Journal of Multidisciplinary Healthcare最新文献

{"title":"Mobile App-Based Interventions to Support Maternal Roles in Child Nutrition and Development: A Scoping Review.","authors":"Ria Setia Sari, Meita Dhamayanti, Tetti Solehati, Henny Suzana Mediani","doi":"10.2147/JMDH.S561368","DOIUrl":"https://doi.org/10.2147/JMDH.S561368","url":null,"abstract":"<p><strong>Background: </strong>Early childhood is crucial for long-term health, growth, and development, with mothers playing a central role in nutrition and stimulation. Mobile health (mHealth) technologies have potential to support maternal practices through real-time, context-specific guidance. However, evidence on how mobile applications specifically enhance maternal roles in child nutrition and development is limited and fragmented.</p><p><strong>Objective: </strong>This scoping review aimed to map and synthesize evidence on mobile app-based interventions that support maternal roles in child nutrition and development.</p><p><strong>Methods: </strong>Following Arksey and O'Malley's framework and the PRISMA-ScR checklist, we systematically searched PubMed, Scopus, Web of Science, CINAHL, PsycINFO, and grey literature for studies published between 2013 and 2025. Eligible studies evaluated mHealth interventions targeting maternal behaviors for children under five. Data were extracted and analyzed thematically.</p><p><strong>Results: </strong>Twenty-five studies met the inclusion criteria. Most interventions addressed breastfeeding, complementary feeding, and developmental stimulation. Common app features included educational modules, growth monitoring, real-time guidance, and peer support. Positive outcomes were observed in breastfeeding practices, child growth, and developmental milestones. Key barriers included low digital literacy and limited access to technology, particularly in marginalized populations.</p><p><strong>Conclusion: </strong>mHealth applications show promise in supporting maternal roles and improving child nutrition and development outcomes. Future research should focus on digital equity, broader accessibility, and the cost-effectiveness and scalability of these interventions, especially in underserved settings.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"561368"},"PeriodicalIF":2.4,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Outcomes for Black Adults with Diabetes: The Power of Peer Support in the Multidisciplinary Care Team.","authors":"Olayinka O Shiyanbola, Jaclynn Hawkins","doi":"10.2147/JMDH.S571582","DOIUrl":"https://doi.org/10.2147/JMDH.S571582","url":null,"abstract":"<p><p>Black adults experience diabetes complications and mortality in disproportionate rates in the United States, with barriers to care driven by factors such as limited access to quality healthcare, socioeconomic disparities, racial discrimination contributing to mistrust and health misperceptions, and social determinants of health such as food insecurity. Poor diabetes outcomes occur, in part due to insufficient access to novel diabetes medications and technologies, and low participation in diabetes management education programs. Within care teams across various healthcare settings, limited health literacy, and poor patient-provider communication, often influenced by implicit bias, further hinders effective diabetes management. Peer support, especially when integrated effectively into a multidisciplinary care team, is a promising approach to address these challenges. Peer supporters, individuals with shared lived experience and cultural backgrounds can foster trust, translate medical guidance in lay terms, and provide ongoing and sustained emotional, social, and tangible support. Peer-led interventions reduce diabetes distress and improve self-efficacy, medication adherence, and clinical outcomes, especially when tailored for Black adults. To effectively integrate peer supporters into care teams, defined roles, structured workflows, and strategically engaging them in patient care planning and team meetings is needed. Comprehensive and robust training, certifications, and continuing education ensure their competence, while maintaining role authenticity. Visibility within clinic and healthcare spaces, role clarity, administrative support, funding and continuous evaluation enhance the sustainability of peer supporters. Facilitators of their role include policy advocacy and funding avenues including Medicaid and Medicare reimbursements. Future efforts should focus on policy reforms to address structural inequities, support the expansion of peer supporters within care teams, including focused roles to thrive professionally, and establish sustainable models through participatory designs and robust evaluations. To address diabetes inequities in Black adults, culturally tailored peer support within multidisciplinary teams is critical, requiring collaborative engagement of healthcare systems, communities, and policy makers.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"571582"},"PeriodicalIF":2.4,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774002","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":"Effectiveness of Standardized Nurse-Led Triage Protocols in Improving Outcomes, Timeliness, and Accuracy in Road Traffic and Trauma Care in Low-Resource Settings: A Systematic Review.","authors":"Lina Boutemine, Majeda El-Banna, Rushdy R Atyeh, Waqas Sami, Moattar Raza Rizvi","doi":"10.2147/JMDH.S585877","DOIUrl":"https://doi.org/10.2147/JMDH.S585877","url":null,"abstract":"<p><strong>Purpose: </strong>Road-traffic and trauma emergencies are major causes of preventable mortality in low- and middle-income countries (LMICs). Nurses frequently act as first responders, yet standardized nurse-led triage systems remain inconsistently implemented. This systematic review evaluated the effectiveness of validated nurse-led triage protocols in improving diagnostic accuracy, timeliness, and patient outcomes in trauma and road-traffic injury (RTI) care across low-resource LMIC settings.</p><p><strong>Methods: </strong>Following PRISMA 2020 guidelines, five databases (PubMed, Embase, Scopus, CINAHL, and Web of Science) were searched from January 2010 to October 2025. Eligible studies implemented standardized triage tools such as the South African Triage Scale (SATS) or Rapid Emergency Triage and Treatment System (RETTS) in emergency department or prehospital contexts. Risk of bias was appraised using the QUADAS-2, ROBINS-I, and JBI checklists, and findings were narratively synthesized.</p><p><strong>Results: </strong>Eight studies from Africa, Asia, and the Caribbean (Haiti) met the inclusion criteria, encompassing trauma and road-traffic injury populations in emergency and prehospital settings. Standardized nurse-led triage improved diagnostic accuracy (70-97%), reduced under-triage (≤20%), and shortened waiting times (up to 45%) and on-scene-to-care intervals (~38%). Across settings, structured triage systems enhanced recognition of high-acuity trauma and alignment between triage category and injury severity. The greatest impact occurred when protocols were supported by trained nursing leadership, periodic retraining, and clear decision-support tools.</p><p><strong>Conclusion: </strong>Standardized nurse-led triage is feasible, safe, and effective for strengthening trauma-care systems in resource-limited environments. Embedding structured triage frameworks and empowering nursing leadership can substantially improve diagnostic accuracy, timeliness, and survival outcomes in LMIC emergency care systems.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"585877"},"PeriodicalIF":2.4,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774028","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 Effectiveness of a Self-Management-Based Nutritional Promotion Program on Food Consumption Knowledge, Behaviors, and Quality of Life of Patients Undergoing Hemodialysis.","authors":"Bowornjit Maytharit, Jukkrit Wungrath, Parichat Ong-Artborirak, Sineenart Chautrakarn","doi":"10.2147/JMDH.S591842","DOIUrl":"10.2147/JMDH.S591842","url":null,"abstract":"<p><strong>Background: </strong>Patients undergoing hemodialysis (HD) often experience food consumption and nutritional challenges that affect their health outcomes and quality of life (QoL). Traditional nutritional education alone may be insufficient to promote sustainable behavioral change. The self-management concept, which emphasizes patients' active involvement in managing their health, has been insufficiently applied among HD patients in Thailand.</p><p><strong>Purpose: </strong>This study evaluated the effectiveness of a nutritional promotion program in improving the QoL of HD patients, based on the self-management concept of Creer (2000).</p><p><strong>Methods: </strong>A quasi-experimental design was employed with 110 HD patients recruited from two dialysis centers in Sakon Nakhon Province, Thailand. Participants were equally allocated to experimental (n = 55) and control (n = 55) groups. The experimental group received a 12-week nutritional promotion program based on the self-management concept of Creer (2000), which consisted of individual face-to-face education, group-based educational content via the LINE application, individualized tele-counseling, and group discussions, while the control group received standard care. Data were collected using the Kidney Disease Quality of Life-Short Form (KDQOL-SF™), version 1.3, and analyzed using descriptive statistics and repeated measures ANOVA.</p><p><strong>Results: </strong>The results indicated no significant differences in demographic characteristics or baseline mean QoL scores between groups. The experimental group showed significant improvements in food consumption knowledge, food consumption behaviors, and QoL (p < 0.05) across time points compared with the control group.</p><p><strong>Conclusion: </strong>The nutritional promotion program grounded in Creer's (2000) self-management framework, integrating individualized education, structured group-based LINE content, individualized tele-counseling, and group discussions, effectively improved food consumption knowledge, food consumption behaviors, and QoL in HD patients. The program strengthened patients' capacity for self-regulation of food consumption behaviors and enhanced their overall well-being. These findings underscore the potential of hybrid, self-management-based nutritional interventions as a patient-centered approach to improving key outcomes in HD care.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"591842"},"PeriodicalIF":2.4,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13091624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147722997","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 and Validation of a Predictive Model for Postoperative Nausea and Vomiting in Thyroid Cancer Patients: A Retrospective Case-Control Study.","authors":"Fangfang Li, Zifeng Li, Shengmei Wu, Zuyang Xi, Yuyan Tan","doi":"10.2147/JMDH.S597957","DOIUrl":"10.2147/JMDH.S597957","url":null,"abstract":"<p><strong>Background: </strong>Thyroid cancer is the most prevalent endocrine malignancy, with surgical intervention being the primary treatment modality. Postoperative nausea and vomiting (PONV) are common complications following thyroid surgery, significantly impacts patient recovery. Consequently, this study analyzed the risk factors for PONV in patients with thyroid cancer post-surgery and developed a predictive model.</p><p><strong>Methods: </strong>This retrospective study involved 393 patients who underwent thyroid cancer surgery at a tertiary-level Class A hospital between July 2024 and February 2025. The patients were randomly divided into a training set (n=275) and a validation set (n=118). A predictive model was constructed using multivariate logistic regression analysis, and a nomogram was developed. The model's discrimination was evaluated using receiver operating characteristic (ROC) curves, while calibration was assessed through calibration curves, and clinical applicability was determined via decision curve analysis (DCA).</p><p><strong>Results: </strong>The overall incidence of postoperative nausea and vomiting (PONV) was found to be 29.01%. The final predictive model developed from the training set incorporated four variables: age (≥50 years), a history of PONV or motion sickness, non-use of ondansetron, and a delay in the time to first oral intake (> 6 hours). The area under the curve (AUC) values for the training and validation sets were 0.76 and 0.68, respectively. Additionally, the calibration curves for both sets exhibited strong consistency. Furthermore, the decision curve analysis (DCA) results indicated good clinical applicability for both the training and validation sets.</p><p><strong>Conclusion: </strong>Patients with thyroid cancer exhibit a heightened risk of postoperative nausea and vomiting, which correlates with age, a history of PONV or motion sickness, the administration of ondansetron, and the time to first oral intake. The PONV prediction model constructed using these variables demonstrates favourable discriminatory ability, calibration, and clinical utility.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"597957"},"PeriodicalIF":2.4,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147722994","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":"Implementation and Outcomes of a Standardized Multidisciplinary Treatment Outpatient Model in Two Pediatric Tertiary Hospitals.","authors":"Miao Wang, Chengjie Ye, Xuan Gao, Yuping Qian, Tianxing Feng, Yu Shi","doi":"10.2147/JMDH.S599215","DOIUrl":"https://doi.org/10.2147/JMDH.S599215","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the implementation and outcomes of the Multidisciplinary Treatment (MDT) outpatient model in two pediatric tertiary hospitals, guided by the standardized \"Three Fixed Elements and Four Dedicated Processes\" operational plan.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on the MDT outpatient services at the Children's Hospital of Fudan University and Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, from 2018 to 2025.</p><p><strong>Results: </strong>During the study period, MDT outpatient services at two pediatric hospitals showed substantial growth, serving 15,813 patients with complex and rare conditions. Annual service volume increased from 304 to 5,174, and the number of MDT clinics expanded from 13 to 53, reflecting enhanced service capacity and efficiency. Specialty coverage developed in three phases, incorporating core clinical departments and integrated supportive services. Operational consistency was maintained through a \"Three Fixed Elements and Four Dedicated Processes\" framework, with performance monitored via a five-dimension management system tracking clinic volume, protocol standardization, expert participation, record quality, and patient satisfaction.</p><p><strong>Conclusion: </strong>The management model effectively enhances multidisciplinary focus, strengthens outpatient clinic construction, and facilitates continuous patient management and successful interdisciplinary collaboration. The study demonstrates the model's success in building a scalable, standardized, and patient-centered MDT system for pediatric complex care.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"599215"},"PeriodicalIF":2.4,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13075498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690618","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 Perioperative Care Strategy for Prevention of Postoperative Delirium in Elderly Patients with Gastrointestinal Tumors: A Clinical Observational Study.","authors":"Chang Xie, Xia Yang","doi":"10.2147/JMDH.S581689","DOIUrl":"https://doi.org/10.2147/JMDH.S581689","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the association of a comprehensive perioperative care strategy on postoperative delirium (POD) incidence and perioperative recovery in elderly patients undergoing surgery for gastrointestinal tumors. This institutional pathway extended routine ERAS care by incorporating a nurse-led, protocolized multicomponent bundle specifically targeting modifiable delirium precipitants across the perioperative period.</p><p><strong>Methods: </strong>This retrospective study included 260 elderly patients scheduled for elective radical resection for gastric or colorectal cancer between January 2023 and December 2024. Patients were categorized into a conventional care group (control, n = 130) and an enhanced perioperative care group (enhanced care, n = 130). POD incidence and severity within 7 days after surgery were assessed using the Delirium Rating Scale-Revised-98 (DRS-R-98). Secondary outcomes included sleep quality (Pittsburgh Sleep Quality Index, PSQI), melatonin levels, cognitive function (Mini-Cog), activities of daily living (Barthel index), inflammatory and stress biomarkers (CRP, IL-6, cortisol), and recovery parameters [time to first ambulation, first flatus, hospital stay, and Quality of Recovery-15 (QoR-15) scores].</p><p><strong>Results: </strong>Compared with the control group, the enhanced care group showed significantly lower POD incidence and severity (P < 0.05). Patients managed under the enhanced care protocol also had lower PSQI scores, fewer nocturnal awakenings, higher melatonin levels, better Mini-Cog performance, and higher Barthel index scores (P < 0.001). Postoperative CRP, IL-6, and cortisol levels were also lower in this group (P < 0.05). In addition, time to first ambulation, first flatus, and hospital stay were significantly shorter, whereas QoR-15 scores were significantly higher (P < 0.001).</p><p><strong>Conclusion: </strong>In this retrospective cohort, comprehensive perioperative care was associated with lower POD incidence and severity, better sleep, cognitive and functional recovery, and reduced stress and inflammatory markers. Due to the study's retrospective design, findings may be influenced by unmeasured confounders; prospective studies are needed to confirm these results.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"581689"},"PeriodicalIF":2.4,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674338","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":"Culturally Tailored Education Interventions to Enhance Diabetes Self-Management: A Systematic Review of Randomised Controlled Trials.","authors":"Linda Widiastuti, Tuti Pahria, Hartiah Haroen, Yulia Sofiatin","doi":"10.2147/JMDH.S591652","DOIUrl":"https://doi.org/10.2147/JMDH.S591652","url":null,"abstract":"<p><strong>Background: </strong>Cultural disparities in type 2 diabetes mellitus (T2DM) care contribute to suboptimal self-management and poor glycemic outcomes among ethnic minority populations. Culturally tailored diabetes self-management education and support (DSMES) interventions have emerged as a strategy to improve disease outcomes by aligning educational content with patients' beliefs, language, and traditional practices. This systematic review evaluates the effectiveness and core cultural components of culturally adapted DSMES interventions.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed, Scopus, EBSCOhost, and Taylor & Francis using PRISMA 2020 guidelines. Randomized controlled trials (RCTs) involving culturally tailored DSMES for adults with T2DM were included. Study quality was appraised using the Joanna Briggs Institute (JBI) checklist. Data were extracted and synthesized narratively.</p><p><strong>Results: </strong>A total of 14 high-quality RCTs met the inclusion criteria, representing diverse cultural groups including Latino, Black-British, Chinese, Pakistani immigrant, Iranian, and Korean American populations. Interventions incorporated culture through native-language delivery, traditional dietary guidance, family and community engagement, and culturally aligned behavioral support delivered via (I) traditional face-to-face or (II) technology-based interventions. Across the included studies, culturally tailored interventions were associated with statistically significant improvements in several diabetes self-management outcomes, including self-management behaviors, self-efficacy, diabetes knowledge, and psychosocial well-being, in many intervention groups compared with controls. Clinical outcomes also improved in several trials, most notably through significant reductions in HbA1c levels.</p><p><strong>Conclusion: </strong>Culturally tailored DSMES effectively enhances both behavioural and clinical outcomes in ethnically diverse populations with T2DM. Integrating cultural values, traditional diet, language, and community support strengthens patient engagement and optimizes the intervention's impact. Future studies should emphasise long-term follow-up, cost-effectiveness evaluation, and standardized reporting of cultural adaptation components to support wider implementation and scalability.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"591652"},"PeriodicalIF":2.4,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674343","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":"Video-Based Skill Assessment for Postoperative T-Tube Nursing is Associated with Improved Clinical Outcomes and Patient Satisfaction: A Single-Center Retrospective Comparative Study.","authors":"Bo Zhang, Yanran Li, Hui Zhao","doi":"10.2147/JMDH.S590108","DOIUrl":"https://doi.org/10.2147/JMDH.S590108","url":null,"abstract":"<p><strong>Background: </strong>Ensuring standardized competencies in T-tube management is pivotal for optimizing recovery and minimizing postoperative morbidity. Despite its growing use in clinical training, the impact of structured video-based skill assessments on nursing practice has not been clearly defined.</p><p><strong>Methods: </strong>We conducted a retrospective comparative analysis at Xingtai People's Hospital, enrolling adult inpatients who underwent T-tube placement between January 2019 and December 2023. Participants were stratified according to whether their primary nurse had completed a formal video-based assessment of T-tube care. Primary endpoints were T-tube retention time distribution and length of postoperative hospital stay. Tube-related complications were analyzed as secondary/exploratory outcomes. Secondary endpoints included patient satisfaction, internal nursing quality indicators, and nurse-reported confidence. Intergroup comparisons were performed using independent-sample <i>t</i> tests and chi-square tests, with significance set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>Among 200 eligible patients, 80 were retrospectively classified into the video-based assessment (VBA) group and 120 into the traditional clinical assessment (TCA) group according to the credentialing status of the primary nurse responsible for T-tube care at the time care was delivered. The VBA group exhibited a more concentrated retention time distribution (42.1 ± 3.6 vs 44.8 ± 6.2 days; <i>P</i> < 0.001) and a shorter postoperative hospital stay (5.8 ± 1.2 vs 6.2 ± 1.5 days; <i>P</i> = 0.02). Tube-related complications were numerically fewer in the VBA group (6.3% vs 10.8%), with significantly lower infection rate (2/80 [2.5%] vs 8/120 [6.7%]; Fisher's exact test, P = 0.04), while rates of accidental dislodgement and blockage did not differ significantly. Patient satisfaction scores and internal nursing quality ratings were consistently superior in the VBA group across all assessed domains (all <i>P</i> < 0.01).</p><p><strong>Conclusion: </strong>Implementation of structured video-based nursing assessments was associated with more standardized T-tube retention time, shorter hospitalization, a lower observed rate of local infection and enhanced patient-reported and nursing quality outcomes. Given the retrospective observational design and routine staffing-based (non-random) nurse assignment, these findings should be interpreted as associations rather than causal effects. Complication endpoints were infrequent, and safety-related differences require confirmation in larger prospective studies. Integrating video-based evaluation into routine nursing competency frameworks may represent a scalable quality-assurance strategy for postoperative T-tube management and warrants confirmation in prospective, preferably randomized or mixed-method, studies.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"590108"},"PeriodicalIF":2.4,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674348","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 Prehabilitation-Based Individualized Dietary Guidance on Nutrition and Short-Term Quality of Life in Locally Advanced Gastric Cancer Patients Undergoing Surgery: A Single-Center Randomized Controlled Trial.","authors":"Qi-Hong Gu, Jin Zhou, Jia-Ru He, Yu Hou","doi":"10.2147/JMDH.S587091","DOIUrl":"https://doi.org/10.2147/JMDH.S587091","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To evaluate the effect of individualized dietary guidance based on the prehabilitation concept on nutritional outcomes and quality of life (QoL) in patients with locally advanced gastric cancer (LAGC) undergoing surgery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This is a single-center randomized controlled trial (RCT). Patients who underwent radical gastrectomy following neoadjuvant therapy were included at the First Affiliated Hospital of Soochow University between January 2023 and October 2025 and randomly assigned to either the control group or the intervention group. Both groups received standard perioperative care. The control group received nutritional support, while the intervention group received individualized dietary guidance based on the Patient-Generated Subjective Global Assessment (PG-SGA) in combination with the prehabilitation concept. Nutritional parameters [albumin (Alb), prealbumin (PA), and hemoglobin (Hb)] and Prognostic Nutritional Index (PNI) were assessed at preoperative baseline and postoperative day 5-7 (before discharge). Quality of life (QoL) was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) at baseline and 3 months post-intervention. Postoperative safety and short-term outcomes, including length of stay (LOS), complications (classified by Clavien-Dindo grade), mortality, and readmission within 3 months, were also recorded.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 120 patients were eligible for the study between January 2023 and October 2025, of whom 72 were approached and enrolled (response rate: 60%), with 36 in each group. Compared with the control group, the intervention group showed significantly better nutritional indices after the intervention. In contrast, the control group showed significant decreases in PNI (52.64±4.98 vs 43.28±4.73), Alb (42.87±4.73 vs 36.67±6.28 g/L), PA (229.12±39.43 vs 179.32±32.72 mg/L), and Hb (134.92±21.63 vs 113.54±18.21 g/L), whereas no significant within-group changes were observed in the intervention group. EORTC QLQ-C30 scores for all functional domains (except cognitive functioning and financial difficulties) significantly increased, while scores for all symptom domains and single items (except financial difficulties) significantly decreased in both groups. Following the intervention, the intervention group demonstrated significantly higher PNI (51.21±5.27 vs 43.28±4.73, &lt;i&gt;P&lt;/i&gt;&lt;0.001) and peripheral blood levels of Alb (40.78±6.91 vs 36.67±6.28 g/L, &lt;i&gt;P&lt;/i&gt;=0.01), PA (223.83±37.32 vs 179.32±32.72 mg/L, &lt;i&gt;P&lt;/i&gt;&lt;0.001), and Hb (129.93±20.74 vs 113.54±18.21 g/L, &lt;i&gt;P&lt;/i&gt;=0.001) compared with the control group. Additionally, the intervention group had significantly higher scores in four of the five functional domains (physical function: 56.84±4.37 vs 51.73±4.02, &lt;i&gt;P&lt;/i&gt;&lt;0.001; emotional function: 57.63±4.82 vs 53.82±4.77, &lt;i&gt;P&lt;/i&gt;=0.001; role function: 64.93±3.76 vs 59.","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"19 ","pages":"587091"},"PeriodicalIF":2.4,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674333","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}