Health Assessment Scale Research Articles

Impact of Mental Health on Academic Performance: A Study on the Risk of Failure in Higher Education

Building healthy spaces and adequate mental health in the university context is of vital importance for optimal, quality and warm academic development, both for students and teachers. The purpose of the research is to determine the state of mental health of students as a risk factor for academic failure in higher education. For the methodological procedure, the “GHQ-28 Mental Health Assessment Scale and Questionnaire” was applied and a socio-educational form was used to measure academic performance. The level of mental health of students was estimated by applying the principal component factor analysis (PCA). To determine the variance of the factor analysis, Bartlett's sphericity test was used, then the factorization process was carried out by the PCA method with a varimax rotation. They were selected for the sample by the simple random method, resulting in a total of 212 cases. The results obtained revealed that the “mental health status” variable has a significant effect on academic risk, with an estimated coefficient of -0.0878 and an associated p-value of 0.014. This indicates that as the mental health status of students decreases, an increase in the probability of repeating the academic semester is observed.

Clinical characteristics, treatment and efficacy of calcaneal osteomyelitis: A systematic review with synthesis analysis 1118 reported cases.

Calcaneal osteomyelitis (CO) still poses great challenges to orthopaedic surgeons due to unique anatomic and functional features of the calcaneus. This study summarized the current data regarding clinical characteristics, treatment and efficacy of CO, based on an analysis of literature-reported cases. We searched the PubMed, Embase, and Cochrane Library databases to find English and Chinese studies reporting on CO patients between 2000 and 2021, with available data for synthesis analysis. The quality of the included studies was evaluated by the National Institutes of Health (NIH) assessment scale. Effective data were extracted and pooled for analysis. Altogether 198 studies involving 1118 patients were included, with a male-to-female ratio of 2.3 (724 males and 310 females). The median age at CO diagnosis was 46 years, with a median symptom duration of 3 months. Injury-related infections (524 cases) and diabetic foot infections (336 cases) were the two most common causes, with ulcer (468 cases) and wound sinus or exudation (209 cases) being the predominant symptoms. The overall positive culture rate was 80.2%, with polymicrobial infections accounting for 18.1%. Staphylococcus aureus was the most frequently detected pathogen (42.7%), with fungal-related infections isolated in 17 cases. Although most patients received surgical interventions (96.9%), the recurrence rate was 20.1%. The incidence of infection relapse following partial calcanectomy, total calcanectomy, debridement with implantation of local antibiotics, and debridement with or without flap or skin coverage were 31.7%, 45.0%, 16.8%, and 15.1%, respectively. The overall incidence of limb amputation was 12.4%, with all-cause and CO-related mortalities of 2.8% and 0.2%, separately. CO shared similar characteristics with extremity chronic osteomyelitis, primarily affecting young males, with trauma and diabetic foot as the leading causes and Staphylococcus aureus as the most frequently detected pathogen. Despite surgery being the primary treatment modality, clinical outcomes remained unsatisfactory, marked by high rates of infection recurrence and limb amputation.

Pediatric calcaneal osteomyelitis: an analysis of literature-reported 128 cases

BackgroundCalcaneal osteomyelitis (CO) poses a formidable challenge in treatment due to the distinct anatomical structure and functional properties of the calcaneus. The present study endeavors to furnish a thorough and comprehensive understanding of the clinical manifestations, therapeutic strategies, and therapeutic outcomes pertaining to pediatric calcaneal osteomyelitis (PCO) by conducting a meticulous synthesis and analysis of cases reported in the literature.MethodsA systematic search of the PubMed, Embase, and Cochrane Library databases was conducted to identify English-language studies analyzing PCO between 2000 and 2021. The quality of the included studies was assessed using the National Institutes of Health (NIH) assessment scale. Effective data were extracted and analyzed.ResultsA total of 42 studies, encompassing 128 patients, fulfilled the established inclusion criteria. The gender distribution revealed a male-to-female ratio of 2:1 (81 boys and 40 girls). The median age at the time of diagnosis was 8 years, while the median duration of symptoms was 0.6 month. Trauma emerged as the primary etiology (41 cases, 54%), and limited activity was the most prevalent symptom (68 cases). The positive rate for pathogen culture was 75.4% (49/65), with Staphylococcus aureus being the most commonly isolated pathogen (28 cases, 57.1%). Surgical intervention was performed in 51% (64/126) of the patients, with debridement serving as the primary surgical strategy. The rate of infection recurrence was 6.8% (8/118), and the risk of below-knee amputation was 0.8% (1/124).ConclusionsPCO occurred more frequently in male patients, with trauma being the primary underlying cause and Staphylococcus aureus being the most prevalent bacterial pathogen isolated. Over half of the patients underwent surgical intervention. Nonetheless, it is imperative that treatment strategies undergo further refinement, as approximately 7% of patients experienced infection recurrence.

Assessing the Psychometric Properties of the Persian Version of the Integrative Health and Wellness Assessment Scale in Patients With Type 2 Diabetes

Assessing the Psychometric Properties of the Persian Version of the Integrative Health and Wellness Assessment Scale in Patients With Type 2 Diabetes

The Effect of Dance on the Mental Health of University Students

The purpose of this study is to investigate the influence of dance on college students' mental health. First, the relationship between dance and mental health, as well as the current situation and problems of college students' mental health were summarized through a literature review. Second, a pre and post-test design was used to conduct a dance intervention with a certain number of college students, collect data through the Mental Health Assessment Scale, and analyze the data using statistical analysis software. The results of the study show that dance intervention has a significant positive effect on college students' mental health, which can effectively reduce psychological stress and enhance emotional regulation. In addition, the study also found that there is variability in the effect of dance intervention, with some differences in the effect of intervention among students from different backgrounds, and that dance preference has a close relationship with mental health improvement. This study provides theoretical basis and practical guidance for the application of dance in the field of mental health, which is of great significance for enhancing the effectiveness of mental health services.

Systematic Review of Heel Puncture-Related Osteomyelitis of the Calcaneus in Newborn Infants.

Heel puncture (HP) in neonates can result in osteomyelitis if done non-aseptically or with incorrect technique. This study summarizes clinical experience with heel puncture-related osteomyelitis of the calcaneus (HP-CO) in newborns. We systematically reviewed studies that examined HP-CO in newborn patients using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Our search included the PubMed, Embase, and Cochrane Library databases until December 31, 2023. We used the National Institutes of Health (NIH) assessment scale to evaluate the quality of our analyzed studies. This study analyzed 15 neonatal calcaneal osteomyelitis (CO) cases due to HP conducted in six countries from 1976 to 2016. The average age of the cases was 8.87 ± 6.13days, with an average birth weight of 2367.27 ± 947.59g. The infants had undergone an average of 9.00 ± 8.90 HP, with 93.33% exhibiting swelling. Staphylococcus aureus was present in 80% of cases. Beta-lactam antibiotics were used, with satisfactory outcomes in 53.33% of cases. However, in seven cases, three patients had flatfoot due to calcaneal deformity, and other complications were observed in some patients after 7-8years. This study offers valuable insights into a rare condition, including its epidemiology, clinical and laboratory characteristics, and treatment options for infants with HP-CO. To prevent the risk of osteomyelitis in this vulnerable group of patients, increasing awareness and maintaining strict aseptic techniques is necessary. We recommend that infants presenting with tenderness, redness, purulent discharge, erythema, or fever and with a history of repeated HP and swollen ankles should be evaluated for suspicion of osteomyelitis. A graphical abstract is avilable for this article.

Thiol-Disulfide Balance in Fibromyalgia: A Case-Control Study

Aim. We aimed to examine the thiol-disulfide (SS) balance, a recognized marker of oxidative stress, in fibromyalgia syndrome (FMS).
 Methods. The study comprised 98 female participants (61 newly diagnosed patients and 37 patients under treatment) with FMS, along with 82 apparently healthy female volunteers. In both groups, assessments were conducted using the Fibromyalgia Impact Questionnaire (FIQ), Visual Analogue Scale (VAS), Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale (FSS), Short Form-36 (SF-36), Tender Point Count, Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). Native thiol (NT) and total thiol (TT) levels were measured, SS levels and SS/NT ratio were calculated.
 Results. FMS patients demonstrated significantly lower NT levels, higher SS levels, and an elevated SS/NT ratio compared to the control group (p< 0.05 for all groups). In FMS patients, a statistically significant correlation was found between SS level and the SS/NT ratio, as well as the number of tender points (r=-0.24, p=0.02; r=-0.21, p=0.04), SF-36 pain subscales (r=0.22, p=0.032; r=0.21, p=0.04), and BAI scores (r=-0.22, p=0.01; r=-0.23 p=0.03). In the subgroup analysis, all health assessment scales were observed to exhibit statistically significant differences between the under-treatment group and newly-diagnosed group when compared to the control group (p< 0.05 for all groups). The FIQ, VAS, FSS, and BAI scores were found to be significantly lower in the under-treatment group as compared to the newly-diagnosed group (p< 0.05 for all groups). In the newly-diagnosed group, NT was significantly lower and the SS/NT ratio was significantly higher than those in the control group (p< 0.05). In the under-treatment group, SS levels and SS/NT ratio were significantly higher as compared to the control group (p< 0.05). In the multivariate regression analysis, which incorporated age, health assessment scales, patient subgroups, tender points, and duration of symptoms to predict the SS/NT ratio, variabes such as being in the under-treatment group, tender points, and BAI score were identified as significant predictors (p< 0.05).
 Conclusions. The thiol-SS balance was observed to shift in the oxidative direction, and oxidative stress was higher in the FMS group. The absence of a significant difference between the under-treatment group and the newly-diagnosed group in terms of thiol-SS balance parameters suggests a shift to oxidative stress in patients, independent of the treatment status.

HOMOEOPATHIC MANAGEMENT OF TARGETED HAEMARTHROSES IN INHIBITOR POSITIVE HAEMOPHILIAC: A CASE REPORT

Haemarthroses is common presentation in haemophilia patient. Due to recurrent use of clotting factor concentrates for treatment and prophylaxis, of which about 20 % of patients produce antibodies to factor VIII and factor IX. This results in development of inhibitors in such patients which complicates the case even more. Homoeopathy the alternative form of treatment can be used in such case. This case report presents the management of haemarthroses in a haemophilia inhibitor. Well selected homoeopathic similimum helped in reversing the haemophilic arthropathy in left knee joint of the patient and even controlled the recurrence of the haemarthroses in target joint. The result was assessed using Hemophilia joint health assessment scale (HJHS). The result of before and after treatment was extremely significant with a p value of 0.0009 The individual curative response of the case was assessed using Modified naranjo criteria for homoeopathic case reporting, casual attribution (MONARCH).

Spiritual health assessment among MBBS students of Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Sambalpur, Odisha, India

Background: Spiritual health is a state which not only increases the meaning of life but also increases mental satisfaction and gist in life. It improves the verbal communication between physician and patients, which reflects future patient care by strengthening their relationship. Aims and Objectives: (1) The present study was planned to assess the spiritual health status of undergraduate medical students of Veer Surendra Sai Institute of Medical Sciences and Research, Burla, by use of the Spiritual Health Assessment Scale (SHAS) and coping orientation for problem experiences (COPE) score and (2) to find the association between sociodemographic variables and spiritual health status of the students. Materials and Methods: For this study, 750 undergraduate students of either sex were recruited between August 2023 and November 2023. The data were collected through “sociodemographic characteristic questionnaire’s,” “SHAS,” and “cope score.” Results: In our study, most of the students were female, i.e., 56.94%. Majority of students were having mean SHA score (96.83 ± 4.72). Regarding copping score, we found that 287 students have scored high score between 42 and 46 (38.26%). A significant association was found between SHAS and type of family (P = 0.001), ritual gathering (P = 0.000), father’s education level (P = 0.009), and mother’s education level (P = 0.003) at P < 0.05. Conclusion: This study concludes that the spiritual health is directly and indirectly associated with lifestyle modification of the MBBS students which help very easily to overcome from stress and anxiety.

Psychometric analysis and validation of the Persian translation of the systemic sclerosis questionnaire (SySQ).

Scleroderma is a complex multisystem disorder that could have effects on the quality of patients' lives. This study was conducted by determining the psychometric properties of the Persian version of the systemic sclerosis questionnaire (SySQ) that specifically assesses indications and functional limitations of scleroderma patients. In the present cross-sectional study, the method included: translation and back translation. Psychometric properties of the questionnaire including its content and face validity were assessed. Internal consistency with the SySQ (Cronbach's alpha) and reproducibility was by test-retest method. The factor structure of the questionnaire was evaluated using exploratory factor analysis. The convergent validity of the SySQ was assessed using the General Health Assessment Scale (HAQ). Altogether 32 SySQ items, the internal consistency coefficient (Cronbach's alpha) of the whole tool was 0.906. The content validity index was 0.98 and the content validity ratio was 0.796, there was a significant relationship between the questions and the relevant factors in the factor analysis. The correlation coefficient = 0.953 for the instrument. The correlation of SySQ dimensions with HAQ questionnaire dimensions in convergent validity showed that musculoskeletal dimensions, general condition, and cardiorespiratory of the questionnaire are correlated with all dimensions of the HAQ questionnaire. The Persian version of the questionnaire SySQ with competency is valid and reliable and is suitable for measuring specific changes in Persian systemic sclerosis patients.

Effectiveness of oral health education in enhancing oral care knowledge,attitudesand behaviors for family caregivers of persons with dementia

AbstractBackgroundDue to the loss of cognitive function and memory, persons with dementia gradually lose their self‐care and social skills, and the weakening of their oral care ability can easily lead to periodontal disease, dry mouth, and root caries. Studies have shown that oral health maintenance can help prevent dementia and delay functional deterioration. Therefore, it is important to provide oral hygiene guidance to family caregivers to improve the quality of oral health care for persons with dementia.Oral care questionnaires and oral health assessment scales were used to assess the knowledge, attitude and behavior of family caregivers towards oral care for the person with dementia. Based on the assessment results, an oral health education program was designed, including: 1. immediate oral care health education at the outpatient clinic; 2. mailing of dementia oral care health education leaflets; and 3. individual health education and discussion by telephone one week after mailing. A post‐test was conducted one week after the intervention to evaluate the effectiveness of the program.ResultsFamily caregivers' oral care knowledge correctness increased from 49% to 88.9%, attitude correctness increased from 29% to 71.45%, and behavior correctness increased from 84% to 100%.ConclusionThe results showed that a multicomponent oral health education program could improve the oral care knowledge, attitude, and behavior for family caregivers of persons with dementia. In particular, the use of telephone health education and assessment during the COVID‐19 epidemic may provide a reference.

A cross-sectional study on assessment of spiritual health and its associated factors among undergraduate students in a medical college in Mangalore, Karnataka.

Background: Spirituality and spiritual health are an integral component of an individual's health and wellbeing. Among medical undergraduates and professionals, spiritual health has positive effects on the individual by decreasing burnout, psychological distress, and rates of substance abuse. Spiritual health is also correlated with increased satisfaction and meaning in life. Spiritual health also influences future patient care, builds patient- provider communication channels, and improves patient outcomes. Methods: A cross-sectional study was conducted to assess the spiritual health levels of medical undergraduates in a medical college, in Karnataka, India, and to identify the factors associated with it. Using a pre-designed, validated semi-structed questionnaire, 600 medical undergraduates were approached and provided the forms. Spiritual health was assessed across the three domains of self-development, self-actualization, and self-realization using the Spiritual Health Assessment Scale (SHAS). Results: A total of 436 medical undergraduates participated. Majority (67.7%) of participants were girls. Most (62%) were found to have fair spiritual health with a large portion of the rest (36%) having good spiritual health and 2% had poor spiritual health. A significant association was found between spiritual health and the father's (p=0.005) and mother's (p=0.012) education levels. Spiritual health was also found to be associated with living in a nuclear family (p=0.04). Conclusions:Majority of the medical undergraduates had fair spiritual health. Parents' education levels and nuclear family were significantly associated with spiritual health.

Spiritual Health in Association with the Emotional Intelligence among Teachers

Education system has been changing throughout the world. There is need to have a focus on the ways or variables that have an impact on teachers or educational institutes. Spiritual health has been previously studied with respect to health or nursing domains. However, concept of spiritual health has not been explained much with respect to educational institutes. The present study investigated the relationship between the spiritual health and emotional intelligence among teachers. 250 participants (125 males and 125 females) were approached by multistage sampling. Cross sectional research design was employed. The data were collected using two questionnaires: Brief Emotional Intelligence Scale (BEIS-10) and Spiritual Health Assessment Scale (SHAS). The data was analyzed through Statistical Package for the Social Sciences. Results revealed that spiritual health has significant relationship with emotional intelligence. Analysis of gender differences revealed that females are more spiritually healthy as compared to males while emotional intelligence was not significantly different across genders. The study concluded that high spiritual health has been related to the emotional intelligence of teachers which is essential to improve the students’ academic progress. Teachers are not only delivering knowledge, rather they also learn on regular basis, having good spiritual health helps them to manage emotions appropriately which in turn enhances their learning.

Role of telemedical technologies at all stages of treatment of nephrological patients

BACKGROUND: Patients who, due to great distance or for other reasons, are unable to visit the medical center, must be provided with high quality and accessible medical care. Quality assurance and improvement of two-way communication between the patient and the medical staff must be ensured. The work is conducted at https://nefrocentr.ru.
 AIM: The study aims at improving the efficiency and quality of medical care for patients of nephrological profile, i.e. patients with chronic kidney disease (CKD) of grade IIIbV (pre-dialysis stages), patients undergoing renal replacement therapy (hemodialysis and peritoneal dialysis), and renal transplant recipients to reduce emergency hospitalizations and mortality and improve overall survival, as well as developing and implementing telerehabilitation and improving quality of life.
 METHODS: The Telenephrocenter platform was created with the support of the Moscow Health Department, the Moscow Center for Innovative Technologies, and the Moscow Social Development Complex (Grant project No. 25-12-1/22 for the creation of a digital ecosystem for the Moscow Nephrology Cluster to promote alternative models of home nephrology care for patients with grades IIIb-IV-V CKD and kidney donor recipients).
 
 Application and improvement of existing online platforms for remote monitoring: video consultations, use of questionnaires and health assessment scales, therapy correction, dialysis program, and group telerehabilitation.
 Creation of educational video tutorials for patients to improve literacy with the further formation of a library of knowledge to teach the rules of life, nutrition, self-control, physical activity, hygiene, therapy, and peritoneal dialysis procedures.
 Telepatronage and follow-up of patients on peritoneal dialysis.
 
 RESULTS: The system is a multidimensional information base that allows collecting data on the patients health status outside of the medical facility. Over 150 patients after autologous kidney transplantation, 80 patients on peritoneal dialysis, 25 patients on hemodialysis, and 23 patients on pre-dialysis CKD stages are under remote monitoring. The system enables the doctor to adjust the prescription of drugs, provide an urgent response to patients problems, and select the correct algorithm for behavior in a critical situation. Monitoring is based on questionnaires to which the patient answers according to a schedule set by the doctor. The questionnaire contains a set of symptoms that the patient chooses based on the intensity of the color. The aggregate of the responses forms a heat map of health status, which, when viewed remotely, allows the doctor to determine whether the patient has a problem and what kind of problem he or she has. Thus, the doctor makes informed decisions about further treatment. The resource allows patients to review a wide range of information material. Online consultations for patients, i.e. tele-educational activities for groups of nephrological patients depending on the type of pathology with the development of video tutorials from doctors on major problems and side-effects, are conducted. The effectiveness of the ongoing therapy (drug therapy and renal replacement therapy) is assessed remotely to adjust, cancel, and select the drug therapy. Weekly classes on physical rehabilitation and dietary support and nutrition are offered in an online format.
 CONCLUSIONS: The creation of the digital ecosystem of the Moscow nephrology cluster to provide telesupport to all nephrology patients plays an important role in everyday life. The ability to get quality timely care allows for quality control of patients. Questionnaires, including assessment of the psychological state of patients, provide early detection of complications after correction of immunosuppressive therapy and increase patients adherence to therapy. Conducting online patient schools on dietary and physical activity modification helps to reduce anxiety and improve mood, increase physical activity, form good eating habits, and adjust dietary intake. These conclusions are based on weekly monitoring of patient diaries.

Evaluation of clinical oral care outcomes according to nursing outcomes classification.

This research was planned to follow the healing process of the oral mucosa in patients in intensive care with an "Impaired Oral Mucous Membrane Integrity" nursing diagnosis based on the "NOC (1100) Oral Health Assessment" outcome criteria. This study, which was planned in a methodological and descriptive type of research, was carried out with 50 patients who were hospitalized in the intensive care clinic of a state hospital between June and December 2022, with a nursing diagnosis of "Impaired Oral Mucous Membrane Integrity." Data were collected using a Patient Information Form and the "NOC (1100) Oral Health Evaluation Scale" for the nursing outcomes classification. In the analysis of the data descriptive statistical methods, Pearson correlation test, Friedman test as well as Cohen's kappa test were used to evaluate the agreement between two independent observers. In the study, content validity index value of the NOC scale was calculated to be 0.90. The examination of the participants' mean scores on the NOC (1100) Oral Health Assessment Scale showed that there were statistically significant differences in terms of the repeated evaluations, except for the NOC indicators of "Oral mucosal integrity," "Gum integrity," and "Tooth integrity" (p <0.01). No statistically significant correlation was found between the mean NOC scale scores of the patients according to the variables of age, body mass index, mechanical ventilation time, and length of stay in the intensive care unit (p >0.05). The findings showed that the Turkish version of NOC (1100) Oral Health Assessment Scale was a valid tool for monitoring the healing process of the oral mucosa in patients in intensive care. With the use of NOC (1100) Oral Health Assessment Scale, a common language will be formed in the evaluation for monitoring the healing process of the oral mucosa in nursing care.

Effectiveness of Parental Preparedness Package among Couples Conceived with Artificial Reproductive Techniques.

The problem of infertility is experienced as a crisis or major life stressor with potentially serious negative effects on the couple's relationship and preparation toward the parenthood. According to Sharlip et al., it has been estimated that about 15% of couple would have trouble in conception, and at present, 48.5 million couples experience infertility globally. To decrease the stress among parents to be and to promote healthy parenting for bringing out healthy parent-child relationships, an intervention of Parent Education Program was planned and executed. A study was conducted with the aim to assess the effectiveness of parental preparedness package (PPP) on physical health among couple conceived with artificial reproductive techniques (ART). The study was conducted to evaluate the effectiveness of PPP in fifty couples conceived with ART at Dayanand Medical College and Hospital, Ludhiana. Quantitative approach was used to collect the data of couples by doing pre- and postinterventional assessment of physical health of couple using the Structured Physical Health Assessment Scale. Analysis was done with the help of descriptive and inferential statistics. The study revealed that mean score of physical health of couple (both husband and wife) increased significantly after the intervention which infers the effectiveness of PPP (P = 0.001). Our study concludes that PPP should be incorporated in the antenatal care protocol in all couples who conceive using ART.

A cross-sectional study on assessment of spiritual health and its associated factors among undergraduate students in a medical college in Mangalore, Karnataka

Background: Spirituality and spiritual health are an integral component of an individual’s health and wellbeing. Among medical undergraduates and professionals, spiritual health has positive effects on the individual by decreasing burnout, psychological distress, and rates of substance abuse. Spiritual health is also correlated with increased satisfaction and meaning in life. Spiritual health also influences future patient care, builds patient- provider communication channels, and improves patient outcomes. Methods: A cross-sectional study was conducted to assess the spiritual health levels of medical undergraduates in a medical college, in Karnataka, India, and to identify the factors associated with it. Using a pre-designed, validated semi-structed questionnaire, 600 medical undergraduates were approached and provided the forms. Spiritual health was assessed across the three domains of self-development, self-actualization, and self-realization using the Spiritual Health Assessment Scale (SHAS). Results: A total of 436 medical undergraduates participated. Majority (67.7%) of participants were girls. Most (62%) were found to have fair spiritual health with a large portion of the rest (36%) having good spiritual health and 2% had poor spiritual health. A significant association was found between spiritual health and the father’s (p=0.005) and mother’s (p=0.012) education levels. Spiritual health was also found to be associated with living in a nuclear family (p=0.04). Conclusions: Majority of the medical undergraduates had fair spiritual health. Parents' education levels and nuclear family were significantly associated with spiritual health.

Community Assets for Health Model and Assessment Scale: A Delphi-Based Analysis and Expert Validation.

The salutogenesis theory of Aaron Antonovsky and the Health Assets Model of Morgan and Ziglio have given rise to a notable interest in defining the resources available to individuals and the community to maintain or improve their health and well-being. The present study began by identifying the universal dimensions of Community Assets for Health, and then analyzed and validated an assessment scale following the Delphi method. A high degree of consensus was achieved among 13 experts from different disciplines. The results of the content analysis and statistical analysis led to a reconfiguring of an instrument that is so far unique in its approach. It is composed of 103 items across 14 dimensions (utility, intention, previous use, affordability, proximity, walkability, connectivity, intelligibility, identity, design, safety, diversity, public dimension, and sustainability).

Gebe Kadınların Toplumsal Cinsiyet Algıları ve Psikososyal Sağlık Durumları Arasındaki İlişkinin Belirlenmesi

Aim: This descriptive study was conducted to determine the effect of the gender perceptions of pregnant women on their psychosocial health status.&#x0D; Material and Methods: The study was conducted in the obstetrics service and outpatient clinic of Yozgat Bozok University Hospital between November 2020 and June 2021, and 121 pregnant women were included in the sample. In the study, in which the Individual Identification Form, Pregnancy Psychosocial Health Assessment Scale (PPHA) and the Gender Perceptions Scale (GPS) were used, the data were collected through face-to-face interviews.&#x0D; Results: The mean age of the pregnant women included in the study was found to be 29.46±6.16. A significant relationship was found between the total mean GPS score of pregnant women and the total mean score of PPHAS. In addition, it was concluded that there was a statistically significant relationship between the mean score of GPS and the subscales of PPHAS, characteristics of spousal relationship, characteristics of anxiety and stress, characteristics of domestic violence, familial characteristics and physical-psychosocial changes related to pregnancy. (p

The Relationship Between The Psychosocial Health Status Of Primiparous Pregnant Women And Fear Of Childbirth

Aim: The prevailing opinion that the psychosocial health status of the woman during pregnancy may affect the course of pregnancy, as well as have an impact on her psychological and spiritual life. One of the factors affecting psychosocial health during pregnancy is the fear of childbirth. There are no studies in the literature evaluating the relationship between the psychosocial health status of primiparous pregnant women and the fear of childbirth. The aim of this study is to examine the relationship between the psychosocial health status of primiparous pregnant women and the fear of childbirth. Method: This descriptive study was conducted with 351 primiparous pregnant women who applied to the pregnant outpatient clinic of *** University Hospital between April 15 and August 15, 2021. The data were obtained via the Introductory Information Form, the Pregnancy Psychosocial Health Assessment Scale (PPHAS), and the Wijma Delivery Expectancy/Experience Questionnaire version A (W-DEQ) and were evaluated with descriptive statistics, Mann-Whitney U test, Kruskal-Wallis, Spearman correlation and linear regression analysis. Results: The mean age of the pregnant women participating in the study was 24.07±3.9, the mean gestational week was 31.85±4.9, the mean W-DEQ score was 66.19±23.9, and the mean PPHAS score was 3.92 ±0.46. It was determined that those who attended prenatal education classes had lower PPHAS scores (p=0.014). A negative and significant correlation was found between the total and sub-dimensions of the PPHAS and the W-DEQ scale (p&amp;lt;0.001). Conclusion: It was determined that as the fear of childbirth decreased, the psychosocial health levels of primiparous pregnant women increased.