Background: There is a tendency for older adults to become more physically inactive, especially older women. Physical inactivity has been exacerbated since the COVID-19 pandemic. Lockdowns and information-based preventive measures for COVID-19 increased the number of short-form video app users and short-form video exposure, including content exposure and the duration of exposure, which has demonstrated important effects on youths’ health and health-related behaviors. Despite more older adults viewing short-form videos, less is known about the status of their short-form video exposure or the impacts of the exposure on their physical activity. Objective: This study aims to describe physical activity–related content exposure among older adults and to quantify its impacts along with the duration of short-form video exposure on step counts, low-intensity physical activity (LPA), and moderate-to-vigorous physical activity (MVPA). Methods: We analyzed a subsample (N=476) of older women who used smartphones and installed short-form video apps, using the baseline data collected from an ongoing cohort study named the Physical Activity and Health in Older Women Study (PAHIOWS) launched from March to June 2021 in Yantai, Shandong Province, China. The information on short-form video exposure was collected by unstructured questions; physical activity–related content exposure was finalized by professionals using the Q-methodology, and the duration of exposure was transformed into hours per day. Step counts, LPA, and MVPA were assessed with ActiGraph wGT3X-BT accelerometers. Multiple subjective and objective covariates were assessed. Linear regression models were used to test the effects of short-form video exposure on step counts, LPA, and MVPA. MVPA was dichotomized into less than 150 minutes per week and 150 minutes or more per week, and the binary logistic regression model was run to test the effects of short-form video exposure on the achievement of spending 150 minutes or more on MVPA. Results: Of 476 older women (mean age 64.63, SD 2.90 years), 23.7% (113/476) were exposed to physical activity–related short-form videos, and their daily exposure to short-form videos was 1.5 hours. Physical activity–related content exposure increased the minutes spent on MVPA by older women (B=4.14, 95% CI 0.13-8.15); the longer duration of short-form video exposure was associated with a reduced step count (B=−322.58, 95% CI −500.24 to −144.92) and minutes engaged in LPA (B=−6.95, 95% CI −12.19 to −1.71) and MVPA (B=−1.56, 95% CI −2.82 to −0.29). Neither content exposure nor the duration of exposure significantly increased or decreased the odds of older women engaging in MVPA for 150 minutes or more per week. Conclusions: Short-form video exposure has both positive and negative impacts on the physical activity of older adults. Efforts are needed to develop strategies to leverage the benefits while avoiding the harms of short-form videos.

Background: Emotional labor is an essential component of nursing practice and is important for Generation Z nursing students born from the mid-1990s to early 2010s. They will become the backbone of the nursing workforce but present more emotional regulation problems. Studies on emotional labor are limited to clinical nurses and influencing factors at the individual level. The impacts of external systems on emotional labor of nursing students have not been explored. This study aimed to quantify the relationship between early clinical exposure and emotional labor and test the moderating effect of family structure on the relationship. Methods: The cross-sectional study recruited 467 nursing students using convenience sampling from seven colleges and universities in mainland China. An e-survey created on WJX.CN was used to collect data in January 2023. Emotional labor (surface acting and deep acting) was measured with the Emotional Labor scale. Early clinical exposure (exposure or not and times of exposure) and family structure (nuclear family, extended family, and single-parent family) were assessed with self-reported questions. Descriptive statistics and the linear mixed-effects modeling were used to do the analyses. Results: The mean scores of surface acting and deep acting were 26.66 ± 5.66 and 13.90 ± 2.40, respectively. A significant difference in scores of surface acting was not observed for exposure or not, whereas such a significant difference was found for times of exposure. Nursing students from extended families demonstrated significantly lower scores on surface acting while exposed to clinical practice compared with those from nuclear families. Family structure moderated the relationship between times of exposure and surface acting of nursing students when exposed to clinical practice for one time, but the significance disappeared when the times of exposure increased. No significant findings of early clinical exposure on deep acting were observed. Conclusions: Early clinical exposure influenced emotional labor, and students from extended families were more likely to get benefits from early clinical exposure. Studies are needed to help students from nuclear families get comparable benefits on emotional labor as those from extended families, and improve deep acting by early clinical exposure.

Aims. To estimate the prevalence and bother of lower urinary tract symptoms (LUTS) and the work-related and individual factors associated with LUTS among a representative sample of female nurses. Background. A healthy nursing workforce is essential to advance global health goals, especially during times of extraordinary demand for nursing care. LUTS frequently occur and persist in women and are correlated with multiple negative health outcomes and diminished work engagement and productivity. However, the study of LUTS among female nurses failed to receive sufficient attention from researchers. Methods. We used baseline data for 13,191 female nurses in China collected for the prospective cohort study, the Nurse Urinary Related Health Study (NURS). We assessed nurses self-reported LUTS and symptom-related bother using the International Consultation on Incontinence Questionnaire-Female LUTS. We used descriptive statistics to summarize LUTS prevalence and its related bother and a mixed-effects logistic regression model to test the effects of work-related and individual factors on LUTS. Results. Most of the participants in this study were younger than 40years old (82.9), were married (74.8), and had given birth once or never (73.7). Few participants had chronic diseases (3.4), consumed alcohol (7.3), smoked (0.4), or had overweight/obesity (27.7). The prevalence of any LUTS was 51.1, and over 50 of the nurses with LUTS in this study had experienced moderate or severe bother, except for urinary frequency. Working longer than five years, more than 40hours per week, and in Level A, major tertiary hospitals were found to be risk factors of LUTS, and a nurse-to-bed ratio higher than 0.40 was found to be a protective factor. Increased fluid intake also was found to be a protective factor of LUTS in nurses, and having chronic constipation was found to be a risk factor. Conclusions. LUTS are highly prevalent and severely bothersome among female nurses in China, despite the fact that the female nurses in this study were relatively young, healthy, had few childbirths, and were living healthy lifestyles. This finding warrants remedial action that is related to both behavioral and environmental factors to ensure a healthy nursing workforce. Nurses cannot reasonably be expected to contribute to global health when one of their basic needs as humans, i.e., the normal function of urinary elimination, is ignored. Implications for Nursing Management. Nurse managers should be aware that nurses basic needs regarding urination are negatively affected by LUTS and related bother. Nurse managers should address LUTS-related problems on multiple levels, including overseeing and reporting LUTS in nurses, exploring innovative care models to mitigate the negative effects of excessive workloads on nurses, and remodeling the nursing culture and encouraging positive coping behaviors for the self-health of nurses.

Journal of Medical Internet Research - International Scientific Journal for Medical Research, Information and Communication on the Internet #Preprint #PeerReviewMe: Warning: This is a unreviewed preprint. Readers are warned that the document has not been peer-reviewed by expert/patient reviewers or an academic editor, may contain misleading claims, and is likely to undergo changes before final publication, if accepted, or may have been rejected/withdrawn. Readers with interest and expertise are encouraged to sign up as peer-reviewer, if the paper is within an open peer-review period. Please cite this preprint only for review purposes or for grant applications and CVs (if you are the author). Background: Self-management is critical for older adults with type 2 diabetes mellitus, but the practice of the self-management remains suboptimal. Social media has become an accessible and effective stimulus source for the public which has the potential to promote health behaviors, but its effect on self-management of older adults with type 2 diabetes mellitus remains unknown. Objective: To investigate the relationships between social media exposure, specifically time exposure and content exposure, and the self-management of older adults with type 2 diabetes mellitus. Methods: In this cross-sectional study, we enrolled 257 older adults with type 2 diabetes mellitus and who used short-form video Apps from community healthcare centers. We assessed subjective and objective time and content exposure. We transformed the text-based content exposure into the diabetes-related content exposure encompassing irrelevant, harmful, hypobeneficial and hyperbeneficial categories using Q-methodology. The self-management was assessed through a validated questionnaire. We used restricted cubic splines and linear regression models to model the relationships between time exposure and content exposure and the self-management, respectively. Results: Of 257 older adults with type 2 diabetes (median age 69 [65-72] years), 53.3% were women, the mean sum score of self-management was 35.7 (10.4). the median subjective time exposure was 120 (60-120) minutes, and 61.1% of them were exposed to hyperbeneficial content. There was an approximate L-shaped dextrorotatory relationship between time exposure and self-management, with a decline in self-management when time exposure surpassed 139.8 minutes daily. Exposure to hyperbeneficial content was positively associated with the overall self-management (B = 3.46, 95%CI 0.71 to 6.21). For participants exposure more than 139.8 minutes daily, this positive association remained robust (B = 7.27, 95%CI 1.54 to 13.00). In sub-dimensional analyses, hyperbeneficial content exposure was positively associated with general diet (B = 1.51, 95%CI 0.54 to 2.49), and blood-glucose testing (B = 1.31, 95%CI 0.25 to 2.38), respectively. Conclusions: Social media exposure had two-sided effects on self-management of older adults with type 2 diabetes mellitus. The self-management declined when the daily time spent on social media exceeded 139.8 minutes. However, exposure to hyperbeneficial content contributed to better self-management of individuals, regardless of excessive time spent on social media. It is important to explore the potential of social media in empowering the self-management of older adults with type 2 diabetes mellitus.

This study aimed to investigate women’s adherence patterns to pelvic floor muscle exercises (PFME), their associated factors and within-pattern changes.This was a secondary analysis using data coll... 目的:本研究旨在调查女性对盆底肌运动（PFME）的坚持模式, 其相关因素和坚持模式内变化。方法:该研究是一项二次分析, 收集了647名年龄在55岁及以上的美国女性的数据。女性被随机分配到2小时课程组或20分钟DVD等量内容组接受PFME坚持增强训练。在3个月、12个月和24个月时, 应用三个与PFME参数匹配的自我报告项目评估依从性。采用k-均值聚类和logistic回归分别调查坚持模式及其...

Aims: This study aimed to identify symptom clusters in a population‐based sample of female nurses who reported experiencing lower urinary tract symptoms (LUTS) and examine distinct risk factor profiles within each symptom cluster, with an emphasis on modifiable lifestyle and work‐related factors.Materials and Methods: This study included 6735 female nurses who reported experiencing at least one LUTS. Latent class analysis was conducted to identify symptom clusters by jointly modelling 11 symptoms. Analysis of variance, chi‐square tests and multinomial logistic regression analyses were conducted to examine distinct risk factor profiles within each symptom cluster.Results: On average, female nurses experienced 2.2 symptoms. Four clusters were identified: the multiple severe symptoms (n = 546, 8%), incontinence symptoms (n = 2089, 31%), urgency–hesitancy symptoms (n = 3357, 50%) and nocturia symptoms (n = 743, 11%). Unique profiles of female nurses were associated with each symptom cluster and demonstrated the influential role of work‐related factors in the development of LUTS. These factors included a demanding workload, heightened levels of perceived stress, extended work hours, engagement in night shifts, infrequent and delayed voiding behaviours and restriction of fluid intake.Conclusions: Our findings substantiate the vulnerability of female nurses to LUTS, which is attributable to their demanding work environments. LUTS among female nurses should be recognised as an occupational hazard and remains an understood topic in the workplace, warranting attention and tailoring of intervention strategies.Implications for Nursing Management: Nurse managers should be aware that LUTS represent an occupational hazard for nurses and that high‐stress work environments and inappropriate urination behaviours adversely affect nurses’ bladder health. Addressing LUTS‐related issues requires increased staffing levels along with a fundamental shift in workplace culture. Fostering a culture of self‐care with an emphasis on bladder health promotion is imperative for nursing professionals and employed women.