Journal of Multidisciplinary Healthcare最新文献

{"title":"Knowledge, Attitude, and Practice Towards Rehabilitation in Patients with Breast Cancer: A Cross-Sectional Study.","authors":"Yan Zhou, Qin Lu, Xuequn Yu","doi":"10.2147/JMDH.S486270","DOIUrl":"10.2147/JMDH.S486270","url":null,"abstract":"<p><strong>Background: </strong>Research on rehabilitation in breast cancer (BC) patients is scarce. This study explored the knowledge, attitude, and practice (KAP) toward rehabilitation in BC patients who underwent surgery.</p><p><strong>Methods: </strong>This cross-sectional survey study was conducted between August 2022 and February 2023 in eight hospitals in Yixing City, Jiangsu Province. An investigator-designed survey was used to evaluate the participants' KAP toward BC rehabilitation.</p><p><strong>Results: </strong>The analysis included 578 valid surveys. The participants displayed good knowledge, positive attitudes, and proactive practice toward rehabilitation after surgery for BC. The multivariable logistic regression analysis showed that the knowledge scores and attitude scores were independently and positively associated with proactive practice, while age 45-55, age 56-60, ≥ 6 years BC duration, modified radical surgery, and radical surgery were independently and negatively associated with proactive practice (all P < 0.05). The structural equation model revealed a positive direct effect of knowledge on both attitude and practice. In addition, attitudes had a positive direct influence on practice.</p><p><strong>Conclusion: </strong>Patients with BC exhibited favorable KAP rehabilitation after surgery for BC, but targeted education could be needed to enhance specific points of understanding and reinforce proactive engagement in clinical practice.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1483-1492"},"PeriodicalIF":2.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649442","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":"Risk Factors for Cognitive Impairment Following Angiographically Negative Subarachnoid Haemorrhage Around the Midbrain.","authors":"Yingfeng Liu, Zhong Li, Wende Xu, Ziyu Zhao, Wei Zhang, Junlong Wu","doi":"10.2147/JMDH.S487479","DOIUrl":"10.2147/JMDH.S487479","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the risk factors for cognitive impairment caused by angiographically negative subarachnoid haemorrhage (SAH).</p><p><strong>Methods: </strong>This retrospective study employed a convenience sampling method to select patients with negative SAH in the midbrain who were admitted to the neurosurgery department of our hospital between September 2018 and September 2023. A total of 69 patients with angiographically negative SAH were enrolled and divided into the cognitive impairment group (n = 16) and the non-cognitive impairment group (n = 53). General demographic and clinical data were collected, and patients' cognitive function was assessed using the Montreal Cognitive Assessment scale. The risk factors of the cognitive impairment caused by angiographically negative SAH were identified by logistic regression analysis.</p><p><strong>Results: </strong>The results of the univariate analysis showed that there were statistically significant differences (<i>p</i> < 0.05) between the two groups of patients in terms of age, consciousness disorders, history of hypertension, ventricular haemorrhage, concurrent hydrocephalus, Glasgow Coma Scale score, Hunt-Hess grading (≥3) and Fisher grading (≥3). The logistic regression results showed that age (<i>p</i> = 0.031), degree of consciousness impairment (<i>p</i> = 0.023), Hunt-Hess grading (<i>p</i> = 0.019), presence of hydrocephalus (<i>p</i> = 0.002) and presence of ventricular haemorrhage (<i>p</i> = 0.021) were independent risk factors for cognitive impairment after angiographically negative SAH (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Age, degree of consciousness impairment, Hunt-Hess grade (≥3), concomitant ventricular haemorrhage and hydrocephalus are risk factors for cognitive function after angiographically negative SAH.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1473-1482"},"PeriodicalIF":2.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649471","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":"Transition from Hospital to Home-Based Care for Older Adults in Southwestern Uganda: Informal Caregiver's Experiences.","authors":"Judith Owokuhaisa, Matthew O Wiens, Pius Musinguzi, Godfrey Zari Rukundo","doi":"10.2147/JMDH.S495851","DOIUrl":"10.2147/JMDH.S495851","url":null,"abstract":"<p><strong>Background: </strong>The transition from hospital-based to home-based care is a complex and challenging process. In most developing countries, patients transfer directly from hospital to home immediately after stabilizing from acute illness. After discharge, all the patient's care needs are taken over by informal caregivers whose experiences and practices may directly or indirectly impact the quality of patient care as well as the outcomes. This study aimed at exploring the experiences of informal caregivers during the hospital to home transition process of older adults.</p><p><strong>Methods: </strong>We conducted a qualitative exploratory study that used one-on-one interviews to describe individual experiences of care givers of older adults admitted in a clinical care setting. We interviewed caregivers of older adults with diabetes and of hypertension who were admitted at the inpatient department of internal medicine at Mbarara regional referral hospital (MRRH). All audio recorded interviews were transcribed verbatim by the research assistant in the local dialect and back translated into English the official language spoken in Uganda. The study utilized content analysis approach to analyze 23 interviews conducted.</p><p><strong>Results: </strong>Of the 23 participants interviewed, majority were aged between 20 and 40 years and females. Three major themes emerged from the data: informal caregivers' experience during hospitalization, experience during preparation for discharge and experience after discharge.</p><p><strong>Conclusion: </strong>Caregiver experience during hospitalization influences their involvement and compliance with the discharge process which in turn affects their ability to deliver quality post discharge care to the patient. Healthcare systems need to put targeted effort and resources in the discharge process and home follow-up visits to improve home-based care by caregivers. Community-based geriatric care centers can bridge the care gap during transition from hospital to home-based care.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1461-1472"},"PeriodicalIF":2.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649474","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":"Acute Nomophobia and Its Psychological Correlates in Adolescents: An Explanatory Sequential Mixed-Methods Approach.","authors":"Dua'a Fayiz Al Maghaireh, Najah Sami Shawish, Andaleeb M Abu Kamel, Mariam Kawafha","doi":"10.2147/JMDH.S505535","DOIUrl":"10.2147/JMDH.S505535","url":null,"abstract":"<p><strong>Background: </strong>Nomophobia is a recent medical term; it is a combination of \"no-mobile\" and \"phobia\". Nomophobia encompasses feelings of fear, anxiety, and discomfort stemming from the absence of a mobile device or the inability to access one, when necessary, as well as the apprehension of disconnection from the digital realm. It's correlated with many psychological problems.</p><p><strong>Aim: </strong>This study aimed to explore the impact of nomophobia and its psychological correlates, particularly stress, loneliness, and depression, among adolescents.</p><p><strong>Methods: </strong>Explanatory sequential mixed-methods design was used. A sample of 180 students were participated. They completed the Nomophobia Questionnaire, Perceived Stress Scale, Beck Depression Inventory, and UCLA Loneliness Scale, followed by semi-structured interviews with 30 students exhibiting high levels of nomophobia.</p><p><strong>Results: </strong>The study found that the majority of students (76.7%) exhibited high levels of nomophobia, with a higher prevalence among females (78.72%) compared to males (69.76%). Students reported high levels of stress (mean = 32.96, SD = 1.35) and social loneliness (mean = 67.9, SD = 4.17), while depression levels were low (mean = 7.03, SD = 4.1). Female students experienced higher levels of stress and loneliness than their male counterparts. Stress and social loneliness were identified as significant predictors of nomophobia, with positive associations (coefficients: 1.64 and 1.20, respectively) and strong correlations (<i>R²</i> = 0.93 and 0.98, p = 0.01). Depression showed a negative but non-significant association with nomophobia (-0.43, p = 0.06). The qualitative results reveal four major themes: compulsive phone behaviors, emotional issues, health concerns, and behavioral problems.</p><p><strong>Conclusion: </strong>Nomophobia significantly affects the emotional, physical, and social health of students, highlighting the necessity for specific strategies aimed at addressing smartphone addiction and fostering more positive digital behaviors within this age group.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1445-1460"},"PeriodicalIF":2.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670127","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":"Probiotics and Synbiotics: Applications, Benefits, and Mechanisms for the Improvement of Human and Ecological Health.","authors":"Ankita Bhatia, Deeksha Sharma, Jyoti Mehta, Vinoth Kumarasamy, M Yasmin Begum, Ayesha Siddiqua, Mahendran Sekar, Vetriselvan Subramaniyan, Ling Shing Wong, Nur Najihah Izzati Mat Rani","doi":"10.2147/JMDH.S501056","DOIUrl":"https://doi.org/10.2147/JMDH.S501056","url":null,"abstract":"<p><p>This review explores the multifaceted roles and applications of probiotics, emphasizing their significance in maintaining and enhancing host health through microbial interactions. It includes the concept of holobionts and the symbiotic relationships between hosts and their microbiomes, illustrating how various microbiota can enhance immunity, support growth, and prevent diseases. It delves into the customization of probiotics using molecular and genomic techniques, focusing <i>Enterococcus, Bifidobacterium</i>, and <i>Lactobacillus</i> species. Furthermore, it discusses the symbiotic effects of symbiotics which aids in enhancing the survivability and beneficial effects of probiotics. The role beneficial microbes in gut is emphasized, noting its impact on preventing diseases and maintaining a stable microbial community. The potential therapeutic value of probiotics includes the ability to treat gastrointestinal diseases, as well as to strengthen the immune system and reduce the number of free radicals that are present in the body. Additionally, it explores secondary metabolites produced by bacteria in the gut, such as bacteriocins and exopolysaccharides, and their effect on the health of human, particularly in the gastrointestinal tract. The review concludes by addressing the use of probiotics in traditional medicine and their potential in novel therapeutic applications, including the treatment of endangered wildlife species and various human ailments.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1493-1510"},"PeriodicalIF":2.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649468","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":"Understanding the Needs and Wishes of Older Adults in Interprofessional Treatment for Malnutrition and Sarcopenia: A Grounded Theory Study.","authors":"Sandra D Boxum, Sabien H Van Exter, Jan-Jaap Reinders, Hans Drenth, Manon G A Van den Berg, Michael Tieland, Anjo Geluk-Bleumink, Sophie L W Spoorenberg, Evelyn Finnema, Philip J Van der Wees, Niek Koenders, Harriët Jager-Wittenaar","doi":"10.2147/JMDH.S507567","DOIUrl":"https://doi.org/10.2147/JMDH.S507567","url":null,"abstract":"<p><strong>Background: </strong>Malnutrition and sarcopenia impact the physical health and quality of life of community-dwelling older adults. Managing these conditions requires integrating nutritional and exercise interventions delivered by professionals from diverse backgrounds. Interprofessional collaboration holds promise for providing integrated, person-centered care to older adults. However, to tailor such care, it is essential to understand the needs and wishes of older adults, which remain underexplored. This study aimed to understand the needs and wishes of community-dwelling older adults regarding interprofessional treatment for (risk of) malnutrition and sarcopenia.</p><p><strong>Methods: </strong>We conducted a grounded theory study. Data collection involved semi-structured interviews and focus groups with community-dwelling older adults who are undergoing treatment or have been treated for (risk of) malnutrition and/or sarcopenia. We systematically analyzed the data using open, axial, and selective coding and developed a conceptual model.</p><p><strong>Results: </strong>Interviews and focus groups were conducted with 18 older adults. Three selective codes were identified: 1) older adults need to be involved in their interprofessional treatment, 2) older adults need healthcare professionals to be well-informed about their interprofessional treatment, and 3) older adults need collaboration amongst involved healthcare professionals in interprofessional treatment. Our conceptual model addresses the needs and wishes of older adults in relation to interprofessional collaboration. Older adults' needs highlight what is missing, while their wishes offer ways to fulfill these needs.</p><p><strong>Conclusion: </strong>Older adults' need for involvement in interprofessional treatment can be met by engaging them actively in healthcare decisions and as partners to healthcare professionals. The need for well-informed healthcare professionals can be fulfilled by ensuring accessible healthcare information, the prevention of conflicting advice, and the prevention of repeating medical history. Finally, the need for collaboration among healthcare professionals can be fulfilled by healthcare professionals communicating openly and directly and working closely together.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1433-1444"},"PeriodicalIF":2.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649486","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 Differences in Necessary Competencies, Skills, and Performance Abilities Among Thai Board-Certified Occupational Medicine Physicians and Basic Occupational Medicine Certified Physicians.","authors":"Pachara Sasanawin, Vithawat Surawattanasakul, Shewarat Prasan, Kitipong Banomyong","doi":"10.2147/JMDH.S509530","DOIUrl":"10.2147/JMDH.S509530","url":null,"abstract":"<p><strong>Background: </strong>Occupational physicians in Thailand are classified into two groups: Thai board-certified occupational medicine physicians (TBOMPs) and Basic occupational medicine certified physician (BOMCPs). Variations in training duration result in differences in professional competencies. Although national regulations allow both groups to perform similar duties, disparities in training have raised concerns regarding competency, necessitating further investigation.</p><p><strong>Purpose: </strong>To explore the necessary competencies, skills, and abilities to perform in occupational medicine in TBOMPs and BOMCPs.</p><p><strong>Patients and methods: </strong>An analytic cross-sectional survey was conducted using an anonymous online questionnaire distributed via the Redcap platform to TBOMPs end BOMCPs across institutions. The questionnaire was developed based on several standardized sources of core competencies, is divided into three sections, which include: demographic and working conditions, necessary competencies and skills, and abilities to perform in occupational medicine.</p><p><strong>Results: </strong>A total of 216 respondents participated in the study, comprising 58 TBOMPs and 158 BOMCPs. The TBOMPs had a slightly higher proportion of males than the BOMCPs (67.2% vs 53.2%) and a marginally lower mean age (34.84 ± 8.59 vs 37.67 ± 8.69 years). As regards necessary competencies, TBOMPs significantly rated four areas higher than BOMCPs which include diagnosis of work-related diseases (4.57 vs 4.43, p = 0.032), ergonomics (4.38 vs 4.10, p = 0.005), medical surveillance and prevention (4.63 vs 4.48, p = 0.034), and communication skills (4.81 vs 4.57, p = 0.001). Additionally, as regards the abilities to perform, TBOMPs rated all areas higher than BOMCPs except for diagnosing work-related diseases (93.1% vs 81.7%, p = 0.053), and leadership and teamwork (91.4% vs 87.3%, p = 0.481).</p><p><strong>Conclusion: </strong>HRM, communication, teamwork, and leadership are essential competencies and skills. Enhancing training in environmental medicine, revising research methodology instruction, and introducing refresher training sessions in the The Residency Training Program of Occupational Medicine (ROM) and Basic occupational medicine (BOM) curricula are recommended to improve professional practice.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1423-1432"},"PeriodicalIF":2.7,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11899935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615700","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 Effect of The Mindfulness-Based Relaxation, Aromatherapy, and Prayer (RADO) Intervention on Anxiety and Quality of Life Among Children With Cancer.","authors":"Dyna Apriany, Windy Rakhmawati, Aulia Iskandarsyah, Dany Hilmanto","doi":"10.2147/JMDH.S507759","DOIUrl":"10.2147/JMDH.S507759","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluates the effectiveness of a novel mindfulness-based intervention called RADO (Relaxation, Aromatherapy, and Prayer) for reducing anxiety and improving the quality of life in children with cancer.</p><p><strong>Patients and methods: </strong>A quasi-experimental pre- and post-control group design was used. Participants included 66 children with cancer aged 10-17 years, diagnosed with cancer for at least 3 months, currently undergoing treatment, and able to communicate verbally, and recruited from three hospitals in Bandung, Indonesia. The study used consecutive sampling. The intervention group received a seven-day RADO program involving mindfulness-based relaxation, aromatherapy, and prayer. Anxiety and QoL were measured using the Hamilton Rating Scale for Anxiety (HRS-A) and Pediatric Quality of Life Inventory (PEDQL 3.0), respectively. Data were collected at baseline (T0), day three (T1), and day seven (T3). Statistical analysis included repeated ANOVA and independent t-tests.</p><p><strong>Results: </strong>By day seven (T3), the intervention group showed a significant reduction in anxiety (p < 0.001) and improved QoL (p = 0.001) compared to the control group. Repeated ANOVA revealed significant within-group changes in the intervention group across time points, while no significant changes were observed in the control group. Following the intervention, males and a diagnosis of ALL demonstrated slightly higher anxiety scores and quality of life scores than female and those with other cancer types. Additionally, individuals who underwent fewer chemotherapy cycles (<10) showed better outcomes in anxiety and quality of life than those with 10 or more cycles.</p><p><strong>Conclusion: </strong>The RADO intervention significantly reduced anxiety and enhanced QoL among pediatric cancer patients, demonstrating its potential as a culturally tailored MBI for children undergoing cancer treatment. Further research is needed to explore long-term effects and cross-cultural adaptability.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1381-1392"},"PeriodicalIF":2.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11900792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615702","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, Challenges, and Needs of People Living with HIV in Hunan Province, China: A Qualitative Study.","authors":"Chunhong Shi, Xiya Li, Yehua Dai, Ming Chen, Lin Mao, Xinyue Zhou, Yanzhi Lei, Wenxia Yuan","doi":"10.2147/JMDH.S512278","DOIUrl":"10.2147/JMDH.S512278","url":null,"abstract":"<p><strong>Background: </strong>Globally, the human immunodeficiency virus (HIV) epidemic continues to pose significant challenges. In China, the differentiated services delivery (DSD) model has been implemented to improve healthcare for people living with HIV (PLHIV). However, challenges persist in fully implementing and scaling up the DSD model. Given the knowledge gaps and the need for better strategies to support this vulnerable population, our study aimed to explore the experiences, challenges, and needs of PLHIV to inform the development of patient-centered healthcare services.</p><p><strong>Methods: </strong>We employed a qualitative design to interview 20 PLHIV from July 27 to October 13, 2024, in the Infectious Disease Ward at the Second People's Hospital in Chenzhou, Hunan Province. Individual face-to-face in-depth interviews were conducted to collect data. Colaizzi's seven-step analysis method and NVivo 14 was used to analyze the transcripts.</p><p><strong>Results: </strong>The participants, aged 23 to 83 years, had been living with HIV for durations ranging from one month to 19 years. The interview data revealed four themes: (1) the <i>physiological</i> dimension: multi-organ physical symptoms, increased physical vulnerability, and a desire for healthcare guidance; (2) the <i>psychological</i> dimension: emotional distress, inadequate HIV-related knowledge, considerable stigma and discrimination, and a desire for respect and dignity; (3) the <i>societal</i> dimension: huge economic burden, fragile social networks, and a desire for social support; and (4) the <i>spiritual</i> dimension: mixed feelings about death, negative expectations of the future, seeking solace in faith, and a desire for a \"good\" death.</p><p><strong>Conclusion: </strong>PLHIV in this study have undergone complex journeys across physical, psychological, societal, and spiritual dimensions, expressing urgent needs for support from various stakeholders. Our findings highlight the urgency of implementing patient-centered care, enhancing psychological support, reducing discrimination, and providing robust social and spiritual care through stakeholder collaboration to optimize the DSD model and resource allocation.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1405-1421"},"PeriodicalIF":2.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604896","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 a Four-Stage Death Education Model Based on Constructivist Learning Theory for Trainee Nursing Students.","authors":"Yujing Yang, Yue Li, Jia Fu, Dan Guo, Jingjing Xue","doi":"10.2147/JMDH.S500169","DOIUrl":"10.2147/JMDH.S500169","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effectiveness of the four-step death education model based on constructivist learning theory in enhancing the death coping abilities and attitudes of trainee nurses and improving course satisfaction.</p><p><strong>Methods: </strong>Sixty-six trainee nurses from a tumour hospital in Shanxi Province were selected as the study subjects, and a class-experimental research design was adopted, in which the nursing students before the course implementation were taken as the control group and those after the course implementation were taken as the experimental group. Death Attitude Profile Revised Scale (DAP) was used to measure the cognitive attitude of nursing students towards death, and a self-made questionnaire was used to test the satisfaction of nursing students with the curriculum design. Paired sample <i>t</i> test was used to compare the participants before and after the study.</p><p><strong>Results: </strong>Post-course death avoidance score, fear of death score, and escape-orientated death acceptance score of the trainee nurses (all <i>P</i><0.05) were higher than the control group. Neutral death acceptance score (<i>P</i><0.05) was lower amongst the trainee nurses than the control group after the course. It showed that the attitudes towards death of the trainee nurses before and after the course improved in terms of fear and anxiety, sense of avoidance, and neutral acceptance. In the evaluation of the content of the course, the teaching methods of the course, and the teaching results, most of the trainee nurses gave a better evaluation.</p><p><strong>Conclusion: </strong>The four-step death education model based on constructivist learning theory significantly improved the death coping skills and attitudes of trainee nursing students. Although this educational model is still limited, it provides research materials for the future establishment of a systematic death education.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1371-1380"},"PeriodicalIF":2.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597228","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}