Journal of Multidisciplinary Healthcare最新文献

{"title":"The Role of Communication in Managing Chronic Lower Limb Wounds.","authors":"Davide Costa, Raffaele Serra","doi":"10.2147/JMDH.S533416","DOIUrl":"https://doi.org/10.2147/JMDH.S533416","url":null,"abstract":"<p><p>Chronic wounds of the lower limbs present a significant global healthcare challenge, requiring interdisciplinary management and patient adherence to treatment protocols. Effective communication plays a pivotal role in ensuring optimal outcomes, fostering patient engagement, and promoting interdisciplinary collaboration. This review article explores the role of communication in managing chronic wounds of the lower limbs, highlighting its impact on patient education, adherence, early detection, emotional support, and healthcare coordination. It synthesizes the most updated literature on the subject, identifying best practices and potential areas for improvement. The review also examines technological advancements in communication, such as telemedicine and mobile health applications, that facilitate wound care management. Additionally, challenges and potential solutions related to communication barriers are discussed. This comprehensive analysis provides insights into communication strategies that can be implemented globally to enhance wound care outcomes. Further, it explores the role of culture, socioeconomic factors, and health literacy in shaping effective communication strategies. Finally, ethical and policy implications are addressed, offering a holistic understanding of the broader impact of communication on chronic wound management. Effective communication is not only essential in clinical settings but also within public health frameworks, influencing health literacy campaigns, wound prevention strategies, and patient advocacy efforts. The integration of culturally competent communication practices, consideration of social determinants of health, and the use of artificial intelligence in patient-provider interactions further shape the effectiveness of communication in chronic wound care. This review provides a foundation for future research on how evolving communication methodologies can further enhance patient outcomes and reduce disparities in wound care management worldwide.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3685-3708"},"PeriodicalIF":2.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528331","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":"Advanced Practice Respiratory Therapy in the State of California: A Cross-Sectional Needs Assessment Study.","authors":"Abdullah Alismail, Yiqing Xu, Krystal Craddock, David Lopez, Michael Terry, Laren Tan","doi":"10.2147/JMDH.S530602","DOIUrl":"https://doi.org/10.2147/JMDH.S530602","url":null,"abstract":"<p><strong>Introduction: </strong>As the respiratory therapy (RT) profession in the United States discusses the establishment of the Advanced Practice in Respiratory Therapy (APRT) profession, the purpose of this study was to investigate the perception of the respiratory therapy community in the state of California (CA) on the need to start the APRT profession within the state.</p><p><strong>Methods: </strong>This was a descriptive pilot cross-sectional anonymous study that was approved by the institutional review board at Loma Linda University. Survey was sent via Email to program directors, faculty, students, bedside RTs, and hospital managers/directors by The Respiratory Care Board of CA, and the California Society in Respiratory Care to be sent out to their constituents.</p><p><strong>Results: </strong>A total of 1030 responded to the survey. Of the respondents, 50.6% were males and 48.1% females, with mean age of 45.7 ± 13.1 years. Most were practicing RTs (74.2%). Majority of the respondents held at least a bachelor's degree and worked in a mid-size hospital. An overwhelming majority of the respondents supported the establishment of APRT in CA (91.9%). When asked about APRT educational level, 56% recommended a graduate degree. Nearly 56% of the respondents had knowledge of APRT prior to the survey, with 68.1% of them showing interest in applying for an APRT program once established. The main identified barriers to implementation were acceptance among other advanced practice providers, acceptance among physicians, legislation, scope of practice, and reimbursement. A majority believed that APRT should require a separate license, 71.7%. Chi-Square results showed that those with higher education were more supportive of APRT than those with high school, p = 0.015.</p><p><strong>Conclusion: </strong>The results of this pilot study show the strong support of the respiratory therapy workforce in California for establishing APRT. In addition, respondents believed that APRT should have its own separate license and those holding higher education were more supportive to establish APRT within the state. Further research is needed by surveying physicians, nurse practitioners, and physician assistants on the need for APRT within the state.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3673-3684"},"PeriodicalIF":2.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528380","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":"Mapping the Brain's Role in Osteoarthritis: New Evidence for Prevention.","authors":"Jingkai Di, Yujia Xi, Yaru Liu, Likun Qi, Shuai Chen, Yingda Qin, Chuan Xiang","doi":"10.2147/JMDH.S522952","DOIUrl":"https://doi.org/10.2147/JMDH.S522952","url":null,"abstract":"<p><strong>Purpose: </strong>This study explores the causal link between brain structural parameters and Osteoarthritis (OA), aiming to prevent OA progression.</p><p><strong>Patients and methods: </strong>We used two-sample Mendelian randomization. In addition to European OA data with a sample size of 484,598, Firth correction OA data from the same source, and SPA correction OA data were included as outcome data. 3913 brain imaging-derived phenotypes (IDPs) from the UK Biobank were used as exposure data. Weighted median, MR Egger, and IVW validated causal correlations. Analyses of sensitivity and heterogeneity validated the robustness of the findings.</p><p><strong>Results: </strong>Thirteen brain regions significantly linked to OA. Increased fractional anisotropy (FA) in the cingulate hippocampal gyrus (OR: 0.99, 95% CI: 0.98-1.00, P = 0.003), orientation diffusion(OD) in the fornix and Stria terminalis (OR: 0.99, 95% CI: 0.98-1.00, P = 0.004) and isotropic volume fraction (ISOVF) (OR: 0.99, 95% CI: 0.99-1.00, P = 0.039) in the fornix, as well as an increase in OD in the posterior thalamic radiation (R) (OR: 0.99, 95% CI: 0.98-1.00, P = 0.047) reduce OA risk as protective factors. Increased subparietal lobule area (OR: 0.99, 95% CI: 0.98-1.00, P = 0.045) and middle temporal gyrus volume (OR: 0.98, 95% CI: 0.97-1.00, P = 0.029) also demonstrated a protective effect against OA. Conversely, OA risk was increased by increases in the medial thalamic tract's OD (OR: 1.01, 95% CI: 1.00-1.02, P = 0.034), the cerebral peduncle's intracellular volume fraction (ICVF) (OR: 1.01, 95% CI: 1.00-1.01, P = 0.010), the anterior limb of the internal capsule's ISOVF (OR: 1.01, 95% CI: 1.00-1.01, P = 0.033), and the posterior thalamic radiation(L) 's MO (OR: 1.02, 95% CI: 1.00-1.03, P = 0.024). Interestingly, lateral orbitofrontal volume decreased (R: OR: 0.99, 95% CI: 0.98-1.00, P = 0.013; L: OR: 0.99, 95% CI: 0.98-1.00, P = 0.038), while medial orbitofrontal increased risk (OR: 1.02, 95% CI: 1.00-1.04, P = 0.024).</p><p><strong>Conclusion: </strong>Our findings provide genetic evidence for the prevention of OA based on the bone-brain axis and suggest a clinical strategy for integrated pain-psychomotor intervention through neural nociceptive modulation, limbic circuit stabilization, and motor pathway enhancement.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3605-3617"},"PeriodicalIF":2.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528330","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":"Characterizing Research Hotspots and Trends in Simulation-Based Training in Obstetrics and Gynecology 1961-2024: A Bibliometric Analysis.","authors":"Hui Xie, Yugang Li, Pengjie Zhang, Wei Zhu","doi":"10.2147/JMDH.S528286","DOIUrl":"https://doi.org/10.2147/JMDH.S528286","url":null,"abstract":"<p><strong>Background: </strong>Simulation-based training (SBT) has long been applied in obstetrics and gynecology (O&G) professional education. However, its current research status and trends remained understudied. This study aimed to examine the research performance and dynamics of SBT in O&G professional education.</p><p><strong>Methods: </strong>A bibliometric analysis was conducted. Systematic searches were performed in the Web of Science. A total of 980 publications were included in the analyses. Summary statistics and visualizations were generated to present research performance and dynamics. A zero-inflated negative binomial regression model was developed to identify factors associated with total citations.</p><p><strong>Results: </strong>The number of publications showed an upward trend between 1961 and 2024, with an annual growth rate of 7.35%. The most productive country was the USA, contributing to 41.84% of total publications. The most productive author was Sorensen JL, accounting for 1.43%. Citations per publication ranged from 0 to 304, with an average of 13.31. The top 10 keywords were simulation, obstetrics, training, education, gynecology, medical education, laparoscopy, simulation training, patient safety, and surgical education. Total citations peaked in 2013 at 1203, while average citations per publication peaked in 2009 at 53.57. The keywords skills, simulation, and performance remained dominating throughout the analyzed period. The research collaboration among the USA, UK, and Canada was predominant. Regression analysis revealed that every additional year since being published, funded research, every additional ten cited references, O&G-oriented research, SCIE-indexed research and every additional ten usage counts since 2013 were significantly associated with higher total citations (all p values < 0.05).</p><p><strong>Conclusion: </strong>Although this research field is progressing rapidly, publications remain insufficient. Future research should focus on objective assessment of SBT in O&G professional education, long-term effectiveness assessment of SBT among O&G trainees, and optimization of implementation of advanced O&G simulators.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3633-3645"},"PeriodicalIF":2.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528381","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":"Development, Validity, and Reliability of Three Instruments to Assess Holistic Care from Different Perspectives.","authors":"Chun-Kai Fang, Shih-Hsuan Pi, In-Fun Li","doi":"10.2147/JMDH.S520128","DOIUrl":"https://doi.org/10.2147/JMDH.S520128","url":null,"abstract":"<p><strong>Background: </strong>Holistic care emphasizes an integrated approach addressing physical, psychological, social, and spiritual needs, yet validated assessment tools from diverse perspectives remain limited.</p><p><strong>Aim: </strong>To develop and validate three holistic care assessment tools: the Holistic Care Quality Assessment Scale - Patient (HCQAS-P), Family (HCQAS-F), and the Holistic Care Knowledge Assessment Scale (HCKAS) for professionals.</p><p><strong>Methods: </strong>A mixed-methods design included qualitative interviews and a cross-sectional survey at two Taiwanese hospitals. Psychometric analyses were conducted on responses from 1,017 participants: 321 patients, 298 family members, and 398 professionals.</p><p><strong>Results: </strong>Qualitative findings identified five core holistic care themes. A total of 1,017 participants completed the quantitative study, including patients (n = 321), family members (n = 298), and healthcare professionals (n = 398). HCQAS-P and HCQAS-F showed high internal consistency (Cronbach's α > 0.92); HCKAS revealed a four-factor structure (institutional, competence, effectiveness, cost). Holistic care quality positively correlated with shared decision-making (γ = 0.542) and good death perceptions (γ = 0.250), and negatively with demoralization (γ = -0.246) and distress (γ = -0.184). Providers scored lowest in spiritual and social care.</p><p><strong>Conclusion: </strong>The validated tools offer a comprehensive assessment framework for holistic care. Findings highlight the value of shared decision-making and the need to strengthen training in non-physical care aspects.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3647-3671"},"PeriodicalIF":2.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528382","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":"Global Trends and Emerging Frontiers on Ovarian Endometriosis: A Bibliometric and Visualization Analysis.","authors":"Xian Wu, Xia Yu, Lu Yang, Aijie Xie, Yunyi Su, Ling Zhang, Yonghong Lin, Xiaoqin Gan","doi":"10.2147/JMDH.S527221","DOIUrl":"https://doi.org/10.2147/JMDH.S527221","url":null,"abstract":"<p><strong>Purpose: </strong>Ovarian endometriosis, a prevalent condition in reproductive-age women, causes dysmenorrhea and infertility, significantly impairing quality of life. To date, there is no systematic description of ovarian endometriosis in the literature. This study aimed to explore the development of ovarian endometriosis via bibliometric analysis and to identify global trends and frontiers.</p><p><strong>Methods: </strong>We systematically reviewed all pertinent studies up to 2023 from the Web of Science Core Collection (WoSCC) were downloaded. We examined the data via the Bibliometrix program in R (version 4.3.2), CiteSpace software, and the Online Analysis Platform of Literature Metrology (http://biblimetric.com).</p><p><strong>Results: </strong>A total of 409 eligible records on ovarian endometriosis were identified and included in the analysis. The most productive journal was FERTILITY AND STERILITY. Endometriosis was the most cited reference. The keywords were divided into seven clusters, including atypical endometriosis, laparoscopic cystectomy, angiogenesis, in situ hybridization, estrogen and progesterone receptor, microarray analysis, and treatment. As indicated by the analysis of trending topics, infertility has become a new research hotspot.</p><p><strong>Conclusion: </strong>In our study, the main directions of ovarian endometriosis include pathogenesis and cancerization. In addition, infertility has received growing attention in recent years. A comprehensive analysis of the publications in this field could help us shape the direction of further research and provide new points of view for solutions to prominent women's health problems.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3619-3631"},"PeriodicalIF":2.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528383","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":"The Impact of Social Support for Patients with COVID-19 in Post-Traumatic Growth: A Mediating Analysis Study.","authors":"Jun Liang, Xiaoyi Jiao, Peng Xiang, Lei Dong, Yunfan He, Yue Hu, Zijiao Zhang, Weicong Chen, Jianbo Lei","doi":"10.2147/JMDH.S514665","DOIUrl":"10.2147/JMDH.S514665","url":null,"abstract":"<p><strong>Background: </strong>Although it is known that social support can promote post-traumatic growth (PTG) of trauma survivors, the specific mechanism is still unclear in the case of government policy intervention and large-scale population infection with COVID-19.</p><p><strong>Methods: </strong>Through snowballing sampling from January 7 to February 13, 2023, we collected data from 1381 patients tested positive for COVID-19, excluding asymptomatic or undiagnosed cases. Participants completed effective scales measuring social support, PTG, and proactive coping behaviors. Multiple linear regression and mediation analysis were used to process the data.</p><p><strong>Results: </strong>Social support significantly predicted PTG (β=0.26, p<0.001), with proactive coping mediating 44.7% of this effect. About 32.66% of COVID-19 patients reported a medium-to-high level of PTG.</p><p><strong>Conclusion: </strong>This study uniquely captures the PTG dynamics during China's sudden policy transition, demonstrating the positive role of social support in PTG and emphasizing that proactive response is a key intervention goal for public health crises.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3593-3603"},"PeriodicalIF":2.7,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12191142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497323","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":"Navigating Acute Stroke: Perspectives from Survivors, Caregivers, and Healthcare Professionals in Ireland During COVID-19: A Qualitative Study.","authors":"Edel Burton, Irene Hartigan, Claire M Buckley, Patricia M Kearney, Siobhan Masterson, Áine Merwick, Vera J C Mc Carthy, Aoife Fleming","doi":"10.2147/JMDH.S486369","DOIUrl":"10.2147/JMDH.S486369","url":null,"abstract":"<p><strong>Purpose: </strong>Evaluating time-sensitive conditions like acute stroke and transient ischemic attack (TIA) provides insight into the impact of the COVID-19 pandemic on healthcare access and delivery. Our aim was to investigate the perspectives of stroke/TIA survivors, caregivers, and healthcare professionals, on the emergency/pre-treatment phase of acute stroke care in Ireland during the COVID-19 pandemic.</p><p><strong>Patients and methods: </strong>During April-August 2023, we conducted semi-structured interviews with stroke/TIA survivors, caregivers and healthcare professionals involved in prehospital and hospital-based stroke care during the COVID-19 pandemic in Ireland (March 2020-February 2022). Participants were purposively sampled from four hospitals and one ambulance service region in the South of Ireland. Data analysis involved reflexive thematic analysis and patient journey mapping.</p><p><strong>Results: </strong>Thirty participants were interviewed: eight stroke/TIA survivors, seven caregivers and fifteen healthcare professionals (seven prehospital practitioners, four nurses, four doctors). Data analysis revealed five main themes: (i) Triage of stroke onset and transport to hospital; (ii) Treatment: navigating the hospital-based stroke pathway; (iii) Importance of time in stroke care; (iv) Navigating communication and connectivity in an era of COVID-19 risk and stroke care; (v) COVID-19 public health measures. These themes remained consistent across all three groups, although the depth of coverage varied. Patient journeys exhibited wide variation, with all groups noting the impact of COVID-19 on acute stroke/TIA care.</p><p><strong>Conclusion: </strong>This multi-stakeholder study revealed that the integrity of the acute stroke pathway remained intact during the COVID-19 pandemic. However, overall patient experience and willingness to seek care for suspected stroke or TIA were negatively impacted. Delays were observed across all stages of the stroke chain of survival during COVID-19, highlighting the importance of healthcare system resilience in this context. Additionally, it is important to consider how healthcare professionals can address the needs of individuals during times of increased demand on the healthcare system.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3563-3591"},"PeriodicalIF":2.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12184683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475613","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":"Knowledge, Attitudes, and Practices of Healthcare Professionals Toward Internet-Based Hypertension Management: A Cross-Sectional Study.","authors":"Yi Zhang, Qian Zhang, Qingsong Ren, Yongle Wang, Jihong Wang, Yuhong Wu, Moyu Shang, Yujing Zhou, Ran Liu, Xin Li, Zhanglin Wang, Fengxia Wang, Fengjuan Yuan","doi":"10.2147/JMDH.S522108","DOIUrl":"10.2147/JMDH.S522108","url":null,"abstract":"<p><strong>Objective: </strong>Internet-based outpatient hypertension management offers a promising approach to improve treatment adherence and blood pressure control, yet its adoption remains suboptimal due to insufficient knowledge and inconsistent practices among healthcare professionals. This study aims to investigate the Knowledge, Attitude, and Practice (KAP) of healthcare professionals toward internet-based outpatient hypertension management.</p><p><strong>Methods: </strong>This cross-sectional study was conducted at 25 hospitals across China between 30 December 2023 and 12 January 2024. Healthcare professionals were recruited through the medical affairs and nursing departments. KAP scores was collected using a structured questionnaire. Data were analyzed using descriptive statistics, Pearson correlation, logistic regression, and structural equation modeling (SEM).</p><p><strong>Results: </strong>The study included 1, 199 valid questionnaire responses. Based on the 70% cutoff, 29.77% of the participants demonstrated adequate knowledge, 86.66% had positive attitudes, and 41.03% exhibited proactive practices. Significant positive correlations were observed between knowledge and attitude (r = 0.346, P < 0.001), knowledge and practice (r = 0.183, P < 0.001), and attitude and practice (r = 0.389, P < 0.001). Multivariate logistic regression revealed professional title and participation in hypertension management teams as key factors influencing knowledge and practice. Pearson correlation analysis revealed significant positive correlations between knowledge and attitude (r = 0.346, P < 0.001), knowledge and practice (r = 0.183, P < 0.001), and attitude and practice (r = 0.389, P < 0.001). Mediation analysis revealed that professional title directly affected knowledge (β = 0.248, P = 0.007) and indirectly influenced attitude (β = 0.247, P = 0.006) and practice (β = 0.073, P = 0.010). Additionally, participation in hypertension management teams directly affected practice (β = -1.756, P = 0.020) while having indirect effects on attitude (β = -0.355, P = 0.042) and practice (β = -0.105, P = 0.025).</p><p><strong>Conclusion: </strong>Healthcare professionals demonstrated insufficient knowledge, positive attitudes, and suboptimal practices regarding internet-based outpatient hypertension management. These findings highlight the need for targeted training programs to enhance knowledge and practices and advocate for integrating digital strategies into routine clinical care. Strengthening healthcare professionals' competencies in digital hypertension management is essential for improving patient outcomes and ensuring the sustainability of such interventions.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3545-3561"},"PeriodicalIF":2.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144368993","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 Body-Shape Index, Body-Roundness Index, Body-Mass Index, and Apnea-Hypopnea Index in Patients with Obstructive Sleep Apnea Syndrome.","authors":"Mihrican Yeşildağ, Zühal Şentürk, Taha Tahir Bekci, İbrahim Güney, Seher Mercan","doi":"10.2147/JMDH.S519495","DOIUrl":"10.2147/JMDH.S519495","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the potential of recently developed anthropometric measures, A Body Shape Index (ABSI) and Body Roundness Index (BRI), in the diagnosis of Obstructive Sleep Apnea Syndrome (OSAS), to compare them with traditional indices (BMI) and to analyze them by gender.</p><p><strong>Methods: </strong>The medical records of 400 patients who were admitted to our sleep clinic were retrospectively reviewed. Demographic data, obesity status, Apnea-Hypopnea Index (AHI), Oxygen Desaturation Index (ODI), and anthropometric measurements of all cases were obtained from their files. ABSI, BRI, and traditional indices were calculated according to appropriate formulas. Individuals were grouped according to AHI severity as follows: AHI <5: control; 5≤ AHI <15: mild; 15≤ AHI <30: moderate; and AHI ≥ 30: severe OSAS. Anthropometric indices were evaluated comparatively according to OSAS status and gender.</p><p><strong>Results: </strong>Of the 400 participants included in the study, 58% were male (45.61±12.2 years) and 42% were female (49.01±12.3 years). The prevalence of OSAS was 75% (n=300). The degree of obesity in mild and severe OSAS patients varied significantly by gender (p=0.001, p=0.006). Among the new indices, BRI revealed a meaningful difference (p<0.001) between control and OSAS patients in both genders, while ABSI was not significant (male/female, p=0.719/p=0.848). BRI was significantly associated with OSAS (BRI-AHI, r=0.35; BRI-ODI, r=0.30). The diagnostic performance of BRI in OSAS patients was good (AUC 0.690 in men and AUC 0.650 in women). Nonetheless, it was not higher than BMI (AUC male/female, 0.693/0.712). ABSI did not perform adequately in the evaluation of OSAS.</p><p><strong>Conclusion: </strong>BRI, a new anthropometric metric, has been found to be a useful index for the diagnosis of OSAS in both sexes. However, it was not superior to BMI. BRI showed a diagnostic performance similar to BMI in men, while in women, it was slightly lower than BMI but within an acceptable range. ABSI did not provide meaningful diagnostic value.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3493-3505"},"PeriodicalIF":2.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144368992","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}