Public Health Nursing最新文献

{"title":"Public Health Simulation-Infused Program (PHSIP) for Nursing Education.","authors":"Peggy P Hill, Mindi Anderson, Heather Peralta, Desiree A Díaz","doi":"10.1111/phn.13535","DOIUrl":"https://doi.org/10.1111/phn.13535","url":null,"abstract":"<p><strong>Introduction: </strong>Recent health crises, like COVID-19, have increased the need for nurses with public health competencies, but students lack knowledge and are unconvinced of the importance of the field.</p><p><strong>Methods: </strong>Pre-licensure nursing students (n = 341) engaged with a public health simulation-infused program (PHSIP) that scaffolded throughout the curriculum. Public health knowledge was tested pre- and post-simulation-based education (SBE), and the simulation effectiveness tool-modified (SET-M) was used to evaluate Learners' perception of the SBE experience.</p><p><strong>Results: </strong>Learners' overall mean SET-M scores were 47.1/57 (83%), ranging from 49.5 to 54 out of 57. Post-test knowledge scores were found to be significantly higher than pre-test (p < 0.001), with an average overall mean knowledge score of 70% (±0.25) and an effect size of 0.82.</p><p><strong>Discussion: </strong>Scaffolding public health SBEs across the curriculum allowed continuous exposure to public health content. Lessons learned include the need to chunk pre-SBE training to prevent cognitive overload, and the time and resources needed to create a PHSIP.</p><p><strong>Conclusion: </strong>Nursing educators should embrace the PHSIP curriculum to provide an opportunity for students to gain an appreciation for the field and gain the knowledge, skills, and resources needed to care for the public's health.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034763","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":"Diverse Care Needs Assessment for Older Adults in China: A Latent Profile Analysis Study.","authors":"Junyu Chen, Qing Wang, Zichun Ding, Meng Wang, Lixia Chen, Guihua Xu","doi":"10.1111/phn.13539","DOIUrl":"https://doi.org/10.1111/phn.13539","url":null,"abstract":"<p><strong>Background: </strong>Grasping the nuanced needs of older adults is paramount for the efficacious provision of day-care services. Our study sought to identify the demand patterns for day-care services in China and to explore the underlying factors. This study aims to offer useful evidence that can refine nursing care strategies and guide policy development within day-care settings.</p><p><strong>Methods: </strong>We implemented a comprehensive electronic survey comprising 46 questions targeting older adults across nine day-care centers in Nanjing, China. Employing latent profile analysis (LPA), we systematically examined and categorized the demand characteristics for day-care services. This analysis was conducted using Mplus version 8.3 and SPSS version 26.0 software, ensuring a rigorous and precise methodological approach.</p><p><strong>Results: </strong>Our study involved a comprehensive survey of 1016 older adults. The participants were categorized into three groups based on their demand for day-care services: high demand (n = 127), medium demand (n = 197), and low demand (n = 692). The low-demand group exhibited higher levels of social support and better activities of daily living (ADL) scores compared to their counterparts. Multivariate regression analysis indicated that older adults characterized by male gender, advanced age, higher levels of education, receipt of support from a child, presence of chronic diseases, and lower social support and ADL scores exhibited a statistically significant inclination towards moderate to high demand for day-care services (p < 0.05).</p><p><strong>Conclusion: </strong>The demand for day-care services for older adults in China is intricately influenced by a complex array of interrelated factors. Tailoring service offerings to meet the varied physical and emotional needs of older adults is essential, with a particular focus on health and wellness management in day-care centers.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016701","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":"Social Network Analysis of Self-Management Behavior Among Older Adults With Diabetes.","authors":"Geumbo Ko, Youngshin Song","doi":"10.1111/phn.13537","DOIUrl":"https://doi.org/10.1111/phn.13537","url":null,"abstract":"<p><strong>Objective: </strong>This study explores the influence of social network structures on self-management behaviors among older adults with diabetes in rural Korean villages, focusing on dietary management, physical activity, and blood glucose monitoring.</p><p><strong>Design: </strong>Employing social network analysis (SNA), the study assessed network structures in three villages, focusing on variations in degree, closeness, and betweenness centralities to understand their impact on health behavior dissemination and adoption.</p><p><strong>Results: </strong>The analysis identified significant differences in network configurations across the villages. Village C, characterized by the highest closeness centrality, facilitated the efficient diffusion of health-related information, thereby promoting the rapid adoption of self-management behaviors. In contrast, Village B exhibited a prominent central node with considerable influence, underscoring its potential as a strategic focal point for targeted health interventions.</p><p><strong>Conclusion: </strong>Social network analysis is useful for identifying influential nodes within community structures to enhance chronic disease management strategies. By tailoring interventions to the unique attributes of a community's network, significant improvements in diabetes self-care efficacy can be achieved. This approach presents a scalable and sustainable framework for community-oriented health interventions. It provides a foundation for further research into the structural and functional dynamics of diabetes self-management networks.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016239","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":"Effect of Climate Change and Health Course on Global Warming Knowledge and Attitudes, Environmental Literacy, and Eco-Anxiety Level of Nursing Students: A Quasi-Experimental Study.","authors":"Merve Çolak, Rıdvan Dogan, Selma Dogan","doi":"10.1111/phn.13536","DOIUrl":"https://doi.org/10.1111/phn.13536","url":null,"abstract":"<p><strong>Background: </strong>Climate change is the most important problem that threatens the health of individuals, public health, and health systems on a global scale. The International Council of Nurses emphasizes that nurses should strive to reduce the effects of climate change and help individuals and systems adapt. In addition, it is stated that climate change should be integrated into nursing education curricula and nursing students, who are future healthcare providers, should be prepared to reduce the effects of climate change and promote a healthier environment.</p><p><strong>Aim: </strong>The aim of this study is to examine the effect of the Climate Change and Health course on global warming knowledge and attitude, environmental literacy, and eco-anxiety levels in nursing students.</p><p><strong>Design and methods: </strong>In this study, a pretest-posttest comparative quasi-experimental design type was used. The research was conducted with 117 students taking the \"Climate Change and Health\" course added to the curriculum at the Nursing Department of a private university in Istanbul between February 2023 and June 2023. Data were collected before and after the intervention using the Descriptive Characteristics Form, Global Warming Knowledge Questionnaire, Global Warming Attitude Scale, Environmental Literacy Scale for Adults, and Eco-Anxiety Scale.</p><p><strong>Results: </strong>After taking the Climate Change and Health course, nursing students' global warming knowledge and attitude total scores increased, and a statistically significant increase was detected in the eco anxiety total and behavioral symptoms subscale mean scores. There was no statistically significant change in the Environmental Literacy Scale total and subscale mean scores.</p><p><strong>Conclusions: </strong>It can be stated that the Climate Change and Health course positively improved nursing students' knowledge and attitudes toward global warming and increased their sensitivity about climate change. Nurses, who constitute the most important part of the healthcare workforce worldwide, have an important role in creating a healthy and safe environment and in combating the effects of global warming and climate change. For this reason, in order to train knowledgeable and equipped health professionals on this subject, it is recommended that courses on the effects of climate change, adaptation, and coping with it be added to the nursing curriculum and integrated into all subjects every year to ensure continuity.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015714","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-Promoting Behaviors and Its Relationship With Anxiety, Depression, and Social Support Among Nursing Students in Saudi Arabia: A Cross-Sectional Study.","authors":"Abdulhafith Alharbi, Sameer A Alkubati, Yousef Alshahrani, Eddieson Pasay-An, Ammar Alshara","doi":"10.1111/phn.13533","DOIUrl":"https://doi.org/10.1111/phn.13533","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess the levels and determinants of health-promoting behaviors (HPBs) and their correlations between HPBs, anxiety, depression, and social support among nursing students.</p><p><strong>Design and methods: </strong>A cross-sectional, correlational study was performed from March to June 2024 with 268 nursing students in the College of Nursing at the University of Hail using a self-structured questionnaire. Data were analyzed using t-test, one-way analysis of variance, Pearson's correlation, and multiple stepwise regression.</p><p><strong>Results: </strong>The mean score of nursing students on the HPLP-II scale was 2.60 ± 0.47 overall, with the spiritual growth subscale scoring the highest (3.05 ± 056) and physical activity scoring the lowest (2.25 ± 0.75). More than a quarter of the students were classified into the borderline range for anxiety (28.4%) and depression (26.9%). In comparison, 19.4% and 16% of the students experienced anxiety and depression, respectively. There were significant weak negative correlations between the HPBs and anxiety (r = -0.396; p < 0.001) and between social support and anxiety (r = -0.335; p < 0.001). Likewise, there were significant weak negative correlations between HPBs and depression (r = -0.343; p < 0.001) and between social support and depression (r = -0.313; p < 0.001). In contrast, significant weak positive correlations were observed between HPBs and social support (r = 0.354; p < 0.001) and between anxiety and depression (r = 0.380; p < 0.001). Multiple linear regression analysis of factors affecting HPBs, anxiety, depression, and social support showed that the model was significant for all (p = 0.026, p = 0.005, p < 0.001, p = 0.003, respectively).</p><p><strong>Conclusion: </strong>Although students reported a satisfactory level of HPBs, especially for spiritual growth and social relations, nutrition and physical activity require attention. The presence of anxiety and depression affected a substantial proportion of the students, especially those from lower socioeconomic status, and studying in the early years of the study. Family income, occupation, and education level have been reported to have a significant impact on health outcomes.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016029","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":"Development of Public Health Center-Based Culturally Tailored Hypertension Self-Care Intervention Among Adults in Rural Ghana.","authors":"Kennedy Diema Konlan, Hyeonkyeong Lee, Yeonsoo Jang, Seung Eun Lee, Soyoon Kim","doi":"10.1111/phn.13473","DOIUrl":"https://doi.org/10.1111/phn.13473","url":null,"abstract":"<p><strong>Objectives: </strong>Develop a primary health care-based nurse-led culturally tailored hypertension self-care intervention for rural residents.</p><p><strong>Design: </strong>The culturally tailored hypertension self-care intervention was developed using a six-step intervention mapping approach that involved: needs assessment using literature review and interviews; setting program goals using integrated thematic synthesis method; selecting intervention modules through the process dimension of the self-care theory of chronic illness; producing program components and materials by developing intervention modules using the motivational interviewing and behavior change techniques; planning program adoption by encouraging sustainable behavior; and evaluation using the education content validity index in health and the intervention acceptability, appropriateness, and feasibility scale.</p><p><strong>Measurements: </strong>Education content validity index in health and the intervention acceptability, appropriateness, and feasibility scale.</p><p><strong>Intervention: </strong>The culturally tailored hypertension self-care intervention modules included health literacy, adherence to therapy, continuous monitoring, reduction of the modifiable risk factors of hypertension; self-care management strategies, and strategies for sustaining behavior.</p><p><strong>Results: </strong>The culturally tailored hypertension self-care intervention addresses community-based facilitators and barriers to self-care behavior and ultimately blood pressure control as described in the process dimension of the self-care theory of chronic illness.</p><p><strong>Conclusion: </strong>This culturally tailored hypertension self-care intervention is to be implemented by nurses working in primary health care settings in Ghana where they have direct access to and daily interaction with patients with uncontrolled hypertension.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016646","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":"Traces of Earthquake: Traumatic Life Experiences and Their Effects on Volunteer Nurses in the Earthquake Zone-An Interpretative Phenomenological Study.","authors":"Oya Celebi Cakiroglu, Gamze Tuncer Unver, Suleyman Cakiroglu","doi":"10.1111/phn.13532","DOIUrl":"https://doi.org/10.1111/phn.13532","url":null,"abstract":"<p><strong>Introduction: </strong>It is crucial to understand the effects that traumatic events related to natural disasters have on individuals in as much detail as possible. However, the literature investigating the traumatic life experiences of nurses, who play a key role in disaster management, is still limited.</p><p><strong>Objective: </strong>The aim of this study was to explore in depth the traumatic life experiences of volunteer nurses who participated in relief efforts after two major earthquakes in the southeastern region of Türkiye.</p><p><strong>Methods: </strong>This qualitative study was conducted using a phenomenological design. The study sample consisted of 16 nurses selected by the purposive and snowball sampling methods. The data were evaluated using interpretative phenomenological analysis in the Maxqda 2020 program.</p><p><strong>Results: </strong>Four themes were generated: (1) shocking facts, (2) coping methods, (3) traumatic stress reactions, and (4) traumatic growth.</p><p><strong>Conclusion: </strong>While traumatic life experiences in the earthquake area led to acute stress reactions in the volunteer nurses, these experiences also contributed to their traumatic growth and development. Healthcare managers and policymakers should develop comprehensive strategies and intervention programs to safeguard the mental health of nurses in the context of natural disasters. It may also be useful to improve clinical education programs and support systems by reviewing international policies and procedures.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016309","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":"Impact of Heat and Mitigation Strategies on Healthcare Professionals: A Scoping Review.","authors":"Kate Freire, Elyce Green, Latitia Kernaghan, Kathryn Castelletto, Julie Ann Schubert","doi":"10.1111/phn.13534","DOIUrl":"https://doi.org/10.1111/phn.13534","url":null,"abstract":"<p><strong>Background: </strong>Rising global temperatures and increased use of personal protective equipment has led to increased risk of heat stress amongst healthcare professionals. This review synthesizes recent research on the impact of heat and heat mitigation strategies on healthcare professionals across disciplines and settings.</p><p><strong>Method: </strong>Databases were systematically searched using keywords and data from included studies were extracted for content analysis.</p><p><strong>Results: </strong>Among 15 eligible studies, 13 investigated the impact of heat stress on healthcare professionals. Six investigated mitigation strategies. Most studies utilized survey methodology and were related to the use of personal protective equipment during the recent pandemic. Large proportions of healthcare professionals reported high levels of thermal discomfort and preferred a cooler temperature in the workplace. The most commonly reported heat strain symptoms included sweating, fatigue, thirst, and poor or reduced concentration. Investigation of mitigation strategies has thus far focused on individual strategies with little insights gained into organizational support or heat policy.</p><p><strong>Conclusions: </strong>Supporting healthcare professionals to manage the impact of heat stress has received little attention in the literature. Mitigation strategies have thus far focused predominantly upon individual strategies. Future studies should adopt a more comprehensive approach to investigating healthcare professional's experiences, investigating all levels of controls.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016238","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":"Prevalence and Risk Factors of Cognitive Impairment in COPD: A Systematic Review and Meta-Analysis.","authors":"Ziwei Zhang, Pengyu Yang, Gui Xiao, Bei Li, Mingxin He, Yuhan Yang, Yalou Yang","doi":"10.1111/phn.13524","DOIUrl":"https://doi.org/10.1111/phn.13524","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;The aim of this systematic review is to present the pooled estimated prevalence and risk factors for cognitive impairment (CI) in patients with chronic obstructive pulmonary disease (COPD).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Patients with COPD suffer from progressive and irreversible airflow limitation, resulting in continuous impairment of lung function, which in addition to causing lesions in the lungs, often accrues to other organs as well. In recent years, a growing number of cross-sectional and longitudinal studies have shown that hypoxia is an important factor in causing CI and that there is an important link between them, but the assessment of co-morbid neurocognitive impairment and dysfunction is often overlooked. Some studies suggest that the diagnosis of mild cognitive impairment (MCI) is considered a precursor to dementia symptoms, with an annual conversion rate of 5%-10%, and it has been suggested that MCI is a potentially reversible state that can be used as a window for intervention. There is a lack of evidence on the prevalence and influencing factors of CI and its MCI.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A systematic review and meta-analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;PubMed, Web of Science, the Cochrane Library, Ovid, Wiley, and Scopus were searched for cohort, case-control, and cross-sectional studies investigating the prevalence and risk factors of CI and MCI in COPD to June 2023 from building. Meta-analyses were performed to identify CI and MCI prevalence and risk factors using a random-effects model. The methodological quality assessment was conducted by the modified Newcastle-Ottawa Scale (NOS) and Agency for Healthcare Research and Quality (AHRQ). This study was registered on PROSPERO (CRD42021254124).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In total, 41 studies (21 cohort studies, 7 case-control studies, and 13 cross-sectional studies) involving 138,030 participants were eligible for inclusion. Current evidence suggests that the average prevalence of CI and MCI in COPD was 20%-30% (95% CI, 0.17-0.28) and 24% (95% CI, 0.17-0.32), respectively. Significant heterogeneity existed both in CI and MCI (I&lt;sup&gt;2&lt;/sup&gt; = 99.76%, 91.40%, p &lt; 0.001). Mata-regression analysis showed that different region could be the source of heterogeneity in the pooled results. Cough, FEV1, PaO&lt;sub&gt;2,&lt;/sub&gt; age, education, depression, and BODE index are influential factors in the development of CI in COPD.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Integrated epidemiological evidence supports the hypothesis that the prevalence of CI in the COPD population has shown an increasing trend, with differences by region and by instrument. Cough, FEV1, PaO&lt;sub&gt;2&lt;/sub&gt;, age, education, depression, and BODE index are influential factors in the development of cognitive impairment in COPD patients. We should promote early screening and management of COPD patients and take targeted measures to prevent and reduce the incidence of CI.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implica","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967164","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":"Prediction Models for Post-Stroke Cognitive Impairment: A Systematic Review and Meta-Analysis.","authors":"Yifang Yang, Yajing Chen, Yiyi Yang, Tingting Yang, Tingting Wu, Junbo Chen, Fanghong Yan, Lin Han, Yuxia Ma","doi":"10.1111/phn.13509","DOIUrl":"https://doi.org/10.1111/phn.13509","url":null,"abstract":"<p><strong>Background: </strong>Stroke is one of the most serious illnesses worldwide and is the primary cause of acquired disability among adults. Post-stroke cognitive impairment (PSCI) is a complication of stroke that significantly impacts patients' daily activities and social functions. Therefore, developing a risk prediction model for PSCI is essential for identifying and preventing disease progression.</p><p><strong>Objectives: </strong>This study systematically reviewed and analyzed PSCI prediction models, identifying the associated risk factors.</p><p><strong>Methods: </strong>We systematically retrieved literature from PubMed, Cochrane Library, Embase, and other sources. Two researchers independently extracted the literature and assessed the risk of bias using the Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies (CHARMS) checklist and The Prediction Model Risk of Bias Assessment Tool (PROBAST).</p><p><strong>Results: </strong>A total of 20 articles describe the PSCI prediction model, with an incidence rate ranging from 8% to 75%. The area under the receiver operating characteristic curve (AUC) value for the development models ranged from 0.66 to 0.969, while the validation models ranged from 0.763 to 0.893. Age, diabetes, hypersensitive C-reactive protein (hs-CRP), hypertension, and homocysteine (hcy) were identified as the strongest predictors.</p><p><strong>Conclusion: </strong>In this systematic review, several PSCI prediction models demonstrate promising prediction performance, although they often lack external validation and exhibit high heterogeneity in some predictive factors. Therefore, we recommend that medical practitioners utilize a comprehensive set of predictive factors to screen for high-risk PSCI patients. Furthermore, future research should prioritize refining and validating existing models by incorporating novel variables and methodologies.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959041","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}