Conectar
by Shuangyan Tu, Menglin Jiang, Rong Yang, Zhiqiang Deng, Cairong Zhu, Muke Zhou, Zhangyan Peng, Lihong Zhao
PurposeTo identify the scale that is more suitable for oral health assessment in stroke patient population with indwelling gastric tubes.
MethodsA total of 198 patients with indent gastric tubes were selected from 1250 stroke patients to evaluate their oral health using both the BOAS and the OHAT scales. The scores obtained from both scales were then compared to evaluate the feasibility, reliability, and validity of each scale in assessing oral health among stroke patients with indwelling gastric tubes.
ResultsThe results showed that both the BOAS and OHAT scales exhibited good reliability and validity in stroke patients with indwelling gastric tubes. The Cronbach’s alpha coefficients of BOAS and OHAT in stroke patients with indwelling gastric tubes were 0.89 and 0.91, respectively. In the exploratory factor analysis, one and two common factors were extracted from the two scales, with cumulative variance contributions of 65.89% and 71.85%, respectively. In addition, potential influencing factor correlation analysis found that gender and marital status had a significant correlation with the BOAS score(P Conclusions
The BOAS and OHAT have demonstrated good reliability and validity and in their ability to assess the oral health of stroke patients with indwelling gastric tubes. Therefore, it is recommended that the selection of oral assessment scales should be further refined in different disease stages of stroke patients to assess the oral health status of patients more accurately and personalized.
by Weiyong Chen, Zhongrong Yang, Xing Wang, Weiwei Wang
ObjectiveThis study aimed to investigate the demographic characteristics of Men who have Sex with Men (MSM) recruited online and identify the factorsassociated with meeting homosexual partners at fixed offline locations.
MethodsUnivariate and multivariate logistic regression analyses were used to examine the factors that influenced their meeting up with homosexual partners at fixed offline locations.
ResultsA total of 604 MSM were included, with 133 participants (22.02%) meeting homosexual partners at fixed offline locations. Multivariate logistic regression analysis showed that participantswho were willing to engage in commercial sex, engage in behaviors such as alcohol consumption, drug use, or aphrodisiac use during homosexual activities, and hadused HIVPre-Exposure Prophylaxis (PrEP) in the last six months were more likely to meet homosexual partners at fixed offline locations.
ConclusionsThe proportion of participants meeting homosexual partners at fixed offline locations was relatively high, emphasizing the need to increase education and awareness among MSM to reduce relatedbehaviors during homosexual activities. Further promotion of the proper use of PrEP and avoidance of commercial sex are essential for lowering the risk of HIV infection among this population.
To evaluate the effectiveness of targeted interventions in optimising Beyond-Use Date (BUD) management and workload distribution to reduce intravenous (IV) medication errors and improve patient safety in a resource-limited hospital setting.
This study employed a pre- and post-intervention observational design.
A four-month intervention was conducted at a large tertiary hospital in China, following a baseline assessment of IV medication practices. The intervention included the establishment of BUD guidelines, redistribution of staff workloads and targeted training sessions. IV preparation and administration errors were observed in Pharmacy Intravenous Admixture Services (PIVAS) centers and medical wards, and changes in error rates were recorded.
In the PIVAS center, IV preparation errors decreased from 0.19% to 0.12%. Medical wards showed a decrease in administration errors from 38.3% to 30.0%, with improvements noted in areas such as adherence to BUD and storage protocols. The intervention demonstrated significant improvements in medication safety by enhancing BUD compliance and balancing workloads.
The implementation of structured BUD guidelines, workload optimisation, and training significantly reduced IV medication errors, highlighting the effectiveness of management-driven interventions in improving safety practices within hospital settings.
This study underscores the importance of BUD management and balanced workloads in reducing medication errors, contributing to safer and more efficient IV medication administration.
This study addresses the challenge of medication errors in resource-constrained healthcare environments, providing evidence that structured management interventions can enhance patient safety. The findings are relevant to healthcare providers and managers in similar settings.
This study follows the TIDieR and STROBE guidelines for structured reporting.
No patient or public contribution.
Caregivers of children with chronic diseases suffer from great parenting pressure, which directly affects the treatment and rehabilitation of children, reduces the quality of life of caregivers and damages family functioning. Existing reviews have not systematically summarized and evaluated interventions for parenting stress in caregivers of children with chronic diseases.
Embase, PubMed, Web of Science, OVID, CNKI, CBM, Wan Fang and Cochrane Library were searched for eligible reviews in November 2021 and October 2022.
Two reviewers independently screened titles and abstracts, reviewed full texts of articles for eligibility, and appraised the quality of reviews using JBI. The quality of the evidence was assessed using GRADE. Findings are reported in accordance with PRISMA checklist. Narrative summaries grouped findings by intervention types.
Out of 2632 records, we included 21 systematic reviews for a synthesis. Interventions for parenting stress in children with chronic diseases were divided into seven categories. Cognitive behavioural interventions, psychosocial interventions, child behavioural and/or developmental parent interventions and synthesized interventions have shown high-level evidence in reducing parenting stress for caregivers of children with chronic diseases. Furthermore, outcome measures and intervention protocols were highly heterogeneous across interventions.
This umbrella review suggest that reducing the parenting stress of caregivers of children with chronic diseases can directly target caregivers' parenting stress through cognitive behavioural interventions/psychosocial interventions and/or provide guidance to parents on the behavioural and developmental problems of children with chronic diseases. A more standardized approach to outcome measures is essential to assess efficacy and compare interventions across studies.
The findings provide information and evidence for reducing parenting stress among caregivers of children with chronic diseases to guide the development of comprehensive intervention strategies.
Patient or public contribution does not apply to this study.
Surgical Site Infection (SSI) is one of the common postoperative complications after hysterectomy for endometrial cancer (EC). Previous studies have investigated the risk factors for SSI in patients with EC. However, big differences in research results exist, and the correlation coefficients of different research results are quite different. A meta-analysis was conducted to examine the risk factors related to SSI in patients with EC. We searched English databases to collect case–control studies or cohort studies published before July 20, 2023, including PubMed, Web of Science, Embase and ScienceDirect. The risk of bias in the included studies was assessed via Newcastle–Ottawa Scale. The analysis was performed using RevMan 5.4.1 tool. A total of 6 articles (n = 3647) were selected in this meta-analysis. The following risk factors were presented to be significantly correlated with SSI in EC: laparotomy (OR = 2.66, 95% CI [1.57, 4.54]), postoperative blood sugar ≥10 mmol/L (OR = 4.38, 95% CI [2.83, 6.78]), Federation International of Gynaecology and Obstetrics (FIGO) stage-III or IV (OR = 2.27, 95% CI [1.49, 3.46]). The occurrence of SSI is influenced by a variety of factors. Thus, we should pay close attention to high-risk subjects and take crucial targeted interventions to lower the SSI risk after hysterectomy. Owing to the limited quality and quantity of the included studies, more rigorous studies with adequate sample sizes are needed to verify the conclusion.
FreshRSS 