Family Medicine & Primary Care Review最新文献

{"title":"Evaluation of the effectiveness of a mobile application on the adherence of patients with atrial fibrillation","authors":"Gani Tulepbergenov, D. Ospanova, S. Alimbayeva, A. Puodziukynas, A. Kodasbayev, A. Abenova, A. Almukhanova, S. Tanabayeva, Ildar Fakhradiyev, A. Sadykova","doi":"10.5114/fmpcr.2022.118289","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.118289","url":null,"abstract":"A – Study Design, B – Data Collection, C – Statistical Analysis, D – Data Interpretation, E – Manuscript Preparation, F – Literature Search, G – Funds Collection Background. To date, no research on the adherence of patients with atrial fibrillation (AF) within the territory of Kazakhstan and Central Asia has been conducted. Objectives. The study aimed to investigate the effect of a mobile application on adherence in patients diagnosed with AF and treated in outpatient clinics. In addition, the reliability of a structured scale for assessing adherence in patients with atrial fibrillation was also validated. Material and methods. A prospective one-centre study was conducted on 599 patients diagnosed with AF at the City Cardiology Centre (Almaty, Kazakhstan). Patients were sub-divided into control (CG) and intervention (IG) groups. Patients in the IG group used the MyTherapy mobile app. Treatment adherence was assessed using the 14-item Lebanese Drug Adherence Scale (LMAS-14). Data was collected before starting therapy (T1) and 3 months (T2), 6 months (T3) and 12 months (T4) after the start of treatment. Results. In the T1 period, the adherence of patients in the CG and IG groups was average ( p = 0.547). After 3 months (T2), adherence of participants in the IG group (39.1 ± 1.3) was significantly higher than in the CG group ( p ≤ 0.05). In the T3 period, patients of the IG group had a high adherence equal to 38.3 ± 1.6 ( p ≤ 0.05). After 12 months (T4), the respondents in the IG group retained high adherence rates equal to 38.9 ± 3.2 ( p = 0.001). An estimate of the readmission rate within 12 months shows relatively low rates in the IG group (9.8%). Conclusions. The results of the study showed the effectiveness of using the MyTherapy mobile app for increasing adherence in patients with AF. In addition, the use of the LMAS-14 facilitated and optimised the assessment of the level of adherence in patients with AF.","PeriodicalId":305591,"journal":{"name":"Family Medicine & Primary Care Review","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121161749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the frequency of normal to mildly increased albuminuria, in patients with type 2 diabetes with CKD referred to clinics of Ahwaz teaching Hospitals in the years 2014–2020","authors":"S. Ghaderian, Torkan Rezaie, S. Mousavi, H. Rashidi, F. Hayati","doi":"10.5114/fmpcr.2022.118278","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.118278","url":null,"abstract":"Study – Data Collection, Statistical – Data Interpretation, – Background. Diabetic nephropathy is the main cause of impaired renal function and chronic kidney disease (CKD) in dia betic patients. Objectives. The aim of this study was to estimate the prevalence and characteristics of normal to mildly increased albuminuria in type 2 diabetes mellitus (T2DM) patients with chronic kidney disease. Material and methods. This retrospective study was performed on 310 patients diagnosed with T2DM and renal insufficiency (eGFR < 60 mL/min/1.73 m 2 ) referred to Ahvaz hospitals between 2014–2020. Demographic and clinical data, as well as laboratory param -eters, were extracted from patients’ medical records. After considering the inclusion criteria (adult diabetic patients with renal failure (eGFR < 60 mL/min/1.73 m 2 ) and exclusion criteria (patients with hypertension, cardiovascular disease (ischemic heart disease, chronic heart failure, peripheral vascular disease, cerebrovascular disease), urinary tract infection, anatomical disorders of the urinary tract, kidney stones, benign prostatic hyperplasia, history of diuretic use, nephrotoxic drugs such as ACEI, ARB, NSAIDs, physiological causes of albuminuria such as prolonged standing and exercise, systematic disease (e.g. systemic lupus erythematosus) and dialysis patients), in terms of age, gender and duration of diabetes and lipid profile and retinopathy and neuropathy and HbA 1C , patients were divided into three groups based on the severity of albuminuria (albumin-to-creatinine ratio): normal to mildly increased albuminuria (ACR < 30 mg/g), moderately increased (ACR: 30–300 mg/g) and severely increased (ACR > 300 mg/g). Results. T2DM patients with a mean age of ± 9.5 years, including 164 women (52.9%) and 146 men (47.1%), par ticipated in the study, of which 4 patients (1.3%) had normal albuminuria, 76 patients (24.5%) had mildly increased albuminuria, 142 patients (45.8%) had moderately increased albuminuria, and 88 patients (28.4%) had severely increased albuminuria. Individuals with normal to mildly increased albuminuria compared with moderate to severe albuminuria had lower duration of diabetes, age, creati -nine, retinopathy, neuropathy, HbA 1c , LDL, Tchol ( p < 0.001), higher GFR ( p < 0.001) and lower TG ( p = 0.003), while HDL-c ( p = 0.07) and patients’ gender ( p = 0.2) were not significantly different. Examination of the odds ratio (OR) showed that retinopathy, high age and high HbA 1c levels had the greatest effect on the development of moderate to severe albuminuria, whereas increased GFR and a small increase in LDL had a preventive effect on moderate to severe albuminuria. with diabetes and renal insufficiency had normal to mildly increased albuminuria. This can limit the role of microalbuminuria as a screening tool to detect the onset of diabetic nephropathy.","PeriodicalId":305591,"journal":{"name":"Family Medicine &amp; Primary Care Review","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129037238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respiratory muscle strengths and its association with body composition and functional exercise capacity in non-obese young adults","authors":"Gizem Ergezen, M. Y. Menek, R. Demir","doi":"10.5114/fmpcr.2023.127671","DOIUrl":"https://doi.org/10.5114/fmpcr.2023.127671","url":null,"abstract":"","PeriodicalId":305591,"journal":{"name":"Family Medicine &amp; Primary Care Review","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129097853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 pandemic through the eyes of general nurses in the South Bohemian Region: a qualitative study","authors":"Věra Hellerová, František Dolák, I. Chloubová, S. Bártlová, V. Tóthová, Jana Kimmerová, D. Kimmer","doi":"10.5114/fmpcr.2023.127675","DOIUrl":"https://doi.org/10.5114/fmpcr.2023.127675","url":null,"abstract":"","PeriodicalId":305591,"journal":{"name":"Family Medicine &amp; Primary Care Review","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124729647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes of family medicine residents in Ankara towards COVID-19 vaccines administered in Turkey: a descriptive, cross-sectional study","authors":"Hüsna Sarca Çevk, Rana Baykan, Aye Peker, Selda Tekner","doi":"10.5114/fmpcr.2022.115871","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.115871","url":null,"abstract":"Background. The difficulty of accessing accurate information during the COVID-19 pandemic resulted in many questions being asked to family physicians about vaccination. Objectives. The aim of this study was to determine the attitudes of Family Medicine (FM) residents in Ankara about the inactivated and mRNA COVID-19 vaccines being administered in Turkey. Material and methods. An anonymous online survey was distributed to FM residents between 22.05.2021–06.06.2021. Information on socio-demographic data and residents’ attitudes towards COVID-19 vaccines administered in Turkey were evaluated. Results. 11.1% of the participants were not vaccinated for the following reasons: having positive Anti-Spike antibody values, think-ing that there had not been enough studies on vaccines, vaccine safety concerns, belief that innate immunity would be more pro-tective, pregnancy, breastfeeding or not believing in the protection of the vaccine. While 12.2% of the participants recommended Sinovac-CoronaVac, 23.7% recommended Pfizer/BioNTech, and 63.3% stated that they would evaluate the patient and make recom-mendations. Most of the participants stated that they thought the Pfizer/BioNTech is more protective against new variants (70.4%), more effective and produces a higher antibody response (84.2%) and provides longer-term protection (74.8%). However, 74.1% of the participants stated that they thought Sinovac-CoronaVac is safer. Sinovac-CoronaVac was recommended to patients with a history of allergic reaction/anaphylaxis (69.8%), autoimmune diseases (60.4%), oncology/chemotherapy patients (49.6%), immunosuppressed patients (49.6) and lactating women (44.6%). Conclusions. In some case-basis recommendations, it was seen that the residents showed a traditionalist approach. Informing individuals based on scientific information on the safety and effectiveness of the COVID-19 vaccines by family physicians is crucial. © by Wydawnictwo Continuo.","PeriodicalId":305591,"journal":{"name":"Family Medicine &amp; Primary Care Review","volume":"25 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120984363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual-reality rehabilitation for inpatient elderly leukemic patients: psychological and physical roles during the fourth COVID-19 wave","authors":"Ali Mohamed Ali Ismail","doi":"10.5114/fmpcr.2022.115882","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.115882","url":null,"abstract":"This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/). Ismail AMA. Virtual-reality rehabilitation for inpatient elderly leukemic patients: psychological and physical roles during the fourth COVID-19 wave. Fam Med Prim Care Rev 2022; 24(2): 185–186, doi: https://doi.org/10.5114/fmpcr.2022.115882. Family Medicine & Primary Care Review 2022; 24(2): 185–186, https://doi.org/10.5114/fmpcr.2022.115882","PeriodicalId":305591,"journal":{"name":"Family Medicine &amp; Primary Care Review","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127604396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adult pneumococcal vaccination – new opportunities","authors":"Ernest P Kuchar, Joanna Chorostowska-Wynimko, L. Czupryniak, A. Fal, R. Flisiak, A. Mamcarz, A. Nitsch-Osuch, A. Skoczyńska, M. Stajszczyk, J. Wysocki, Michał Abendrot, D. Golicki, K. Jaśkowiak, Adam Antczak","doi":"10.5114/fmpcr.2023.125500","DOIUrl":"https://doi.org/10.5114/fmpcr.2023.125500","url":null,"abstract":"disease in adults and the vaccines used for prophylaxis for pneumococcal infection. the article discusses the pneumococcal infection burden in the adult population and the factors that raise the risk of infections. we characterised available vaccines for adults, highlighting the significant differences between the conjugated and unconjugated polysaccharide vaccines. Current epidemiological data on pneumococcal infections in europe and poland is presented. the latest 20-valent pneumococcal conjugate vaccine (pCV20) is described, and the most recent advisory Committee on immunization practices (aCip) recommendations on primary prevention and the current implementation of vaccination against pneumococcal infections in the adult population in poland are discussed.","PeriodicalId":305591,"journal":{"name":"Family Medicine &amp; Primary Care Review","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132981066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a web-based “Perineal Care Protocol” educational model as assistance for postpartum perineal wound care at home","authors":"Bina Melvia Girsang, Eqlima Elfirae","doi":"10.5114/fmpcr.2023.127674","DOIUrl":"https://doi.org/10.5114/fmpcr.2023.127674","url":null,"abstract":"","PeriodicalId":305591,"journal":{"name":"Family Medicine &amp; Primary Care Review","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129412003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting the resilience of hospital medical staff during the COVID-19 pandemic","authors":"H. Jafari, M. Heidari, Reza Sadeghi, Majid Heidari-Jamebozorgi","doi":"10.5114/fmpcr.2023.125492","DOIUrl":"https://doi.org/10.5114/fmpcr.2023.125492","url":null,"abstract":"Background. During the coronavirus disease 2019 (COVID-19) pandemic, most hospitals have faced a heavy load of pa-tients. In this situation, it is very important to consider the resilience and endurance of medical staff, as well as to identify and investi-gate the relevant factors which can increase their resilience.Objectives. The aim of this study was to identify the factors affecting the resilience of hospital medical staff during the COVID-19 pan-demic.Material and methods. The present study is a qualitative study using a semi-structured interview. Participants included doctors, nurs-es, clinicians and managers working in tertiary referral hospitals during the COVID-19 pandemic. Interviews were conducted as needed until data saturation was reached using the purposive sampling method. A total number of 20 people, including 6 physicians, 2 hospital managers, 7 nurses, 1 radiologist, 3 laboratory technicians and 1 clinical psychologist, were interviewed in 7 educational hospitals of the Kerman Province.Results. After data analysis and coding, 127 initial codes were identified. By reviewing the codes, 127 initial codes were merged by the research team, and 23 codes in 6 main categories, including Personal Factors (7 codes), Family-Related Factors (2 codes), Community -Related Factors (2 codes), Virus-Related Factors (2 codes), Organisational Factors (7 codes) and Economical Factors (3 codes) were extracted.Conclusions. Paying attention to the identified factors on the maintenance of medical human resources in the form of the \"Surge Capacity Programme\" can increase the resilience of medical staff. Such measures pave the way for a better response to other threats similar to the COVID-19 pandemic.","PeriodicalId":305591,"journal":{"name":"Family Medicine &amp; Primary Care Review","volume":"05 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130150940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication in patient–physician relationship in Turkey: opinions of family medicine residents","authors":"Nazife Alpman, A. Peker","doi":"10.5114/fmpcr.2022.115870","DOIUrl":"https://doi.org/10.5114/fmpcr.2022.115870","url":null,"abstract":"Background. healthy patient–physician communication (ppC) affects the effectiveness of the service, increases satisfac tion with health services and ensures cooperation with patient. research has revealed that there are communication problems be tween physicians and patients, and patients mostly complain about physicians’ communication skills. Objectives. We aim to determine the opinions of family medicine residents about ppC, uncover communication problems in Turkey and also find out if having communication education has an effect on these problems. Material and methods. The data was collected by surveys which were sent to family medicine residents via the Internet, and each resident could answer just one survey. for analyses, we used the IBm spss15.0 package program. P < 0.05 was considered statistically significant. Results. 312 (11.3%) out of 2,765 family medicine residents in Turkey participated in this study. The majority of residents were female (73.1%). more than half of the residents (63.5%) had received training about communication. most of the residents indicated that they had communication problems with patients or patients’ relatives (88.4%). most of the residents (73.7%) said “yes, definitely” to the question “Do you think there is a communication problem between patients and physicians in Turkey?”. No significant difference was found between trained and untrained residents. The most frequent answers to reasons for communication problems were limited time (50.6%), socio-cultural level of the patient (20.5%) and heavy workload of physicians (20.5%). Conclusions. most residents indicated that they had communication problems with patients or patients’ relatives before, and there is a serious communication problem between patients and physicians in Turkey. In this study, there was no significant difference between whether residents had received training about communication and those having problems in this area.","PeriodicalId":305591,"journal":{"name":"Family Medicine &amp; Primary Care Review","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132758925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}