Background: Identifying the level of healthy aging and exploring its associated factors are prerequisites in the planning of effective measures among the elderly population. Thus, this study aimed to investigate the prevalence of healthy aging and determine its associated factors among community-dwelling older adults from mountain areas in Lishui, China. Methods: A multicenter cross-sectional survey was conducted. Participants were recruited by a multi-stage stratified cluster-sampling procedure from a mountainous region in Lishui City, Zhejiang Province, China. A validated questionnaire of Healthy Aging Instruments (HAI), Basic Psychological Needs Satisfaction (BPNS), Patient Health Questionnaire (PHQ-9), Ascertain Dementia 8 questionnaire (AD8), Family Adaption Scale (FAS), Community-Based Health Promotion Activity Questionnaires (HPAQ), Social Function Questionnaire for Chinese Older Adults (SFQCOA), Adult Health Self-Management Skills (ability) Rating Scale (AHSMSRS) was incorporated. The questionnaire also captured sociodemographic characteristics, lifestyle behaviors, and Self-Perceived Healthy Ageing (SPHA). Multivariate stepwise linear regression analysis was performed. Results: The mean score of the Healthy Aging index was 136.5 (18.22). The majority of the participants have a high level of healthy aging (65.5%). Regression analysis showed 12 predictors of healthy aging: self-perceived economic independence, lifestyle-related behaviors, subjective physical health, psychological health, better competence of BPNS, frequency of community-based HPA participation, lower HPA-perceived barriers, social support, social engagement, and Health Self-Management (HSM) ability with two dimensions HSM-Consciousness and HSM-Behavior, as well as SPHA (P < 0.05). Conclusions: This study contributed to the existing gap in both subjective and objective understanding of healthy aging, especially in terms of its relationship with sociodemographic factors, lifestyle-related behaviors, individual health conditions, environmental coverage, as well as family, community and social support. Both individual-environment interaction factors as better HSM ability as well as SPHA might help predict older adults’ healthy aging in mountainous areas in China. Developing an accurate, reliable health promotion program that provides insights may improve healthy aging changes in mountainous regions for community healthcare staff, especially nurses.

Perinatal intimate partner violence (IPV) is highly prevalent in different regions worldwide. However, there is still insufficient systematic evidence on the risk factors for perinatal IPV across various regions and socioeconomic levels, which presents challenges in developing targeted prevention programs. The aim of this systematic review and meta-analyses was to identify the risk factors for perinatal IPV across various regions and socioeconomic levels worldwide. A comprehensive systematic literature search was conducted across multiple electronic databases, including PubMed, Cochrane Library, Embase, and Web of Science, encompassing all available studies from each database’s inception date to June 2024. Potential risk of bias in the included studies was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklists. Subgroup analyses were also performed by region and level of economic development. A total of 83 studies were included in the review, involving 1,609,201 participants, of whom 90,479 (5.6%) experienced perinatal IPV. For the type of violence, 64 studies reported overall IPV, 21 reported physical violence, 12 reported psychological violence, and 10 reported sexual violence. The meta-analyses showed that major risk factors for these types of violence included woman’s education level, woman’s working status, pregnancy intention, social or family support, partner’s education level, and partner’s alcohol consumption. However, some factors varied across different regions and levels of economic development, suggesting contextual influences on risk factors for perinatal IPV. This is a comprehensive review on the risk factors for perinatal IPV across regions with varying levels of economic development. These factors vary across different regions and economic contexts. In high-income countries, IPV is more commonly associated with mental health status and addictive behaviors, while in middle- and low-income countries, it is primarily associated with low education levels, economic dependence, and partner’s risk behaviors. This finding highlights the necessity of fully considering contextual factors in future risk assessments for perinatal IPV and establishing corresponding prevention and intervention strategies.

Purpose: This study aimed to systematically review and meta-analyze the literature to identify the components of home care-based education for cancer patients with peripherally inserted central catheters (PICCs) and evaluate its effects compared to traditional health education. Methods: A comprehensive search was conducted in Chinese and English databases until November 2024. The searching strategy, screening, quality assessment data extraction, and meta-analysis were performed scientifically. Results: A total of 19 studies were included. Three core components of home care-based education were identified: catheter care, self-care, and resource support. Meta-analysis revealed significant improvements in eight outcomes for intervention groups: improved self-management abilities (MD = 17.77, 95% CI, Z = 9.2, P < 0.00001); reduced anxiety (MD = −8.53, 95% CI, Z = 4.56, P < 0.00001) and depression (MD = −11, 95% CI, Z = 3.97, P < 0.0001); lower complication incidence (OR = 0.17, 95% CI, Z = 11.79, P < 0.00001); higher compliance rate (OR = 0.16, 95% CI, Z = 4.98, P < 0.00001); improved self-efficacy (MD = 9.45, 95% CI, Z = 2.41, P = 0.02); increased satisfaction with nursing care (OR = 6.01, 95% CI, Z = 6.19, P < 0.00001); better quality of life (MD = 9.38, 95% CI, Z = 4.39, P < 0.0001). Conclusions: Home care-based education improves self-management, psychological well-being, treatment outcomes, and satisfaction in cancer patients with PICCs. The identified components provide a practical framework for clinical implementation, though cultural adaptability and protocol standardization require further study. Trial registration CRD42024606607

Aim: This study aimed to evaluate the readiness of nursing students in China to respond to patients experiencing intimate partner violence (IPV) and to identify key influencing factors.Background: Nurses play a crucial role in providing care and support to IPV survivors. However, limited research has examined the extent to which nursing students are prepared for this responsibility. Gaining insights into their level of readiness and the factors that shape it is essential for informing educational strategies and policy development.Design: A cross-sectional study was conducted among 532 nursing students recruited from four public universities in Hunan Province, China, via multistage sampling.Methods: Data were collected using validated instruments, including the Readiness to Encounter Partner Abuse Patients (READI) Scale and the Modified Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS). Pearson correlation analyses were conducted to examine the associations among perceived knowledge, attitudes, skill preparedness, and readiness. Logistic regression (LR) was employed to identify significant predictors of readiness, and mediation analyses were performed to assess the intermediary roles of perceived knowledge, skill preparedness, and attitudes.Results: 82.7% of participants reported poor readiness to respond to IPV cases. Significant predictors of readiness included perceived knowledge (OR=2.938; 95% CI: 2.246–3.931), skill preparedness (OR=3.592; 95% CI: 2.700–4.095), attitudes (OR=4.472; 95% CI: 1.925-10.800), IPV-related education (OR=2.654; 95% CI: 1.297–5.230), and IPV training experience (OR=3.072; 95% CI: 1.444–6.310). Mediation analyses further revealed that both perceived knowledge and skill preparedness partially mediated the relationship between IPV training and readiness.Conclusion: The study identified a substantial gap in the readiness of nursing students to manage IPV-related cases, underscoring the critical need to enhance educational and training programs. Incorporating comprehensive IPV-related content into nursing curricula may significantly improve preparedness and foster survivor-centered care within the healthcare system.