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Introduction
During the perinatal and postpartum periods, appropriate health information is crucial for women and their partners. Although previous studies and reviews have identified various sources of health information, these studies have neither sufficiently clarified the relationships between the sources and topics of health information and the acquisition of health information nor included women’s partners as participants. Thus, this scoping review protocol aims to map and synthesise evidence on the acquisition of health information by women and their partners during the perinatal and postpartum periods and clarify the relationships between the sources and topics of health information and the acquisition of health information. We aim to generate thorough knowledge of relationships and patterns from the answers to our research questions as follows: (1) What are the relationships between the sources and topics of health information that women and their partners acquire during the perinatal and postpartum periods? (2) What are the patterns of acquisition of health information by women and their partners? (3) What are the patterns of acquisition routes and timing of health information by women and their partners?
This scoping review will be conducted in accordance with the Joanna Briggs Institute Manual for Evidence Synthesis for scoping reviews. We will search PubMed, CINAHL, Embase and Ichushi (Japanese electronic database) for relevant articles. The search in Google will be for grey literature. We will include sources of evidence that were investigated after 2020 and written in English and Japanese. Article screening will be conducted by two independent reviewers and reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping review flow diagram. Results will be presented on tables and described narratively.
This scoping review covers only secondary data that are publicly available and therefore does not require ethical review approval. The results will be disseminated in a peer-reviewed journal and presented in a conference.
UMIN000056170.
The effect of prophylactic clipping for colorectal cold snare polypectomy (CSP) on delayed bleeding (DB) in patients with antithrombotic drugs remains unverified. The aim of the PERCOLD study is to demonstrate the non-inferiority of DB rates in cases without prophylactic clips compared with cases with prophylactic clips in patients taking antithrombotic drugs for colorectal CSP through randomised controlled trial (RCT).
This study is a multicentre prospective parallel-group RCT phase 3 trial that is being conducted at 14 institutions in Japan at the time of writing this manuscript. After providing consent, patients will undergo screening and assessment for study enrolment eligibility. Patients taking antithrombotic drugs (aged 20 years or older at the time of consent and who have agreed to participate in this study) will be selected if they have a preoperative suspected adenoma (including sessile serrated lesion) with an endoscopic diameter of
The trial protocol has been approved by the Chiba University Certified Clinical Research Reviewer Board (CRB3180015), which serves as the central ethics committee, and registered with Japan Registry of Clinical Trials. The current protocol V.1.7, dated 4 October 2024. Written informed consent for participation in the study will be obtained from all participating patients. All participating institutions have formally agreed to conduct the study in accordance with this central approval, and local site permissions were obtained as required by each institution. The results of this study will be submitted for publication in international peer-reviewed journals and the key findings will be presented at international scientific conferences.
Japan Registry of Clinical Trials (jRCT1032230086).
Adherence to treatment strategies is essential for preventing future complications during diabetes management. This study evaluated the association between dropout history, glycated haemoglobin (HbA1c) levels and subsequent risks of dropout (missed appointment)in patients with type 2 diabetes.
This was a secondary analysis of a cluster-randomised trial (the Japan Diabetes Outcome Intervention Trial 2 Large-Scale Trial), focusing on the non-intervention group over the study period.
Data were obtained from a multisite trial conducted in Japan, encompassing patients with type 2 diabetes who received routine clinical care at participating clinics.
A total of 996 patients with type 2 diabetes from the non-intervention group were included in the analysis. Baseline characteristics (eg, age, sex, smoking status, occupational status and diabetes medication use) were recorded at study entry.
The primary outcome measure was subsequent treatment dropout. The Cox proportional hazards model with the Huber/White method was used to estimate HRs and 95% CIs, with adjustment for age, sex, smoking status, occupational status and diabetes medication use at baseline.
Participants with treatment dropout history had a higher dropout rate than those without dropout history (multivariable-adjusted HR=3.59; 95% CI=2.25 to 5.71). Overall, HbA1c levels were not significantly associated with dropout risk. However, among the 855 participants without dropout history, the dropout risk was higher in the group with HbA1c level ≥10.0% (HR=3.76; CI=1.29 to 10.9) than in the group with HbA1c level of 6.0–6.9%.
This prospective cohort study of Japanese patients with type 2 diabetes suggests that dropout history is strongly associated with a higher subsequent dropout risk. High HbA1c levels (≥10%) may be related to a higher dropout risk in patients without a dropout history. These findings may provide actionable indicators for tailored interventions, enhancing targeted healthcare strategies and improving continuity of care.
UMIN000002186.
A comprehensive understanding of the impact of environmental noise on patient outcomes is crucial for nurses who play key roles in sound environment adjustments. However, no review has comprehensively explored these effects in hospitalized patients.
To synthesize evidence on the impact of noise on inpatient outcomes, providing a comprehensive view.
This scoping review was conducted in accordance with the Joanna Brigs Institute methodology for scoping reviews and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. We searched PubMed, CINAHL Plus, and the Cochrane Library for articles published in January 2024.
We identified 28 eligible articles. In the 28 articles, the most common patient outcome was sleep, followed by psychological state, physiological state, satisfaction and well-being, delirium, pain, and unplanned readmission. Further, 21 (75.0%) articles included only patients in intensive care units (ICUs), 25 (89.3%) used cross-sectional analysis, and only 13 (46.4%) performed multivariable analysis adjusted for confounding factors. In the 13 articles that used multivariable analysis, noise was associated with decreased sleep quantity and quality in both ICU and ward patients, increased delirium risk in ICU patients, increased risk of readmission within 30 and 90 days after hospital discharge, increased heart and respiratory rates in ICU patients, and increased anxiety in ICU patients.
Nurses need to pay more attention to the negative impact of noise on inpatient outcomes. The findings of this study would promote the comprehensive understanding of nurses on noise impact on inpatient outcomes and their commitment to noise reduction in hospital environments.
FreshRSS 