Public Health Nursing最新文献

{"title":"The Effect of Health Belief Model-Based Creative Drama Education on Health Locus of Control and Smoking Perception in Adolescents: A Randomized Controlled Trial.","authors":"Sultan Esra Sayar, Cantürk Çapik","doi":"10.1111/phn.13550","DOIUrl":"https://doi.org/10.1111/phn.13550","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study is to examine the effect of education given to eighth-grade adolescents in a primary school with health belief model (HBM)-based creative drama techniques on health locus of control (HLC) and smoking perception.</p><p><strong>Method: </strong>This randomized controlled study was conducted between January and December 2019 in two primary schools in the Erzurum city center, Türkiye. The study included 80 eighth-grade students, who were randomly assigned to either the experimental group (n = 40) or the control group (n = 40) The experimental group received six sessions of creative drama training based on the HBM. Data collection instruments included the Multidimensional Health Locus of Control Scale (MHLC) and the Decisional Balance Scale for Children (DBSC). Pre- and post-test measurements were taken for both groups to assess changes in HLC and smoking perception. Statistical analyses were performed using repeated measures ANOVA to examine within-group changes over time and between-group differences, allowing us to understand the precise effect of the intervention across time points. Additionally, descriptive statistics were used to report means and standard deviations for all variables. No protocol registration number was available for this study at the time of its execution.</p><p><strong>Results: </strong>The students in the experimental group showed a significant increase in the internal control sub-dimension of the HLC (t = -5.090, p < 0.001) and a decrease in the external control sub-dimension (U = -3.369, p < 0.001). For the Decisional Balance Scale, there was a significant decrease in the pros sub-dimension (t = -5.535, p < 0.001) and an increase in the cons sub-dimension (U = -3.934, p < 0.001). In the control group, only the pre-test mean score for the chance/fate sub-dimension was higher (p < 0.05). The repeated measures ANOVA confirmed significant within-group changes in the experimental group: an increase in internal locus of control and a decrease in external locus of control. Smoking perception also showed significant changes, with a decrease in the pros sub-dimension and an increase in the cons sub-dimension, validating the intervention's effectiveness.</p><p><strong>Conclusion: </strong>When creative drama practices are used together with the HBM, it caused a positive change in the HLC and the perception of cons toward smoking.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568868","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 Health Education Based on the Roy Adaptation Model on the Healthy Lifestyle Behaviors and Self-Esteem of Working Adolescents: A Randomized Controlled Trial.","authors":"Nilüfer Tatoğlu, Tülay Kuzlu Ayyildiz","doi":"10.1111/phn.13546","DOIUrl":"https://doi.org/10.1111/phn.13546","url":null,"abstract":"<p><strong>Background: </strong>While adolescents are an at-risk group that is in a process of developmental crisis and requires guidance for adjustment. They may be traumatized by challenging conditions due to the negative experiences they are socially exposed to. Having to work is one of the most important social problems that increases the risk situation of this group. Roy's Adaptation Model is also quite suitable for use in interventions and research addressing developmental groups. It is believed that the adaptation of the individual to a new situation in their life contributes to their capacity to improve their health and increase their quality of life.</p><p><strong>Objective: </strong>This study was conducted to determine the effects of a Health Education Program based on Roy's Adaptation Model on the healthy lifestyle behaviors and self-esteem levels of working adolescents.</p><p><strong>Design: </strong>This study was designed as a randomized controlled trial.</p><p><strong>Method: </strong>The study was conducted at a vocational training center in Turkey between March 14 and June 13, 2022. The sample consisted of 66 adolescents aged 14-18 years (intervention: 30; control: 36) trained at the Vocational Apprenticeship and Training Center. The adolescents in the intervention group participated in an 8-session program for 4 weeks. Data were collected using a Personal Information Form, the Healthy Lifestyle Behaviors Scale II, and the Rosenberg Self-Esteem Scale (RSE). Data collection took place before the program started, immediately after its completion, and 3 months later. This document was prepared in accordance with the Preferred Reporting Items for Analyses of Randomized Controlled Trials (CONSORT) guidelines.</p><p><strong>Results: </strong>A significant difference was found between the intervention and control groups in favor of the intervention group in terms of their Healthy Lifestyle Behaviors Scale II scores in the 2nd measurement and their RSE score in the 3rd measurement.</p><p><strong>Conclusion: </strong>The Health Education Program based on Roy's Adaptation Model is effective in increasing the healthy lifestyle behaviors and self-esteem of working adolescents.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p><p><strong>Impact: </strong>Roy's Adaptation Model can provide a conceptual framework for holistic studies to promote health for developmental groups.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544409","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 Poststroke Cognitive Impairment: A Systematic Review and Meta-Analysis.","authors":"Yuxia Ma, Yifang Yang, Xinyu Wang, Yanan Huang, Jinhan Nan, Juanjuan Feng, Fanghong Yan, Lin Han","doi":"10.1111/phn.13503","DOIUrl":"10.1111/phn.13503","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a common disease that poses a significant threat to human health. Approximately one-third of stroke patients experience poststroke cognitive impairment (PSCI), which severely impacts their quality of life and survival time. Although the prevalence and risk factors for PSCI have been widely reported, these results have not been synthesized.</p><p><strong>Objectives: </strong>This systematic review was conducted to explore the prevalence and risk factors of PSCI.</p><p><strong>Methods: </strong>PubMed, EMBASE, Web of Science, and Cochrane Library were comprehensively searched for studies exploring the prevalence and risk factors of PSCI from inception to July 5, 2022.</p><p><strong>Results: </strong>A total of 49 articles were included for meta-analysis. It was found that the combined prevalence of PSCI was 39%-47%. Risk factors for PSCI include female gender, age, education level less than 7 years, atrial fibrillation, diabetes, smoking, drinking, hypertension, coronary artery disease, carotid artery plaque, admission NIHSS score ≥ 5, unemployment, and homocysteine.</p><p><strong>Conclusions: </strong>This systematic review has revealed a combined prevalence of PSCI is ranging from 39% to 47% and identified several risk factors for PSCI. These findings indicate a high incidence of the condition and underscore the need for increased public awareness. Future investigations should prioritize the identification of PSCI risk factors, providing a theoretical basis for nursing professionals to effectively manage and treat PSCI patients.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1047-1059"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866335","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":"Mobile Application-Based Care on Health Outcomes in Patients With Rheumatoid Arthritis: A Systematic Review and Meta-Analysis.","authors":"Manyu Long, Yingping Fu, Hui Liang, Lingxue Duan, Songyuan Tie, Jing Wang, Shuya Wang","doi":"10.1111/phn.13502","DOIUrl":"10.1111/phn.13502","url":null,"abstract":"<p><strong>Background: </strong>Effective disease management is crucial for rheumatoid arthritis (RA) patients as it can significantly reduce disease-associated symptoms. Currently, the utilization of mobile applications for managing RA patients has gained widespread popularity in clinical settings. However, there is a notable absence of a comprehensive meta-analysis exploring their effectiveness specifically in the context of RA patients.</p><p><strong>Objective: </strong>The purpose of our research was to evaluate the effectiveness of mobile app-based care for patients with rheumatoid arthritis.</p><p><strong>Methods: </strong>We searched eight databases, including CNKI and PubMed, for randomized controlled trials on the implementation of care for RA patients by mobile apps. This search encompassed a timeframe ranging from the inception of the databases to December 1, 2023. Two researchers reviewed the literature and gathered data based on inclusion and exclusion criteria. The quality of the study was evaluated using the Cochrane Handbook version 5.1.0. The meta-analysis was carried out using Revman5.4. software.</p><p><strong>Results: </strong>Eight articles encompassing 3175 patients were retrieved for analysis. Over one-half of the research was from China, duration of the intervention was 6 weeks to 12 months, and eight included studies were of moderate quality. The meta-analysis revealed that mobile app-based care was effective in relieving disease activity, relieving pain, and improving patients' quality of life, however, the impact on self-management was not clear.</p><p><strong>Conclusion: </strong>Mobile app-based care has proven effective in reducing disease activity, alleviating joint pain, and improving quality of life in RA patients. Nonetheless, an in-depth study is recommended to clarify the potential of these interventions for self-management.</p><p><strong>Trial registration: </strong>International Prospective Register of Systematic Reviews; Registration number: CRD CRD42024498623.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1072-1083"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907923","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 Neighborhood Care Volunteer Training Programs: A Mixed-Methods Study.","authors":"Pen-Chen Kung, Ya-Li Sung, May-Kuen Alice Wong, Yen-Ting Liao, Yen-Fang Chou, Huei-Ling Huang","doi":"10.1111/phn.13515","DOIUrl":"10.1111/phn.13515","url":null,"abstract":"<p><strong>Objective: </strong>To develop and implement a tiered training model for neighborhood caregiving volunteers and to evaluate its impact on participants' knowledge, behaviors, and attitudes toward caregiving services.</p><p><strong>Design and methods: </strong>We employed a mixed-methods research design. Participants included 32 neighborhood care volunteers and six seed volunteers. The neighborhood volunteer training program comprised three phases: Development (establishing the tiered training structure), Testing (conducting a pilot study), and Promotion (refining the training curriculum and service model, followed by community practice).d This study primarily evaluated the training outcomes of participants in the promotion phase, with additional qualitative interviews to capture the volunteers' experiences.</p><p><strong>Results: </strong>Quantitative data analysis showed that graded healthcare training significantly improved volunteers' caregiving knowledge, self-efficacy, and perceptual behavior. Course satisfaction was highest with advanced caregiver training, followed by basic caregiver and volunteer caregiver-instructor training. Qualitative analysis revealed three themes: (1) improved volunteer role effectiveness, (2) positive service experience, and (3) positive, personal understanding of health.</p><p><strong>Conclusions: </strong>Providing progressive training and adequate support for volunteers is crucial. Volunteer trainers or management units should emphasize creating positive experiences for volunteers, fostering their abilities, and promoting their willingness to remain engaged in community health services.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"880-889"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911112","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":"VTE Prevention Ability Among Community Nurses in the Medical Consortium Based on the Kirkpatrick Mode Evaluation of the Effects of Training.","authors":"Weihong Fan, Bei Tian, Pei Xu, Zuoli Zou, Xiaoling Zhou, Yan Wu, Lianbao Wu, Yingbiao Wu, Peifeng Tang, Weiqun Liu","doi":"10.1111/phn.13479","DOIUrl":"10.1111/phn.13479","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the application of the Kirkpatrick model in VTE prevention training among community nurses in the medical consortium.</p><p><strong>Method: </strong>A team of experts was established to formulate a VTE prevention ability training program for community nurses in the medical consortium. According to a literature review, the results of a questionnaire survey and the results of on-site supervision surveys of nurses in five community health service centers in the medical consortium. The Kirkpatrick model was applied to train 117 nurses in five community service centers, and the effects on the four dimensions (i.e., the reaction layer, learning layer, behavior layer, and results layer) were observed.</p><p><strong>Results: </strong>A total of 100% of nurses' reported satisfaction with the training, and the attendance rate was ≥98%. After the training, the theoretical knowledge of VTE prevention and the results of the skills assessment of community nurses in the medical consortium were significantly greater than the pretraining levels (p < 0.001). Three months after training, the nurses' VTE prevention execution score significantly improved compared with the pretraining scores (p < 0.001). The compliance rate and standard rate of ankle pump movement significantly improved compared with those before training (p < 0.001).</p><p><strong>Conclusion: </strong>Training based on the offset model can effectively improve VTE prevention knowledge among community nurses in the medical consortium, thereby enhancing VTE prevention among patients and at improving the compliance and standardization of patients' self-prevention. These findings provide a reference for future in-service training programs targeting VTE prevention among nurses in community hospitals.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"949-956"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on Integrated Management Path of Comorbidity Based on Grounded Theory.","authors":"Jinhe Fan, Jianing Fan, Ziqi Wang, Jieting Chen, Mingxia Jing","doi":"10.1111/phn.13487","DOIUrl":"10.1111/phn.13487","url":null,"abstract":"<p><strong>Background: </strong>This study seeks to thoroughly investigate the generation mechanism of the integrated management pathway for comorbidities, as well as its implementation and execution in practical settings. The findings aim to offer insights for the development of an integrated mechanism for comorbidity services.</p><p><strong>Method: </strong>The collected raw data was coded and analyzed in depth by utilizing grounded theory as the research methodology, in conjunction with NVivo 14.0 software for qualitative analysis, and by adhering to domestic and international guidelines and consensus on comorbidity management.</p><p><strong>Result: </strong>Following the three-level coding process, a total of 49 initial categories, 14 main categories, and 4 core categories (supply-type, demand-type, collaboration-type, and environment-type) were identified. Subsequently, a four-dimensional comprehensive comorbidities management pathway model, referred to as the \"Derivative driving force-management pathway-main body network-operation mechanism,\" was developed.</p><p><strong>Conclusion: </strong>The model integrates the four paths of supply-type, demand-type, collaboration-type, and environment-type with the derived dynamics, subject network, and operation mechanism of comorbidities management. This not only enhances the comprehensiveness and continuity of comorbidities management but also establishes clear direction and evaluation indices for future empirical research.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"786-799"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632816","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":"Level of Information and Awareness About Colorectal Cancer and Its Screening Program in Türkiye: A Community-Based Cross-Sectional Study.","authors":"Hatice Merve Alptekin, Burcu Küçükkaya","doi":"10.1111/phn.13519","DOIUrl":"10.1111/phn.13519","url":null,"abstract":"<p><strong>Objective: </strong>Colorectal cancer (CRC) has high mortality if it is detected in advanced stages, persons can lower their risk of CRC by adopting a healthy lifestyle that may lead to prevention. Screening is the most powerful public health tool to reduce mortality, considering the challenges of making substantial lifestyle changes or implementing widespread primary prevention strategies to lower the risk of CRC. This study aims to find out the levels of information and awareness about CRC and its screening program in individuals living in Türkiye.</p><p><strong>Design: </strong>This study was a community-based cross-sectional.</p><p><strong>Sample: </strong>This study was performed from November 2019 to November 2022 with a web-based survey circulated through social media and communication platforms. The research was conducted with 4146 participants.</p><p><strong>Measurements: </strong>The \"Survey Form\" was used in the data collection. Descriptive statistics and logistic regression were used in the data analysis.</p><p><strong>Results: </strong>The study found that 43.3% of participants had information about CRC and its screening program. Among all participants, 94.7% had never undergone CRC screening, and 55.6% were aware of a CRC awareness month. The study also revealed that participants who were knowledgeable about CRC screening were more likely to have a family history of cancer, a personal history of cancer, prior awareness of CRC, and previous information about the disease. Additionally, they were more likely to have undergone CRC screening before and to believe that CRC screening is necessary.</p><p><strong>Conclusion: </strong>It was found that the majority of participants had no information on CRC and its screening program and never underwent CRC screening before. More studies should be performed to find out the factors negatively affecting the participation of individuals in the CRC screening program.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"869-879"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883442","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":"Expanding Early Childhood Home Visitation Services in the United States to Reach More Vulnerable Families: A Backward Mapping Analysis.","authors":"Julianne Ballard, Brittany Lobo, Carol Dawson-Rose","doi":"10.1111/phn.13497","DOIUrl":"10.1111/phn.13497","url":null,"abstract":"<p><p>Early childhood home visitation (ECHV) in the United States is a voluntary service providing health and social support to low-income families who are experiencing, or at risk for experiencing, adversities such as adolescent pregnancy, poverty, and child maltreatment. The federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program funds the delivery of evidence-based early childhood home visits, but these services are chronically under-utilized despite a substantial capacity for enrollment. Of particular concern are the families likely to encounter adversity but are unable to access services due to rigid criteria for participation. Using the theory of backward mapping developed by Richard Elmore, this paper analyzes the implementation of the MIECHV Program policy to identify possible factors responsible for the under-utilization of funded services. We explore issues related to the referral process, enrollment criteria, and attrition challenges for evidence-based ECHV models with recommendations for a centralized intake system, qualitative inquiry, and universal postpartum home visits.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"833-840"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774148","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":"Nursing Partnerships Are Crucial for Bridging Education and Public Health.","authors":"Ellen M McCabe, Beth E Jameson, Erin D Maughan","doi":"10.1111/phn.13527","DOIUrl":"10.1111/phn.13527","url":null,"abstract":"<p><p>Public health nurses (PHNs) and school nurses are integral in addressing health disparities, managing chronic illnesses, preventing and controlling communicable diseases, and promoting wellness within communities. Schools serve as pivotal platforms for implementing health initiatives and providing opportunities for disease prevention and health promotion. School nurses identify and address health risks, including chronic conditions, communicable diseases, substance abuse, and mental health concerns, and often act as knowledgeable authorities to access community resources. PHNs perform a vital role in communicating the health experiences of diverse and sometimes vulnerable individuals and families to health planners and policymakers. They also empower community members to articulate concerns and goals, promoting a collaborative approach to public health development. Collaboration between PHNs and school nurses enhances community health through joint efforts in screenings, health education, and community-wide interventions. However, barriers, such as isolated strategic planning, siloed funding, and inadequate information systems, hinder effective collaboration. The authors advocate for joint strategic planning, integrated funding, and interoperable health information systems that may now be fragmented to strengthen these partnerships in order to improve population health. Enhancing these collaborations is vital for creating supportive environments where students can thrive academically and health-wise, ensuring a sustainable impact on community health.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"992-995"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923693","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}