Journal of Community Health Nursing最新文献

{"title":"Randomized Control Trial on Internet-Based Self-Management of Arteriovenous Fistula in Hemodialysis Patients.","authors":"Lian-Shun Jin, Hui-Ling Lv, Li-Na Li, Ying-Ai Jin","doi":"10.1080/07370016.2024.2389970","DOIUrl":"10.1080/07370016.2024.2389970","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the impact of incorporating internet-based resources and popular science workshops on self-care management among hemodialysis patients with arteriovenous fistula.</p><p><strong>Design: </strong>A randomized controlled trial involving 110 hemodialysis patients with arteriovenous fistula, randomly assigned to either the experimental or control group.</p><p><strong>Methods: </strong>The experimental group received self-management training utilizing internet resources and interactive workshops, while the control group received conventional health education methods. After the intervention, the self-management proficiency of both groups was assessed, including comprehension of arteriovenous fistula-related information, satisfaction levels, self-care abilities, engagement in functional exercises, quality of life, and other relevant factors.</p><p><strong>Findings: </strong>Patients in the experimental group exhibited significantly greater proficiency in arteriovenous fistula self-management knowledge, higher levels of patient satisfaction, enhanced self-management abilities, improved functional exercise performance, and better overall quality of life compared to those in the control group (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>The combination of internet resources and popular science workshops presents a novel and promising approach for educating and promoting self-care management among hemodialysis patients with arteriovenous fistula. This method holds potential for widespread dissemination and implementation in science education.</p><p><strong>Clinical evidence: </strong>The study demonstrates the tangible benefits of integrating internet-based resources and popular science workshops into self-management training for arteriovenous fistula among hemodialysis patients, as evidenced by improved knowledge, satisfaction, abilities, exercise performance, and quality of life in the experimental group compared to the control group.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"35-42"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989490","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":"Effects of Sitting Baduanjin Exercises on Cognitive Function, Attention, and Muscle Strength among Patients with Mild Cognitive Impairment.","authors":"Yu-Ting Tsai, Hsiang-Ping Wang, Chia-I Tsai, Shu-Hui Yeh, Li-Wei Lin, Ming-Tsung Lee","doi":"10.1080/07370016.2024.2413576","DOIUrl":"10.1080/07370016.2024.2413576","url":null,"abstract":"<p><strong>Purpose: </strong>Sitting Baduanjin exercises can be effective in treating mild cognitive impairment (MCI). However, evidence on effectiveness of sitting Baduanjin exercises is lacking. This study investigated the effects of sitting Baduanjin exercises on cognitive function, attention, and muscle strength in patients with MCI.</p><p><strong>Design: </strong>Quasi-experimental.</p><p><strong>Methods: </strong>The participants were assigned to the experimental (<i>n</i> = 12) or comparison group (<i>n</i> = 12). The experimental group performed sitting Baduanjin exercises three times weekly for 40-50 minutes per session for 12 weeks, while the comparison group maintained their usual routine and attended health-related education. The two groups' cognitive function and attention were assessed through a questionnaire and their muscle strength was measured at weeks 0, 9, and 13.</p><p><strong>Findings: </strong>The experimental group showed significant improvements in cognitive function, attention, and muscle strength in the right shoulder anterior flexor; however, the left shoulder anterior flexor group showed no obvious improvements.</p><p><strong>Conclusion: </strong>Sitting Baduanjin exercises feature simple actions, are convenient, and have positive effects on improving cognitive function, attention, and muscle strength in patients with MCI.</p><p><strong>Clinical evidence: </strong>Baduanjin exercises are suitable for long-term community frontline care services. Early intervention with this exercise program may prevent healthy older people or those with health issues from progressing to dementia.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"54-69"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480187","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":"Health Literacy and Attitudes Towards Childhood Epilepsy.","authors":"Burcu Cengiz, Gulendam Karadag","doi":"10.1080/07370016.2024.2425005","DOIUrl":"10.1080/07370016.2024.2425005","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate the public attitudes toward childhood epilepsy and the effects of health literacy and some sociodemographic variables on these attitudes.</p><p><strong>Design: </strong>It is a descriptive and cross-sectional study.</p><p><strong>Methods: </strong>The study was carried out with 311 individuals. Data were collected through face-to-face interviews with individuals using the Sociodemographic Characteristics Information Form, The Childhood Epilepsy Attitude Scale (CEAS), and the Health Literacy Scale (HLS). The data were evaluated using percentage and number, student t-test, One Way Anova, and hierarchical linear regression analysis.</p><p><strong>Findings: </strong>The mean CEAS score of the participants was 43.61 ± 7.86 and the mean HLS score was 100.19 ± 17.90. According to the CEAS subscale/total score averages, no statistically significant difference was found between the variables of gender, family type, having children, family history of epilepsy, and history of epilepsy in one's close circle (<i>p</i> > .05).</p><p><strong>Conclusions: </strong>It was concluded that participants' attitudes toward childhood epilepsy were positive, and that this attitude was affected by variables such as educational status, witnessing individuals having epileptic seizures, and health literacy.</p><p><strong>Clinical evidence: </strong>It is recommended that health professionals organize training programs to increase public understanding of childhood epilepsy and improve individual attitudes toward the condition. Community health nurses can play an important role in raising awareness about childhood epilepsy. Community healthcare centers may be advised to include the issue of childhood epilepsy in their awareness programs.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"43-53"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631992","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":"Exploring Robotic Nursing: A Comprehensive Systematic Review of Socially Assistive Robots within the Healthcare Professions.","authors":"Manisha Mistry","doi":"10.1080/07370016.2024.2436886","DOIUrl":"https://doi.org/10.1080/07370016.2024.2436886","url":null,"abstract":"<p><strong>Purpose: </strong>The objective is to evaluate empirical literature on Socially Assistive Robots (SARs) in nursing, identifying strengths, weaknesses, and avenues for future research and practice. This article explores studies investigating robotic applications in healthcare, specifically nursing.</p><p><strong>Design: </strong>The systematic review using PRISMA guidelines includes 19 relevant studies from Medline, PubMed, and Cochrane, presenting insights into the potential of SARs in addressing patients' mental health and well-being.</p><p><strong>Methods: </strong>The eligibility criteria for this review included publications from 2015 to 2024, full-text articles employing either qualitative or quantitative methodologies, articles written in English, and those published in peer-reviewed academic journals. Excluded were single-case studies, unpublished theses or dissertations, and studies not published in peer-reviewed journals. The search employed the terms \"robotic nursing\" and \"future,\" utilizing Medical Subject Headings (MeSH) terminology for precise retrieval.</p><p><strong>Findings: </strong>The current literature has limitations in generalizability, breadth, and quantification of health-related outcomes. Areas of exploration, including diverse robot types, therapies, and geographical contexts, offer promising directions for future research.</p><p><strong>Conclusions: </strong>The article concludes that although SARs show promise in healthcare, particularly in nursing, more comprehensive research is needed to establish their efficacy across a wider range of applications and settings.</p><p><strong>Clinical evidence: </strong>Current studies indicate that SARs may play a valuable role in supporting patients' mental health and well-being, though further investigation is required to determine their broader impact and effectiveness.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-14"},"PeriodicalIF":0.8,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781878","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":"Build It and They Will Come: Interdisciplinary Wellness Clinics in Low-Income Senior Housing.","authors":"Barbara Resnick, Nicole Brandt, Sarah Holmes, N Jennifer Klinedinst","doi":"10.1080/07370016.2024.2388043","DOIUrl":"10.1080/07370016.2024.2388043","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to describe the first 4 months of implementation of the University of Maryland Interdisciplinary Wellness Clinic (UM-IWC). The UM-IWC provided health care services that are difficult for older adults in low-income senior housing communities to access.</p><p><strong>Design: </strong>This was a descriptive study including four low-income communities.</p><p><strong>Methods: </strong>Measures included health information, participation, and services provided.</p><p><strong>Findings: </strong>A total of 165 residents were seen (44%). The residents were mostly female (80%), Black (63%), and non-Hispanic (83%), with an average age of 77 years. We provided 253 patient visits with 98 residents seen once, 38 twice, 19 three times, and 10 four times. Visits included 165 intake assessments, 61 immunizations, 193 blood pressure checks, 28 foot care treatments, 12 cerumen removals, 12 completions of advance directives, 14 Annual Wellness Visits, and 3 home visits for acute medical problems.</p><p><strong>Conclusions: </strong>There was strong engagement of the residents, and we were able to provide a large number of services that were not easily accessible to these individuals. Future work will focus on increasing and maintaining the engagement of residents and sustainability of the clinics.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"213-225"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918001","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":"Effects of Exclusive Breastfeeding Duration on Pneumonia Occurrence and Course in Infants Up to 6 Months of Age: A Case-Control Study.","authors":"Yu-Lan Kang, Qing-Xiang Zheng, Xiao-Qian Chen, You-Cheng Huang, Fan Zheng","doi":"10.1080/07370016.2024.2367541","DOIUrl":"10.1080/07370016.2024.2367541","url":null,"abstract":"<p><p>We aimed to analyze the effects of exclusive breastfeeding duration on the occurrence and course of pneumonia in infants aged up to 6 months. Prospective case-control study. This study was conducted from August 2020 to August 2022 at a maternity and child health hospital in China. A total of 218 infants up to 6 months of age with pneumonia were included in the analyses. Health data were obtained using a hospitalization information system or an interview-based questionnaire. Univariate and multivariate logistic regression analyses were performed to analyze the data. The incidence of pneumonia, hospitalization duration, and costs to participants were significantly affected by the duration of exclusive breastfeeding (<i>p</i> < 0.01). The incidence of pneumonia among participants with different exclusive breastfeeding durations also differed significantly (<i>p</i> < 0.01). The shorter the duration of exclusive breastfeeding, the higher the incidence of pneumonia among infants. We found that the longer the exclusive breastfeeding duration in infants up to 6 months of age, the lower the recurrence of pneumonia, the shorter the hospital stay, and the lower the hospital costs. The rate of exclusive breastfeeding for infants up to 6 months of age should be increased as much as possible to reduce the occurrence of pneumonia and hospital costs.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"256-264"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441089","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":"A 13-Year Trend Analysis of HIV Epidemiology in the Philippines (2010 to 2022).","authors":"James Montegrico, Jung-Min Lee, Janet Alexis A De Los Santos","doi":"10.1080/07370016.2024.2365146","DOIUrl":"10.1080/07370016.2024.2365146","url":null,"abstract":"<p><strong>Purpose: </strong>This article describes the trends and contributing factors in the human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome (AIDS) epidemiology in the Philippines from 2010 to 2022. This is the first trend analysis of the Philippine HIV/AIDS situation.</p><p><strong>Design: </strong>Using time trend research design, 13-year longitudinal epidemiological data were collected and analyzed to present a dynamic perspective of the Philippine HIV/AIDS epidemic.</p><p><strong>Methods: </strong>Secondary data analysis of HIV surveillance public documents from 2010 to 2022 was conducted. The Centers for Disease Control's socioecological model was used to guide the literature and interpretation of findings. Frequency, percentage distribution, and Sieve-bootstrap t-test for linear trends were used to analyze the results.</p><p><strong>Findings: </strong>There is an increased trend in HIV incidence, late diagnosis, and AIDS-related mortality in all geographical regions in the country from 2010-2022. The majority of HIV cases are males, ages 25-34, and reside in the nation's capital. Increased HIV incidence among overseas workers, sex workers, and HIV-positive blood products were noted.</p><p><strong>Conclusion: </strong>Trends in Philippine HIV epidemiology are contrary to global trends. Community-based HIV prevention programs targeting specific high-risk populations are needed.</p><p><strong>Clinical evidence: </strong>Community health nurses in the Philippines play a critical role in reversing the rising trend of HIV/AIDS. They are positioned to lead targeted education and prevention programs for high-risk groups using the socioecological model to implement community-based strategies that address factors contributing to the epidemic. Their efforts in early detection and linkage to care are essential in reducing late diagnosis and AIDS-related mortality.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"226-240"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428229","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":"Effectiveness of a Community-Based Ostomy Nursing Technique to Enhance the Delivery of Patient Care and Quality of Life.","authors":"Lichao Bao, Hong Jin, Xiaoyue Lu, Feifei Wang","doi":"10.1080/07370016.2024.2370833","DOIUrl":"10.1080/07370016.2024.2370833","url":null,"abstract":"<p><p>This study aimed to develop and validate a community-based ostomy care training program for nursing staff, with the goal of enhancing their ostomy nursing competencies and improving patient satisfaction. Between March 2021 and October 2021, 20 registered nurses and 50 patients with enterostomy surgery who took part in the promotion of a new nursing technique in five community health service centers in the Wuxing District, Huzhou City, were enrolled in this study (forming the intervention group). In addition, 15 registered nurses and 40 patients with enterostomy surgery from four community health service centers with similar economic and health conditions in the same area were randomly selected as the control group. All community health service centers were independent institutions. The indexes before and after the promotion of the technique were compared, and the effectiveness of the training was evaluated by observing the improvement in nursing skills and changes in patient quality of life after the training. The \"quality-of-life scale\" was used to analyze the quality of life of patients who had undergone colostomy surgery. The new approach to ostomy care delivered in a community setting was found to improve staff knowledge and skill in ostomy care (<i>p</i> < 0.001), improve the quality-of-life scores of patients and reduce patient travel time and medical expenses. The promotion of ostomy nursing techniques in community health service centers has several benefits. It improves the ostomy nursing skill levels of community medical staff. This reduces the occurrence of ostomy complications. Additionally, it establishes an effective connection between tertiary hospitals and community health service centers. This connection is conducive to better nursing care for patients who have undergone ostomy surgery. The hospital - community - family nursing model can improve self-management abilities and reduce the incidence of complications of enterostomies.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"241-255"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565082","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":"Learning Outcomes of Flipped Classroom on Community Health Nursing Course.","authors":"Tsai-Hsiu Chang, Yu-Cheng Hsu","doi":"10.1080/07370016.2024.2389964","DOIUrl":"10.1080/07370016.2024.2389964","url":null,"abstract":"<p><strong>Purpose: </strong>To improve the quality of community health nursing practice, the learning outcomes of nursing students in community health nursing courses must be enhanced. Although the flipped classroom is considered an effective innovative teaching strategy, evidence of its application in community health nursing courses is limited. Therefore, this study aimed to examine the effects of a flipped classroom approach on community nursing competence, academic performance, course engagement, and learning satisfaction for a community health nursing course.</p><p><strong>Design: </strong>A quasi-experimental study design was adopted between September 2021 and January 2022.</p><p><strong>Methods: </strong>Two classes of nursing students (<i>n</i> = 92) from a 2-year nursing program at a university in Taiwan were recruited. The classes were randomly assigned to the intervention group (<i>n</i> = 50) that attended a flipped classroom and the control group (<i>n</i> = 42) that received traditional lecture-based instruction.</p><p><strong>Findings: </strong>Compared with the control group, the intervention group demonstrated significantly greater improvements in community nursing competence (<i>p</i> = .012) and significantly higher academic performance (<i>p</i> = .005). In addition, the course engagement and learning satisfaction of the two groups were high, but not significantly different.</p><p><strong>Conclusions: </strong>A flipped classroom can be an important strategy to enhance community nursing competence and academic performance.</p><p><strong>Clinical evidence: </strong>The flipped classroom strategy can enhance community nursing competence of nursing students, which may improve the quality of population-based healthcare.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"265-272"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989489","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":"Help-Seeking Preferences and Influencing Factors Among Chinese Nurses Exposed to COVID-19: A Person-Centered Approach.","authors":"Zhihong Wu, Wei Shi, Yueran Chen, Sarah R Lowe, Jiahe Liu","doi":"10.1080/07370016.2024.2314076","DOIUrl":"10.1080/07370016.2024.2314076","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore help-seeking preference categories and crucial influencing factors among community nurses exposed to COVID-19 in China using a new person-centered approach.</p><p><strong>Design: </strong>A cross-sectional design including an online self-reported questionnaire survey was used.</p><p><strong>Methods: </strong>A total of 667 nurses who participated in COVID-19 prevention and control work were recruited. Latent class analysis and logistic regression were used to analyze the data using Mplus and SPSS.</p><p><strong>Findings: </strong>Two latent classes of help-seeking preferences were identified: high help-seeking preferences (33.58%) and low help-seeking preferences (66.42%). Most sampled nurses had relatively low help-seeking preferences when facing psychological threats during COVID-19. Logistic regression showed that career duration, perceived social support, online help-seeking intention, and social media exposure negatively affected low help-seeking preferences.</p><p><strong>Conclusions: </strong>Career duration, perceived social support, online help-seeking intention, and social media exposure could be key factors influencing help-seeking preferences among Chinese nurses exposed to public emergencies. It is necessary to implement relevant intervention measures, such as focusing on nurses whose career durations are shorter, improving nurses' perceived social support, strengthening positive media publicity, and developing comprehensive online mental health services that promote nurses' help-seeking preferences and behaviors to reduce mental illness during public health emergencies.</p><p><strong>Clinical evidence: </strong>Help-seeking preferences are relatively low among Chinese nurses during public emergencies. Based on the major influencing factors of help-seeking preferences, including social support and social media exposure, more interventions must be developed for prompting psychological help-seeking intentions among Chinese nurses.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"273-285"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139898368","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}