Journal of Multidisciplinary Healthcare最新文献

{"title":"Exploring Primary Care Physicians' Current Referral Practices to Physiotherapy and Specialized Care for Musculoskeletal Conditions: A Cross-Sectional Study.","authors":"Norah Ali AlMuhana, Dalia Alimam, Mostafa Kofi, Saeed Mohammed Albaqih, Hana Alsobayel","doi":"10.2147/JMDH.S583766","DOIUrl":"https://doi.org/10.2147/JMDH.S583766","url":null,"abstract":"<p><strong>Purpose: </strong>Musculoskeletal (MSK) disorders are a leading global cause of disability and healthcare utilization. In Saudi Arabia, the referral behaviors of primary care physicians (PCPs) for MSK management remain underexplored. This study aims to investigate referral patterns and awareness of prognostic stratification tools among primary-care physicians managing musculoskeletal conditions in Riyadh, Saudi Arabia.</p><p><strong>Methods: </strong>A web-based cross-sectional survey of 283 PCPs in Riyadh, Saudi Arabia, assessed demographic variables, MSK caseloads, referral frequencies to physiotherapy, specialist, and radiology services, satisfaction with existing pathways, and familiarity with stratified-care tools (eg, Keele STarT MSK). Associations between the healthcare sector and referral behaviors were examined using chi-square (χ²) tests with Cramér's V, and binary logistic regression was conducted to identify independent predictors of physiotherapy referral frequency. Open-ended responses were analyzed thematically.</p><p><strong>Results: </strong>Most respondents (61.8%) were male and worked in government sectors. Physiotherapy referrals were infrequent (37.8% rarely referred), with significant sectoral differences (p < 0.001). Over half (53.4%) were unfamiliar with prognostic tools, while 18.4% reported occasional use. Barriers included lack of electronic integration (28%), unclear guidelines (27%), and time constraints (24%). Physicians recommended clearer referral criteria, electronic medical record (EMR) linked digital pathways, and interprofessional education. Multivariable binary logistic regression identified MSK caseload and senior registrar rank as significant independent predictors of more frequent physiotherapy referral. Physicians seeing 3-5 patients daily (OR = 11.597, 95% CI: 2.202-61.085, p =0.004) and senior registrars compared with consultants (OR = 2.857, 95% CI: 1.420-5.746, p =0.003) showed the highest odds of more frequent referral.</p><p><strong>Conclusion: </strong>Referral practices for MSK conditions among Saudi PCPs remain inconsistent and largely uninformed by evidence-based stratification tools. These findings suggest that enhancing multidisciplinary collaboration, training, and digital integration within EMRs may help align referral behavior with best practices and support Saudi Vision 2030 health system reforms. Future research should evaluate implementation strategies for these improvements within the Saudi primary care context.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"583766"},"PeriodicalIF":2.4,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773994","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":"Influencing Factors of Dietary Guidance Compliance in Patients with Esophageal Cancer During Preoperative Neoadjuvant Therapy: A Qualitative Study.","authors":"Ai-Ying Sun, Fu-Na Yang, Xiao-Xia Xu, Wei Wang, Ying-Ying Wang, Rui-Chen Ma","doi":"10.2147/JMDH.S596002","DOIUrl":"https://doi.org/10.2147/JMDH.S596002","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the factors influencing dietary guidance adherence in esophageal cancer patients receiving neoadjuvant therapy and to understand their decision-making process through the theoretical lens of the health belief model (HBM).</p><p><strong>Methods: </strong>A descriptive qualitative study was conducted via in depth, semistructured interviews. A purposive sample of 15 esophageal cancer patients receiving preoperative neoadjuvant therapy was recruited until data saturation was achieved. The data were analyzed via directed content analysis, guided by the core constructs of the HBM.</p><p><strong>Results: </strong>Six categories and fifteen subcategories were identified: perceived susceptibility (intuitive perception of body signals, risk awareness via medical information); perceived severity (insufficient threat recognition, awareness of malnutrition-related harm); perceived benefits (improving physical condition, promoting disease recovery); perceived barriers (treatment-related side effects, economic burden, psychological distress, conflicts in dietary habits); self-efficacy (empowerment strategies of highly efficacious individuals, the helplessness of those with low efficacy); and cues to action (professional nutritional education, family supervision and support, peer support).</p><p><strong>Conclusion: </strong>This study suggests that clinical medical workers should fully recognize the impact of personal health beliefs on dietary behavior compliance. This study provides a robust, theory-driven evidence base for developing targeted, multicomponent nutritional interventions that are fundamentally patient-centered, with the ultimate goal of improving treatment tolerance, surgical outcomes, and overall survival.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"596002"},"PeriodicalIF":2.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773974","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":"Male Partners' Experiences with a Postpartum Haemorrhage Requiring Surgery: A Qualitative Study.","authors":"Oda Sibille Moerk Moen, Bente Dahl","doi":"10.2147/JMDH.S594311","DOIUrl":"https://doi.org/10.2147/JMDH.S594311","url":null,"abstract":"<p><strong>Purpose: </strong>To explore how male partners experience the sequence of events from the onset of a postpartum haemorrhage until the birthing woman has completed surgical treatment and is transferred to the postnatal ward.</p><p><strong>Participants and methods: </strong>A qualitative study was conducted using semi-structured interviews with eleven male partners living in five different counties in south-eastern Norway. The interviews were carried out in January 2024. Systematic text condensation was used to analyse the data.</p><p><strong>Results: </strong>The data analysis identified three result categories. First, the men reported feeling \"trapped in an information vacuu\". Many experienced prolonged periods of waiting alone, often for hours, without receiving timely updates. When information was eventually provided, it was often too vague to understand. Second, the men expressed feeling overwhelmed by the responsibility of caring for a newborn on their own. Finally, the extended hours of waiting without news of their partner's condition heightened their anxiety, allowing their fears and imagination to spiral, including the fear that they might never see her again.</p><p><strong>Conclusion: </strong>Male partners of women experiencing postpartum haemorrhage require emotional support and regular updates on their partner's condition while they are in the operative theatre and intensive care unit. Additionally, there is a need to develop maternity care models that address the needs of both the woman and her partner during traumatic events. Midwives play a crucial role in providing support and fostering open communication, which can significantly improve the experience for both partners in challenging situations.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"594311"},"PeriodicalIF":2.4,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774004","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":"GLIM‑Defined Malnutrition in Critically Ill Patients: A Comparison of Nutrition Risk Screening 2002 and Modified Nutrition Risk in Critically Ill as First‑Step Screening Tools.","authors":"He Gao, Yang Yang, Lingyi Mi, Li Xu, Wenjing Tang, Ye Ji","doi":"10.2147/JMDH.S597760","DOIUrl":"https://doi.org/10.2147/JMDH.S597760","url":null,"abstract":"<p><strong>Purpose: </strong>Given the high prevalence and prognostic significance of malnutrition in critically ill patients, selecting an appropriate first-step screening tool within the Global Leadership Initiative on Malnutrition (GLIM) framework is critical. This study aimed to compare the consistency of Nutrition Risk Screening-2002 (NRS-2002) and the modified Nutrition Risk in the Critically Ill (mNUTRIC) as GLIM-based screening strategies and to assess their associations with clinical outcomes in this population.</p><p><strong>Patients and methods: </strong>A single-center prospective observational study was conducted involving 173 critically ill patients hospitalized ≥4 days in an intensive care unit (ICU). Nutritional risk was screened within 24 hours of admission using NRS-2002 or mNUTRIC. Patients screening positive underwent malnutrition diagnosis using GLIM (phenotypic: weight loss or low body mass index; etiologic: reduced intake or inflammation/disease burden). The consistency between the two screening strategies was assessed, and their associations with clinical outcomes were analyzed. The effect of nutritional treatment in patients with malnutrition has been explored in a subgroup analysis.</p><p><strong>Results: </strong>Malnutrition prevalence was 18.5% (32/173) using NRS-2002+GLIM and 13.9% (24/173) using mNUTRIC+GLIM. The two screening strategies showed substantial agreement (κ = 0.79, p < 0.001). Malnutrition diagnosed by mNUTRIC+GLIM demonstrated stronger associations with adverse outcomes. These included significantly greater proportions of ICU days under sedation (b = 0.20, 95% confidence interval (CI): 0.08-0.33) and vasopressor (b = 0.21, 95% CI: 0.06-0.37), as well as a higher risk of adverse discharge status (odds ratio = 6.24, 95% CI: 2.20-18.38). In the exploratory subgroup analysis with a limited sample size, patients identified as malnutrition by mNUTRIC+GLIM showed lower in‑hospital mortality following nutrition treatment. (0% vs. 66.7%; p < 0.05).</p><p><strong>Conclusion: </strong>Substantial consistency was observed between NRS-2002+GLIM and mNUTRIC+GLIM, and both were significantly associated with unfavorable clinical outcomes. Notably, mNUTRIC+GLIM showed stronger prognostic value, indicating its potential as a more appropriate screening strategy in critically ill patients.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"597760"},"PeriodicalIF":2.4,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774046","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":"Physicians' Knowledge and Practice Regarding Multiple Sclerosis (MS) in Saudi Arabia: A Cross-Sectional Study.","authors":"Mahmoud S Abdallah, Rania Mahafdeh, Bayan Ziyad Alrubayyi, Hayam Ali AlRasheed","doi":"10.2147/JMDH.S601699","DOIUrl":"https://doi.org/10.2147/JMDH.S601699","url":null,"abstract":"<p><strong>Background: </strong>Multiple sclerosis (MS) is a chronic central nervous system disorder induced by the immune system. It gets worse over time and is characterized by inflammation, demyelination, and marked disability.</p><p><strong>Aim: </strong>To assess the knowledge and practices of physicians regarding MS care in Saudi Arabia.</p><p><strong>Methods: </strong>This observational cross-sectional study included licensed physicians (neurologists, psychiatrists, neurosurgeons, and primary care physicians) practicing in Saudi Arabia. The data was collected using a content-validated questionnaire. Physicians were requested to answer from different locations, and a Google Form was used to collect the replies. Descriptive statistics and multivariate regression were performed to identify the factors affecting knowledge, practice and self-confidence among physicians.</p><p><strong>Results: </strong>A total of 220 participants participated in the study. The knowledge score was 12.9 ± 4.05 out of 25, the practice score was 18.3 ± 5.84 out of 35, and the self-confidence score was 49.11 ± 13.99 out of 100. In multivariate analysis, possessing an MS-related certification emerged as the most significant predictor of increased knowledge (β = 6.324, p < 0.001). Having an MS specialization was second (β = 2.468, p = 0.021), and clinical experience was third (β = 2.180, p < 0.001). Having an MS subspecialization (β = 5.030, p = 0.002), an MS certification (β = 7.998, p < 0.001), or clinical experience (β = 3.447, p < 0.001) was also a good independent predictor of practice scores. The effects of MS subspecialization (β = 9.813, p = 0.020), MS certification (β = 14.863, p < 0.001), and years of experience (β = 8.493, p < 0.001) on confidence scores were statistically significant.</p><p><strong>Conclusion: </strong>Physicians demonstrated moderate knowledge, practice but relatively low confidence regarding MS care, with significant gaps among non-specialists and less experienced clinicians. MS-specific certification, subspecialty training, and clinical practice are the key determinants for improved knowledge and practice.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"601699"},"PeriodicalIF":2.4,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773073","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 AI Health Arms Race: A Critical Perspective on Big Tech and the Widening Global Health Equity Gap.","authors":"Mohamed Mustaf Ahmed, Zhinya Kawa Othman","doi":"10.2147/JMDH.S610208","DOIUrl":"https://doi.org/10.2147/JMDH.S610208","url":null,"abstract":"<p><p>The first quarter of 2026 witnessed an unprecedented convergence, with OpenAI, Anthropic, Microsoft, Google, and Apple launching or advancing dedicated artificial intelligence health platforms. ChatGPT Health, Claude for Healthcare, Copilot Health, Med-Gemini, and Apple Health+ collectively represent a paradigm shift toward AI-mediated personal health management, integrating electronic health records, wearable device data, and conversational AI in privacy-isolated environments. However, these tools are primarily designed for high-income country markets, with limited infrastructure, insufficient multilingual support beyond dominant global languages, and minimal cultural adaptation for low- and middle-income countries. This commentary critically examines the emerging AI health chatbot landscape through the lens of global health equity, analyzing structural barriers, including data poverty, regulatory vacuums, and the risks of data colonialism, whereby large technology corporations extract health data from populations in low- and middle-income countries without proportionate benefit sharing or local capacity building. We propose policy recommendations spanning international governance, national regulatory development, mandatory multilingual content, pre-market clinical safety evaluations, and multilateral financing of digital health infrastructure. We further discuss the strategic responsibilities of both high-income country technology corporations and governments in low- and middle-income countries in bridging this divide. Without deliberate equity-centered governance, the AI health arms race risks widening, rather than narrowing, the global health divide.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"610208"},"PeriodicalIF":2.4,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13111155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773800","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":"Reimagining Sexual Abuse Prevention for Adolescents with Intellectual Disabilities: A Scoping Review of Educational Gaps and Inclusive Future Directions.","authors":"Dwi Yati, Yanti Hermayanti, Tetti Solehati, Siti Yuyun Rahayu Fitri","doi":"10.2147/JMDH.S578569","DOIUrl":"https://doi.org/10.2147/JMDH.S578569","url":null,"abstract":"<p><strong>Background: </strong>Sexual abuse remains a pervasive global public health concern, disproportionately affecting adolescents with intellectual disabilities (ID). While numerous educational interventions have been developed, most remain fragmented, context-specific, and rarely account for cultural and systemic disparities across settings. A comprehensive and inclusive synthesis is needed to reimagine prevention strategies for this vulnerable population.</p><p><strong>Objective: </strong>This scoping review aimed to reimagine sexual abuse prevention by systematically mapping existing educational models, identifying gaps, and outlining inclusive future directions for adolescents with ID.</p><p><strong>Methods: </strong>Following the PRISMA-ScR guideline, a comprehensive search was conducted across PubMed, Scopus, CINAHL, and ScienceDirect, supplemented by grey literature and reference list screening. Eligibility was guided by the PCC (Population-Concept-Context) framework. Studies published between 2015 and 2025 involving adolescents with diagnosed ID (aged 12-18) were included. Data were thematically synthesized, and methodological quality descriptively assessed using the MMAT and JBI checklists.</p><p><strong>Results: </strong>Sixteen studies met inclusion criteria, spanning diverse contexts from high-income to low- and middle-income countries. Interventions included school-based curricula, community workshops, digital platforms, and family-centered programs. While knowledge and awareness improved across most studies, evidence of sustained behavioral change was limited. Key gaps included inadequate cultural adaptation, limited caregiver involvement, and systemic barriers such as stigma and insufficient provider training. Although some programs demonstrated strong content validity, scalability and long-term effectiveness remain underexplored.</p><p><strong>Conclusion: </strong>This review reimagines sexual abuse prevention as an inclusive, multi-level endeavor that extends beyond knowledge provision to engage caregivers, educators, and health systems. Future research must prioritize longitudinal designs, cultural tailoring, and systemic integration to build sustainable, equitable, and context-sensitive interventions.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"578569"},"PeriodicalIF":2.4,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773742","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":"Barriers Facing the Hospitals from Establishing Pulmonary Rehabilitation Programs in the Usual Care of COPD and Respiratory Patients in Saudi Arabia.","authors":"Mohammed Alsubaiei, Maher AlQuaimi, Alaa Khushhal, Abdulelah M Aldhahir, Ahmed H Alasimi, Saeed M Alghamdi, Sarah Almalki, Noora Aloudi, Abdullah A Almojaibel","doi":"10.2147/JMDH.S587319","DOIUrl":"https://doi.org/10.2147/JMDH.S587319","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of pulmonary diseases, including chronic obstructive pulmonary diseases, in Saudi Arabia is high, and pulmonary rehabilitation is not available in most Saudi hospitals. The causes that prevent hospitals in Saudi Arabia are still unclear and need more investigation. Thus, the aim of this study is to determine why pulmonary rehabilitation is not part of the usual COPD and respiratory disease management in Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in Saudi Arabia with two questionnaires: the first for the healthcare providers and the second for pulmonary patients.</p><p><strong>Results: </strong>About 349 healthcare providers completed the first questionnaire. The three highest barriers for establishing pulmonary rehabilitation in Saudi Arabia were shortage of healthcare providers (n = 183), followed by reduction of funds (n = 146) and lack of hospital room and capacity, respectively (n = 101 and n = 78). From the healthcare provider's point of view, the two highest barriers to preventing patients from attending pulmonary rehabilitation were transportation (n = 151), followed by lack of perceived benefits (n = 142). Almost half of healthcare providers (44%) intended to implement percentage a pulmonary rehabilitation program in Saudi Arabia. About 269 pulmonary patients filled out the second questionnaire. The three highest barriers from the patients' point of view to attend the pulmonary rehabilitation were being consistent with the program, lack of transportation, and wasting time in the program.</p><p><strong>Conclusion: </strong>The main barriers that prevent the implementation of a pulmonary rehabilitation program were lack of healthcare professionals and funds and low hospital capacity. The most barriers that prevent pulmonary patients from attending pulmonary rehabilitation programs were transportation challenges and lack of perceived benefits. About half of the healthcare providers intended to implement a pulmonary rehabilitation program in Saudi Arabia.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"587319"},"PeriodicalIF":2.4,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13101808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773976","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 Nurse-Led Cardiogeriatric Heart Failure Pathways: A Narrative, Practice-Based Description of an Integrated Care Model.","authors":"Rémi Esser, Christine Farges, Marlène Esteban, Marine Larbaneix, Alejandro Mondragon, Sophie Nisse Durgeat, Olivier Maurou, Marc Harboun","doi":"10.2147/JMDH.S599213","DOIUrl":"https://doi.org/10.2147/JMDH.S599213","url":null,"abstract":"<p><strong>Aim: </strong>To describe and conceptually examine a nursing-led cardiogeriatric heart failure (HF) pathway in which Advanced Practice Nurses (APNs) assume expanded clinical and organisational leadership roles.</p><p><strong>Background: </strong>HF predominantly affects older adults and is frequently associated with frailty, multimorbidity, and reduced physiological reserve. Conventional hospital-centred models often expose frail older patients to functional decline and iatrogenic harm, highlighting the need for integrated, outpatient-oriented care pathways.</p><p><strong>Design: </strong>Descriptive, narrative, and conceptual practice-based innovation report.</p><p><strong>Methods: </strong>This paper reports the development and implementation of an APN-led cardiogeriatric HF pathway at Hôpital La Porte Verte. The model integrates day hospital interventions, medication titration, therapeutic education, telemonitoring, and interprofessional coordination. No formal quantitative evaluation, comparative analysis, or systematic literature review was conducted.</p><p><strong>Results: </strong>The pathway illustrates how APNs can operate beyond traditional supportive roles, assuming advanced clinical decision-making, risk management, and organisational leadership in the care of frail older adults with HF. The model supports continuity of care, patient and caregiver empowerment, and safer management of complex clinical situations.</p><p><strong>Conclusion: </strong>This innovative approach contributes to the understanding of APN roles in cardiogeriatric HF care. It highlights the potential of APNs as frontline clinical leaders in integrated care models and provides a potentially transferable framework to inform future nursing practice, leadership, and research. This descriptive, practice-based report is intended to inform real-world practice and support the transferability of APN-led integrated care models across healthcare systems.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"599213"},"PeriodicalIF":2.4,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773964","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":"Impact of LEARNS Model-Based Health Education on Swallowing Safety and Psychological Well-Being in Postoperative Esophageal Cancer Patients.","authors":"Xiaoying Hou, Yan Qian, Li Cai, Wei Chen, Wenbin Zou","doi":"10.2147/JMDH.S567792","DOIUrl":"https://doi.org/10.2147/JMDH.S567792","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate the effects of health education grounded in the LEARNS model on the swallowing safety and psychological well-being of patients following radical esophageal cancer surgery.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted. A convenience sampling method was employed to select 60 patients who underwent radical esophageal cancer surgery between July and December 2023 from a Grade III-A general hospital in Wuhan. Participants were randomly assigned to either a control group (n=30), which received standard health education, or an intervention group (n=30), which received LEARNS model-based health education. Primary outcomes included swallowing function and oral feeding ability; secondary outcomes comprised psychological status and satisfaction with health education. Outcomes were assessed one month post-discharge, and satisfaction was evaluated on the day of discharge.</p><p><strong>Results: </strong>Following the intervention, the intervention group demonstrated statistically significant improvements in swallowing function (SSA score: 21.86±4.13 vs 23.34±2.42, P<0.05), oral intake ability (FOIS score: 7.25±1.07 vs 6.92±1.44, P<0.05), psychological distress (DT score: 5.45±1.94 vs 6.38±1.30, P<0.05), and satisfaction with health education (total score: 21.90±1.86 vs 17.40±3.38, P<0.05) compared to the control group.</p><p><strong>Conclusion: </strong>The LEARNS-based health education approach may improve swallowing function, oral feeding ability, psychological status, and education satisfaction in postoperative esophageal cancer patients during short-term follow-up. These findings should be interpreted with caution due to the single-center design and limited sample size.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"567792"},"PeriodicalIF":2.4,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773957","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}