Journal of Multidisciplinary Healthcare最新文献

{"title":"Assessing AI in Various Elements of Enhanced Recovery After Surgery (ERAS)-Guided Ankle Fracture Treatment: A Comparative Analysis with Expert Agreement.","authors":"Rui Wang, Xuanming Situ, Xu Sun, Jinchang Zhan, Xi Liu","doi":"10.2147/JMDH.S508511","DOIUrl":"10.2147/JMDH.S508511","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess and compare the performance of ChatGPT and iFlytek Spark, two AI-powered large language models (LLMs), in generating clinical recommendations aligned with expert consensus on Enhanced Recovery After Surgery (ERAS)-guided ankle fracture treatment. This study aims to determine the applicability and reliability of AI in supporting ERAS protocols for optimized patient outcomes.</p><p><strong>Methods: </strong>A qualitative comparative analysis was conducted using 35 structured clinical questions derived from the Expert Consensus on Optimizing Ankle Fracture Treatment Protocols under ERAS Principles. Questions covered preoperative preparation, intraoperative management, postoperative pain control and rehabilitation, and complication management. Responses from ChatGPT and iFlytek Spark were independently evaluated by two experienced trauma orthopedic specialists based on clinical relevance, consistency with expert consensus, and depth of reasoning.</p><p><strong>Results: </strong>ChatGPT demonstrated higher alignment with expert consensus (29/35 questions, 82.9%), particularly in comprehensive perioperative recommendations, detailed medical rationales, and structured treatment plans. However, discrepancies were noted in intraoperative blood pressure management and preoperative antiemetic selection. iFlytek Spark aligned with expert consensus in 22/35 questions (62.9%), but responses were often more generalized, less clinically detailed, and occasionally inconsistent with best practices. Agreement between ChatGPT and iFlytek Spark was observed in 23/35 questions (65.7%), with ChatGPT generally exhibiting greater specificity, timeliness, and precision in its recommendations.</p><p><strong>Conclusion: </strong>AI-powered LLMs, particularly ChatGPT, show promise in supporting clinical decision-making for ERAS-guided ankle fracture management. While ChatGPT provided more accurate and contextually relevant responses, inconsistencies with expert consensus highlight the need for further refinement, validation, and clinical integration. iFlytek Spark's lower conformity suggests potential differences in training data and underlying algorithms, underscoring the variability in AI-generated medical advice. To optimize AI's role in orthopedic care, future research should focus on enhancing AI alignment with medical guidelines, improving model transparency, and integrating physician oversight to ensure safe and effective clinical applications.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1629-1638"},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700658","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":"A Bibliometric Analysis of Research Trends in Psychological Interventions for Stroke Survivors: Focusing on Resilience and Psychological Well-Being (2000-2024).","authors":"Yaoyao Li, Kim Lam Soh, Xiujuan Jing, Lili Wei, Hasni Idayu Saidi, Kim Geok Soh","doi":"10.2147/JMDH.S505135","DOIUrl":"10.2147/JMDH.S505135","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to conduct a bibliometric analysis of research literature on psychological interventions for stroke survivors published from 2000 to 2024, focusing on psychological resilience and psychological well-being, utilizing VOSviewer and CiteSpace.</p><p><strong>Patients and methods: </strong>Literature data was sourced from the Web of Science Core Collection database (WoSCC). A total of 373 relevant articles published between January 1, 2000, and September 30, 2024, were included. CiteSpace and VOSviewer analyzed the literature from perspectives including authorship, country of origin, institutions, journals, references, and keywords.</p><p><strong>Results: </strong>Annual publication output has steadily increased, reaching a peak in 2023 (55 articles). Vranceanu Ana-Maria emerged as the most productive author with eight publications. The United States led in research output (98 articles) and centrality (0.32), with Harvard University being the leading institution (24 articles). \"Disability and Rehabilitation\" was the most productive journal (12 articles), while \"Stroke\" was the most co-cited journal (241 times). Recent research trends emphasized meta-analysis (strength=3.6), assessment tool validation (strength=3.49), and acceptance-based interventions (strength=2.89), mainly focusing on psychological resilience cultivation and well-being promotion.</p><p><strong>Conclusion: </strong>This bibliometric analysis reveals the increasing scholarly interest in psychological interventions for stroke survivors, particularly in resilience and psychological well-being research. The field has evolved from focusing on disease-related factors to systematic intervention research, with a growing emphasis on methodological standardization and individualized interventions. These findings provide significant theoretical and practical implications for improving psychological health services for stroke survivors. Future research should strengthen high-quality empirical studies, refine assessment tools, and innovate intervention strategies to better address the complex psychological needs of stroke survivors and enhance their resilience and psychological well-being, ultimately improving rehabilitation outcomes and quality of life for stroke survivors.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1655-1678"},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692654","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":"Effect of a Nutrition Education Program on Knowledge, Attitudes, and Dietary Practices, Anthropometry, and Hemoglobin in Peruvian Adolescents.","authors":"Leslie Noemi Vasquez-Mamani, Lucero Abigail Cueva-Calizaya, Norma Del Carmen Gálvez-Díaz, Jacksaint Saintila, Yaquelin E Calizaya-Milla","doi":"10.2147/JMDH.S507564","DOIUrl":"10.2147/JMDH.S507564","url":null,"abstract":"<p><strong>Background: </strong>Anemia and obesity are significant public health challenges among adolescents, often linked to inadequate nutritional knowledge, attitudes, and practices. Educational interventions targeting these factors may play a crucial role in improving adolescent health outcomes.</p><p><strong>Objective: </strong>To determine the impact of a nutrition education program on the levels of knowledge, attitudes, and dietary practices, anthropometric parameters and hemoglobin in Peruvian adolescents.</p><p><strong>Methods: </strong>A pre-experimental study was conducted among Peruvian adolescents between 12 and 18 years of age from an educational institution located in eastern Lima, Peru. Body mass index/age (BMI/age), waist circumference (WC), hemoglobin (Hb) levels, and a self-reported questionnaire were assessed. A nutrition education intervention was conducted for 16 weeks.</p><p><strong>Results: </strong>After the implementation of the program, a significant improvement in knowledge scores (84.4%, <i>p</i> < 0.001), attitudes (59.1%, <i>p</i> < 0.001), and practices (47.7%, <i>p</i> < 0.001) scores was observed. BMI/age scores decreased by 3.1% (<i>p</i> < 0.001). Similarly, WC scores showed a significant decrease of 1.0% (<i>p</i> < 0.001). Hb levels increased significantly by 3.25% (<i>p</i> < 0.001) in women, but not in men.</p><p><strong>Conclusion: </strong>This study showed that nutrition education programs could improve knowledge, attitudes, and dietary practices, BMI/age, WC, and Hb scores in Peruvian adolescents.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1679-1693"},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692656","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":"Relationship Between Family Factors, Food Consumption Behaviors, and Nutritional Status Among Muslim School-Age Students in Rural Southern Thailand.","authors":"Kiatkamjorn Kusol, Pastraporn Kaewpawong","doi":"10.2147/JMDH.S514601","DOIUrl":"10.2147/JMDH.S514601","url":null,"abstract":"<p><strong>Purpose: </strong>The double burden of malnutrition, with both undernutrition and overweight threatening school-age children's development, presents a critical global public health challenge. This research aimed to study the relationships between family factors, food consumption behaviors, and nutritional status among Muslim school-age children in rural southern Thailand.</p><p><strong>Samples and methods: </strong>This study was cross-sectional descriptive research. The samples included 228 children aged 9-12 years in Thasala District, Nakhon Si Thammarat. Data were collected using demographic data, Nutritional status assessment, and food consumption behaviors assessment. Data were analyzed using descriptive, chi-square, and binary logistic regression statistics.</p><p><strong>Results: </strong>Overall, 15.8% of the samples were classified as overweight and obese, and 18% were classified as stunted (<-1.5 SD). The samples had a normal weight-for-height (72.3%). The overall food consumption behaviors of the participants were moderate (Mean = 2.17, SD = 0.60). The number of siblings and food consumption behaviors had a significant relationship with nutritional status (p < 0.05). Confirmation with binary logistic regression results also revealed that the likelihood of appropriate nutritional status was 2.74 times higher in children with 3-4 siblings than those with 1-2 siblings (OR = 2.74; 95% CI: 1.494-5.047). Additionally, children with appropriate food consumption behaviors were 2.04 times more likely to have a proper nutritional status than those with inappropriate food consumption behaviors (OR = 2.04; 95% CI: 1.044-3.996).</p><p><strong>Conclusion: </strong>The study found that most participants had moderately appropriate food consumption behaviors, with 15.8% showing issues like overweight and obesity. The number of siblings and food consumption behaviors significantly influenced nutritional status. Interventions should leverage Islamic religious settings and engage religious leaders to foster healthier lifestyles. Culturally and religiously sensitive nutritional education, blending scientific evidence with Islamic teachings, should be integrated into school curricula to cultivate healthy eating habits and mitigate long-term health risks.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1615-1627"},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692661","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 Healthy Behavior for Preventing Non-Communicable Diseases.","authors":"Nursiswati Nursiswati, Candradewini Candradewini, Deasy Silvya Sari, Suci Ayu Kurniasih, Kusman Ibrahim","doi":"10.2147/JMDH.S504338","DOIUrl":"10.2147/JMDH.S504338","url":null,"abstract":"<p><strong>Background: </strong>The increasing burden of Non-Communicable Diseases (NCDs) in both low- and high-income ASEAN countries highlights an urgent need for effective management and prevention strategies. These strategies are critical for reducing premature deaths, alleviating the healthcare costs, and saving lives. Unhealthy lifestyle behaviors, such as poor dietary habits, lack of physical activity, alcohol consumption, and inadequate sleep, significantly elevate the risk of metabolic syndrome and other NCDs.</p><p><strong>Purpose: </strong>Mapping the literature on factors related to healthy behaviors for preventing and managing NCDs among college students in ASEAN countries.</p><p><strong>Methods: </strong>A Scoping Review with a PCC (Population-Concept-Context) framework and was referred to the Scoping Review Framework by Arksey and O'Malley. This article reviewed both qualitative and quantitative studies, restricted to full-text articles in English and Indonesian published from 2020 to 2024, focused on University Students, Healthy Behaviour, conducted in ASEAN countries.</p><p><strong>Results: </strong>Of the 1166 articles, 7 studies, involving 71,923 participants, met the criteria. The findings indicate that internal (eg, dietary habits, sleep quality, and mental well-being) and external factors, (eg, student knowledge and perception, and the Health University Framework (HUF)) are significantly associated with health behaviors among university students. Several studies also demonstrate a relationship between healthy behavior and students' psychological conditions and susceptibility to cardiovascular disease.</p><p><strong>Conclusion: </strong>This review found that internal factors, such as dietary habits, sleep quality, BMI, along with external factors, including HUF Implementation and students' knowledge and perceptions, significantly influence healthy behaviors among university students in ASEAN. These factors related with psychological well-being and cardiovascular disease risk. Therefore, effective interventions and implementation of the holistic AUN-HPN HUF framework in universities are essential for preventing and managing NCDs among young adults.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1597-1613"},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692659","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":"Enhanced Diagnostic Precision in Revisited Emergency Patients via Point-of-Care Ultrasound: A Tool for Emergency Department Quality Management.","authors":"Kamonwon Ienghong, Sukanya Khemtong, Lap Woon Cheung, Korakot Apiratwarakul","doi":"10.2147/JMDH.S507075","DOIUrl":"10.2147/JMDH.S507075","url":null,"abstract":"<p><strong>Purpose: </strong>Unscheduled return visits to the emergency department (ED) were categorized into physician-related, illness-related, and patient-related factors, which are associated with an increased risk of adverse health outcomes, including patient dissatisfaction, infections, hospitalization, transfer to another facility, and mortality. Individuals within 48-72 hours of the initial visit are deemed at elevated risk for diagnostic or management-related errors. The Point-of-care ultrasound (POCUS) may serve as a bedside tool to reduce medical errors by enhancing diagnostic precision. This study aims to determine the diagnostic accuracy of POCUS for detecting various illnesses in revisited patients in the emergency department.</p><p><strong>Patients and methods: </strong>A retrospective observational study was conducted on unplanned revisits by patients to the emergency department within 72 hours, spanning the period from January 2023 to September 2024. Sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio were evaluated based on electronic emergency department medical records and ultrasound documentation.</p><p><strong>Results: </strong>Five hundred seventy patients were included in this study. POCUS demonstrated a diagnostic accuracy of 75.61% (95% CI 71.87, 79.09), a sensitivity of 81.87% (95% CI 77.65, 85.58), a specificity of 62.50% (95% CI 55.08, 69.51), a positive likelihood ratio of 2.18 (95% CI 1.80, 2.65), and a negative likelihood ratio of 0.29 (95% CI 0.23, 0.37).</p><p><strong>Conclusion: </strong>POCUS demonstrated greater diagnostic accuracy, which may enhance diagnostic precision in revisited patients with various illnesses.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1549-1556"},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692657","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 Relationship Between E-Health Literacy, Health Anxiety, Cyberchondria, and Death Anxiety in University Students That Study in Health Related Department.","authors":"Bahar Kefeli Col, Ayse Gumusler Basaran, Burcu Genc Kose","doi":"10.2147/JMDH.S513017","DOIUrl":"10.2147/JMDH.S513017","url":null,"abstract":"<p><strong>Introduction: </strong>While the Internet can be a valuable resource for learning about health issues, for those without adequate e-health literacy skills, it can have adverse effects on unwanted anxiety and cyberchondria risk. Improving e-health literacy is essential to manage health and death anxiety and help reduce the risk of cyberchondria. The aim of this study is to determine the e-health literacy, health anxiety, cyberchondria and death anxiety levels of university students, evaluate them in terms of independent variables and examine the relationship between the scales.</p><p><strong>Methods: </strong>The study was completed with 568 students receiving education in the health department of a university. Data were obtained using the e-Health Literacy Scale, Health Anxiety Inventory, Cyberchondria Severity Scale, and Death Anxiety Scale. The chi-square, Mann-Whitney U, Kruskal-Wallis, Tamhane's T2 post hoc tests, and Spearman correlation were used to analyze the data.</p><p><strong>Results: </strong>The mean score of e-health literacy was 28.63±4.65; health anxiety was 19.11±8.37, cyberchondria was 86.30±18.28 and death anxiety was 7.34±2.14. Cyberchondria is low in women and those who do not conduct online research on health. E-health literacy was higher in those earning above the minimum wage. Health and death anxiety was low in men and in those who did not conduct online health-related research. Health anxiety was positively correlated with cyberchondria and death anxiety and negatively correlated with e-health literacy. There was a positive relationship between cyberchondria and E-health literacy and death anxiety. This study highlights the complex relationship between eHealth literacy, health anxiety, cyberchondria and death anxiety. It shows that low e-health literacy can increase health anxiety, which in turn can worsen cyberchondria and death anxiety. By emphasising the importance of e-health literacy in health education, the findings may help students manage their anxiety, make informed health decisions, and increase their professional competence.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1581-1595"},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692662","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":"Application Effectiveness of a Pre-Analytical Quality Management Pathway Based on the Structure-Process-Outcome Model.","authors":"Liping Cui, Wanling Li, Yueqin Li, Xiaofang Feng, Yue Wang, Pei Gao","doi":"10.2147/JMDH.S486258","DOIUrl":"10.2147/JMDH.S486258","url":null,"abstract":"<p><strong>Objective: </strong>This single-center, before-and-after study applied the structure-process-outcome (SPO) model to pre-analytical quality control to investigate its effect on laboratory testing quality, nursing practices, patient satisfaction, and clinician trust in test results.</p><p><strong>Methods: </strong>A before-and-after design was conducted in a provincial Class A tertiary hospital. The control group (April-September 2022) and observation group (April-September 2023) each included all laboratory specimens and 550 clinical nurses (from the same wards). The SPO-guided pre-analytical quality management pathway involved forming a multidisciplinary team, establishing a grid management system, implementing a non-punitive reporting system, standardizing specimen collection, and developing a quality management information system. Groups were compared on non-compliant test sample rates, nurses' knowledge, beliefs, and behaviors, operational standardization, patient satisfaction, and clinical doctors' trust. Data were analyzed using t-tests (with effect sizes) and <i>χ²</i>-tests; confidence intervals and multiple-comparison corrections were also applied.</p><p><strong>Results: </strong>The observation group showed significantly lower rates of non-compliance in sample type, collection container, volume, contaminated blood cultures, and coagulated samples (all p < 0.01, with 95% confidence intervals). Nurses' knowledge (Cohen's d = 0.44) and behaviors (Cohen's d = 1.56) improved significantly. Operational standardization (92.5 ± 3.2 vs 85.7 ± 4.1), patient satisfaction (93.8% vs 87.2%), and clinical doctors' trust (91.2% vs 84.5%) also increased significantly (p < 0.01).</p><p><strong>Conclusion: </strong>The SPO-based pre-analytical quality management pathway significantly improved non-compliant sample rates, nurses' knowledge and behavior, operational standardization, patient satisfaction, and clinical trust in test results. This approach may serve as a reference for other institutions aiming to enhance pre-analytical quality management.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1571-1579"},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692655","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":"Evidence Summary of Early Enteral Nutrition Support for Adult Patients with Extracorporeal Membrane Oxygenation (ECMO).","authors":"Jixiang Guo, Zhiyi Wang, Aiqun Liang, Zhi Qu, Hanru Bao, Kexi Pei, Xiaoping Luo","doi":"10.2147/JMDH.S513246","DOIUrl":"10.2147/JMDH.S513246","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to systematically review and summarize the evidence on early enteral nutrition (EEN)support for Extracorporeal Membrane Oxygenation (ECMO)patients, Offer evidence-based guidance to healthcare professionals, including doctors and nurses, to inform their clinical practices.</p><p><strong>Methods: </strong>Using the \"6S\"evidence-based model, we searched multiple databases including UpToDate, Best Practice, Guideline International Network (GIN), National Guideline Clearinghouse (NGC),Registered Nurses' Association of Ontario (RNAO), Joanna Briggs Institute (JBI), Evidence-Based Healthcare Center database, the Cochrane Library, PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI),Wanfang Database, and Chinese Biomedical Literature Database (CBM). Aiming to find evidence on early enteral nutrition support for adult patients with extracorporeal membrane oxygenation. The search included clinical decisions, guidelines, systematic reviews, evidence summaries, and expert consensus. The time frame for the search was from the inception of the databases to September 10, 2024.Two researchers evaluated the quality of the collected literature and extracted data and summarized evidence from publications that met the quality criteria.</p><p><strong>Results: </strong>We retrieved 13 relevant documents, consisting of 6 guidelines, 3 expert consensus papers, 2 clinical decision-making articles, and 2 cohort studies. Through summarization and induction, a total of 26 best evidence pieces were obtained across five aspects: the establishment of nutritional support plans; strategies and risk assessment for enteral nutrition; the implementation of early enteral nutrition supplementation strategies; the amount and composition of nutrients reaching standard intake; and prevention of enteral nutrition-related complications.</p><p><strong>Conclusion: </strong>This study has summarized the evidence regarding early enteral nutrition support for adult patients with extracorporeal membrane oxygenation (ECMO). It provides an evidence-based foundation for the practice of nursing and assists medical staff in developing personalized nutrition management plans for enteral nutrition support in ECMO patients.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1557-1569"},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692658","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":"A Qualitative Study on Cryptogenic Hepatic Encephalopathy Screening Cognition Among Hepatology Medical Care Personnel.","authors":"Xiao-Qin Li, Wen Cao, Tian-Tian Yin, Rui Lu, Yang Li, Ya-Yun Sha","doi":"10.2147/JMDH.S508992","DOIUrl":"10.2147/JMDH.S508992","url":null,"abstract":"<p><strong>Objective: </strong>In this study, we focused on gaining an in-depth understanding on the attitudes and perceptions of hepatology healthcare professionals toward screening for cryptogenic hepatic encephalopathy (CHE), with the goal of providing references for the scientific and standardized implementation of CHE screening.</p><p><strong>Study methods: </strong>Based on the phenomenological research method, semi-structured in-depth interviews with nine medical professionals were conducted in March 2023 at the department of hepatology of a tertiary hospital in Taizhou city. The collected data was then integrated and analyzed using the Colaizzi seven-step method.</p><p><strong>Results: </strong>Three main themes and seven sub-themes were identified: Inadequate knowledge of relevant information (inadequate knowledge of CHE, inadequate knowledge of neuropsychological test tools for CHE); positive attitudes toward screening for cirrhosis CHE; and screening factors (limited human resources, lack of stringent rules from the management, inability to properly use neuropsychological test tools, lack of cooperation from patients and their families, and lack of auxiliary means of screening).</p><p><strong>Conclusion: </strong>Hepatology medical care personnel had a favorable outlook on CHE screening, however there is room for improvement in both their level of knowledge and clinical work. As a result the administrative departments of hospitals should focus on the factors affecting the clinical work of hepatology medical care personnel and formulate corresponding countermeasures. Emphasis should be placed on the screening and management of CHE for early recognition, early intervention, improvement of quality of life, and effective prevention of hepatic encephalopathy.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1539-1547"},"PeriodicalIF":2.7,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663799","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}