Journal of Education and Health Promotion最新文献

{"title":"Iranian multiple sclerosis patients' perceptions about the sources of support to reach adjustment: A qualitative content analysis.","authors":"Soghra Goliroshan, Hassan Babamohamadi, Eesa Mohammadi, Seyed Mohammad Baghbanian, Mohammad R Asgari","doi":"10.4103/jehp.jehp_1578_23","DOIUrl":"10.4103/jehp.jehp_1578_23","url":null,"abstract":"<p><strong>Background: </strong>Most people with multiple sclerosis (MS) always crave for numerous sources of support to adjust to this health condition; however, there is limited information available about their perceptions and experiences of such sources. This study aimed to explore MS patients' perceptions regarding the sources of support to reach adjustment.</p><p><strong>Materials and methods: </strong>This qualitative study was conducted in 2020-2022 through the conventional content analysis approach. Thirteen patients with MS, one patient companion, one nurse, and one physician were purposively and theoretically selected from the MS clinic of BouAli Hospital, Sari, Iran. Data were collected through face-to-face, in-depth, semi-structured interviews and were analyzed through the Graneheim and Lundman approach.</p><p><strong>Results: </strong>Following data analysis, six sources of support emerged, including \"family companionship,\" \"the relative companionship of the spouse,\" \"partial satisfaction with medical staff,\" \"inattention and partial satisfaction with the National MS Society,\" \"peers with empathic understanding,\" and \"friends companionship,\" indicating the patients' perceptions of these sources to reach adjustment.</p><p><strong>Conclusion: </strong>The MS patients had access to different sources of support to achieve adjustment. Married patients, particularly women, had a special feeling and experience of support. Most sufferers liked to talk with positive and high-spirited peers, and these sources of support had not met patients' expectations and needs. Therefore, suggestions were given to the healthcare managers to plan for removing limitations and take effective measures to help the sufferers reach adjustment, and consequently promote their quality of life.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"64"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychoactive substance use among medical and paramedical undergraduate students of Lucknow.","authors":"Hariom Singh, Shivendra K Singh, Manish K Manar, Abhishek Gupta, Sujita K Kar, Prashant K Bajpai, Prabhakar Mishra, Mili Sengar","doi":"10.4103/jehp.jehp_673_24","DOIUrl":"10.4103/jehp.jehp_673_24","url":null,"abstract":"<p><strong>Background: </strong>Psychoactive drugs are substances that, when taken in or administered into one's system, affect mental processes like perception, consciousness, cognition, mood, and emotions. The use of psychoactive substances often starts at a young age. This study aimed to estimate the prevalence of psychoactive substance use among medical and paramedical undergraduate students of Lucknow.</p><p><strong>Material and methods: </strong>A cross-sectional study was conducted among 492 MBBS, BDS, and BSc Nursing students of Lucknow. A predesigned pretested semistructured self-administered questionnaire was used for data collection and analysis by using the SPSS 26.0 version.</p><p><strong>Results: </strong>The overall lifetime prevalence of \"Ever use of the psychoactive substance\" was 46.1%, whereas the overall current psychoactive substance use (in the past 3 months) was 35.2%. The prevalence of lifetime alcohol use was the highest at 36.6%, followed by tobacco (22.4%) and cannabis (17.9%). The prevalence was seen to be higher in males than in females and the highest in fourth-year academic students compared to other years.</p><p><strong>Conclusion: </strong>The present study indicates that male students consume more psychoactive substances than female students. Effective interventions and strategies must be planned and implemented to reduce substance use among medical and paramedical students and overcome the issue of substance use by promoting a healthy lifestyle and coping skills.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"88"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study of infection prevention and control curricula in nursing master's degree programs worldwide, with practical suggestions for Iran.","authors":"Zahra Gorjian, Marziyeh Asadizaker, Kourosh Zarea, Alireza Irajpour, Fatemeh Ahmadi, Dariush Rokhafroz","doi":"10.4103/jehp.jehp_1723_23","DOIUrl":"10.4103/jehp.jehp_1723_23","url":null,"abstract":"<p><strong>Background: </strong>Emerging and re-emerging infectious diseases, particularly lessons learned from the last coronavirus disease 2019 (COVID-19) pandemic, have highlighted the importance of infection prevention and control (IPC) plans to battle against these life-threatening diseases. As frontline care providers, nurses must receive specialized training and possess the necessary skills to provide high-quality care to patients in infectious units. For this reason, master's (MSc) degree programs in nursing should incorporate an IPC curriculum to train nurses in this area. This study aimed to compare the IPC curriculums offered by MSc degree programs across the globe and provide recommendations for developing an IPC curriculum in Iran.</p><p><strong>Materials and methods: </strong>A descriptive, cross-sectional, and comparative study was conducted to collect data on IPC-related curricula, in 2023. The data were obtained through a comprehensive literature search on scientific databases and websites of universities worldwide. All curricula that offered for IPC nursing MSc were included. Data were analyzed according to the Bereday model in four steps, including description, interpretation, juxtaposition, and comparison. The data collection instrument was a researcher-made checklist, which was used to extract data from the included curricula. This checklist consisted of items, which included course title; definition; objectives; implementation strategies; students' evaluation, conditions and admission process, curriculum structure, course length, and type/number of units; expected capabilities, roles, and professional's responsibility of graduates; and basic/optional units.</p><p><strong>Results: </strong>According to the Bereday model, in the descriptive step, 19 curricula were identified. After interpreting, juxtaposition, and the comparison of their data, three curricula were related to IPC nursing. In other curriculums, the nurses could participate in nursing care with other experts but the content of the programs was not specialized. Expected capabilities of the graduates dealing with five categories of educational abilities, leadership and management, research and data interpretation, knowledge, and executive of basic sciences. The content of the units was three sections, including basic and professional courses and theses. Educational strategies were different in person or virtual and courses were theoretical and practical.</p><p><strong>Conclusions: </strong>Educational curricula for training IPC nurse specialists are rare in the world. Therefore, given the emergence of infectious diseases and their global burden, designing the IPC curriculum is vital. The curriculum designers of the IPC field in Iran should pay attention to Iran's social, economic, cultural, national, regional, geographical, and international situation.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"71"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time management and readiness for self-directed learning among medical undergraduates of a tertiary healthcare institution- A cross-sectional study from Eastern India.","authors":"Bijaya Nanda Naik, Rajath Rao, Manisha Verma, Santosh Kumar Nirala, Sanjay Pandey, Chandramani Singh, Alok Ranjan, Pramod Kumar Manjhi","doi":"10.4103/jehp.jehp_407_24","DOIUrl":"10.4103/jehp.jehp_407_24","url":null,"abstract":"<p><strong>Background: </strong>\"Emphasizing time on task\" has been included in the seven principles of undergraduate medical education. Improper time management (TM) leads to frustration, dissatisfaction, anxiety, and depression of not achieving the desired academic performance. This study was planned to examine the relationship between TM, self-directed learning readiness, and academic performance among the medical students of a tertiary healthcare institution.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted among 295 medical undergraduate students for six months using a standard tool Fisher's self-directed learning readiness (SDLR) questionnaire for SDL readiness and Britton and Tesser's TM questionnaire for TM-skills. An SDLR score of ≤150 and a TMQ score of ≤58 were taken as low readiness for SDL and poor TM skill. Descriptive analysis was performed, and a multivariable binary logistic regression analysis was performed to discover the correlation of good TM skills.</p><p><strong>Results: </strong>A total of 175[59.3%, 95% CI: 53.6-64.9] had low readiness for SDL, and 216[73.2%, 95% CI: 67.9-77.9] had poor TM skills. Academic scores showed a weak positive correlation (r = 0.2, <i>P</i> = <0.001) with TM scores. Females [adjusted odds ratio (AOR) = 2.9,95% CI: 1.6-5.6], students belonging to rural domicile [AOR = 2.3, 95% CI: 1.1-3.8], and high readiness for SDL [AOR = 4.8, 95% CI: 2.6-8.8] were independent correlates of good TM skills.</p><p><strong>Conclusion: </strong>Every six and seven out of ten medical undergraduates were found to have low readiness for SDL and poor TM skills, respectively. Emphasizing SDL as a part of professional education and the importance of TM in professional courses such as Medicine and Bachelor of Surgery is important.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"53"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression, anxiety, and stress associated with Internet addiction in Iranian general population: A cross-sectional study.","authors":"Abouzar Nazari, Maede Hosseinnia, Hassan Heydari, Gholamreza Garmaroudi","doi":"10.4103/jehp.jehp_1766_23","DOIUrl":"10.4103/jehp.jehp_1766_23","url":null,"abstract":"<p><strong>Background: </strong>This study aims to comprehensively investigate the association between Internet addiction (IA) and mental health, focusing on depression, anxiety, and stress in the Iranian general population. By employing a cross-sectional design, we surveyed 2012 individuals using a validated questionnaire. Our primary objectives were to assess the prevalence of IA, identify demographic factors influencing addiction scores, and explore the interplay between addiction, depression, anxiety, and stress. The findings contribute to the understanding of IA's impact on mental health in the Iranian context.</p><p><strong>Materials and methods: </strong>In 2023, 2012 Iranian individuals were surveyed using convenience sampling. Participants completed a questionnaire on demographics, internet addiction (Internet Addiction Test), and mental health (Depression, Anxiety, and Stress Scale). Statistical analysis with SPSS 27.0 included normal distribution assessment, descriptive statistics, and group comparisons using Chi-square, Mann-Whitney, and Kruskal-Wallis tests. Multiple linear regression explored the relationships between mental health, problematic social media use, and overall social media use. Generalized Linear Models assessed the nuanced association between mental health and internet addiction, addressing collinearity. This comprehensive approach unveils the complex relationships in demographic factors, internet addiction, and mental health outcomes.</p><p><strong>Results: </strong>The 2012 participants were predominantly men (60.3%), married (59.3%), and of age 26-35 (45.8%); the mean IA score was 45.67 (SD = 15.49). Notably, lower income (5-10 million tomans) correlated with reduced IA scores (<i>P</i> < 0.05). Multivariable models identified significant associations. Participants with Master's and Ph.D. degrees had higher IA scores (β* = 2.59, 95% confidence interval: 0.75-4.43, <i>P</i> = 0.006). Increasing severity in depression and anxiety consistently correlated with higher addiction scores (<i>P</i> < 0.001), with substantial impact (β* = 12.02 and 10.66, respectively). Correlation analysis revealed strong positive relationships between depression, anxiety, and stress (<i>r</i> = 0.747, 0.775, and 0.786, respectively). Variations in depression by marital status, anxiety by BMI, and stress by both income and BMI were significant (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The study highlights IA as a prevalent and significant issue in Iran, influenced by diverse psychological and demographic factors. The findings suggest that interventions targeting IA should take into account the roles of depression, anxiety, stress, education, income, marital status, and BMI. The study recommends further research to delve into the causal mechanisms and long-term consequences of IA in Iran.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"52"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11939985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring death anxiety among women with preterm births in Oman.","authors":"Rasha Abu Baker, Mohammed Qutishat, Khloud Al Dameery","doi":"10.4103/jehp.jehp_682_24","DOIUrl":"10.4103/jehp.jehp_682_24","url":null,"abstract":"<p><p>Preterm birth poses a global health challenge, with increasing rates and adverse outcomes. It is a leading cause of death and morbidity in children, impacting their development and contributing to health concerns and long-term consequences for infants and families as well. Death anxiety is an unavoidable, common phenomenon that humans experience across cultures and religions, which the consequences of preterm birth can influence. A descriptive correlational study methodology was used to attain the research's goal. A convenience sampling of 180 women who have preterm babies born before 37 weeks of gestation completed a demographic table and Templer Death Anxiety Scale. The data were collected between January and March 2024. The participants in the study were categorized based on their levels of death anxiety, which were classified as high, medium, and low. The study results revealed that most participants showed a moderate level of death anxiety (70.66%, <i>n</i> = 106) in comparison to low levels (24%, <i>n</i> = 36) and high levels (5.33%, <i>n</i> = 8). The results of our study indicated significant differences in death anxiety among the study participants in terms of age, level of education, employment, and history of child deformities. This study is one of the few studies conducted in Oman exploring the relationship between death anxiety among women who have experienced preterm births in Oman. Women in Oman have moderate death anxiety levels. Several factors were identified in this study; healthcare providers must support those patients using education and psychosocial support to address their emotional needs.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"61"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Filtering reality: Navigating Instagram's influence on adolescent mental health.","authors":"G Balamurugan, M Vijayarani","doi":"10.4103/jehp.jehp_483_24","DOIUrl":"10.4103/jehp.jehp_483_24","url":null,"abstract":"<p><p>The article presents a meticulous review of the multifaceted influence on the mental well-being of adolescents. This article focuses on how Instagram affects the mental health of teenagers. The researchers looked at databases like PubMed, PsycINFO, and Google Scholar for studies on \"Instagram,\" \"adolescents,\" \"mental health,\" \"well-being,\" \"effect,\" and \"impact\" from the year 2016-2023. They found 132 articles and chose 37 to study in depth. This study explores how Instagram affects teenagers' mental health positively and negatively. On the positive side, Instagram can be a platform for creativity and connection. However, excessive use can lead to depression, anxiety, sleep problems, and low self-esteem. It also sheds light on the hidden danger of cyberbullying, which is rampant on Instagram and can severely impact adolescent mental well-being. While acknowledging these risks, the article recognizes that Instagram plays a role in adolescent socialization and offers opportunities for interventions, such as vaping awareness campaigns. The report wraps up by offering suggestions for handling teen mental health in the age of Instagram. Ideas include encouraging people to use Instagram responsibly, advising parents and instructors, and outlining areas for more research. The paper highlights the need for mindful technology use on Instagram because of its possible effects on teen mental health.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"84"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of online content-based training with hands-on mannequin-based skill training on basic life support knowledge and skills among medical students.","authors":"Nishkarsh Gupta, Bhavik Bansal, Anju Gupta, Dhruv Jindal, Madhur Singhal, Amritesh Grewal, Maanit Matravadia, Hardik Gupta, Gyanendra Pal Singh, Arindam Choudhury, Rashmi Ramachandran, Ambuj Roy","doi":"10.4103/jehp.jehp_565_24","DOIUrl":"10.4103/jehp.jehp_565_24","url":null,"abstract":"<p><strong>Background: </strong>Sudden cardiac arrest remains a leading global cause of death. High-quality chest compressions during cardiopulmonary resuscitation (CPR) are crucial for patient outcomes. Basic life support (BLS) training must be adequately incorporated into undergraduate training. During the pandemic-regulated restrictions, our institute started the online CPR training course for medical undergraduates so that some training could be imparted to them if they needed to staff the clinical areas. This study compared online with traditional mannequin-based CPR training regarding skill acquisition and knowledge retention.</p><p><strong>Materials and methods: </strong>This randomized cross-sectional study involved 108 medical undergraduates divided into two groups to receive online-based training (Group 1) and mannequin-based training (Group 2). Compression depth and rate were objectively measured using an AmbuMan CPR training mannequin. Knowledge assessment was conducted using relevant clinical vignettes, and participant performance was assessed using a skill-based checklist.</p><p><strong>Results: </strong>Both groups had comparable baseline knowledge. Group 2 exhibited significantly higher post intervention knowledge assessment and skill-based checklist scores. Mean compression depth [36.28 (13.84) vs 51.6 (8.7), <i>P</i> < 0.001] and median rate [110 (87.5 to 129.50) vs 123.0 (111.0 to 133.0), <i>P</i> = 0.012] were better in mannequin trained participants. Group 2 participants demonstrated superior skills across all checklist items, with notable differences in pre compression and compression steps. Scene safety checks (62%), compression rate (44%), and compression depth (48%) showed the most significant improvements, whereas steps involving Automated External Defibrillator (AED) usage had minimal enhancements.</p><p><strong>Conclusion: </strong>The findings of this study are significant, demonstrating that hands-on mannequin-based training is significantly more effective than online training in teaching BLS skills to novice medical students, particularly in achieving correct chest compression depth and rate. The study's findings indicate that hands-on training is indispensable for effective skill acquisition despite the widespread adoption of online teaching.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"55"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioprofessional perceptions of paramedical students about their future careers: A cross-sectional study.","authors":"Abdelmonim El Fadely, Mohamed Ait Babram, Sabah Selmaoui, Boujemaa Agorram","doi":"10.4103/jehp.jehp_665_24","DOIUrl":"10.4103/jehp.jehp_665_24","url":null,"abstract":"<p><strong>Background: </strong>The phenomenon of specialization among nursing categories often challenges the formation of a cohesive professional identity and may generate difficulties in professional adaptation. Essential to this identity's development is establishing universally shared representations among paramedic students. This study explores socioprofessional representations of paramedical students, comparing them across two student categories.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted among undergraduate students in two programs: the first \"nursing care\" and the second \"healthcare-techniques\" in the Marrakech-Safi region of Morocco. Employing a consensus sampling approach with 725 students, 695 individuals provided their responses. Regarding the theoretical framework, this study uses the structural approach of social representations. Data were collected through free and hierarchical associations, analyzed through prototypical analyses, similarity analyses, and a Chi-squared test, using IRaMuTeQ (version 0.7) and SPSS (version 22) software.</p><p><strong>Results: </strong>The findings emphasize heterogeneous representations, with some common elements and others unique to each group. First, nursing students perceivedthe nursing profession as not only laborious and stressful (<i>P</i> = .005) but also autonomous (<i>P</i> = .001), demandingprofessional values and interpersonal qualities such as empathy, humanity, and availability. On the contrary, healthcare technician studentsprimarily centered their perception of the profession on clinical practice concepts such as technique and examination. They also perceivedthe hospital (<i>P</i> = .004) as a favorable setting for their practice.</p><p><strong>Conclusion: </strong>It is therefore incumbent upon various stakeholders in the nursing education to recognize and address the different perspectives and beliefs that students bring to the training and implement strategies to minimize potential representational divergences.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"74"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thoracic squeezing on airway secretion and respiratory parameters in mechanically ventilated patients: An interventional study.","authors":"P Thenmozhi, P Dineshkumar, G Bhuvaneswari, T Mary Minolin, S Tamilselvi","doi":"10.4103/jehp.jehp_695_24","DOIUrl":"10.4103/jehp.jehp_695_24","url":null,"abstract":"<p><strong>Background: </strong>The most common method for preventing ventilator-associated pneumonia is maintaining airway clearance for efficient gas exchange, achieved by removing secretion through endotracheal or tracheal suctioning. Clearing the airway can be effectively achieved through various techniques, including thoracic squeezing. Thus, this study aimed to determine the effectiveness of thoracic squeezing on airway clearance, and respiratory parameters among mechanically ventilated patients.</p><p><strong>Materials and methods: </strong>A true experimental study was conducted with 60 mechanically ventilated patients who met the inclusion criteria in the ICUs and were randomly assigned to the study group (<i>n</i> = 30) and the control group (<i>n</i> = 30). Pre-intervention assessments of airway secretion, oxygen saturation, respiratory rate, and heart rate were measured before suctioning for both groups. Thoracic squeezing was administered to the study group 5 minutes before suctioning, while the control group received the hospital's routine care practices. Post-intervention assessments 1 and 2 were measured immediately and 15 minutes after suctioning, and the same process continued for three days in both groups.</p><p><strong>Results: </strong>The mean scores of airway secretion, respiratory rate, oxygen saturation, and heart rate from the pre- and post-intervention assessments 1 and 2 were compared using repeated measures ANOVA. The results revealed a high level of statistical significance (<i>P</i> < 0.001) for airway secretion and oxygen saturation and statistical significance (<i>P</i> < 0.05) for respiratory rate. However, no significant changes were observed in heart rate. An unpaired <i>t</i>-test revealed that participants in the study group were significantly (<i>P</i> < 0.001) more effective in airway secretion and oxygen saturation than in the control group participants.</p><p><strong>Conclusion: </strong>The current study's findings concluded that thoracic squeezing before endotracheal and tracheal suctioning enhances secretion removal, oxygen saturation, and respiratory rate without significant changes in heart rate among mechanically ventilated patients. Its notable influence could provide policymakers with valuable insights to make well-informed decisions, focused on improving healthcare systems and outcomes, especially within intensive care units.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"69"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}