Malaysian Family Physician最新文献

Knowledge, views, practice and self-efficacy regarding copper intrauterine contraceptive device usage among public primary care doctors in Sarawak: A cross-sectional study. 砂拉越公立初级保健医生关于铜宫内节育器使用的知识、观点、实践和自我效能：一项横断面研究。

Malaysian Family Physician Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI: 10.51866/oa.662

Yik Huang Chua, Chare Chee Kueh, Sing Seng Lee, Li Lian Lim, Kii Han Sia, Hie Ping Sii, Ishak Maziah, Chandramani Thuraisingham, Cheong Lieng Teng

{"title":"Knowledge, views, practice and self-efficacy regarding copper intrauterine contraceptive device usage among public primary care doctors in Sarawak: A cross-sectional study.","authors":"Yik Huang Chua, Chare Chee Kueh, Sing Seng Lee, Li Lian Lim, Kii Han Sia, Hie Ping Sii, Ishak Maziah, Chandramani Thuraisingham, Cheong Lieng Teng","doi":"10.51866/oa.662","DOIUrl":"https://doi.org/10.51866/oa.662","url":null,"abstract":"Introduction: Intrauterine contraceptive device (IUCD) insertion is a reversible and effective way to reduce unplanned pregnancy. Doctors play a key role in IUCD usage. This study aimed to assess knowledge, views, practice and self-efficacy regarding copper IUCD usage among public primary care doctors in Sarawak.Methods: A cross-sectional study was conducted in all public primary care clinics in Sarawak. A selfadministered online survey form was distributed to doctors in the eligible clinics.Results: A total of 312 doctors participated in the survey. Most of them (81.4%) worked in a clinic where IUCDs were available. The median knowledge score among the medical officers was 15 (maximum score: 20). The knowledge score was correlated with the length of primary care experience and was higher among the doctors who had prior IUCD training and ever had inserted IUCDs. The doctors were concerned about the side effects of IUCDs, especially perforation and pelvic inflammatory diseases, and were negatively influenced by the additional counselling time required when recommending IUCDs. They recognised IUCD usage as a long-term and reversible contraception method. Most (69.2%) doctors had inserted IUCDs before, but only 45.9% had inserted five or more IUCDs. The self-efficacy of the doctors regarding IUCD insertion was moderate (63% of the total score).Conclusion: The knowledge and self-efficacy of the public primary care doctors in Sarawak were moderate. Although IUCDs were widely available, the number of IUCD insertions was relatively small. Further research is warranted to quantify IUCD usage and identify its barriers among nurses and patients.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"24"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005070","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

Reflections on the International Bioethics and Humanities Conference 2024. 关于2024年国际生命伦理与人文会议的思考。

Malaysian Family Physician Pub Date : 2025-04-26 eCollection Date: 2025-01-01 DOI: 10.51866/mol.920

Hasliza Abu Hassan, Nurul Aida Fathya, Astrid Sinarti Hassan

引用次数: 0

Associated factors of sarcopenia among urban community-dwelling older adults in West Jakarta: A cross-sectional study. 雅加达西部城市社区老年人肌肉减少症的相关因素：一项横断面研究。

Malaysian Family Physician Pub Date : 2025-04-18 eCollection Date: 2025-01-01 DOI: 10.51866/oa.594

Yvonne Suzy Handajani, Yuda Turana, Kevin Kristian, Nelly Tina Widjaja, Aylenia Lysandra, Elisabeth Schröder Butterfill

{"title":"Associated factors of sarcopenia among urban community-dwelling older adults in West Jakarta: A cross-sectional study.","authors":"Yvonne Suzy Handajani, Yuda Turana, Kevin Kristian, Nelly Tina Widjaja, Aylenia Lysandra, Elisabeth Schröder Butterfill","doi":"10.51866/oa.594","DOIUrl":"https://doi.org/10.51866/oa.594","url":null,"abstract":"Introduction: Sarcopenia has many risk factors and an increased likelihood of adverse effects. However, the exact mechanism of how these risk factors cause sarcopenia remains to be elucidated. This study aimed to evaluate the association between physical components, olfactory function impairment and sarcopenia in urban communities.Methods: This cross-sectional study involved 334 participants aged 60 years and above residing in urban villages in West Jakarta. The medical history, physical ability, cognitive function and olfactory function of participants were examined. Physical ability was assessed based on activities of daily living and instrumental activities of daily living (IADLs). Regarding olfactory function, six scratch test-type odours common in Indonesia were used. Sarcopenia was measured based on muscle mass, muscle strength and physical performance. Binary logistic analysis and backward logistic regression analysis were utilised to explore the association of sarcopenia with the other variables.Results: Sarcopenia was significantly associated with older age (adjusted odds ratio [AOR]=2.613, 95% confidence interval [CI] = 1.471-4.640), obesity (AOR=0.190 (0.110-0.329), impaired olfactory function (AOR=1.822, 95% CI=1.086-3.056) and frailty (AOR=3.117, 95% CI=1.375-7.064).Conclusion: The associated factors of sarcopenia include olfactory function, older age, unemployment, impaired IADLs, obesity and frailty.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052681","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

Prevalence of and coping mechanisms against mental and psychological burnout among healthcare professionals in a Malaysian public hospital: A cross-sectional study. 马来西亚公立医院医疗保健专业人员的精神和心理倦怠的患病率和应对机制：一项横断面研究。

Malaysian Family Physician Pub Date : 2025-04-18 eCollection Date: 2025-01-01 DOI: 10.51866/oa.755

Nuratikah Adillah Rezuan, Aina Amanina Abdul Jalil, Zakiah Mohd Noordin

{"title":"Prevalence of and coping mechanisms against mental and psychological burnout among healthcare professionals in a Malaysian public hospital: A cross-sectional study.","authors":"Nuratikah Adillah Rezuan, Aina Amanina Abdul Jalil, Zakiah Mohd Noordin","doi":"10.51866/oa.755","DOIUrl":"https://doi.org/10.51866/oa.755","url":null,"abstract":"Introduction: Burnout is a significant issue among healthcare professionals, primarily including doctors, nurses and pharmacists. This study aimed to identify the factors contributing to burnout and the coping mechanisms employed by healthcare professionals working in a public hospital in Malaysia.Methods: This study used an analytic observational method with a cross-sectional design, collecting data via online and printed questionnaires. Healthcare professionals from Hospital Raja Permaisuri Bainun were recruited through non-probability convenience and snowball sampling. Descriptive statistics were utilised to analyse the prevalence of and coping mechanisms against mental and psychological burnout, while Pearson's chi-square and inferential statistics were used to identify the association between burnout and socio-demographic factors such as age, sex and educational level, with P-values of <0.05 indicating statistical significance.Results: Approximately 54.7% of the participants had moderate burnout. The majority experienced personal and work-related burnout (81.9%) and patient-related burnout (85.5%). Significant associations were found between burnout and age (P<0.001). Religion was the most commonly utilised coping mechanism by the participants.Conclusion: The results underscore the urgent need for government institutions to implement targeted interventions and training programmes aimed at addressing burnout among healthcare professionals. Focusing on these issues can enhance mental health support, improve job satisfaction and ultimately ensure better patient care outcomes.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053614","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

Sleep quality, sleep hygiene practices and their influencing factors among Malaysian university students: A cross-sectional study. 马来西亚大学生睡眠质量、睡眠卫生习惯及其影响因素的横断面研究。

Malaysian Family Physician Pub Date : 2025-04-13 eCollection Date: 2025-01-01 DOI: 10.51866/oa.717

Shree Vijayan Lakshme, Raja Sharranesh, Yeoh Yong Khang, Harbaksh Singh Arvinder-Singh

{"title":"Sleep quality, sleep hygiene practices and their influencing factors among Malaysian university students: A cross-sectional study.","authors":"Shree Vijayan Lakshme, Raja Sharranesh, Yeoh Yong Khang, Harbaksh Singh Arvinder-Singh","doi":"10.51866/oa.717","DOIUrl":"https://doi.org/10.51866/oa.717","url":null,"abstract":"Introduction: Sleep quality refers to the subjective experience of sleep, encompassing aspects such as duration, depth and continuity. In contrast, sleep hygiene practices involve behaviours and habits conducive to healthy sleep patterns. This study aimed to explore the prevalence of good sleep quality and hygiene and the factors that affect good sleep hygiene and quality.Methods: A cross-sectional study was conducted among 384 Malaysian university students sampled from October to December 2023 using a validated self-administered questionnaire that included the Pittsburgh Sleep Quality Index (PSQI) and Sleep Hygiene Index (SHI). The PSQI and SHI were used to measure sleep quality and hygiene, respectively. Data was analysed using SPSS v26.Results: Approximately 94.0% (95% Confidence Interval (CI)=91.0-96.1) of the participants had good/normal sleep hygiene, while 60.2% (95% CI=55.1-65.1) had poor sleep quality. The multivariate binary logistic regression analysis showed that the participants who had good sleep hygiene had a 4.36-fold (95% CI=1.26-15.17, P=0.02) higher odds of having good sleep quality. Conversely, ethnicity (high odds ratio, P<0.001) and sleep hygiene were associated with a 4.22-fold (95% CI=1.19-14.95, P=0.03) higher odds of good sleep quality.Conclusion: Malaysian university students have a high prevalence of good sleep hygiene, but many have poor sleep quality. Although sleep hygiene may be directly affected by sleep quality, sleep quality can be affected by sleep hygiene and ethnicity.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033444","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

Association between body mass index and diabetes mellitus control classification among patients with type 2 diabetes mellitus: Evidence from the National Diabetes Registry of Muar District Health Office, Malaysia, from January 2021 to July 2023. 2型糖尿病患者体重指数与糖尿病控制分类之间的关系：来自马来西亚Muar区卫生办公室2021年1月至2023年7月国家糖尿病登记处的证据

Malaysian Family Physician Pub Date : 2025-04-12 eCollection Date: 2025-01-01 DOI: 10.51866/oa.794

Muhammad Muzzammil Mohamad Salleh, Mohamad Rodi Isa, Mazapuspavina Md Yasin, Nazar Mohd Azahar, Mohd Ridzuan Mohd Lutpi

{"title":"Association between body mass index and diabetes mellitus control classification among patients with type 2 diabetes mellitus: Evidence from the National Diabetes Registry of Muar District Health Office, Malaysia, from January 2021 to July 2023.","authors":"Muhammad Muzzammil Mohamad Salleh, Mohamad Rodi Isa, Mazapuspavina Md Yasin, Nazar Mohd Azahar, Mohd Ridzuan Mohd Lutpi","doi":"10.51866/oa.794","DOIUrl":"https://doi.org/10.51866/oa.794","url":null,"abstract":"Introduction: Type 2 diabetes mellitus (T2DM) is one of the most prevalent non-communicable diseases globally. This study aimed to determine the association between body mass index (BMI) and diabetes mellitus (DM) control among patients with T2DM.Methods: A retrospective study was conducted from October 2023 to June 2024 using secondary data from the National Diabetes Registry (NDR) of Muar District Health Office, Johor. Patients with T2DM registered in the NDR and audited from 2021 to July 2023 were included. The association between BMI and DM control was analysed using hierarchical multinomial logistic regression.Results: A total of 1955 patients were included in the study. The prevalence of good, intermediate and poor BMI control was 38.8% (95% Confident Interval (CI)=36.7, 41.0), 22.2% (95% CI=20.3, 24.0) and 39.0% (95% CI=36.7, 41.2), respectively. Most patients were older Malay women. There was an association between BMI and DM control unadjusted (P<0.001) and adjusted for several confounding factors using seven models (P=0.003-0.034). The R2 value also improved from 0.008 to 0.293. Conclusion: Among patients with T2DM, a higher BMI, the creatinine level and medications such as glucose-lowering drugs, ticlopidine, acetylsalicylic acid and statins are associated with DM control. However, as the study design does not allow for the assessment of causality or progression over time, the findings should be interpreted as descriptive associations rather than as evidence of cause-and-effect relationships. Focus on medication compliance, healthcare providers' role during medication consultation and stakeholders' role in maintaining drug supplementation is needed.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"23"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040633","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

Avanafil use in patients with erectile dysfunction and co-morbidities: Clinical insights from multiple aetiologies - A case series. 阿那非用于勃起功能障碍和合并症患者：来自多种病因的临床见解-一个病例系列。

Malaysian Family Physician Pub Date : 2025-04-09 eCollection Date: 2025-01-01 DOI: 10.51866/cr.764

Shaiful Bahari Ismail, Wan Mohd Nazlee Wan Zainon, Mohd Albaihaqi Ahmad Lotopi, Amir Nazri

{"title":"Avanafil use in patients with erectile dysfunction and co-morbidities: Clinical insights from multiple aetiologies - A case series.","authors":"Shaiful Bahari Ismail, Wan Mohd Nazlee Wan Zainon, Mohd Albaihaqi Ahmad Lotopi, Amir Nazri","doi":"10.51866/cr.764","DOIUrl":"https://doi.org/10.51866/cr.764","url":null,"abstract":"Erectile dysfunction (ED) is a prevalent medical problem affecting men globally, particularly those with co-morbidities such as cardiovascular disease, hypertension, dyslipidaemia and diabetes. This case series aimed to evaluate the effects of avanafil as a treatment option for patients with ED and other co-morbidities. Eight male patients from a family medicine clinic received either 100 mg or 200 mg avanafil based on their clinical indication. Erectile function was assessed using the International Index of Erectile Function-5 (IIEF-5) and Erection Hardness Score. The outcomes included changes in the IIEF-5 score upon avanafil treatment. Our findings demonstrated a significant increase in the 200 mg avanafil treatment group, with the IIEF-5 score increasing from 14.83±9.4 to 24.17±2.6 (P<0.05). However, no significant difference was observed in the 100 mg avanafil treatment group (P=0.7903) and the overall avanafil treatment group (100 mg + 200 mg avanafil; P=0.0501). No adverse events were reported among the patients. Avanafil is considered a potentially safe and effective treatment option for ED, particularly in individuals with co-morbidities.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057244","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

Unmasking the chik sign: A case report on nasal hyperpigmentation as a diagnostic clue for chikungunya fever. 揭露鸡征：鼻色素沉着作为基孔肯雅热诊断线索1例报告。

Malaysian Family Physician Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.51866/cr.782

Razali Nurul Bariah, Mohammad Bokhari Nurul Aliaa, Ahmad Firdaus

{"title":"Unmasking the chik sign: A case report on nasal hyperpigmentation as a diagnostic clue for chikungunya fever.","authors":"Razali Nurul Bariah, Mohammad Bokhari Nurul Aliaa, Ahmad Firdaus","doi":"10.51866/cr.782","DOIUrl":"https://doi.org/10.51866/cr.782","url":null,"abstract":"Macular hyperpigmentation of the nasal region, often referred to as the 'chik sign', constitutes a distinctive physical manifestation associated with chikungunya fever. Chikungunya, a mosquito-borne viral illness, presents with acute febrile symptoms, intense arthralgia and cutaneous eruptions. The chik sign serves as a valuable clinical marker for discerning chikungunya from other febrile illnesses with analogous presentations, such as dengue fever and malaria. This differentiation is particularly crucial in endemic regions. Recognition of the chik sign underscores the significance of clinical acumen in diagnosing chikungunya. In conjunction with confirmatory laboratory testing, identification of this sign can augment diagnostic accuracy and guide appropriate therapeutic strategies. Herein, we present the case of a 44-year-old woman with chikungunya virus infection who exhibited acute febrile symptoms, severe polyarthralgia and hyperpigmentation of the nasal region. In conclusion, the chik sign is a crucial clinical marker for identifying chikungunya fever. Its identification can improve diagnostic precision and enable timely care, particularly in places with limited access to laboratory testing. Healthcare professionals should thus be vigilant for this skin pigmentation in patients who exhibit joint pain and feverish symptoms that are indicative of chikungunya virus infection. To further understand the clinical spectrum of chikungunya, more research into the presentation of this pigmentation would be helpful.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11979963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062753","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

Urban-rural differences in the incompleteness of antenatal care coverage in Indonesia: A cross-sectional study. 印度尼西亚产前保健覆盖面不完整的城乡差异：一项横断面研究。

Malaysian Family Physician Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.51866/oa.616

Haerawati Idris, Rinda Nurul Karimah, Anni Yulianti

{"title":"Urban-rural differences in the incompleteness of antenatal care coverage in Indonesia: A cross-sectional study.","authors":"Haerawati Idris, Rinda Nurul Karimah, Anni Yulianti","doi":"10.51866/oa.616","DOIUrl":"https://doi.org/10.51866/oa.616","url":null,"abstract":"Introduction: The estimated maternal mortality ratio in Indonesia from 2016 to 2020 was 249 maternal deaths per 100,000 live births. Currently, this ratio remains relatively high. One effort to reduce maternal mortality is to provide regular antenatal care during pregnancy. This study aimed to analyse the urban-rural differences in the incompleteness of antenatal care coverage in Indonesia.Methods: This cross-sectional study used data from Indonesian Basic Health Research 2018. A total of 64,399 women aged 15-49 years, including 26,792 and 37,607 women from urban and rural areas, respectively, were included. Univariate (percentage), bivariate (chi-square statistics) and multivariate (logistic regression statistics) analyses were conducted.Results: Approximately 18.2% and 26.4% of the urban and rural participants received incomplete antenatal care, respectively. Secondary and primary education, lack of health insurance, home-based antenatal care, parity greater than 2, travel time to health facilities exceeding 15 min, absence of abortion history, undesired pregnancy and absence of pregnancy complications were associated with incomplete antenatal care in rural areas. Secondary and primary education, home-based antenatal care, travel time to health facilities exceeding 15 min, parity greater than 2 and undesired pregnancy were associated with incomplete antenatal care in urban areas.Conclusion: Incomplete antenatal care coverage is more prevalent in rural areas than in urban areas, influenced by distinct socio-demographic and healthcare access factors. Strengthening health insurance programmes, improving healthcare facility access and promoting antenatal care education are critical to reducing disparities and ensuring better maternal health outcomes in both urban and rural areas.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11979962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053616","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

Primary care doctors' practices in managing menopausal symptoms and views on patient clinical conditions influencing their decision to offer menopause hormone therapy: A cross-sectional study. 初级保健医生管理更年期症状的做法和对患者临床状况的看法影响他们决定提供更年期激素治疗：一项横断面研究。

Malaysian Family Physician Pub Date : 2025-03-14 eCollection Date: 2025-01-01 DOI: 10.51866/oa.843

Tiong Lim Low, Ai Theng Cheong, Navin Kumar Devaraj, Rohayah Ismail

{"title":"Primary care doctors' practices in managing menopausal symptoms and views on patient clinical conditions influencing their decision to offer menopause hormone therapy: A cross-sectional study.","authors":"Tiong Lim Low, Ai Theng Cheong, Navin Kumar Devaraj, Rohayah Ismail","doi":"10.51866/oa.843","DOIUrl":"https://doi.org/10.51866/oa.843","url":null,"abstract":"Introduction: Menopausal symptoms, such as vasomotor disturbances, mood changes and atrophic vaginitis, significantly affect women's quality of life. This study aimed to examine how primary care doctors (PCDs) manage these symptoms and the clinical conditions influencing their decision to offer menopause hormone therapy (MHT), bridging gaps between guidelines and real-world practices.Methods: A cross-sectional study was conducted from June to October 2022 among PCDs in public health clinics in Selangor, Kuala Lumpur and Putrajaya. An online survey was distributed to 1301 PCDs, achieving a 42.9% response rate (559 respondents). Data were analysed descriptively.Results: Lifestyle modifications were the most common recommendation (98.4%), while complementary treatments were widely recommended (54.8%). MHT was discussed by 83.5% of the PCDs but directly prescribed by only 0.9%, with 66.0% referring patients to tertiary care. MHT was primarily offered for vasomotor symptoms (80.5%) and mood disorders (56.7%) but less commonly for non-communicable diseases such as hypertension (14.1%) and diabetes mellitus (25.2%). It was withheld in cases of breast cancer (91.9%) or venous thromboembolism (86.0%), with breast cancer concerns being a major barrier (75.3%).Conclusion: Lifestyle modifications and complementary treatments were common practice options. MHT discussions were frequent, but prescription was limited due to patient concerns and comorbidities. Targeted updates to guidelines and tools can support healthcare professionals in counselling, risk assessment and effective management of menopausal symptoms.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11979960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988688","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