South African Family Practice最新文献_第4页

Legal requirements for reporting clinical cases to the South African police or social services. 向南非警方或社会服务机构报告临床病例的法律要求。

IF 1.2

South African Family Practice Pub Date : 2024-06-29 DOI: 10.4102/safp.v66i1.5919

Dirk T Hagemeister, William Oosthuizen, Bridgette Mokae

引用次数: 0

Regional anaesthesia for district hospitals and clinics. 地区医院和诊所的区域麻醉。

IF 1.2

South African Family Practice Pub Date : 2024-06-28 DOI: 10.4102/safp.v66i1.5872

Michele Torlutter

{"title":"Regional anaesthesia for district hospitals and clinics.","authors":"Michele Torlutter","doi":"10.4102/safp.v66i1.5872","DOIUrl":"10.4102/safp.v66i1.5872","url":null,"abstract":"Pain is a common reason that patients seek care in the emergency department (ED). Regional anaesthesia in the form of nerve blocks provides an excellent alternative to traditional forms of analgesia, and may be superior in managing musculoskeletal pain compared to opioids. Adequate pain management improves patient satisfaction, facilitates examination and minor procedures, and allows for earlier and safe discharge. In low resource settings this modality is underutilised due to lack of trained providers and/or support from specialised services, shortages of equipment, and lack of context-sensitive guidelines. Advances in ultrasound guided regional anaesthesia has the potential to improve access to safe and reliable anaesthesia. It is often not accessible or an active part of training even for emergency physicians. There are, however, a number of nerve blocks that are easy to learn, don't require specialised equipment, and can be readily applied in EDs for minor procedures and longer acting forms of analgesia. Nerve blocks more applicable in the operating theatre or best done under ultrasound guidance are mentioned but not discussed in this article. This continuous professional development (CPD) article aims to provide guidance with respect to several key areas related to more commonly used types of regional anaesthesia in district level services. We discuss the importance of good clinical practice including thorough preparation of equipment and the patient to avoid common complications, clinical indications for regional blocks in the ED, local anaesthetic agents, different techniques for some common regional blocks, potential complications, and the need for a trained interprofessional team.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11219590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470841","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}

引用次数: 0

Hepatitis B immunisation and immune status of nurses in a regional hospital in central South Africa. 南非中部一家地区医院护士的乙肝免疫接种和免疫状况。

IF 1.2

South African Family Practice Pub Date : 2024-06-26 DOI: 10.4102/safp.v66i1.5871

Emily M Makola, Willem H Kruger, Perpetual Chikobvu

{"title":"Hepatitis B immunisation and immune status of nurses in a regional hospital in central South Africa.","authors":"Emily M Makola, Willem H Kruger, Perpetual Chikobvu","doi":"10.4102/safp.v66i1.5871","DOIUrl":"10.4102/safp.v66i1.5871","url":null,"abstract":"Background: The hepatitis B virus (HBV) is one of the most important biological occupational hazards for healthcare workers. A high percentage of HBV infections are attributable to percutaneous occupational exposure. This study aimed to describe the HBV immunisation and current immune status of all the nurses employed in a regional hospital in central South Africa.Methods: A descriptive record review included all the nurses (N = 388) employed in a regional hospital in central South Africa from 01 January 2018 to 31 January 2020. A total of 289 health records were included in the study. Data were analysed using descriptive statistics. Logistic regression analysis was used to establish factors associated with full immunisation.Results: Most nurses were females (87.9%), working in medical (27.0%) wards. Only 20.4% of nurses received one dose of vaccine, while 51.2% received the three prescribed doses. However, 91.2% of nurses did not receive the vaccine at the correct intervals. Most of the tested nurses (71.0%) were immune. Immunisation status was significantly associated with religion (p 0.001) and schedule (p = 0.003). Nurses who were non-Christians were 35.9% less likely to be fully vaccinated compared to Christians.Conclusion: Half of the nursing staff received three doses as prescribed. All nurses should receive the vaccine against HBV and their immune status monitored to minimise the risk of an infection. It is therefore recommended that proof of immunity should be a requirement.Contribution: This study found a high percentage of nurses with HBV antibodies, which will ensure workplace safety.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11219606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470838","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}

引用次数: 0

Knowledge, attitudes and practices on diabetic foot care among nurses in Kimberley, South Africa. 南非金伯利护士对糖尿病足护理的认识、态度和实践。

IF 1.2

South African Family Practice Pub Date : 2024-06-25 DOI: 10.4102/safp.v66i1.5935

Labala G Mafusi, Chika K Egenasi, Wilhelm J Steinberg, Mathew O Benedict, Talat Habib, Melvin Harmse, Cornel Van Rooyen

{"title":"Knowledge, attitudes and practices on diabetic foot care among nurses in Kimberley, South Africa.","authors":"Labala G Mafusi, Chika K Egenasi, Wilhelm J Steinberg, Mathew O Benedict, Talat Habib, Melvin Harmse, Cornel Van Rooyen","doi":"10.4102/safp.v66i1.5935","DOIUrl":"10.4102/safp.v66i1.5935","url":null,"abstract":"Background: Diabetic foot is a dangerous complication of diabetes and can lead to high morbidity and mortality. As essential team members of the healthcare system, nurses play an important role in diabetic foot management and are indispensable in patients' education to prevent diabetic foot. The study assessed nurses' knowledge, attitudes and practices regarding diabetic foot care in Sol Plaatje primary health care centres in the Northern Cape: Sol Plaatje's 14 district municipality clinics, Kimberley, Northern Cape.Methods: This was a descriptive cross-sectional analytical study. A questionnaire assessed nurses' knowledge, practices and attitudes towards diabetic foot care in the above setting.Results: A total of 128 professionals, enrolled and auxiliary nurses who are providing primary care to patients within the 14 clinics in the Sol-Plaatje sub-district were recruited for the study. Hundred and five participants completed the self-administered questionnaires. The majority (95%) were females and 58.1% knew that South African Diabetic Foot Guidelines existed, while 57.7% had read them. About 57% did not know about the 60-s diabetic foot screening tool, and 67% did not know the 10 g monofilament test. Approximately 29.8% had never attended a class on diabetic foot care and 85.6% required training on diabetic foot care.Conclusion: This study revealed that the majority of nurses working in the Sol-Plaatje sub-district primary health care centres are knowledgeable of the diabetic foot guidelines for primary care. However, there is a need for ongoing education on diabetic foot care.Contribution: The study results will help improve nurses' awareness of the importance of diabetic foot care.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11219695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470839","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}

引用次数: 0

The utility of computed tomography at a district-level public hospital in Cape Town. 开普敦一家地区级公立医院计算机断层扫描的实用性。

IF 1.2

South African Family Practice Pub Date : 2024-05-27 DOI: 10.4102/safp.v66i1.5891

Ridwaan Osman, Amy Fouten, Nihaad Jacobs, Fawwaz Cader, Francois Ehlers, Nazrana Zalgaonkir, Elaine Erasmus, Daniël Van Hoving

{"title":"The utility of computed tomography at a district-level public hospital in Cape Town.","authors":"Ridwaan Osman, Amy Fouten, Nihaad Jacobs, Fawwaz Cader, Francois Ehlers, Nazrana Zalgaonkir, Elaine Erasmus, Daniël Van Hoving","doi":"10.4102/safp.v66i1.5891","DOIUrl":"10.4102/safp.v66i1.5891","url":null,"abstract":"Background: Computed tomography (CT) has become an invaluable aid in medical diagnostic workup, and its global usage has been shown to be consistently increasing across all departments. While typically located in regional or central hospitals in South Africa, its recent introduction at the district level has many foreseeable benefits. We evaluated its utility at one of the first district hospitals in the Western Cape to obtain a CT suite.Objectives: This study aimed to describe the type of CT scans ordered, the clinical indications, the prevalence of significant abnormal findings and the agreement between the clinical opinion and radiological diagnosis.Methods: A descriptive cross-sectional study was conducted over a 1-year period at Khayelitsha Hospital, an entry-level hospital just outside of Cape Town.Results: A total of 3242 CT scans were analysed. The mean age of patients was 46 years; 51.4% were males. A mean of 13 scans were performed per working day. The head and neck area were the most scanned region (n = 1841, 52.3%). Predominantly requested by the Emergency Centre (n = 1382, 42.6%), indications were mainly for general medical conditions workup (n = 2151, 66.4%). Most scans showed abnormalities (n = 2710, 83.6%), with 2115 (65.2%) considered relevant ('positive yield'). Clinical and CT diagnoses agreed in 1610 (49.7%) cases.Conclusion: Computed tomography usage at the district level demonstrated positive yield rates comparable to that of tertiary centres. This implies an appropriate utilisation of the service with a potential decrease in the burden on the referral centre.Contribution: Computed tomography scanners at district-level facilities are appropriately utilised and can provide greater access to care while potentially decreasing the burden on referral centres.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11151385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238111","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}

引用次数: 0

Prevention of mother-to-child transmission of HIV service interruptions amid COVID-19 pandemic. 在 COVID-19 大流行期间，预防母婴传播艾滋病毒的服务中断。

IF 1.2

South African Family Practice Pub Date : 2024-05-13 DOI: 10.4102/safp.v66i1.5899

Florence M Q Setshedi, Livhuwani Tshivhase, Idah Moyo

{"title":"Prevention of mother-to-child transmission of HIV service interruptions amid COVID-19 pandemic.","authors":"Florence M Q Setshedi, Livhuwani Tshivhase, Idah Moyo","doi":"10.4102/safp.v66i1.5899","DOIUrl":"10.4102/safp.v66i1.5899","url":null,"abstract":"Background: The coronavirus disease 2019 (COVID-19) caused global disruptions in healthcare service delivery. The prevention of mother-to-child transmission (PMTCT) of human immunodeficiency viruses (HIV) services were also interrupted, threatening the attainment of Sustainable Development Goal 3. This article describes the PMTCT service interruptions experienced during the COVID-19 pandemic in Tshwane healthcare facilities.Methods: A descriptive phenomenological design was used to explore and describe the experiences of healthcare providers offering PMTCT services during COVID-19 in the Tshwane district, Gauteng province. Purposive sampling was used to recruit participants. Data were collected through in-depth interviews with 16 participants, and Colaizzi's data analysis steps were followed in analysing the findings.Results: Participants reported interruptions in PMTCT service delivery during the pandemic. Non-adherence to scheduled visits resulted in patients defaulting or not adhering to treatment regimens, high viral loads and mother-infant pairs' loss to follow-up. Other features of service disruption included late antenatal bookings, low client flow and delays in conducting deoxyribonucleic acid-polymerase chain reaction (DNA-PCR) testing in HIV-exposed babies. In addition, staff shortages occurred because of re-assignments to COVID-19-related activities. Study participants were psychologically affected by the fear of contracting COVID-19 and worked in a frustrating and stressful environment.Conclusion: Improved community-based follow-up services are critical to enhance PMTCT service outcomes and prevent infant HIV infections.Contribution: The findings may influence policymakers in developing strategies to curb HIV infections among mothers and children during pandemics.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11151404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238038","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}

引用次数: 0

Corrigendum: Diet and exercise knowledge and practices for diabetes care within families in Senwabarwana. 更正：Senwabarwana 家庭糖尿病护理的饮食和运动知识与实践。

IF 1.2

South African Family Practice Pub Date : 2024-05-13 DOI: 10.4102/safp.v66i1.5921

Mabitsela H Mphasha, Linda Skaal, Tebogo Mothiba

引用次数: 0

The sustainability of group empowerment and training for people with diabetes in South Africa. 南非糖尿病患者团体赋权和培训的可持续性。

IF 1.2

South African Family Practice Pub Date : 2024-05-06 DOI: 10.4102/safp.v66i1.5918

Robert J Mash, Darcelle Schouw

{"title":"The sustainability of group empowerment and training for people with diabetes in South Africa.","authors":"Robert J Mash, Darcelle Schouw","doi":"10.4102/safp.v66i1.5918","DOIUrl":"10.4102/safp.v66i1.5918","url":null,"abstract":"Background: Group empowerment and training (GREAT) for people with type 2 diabetes enables self-management and lifestyle modification. GREAT for diabetes was implemented in primary care facilities in five South African provinces in the beginning of 2022. The aim was to evaluate implementation and to particularly explore factors that influenced the sustainability of implementation.Methods: An exploratory, descriptive qualitative study conducted semi-structured individual interviews with 17 key stakeholders at the end of 2023. Interviews explored factors within a theory of change framework derived from an initial evaluation in 2022. Data were analysed using the framework method and ATLAS.ti.Results: Implementation and scale-up was sustained in the Western Cape. Governance and financing at a provincial and district level were key to health system structures. Space, staffing, resource materials and monitoring of implementation were key to the inputs. Facility managers, training and performance of facilitators, including the whole team, selecting patients, patient flow and appointments, stakeholder support and clinical governance were key to service delivery. Facilities that had implemented, reported reaching 300 patients per year. A range of motivational, behavioural and clinical outcomes were reported. Future implementation could include community health workers and group empowerment for insulin initiation.Conclusion: Implementation and scale-up was only sustained in one province and a range of factors related to sustained implementation were identified.Contribution: The factors identified can guide the successful implementation and scale-up of GREAT for diabetes in South Africa.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e11"},"PeriodicalIF":1.2,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11151425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858060","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}

引用次数: 0

A scoping review of strategies for adolescents' sexual and reproductive health role modelling. 青少年性健康和生殖健康角色塑造战略的范围审查。

IF 1.2

South African Family Practice Pub Date : 2024-05-03 DOI: 10.4102/safp.v66i1.5859

Tshiamo N Ramalepa, Thinavhuyo R Netangaheni

{"title":"A scoping review of strategies for adolescents' sexual and reproductive health role modelling.","authors":"Tshiamo N Ramalepa, Thinavhuyo R Netangaheni","doi":"10.4102/safp.v66i1.5859","DOIUrl":"10.4102/safp.v66i1.5859","url":null,"abstract":"Background: Individuals strive to maintain their sexual and reproductive health (SRH) by being exposed to correct information, having access to contraceptives, and promoting safe sex practices. Adolescent SRH promotion efforts should consider the influence of role models. This review explored the availability and nature of strategies and programmes on adolescents' SRH role modelling and described them using a scoping review.Methods: Studies were retrieved from four databases and grey literature through a search of 223 studies. The databases included EBSCO-host, Medline, Sabinet, and Pubmed. Data extraction was guided by a data-extraction tool adapted from the JBI Manual for Evidence Synthesis. The characteristics of the selected studies were recorded in a Microsoft spreadsheet. Eleven studies published between 2014 and 2022 were included for the final review and analysed using thematic analysis.Results: Selected articles focused on adolescents' SRH; however, only two studies focused particularly on role modelling. Nonetheless, some aspects of the findings and recommendations presented could be extrapolated to adolescents' SRH role modelling. This includes adolescent-parent communication on SRH, community engagement, mentoring, positive role modelling, and information sharing through media campaigns.Conclusion: There is a lack of literature on SRH role modelling because most studies did not focus on role modelling as an aspect of SRH. Therefore, research needs to be conducted on strategies and programmes focusing on SRH modelling.Contribution: The findings of this scoping review may encourage the development and implementation of strategies and programmes targeting adolescents' SRH throughout diverse communities to promote adolescent SRH.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11151353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858056","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}

引用次数: 0

Lived experiences of women with spontaneous abortion at a district hospital, South Africa. 南非一家地区医院自然流产妇女的生活经历。

IF 1.2

South African Family Practice Pub Date : 2024-04-30 DOI: 10.4102/safp.v66i1.5917

Marshall Lockett, Robert J Mash

{"title":"Lived experiences of women with spontaneous abortion at a district hospital, South Africa.","authors":"Marshall Lockett, Robert J Mash","doi":"10.4102/safp.v66i1.5917","DOIUrl":"10.4102/safp.v66i1.5917","url":null,"abstract":"Background: Spontaneous abortions occur in 12.5% of pregnancies and have a significant impact on the well-being of women. Dissatisfaction with health services is well-documented, but no studies have been conducted in district health services of the Western Cape. The aim was to explore the lived experiences of women presenting with spontaneous abortions to the emergency department at Helderberg Hospital.Methods: A descriptive phenomenological qualitative study used criterion-based purposive sampling to identify suitable participants. Data were collected through semi-structured individual interviews. Atlas-ti (version 22) software assisted with data analysis using the framework method.Results: A total of nine participants were interviewed. There were four main themes: a supportive environment, staff attitudes and behaviour, the impact of time, and sharing of information. The comfort, cleanliness and privacy of the environment were important. COVID-19 had also impacted on this. Showing interest, demonstrating empathy and being nonjudgemental were important, as well as the waiting time for definitive treatment and the time needed to assimilate and accept the diagnosis. In addition, the ability to give relevant information, explain the diagnosis and help patients share in decision-making were key issues.Conclusion: This study highlighted the need for a more person-centred approach and managers should focus on changes to organisational culture through training and clinical governance activities. Attention should be paid to the physical environment, availability of patient information materials and sequential coordination of care with primary care services.Contribution: This study identifies issues that can improve person-centredness and women's satisfaction with care for spontaneous abortion.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851316","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}

引用次数: 0