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Objective: This study aimed to compare the effectiveness of adolescents' use of smartphone applications and educational booklets in an educational programme about sexually transmitted infections (STIs). Design: Non-equivalent control-group time-series design. Setting: The study was conducted in two public high schools located in two urban areas of South Korea. Methods: The following measures were developed using Roger's protection-motivation theory as the study's conceptual framework: STI knowledge, STI vulnerability, STI prevention self-efficacy and STI prevention intentions. Data from 88 senior students were analysed: 47 students in the smartphone application group (experimental) and 41 in the educational booklet group (control). The procedures consisted of a face-to-face lecture plus self-study and a period of self-study only. Participants were tested at three time points: pre-test, post-test 1 (immediately after the programme's completion) and post-test 2 (5 weeks after the programme's completion). Results: Significant group differences were found at different times in STI knowledge, vulnerability, prevention self-efficacy and prevention intentions. Smartphone applications were more effective in sustaining the effects of the educational programme than the educational booklets. Conclusion: Researchers and educators should examine the role of relevant learning materials in the promotion of adolescents' development of self-study skills and their knowledge acquisition.

Aim: This scoping review aims to describe published work on the symptoms and management of long COVID conditions. Background: Symptoms and management of COVID‐19 have focused on the acute stage. However, long‐term consequences have also been observed. Methods: A scoping review was performed based on the framework suggested by Arksey and O'Malley. We conducted a literature search to retrieve articles published from May 2020 to March 2021 in CINHAL, Cochrane library, Embase, PubMed and Web of science, including backward and forward citation tracking from the included articles. Among the 1880 articles retrieved, 34 articles met our criteria for review: 21 were related to symptom presentation and 13 to the management of long COVID. Results: Long COVID symptoms were described in 21 articles. Following COVID‐19 treatment, hospitalised patients most frequently reported dyspnoea, followed by anosmia/ageusia, fatigue and cough, while non‐hospitalised patients commonly reported cough, followed by fever and myalgia/arthralgia. Thirteen studies described management for long COVID: Focused on a multidisciplinary approach in seven articles, pulmonary rehabilitation in three articles, fatigue management in two articles and psychological therapy in one study. Conclusion: People experience varied COVID‐19 symptoms after treatment. However, guidelines on evidence‐based, multidisciplinary management for long COVID conditions are limited in the literature. The COVID‐19 pandemic may extend due to virus mutations; therefore, it is crucial to develop and disseminate evidence‐based, multidisciplinary management guidelines. Relevance to clinical practice: A rehabilitation care plan and community healthcare plans are necessary for COVID‐19 patients before discharge. Remote programmes could facilitate the monitoring and screening of people with long COVID. [ABSTRACT FROM AUTHOR]

Background: Uterine leiomyomata (UL) are benign smooth muscle tumors that may cause significant morbidity in women of reproductive age. This study aimed to investigate the relationship of menstrual and reproductive factors with the risk of UL in premenopausal women. Methods: This prospective study included 7,360 premenopausal women aged 22–48 years who were part of the Korea Nurses' Health Study. Information on the menstrual cycle and reproductive history was assessed between 2014 and 2016, and self-reported cases of UL were obtained through 2021. Cox proportional hazards models were used to estimate the hazard ratios (HRs) and 95% confidence intervals (CIs). Results: During 32,072 person-years of follow-up, 447 incident cases of UL were reported. After adjusting for other risk factors, women with late age at menarche had a lower incidence of UL (≥ 16 vs. 12–13 years: HR 0.68; 95% CI 0.47–0.99; p for trend = 0.026). The risk of UL was inversely associated with current menstrual cycle length (≥ 40 or too irregular to estimate vs. 26–31 days: HR 0.40; 95% CI 0.24–0.66) and cycle length at ages 18–22 years (HR 0.45; 95% CI 0.31–0.67; p for trend < 0.001, each). Parous women had lower risk of UL than nulliparous women (HR 0.40; 95% CI 0.30–0.53) and women who were aged 29–30 years at first birth had a lower risk of UL than those who were aged ≤ 28 years at first birth (HR 0.58; 95% CI 0.34–0.98). There was no significant association of the number of births or breastfeeding with the risk of UL among parous women. Neither a history of infertility nor oral contraceptive use was associated with the risk of UL. Conclusions: Our results suggest that age at menarche, menstrual cycle length, parity, and age at first birth are inversely associated with the risk of UL in premenopausal Korean women. Future studies are warranted to confirm the long-term effects of menstrual and reproductive factors on women's health. [ABSTRACT FROM AUTHOR]

This cross-sectional study aims to identify high-risk symptom cluster groups for assessing the quality of nursing work life (QNWL) and turnover intention among Korean nurses who have experienced workplace violence. Nurses were recruited for an online survey in May 2021 (n = 203). The following four symptom clusters are extracted: (a) depression–anxiety, (b) shame–somatization, (c) nightmare–loss of appetite, and (d) anger–shock. Three symptom cluster groups were identified. Group 1 had the highest score for the anger–shock symptom cluster, as well as the highest symptom scores and turnover intention. Group 2 had the highest score for the nightmare–loss of appetite symptom cluster and the lowest QNWL. Group 3 had a similar symptom cluster pattern to Group 1 but lower scores for all symptom clusters. Symptom monitoring and programs tailored to symptom cluster groups at the institutional level could be useful for managing QNWL and turnover intention. [ABSTRACT FROM AUTHOR]

Reports of sexual violence against young women have been increasing. Due to limited support, young women who experience sexual violence have difficulties in healing, resulting in long‐term consequences for individuals and society. We used grounded theory combined with a Photovoice approach to explore young women's experience of healing from sexual violence. From interviews and Photovoice activities of 29 participants, we identified a social process of healing that included internalizing anger, cutting off connections, reaching a turning point with support, restoring connections, struggling through individual internal processes, and transforming sexual violence into a stepping stone. The process of healing from sexual violence identified in this study shows commonalities as well as cultural and age‐specific aspects from experiences of sexual violence among young women. In addition, this theory presented a new perspective on healing that contrasts with the past belief that disclosure is the key to healing. [ABSTRACT FROM AUTHOR]