Journal of Community Health Nursing最新文献

{"title":"Mobile Health Solutions for Breast Cancer: A Resource for Community Health Nurses in Awareness Promotion and Quality Assessment.","authors":"Surekha Sakore, Seeta Devi, Prachi Jadhav","doi":"10.1080/07370016.2025.2498917","DOIUrl":"https://doi.org/10.1080/07370016.2025.2498917","url":null,"abstract":"<p><p>This study aimed to evaluate breast cancer (BC) prevention mHealth apps using MARS and the APPLICATIONS framework to recommend effective tools for community health nurses.</p><p><p>In June 2024, we searched Google Play and Apple Store for BC apps.</p><p><p>Two independent reviewers downloaded and evaluated the identified apps using a multimodal assessment approach to determine their quality.</p><p><p>The Mobile Application Rating Scale (MARS) score was 3.06 ± 0.85, and the APPLICATIONS framework score was 5.47 ± 0.83. Top-rated apps, \"Breast Advocate\" and \"Breast Cancer Manager,\" excelled. The overall rating based on 16 specific statements assessing screening information accuracy was 8.42 ± 0.64.</p><p><p>Community health nurses are recommended to use good quality mobile apps to educate women on BC prevention.</p><p><p>Mobile applications play a crucial role in raising awareness about BC prevention and promoting regular BC screening, ultimately increasing early detection and reducing mortality rates.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-16"},"PeriodicalIF":0.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On Track to Wellness: Nurse-Led Public Health Education for Children.","authors":"Leigh Ann Bray, Janet Brown","doi":"10.1080/07370016.2025.2503232","DOIUrl":"https://doi.org/10.1080/07370016.2025.2503232","url":null,"abstract":"<p><strong>Purpose: </strong>To improve the health outcomes of children through the implementation of On Track to Wellness.</p><p><strong>Design: </strong>A repeated cross-sectional study design with a community-based participatory approach.</p><p><strong>Methods: </strong>On Track to Wellness is a nurse-led, health education program delivered to at-risk populations to simultaneously provide community health experience for nursing students and active health education for children . Children completed the Kids Activity and Nutrition Questionnaire (KAN-Q) and Perceived Stress Scale for Kids (PeSSKi). Parents completed the Behavior and Attitudes Questionnaire for Healthy Habits (BAQ-HH).</p><p><strong>Findings: </strong>Children were ages 5-11 and over 20% had a BMI ranked as overweight or obese. The BAQ-HH (75%) and KAN-Q (41%) showed that per day children drank 2 or more sugary drinks (70%) and had 2 or more hours of screen time (40%). PeSSKi revealed that over 40% of children reported feeling helpless when a problem occurred, and approximately 40% had difficulty calming down. Parents reported the following barriers to family health: 1) affordability of healthy food, 2) ineligibility for food stamps, and 3) sugar. They reported the need for assistance with : 1) nutrition education, 2) limiting screens, 3) ability to buy healthy food and 4) safe places to work out with their children.</p><p><strong>Conclusions: </strong>This program: 1) educated children on healthy habits surrounding nutrition, fitness, stress management, and prevention of accidental poisonings and 2) provided nursing students with experience in delivering public health interventions in the community.</p><p><strong>Clinical evidence: </strong>This program can be widely implemented through partnerships between nursing schools and surrounding communities.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-8"},"PeriodicalIF":0.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-Acute Sequelae of COVID-19 (PASC) Symptoms Associated with Deteriorated Quality of Life in a Community Sample of Individuals Reporting Previous SARS-CoV-2 Infection.","authors":"Judith M Burnfield, Natalie A Williams, Fang Yu, Jihyun Ma","doi":"10.1080/07370016.2025.2487702","DOIUrl":"https://doi.org/10.1080/07370016.2025.2487702","url":null,"abstract":"<p><strong>Purpose: </strong>To understand the impact of post-acute sequelae of COVID-19 (PASC) on quality of life (QOL) in a Midwestern community sample.</p><p><strong>Design: </strong>Anonymous online cross-sectional community survey.</p><p><strong>Methods: </strong>Survey responses collected July 2023-October 2024 were examined from 1,564 individuals reporting prior COVID-19 positive test or diagnosis. Logistic regressions and sensitivity analyses using subset of data were conducted to identify symptoms significantly associated with perceived Current QOL (determined by \"Taking everything in your life into account, please rate your current overall QOL\") and Deteriorated QOL (i.e., Current QOL rated lower than QOL prior to SARS CoV-2 infection).</p><p><strong>Findings: </strong>Current QOL was predicted by pre-infection QOL and more frequent experiences of work/school difficulties, challenges with shopping/cleaning/driving/meal-prep, anxiety, depression, fatigue/tiredness, light headedness/fainting/rapid heartbeat episodes, and diminished activity/exercise tolerance (C-statistic = 0.84). Compared to the full dataset's primary analyses, sensitivity analysis revealed all identified predictors except three physical symptoms remained significant Current QOL predictors. Deteriorated QOL after SARS-CoV-2 infection was predicted by pre-infection QOL, and more frequent experiences of work/school difficulties, diminished activity/exercise tolerance, anxiety, depression, trouble completing daily activities, fatigue/tiredness, and slow mental processing (C-statistic = 0.85). In contrast, sensitivity analysis revealed frequency of SARS-CoV-2 infection, pre-infection QOL, and more frequent challenges with shopping/cleaning/driving/meal-prep were the only significant predictors of Deteriorated QOL.</p><p><strong>Conclusions: </strong>PASC negatively impacted QOL. Pre-infection QOL may influence perceived post-infection QOL.</p><p><strong>Clinical evidence: </strong>Results make a compelling case for community nurses to identify PASC, rule-out underlying medical causes, and refer patients for interdisciplinary post-COVID rehabilitation to improve health outcomes and QOL.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-18"},"PeriodicalIF":0.8,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I Felt Supported, Empowered, and Encouraged\": Early Findings from a Community Initiative to Strengthen and Support Families Through the First 1,000 Days of Life.","authors":"Amanda Terry, Chelsea Arnold, Zackery White, Mary O'Connor, Halima Ahmadi-Montecalvo","doi":"10.1080/07370016.2024.2430242","DOIUrl":"10.1080/07370016.2024.2430242","url":null,"abstract":"<p><strong>Purpose: </strong>Evaluation of the First 1,000 Days Suncoast Family Navigation program aimed to (1) describe the social needs of families in Southwest Florida and (2) measure the program's impact on client-reported mental health and social support outcomes.</p><p><strong>Design: </strong>A multi-method design was employed, including quantitative data collected through an online social care referral network and longitudinal surveys, supplemented by qualitative key informant interview data.</p><p><strong>Methods: </strong>A convenience sample of 538 parents who submitted online assistance request forms to First 1,000 Days between August 2020 and January 2024 were included. Phone surveys were conducted from October 2022 to October 2023 with a subset of individuals (n=33) at three timepoints: (1) initial intake; (2) 30 days; and (3) 60 days after receiving assistance. Key informant interviews were conducted (n = 20) to explore the themes of parental coping and resilience.</p><p><strong>Findings: </strong>Parents reported statistically significant improvements in concrete and social support networks. We observed an average reduction in perceived stress scores of 3.88 points by 30 days and of 4.82 points by 60 days post intervention. The number of unhealthy mental health days per month was reduced from 9.9 to 6.0 days per month.</p><p><strong>Conclusions: </strong>Social care technology paired with family navigation support demonstrates the potential for long-term impact on the quality of life, well-being, and self-sufficiency.</p><p><strong>Clinical evidence: </strong>These early results make a compelling case for incorporating social care coordination services into clinical practice to achieve improved patient outcomes.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"71-80"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining Adults' Attitudes towards Cancer Screening, Information Load, and Mythical Causes of Cancer.","authors":"Fatma Zehra Genç, Zeynep Saçıkara, Nesime Demirören, Kübra Sultan Dengiz, Dilek Cingil, Filiz Hisar","doi":"10.1080/07370016.2024.2409447","DOIUrl":"10.1080/07370016.2024.2409447","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the attitudes of adults presenting to primary care services toward cancer screening, information overload, and mythical causes of cancer.</p><p><strong>Design: </strong>Descriptive and correlational type study.</p><p><strong>Methods: </strong>The research was conducted face-to-face with 702 adults. The data were collected using a personal information form, the Attitude Scale for Cancer Screening, Cancer Information Overload Scale, and Cancer Awareness Measure Mythical Causes Scale, and evaluated using multivariate analysis of variance.</p><p><strong>Findings: </strong>It was determined that adults with chronic diseases, who did not have sufficient information about cancer, who did not have cancer screening, and who thought that cancer was a disease that could not be prevented, had low scores on attitudes towards cancer screening. It was found that adults who were male, literate, had no cancer screening and thought that cancer was an unpreventable disease had a high cancer knowledge burden. Adults who thought that cancer was an unpreventable disease and did not know the causes of cancer had a high rate of mythical causes of cancer.</p><p><strong>Conclusions: </strong>It was determined that adults' attitudes toward cancer screening were negative, information overload was moderate, and awareness was at a low level.</p><p><strong>Clinical evidence: </strong>Health promotion and promotion strategies should be developed to increase cancer screening and awareness for these groups, public awareness campaigns should be organized, and evidence-based structured interventions should be implemented. These recommended practices can positively influence adults' attitudes towards cancer screening, enable them to manage cancer information effectively, and help them understand the proven causes of cancer.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"122-134"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Effectiveness of WeChat-Based Continuing Care Services on Maternal Parenting Competence.","authors":"Ping Wang, Yueying Chen, Jing Li, Xiuhua Xu","doi":"10.1080/07370016.2025.2449871","DOIUrl":"10.1080/07370016.2025.2449871","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of WeChat-based continuing care services in enhancing maternal parenting competence.</p><p><strong>Design: </strong>This study included 524 primiparas who underwent obstetrics department from June 2022 to June 2023. 286 women were assigned to the intervention group, receiving WeChatbased continuing care services, while 238 women were assigned to the control group, receiving traditional care services.</p><p><strong>Methods: </strong>Key measures included neonatal health metrics, maternal caregiving knowledge, the incidence of postpartum depression, and self-25 efficacy scores.</p><p><strong>Findings: </strong>The intervention group showed significantly shorter neonatal jaundice duration (p = 0.005), reduced incidence of newborn adverse reactions such as diarrhea and eczema (p < 0.05), and higher maternal selfefficacy scores in both skills and inner activities (p < 0.01). Postpartum 30 depression was lower in the intervention group (p = 0.002). There was no significant difference in the duration of umbilical cord detachment, breastfeeding practices or maternal satisfaction with hospital care between groups. Knowledge of newborn care was improved in the intervention group (p < 0.01).</p><p><strong>Conclusions: </strong>WeChat-based continuing care services enhanced maternal 35 self-efficacy, knowledge, and reduced postpartum depression.</p><p><strong>Clinical evidence: </strong>WeChat-based continuing care services demonstrates promising potential in enhancing maternal parenting competence..</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"135-146"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training Community Health Workers to Respond to Public Health Demands.","authors":"Tsu-Yin Wu, Jenni L Hoffman, Sarah Lally, Brian Hartl, Tracy Malinowski-Fahner, Renuka Roche, Vicki L Washington, Jeanne Yang","doi":"10.1080/07370016.2024.2403555","DOIUrl":"10.1080/07370016.2024.2403555","url":null,"abstract":"<p><strong>Background: </strong>Community health workers (CHWs) connect individuals to community resources and build individual competence in an effort to improve overall community/public health. There is a need for more research on how community health nurse (CHN)-led training programs are needed to help train and support CHWs.</p><p><strong>Purpose: </strong>The purpose was to describe the development and evaluation of a series of CHN-led CHW trainings on CHW role, boundaries, and motivational interviewing; diabetes; mental health and long COVID; sexually transmitted infections; and lead poisoning prevention and treatment.</p><p><strong>Design: </strong>This study utilized a one-group pretest-posttest design in which quantitative and qualitative data were collected.</p><p><strong>Methods: </strong>The sample consisted of CHWs representing White/Caucasian, Black/African American, Hispanic/Latinx, and Asian American populations who for each topic, completed a pretest one week prior to the training, the training, and a posttest one week after the training. The quantitative and qualitative data collected during winter and spring/summer 2023 underwent statistical and thematic analysis, respectively.</p><p><strong>Findings: </strong>The results suggest that the CHW trainings were effective overall at increasing participants' knowledge and confidence in their knowledge levels, as well as comfort with educating community members on various public health topics. Information learned and found most helpful, and application and utilization plans for this knowledge in their work were revealed.</p><p><strong>Conclusions: </strong>CHWs are important for disseminating health communication and education among members of their communities, and play a key role in reducing health disparities among at-risk populations.</p><p><strong>Clinical evidence: </strong>CHN-led educational intervention is a strategy to improve CHWs' knowledge, confidence, and comfort.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"109-121"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Texas Dance for Health: Mixed Methods Pilot Study Promoting Physical Activity Among Older Adults.","authors":"Pamela J Frable, Teresa L Wagner, Bobbie D Bratton, Carol J Howe","doi":"10.1080/07370016.2024.2416957","DOIUrl":"10.1080/07370016.2024.2416957","url":null,"abstract":"<p><strong>Purpose: </strong>Regular physical activity is essential for healthy aging. Less than 25% of older U.S. adults meet physical activity recommendations. The primary aim of Texas Dance for Health (D4H) was to determine whether older adults could achieve recommended aerobic physical activity intensity by dancing. Secondary aims were (1) determining participants' attendance and enjoyment and (2) building a community-academic partnership.</p><p><strong>Design: </strong>RE-AIM was the design framework for this mixed methods, nurse-facilitated, 8-week pilot study in the Spring of 2023. Weekly sessions comprised check-in, mini-lessons, dancing, and data collection. Participants danced sitting, standing, or both.</p><p><strong>Methods: </strong>We divided each participant's pulse rate by maximum aerobic capacity to determine weekly activity intensity. Participants completed Physical Activity Enjoyment and Rating of Perceived Exertion scales after each session. Nurses collected attendance data and facilitated Table Talks (Weeks 4 and 8) to explore participants' enjoyment and solicit feedback for improving and sustaining Dance for Health (D4H). Observations and field notes provided data regarding time, cost, logistics, and overall feasibility.</p><p><strong>Findings: </strong>Across eight weeks, 68 to 84% of participants reached target heart rates. Nearly one-quarter of participants attended all sessions, with 65.7% attending <u>></u> 5 sessions. At Week 8, the mean enjoyment score was 6.7 of 7. No adverse consequences occurred. Partners and participants identified strategies for sustainability.</p><p><strong>Conclusions: </strong>D4H was an enjoyable way for older adults to reach recommended aerobic physical activity intensity. Feasible in costs and logistics, D4H design addressed key barriers to older adult physical activity.</p><p><strong>Clinical evidence: </strong>Dancing is an effective multicomponent fitness intervention for community dwelling older adults.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"81-93"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies for Influenza Outbreak Management in a US Residential Summer Camp Communal Housing: A Comparative Analysis of Targeted Antiviral Prophylaxis.","authors":"Sandra D Shapiro, Michelle DeDeo, Amber Barnes","doi":"10.1080/07370016.2025.2452164","DOIUrl":"10.1080/07370016.2025.2452164","url":null,"abstract":"<p><strong>Background: </strong>Previous research has underscored the efficacy of individual control strategies in mitigating influenza spread within communal settings; however, the unique dynamics of residential summer camps-characterized by close contact and high social interaction-present distinct challenges for outbreak management.</p><p><strong>Purpose: </strong>The purpose of this study was to evaluate and compare the effectiveness of two targeted antiviral prophylaxis protocols using oseltamivir in controlling influenza outbreaks within a residential youth camp, aiming to provide evidence-based insights for optimizing outbreak management in communal settings with high social interaction.</p><p><strong>Design: </strong>This retrospective study analyzed the progression of influenza outbreaks in a residential youth camp using two antiviral prophylaxis protocols with oseltamivir. Time-series models assessed outbreak dynamics, and descriptive statistics characterized camp cohorts to evaluate the effectiveness of mass chemoprophylaxis (2022 Protocol) versus more rapidly deployed chemoprophylaxis (2023 Protocol).</p><p><strong>Methods: </strong>We used descriptive statistics to define the camp cohorts and time-series models to analyze the outbreak's progression under each protocol.</p><p><strong>Findings: </strong>In 2022, oseltamivir was widely distributed after the outbreak began, likely resulting in a reduced but ongoing spread. In 2023, targeted use of oseltamivir early in the outbreak significantly reduced transmission within the camp.</p><p><strong>Conclusion: </strong>The study demonstrated oseltamivir's efficacy in reducing influenza transmission and emphasized the importance of rapid intervention in communal settings, offering valuable insights for optimizing outbreak management.</p><p><strong>Clinical evidence: </strong>Early intervention with oseltamivir was more effective in controlling the outbreak than a later intervention. Targeted use of oseltamivir, focusing on individuals exposed to the virus, was shown to be beneficial.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"94-108"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Role of Emotional Self-Efficacy in the Relationship Between the Number of Medications and Psychological Distress Among Older Adults with Chronic Illness.","authors":"Huoba Li, Cheng Cheng","doi":"10.1080/07370016.2025.2477446","DOIUrl":"https://doi.org/10.1080/07370016.2025.2477446","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to examine the associations between the number of medications, emotional self-efficacy, and psychological distress in older adults with chronic illness.</p><p><strong>Design: </strong>A cross-sectional study was conducted with a convenience sample of 191 older adults in Anhui, China.</p><p><strong>Methods: </strong>Those participants completed a structured questionnaire that included sociodemographic data, medications, emotional self-efficacy, and psychological distress status. Pearson correlation analysis was used to examine the correlation between study variables. The bootstrap method was employed to analyze the mediating role of emotional self-efficacy.</p><p><strong>Findings: </strong>The results showed that 10.5% and 14.1% of the participants might be experiencing symptoms of anxiety and depression, respectively. Correlation analysis revealed that emotional self-efficacy was negatively correlated with anxiety and depression. The results showed that emotional self-efficacy partially mediated the relationship between the number of medications and depression, accounting for 51.9% of the total effect. Additionally, emotional self-efficacy partially mediated the relationship between the number of medications and anxiety, accounting for 50.8% of the total effect. However, a suppressor effect was established for the relationship between the number of medications and polypharmacy-related psychological distress.</p><p><strong>Conclusions: </strong>The findings suggested that emotional self-efficacy might play an important role in the relationship between the number of medications and psychological distress in Chinese older adults with chronic illness.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-14"},"PeriodicalIF":0.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}