Journal of Multidisciplinary Healthcare最新文献

{"title":"Effect of ICU Quality Control and Secondary Analysis: A 12-Year Multicenter Quality Improvement Project.","authors":"Yu Qiu, Mengya Zhao, Haizhou Zhuang, Zhuang Liu, Pei Liu, Deyuan Zhi, Jing Bai, Xiuming Xi, Jin Lin, Meili Duan","doi":"10.2147/JMDH.S509567","DOIUrl":"10.2147/JMDH.S509567","url":null,"abstract":"<p><strong>Background: </strong>China's aging population and increasing demand for critical care pose significant challenges to ICU quality improvement (QI). This study evaluates the impact of a 12-year multicenter QI initiative on ICU performance and patient outcomes in the context of resource constraints.</p><p><strong>Methods: </strong>A pre-post intervention study was conducted across 75 ICUs in Beijing from January 2011 to December 2022. Key interventions included the establishment of QI teams, infection prevention protocols, pain and sedation management, nutritional support, and early mobilization strategies based on the PDCA cycle, as well as regular training and feedback. Primary outcomes included ICU mortality, standardized mortality ratio (SMR) (ratio of observed to expected deaths, adjusted for risk), and healthcare-associated infections (HAIs), such as VAP, CLABSI, and CAUTI rates. Secondary outcomes included unplanned extubation rates, reintubation within 48 hours, and ICU readmission rates within 48 hours.</p><p><strong>Results: </strong>Analysis of 425,534 patient records from 5396 reports revealed significant improvements. The proportion of ICU admissions among total inpatients increased from 4.1% in 2011 to 7.3% in 2022 (P < 0.001), and the proportion of patients with APACHE II scores ≥15 rose from 52.0% to 67.5% (P < 0.001). Compliance with 3-hour and 6-hour sepsis bundles increased (P < 0.001), and microbiological testing before antibiotic administration also improved (P < 0.001). Outcome indicators showed significant reductions in CRBSI and CAUTI rates (P < 0.001), ICU mortality (P < 0.001), and SMR (P < 0.001). VAP rates decreased from 6.29 to below 5.0 per 1000 ventilator days. ICU readmission rates and unplanned transfers slightly increased but remained low (P > 0.05).</p><p><strong>Conclusion: </strong>The study highlights the importance of addressing structural, process, and outcome indicators for effective ICU management. Continued monitoring and targeted interventions for high-risk ICUs are essential to sustaining quality improvements.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1857-1873"},"PeriodicalIF":2.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11972604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Decision Making of Afghan Patients to Seek Medical Treatment in Pakistan: A Cross-Sectional Study.","authors":"Abdul Ghafar Sherzad, Imran Zafarzai, Mohammad Sediqe Zahirzai, Abdul Nasir Jabarkhil, Mohammad Azim Azimee, Ali Jan Adil, Habibullah Mulavizada, Muhibullah Shinwari, Kamran Zafarzai, Qingchun Zeng","doi":"10.2147/JMDH.S505841","DOIUrl":"10.2147/JMDH.S505841","url":null,"abstract":"<p><strong>Background: </strong>Due to inadequate healthcare facilities and certain technologies in Afghanistan, many Afghan patients seek medical treatment abroad. Thus, this study aimed to determine the factors that influence Afghan patients' decision to seek medical treatment abroad.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 384 respondents in the center of the Special Commission, dispatching the patients to Torkham from June to September 2024 in Jalalabad City, Afghanistan. A non-probability convenience sampling method was used to select study participants. Data were collected using a pretested structured questionnaire. A hierarchical regression analysis was conducted to determine the factors influencing their satisfaction level toward medical treatment in Pakistan.</p><p><strong>Results: </strong>A total of 384 respondents were enrolled, including 64.9% male and 35.1% female. 88.10% of participants were satisfied with medical treatment in Pakistan. 49.5% of respondents obtained information about medical tourism primarily from relatives. Among them, 24.2% were cancer patients, 16% were cardiology patients, 10.1% were surgical patients, and 8.8% were kidney patients. Medicines used in Afghanistan are of low quality; Pakistan's availability of internationally accredited hospitals, cultural/religious similarity, well-experienced and reputable doctors, similar language, and high-quality medical facilities with internationally certified physicians and staff were top-ranked items. According to regression analysis, the facility and services factor was the strongest factor (<i>β</i> = 0.386, <i>t =</i> 8.508, <i>p</i> = 0.001), followed by the country environment (<i>β</i> = 0.213, <i>t</i> = 4.697, <i>p</i> = 0.001) and medical tourism cost factor (<i>β</i> = 0.142, <i>t</i> = 3.198, <i>p</i> = 0.001).</p><p><strong>Conclusion: </strong>The study concluded that facility and service factors were the strongest predictors of medical tourism, followed by the country's environment and medical tourism cost. Therefore, healthcare providers and policymakers need to consider the diverse preferences of Afghan patients and provide accurate, accessible healthcare services and advanced professional training of the healthcare providers, including attitude towards services.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1845-1856"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Joint Association of Remnant Cholesterol and Body Mass Index with Hypertension: A National Cohort Study in Chinese Adults.","authors":"Yu-Jun Xiong, Da-Ming Shao, Xing-Yun Zhu, Tian Lv","doi":"10.2147/JMDH.S516335","DOIUrl":"10.2147/JMDH.S516335","url":null,"abstract":"<p><strong>Background: </strong>Hypertension, a major global health concern, is closely associated with obesity and lipid abnormalities. Remnant cholesterol (RC), a triglyceride-rich lipoprotein component, has been linked to cardiovascular diseases, but its joint impact with body mass index (BMI) on hypertension risk remains unclear.</p><p><strong>Methods: </strong>We analyzed data from 3805 participants (mean age: 57 years; 44.3% male) in the China Health and Retirement Longitudinal Study (CHARLS) from 2011-2020. Inclusion criteria were adults aged over 45 years with complete data on blood lipids and BMI. Participants with baseline hypertension or missing covariate data were excluded. Cox proportional hazard models assessed associations, while mediation analysis explored RC's role in BMI-hypertension linkage.</p><p><strong>Results: </strong>Over a 9-year follow-up, 590 participants developed hypertension. Obesity (BMI ≥28.0 kg/m²) and high RC levels were independently associated with hypertension (HR: 2.18; 95% CI: 1.48-3.21 for the highest RC tertile). RC mediated 7.07% of BMI's effect on hypertension, and BMI mediated 29.3% of RC's effect.</p><p><strong>Conclusion: </strong>This study highlights the intertwined roles of BMI and RC in hypertension development. Targeting both risk factors may enhance prevention strategies.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1813-1825"},"PeriodicalIF":2.7,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation Between Coronary Arterial Dominance and the Degree of Coronary Artery Disease Using Computed Tomography Angiography.","authors":"Haytham Al Ewaidat, Ammar A Oglat, Ali Al Makhadmeh, Tariq Aljarrah, Mohamed Abdalla Eltahir, Khalaf Abdel Azez Al-Masaid, Ahmad W E'layan, Moath Qasim Alawaqla, Ihsan I Hamarneh, Maisoon Mohammed Allouh, Ali Al-Smair","doi":"10.2147/JMDH.S514510","DOIUrl":"10.2147/JMDH.S514510","url":null,"abstract":"<p><strong>Objective: </strong>This study used Computed Tomography Angiography to evaluate how coronary artery dominance affects CAD severity.</p><p><strong>Methods: </strong>We retrospectively examined 1,000 coronary CTA patients at five private outpatient radiography clinics in Amman, Jordan. Patients of both sexes aged 18 or older with no coronary CTA contraindications were enrolled. Two 10-year-experienced radiologists reviewed all coronary CT images with 64 slices or more without knowing the patients' medical histories.</p><p><strong>Results: </strong>The coronary arteries were right, left, or co-dominant. CAD: stenosis. Visual assessment of the lumen diameter rated coronary stenosis as 0%, mild (1-49%), moderate (50-69%), or severe (≥70%). Positive obstructive CAD can be identified when a coronary lesion compromises the lumen by ≥50%. A CAD patient had one, two, three, or four vascular disease. Study outcomes were assessed using descriptive statistics, <i>t</i>-tests, and one-way ANOVA. Right, left, and co-dominant coronary arteries predominated 85.7%, 11.6%, and 2.7%. Co-dominance caused greater right coronary artery (RCA) issues than left- or right-dominance. 22.2% of co-dominance patients reported positive RCA difficulties, compared to 6.9% and 21.0% of left- and right-dominance patients (p = 0.001). In addition, 14.8% of co-dominance patients had obstructive RCA lesions, compared to 1.7% of left-dominance and 5.3% of right-dominance (p = 0.018). The coronary dominance patterns did not affect LMCA, LAD, LCX, and Ramus blockages (p = 0.846, 0.447, 0.116, and 0.867). Calcium scores averaged 44.4 for right dominance, 41.0 for left, and 86.2 for co-dominance (p = 0.136).</p><p><strong>Conclusion: </strong>Coronary CTA may not provide more risk information than assessing stenosis in patients with normal arteries or non-significant CAD. However, it may aid RCA and obstructive CAD patients.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1827-1844"},"PeriodicalIF":2.7,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Asian Students' Medical Satisfaction in China: A Cross-Sectional Survey.","authors":"Xia Liang, Shuyun Wang, Huihan Zhao, Ying Zhang, Lin Lin, Zhaoquan Huang","doi":"10.2147/JMDH.S514212","DOIUrl":"10.2147/JMDH.S514212","url":null,"abstract":"<p><strong>Background: </strong>With rapid economic globalization and cultural exchange, the number of international students in China has been increasing, particularly from Asian countries. Investigating Asian students' satisfaction with medical services in China and identifying key determinants of their health care experiences are critical for improving service quality.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at one university each in Beijing, Nanning and Baise from January to October 2022. A total of 164 Asian students were recruited through random sampling. Data were collected via an online bilingual (Chinese-English) questionnaire, covering participants' demographic information and medical experiences in both China and their home countries. ANOVA, independent-sample <i>t</i> test, paired-samples <i>t</i> test and multiple linear regression analysis were used to analyze the data.</p><p><strong>Results: </strong>Students in underdeveloped regions (Nanning and Baise) reported significantly lower overall satisfaction scores (7.26 ± 1.48) compared to those in developed region (Beijing: 8.41 ± 1.25). The convenience of registration, impression of hospital services and facilities, convenience of hospital space layout, waiting time for examination, respect of medical staff, listening by medical staff, understanding of medical staff, and timely response to complaints were key factors that influenced the overall experience of Asian students when seeking medical treatment. The overall satisfaction score for medical experiences in China (8.04) was significantly higher than in students' home countries (6.96; <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Asian international students' medical experiences within China exhibit significant regional disparities. Key determinants of satisfaction-including registration convenience, hospital facilities, staff responsiveness, and complaint resolution-highlight systemic gaps in service quality. Strengthening these areas is essential to support China's role as a global education destination.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1803-1812"},"PeriodicalIF":2.7,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Triglyceride and Incident Diabetes Mellitus: A Secondary Retrospective Analysis Based on a Chinese Cohort Study.","authors":"Hui Peng, Bin Wang, Wei Yang, Rui Jia, Youlian Luo, Weifeng Chen","doi":"10.2147/JMDH.S510549","DOIUrl":"10.2147/JMDH.S510549","url":null,"abstract":"<p><strong>Background: </strong>The association between triglyceride(TG) levels and the risk of diabetes mellitus (DM) continues to be a subject of considerable interest and debate within the scientific community. To date, there has been a lack of studies specifically examining this relationship within the Chinese population. This study seeks to elucidate the correlation between TG levels and the incidence of DM among the Chinese demographic.</p><p><strong>Methods: </strong>This study constitutes a secondary analysis of a retrospective cohort investigation comprising 202,888 Chinese participants who were free of DM at baseline and were subsequently followed from 2010 to 2016. Cox regression method and sensitivity analyses were used to examine the relationship between TG levels and DM. To examine the potential non-linear relationship between TG levels and the incidence of DM, Cox proportional hazards regression incorporating cubic spline functions and smooth curve fitting was employed. Additionally, a two-piece Cox proportional hazards regression model was utilized to identify the inflection point at which TG levels influence the risk of developing DM.</p><p><strong>Results: </strong>In participants with DM, baseline TG levels were elevated. After adjusting for confounding variables, baseline TG levels were positively associated with incident DM. (HR:1.25,95% CI:1.21-1.30,P<0.001). In addition, we conducted sensitivity analyses to ensure the results were robust. There was a 88% increase in DM risk from the top TG tertile to the bottom TG tertile.Our research discovered a significant link between TG and DM when TG levels were below 1.27 mmol/L (HR:2.35, 95% CI: 1.95-2.83,P < 0.001).</p><p><strong>Conclusion: </strong>This study shows that TG was positively and non-linearly associated with the risk of DM after adjusting for other confounding factors.Below 1.27 mmol/L, increasing TG levels greatly heighten the risk of DM, whereas above this level, the risk is lower.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1779-1790"},"PeriodicalIF":2.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Glasses-Free Distance Stereotest Using Eye Tracking: Evaluation of Sensitivity, Validity, Reliability, and Monocular Cue Masking.","authors":"Li-Qun Cao, Bei Cui, Xue-Ling Li, Bi-Ye Zhou, Li-Wei Qin, Ming-Gao Li, Yuan-Qing Wang, Feng-Xiang Wang","doi":"10.2147/JMDH.S511165","DOIUrl":"10.2147/JMDH.S511165","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed the sensitivity, validity, reliability, and monocular cue masking of a novel glasses-free distance random-dot stereotest system (GFDRDSS) compared with the established Distance Randot stereotest in youth with normal vision.</p><p><strong>Methods: </strong>A total of 185 participants (17-20 years) with normal uncorrected visual acuity and eye alignment were enrolled. Distance stereoacuity was measured by GFDRDSS at 5 m and Distance Randot at 3 m. Among 38 participants, stereoacuity was measured under normal and induced monocular blur conditions using Bangerter filters for blurring. Test-retest data were gathered from 58 additional participants. Thirty-eight normal participants were tested with both methods to compare the sensitivity of the two stereopsis acuity tests. The same 38 participants had their monocular vision blurred to suppress stereopsis, followed by testing with the two methods mentioned above to evaluate their effectiveness. Additionally, 58 participants underwent repeated testing with a one-day interval to compare the stability of both methods, 89 participants used one eye to identify stereograms in revised GFDRDSS, GFDRDSS, and DR, and compared the monocular cues present in the three methods.</p><p><strong>Results: </strong>Among the 38 participants, 81.58% achieved 60 arcsec stereoacuity with GFDRDSS and 100% reached 100 arcsec, while 47.37% achieved 60 arcsec and 97.37% 100 arcsec with Distance Randot (<i>P</i> = 0.58×10^-3). With monocular blur, stereoacuity in 89.47% (34/38) of participants fell to ≥ 200 arcsec with both stereotests (<i>P</i> = 0.115). Test-retest data indicated identical stereoacuity in 70.69% (41/58) of participants for GFDRDSS and 79.31% (46/58) for Distance Randot. Using both GFDRDSS and Distance Randot tests, 5.62% (5/89) of the participants were able to correctly perceive stereoscopic images with a disparity of ≤200 arcsec using only one eye. Under revised GFDRDSS conditions, only one participant was able to correctly perceive stereoscopic images at the 800 arcsec level using only one eye.</p><p><strong>Conclusion: </strong>GFDRDSS demonstrates greater sensitivity and comparable validity and reliability to the Distance Randot stereotest. Improving the design of stereoscopic random-dot patterns can effectively eliminate monocular cues, supporting its potential in clinical stereotesting.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1791-1801"},"PeriodicalIF":2.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Nursing Intention of Discharged Patients With Drainage Tubes During Transitional Care: a Case-Control Study.","authors":"Xiaoying Ding, Weijie Jiao, Xue Gong, Yuanyuan Sun, Lin Sang, Ming Yu","doi":"10.2147/JMDH.S500220","DOIUrl":"10.2147/JMDH.S500220","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to assess the crucial factors that contribute to the self-nursing intention of discharged patients with drainage tubes, with a specific emphasis on percutaneous surgeries.</p><p><strong>Patients and methods: </strong>A case-control study was conducted in accordance with the EQUATOR-STROBE statement. Over the period of January 2023 to December 2023, a cohort of 146 discharged patients with drainage tubes were recruited. Upon their return to the hospital for the removal of the drainage tubes, an anonymous questionnaire was administered to gather data on various aspects, including basic demographic characteristics, comprehensive disease information, and the respondents' self-nursing intention concerning the drainage tubes. Chi-square tests and binary logistic regression analysis were used to explore the factors associated with self-nursing intention and the degree of influence. Bivariate analysis was conducted to examine the relevance of the variables showing significant differences.</p><p><strong>Results: </strong>Excluding 5 questionnaires (logic errors), 141 respondents were enrolled in this analysis (effective accomplished ratio=96.58%). The median age of study subjects was 63 years. Rank correlation analysis results showed there is statistical significance between income level and education level (SCC=0.647, <i>P</i><0.01). Resident area is statistically significant with education level and income level (SCC=-0.635, <i>P</i><0.01, SCC=-0.653, <i>P</i><0.01, respectively). Binary logistic regression analysis showed that married status (OR=4.996, <i>p</i>=0.077, 95% CI: 0.841-29.664), income level (OR=3.112, <i>p</i>=0.01, 95% CI: 1.308-7.402), occupation (OR=1.124, <i>P</i>=0.013, 95% CI: 0.331-1.5), and degree of apprehending nursing video (OR=12.636, <i>p</i><0.001, 95% CI: 4.104-38.906) were the crucial factors that affect nursing intention.</p><p><strong>Conclusion: </strong>The degree of apprehending nursing video contributed most to nursing intention of discharged patients with drainage tubes. Transitional care teams should devise more readily available care models (eg, mobile health) tailored to the needs of older individuals.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1759-1769"},"PeriodicalIF":2.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11956700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Nursing Care Models is Beneficial for the Perioperative Phase for Esophageal Cancer Patients.","authors":"Yan-Hong Liang, Yong-Xia Wu, Li-Li Liu, Chun-Mei Du, Qing-Chao Yan, Ning Sun, Jin Li","doi":"10.2147/JMDH.S500611","DOIUrl":"10.2147/JMDH.S500611","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the effectiveness of traditional and enhanced nursing models in the perioperative care of patients undergoing esophageal cancer surgery.</p><p><strong>Methods: </strong>A total of 98 patients with esophageal cancer treated from January 2021 to December 2022 were selected by convenient sampling method for this retrospective study. They were categorized into the traditional care model and the improved care model with 49 patients in each group. The traditional care received standard care, and the improved care model group received the improved care model. The improved care group, on the basis of routine perioperative care, provided psychological intervention and cough training to patients before surgery. After surgery, sedation intervention, pipeline fixation, assistance for early patient activity and early enteral nutrition were given according to the assessment of the patients' conditions. Satisfaction with care, postoperative complications, postoperative ambulation time, length of hospitalization, and total hospital costs were compared between the two groups.</p><p><strong>Results: </strong>The nursing satisfaction rate in the enhanced care group was 93.98%, significantly higher than the 87.67% observed in the traditional care group (χ² = 4.210, <i>p</i> < 0.05). The incidence of postoperative complications was notably lower in the enhanced care group (6.12%) compared to the traditional care group (34.69%) (χ² = 9.800, <i>p</i> < 0.05). Additionally, the enhanced care group demonstrated shorter postoperative ambulation time by an average of 1.38 days (t = -9.082, <i>p</i> < 0.05), reduced hospital stay by 3 days (t = -5.658, <i>p</i> < 0.05), and lower hospitalization costs by RMB 3,906 (t = -5.510, <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The implementation of an enhanced perioperative nursing model for patients undergoing esophageal cancer surgery is associated with reduced postoperative complications, shorter hospital stays, and decreased healthcare costs. Standardizing and optimizing nursing care protocols may improve patient outcomes and overall satisfaction with perioperative care.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1771-1778"},"PeriodicalIF":2.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Instruments for Measuring Healthcare Professionals' Medication Safety Competence: A Scoping Review.","authors":"Christoph Stephan, Doris Kloor, Viktoria Sophie Wurmbach, Cornelia Mahler","doi":"10.2147/JMDH.S508151","DOIUrl":"10.2147/JMDH.S508151","url":null,"abstract":"<p><p>Elderly patients with chronic diseases often use several drugs (polypharmacy). The more drugs a patient uses, the greater the risk of medication errors. To ensure a safe medication process, healthcare professionals must have a high level of medication safety competence (MSC). Hence, instruments are needed to measure healthcare professionals' MSC and identify areas where improvement is required. A scoping review was conducted to obtain a comprehensive overview of existing instruments. The scoping review was carried out in accordance with the JBI methodology for scoping reviews and in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). An a priori protocol was registered on Open Science Framework https://osf.io/73dmq. The search, performed in January 2024 in six databases, yielded 3740 results, duplicates were removed and 2499 titles and abstracts were screened. Full text screening of 28 articles resulted in the inclusion and analysis of 15 articles. A total of six instruments were identified, all instruments were designed for nurses or nursing students. However, no instrument to assess, eg physicians' or pharmacists' MSC was identified. Five of the six instruments were used in clinical setting and three in educational setting. The Medication Safety Competence Scale (MSCS) and the Medication Safety Scale cover the multidimensionality of MSC. The MSCS's psychometric properties were considered acceptable. Thus, the MSCS can be used to assess nurses MSC in clinical and educational settings.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1745-1758"},"PeriodicalIF":2.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}