South African Family Practice最新文献

{"title":"Factors associated with unfavourable treatment outcomes among tuberculosis patients at health facilities of Maseru, Lesotho.","authors":"Masechaba M Leketa, Slindile Zondi, Lindiwe Cele, Mmampedi Mathibe, Phuti Ngwepe","doi":"10.4102/safp.v66i1.6004","DOIUrl":"10.4102/safp.v66i1.6004","url":null,"abstract":"<p><p>Tuberculosis (TB) treatment success rates (TSR) remain low in Lesotho. The country achieved TSR of 76% in 2020, which is far below the World Health Organization's 95% target set for 2030. This study determined the level of treatment success and factors associated with unfavourable treatment outcomes. This descriptive cross-sectional study used patient records to perform descriptive and logistic regression analyses. Sixty-one per cent of the 336 TB patients were male. Two hundred and eighty-nine had favourable outcomes, of which 10% died in the course of treatment. Patients ≤ 44 years old, and those with supported treatment, had lower odds of unfavourable treatment outcomes, respectively, adjusted odds ration [aOR] = 0.39 (95% CI: 0.19-0.78) and aOR = 0.22 (95% CI: 0.08-0.62), p  0.05.Contribution: The death of patients while on TB treatment needs to be addressed, including heightened advocacy for supported treatment.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A baseline audit of post-vasectomy follow-up at three Cape Town district health facilities.","authors":"Michael L Le Roux, Renaldo Christoffels, Roland Kroukamp, Jennie Morgan, Omotayo S Alaofin, Tasleem Ras, Klaus B Von Pressentin","doi":"10.4102/safp.v66i1.6003","DOIUrl":"10.4102/safp.v66i1.6003","url":null,"abstract":"<p><strong>Background: </strong>Our study focuses on vasectomies, an underutilised contraception method worldwide. Little is known about post-vasectomy semen analysis (PVSA) adherence in our setting, which is an essential step in confirming the procedure's success. We aimed to describe patient adherence to post-vasectomy follow-up and the success of procedures performed by different surgeon categories at three Cape Town district health facilities.</p><p><strong>Methods: </strong>We conducted a retrospective descriptive audit. We extracted sociodemographic and procedural information from theatre records and patient folders. The PVSA results were retrieved from Groote Schuur Hospital's Reproductive Medicine Unit.</p><p><strong>Results: </strong>The records of 270 patients who underwent vasectomies in local district-level facilities from September 2016 to July 2021 were included. Only 122 (45.2%) semen analysis results were retrievable, of which 115 (94.2%) showed that the procedure was successful. Incomplete patient records significantly impacted the study. A data-collection instrument and implementing standardised stationery were developed, which some sites already use. These measures are designed to ensure more comprehensive datasets for future audits.</p><p><strong>Conclusion: </strong>The study's findings have identified flaws in record-keeping practices at the three study sites, a crucial step towards improving post-vasectomy care. Tracking procedural success and patient adherence to post-vasectomy semen analyses using the implemented stationery may assist future research and help drive quality improvement projects.Contribution: This audit strengthens our understanding of improving this underutilised family planning option in the district health services. In partnership with the local teams, a revised clinical care pathway was developed to inform the delivery of an evidence-informed vasectomy service.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The contribution of Specialist Family Physicians to South Africa's private sector: A position statement.","authors":"Gail L Ashford, Sheena Mathew, Gareth A Fray, Idowu Olusola Irinoye, Andrew Ross, Klaus Von Pressentin, Robert Mash","doi":"10.4102/safp.v66i1.6022","DOIUrl":"10.4102/safp.v66i1.6022","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e2"},"PeriodicalIF":1.2,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of metabolic syndrome among adults treated at a district hospital outpatient department.","authors":"Cara Van Jaarsveldt, Tlholohelo Jabari, Elrine Zwarts, Simone Färber, Yothando Sikuza, Heinrich Schilling, Sebastiaan Pauw, Elizabeth Klein, Cornel Van Rooyen, Gina Joubert, Chantelle C Van der Bijl","doi":"10.4102/safp.v66i1.5959","DOIUrl":"10.4102/safp.v66i1.5959","url":null,"abstract":"<p><strong>Background: </strong>Metabolic syndrome (MetS) is a collection of risk factors, including hypertension, high fasting blood glucose, high fasting triglyceride and low high-density lipoprotein (HDL) cholesterol levels that may increase the risk for cardiovascular disease and type 2 diabetes. The study aimed to determine the prevalence of MetS among adults attending a Free State district hospital's outpatient department.</p><p><strong>Methods: </strong>A cross-sectional study included a consecutive sample of consenting patients 18 years and older from 18 October 2021 to 19 November 2021. Patients' waist circumference was measured, and data were extracted from patients' files.</p><p><strong>Results: </strong>The 409 participants were predominantly females (64.2%). The median age was 60 years. Triglyceride and HDL cholesterol levels were available for 27.4% and 26.9% of patients, respectively. Of the 278 (68.0%) patients with sufficient information to determine their MetS status, 187 (67.3%) had MetS. Of the males with sufficient information, 49.1% (n = 56/114) had MetS compared to 79.9% (n = 131/164) of the females with sufficient information (p  0.001). The age group 60-79 years had the highest prevalence (76.7%, p  0.001). In all race groups, at least two-thirds of patients had MetS (p = 0.831).</p><p><strong>Conclusion: </strong>Incomplete patient notes and failure to do investigations led to a third of patients not having sufficient information to determine their MetS status. In patients with sufficient information, a high prevalence of MetS was found.Contribution: This study highlights the challenges of determining MetS retrospectively in an outpatient population and the need for completeness of medical note keeping and routine investigations in high-risk patients. It also notes the high prevalence of MetS.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11447609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the struggle: Unique challenges of adherence in male diabetic patients in Tshwane.","authors":"Refilwe S N Mokoena, Eugene M Makhavhu, Livhuwani Tshivhase","doi":"10.4102/safp.v66i1.5998","DOIUrl":"10.4102/safp.v66i1.5998","url":null,"abstract":"<p><strong>Background: </strong>Type 2 diabetes prevalence is steadily increasing worldwide, and South Africa is one of the countries in Africa with the highest prevalence of this disease, along with other non-communicable diseases. The adherence to treatment in male patients with type 2 diabetes is influenced by their attitudes towards medication and how they perceive their condition. To some extent, these factors impact the treatment outcomes for patients undergoing type 2 diabetes treatment. The purpose of this study was to investigate the perceptions of male patients with type 2 diabetes on their adherence to diabetic therapy. The study was conducted in the clinics of the City of Tshwane Metropolitan municipality in Gauteng.</p><p><strong>Methods: </strong>This study followed a qualitative, exploratory design. Data were gathered from 15 male patients who were purposefully sampled through in-person, one-on-one interviews with the principal investigator. The eight steps outlined by Tesch were used to analyse the participant data.</p><p><strong>Results: </strong>Emergent themes indicated that there were barriers to adherence to diabetic treatment and also factors that promoted adherence to diabetic treatment among the participants. Several factors were found to affect treatment uptake among the participants.</p><p><strong>Conclusion: </strong>Patients demonstrated various reactions to diabetic treatment, highlighting the need for reinforcing education at the time of diagnosis and treatment initiation. Additionally, regular patient follow-up may be essential to improve adherence among patients.Contribution: The study highlights the importance of health promotion and the need to develop materials for medication-specific counselling for patients receiving diabetic treatment, in order to promote adherence.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11447614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives and attitudes of South African medical professionals towards active euthanasia.","authors":"Willem-Johan Steyn, Mukinay C Bondo","doi":"10.4102/safp.v66i1.5926","DOIUrl":"10.4102/safp.v66i1.5926","url":null,"abstract":"<p><strong>Background: </strong>Active euthanasia is a controversial subject both globally and in South Africa. Recent legal cases have kept this topic in the public discourse. Yet, there remains a dearth of quality local research on this issue. This study aimed to explore the views of medical professionals towards active euthanasia to gain a better understanding of this phenomenon in South Africa.</p><p><strong>Methods: </strong>A descriptive-interpretive qualitative research design, using semi-structured in-depth interviews of purposively sampled South African medical professionals, was used to collect the data. The data were analysed using an inductive thematic analysis framework, which included familiarisation, coding, summarising, theme development and thematic review, revision and interpretation.</p><p><strong>Results: </strong>Four general themes, with sub-themes, were identified and inductively analysed: modern medical practice and euthanasia; the problem of suffering in end-of-life care; euthanasia is complex; palliative care in South Africa is poor. Some themes and sub-themes were common to all participants while other themes underscored more diverse views - often because of religious factors.</p><p><strong>Conclusion: </strong>Active euthanasia is a complex and nuanced issue. An understanding of the perceptions and attitudes of medical professionals will contribute to the overall discussion of this phenomenon in ethical, legal, social and political spheres in South Africa. This is of utmost importance given the relevance of this topic in South Africa in the 21st century.Contribution: This study highlights the complex nature of active euthanasia in South Africa among medical professionals while providing a greater understanding of its nuances and the strengths and weaknesses of arguments for or against it.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11447590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An evaluation of support to the second victims in Tshwane District Health Services, South Africa.","authors":"Doudou K Nzaumvila, Tombo Bongongo, Indiran Govender, Sunday O Okeke","doi":"10.4102/safp.v66i1.5980","DOIUrl":"10.4102/safp.v66i1.5980","url":null,"abstract":"<p><strong>Background: </strong>Initiatives to reduce patient safety incidents (PSI) and support healthcare professionals who may experience psychological trauma as a result are becoming increasingly common. However, little is known about the quality of the support provided by Tshwane District Health Services. Therefore, it is necessary to assess their assistance for the second victims in order to evaluate their effectiveness.</p><p><strong>Methods: </strong>A cross-sectional study was conducted, and 319 healthcare professionals from six primary health care institutions were invited to participate in the study. The sociodemographic information, work experience, emotional support, familiarity with the concept of the 'second victim' and involvement with PSIs were collected.</p><p><strong>Results: </strong>The mean age was 39.8 years, ranging from 22 years to 66 years. The majority of participants were females (n = 249; 78.1%), nurses (n = 153; 49.2%), and those with 5-9 years of experience (n = 82; 25.8%). Most participants (n = 168; 52.7%) were aware of the possibilities of emotional support, while less than half (n = 142; 44.5%) were familiar with the term 'second victim'. The cumulative incidence of adverse events in the institutions was 19.4%, and the majority of second victims (n = 39; 62.9%) emotionally felt the need to speak with someone about it, preferably outside of the workplace. Less than 5% of individuals received support that was initiated by existing structures at their workplace.</p><p><strong>Conclusion: </strong>Frameworks exist to assist second victims, although they are only known to some healthcare professionals. However, their current use in Tshwane health facilities is ineffective. After experiencing PSIs, second victims often rely on psychological assistance outside of the workplace.Contribution: Authorities need to determine the causes behind some healthcare professionals' lack of awareness regarding the support framework for second victims, as well as their growing tendency to rely on psychologists outside of the workplace, and corrective measures should be implemented.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11447557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Email invitations to publish: Academically sound (such as SAFP) versus potentially predatory journals.","authors":"Gina Joubert, Omololu Aluko","doi":"10.4102/safp.v66i1.5984","DOIUrl":"10.4102/safp.v66i1.5984","url":null,"abstract":"<p><strong>Background: </strong>Researchers increasingly receive invitations by email to publish. We analysed email publication invitations received by staff members of the Department of Biostatistics, University of the Free State (UFS), comparing emails relating to accredited and non-accredited journals.</p><p><strong>Methods: </strong>This cross-sectional study included all publication invitations received via UFS email accounts by staff members from May 2023 to July 2023. The researchers independently completed the data form, then checked and resolved any discrepancies.</p><p><strong>Results: </strong>Of the 93 distinct emails received from 88 journals, only 15 (16%) were received from a journal appearing on the Department of Higher Education and Training (DHET) accredited journal lists. These included South African Family Practice (SAFP) and the African Journal of Primary Health Care and Family Medicine (PHCFM). Emails from non-accredited journals were significantly (p  0.01) less likely to refer to a journal with a health sciences-related title (37% vs. 86%), indicate the publisher (36% vs. 93%), provide a link to the journal website (59% vs. 100%), state a full physical address (24% vs. 80%), refer to author instructions (21% vs. 47%) or request the recipient to share the email with colleagues (5% vs. 47%). Emails from non-accredited journals were significantly (p  0.01) more likely to contain grammatical errors (63% vs. 0%) and flattering remarks regarding the recipient or his or her research work (49% vs. 0%), and to indicate the journal's International Standard Serial Number (ISSN) (67% vs. 13%).</p><p><strong>Conclusion: </strong>Clear differences were found between email invitations from accredited versus non-accredited journals.Contribution: The findings provide insight into warning signals in email publication invitations.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11447559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-care practices among professional nurses employed in primary health care clinics.","authors":"George J Nkabinde-Thamae, Charlene Downing","doi":"10.4102/safp.v66i1.5955","DOIUrl":"10.4102/safp.v66i1.5955","url":null,"abstract":"<p><strong>Background: </strong>Professional nurses typically promote and advocate self-care practices to their patients to achieve better health outcomes, but rarely engage in these practices themselves.</p><p><strong>Methods: </strong>A qualitative, descriptive phenomenological approach was used in this study. Ten professional nurses employed in different primary health care facilities were purposively sampled. Semi-structured interviews were conducted to collect data, which were analysed using Colaizzi's data analysis strategy, and data saturation was reached.</p><p><strong>Results: </strong>Two themes were identified. Theme 1: the participants expressed that internal and external factors compromised self-care practices, such as subconscious self-neglect, insufficient resources, and a depressed economy, which encouraged them to work extended hours. Theme 2: participants' holistic well-being was compromised, as they neglected their mental well-being.</p><p><strong>Conclusion: </strong>Self-care practices among professional nurses seem unachievable. The extent of this population's self-care neglect was evident during the coronavirus disease 2019 (COVID-19) pandemic when professional nurses globally gave of themselves relentlessly.Contribution: This is the first study conducted on the topic in the City of Ekurhuleni, and the findings will provide relevant stakeholders with a directive on what strategies, policies, and guidelines to develop and implement to make self-care practices attainable for professional nurses.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11447585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 vaccine hesitancy among unvaccinated individuals in a primary care setting, Pretoria.","authors":"Dikonketjo M P Moeti, Indiran Govender, Tombo Bongongo","doi":"10.4102/safp.v66i1.5988","DOIUrl":"10.4102/safp.v66i1.5988","url":null,"abstract":"<p><strong>Background: </strong>South Africa faced challenges while implementing coronavirus disease 2019 (COVID-19) measures such as mass vaccination. Some people rejected or were hesitant to receive government-recommended vaccines. This study explored COVID-19 vaccination hesitancy among unvaccinated individuals in a primary care setting in Pretoria, South Africa.</p><p><strong>Methods: </strong>This was an exploratory phenomenological study that included one-on-one interviews with 12 individuals at Temba Community Health Centre in Pretoria, South Africa.</p><p><strong>Results: </strong>The research revealed five themes: perceptions of COVID-19 disease, perceptions of COVID-19 vaccine, factors related to non-vaccination, information sources about the COVID-19 vaccine, and long-term vaccination decisions. There were seven linked sub-themes.</p><p><strong>Conclusion: </strong>Overall, participants had a good understanding of COVID-19 disease, but limited knowledge about the vaccine, causing hesitancy to get vaccinated. Reasons for not getting vaccinated included health-related concerns, safety concerns, personal experiences, and social and political factors. Safety and health-related concerns were prevalent, with adverse vaccine outcomes being the most common concern. Most participants had experienced a historic encounter with a vaccine-related death or illness.Contribution: Vaccine hesitancy should be viewed as a powerful concern from the community, and a key source of worry for the health authorities over any vaccine-related doubt.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11447595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}