Journal of Multidisciplinary Healthcare最新文献

{"title":"Cultural Influences of Early Food Introduction on Exclusive Breastfeeding Rates in the Nias Islands, Indonesia.","authors":"Cashtri Meher, Fotarisman Zaluchu","doi":"10.2147/JMDH.S478448","DOIUrl":"10.2147/JMDH.S478448","url":null,"abstract":"<p><strong>Background & aims: </strong>Despite the WHO and UNICEF recommending exclusive breastfeeding for the first six months of a child's life, global coverage remains low, with only about 44% of infants receiving exclusive breastfeeding during this period. In Indonesia, particularly in the Nias Islands, which have high stunting rates, social and cultural dimensions significantly influence this practice. This study aims to explore in depth the social dimensions behind early infant feeding practices. By understanding these social issues, effective interventions can be developed in the future.</p><p><strong>Methods: </strong>This study was conducted in three remote villages in the Nias Islands using a qualitative approach. The research locations were selected based on District Health Office data about areas with low exclusive breastfeeding coverage or high stunting rates. In each location, the village midwife assisted in identifying and selecting suitable informants for the study. Data were collected through in-depth interviews with 15 mothers, Focus Group Discussions (FGD) with three groups of mothers, and interviews with village midwives and community leaders to understand the influence of social norms and cultural factors. The data were analyzed using thematic analysis.</p><p><strong>Results: </strong>The findings indicate that the low knowledge about the benefits of exclusive breastfeeding, along with socio-cultural perceptions supporting early food introduction, significantly influence this practice. This study also reveals that social pressure and entrenched cultural norms, including the roles and expectations of women, play a significant role in the early introduction of food before six months of age.</p><p><strong>Conclusion: </strong>This study identifies that the combination of inadequate knowledge and a strong socio-cultural landscape contributes to the low prevalence of exclusive breastfeeding in the Nias Islands. This situation necessitates more targeted educational strategies and the inclusion of social and cultural elements in promoting exclusive breastfeeding.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"5653-5663"},"PeriodicalIF":2.7,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769723","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 and Attitudes of Secondary Schools ‎students Towards Premarital Screening and Counseling in Taiz, Yemen.","authors":"Saleh Zaghir Mohammed Alhetar, Soheir Ibrahim Sobhy, Fatma Mohamed Nasr El-Din Shuaib, Sameer A Alkubati, Mohamed A Zoromba, Heba E El-Gazar, Mahmoud Al-Areefi, Talal Ali Hussein Alqalah, Mohamed Awad Elkarim Mohamed Ibrahim, Duria Hassan Merghani Mohamed, Waled A M Ahmed","doi":"10.2147/JMDH.S493409","DOIUrl":"https://doi.org/10.2147/JMDH.S493409","url":null,"abstract":"<p><strong>Background: </strong>Premarital screening and counseling (PMCS) is a preventive measure for genetic, infectious, and blood-transmitted diseases. This study aimed to assess secondary school students' knowledge of and attitudes towards PMCS in Taiz City, Yemen.</p><p><strong>Methods: </strong>This study included 306 secondary school students selected through stratified random sampling from six secondary schools representing three directorates in Taiz city, Yemen. Researchers used two validated tools, students' knowledge and attitudes about the PMCS which were adopted from previous studies, to collect the necessary data. The data were analyzed using the SPSS software. Descriptive analysis was conducted for frequencies and percentages while chi square test was used to identify the relationships between the demographics and knowledge level.</p><p><strong>Results: </strong>Most of the students had a weak knowledge of 58.82%, while 40.52% showed fair understanding. The majority of students (79.09%) displayed a positive attitude towards PMCS, among the students with a positive attitude, 36.93% had fair knowledge, whereas 41.5% of the students had weak knowledge.</p><p><strong>Conclusion: </strong>The study concluded that secondary school students in Taiz lack knowledge and have positive attitudes towards various aspects of premarital screening and counseling. Knowledge deficits were linked to male students, younger academic years, non-engagement, and family history of disease.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"5641-5651"},"PeriodicalIF":2.7,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769739","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 Prevalence, Characteristics, and Factors Associated with Chinese Herbal Medicine Use Among Chinese Middle-Aged and Older Adults with Chronic Lung Disease: A Cross-Sectional Study.","authors":"Hui Tian, Xiaorong Zhu, Hongwang Liu, Yangfang Liao, Kaiwang Cui, Jianping Liu, Xiangwen Gong","doi":"10.2147/JMDH.S478120","DOIUrl":"https://doi.org/10.2147/JMDH.S478120","url":null,"abstract":"<p><strong>Purpose: </strong>Identifying factors that influence Chinese herbal medicine (CHM) use in chronic lung disease (CLD) patients can inform targeted strategies to boost CHM use. However, the prevalence and factors affecting CHM use for treating CLD in middle-aged and older Chinese patients remain understudied. This study aims to examine the prevalence and influencing factors of CHM use among middle-aged Chinese patients with CLD.</p><p><strong>Patients and methods: </strong>The data analyzed in this study were extracted from the China Health and Retirement Longitudinal Study in 2018. A cross-sectional analysis of 2784 participants aged 45 years and older taking CHM for CLD was included, and influencing factors (demographic characteristics, health status, and healthcare service use) predicting the use of CHM for CLD were identified through multivariate logistic regression model.</p><p><strong>Results: </strong>The prevalence of using CHM to treat CLD was 22.4% (624/2784). Compared to participants with CLD who did not use CHM, those with CLD who used CHM were more likely to be female, and non-smoking, non-drinking, purchased insurance (OR=2.35; 95% CI=1.09, 5.04), went to a traditional Chinese medicine hospital (OR=3.5; 95% CI=1.96, 6.25) and self-treatment (OR=1.67; 95% CI=1.33, 2.10), the health status being poor (OR =1.74; 95% Cl=1.18, 2.56), asthma (OR=1.55; 95% Cl=1.16, 2.09) and depression (OR =1.42; 95% Cl=1.14, 1.75). In the additive interaction analysis, patients who tend to self-medicate and with depression were most likely to use CHM (OR=2.52; 95% Cl=1.85, 3.42).</p><p><strong>Conclusion: </strong>A considerable middle-aged and older Chinese patient with CLD uses CHM for treatment. Multiple factors can influence CHM use, particularly self-treatment and depression.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"5629-5639"},"PeriodicalIF":2.7,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769743","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":"Caregiver Burden and Its Associated Factors Among Family Caregivers of Hospitalized Patients with Neurocritical Disease: A Cross-Sectional Study.","authors":"Li Wei, Xingying Zhao, Xiaomei Chen, Yuxuan He, Jia Liu, Jishu Xian, Yanni Yang","doi":"10.2147/JMDH.S492890","DOIUrl":"https://doi.org/10.2147/JMDH.S492890","url":null,"abstract":"<p><strong>Background: </strong> Providing informal care for patients with neurocritical diseases is a challenging job, and family caregivers usually experience psychological distress and high caregiver burden. Previous studies have focused on caregiver burden for patients in the home rehabilitation stage, while few studies investigate caregiver burden among informal caregivers of early postoperative inpatients.</p><p><strong>Objective: </strong>This study aimed to investigate caregiver burden for caregivers of patients with neurocritical diseases during hospitalization and to identify predictive factors related to caregiver burden.</p><p><strong>Methods: </strong>From November 2023 to April 2024, a cross-sectional study was conducted using a convenience sampling method to assess patients with neurocritical disease and their family caregivers. The fundamental data regarding patients and caregivers were examined. Family caregivers were requested to complete the Zarit Burden Interview (ZBI), the Coping Adaptation Processing Scale (CAPS-15), the Chinese Auditory Verbal Learning Test of Huashan Version (AVLT-H), the Multifactorial Memory Questionnaire (MMQ), and the Hospital Anxiety and Depression Scale (HADS-A). The variables associated with caregiver burden were identified through the use of multiple linear regression analyses.</p><p><strong>Results: </strong>300 patients and their family caregivers participated in the study. Predominantly male family caregivers accounted for 55.7%, and the mean age was 46.7 ± 13.1 years. The patients' average age was 52.8 ± 14.3 years, 151 (50.3%) were men, and 153 (50.3%) had brain tumors. The average caregiver burden was 33.94 ± 17.2. Family caregivers of inpatients with neurocritical diseases experienced a mild to moderate caregiver burden. Patients' physical function, caregiver's age, relationship with patients, comorbid chronic disease status, memory function, adaptation level, and anxiety independently predicted caregiver burden, accounting for 66.3% of the total variation.</p><p><strong>Conclusion: </strong>Family caregivers of inpatients with neurocritical diseases experience mild to moderate level of caregiver burden. Tailored early support plans should be developed based on caregivers' characteristics, including anxiety strategies, memory support, communication optimization, and role adjustment, to reduce their burden.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"5593-5603"},"PeriodicalIF":2.7,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769711","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":"Resilience in Chinese Spouses of Patients with Advanced Cancer: A Longitudinal Exploration.","authors":"Haiyan Sun, Siyao Chen, Ayano Nagai, Xi Chen, Yang Qin, Zhiming Wei","doi":"10.2147/JMDH.S491596","DOIUrl":"https://doi.org/10.2147/JMDH.S491596","url":null,"abstract":"<p><strong>Background: </strong>In China, spouses of patients with advanced cancer have reported experiencing psychological distress. However, little attention has been paid to the positive psychological health trajectories of these caregivers, particularly regarding their resilience and the factors influencing its development over time.</p><p><strong>Purpose: </strong>To examine the trajectories of resilience in Chinese spousal caregivers over a nine-month post-treatment period and to identify the basic characteristics associated with these trajectory patterns.</p><p><strong>Methods: </strong>This was a longitudinal, observational study conducted in mainland Chinese between January 2022 and May 2024. A total of 306 spouses of patients receiving cancer treatment were recruited from five local hospitals. Data was collected in four waves: within one month of initial treatment, and then at three-, six-, and nine-month intervals post-treatment. Socio-demographic questionnaires, the Connor-Davidson Resilience Scale, and the Beliefs in Chinese Familism Scale were used to collect data. Growth mixture modeling was employed to determine the various trajectories of resilience, followed by logistic regression analysis to examine the associated factors to predict types of trajectories.</p><p><strong>Results: </strong>Growth mixture modeling showed two distinct trajectories of resilience were identified: an increased group (<i>N</i> = 78, 25.5%) and a stable group (<i>N</i> = 228, 74.5%). The increased group began with a low baseline level (intercept = 46.713) and showed a slight increase over time (slope = 7.505, <i>p</i> < 0.001), while the stable group had a moderate baseline level (intercept = 56.565) and remained stable over time (slope = 0.068, <i>p</i> > 0.05). Those in the stable group were more likely to be female, and to have achieved a middle school level of education, a lower family income, and greater Chinese familism at baseline than those in the increased group.</p><p><strong>Conclusion: </strong>Our findings underscore the importance of tracking the trajectories of resilience and predictors of trajectory patterns among spouses caring for patients with advanced cancer within a specific cultural context. Healthcare providers should provide tailored interventions to enhance resilience in spousal caregivers, considering the trajectory patterns of mental health change.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"5615-5627"},"PeriodicalIF":2.7,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769741","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":"Before and After Covid-19: What Has Changed in HIV Knowledge Level?","authors":"Semiha Çelik Ekinci, Kazım Kıratlı","doi":"10.2147/JMDH.S478185","DOIUrl":"https://doi.org/10.2147/JMDH.S478185","url":null,"abstract":"<p><strong>Introduction: </strong>The most essential way to prevent the transmission of Human Immunodeficiency Virus (HIV), one of the most important communicable diseases, is to enhance public knowledge. Our study aimed to assess whether there were any changes in HIV knowledge following the onset of the Covid-19 pandemic.</p><p><strong>Methods: </strong>In Turkey, information stands were established in Izmir on 1 December 2017 and in public locations in both Istanbul and Izmir on 1 December 2021 to providing education the public about HIV/AIDS. Prior to the educational intervention, a voluntary information survey was administered to 618 people aged 18 and older (149 pre-pandemic and 469 post-pandemic) The questionnaire consisted of seven questions designed to assess participants' knowledge about HIV. Participants were stratified by gender, marital status, and educational status, and responses were compared before and after the pandemic. Patient characteristics were reported as n (percentage) or mean ± SD (standard deviation) for categorical and continuous variables, respectively. Nominal variables were reported as percentages and compared using two-tailed Chi-square or Fisher's test, where appropriate. A p-value of less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Comparing responses to all questions, the correct response rates before and after the pandemic were 57.62% and 73.77%, respectively. The rates for these questions were as follows: 59.29% and 79.63% for females, 47.31% and 78.57% for males; 48.78% and 75.47% for married individuals, 52.08% and 80.89% for single individuals; 39.38% and 56.43% for primary school graduates, 58.13% and 72.24% for secondary school graduates, 52.16% and 85.11% for university graduates, and 41.56% and 83.44% for master's degrees.</p><p><strong>Conclusion: </strong>Compared to the pre-pandemic period, the level of HIV knowledge of the participants increased in the post-pandemic period. The increase in knowledge levels was more significant in men than in women and in single individuals than in married individuals. The greatest difference in terms of education status was observed among those with a master's degree or higher.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"5605-5613"},"PeriodicalIF":2.7,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769708","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":"Embracing Reablement as an Essential Support Approach for Dementia Care in the 21^st Century: A Position Paper.","authors":"Silke F Metzelthin, Jette Thuesen, Hanne Tuntland, Magnus Zingmark, Yun-Hee Jeon, Hanne Kaae Kristensen, Lee-Fay Low, Christopher J Poulos, Jackie Pool, Miia Rahja, Erik Rosendahl, Marjolein E de Vugt, Clarissa Giebel, Maud J L Graff, Linda Clare","doi":"10.2147/JMDH.S484069","DOIUrl":"10.2147/JMDH.S484069","url":null,"abstract":"<p><p>The World Health Organization (WHO) recognizes the right of individuals with dementia and their family caregivers to access interventions that enhance their participation in society. Reablement is an approach that enables older people to participate in meaningful daily and social activities. Over the past decade, a growing body of evidence has underscored reablement as a promising approach within dementia care, including positive outcomes for people with dementia and their family caregivers, and cost-effectiveness. However, the dissemination of knowledge about and practical implementation of reablement remain slow. This position paper, authored by the ReableDEM research network, aims to address key issues related to implementing reablement in dementia care. To expedite the adoption of reablement within dementia care, we propose five critical areas of focus: 1) <i>Changing the attitudes and expectations of stakeholders (eg health and social care staff, policy makers, funders)</i> - encouraging people to think about dementia as a disability from a biopsychosocial perspective; 2) <i>Disrupting health and social care</i> - A radical change is needed in the way services are organized so that they are more holistic, personalized and resource-oriented; 3) <i>Investing in capacity-building and creating a supportive environment</i> - the workforce needs to be trained and supported to implement reablement in dementia care; 4) <i>Involving, educating and supporting family caregivers</i> - services and staff that are equipped to provide reablement will be better able to involve family caregivers and the person's social network; 5) <i>Providing robust evidence about reablement in dementia care</i> by conducting high-quality research with long-term follow-up.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"5583-5591"},"PeriodicalIF":2.7,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11611700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769726","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 Vitamin D and IL-1β on Quality of Life in Pediatric Drug-Resistant Epilepsy.","authors":"Johannes Harlan Saing, Dina Keumala Sari, Supriatmo, Aida Fitri, Muhammad Arief Pratama","doi":"10.2147/JMDH.S493116","DOIUrl":"https://doi.org/10.2147/JMDH.S493116","url":null,"abstract":"<p><strong>Background: </strong>Epilepsy is highly prevalent among children worldwide, making it one of the most common neurological disorders. Drug-Resistant Epilepsy (DRE) significantly impacts the quality of life (QoL) of affected children, attributed to factors such as seizure frequency and severity, low vitamin D levels, comorbidities, radiological abnormalities, and elevated IL-1β levels.</p><p><strong>Objective: </strong>This study aims to identify the factors most significantly affecting the QoL in children with DRE.</p><p><strong>Methods: </strong>This cross-sectional study at Adam Malik Hospital involved children with DRE. Participants' QoL was assessed with the QOLCE-55 score, while epilepsy severity was measured using the HASS score. Vitamin D status was quantified by serum 25-hydroxy vitamin D (25(OH)D) levels, and IL-1β levels were measured using the ELISA method. Multivariate logistic regression analysis using Pearson and Spearman test was conducted to evaluate risk factors that significantly impact the QoL of children with DRE.</p><p><strong>Results: </strong>The findings revealed several factors significantly influencing QoL in children with DRE. Comorbidities (OR = 24.98, p = 0.004, 95% CI) and high IL-1β levels (OR = 8.36, p = 0.022, 95% CI) were strongly correlated and significant factors in determining QoL, indicating 24.98- and 8.36-times higher likelihood of decreased QoL, respectively. Vitamin D levels had no statistically significant effect on QoL.</p><p><strong>Conclusion: </strong>Vitamin D levels have no substantial impact on QoL in children with DRE. IL-1β levels and comorbidities are crucial components affecting QoL in these patients. These findings highlight the importance of considering these factors in the management of children with DRE.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"5571-5581"},"PeriodicalIF":2.7,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769729","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 and Stakeholder Views of Community-Based Allied Health on Acute Care Utilization: A Mixed Methods Review.","authors":"Esther Jie Tian, Priya Martin, Lewis A Ingram, Saravana Kumar","doi":"10.2147/JMDH.S489640","DOIUrl":"10.2147/JMDH.S489640","url":null,"abstract":"<p><p>The aim of this mixed methods systematic review was to synthesize contemporary evidence on effectiveness of community-based allied health (AH) services on acute care utilizations and views from relevant stakeholders. An a priori protocol was registered with PROSPERO [CRD42023437013]. Inclusion criteria were: (a) stand-alone interventions led by practitioners/graduates from one or more target AH professions (audiology, exercise physiology, diabetes educator, nutrition and dietetics, occupational therapy, physiotherapy, podiatry, psychology, social work, and speech pathology); (b) examined acute care utilization-related outcomes with/without perceptions of relevant stakeholders; and (c) published after 2010 and in English. Eligible studies were identified from: (a) bibliographic databases (MEDLINE, Embase, EmCare, PsycINFO, CINAHL complete, and the Cochrane Library) (September 19, 2023); (b) online databases (ProQuest Central and ProQuest Dissertations & Theses Global) and theses repository (Trove) (September 20, 2023); (c) Google and Google Scholar (October 17-18, 2023); and (d) citation searching. A modified version of McMaster Critical Appraisal Tools and McGill Mixed Methods Appraisal Tool were used to assess methodological quality. Data synthesis was through convergent segregated approach. Certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation. There were 67 included papers. The integrated quantitative and qualitative findings demonstrated mixed evidence, likely influenced by the heterogeneity of the evidence base, for the effectiveness of AH services on acute care utilizations. Patients and their carers were largely positive about these services, highlighting opportunities to build on these experiences. The certainty of evidence for patient-important outcomes was however \"very low\", emphasizing cautious interpretation. The findings of this review shed light on the breadth and scope of AH in the community sector, and its potential impact on the acute sector. Further investment in, and ongoing research on, community-based AH can strengthen primary healthcare and relieve pressure on the acute sector.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"5521-5570"},"PeriodicalIF":2.7,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739623","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":"Exploring Stakeholder Perspectives on the Transitional Care Needs of Elderly Patients from Hospital to Home: A Phenomenological Study in Shanxi Province, China.","authors":"Wanling Li, Shufang Shi, Yajie Shi, Xiaofang Feng, Yueqin Li, Yuli Guo, Jiajia Xu, Liping Cui, Mei Wang","doi":"10.2147/JMDH.S484187","DOIUrl":"10.2147/JMDH.S484187","url":null,"abstract":"<p><strong>Background: </strong>Elderly patients, due to their complex medical conditions and extensive care needs, are at risk of experiencing low-quality or fragmented care during transitions between different healthcare settings. After transitioning from hospital to home, inadequate self-care abilities may result in further health deterioration and increased risks of adverse outcomes. Currently, China lacks effective transitional support services from hospital to home, hindering the smooth transition for elderly patients. Therefore, understanding the specific care needs of elderly patients during this period provides a scientific basis for establishing reasonable transitional support services.</p><p><strong>Objective: </strong>This study aims to explore the transitional care needs of elderly patients during the hospital-to-home transition, as perceived by key stakeholders-patients, caregivers, and nurses-using Shanxi Province as a case example.</p><p><strong>Methods: </strong>A descriptive phenomenological method was employed in this study. Purposeful sampling selected 10 elderly patients, 5 caregivers, and 5 nursing staff from a tertiary hospital in Shanxi Province, China, for semi-structured in-depth interviews. The Colaizzi's analysis was used in data analysis.</p><p><strong>Results: </strong>The transitional care needs of elderly patients from hospital to home can be summarized into four themes: the need to enhance self-care abilities, the need for professional guidance, the need for social and psychological support, and the need for healthcare service resources.</p><p><strong>Conclusion: </strong>Elderly patients have diverse care needs during the hospital-to-home transition, which require urgent attention and support. To address these needs, healthcare professionals should conduct comprehensive assessments during the patients' hospitalization, accurately identifying care issues and implementing team-based interventions. By fulfilling these needs, healthcare providers can ensure that elderly patients are well-prepared psychologically, possess sufficient knowledge and self-care skills, and have access to comprehensive support services from hospitals and communities as they transition from professional hospital care to home self-care.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"5457-5471"},"PeriodicalIF":2.7,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11598587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739642","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}