Journal of Multidisciplinary Healthcare最新文献

{"title":"Application of Fan Therapy in Alleviating Dyspnea.","authors":"Yayuan Tan, Gaosheng Zhou, Xueli Li, Zhaohui Zhang, Fu Ni, Min Liu","doi":"10.2147/JMDH.S520222","DOIUrl":"https://doi.org/10.2147/JMDH.S520222","url":null,"abstract":"<p><p>Fan therapy has been shown to alleviate dyspnea effectively. Given its cost-effectiveness, safety, and ease of implementation, this review examines the concept and evolution of fan therapy, its mechanisms of action, implementation methods, applications across various patient populations, and its current advantages and limitations, providing a reference for the management of dyspnea symptoms.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2263-2269"},"PeriodicalIF":2.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030231","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 and Predictive Model for Stress Hyperglycemia After Cardiac Surgery in Non-Diabetic Patients.","authors":"Mengli Zhang, Jinyan Wu, Lulu Wang, Hui Huang, Huan Duan, Fang Xue","doi":"10.2147/JMDH.S515269","DOIUrl":"https://doi.org/10.2147/JMDH.S515269","url":null,"abstract":"<p><strong>Objective: </strong>To create and verify a model that predicts the risk of stress hyperglycemia (SHG) in patients without diabetes after cardiac surgery.</p><p><strong>Design: </strong>Retrospective analysis.</p><p><strong>Methods: </strong>This retrospective analysis analyzed patients without diabetes post cardiac surgery at our hospital between June 2020 and December 2023. The 333 patients from June 2020 to June 2022 constituted the developmental sample and the 162 patients from July 2022 to December 2023 constituted the testing sample.</p><p><strong>Results: </strong>Of 495 patients, 356 (71.9%) developed SHG. Multivariable analysis identified hyperlipidemia, coronary artery bypass grafting (CABG), hypertension, blood transfusion, body mass index (BMI) ≥28 kg/m², and hyperoxia during cardiopulmonary bypass (PaO₂≥300mmHg) as significant factors influencing SHG in patients without diabetes after cardiac surgery. The goodness-of-fit test for the risk prediction model based on these factors showed X² = 0.85, P = 0.588. The area under the receiver operating characteristic curve (AUC) for the modeling group was 0.85, with a maximum Youden index of 0.579, an optimal cutoff value of 0.637, a sensitivity of 83.4%, and a specificity of 74.5%. For the external validation group, the AUC was 0.805, with a Youden index of 0.704, 82.6% sensitivity, and 87.8% specificity, and a diagnostic value of 0.839.</p><p><strong>Conclusion: </strong>Hyperlipidemia, CABG, hypertension, blood transfusion, BMI ≥28 kg/m², and hyperoxia during CPB (PaCO₂≥300mmHg) are significant risk factors for SHG in patients without diabetes following cardiac surgery. The model constructed based on these factors can effectively predict the risk of SHG, providing a basis for early intervention measures reduce the incidence of this condition.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2247-2262"},"PeriodicalIF":2.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997275","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 Systematic Review of Mendelian Randomization in Spontaneous Miscarriage.","authors":"Shiqing Xiang, Yi Jiang, Fangxiang Mu, Hong Wu, Nian Zhang","doi":"10.2147/JMDH.S515367","DOIUrl":"https://doi.org/10.2147/JMDH.S515367","url":null,"abstract":"<p><p>Spontaneous miscarriage (SM) is a common pregnancy complication. Although clinical factors are associated with SM, establishing causality is challenging. Mendelian randomization (MR) helps evaluate the causal effects of exposure variables. This study systematically reviewed 31 MR studies performed in SM, identifying causal relationships between SM and smoking, obesity, insomnia, rheumatoid arthritis, and immune-related factors. Smoking initiation and insomnia were identified as risk factors for SM. Coffee consumption showed no causal association with SM risk. Inconsistent evidence was reported for alcohol intake, BMI, depression, and RA regarding their causal relationships with SM. Smoking initiation, specific cytokines (eg, IL-12, TNF-β), and immune cells (eg, CD4+ T cells) demonstrated causal associations with the number of SM. Notably, key SNPs like rs13261666 and rs7127595 played significant roles in MR analyses due to their strong genetic associations with risk factors. Future research should further investigate the mechanistic pathways linking these genetic variants to SM, aiming to provide precise guidance for clinical prevention and treatment. Additionally, inconsistencies in MR results may stem from differences in data sources, SNP selection criteria, and statistical methodologies, indicating the importance of improving data consistency and standardizing analytical approaches in future research.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2237-2246"},"PeriodicalIF":2.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12025826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971789","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 an Indicator System for Evaluating Clinical Nursing Process Quality Using Mobile Nursing Information Systems.","authors":"Hongyue Ge, Qiao Wang, Sibo Liu, Yanbin Tian, Jie Ma","doi":"10.2147/JMDH.S512781","DOIUrl":"https://doi.org/10.2147/JMDH.S512781","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to develop and validate a standardized indicator system to assess clinical nursing process quality, leveraging a mobile nursing information system to enhance care efficiency and safety.</p><p><strong>Methods: </strong>A Delphi method was employed, with indicator weights assigned via a precedence ordering chart. Data from three distinct clinical departments were analyzed to test the system, focusing on 20 indicators spanning assessment, execution, guidance, and management domains.</p><p><strong>Results: </strong>Both rounds of expert consultation achieved 100% response rates, with high authority coefficients (0.89 and 0.90). Kendall's concordance coefficients indicated moderate agreement among experts (W = 0.21, P < 0.05; W = 0.129, P < 0.05). The mean importance scores for each indicator ranged from 3.85 to 5.00, with coefficients of variation ranging from 0.00 to 0.24. The final system included 4 primary indicators (assessment [weight: 0.438], execution [0.313], guidance [0.125], management [0.125]) and 44 secondary indicators. Significant variations emerged across departments. One department demonstrated significantly lower execution rates for subcutaneous, intradermal, intramuscular, and intravenous injections, nebulization inhalation, oral medication, and intravenous infusion compared to the other two departments (<i>P</i> < 0.05). Similarly, another department exhibited a significantly lower rate of timely submission of blood, urine, stool, and sputum specimens compared to the other departments (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The indicator system developed for evaluating the quality of clinical nursing processes within a mobile nursing information system demonstrated scientific reliability and validity, with appropriately assigned indicator weights. This system shows promise as a potentially effective means of evaluating the quality of clinical nursing processes. Future research could build on the results of this study to further validate the timeliness and objectivity of this indicator system in assessing the quality of the nursing process.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2225-2236"},"PeriodicalIF":2.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12025824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029153","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":"Construction of Fracture Liaison Service Scheme Under Medical Alliance Framework in China: A Modified Delphi Method Study.","authors":"Junye Yu, Lin Su, Lili Feng, Yongjun Li, Lingyan Qiao, Haili Yin, Dan Li, Yanni Lei, Hui Gao","doi":"10.2147/JMDH.S481843","DOIUrl":"https://doi.org/10.2147/JMDH.S481843","url":null,"abstract":"<p><strong>Purpose: </strong>To devise an implementation blueprint for the fracture liaison service (FLS) model within the context of a medical consortium. The FLS is an integrated system designed to identify, register, assess, treat, and monitor patients with osteoporotic fractures. The FLS constitutes a structured intervention strategy to administer standardized care to osteoporotic fracture patients. Its efficacy has been validated through extensive implementation across various countries. However, large-scale intervention research on this model within China is lacking. This investigation endeavors to construct a comprehensive FLS framework and to establish its core performance indicators within the Chinese medical alliance structure.</p><p><strong>Patients and methods: </strong>The research methodology encompassed focus group interviews and a two-phase Delphi process. An initial inventory of FLS implementation elements was compiled through a systematic literature review and focus group discussions. This was followed by a two-step Delphi survey, wherein experts refined the key indicators. The study calculated metrics such as response rate, composite reliability (CR), coefficient of variation, and the Kendall coefficient of concordance to evaluate the indicators.</p><p><strong>Results: </strong>The study involved 17 experts who completed 2 rounds of the Delphi consultation, culminating in a consensus on 2 primary and 8 secondary indicators, encompassing 34 specific indicators. The response rate for the first and second round was 100%, with CR values of 0.871 and 0.882, and Kendall's coefficients of 0.161 and 0.179, respectively (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>This work delineated a robust set of indicators specifically tailored for the FLS schema under the medical alliance framework in China. The rigorous application of the Delphi technique led to a consensus on 34 pivotal indicators, elucidating their relative significance.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2201-2213"},"PeriodicalIF":2.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029079","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":"Diagnosis of Irritant Dermatitis in Colorectal Cancer Postoperative Stoma Patients Using Smartphone Photographs: A Deep Learning Approach.","authors":"Xu Zhang, Wei Xu, Zheng Xu, Henry H Y Tong, Xueping Jiao, Kefeng Li, Zhiwen Wang","doi":"10.2147/JMDH.S515644","DOIUrl":"https://doi.org/10.2147/JMDH.S515644","url":null,"abstract":"<p><strong>Background: </strong>Irritant dermatitis is a common complication among stoma patients, significantly impacting their quality of life. Early diagnosis is essential, but limited access to healthcare and poor self-management skills often delay treatment. This study aimed to assess the effectiveness of two advanced convolutional neural networks (CNNs), ConvNeXt and MobileViT, for the intelligent diagnosis of irritant dermatitis using smartphone-acquired stoma images.</p><p><strong>Methods: </strong>A retrospective observational study was conducted, collecting 825 stoma complication images from five tertiary hospitals in China. Data preprocessing techniques such as resampling and enhancement were used to prepare the dataset. The ConvNeXt and MobileViT models were trained and evaluated based on accuracy, precision, recall, and F1 scores. Optimizers and learning rates were also adjusted to assess model performance.</p><p><strong>Results: </strong>ConvNeXt demonstrated superior performance, achieving an accuracy of 71.4%, precision of 73.6%, recall of 67.1%, and an F1 score of 70.2% with the Adam optimizer and a 0.001 learning rate. MobileViT, despite being more lightweight, did not surpass ConvNeXt, with a maximum accuracy of 64.4%. ConvNeXt excelled in diagnosing irritant dermatitis and normal stoma conditions but showed limitations in recognizing other complications.</p><p><strong>Conclusion: </strong>The ConvNeXt model outperformed MobileViT, indicating that advanced CNNs can effectively assist in the early diagnosis of irritant dermatitis among stoma patients. This could help alleviate the burden on healthcare resources and improve patient outcomes through accessible mobile-based diagnostic tools.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2215-2223"},"PeriodicalIF":2.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015486","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":"Assessment of Variations in HAPS Scores, CaMK II Expression Levels, and Prognostic Outcomes Among AP Patients with Diverse Disease Severities.","authors":"Long Yu, Hong Zhao, Yongpeng Cheng, Zhijian Fang","doi":"10.2147/JMDH.S515125","DOIUrl":"https://doi.org/10.2147/JMDH.S515125","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the differences in Harmless Acute Pancreatitis Score (HAPS), serum Calcium/Calmodulin-dependent Protein Kinase II (CaMK II) expression, and prognosis among patients with acute pancreatitis (AP) of varying disease severities.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on the clinical data of 103 patients with acute pancreatitis (AP) treated at our hospital between April 2022 and April 2024. According to the revised Atlanta classification and the International Consensus on Definitions (2012), patients were divided into Group A (59 cases, mild cases) and Group B (44 cases, severe cases). The HAPS score was calculated using relevant examination data obtained upon admission. Fasting venous blood samples (5 mL) were collected from all subjects on the morning of the second day after admission, and serum CaMK II expression levels were measured using a double-antibody sandwich method. Patients were followed up for three months from the date of admission to record local complications, systemic complications, and mortality. Receiver operating characteristic (ROC) curves were plotted to analyze the predictive value of HAPS scores and serum CaMK II levels for mild AP and patient prognosis.</p><p><strong>Results: </strong>HAPS scores and serum CaMK II levels were assessed at admission. Severe cases showed significantly higher HAPS and CaMK II levels vs mild (P<0.05). ROC analysis demonstrated combined detection (AUC=0.902) outperformed individual markers (HAPS=0.827; CaMK II=0.773) in predicting mild AP. Both biomarkers progressively increased with complication severity (local < systemic < death, P<0.05), showing predictive value (AUC>0.6) for prognosis.</p><p><strong>Conclusion: </strong>HAPS scores and CaMK II expression levels in AP patients show a gradual increase with the severity of the disease, and both can serve as predictive indicators of disease severity and prognosis in AP patients. Moreover, combined detection of these indicators has a higher predictive efficiency than single-item detection.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2193-2200"},"PeriodicalIF":2.7,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004353","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":"Associations Between Total and Regional Fat-to-Muscle Mass Ratio with the Prevalence of Infertility: A Cross-Sectional Study.","authors":"Huan Dong, Ye Liu, Xianjing Wang, Ping Liu","doi":"10.2147/JMDH.S517307","DOIUrl":"https://doi.org/10.2147/JMDH.S517307","url":null,"abstract":"<p><strong>Purpose: </strong>The fat-to-muscle mass ratio (FMR) is a novel anthropometric parameter that integrates the antagonistic effects of fat and muscle mass. The current study aimed to examine the associations between total and region-specific FMR with the prevalence of self-reported infertility in US women.</p><p><strong>Methods: </strong>US women aged 20 to 44 years from the 2013-2018 National Health and Nutrition Examination Survey were included. Total, trunk, arm, and leg FMR were calculated from fat mass and muscle mass in the corresponding body part by dual-energy X-ray absorptiometry. Binary logistic regression, restricted cubic spline analysis and subgroup analysis were primarily used for statistical analyses.</p><p><strong>Results: </strong>Infertility prevalence was 12.77% among the 1958 women included. Arm and leg FMR were not associated with infertility prevalence, while the odds ratio and 95% confidence intervals for infertility by each 0.1 point increase in trunk and total FMR were 1.19 (1.07-1.33) and 1.16 (1.04-1.30), respectively. Restricted cubic spline analysis indicated a positive and linear relationship between trunk or total FMR and infertility prevalence. Subgroup analysis consistently demonstrated that the associations between trunk or total FMR with infertility prevalence were more pronounced in women without a pregnancy history than in those with a pregnancy history. The receiver-operating characteristic curves indicated that the trunk FMR outperformed total, arm, and leg FMR in discriminating infertility from women without infertility.</p><p><strong>Conclusion: </strong>Trunk and total FMR, rather than arm or leg FMR, were associated with an increased risk of infertility in US women, especially those without a prior pregnancy history.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2173-2184"},"PeriodicalIF":2.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030413","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 Multi-Modality Conversation Analysis of Post Expansions Among Physicians in Ambulance: A Qualitative Descriptive Study.","authors":"Yinong Tian, Yixuan Cui, Xin Li, Su Liu, Yonggang Su","doi":"10.2147/JMDH.S508652","DOIUrl":"https://doi.org/10.2147/JMDH.S508652","url":null,"abstract":"<p><strong>Background: </strong>Ambulance communication is essential to emergency medical care, directly influencing patient outcomes, operational efficiency, and multidisciplinary collaboration. Effective communication is key to enabling physicians to treat the patients not the clock. There has been little research carried out in the ambulance setting to identify physicians' communication challenges. The aim of this study was to qualitatively explore its sequence organization in the ambulance interaction through conversation analysis and to improve the clinical education associated with healthcare practice.</p><p><strong>Methods: </strong>Data collection took place within ambulances from an international hospital in China between May 2024 and October 2024. We undertook multi-modal conversation analysis on 10 videos, including 12 physicians, 10 patients and 8 companions, to examine the interaction among participants in the ambulance. Videos were transcripted based on the Jefferson Transcription System.</p><p><strong>Results: </strong>Different from other context, there is a significant variation in the way physicians response to the patients' dispreferred responses in the ambulance. The recurring pattern, the request-dispreferred response-post expansion sequence, in ambulance communication is frequently seen. Physicians employ three hand gestures as effective post-expansions: holding hands, grabbing hands, and lifting hands, to enhance the multiparty coordination and improve the emergency efficiency.</p><p><strong>Conclusion: </strong>This study demonstrates how physicians secure tactical moments and interactional space with patients and companions in the ambulance within the institutional turn-taking mechanism. It furthers the understanding of ambulance physicians' non-verbal behaviour by analyzing the interaction dilemma and provides a new perspective to help healthcare workers avoid the miscommunication and secure good communication in the medical emergency.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2155-2172"},"PeriodicalIF":2.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967936","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":"Analysis of Consistency Between Forensic Psychiatric Evaluation Diagnosis and Previous Clinical Psychiatric Diagnosis: A Retrospective Study.","authors":"Mingchao Li, Yulin Cao, Xiaojun Wang, Lihua Li, Chunxi Wu, Xianyun Yi, Kechu Wang, Haibo Zheng, Yi Liu, Zijun Xiong, Jifen Gong, Qiuming Ji","doi":"10.2147/JMDH.S506609","DOIUrl":"https://doi.org/10.2147/JMDH.S506609","url":null,"abstract":"<p><strong>Objective: </strong>Currently, there are situations where there is discordance between the identified diagnosis and the previous clinical diagnosis for psychiatric identification, causing extensive discussion. Therefore, the purpose of this study is to systematically analyze the consistency between forensic psychiatric identification diagnosis (referred to as identification diagnosis) and previous psychiatric diagnosis (referred to as previous diagnosis) in criminal cases.</p><p><strong>Methods: </strong>Using a retrospective study design, 78 criminal cases evaluated as having no mental illness by the Forensic Evaluation Department of Wuhan Mental Health Center in 2021-2022 were selected as research subjects. Diagnostic agreement was evaluated using the kappa coefficient.</p><p><strong>Results: </strong>(1) Among 78 cases, 43 had a history of mental illness, with a prevalence rate of 55.13%; (2) The evaluation diagnosis was consistent with the previous diagnosis in 12 cases (27.91%) and inconsistent in 31 cases (72.09%), with Kappa=0.243 (P<0.05), indicating poor consistency; (3) Schizophrenia (21 cases, 48.84%) and mood disorders (14 cases, 32.56%) were the most common in previous diagnoses; (4) Evaluation diagnoses were mainly no mental illness (38 cases, 48.72%) and physiological passion (8 cases, 10.26%).</p><p><strong>Conclusion: </strong>In criminal cases where the forensic evaluation diagnosis is no mental illness, the consistency between the evaluation diagnosis and the previous diagnosis is low, which is closely related to the differences in thinking patterns and assessment focus between forensic evaluation and clinical diagnosis. It is recommended to strengthen the standardized construction of forensic evaluation and improve the quality of evaluation.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"2185-2192"},"PeriodicalIF":2.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970263","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}