Malaysian Family Physician最新文献

A cross-sectional study on health behavior and quality of life among adults with non-communicable diseases in the urban field practice area of a teaching hospital, Kolkata.

Malaysian Family Physician Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI: 10.51866/oa.562

Shalini Pattanayak, Sinjita Dutta, Mausumi Basu, Subhra Samujjwal Basu, Sukanta Manna

{"title":"A cross-sectional study on health behavior and quality of life among adults with non-communicable diseases in the urban field practice area of a teaching hospital, Kolkata.","authors":"Shalini Pattanayak, Sinjita Dutta, Mausumi Basu, Subhra Samujjwal Basu, Sukanta Manna","doi":"10.51866/oa.562","DOIUrl":"https://doi.org/10.51866/oa.562","url":null,"abstract":"Introduction: Non-communicable diseases (NCDs) are considered the leading causes of death globally, accounting for 60% of all deaths. Measures such as stopping tobacco use, increasing physical activity, reducing alcohol consumption and improving diet can extend longevity and enhance the Quality of Life (QoL). This study aimed to assess the overall health behaviours and QoL of adults with NCDs residing in the urban field practice area of a teaching hospital in Kolkata and determine the association of their sociodemographic characteristics and health behaviours with their overall QoL.Methods: A cross-sectional study was conducted in the outpatient department of the Urban Primary Health Centre-81 among 106 adults recruited via consecutive sampling. Face-to-face interviews were conducted using a predesigned, pretested and structured schedule. Data were analysed using the Statistical Package for the Social Sciences version 25.0. Descriptive and inferential statistics were employed to interpret the data.Results: Among the participants, 45.3% were consuming tobacco, while only 6% were consuming alcohol following the diagnosis of NCDs. The majority (81%) undertook brisk walking, and 37% reported additional salt intake with meals. The overall perceived QoL was poor in 54.7% of the participants. The participants aged 41-60 years and the male participants had lower odds of having a poor QoL than their counterparts.Conclusion: More than half of adults with NCDs report a poor QoL. Extensive interventions are needed to raise awareness in the community regarding the potential benefits of lifestyle modifications following the diagnosis of any NCD and thereby improve the QoL of patients.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651127","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

Exploring various models of health coaching for improving blood pressure control among patients with hypertension attending primary health care settings: A scoping review.

Malaysian Family Physician Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI: 10.51866/rv.789

Arief Alamsyah, Fatwa Sari Tetra Dewi, Vita Yanti Anggraeni, Iqbal Sholahudin Maududdy

{"title":"Exploring various models of health coaching for improving blood pressure control among patients with hypertension attending primary health care settings: A scoping review.","authors":"Arief Alamsyah, Fatwa Sari Tetra Dewi, Vita Yanti Anggraeni, Iqbal Sholahudin Maududdy","doi":"10.51866/rv.789","DOIUrl":"https://doi.org/10.51866/rv.789","url":null,"abstract":"Introduction: This study aimed to explore various models of health coaching used for blood pressure control in patients visiting primary care settings, along with the underlying theories. Additionally, the study sought to identify individuals serving as health coaches and the effect of health coaching on blood pressure control and risk factors.Methods: This scoping review followed the PRISMA-ScR guidelines and utilised several databases including PubMed, ScienceDirect, ProQuest, Scopus and Web of Science. The search focused on articles published from January 2012 to July 2024. Eligible articles were examined to identify the forms of health coaching, the backgrounds and roles of health coaches and the outcomes of health coaching.Results: An initial search yielded 963 articles, of which 16 were selected for the review. Most studies (n=10) showed that health coaching was used in conjunction with other strategies (multicomponent). The most frequently applied approach was phone coaching (n=9). The majority of the interventions were completed within 6 months (n=4). Eight studies indicated that most health coaches came from health backgrounds including nurses, pharmacists and family doctors. Positive clinical outcomes, such as decreased systolic and diastolic blood pressures or systolic or diastolic blood pressure alone, were documented in all included investigations. The non-clinical outcomes varied.Conclusion: Health coaching is a promising approach for controlling blood pressure in primary care settings. This study highlights the importance of designing the form, time and staff for conducting effective health coaching in primary care settings.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651133","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

Spontaneous abdominal wall endometriosis: A case report.

Malaysian Family Physician Pub Date : 2025-02-26 eCollection Date: 2025-01-01 DOI: 10.51866/cr.646

Mohd Pazudin Ismail, Erinna Mohamad Zon, W Fadhlina W Adnan, Nasibah Mohamad, Nur Asma Sapiai, Sharifah Emilia Tuan Shariff

{"title":"Spontaneous abdominal wall endometriosis: A case report.","authors":"Mohd Pazudin Ismail, Erinna Mohamad Zon, W Fadhlina W Adnan, Nasibah Mohamad, Nur Asma Sapiai, Sharifah Emilia Tuan Shariff","doi":"10.51866/cr.646","DOIUrl":"https://doi.org/10.51866/cr.646","url":null,"abstract":"Abdominal wall endometriosis (AWE) is a rare type of endometriosis, with an incidence ranging from 0.1% to 0.4%. It requires a high index of suspicion to avoid delays in diagnosis and treatment. This case is rather special because AWE occurred without a history of abdominal surgery or pelvic endometriosis. Herein, we report the case of a 48-year-old para-3 woman with localised cyclical abdominal pain associated with abdominal distension. On assessment during menstruation, there were localised tenderness at the right suprapubic area and a non-tender suprapubic mass corresponding to a 14-week-sized gravid uterus. An ultrasound revealed the presence of a heterogeneous hypoechoic lesion at the subcutaneous layer of the right suprapubic region sized 1.8×3.2×4.4 cm with poor demarcation. There were also multiple uterine fibroids varying in size and location. She underwent exploratory laparotomy, total abdominal hysterectomy with bilateral salpingo-oophorectomy and abdominal wall mass resection. Intraoperatively, the right abdominal wall mass measuring 6x5 cm and involving the subcutaneous layer was found to adhere to the rectus sheath with some chocolate-stained areas without connection to the peritoneal cavity. Additionally, multiple uterine fibroids were noted. There was no pelvic endometriosis, and the other pelvic organs were normal. The histopathological diagnosis of the abdominal wall mass was endometriosis. AWE should be one of the differential diagnoses even in the absence of previous surgery when encountering a patient with an abdominal wall mass especially when it is related to the menstrual cycle.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651068","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 the delivery of specific physical activity advice to patients with non-communicable diseases by primary care physicians in Klang Valley, Malaysia: a cross-sectional study.

Malaysian Family Physician Pub Date : 2025-02-21 eCollection Date: 2025-01-01 DOI: 10.51866/oa.754

Hakimah Khani Suhaimi, Siti Fatimah Badlishah-Sham, Ahmad Taufik Jamil

{"title":"Factors associated with the delivery of specific physical activity advice to patients with non-communicable diseases by primary care physicians in Klang Valley, Malaysia: a cross-sectional study.","authors":"Hakimah Khani Suhaimi, Siti Fatimah Badlishah-Sham, Ahmad Taufik Jamil","doi":"10.51866/oa.754","DOIUrl":"https://doi.org/10.51866/oa.754","url":null,"abstract":"Introduction: Specific physical activity advice delivered to patients with non-communicable diseases (NCDs) improves physical activity levels and health outcomes. This study aimed to develop a physical activity advice tool and determine the physical activity level of primary care physicians, prevalence of physical activity advice delivered to patients and its associated factors.Methods: During phase 1 of the study, a valid and reliable tool was developed to assess physical activity advice delivered by primary care physicians. Phase 2 was a cross-sectional study conducted at 12 primary care clinics using an online questionnaire assessing sociodemographic characteristics, physical activity level (Global Physical Activity Questionnaire) and physical activity advice delivered. Multiple logistic regression was used to identify the factors associated with specific physical activity advice delivered.Results: More than half of the primary care physicians (53.7%) were physically inactive. Most (79.3%) delivered specific physical activity advice to their patients. The primary care physicians who were women (odds ratio [OR]=4.54, 95% confidence interval [CI] = 1.78, 11.56), possessed postgraduate qualifications (OR=6.72, 95% CI=1.48, 30.51), received formal training in physical activity advice (OR=2.79, 95% CI=1.01, 7.79) and were physically active (OR=2.67, 95% CI=1.17, 6.10) were more likely to deliver specific physical activity advice.Conclusion: Primary care physicians should be encouraged to pursue postgraduate studies, be given training in how to deliver physical activity advice and be physically active to be able to deliver specific physical activity advice to patients seen in NCD clinics.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651061","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

Intention of smartphone application usage in diabetes self-management and its associated factors among patients with diabetes: A cross-sectional study.

Malaysian Family Physician Pub Date : 2025-02-21 eCollection Date: 2025-01-01 DOI: 10.51866/oa.729

Geok Seim Lim, Ai Theng Cheong, Ping Yein Lee, Shariff Mohamad Siti Maisarah

{"title":"Intention of smartphone application usage in diabetes self-management and its associated factors among patients with diabetes: A cross-sectional study.","authors":"Geok Seim Lim, Ai Theng Cheong, Ping Yein Lee, Shariff Mohamad Siti Maisarah","doi":"10.51866/oa.729","DOIUrl":"https://doi.org/10.51866/oa.729","url":null,"abstract":"Introduction: Many Malaysians with diabetes lack sufficient knowledge about diabetes selfmanagement. With the widespread adoption of smartphones, mobile health (mHealth) solutions could help empower patients with diabetes to self-manage their condition effectively. This study aimed to determine the intention of patients with diabetes to use diabetes self-management applications (DSMAs) and its associated factors in a primary care setting.Methods: A cross-sectional study was conducted at a government health clinic in the Federal Territory of Kuala Lumpur from 1 July to 30 September 2019. We recruited 723 patients with diabetes using systematic random sampling. A validated self-administered questionnaire was used to evaluate patients' intention to use DSMAs and its associated factors were determined via multiple logistic regression.Results: Among 719/723 patients with diabetes included in the analysis, 49.9% intended to use DSMAs. Those who had a household income of >RM 6000 (adjusted odds ratio [AOR] = 10.652, 95% confidence interval [CI] = 1.709-66.398, P<0.011), agreed (AOR=8.959, 95% CI=3.327- 24.128, P<0.001) or neutrally agreed (A0R=3.403, 95% CI= 1.188-9.749, P=0.023) with the perceived usefulness of DSMAs, did not have resistance to change (A0R=2.458, 95% CI= 1.2934.672, P=0.006) and had a facilitating condition (A0R=9.454, 95% CI=2.718-32.881, P<0.001) had higher odds of intending to use DSMAs than their counterparts.Conclusion: Nearly half of patients with diabetes intend to use DSMAs, indicating the potential of DSMAs as alternative tools for assisting in diabetes self-management. Education focusing on the usefulness of DSMAs and exploring facilitating conditions with patients can help increase the intention of patients to use DSMAs.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651063","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, risk factors and association with gallstone disease of non-alcoholic fatty liver disease among rural indigenous communities: A cross-sectional study in Sarawak, Malaysia.

Malaysian Family Physician Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.51866/oa.634

Ting Ting Yew, Whye Lian Cheah, Ai Jiun Koa, Han Bing Chow

{"title":"Prevalence, risk factors and association with gallstone disease of non-alcoholic fatty liver disease among rural indigenous communities: A cross-sectional study in Sarawak, Malaysia.","authors":"Ting Ting Yew, Whye Lian Cheah, Ai Jiun Koa, Han Bing Chow","doi":"10.51866/oa.634","DOIUrl":"https://doi.org/10.51866/oa.634","url":null,"abstract":"Introduction: This study aimed to evaluate the prevalence and risk factors of non-alcoholic fatty liver disease (NAFLD) among Dayak communities in Malaysia, shedding light on an underexplored population.Methods: A cross-sectional study was undertaken among Dayak villagers in Sarawak aged 18 years and above using an interview-based questionnaire, followed by an anthropometric measurement, a blood test and an abdominal ultrasound.Results: A total of 324 participants met the inclusion criteria. Among them, 42.9% were men, and the mean age was 49.85±14.9 years. The prevalence of NAFLD was substantially high at 58%, with 43.1% of the participants having mild fatty liver (grade 1). NAFLD was closely associated with waist circumference and body mass index (BMI) (P<0.001). Central obesity, as indicated by waist circumference and BMI, emerged as a potent risk factor, with higher values correlating with an increased likelihood of NAFLD. A higher prevalence of NAFLD was observed in the participants with an advancing age, an elevated triglyceride level (66.7%) and a lower high-density lipoprotein cholesterol level (81.6%). However, these associations did not remain significant in the multivariate analysis. Gallstones, which share common risk factors with NAFLD, were not significantly associated with NAFLD in this population (P=0.853).Conclusion: This study defines the prevalence and association of NAFLD with sociodemographic characteristics, health profiles and gallstone disease among indigenous villages in Dayak communities. A high BMI and central obesity are found to be independent risk factors of NAFLD.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651066","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 potentially lethal interaction: Migraine, human immunodeficiency virus and ergotism - A primary care case report.

Malaysian Family Physician Pub Date : 2025-02-08 eCollection Date: 2025-01-01 DOI: 10.51866/cr.748

Ismail Ahmad Sahli Mahzuz, Ismail Shaiful Bahari, Lili Husniati Yaacob

{"title":"A potentially lethal interaction: Migraine, human immunodeficiency virus and ergotism - A primary care case report.","authors":"Ismail Ahmad Sahli Mahzuz, Ismail Shaiful Bahari, Lili Husniati Yaacob","doi":"10.51866/cr.748","DOIUrl":"https://doi.org/10.51866/cr.748","url":null,"abstract":"Ergotism is a rare but potentially serious condition characterised by peripheral vasospasm. Its diagnosis is challenging because the presentation varies depending on the type and location of the affected blood vessels. Ergot alkaloids, including ergotamine, are metabolised by the cytochrome P450 isoenzyme CYP3A4. Concurrent use of ergotamine with CYP3A4 inhibitors can significantly increase the risk of ergotism. However, this potentially dangerous drug interaction is often underestimated in general practice. Herein, we report the case of a middle- aged woman with a history of migraine headaches, who was treated with Cafergot (ergotamine tartrate and caffeine). After the initiation of human immunodeficiency virus therapy with Kaletra (lopinavir/ritonavir), she experienced recurrent episodes of bluish discoloration, livedo reticularis and tingling sensation in her upper and lower extremities over several years. Despite multiple hospital visits and extensive diagnostic workups, including normal blood investigations and biopsy, the correct diagnosis of ergotism-induced vasospasm due to ritonavir-ergotamine interaction was delayed. This diagnosis was supported by CT angiography, which demonstrated vasospasm of the femoral arteries. The patient's symptoms significantly resolved following ergotamine discontinuation. Ergotism is a self-limiting condition that can be fatal if not recognised and treated promptly. This case highlights the importance of awareness, particularly in primary care settings, on the potential drug interaction, principally in patients receiving drugs that inhibit CYP3A4, such as protease inhibitors. Clinicians should have a low threshold for suspecting ergotism in patients with recurrent or unexplained limb pain, numbness and skin changes, especially if they have a history of ergot alkaloid use.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651130","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

Development and feasibility study of a Culturally Tailored Asthma intervention using a mixed-method approach at the primary school level in Malaysia: Challenged by the COVID-19 pandemic.

Malaysian Family Physician Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.51866/oa.675

Siti Nurkamilla Ramdzan, Ee Ming Khoo, Steve Cunningham, Jayakayatri Jeevajothi Nathan, Nursyuhada Sukri, Hilary Pinnock

{"title":"Development and feasibility study of a Culturally Tailored Asthma intervention using a mixed-method approach at the primary school level in Malaysia: Challenged by the COVID-19 pandemic.","authors":"Siti Nurkamilla Ramdzan, Ee Ming Khoo, Steve Cunningham, Jayakayatri Jeevajothi Nathan, Nursyuhada Sukri, Hilary Pinnock","doi":"10.51866/oa.675","DOIUrl":"10.51866/oa.675","url":null,"abstract":"Introduction: The World Health Organization recommends incorporating asthma programmes into national school health services, although this recommendation is rarely implemented.Methods: In Malaysia, we developed a multi-level primary school asthma programme incorporating educational sessions for children with asthma and their parents, raising awareness within the whole school community and training school staff to provide first-aid asthma management. The programme was adapted for delivery during the COVID-19 pandemic, and a mixed-method feasibility study was conducted in October 2020.Results: We identified 34 children with asthma, who comprised 3.7% of the school population. Only 14/34 (41.2%) children with asthma and 4/14 (28.5%) of their parents attended the remote sessions. The in-person session for school staff was attended by 55/62 (88.7%), among whom 86.0% rated the session as good/excellent.Conclusion: The school-based intervention was feasible and received good feedback, despite the COVID-19 pandemic forcing remote delivery. Stakeholder engagement is essential in the development and feasibility of a school-based asthma programme.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415641","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

Vaping danger: A hidden threat among Malaysia's youth.

Malaysian Family Physician Pub Date : 2025-01-26 eCollection Date: 2025-01-01 DOI: 10.51866/lte.847

Norsiah Ali, Muhamad Hafiz Harun, Saravanan Mahendra, Masseni Abd Aziz

引用次数: 0

Corrigendum to "Caring for people living with dementia and their informal caregivers: Current perspectives in Malaysia".

Malaysian Family Physician Pub Date : 2025-01-26 eCollection Date: 2025-01-01 DOI: 10.51866/cor.002

Ken Joey Loh, Alvin Lai Oon Ng, Yook Chin Chia, Wan Ling Lee, Devi Mohan, Elil Renganathan

引用次数: 0