Journal of Multidisciplinary Healthcare最新文献

{"title":"ADL and Cognitive Function in Chinese Elderly: Mediating Role of Social Participation and Moderating Role of Intergenerational Support.","authors":"Wanling Li, Dinuo Xin, Xiaofang Feng, Yueqin Li, Wenjuan Zhu, Jiajia Xu, Shiyu Yin","doi":"10.2147/JMDH.S523168","DOIUrl":"https://doi.org/10.2147/JMDH.S523168","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore the relationship between activities of daily living (ADL) and cognitive function in Chinese elderly, and to analyze in depth the mediating and moderating roles of social participation and children's intergenerational support in this relationship, in order to provide a reference basis for delaying cognitive decline in the elderly.</p><p><strong>Patients and methods: </strong>Based on data from the 2020 wave of China Health and Retirement Longitudinal Survey (CHARLS 2020), this study included 5612 subjects aged 60 years and older, and extracted main variables such as demographic information, ADL, social participation, cognitive function, and children's intergenerational support. Descriptive statistics and Pearson's correlation analysis in SPSS 27.0 were used to analyze the relationship between the main variables, and regression and Bootstrap analysis in SPSS 27.0 PROCESS macro (Model 4 and Model 14) were further used to analyze the mediating and moderating effects.</p><p><strong>Results: </strong>Among Chinese elderly, ADL significantly positively correlated with social participation (<i>r</i> = 0.086, <i>P</i> < 0.001) and cognitive function (<i>r</i> = 0.193, <i>P</i> < 0.001), and social participation significantly positively correlated with cognitive function (<i>r</i> = 0.144, <i>P</i> < 0.001). Social participation partially mediated the relationship between ADL and cognitive function (<i>β</i> = -0.202, <i>P</i> < 0.001), accounting for 5.74% of the total effect. Moreover, children's intergenerational support negatively moderated the relationship between social participation and cognitive function (<i>β</i> = -0.182, <i>P</i> < 0.001). Thus, a moderated mediation model was developed.</p><p><strong>Conclusion: </strong>ADL can affect cognitive function directly or indirectly through social participation in elderly. Furthermore, children's intergenerational support plays a negative moderating role in this mechanism. Therefore, governments, hospitals, communities, and families should provide personalized intervention strategies for elderly to delay cognitive decline and promote healthy aging through early prevention of ADL impairment, promotion of social participation, and optimization of family support.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2509-2522"},"PeriodicalIF":2.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988791","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 Evidence Gaps in Medical Errors Research: A Mixed-Methods Scientometrics Study.","authors":"Yessica Angarita-Pacheco, Angie Daniela Urbano López, David A Hernandez-Paez, Ornella Fiorillo-Moreno, Yelson Alejandro Picón-Jaimes, Tulia Beltrán Venegas, Alba Marina Rueda Olivella, Ivan David Lozada-Martinez, Valmore Bermúdez","doi":"10.2147/JMDH.S516383","DOIUrl":"https://doi.org/10.2147/JMDH.S516383","url":null,"abstract":"<p><strong>Background: </strong>Medical errors represent a critical challenge to global healthcare systems, ranking among the leading causes of preventable morbidity and mortality. The aim of this study was to explore the evolution, characteristics, and correlation of research on medical errors and global health and research indicators.</p><p><strong>Methods: </strong>A mixed-methods scientometrics study was conducted to analyse publications from 1865 to 2024 on medical errors from five databases. Correlational analyses were performed, focusing on publication trends, geographic and economic disparities, journal metrics, and thematic evolution. Multiple regression assessed relationships between bibliometric metrics and global indicators.</p><p><strong>Results: </strong>Five thousand seven hundred thirty-two publications related to medical errors were analysed. An annual growth rate of 1.49% was documented, with high-income countries contributing 83.32% of publications. The Americas accounted for the highest regional output, while Africa and Southeast Asia showed marginal contributions. Most studies were published in high-impact journals (46% in Q1), but only 22.98% were open access. Thematic analysis revealed a transition from error reporting to mitigation strategies. Correlations showed strong associations between intellectual property fees and publication volume (r²=0.75; p<0.001), while official development assistance negatively correlated with publication output (r²=-0.33; p<0.01). Disability-adjusted life years showed weak correlations with publication volume (r²=0.32; p<0.01) and journal impact (r²=0.14; p<0.001).</p><p><strong>Conclusion: </strong>This study highlights significant inequities in global research on medical errors, with high-income countries dominating production. While thematic shifts suggest advancements in the field, the lack of representation from low- and middle-income countries and limited access to open-access publications pose barriers to global applicability.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2497-2508"},"PeriodicalIF":2.7,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971734","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 Cross-Sectional Study of the Practice of Orthopedic Specialty Nursing in Hospitals in Jiangsu Province.","authors":"Haiyan Song, Xuwen Yin, Jiayi Xu, Jing Yang, Zejuan Gu","doi":"10.2147/JMDH.S517934","DOIUrl":"https://doi.org/10.2147/JMDH.S517934","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the development status of orthopedic specialty nursing in hospitals in Jiangsu Province in China.</p><p><strong>Patients and methods: </strong>This cross-sectional study was conducted from August to September 2024 in the orthopedics departments of secondary and tertiary hospitals in Jiangsu Province, China. Data were collected using a self-designed questionnaire administered through the online platform Wenjuan Xing. Moreover, data on specialty nursing techniques and specialty quality indicators were collected. The Pearson's chi-square test and Mann-Whitney <i>U</i>-test were used to identify the differences between the different types and sizes of hospitals.</p><p><strong>Results: </strong>Data analysis involved 229 hospitals. Nurse-led clinics (8.30%) were the least used format of orthopedic specialty nursing, and there were significant differences in different sizes of hospitals (<i>P</i><0.001). The most commonly implemented specialty nursing technique was coordination and nursing of bone traction (79.23%). Concerning the measures to guarantee the quality of specialty nursing, the nursing ward round was the most common, and there were significant differences in different sizes of hospitals about \"specialty nursing goals or evaluation indicators to be developed\" (<i>P</i><0.001). 88.21% of the hospitals regularly provided specialized nursing training to nurses, and only 29.26% of hospitals set up specialist nurse positions. Only 90.83% of hospitals regularly monitored, analyzed, and there were significant differences in the improvement of quality through \"clinical research\" in hospitals of different sizes (<i>P</i><0.001). Specialty nursing activities conducted by nurses were mainly related to performance assessment (73.80%). The standardized prevention rate of venous thromboembolism (62.31%) was the most frequently used indicator. Concerning obstacles to implementing orthopedic specialty nursing, 82.53% of the orthopedic departments expressed dissatisfaction over a lack of nurses.</p><p><strong>Conclusion: </strong>Hospital managers and policymakers should support the growth of orthopedic specialty nursing, hire more nurses and specialist nurses, address the obstacles of evaluation and incentive mechanisms of orthopedic nurses, and investigate additional strategies for the field's advancement.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2481-2495"},"PeriodicalIF":2.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024089","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":"Majority of the Dutch Primary Dementia Care Networks Do Not Include Allied Health Professionals.","authors":"Tijmen Geurts, Dorien L Oostra, Marcel G M Olde Rikkert, Minke S Nieuwboer, Marieke Perry","doi":"10.2147/JMDH.S511932","DOIUrl":"https://doi.org/10.2147/JMDH.S511932","url":null,"abstract":"<p><strong>Background: </strong>Allied health professionals can contribute to better quality of life of people with dementia. However, it is unclear whether DementiaNet networks effectively integrate their expertise. We aim to describe the extent of allied health involvement in DementiaNet networks.</p><p><strong>Methods: </strong>Between 2015 and 2021, 35 currently active primary care networks were formed. During this period, logs of the network's composition were kept and used to describe allied health involvement.</p><p><strong>Results: </strong>Ten networks included at least one allied health professional at the start of the project, which increased to 17 networks at follow-up. Networks with allied health professionals were larger than average and predominantly situated in (sub)urban areas.</p><p><strong>Conclusion: </strong>Less than half of the DementiaNet networks included allied health professionals at follow-up. The reasons for this are unknown. Therefore, exploration of barriers and facilitators for allied health involvement is necessary to engage allied health professionals and improve interprofessional collaboration.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2477-2480"},"PeriodicalIF":2.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029389","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, Attitude, and Practice of Palliative Care Among Physicians and Nurses in Intensive Care Units in Shanghai, China.","authors":"Xinhe He, Hengzhe Cai, Jingying Zhang, Wei Chen, Biao Zhu","doi":"10.2147/JMDH.S507175","DOIUrl":"https://doi.org/10.2147/JMDH.S507175","url":null,"abstract":"<p><strong>Purpose: </strong>The growing need for palliative care in China's aging population highlights the intensive care unit (ICU) staff's crucial role and need for specialized training and improved knowledge, attitude, and practice (KAP). The study aims to assess the KAP of palliative care ICU physicians and nurses and identify influencing factors.</p><p><strong>Patients and methods: </strong>A cross-sectional survey was conducted among ICU physicians and nurses at three Shanghai hospitals. A self-developed structured online questionnaire was used to collect participant characteristics and KAP data related to palliative care. Pathway analysis explored associations among knowledge, attitude, and practice.</p><p><strong>Results: </strong>Among 203 participants, median scores for knowledge, attitude, and practice were 8/18, 39/50, and 35/45, respectively. Multivariable analysis revealed that 10-15 years (OR=0.06) and >15 years (OR=0.19) of experience in the ICU and the lack of palliative care experience (OR=0.29) were associated with poor knowledge. Positive attitudes (OR=1.22) and palliative care training (OR=3.25) were associated with proactive practice. Knowledge directly impacted attitude (β=0.260; P=0.012) and practice (β=0.320, P<0.001), while attitude directly influenced practice (β=0.278, P<0.001).</p><p><strong>Conclusion: </strong>The study reveals a low KAP level of palliative care among ICU physicians and nurses in Shanghai. Pathway analysis underscores the crucial role of knowledge in shaping attitudes and practices, emphasizing the urgency of improving knowledge and attitudes toward palliative care among physicians and nurses.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2441-2449"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001368","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":"Mathematical Modelling for Community Based Intervention for Managing Diabetes: A Systematic Literature Review.","authors":"Aalbrecht A Irawan, Nursanti Anggriani, Yudhie Andriyana, Rizky Abdulah","doi":"10.2147/JMDH.S510753","DOIUrl":"https://doi.org/10.2147/JMDH.S510753","url":null,"abstract":"<p><p>Diabetes mellitus (DM) poses a significant global health and economic challenge. Effective diabetes management requires a multifaceted approach that combines clinical and community-based interventions. Community-based interventions are critical to address the growing burden of diabetes. Despite numerous independent studies on community-based interventions for T2DM management and mathematical models, there has been no comprehensive review integrating these two domains. This systematic literature review aimed to fill this gap by examining mathematical modelling in the context of community-based interventions for T2DM management. Following the PRISMA guidelines, relevant articles were identified, screened, and assessed for eligibility using the Scopus, ScienceDirect, and PubMed databases. The inclusion criterion was English-language research articles published between 2014 and 2024 that focused on T2DM interventions using mathematical models. Seven articles met the final inclusion criteria and were analysed to answer research questions related to the geographical origin of the data, nature of the intervention, specific mathematical model used, and the main findings of the primary study. This review highlights that mathematical models are critical for optimising community-based interventions, by identifying key risk factors, predicting disease progression, and evaluating the effectiveness of various treatments. By synthesising findings from different geographical and economic contexts, this review highlights the importance of culturally and contextually relevant strategies for diabetes management. The integration of robust mathematical models with community-based approaches promises to develop more effective evidence-based strategies for diabetes management, particularly in resource-limited settings.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2429-2440"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001378","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":"Experiences and Perceptions of Chinese Elderly Dry Eye Patients Seeking Health Behavior Management: A Qualitative Study Based on a Health Belief Model.","authors":"Yuanyuan Tang, Lan Yi, Yanjie Ma, Qiqi Liu, Yifan Zhang, Simeng Wang, Jia Zeng, Wenlin Cheng, Rui Li","doi":"10.2147/JMDH.S523407","DOIUrl":"https://doi.org/10.2147/JMDH.S523407","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to explore the life experiences and health behavior management experiences of elderly patients with dry eye disease, and to provide a reference for improving the health status of patients with dry eye disease.</p><p><strong>Methods: </strong>A qualitative phenomenological design was employed to collect data from 16 dry eye patients who visited the eye clinic of a tertiary hospital in Shanghai, China, from October to December 2024, by conducting face-to-face semi-structured interviews, and analyzing the data using the Colaizzi 7-step analysis method. Interviews were transcribed verbatim, and themes were coded and extracted using NVivo 14.0.</p><p><strong>Results: </strong>The participants, aged between 60 and 78 years, mostly had mild to moderate levels of dry eye. Based on the theoretical model of the Health Belief Model, five main themes and eleven sub-themes were summarized from the analysis: (a) Perceived threat of disease (Perceived severity, Perceived susceptibility); (b) Perceived benefits (Perceived sense of gain, Improved quality of life); (c) Perceived barriers (Lack of willingness to manage behavior, Insufficient intrinsic motivation, Cognitive misconceptions); (d) Low self-efficacy (Lack of confidence in responding, Negative coping style); (e) Perception of behavioral cues (Lack of external support, Perception of self-management).</p><p><strong>Conclusion: </strong>This study found an interaction between reduced threat perception and inadequate health behavior management in elderly dry eye patients, and future research is needed to develop more specific and feasible intervention programs to encourage patients to move from passive treatment to active management.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2417-2428"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030232","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":"Consensus-Driven Development of an Exercise Base Manual Programme for Prediabetic Patients: A Delphi Study.","authors":"Sana Hafeez, Syed Shakil-Ur-Rehman, Saima Riaz, Sidra Hafeez, Jawad Salman Hafeez, Hassan Mumtaz","doi":"10.2147/JMDH.S503455","DOIUrl":"https://doi.org/10.2147/JMDH.S503455","url":null,"abstract":"<p><strong>Background: </strong>Prediabetes is a medical condition characterized by increased levels of glucose in the bloodstream. There are some lifestyle modifications like exercise, dietary patterns and prevention that can reverse prediabetes. Exercise plays an important role in controlling hyperglycemia and insulin sensitivity in prediabetes.</p><p><strong>Purpose: </strong>The objective of the study is to develop a consensus driven exercise base manual programme for the prediabetic population using the Delphi Method.</p><p><strong>Methods: </strong>A three-rounded Delphi study was conducted with 40 panelists either as Patient panelists (n = 20) or expert panelists (n=20). Round 1 included initial items selected from a systemic literature review . Initial recommendations were rated by panalists through a 5-point Likert scale. Additional items were also added by suggestion of Panelists in Round 1. Rounds 2 and 3 included all items from Round 1. All selected items were included in the final set of recommendations in Round 3 and rated as \"Important\" or \"Very important\" by at least 70% of all respondents. Descriptive data was analyzed by using SPSS version 25.</p><p><strong>Results: </strong>36 panellists (patients n = 17, professionals n = 19) completed Round 3. After three rounds of the Delphi process, panelists reached a consensus on the final version of the recommendations. Sixty-two items reached consensus in Round 1. In round 2 and 3 a total of sixty-four and sixty-three items were added, respectively. Fifty-seven of these reached consensuses in round 3.</p><p><strong>Conclusion: </strong>The exercise-based manual programme developed by Modified Delphi study provided disease prevention education, physical activity and dietary recommendations to improve glycemic control in the prediabetic population. The exercise manual programme along with lifestyle modifications contribute to public health by improving prediabetes levels and also addressing the modifiable risk factors. An exercise protocol needs time to mitigate hyperglycemia in prediabetic individuals and to help provide information at community level.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2461-2476"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988807","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 ISBAR Communication Mode on the Bedside Delivery Quality of Nurses Working in the Department of Rheumatology and Immunology.","authors":"Meiyu Wang, Zhenlei Gao","doi":"10.2147/JMDH.S501261","DOIUrl":"https://doi.org/10.2147/JMDH.S501261","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effect of ISBAR communication mode on the quality of bedside handover in the rheumatology and immunology department.</p><p><strong>Methods: </strong>Nine nurses in the ward were prospectively selected using convenience sampling, and the nursing handover scale (NHS), the nurse \"eleven knows\" of patient condition assessment scale, and medical staff satisfaction questionnaire on morning nursing handover were collected and compared 1 month before the implementation of the ISBAR handover mode (ie, Apr. 1, 2024) and 1 month after the implementation of the mode for three months (ie, Sept.1, 2024).</p><p><strong>Results: </strong>The scores of all items in the NHS, the knowledge of the nurse \"eleven knows\" of patient condition, and both doctor's and nurse's satisfaction with morning nursing handover report were increased, and the writing and reporting time required for nursing handover report was decreased after the implementation of the ISBAR communication mode compared with those before the use of this mode.</p><p><strong>Conclusion: </strong>The ISBAR communication mode effectively improves the quality of bedside handover in rheumatology department, enhances the nursing handover assessment, helps nurses to understand the patients' condition, and standardizes the nurse handover process.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2451-2460"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997099","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 Assessing Patient Independence in Self-Care: A Scoping Review.","authors":"Theresia Eriyani, Iwan Shalahuddin, Sandra Pebrianti, Indra Maulana","doi":"10.2147/JMDH.S510034","DOIUrl":"https://doi.org/10.2147/JMDH.S510034","url":null,"abstract":"<p><strong>Aim: </strong>Measuring patients' independence in caring for themselves is essential in nursing care, especially in the internal medicine room environment. Many patients with various conditions need help in self-care.</p><p><strong>Objective: </strong>To identify the right instrument to measure patients' level of independence in performing self-care.</p><p><strong>Methods: </strong>The scoping review uses the PICO framework through PubMed, Science Direct, and Scopus databases.</p><p><strong>Results: </strong>Nine instruments/measuring tools can be used to measure the level of independence of patients in self-care, namely CDS, Barthel Index and MBI (Modified Barthel Index), SCHFI, ECOG, Self-care ability questionnaire, DCTAQ, and Revised Summary of Diabetes Self-Care.</p><p><strong>Conclusion: </strong>Some instruments have various assessment methods and scores but can provide helpful information for health practitioners to assess patient independence. The instrument has been tested for validity and reliability in multiple studies. No instrument is absolutely the best, as each instrument has its advantages according to its context and purpose of use.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2387-2399"},"PeriodicalIF":2.7,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970284","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}