Public Health Nursing最新文献

Early childhood home visitation (ECHV) in the United States is a voluntary service providing health and social support to low-income families who are experiencing, or at risk for experiencing, adversities such as adolescent pregnancy, poverty, and child maltreatment. The federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program funds the delivery of evidence-based early childhood home visits, but these services are chronically under-utilized despite a substantial capacity for enrollment. Of particular concern are the families likely to encounter adversity but are unable to access services due to rigid criteria for participation. Using the theory of backward mapping developed by Richard Elmore, this paper analyzes the implementation of the MIECHV Program policy to identify possible factors responsible for the under-utilization of funded services. We explore issues related to the referral process, enrollment criteria, and attrition challenges for evidence-based ECHV models with recommendations for a centralized intake system, qualitative inquiry, and universal postpartum home visits.

Objective: It is a well-established fact that the utilization of health services by pregnant adolescents is associated with the views and care provided by nurses. This study, aiming to reveal the perspectives of nurses working in a state hospital in Turkey on adolescent pregnancies and parenthood, contributes valuable insights for designing interventions to improve adolescent pregnancy outcomes.

Design: This research was carried out using the "individual in-depth interview" data collection technique as a phenomenological study, which is one of the qualitative research methods.

Sample: The study included 15 health professionals who met the criteria to participate. The data were analyzed in six stages using a thematic approach.

Results: It emerged in relation to the feelings of the adolescent; the situations encountered, the factors affecting the awareness of being an adolescent pregnant and a parent, the difficulties encountered in care, social pressure, and touching the adolescent's life.

Conclusions: It was observed that nurses and midwives had mixed feelings towards adolescent pregnant women and parents and reflected these feelings in their caregiving styles.

Objective: To describe the perceptions of public health nurses (PHNs) working in child health clinics on media use of young children and to investigate what are the perceptions of PHNs on adults' role in young children's media use.

Design: An electronic cross-sectional survey with Likert-scaled and open-ended questions.

Sample: The total of 183 PHNs working in Finnish child health clinics.

Measurements: Statistical descriptive analysis for Likert-scaled questions and thematic analysis for open-ended questions were used.

Results: Most (96.7%) PHNs agreed that media use was very common among young children. According to PHNs, the negative impacts of media use of young children included social, physical, and psychological impacts. The positive impacts included learning, communication, and access to information. PHNs stated that parents were most responsible for intervening in media use of young children, but PHNs have an important role in counseling families on it. Most PHNs (80.9%) stated that parents did not control media use of their children effectively.

Conclusions: PHNs are aware of impacts of media use and its prevalence among young children. They agree to have an important role in counseling families in it. More work in research is needed to improve PHNs' expertise and resources for them to be able to guide families in young children's media use. A wider perspective from other health care professionals working with families should be studied to constitute multi-professional understanding.

Objectives: To explore the influence of intrinsic capacity (IC) on instrumental activities of daily living (IADL) among community-dwelling elderly and to analyze the chain-mediated effects of two-way social support, and sense of coherence (SOC).

Design: This study was a cross-sectional research design. Participants were recruited from September 2023 to December 2023 from Hangzhou City, Zhejiang Province, China, using a multistage sampling method.

Sample: Participants in this study were at least 60 years old and had been currently living in the community for at least 1 year (n = 458).

Measurements: The Integrated Care for Older People screening tool, the Brief Two-Way Social Support Scale, the Sense of Coherence Scale-13, and the Functional Activities Questionnaire were used to collect relevant data, which were statistically tested using structural equation modeling and multiple mediation effects.

Results: There were correlations between IC, two-way social support, SOC and IADL in community-dwelling elderly (all p < 0.01). IC predicted two-way social support (β = 0.570, p < 0.001), SOC (β = 0.544, p < 0.001) and IADL (β = -0.492, p < 0.001); two-way social support had a positive predictive effect on SOC (β = 0.363, p < 0.001) but a negative predictive effect on IADL (β = -0.193, p < 0.001); SOC negatively predicted IADL (β = -0.150, p < 0.05).

Conclusions: To mitigate the impact of declining IC on IADL among community-dwelling elderly, to sustain independent living, and to reduce the risk of progression to illness and disability, this study proposes two-way social support and SOC as potential effective intervention targets. This conclusion holds implications for the assessment and intervention of elderly health, as well as the formulation of public health policies.

Background: Human papillomavirus (HPV) transmission routes place all individuals at equal risk; however, lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals are disproportionately affected due to barriers in accessing health services and the impact of stigma, making it crucial to understand their health beliefs and knowledge levels.

Methods: This descriptive study aimed to assess the knowledge levels and health beliefs of LGBTQ individuals regarding HPV and its vaccine. The study, conducted between November 2020 and March 2021, was reported according to the Strengthening the Reporting of Observational Studies in Epidemiology guideline. Three hundred and twenty-three individuals who agreed to participate in the study during this date range were included in the study using the snowball sampling method. Personal information form, HPV Infection Knowledge Scale, and Health Belief Model Scale were used as data collection tools.

Results: The mean scores of participants on the HPV Knowledge Scale were 3.42 ± 2.24. Of the participants, 39.6% reported no prior knowledge of the HPV vaccine, and among those who had heard of the vaccine, 88.2% had not received it. The mean scores of participants who had received the vaccine were higher on perceived severity, perceived benefits, and perceived susceptibility sub-dimensions than those who had not, while the mean scores on perceived barriers were lower (p < 0.05).

Conclusion: The study finds that LGBTQ individuals have insufficient knowledge about HPV and are less likely to have received the HPV vaccine. However, low perceived barriers and high perceptions of the benefits, severity, and susceptibility of HPV vaccination can enhance preventive behaviors. Nurses should offer counseling and information to improve LGBTQ individuals' perceptions of the HPV vaccine, thereby increasing preventive actions against HPV infection.

Aim: Hypertension is one of the most common chronic diseases worldwide. Therefore, it is essential to improve patients' adherence to treatment in order to control their blood pressure. The present study aims to examine the effect of a smartphone application-supported nursing care program provided by a nurse on medication adherence and achievement of normal systolic and diastolic blood pressure levels among patients diagnosed with primary hypertension and registered at the Family Health Center within the context of patients' self-management behaviors.

Methods: A randomized controlled experimental study design. CONSORT flow chart was used in the study. The study sample consisted of 41 hypertensive patients in the intervention group and 41 hypertensive patients in the control group. The intervention group was supported with a smartphone application named "HiperDostum" based on the health belief model, whereas the control group continued to receive standard healthcare services provided by the Family Health Center, to which they were affiliated. Data were collected using the "Patient Information Form," "Blood Pressure Monitoring Form," and the "Medication Adherence Self-Efficacy Scale-Short Form."

Results: It was observed that the intervention group participants had higher medication adherence self-efficacy scale scores when compared to the control group participants. Comparing the blood pressure values by group, time, and group*time interaction, it was determined that there were statistically significant differences in systolic blood pressure values by time and group*time interaction.

Conclusion: Considering the widespread use of smartphones and smartphone application-supported nursing care can be successfully used to enhance self-management and improve treatment adherence among hypertensive patients in primary healthcare institutions.

Trial registration: Registration number: NCT0532140; NAME OF TRIAL REGISTRY: The Effect of Smart Phone Application Supported Nursing Care Program on the Self-Management of Hypertensive Patients.

Objective: This study aims to explore the combined risk of metabolic syndrome (MetS) and low fat-free mass (FFM) on an individual's disability-free survival (DFS). Disability is defined as a composite of dementia, physical disability, and mortality.

Methods: Using data from the Korean Genome and Epidemiology Study, we divided 3721 participants aged 40-69 years based on their MetS status and FFM index (FFMI) score. Kaplan-Meier survival analysis and Cox regression were used to analyze differences in DFS between the four groups.

Results: From 108 events, MetS group had significantly shorter DFS than the non-MetS group regardless of FFMI (p < 0.0001). After adjusting other potential confounding variables, the MetS group had a higher risk of shortened DFS regardless of FFMI, and the MetS group with low FFMI had a 2.06-fold increased risk compared to the non-MetS group with high FFMI (p < 0.001). Older age and lower income were also associated with higher risk of shorter DFS (p < 0.001).

Conclusions: The combination of MetS and low FFMI contribute to a cumulative risk of shortened DFS. Community nurses can perform MetS screening and body composition assessment to predict and control the risk of developing disability over time.

Objectives: This study was conducted to determine the relationship between climate change concerns and mental well-being levels in adult individuals.

Design: A descriptive and correlational study.

Sample: The study was conducted with 513 adult individuals who applied to primary healthcare institutions between May and October 2022 in Türkiye.

Measurements: The research data were collected face-to-face using an introductory information form, the Climate Change Worry Scale (CCWS), and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS).

Results: Among the occupations of the adults participating in the survey, the group most affected by climate change was greenhouse cultivation with 30.8%. The top three most common events experienced by the participants in the study are forest fire (40.6%), earthquake (29.2%), and flood (19.7%). In the study, the mean CCWS score of adults was 33.92 ± 10.27 and the mean WEMWBS score was 50.20 ± 11.88. A positive correlation was found between the total, anxiety, and feeling of helplessness sub-dimensions of the CCWS and the mean score of WEMWBS (p < 0.001). The mean scores of CCWS and WEMWBS of the participants who stated that they experienced an extraordinary event related to climate change, who had a relative who experienced these events, who followed these events from the media, and the mean scores of CCWS of those who experienced these events themselves were found to be significantly higher (p < 0.05). The mean scores of CCWS and WEMWBS were higher for those who experienced forest fire and flood disasters; CCWS for those who experienced tornado; and WEMWBS for those who experienced earthquake and storm/hurricane (p < 0.05).

Conclusions: One of the most important results of the study is that there is a positive relationship between the sub-dimensions of helplessness due to climate concern and the level of mental well-being. It is important to increase climate change awareness activities at individual and community levels.

Aims: This study aimed to describe the self-management behavior levels and further explore its influencing factors among patients with chronic disease.

Design: A cross-sectional study.

Methods: 460 convenient samples of patients with chronic disease in Zhejiang Province were investigated using a demographic characteristics questionnaire, the Lubben Social Network Scale (LSNS-6), and the Chronic Disease Self-Management Behavior Scale between October and December 2023. Data were analyzed using descriptive analysis, t-test, one-way analysis of variance, Pearson correlation analysis, Spearman correlation, and hierarchical multiple regression analysis.

Results: The mean score of the self-management behavior of the patients with chronic disease was 32.27 (standard deviation [SD] = 8.67). Hierarchical multiple regression analysis indicated that self-management behavior among patients with chronic disease was influenced by the individual factor (frequency of health check-ups), the family factors (number of children, spouse status, and family network), and the social factor (place of residence).

Conclusions: The self-management behavior among patients with chronic disease was at a moderate level and needed further improvement. The self-management behavior among patients with chronic disease was influenced by three kinds of factors. Specifically, for the individual factor, patients who had a higher frequency of health check-ups reported better self-management behavior; for the family factors, patients who had no spouse, few children, and a strong family network showed better self-management behavior; for the social factor, patients living in urban areas had better self-management behavior.