From self‐care behaviours to cardiometabolic risks prevention for the health of farmers: Nursing implications

Aims The study aimed to explore farmers' self‐care behaviours including oral hygiene, remaining natural teeth, cardiometabolic risks, hepatitis, risk of stroke and their determinant factors. Methods This cross‐sectional study was conducted between June 2020 and March 2021 in the south‐western r...

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Veröffentlicht in:Journal of advanced nursing 2023-08, Vol.79 (8), p.3025-3034
Hauptverfasser: Huang, Yu‐Ting, Lin, Ming‐Shyan, James, Kathy, Chang, Chia‐Hao, Tsai, Wen‐Hsuen, Lin, Yu‐Chih, Chen, Mei‐Yen
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container_end_page 3034
container_issue 8
container_start_page 3025
container_title Journal of advanced nursing
container_volume 79
creator Huang, Yu‐Ting
Lin, Ming‐Shyan
James, Kathy
Chang, Chia‐Hao
Tsai, Wen‐Hsuen
Lin, Yu‐Chih
Chen, Mei‐Yen
description Aims The study aimed to explore farmers' self‐care behaviours including oral hygiene, remaining natural teeth, cardiometabolic risks, hepatitis, risk of stroke and their determinant factors. Methods This cross‐sectional study was conducted between June 2020 and March 2021 in the south‐western remote areas of Taiwan. We recruited current farmers who participated in an annual community health screening conducted by a collaborated local hospital. Data were collected through face‐to‐face interviews using a semi‐structured questionnaire. Blood samples were drawn and stored in the central laboratory of the cooperating hospital. The study outcomes included cardiometabolic risks, the remaining natural teeth, and farmers' self‐care behaviours including oral hygiene, adopting a healthy diet and substance use. Results Overall, 183 current farmers (55.2% women, aged 66.9 ± 11.7 years) were enrolled. Abnormal blood pressure, high risk of stroke, metabolic syndrome and hepatitis C virus infection were found among the participants. The average remaining teeth were 12.1, 73.2% of participants had
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Methods This cross‐sectional study was conducted between June 2020 and March 2021 in the south‐western remote areas of Taiwan. We recruited current farmers who participated in an annual community health screening conducted by a collaborated local hospital. Data were collected through face‐to‐face interviews using a semi‐structured questionnaire. Blood samples were drawn and stored in the central laboratory of the cooperating hospital. The study outcomes included cardiometabolic risks, the remaining natural teeth, and farmers' self‐care behaviours including oral hygiene, adopting a healthy diet and substance use. Results Overall, 183 current farmers (55.2% women, aged 66.9 ± 11.7 years) were enrolled. Abnormal blood pressure, high risk of stroke, metabolic syndrome and hepatitis C virus infection were found among the participants. The average remaining teeth were 12.1, 73.2% of participants had &lt;20 teeth; 90.2% and 71% did not undergo regular dental check‐ups and scaling or use dental floss, respectively. The determinant factors associated with the remaining teeth included a high risk of stroke, teeth scaling and dental floss use. Although only 3.8% felt mentally distressed, many farmers were unaware of having potential cardiometabolic diseases and curable viral hepatitis, and only two had received antiviral treatment. Conclusion The farmers in this study had a high prevalence of cardiometabolic risks, a high probability of stroke, inadequate number of remaining teeth and poor oral hygiene behaviours. These findings can provide evidence to develop health promotion programmes for farmers. Impact This study demonstrates the health needs of farmers. We strongly recommend that community nurses empower farmers to engage in self‐care behaviours through tailored health promotion programmes. For instance, by discussing cardiometabolic risk prevention from the farmers' perspectives to improve their health literacy.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/jan.15571</identifier><identifier>PMID: 36695405</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Antiviral drugs ; Blood pressure ; Blood tests ; cardiometabolic diseases ; Clinical outcomes ; Community health ; Community nurses ; Dental floss ; Diet ; Farmers ; Health behavior ; Health literacy ; Health needs ; Health promotion ; Hepatitis ; Hepatitis C ; High risk ; Hygiene ; Medical screening ; Metabolic syndrome ; Nurses ; nursing ; Oral hygiene ; Prevention programs ; remaining teeth ; Remote areas ; risk of stroke ; Self care ; Stroke ; Substance abuse ; Teeth ; Women</subject><ispartof>Journal of advanced nursing, 2023-08, Vol.79 (8), p.3025-3034</ispartof><rights>2023 John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3531-c9e4c0928d6a165f3815b90ce610bdd9474cd7fe43f110ec02a153047b415a143</citedby><cites>FETCH-LOGICAL-c3531-c9e4c0928d6a165f3815b90ce610bdd9474cd7fe43f110ec02a153047b415a143</cites><orcidid>0000-0002-8980-1300</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjan.15571$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjan.15571$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36695405$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Yu‐Ting</creatorcontrib><creatorcontrib>Lin, Ming‐Shyan</creatorcontrib><creatorcontrib>James, Kathy</creatorcontrib><creatorcontrib>Chang, Chia‐Hao</creatorcontrib><creatorcontrib>Tsai, Wen‐Hsuen</creatorcontrib><creatorcontrib>Lin, Yu‐Chih</creatorcontrib><creatorcontrib>Chen, Mei‐Yen</creatorcontrib><title>From self‐care behaviours to cardiometabolic risks prevention for the health of farmers: Nursing implications</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>Aims The study aimed to explore farmers' self‐care behaviours including oral hygiene, remaining natural teeth, cardiometabolic risks, hepatitis, risk of stroke and their determinant factors. Methods This cross‐sectional study was conducted between June 2020 and March 2021 in the south‐western remote areas of Taiwan. We recruited current farmers who participated in an annual community health screening conducted by a collaborated local hospital. Data were collected through face‐to‐face interviews using a semi‐structured questionnaire. Blood samples were drawn and stored in the central laboratory of the cooperating hospital. The study outcomes included cardiometabolic risks, the remaining natural teeth, and farmers' self‐care behaviours including oral hygiene, adopting a healthy diet and substance use. Results Overall, 183 current farmers (55.2% women, aged 66.9 ± 11.7 years) were enrolled. Abnormal blood pressure, high risk of stroke, metabolic syndrome and hepatitis C virus infection were found among the participants. The average remaining teeth were 12.1, 73.2% of participants had &lt;20 teeth; 90.2% and 71% did not undergo regular dental check‐ups and scaling or use dental floss, respectively. The determinant factors associated with the remaining teeth included a high risk of stroke, teeth scaling and dental floss use. Although only 3.8% felt mentally distressed, many farmers were unaware of having potential cardiometabolic diseases and curable viral hepatitis, and only two had received antiviral treatment. Conclusion The farmers in this study had a high prevalence of cardiometabolic risks, a high probability of stroke, inadequate number of remaining teeth and poor oral hygiene behaviours. These findings can provide evidence to develop health promotion programmes for farmers. Impact This study demonstrates the health needs of farmers. We strongly recommend that community nurses empower farmers to engage in self‐care behaviours through tailored health promotion programmes. For instance, by discussing cardiometabolic risk prevention from the farmers' perspectives to improve their health literacy.</description><subject>Antiviral drugs</subject><subject>Blood pressure</subject><subject>Blood tests</subject><subject>cardiometabolic diseases</subject><subject>Clinical outcomes</subject><subject>Community health</subject><subject>Community nurses</subject><subject>Dental floss</subject><subject>Diet</subject><subject>Farmers</subject><subject>Health behavior</subject><subject>Health literacy</subject><subject>Health needs</subject><subject>Health promotion</subject><subject>Hepatitis</subject><subject>Hepatitis C</subject><subject>High risk</subject><subject>Hygiene</subject><subject>Medical screening</subject><subject>Metabolic syndrome</subject><subject>Nurses</subject><subject>nursing</subject><subject>Oral hygiene</subject><subject>Prevention programs</subject><subject>remaining teeth</subject><subject>Remote areas</subject><subject>risk of stroke</subject><subject>Self care</subject><subject>Stroke</subject><subject>Substance abuse</subject><subject>Teeth</subject><subject>Women</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kUtOHDEQhq0IFCYki1wAWWJDFg0uP_rBDiEeiRBskrXldpcZT7rbg90DYpcjcEZOgidDskDCm5Ksz1-V6yfkK7BDyOdoYcZDUKqCD2QGolQFL2W9RWZMsKbgkvEd8imlBWMgOOcfyY4oy0ZJpmYknMcw0IS9e_7zZE1E2uLc3PuwiolOgearzocBJ9OG3lsaffqd6DLiPY6TDyN1IdJpjnSOpp_mNDjqTBwwpmN6nR1-vKV-WOanZo2nz2TbmT7hl9e6S36dn_08vSyubi6-n55cFVYoAYVtUFrW8LorDZTKiRpU2zCLJbC26xpZSdtVDqVwAAwt4waUYLJqJSgDUuySg413GcPdCtOkB58s9r0ZMayS5lXeQMOlqDO6_wZd5N-PeTrN63VjKGuWqW8bysaQUkSnl9EPJj5qYHqdgs4p6L8pZHbv1bhqB-z-k__WnoGjDfDge3x836R_nFxvlC9tgJIy</recordid><startdate>202308</startdate><enddate>202308</enddate><creator>Huang, Yu‐Ting</creator><creator>Lin, Ming‐Shyan</creator><creator>James, Kathy</creator><creator>Chang, Chia‐Hao</creator><creator>Tsai, Wen‐Hsuen</creator><creator>Lin, Yu‐Chih</creator><creator>Chen, Mei‐Yen</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8980-1300</orcidid></search><sort><creationdate>202308</creationdate><title>From self‐care behaviours to cardiometabolic risks prevention for the health of farmers: Nursing implications</title><author>Huang, Yu‐Ting ; Lin, Ming‐Shyan ; James, Kathy ; Chang, Chia‐Hao ; Tsai, Wen‐Hsuen ; Lin, Yu‐Chih ; Chen, Mei‐Yen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3531-c9e4c0928d6a165f3815b90ce610bdd9474cd7fe43f110ec02a153047b415a143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Antiviral drugs</topic><topic>Blood pressure</topic><topic>Blood tests</topic><topic>cardiometabolic diseases</topic><topic>Clinical outcomes</topic><topic>Community health</topic><topic>Community nurses</topic><topic>Dental floss</topic><topic>Diet</topic><topic>Farmers</topic><topic>Health behavior</topic><topic>Health literacy</topic><topic>Health needs</topic><topic>Health promotion</topic><topic>Hepatitis</topic><topic>Hepatitis C</topic><topic>High risk</topic><topic>Hygiene</topic><topic>Medical screening</topic><topic>Metabolic syndrome</topic><topic>Nurses</topic><topic>nursing</topic><topic>Oral hygiene</topic><topic>Prevention programs</topic><topic>remaining teeth</topic><topic>Remote areas</topic><topic>risk of stroke</topic><topic>Self care</topic><topic>Stroke</topic><topic>Substance abuse</topic><topic>Teeth</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Yu‐Ting</creatorcontrib><creatorcontrib>Lin, Ming‐Shyan</creatorcontrib><creatorcontrib>James, Kathy</creatorcontrib><creatorcontrib>Chang, Chia‐Hao</creatorcontrib><creatorcontrib>Tsai, Wen‐Hsuen</creatorcontrib><creatorcontrib>Lin, Yu‐Chih</creatorcontrib><creatorcontrib>Chen, Mei‐Yen</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Yu‐Ting</au><au>Lin, Ming‐Shyan</au><au>James, Kathy</au><au>Chang, Chia‐Hao</au><au>Tsai, Wen‐Hsuen</au><au>Lin, Yu‐Chih</au><au>Chen, Mei‐Yen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>From self‐care behaviours to cardiometabolic risks prevention for the health of farmers: Nursing implications</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2023-08</date><risdate>2023</risdate><volume>79</volume><issue>8</issue><spage>3025</spage><epage>3034</epage><pages>3025-3034</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>Aims The study aimed to explore farmers' self‐care behaviours including oral hygiene, remaining natural teeth, cardiometabolic risks, hepatitis, risk of stroke and their determinant factors. Methods This cross‐sectional study was conducted between June 2020 and March 2021 in the south‐western remote areas of Taiwan. We recruited current farmers who participated in an annual community health screening conducted by a collaborated local hospital. Data were collected through face‐to‐face interviews using a semi‐structured questionnaire. Blood samples were drawn and stored in the central laboratory of the cooperating hospital. The study outcomes included cardiometabolic risks, the remaining natural teeth, and farmers' self‐care behaviours including oral hygiene, adopting a healthy diet and substance use. Results Overall, 183 current farmers (55.2% women, aged 66.9 ± 11.7 years) were enrolled. Abnormal blood pressure, high risk of stroke, metabolic syndrome and hepatitis C virus infection were found among the participants. The average remaining teeth were 12.1, 73.2% of participants had &lt;20 teeth; 90.2% and 71% did not undergo regular dental check‐ups and scaling or use dental floss, respectively. The determinant factors associated with the remaining teeth included a high risk of stroke, teeth scaling and dental floss use. Although only 3.8% felt mentally distressed, many farmers were unaware of having potential cardiometabolic diseases and curable viral hepatitis, and only two had received antiviral treatment. Conclusion The farmers in this study had a high prevalence of cardiometabolic risks, a high probability of stroke, inadequate number of remaining teeth and poor oral hygiene behaviours. These findings can provide evidence to develop health promotion programmes for farmers. Impact This study demonstrates the health needs of farmers. We strongly recommend that community nurses empower farmers to engage in self‐care behaviours through tailored health promotion programmes. For instance, by discussing cardiometabolic risk prevention from the farmers' perspectives to improve their health literacy.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36695405</pmid><doi>10.1111/jan.15571</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8980-1300</orcidid></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library Journals Frontfile Complete
subjects Antiviral drugs
Blood pressure
Blood tests
cardiometabolic diseases
Clinical outcomes
Community health
Community nurses
Dental floss
Diet
Farmers
Health behavior
Health literacy
Health needs
Health promotion
Hepatitis
Hepatitis C
High risk
Hygiene
Medical screening
Metabolic syndrome
Nurses
nursing
Oral hygiene
Prevention programs
remaining teeth
Remote areas
risk of stroke
Self care
Stroke
Substance abuse
Teeth
Women
title From self‐care behaviours to cardiometabolic risks prevention for the health of farmers: Nursing implications
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