Public Health Nursing最新文献

Background: This research was conducted in descriptive type to determine the disaster risk perception and sustainable earthquake awareness of nursing students studying at public and private universities.

Methods: The study sample consisted of 400 nursing students studying at one public and one private university. The research was conducted between April and May 2023. The data were collected using a Sociodemographic Form, University Students Disaster Risk Perception Scale (USDRPS), and Sustainable Earthquake Awareness Scale (SEAS). Data were collected online using a questionnaire created on Google Forms. Analyses included frequency, percentage, mean, standard deviation values, independent groups t-test, post-hoc Tukey test, LSD, and ANOVA test.

Results: Of the students, 61.8% had a disaster experience, 17.4% had lost a relative in the disaster, and 76.8% did not consider themselves prepared for a possible disaster. In the study, the exposure sub-dimension score of the disaster risk perception scale was found to be higher in students who had disaster experience than in those who did not (p = 0.032). Nursing students from the private university had higher sustainable earthquake awareness scores than those studying at the state university (p = 0.001). The mean scores of female students on the earthquake preparedness and preparation application sub-dimensions showed a significant difference compared to the scores of male students (p = 0.016). In the study, sustainable earthquake awareness total and earthquake preparedness sub-dimension scores were higher in second-year nursing students than in students of other years (p = 0.042; 0.015). Those who had received disaster training had low scores on the uncontrollable sub-dimension of the disaster risk perception scale, and high scores on the total SEAS and earthquake-structure relationship, earthquake preparedness, and earthquake preparation application sub-dimensions (p < 0.05).

Conclusions: In the study, three out of four students did not find themselves prepared for disasters. Those who had disaster experience had higher disaster risk perceptions. Students who had received disaster-related training had more positive earthquake preparedness, earthquake-structure relationship, and earthquake preparation applications than those who had not. Students who were female and were in the second year had higher earthquake awareness. Studies can be carried out to inform people about the pre-disaster and preparation stages to raise awareness about disasters at universities. Education on disaster management can be integrated into courses from the first years of university.

Objective: This review aimed to consolidate existing knowledge on this phenomenon by incorporating direct testimonies from individuals who have experienced breast cancer.

Methods: A thorough metasynthesis of qualitative studies was conducted. English articles published prior to September 18 2023 were searched from eight databases, including PubMed, Cochrane Library, Web of Science, Embase, the Chinese biomedical literature service system, the China National Knowledge Infrastructure, the Wanfang Database, and the Wipu Database. After screening the titles, abstracts, and full texts, six articles were finally included in the quality appraisal and metaaggregation.

Results: A total of 30 research findings were distilled and integrated into three themes: causes of fear of cancer recurrence (FCR); feelings of FCR; coping with FCR; and six subthemes: disease treatment factors; psychological factors; FCR is worry and fear; overcoming; negative response; positive response.

Conclusions: FCR is a subjective feeling; it is influenced by the interplay between the external environment (adjuvant therapy) and internal environment (psychological factors). Therefore, future care measures should be designed comprehensively, considering the individual characteristics of breast cancer survivors and the external environment. This could be the primary focus for addressing FCR in cancer patients in the future.

Background: eHealth literacy interventions have emerged as a new approach in management of stroke survivors. Its effect on knowledge and clinical outcomes presents an inconsistent result in literature.

Objectives: We aim to evaluate the impact of eHealth interventions on health literacy, clinical metrics, adherence to healthy behaviors, stroke recurrence, mortality, and health-related quality of life in stroke survivors.

Methods: We systematically searched six databases (PubMed, Cochrane Library, CINAHL, EMBASE, Web of Science, ProQuest) up to February 21, 2024, selecting articles that meet these criteria: (i) patients with stroke; (ii) intervention with education content; (iii) eHealth interventions included telehealth, mobile phone, internet or computer; (iv) randomized controlled trials. The mean differences (MD) and standardized mean differences (SMD) between groups were measured. Risk of bias was evaluated using the Cochrane tool.

Results: From 16 studies involving 9646 participants, we observed that eHealth interventions significantly improved systolic blood pressure (MD = -2.78 mmHg, 95% confidence interval (CI) [-4.67 to -0.88], p = 0.004), medication adherence (SMD = 0.28, 95% CI [0.04 to 0.52], p = 0.023), and health-related quality of life (SMD = 0.21, 95% CI [0.04 to 0.37], p = 0.013). Meta-regression found that age modified the effect size of systolic blood pressure (p = 0.027). There was insufficient evidence to conclude effects on other outcomes. The quality of evidence was moderate. Outcome variation may be due to the diversity in eHealth intervention approaches. The limited number of studies precluded the subgroup analysis. More interactive interventions with longer follow-ups were more effective.

Conclusions: eHealth interventions may benefit stroke survivors in terms of blood pressure, medication adherence, and health-related quality of life.

Implications for nursing policy: eHealth literacy interventions could be implemented to improve the management of stroke survivors, especially in the context of resource limitations.

Trial registration: PROSPERO registration number: CRD42024502470.

Objective: To develop and implement a tiered training model for neighborhood caregiving volunteers and to evaluate its impact on participants' knowledge, behaviors, and attitudes toward caregiving services.

Design and methods: We employed a mixed-methods research design. Participants included 32 neighborhood care volunteers and six seed volunteers. The neighborhood volunteer training program comprised three phases: Development (establishing the tiered training structure), Testing (conducting a pilot study), and Promotion (refining the training curriculum and service model, followed by community practice).d This study primarily evaluated the training outcomes of participants in the promotion phase, with additional qualitative interviews to capture the volunteers' experiences.

Results: Quantitative data analysis showed that graded healthcare training significantly improved volunteers' caregiving knowledge, self-efficacy, and perceptual behavior. Course satisfaction was highest with advanced caregiver training, followed by basic caregiver and volunteer caregiver-instructor training. Qualitative analysis revealed three themes: (1) improved volunteer role effectiveness, (2) positive service experience, and (3) positive, personal understanding of health.

Conclusions: Providing progressive training and adequate support for volunteers is crucial. Volunteer trainers or management units should emphasize creating positive experiences for volunteers, fostering their abilities, and promoting their willingness to remain engaged in community health services.

Aim(s): This discursive article aims to examine how systemic factors (both) reproduce the structure of settler colonialism and influence health outcomes among Indigenous peoples in the United States through settler colonial determinants of Indigenous health (SCDoIH).

Design: Discursive paper.

Methods: This discursive paper demonstrates how settler colonialism and health relate to each other within a nursing context. The concept of settler colonialism that was consolidated into a scholarly field beginning in the late 1990s is used to identify and contextualize SCDoIH for individuals residing in the United States as an entry point to advance scholarship on settler colonialism and nursing.

Results: A research framework that identifies factors of settler colonialism and SCDoIH within the United States is presented.

Conclusion: The structure of settler colonialism in the United States includes settler colonial determinants of health for Indigenous populations that have detrimental effects on health outcomes.

Implications for nursing: To provide holistic nursing care, nurses must be aware of settler colonialism as a determinant of health. Nurses providing care to Indigenous peoples need to be attuned to the pathways and processes through which settler colonialism leads to exposures that may affect their patients' health.

Objectives: To investigate temporal trends in childhood and adolescent overweight/obesity in Jiangsu Province, China, evaluating the effects of age, period, and birth cohort.

Design: Cross-sectional study.

Sample: Participants were 210,168 students aged 6-17 years from the five waves of the consecutive cross-sectional Jiangsu provincial surveillance project in 2017-2021.

Measurements: Overweight/obesity was assessed according to the sex- and age-specific body mass index. We used age-period-cohort (APC) analysis to explore the temporal trends of overweight/obesity and to estimate the effects of age, period, and birth cohort on the prevalence.

Results: The overall prevalence of overweight/obesity has increased from 32.08% to 38.60% between 2017 and 2021. The 6-9-year-old group and the 10-13-year-old group were significantly associated with a higher risk of overweight/obesity, in contrast to 14-17-year-olds. The pandemic was also significantly associated with a much higher risk. The cohort 2000-2003 was associated with higher risk, and such association continued until the cohort 2012-2015, denoting a significantly lower risk.

Conclusions: Despite an increasing trend in the prevalence of overweight/obesity, especially during the COVID-19 pandemic, the latest cohort effect was significantly associated with a lower risk. We recommend continuous efforts on preventive interventions and more research about prevalence trends.

Background: Effective disease management is crucial for rheumatoid arthritis (RA) patients as it can significantly reduce disease-associated symptoms. Currently, the utilization of mobile applications for managing RA patients has gained widespread popularity in clinical settings. However, there is a notable absence of a comprehensive meta-analysis exploring their effectiveness specifically in the context of RA patients.

Objective: The purpose of our research was to evaluate the effectiveness of mobile app-based care for patients with rheumatoid arthritis.

Methods: We searched eight databases, including CNKI and PubMed, for randomized controlled trials on the implementation of care for RA patients by mobile apps. This search encompassed a timeframe ranging from the inception of the databases to December 1, 2023. Two researchers reviewed the literature and gathered data based on inclusion and exclusion criteria. The quality of the study was evaluated using the Cochrane Handbook version 5.1.0. The meta-analysis was carried out using Revman5.4. software.

Results: Eight articles encompassing 3175 patients were retrieved for analysis. Over one-half of the research was from China, duration of the intervention was 6 weeks to 12 months, and eight included studies were of moderate quality. The meta-analysis revealed that mobile app-based care was effective in relieving disease activity, relieving pain, and improving patients' quality of life, however, the impact on self-management was not clear.

Conclusion: Mobile app-based care has proven effective in reducing disease activity, alleviating joint pain, and improving quality of life in RA patients. Nonetheless, an in-depth study is recommended to clarify the potential of these interventions for self-management.

Trial registration: International Prospective Register of Systematic Reviews; Registration number: CRD CRD42024498623.

Objective: Understanding the recovery process from heroin addiction is crucial as nonmedical opioid use persists. This study aims to comprehensively describe the recovery journey, focusing on the experiences and challenges faced by individuals in recovery to inform treatment approaches and support strategies.

Methods: This qualitative study, guided by critical social theory, emphasized balancing power dynamics and fostering equal participation to ensure all voices are heard, challenging traditional hierarchies and promoting inclusivity. Data were collected through audio-recorded and semi-structured interviews, and analyzed using Diekelmann's framework. Participants included 10 adults in recovery from heroin addiction, recruited through convenience and snowball sampling methods.

Results: A relational theme "As normal as you can get" was supported by four categories of (a) Being ready: You have to want this; (b) Structure: I need to do certain things through my week and I need to let you know why; (c) Obligation: You realize death was at your door, so many people are dying and you've been granted this gift; and (d) Acceptance: I am who I am today.

Conclusion: Understanding recovery experiences is essential for effective education and support for those at risk of relapse. Insights from this study can help guide the selection of successful treatment and recovery options.

Background: Deprescribing is a strategy to optimize medication use and to prevent medication harm. Despite the fact that behavioral theories have been shown to be useful in explaining health behaviors, the literature on deprescribing relies almost exclusively on attitudes as an explanatory factor for deprescribing behavior. This study systematically reviews the literature that made explicit use of the constructs included in health behavior theories (HBTs) to explain older adults' and informal caregivers' deprescribing behavior and outcomes.

Methods: Studies were screened from five electronic databases by two reviewers. Quantitative interventional and non-interventional studies applying at least one HBTs or construct from these theories to older adults' or informal caregiver' intention or behavior to deprescribe, were included. Studies that used the patients' attitudes toward deprescribing (PATD) questionnaire or its revised version were excluded.

Results: A total of 11 non-interventional studies and 11 interventional studies were identified, seven of which applied HBTs, and the other 15 used constructs from the HBTs. Health literacy and locus of control were identified as moderator variables. Only two studies targeted informal caregivers' deprescribing intentions or behavior.

Conclusions: HBTs are not systematically used. However, combining the main HBT constructs reported in the literature offers a better explanation of the (intention to) engage in deprescribing.

Trail registration: The study protocol (ID: CRD42022378157) was published on PROSPERO.

Objective: Colorectal cancer (CRC) has high mortality if it is detected in advanced stages, persons can lower their risk of CRC by adopting a healthy lifestyle that may lead to prevention. Screening is the most powerful public health tool to reduce mortality, considering the challenges of making substantial lifestyle changes or implementing widespread primary prevention strategies to lower the risk of CRC. This study aims to find out the levels of information and awareness about CRC and its screening program in individuals living in Türkiye.

Design: This study was a community-based cross-sectional.

Sample: This study was performed from November 2019 to November 2022 with a web-based survey circulated through social media and communication platforms. The research was conducted with 4146 participants.

Measurements: The "Survey Form" was used in the data collection. Descriptive statistics and logistic regression were used in the data analysis.

Results: The study found that 43.3% of participants had information about CRC and its screening program. Among all participants, 94.7% had never undergone CRC screening, and 55.6% were aware of a CRC awareness month. The study also revealed that participants who were knowledgeable about CRC screening were more likely to have a family history of cancer, a personal history of cancer, prior awareness of CRC, and previous information about the disease. Additionally, they were more likely to have undergone CRC screening before and to believe that CRC screening is necessary.

Conclusion: It was found that the majority of participants had no information on CRC and its screening program and never underwent CRC screening before. More studies should be performed to find out the factors negatively affecting the participation of individuals in the CRC screening program.