Health Education and Health Promotion
Volume:12 Issue: 3, Summer 2024

Electronic health records play a crucial role in modern healthcare by providing users and healthcare providers with comprehensive medical information. However, the implementation of EHR systems involves a complex balance of advantages and challenges. This study examined the strengths, weaknesses, potential benefits, and challenges related to the implementation of electronic health records.

This cross-sectional survey was conducted from May to September 2023, involving 63 electronic health record managers and 110 practitioners from health centers in Mazandaran province. A purposive sampling technique was employed, utilizing a specially designed questionnaire to evaluate different aspects of electronic health records, including their strengths, limitations, potential benefits, and possible risks. The data analysis included a combination of descriptive and analytical statistics.

The participants had an average age of 40.48±9.14 years. Electronic health record managers highlighted the rapidity and effectiveness of information access, as well as the smooth exchange of electronic data, as major advantages of electronic health record implementation. Noted weaknesses included a heavier workload for healthcare providers and inadequate equipment for EHR functionality. The potential for achieving system integration and improving access to health sector statistics was identified. Nevertheless, there were concerns regarding the security of patient information and difficulties in developing and implementing appropriate software.

The success of electronic health record implementation depends on a thorough understanding of its various aspects, including strengths, weaknesses, threats, and opportunities.

This study compared two innovative teaching methods, including interactive online lecture-based versus online jigsaw puzzle-based instruction for surgical technology education in a virtual environment.

This quasi-experimental pre-post single-group design was conducted on 42 undergraduate surgical technology students at Alborz University of Medical Sciences. Topics in a general surgical technology module were divided into two sections and taught using these methods. Learning and retention were assessed using 40-item multiple-choice questions in the pre- and post-test stages. Academic enthusiasm was evaluated using a standard 15-item questionnaire.

Participants’ mean age was 20.26±0.63 years, with a GPA of 16.43±0.94. The interactive online lecture-based group demonstrated significantly higher learning gains than the online jigsaw puzzle-based group (p=0.02, z=-2.20, d=3.41). No significant between-group differences emerged in retention (p=0.95, t=0.05, d=0.013). For academic enthusiasm, the interactive online lecture-based group showed higher behavioral engagement compared to the online jigsaw puzzle-based group (p=0.005, t=2.87), but no other differences were noted.

Interactive online lectures lead to superior learning outcomes, supporting the transition of traditional techniques online with interactivity. However, virtual jigsaw puzzles exhibit weaker educational effects, potentially due to coordination challenges.

Marriage significantly influences individuals’ roles and developmental trajectories. This study investigated the effectiveness of emotion-focused group therapy on emotion regulation in divorced women, focusing on anger, positive affect, and internalized shame.

The study utilized a quasi-experimental design, incorporating a pre-test-post-test framework with follow-up assessments at one and three months, and was conducted on 20 divorced women. The samples were divided into the experimental and control groups. Data were analyzed using repeated measures ANOVA by SPSS 25 to examine changes in emotion regulation.

Significant differences were noted between the experimental and control groups in the regulation of anger and positive affect, as well as in levels of internalized shame. No notable differences were observed in depressed mood and anxiety levels.

Emotion-focused group therapy effectively enhances emotion regulation among divorced women, particularly in managing anger and internalized shame.

Diabetic ulcers are chronic, open wounds that penetrate through the skin’s outer layer into the deeper dermal tissue. This research aimed to discover how augmented reality media and Animaker affect non-ulcer foot care behavior among people with type 2 diabetes, specifically regarding foot care education.
Materials &

This quasi-experimental study employed a pre-test-post-test design with a control group and was conducted on 44 participants. The subjects were divided into three groups, including the intervention group (augmented reality+Animaker), positive control group 1 (augmented reality), and positive control group 2 (Animaker). Data were collected using observation sheets and questionnaires, and analyzed by the Wilcoxon signed-rank and Kruskal-Wallis tests at a significance level of ≤0.05.

The post-test knowledge, attitude, and behavior scores increased in the intervention group, positive control group 1, and positive control group 2. Also, disparities were found in the effectiveness of enhancing knowledge (p=0.047), attitudes (p=0.022), and behavior (p=0.037) among the combined media of augmented reality+Animaker, augmented reality, and Animaker.

The use of AR media, Animaker, or a combination of both increases knowledge, attitudes, and behavior toward treating diabetic foot ulcers.

This study aimed to explore the correlation between social capital and loneliness among older adults residing in Pekanbaru, Indonesia.

This cross-sectional study utilized multistage clustered sampling combined with consecutive techniques to enroll 257 participants from the Payung Sekaki sub-district and was conducted between January and February 2022. The Socio-demographic Questionnaire, Social Engagement Questionnaire, and Loneliness Questionnaire were administered to collect data and the obtained data were analyzed by the Chi-square test and logistic regression analysis using SPSS 22.

The results indicated significant associations between loneliness and age, gender, education, marital status, and social capital among older individuals. The results of the multivariate analysis using binary logistic regression revealed that education (p=0.010; OR=0.362; 95% CI=0.167-0.784) and social network (p=0.015; OR=1.836; 95% CI=1.150-2.677) were significant predictors of loneliness.

Socio-demographic characteristics and social capital are associated with loneliness.

The present research was conducted to compare the effect of cognitive-behavioral therapy and mindfulness on self-care in depressed women with gestational diabetes.

This semi-experimental research was conducted on depressed women with gestational diabetes who were referred to the healthcare centers in Ray County, Tehran. Forty-five individuals were selected through convenience sampling and randomly assigned to three groups, including cognitive-behavioral therapy, mindfulness, and control. The two intervention groups, cognitive therapy and mindfulness, received eight sessions of 60 minutes each. The research tools included the Summary of Diabetes Self-Care Activities Scale and the Edinburgh Postnatal Depression Scale. Data analysis was performed using SPSS 25 software and the mixed analysis of variance.

Mindfulness was significantly more effective in self-care behavior (p<0.01). However, both cognitive-behavioral therapy and mindfulness methods led to increased diabetes self-care activities (p<0.01). After a one-month follow-up, both methods remained effective (p>0.05), although mindfulness showed a decreasing trend (p<0.01).

While both mindfulness and CBT show promise in enhancing self-care among depressed women with gestational diabetes, mindfulness appears particularly effective in addressing the complex interplay of depression and diabetes management. However, CBT demonstrates the potential for longer-lasting therapeutic effects.

Death is an important and significant issue in nursing. The present study aimed to explain death anxiety among nursing students using a qualitative approach.

The present qualitative study was conducted on 12 nursing students from the School of Nursing and Midwifery in Zahedan during 2023-2024. The participants were selected through purposive sampling and attended semi-structured interviews after providing informed consent. The interviews were immediately transcribed and analyzed using a conventional content analysis technique. The data were coded by MAXQDA2020 software and analyzed using the content analysis method proposed by Graneheim and Lundman.

The students recognized the reality of death and its existential necessity. They also pointed to the lack of confrontation with death and after-death experiences, the meaning of death, the quality of death and dying, concerns about survivors, and emotional confrontation.

There are many concepts regarding the concept of death, with one of the most important ones highlighted by almost all participants being the reality of death and its existential necessity.

This study aimed to measure the knowledge level and information needs of patients with diabetes in Yogyakarta City, Indonesia.

This cross-sectional study was conducted on 155 patients with diabetes who filled out a questionnaire consisting of three sections, including a demographic information chalkiest, the 24-item version of the Diabetes Knowledge Questionnaire, and the researcher-made Diabetes Mellitus Information Questionnaire. Sixteen pharmacists were voluntarily recruited to complete a survey that included demographic data and open-ended questions related to pharmacy services in their workplaces. Data were analyzed by SPSS version 22.

No correlation was found between knowledge level and factors, such as age, gender, occupation, income, education, medications, comorbidities, or blood sugar levels. However, a significant link was identified between the duration of diabetes and knowledge level. While pharmacists provide education and counseling, most repowered no specialized training, which limited education to new patients and those with uncontrolled blood sugar levels. Challenges for pharmacists included limited time, lack of dedicated space, and the absence of standardized documentation.

DM patients in Yogyakarta City have a moderate level of knowledge.

This study aimed to investigate the effect of yoga on the sexual function and sexual quality of life of women after vaginal delivery.

This randomized controlled trial included 36 women who were 8-10 weeks postpartum, recruited from a health center in Isfahan, Iran, from January 2020 to March 2021. The women were randomly assigned to two groups with a block size of four, including the intervention group that practiced sexual yoga techniques and the control group that received information on postpartum recovery and lactation. Both groups completed the Sexual Quality of Life-Female Questionnaire and the Female Sexual Function Index before the intervention, as well as one month, two months, and three months after the intervention. Data were analyzed by R software using the independent sample t-test, analysis of variance, Friedman’s test, and the Chi-square test.

The mean total score for sexual function three months after the intervention in the intervention group showed a significant improvement compared to before the intervention (20.52±7.86 vs. 29.56±3.53, t(34, 0.975), p<0.001). Additionally, the sexual quality of life in the intervention group significantly improved after three months of intervention compared to the control group (99.94±10.62 vs. 76.83±20.23, t(34, 0.975), p<0.001).

Yoga practices enhance the sexual function and sexual quality of life of women following vaginal delivery.

This study aimed to investigate the impact of dental health education interventions using animation and leaflets on children's dental health behaviors.

The research employed a quasi-experimental design with pre-test and post-test groups, including a control group in 2021 in Indonesia. A sample of 60 elementary school students, aged 10-12 years, from Medan City, was divided into three groups of 20 students each. The interventions included media animation and leaflets, while the control group received traditional oral presentations. Behavioral changes were evaluated using three parameters of knowledge, attitudes, and actions through a questionnaire. The effectiveness of the interventions was assessed using univariate and covariance analysis.

The behavior scores were highest in the Animation group, with a mean of 52.00±4.54. In contrast, the Oral Presentation group (serving as the control group) had the lowest mean score of 46.90±6.42. The Leaflets group had an intermediate effect, with a mean score of 48.15±5.52. Across all groups, the total mean behavior score was 49.02±5.88.

Dental education using animation is the most effective manner in increasing dental care behavior among leaflets and oral presentations.

Dementia and cognitive impairment can arise from a combination of genetic and modifiable factors. There is substantial evidence supporting the impact of modifiable factors, highlighting the urgent need for consistent evaluation. This study aimed to provide a narrative assessment of the risk factors associated with the incidence of dementia in older adults.

This was a systematic review carried out in 2024. In this review, databases, including PubMed, ScienceDirect, Wiley Online Library, and ProQuest were searched for studies on risk factors associated with the incidence of dementia in the elderly. The review followed the PRISMA guidelines to systematically structure the report. The quality of the studies was evaluated using NIH criteria, and the risk of bias was assessed using the ROBINS-E tool. A total of 1,658 articles were collected in the initial search. After the screening process, 16 articles were deemed eligible.

Based on the collected studies, approximately 27 risk factors were categorized into four groups, including demographic factors, lifestyle, chronic diseases, and psychological disorders. The majority of the studies reviewed focused extensively on depression, while hypertension and a history of stroke also emerged as frequently discussed subjects.

Demographics, lifestyle, chronic diseases, and psychological disorders are risk factors for dementia among older adults.

The study seeks to ascertain the instruments used in research pertaining to the area under evaluation, as well as the validity of these instruments.

This scoping review is conducted using the PRISMA-SCR guidelines and utilized the Scoping Review Framework, which consists of five stages: identifying the research question, identifying relevant studies, study selection, data charting, and summarizing and reporting results. The review focused on assessing instruments used to evaluate nurses' experiences with Traditional and Complementary Medicine (T&CM). A literature search was conducted in March 2024 across six databases, including PubMed, ScienceDirect, and GARUDA, to identify studies published between 2014 and 2024.

A total of 18 relevant studies from 12 countries across continents, with the majority from Asia, are included. The domains assessed include nurses' knowledge, attitudes, beliefs, practices, and communication related to T&CM. Although most instruments were validated, some studies did not report tests of validity and reliability.

The instruments used to measure nurses' attitudes, knowledge, beliefs, practices, and communication regarding T&CM are primarily self-developed or adapted from previous research, with varied reliability and validity testing. Most studies focused on assessing attitudes and knowledge, while fewer addressed beliefs or communication.

A pregnancy tumor, also known as pyogenic granuloma, is a reactive exophytic lesion that occurs in the oral cavity due to an intensified hyperplastic response in a localized area during pregnancy. These lesions can cause bleeding, pain, discomfort, and difficulties in eating, particularly when they are larger. This can lead to inadequate nutrition for the mother and hinder proper fetal development. This study aimed to examine the frequency of pregnancy tumors and associated factors among pregnant women at Al-Zahra Hospital in Rasht, Iran.

This cross-sectional analytical study included 707 pregnant women referred to Al-Zahra Hospital in Rasht from 2022 to 2023. After collecting demographic and clinical information, intraoral examinations were conducted using a mouth mirror, probe, and tongue depressor. Data were analyzed by SPSS 28 using the independent t-test, Mann-Whitney U test, and Fisher’s exact test, at a significance level of p-value≤0.05.

The prevalence of pregnancy tumors among pregnant women was 0.8%. There was a significant relationship between the frequency of pregnancy tumors and oral hygiene indices, including the plaque index and gingival inflammation. Gingival inflammation (p=0.011), the number of quadrants with gingival inflammation (p<0.001), and the mean plaque index (p<0.001) were significantly higher in individuals with pregnancy tumors compared to the overall average.

The prevalence of pregnancy tumors among pregnant women is 0.8%.

Quality of life can be compromised by the appearance of a stoma, since this procedure changes the body’s working and body image, which may cause physical, psychological, and social impact. Discovering the factors linked to the quality of life (QoL) of older adults with dementia can help identify ways to enhance their QoL.

To reviews all possible factors that influence QoL of individual with stoma Method. PubMed, Scopus, Web of Science and Proquest searches from 2000 to 2024 and hand searches of publication lists, reference lists and citations were used to identify primary studies on ‘quality of life’, ‘Colostomy’, ‘ileostomy’ and ‘Intestinal stoma’.

The results suggest that there are a complex variety of factors influencing QoL of individual with stoma, and the factors cover demographic, physical, psychological, social, and spiritual aspects. The factors influencing QoL of individual with stoma are categorized into personal and ostomy factors. The findings of the review showed that ostomy factors were the most consistent factor category among the studies with strong significance with QoL. It was even stronger when adjusted for sociodemographic factors than personal factors.

The factors identified should inform nurses and caregivers in developing care interventions that support the well-being of individuals with stomas.

This study aim to know the empowerment model of batik home industry workers in TB elimination that can be used as input regarding the home industry workforce empowerment model.

Methods and Materials:

 This study uses mixed methods research with a sequential exploratory approach, this method begins with the use of qualitative methods, followed by quantitative methods and ends with interpretation. Data were collected by means of observation, questionnaires, snowball method interviews and Focus Group Discussions. The number of research samples was 99 batik home industry workers, with Simple Random Sampling.

Social capital and health belief model (HBM) constructs are important factors in workers' willingness to make efforts to prevent and control TB. The results showed that social capital had a positive and significant effect on perceived benefits and adherence to taking medication. In addition, data on perceived barriers as many as 92 people (92.03%) showed negative perceptions of TB patients so that workers were willing to take TB prevention measures.

This study concludes that the empowerment model based on path analysis and qualitative analysis obtained the results that for the elimination of TB in the workplace, the social capital of the workforce is needed for the success of empowerment for TB prevention and control.

This review focuses on identifying the risk factors for scabies among schoolchildren, with a particular emphasis on those in low- and middle-income countries. The literature for this analysis was gathered from databases including PubMed, ScienceDirect, JSTOR, and Proquest.

The target population is school children (community/dormitory/elementary school) who meet the inclusion criteria. Case study articles, narrative articles, review papers, and articles focused on skin outcomes, in general, were excluded from this review.

  Four hundred forty-eight articles were found in the initial search across the database. After the screening, only 13 studies were declared eligible to be included in this review. Based on the literature analyzed, the risk factors for scabies that appear most frequently and have similarities among lower-middle-income countries are age, gender, student level, personal hygiene, frequency of changing bed linen, and family economy. The statistical values ​​of each of the risk factors that have these similarities show a strong relationship with the incidence of scabies.

The risk factors for scabies are multifactorial. Thus, health interventions that need to be developed, especially for school students, must also consider all existing risk factors. Managers of boarding schools must realize the importance of overcoming this problem so that students can focus more on studying.

Tujuan : 

Penelitian ini bertujuan untuk mengetahui Efektivitas pendidikan kesehatan dalam meningkatkan kepatuhan pengobatan pada pasien kanker payudara di RSUD Dr. Soetomo Surabaya.

Instrumen & Metode : 

Penelitian kuantitatif ini menggunakan metode cross-sectional yang melibatkan seluruh pasien kanker payudara yang menjalani pengobatan di RSUD Dr. Soetomo pada bulan Mei sampai dengan Juni 2024. Pengambilan sampel menggunakan teknik Total Sampling, dengan pengumpulan data melalui kuesioner yang mengevaluasi tingkat pemahaman pasien terhadap pendidikan kesehatan, kepatuhan pengobatan, dan persepsi pentingnya kepatuhan.

Temuan :

 Hasil analisis menunjukkan bahwa pendidikan kesehatan yang efektif secara signifikan meningkatkan kepatuhan pengobatan pasien, dengan hubungan yang kuat antara Kepatuhan, kepatuhan, dan persistensi terhadap keberhasilan terapi. Pendidikan kesehatan yang baik meningkatkan motivasi pasien, meningkatkan hasil terapi, dan memperpanjang ketahanan pasien dalam pengobatan jangka panjang. Penelitian ini menekankan pentingnya pendidikan kesehatan yang komprehensif dan berkelanjutan dalam strategi perawatan kanker payudara, berdampak positif pada kualitas hidup pasien dan hasil pengobatan.

Kesimpulan:

 Berdasarkan analisis variabel Kepatuhan, Kepatuhan, dan Kegigihan dalam konteks pengaruh Efektivitas pendidikan kesehatan terhadap kepatuhan pengobatan pada pasien kanker payudara, dapat disimpulkan bahwa ketiga variabel tersebut mempunyai hubungan yang signifikan terhadap keberhasilan terapi.

New developments in artificial intelligence (AI) provide bright prospects to transform therapy approaches and enhance results for people with a range of abilities. Therefore, the aim of this systematic review was to investigate the applications of AI in occupational therapy (OT).

We looked for literature on February 18, 2024, using the databases from PubMed, Embase, Scopus, and Web of Science. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for reporting on the evidence from the studies that were a part of this systematic review. English-language studies that investigated the use of AI in OT were included in this study.

Totally, 6 eligible studies were included in this review. AI approaches used in studies include artificial neural networks, multi-core learning models, deep learning models, machine learning models, and classification and regression trees. All the studies had promising results from the use of AI in evaluating and predicting return to work, relief of symptoms, recovery of social function, reduction of disease recurrence, improvement of re-employment rate, and overall health level of patients.

This study provided an overview of AI applications in OT. The evidence from this review showed that potential of using AI models to predict patients' return to work and problems. One of the most common problems with these models was their low accuracy and the possibility of mistakes. Therefore, it is suggested that future studies investigate barriers and facilitators to improve the prediction accuracy of AI models in OT.

 Osteoporosis is one of the most common diseases among women, and dietary patterns, especially during adolescence, significantly impact its occurrence and prevention. The present study examined the determinants of osteoporosis in female students at the first secondary school level in Ilam City based on the health belief model.

 This cross-sectional study involved 819 participants selected by a two-stage cluster random sampling approach. Data were collected using a 52-item researcher-developed questionnaire based on the health belief model and analyzed using descriptive tests, Pearson’s correlation, multiple linear regression, one-way analysis of variance, and Chi-square test by SPSS 22 software.

 The average age of participants was 13.72±0.97 years, with an age range of 12 to 16 years. Also, 22.2% of participants had a family history of osteoporosis. Additionally, 29.2% and 22.6% of the participants reported a history of calcium and vitamin D supplement intake in the last month, respectively. The health belief model constructs accounted for a total of 18.9% of the variance in behavior. Perceived barriers and perceived self-efficacy were identified as the most important predictors of behavior, while other constructs were not significant predictors despite showing significant correlations with behavior.

 The constructs of self-efficacy and perceived barriers directly affected nutritional behavior preventing osteoporosis among teenage girls in Ilam City, while another construct had an indirect effect.

Academic research plays a crucial role in managing public health and risks. Dissertations and theses are more advanced than articles in producing new knowledge. A review of these academic works on pedestrian safety can reveal unique findings in this domain, as well as enable cross-country comparisons that can inform the selection of dissertation topics for professors and improve student supervision.

Adhering to the Joanna Briggs Institute (JBI) guidelines and incorporating Arksey & O'Malley's framework, this scoping review examined key aspects of Electronic Theses and Dissertations (ETDs) from Iran and other nations, focusing on the quantity of ETDs, relevant ministries, temporal trends, departments, academic levels, target demographics, and keywords.

This study encompassed 7 Iranian ETDs and 8 international ETDs in English, spanning from 2019 to 2023. A comparative analysis revealed distinct differences: Iranian ETDs lacked contributions from the ICT Innovation and Humanities and Social Sciences, whereas Health Sciences departments demonstrated notable activity. Internationally, such activity was absent. Additionally, the study location's name emerged as a prevalent keyword within Iranian ETDs. Most ETDs, regardless of origin, did not specify particular pedestrian target populations.

The findings highlight the necessity for increased interdisciplinary collaboration in formulating theses and dissertations projects, particularly in Iran.

Sinusoidal obstruction syndrome/veno-occlusive disease (SOS/VOD) is a severe complication that can develop in up to 15% of adults following hematopoietic cell transplantation. Occlusion of small veins in the liver results in congestion and damage. Recent studies have been conducted to identify potential biomarkers and explore molecular advances to improve the understanding and management of SOS/VOD. MicroRNAs are reliable biomarkers for the early diagnosis and prevention of disease progression. Consequently, we analyzed GSE164635 using R packages, with a log fold change of less than 0.05, to identify four significant miRNAs. The multiMiR package was utilized to predict gene targets for the identified miRNAs. Pathway enrichment and gene ontology analyses of common genes were performed using Funrich 3.1.3. Cytoscape software was employed to construct networks of commonly shared genes. Target gene prediction for these miRNAs was conducted using the multiMiR package in R, with data sourced from the mirTarBase and Tarbase databases. Two upregulated and downregulated miRNAs (hsa-miR-194-5p and hsa-miR-148a-3p) and (hsa-miR-342-3p and hsa-miR-150-5p), respectively, were identified. For the upregulated miRNAs, the network revealed interactions with key genes such as AGO2, CDKN1A, HSP90AA1, HSPA4, EP300, IGF1R, MYC, SMAD2, DICER1, and IL10. For the downregulated miRNAs, the interaction network identified significant genes, including EEF2, IGF1R, EP300, CCN2, DNMT1, SREBF1, CANX, ZEB1, SP1, and JUN. The present study identified novel biomarkers involved in lipid metabolism, liver fibrosis, inflammation, and cell function associated with the VOD mechanism. These findings may contribute to improving quality of life.

The abdominal muscles are stretched greatly during pregnancy where inter-recti distance (IRD) increases typically and several physiological events greatly impact women's musculoskeletal system. The average LSCS rate increased globally between 1990 and 2014 by 12.4% (6.7%-19.1%) with a 4.4%  rise in the annual rate on average, according to data from 121 countries abrupt drop in muscle strength brought on by activity is known as fatigability.

An experimental study was conducted on postpartum women based on inclusion and exclusion criteria using the odd-even method by convenient sampling technique. A total of  30 subjects were allotted into 2groups groups (abdominal draw-in manoeuvre) group-DPP (Different plank positions).15subjects were allotted in each group, and functional evaluation of abdominal muscles in both the groups was done by using a Pressure biofeedback unit (PBU) and strength of the Abdominal muscles was measured with Single Leg Lift Abdominal Strength Test (SAS) in every week for a period of 6months.

Statistical Analysis of the  Post-test Values in Identifying Strength and Functional Activity of Abdominal Muscle in Postnatal Women Who Underwent LSCS The results of the study showed that Group DPP had shown greater improvement than Group ADM

This Comparative Study on Strengthening abdominal muscles in postnatal women who underwent LSCS concluded that the group ADM and group DPP resulted in good outcomes, but group DPP with Different plank positions showed greater level of positive outcome in terms of increasing abdominal muscle strength and increasing functional activity