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Determination of Individuals’ Attitudes Toward COVID-19 Vaccines and Health Fatalism: A Cross-sectional Study from Turkey 确定个体对COVID-19疫苗和健康宿命论的态度:来自土耳其的横断面研究
IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.7454/msk.v27i1.1404
Emre Erkal, Bedriye Cansu Demirkiran, Şerife Köleoğlu, Sevgi Demir Çam
Background : Vaccines have positive effects on the course of epidemics. This study was conducted to determine individuals’ attitudes toward coronavirus disease-2019 (COVID-19) vaccines, their health fatalism, and factors affecting these. Methods : This cross-sectional study included 944 participants living in Turkey, who were included in the study by snowball sampling, one of the nonprobability random sampling methods. Participant information form, attitudes toward the COVID-19 vaccine scale, and religious health fatalism scale were used to collect the study data. Independent sample t-test, one-way analysis of variance and Pearson correlation analysis were used in the data analysis. Results : Participants had mean positive attitudes toward COVID-19 vaccine score of 3.63 ± 1.14, mean negative attitudes toward COVID-19 vaccine score of 3.44 ± 0.91, and mean health fatalism score of 45.75 ± 17.43. Negative and significant correlations were found between participants’ mean health fatalism score and their mean p ositive attitudes score ( r = −0.213) and their mean negative attitude score ( r = −0.362) ( p < 0.001). Conclusions : Individuals were found to have high positive and low negative attitudes toward COVID-19 vaccines and moderate levels of health fatalism. Individuals with high health fatalism had low positive and high negative attitudes toward COVID-19 vaccines.
背景:疫苗对流行病的进程有积极作用。本研究旨在确定个体对2019冠状病毒病(COVID-19)疫苗的态度、健康宿命论及其影响因素。方法:本横断面研究纳入944名生活在土耳其的参与者,采用非概率随机抽样方法之一的滚雪球抽样纳入研究。采用参与者信息表、COVID-19疫苗态度量表和宗教健康宿命论量表收集研究数据。资料分析采用独立样本t检验、单因素方差分析和Pearson相关分析。结果:参与者对COVID-19疫苗的平均正面态度得分为3.63±1.14分,对COVID-19疫苗的平均负面态度得分为3.44±0.91分,健康宿命论得分为45.75±17.43分。健康宿命论平均分与积极态度平均分(r = - 0.213)、消极态度平均分(r = - 0.362)呈显著负相关(p < 0.001)。结论:个体对COVID-19疫苗持高阳性和低阴性态度,健康宿命论水平中等。健康宿命论高的个体对COVID-19疫苗的积极态度低,消极态度高。
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引用次数: 0
Nurses’ Perception of Work-Environment Uncertainty and Readiness for Organizational Change 护士对工作环境不确定性的感知与组织变革的准备程度
IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.7454/msk.v27i1.1440
Aishah Alsolami, Hanan A Alkorashy, M. Alfaki, Ahmed S Alkarani
Background : Healthcare organizations have a dynamic work-environment that changes constantly. This study aimed to explore whether there is a relationship between work-environment uncertainty and nurses’ readiness to participate in organizational change. Methods : A cross-sectional study was conducted at two tertiary hospitals. The sample size was 222 nurses. A self-report questionnaire was adopted, translated to Arabic, and used for collecting data; it consists of three scales, personal data sheet, organizational readiness for implementing change scale, and perceived environmental uncertainty in hospitals scale. Descriptive statistics t-test and analysis of variance were used to analyze the data. Results : The level of agreement with the change efficacy statements with the total mean percentage of nurses’ readiness for organizational change (change efficacy) was 67.0%, and it was slightly higher than the commitment statements, in which the total mean percentage of nurses’ readiness for organizational change (change commitment) was 64.2%. In addition, one of the work - environment uncertainty dimensions, which is the individual attribute (need for information), positively correlated with the organizational readiness to change. Conclusions : The organizational readiness to implement organizational change is high. Environmental complexity was highly perceived among nurses as one of the work-environment uncertainty dimensions. An organizational environment considering employee characteristics must be developed to improve their knowledge, skills, and attitude to adapt to change and uncertainty.
背景:医疗保健组织的工作环境是动态变化的。本研究旨在探讨工作环境不确定性与护士参与组织变革的意愿之间是否存在关系。方法:在两所三级医院进行横断面研究。样本量为222名护士。采用自我报告问卷,翻译成阿拉伯语,用于收集数据;它包括三个量表:个人资料表、组织实施变革准备程度量表和医院感知环境不确定性量表。采用描述性统计、t检验和方差分析对数据进行分析。结果:护士对组织变革的准备程度(变革效能)的总平均百分比与变革效果声明的一致程度为67.0%,略高于承诺声明,其中护士对组织变革准备程度(变革承诺)的总平均百分比为64.2%。此外,在工作环境不确定性维度中,个体属性(信息需求)与组织的变革准备程度正相关。结论:组织实施组织变革的准备程度较高。环境复杂性在护士中被高度感知为工作环境不确定性维度之一。必须建立一个考虑到员工特征的组织环境,以提高他们的知识、技能和态度,以适应变化和不确定性。
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引用次数: 0
Social Media Addiction Among Nursing Students and Its Related Factors 护生社交媒体成瘾及其相关因素研究
IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.7454/msk.v27i1.1417
Akgun Yesiltepe, Bedriye Cansu Demirkiran, Sevgi Demir Çam
Background : Social media use has become an indispensable part of our lives as a result of technology advancement and is quite high among students. Methods : This study employed a cross-sectional design. Participants were 289 students from the Faculty of Health Sciences at Artvin Coruh University, Turkey. The Social Media Addiction Scale (SMAS) was used to obtain data. T-test, one-way ANOVA, Pearson’s correlation, and Bonferroni analysis were used to analyze the data. Results : The participants’ mean SMAS score was 81.03 ± 34.79, which was moderate. A weak and positive correlation was found between social media addiction and daily social media use. Statistical differences were found between social media addiction and social class, maternal education level, place of residence, income level, and general health status. Further, statistically significant differences were found between access to social media such as Facebook, Twitter, and Skype, and SMAS and subscales ( p < 0.05). Conclusions : The nursing students in this study showed moderate levels of social media addiction. Factors such as daily social media use, year of study, maternal education level, place of residence, income level, and general health status are associated with the degree of social media addiction.
背景:由于科技的进步,社交媒体的使用已经成为我们生活中不可或缺的一部分,并且在学生中使用率很高。方法:本研究采用横断面设计。参与者是来自土耳其阿尔特文·科鲁大学健康科学学院的289名学生。使用社交媒体成瘾量表(Social Media Addiction Scale, SMAS)获取数据。采用t检验、单因素方差分析、Pearson相关分析和Bonferroni分析对数据进行分析。结果:参与者的平均SMAS评分为81.03±34.79,为中等。社交媒体成瘾与日常社交媒体使用之间存在微弱的正相关关系。社交媒体成瘾与社会阶层、母亲教育水平、居住地、收入水平和一般健康状况存在统计学差异。此外,在使用社交媒体(如Facebook、Twitter和Skype)、SMAS和子量表之间发现了统计学上显著的差异(p < 0.05)。结论:本研究护生存在中等程度的社交媒体成瘾。日常社交媒体使用情况、学习年份、母亲受教育程度、居住地、收入水平、总体健康状况等因素与社交媒体成瘾程度相关。
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引用次数: 0
Factors Associated with the Use of Traditional Health Services in Indonesia: A Secondary Analysis of the Indonesian Basic Health Research 印度尼西亚使用传统卫生服务的相关因素:对印度尼西亚基础卫生研究的二次分析
IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.7454/msk.v27i1.1391
Niswatul Rifka, Haerawati Idris, I. T. R. U. Tion
Background : Traditional health services in Indonesia have been used increasingly over the past few years because patients nowadays are more proactive in seeking various alternative modes of self-care. This study aimed to analyze factors associated with the use of traditional health services in Indonesia. Methods : This quantitative study used a cross-sectional research design. The research data were secondary data from the 2018 Indonesian Basic Health Research. The research samples were 163,259 respondents aged >10 years and the statistical test for data analysis was multiple logistic regression. Results : The percentage of respondents who used traditional health services was 73.8%. The bivariate results in this study indicate that age, gender, employment status, educational level , residence , marital status , and access to health facilities had a significant relationship with the use of traditional health services. Conclusions : The use of traditional health services was influenced by age, gender, residence, marital status, and distance. The Indonesian government needs to consider these factors when extending the use of traditional health services.
背景:在过去几年中,印度尼西亚越来越多地使用传统保健服务,因为现在的患者更积极主动地寻求各种替代的自我保健模式。本研究旨在分析与印度尼西亚传统卫生服务使用相关的因素。方法:定量研究采用横断面研究设计。研究数据是2018年印度尼西亚基础卫生研究的二手数据。研究样本为163,259名年龄>10岁的受访者,数据分析的统计检验采用多元逻辑回归。结果:使用传统卫生服务的被调查者比例为73.8%。本研究的双变量结果表明,年龄、性别、就业状况、教育水平、居住地、婚姻状况和获得卫生设施的机会与传统卫生服务的使用有显著关系。结论:传统卫生服务的使用受年龄、性别、居住地、婚姻状况和距离的影响。印度尼西亚政府在扩大使用传统保健服务时需要考虑这些因素。
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引用次数: 1
Comparison of Maturation Stages of Natural Killer Cell Differentiation Culture from Cultured and Freshly Isolated Umbilical Cord Blood Hematopoietic Stem Cells 自然杀伤细胞分化培养与新鲜分离脐血造血干细胞成熟阶段的比较
IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.7454/msk.v27i1.1429
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引用次数: 0
Understanding the Experiences Lived by Nurses Caring for Patients with COVID-19: A Hermeneutic Approach 理解护士护理COVID-19患者的经历:一种解释学方法
IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.7454/msk.v27i1.1401
Awatif M. Alrasheeday, Ma. Venus Borja, Eddieson Pasay-an, Farhan F. Alshammari
Background : Nursing is highlighted among professions that value caring and is perceived as the profession’s heart and soul because of its critical role in providing and delivering high-quality patient care, especially during this coronavirus disease 2019 (COVID-19) pandemic. However, little is understood about the experiences of the frontline workers in caring for persons diagnosed with COVID-19. This study aimed to explore the experiences of nurses in caring for persons diagnosed with COVID-19 inspired by the four lived worlds of van Manen. Methods : The hermeneutic phenomenology was used in nine nurses working in hospitals of Hail region. This study employed a one-to-one interview approach using the Zoom platform, conducted between June and July 2020. Results : Nine nurses articulated their experiences in caring for patients with COVID-19. Six themes emerged within the four lifeworld such as the feeling of vulnerability to COVID-19, time of uncertainties, price of being a hero, social stigma, holistic care, and sense of belongingness. Conclusions : The feeling of vulnerability to COVID-19 infection, time of uncertainties, price of being a hero, social stigma, and sense of belongingness have been understood in the context of lifeworld existential of van Manen. Issues are articulated directly from those who experienced them. Still, revisiting the existing intervention strategies of the government and institution, including regulating negative emotions, reducing related issues, and improving quality of life, is important.
背景:护理在重视关怀的职业中受到重视,并被视为该职业的核心和灵魂,因为它在提供和提供高质量的患者护理方面发挥了关键作用,特别是在2019年冠状病毒病(COVID-19)大流行期间。然而,人们对一线工作人员在照顾COVID-19确诊患者方面的经验知之甚少。本研究旨在探讨受范曼南四个生活世界启发的护士护理COVID-19确诊患者的经验。方法:运用解释学现象学对9名在海尔地区医院工作的护士进行调查。本研究在2020年6月至7月期间使用Zoom平台采用一对一访谈方法。结果:9名护士阐述了他们护理COVID-19患者的经验。在4个生活世界中出现了6个主题,即对新冠病毒的脆弱性、不确定的时间、成为英雄的代价、社会耻辱、整体护理、归属感。结论:在van Manen的生活世界存在主义背景下,对COVID-19感染的脆弱感、不确定的时间、作为英雄的代价、社会耻辱感和归属感得到了理解。这些问题直接来自那些经历过这些问题的人。然而,重新审视政府和机构现有的干预策略,包括调节负面情绪,减少相关问题,提高生活质量,是很重要的。
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引用次数: 0
Unmet Need for Family Planning in Indonesia and Its Associated Factors 印度尼西亚未满足的计划生育需求及其相关因素
IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.7454/msk.v27i1.1403
Dewi Nuryana, Restu Adya Cahyani, Sukma Rahayu, N. Romadlona, Elvira Liyanto, Wira Hartiti, Maria Evi Ratnawati, Budi Utomo, R. J. Magnani, I. T. R. U. Tion
Background : The unmet need for family planning in Indonesia has been stagnant since the early 2000s in the 10% – 12% range with substantial socioeconomic and geographic disparities. This study sought to better understand the factors underlying the nonuse of contraceptives among women with an apparent need for family planning so that evidence-based corrective actions can be taken. Methods : Three sources of quantitative data were used in the study — the 2017 Indonesia Demographic Health Survey, the 2018 Village Potential Survey, and the National Population and Family Planning Board service statistics. Further insights were obtained from online focus group discussions and in-depth interviews with participants in 12 districts/cities in seven provinces. Results : The analyses indicated that health concerns, service delivery-related factors, and opposition to family planning all contribute to the unmet need for family planning in Indonesia. Importantly, the salience of these factors varied significantly across different subgroups of women and geographic areas. Conclusions : Successful efforts to reduce the unmet need for family planning are complex in that they must contend with the interplay between local sociocultural contexts, individual beliefs/aspirations/preferences, and the supply environment of family planning services. Differentiated interventions for different population subgroups and geographic areas will be needed.
背景:自21世纪初以来,印度尼西亚计划生育需求未满足率一直处于10% - 12%的停滞状态,存在巨大的社会经济和地域差异。这项研究旨在更好地了解明显需要计划生育的妇女不使用避孕药具的潜在因素,以便采取基于证据的纠正行动。方法:研究中使用了三个定量数据来源:2017年印度尼西亚人口健康调查、2018年村庄潜力调查和国家人口和计划生育委员会服务统计数据。通过在线焦点小组讨论和对7个省12个区/市参与者的深度访谈,获得了进一步的见解。结果:分析表明,健康问题、服务提供相关因素和反对计划生育都是导致印度尼西亚计划生育需求未得到满足的原因。重要的是,这些因素的显著性在不同的妇女亚群和地理区域之间差异很大。结论:成功减少未满足计划生育需求的努力是复杂的,因为它们必须与当地社会文化背景、个人信仰/愿望/偏好和计划生育服务供应环境之间的相互作用相抗衡。需要针对不同的人口分组和地理区域采取不同的干预措施。
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引用次数: 0
Undergraduate Student Nurses’ Attitude Toward Mental Health Education: A Cross-sectional Analysis 本科护生心理健康教育态度的横断面分析
IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.7454/msk.v27i1.1410
Abdulellah Alsolais, Benito, Nillo Areola, Amal Alfouzan, Marie Grace, Mejia Nones, Talal Ali Alharbi
Background : Reportedly, there has been a long-standing nursing shortage in Saudi Arabia. This study explored the attitudes of undergraduate student nurses considering them to be a factor contributing to this shortage. This study also investigated the association among gender, hospital exposures, and campus enrollment concerning mental health education. Methods : Quantitative correlational analysis was used on 124 student nurses in mental health nursing. Using Point Binary, Spearman's rank and one-way ANOVA, significant determinants were correlated to the domains of mental health nursing. Results : Student nurses have a positive attitude toward mental health education. Gender is significantly related to Preparedness for Mental Health (PMH) (r = 0.193, p = 0.032) and Course Effectiveness (CE) (r = 0.202, p = 0.024). Hospital exposures are significantly correlated to PMH (r = 0.455, p = 0.000), Knowledge on Mental Health (KMH) (r = 0.423, p = 0.000), Negative Stereotypes (NS) (r = 0.514, p = 0.000), CE (r = 0.266, p = 0.003), Anxiety Surrounding Mental Illness (ASMI) (r = 0.586, p = 0.000), and Valuable Contributions (VC) (r = 0.488, p = 0.000). A correlation was noted in campus enrollment between NS (r = 0.267, p = 0.012) and ASMI (r = 0.337, p = 0.001). Conclusions : Developing a positive attitude increases the acceptance of mental health education. Gender, hospital exposure, and course introduction positively influence students' views in selecting mental health nursing as their specialization.
背景:据报道,沙特阿拉伯长期存在护士短缺问题。本研究探讨了本科生护士的态度,认为他们是造成这种短缺的一个因素。本研究亦探讨性别、医院暴露、校园招生与心理健康教育的关系。方法:对124名心理健康护理专业学生护士进行定量相关分析。采用点二元、Spearman秩和单因素方差分析,显著决定因素与心理健康护理领域相关。结果:护生对心理健康教育持积极态度。性别与心理健康准备(PMH) (r = 0.193, p = 0.032)和课程有效性(CE) (r = 0.202, p = 0.024)显著相关。医院暴露与PMH (r = 0.455, p = 0.000)、心理健康知识(KMH) (r = 0.423, p = 0.000)、负面刻板印象(NS) (r = 0.514, p = 0.000)、CE (r = 0.266, p = 0.003)、精神疾病焦虑(r = 0.586, p = 0.000)、有价值贡献(VC) (r = 0.488, p = 0.000)显著相关。NS (r = 0.267, p = 0.012)与ASMI (r = 0.337, p = 0.001)在校园入学率上存在相关性。结论:培养积极的心理态度可提高心理健康教育的接受度。性别、医院暴露程度、课程介绍对学生选择心理健康护理专业有正向影响。
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引用次数: 0
Protective Effect of Betulinic Acid Administration on Kidney Damage in Acetaminophen-Induced Nephrotoxicity Model 白桦酸对对乙酰氨基酚肾毒性模型肾损伤的保护作用
IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.7454/msk.v27i1.1438
E. Dokumacioglu, H. Iskender, A. Hayirli, G. Yenice, Kubra Asena, Terim Kapakin, Ismail Bolat, E. Kirman
Background : Acetaminophen (APAP) is the most widely used analgesic drug worldwide, but it may induce renal toxicity. Betulinic acid (BA) ameliorates the oxidative stress and inflammatory response to renal damage. The present study aimed to investigate the potential protective effects of BA treatment through an experimental kidney damage rat model administered with APAP. Methods : Sprague – Dawley male rats were randomly divided into four groups: control, BA (25 mg/kg for 15 days), APAP (1 g/kg), and APAP + BA groups. BA was administered via oral gavage at a dose of 25 mg/kg for 15 days. APAP was dissolved in hot saline and administered on the last day to produce nephrotoxicity via a single oral gavage at a dose of 1 g/kg. Kidney tissue samples were analyzed for human cartilage glycoprotein 39 (YKL-40), kidney injury molecule 1 (KIM-1), interleukin 18 (IL-18), superoxide dismutase (SOD), and malondialdehyde (MDA). Data were subjected to one-way analysis of variance and the Wilcoxon rank-sum test Results : Renal tissue YKL-40, KIM-1, IL-18, and MDA levels in the APAP group were significantly higher than those in the control group ( p < 0.05). The BA treatment completely restored renal KIM-1, YKL-40, and MDA levels and partially restored renal IL-18 and SOD levels in the rats subjected to renal damage induction ( p < 0.05). The intertubular regions of rats administered with APAP had degeneration, necrosis, and infiltration of inflammatory cells and were immunopositive for IL-1 beta and 8-hydroxy-2′ - deoxyguanosine. Conclusions : BA can be used in the prevention and replacement treatment of nephrotoxicity due to its inhibitory properties in multiple pathways and powerful antioxidant effects.
背景:对乙酰氨基酚(APAP)是世界范围内应用最广泛的镇痛药物,但它可能引起肾毒性。白桦酸(BA)改善氧化应激和肾脏损伤的炎症反应。本研究旨在通过给药APAP的实验性肾损伤大鼠模型来研究BA治疗的潜在保护作用。方法:将雄性Sprague - Dawley大鼠随机分为4组:对照组、BA组(25 mg/kg,连续15 d)、APAP组(1 g/kg)和APAP + BA组。BA以25 mg/kg的剂量灌胃,持续15天。将APAP溶解于热生理盐水中,最后一天单次灌胃,剂量为1 g/kg,产生肾毒性。分析肾组织样品中人软骨糖蛋白39 (YKL-40)、肾损伤分子1 (KIM-1)、白细胞介素18 (IL-18)、超氧化物歧化酶(SOD)和丙二醛(MDA)。数据进行单因素方差分析和Wilcoxon秩和检验结果:APAP组肾组织YKL-40、KIM-1、IL-18、MDA水平显著高于对照组(p < 0.05)。BA处理完全恢复肾损伤大鼠肾KIM-1、YKL-40、MDA水平,部分恢复肾IL-18、SOD水平(p < 0.05)。给药APAP的大鼠管间区出现变性、坏死和炎症细胞浸润,IL-1 β和8-羟基-2 ' -脱氧鸟苷免疫阳性。结论:BA具有多途径的抑制作用和较强的抗氧化作用,可用于肾毒性的预防和替代治疗。
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引用次数: 0
Potential Use of the Gel Extract of Butterfly Pea Flower as Topical Therapy to Prevent Photodamage by Downregulating TNF-α and Caspase-3 Expression Levels in UVB-Exposed Rats 蝶豌豆花凝胶提取物通过下调uvb暴露大鼠TNF-α和Caspase-3表达水平作为局部治疗预防光损伤的潜在应用
IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.7454/msk.v27i1.1411
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引用次数: 0
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Makara Journal of Health Research
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