Public Health Nursing最新文献

Objective: To systematically integrate the changes in treatment experience and roles of patients diagnosed with ovarian cancer during chemotherapy and provide effective coping strategies for their nursing.

Methods: Qualitative studies on the attitudes and experiences of ovarian cancer patients during chemotherapy were searched from CNKI, Wanfang, VIP Database, CBM, PubMed, Embase, Cochrane Library, and Web of Science databases from the establishment of the database to July 31, 2025. Literature quality was evaluated using the 2016 edition of the Australian Joanna Briggs Institute Evidence-Based Health Care Center qualitative research evaluation criteria, and the meta-integration method was used to integrate the results.

Results: A total of 10 studies with 14 results were included, which were summarized into 6 new categories, and 3 integrated results were synthesized: (1) the changes in the physiological and psychological states of ovarian cancer patients during chemotherapy (multidimensional dysregulation of physiological status, and multidimensional fluctuations in psychological and emotional states), (2) changes in the roles and status of ovarian cancer patients during chemotherapy (restructuring of social roles and relationships, and financial and information-related stressors), and (3) the influence of cultural background on coping strategies of ovarian cancer patients during chemotherapy (mobilization of coping strategies and resources, and experiences and needs of support systems).

Conclusion: The treatment experience and role function of ovarian cancer patients exhibit phased evolutionary characteristics during chemotherapy. It is recommended to construct a patient-centered multidimensional support system, including dynamic psychological assessment, peer support networks, family-medical collaborative intervention, and integration of social resources, to help patients successfully navigate the chemotherapy cycle, thereby enhancing treatment adherence and quality of life.

Background: Young women remain disproportionately vulnerable to sexually transmitted infections, partly due to gaps in access to structure and evidence-based sexual health education. Although comprehensive sexual health education is widely advocated, evidence regarding its effectiveness in improving sexually transmitted infection prevention and sexual health knowledge among young women in low- and middle-income settings remains limited.

Aim: To evaluate the impact of health education on knowledge and sexually transmitted infections prevention in young married women.

Method: A quasi-experimental study was conducted among 160 young married women aged 18-25 years attending a primary healthcare center, Port Said City, Egypt. Participants received a structured sexual health education program focusing on safe sexual practices, contraception, and sexually transmitted infection prevention. Sexual health knowledge, attitudes, behaviors, and infection-related outcomes were assessed before and after the intervention using validated assessment tools.

Results: Following the educational intervention, participants demonstrated statistically significant improvements in sexual health-related knowledge and attitudes. Positive changes were also observed in reported health practices, including a reduction in risk-related behaviors and an increase in preventive practices after the intervention (p < 0.001). Additionally, overall sexual health outcome scores showed a significant improvement, indicating the effectiveness of the educational program.

Conclusion: Comprehensive sexual health education contributes to improved knowledge related to the prevention of sexually transmitted infections and supports the adoption of healthier personal health practices among young women. These findings underscore the value of structured educational interventions as an important public health nursing strategy for promoting reproductive health and preventing infection.

Recommendations: It is recommended that structured reproductive and sexual health education be integrated into community-based and educational health programs, with ongoing evaluation to ensure responsiveness to young women's sexual and reproductive health needs.

Objective: This study describes a nurse-led intervention aimed at improving mental health literacy (MHL), reducing stigma, and encouraging help-seeking behaviour.

Design: A quasi-experimental design involved 578 responses ranging in age from 13 to 52 years (M = 20.28, SD = 6.29), including secondary school pupils, nursing undergraduates, and trainee secondary school teachers.

Measurements: Pre- and post-intervention assessments examined a wide range of health indicators. These included six scales assessing mental health knowledge (MHLI), mental health support intentions (MHSSA), body dissatisfaction (EBIC), eating disorder risk (SCOFF), problematic pornography use (PPCS-6), and health-protective sexual communication (HPSC). The intervention focused on reducing stigma, encouraging help-seeking behaviour, and developing practical skills to support peers facing mental health challenges.

Results: Post-intervention results indicated significant improvements in MHL, attitudes, and behavioural intentions across all groups. Adolescents initially exhibited lower baseline scores than university participants. However, both groups demonstrated substantial gains. The most pronounced improvements were observed among women, individuals with prior experience of mental health issues, and university students.

Conclusion: This study underscores the vital role of nurses as facilitators in school-based mental health promotion and in the interdisciplinary education of future health professionals. The nurse-led mental health education into secondary and higher education curricula foster population-wide mental well-being.

Objective: This study identified variables influencing caregiving burden and health outcomes using data from a national caregiving database.

Design: A predictive study design was employed, guided by the Caregiving Preparedness framework.

Sample: The dataset comprised 1446 family caregivers providing in-home care to individuals aged 50 and older (Mean = 76.26 years, SD = 12.24, Mode = 80), with diverse health conditions.

Measurement and analysis: Structural Equation Modeling (SEM) was utilized to examine the relationships among caregiver stress (emotional, physical, and financial), care recipients' health status and daily needs, and caregiver outcomes. Mediating variables were also assessed.

Results: SEM analysis revealed significant direct and indirect effects on caregiving burden and health. Three mediating variables were identified: caregivers' sense of meaning in life, presence of a personal healthcare plan, and perceived social connectedness.

Conclusion: The analysis of a national database with SEM offers a robust analytical approach. Findings underscore the importance of supporting caregivers in maintaining personal health, addressing loneliness, and fostering meaning in their lives. These insights can inform policy, practice, and future research aimed at enhancing caregiving and aging services.

Clinical trial registration: Not applicable.

Background: Dating apps for men who have sex with men (MSM) have facilitated unprotected sexual encounters and practices. In addition, drug use during such encounters is widespread among MSM. Traditionally, these populations have been studied in order to relate these facts to their socioeconomic characteristics and not from the perspective of the structure of their relationships, an aspect included in all nursing metaparadigms.

Aim: Describe the structure of the MSM affiliation network and their dating apps.

Methods: This was a descriptive cross-sectional study with 32 participants recruited online through the apps. The data used by this article come from the same sample and the same questionnaires as a previously conducted study; full details are provided in the Methods section.

Results: MSM demonstrated varying degrees, engaging with 1-5 applications (normalized degree: 0.200-0.494), while venue popularity spanned from 1 to 32 (normalized degree: 0.031-0.500). The core of the network, including two applications and 16 central MSM units, exhibited a higher density, that is, a high number of connections (0.593), compared to the periphery (0.050), indicating significant centralization.

Conclusion: The sexual affiliation network of MSM forms a cohesive, extensive network, with higher app usage affinity seen among individuals who use drugs, are from different birth countries, engage in group sex, or identify with nonhomosexual orientations.

Background: Public health nurses (PHNs) occupy an important position in improving community health outcomes and the response to public health emergencies. However, China currently lacks a standardized PHN education system, resulting in an underskilled workforce unable to meet growing public health demands. To address this issue, a deeper understanding of the actual roles and training needs of PHNs from the perspective of frontline community health professionals is essential for developing a structured and effective educational framework.

Objective: To explore the perspectives of community health professionals on the role and training needs of PHNs in China, so as to provide potential reference for establishing a comprehensive PHN education system.

Methods: With the utilization of a qualitative descriptive study design, this study was carried out with the recruitment of participants from 10 community health service centers in Beijing between March and August 2022 via purposive sampling. Semi-structured interviews were conducted on 17 community nurses and 15 public health physicians in China, with the collected data subsequently undergoing thematic analysis.

Results: This study identified two key themes of the roles of PHNs and the necessity of their training (11 sub-themes in total) through interviews. Specifically, the roles of PHNs involved eight sub-themes: responding to public health emergencies, providing population-centered care, conducting health education and promotion, managing chronic diseases, delivering mental health services, advising on policy development, offering maternal and child healthcare, and implementing family-centered care. In addition, the necessity of training encompassed three sub-themes: the need to respond to public health emergencies, the demand for meeting patient needs, and the requirement for specialized training.

Conclusion: PHNs are essential frontline professionals in public health practice, which underscores the imperative to cultivate public health nursing talents through undergraduate education in China. This integration is expected to cultivate a nursing workforce capable of effectively responding to future public health emergencies.

Background: LGBTQIA+ individuals in Brazil face persistent inequities in accessing Primary Health Care (PHC), largely due to structural barriers, institutional discrimination, and limited professional training. Despite the existence of the National Policy for Integral LGBT Health, significant challenges remain in ensuring inclusive and equitable care.

Objective: To map the available scientific evidence regarding the access of the LGBTQIA+ population to Brazilian public PHC services, identifying barriers, facilitators, and research gaps.

Method: This scoping review followed the JBI framework and PRISMA-ScR guidelines. Searches were conducted in MEDLINE/PubMed, Embase, Scopus, CINAHL, SciELO, LILACS for studies published between 2018 and 2023.

Results: A total of 19 studies were included, predominantly qualitative (84.2%) and concentrated in the Northeast and Southeast regions, with no studies from the Central-West. Most investigations prioritized healthcare professionals' perspectives, particularly nurses and physicians, while the experiences of LGBTQIA+ users remained underrepresented. Barriers to access included institutional prejudice, lack of professional preparedness, and a narrow biomedical focus on HIV/aids. Facilitators involved social support networks, and the search for inclusive spaces. Research gaps persist, particularly regarding dissident gender identities.

Conclusion: Strengthening inclusive policies, diversifying scientific production, and integrating sexual and gender diversity into professional training are essential to promoting equity and improving health outcomes.

Background: Home nursing care is increasing in Italy due to chronic disease expansion and population aging. This study aimed to describe the types of home nursing activities performed in two home care settings and estimate the time dedicated to them.

Methods: A cross-sectional observational time-and-motion study was conducted in three local health authorities in northern and central Italy. Time spent on activities was recorded as total and average time per nurse. Average care time was estimated using linear multilevel mixed effects models.

Results: Forty-four activities were recorded across 527 visits. A total of 300 nurses (81.33% female) reported 343 h of activities: 221 hs (64.29%) on direct care and 123 h (35.71%) on indirect activities. The most time-consuming direct activities were patient assessment (54 h), pressure ulcer dressing (27 h), vascular wound dressing (22 h), and bandage application (21 h). The longest indirect activities were managing nursing documentation (62 h) and traveling to patients' homes (48 h).

Conclusion: Time nurses spent in this study on direct care outperformed the time allocated for indirect care. However, other important direct nursing activities were not performed, including family involvement in the care process and patient self-care education.

Objective: Understanding the experiences and care delivery approaches of family health nurses is essential for advancing refugee healthcare in Türkiye, which hosts a substantial refugee population. This study examined the approaches family health nurses employ when delivering care to refugees and the challenges they face within family health centers.

Methods: A descriptive qualitative design was employed, utilizing semi-structured interviews to capture the nurses' perspectives. Sixteen nurses from four family health centers participated in the study, which took place between August and September 2024.

Results: Two overarching themes were identified: (1) Challenges Experienced by Family Health Nurses in Providing Care and (2) Nurses' Approaches and Coping Strategies. Subthemes reflected difficulties related to language and communication, cultural differences in family planning and childcare, and systemic barriers, including issues with identity and registration. Nurses described several approaches to managing these challenges, including the use of informal interpreters, digital translation tools, relational and empathetic communication methods, respecting cultural values, and supporting refugees' compliance with vaccination and follow-up care. Despite systemic constraints, nurses actively adapted their practices to promote equitable and culturally sensitive care.

Conclusion: The study underscores the vital role of family health nurses in overcoming communication barriers, cultural differences, and systemic challenges when delivering care to refugee populations. Strengthening interpreter support, improving health registration systems, and enhancing cultural competence training in primary care settings are essential to support effective refugee care.

Objective: To describe how dominance, submissiveness, and speaking role appear in the intertwin relationship between twins under 7 years old.

Design and sample: A cross-sectional study design was used. The respondents (n = 72) were nurses. Information about the intertwin relationship was explored through Likert-scale statements and open-ended questions. This article reports the open-ended questions that were analyzed by content analysis.

Results: Dominance, submissiveness, and the speaking role appear in twins' behavior. The twins take different roles, such as the space taker, the decision maker, the follower on the sidelines, the helper, or the recipient of help. Twins can interact as either being brave and visible or withdraw into the background. The quality of intertwin relationships manifests in daily life situations, which brings opportunities to observe, guide, and support the children's individuality and balance the intertwin relationship.

Conclusions: To continue to support the growth and development of multiples in maternity and child health clinics, nurses need to have knowledge of the relationship between twins and the leadership, submissiveness, and speaking role associated with it. Work and guidance in nursing must be evidence-based.