative research 伊朗家庭医生项目的财务挑战:定性研究的系统回顾
Q3 Nursing Pub Date : 2023-10-11 DOI: 10.51866/rv.254
Abtin Heidarzadeh, Bita Hedayati, Shadrokh Sirous, Mark K. Huntington, Mehdi Alvandi, Alireza Arabi, Babak Farrokhi, Marzieh Nojomi, Somayeh Noori Hekmat, Roksana Mirkazemi
Introduction: The family physician programme (FPP) was implemented nearly two decades ago as a major health reform. Since the health system and FPP function in a rapidly changing social and economic environment, successful expansion of the programme requires a detailed analysis of its multiple major challenges, including the crucial aspect of its funding system. This systematic review aimed to assess the challenges in the FPP relative to its financing. Methods: All published articles related to the FPP in Iran were included in this study. In particular, original qualitative studies published in English or Persian from 2011 to 2021 were included. In January 2022, international credible scholarly databases and Persian databases were searched. All selected articles were carefully studied, and the data were extracted using the sample, phenomenon of interest, design, evaluation and research type technique. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used in preparing the study report. Results: Among 491 articles retrieved from the search strategy, 50 met the inclusion criteria after their titles and abstracts were screened. Twenty-nine studies were excluded after their full texts were reviewed. A total of 11 eligible empirical studies were finally included. Based on the results, six broad categories (budget and funding, insurance system, tariffs, payments, accountability and injustice) were identified as financial challenges. Conclusion: This study identified the challenges associated with financing among family physicians, and the results could provide guidance for policy-making in the expansion of the FPP.
家庭医生计划(FPP)作为一项重大的卫生改革在近20年前实施。由于卫生系统和计划生育计划在迅速变化的社会和经济环境中发挥作用,成功扩大该规划需要详细分析其多重主要挑战,包括其供资系统的关键方面。本系统综述旨在评估FPP在融资方面面临的挑战。方法:本研究纳入所有与伊朗FPP相关的已发表文章。特别纳入了2011年至2021年以英语或波斯语发表的原始定性研究。2022年1月,国际可信的学术数据库和波斯语数据库被搜索。对所有入选文章进行仔细研究,并采用样本法、感兴趣现象法、设计法、评价法和研究型法提取数据。在准备研究报告时,使用了系统评价和荟萃分析的首选报告项目。结果:在检索策略中检索到的491篇文章中,经标题和摘要筛选后,有50篇符合纳入标准。29项研究在全文审阅后被排除。最终纳入了11项符合条件的实证研究。根据结果,六大类别(预算和资金、保险制度、关税、支付、问责制和不公正)被确定为财政挑战。结论:本研究明确了家庭医生在资金筹措方面面临的挑战,研究结果可为家庭医生扩大FPP的政策制定提供指导。
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Malaysian Family Physician
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