Public Health Nursing最新文献

{"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":"<p><strong>Aim: </strong>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).</p><p><strong>Background: </strong>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.</p><p><strong>Design: </strong>A systematic review and meta-analysis.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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<sup>2</sup> = 99.76%, 91.40%, p < 0.001). Mata-regression analysis showed that different region could be the source of heterogeneity in the pooled results. Cough, FEV1, PaO<sub>2,</sub> age, education, depression, and BODE index are influential factors in the development of CI in COPD.</p><p><strong>Conclusion: </strong>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<sub>2</sub>, 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.</p><p><strong>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}

{"title":"Health and Social Problems of Refugee Women and Their Children: A Qualitative Case Study.","authors":"Derya Adibelli, Özlem Şahan","doi":"10.1111/phn.13520","DOIUrl":"https://doi.org/10.1111/phn.13520","url":null,"abstract":"<p><strong>Objective: </strong>We intend to examine the health and social problems of refugee women and their children in this research.</p><p><strong>Design: </strong>A qualitative case study.</p><p><strong>Sample: </strong>We conducted this study between December 2022 and January 2023 with 19 refugee women aged 18-49 years.</p><p><strong>Measurements: </strong>We used the snowball sampling method for data collection, and individual in-depth interviews were conducted. We completely transcribed the interviews and then main themes and sub-themes were created. To ensure reliability, two independent external coders were asked to code the themes and sub-themes, and Kappa analysis was performed according to the results. We found the Kappa analysis value as 0.87. After the analysis of the study data, we conducted the thematic content analysis on the Nvivo 10 software.</p><p><strong>Results: </strong>We emerged the main themes following the qualitative data analysis were (1) experiences during migration, (2) communication while receiving health services, (3) childhood immunization status, (4) deciding to have a child, (5) deciding on the number of children, (6) use of family planning methods, and (7) the person with priority in the family.</p><p><strong>Conclusion: </strong>This research indicated that childhood immunization in refugee children was inadequate, refugee women did not know about family planning methods, and even if they did, they did not use these methods because they wanted to have many children.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959036","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":"Unraveling the Relationship Between Vitamin D and Noncommunicable Diseases: A Systemic Review and Meta-Analysis.","authors":"Dipali Dumbre, Sheela Upendra, Betsy Sara Zacharias","doi":"10.1111/phn.13521","DOIUrl":"https://doi.org/10.1111/phn.13521","url":null,"abstract":"<p><strong>Background: </strong>Subclinical vitamin D insufficiency is frequent in both developing and developed countries. Even after rickets was eliminated in the 1930s by fortifying milk, up to 1 billion people worldwide suffer from subclinical vitamin D deficiency (VDD). Numerous noncommunicable diseases (NCDs), including depression, autoimmune illnesses, diabetes, osteoporosis, and cardiovascular disease, are linked to this deficiency.</p><p><strong>Methodology: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was applied when conducting a systematic review. Relevant studies published between 2010 and 2023 were found by searching databases such as Web of Science, Scopus, and PubMed. To find correlations between deficiency of vitamin D and NCDs, data was extracted from the studies and analyzed using the Mixed Method Appraisal Tools (MMAT). In meta-analysis data combined from multiple observational Unraveling the Relationship Between Vitamin D and Noncommunicable Diseases-A Systemic Review and Meta-Analysis studies to evaluate the relationship between vitamin D insufficiency and health outcomes. Statistical techniques, such as calculating effect sizes and constructing confidence ranges, are employed to determine combined outcomes and investigate possible causal connections.</p><p><strong>Results: </strong>Fourteen studies-including cross-sectional studies, prospective cohorts, randomized controlled trials, and longitudinal studies-met the inclusion criteria. Significant correlations among deficiency of vitamin D and a number of NCDs, including anemia, diabetes, hypertension, rheumatoid arthritis (RA), mental health issues, and autoimmune hypothyroidism, were found in the review. The results highlight the prevalence of deficiency of vitamin D worldwide and its detrimental impact on health. In order to lower the risk of numerous NCDs, this review emphasizes the need for greater awareness and possible interventions to maintain appropriate vitamin D levels. A meta-analysis was conducted to investigate the potential causal connections between vitamin D insufficiency and different health disorders. It elucidates the connections between deficient levels of vitamin D and conditions such as mental health disorders, anemia, diabetes, hypertension, and autoimmune diseases. The study prioritizes the examination of temporal correlations, biological plausibility, and the removal of confounding factors to provide support for these associations. While the text acknowledges that experimental data, such as randomized controlled trials, would enhance the argument for causation, it mostly depends on observational studies.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958964","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 Brochure and Audio Recordings of Testicular Cancer Stories on Testicular Self-Examination: Randomized Controlled Study.","authors":"Ayse Kılıc Ucar, Irem Aykac, Sevinc Tastan","doi":"10.1111/phn.13512","DOIUrl":"https://doi.org/10.1111/phn.13512","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to determine the effects of a training program based on educational brochures and audio recordings of testicular cancer (TC) stories on testicular self-examination (TSE) and health beliefs among university students.</p><p><strong>Design: </strong>The study had a pretest-posttest, control group experimental design.</p><p><strong>Sample: </strong>This study was conducted with 106 students in Turkey.</p><p><strong>Method: </strong>Data were collected using a personal information form, the Health Beliefs Model (HBM) Scale for TC and TSE, and a form for determining TSE and sharing information.</p><p><strong>Results: </strong>There was a statistically significant difference between the posttest scores obtained by the intervention group, who received the training and the control group on the susceptibility, benefits and health motivation, barriers, self-efficacy, and health motivation dimensions of the HBM Scale (p < 0.05). The percentage of TSE in the intervention group increased from 14.8% to 90.7% after receiving training on TC and TSE, which was significantly different from the pretest and posttest scores of the control group.</p><p><strong>Conclusions: </strong>Training using educational brochures and audio recordings of TC stories had a positive effect on TSE and health beliefs. The results suggest that both training methods can be used to increase social awareness of TC.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959033","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":"Utilizing Health Literacy to Empower Latino Adolescents.","authors":"Sonique Sailsman, Robyn Johnson","doi":"10.1111/phn.13449","DOIUrl":"10.1111/phn.13449","url":null,"abstract":"<p><p>Latinos are a minority population that experience many healthcare disparities that impact their access to health-related services. Improvement of health literacy is one way that healthcare providers can positively influence health outcomes within this population. Changes in educational curriculum have limited student's exposure to health information and created a gap in knowledge. A presentation regarding health literacy and advocacy was created for a group of Latino adolescents at a metro area high school. The presentation was offered in English, providing education on how to obtain health information from reputable sources, best words to describe symptoms of illness, and tips to successfully advocate for family members who may have difficulty communicating in English. The overall experience of the students was positive and impactful based on engagement and anecdotal feedback. The hope is to continue to partner with community organizations and improve health literacy among Latino adolescents and their families.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"478-479"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481088","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":"Reading Groups as a Health-Promoting Intervention in Upper Secondary Schools: A Qualitative Study.","authors":"Sunniva Solhaug Fjelldal, Anne Clancy, Morten Auklend, Hilde Laholt","doi":"10.1111/phn.13428","DOIUrl":"10.1111/phn.13428","url":null,"abstract":"<p><strong>Objectives: </strong>To explore public health nurses' (PHN) perceptions and experiences of supporting siblings of children with complex care needs (CCNs) by using reading groups as a health promotion intervention in upper secondary schools.</p><p><strong>Design: </strong>An action research approach using a qualitative design.</p><p><strong>Sample: </strong>Interviews with 10 PHNs.</p><p><strong>Measurements: </strong>Thematic analysis.</p><p><strong>Results: </strong>The analysis resulted in the overarching theme \"A much needed health promotion intervention in upper secondary schools,\" presented in terms of the following three themes: (1) supporting siblings is important, but resources and established procedures are lacking. (2) Reading groups using fiction have potential as a health-promoting intervention in upper secondary schools. (3) A realistic collaborative approach is necessary for reading groups to be implemented.</p><p><strong>Conclusion: </strong>PHNs have no established procedures to support siblings of children with CCNs in upper secondary schools. Reading groups can enable PHNs to reach out and support these siblings. Providing the intervention can be a way of reaching all pupils and thus creating an understanding of the plight of siblings who have a brother or sister with CCNs.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"169-178"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332487","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":"Storage practice and wastage of pharmaceuticals in Chinese urban-dwelling households: Description of urban-dwelling households.","authors":"Zhao Yang, Xiao Han, Chao Yang, Yue Zhao, Chengyu Li, Qiyun Zhu, Qingyuan Xue, Yaoguang Zhang, Guohong Li, Bin Jiang","doi":"10.1111/phn.13401","DOIUrl":"10.1111/phn.13401","url":null,"abstract":"<p><p>At-home storage of medications could pose a threat to public health and the environment if not handled appropriately. Excessive storage also creates health care and economic burdens. This study investigated storage practices, waste, and their determinants in China. Data were collected by pharmacy staff of urban-dwelling households via online questionnaires. Descriptions at the household and medicine levels were conducted in Stata 16. Individual and family characteristics were associated with the presence of household medicine storage (84.6%, n = 5290), but storage location was poor. Expiration was the primary reason for discarding medicines. Respondents were inclined to buy medicines in pharmacies without prescription for storage purposes at out-of-pocket expenses, and 60.7% of medicines were purchased at out-of-pocket expenses, despite medical insurance coverage. Regarding wastage, 11.2% of medicines had expired and 38.2% were no longer needed. Purchasing for storage purposes was related to less waste due to expiration, while purchasing for treating acute diseases rather than chronic diseases was related to more waste, due to less for use. Accounting for 12.2% of all medications, antibiotics were associated with expiration and no further need for use. Source-control measures targeting health facilities, pharmacies, and residents are needed under the combined efforts of all relevant departments.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"179-191"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332488","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":"Multifaceted Exploration of Public Awareness, Government Perspectives, and Community Attitudes Toward HIV.","authors":"Akmal Zubair, Rizwan Munir, Muhammad Ali","doi":"10.1111/phn.13435","DOIUrl":"10.1111/phn.13435","url":null,"abstract":"<p><strong>Aims: </strong>The purpose of this research is to quantify the knowledge of students about HIV, social media contribution, and their satisfaction with the government and society's acceptance of HIV patients.</p><p><strong>Methodology: </strong>A cross-sectional survey of 579 participants was conducted at Punjab University, University of Peshawar, Karachi University, Baluchistan University of Information Technology, Engineering and Management Sciences University, and Quaid-i-Azam University. Student self-administered surveys included demographics, knowledge, government satisfaction, social media rumors, and PLWHA acceptability.</p><p><strong>Result: </strong>The response rate was 96.5%. The four variables are knowledge, government satisfaction, social media rumors, and HIV patient acceptance. The knowledge score in married males (Beta = -0.075) and married females (Beta = -0.022), government satisfaction in married males (Beta = 0.087) and females (-0.412), social media rumors in married males (Beta = -0.125) and married female (Beta = -0.301, and HIV acceptance in society married male -0.301 and married female 0.07. the knowledge and government satisfaction, score showed that males had higher knowledge about HIV than married females. Married women say HIV acceptability in society is strong, whereas men believe social media spreads less misinformation. Similarly, there is a negative correlation between government satisfaction social media rumors (-0.687^**) and HIV acceptance in society (-0.687^**). HIV acceptance has a strong correlation with knowledge (0.711^**) and social media rumors (0.727^**). The p < 0.001 indicates that there is a significant correlation.</p><p><strong>Conclusion: </strong>Sufficient knowledge and the positive role of social media, effective government contributions to eradicate HIV, and more awareness and knowledge can significantly change the attitude of the community toward PLWHA.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"304-314"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513081","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 Activity Supported Earthquake Awareness Education Program in Primary School Children: \"I Know What I Need to Do, I'm Not Falling Even If We Shake\" Project.","authors":"Aylin Kurt, Emre Doruk, Sultan Atsever, Şeyda Ate","doi":"10.1111/phn.13462","DOIUrl":"10.1111/phn.13462","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to enhance the knowledge base of primary school children regarding earthquake preparedness through the implementation of an activity-based earthquake awareness education program.</p><p><strong>Methods: </strong>The study was conducted as pre-posttest semi-experimental design with one group of 333 children in a primary school between January and May 2024. A Descriptive Information Form and Earthquake Awareness Knowledge Level Form were the data collection tools. The children were provided with a 6-week (modules) education program. Measurements were made before and after the education.</p><p><strong>Results: </strong>The mean age of the children was 7.16 ± 0.73 years (6-9), 56.8% were girls, 43.2% were boys, and 25.8% were second-grade children. Earthquake Awareness Knowledge Level Form total score was higher after the education (18.31 ± 1.52) than before (15.51 ± 3.73) (t = -16.144, p < 0.001). The study revealed an increase in children's knowledge regarding appropriate behaviors in the context of earthquakes, encompassing actions to be taken before, during, and after such events.</p><p><strong>Conclusion: </strong>Modular education and applied activities are effective in increasing children's knowledge levels in the context of teaching a concept such as earthquake preparedness, where the acquisition of life-based skills is of paramount importance.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"374-382"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481053","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}