Background: One of the most common chronic respiratory diseases in the world, asthma placed a significant burden on adult populations in low- and middle-income nations like Tunisia. Although many patients continue to have less than ideal results, effective self-management is crucial to reaching optimal asthma control and avoiding exacerbations. Objective: This study aimed to assess the level of asthma control and explored the self-management practices of adult asthma patients in Southern Tunisia while identifying key socio-behavioral and environmental factors associated with poor disease outcomes. Methods: A descriptive cross-sectional study was conducted among adult asthma patients attending healthcare facilities in Southern Tunisia. Data was gathered using validated tools to measure asthma control, self-management behaviors, and exposure to potential risk factors such as passive smoking, sleep disturbances, and adverse environmental conditions. Descriptive and inferential statistical analyses were used to interpret the data. Results: The findings revealed a substantial proportion of participants who had uncontrolled asthma, which was significantly associated with insufficient self-management practices and high exposure to modifiable risk factors. Limited health literacy, lack of structured education, and inconsistent communication with healthcare providers emerged as key barriers. Conversely, patients who received tailored education and support demonstrated improved asthma control. Conclusion Enhancing asthma outcomes in Southern Tunisia required a patient-centered, multidisciplinary approach that integrates personalized education, structured self-management plans, and risk reduction strategies. Strengthening patient-provider communication and addressing socio-environmental determinants were critical to reducing the disease burden and improving the quality of life among adults with asthma.
Self-Management ; Patient Education ; Patient Education as Topic ; Tunisia ; Risk Factors

BACKGROUND AND OBJECTIVE

Colorectal cancer (CRC) has the third highest incidence in the Philippines. Currently, there is a paucity in literature that is focused on the knowledge, attitudes, and perceptions of Filipinos regarding CRC screening. This is the first study in the Philippines that describes this.

This is a cross-sectional study that validated a 52-item Filipino questionnaire on the knowledge on colorectal cancer, willingness to undergo CRC screening, and perceived benefits and barriers to fecal occult blood test (FOBT) and colonoscopy. The study enrolled household heads more than 20 years of age residing in both urban and rural communities in the Philippines.

The UP-PGH CRC KAP (University of the Philippines – Philippine General Hospital Colorectal Cancer Knowledge, Attitudes, and Practices) and Rawl Questionnaire’s validity and internal consistency were established in a pilot study of 30 respondents. A total of 288 respondents were then enrolled to the main study group with a median age of 54.0. Knowledge scores for prognosis and utility of CRC screening were modest (6.3/12 and 8.4/20, respectively). Perceived benefit scores to FOBT and colonoscopy were high (9.9/12 and 13.9/16, respectively).Median scores to barriers to FOBT and colonoscopy were intermediate (22.5/36 and 35.8/60, respectively). Notably, a vast majority (86.1%) were willing to participate in CRC screening programs initiated by the government, and 46.9% agreed to undergo screening tests even as out-of-pocket expense.

The UP-PGH CRC KAP Questionnaire as well as the Filipino translation of the Rawl Questionnaire are reliable and valid tools in extensively assessing the knowledge of Filipinos on CRC and willingness to undergo screening, as well as the benefits of and barriers to FOBT and colonoscopy. Knowledge scores were modest suggesting that directed educational campaigns and awareness programs can aid in increasing awareness about CRC and its screening. Household income and highest educational attainment were significantly positively correlated with knowledge scores, and perceived benefits of and barriers to CRC screening. Scores were generally comparable between urban and rural communities.

Introduction: Patient education is an integral component of diabetes mellitus care. The emergence of different methods and characteristics of patient education has led to varying outcomes of quality of life (QoL). Herein, we systematically searched for published studies reporting patient education and its methods and characteristics for improving the QoL of patients with type 2 diabetes mellitus (T2DM). Methods: In this scoping review, eligible studies from six databases (PubMed, Scopus, Cochrane Library, Springer Link, Science Direct and Google Scholar) were identified. The keywords used in the search strategies were as follows: health education, health promotion, patient education, diabetes care, QoL, diabetes mellitus and type 2 diabetes mellitus. Two reviewers independently screened all references and full-text articles retrieved to identify articles eligible for inclusion. Results: A total of 203 articles were identified in the initial search. Of them, 166 were excluded after screening the titles and abstracts. Further full-text screening led to the subsequent removal of 22 articles, leaving 15 articles eligible for data extraction. Conclusion There is a broad array of methods of patient education for improving the QoL of patients with T2DM. Self-management education with supplementary supervision and monitoring effectively improves QoL. Future studies must emphasise the application of holistic education covering psychological distress, diet plan, and physical health.
Health Education ; Health Promotion ; Patient Education as Topic ; Diabetes Mellitus, Type 2 ; Quality of Life

PURPOSE: This study aims to examine the effects of nursing interventions based on the Extended Theory of Planned Behavior (ETPB) regarding self-efficacy for exercise (SEE), physical activity (PA), physical function (PF), and quality of life (QOL) in patients with lung cancer who have undergone pulmonary resection.METHODS: This quasi-experimental study was conducted between July 2015 and June 2018 in two university-affiliated hospitals. The intervention included pre-operative patient education, goal setting (action and coping planning), and feedback (behavior intention and perceived behavioral control). The intervention group (IG) (n=51) received nursing interventions from the day before surgery to 12 months after lung resection, while the comparison group (CG) (n=36) received usual care. SEE, PA, PF (dyspnea, functional status, and 6-minute walking distance [6MWD]), and QOL were measured before surgery and at one, three, six, and 12 months after surgery. Data were analyzed using the χ² test, Fisher's exact test, Mann–Whitney U test, t-test, and generalized estimation equations (GEE).RESULTS: There were significant differences between the two groups regarding SEE (χ²=13.53, p=.009), PA (χ²=9.51, p=.049), functional status (χ²=10.55, p=.032), and 6MWD (χ²=15.62, p=.004). Although there were no time or group effects, the QOL mental component (Z=−2.78, p=.005) of the IG was higher than that of the CG one month after surgery. Interventions did not affect dyspnea or the QOL physical component.CONCLUSION: The intervention of this study was effective in improving SEE, PA, functional status, and 6MWD of lung cancer patients after lung resection. Further extended investigations that utilize ETPB are warranted to confirm these results.
Dyspnea ; Exercise ; Humans ; Intention ; Lung Neoplasms ; Lung ; Motor Activity ; Non-Randomized Controlled Trials as Topic ; Nursing ; Patient Education as Topic ; Quality of Life ; Self Efficacy ; Walking

Betacoronavirus ; Coronavirus Infections ; rehabilitation ; Critical Illness ; Hospitalization ; Humans ; Medicine, Chinese Traditional ; Pandemics ; Patient Education as Topic ; Pneumonia, Viral ; rehabilitation ; Respiratory Therapy ; methods

PURPOSE: The purpose of this study is to identify the educational effect among nursing students who performed the patient role in women's health nursing simulations.METHODS: In this exploratory qualitative study, a sample of 31 third- and fourth-grade nursing students who participated in scenario-based patient roles in clinical performance examination of the women's health nursing simulation practice training. Data were collected through focus group interviews. Qualitative data were analyzed using qualitative content analysis.RESULTS: Three themes emerged from the data analysis. Participants experienced an enhancement of patient-centered nursing competence, deep learning immersion and display of self-regulated learning. The difficulty of performing the patient role contributed additional effects such as the difficulty to perform the patient role in the psychological training environment.CONCLUSION: It is recommended to utilize nursing students as patients in simulation practice training. On the other hand, the psychological training environment can cause difficulties in performing patient roles, a burden on the role of the patient, and involves the interruption of the role.
Clinical Competence ; Education ; Education, Nursing ; Focus Groups ; Hand ; Humans ; Immersion ; Learning ; Mental Competency ; Nursing ; Patient Simulation ; Patient-Centered Care ; Statistics as Topic ; Students, Nursing ; Women's Health

PURPOSE: The purpose of this study was to investigate the influence of hospital ethical climate and nursing professionalism on patient safety management activity by nurses.METHODS: A cross-sectional correlation study design was used. Participants included 142 nurses from two tertiary hospitals in Seoul and Gyunggi-do, South Korea. Data were collected in April and May 2019 using self-report questionnaires and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple liner regression analysis with SPSS/WIN 21.0.RESULTS: The patient safety management activity correlated positively with hospital ethical climate (r=.32, p < .001) and nursing professionalism (r=.40, p < .001). The patient safety management activity was the factor that most influenced nursing professionalism and position, explaining 21% of the variance (F=12.06, p < .001).CONCLUSION: It is necessary to provide education on professionalism. It is necessary to continuously provide job education and training to nurture competence and quality in professional nurses.
Climate ; Education ; Gyeonggi-do ; Humans ; Korea ; Mental Competency ; Nursing ; Patient Safety ; Professionalism ; Seoul ; Statistics as Topic ; Tertiary Care Centers

OBJECTIVE: Recently, three-dimensional (3D) printed models of the intracranial vascular have served as useful tools in simulation and training for cerebral aneurysm clipping surgery. Precise and realistic 3D printed aneurysm models may improve patients’ understanding of the 3D cerebral aneurysm structure. Therefore, we created patient-specific 3D printed aneurysm models as an educational and clinical tool for patients undergoing aneurysm clipping surgery. Herein, we describe how these 3D models can be created and the effects of applying them for patient education purpose.METHODS: Twenty patients with unruptured intracranial aneurysm were randomly divided into two groups. We explained and received informed consent from patients in whom 3D printed models-(group I) or computed tomography angiography-(group II) was used to explain aneurysm clipping surgery. The 3D printed intracranial aneurysm models were created based on time-of-flight magnetic resonance angiography using a 3D printer with acrylonitrile-butadiene-styrene resin as the model material. After describing the model to the patients, they completed a questionnaire about their understanding and satisfaction with aneurysm clipping surgery.RESULTS: The 3D printed models were successfully made, and they precisely replicated the actual intracranial aneurysm structure of the corresponding patients. The use of the 3D model was associated with a higher understanding and satisfaction of preoperative patient education and consultation. On a 5-point Likert scale, the average level of understanding was scored as 4.7 (range, 3.0–5.0) in group I. In group II, the average response was 2.5 (range, 2.0–3.0).CONCLUSION: The 3D printed models were accurate and useful for understanding the intracranial aneurysm structure. In this study, 3D printed intracranial aneurysm models were proven to be helpful in preoperative patient consultation.
Aneurysm ; Humans ; Informed Consent ; Intracranial Aneurysm ; Magnetic Resonance Angiography ; Patient Education as Topic ; Printing, Three-Dimensional

Most patients experience pain relief and functional improvement after arthroscopic rotator cuff repair. In some patients, however, symptoms still remain after surgery. Failed rotator cuff repair is a complex outcome of biological, technical, and traumatic factors. Moreover, re-tears might or might not be the main cause for patients with persistent pain after rotator cuff repair. Therefore, a thorough understanding of the patient's history, physical examination, and appropriate imaging studies will be needed to evaluate and manage these patients. The patient's age, functional requirement, quality of the rotator cuff, preoperative range of motion, quality of the deltoid, and glenohumeral arthritis are factors to consider before performing revisional rotator cuff repair. Preoperative patient education is as important as the surgical technique for successful revisional rotator cuff repair.
Arthritis ; Humans ; Patient Education as Topic ; Physical Examination ; Range of Motion, Articular ; Rotator Cuff

Pain therapy often entails gastrointestinal adverse events. While opioids are effective drugs for pain relief, the incidence of opioid-induced constipation (OIC) varies greatly from 15% to as high as 81%. This can lead to a significant impairment in quality of life, often resulting in discontinuation of opioid therapy. In this regard, a good doctor-patient relationship is especially pivotal when initiating opioid therapy. In addition to a detailed history of bowel habits, patient education regarding the possible gastrointestinal side effects of the drugs is crucial. In addition, the bowel function must be regularly evaluated for the entire duration of treatment with opioids. Furthermore, if the patient has preexisting constipation that is well under control, continuation of that treatment is important. In the absence of such history, general recommendations should include sufficient fluid intake, physical activity, and regular intake of dietary fiber. In patients of OIC with ongoing opioid therapy, the necessity of opioid use should be critically reevaluated in terms of an with acceptable quality of life, particularly in cases of non-cancer pain. If opioids must be continued, lowering the dose may help, as well as changing the type of opioid. If these measures do not suffice, the next step for persistent OIC is the administration of laxatives. If these are ineffective as well, treatment with peripherally active μ-opioid receptor antagonists should be considered. Enemas and irrigation are emergency measures, often used as a last resort.
Analgesics, Opioid ; Constipation ; Dietary Fiber ; Emergencies ; Enema ; Health Resorts ; Humans ; Incidence ; Laxatives ; Motor Activity ; Narcotic Antagonists ; Pain Management ; Patient Education as Topic ; Pharmaceutical Preparations ; Quality of Life