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Effect of nursing precision Health intervention on psychological distress and self-perceived burden in patients undergoing in vitro fertilization-embryo transfer

Guofeng Wu，Mengjie Li^*，Yanmei Li^*，Ping Zhu，Qifang Tang，Ni Luo，Zhaohui Jiang

The Reproductive Hospital of Guangxi Zhuang Autonomous Region, Nanning 530029, China

827666343@qq.com

Abstract：Objective​ To evaluate the effect of a precision nursing intervention based on the Nursing Science Precision Health (NSPH) model on psychological distress and self-perceived burden in patients undergoing in vitro fertilization-embryo transfer (IVF-ET), and to explore its impact on fertility knowledge level and quality of life. Methods This study was conducted in a public tertiary reproductive hospital in Guangxi Zhuang Autonomous Region. A total of 80 female patients undergoing IVF-ET were recruited and randomly divided into a control group (N=40) and an experimental group (N=40) using a random number table method. The control group received routine nursing care, while the experimental group received an additional NSPH model‑based precision psychological health intervention for 3 months. Patients' levels of psychological distress, self-perceived burden, fertility knowledge, and quality of life were assessed at baseline and 3 months after the intervention. Results After 3 months of intervention, the Distress Thermometer (DT) scores and Self-Perceived Burden Scale (SPBS) scores in the experimental group were significantly lower than those in the control group (all P < 0.05). The Fertility & Infertility Treatment Knowledge Score (FIT-KS) scores and all dimensions of the Fertility Quality of Life (FertiQoL) scale in the experimental group were also significantly better than those in the control group (all P < 0.05). Conclusion The precision nursing intervention based on the NSPH model can effectively reduce the level of psychological distress and self-perceived burden, and simultaneously improve fertility‑related knowledge and quality of life in IVF-ET patients. This intervention provides evidence‑based support for improving mental health outcomes in patients undergoing IVF-ET.

[Guofeng Wu，Mengjie Li，Yanmei Li，Ping Zhu，Qifang Tang，Ni Luo，Zhaohui Jiang. Effect of nursing precision Health intervention on psychological distress and self-perceived burden in patients undergoing in vitro fertilization-embryo transfer. Biomedicine and Nursing 2026;12(3):1-10]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 01. doi:10.7537/marsbnj120326.01

Keywords: In vitro fertilization-embryo transfer; Nursing Science Precision Health model; Psychological distress; Self-perceived burden; Randomized controlled trial; Quality of life；Nursing

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REVIEW ON BOVINE TUBERCULOSIS AND ITS PUBLIC IMPORTANCE

Hissa Dingeta Taressa, Asmamaw Aki* and Ramadan Teshome

Kondala Woreda Agriculture and Land  office, Animal Health Department head, Disease Prevention and control  Expert, West Wollega Zone, Oromia Regional State, Ethiopia

Assosa Regional, Animal Health Diagnostic Laboratory, P.O.BOX 326, cell phone +251-902330029, asmamawaki@gmail.com

Mutsa Kebele Veterinary Clinic, Bambasi District Agriculture,Assosa Zone, Benishangul Gumuz Regional State.

SUMMARY: Tuberculosis is primarily transmitted from infected animals to humans through close contact and the ingestion of raw animal products, especially unpasteurized milk from diseased animals. While Mycobacterium bovis predominantly affects members of the Bovidae family, it can also infect humans. Bovine tuberculosis (bTB) is a zoonotic disease that incurs significant economic burdens due to costly eradication programs and complicates the movement of animals and their products. This chronic infectious disease is characterized by the formation of granulomas in various tissues, particularly the lungs, lymph nodes, liver, intestines, and kidneys. The main etiological agent, Mycobacterium bovis, is an acid-fast bacterium distinguished by the presence of mycolic acid in its cell wall. Transmission occurs through both aerogenous and enterogenous routes. Although M. bovis is not the primary cause of human tuberculosis, it still poses a threat to human health through the consumption of raw milk, meat, and other products from infected animals or via inhalation of infectious droplets. In Ethiopia, bovine tuberculosis is endemic, with transmission primarily occurring through the ingestion of unpasteurized contaminated milk and contact with infected animals. The disease is associated with the development of miliary tubercular lesions, chronic cough, obstructions of air passages, and enlargement of lymph nodes. The objective of this review is to highlight the significance of tuberculosis as a critical bacterial disease affecting both humans and animals worldwide, with a particular focus on its complex and multi-species nature, including bovine, avian, and human TB.

[Hissa Dingeta Taressa, Asmamaw Aki and Ramadan Teshome. REVIEW ON BOVINE TUBERCULOSIS AND ITS PUBLIC IMPORTANCE. Biomedicine and Nursing 2026;12(3):11-23]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 02. doi:10.7537/marsbnj120326.02

Keywords:  Bovine; Ethiopia Mycobacterium Bovis; Zoonotic Disease

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ASSESSMENT OF COMMUNITY KNOWLEDGE, ATTITUDE AND PRACTICE ON RABIES IN KONDALA DISTRICT, OROMIA REGIONAL STATE, WESTERN ETHIOPIA

Hissa Dingeta Taressa, Asmamaw Aki* and Ramadan Teshome

Kondala Woreda Agriculture and Land  office, Animal Health Department head, Disease Prevention and control  Expert, West Wollega Zone, Oromia Regional State, Ethiopia

*Assosa Regional, Animal Health Diagnostic Laboratory, P.O.BOX 326, cell phone +251-902330029, asmamawaki@gmail.com

Mutsa Kebele Veterinary Clinic, Bambasi District Agriculture,Assosa Zone, Benishangul Gumuz Regional State.

ABSTRACT: Rabies remains a significant public health challenge in Ethiopia, with the country recording the second-highest number of human fatalities in Africa. Despite being preventable, low community awareness and inadequate preventive practices perpetuate its endemicity. This cross-sectional study assessed the knowledge, attitudes, and practices of households in the community with related to rabies in Kondala District, Western Ethiopia, from November 2024 to June 2025.  In the present study, a structured questionnaire survey was used. 200 participants were selected through multi stage sampling methods in the Gaba Dafino 01 and 02 kebeles. Data were analyzed using STATA version 17, with multivariate binary logistic regression models identifying associations among variables. Result revealed that, majority of respondents (57.5%, 58.5%) were males and 15–30 years‘ age respectively. Only 52% has awareness of rabies, and misconceptions about transmission and distribution of diseases, with 70% erroneously believing consumption of infected meat, spreads the disease. Whereas, the dominant (100%) respondents, understand as post-exposure prophylaxis prevent rabies after a bite, and 56% were aware of dog vaccination.  With respect to attitudes, 98% of the participant interviewers recognized rabies as fatal if untreated early, while 5.5% perceived it as a serious community threat. Community practices were inadequate, with 88% failing to vaccinate dogs and 60% relying on herbal remedies after bites. Multivariable analysis identified younger age (Adj. OR=13.076, p =0.001), higher education (Adj. OR = 24.504, p =0.004), and male gender (Cr OR=2.512, p=0.003) as significant predictors of better preventive practices. The overall KAP scores indicated 68.5% had good knowledge, 65.5% positive attitudes, and 68% acceptable practices. The study underscores critical gaps in rabies awareness, particularly among older, less educated, and female populations. Therefore, targeted interventions, including community education, improved vaccine accessibility, and inter - sectorial collaboration, are urgently needed to enhance rabies control in Kondala District. These findings provide a foundation for public health strategies to reduce rabies-related morbidity and mortality in rural Ethiopia. 

[Hissa Dingeta Taressa, Asmamaw Aki and Ramadan Teshome. ASSESSMENT OF COMMUNITY KNOWLEDGE, ATTITUDE AND PRACTICE ON RABIES IN KONDALA DISTRICT, OROMIA REGIONAL STATE, WESTERN ETHIOPIA. Biomedicine and Nursing 2026;12(3):24-42]. ISSN 2379-8211 (print); ISSN 2379-8203 (online). http://www.nbmedicine.org. 03. doi:10.7537/marsbnj120326.03

Keywords: Attitude; Ethiopia; Knowledge; Kondala; Practice; Rabies

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