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A confined space means places where the risk of damage to health caused by lack of oxygen or hazardous gases in inadequate ventilation conditions and the risk of fire and explosion caused by flammable substances. Asphyxiation accidents in a confined space occured every year and also occurred more than two people at the same time. In this study, we surveyed the domestic statistical data occurred the lack of oxygen in confined space for the last 10 years(2006-2015) and, analyzed the accident by industries sector, workplace size etc. 17 fatal work accidents that occurred in confined spaces in Korea between 2013 and 2015 were investigated and analyzed using the database of the KOSHA and suggested interventions to minimize asphyxiation accidents in confined spaces. This paper is expected to be used to establish interventions planning and training as a preventive measures in workplace having confined spaces.

Purpose: The purpose of this study was to identify the perceived importance of nursing intserventions of psychiatric nurses according to domains, classes and interventions using the 3th NIC. Method: In this study, a 435 of 486 nursing interventions were selected from 75% consent reached by experts. Data were collected from 9 hospitals and 141 nurses(return rates: 94,0%) in Seoul, Kyonggi, Chungnam, Gwang-ju and Chonnam region from January, 2002 to February, 2002 using 4 point Likert scale. Result: Total perceived importance score was $2.905{\pm}0.463$ and total correlation score with performance frequency was r=0.295. The most important perceived domain and class was found to be ‘safety’ ($3.217{\pm}0.465$) and ‘community health promotion’ ($3.285{\pm}0.866$). The most correlated domain and class with performance frequency appeared to be ‘behavioral’ (r=0.431, p=0.000) and ‘communication enhancement’ (r=0.439, p=0.000). The most important perceived nursing intervention was found to be ‘active listening’ ($3.652{\pm}0.549$). Conclusion: In conclusion, nurses in clinical settings were found to perform less than perceive its importance. Therefore, further researches are needed to identify factors related to impede and develop strategies to improve the performance of nursing interventions.

Purpose: This study aimed to identify nursing interventions captured in patients with stroke by Korean nursing students for the categorization of nursing care tailored to the characteristics of stroke patients. Methods: To identify nursing interventions, a descriptive data analysis was conducted using case scenarios written by nursing students during clinical practice in rehabilitation care settings. The case scenarios were analyzed using the standard terminology classification system, nursing interventions classification (NIC), to identify and categorize interventions for patients with stroke. Results: As the result of analysis, we identified 10 most frequent NIC interventions. The most frequent NIC intervention was vital signs monitoring (N=244, 8.6%). The 89 nursing interventions were classified into 7 domains and 24 classes of the NIC system. Conclusion: The results of this study can be used as a basis for a list of nursing interventions tailored to the characteristics of patients with stroke and furthermore calculating nursing fees through the analysis of nursing interventions for these patients.

Purpose: The purpose of this study was to review the literature on intervention studies for abused children and adolescent in residential facilities in South Korea (ACARF-K). The goal was to understand the problems they experience, to evaluate the content and effectiveness of interventions applied to them, and to develop evidence-based nursing intervention programs. Methods: We used four electronic databases to search for relevant articles. 18 studies according to Whittemore and Knafl's integrative review method to synthesize the literature. Results: The ACARF-K experienced problems in biophysical, psychological, and sociocultural domains related to attachment impairment. Effective intervention strategies were building trust through empathy and fulfillment of needs, encouraging ACARF-K to express themselves and helping them to clarify emotions in an unthreatening environment, and improving their self-concept through activities in which they experienced achievement. Conclusion: Interventions are needed to help restore attachment damage among ACARF-K. The interventions in this study utilized emotional, cognitive, relational, and behavioral therapeutic tools to improve their psychological and social capacities. Future intervention programs for ACARF-K should include these key elements.

Purpose: Smoking cessation is strongly recommended for every smoker after ischemic stroke, but many patients fail to quit smoking. An improved smoking cessation rate has been reported with intensive behavioral therapy during hospitalization and supportive contact after discharge. The aim of this study was to demonstrate the usefulness of the timely interventions for smoking cessation in men with acute ischemic stroke. Methods: Patients who participated in the timely interventions strategy (TI group) were compared with those who received conventional counseling (CC group). In the TI group, a certified nurse provided comprehensive education during admission and additional counseling after discharge. Outcome was measured by point smoking success rate and sustained smoking cessation rate for 12 months. Results: Participants, 157 men (86 of the TI group and 71 of the CC group), were enrolled. Mean age was $58.25{\pm}11.23$ years and mean initial National Institutes of Health Stroke Scale score was $4.68{\pm}5.46$. The TI group showed a higher point smoking success rate compared with the CC group (p=.003). Multiple logistic regression analysis showed that the TI group was 2.96-fold (95% CI, 1.43~6.13) more likely to sustain smoking cessation for 12 months than the CC group. Conclusion: Findings indicate that multiple interventions initiated during hospital stay and regular follow-up after discharge are more effective than conventional smoking cessation counseling in men with acute ischemic stroke.

Purpose: This study examined the effects of interventions that increase ankle dorsiflexion on muscle contraction and dynamic balance. Methods: Forty-five healthy adults (16 males, 29 females) were assigned randomly to three groups who performed foam roller massage (FM), static stretching (SS), or post-isometric relaxation (PIR). Before the intervention, the angle of ankle dorsiflexion in the lying position, weight-bearing lunge test (WBLT), and isometric muscle contraction force at neutral ankle position were measured using a push-pull dynamometer. The Star Excursion Balance test (SEBT) was performed as a Starmat to evaluate the dynamic balance. The above examinations were re-measured after the intervention. Repeated one-way ANOVA was used for statistical analysis, and the statistical significance was set at α=0.05. Results: The general characteristics of the subjects (age, leg length) were similar in the three groups except for height. The results revealed significant differences in all measuring examinations among the FM, SS, and PIR groups (p<0.05). The post-hoc test showed that PIR was the most effective at a range of motion and WBLT. Stretching was the most effective method in the SEBT and strength. Conclusion: Interventions that increase ankle dorsiflexion may positively affect dynamic balance, muscle contraction, and range of motion.

This study explored potential therapeutic mechanisms of playing preferred online games as predictors of therapeutic interventions for players' psychosocial factors (i.e., aggression, depression, and loneliness). Based on theories of catharsis, the generic model of psychotherapy, we took a therapeutic approach to integrate these perspectives. We created a path model describing how therapeutic catharsis-seeking, online game self-efficacy, and life self-efficacy were associated with psychosocial factors of aggression, depression, and loneliness, including generalized sub-constructs of each factor as multi-dimensional sources. We analyzed the path model using data of 1,227 online game players in Korea. Our results indicated that therapeutic catharsis-seeking could alleviate aggression via favorite game playing. Life self-efficacy was a primary predictor for alleviating depression and loneliness. However, online game self-efficacy was positively associated with depression and loneliness. Implications of these findings are discussed.

This study sought to determine changes in self-selected diets in response to a high energy tomato pasta entree. Thirty men, mostly African-American, who were diagnosed with prostate cancer and also scheduled for prostatectomy were enrolled in the study. Dietary intakes were obtained by 24 hr diet recall for 3 days before the intervention and 3 days in week 2 during the intervention. Tomato pasta entrees were formulated to contain 30 mg of lycopene with roughly the same macronutrient composition and averaged 771 kcal/entree. Mean adherence to lycopene dose was 82% and, days when the entree was consumed, the mean adherence to lycopen was 90%. Lycopene intake in their self-selected diet decreased from 5 to 1 mg/day which lowered the exposure to lycopene, planned during the intervention. The men were able to decompensate for most of the added energy to their diet, but there was still a mean increase in total intake of 242 kcal/day (p=0.04), which did not result in weight gain over the short period of the study. There were no significant changes in the percent of energy from protein, fat or carbohydrates, but dietary cholesterol increased from 341 to 472 mg/day (p=0.0002). Mean intakes of vitamins A and C, and folate were not significantly different and were above the EAR. Vitamin E intake decreased, but, because of the variance in intake, the decrease was not statistically significant. Possible deterioration of diet quality should be a consideration when recommending whole food interventions for the prevention of chronic disease or the amelioration of physiological dysfunction.

Objective: To implement early rehabilitation interventions by physical therapists is recommended. However, the effectiveness of early rehabilitation for severe coronavirus disease 2019 (COVID-19) patients in the prevention of post-intensive care syndrome (PICS) is unclear. We analyzed a multicenter prospective observational study (Post-Intensive Care outcomeS in patients with COronaVIrus Disease 2019) to examine the association between early rehabilitation interventions and PICS physical impairment.Methods: An analysis was performed on COVID-19 patients who were admitted to intensive care units (ICUs) between March 2020 and March 2021, and required mechanical ventilation. The primary outcome was the incidence of PICS physical impairment (Barthel Index≤90) after one year. Multivariate logistic regression analysis was used to estimate the association between early rehabilitation interventions and PICS physical impairment by adjusting ICU mobility scale (IMS) during seven-day following ICU admission, and clinically relevant risk factors.Results: The analysis included 259 patients, 54 of whom developed PICS physical impairment one year later. In 81 patients, physical therapists intervened within seven days of ICU admission. There was no significant difference in mean IMS by day seven of admission between the early and non-early rehabilitation patients (0.70 and 0.61, respectively). Multivariate logistic regression analysis showed that early rehabilitation interventions were significantly associated with a low incidence of PICS physical impairment (odds ratio, 0.294; 95% confidence interval, 0.123?0.706; p=0.006).Conclusion: Early rehabilitation interventions by physical therapists were an independent factor associated with the decreased development of PICS physical impairment at one year, even though early rehabilitation had no significant effect on IMS.

Objective: To systematically review the efficacy of e-Health interventions on physical performance, activity and quality of life in older adults with sarcopenia or frailty.Methods: A systematic review was conducted by searching the MEDLINE, Embase, Cochrane Library, CINHAL, Web of Science, and the Physiotherapy Evidence Database for experimental studies published in English from 1990 to 2021. E-Health studies investigating physical activity, physical performance, quality of life, and activity of daily living assessment in adults aged ≥65 years with sarcopenia or frailty were selected. Results: Among the 3,164 identified articles screened, a total of 4 studies complied with the inclusion criteria. The studies were heterogeneous by participant characteristics, type of e-Health intervention, and outcome measurement. Age criteria for participant selection and sex distribution were different between studies. Each study used different criteria for frailty, and no study used sarcopenia as a selection criteria. E-Health interventions were various across studies. Two studies used frailty status as an outcome measure and showed conflicting results. Muscle strength was assessed in 2 studies, and meta-analysis showed statistically significant improvement after intervention (standardized mean difference, 0.51; 95% confidence interval, 0.07?0.94; p=0.80, I²=0%). Conclusion: This systematic review found insufficient evidence to support the efficacy of e-Health interventions. Nevertheless, the studies included in this review showed positive effects of e-Health interventions on improving muscle strength, physical activity, and quality of life in older adults with frailty.

Purpose: This study investigated the effects of healthy lifestyle interventions (HLSIs) on health-related quality of life (HR-QoL) in childhood and adolescent cancer survivors (CACS). Methods: Major databases were searched for English-language original articles published between January 1, 2000 and May 2, 2021. Randomized controlled trials (RCTs) and non-RCTs were included. Quality was assessed using the revised Cochrane risk-of-bias tool, and a meta-analysis was conducted using RevMan 5.3 software. Results: Nineteen studies were included. Significant effects on HR-QoL were found for interventions using a multi-modal approach (exercise and education) (d=-0.46; 95% confidence interval [CI]=-0.84 to -0.07, p=.02), lasting not less than 6 months (d=-0.72; 95% CI=-1.15 to -0.29, p=.0010), and using a group approach (d=-0.46; 95% CI=-0.85 to -0.06, p=.02). Self-efficacy showed significant effects when HLSIs provided health education only (d=-0.55; 95% CI=-0.92 to -0.18; p=.003), lasted for less than 6 months (d=-0.40; 95% CI=-0.69 to -0.11, p=.006), and were conducted individually (d=-0.55; 95% CI=-0.92 to -0.18, p=.003). The physical outcomes (physical activity, fatigue, exercise capacity-VO2, exercise capacity-upper body, body mass index) revealed no statistical significance. Conclusion: Areas of HLSIs for CACS requiring further study were identified, and needs and directions of research for holistic health management were suggested.

Purpose: The purpose of this study was to investigate the effect of family-centered interventions on improving health outcomes in children and adolescents with type 1 diabetes mellitus (T1DM). Methods: A literature search was conducted according to the PRISMA guidelines, using six electronic databases: EMBASE, CINAHL, Medline, CENTRAL, Scopus, and Web of Science. The inclusion criteria encompassed studies with populations of children and adolescents (age <18 years) and at least one parent/caregiver, or only parents/caregivers if the children were very young, and studies that investigated the health outcomes of children and parents/caregivers diagnosed with T1DM. Results: From 2,746 published studies, only nine studies met the inclusion criteria. The key interventions were non-technology-based interventions (n=4), technology-based interventions (n=2), and combined technology- and non-technology-based interventions (n=3). The interventions had effects on glycated hemoglobin, adherence to diabetes management, diabetes self-management behaviors, and parent-child teamwork in diabetes management. Other essential effects were children's quality of life, children's problem-solving skills, parents' quality of life, and parents' coping and depression. Conclusion: Family-centered interventions can effectively improve health outcomes in children and adolescents with T1DM. In the future, family-centered interventions integrated with other approaches, theories, and models should be developed to achieve the best possible outcomes.

Purpose: Advanced schistosomiasis, the most severe stage of Schistosoma japonicum infection, profoundlyimpairs patients’ quality of life (QoL) and increases vulnerability to anxiety and depression. Since 2004, China has launched a medical assistance program for the patients with access to medicaland/or surgical treatment, in which health workers have incorporated nursing interventions to addressthese challenges. This meta-analysis evaluated the effects of nursing interventions on QoL, anxiety,depression, and complications in advanced schistosomiasis patients. Methods: Seven databases [PubMed, Web of Science, the Cochrane Library, China Biology Medicine, ChinaNational Knowledge Infrastructure, China Science and Technology Journal Database, and Wanfang] weresystematically searched for randomized controlled trials up to August 1, 2024. Data were analyzed usingReview Manager 5.4 (Cochrane Collaboration) and R 4.2.3 (R Project, a free, open-source language andenvironment primarily used for statistical computing and graphics). Outcomes included QoL (WorldHealth Organization Quality of Life Brief scale and Karnofsky performance status), anxiety (Self-ratingAnxiety Scale), depression (Self-rating Depression Scale), and complications. The protocol was previouslyregistered with the International Prospective Register of Systematic Reviews (CRD42023406707). Results: A total of 23 studies with 2232 patients were included. Nursing interventions improved QoL withgreater benefits observed in longer intervention periods. Anxiety (standardized mean difference: -1.52,95% confidence interval (CI): -2.10 to ?? 0.94) and depression (standardized mean difference: -1.13, 95% CI:-1.43 to ?? 0.84) scores were markedly reduced. The risk of complications decreased by 64% (relative risk:0.36, 95% CI: 0.27 to 0.48). Subgroup analyses highlighted age as a key modifier of intervention efficacy. Conclusion: Nursing interventions effectively enhance QoL, alleviate psychological distress, and reducecomplications in advanced schistosomiasis patients. These findings advocate for integrating structurednursing protocols into China’s national healthcare programs and global schistosomiasis managementstrategies.

This study aimed to systematically review self-efficacy-based interventions for patients with obstructivesleep apnea (OSA) and identify the relationship between the number of used techniques for promptingself-efficacy and the main outcome variables. This systematic review was conducted in accordance withthe PRISMA guidelines. Experimental studies on the use of self-efficacy-based interventions for patientswith OSA were analyzed. Five databases, EMBASE, CINAHL, PubMed, SCOPUS, and Web of Science, weresystematically searched for articles published until December 2023. Interventions were classified based onthe behavior change technique (BCT) taxonomy and the theoretical sources of self-efficacy to conduct anarrative synthesis. Of the 6,968 articles evaluated, 11 were included for analysis (1,304 participants). Theresults showed that the most frequently employed BCTs in the analyzed studies were “instruction on howto perform a behavior,” “exposure,” and “social support.” Regarding the number of techniques, an averageof 6.0 BCTs (range, 4e8) and 3.2 theoretical sources (range, 2e4) were utilized in studies that showedsignificant improvements in self-efficacy (5 studies), whereas an average of 4.8 BCTs (range, 2e5) and 2.8theoretical sources (2e3) were used in studies that indicated null results related to self-efficacy (6 studies). This review underscores the potential of self-efficacy-based interventions in the management of OSA andprovides a solid theoretical foundation for designing effective interventions. Additionally, the resultsindicate that utilizing a greater diversity of BCTs and theoretical sources may contribute to the effectivenessof self-efficacy interventions. Therefore, clinicians should consider incorporating various behavior changetechniques and four sources of prompting self-efficacy from self-efficacy theory into interventions toenhance self-efficacy, and consequently, treatment adherence in patients with OSA.

Purpose: This study examined the definitions, diagnostic criteria, and measurements of sarcopenic obesity and identified effective exercise interventions that improve cardiometabolic outcomes in middle-aged and older adults, in whom the prevalence of sarcopenic obesity is increasing. Methods: This comprehensive review followed the principles of literature search, data extraction, and review, as described in the PRISMA 2009 guidelines. Results: The 11 articles included in this study presented different concepts of sarcopenic obesity. Exercise interventions for sarcopenic obesity varied in their effects. Resistance exercise improved muscle mass and physical function, while aerobic exercise primarily impacted obesity and cardiometabolic indicators. Combined exercise had mixed results across indicators. Conclusion: This study addressed a pressing public health concern in the context of an aging population, acknowledged the unique challenges of sarcopenic obesity, and attempted to clarify definitions and assessment methods, while identifying effective exercise interventions to reduce cardiometabolic risk. Sarcopenic obesity is a multifaceted condition with varying definitions and diagnostic criteria. Its association with cardiometabolic risk underscores the need for comprehensive assessments considering both muscle and obesity indicators. While exercise interventions hold promise for managing sarcopenic obesity, further research is required to establish effective strategies.

Purpose Our study aimed to evaluate the effectiveness of the nursing care program on the incidence and rate of 28-day hospital readmissions among pulmonary tuberculosis (TB) patients. Methods We conducted a quasi-experimental study using a historical control (usual care) group. Patients diagnosed with pulmonary TB who received nursing interventions between January 28, 2021, and May 31, 2021, were categorized as an intervention group, whereas historical controls were selected from January 1, 2020, to December 31, 2020. The primary outcomes were the incidence and rates of hospital readmissions within 28 days due to TB-related complications. The secondary outcome was the change in knowledge and self-care behavior scores at discharge and 28 days postdischarge. Cox models were used to assess the intervention's impact on the incidence of hospital readmission. Rates of readmission were compared by the Poisson model. Both Cox and Poisson models were adjusted for age, sex, sputum smears at diagnosis, serum albumin level, and diabetes mellitus at baseline. Results Among 104 pulmonary TB patients included in the analysis (68 were in a historical control group and 36 were in an intervention group), 20 patients were readmitted due to TB-related complications. We found that our nursing care program resulted in a significant reduction in the incidence (adjusted hazard ratio was 0.16 [95% CI 0.03, 0.87]) and the rate of hospital readmissions (adjusted incidence rate ratio was 0.22 [95% CI 0.06, 0.85]). Furthermore, nursing interventions significantly improved knowledge and self-care behavior scores with significant score retention at 28 days postdischarge. Conclusions The nursing care program can significantly decrease the incidence and rate of 28-day hospital readmission and improve knowledge and self-care behavior scores in pulmonary TB patients.

Purpose: This systematic review and meta-analysis examined the effects of shared decision-making (SDM)-based self-management interventions on health outcomes in patients with chronic obstructive pulmonary disease (COPD).Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, three databases were searched in July 2022, supplemented by gray literature and citation searching. Randomized controlled trials that integrated SDM components into COPD self-management programs were included. Two reviewers independently performed study selection, data extraction, and risk-of-bias assessment. Random-effects models were used to pool odds ratios (ORs) for dichotomous outcomes and standardized mean differences (SMDs) for continuous outcomes, with 95% confidence intervals (CIs). Outcomes included hospital readmission, health-related quality of life (HRQoL), functionality, physical symptoms, psychological symptoms (depression and anxiety), and self-efficacy.Results: Seven studies (n=1,028) met the inclusion criteria. SDM-based interventions showed no statistically significant difference in hospital readmission (OR=1.59, 95% CI, 0.79 to 3.19; I²=49.1%) and no significant improvement in HRQoL (SMD=0.19, 95% CI, ?0.14 to 0.51; I²=98.3%). Depression showed no significant effect (SMD=?0.01, 95% CI, ?0.39 to 0.38; I²=98.1%). Self-efficacy improved slightly (SMD=0.12, 95% CI, 0.01 to 0.23; I²=89.4%), with substantial heterogeneity. Evidence for other secondary outcomes was inconsistent.Conclusion: SDM-based self-management interventions did not demonstrate clear benefits for hospital readmission or HRQoL in patients with COPD. Given the heterogeneity across studies, these findings should be interpreted cautiously. Future trials should use standardized SDM frameworks, assess implementation fidelity, and apply consistent outcome measures to clarify the role of SDM in COPD management.

Purpose: This review aimed to evaluate the effectiveness of digital health interventions (DHIs) forgestational diabetes mellitus management, focusing on the improvement of blood glucose and lipidlevels, as well as maternal and neonatal outcomes. Methods: The PubMed, Embase, Cochrane Library, and CINAHL databases were searched for studiespublished up to September 30, 2024. Randomized controlled trials evaluating the effects of DHIs forgestational diabetes were included. The search terms included concepts related to gestational diabetes,digital health, and randomized trials. The quality of the included studies was assessed using theCochrane Risk of Bias 2.0 tool. Meta-analyses were performed using the Review Manager software(RevMan version 5.4). Results: A total of 26 studies were included. DHIs significantly reduced postprandial glucose levels(standardized mean difference [SMD] = ?? 0.67, 95% confidence interval [CI]: ?? 1.25 to ?? 0.08) and improvedoff-target fasting glucose (MD = ?? 3.70, 95% CI: ?? 3.83 to ?? 3.57). DHIs also improved lipid profiles, resultingin a reduction in total cholesterol (SMD = ?? 0.25, 95% CI: ?? 0.49 to ?? 0.01) and triglyceride levels(SMD = ?? 0.28, 95 % CI: ?? 0.51 to ?? 0.04), and an increase in high-density lipoprotein cholesterol levels(SMD = 0.28, 95% CI: 0.05?0.52). However, given the very high heterogeneity (I 2 = 99%) and the smallnumber of studies (k = 3), this pooled estimate should be interpreted with caution. Furthermore, DHIsenhanced compliance with blood glucose monitoring (MD = 15.86, 95% CI: 10.92?20.79). However, nosignificant effects were observed on fasting glucose, HbA1c levels, delivery, and postnatal outcomes. Conclusion: DHIs offer a promising solution for managing gestational diabetes mellitus, particularlythrough postprandial glucose control, lipid regulation, and self-monitoring adherence. Their limitedimpact on fasting glucose, HbA1c levels, and perinatal outcomes suggests that enhanced personalization,professional integration, and long-term monitoring are essential to maximize their effectiveness. Digital health strategies should evolve into comprehensive care models that support maternal andneonatal health, particularly in high-risk situations.

Objective: To evaluate the effect of remote health interventions on self-management of hypertension. Methods: We systematically searched the literature for studies published in English in PubMed, Embase, Web of Science, China NationalKnowledge Infrastructure (CNKI), and Cochrane Central Register of Controlled Trials. The database was used to search for relevantstudies with full text and evaluate the remote health interventions for hypertension self-management versus usual care for hypertension. RevMan 5.4 was used for data analysis. Results: A total of 19 studies eventually met our inclusion criteria. The results showed that the remote health interventions groupcould significantly reduce the levels of SBP (MD=5.67, 95% CI=4.12-7.22, p<.001) and DBP (MD=1.88, 95% CI=1.16- 2.60, p<.001),compared with usual care group, it also significantly improving the patient's quality of life (SMD=0.84, 95% CI=0.32- 1.37, p=.002),reduce waist circumference (MD=2.39, 95% CI=0.35-4.44, p=.020) and BMI (MD=0.49, 95% CI=0.06-0.91, p=.020), and significantlyincreasing the physical activity of patients (SMD=0.19, 95% CI=0.06- 0.31, p=.004). No obvious publication bias was found in thismeta-analysis. Conclusion: This study showed that remote health interventions for self-management can significantly improve patients’ quality of lifewith hypertension and better BP control than usual care. Further studies could be assess the long-term clinical effectiveness and economicevaluation of remote health interventions for self-management. Keywords: Health; Self-Management; Hypertension; Meta-Analysis

Purpose: High recurrence risks significantly contribute to poor health outcomes among postoperative cervical cancer patients. This study aimed to determine the impact of fear of cancer recurrence (FCR) on the posttraumatic growth (PTG) in postoperative cervical cancer patients and to investigate the mediating effects of self-care self-efficacy and health-promoting behaviors within this relationship. Methods: A total of 334 cervical cancer patients who had undergone surgery in three tertiary hospitals in Liaoning Province, China, were recruited using a convenience sampling method. Data were collected using the general information questionnaire, the Fear of Progression Questionnaire (FCR), the Post-traumatic Growth Inventory (PTG), the Strategies Used by People to Promote Health (self-care self-efficacy), and the Health-Promoting Lifestyle Profile (health-promoting behaviors). Data analysis was performed using descriptive analysis, Pearson's correlations, and multiple linear regression analysis. A structural equation model was conducted using Amos 24.0 software. Results: PTG of cervical cancer patients after surgery was significantly and negatively associated with FCR (r = -.54, p < .001), while positively correlated with self-care self-efficacy (r = .51, p < .001) and health-promoting behaviors (r = .59, p < .001). The mediation model revealed that self-care self-efficacy (Boots 95% CI 0.39 ∼ 0.15) and health-promoting behaviors (Boots 95% CI 0.51 ∼ 0.24) independently served as mediating factors, respectively. Self-care self-efficacy and health-promoting behaviors played a significant chain mediating effect between FCR and PTG (Boots 95% CI 0.19 ∼ 0.07), with an indirect effect of 11.6%. Conclusion: This study demonstrated that self-care self-efficacy and health-promoting behaviors partially mediated the relationship between FCR and PTG in cervical cancer survivors after surgery. Implementing tailored interventions that focus on enhancing self-care self-efficacy and health-promoting behaviors among cervical cancer survivors may help alleviate concerns about cervical cancer recurrence and enhance PTG following surgery.