South African Family Practice最新文献_第9页

Tobacco use and readiness to treat tobacco users among primary healthcare professionals in Soweto. 索韦托初级医疗保健专业人员的烟草使用情况和治疗烟草使用者的意愿。

IF 1.2

South African Family Practice Pub Date : 2024-10-29 DOI: 10.4102/safp.v66i1.5996

Ann N Alagidede, Olufemi B Omole

{"title":"Tobacco use and readiness to treat tobacco users among primary healthcare professionals in Soweto.","authors":"Ann N Alagidede, Olufemi B Omole","doi":"10.4102/safp.v66i1.5996","DOIUrl":"10.4102/safp.v66i1.5996","url":null,"abstract":"Background: Despite its hampering influence on the willingness of healthcare professionals (HCPs) to implement tobacco cessation treatments, the tobacco use status of these professionals remains understudied in South Africa.Methods: This cross-sectional study, which sampled 444 HCPs, was conducted in five community health centres in Soweto. A self-administered questionnaire collected information on socio-demography, tobacco use, quit attempts and readiness to implement tobacco cessation treatments for their patients.Results: The mean age was 41 years. Most were female, 80% (n = 355); single, 54.1% (n = 240) and black professionals, 91.6% (n = 405). About 22% (n = 96) were ever-users of tobacco, 12.6% (n = 56) current users and 9% (n = 40) ex-users. About 56.6% (n = 30) of current users had contemplated quitting in the past year. Approximately 68% (n = 300) and 82.2% (n = 365) of respondents were ready and willing to implement tobacco cessation treatments, respectively. Only 32% (n = 143) of respondents had received any training on tobacco use and cessation treatments. There was no significant association between tobacco use and readiness to implement cessation treatments (p = 0.50).Conclusion: Tobacco use is prevalent among HCPs and does not influence the implementation of cessation treatments in South African primary health care. Although most reported readiness and willingness to quit tobacco use, more training is required in both formal education and continued professional development.Contribution: This study demonstrates the alarming rate of tobacco product use among primary health care professionals in South Africa. While there is a strong willingness to implement tobacco cessation treatments for their patients, most healthcare professionals still require training to enhance their self-efficacy.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e11"},"PeriodicalIF":1.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569534","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 review of burnout among doctors in South Africa: Pre-, during and post-COVID-19 pandemic. 南非医生职业倦怠回顾：COVID-19大流行之前、期间和之后。

IF 1.2

South African Family Practice Pub Date : 2024-10-28 DOI: 10.4102/safp.v66i1.6002

Saajida Khan, Itumeleng Ntatamala, Shahieda Adams

{"title":"A review of burnout among doctors in South Africa: Pre-, during and post-COVID-19 pandemic.","authors":"Saajida Khan, Itumeleng Ntatamala, Shahieda Adams","doi":"10.4102/safp.v66i1.6002","DOIUrl":"10.4102/safp.v66i1.6002","url":null,"abstract":"Background: Burnout is defined as a syndrome resulting from chronic workplace stress, which has been unsuccessfully managed. By increasing the occupational challenges faced by doctors, the COVID-19 pandemic potentiated their risk for burnout. This review aimed to determine the prevalence and determinants of burnout among doctors working in South African health facilities pre-, during and post-COVID-19 pandemic.Methods: A narrative literature review was conducted. PubMed, SCOPUS and EBSCO databases were searched for English publications until April 2024.Results: A total of 22 cross-sectional studies were included. The prevalence of burnout among doctors working in South African health facilities ranged from 4% to 84% pre-pandemic and 58.9% to 78.0% during and post pandemic, respectively. The lower value of the burnout prevalence range was higher during the pandemic. This review confirmed that individual factors (gender, age, marital status, junior status, practice setting) as well as occupational factors (workload, job control, moral distress, health system issues, job satisfaction, support at work and resilience) were associated with burnout in doctors. There was no significant association between burnout and factors related to COVID-19.Conclusion: While considerable variability exists in the prevalence of burnout among doctors working in South African health facilities, pre-, during and post-COVID-19 pandemic, the pandemic resulted in greater burnout rates. Factors associated with burnout include both individual and organisational factors, which need to be addressed to mitigate burnout.Contribution: Mitigation of burnout in South African health facilities should focus on individual-based and context-related interventional measures at an organisational level.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569522","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

Medication adherence in geriatric patients attending medical outpatient department. 在医疗门诊部就诊的老年病人的用药依从性。

IF 1.2

South African Family Practice Pub Date : 2024-10-25 DOI: 10.4102/safp.v66i1.6011

Oluremi A Odubanjo, Brent Tipping, Lara S Greenstein

{"title":"Medication adherence in geriatric patients attending medical outpatient department.","authors":"Oluremi A Odubanjo, Brent Tipping, Lara S Greenstein","doi":"10.4102/safp.v66i1.6011","DOIUrl":"10.4102/safp.v66i1.6011","url":null,"abstract":"Background: Adherence to medication represents a challenge in managing chronic conditions in the geriatric population. This study assessed adherence rates and factors affecting adherence of geriatric patients attending the Helen Joseph Hospital outpatient department.Methods: This was a prospective cross-sectional study of 130 patients aged 65 years and older, with at least two chronic conditions. Participants were administered a survey incorporating the Medication Adherence Rating Scale and the Adherence Barrier Questionnaire to identify medication adherence and patient-specific barriers to adherence, respectively. These instruments are reliable and valid.Results: Descriptive statistics and logistic regression were used for analysis. Most patients were female (63%) with a mean age of 72 (67-78) years. Common comorbidities included type 2 diabetes mellitus (63%), hypertension (98%), dyslipidaemia (92%) and congestive cardiac failure (38%). Polypharmacy was prevalent, affecting 53% of the participants. Despite 96% of participants being adherent, all had at least one barrier to adherence, with the majority (65%) having more than one barrier. The main barriers were forgetfulness (59%), fear of side effects (39%), problems with taking the medications (26%) and believing medications are poisonous (22%). Although most participants accessed the pharmacy easily, only 83% reported consistent medication availability and 11% could not afford to collect their medication.Conclusion: Polypharmacy is common in the population. Despite high adherence rates, barriers such as believing medications are poisonous remain significant. A good patient-doctor relationship improves adherence.Contribution: Understanding the barriers to adherence in older adults with polypharmacy and multimorbidity can assist practitioners improve patient care.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569528","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

Monitoring patients on ART within the CCMDD programme and those attending an urban healthcare facility in KwaZulu-Natal. 在夸祖鲁-纳塔尔省的一家城市医疗机构中，对接受 CCMDD 计划抗逆转录病毒疗法的患者和就诊患者进行监测。

IF 1.2

South African Family Practice Pub Date : 2024-10-23 DOI: 10.4102/safp.v66i1.5972

Sheldon Chetty, Andrew Ross

{"title":"Monitoring patients on ART within the CCMDD programme and those attending an urban healthcare facility in KwaZulu-Natal.","authors":"Sheldon Chetty, Andrew Ross","doi":"10.4102/safp.v66i1.5972","DOIUrl":"10.4102/safp.v66i1.5972","url":null,"abstract":"Background: South Africa has high number of patients on antiretroviral treatment, necessitating innovative approaches to decongest healthcare facilities. The Central Chronic Medicines Dispensing and Distribution (CCMDD) programme is a national initiative that identifies stable chronic patients for collection at pick-up points away from the health facility. This study aimed to compare patient satisfaction and virological suppression among those who collected medication through the CCMDD programme and routine care.Methods: This descriptive retrospective analytical study was conducted at a community health centre in Pietermaritzburg from 01 January 2018 to 31 December 2018 and included a questionnaire and access to their medical records on the national medicines database. The 117 patients in the routine care and CCMDD programme groups were assessed at baseline and evaluated at 6 months and 12 months, which were the time points for viral load (VL) testing.Results: Of the 234 participants, 34 out of 117 (31.6%) remained in routine care at the 6-month review, and all but 7 patients had transferred to the CCMDD after 12 months. At the end of the study, 7 patients had VLs above 50 copies/mL and continued in routine care, while 97% (n = 27/234) remained virologically suppressed. None of the CCMDD programme patients moved out of the programme.Conclusion: Satisfaction with the CCMDD programme is indicated by the patients' continued VL suppression, highlighting its potential to decongest healthcare facilities and reduce the strain associated with medication collection.Contribution: The findings in this study validate patients being registered onto the CCMDD programme.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569530","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

Factors associated with unfavourable treatment outcomes among tuberculosis patients at health facilities of Maseru, Lesotho. 莱索托马塞卢医疗机构结核病患者治疗效果不佳的相关因素。

IF 1.2

South African Family Practice Pub Date : 2024-10-21 DOI: 10.4102/safp.v66i1.6004

Masechaba M Leketa, Slindile Zondi, Lindiwe Cele, Mmampedi Mathibe, Phuti Ngwepe

引用次数: 0

A baseline audit of post-vasectomy follow-up at three Cape Town district health facilities. 对开普敦三个地区医疗机构输精管结扎术后随访情况进行基线审计。

IF 1.2

South African Family Practice Pub Date : 2024-10-04 DOI: 10.4102/safp.v66i1.6003

Michael L Le Roux, Renaldo Christoffels, Roland Kroukamp, Jennie Morgan, Omotayo S Alaofin, Tasleem Ras, Klaus B Von Pressentin

{"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":"Background: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

The contribution of Specialist Family Physicians to South Africa's private sector: A position statement. 家庭专科医生对南非私营部门的贡献：立场声明。

IF 1.4

South African Family Practice Pub Date : 2024-10-02 DOI: 10.4102/safp.v66i1.6022

Gail L Ashford, Sheena Mathew, Gareth A Fray, Idowu Olusola Irinoye, Andrew Ross, Klaus Von Pressentin, Robert Mash

引用次数: 0

Prevalence of metabolic syndrome among adults treated at a district hospital outpatient department. 在一家地区医院门诊部接受治疗的成年人中代谢综合征的患病率。

IF 1.2

South African Family Practice Pub Date : 2024-09-30 DOI: 10.4102/safp.v66i1.5959

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

{"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":"Background: 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.Methods: 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.Results: 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).Conclusion: 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.","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}

引用次数: 0

Understanding the struggle: Unique challenges of adherence in male diabetic patients in Tshwane. 了解斗争：茨瓦内男性糖尿病患者在坚持治疗方面面临的独特挑战。

IF 1.2

South African Family Practice Pub Date : 2024-09-30 DOI: 10.4102/safp.v66i1.5998

Refilwe S N Mokoena, Eugene M Makhavhu, Livhuwani Tshivhase

{"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":"Background: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

Perspectives and attitudes of South African medical professionals towards active euthanasia. 南非医疗专业人员对积极安乐死的看法和态度。

IF 1.2

South African Family Practice Pub Date : 2024-09-27 DOI: 10.4102/safp.v66i1.5926

Willem-Johan Steyn, Mukinay C Bondo

{"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":"Background: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0