Public Health Nursing最新文献

{"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":"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":"1235-1248"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","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":"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":"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":"1343-1353"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000996/pdf/","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":"OA","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":"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":"1288-1301"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000997/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and Barriers to Standardized Community Hypertension Management in Chinese Older Adults From Service Providers and Recipients: A Qualitative Study.","authors":"Zhiyao Xiong, Xuyi Wu, Jie Yang, Jingping Zhang, Anni Wang","doi":"10.1111/phn.13564","DOIUrl":"https://doi.org/10.1111/phn.13564","url":null,"abstract":"<p><strong>Objective: </strong>To explore the facilitators and barriers to standardized hypertension management in community health centers (CHCs) as perceived by service providers (community doctors and nurses) and recipients (elderly patients with hypertension and their caregivers).</p><p><strong>Methods: </strong>This qualitative study consisted of two parts: Study 1 involved service providers, while Study 2 involved service recipients. Both studies utilized interview guides based on the tailored implementation for chronic disease (TICD) framework. Data were collected in Changsha, China, from July to September 2022, and analyzed using Directed Content Analysis.</p><p><strong>Results: </strong>Study 1 involved 16 participants, and Study 2 included 37 participants. Both service providers and recipients identified facilitators and barriers to standardized community hypertension management for older adults across seven domains of the TICD framework and three levels (initiators, service providers, and service recipients, along with their interconnections). The prominent facilitators and barriers were perceived differently by service providers and recipients, who also noted both common and differing influencing factors.</p><p><strong>Conclusion: </strong>These facilitators and barriers underscore the complex and multidimensional nature of hypertension management. The findings can assist primary healthcare institutions in optimizing nursing practices. Through the collaborative efforts of initiators, service providers, and recipients, the effective implementation of standardized hypertension management can be enhanced.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042519","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 Peer-Supported E-Health Module Implemented for University Students to Develop Healthy Lifestyle Behaviors.","authors":"Ayla Hendekci, Fatma Koç","doi":"10.1111/phn.13563","DOIUrl":"https://doi.org/10.1111/phn.13563","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the peer-supported e-health module implemented for university students to gain healthy lifestyle behaviors.</p><p><strong>Design: </strong>The study was planned in a quasi-experimental research design. The study participants were 81 university students. The peer-supported e-health module was applied to all students in the sample. The \"Introductory Information Form,\" \"Healthy Lifestyle Behaviors Scale II,\" and \"Peer Mentoring Assessing Scale\" were used as data collection instruments. Data analysis was performed using SPSS 22.00. Descriptive statistics, percentage and frequency distributions, the one-way repeated measures ANOVA, and Wilks' Lambda test were used in the study.</p><p><strong>Results: </strong>Of the students who participated in the study, 91.4% had not received training similar to the e-health module, and 82.7% had not received peer-supported training previously. The total scores of the Healthy Lifestyle Behaviors Scale II were 127.06 ± 18.48 at the pre-test and 149.69 ± 20.85 at the post-test, and there was a significant difference between the scores (p < 0.001). The e-health module increased students' scores by 56.7% with a significant and greater effect (η² = 0.567). The total score of the scale on assessing peer mentoring of the students after the module was 56.79 ± 10.45.</p><p><strong>Conclusions: </strong>It was observed that the peer supported e-health module supported students' healthy lifestyle behaviors and was an effective module. To raise awareness about sustainable health approaches, it is recommended to increase similar training programs in which students are more involved in the process.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996462","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":"Analysis of the Impact of E-Health Literacy on Health Behavior Among the Elderly in Jiangsu: Structural Equation Model.","authors":"Aojie Chen, Xiquan Wang, Anying Xu, Qingyu Liu, Biying Tong","doi":"10.1111/phn.13565","DOIUrl":"https://doi.org/10.1111/phn.13565","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to determine the correlation between e-health literacy, physiology, and health behaviors of older adults in Jiangsu to assess the factors influencing digital health in older adults.</p><p><strong>Methods: </strong>Data were collected through a 1:1 face-to-face survey conducted in hospitals and elderly communities from May 1 to June 14, 2024, using a structured questionnaire. In this study, the electronic health literacy questionnaire, the quality-of-life questionnaire, and the Anderson health behavior model were used. According to the collected data, the structural relationship between electronics and health literacy, physiological function, and health behavior of the elderly aged 60 years and above was confirmed, and the structural equation modeling (SEM) analysis was carried out.</p><p><strong>Results: </strong>E-health literacy significantly positively impacted physiological function (β = 0.916, p < 0.001), while physiological function showed a positive but non-significant association with health behaviors (β = 0.343, p = 0.091). The mediating role of physiological function between e-health literacy and health behaviors was confirmed (*indirect effect = 0.005, 95% CI: -0.010 to 0.125*). Pearson correlations revealed significant relationships: e-health literacy with physiological function (γ = 0.331, p < 0.001) and physiological function with health behaviors (γ = 0.146, p < 0.01).</p><p><strong>Conclusion: </strong>In the era of big data and the aging society, it is necessary to strengthen publicity and guidance to improve the e-health literacy of older adults, especially those with poor physiological function. Explain the potential threats of some health information and ensure healthy digital aging through multi-stakeholder societal participation.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999728","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":"Gender Disparity Among Homeless People: Evidence From a Territory-Wide Survey in Hong Kong.","authors":"Siu-Ming Chan, Hung Wong, Anna Chen, Yuen-Ki Tang, Yaojian Wu","doi":"10.1111/phn.13562","DOIUrl":"https://doi.org/10.1111/phn.13562","url":null,"abstract":"<p><strong>Objective: </strong>This study examined gender differences and their impact on the livelihoods of the homeless population in Hong Kong, exploring variables such as homeless duration, mental health, social relationships, economic status, risky behavior, and welfare assistance utilization.</p><p><strong>Background: </strong>Gender inequalities worsen the health vulnerabilities of homeless women. While existing studies have focused on Western contexts, there is a lack of understanding in non-Western settings, especially in East Asian regions with a strongly patriarchal culture like Hong Kong.</p><p><strong>Methods: </strong>Based on gender socialization theory, the study analyzed quantitative data from the largest territory-wide study of Hong Kong's homeless population in 2021. Models included measures of duration of homelessness, reason for homelessness, health, mental health, economic status, risky behavior, social relationships, and the use of welfare assistance.</p><p><strong>Results: </strong>Homeless women had shorter homelessness duration (32.8 vs. 48.2 months for men) and more frequent connections with friends and families. Despite less risky behaviors, women faced more mental health issues (higher PHQ-2 and GAD-2 scores), poorer economic status (lower median income), and did not seek welfare assistance more actively than men.</p><p><strong>Conclusion: </strong>Effective interventions require targeted outreach for invisible women, gender-specific and trauma-informed mental health services, and homeless-friendly policies accounting for gender disparities.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012371","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 Found It on Instagram: Exploring the Impact of Social Media on Public Health Communication.","authors":"Lucía Carton-Erlandsson, María Sanz-Guijo, Raúl Quintana-Alonso","doi":"10.1111/phn.13554","DOIUrl":"https://doi.org/10.1111/phn.13554","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the perspectives of social media users and health influencers on the use of these platforms as tools for health communication and literacy.</p><p><strong>Design: </strong>To address the objective, a qualitative descriptive study was conducted using focus groups with general social media users and health content influencers.</p><p><strong>Results: </strong>During the discussions, participants revealed that everyone accesses health information on social media, either actively or unintentionally, thus exposing themselves to this reality. Additionally, a paradigm shift was highlighted due to the 2020 pandemic in relation to the consumption of health information on these platforms. This shift increased interest in the topic as well as general distrust toward official institutions and the phenomenon of misinformation. In response, the importance of the presence of health professionals on social media was emphasized, as well as the need to educate the public to consume this type of information safely.</p><p><strong>Conclusion: </strong>Social media plays a significant role as a public health communication tool, and its use for this purpose is increasingly widespread. However, it is crucial to educate the public to engage in informed and responsible consumption to avoid the consequences of misinformation prevalent on these platforms.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056048","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":"Enablers and Barriers of Telemedicine in Indonesia: A Systematic Review.","authors":"Dian Anandari, Arif Kurniawan, Elviera Gamelia","doi":"10.1111/phn.13552","DOIUrl":"https://doi.org/10.1111/phn.13552","url":null,"abstract":"<p><strong>Objective: </strong>Health-seeking behavior related to the utilization of health services has experienced exceptionally noteworthy changes after the COVID-19 pandemic. That is telemedicine, which has become more commonplace amid lockdowns. The pandemic status has ended today, but since telemedicine utilization has numerous benefits, the innovation must stay accessible. This systematic review aimed to describe telemedicine utilization and which factors could become enablers and barriers.</p><p><strong>Design: </strong>The literature search for the review was conducted in November 2024. The articles reviewed were published in 2019-2024 and selected from Science Direct, Springer, ProQuest, and EBSCOhost databases.</p><p><strong>Results: </strong>The articles were research articles and used qualitative methods. Based on search results, screening process, and review articles, we describe enabling factors and barriers of telemedicine utilization through users' (patients) and providers' (health practitioners) points of view. We also define infrastructures, such as smart city development, that contribute to the development of telemedicine.</p><p><strong>Conclusions: </strong>Future research into people's perception of telemedicine, developing telemedicine technology, and finding alternatives to getting electricity and internet connection with a low budget will promote telemedicine utilization.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796433","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":"Improving Nurses' Disaster Skills: A Policy Brief on Perceived Core Disaster Competencies.","authors":"Arash Ziapour, Fateme Darabi","doi":"10.1111/phn.13560","DOIUrl":"https://doi.org/10.1111/phn.13560","url":null,"abstract":"<p><p>In the past two decades, disasters have directly affected the lives of nearly 1.23 million people. Asia is the most affected region in the world by all types of disasters, such as war and natural disasters, accounting for 44% of all disasters, 58% of total deaths, and 70% of all victims. Iran has remained one of the most heavily impacted countries by various disasters. Emergency nurses are expected to use their professional expertise to provide the necessary nursing services to reduce disaster-related risks. Nurses at all levels of healthcare play a crucial role in disaster risk management and must possess the readiness and core competencies to respond to disasters. Therefore, core nursing competencies in emergency situations are essential for dealing with disasters. Policymakers have been too busy or lack the expertise to read and understand complex scientific articles. As a result, they need policy briefs that cover the key points so they can plan and implement the necessary interventions based on evidence. Thus, the aim of this study is to provide a framework for producing policy briefs for policymaking and enhancing nurses' core competencies in disasters by policymakers in government and health authorities. Implications for Policy: Policymakers and hospital managers should design and implement structured training programs to improve nurses' core competencies. Before disasters occur, a written plan with clear roles that are understandable for all nursing staff should be established; this can increase nurses' response times in assisting affected people. It is essential that nursing managers provide specific guidelines for standard and structured training during disasters to enhance nurses' awareness of disasters and communication skills.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782003","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}