Malaysian Family Physician最新文献_第4页

Utilisation of services provided at an outreach healthcare facility and its associated factors among residents in a coastal taluk of southern Karnataka: A cross-sectional study. 卡纳塔克邦南部沿海地区居民对外联医疗机构所提供服务的利用情况及其相关因素：一项横断面研究。

Malaysian Family Physician Pub Date : 2024-04-27 eCollection Date: 2024-01-01 DOI: 10.51866/oa.513

Deepak Sudhakaran, Sneha Deepak Mallya, Akhilesh Kumar Pandey, Ranjitha S Shetty

{"title":"Utilisation of services provided at an outreach healthcare facility and its associated factors among residents in a coastal taluk of southern Karnataka: A cross-sectional study.","authors":"Deepak Sudhakaran, Sneha Deepak Mallya, Akhilesh Kumar Pandey, Ranjitha S Shetty","doi":"10.51866/oa.513","DOIUrl":"10.51866/oa.513","url":null,"abstract":"Introduction: Understanding the patterns of utilisation of primary health services can help to improve service delivery and utilisation, thereby reducing common morbidities in the community. The study aimed to assess the patterns of utilisation of services provided at an outreach healthcare centre.Methods: A community-based survey was conducted among families residing in the field practice area of an outreach centre for more than a year. Data were collected using a questionnaire administered to adults aged >18 years. Collected data were entered into and analysed using the Statistical Package for the Social Sciences version 16.0.Results: Approximately 65.1% of the respondents were aged 31-59 years, and 67.4% were women. Among 126 surveyed households, 50.7% had utilised services from the outreach centre. The facilitators of utilisation among 64 households included proximity to their area of residence (90.6%) and availability of good-quality services (40.6%). The most common barriers included a lack of awareness (30.9%) and inconvenient timings (18.2%) of the healthcare centre. The respondents aged <18 years (odds ratio [OR]=7.64; 95% confidence interval [CI]=4.37-13.37) and >45 years (OR=2.65; 95% CI=1.57-4.47) had higher odds of utilising services than those aged 18-45 years. The female respondents (OR=2.89; 95% CI=1.86-4.51) were more likely to utilise services than the male respondents.Conclusion: Creating awareness regarding the outreach healthcare centre and designing services based on the observed needs of the community can further improve the utilisation of services provided at the healthcare centre.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11081769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899937","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

Angiomyolipoma during pregnancy: A forgotten risk factor for rupture and massive haemorrhage - A case report. 妊娠期血管肌脂肪瘤：一个被遗忘的导致破裂和大出血的危险因素--病例报告。

Malaysian Family Physician Pub Date : 2024-04-24 eCollection Date: 2024-01-01 DOI: 10.51866/cr.399

Khairil Amir Sayuti, Saiful Amri Mat Rasid, Mohd Shafie Abdullah, Siti Jusna Muhammad

引用次数: 0

Family support for children with learning disabilities to attain good academic performance: A qualitative study. 家庭对学习障碍儿童取得良好学业成绩的支持：定性研究。

Malaysian Family Physician Pub Date : 2024-04-24 eCollection Date: 2024-01-01 DOI: 10.51866/oa.529

Uraiwan Tiengsomboon, Varisara Luvira

{"title":"Family support for children with learning disabilities to attain good academic performance: A qualitative study.","authors":"Uraiwan Tiengsomboon, Varisara Luvira","doi":"10.51866/oa.529","DOIUrl":"10.51866/oa.529","url":null,"abstract":"Introduction: Learning disabilities can cause poor academic performance in children, which may impact their futures. This study aimed to investigate how primary caregivers care for school-aged children with learning disabilities but with good academic achievement.Methods: In this qualitative study, in-depth interviews were conducted among primary caregivers of school-aged children with learning disabilities who were attending schools in Sisaket Province, were aged 6-12 years and achieved good academic performance. Twenty-one caregivers were interviewed regarding the care of their children. The contents of the interviews were analysed.Results: Two major themes concerning the provision of familial support for children with learning disabilities to achieve good academic performance emerged: (1) understanding and modifying the care provided to children with learning disabilities and (2) facilitating and promoting children's learning.Conclusion: Families and caregivers of children with learning disabilities must have a comprehensive understanding of the disorder to assist with skill development and provide emotional support.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11081768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899932","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

Perceptions and experiences of adult caregivers receiving mindfulness-based behavioural education: A qualitative study. 接受正念行为教育的成年照顾者的看法和经历：定性研究。

Malaysian Family Physician Pub Date : 2024-04-17 eCollection Date: 2024-01-01 DOI: 10.51866/oa.573

Pantip Sangprasert, Pasitta Ondee, Srimuang Palungrit

{"title":"Perceptions and experiences of adult caregivers receiving mindfulness-based behavioural education: A qualitative study.","authors":"Pantip Sangprasert, Pasitta Ondee, Srimuang Palungrit","doi":"10.51866/oa.573","DOIUrl":"10.51866/oa.573","url":null,"abstract":"Introduction: Adult caregivers (ACGs) are largely responsible for caring for their family members, which can increase their stress levels. This increased stress makes them more susceptible to chronic illnesses. The adoption of health-promoting behaviours, particularly through mindfulness-based behavioural education (MBBE), can significantly impact the daily habits of ACGs. However, there is limited research on this topic in the context of Thailand. Thus, this study aimed to explore the perceptions and experiences of ACGs receiving MBBE, focusing on physical, mental, social and other influential factors.Methods: A qualitative study was conducted among 19 ACGs living in the Bangkok Metropolitan Area. Focus group discussions (FGDs) and observations were conducted. The FGDs were digitally recorded, and their contents were analysed.Results: The ACGs were found to perceive and experience improvements in their mental stability and habitual behaviour. These improvements manifested as increased calmness, relaxation, clear communication, empathy, reduced risky behaviour, decreased desire for excessive consumption and travel and reduced pain. Furthermore, mindful behaviour was influenced by both internal and external personal factors as well as the specific situational environment.Conclusion: MBBE could lead to an increase in promotional behaviour, especially when combined with awareness, self-recollection and a self-efficacy approach. This finding encourages health personnel to consider incorporating regular skill practice as a complement to health education.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11081771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899935","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

Experiences of Malaysian primary healthcare providers with vaccine hesitancy: A qualitative study. 马来西亚初级医疗保健提供者对疫苗犹豫不决的经历：定性研究。

Malaysian Family Physician Pub Date : 2024-04-14 eCollection Date: 2024-01-01 DOI: 10.51866/oa.388

Megat Mohamad Amirul Amzar Megat Hashim, Nik Sherina Haidi Hanafi

{"title":"Experiences of Malaysian primary healthcare providers with vaccine hesitancy: A qualitative study.","authors":"Megat Mohamad Amirul Amzar Megat Hashim, Nik Sherina Haidi Hanafi","doi":"10.51866/oa.388","DOIUrl":"10.51866/oa.388","url":null,"abstract":"Introduction: Vaccine hesitancy was declared as one of the ten threats to global public health by the World Health Organization in 2019. It undermines the effort towards eradication of vaccine-preventable diseases. Healthcare providers, who are directly involved in vaccination services and vaccine advocacies, are important in combating vaccine hesitancy. Studies have shown that vaccine refusers have various reasons for refusal including distrust towards healthcare providers. Hence, it is important to understand healthcare providers' perspectives. This study aimed to explore primary healthcare providers (PHCPs)' experiences in dealing with vaccine hesitancy.Methods: This qualitative study was conducted among public PHCPs across six states in Malaysia. Purposive and snowball sampling methods were used. Fifteen primary healthcare doctors and nurses underwent in-depth interviews. Recruitment was stopped when data saturation was achieved. Data were thematically analysed.Results: Four themes emerged: 1) views towards vaccination and vaccine hesitancy, 2) disparity in strategies and resources used among PHCPs, 3) fixed-minded vaccine deniers and religious incompatibility: the two towering hurdles and 4) negative impact after encounters with vaccine hesitancy.Conclusion: Malaysian PHCPs encounter negative experiences with vaccine hesitancy, impacting them negatively. These experiences are attributed to the challenges and lack of standardised resources for reference. These findings suggest the development of a more flexible policy, a training module inclusive of all professional roles and a standardised repository of resources for managing vaccine hesitancy.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11081770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899930","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

Swimming against the currents: Our experience providing primary healthcare services for the stateless community in Semporna. 逆流而上：我们为仙本那无国籍社区提供初级保健服务的经验。

Malaysian Family Physician Pub Date : 2024-04-13 eCollection Date: 2024-01-01 DOI: 10.51866/mol.571

Mei Yee How, Shu Hui Ng

引用次数: 0

Backward logistic regression analysis of the determinants of the hand function among patients with leprosy: A cross-sectional study. 麻风病人手部功能决定因素的后向逻辑回归分析：一项横断面研究。

Malaysian Family Physician Pub Date : 2024-03-30 eCollection Date: 2024-01-01 DOI: 10.51866/oa.405

Rizky Kusuma Wardhani, Melinda Harini, Fitri Anestherita, Febrina Nur'Alfiah Ramadhani

{"title":"Backward logistic regression analysis of the determinants of the hand function among patients with leprosy: A cross-sectional study.","authors":"Rizky Kusuma Wardhani, Melinda Harini, Fitri Anestherita, Febrina Nur'Alfiah Ramadhani","doi":"10.51866/oa.405","DOIUrl":"https://doi.org/10.51866/oa.405","url":null,"abstract":"Introduction: The hands are the most common site of disability in leprosy. Hand dysfunction could result in difficulty performing activities of daily living. Therefore, hand function should be regularly assessed to ensure that any decrease in hand function could be diagnosed earlier.Methods: This study included 110 patients with leprosy from Likupang and Lembata, Indonesia. Hand function was assessed using the modified Jebsen test to measure hand function respective of the dominance. The grip and pinch strength were used as objective measures of clinical arm function. The World Health Organization (WHO) hand disability grade were used to determine the degree of impairment. Other factors such as age, sex and the type of leprosy were also considered. All factors were analysed using backward logistic regression.Results: Among the 110 participants, a decrease in the dominant (48.2%) and non-dominant (50.9%) hand functions were found. Pinch strength (OR: 3.39; 95% CI: 1.13-10.19) and age (OR: 4.91; 95% CI: 1.72-14.03) were significantly associated with hand function irrespective of the dominance. Conversely, the WHO hand disability grade (OR: 2.97; 95% CI: 1.10-8.04) and type of leprosy (OR: 0.34; 95% CI: 0.12-0.97) were significantly associated with only function of the dominant hand.Conclusion: There is a significant association of age and pinch strength with hand function regardless of the hand dominance. In contrast, the WHO hand disability grade and type of leprosy are significantly associated with the function of the dominant hand only.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11016454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862405","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

Amlodipine-induced buccal lichenoid lesions: A case report. 氨氯地平诱发的口腔苔藓样病变：病例报告

Malaysian Family Physician Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.51866/cr.531

Mohamed Pauzi Muhammad Hafiz, Abdul Kadir Azidah, Mat Yudin Zainab

{"title":"Amlodipine-induced buccal lichenoid lesions: A case report.","authors":"Mohamed Pauzi Muhammad Hafiz, Abdul Kadir Azidah, Mat Yudin Zainab","doi":"10.51866/cr.531","DOIUrl":"https://doi.org/10.51866/cr.531","url":null,"abstract":"Buccal lichenoid lesions (BLLs) are characterised by a unique, linear whitish striation in the buccal region and can be accompanied by ulcers, plaques, erythemas, atrophies and blisters. They are distinguished from oral lichen planus (OLP) by the association of the administration of a drug or contact with a metal. Herein, we present the case of a 42-year-old woman with underlying hypertension with amlodipine-induced BLLs. She complained of a 1-month history of right buccal whitish streaks and oral ulcers 2 months after taking amlodipine. She visited a private otorhinolaryngology clinic, and a biopsy for the right buccal ulcer was conducted. The biopsy result showed features suggestive of OLP. The patient was then diagnosed with OLP. Her symptoms were persistent despite treatment, so a dental referral was made. Amlodipine was suspected as the cause of her condition and was therefore stopped. Her condition gradually resolved after amlodipine withdrawal. Hence, primary care physicians should be aware of BLLs as one of the adverse drug reactions of amlodipine so that prompt management can be taken to avoid further debilitating impacts on patients.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11016456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858389","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

My journey in Medical Ethics: Reflecting on the Singapore Medical Ethics Conference. 我的医学伦理学之旅：反思新加坡医学伦理学会议。

Malaysian Family Physician Pub Date : 2024-03-19 eCollection Date: 2024-01-01 DOI: 10.51866/mol.6l8

Abu Hassan Hasliza

引用次数: 0

Utilisation of the web-based Home Assessment Tool among patients with COVID-19 in Selangor, Malaysia: An observational study. 马来西亚雪兰莪州 COVID-19 患者对基于网络的家庭评估工具的使用情况：一项观察性研究。

Malaysian Family Physician Pub Date : 2024-03-16 eCollection Date: 2024-01-01 DOI: 10.51866/oa.205

Samat Farhani, Abdul Jalil Roslina, Mohammad Nik Mazlina, Hassan Noor Hasliza, Lau Lih Bing, Sulaiman Noorul Amilin, Zainol Rashid Zienna Zufida, Rosnan Siti Khalimah

{"title":"Utilisation of the web-based Home Assessment Tool among patients with COVID-19 in Selangor, Malaysia: An observational study.","authors":"Samat Farhani, Abdul Jalil Roslina, Mohammad Nik Mazlina, Hassan Noor Hasliza, Lau Lih Bing, Sulaiman Noorul Amilin, Zainol Rashid Zienna Zufida, Rosnan Siti Khalimah","doi":"10.51866/oa.205","DOIUrl":"https://doi.org/10.51866/oa.205","url":null,"abstract":"Introduction: The COVID-19 pandemic has caused many countries to turn to web-based solutions. The Home Assessment Tool (HAT) is a web-based system using the MySejahtera application developed by the government. It serves as a communication platform for patients with COVID-19 to self-monitor their clinical symptoms and enables authorised healthcare personnel to access and manage collected data for clinical monitoring. Our study aimed to examine the utilisation of this internet-based tool among patients with COVID-19 in Selangor.Methods: This observational study analysed secondary data from the self-reported HAT within MySejahtera. It included all patients who were diagnosed with COVID-19 through molecular assays such as RT-PCR or RTK-Ag on 1-21 February 2021, aged >18 years and residing in Selangor. Patients who had documented their symptoms at least once in the HAT during the prescribed 10-day isolation period were classified as HAT users.Results: A total of 4438 patients were included, of whom 39.4% were HAT users, while 60.6% were non-HAT users. Logistic regression analysis revealed three significant factors associated with low utilisation of the HAT: absence of medical condition (odds ratio [OR]: 9.4; 95% confidence interval [CI]: 7.49-12.01), advanced age (OR: 1.35; 95% CI: 1.20-1.52) and non-Malaysian citizenship (OR: 3.4; 95% CI: 2.50-4.72).Conclusion: The utilisation of the HAT is low, which is associated with advanced age (>65 years), absence of medical conditions and foreign nationality. It is imperative to develop inventive strategies tailored to address the unique needs of these particular demographics.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11016453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863628","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