Dialogues in health最新文献_第3页

Intersectional identity, risk behaviors, and adolescent mental health in South Korea: who suffers the most in the loneliness epidemic? 韩国的交叉认同、风险行为和青少年心理健康：谁在孤独流行病中遭受最大的痛苦？

Dialogues in health

Pub Date : 2025-12-03 DOI: 10.1016/j.dialog.2025.100262

Eun-Young Lee , Heejun Lim

Purpose

Intersectionality is a theoretical framework that allows researchers to examine how multiple, overlapping social identities such as gender and socioeconomic status (SES) interact to shape individuals' experiences and contribute to inequalities. This study examined the associations between intersectional identity and mental health among South Korean adolescents and whether risk behaviors modify these associations.

Methods

The 2023 Korea Youth Behavior Web-Based Survey (n=52,880; 12–18 years) was used. Gender and family SES served as intersectional identities. Outcome included stress, depression, and loneliness. Alcohol, tobacco, and smartphone use were considered as potential effect modifiers. Decision tree models, logistic regressions, and moderation analyses were performed.

Results

Overall, girls reported poorer mental health than boys. When SES was considered, gender X SES was associated with loneliness only, and not with stress or depression. Among boys, the odds of reporting loneliness were higher with lower SES, and this association was further compounded by alcohol or tobacco use within each SES level. Girls reported higher odds of loneliness across all SES levels compared to boys, with low-SES girls experiencing the greatest burden. Alcohol and tobacco use further exacerbated the associations between intersectional identity and loneliness across all groups, particularly in girls. Smartphone use did not modify these associations.

Conclusions

Interventions targeting alcohol and tobacco use may be important to prevent loneliness for adolescents with intersectional identities. Loneliness may be shaped by both structural and behavioral factors, supporting the intersectionality as a useful analytical framework to better understand mental health disparities among adolescents.

交叉性是一个理论框架，它允许研究人员研究多重重叠的社会身份，如性别和社会经济地位（SES）如何相互作用，塑造个人的经历，并导致不平等。本研究考察了韩国青少年交叉身份与心理健康之间的关系，以及风险行为是否改变了这些关系。方法采用《2023年韩国青少年网络行为调查》（n=52,880人，年龄12-18岁）。性别和家庭SES是交叉的身份。结果包括压力、抑郁和孤独。酒精、烟草和智能手机的使用被认为是潜在的影响调节因素。进行了决策树模型、逻辑回归和适度分析。结果总体而言，女孩的心理健康状况比男孩差。当考虑SES时，性别X SES只与孤独有关，而与压力或抑郁无关。在男孩中，社会经济地位越低，报告孤独的几率就越高，而且在每个社会经济地位水平内，这种关联因饮酒或吸烟而进一步加剧。与男孩相比，女孩在所有社会经济地位水平上都报告了更高的孤独感，而低社会经济地位的女孩承受的负担最大。酒精和烟草的使用进一步加剧了所有群体，特别是女孩的交叉身份与孤独之间的联系。智能手机的使用并没有改变这些关联。结论针对酒精和烟草使用的干预措施可能对预防具有交叉身份的青少年的孤独感很重要。孤独可能由结构因素和行为因素共同形成，支持交叉性作为一个有用的分析框架，以更好地了解青少年心理健康差异。

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引用次数: 0

Exploring the interpretive processes of symptom perception among diabetes patients in eastern region of Ghana 探讨加纳东部地区糖尿病患者症状知觉的解释过程

Dialogues in health

Pub Date : 2025-12-01 DOI: 10.1016/j.dialog.2025.100260

Isaac Nyarko Kwakye

Background and aim

Illness perception has emerged as a critical factor influencing self-care behaviours, psychological distress, and health outcomes among patients with diabetes. However, there is limited understanding of how individuals with diabetes in Ghana cognitively interpret their symptoms. Therefore, this study explored the interpretive processes of symptom perception among diabetes patients in the Eastern Region (Koforidua) of Ghana.

Methods

Using a qualitative design grounded in interpretative phenomenological analysis (IPA), data were collected through semi-structured interviews with 15 purposively selected participants attending the diabetes clinic at Koforidua Regional Hospital. The interpretative phenomenological analysis (IPA) approach was used to analyze the qualitative data.

Results

Two main themes with their subthemes were identified: symptoms identification (increased urination and sweet-smelling urine, persistent thirst and hunger, noticeable weight loss; routine check-up/blood pressure; blisters, foot sore, non-healing wounds), and patients' perception (perception of diabetes as “disease of the rich”; belief in spiritual or supernatural causation; diabetes as a life-threatening and unpredictable condition). Symptom interpretation was shaped not only by personal experiences but also by sociocultural beliefs and community narratives. These interpretations highlight how cultural frameworks influence illness representation and health-seeking behaviours, consistent with the Common-Sense Model of illness perception.

Conclusion

The study concludes that patients do not interpret symptoms in isolation but integrate them into broader belief systems, which significantly shape their responses to illness. To improve diabetes outcomes, public health interventions should prioritize culturally sensitive education that addresses misconceptions, enhances symptom recognition, and strengthens health literacy at the community level. Such strategies can empower patients to seek timely care, reduce late diagnosis, and improve self-management, particularly in resource-limited settings.

背景和目的糖尿病患者的自我护理行为、心理困扰和健康结果的关键因素。然而，对加纳糖尿病患者如何从认知上解释其症状的了解有限。因此，本研究探讨了加纳东部地区（科福里杜瓦）糖尿病患者症状感知的解释过程。方法采用以解释现象学分析（IPA）为基础的定性设计，通过半结构化访谈对在科福里杜瓦地区医院糖尿病门诊就诊的15名参与者进行数据收集。采用解释现象学分析（IPA）方法对定性数据进行分析。结果确定了两个主题及其子主题：症状识别（尿多、尿香、持续口渴和饥饿、体重明显减轻、常规检查/血压、水泡、足部疼痛、伤口不愈合）和患者认知（将糖尿病视为“富人病”的认知；相信精神或超自然的因果关系；将糖尿病视为危及生命和不可预测的疾病）。症状解释不仅受到个人经历的影响，还受到社会文化信仰和社区叙事的影响。这些解释强调了文化框架如何影响疾病表征和寻求健康的行为，与疾病感知的常识模型相一致。该研究得出结论，患者不会孤立地解释症状，而是将其融入更广泛的信仰体系，这在很大程度上影响了他们对疾病的反应。为了改善糖尿病的预后，公共卫生干预措施应优先考虑文化敏感的教育，以消除误解，增强症状识别，并加强社区一级的健康素养。这种策略可以使患者能够及时寻求护理，减少晚期诊断，并改善自我管理，特别是在资源有限的环境中。

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引用次数: 0

Understanding decision-making around human and livestock health in sub-Saharan Africa: A systematic literature review 了解撒哈拉以南非洲围绕人类和牲畜健康的决策：系统的文献综述

Dialogues in health

Pub Date : 2025-12-01 DOI: 10.1016/j.dialog.2025.100259

Mary Nthambi , Tiziana Lembo , Alicia Davis , Blandina T. Mmbaga , Nicholas Hanley

Household decisions shape health outcomes in subsistence farming communities in sub-Saharan Africa (SSA) where human wellbeing is closely linked to livestock productivity. We conducted a systematic review, guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), of 135 primary studies from Embase, Scopus, PubMed, Web of Science and Google Scholar. Using the Household Production of Health (HPH) framework, we structured research questions, extracted and synthesised evidence and identified health interventions in human and livestock health in SSA. We coded decision loci (sole vs joint decision-making) and characterised their prevalence, context and determinants of household health outcomes. Sole decisions dominated (40 % of human studies, 42 % of livestock studies) with men making the majority of the decisions, especially in livestock health, while joint decisions were less common (27 %, 32 % respectively) and focused on maternal, neonatal and child health. Women's decision-making power tended to increase with education, income and urban residence, while male authority was greater in rural areas where fewer income-earning opportunities for women prevail. The two HPH frameworks are tightly linked as behaviours that improve livestock health and productivity benefit nutrition, income and access to care for household members. We recommend gender-responsive, One Health policies that support women's control in areas of existing responsibility and engage men as active partners in shared decision-making within households to reduce inequalities. These efforts should be supported by progress towards universal health coverage, functioning health insurance schemes and accessible veterinary services to reduce inequalities and within-household trade-offs, and to improve health and livelihood resilience in SSA.

在撒哈拉以南非洲的自给农业社区（SSA），家庭决策影响着人类福祉与畜牧业生产力密切相关的健康结果。在系统评价和荟萃分析首选报告项目（PRISMA）的指导下，我们对来自Embase、Scopus、PubMed、Web of Science和谷歌Scholar的135项主要研究进行了系统评价。利用家庭健康生产（HPH）框架，我们构建了研究问题，提取和综合了证据，并确定了SSA地区人类和牲畜健康方面的卫生干预措施。我们编码了决策位点（单独决策与共同决策），并描述了它们的流行程度、背景和家庭健康结果的决定因素。单独决策占主导地位（在人类研究中占40%，在牲畜研究中占42%），大多数决策是由男性做出的，特别是在牲畜健康方面，而共同决策则不太常见（分别为27%和32%），并侧重于孕产妇、新生儿和儿童健康。妇女的决策权往往随着教育、收入和城市居住而增加，而在妇女挣钱机会普遍较少的农村地区，男性的权力更大。这两个卫生和健康框架紧密相连，因为改善牲畜健康和生产力的行为有利于家庭成员的营养、收入和获得护理的机会。我们建议促进性别平等的“同一个健康”政策，支持妇女控制现有责任领域，并使男子作为积极伙伴参与家庭内的共同决策，以减少不平等现象。这些努力应得到在实现全民健康覆盖、有效的健康保险计划和可获得的兽医服务方面取得的进展的支持，以减少不平等现象和家庭内部权衡，并提高SSA的健康和生计复原力。

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引用次数: 0

Redefining menstrual hygiene management with menstrual cups through project Thinkal; from self care to environmental resilience 通过Thinkal项目重新定义月经杯的经期卫生管理；从自我照顾到环境适应能力

Dialogues in health

Pub Date : 2025-12-01 DOI: 10.1016/j.dialog.2025.100261

Parvathy Jayasree , Krishna Sreelekha Hemachandran

Proper management of menstrual hygiene is a topic of interest among women and is a requisite to the well-being of women and adolescent girls worldwide. But lack of information about menstruation and menstrual hygiene practices creates a culture of taboos leading to a big barrier in the path of menstrual hygiene management. A menstrual cup (M-Cup) is considered as an ideal green substitute for the disposable sanitary products. Being economical than disposable ones, M-Cup has several benefits compared to other menstrual management products mainly long term use and environmental sustainability. However due to several factors, such as affordability, accessibility etc., the level of awareness among the public is less. A programme was launched to curb menstrual waste, to create awareness and encourage women to use menstrual cups, and to ensure proper menstrual hygiene by distributing M-cups free of cost. The programme have reached out to more than 5, 00,000 beneficiaries across India including the tribal population of Jharkhand, Kerala, Karnataka etc. and studies are being carried out to analyze the acceptability, adaptability and usage of such an insertion device like M-Cups. By promoting M-Cups and empowering menstruates with knowledge and resources for sustainable menstrual hygiene management, the programme aims to achieve women empowerment, substantial carbon footprint reduction, preserve natural resources and enhance public health.

经期卫生的适当管理是妇女感兴趣的一个话题，也是全世界妇女和少女福祉的必要条件。但是，缺乏关于月经和经期卫生习惯的信息造成了一种禁忌文化，从而在经期卫生管理的道路上造成了很大的障碍。月经杯（M-Cup）被认为是一次性卫生用品的理想绿色替代品。与一次性产品相比，m罩杯经济实惠，与其他月经管理产品相比，m罩杯有几个好处，主要是长期使用和环境可持续性。然而，由于一些因素，如负担能力，可及性等，公众的意识水平较低。发起了一项计划，以遏制月经浪费，提高认识并鼓励妇女使用月经杯，并通过免费分发m杯来确保适当的月经卫生。该方案已惠及印度各地50多万受益者，包括贾坎德邦、喀拉拉邦、卡纳塔克邦等地的部落人口，目前正在进行研究，分析m杯等插入装置的可接受性、适应性和使用情况。该方案通过推广m型杯，并向经期妇女提供可持续经期卫生管理方面的知识和资源，目的是增强妇女权能，大幅减少碳足迹，保护自然资源，加强公众健康。

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引用次数: 0

Erratum regarding Missing Ethical / Consent statement in previously published articles 关于先前发表的文章中缺少伦理/同意声明的勘误

Dialogues in health

Pub Date : 2025-12-01 DOI: 10.1016/j.dialog.2025.100257

引用次数: 0

The effect of digital health intervention in promoting healthy behavior: A systematic scoping review on strategies to prevent non-communicable diseases 数字健康干预对促进健康行为的影响：对预防非传染性疾病战略的系统范围审查

Dialogues in health

Pub Date : 2025-11-14 DOI: 10.1016/j.dialog.2025.100258

Zahroh Shaluhiyah , Shabrina Arifia Qatrannada , Aditya Kusumawati , Mohammad Shahgahan Miah

Background

Digital health interventions are increasingly used to prevent non-communicable diseases (NCDs) by promoting healthy behaviors, yet evidence on which digital features are most effective remains fragmented. This systematic scoping review aimed to (1) identify the most commonly used types of digital interventions and their target populations for NCD prevention, (2) examine the primary objectives associated with each digital feature, and (3) assess their effectiveness in improving knowledge, attitudes, and behaviors.

Methods

A comprehensive search was conducted across seven databases (PubMed, ScienceDirect, Scopus, JSTOR, Medline, CINAHL, and ProQuest). Following PRISMA guidelines, 20 peer-reviewed studies published between 2018 and 2024 met the inclusion criteria. Data were extracted on digital features, intervention objectives, and outcomes related to knowledge, attitudes, and behaviors.

Results

Messaging platforms were the most common (n = 7), followed by gamification, mobile applications, and wearables. Most interventions aimed to promote behavior change, especially those using mobile apps, messaging, and wearable tools. Similar digital features served different objectives depending on content design. Across studies, knowledge outcomes improved by 10–95 %, attitudinal outcomes by 2–40 %, and behavioral outcomes by 4–95 %. Messaging platforms showed the largest improvements in both knowledge and behavior, while gamification yielded moderate gains. Aligning digital tools with target users and intended outcomes enhanced overall impact.

Conclusions

Messaging platforms and mobile applications emerged as the most frequently used and effective digital features for NCD prevention. Multi-feature interventions and platform–outcome alignment appear crucial to maximize effectiveness in digital health programs promoting healthy behavior.

数字卫生干预措施越来越多地用于通过促进健康行为来预防非传染性疾病，但关于数字特征最有效的证据仍然零散。这项系统的范围审查旨在(1)确定最常用的数字干预类型及其预防非传染性疾病的目标人群，(2)检查与每个数字特征相关的主要目标，以及(3)评估其在改善知识、态度和行为方面的有效性。方法在PubMed、ScienceDirect、Scopus、JSTOR、Medline、CINAHL、ProQuest等7个数据库中进行综合检索。根据PRISMA的指导方针，2018年至2024年间发表的20项同行评议研究符合纳入标准。数据提取的数字特征，干预目标，以及与知识，态度和行为相关的结果。结果短信平台是最常见的（n = 7），其次是游戏化、移动应用和可穿戴设备。大多数干预措施旨在促进行为改变，尤其是那些使用移动应用程序、短信和可穿戴工具的人。根据内容设计的不同，类似的数字功能服务于不同的目标。在所有研究中，知识结果提高了10 - 95%，态度结果提高了2 - 40%，行为结果提高了4 - 95%。即时通讯平台在知识和行为方面都表现出最大的进步，而游戏化则表现出适度的进步。将数字工具与目标用户和预期结果相结合，增强了整体影响。结论短信平台和移动应用程序是预防非传染性疾病最常用和最有效的数字功能。多功能干预和平台结果对齐对于促进健康行为的数字健康计划的有效性最大化至关重要。

{"title":"The effect of digital health intervention in promoting healthy behavior: A systematic scoping review on strategies to prevent non-communicable diseases","authors":"Zahroh Shaluhiyah , Shabrina Arifia Qatrannada , Aditya Kusumawati , Mohammad Shahgahan Miah","doi":"10.1016/j.dialog.2025.100258","DOIUrl":"10.1016/j.dialog.2025.100258","url":null,"abstract":"<div><h3>Background</h3><div>Digital health interventions are increasingly used to prevent non-communicable diseases (NCDs) by promoting healthy behaviors, yet evidence on which digital features are most effective remains fragmented. This systematic scoping review aimed to (1) identify the most commonly used types of digital interventions and their target populations for NCD prevention, (2) examine the primary objectives associated with each digital feature, and (3) assess their effectiveness in improving knowledge, attitudes, and behaviors.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across seven databases (PubMed, ScienceDirect, Scopus, JSTOR, Medline, CINAHL, and ProQuest). Following PRISMA guidelines, 20 peer-reviewed studies published between 2018 and 2024 met the inclusion criteria. Data were extracted on digital features, intervention objectives, and outcomes related to knowledge, attitudes, and behaviors.</div></div><div><h3>Results</h3><div>Messaging platforms were the most common (<em>n</em> = 7), followed by gamification, mobile applications, and wearables. Most interventions aimed to promote behavior change, especially those using mobile apps, messaging, and wearable tools. Similar digital features served different objectives depending on content design. Across studies, knowledge outcomes improved by 10–95 %, attitudinal outcomes by 2–40 %, and behavioral outcomes by 4–95 %. Messaging platforms showed the largest improvements in both knowledge and behavior, while gamification yielded moderate gains. Aligning digital tools with target users and intended outcomes enhanced overall impact.</div></div><div><h3>Conclusions</h3><div>Messaging platforms and mobile applications emerged as the most frequently used and effective digital features for NCD prevention. Multi-feature interventions and platform–outcome alignment appear crucial to maximize effectiveness in digital health programs promoting healthy behavior.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100258"},"PeriodicalIF":0.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145578570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum regarding missing declaration of non-involvement of the Editor-in-Chief (EIC) in Peer review of Editor-Co-Authored papers 关于主编（EIC）在编辑合著论文的同行评议中未参与声明的勘误

Dialogues in health

Pub Date : 2025-11-13 DOI: 10.1016/j.dialog.2025.100255

引用次数: 0

“Stories like ours continue”: A phenomenological exploration of the lived experiences of ex-serial clinical trial volunteers in South India “像我们这样的故事还在继续”：对印度南部前连续临床试验志愿者生活经历的现象学探索

Dialogues in health

Pub Date : 2025-11-07 DOI: 10.1016/j.dialog.2025.100256

Irene Sambath, Kalpana B. Kosalram

Purpose

Indian media has frequently highlighted the plight of vulnerable low-income groups who over-volunteer in clinical trials to make ends meet, often at the cost of their health. Despite these revelations, the lived experiences of these individuals remain insufficiently documented in academic literature. This study seeks to address this gap by exploring how clinical trial volunteers construct their world around their experiences of having taken part in multiple trials over a span of time. Additionally, the study aims to shed light on the current circumstances and challenges faced by these individuals and their families.

Methods

Using Interpretative Phenomenological Analysis, this study analyses in-depth interviews conducted using respondent-driven sampling. Participants include three ex-serial volunteers who discontinued clinical trial participation and three key informants of deceased serial trial volunteers, from a remote mandal in the state of Telengana, South India.

Results

Three superordinate themes emerged: A journey of strain and stain, Transcending all turmoil to remain acceptable to system and society, and Agony of the family, each with five subthemes. The personal narratives highlight how financial desperation coerced them into serial participation. Over time, repeated enrolment led to physical and emotional deterioration, concealment, stigma, and family distress. Families discovered trial involvement only after adverse events or death, highlighting systemic gaps in transparency and post-trial care.

Conclusion

Despite existing government regulations, the underground nature of recruitment networks and the persistent demand for willing participants enable these practices to thrive. Findings underscore the urgent need for a national registry, stronger oversight, and community-level awareness to ensure ethical, scientifically sound, and socially responsible clinical research in India.

目的：印度媒体经常强调弱势低收入群体的困境，他们为了维持生计而过度志愿参加临床试验，往往以牺牲健康为代价。尽管有这些启示，这些人的生活经历在学术文献中仍然没有充分的记录。本研究试图通过探索临床试验志愿者如何围绕他们在一段时间内参加多项试验的经历构建他们的世界来解决这一差距。此外，该研究旨在阐明这些个人及其家庭面临的当前环境和挑战。方法采用解释性现象学分析，本研究分析了采用受访者驱动抽样进行的深度访谈。参与者包括三名停止参加临床试验的前连续试验志愿者和三名已故连续试验志愿者的关键举报人，他们来自印度南部特伦加纳邦的一个偏远地区。结果出现了三个最高主题：紧张和污点之旅、超越一切混乱以保持对制度和社会的接受和家庭的痛苦，每个主题有五个副主题。他们的个人叙述强调了经济上的绝望是如何迫使他们连续参与的。随着时间的推移，重复登记导致身体和情绪恶化、隐瞒、耻辱和家庭痛苦。家庭只有在不良事件或死亡后才发现参与了试验，这突出了透明度和试验后护理方面的系统性差距。尽管有现行的政府法规，但招聘网络的地下性质以及对自愿参与者的持续需求使这些做法得以蓬勃发展。研究结果强调，迫切需要建立国家登记制度，加强监督，提高社区意识，以确保印度的临床研究符合伦理、科学合理和对社会负责。

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引用次数: 0

Beyond technical skills: How communication shapes patient satisfaction in Ghana's healthcare system 超越技术技能：加纳医疗保健系统中沟通如何塑造患者满意度

Dialogues in health

Pub Date : 2025-11-03 DOI: 10.1016/j.dialog.2025.100254

Mohammed Saani Abdulai, Eliasu Mumuni, Muhammed Abdulai

Purpose

Effective healthcare delivery depends not only on clinical expertise but also on the quality of communication and interpersonal relationships between healthcare providers and patients. Despite the recognized importance of these human-centered factors, limited research has explored their impact on patient satisfaction and service quality within the Ghanaian context. This study aims to examine the influence of communication competence and interpersonal relationships on patient satisfaction. This study examines how healthcare providers' communication competence and interpersonal relationships influence their perceived patient satisfaction with service delivery, thereby shifting attention from technical skills to the relational aspects of care.

Methods

A sequential mixed-methods design was employed. The quantitative phase involved a survey of 250 healthcare professionals. The qualitative phase comprised in-depth interviews with 20 participants,10 patients, and 10 healthcare staff. Data was analyzed using multiple regression techniques for the quantitative component and thematic analysis for the qualitative component.

Results

Verbal communication emerged as the most used method (70.4 %), followed by a combination of verbal and non-verbal strategies (19.6 %). Regression analysis revealed that both communication competence and interpersonal relationships had a significant impact on service quality and patient satisfaction. While interpersonal relationships displayed a negative coefficient in the regression model (B = −0.098) due to overlap with communication competence, qualitative findings confirmed that positive interpersonal interactions enhanced patient satisfaction. While technical skills contributed a smaller increase of 0.029. The Qualitative findings revealed that patients highly value empathetic communication, timely interactions, and non-verbal cues, such as physical touch and facial expressions, which enhance trust and satisfaction.

Conclusions

The findings highlight the importance of integrating communication and interpersonal skills development into healthcare training and professional practice in Ghana. Strengthening these competencies can enhance patient experiences, improve health outcomes, and contribute to the overall quality of care delivery.

目的：有效的医疗服务不仅取决于临床专业知识，还取决于医疗服务提供者和患者之间的沟通质量和人际关系。尽管认识到这些以人为中心的因素的重要性，有限的研究已经探讨了他们对患者满意度和加纳的服务质量的影响。本研究旨在探讨沟通能力和人际关系对患者满意度的影响。本研究探讨医疗保健提供者的沟通能力和人际关系如何影响他们对服务提供的感知患者满意度，从而将注意力从技术技能转移到护理的关系方面。方法采用顺序混合方法设计。定量阶段涉及对250名医疗保健专业人员的调查。定性阶段包括对20名参与者、10名患者和10名医护人员的深入访谈。数据分析使用多元回归技术的定量成分和专题分析的定性成分。结果使用最多的是言语交际（70.4%），其次是言语和非言语结合策略（19.6%）。回归分析显示，沟通能力和人际关系对服务质量和患者满意度均有显著影响。虽然人际关系在回归模型中由于与沟通能力重叠而呈现负系数（B = - 0.098），但定性研究结果证实，积极的人际互动提高了患者满意度。而技术技能贡献了0.029的小幅增长。定性研究结果显示，患者高度重视移情沟通、及时互动和非语言提示，如身体接触和面部表情，这增强了信任和满意度。结论研究结果强调了将沟通和人际交往技能发展纳入加纳医疗保健培训和专业实践的重要性。加强这些能力可以改善患者体验，改善健康结果，并有助于提高护理服务的整体质量。

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引用次数: 0

Prevention and control of dengue and Aedes mosquitoes in South and Southeast Asia: Interventions, challenges, and future recommendations 南亚和东南亚登革热和伊蚊的预防和控制：干预措施、挑战和未来建议

Dialogues in health

Pub Date : 2025-10-25 DOI: 10.1016/j.dialog.2025.100253

Iskandar Arfan , Lilis Sulistyorini , Muji Sulistyowati , Ayu Rizky , Saliza Mohd Elias

Dengue fever, caused by a virus transmitted through Aedes mosquitoes, has become a major health issue in South and Southeast Asia. This review explores various preventive and control interventions for dengue implemented in South and Southeast Asia, the challenges faced, and recommendations to enhance the sustainability and effectiveness of these control efforts. The scoping review was conducted by searching articles published between 2014 and 2024 through databases such as PubMed, Scopus, ScienceDirect, Web of Science, and ProQuest. A total of 1599 studies were identified, and 25 articles were eventually analyzed. The findings indicate various intervention approaches in both regions. Key challenges identified in this review include community engagement and participation, resource, logistics, and data management issues, public perceptions and knowledge, control methods and evaluation of effectiveness, and social and economic issues. These challenges hinder the effectiveness of interventions. Recommendations to strengthen future interventions include: enhancing community involvement through continuous training, improving monitoring and evaluation with technology-based solutions, and expanding the use of technologies like Wolbachia-infected mosquitoes and spatial repellents. Expanding public awareness campaigns, strengthening school and community-based education, and improving training for health workers are also essential. Lastly, adopting a combined approach is crucial for achieving more effective and sustainable results in dengue prevention.

登革热由一种通过伊蚊传播的病毒引起，已成为南亚和东南亚的一个主要卫生问题。本综述探讨了在南亚和东南亚实施的各种登革热预防和控制干预措施，面临的挑战，以及加强这些控制工作的可持续性和有效性的建议。范围审查是通过PubMed、Scopus、ScienceDirect、Web of Science和ProQuest等数据库检索2014年至2024年间发表的文章进行的。总共确定了1599项研究，最终分析了25篇文章。研究结果表明，在这两个地区有不同的干预方法。本次审查确定的主要挑战包括社区参与、资源、后勤和数据管理问题、公众认知和知识、控制方法和有效性评估以及社会和经济问题。这些挑战阻碍了干预措施的有效性。关于加强未来干预措施的建议包括：通过持续培训加强社区参与，利用基于技术的解决办法改进监测和评价，以及扩大使用感染沃尔巴克氏体的蚊子和空间驱蚊剂等技术。扩大公众认识运动、加强学校和社区教育以及改进对卫生工作者的培训也至关重要。最后，采取综合办法对于在登革热预防方面取得更有效和可持续的成果至关重要。

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引用次数: 0