Chronic Illness最新文献_第9页

A hospital care coordination team intervention for patients with multimorbidity: A practice-based, participatory pilot study. 多病患者的医院护理协调小组干预:一项基于实践的参与性试点研究。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-06 DOI: 10.1177/17423953231196611

Marlies Verhoeff, Janke F de Groot, Hanneke Peters-Siskens, Erik van Kan, Yolande Vermeeren, Barbara C van Munster

{"title":"A hospital care coordination team intervention for patients with multimorbidity: A practice-based, participatory pilot study.","authors":"Marlies Verhoeff, Janke F de Groot, Hanneke Peters-Siskens, Erik van Kan, Yolande Vermeeren, Barbara C van Munster","doi":"10.1177/17423953231196611","DOIUrl":"https://doi.org/10.1177/17423953231196611","url":null,"abstract":"Objectives: This study aims to develop and pilot a hospital care coordination team intervention for patients with multimorbidity and identify key uncertainties.Methods: Practice-based, participatory pilot study with mixed methods in a middle-large teaching hospital. We included adult patients who had visited seven or more outpatient specialist clinics in 2018. The intervention consisted of an intake, a comprehensive review by a dedicated care coordination team, a consultation to discuss results and two follow-up appointments. We collected both quantitative and qualitative data.Results: Out of 131 invited patients, 28 participants received the intake and comprehensive review. The intervention resulted in mixed outputs and short-term outcomes. Among the 28 participants, 21 received recommendations for at least two out of three categories (medication, involved medical specialists, other). Patients' experienced effects ranged from no to very large effects. Key uncertainties were how to identify patients with a need for care coordination and the minimum of required data that can be collected during regular clinical care with feasible effort.Discussion: Recruitment and selection for hospital care coordination should be refined to include patients with multimorbidity who might benefit most. Outcomes of research and clinical care should align and first focus on evaluating the results of care coordination before evaluating health-related outcomes.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231196611"},"PeriodicalIF":1.3,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10162593","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 1.3 4区医学

Chronic Illness Pub 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":"https://doi.org/10.1177/17423953231199525","url":null,"abstract":"Objective: This study aims to explore beliefs and perceptions about hypertension among patients living with hypertension in a local district in the Eastern region of Ghana.Methods: A 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.Results: Almost 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.Discussion: Patients' 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":"17423953231199525"},"PeriodicalIF":1.3,"publicationDate":"2023-09-06","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

Beyond dyadic communication: Network of communication in inflammatory arthritis teams. 超越二元沟通：炎症性关节炎团队的沟通网络。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-05-29 DOI: 10.1177/17423953221102629

Parisa Ghanouni, Kristy Inouye, Chelsey Gowan, Wendy Hartford, Annette McKinnon, Shanon McQuitty, Catherine L Backman, Linda C Li, Laura Nimmon

{"title":"Beyond dyadic communication: Network of communication in inflammatory arthritis teams.","authors":"Parisa Ghanouni, Kristy Inouye, Chelsey Gowan, Wendy Hartford, Annette McKinnon, Shanon McQuitty, Catherine L Backman, Linda C Li, Laura Nimmon","doi":"10.1177/17423953221102629","DOIUrl":"https://doi.org/10.1177/17423953221102629","url":null,"abstract":"Objective: To explore how communication is perceived and care is negotiated amongst IA healthcare teams by drawing on the perspectives of each team member.Method: This analysis drew on data from an ongoing three-year study exploring team-based IA care. We interviewed 11 participants including two men with IA and their family care providers and healthcare providers. We used a three-staged analytic process and integrated broad tenets of social network theory to understand the relational dimensions of team members experiences.Result: Analysis revealed three themes regarding communication and care: (1) seeking/sharing information, (2) striving to coordinate unified care, and (3) providing patients a voice.Discussion: This study emphasizes the importance of understanding team dynamics beyond the dyad of patient and care provider. Negotiating power and decision-making in IA care is a dynamic process involving shifting levels of responsibility amongst a care team. Communication-based strategies that extend dyadic interactions may enhance teamwork and health outcomes in chronic conditions.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":"19 3","pages":"591-604"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154021","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

Post-cholecystectomy bile reflux gastritis: Prevalence, risk factors, and clinical characteristics. 胆囊切除术后胆汁反流性胃炎：患病率、危险因素和临床特征。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-04-25 DOI: 10.1177/17423953221097440

Amira Aa Othman, Amal Az Dwedar, Hany M ElSadek, Hesham R AbdElAziz, Abeer Af Abdelrahman

{"title":"Post-cholecystectomy bile reflux gastritis: Prevalence, risk factors, and clinical characteristics.","authors":"Amira Aa Othman, Amal Az Dwedar, Hany M ElSadek, Hesham R AbdElAziz, Abeer Af Abdelrahman","doi":"10.1177/17423953221097440","DOIUrl":"https://doi.org/10.1177/17423953221097440","url":null,"abstract":"Objective: Bile reflux gastritis is caused by the backward flow of duodenal fluid into the stomach. A retrospective cohort study was performed to estimate the prevalence and risk factors of bile reflux gastritis postcholecystectomy, and to evaluate the endoscopic and histopathologic changes in gastric mucosa.Methods: Patients with refractory upper abdominal pain right below the ribs with symptoms of bloating, burping, nausea, vomiting, and bile regurgitation during the period from January 2018 to December 2020, submitted to Zagazig University Hospitals were enrolled in this study. The studied 64 patients were divided into two groups; the control group (CG): 30 subjects who had never undergone any biliary interventions, and the post-cholecystectomy group (PCG): 34 patients who had undergone cholecystectomy.Results: The prevalence of bile reflux gastritis was (16.7%) and (61.8%) in CG and PCG, respectively. Diabetes, obesity, elevated gastric bilirubin, and elevated stomach pH were all risk factors for bile reflux gastritis in both groups (r = .28,.48,.78,.57 respectively). Age, sex, epigastric pain, heartburn, vomiting, and the existence of bile reflux gastritis, on the other hand, had no correlation.Discussion: After a cholecystectomy, bile reflux gastritis is prevalent, especially among obese and diabetic patients.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":"19 3","pages":"529-538"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137946","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: 1

Association between excessive alcohol consumption and hypertension control in hypertensive patients. 高血压患者过度饮酒与高血压控制之间的关系。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-05-20 DOI: 10.1177/17423953221102626

Sinwoo Hwang, Jae Woo Choi

{"title":"Association between excessive alcohol consumption and hypertension control in hypertensive patients.","authors":"Sinwoo Hwang, Jae Woo Choi","doi":"10.1177/17423953221102626","DOIUrl":"https://doi.org/10.1177/17423953221102626","url":null,"abstract":"Objectives: The purposes of this study were to investigate the association between excessive alcohol consumption and control of hypertension and the associations stratified by sex, age, and duration of hypertension among Korean adults who were diagnosed with hypertension under medication.Methods: This study was cross-sectional design with a secondary data analysis using national data from the Korea National Health and Nutrition Evaluation Survey (KNHANES) collected from 2013 to 2018, including 4278 participants who were diagnosed with hypertension under medication. A multiple logistic regression analysis was conducted to evaluate the associations between excessive alcohol consumption and hypertension control while controlling for potential confounding variables.Results: The hypertensive patients who consumed excessive alcohol were more associated with uncontrolled hypertension (OR, 1.31; 95% CI, 1.04-1.65) than those who do not consumed excessive alcohol. Specially, Excessive consumption of alcohol in men and young adults (<65 years) and short duration of hypertension (<5 years) were significantly more associated with uncontrolled hypertension compared to their counterparts.Discussion: To improve blood pressure (BP) control in hypertensive patients, healthcare plan should be focused to modifiable risk factors and the intervention for unhealthy alcohol consumption should be part of comprehensive treatment for hypertension.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":"19 3","pages":"625-634"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154020","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

The impact of smoking status on anticipated stigma and experience of care among smokers and ex-smokers with chronic illness in general practice. 吸烟状况对吸烟者和患有慢性病的戒烟者在全科医学中的预期耻辱感和护理体验的影响。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-05-15 DOI: 10.1177/17423953221101337

Sanduni Madawala, Joanne Enticott, Elizabeth Sturgiss, Melis Selamoglu, Chris Barton

{"title":"The impact of smoking status on anticipated stigma and experience of care among smokers and ex-smokers with chronic illness in general practice.","authors":"Sanduni Madawala, Joanne Enticott, Elizabeth Sturgiss, Melis Selamoglu, Chris Barton","doi":"10.1177/17423953221101337","DOIUrl":"https://doi.org/10.1177/17423953221101337","url":null,"abstract":"Objectives: To compare self-reported levels of 'anticipated' stigma and experience of care in general practice between current and ex-smokers living with COPD, other chronic illnesses, or those with no chronic conditions.Methods: Participants completed an online survey, advertised through social media, about their experience of care from general practitioners (GPs) in the past 12 months. Respondents self-reported doctor-diagnosed chronic illnesses. Experience of care and anticipated stigma was assessed using validated questions. Multi-nominal regressions were used to determine independent effect of smoking status on anticipated stigma and other indicators of patient experience in primary care.Results: Patients with COPD (n = 161) reported significantly higher anticipated stigma scores compared to those with other chronic conditions (n = 225) and this was strongly related to delayed or avoidance in seeking help from a GP when needed. This relationship remained irrespective of current smoking status. There was no difference between groups for relational components of experience of care.Discussion: Primary care patients living with COPD reported worse experience of care across several domains and were more likely to anticipate experiencing stigma in the GP setting irrespective of their current smoking status compared to those with other chronic illnesses or no chronic illnesses.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":"19 3","pages":"557-570"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41148137","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: 5

The effect of patient empowerment on patient activation level: A review of individuals with cardiovascular diseases. 患者赋权对患者激活水平的影响：心血管疾病患者综述。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2023-04-16 DOI: 10.1177/17423953231170400

Barış Düzel, Meltem Saygili, Özlem Özer, Melek Zubaroğlu Yanardağ

{"title":"The effect of patient empowerment on patient activation level: A review of individuals with cardiovascular diseases.","authors":"Barış Düzel, Meltem Saygili, Özlem Özer, Melek Zubaroğlu Yanardağ","doi":"10.1177/17423953231170400","DOIUrl":"10.1177/17423953231170400","url":null,"abstract":"Objectives: The aim of this study is to examine the effect of patient empowerment on patient activation level in individuals with cardiovascular diseases.Methods: The population of the study is adult individuals receiving inpatient treatment in the Cardiology clinic of a city hospital operating in Turkey. In the study, convenience sampling method was applied, and a questionnaire was conducted from 543 patients.Results: As a result of the analyses made in the study, positive and low correlations were detected between the patient empowerment scale sub-dimensions and the patient activation level. According to regression analysis results, it was identified that the patient empowerment sub-dimensions together accounted for 6.4% of the total variance on the patient activation level, and the increase in the 'knowledge and understanding' levels of the patients statistically increased their perceptions of the patient activation level.Discussion: The results show that by providing patient empowerment in individuals with chronic diseases, their active participation can be increased in the treatment processes and consequently in the chronic disease management.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"665-674"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9665474","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

Linguistic adaptation and psychometric properties of the health literacy questionnaire in serbian language among people with chronic diseases. 慢性病患者塞尔维亚语健康素养问卷的语言适应和心理测量特性。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-05-17 DOI: 10.1177/17423953221102630

Sladjana Arsenović, Olufemi Oyewole, Goran Trajković, Richard H Osborne, Megan Wiltshire-Fletcher, Teodora Gazibara, Darija Kisić Tepavčević, Tatjana Pekmezović, Tatjana Gazibara

{"title":"Linguistic adaptation and psychometric properties of the health literacy questionnaire in serbian language among people with chronic diseases.","authors":"Sladjana Arsenović, Olufemi Oyewole, Goran Trajković, Richard H Osborne, Megan Wiltshire-Fletcher, Teodora Gazibara, Darija Kisić Tepavčević, Tatjana Pekmezović, Tatjana Gazibara","doi":"10.1177/17423953221102630","DOIUrl":"https://doi.org/10.1177/17423953221102630","url":null,"abstract":"Objective: To translate the Health Literacy Questionnaire (HLQ) to Serbian language and examine its psychometric characteristics.Methods: This cross-sectional study was conducted among 295 people with chronic diseases from the Foča region (Republic of Srpska, Bosnia and Herzegovina). The HLQ was translated according to the translation integrity procedure. Construct validity was tested using confirmatory factor analysis (CFA) using the maximum likelihood estimator and reliability was estimated using the α and ω coefficients.Results: Minor linguistic differences in 17 items were observed between the original and the initial forward translation and were corrected. The parameters of one-factor CFA on domains 3 and 8 fitted well. The parameters of the CFA for domains 1, 2, 4, 5, 6, 7 and 9 were acceptable after modification using residuals' correlation. The α and ω coefficients for all domains were good to excellent (>0.80).Conclusion: Each domain of the HLQ in Serbian has acceptable construct validity and overall good reliability. This study adds to the growing evidence that the HLQ is a useful tool to provide in-depth multidimensional information on health literacy to improve researchers and policymakers understanding of the health literacy strengths, needs and preferences across cultures and languages.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":"19 3","pages":"605-624"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41148501","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: 3

Social support and diabetes distress: Does the messenger matter as much as the message? 社会支持和糖尿病困扰：信使和信息一样重要吗？

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-05-26 DOI: 10.1177/17423953221102622

Sorayya Seddigh, Tricia S Tang

引用次数: 0

Using latent class analysis to inform the design of an EHR-based national chronic disease surveillance model. 使用潜在类别分析为基于EHR的国家慢性病监测模型的设计提供信息。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-05-03 DOI: 10.1177/17423953221099043

Laura Nasuti, Bonnie Andrews, Wenjun Li, Jennifer Wiltz, Katherine H Hohman, Miriam Patanian

引用次数: 0