Public Health Nursing最新文献

{"title":"Research Trends and Hot Topics of Nursing Studies on Hypertension: A Retrospective Bibliometric Analysis From 1979 to 2024.","authors":"Ayşe Dağistan Akgöz, Ayla Kaya","doi":"10.1111/phn.13472","DOIUrl":"10.1111/phn.13472","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate research trends and hot topics in the 45-year history of nursing studies on hypertension (1979-2024).</p><p><strong>Methods: </strong>This retrospective bibliometric analysis study was conducted with 2678 data obtained from the WoSCC database on April 1, 2024. Data analysis and graphical presentation were presented using the Bibliometrix Package in R software, VOSviewer, and WoSCC.</p><p><strong>Results: </strong>The study revealed that nursing studies on hypertension were growing rapidly in the scientific world. The most productive journal in the field was the Journal of Clinical Nursing, while the most productive and collaborative country was the United States. \"Frailty,\" \"COVID-19,\" \"complications,\" \"Meta-analysis,\" \"vital signs,\" \"systematic review\", \"self-care,\" and \"chronic disease\" were determined as hot topics. \"COVID-19\" and \"mhealth\" were global trends. Additionally, the issues of \"anxiety, pair, vital signs\" and \"elderly, nursing home, mortality\" needed to be addressed more by nurses.</p><p><strong>Conclusions: </strong>Nursing studies on hypertension have increased to date. This area is likely to continue to be an active area of study for nursing researchers in the coming years. Focusing on the topics \"anxiety, pair, vital signs\" and \"elderly, nursing home, mortality\" will contribute to filling the gap in the field.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"494-503"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513085","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":"Factors Influencing Professional Help-Seeking Intentions for Sexual and Gender-Based Violence Among Female University Students in Eswatini.","authors":"Mi Sook Jung, Nondumiso Satiso Dlamini","doi":"10.1111/phn.13477","DOIUrl":"10.1111/phn.13477","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the prevalence of sexual and gender-based violence (SGBV) among female college students, identify factors influencing intention to seek professional help among SGBV survivors, and compare help-seeking determinants among survivors based on their prior utilization of healthcare services.</p><p><strong>Design: </strong>A cross-sectional online survey was employed among female students aged 18-24 years from two universities in Eswatini.</p><p><strong>Measurements and sample: </strong>A total of 271 female college students were recruited to assess SGBV experience, attitudes, social norms, perceived control, help-seeking intention, and other factors not originally included in the theory of planned behavior. Data analyses utilized descriptive statistics, comparative analyses, and multiple regression methods.</p><p><strong>Results: </strong>Among the participants, 73.1% reported experiencing one or more forms of SGBV, while only 43.4% sought professional help through health services. Help-seeking intentions of survivors were significantly associated with positive attitudes, subjective norms, and marital status, collectively explaining 66% of the variance. In subgroup analyses, the subjective norm and attitude emerged as the most robust predictors of help-seeking intentions.</p><p><strong>Conclusion: </strong>The results revealed a high prevalence of SGBV and a concerning trend of low help-seeking behavior, with attitudes and subjective norms emerging as the most influential factors shaping intention. These results provide valuable insights for designing theory-driven and culturally sensitive public health nursing interventions and educational programs aimed at effectively supporting SGBV survivors.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"325-333"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583440","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":"Perspective of Midwives in Turkey Regarding Sexual Health Literacy and Sexual Healthcare Services.","authors":"Rukiye Duman, Betül Uncu, Elif Doğan","doi":"10.1111/phn.13442","DOIUrl":"10.1111/phn.13442","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the factors associated with the level of sexual health literacy of midwives and their views on sexual healthcare.</p><p><strong>Design: </strong>This is a descriptive and correlational study.</p><p><strong>Sample: </strong>A total of 324 midwives with at least 1 year of professional experience and at least a bachelor's degree participated in the study.</p><p><strong>Measurements: </strong>Data were collected with the \"Midwife Information Form\" and \"Sexual Health Literacy Scale.\"</p><p><strong>Results: </strong>The professional work experience, marital status, and education related to sexual health did not affect the sexual health literacy of midwives. Age, educational status, and voluntary choice of the profession willingly affected sexual health literacy. The sexual health literacy of midwives who hold positive views on sexuality and sexual healthcare services is higher.</p><p><strong>Conclusions: </strong>The midwives' perspectives on sexual health, their level of knowledge, and the sexual health education they receive impact the quality of care they provide. Sexual and reproductive health should be emphasized within the scope of midwifery education.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"80-86"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481071","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 Hospital Readmission: A Systematic Review.","authors":"Yijun Mao, Qiang Liu, Hui Fan, Erqing Li, Wenjing He, Xueqian Ouyang, Xiaojuan Wang, Li Qiu, Huanni Dong","doi":"10.1111/phn.13441","DOIUrl":"10.1111/phn.13441","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate the predictive performance and methodological quality of post-stroke readmission prediction models, identify key predictors associated with readmission, and provide guidance for selecting appropriate risk assessment tools.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted from inception to February 1, 2024. Two independent researchers screened the literature and extracted relevant data using the CHARMS checklist.</p><p><strong>Results: </strong>Eleven studies and 16 prediction models were included, with sample sizes ranging from 108 to 803,124 cases and outcome event incidences between 5.2% and 50.0%. The four most frequently included predictors in the models were length of stay, hypertension, age, and functional disability. Twelve models reported an area under the curve (AUC) ranging from 0.520 to 0.940, and five models provided calibration metrics. Only one model included both internal and external validation, while six models had internal validation. Eleven studies were found to have a high risk of bias (ROB), predominantly in the area of data analysis.</p><p><strong>Conclusion: </strong>This systematic review included 16 readmission prediction models for stroke, which generally exhibited good predictive performance and can effectively identify high-risk patients likely to be readmitted. However, the generalizability of these models remains uncertain due to methodological limitations. Rather than developing new readmission prediction models for stroke, the focus should shift toward external validation and the iterative adaptation of existing models. These models should be tailored to local settings, extended with new predictors if necessary, and presented in an interactive graphical user interface.</p><p><strong>Trial registration: </strong>PROSPERO registration number CRD42023466801.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"535-546"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481073","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 Environmental Awareness-Based Education on Environmental Attitudes of Nursing Students: A Randomized Controlled Study.","authors":"Hasan Evcimen, Necmettin Çiftci, Metin Yıldız","doi":"10.1111/phn.13426","DOIUrl":"10.1111/phn.13426","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to determine the effect of environmental awareness-based education given to nursing students on their environmental attitudes.</p><p><strong>Method: </strong>This study was designed in a parallel-group 1:1 single-blind randomized controlled experimental design. The study was conducted with 110 nursing students studying at a state university in Turkey between November 1, 2023, and March 15, 2024. Data were collected using a personal information form and the Environmental Attitude Scale. Data were analyzed using SPSS 25.0 and G Power 3.1.9.7 software.</p><p><strong>Results: </strong>After the training program was applied to the students, it was found that the mean score of the environmental attitude scale of the experimental group was significantly higher than the control group (p < 0.05). It was found that the posttest mean score of the experimental group's environmental attitude scale was higher than the pretest (p < 0.05).</p><p><strong>Conclusion: </strong>It was observed that the environmental awareness-based education program given to nursing students had a positive effect on environmental attitude. Longitudinal studies on environmental attitude are recommended.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT06169189.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"411-418"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395261","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 Effects of a Newborn Care Education Program on Mothers' Self-Confidence, Care Knowledge, and Breastfeeding Behavior: A Systematic Review and Meta-Analysis.","authors":"Kangle Guo, Xue Shang, Xinxin Deng","doi":"10.1111/phn.13484","DOIUrl":"10.1111/phn.13484","url":null,"abstract":"<p><strong>Objective: </strong>To assess the effect of newborn care education programs on mothers' self-confidence, care knowledge, and exclusive breastfeeding behavior and anxiety.</p><p><strong>Methods: </strong>We searched for intervention studies comparing newborn care education programs versus standard care for mothers in five comprehensive databases (July 2024). The risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool. The R software version 4.2.2 software was used to perform the meta-analysis on mothers' self-confidence, care knowledge, exclusive breastfeeding behavior, and anxiety, and the GRADE approach was used to evaluate the certainty of evidence.</p><p><strong>Results: </strong>Twenty trials involving 6136 mothers were included. The results of meta-analysis revealed that newborn care education program improved mothers' confidence scores (SMD = 1.25, 95% CI: [0.22, 2.28], p < 0.05), care knowledge level scores (SMD = 1.05, 95% CI: [-0.00, 2.09], p < 0.05), the frequency of exclusive breastfeeding (RR = 1.15, 95% CI: [1.10, 1.20], p < 0.05), and significantly decreased anxiety scores (SMD = -0.40, 95% CI: [-0.73, -0.07], p < 0.05) than standard care programs.</p><p><strong>Conclusion: </strong>Our evidence supports the benefits of newborn care education programs in improving mothers' self-confidence, care knowledge, exclusive breastfeeding behavior (optimal duration of more than 6 months), and reducing anxiety. Newborn care education program is beneficial to mothers both in behaviors and psychology state of taking care of newborn. It is recommended conducting more well-designed intervention with large samples to verify current findings.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"395-410"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632818","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":"Successful Aging and Self-Neglect Among Community-Dwelling Older People.","authors":"Esma Nur Sert, Aysegul Ilgaz","doi":"10.1111/phn.13439","DOIUrl":"10.1111/phn.13439","url":null,"abstract":"<p><strong>Objective: </strong>It was aimed to explore the relationship between successful aging and self-neglect and factors affecting successful aging among community-dwelling older people.</p><p><strong>Methods: </strong>This cross-sectional study was conducted with 316 participants aged 60 years and older in a Family Health Center (FHC). The data were collected by using the questionnaire form, Successful Aging Scale and Self-Neglect Scale. The questionnaire form includes sociodemographic characteristics, independence (Katz Daily Life Activities Scale) and well-being status (WHO-5 Well-Being Index), psychosocial support (Multidimensional Perceived Social Support Scale), and depressive symptoms (two questions-complaints such as feeling depressed or hopeless and loss of interest and inability to enjoy life).</p><p><strong>Results: </strong>Participants had a mean age of 67.5 (SD: 6.5) years, 55.4% were female. A strong positive correlation was determined between successful aging score and self-neglect score (r = 0.741, p < 0.001). Factors affecting successful aging were age, working status, education level, body mass index, physical activity, subjective health perception, health screening status, self-neglect level, depressive symptoms, independence in activities, well-being status, and psychosocial support. Gender, income status, chronic disease presence, cigarette and alcohol use, living alone, and family type did not affect it. According to multivariate linear regression, the factors affecting successful aging were age, psychosocial support presence, and self-neglect level (p < 0.05).</p><p><strong>Conclusion: </strong>Older people have low successful aging and self-neglect scores. Successful aging is better at a young age, in the presence of psychosocial support and a low level of self-neglect. It is recommended to increase the existence of psychosocial support for them and to plan interventions to reduce self-neglect.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"44-53"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395273","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 Media Addiction and Cognitive Behavioral Physical Activity Among Adolescent Girls: A Cross-Sectional Study.","authors":"Ebru Sönmez Sari, Handan Terzi, Didem Şahin","doi":"10.1111/phn.13446","DOIUrl":"10.1111/phn.13446","url":null,"abstract":"<p><strong>Objective: </strong>To measure a multivariate analysis of social media addiction and cognitive-behavioral physical activity associated with several sociodemographic characteristics in adolescent girls.</p><p><strong>Design and methods: </strong>A cross-sectional study. The sample consisted of adolescent girls studying in a vocational high-school in the Middle-Black-Sea region in Türkiye (n = 333). A questionnaire, Social Media Addiction Scale-for-Adolescents (SMAS-A), and Cognitive-Behavioral Physical Activity Questionnaire (CBPAQ) were used to collect the data.</p><p><strong>Results: </strong>The mean age was 15.35 (SD = 1.15), and 29.4% were the ninth-class students. Of the adolescent girls, 85.9% were social-media users, 59.8% used the internet 2-hours-or-more/daily, 67.9% declared themselves as moderately-active. The mean scores of the SMAS-A and the CBPAQ were 3.40 (SD = 1.61) and 21.03 (SD = 7.64), respectively. There was a significantly-negative correlation between cognitive-behavioral physical activity and social-media addiction levels. The One-Way MANOVA results showed significant differences in the academic level, family income, mother education, and physical activity measurement application usage affected to cognitive-behavioral physical activity. Social media usage habit affected to the social media addiction level.</p><p><strong>Conclusions: </strong>Daily internet usage time and self-declared physical activity level were the mutually affected factors. School nurses should act to improve healthy social media usage habits to promote well-being and encourage the positive attitudes towards regular physical activity in this population.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"61-69"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481075","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":"Cost-Utility Analysis of Teledermatology Units in Primary Care Centers Versus Face-to-Face Dermatology Consultations in the Hospital.","authors":"Antonio Lopez-Villegas, Rafael Jesus Bautista-Mesa, Remedios Lopez-Liria, Mercedes Perez-Heredia, Carlos Javier Hernandez-Montoya, Maria Gador Gutierrez-Maldonado, Cesar Leal-Costa, Salvador Peiro","doi":"10.1111/phn.13438","DOIUrl":"10.1111/phn.13438","url":null,"abstract":"<p><strong>Objective: </strong>To perform an economic evaluation to determine whether or not teledermatology (TD) units in primary care (PC) centers offer an alternative in terms of cost-utility and cost per quality-adjusted life years (QALYs) to conventional dermatology consultations (face-to-face dermatology [F-F/D]) at the hospital from the perspective of the Public Health System (PHS) and the patients.</p><p><strong>Methods: </strong>This is a randomized, controlled, nonblinded, and multicenter study. During 6 months, data from 450 patients (TD: 225 vs. F-F/D: 225) were collected. From both perspectives, costs, quality of life, and costs per QALYs were analyzed. The QALY scores were estimated from the EuroQol-5D-5L (EQ5D-5L) questionnaire responses.</p><p><strong>Results: </strong>From the perspective of the PHS, the cost per patient was 53.04% lower in the TD group (p < 0.001). Hospital visits decreased by 72.43% in the TD group (p < 0.001). From the patients' perspective, TD reduced costs per patient by 77.59% (p < 0.001). The cost per QALY was 63.34% higher in the F-F/D group (p < 0.001). The TD group's total costs were 56.34% lower (p < 0.001). Furthermore, patients in the TD group gained 0.05 QALYs more than those in the F-F/D group (p = 0.004).</p><p><strong>Conclusions: </strong>This study shows that TD units in PC represent a significant cost-effective alternative to conventional hospital follow-up. To enhance TD in PC, it is important to introduce remote consultation platforms incorporating artificial intelligence for prediagnosis. This will enable general practitioners and nurses to make more accurate initial assessments. It is also crucial to provide thorough training to healthcare personnel using these technologies to ensure more efficient and personalized care. Public health nurses will benefit from gaining new skills in managing digital tools, which will help in the early identification of dermatological diseases and reduce unnecessary referrals to specialists. This will optimize resources and improve response times for patients.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"419-434"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481052","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":"Assessment of Compliance Status and Its Determinants Among Hypertensive Patients From County Areas in Zhejiang, China: A Cross-Sectional Study.","authors":"Chi Zhou, Jingchun Chen, Chen Li, Wenli Shen, Xu Li, Yinan Shi, Shuangyu Yang, Yuanyuan Weng, Dan Wu, Jingyu Huang, Falin Zhao","doi":"10.1111/phn.13466","DOIUrl":"10.1111/phn.13466","url":null,"abstract":"<p><strong>Objectives: </strong>Compliance is crucial for patients to control and manage their high blood pressure. This study assesses the compliance levels of hypertensive patients in China and explores the factors influencing compliance.</p><p><strong>Design: </strong>A descriptive, cross-sectional design was conducted.</p><p><strong>Sample: </strong>A total of 371 hypertensive patients were recruited from six County hospitals and 12 township health centers in Zhejiang Province, China.</p><p><strong>Measure: </strong>Patient compliance was measured using the Hypertensive Patient Scale (CHPS). Independent-sample T-test or variance analysis was applied to analyze CHPS scores by sociodemographic factors, and linear regression was used to explore the significant correlates of the total CHPS score.</p><p><strong>Results: </strong>The total score of CHPS was 50.18 ± 6.12. Among the seven domains, drug treatment and lifestyle had the highest and lowest average scores, 3.59 ± 0.87 and 2.74 ± 0.73, respectively. The total score of CHPS positively associated with age (β = 0.075, p = 0.028), > 7 years of hypertension (β = 1.896, p = 0.022; Ref: < 3 years), and negatively associated with males (β = -2.224, p = 0.001; Ref: female) and rural area (β = -2.008, p = 0.007; Ref: urban area).</p><p><strong>Conclusion: </strong>These findings highlight the importance of related measurements of the local \"health-oriented\" healthcare system. Primary health professionals should strengthen their health behavior intervention capacity and improve hypertension management among their patients.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"104-112"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513078","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}