Healthcare最新文献

{"title":"Older People at Risk of Suicide: A Local Study During the COVID-19 Confinement Period.","authors":"Ismael Puig-Amores, Guadalupe Martín-Mora-Parra, Isabel Cuadrado-Gordillo, Jessica Morales-Sanhueza","doi":"10.3390/healthcare13141735","DOIUrl":"https://doi.org/10.3390/healthcare13141735","url":null,"abstract":"<p><strong>Background: </strong>Suicide in older adults represents an insufficiently addressed public health problem, despite the aging population and the increase in mental disorders in this group. The COVID-19 pandemic and associated measures, such as lockdown, could have exacerbated this phenomenon. This study aimed to analyze the impact of the confinement decreed during the state of alarm in Spain on the incidence of deaths by suicide in people over 70 years of age in Extremadura.</p><p><strong>Methods: </strong>An observational and retrospective study was carried out, using data from the Institutes of Legal Medicine and Forensic Sciences, comparing the figures for 2020 with the years 2019, 2021, along with the average for the period 2015-2019. Statistical analyses included Chi-square tests and calculation of Relative Risk with 95% CI.</p><p><strong>Results: </strong>The results revealed a significant increase in deaths by suicide in the third quarter of 2020 compared to the periods compared, especially among men.</p><p><strong>Conclusions: </strong>It is concluded that confinement may have negatively influenced the mental health of older adults, which underscores the need for specific interventions and attention to regional contextual factors.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidimensional Effects of Manual Therapy Combined with Pain Neuroscience-Based Sensorimotor Retraining in a Patient with Chronic Neck Pain: A Case Study Using fNIRS.","authors":"Song-Ui Bae, Ju-Hyeon Jung, Dong-Chul Moon","doi":"10.3390/healthcare13141734","DOIUrl":"https://doi.org/10.3390/healthcare13141734","url":null,"abstract":"<p><p>Chronic neck pain is a multifactorial condition involving physical, psychological, and neurological dimensions. This case report describes the clinical course of a 25-year-old female with chronic neck pain and recurrent headaches who underwent a 6-week integrative intervention consisting of manual therapy and pain neuroscience-based sensorimotor retraining, administered three times per week. Outcome measures included the Headache Impact Test-6 (HIT-6), Neck Pain and Disability Scale (NPDS), Pain Catastrophizing Scale (PCS), Fear-Avoidance Beliefs Questionnaire (FABQ), pressure pain threshold (PPT), cervical range of motion (CROM), and functional near-infrared spectroscopy (fNIRS) to assess brain activity. Following the intervention, the patient demonstrated marked reductions in pain and psychological distress: HIT-6 decreased from 63 to 24 (61.9%), NPDS from 31 to 4 (87.1%), FABQ from 24 to 0 (100%), and PCS from 19 to 2 (89.5%). Improvements in PPT and CROM were also observed. fNIRS revealed decreased dorsolateral prefrontal cortex (DLPFC) activation during pain stimulation and movement tasks, suggesting a possible reduction in central sensitization burden. These findings illustrate that an integrative approach targeting biopsychosocial pain mechanisms may be beneficial in managing chronic neck pain, improving function, and modulating cortical responses. This report provides preliminary evidence in support of the clinical relevance of combining manual therapy with neurocognitive retraining in similar patients.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Professionals' Views on Euthanasia: Impact of Traits, Religiosity, Death Perceptions, and Empathy.","authors":"Dimitrios Mimarakis, Maria Moudatsou, Philippa Kolokotroni, Athanasios Alegakis, Sofia Koukouli","doi":"10.3390/healthcare13141731","DOIUrl":"https://doi.org/10.3390/healthcare13141731","url":null,"abstract":"<p><strong>Context: </strong>A plethora of actors like individual and professional characteristics, religiosity, personality-related factors, personal experience of death, and empathy form the attitude of health professionals in patient care in clinical settings and euthanasia.</p><p><strong>Objectives: </strong>The aim of the study was to measure the attitudes of health professionals toward euthanasia. In addition, we examined how individual and professional characteristics, religiosity, death perspectives, and empathy may predict health professionals' attitudes toward euthanasia.</p><p><strong>Methods: </strong>We collected socio-demographic characteristics and attitudes toward euthanasia and the end of life as well as empathy dimensions from 465 health professionals working in health services in Greece. Multiple linear regression was applied to test the association of the attitudes about euthanasia with (1) demographic and professional variables, (2) perceptions about death, and (3) empathy.</p><p><strong>Results: </strong>Findings of the study revealed that health professionals' attitudes towards euthanasia are significantly associated with their age, the target group of their patients, religious beliefs, and their attitudes about the end of life. Meanwhile, empathy was an insignificant predictor of ATE (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>Working in clinical settings with patients, especially at the end of their lives, will always include ethical issues for health professionals. Training and supporting new generations of health professionals in patient care and bioethics are crucial in order to face these ethical issues during their professional careers.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequities in Stroke Recovery: Examining Sociodemographic Predictors of Rehabilitation Success.","authors":"Suzana Dedijer Dujović, Olivera Djordjević, Aleksandra Vidaković, Sindi Mitrović, Mirko Grajić, Tijana Dimkić Tomić, Stefan Rosić, Ana Radić, Ljubica Konstantinović","doi":"10.3390/healthcare13141739","DOIUrl":"https://doi.org/10.3390/healthcare13141739","url":null,"abstract":"<p><p><b>Background:</b> Stroke recovery is influenced not only by clinical but also sociodemographic factors (SDFs). However, data on how variables such as age, sex, marital status, education, and employment status affect rehabilitation outcomes remain limited, particularly in structured inpatient settings. This study aimed to analyze the impact of key SDFs on functional recovery after stroke. <b>Methods:</b> A retrospective cohort of 289 stroke patients undergoing structured inpatient rehabilitation was analyzed. Functional status was assessed at admission, after three weeks, and at discharge using five standardized outcomes: gait speed (primary outcome), Barthel Index, Berg Balance Scale, Action Research Arm Test, and Ashworth scale. Repeated measures ANOVA and multivariable logistic regression were used to evaluate within-subject changes and associations with SDFs. <b>Results:</b> The cohort consisted predominantly of middle-aged to older adults (58% female, 62% married, 60% retired, 60% with primary education or less). Most patients (88%) had ischemic strokes of moderate severity. Significant improvements were observed across all functional measures. Employed, married, younger, and male patients achieved better outcomes. Interaction models indicated that older and female patients with moderate stroke severity demonstrated greater improvement than younger and male counterparts with milder strokes. Mean gait speed increased by +0.32 m/s, exceeding the minimal clinically important difference (MCID) of 0.16 m/s. <b>Conclusions:</b> Age, sex, marital status, education, and employment status are relevant predictors of stroke rehabilitation outcomes. These findings emphasize the importance of incorporating sociodemographic profiles into individualized rehabilitation planning to optimize functional recovery and reduce disparities among stroke survivors.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Neurochemical, Psychophysiological, and Cognitive Responses to Small-Sided Games vs. Running-Based HIIT in Young, Male Soccer Players.","authors":"Yakup Zühtü Birinci, Serkan Pancar, Yusuf Soylu, Hüseyin Topçu, Aygül Koçyiğit, Emre Sarandöl, Hasan Şimşek, Şenay Şahin","doi":"10.3390/healthcare13141738","DOIUrl":"https://doi.org/10.3390/healthcare13141738","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to compare the immediate effects of small-sided games (SSGs) and running-based high-intensity interval training (HIITrb) on serum brain-derived neurotrophic factor (BDNF) levels, cognitive performance, and enjoyment in young, male soccer players.</p><p><strong>Methods: </strong>Twenty-four soccer players [age: 19.2 ± 0.8 years] completed one session each of four-a-side SSG or HIITrb in a randomized, counterbalanced, and crossover design, with a one-week washout period. Blood samples and Trail Making Tests (TMTs) A and B were measured before and after exercise. Heart rate (HR) was monitored throughout the games, and ratings of perceived exertion (RPE) and enjoyment were collected at the end of the measurements.</p><p><strong>Results: </strong>The results show no significant effects of time (<i>p</i> > 0.775), group (<i>p</i> > 0.276) or time × group interaction (<i>p</i> > 0.199) on BDNF levels. For TMT-A, the time effect (<i>p</i> = 0.866) and group effect (<i>p</i> = 0.057) were not significant; however, the time × group interaction was significant (<i>p</i> < 0.019), indicating a superior performance in the SSG compared to HIITrb. In the TMT-B, significant effects were observed for both time (<i>p</i> < 0.001) and group (<i>p</i> < 0.001), while the time × group interaction effect was not statistically significant (<i>p</i> > 0.061). Furthermore, enjoyment levels did not differ significantly between conditions (<i>p</i> = 0.976).</p><p><strong>Conclusions: </strong>These findings suggest that four-a-side SSG may enhance processing speed compared to HIITrb without changes in serum BDNF levels. Coaches may consider using 4v4 SSG formats in early training sessions or warm-ups to stimulate processing speed and mental readiness in young soccer players.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biopsychosocial Determinants and Comorbid Risks of Obesity Among University Students: A Cross-Sectional Study.","authors":"Osama Albasheer, Mohamed Salih Mahfouz, Turki I Aljezani, Mohammed Hassan Ghasham, Idris Harun Samily, Majid Muhammad Hakami, Naif Muslih Alshamrani, Shaima Abdu Hantul, Haneen A Almutairi, Amal H Mohamed, Nagla Abdalghani, Lamyaa A M El Hassan, Gassem Gohal, Ali Ali Ahmad Al-Makramani, Abdelkhalig Elhilu","doi":"10.3390/healthcare13141736","DOIUrl":"https://doi.org/10.3390/healthcare13141736","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Obesity among university students is a growing concern, often influenced by biological, psychological, and social factors. Few studies in Saudi Arabia have addressed this issue using a comprehensive framework. This study aims to examine the prevalence of obesity and its biopsychosocial predictors among university students, as well as their perceptions, behaviors, and comorbidities. <b>Methods:</b> A cross-sectional study was conducted at Jazan University during the 2024-2025 academic year. A total of 819 undergraduate students completed a structured, self-administered Arabic questionnaire. The tool assessed sociodemographic variables, body mass index (BMI) (calculated from self-reported height and weight), biological and psychological factors, social influences, lifestyle behaviors, and comorbidities. Bivariate associations were tested using chi-square analyses, and multivariate logistic regression was used to identify independent predictors of obesity. <b>Results:</b> The prevalence of obesity was 19.6%, and 22.6% of students were overweight. Obesity was significantly more prevalent among males (26.7%) than females (9.6%, <i>p</i> < 0.001) and among students aged 24 years and above (24.0%, <i>p</i> = 0.024). Independent predictors of obesity included being overweight in childhood (AOR = 5.23, 95% CI: 3.47-7.90), belief in a genetic predisposition (AOR = 4.66), emotional eating (AOR = 2.57), academic or personal stress (AOR = 5.36), and social pressures related to body image (AOR = 2.96). Comorbidities significantly associated with obesity included high cholesterol (AOR = 5.40), sleep disorders (AOR = 2.99), and joint pain (AOR = 1.96). More than 80% of students with obesity reported current or past weight loss attempts, and nearly 60% received medical advice to lose weight. <b>Conclusions:</b> Obesity among Jazan University students is significantly associated with male gender, early-life weight history, emotional and academic stress, and social pressures. Students with obesity also experience a higher burden of comorbid conditions, even at a young age. These findings highlight the need for integrated, student-centered interventions that address both the psychological and social dimensions of weight management in university settings.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Conservative Methods Based on Exercise in Reducing the Kyphotic Angle: A Meta-Analysis.","authors":"Vanja Dimitrijević, Bojan Rašković, Miroslav P Popović, Dragan Marinković, Miloš Kojić, Siniša Nikolić, Nikola Jevtić, Borislav Obradović","doi":"10.3390/healthcare13141742","DOIUrl":"https://doi.org/10.3390/healthcare13141742","url":null,"abstract":"<p><p><b>Background:</b> The aim of this research was to evaluate the size of the effect of conservative methods based on exercises on the reduction in the kyphotic angle through a meta-analysis. <b>Methods:</b> In our research, we followed the Cochrane guidelines and the PRISMA guidelines. In October 2024, we searched the following databases: Scopus, Pub Med, Web of Science, and Cochrane Library. The following keywords were used for the search: (\"Kyphosis\" OR \"Hyperkyphosis\" OR \"Kyphotic angle\" OR \"Spinal curve\" OR \"Sagittal spinal\") AND (\"Conservative methods\" OR \"Conservative treatment\" OR \"Corrective exercise\" OR \"Physical exercise\" OR \"Exercise therapy\" OR \"Training\"). The risk of bias was assessed for each randomized trial using the Cochrane Risk of Bias Tool and the Methodological Index for Non-Randomized Studies (MINORS). The study's main outcome and estimated effects were the kyphotic angle. R 4.3.2 software with the meta package was used for analyses, and standardized mean difference (SMD) and 95% confidence interval (CI), a randomized model for continuous outcomes, were used as effect size. <b>Results:</b> Twenty-one studies were included in the qualitative analysis, while 19 studies were included in the quantitative analysis. Depending on the analysis, the effect sizes ranged from (SMD = 0.27 to SMD = 0.73). Heterogeneity ranged from 0% to 58%, while the quality of evidence (GRADE) ranged from very low to moderate. <b>Conclusions</b>: Our meta-analysis indicates the positive effects of applying conservative methods based on exercise in subjects without and with osteoporosis diagnosed with hyperkyphosis.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Ukrainian Refugee Women's Beliefs and Concerns About Healthcare Systems, with a Focus on HPV Immunization Practices: A Mixed-Methods Study on Forcibly Displaced Populations in Romania.","authors":"Teodora Achimaș-Cadariu, Andrei Pașca, Delia Nicoară, Dan Lucian Dumitrașcu","doi":"10.3390/healthcare13141744","DOIUrl":"https://doi.org/10.3390/healthcare13141744","url":null,"abstract":"<p><p><b>Objectives</b>: Scarce data are available regarding preventive medicine in forcibly displaced populations especially regarding non-communicable diseases like neoplasia, while even more limited data are available on Ukrainian refugees in Romania. To address this research gap, the present analysis was performed to investigate Ukrainian refugee women's beliefs, attitudes, and opinions towards the Romanian and Ukrainian healthcare system in a comparison model while focusing on the HPV immunization rates and factors influencing the uptake for themselves and their children. <b>Methods</b>: Participants were recruited using the snowball sampling method through their General Practitioner (GP) and a health mediator. <b>Results</b>: In total, 105 women completed the online or physical survey. The mean age was 50 years. In total, 40% of women had not been to a gynecological check-up in 3 or more years, and more than 56% had never been screened. Only four were vaccinated against HPV, and none remembered which type of vaccine was dispensed or how many doses were utilized. The primary hindrances to accessing health services or immunization programs were language barriers, financial burdens, and a lack of information. Respondents' general distrust of health systems and healthcare workforces were recurrent themes. Relationship status, living arrangements, and previous engagement in screening practices influenced immunization rates. Perceiving the healthcare officials as proactive concerning optional vaccination programs such as HPV immunization and actively receiving recommendations drove respondents to pursue vaccination. <b>Conclusions</b>: This analysis offers a foundational insight into the specific needs of refugee women. It can guide the development of effective public health interventions to improve health outcomes and vaccination rates among Ukrainian refugees in Romania. Tailored preventive campaigns with adequate native language information and prompts from medical experts in designated centers should be deployed to ensure inclusive tactics for vulnerable populations.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Migraine Among University Students: Prevalence, Characteristics, and Sociodemographic Influences.","authors":"Maria Axiotidou, Hariklia Proios, Theodoros Karapanayiotides, Doxa Papakonstantinou","doi":"10.3390/healthcare13141746","DOIUrl":"https://doi.org/10.3390/healthcare13141746","url":null,"abstract":"<p><p><b>Background</b>: Migraine is a highly prevalent and disabling neurological disorder among university students that has significant impacts on personal and socioeconomic levels. Despite its impact, migraine remains underdiagnosed and undertreated. <b>Objective</b>: This study aimed to estimate the prevalence of probable migraine among university students in Greece and explore its association with sociodemographic data. <b>Methods</b>: A cross-sectional, questionnaire-based study was conducted between September 2023 and January 2024 among university students in Greece using a convenience sampling method. The Headache Screening Questionnaire-English Version (HSQ-EV) was used to screen for probable migraine, along with additional questions assessing demographic characteristics. Descriptive statistics and bivariate analyses were performed. <b>Results</b>: The prevalence of probable migraine was 20%. Female students were more likely to experience migraine compared to males. Migraine was also statistically significantly associated with marital status and employment status. In a multivariate logistic regression model including sex assigned at birth, age, educational level, marital status, and employment status, older age was independently associated with higher odds of migraine. <b>Conclusions</b>: Migraine is a prevalent health issue among university students in Greece, with clear gender and sociodemographic associations. Future studies with larger, more representative sample sizes and the use of validated diagnostic tools are needed to understand its determinants and inform targeted interventions.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turkish Validity and Reliability Study of the Short Version of the Questionnaire for Assessing the Childbirth Experience (QACE).","authors":"Cevriye Emir, Candan Ozturk","doi":"10.3390/healthcare13141743","DOIUrl":"https://doi.org/10.3390/healthcare13141743","url":null,"abstract":"<p><p><b>Objective:</b> The mother's birth experience is crucial in identifying her care needs. The \"Questionnaire for Assessing the Childbirth Experience\" (QACE) consists of four subscales designed to assess a mother's childbirth experience. However, psychometric evaluations of the QACE have not been conducted in Turkey. This study aims to adapt and assess the validity and reliability of the \"Questionnaire for Assessing the Childbirth Experience\" short version for the Turkish maternal population. <b>Methods:</b> This methodological study included 205 mothers who gave birth in a public hospital. Data were collected using an Introductory Information Form and the Questionnaire for Assessing the Childbirth Experience (QACE). <b>Results:</b> The content validity index (CVI) for Item 9 was calculated as 0.875, while the remaining 12 items obtained a CVI of 1.00. The internal consistency of the scale, as measured by Cronbach's alpha coefficient (α = 0.758), indicated an acceptable level of reliability across all items. During the Exploratory Factor Analysis (EFA), one item (Item 13) was excluded due to cross-loading. The remaining 12 items were grouped into four distinct subscales. <b>Conclusions:</b> The short version of the QACE demonstrates acceptable psychometric properties and serves as a valid and reliable instrument for assessing childbirth experiences among Turkish women.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}