ISRN family medicine最新文献

Patient choice for older people in english NHS primary care: theory and practice. 英国国家医疗服务体系初级保健中老年人的患者选择：理论与实践。

ISRN family medicine Pub Date : 2014-03-04 eCollection Date: 2014-01-01 DOI: 10.1155/2014/742676

Andrew J E Harding, Frances Sanders, Antonieta Medina Lara, Edwin R van Teijlingen, Cate Wood, Di Galpin, Sue Baron, Sam Crowe, Sheetal Sharma

引用次数: 0

Qualitative exploration of the suitability of capability based instruments to measure quality of life in family carers of people with dementia. 对基于能力的工具是否适用于衡量痴呆症患者家庭照护者生活质量的定性探索。

ISRN family medicine Pub Date : 2014-03-04 eCollection Date: 2014-01-01 DOI: 10.1155/2014/919613

Carys Jones, Rhiannon Tudor Edwards, Barry Hounsome

{"title":"Qualitative exploration of the suitability of capability based instruments to measure quality of life in family carers of people with dementia.","authors":"Carys Jones, Rhiannon Tudor Edwards, Barry Hounsome","doi":"10.1155/2014/919613","DOIUrl":"10.1155/2014/919613","url":null,"abstract":"Background. In an ageing population, many individuals find themselves becoming a carer for an elderly relative. This qualitative study explores aspects of quality of life affected by caring for a person with dementia, with the aim of identifying whether capability based questionnaires are suitable for measuring carer quality of life. Methods. Semistructured interviews lasting up to an hour were conducted, November 2010-July 2011, with eight family carers of people with dementia. Interviews typically took place at the participants' homes and were recorded and transcribed verbatim. Framework analysis was used to code and analyse data. Domains from three capability based questionnaires (ICECAP-O, Carer Experience Scale, and ASCOT) were used as initial codes. Similar codes were grouped into categories, and broader themes were developed from these categories. Results. Four themes were identified: social network and relationships; interactions with agencies; recognition of role; and time for oneself. Conclusions. By identifying what affects carers' quality of life, an appropriate choice can be made when selecting instruments for future carer research. The themes identified had a high degree of overlap with the capability instruments, suggesting that the capabilities approach would be suitable for future research involving carers of people with dementia. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2014 ","pages":"919613"},"PeriodicalIF":0.0,"publicationDate":"2014-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32456692","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

Mothers' perception and healthcare seeking behavior of pneumonia children in rural bangladesh. 孟加拉国农村肺炎儿童母亲认知与就医行为

ISRN family medicine Pub Date : 2014-02-23 eCollection Date: 2014-01-01 DOI: 10.1155/2014/690315

Farzana Ferdous, Fahmida Dil Farzana, Shahnawaz Ahmed, Sumon Kumar Das, Mohammad Abdul Malek, Jui Das, Abu Syed Golam Faruque, Mohammod Jobayer Chisti

{"title":"Mothers' perception and healthcare seeking behavior of pneumonia children in rural bangladesh.","authors":"Farzana Ferdous, Fahmida Dil Farzana, Shahnawaz Ahmed, Sumon Kumar Das, Mohammad Abdul Malek, Jui Das, Abu Syed Golam Faruque, Mohammod Jobayer Chisti","doi":"10.1155/2014/690315","DOIUrl":"https://doi.org/10.1155/2014/690315","url":null,"abstract":"We describe mothers' perception about signs and symptoms, causes of the illness, and healthcare seeking behaviors related to pneumonia and express the major modifiable barriers to seeking timely treatment when their under-5 children had pneumonia in rural Bangladesh. Using focus group discussion, we understood mothers' perception and healthcare seeking behavior of childhood pneumonia. Although mothers described pneumonia as a serious life threatening disease in young children but most of the mothers (n = 24) could not diagnose whether their child had pneumonia or not. Environmental factors such as dust particles, spread from coughing mother, and drinking cold water or playing with water were perceived as the causes for pneumonia. Three common barriers noted were as follows: illness was not perceived as serious enough or distance from healthcare facility or lack of money at household for seeking treatment outside. Most of the rural mothers did not have knowledge about severity of childhood pneumonia. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2014 ","pages":"690315"},"PeriodicalIF":0.0,"publicationDate":"2014-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/690315","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32458366","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: 43

A Qualitative Study of Psychosocial Problems among Parents of Children with Cerebral Palsy Attending Two Tertiary Care Hospitals in Western India. 印度西部两所三级医院脑瘫患儿家长心理社会问题的质性研究

ISRN family medicine Pub Date : 2014-02-20 eCollection Date: 2014-01-01 DOI: 10.1155/2014/769619

Somashekhar Nimbalkar, Shyamsundar Raithatha, Rutvij Shah, Dhara Antani Panchal

{"title":"A Qualitative Study of Psychosocial Problems among Parents of Children with Cerebral Palsy Attending Two Tertiary Care Hospitals in Western India.","authors":"Somashekhar Nimbalkar, Shyamsundar Raithatha, Rutvij Shah, Dhara Antani Panchal","doi":"10.1155/2014/769619","DOIUrl":"https://doi.org/10.1155/2014/769619","url":null,"abstract":"Objective. To explore the psychosocial problems faced by the parents of children with cerebral palsy (CP) in rural and urban settings. Design. Qualitative research design using focus group discussions (FGDs) was used for the study. Setting. Two FGDs comprising one at a rural tertiary level care hospital and the other at an urban tertiary level care hospital were conducted. Participants. A total of thirteen parents participated in the two FGDs. Main Outcome Measured. Psychosocial problems experienced by the parents of children suffering from CP were measured. Results. The problems experienced by the mothers were associated with common themes such as disturbed social relationships, health problems, financial problems, moments of happiness, worries about future of the child, need for more support services, and lack of adequate number of trained physiotherapists. All the parents had children with problems since birth and most had approached various health care providers for a cure for their child. Conclusions. A wide range of psychosocial problems are experienced by the parents of children with CP. Studies like this can provide valuable information for designing a family centered care programme for children with CP. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2014 ","pages":"769619"},"PeriodicalIF":0.0,"publicationDate":"2014-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/769619","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32456691","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: 49

The potential value of sleep hygiene for a healthy pregnancy: a brief review. 睡眠卫生对健康怀孕的潜在价值:简要回顾。

ISRN family medicine Pub Date : 2014-02-17 eCollection Date: 2014-01-01 DOI: 10.1155/2014/928293

Zachary M Ferraro, Jean-Philippe Chaput, Andrée Gruslin, Kristi B Adamo

{"title":"The potential value of sleep hygiene for a healthy pregnancy: a brief review.","authors":"Zachary M Ferraro, Jean-Philippe Chaput, Andrée Gruslin, Kristi B Adamo","doi":"10.1155/2014/928293","DOIUrl":"https://doi.org/10.1155/2014/928293","url":null,"abstract":"The quality of the intrauterine environment influences maternal-fetal health and also offspring predisposition to obesity and cardiometabolic disease later in life. Several determinants, including but not limited to pregravid obesity and excessive gestational weight gain, alter the developmental milieu, fetal growth, and child obesity risk. However, the role of sleep and its relationship to healthy pregnancy is not fully established. Given the host of psychosocial and physiological complications associated with childhood obesity, targeting the gestational period is purported to be an opportune time for preventive intervention. Many longitudinal studies suggest that short sleep duration is a risk factor for the development of impaired glycemia and obesity. However, there is a dearth of information concerning the role of sleep hygiene and its role in a healthy pregnancy. Reports note disrupted and poorer quality of sleep during gestation and highlight an association between reduced sleep and risk of gestational diabetes mellitus. Given the lack of well-designed human trials assessing the value of sleep and healthy pregnancy outcomes, this review summarizes current evidence which suggests that incorporating sleep recommendations and utilizing time management strategies that encourage a healthful night 's sleep may improve the health of the mom and the baby. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2014 ","pages":"928293"},"PeriodicalIF":0.0,"publicationDate":"2014-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/928293","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32456693","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: 29

Self-Care Practices among Diabetic Patients in Anand District of Gujarat. 古吉拉特邦阿南德地区糖尿病患者的自我保健实践

ISRN family medicine Pub Date : 2014-02-11 eCollection Date: 2014-01-01 DOI: 10.1155/2014/743791

Shyamsundar Jagdish Raithatha, Singh Uday Shankar, Kumar Dinesh

{"title":"Self-Care Practices among Diabetic Patients in Anand District of Gujarat.","authors":"Shyamsundar Jagdish Raithatha, Singh Uday Shankar, Kumar Dinesh","doi":"10.1155/2014/743791","DOIUrl":"https://doi.org/10.1155/2014/743791","url":null,"abstract":"Background. Diabetes care requires a multipronged approach, wherein the patient has an important role to play. This study was undertaken to explore self-care practices of diabetic patients residing in Anand district of Gujarat. Methods. A cross-sectional study, involving 100 diabetic patients, was conducted in 2009-2010. Self-care practices in seven domains of physical activity, dietary practices, medication taking, monitoring of glucose, problem solving, foot care, and psychosocial adjustment were assessed using scores assigned to participants' responses. Results. The mean age was 60.9 (SD = 12.2) years and 57% were males. Majority (92%) were Hindus and were consulting private medical practitioners (71%). \"Medication taking\" was the domain with the best performance score (88.1%) and \"problem solving\" the worst (11.0%). The \"psychosocial adjustment\" of the participants was satisfactory (82.5%). Overall mean performance percentage score was 54.41%. Males had better performance scores as compared to females in areas of \"physical activity,\" \"dietary practices,\" and \"problem solving.\" Housewives had poorer performance scores. Total mean performance score was similar for patients on treatment from specialists and general practitioners. Conclusion. A self-care education program designed for this region should address the lacunae identified in various domains with a special emphasis on females. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2014 ","pages":"743791"},"PeriodicalIF":0.0,"publicationDate":"2014-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/743791","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32456690","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: 49

Patient Attitudes towards Physician Nonverbal Behaviors during Consultancy: Result from a Developing Country. 一个发展中国家患者对医生非语言行为的态度。

ISRN family medicine Pub Date : 2014-02-04 eCollection Date: 2014-01-01 DOI: 10.1155/2014/473654

Fahad Hanif Khan, Raheela Hanif, Rumina Tabassum, Waris Qidwai, Kashmira Nanji

{"title":"Patient Attitudes towards Physician Nonverbal Behaviors during Consultancy: Result from a Developing Country.","authors":"Fahad Hanif Khan, Raheela Hanif, Rumina Tabassum, Waris Qidwai, Kashmira Nanji","doi":"10.1155/2014/473654","DOIUrl":"https://doi.org/10.1155/2014/473654","url":null,"abstract":"Background. Nonverbal behaviors have a significant impact on patients during consultations. This study was undertaken to find out the attitudes and preferences of the patients regarding nonverbal communication during consultations with physicians, in a tertiary care hospital. Methods. A questionnaire based cross-sectional study was carried out at the Aga Khan University Hospital, Karachi, Pakistan, during the months of January to March 2012. All patients (>18 years of age) coming for consultancy in the family medicine clinics were approached; out of 133, 120 agreed to participate. The subjects were asked questions regarding physician's comforting touch and eye contact and their responses were noted. The data were analyzed using SPSS and chi-square test was used to identify corelations. Results. Overall, 120 patients were enrolled. About 58.3% were men and 41.7% were women with a mean age of 34.9 ± 10.9 years. 95.8% were Muslims and 57.6% had more than 12 years of education. Among females 74% wanted supportive touch from doctors, used to comfort the patient (45%) or to show respect (27.5%) or as healing (30%). 86.1% of the respondents believe that establishing eye contact with the patient shows that the doctor is attentive towards his/her patient. The eye contact should be brief but regular (54.1%) and prolonged staring (36.7%) makes them uncomfortable. Conclusion. Nonverbal communication helps to strengthen the doctor-patient relation as patients do appreciate positive touch and eye contact from their physicians. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2014 ","pages":"473654"},"PeriodicalIF":0.0,"publicationDate":"2014-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/473654","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32464203","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: 20

Home care learning model for medical students in chile: a mixed methods study. 智利医学生家庭照护学习模式:一项混合方法研究。

ISRN family medicine Pub Date : 2014-01-16 eCollection Date: 2014-01-01 DOI: 10.1155/2014/631732

Diego Garcia-Huidobro, Solange Rivera, Carolina Gonzalez

{"title":"Home care learning model for medical students in chile: a mixed methods study.","authors":"Diego Garcia-Huidobro, Solange Rivera, Carolina Gonzalez","doi":"10.1155/2014/631732","DOIUrl":"https://doi.org/10.1155/2014/631732","url":null,"abstract":"Introduction. The relevance of home care training is not questioned. However, there are no reported learning models to teach in this setting. Aims. To develop and evaluate a learning model to teach home care to medical students. Methods. Stage 1: Learning Model Design. Tutors teaching home care and a sample of medical students were invited to focus groups analyzed according to the grounded theory. Later, the researchers designed the learning model, which was approved by all participants. Stage 2: Learning Assessment. All students in their family medicine internship at Pontificia Universidad Catolica de Chile were invited to participate in a nonrandomized before-and-after pilot trial, assessing changes in their perception towards home care and satisfaction with the learning model. Results. Stage 1: Six tutors and eight students participated in the focus groups. The learning model includes activities before, during, and after the visits. Stage 2: 105 students (88.2%) participated. We observed improvement in all home care training domains (P ≤ 0.001) and a high satisfaction with the model. Students with previous home visit experiences and who participated with nurses and social workers reported more learning. Conclusions. We report an effective learning model to train medical students in home care. Limitations and recommendations for future studies are discussed. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2014 ","pages":"631732"},"PeriodicalIF":0.0,"publicationDate":"2014-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/631732","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32458365","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: 2

Planning for serious illness by the general public: a population-based survey. 公众对严重疾病的规划:一项以人口为基础的调查。

ISRN family medicine Pub Date : 2013-12-30 eCollection Date: 2013-01-01 DOI: 10.5402/2013/483673

Donna Goodridge, Elizabeth Quinlan, Rosemary Venne, Paulette Hunter, Doug Surtees

{"title":"Planning for serious illness by the general public: a population-based survey.","authors":"Donna Goodridge, Elizabeth Quinlan, Rosemary Venne, Paulette Hunter, Doug Surtees","doi":"10.5402/2013/483673","DOIUrl":"https://doi.org/10.5402/2013/483673","url":null,"abstract":"Background. While rates of advance care documentation amongst the general public remain low, there is increasing recognition of the value of informal planning to address patient preferences in serious illness. Objectives. To determine the associations between personal attributes and formal and informal planning for serious illness across age groups. Methods. This population-based, online survey was conducted in Saskatchewan, Canada, in April, 2012, using a nonclinical sample of 827 adults ranging from 18 to 88 years of age and representative of age, sex, and regional distribution of the province. Associations between key predictor variables and planning for serious illness were assessed using binary logistic regression. Results. While 16.6% of respondents had completed a written living will or advance care plan, half reported having conversations about their treatment wishes or states of health in which they would find it unacceptable to live. Lawyers were the most frequently cited source of assistance for those who had prepared advance care plans. Personal experiences with funeral planning significantly increased the likelihood of activities designed to plan for serious illness. Conclusions. Strategies designed to increase the rate of planning for future serious illness amongst the general public must account for personal readiness. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"483673"},"PeriodicalIF":0.0,"publicationDate":"2013-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32504059","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: 9

Knee pain as the reason for encounter in general practice. 膝关节疼痛为一般诊疗中遇到的原因。

ISRN family medicine Pub Date : 2013-12-26 eCollection Date: 2013-01-01 DOI: 10.5402/2013/930825

Thomas Frese, Linda Peyton, Jarmila Mahlmeister, Hagen Sandholzer

{"title":"Knee pain as the reason for encounter in general practice.","authors":"Thomas Frese, Linda Peyton, Jarmila Mahlmeister, Hagen Sandholzer","doi":"10.5402/2013/930825","DOIUrl":"https://doi.org/10.5402/2013/930825","url":null,"abstract":"Objective. Currently, an overview of the management of knee pain in general practitioner's offices is not available. The main concern of this study was to evaluate the consultation prevalence of knee pain, accompanying symptoms, the frequency of diagnostic and therapeutic procedures, and results of encounters of patients suffering from knee pain. Methods. For the SESAM 2 study cross-sectional data was collected from randomly selected patients during one year and compared with publicly available data from the Dutch Transition Project. Results. Overall, 127 out of 8,877 (1.4%) patients of the SESAM 2 study and 6,754 out of 149,238 (4.5%) patients of the Dutch Transition Project consulted for knee pain. Drug prescription, follow-up consultation, giving doctor's advice, and referral to a specialist or physiotherapist were the most frequent procedures. Osteoarthritis of the knee and other musculoskeletal diseases were the most frequent results of encounter. Overweight, age, gender, and other musculoskeletal diseases were found to be significantly associated with knee pain. Conclusion. Knee pain in general practice settings is mainly associated with chronic problems. Dangerous outcomes (as suspected fracture or thrombosis) are rare. Further research is needed in order to reduce the influence knee pain has on daily living. ","PeriodicalId":90191,"journal":{"name":"ISRN family medicine","volume":"2013 ","pages":"930825"},"PeriodicalIF":0.0,"publicationDate":"2013-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4041260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32451616","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: 10