Chronic Illness最新文献_第4页

Prerandomization withdrawals from a Type 2 diabetes self-care support intervention trial are associated with lack of available support person coparticipant. 2型糖尿病自我护理支持干预试验的随机分组前退出与缺乏可用的支持人员共同参与者有关。

IF 1.8 4区医学

Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-09-26 DOI: 10.1177/17423953231203734

McKenzie K Roddy, Merna El-Rifai, Lauren LeStourgeon, James E Aikens, Ruth Q Wolever, Robert A Greevy, Lindsay S Mayberry

{"title":"Prerandomization withdrawals from a Type 2 diabetes self-care support intervention trial are associated with lack of available support person coparticipant.","authors":"McKenzie K Roddy, Merna El-Rifai, Lauren LeStourgeon, James E Aikens, Ruth Q Wolever, Robert A Greevy, Lindsay S Mayberry","doi":"10.1177/17423953231203734","DOIUrl":"10.1177/17423953231203734","url":null,"abstract":"ObjectivesDyadic interventions, involving two persons with a preexisting close relationship, offer the opportunity to activate support persons (SPs) to improve health for adults with chronic conditions. Requiring SP coparticipation can challenge recruitment and bias samples; however, the associations between voluntary SP coparticipation and recruitment outcomes across patient characteristics are unknown.MethodsThe Family/Friend Activation to Motivate Self-care 2.0 randomized controlled trial (RCT) enrolled adults with Type 2 diabetes (T2D) from an academic health system. Participants were asked-but not required-to invite an SP to coenroll. Using data from the electronic health record we sought to describe RCT enrollment in the setting of voluntary SP coparticipation.ResultsIn a diverse sample of adults with (T2D) (48% female, 44% minoritized race/ethnicity), most participants (91%) invited SPs and (89%) enrolled with SPs. However, prerandomization withdrawal was significantly higher among participants who did not have consenting SPs than those who did. Females were less likely to invite SPs than males and more Black PWD were prerandomization withdrawals than randomized.DiscussionVoluntary SP coenrollment may benefit recruitment for dyadic sampling; however, more research is needed to understand if these methods systematically bias sampling and to prevent these unintended biases.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"105-114"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10963338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How does hospitalization affect the frailty status of geriatric patients? Prospective study from internal medicine wards of a university hospital. 住院治疗如何影响老年患者的虚弱状态？一所大学医院内科病房的前瞻性研究。

IF 1.8 4区医学

Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-10-16 DOI: 10.1177/17423953231209461

Serdar Ceylan, Merve Guner Oytun, Arzu Okyar Baş, Cafer Balci, Meltem Gulhan Halil, Mustafa Cankurtaran, Burcu Balam Doğu

{"title":"How does hospitalization affect the frailty status of geriatric patients? Prospective study from internal medicine wards of a university hospital.","authors":"Serdar Ceylan, Merve Guner Oytun, Arzu Okyar Baş, Cafer Balci, Meltem Gulhan Halil, Mustafa Cankurtaran, Burcu Balam Doğu","doi":"10.1177/17423953231209461","DOIUrl":"10.1177/17423953231209461","url":null,"abstract":"ObjectivesFrailty is a dynamic process. Frailty in the baseline, discharge, and post-discharge are important in the management of patients. We aimed to see how hospitalization affects frailty and to evaluate its effects on health outcomes.MethodsIt was conducted with patients aged 65 and over who were hospitalized in the internal medicine wards of a university hospital. Frailty was evaluated by Clinical Frailty Scale within the first 24 h of hospitalization, within 24 h before discharge, and at third months after discharge.ResultsNinety-six (57.8%) of patients at baseline, 79 (50.6%) at discharge, and 68 (47.9%) at 3 months were frail. According to baseline, 12 (7.7%) patients changed from frail to non-frail at discharge, while 4 (2.6%) patients became frail (p = 0.08). According to the baseline, 18 (12.5%) patients went from frail to non-frail at 3 months, while 7 (4.9%) patients turned frail (p = 0.04). In regression analysis, living with frailty at discharge and low education level increased re-hospitalization. Five or more are considered living with frailty.DiscussionHospitalization may have positive effects on frailty in older adult patients hospitalized in internal medicine wards, the main effect is seen to be more significant in the post-discharge follow-up.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"170-179"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beliefs and misconceptions about hypertension disease: A qualitative study among patients in a peri-urban community in Ghana. 关于高血压疾病的信念和误解：加纳城郊社区患者的定性研究

IF 1.8 4区医学

Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-09-06 DOI: 10.1177/17423953231199525

Jemima Otemah, Lillian Akorfa Ohene, Josephine Kyei, Irene Owusu-Darkwa

{"title":"Beliefs and misconceptions about hypertension disease: A qualitative study among patients in a peri-urban community in Ghana.","authors":"Jemima Otemah, Lillian Akorfa Ohene, Josephine Kyei, Irene Owusu-Darkwa","doi":"10.1177/17423953231199525","DOIUrl":"10.1177/17423953231199525","url":null,"abstract":"ObjectiveThis study aims to explore beliefs and perceptions about hypertension among patients living with hypertension in a local district in the Eastern region of Ghana.MethodsA descriptive qualitative approach was adopted, and the Health Belief Model was used to guide the data collection, analysis, and organization of the study findings. Overall, seventeen participants were interviewed. In-depth interviews were conducted using a semistructured interview guide. Participants were conveniently selected from a district local Government Hospital. Data gathered were transcribed verbatim and analyzed using thematic analysis.ResultsAlmost all the participants acknowledged hypertension as a severe but chronic illness that can cause sudden death. They also identified that lifestyle practices and individual attitudes were associated with the hypertension condition's causes, management, and control. The findings revealed several unscientific misconceptions and beliefs about hypertension, which could influence their disease management and control decisions.DiscussionPatients' decisions on alternative treatment for hypertension are primarily based on beliefs and misconceptions based on the information they receive from unregulated media and peers. The prevention and control of hypertension should focus on behavior and lifestyle modification which needs reinforcement through health education and promotion.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"56-67"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10161249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact on diabetes outcomes and team skills of integrating dietetic services into interprofessional education and teamwork in primary care. 将饮食服务纳入初级保健的跨专业教育和团队合作对糖尿病结局和团队技能的影响。

IF 1.8 4区医学

Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-09-07 DOI: 10.1177/17423953231200678

Gina C Rowe, Phyllis McShane, Heather Brennan Congdon, Joan Pittman, Judith Rios

{"title":"Impact on diabetes outcomes and team skills of integrating dietetic services into interprofessional education and teamwork in primary care.","authors":"Gina C Rowe, Phyllis McShane, Heather Brennan Congdon, Joan Pittman, Judith Rios","doi":"10.1177/17423953231200678","DOIUrl":"10.1177/17423953231200678","url":null,"abstract":"ObjectivesDiabetes is a complex disease requiring daily self-management of diet and activity, yet many patients do not receive recommended self-management education, medical nutrition therapy, or team-based care that includes registered dietitian nutritionists (RDNs). Such service deficits contribute to challenges in meeting combined diabetes care goals. We evaluated the impact of adding RDN-supervised dietetic interns to an established primary care interprofessional education/teamwork model on patients' clinical outcomes and health professions students' team skills.MethodsElectronic health records were retrospectively analyzed to evaluate the impact of interprofessional care teams including dietetic practitioners on patient outcomes and compare these changes to outcomes achieved with the previous model without such participation. Pre-test/post-test surveys were used to evaluate health professions students' self-reported changes in team skills.ResultsPatient outcomes for glycemic control, systolic blood pressure, triglycerides, and depression improved significantly, and emergency department visits decreased by 79% after interprofessional care. Average hemoglobin A1c levels decreased from 11.6% to 8.3% (p < .001), an additional 1.1% reduction over previous results, following incorporation of dietetic practitioners. Students reported increased team skills after interprofessional care participation.DiscussionHealth professions and dietetic program faculty should collaborate to develop interprofessional best practice primary care models for patients with diabetes.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"68-80"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10161287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing medication-related burden of community-dwelling individuals with chronic conditions in a small island state. 评估小岛屿州社区慢性病患者的药物相关负担。

IF 1.8 4区医学

Chronic Illness Pub Date : 2025-03-01 Epub Date: 2023-10-06 DOI: 10.1177/17423953231205918

Katya Sacco, Lorna M Bonnici West, Lauren M Grech, Janet Krska, Maria Cordina

{"title":"Assessing medication-related burden of community-dwelling individuals with chronic conditions in a small island state.","authors":"Katya Sacco, Lorna M Bonnici West, Lauren M Grech, Janet Krska, Maria Cordina","doi":"10.1177/17423953231205918","DOIUrl":"10.1177/17423953231205918","url":null,"abstract":"ObjectivesMedication taking in the management of chronic conditions causes a significant burden on individuals. The aim of this study was to explore the medication-related burden in ambulatory adult patients with chronic conditions in Malta.MethodsA cross-sectional survey utilising the living with medicines questionnaire V3 (LMQ V3) was conducted in Maltese residents over the age of 18 years, taking at least 1 medication for a chronic condition and recruited through community events. The overall LMQ score, the domain scores and the visual analog scale data were analysed to determine relationships with the demographic factors.ResultsA total of 337 responses were analysed revealing a moderate (42.4%) to high medication (36.8%) related burden. The drivers of medication-related burden were primarily: 'side-effects of prescribed medication' (r = -0.843, p < 0.001), 'attitudes/concerns about medicine use' (r = -0.830, p < 0.001) and 'impact/interferences to day-to-day life' (r = -0.820, p < 0.001). Lack of autonomy to vary the dosage regimen resulted in a higher burden (r = -0.260, p < 0.001). Males experienced an overall higher burden (p = 0.046) especially related to practical difficulties (p = 0.04), cost-related burden (p = 0.04) and side-effects of prescribed medication (p = 0.01).ConclusionMedication-related burden is complex and multi-faceted as demonstrated by the findings of this study. Healthcare professionals should seek to identify and address factors causing this burden to improve patient outcomes.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"145-156"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41178838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of peer mentoring and self-monitoring to improve blood pressure control in a vulnerable population in Argentina: Pragmatic randomized open-label controlled trial. 同伴指导和自我监测改善阿根廷弱势人群血压控制的有效性：实用的随机开放标签对照试验

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-07-11 DOI: 10.1177/17423953231187170

Analía Nejamis, Martin Chaparro, Luz Gibbons, Rosana Poggio, Daniela Luz Moyano, Vilma Irazola

{"title":"Effectiveness of peer mentoring and self-monitoring to improve blood pressure control in a vulnerable population in Argentina: Pragmatic randomized open-label controlled trial.","authors":"Analía Nejamis, Martin Chaparro, Luz Gibbons, Rosana Poggio, Daniela Luz Moyano, Vilma Irazola","doi":"10.1177/17423953231187170","DOIUrl":"10.1177/17423953231187170","url":null,"abstract":"Objective: To evaluate the effectiveness of blood pressure (BP) self-monitoring and peer mentoring to improve the control of hypertension in clinical practice in primary care centers (PCCs) located in low-resource settings in Argentina.Methods: An individual randomized controlled trial was carried out to test two different approaches based on behavioral interventions in PCCs in Argentina. Hypertensive adults were randomly assigned to one of three arms: BP self-monitoring, peer mentoring, and usual care. The primary outcome was the change in BP values from baseline to the end of follow-up at 3 months. A qualitative approach of participants' experiences of the peer mentoring arm was also conducted.Results: A total of 442 participants with hypertension were included in the study. Self-monitoring and peer mentoring interventions did not show a significant difference in BP control compared to usual care. However, this trial showed an improvement regarding antihypertensive medication adherence among those assigned to the peer mentoring intervention compared to the control at the end of follow-up (p = 0.031).Discussion: Self-monitoring and peer mentoring interventions did not demonstrate to be effective in BP control compared to usual care. Implementing a peer support strategy was demonstrated to be feasible and effective in improving medication adherence in this population.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"684-698"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9757538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Socio-Clinical factors associated with Parkinson's disease-related specific self-management behaviours. 与帕金森病相关的特定自我管理行为相关的社会临床因素

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-09-06 DOI: 10.1177/17423953231198893

Michal Kafri, Maram Abu Taieh, Michal Duvdevani, Ilana Schlesinger, Maria Nassar, Ilana Erich, Rafi Hadad, Galit Yogev-Seligmann

{"title":"Socio-Clinical factors associated with Parkinson's disease-related specific self-management behaviours.","authors":"Michal Kafri, Maram Abu Taieh, Michal Duvdevani, Ilana Schlesinger, Maria Nassar, Ilana Erich, Rafi Hadad, Galit Yogev-Seligmann","doi":"10.1177/17423953231198893","DOIUrl":"10.1177/17423953231198893","url":null,"abstract":"Objective: To test associations between socio-clinical factors, self-management and patient activation among patients with Parkinson's disease (PD), and to explore the use of regression tree to find the cut-off levels of socio-clinical factors which associate with lower or higher self-management behaviours and patient's activation.Methods: A cross-sectional study of patients with PD (n = 62) who underwent assessment of their socio-clinical factors including age, gender, cognitive status, comorbidities, disease severity (motor and non-motor symptoms) and social support. The associations of these factors to specific aspects of self-management behaviours including utilization of rehabilitative treatments, physical activity and patient activation were tested.Results: Most patients did not utilize rehabilitative treatments. Non-motor symptoms and cognitive status were significantly associated with physical activity (R2 = 0.35, F(3, 58) = 10.50, p < 0.001). Non-motor symptoms were significantly associated with patient activation (R2 = 0.30, F(1, 30) = 25.88, p < 0.001). Patients with Mini-Mental State Exam score ≤24 performed less physical activity, relative to those with a higher score. Patients with ≤5 non-motor symptoms showed higher activation relative to those with >5.Conclusion: In PD, disease-specific clinical characteristics overshadow other personal factors as determinants of self-management behaviours. The role of non-motor symptoms in reduced self-management behaviours and activation is highlighted.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"699-711"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10534304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship between parent-adolescent communication and parent involvement in adolescent Type 1 diabetes management, parent/family wellbeing and glycaemic control. 父母与青少年沟通与父母参与青少年1型糖尿病管理、父母/家庭幸福感和血糖控制之间的关系。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-06-29 DOI: 10.1177/17423953231184423

Ailbhe Benson, Caroline Rawdon, Ella Tuohy, Nuala Murphy, Ciara McDonnell, Veronica Swallow, Pamela Gallagher, Veronica Lambert

{"title":"Relationship between parent-adolescent communication and parent involvement in adolescent Type 1 diabetes management, parent/family wellbeing and glycaemic control.","authors":"Ailbhe Benson, Caroline Rawdon, Ella Tuohy, Nuala Murphy, Ciara McDonnell, Veronica Swallow, Pamela Gallagher, Veronica Lambert","doi":"10.1177/17423953231184423","DOIUrl":"10.1177/17423953231184423","url":null,"abstract":"Objectives: This study investigated the relationship between parent-reported degree of openness and extent of problems in parent-adolescent communication and parent involvement in adolescent Type 1 diabetes management, parent and family wellbeing and adolescent glycaemic control.Methods: A cross-sectional quantitative survey was conducted. Parents completed measures of parent-adolescent communication, parent monitoring of diabetes care, diabetes family responsibility, parent knowledge of diabetes care, parent activation, parent diabetes distress, and diabetes family conflict.Results: In total, 146 parents/guardians (121 mothers, mean age 46.56 years, SD 5.18) of adolescents aged 11-17 years (mean age 13.9 years, SD 1.81) with Type 1 diabetes completed the survey. Open parent-adolescent communication was significantly correlated to adolescents' voluntarily disclosing diabetes-specific information to their parents more frequently, increased parental knowledge of their adolescent's diabetes care completion, parents feeling more capable and willing to take action in relation to their adolescent's diabetes health, lower levels of diabetes-related parental distress, less diabetes-specific family conflict, and optimal glycaemic control.Discussion: Parent-adolescent communication has an important role to play in Type 1 diabetes healthcare management and psychosocial wellbeing during adolescence. Optimising open parent-adolescent communication represents a potentially useful target for interventional research and should be considered by healthcare professionals during healthcare encounters.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"669-683"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9690182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patients' perception towards chronic disease self-management and its program: A cross-sectional survey. 患者对慢性疾病自我管理的认知及其方案：一项横断面调查。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-07-04 DOI: 10.1177/17423953231185385

Nur Atiyah Abdul Halim, Nur Hikmah Ahmad Sopri, Yuet Yen Wong, Qarem Mohamed Mustafa, Qi Ying Lean

{"title":"Patients' perception towards chronic disease self-management and its program: A cross-sectional survey.","authors":"Nur Atiyah Abdul Halim, Nur Hikmah Ahmad Sopri, Yuet Yen Wong, Qarem Mohamed Mustafa, Qi Ying Lean","doi":"10.1177/17423953231185385","DOIUrl":"10.1177/17423953231185385","url":null,"abstract":"Objective: This study aimed to assess the perceptions towards chronic disease self-management and its program among patients with chronic diseases.Methods: A cross-sectional study using pre-validated questionnaire was conducted among patients with chronic diseases at outpatient pharmacy in a hospital in Penang, Malaysia from April to June 2021.Results: Of 270 patients participated in this study, 87.8% were interested in chronic disease self-management. Nonetheless, they faced common barriers including time constraint (71.1%), no health monitoring devices (44.1%) and poor health knowledge (43.0%). More than half of the patients expressed that having a better knowledge of the disease and its treatment (64.1%), getting supportive guidance from healthcare providers (59.6%) and having monitoring devices (58.1%) were the top three facilitators to self-management. The patients preferred chronic disease self-management programs that (a) discuss the topic of motivation (b) are available both as mobile applications and hands-on training, (c) individual session, (d) range between 1 and 5 sessions with a duration of 1 to 2 h/session, (e) occurring on monthly basis, (f) conducted by doctor or healthcare professionals and (g) fully sponsored by government or at affordable fee.Conclusion: The findings serve as pre-requisite step in future design and development of chronic disease self-management program, targeting the patients' needs and preferences.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"640-654"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9751330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient-centric holistic integrative therapies as an adjuvant in checking the progression of chronic kidney disease: A case study. 以患者为中心的整体综合疗法作为辅助检查慢性肾脏疾病的进展：一个案例研究。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-06-08 DOI: 10.1177/17423953231181413

Karishma Silwal, Hemanshu Sharma, Gulab Rai Tewani, Pradeep Mk Nair

{"title":"Patient-centric holistic integrative therapies as an adjuvant in checking the progression of chronic kidney disease: A case study.","authors":"Karishma Silwal, Hemanshu Sharma, Gulab Rai Tewani, Pradeep Mk Nair","doi":"10.1177/17423953231181413","DOIUrl":"10.1177/17423953231181413","url":null,"abstract":"Objective: Chronic kidney diseases (CKDs) characterized by progressive loss of kidney function impart significant burden on the patients. Besides physical disabilities, CKD affects the mental health and quality of life of the patients. Recent studies suggest the need for interdisciplinary patient-centric care in the management of CKD.Methods: The present study introduced patient-centric holistic integrative therapies (YNBLI) in a 64-year-old female diagnosed with CKD in 2021, who presented with breathlessness, fatigue, loss of appetite, and anxiety. She is a known case of type 2 diabetes, hypertension and osteoarthritis of knee. She was advised for dialysis by her nephrologists', however, she was reluctant to undergo dialysis due to anxiety about the side effects and lifelong dependency on dialysis. She initially underwent a 10-day YNBLI program at our inpatient setting followed by adhering to the home-based YNBLI for 16 weeks.Results: She showed significant improvement in the kidney function, hemoglobin levels, quality of life and symptoms with no adverse events. The improvements were consistent throughout the 16 weeks after discharge.Discussion: This study presents the effective use of patient-centric holistic integrative therapies (YNBLI) as an adjuvant in the management of CKD. Future studies are warranted to substantiate these findings.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"724-732"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0