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META-ANALYSIS OF THE EFFECTS OF THE EDUCATIONAL AND COUNSELING INTERVENTIONS ON MENTAL ADJUSTMENT AND QUALITY OF LIFE IN BREAST CANCER 教育和咨询干预对乳腺癌患者心理适应和生活质量影响的meta分析
Pub Date : 2019-11-08 DOI: 10.32827/ijphcs.6.5.89
Ahmed Al-hidary, K. Hayati, N. Mz, Huda Bassalim Faisal Ali Zubaidah Jamil Osman, M. H. Juni
Background: Education and counselling are widely used independently or as supplementary components in the psychosocial interventions. However, there is a certain level of ambiguity if used separately. In this analysis, we attempted to answer the following question; “Does the education and counseling support improve of the adjustment to cancer in women diagnosed with breast cancer?” Methods: An online search was undertaken in 12 databases for the longitudinal studies for the period from January 2007 to March 2018. The effects of the interventions on the adjustment to breast cancer, were calculated based on the results of the mental adjustment and quality of life (QoL). Three distinct periods were examined; baseline, three months, and six months. The methodological quality, risk of bias, publication bias, and attrition rate were examined. Meta-analysis was carried out using Review Manager 5.3 with the results graphically presented. Results: A comprehensive systematic review was conducted for 5,464 titles, of which 22 studies fulfilled the inclusion criteria, however 14 studies completed the data and included in the qualitative synthesis; included 3,419 patients. The mean of overall attrition rate in both groups was 14.37% (SE= 2.87, median= 12.28). In mental adjustment, the total mean differences for the three trials were statistically significant 0.40 (0.24 to 0.57). For the QoL, the mean differences of the three trials were statistically non-significant 0.18 (-0.48 to 0.84). Conclusion: The educational and/or counseling interventions can be beneficial and useful for patients to adapt with the breast cancer, however, it is less effective on the QoL. Keywords: mental adjustment, quality of life, education, counseling
背景:教育和咨询在社会心理干预中被广泛独立使用或作为补充部分。但是,如果单独使用,会产生一定程度的歧义。在这个分析中,我们试图回答以下问题;“教育和咨询支持是否能改善诊断为乳腺癌的女性对癌症的适应?”方法:在线检索2007年1月至2018年3月期间12个数据库的纵向研究。根据心理调整和生活质量(QoL)的结果计算干预措施对乳腺癌适应的影响。研究了三个不同的时期;基线,三个月,六个月。对方法学质量、偏倚风险、发表偏倚和损耗率进行了检查。使用Review Manager 5.3进行meta分析,结果以图表形式呈现。结果:对5464篇文献进行了系统综合评价,其中22篇文献符合纳入标准,但有14篇文献完成了资料并被纳入定性综合;纳入3419例患者。两组总损耗率平均值为14.37% (SE= 2.87,中位数= 12.28)。在心理适应方面,三个试验的总平均差异有统计学意义0.40(0.24 ~ 0.57)。对于生活质量,三个试验的平均差异无统计学意义,分别为0.18(-0.48 ~ 0.84)。结论:教育和/或咨询干预对患者适应乳腺癌是有益的,但对生活质量的影响较小。关键词:心理调适,生活质量,教育,咨询
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引用次数: 0
THE ROLE OF POLICY ANALYSIS IN NATIONAL IMMUNIZATION PROGRAMS: A SCOPING REVIEW 政策分析在国家免疫规划中的作用:范围审查
Pub Date : 2019-11-08 DOI: 10.32827/ijphcs.6.5.70
Nurul Iman A.R, Siti Hafsah A.H, H. ShiehafielFieqri, I. Faisal
Policy analysis is widely being used in multiple disciplines such as politic, economy, social, history and administration. It has a variety of definition as it is variously defined by different scholars. This is no exception to the health sector especially in the nationwide program such as immunization. In order for the immunization programmes to be successful, it primarily depends on up-to-date policies and its effectiveness to ensure their goals to be achievable and to secure its sustainability. This manuscript reviewed twelve articles to extract the roles of policy analysis. The aim of this manuscript is to review the role of policy analysis in selected countries regarding national immunization program policy. As the role of policy analysis has not been explicitly explained in literatures, the result of roles of policy analysis in this manuscript are extracted from the articles found in this scoping review. The roles are evaluating existing policy, modification of policy, formulating new policy, choosing best alternatives and prescribing recommendation. Most policy analysis plays not only one but multiple roles depending on the context of the policy. This results in the development of a framework to illustrate the roles of policy analysis and their interactions. Despite the simplicity of the framework of policy analysis, health policy analysis is indeed a tedious endeavour. By having a clear picture of what role it plays in making policy analysis, perhaps the process can be less daunting to ensure the effectiveness and efficiency of immunization policy. Keywords: Policy analysis, roles, national, immunization, vaccination
政策分析被广泛应用于政治、经济、社会、历史和行政等多个学科。它有各种各样的定义,因为不同的学者对它有不同的定义。卫生部门也不例外,特别是在免疫等全国性方案中。为了使免疫规划取得成功,主要取决于最新的政策及其有效性,以确保实现其目标并确保其可持续性。本文回顾了12篇文章,以提取政策分析的作用。这篇论文的目的是回顾政策分析在选定的国家中关于国家免疫规划政策的作用。由于政策分析的作用尚未在文献中得到明确解释,因此本文中政策分析作用的结果摘自本范围审查中发现的文章。其作用是评价现有政策、修改政策、制订新政策、选择最佳替代方案和提出建议。根据政策的上下文,大多数政策分析不仅扮演一个角色,而且扮演多个角色。这导致了一个框架的发展,以说明政策分析的作用及其相互作用。尽管政策分析的框架很简单,但卫生政策分析确实是一项乏味的工作。通过清楚地了解它在制定政策分析中所起的作用,也许这一过程在确保免疫政策的有效性和效率方面可以不那么令人生畏。关键词:政策分析,角色,国家,免疫,预防接种
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引用次数: 0
HEALTH INSURANCE INEQUITY IN SELECTED ASIA COUNTRIES 某些亚洲国家的医疗保险不平等
Pub Date : 2019-11-08 DOI: 10.32827/ijphcs.6.5.39
Izzanie M.R, Nada Khaled, M. Aidalina
Background: Health insurance is the primary mechanism that enables people to obtain health care services, the three major types of health insurance involves private health insurance, social health insurance and community-based health insurance. It is important to note that universal health coverage (UHC) has three dimensions, population coverage, and service coverage and financial coverage. Aims: This systematic review aims to identify the implication on equity after implementation of health insurance focusing on selected Asian countries. Materials and methods: A systematic search for articles was conducted form 4 search engines, Scopus, Science Direct, Proquest, and Google scholar. A total of 13 articles were selected after screenings and equity implications were concluded in three UHC dimensions based on equity index reported or equity improvement observed in time series studied. Result and discussion: All the three health insurance has different implication on equity between countries or within country. In terms of population coverage, SHI in Thailand showed an equitable coverage. Philippine also reported to have equitable population coverage in terms of geographical while in Vietnam, CBHI showed inequitable population coverage. The financial coverage has showed an inequity of CBHI in India, China, and Thailand. The inequity was also observed for SHI in Philippine, Vietnam and Philippines. More apparent is inequity in PHI for Malaysia and Philippines. The only equitable financial coverage reported was Thailand for its SHI. The final aspect is on service delivery coverage with equity has been observed in CBHI in China and SHI in Vietnam and Thailand. Conclusion: Social health insurance schemes can be further improved in addressing equity in all UHC aspects. CBHI of which showed some equitable measures for certain population subgroups, such as the poor, and formal workers can collectively be the way to go for SHI. Keywords: social health insurance, equity, private insurance, universal health coverage.
背景:健康保险是使人们获得保健服务的主要机制,健康保险的三种主要类型包括私人健康保险、社会健康保险和社区健康保险。必须指出的是,全民健康覆盖有三个方面,即人口覆盖、服务覆盖和财务覆盖。目的:本系统回顾的目的是确定健康保险实施后对公平的影响,重点是选定的亚洲国家。材料和方法:通过Scopus、Science Direct、Proquest和Google scholar 4个搜索引擎对文章进行系统检索。筛选后共选择了13篇文章,并根据报告的公平指数或在研究时间序列中观察到的公平改善,在三个UHC维度上总结了公平影响。结果与讨论:三种医疗保险对国家间或国家内部的公平有着不同的含义。就人口覆盖率而言,泰国的SHI覆盖率比较公平。据报告,菲律宾在地理上也有公平的人口覆盖率,而在越南,CBHI显示人口覆盖率不公平。财务报道显示,cbi在印度、中国和泰国存在不平等。菲律宾、越南和菲律宾的SHI也存在不平等现象。更明显的是马来西亚和菲律宾在PHI上的不平等。报告中唯一公平的财政覆盖是泰国的SHI。最后一个方面是公平的服务提供覆盖范围,在中国的CBHI和越南和泰国的SHI已经观察到。结论:社会健康保险制度在解决全民健康覆盖各方面的公平性方面有待进一步完善。其中chi展示了一些针对特定人口群体的公平措施,例如穷人和正式工人,可以成为SHI的发展方向。关键词:社会健康保险,公平,私人保险,全民健康覆盖
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引用次数: 1
EDUCATIONAL TRAINING INTERVENTION ON WORKPLACE VIOLENCE AMONG HEALTHCARE WORKERS 对保健工作者进行关于工作场所暴力的教育培训干预
Pub Date : 2019-11-08 DOI: 10.32827/ijphcs.6.5.56
I. Mohd.Safwan, Ahmad Azuhairi Ariffin
Background: Workplace violence is defined as incidents where staff are abused, threatened or assaulted in circumstances related to their work, including commuting to and from work, involving an explicit or implicit challenge to their safety, well-being or health. In healthcare setting, it can bring serious consequences to the workers, organization and quality of patient care. Educational training is one of the methods to reduce the incident and prepare the workers in order to face this challenge. This manuscript aims to analytically analyse educational intervention on workplace violence among health workers. Materials and Methods: Systematic review was conducted via Pubmed and ScienceDirect, using keywords of (aggression OR violence) AND healthcare workers) AND (education OR training). A total of 1914 articles from search engines and other sources were obtained. After screening, 12 articles were included in this manuscript. Result: There are 12 studies in this review including two randomised controlled trials (RCTs), five quasi-experimental design and five before-after experimental design. Studies were conducted across various healthcare organizations and most of these were hospitals. Most of the studies include multiple modules including de-escalating techniques, assessing risk of violence, communication skills, workers responsibility, notification and post incident procedure, and legal aspect of workplace violence. Studies showed improvement in knowledges, attitude, confidence and coping. Conclusion: Majority of this evidence were weak and more high-quality research is needed in this area of study. Sound methodology and controlled study design to avoid biases should be done to prove the effectiveness of educational learning in workplace violence. Keywords: workplace violence, educational, intervention, review
背景:工作场所暴力被定义为工作人员在与其工作有关的情况下受到虐待、威胁或攻击,包括上下班通勤,对其安全、福利或健康构成明确或暗示的挑战的事件。在医疗保健环境中,它会给工作人员、组织和患者护理质量带来严重后果。教育培训是减少事故发生的方法之一,为工人应对这一挑战做好准备。本文旨在分析卫生工作者对工作场所暴力的教育干预。材料与方法:通过Pubmed和ScienceDirect进行系统评价,关键词为(攻击或暴力)和医护人员(教育或培训)。从搜索引擎和其他来源共获得了1914篇文章。经筛选,本文共纳入12篇文章。结果:本综述共纳入12项研究,包括2项随机对照试验(RCTs)、5项准实验设计和5项前后实验设计。研究是在不同的医疗保健组织中进行的,其中大多数是医院。大多数研究包括多个模块,包括降级技术、评估暴力风险、沟通技巧、工人责任、通知和事件后程序以及工作场所暴力的法律方面。研究表明,他们的知识、态度、信心和应对能力都有所提高。结论:大多数证据都是薄弱的,需要在这一领域进行更多高质量的研究。为了证明教育学习在工作场所暴力中的有效性,应该采用合理的方法和可控的研究设计来避免偏见。关键词:职场暴力;教育;干预
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引用次数: 2
FILLING THE GAP: DEVELOPING INDICATORS FOR EFFECTIVE SERVICE COVERAGE OF NONCOMMUNICABLE DISEASES IN THE CONTEXT OF UNIVERSAL HEALTH COVERAGE 填补差距:在全民健康覆盖的背景下制定有效覆盖非传染性疾病服务的指标
Pub Date : 2019-11-08 DOI: 10.32827/ijphcs.6.5.144
M. Aidalina
Background: Universal health coverage (UHC) indicators for monitoring the progress of effective service coverage for non-communicable diseases (NCDs) are still lacking. This paper aims to prove the possibility of adapting Quality Performance Indicators (QPIs) as indicators for effective service coverage of NCDs in the context of UHC. Materials and Methods: By reviewing major literatures on UHC framework and indicators between the years 2012 and 2015, service coverage indicators criteria and effective coverage indicator criteria were compiled. Two QPIs: one on breast cancer and one on acute myocardial infarction from renowned sources were selected as examples and their fulfilment of the indicator criteria was analysed. Result: The findings demonstrated that the selected QPIs were able to fulfil the criteria for indicators to measure effective service coverage component of Universal Health Coverage. Conclusion: It is proposed that suitable QPIs be considered to be adapted as indicators for UHC monitoring for non-communicable diseases. Keywords: Quality performance indicators, effective service coverage, universal health coverage.
背景:用于监测非传染性疾病有效服务覆盖进展的全民健康覆盖(UHC)指标仍然缺乏。本文旨在证明在全民健康覆盖的背景下,将质量绩效指标(QPIs)作为非传染性疾病有效服务覆盖指标的可能性。材料与方法:通过回顾2012 - 2015年关于全民健康覆盖框架和指标的主要文献,编制服务覆盖指标标准和有效覆盖指标标准。两个qpi:一个是关于乳腺癌的,一个是关于急性心肌梗死的,从著名的来源选择作为例子,并分析了它们的指标标准的实现情况。结果:调查结果表明,选定的质量指标指标能够满足衡量全民健康覆盖的有效服务覆盖部分的指标标准。结论:建议考虑采用合适的质量指标作为全民健康覆盖监测非传染性疾病的指标。关键词:质量绩效指标;有效服务覆盖率;全民健康覆盖
{"title":"FILLING THE GAP: DEVELOPING INDICATORS FOR EFFECTIVE SERVICE COVERAGE OF NONCOMMUNICABLE DISEASES IN THE CONTEXT OF UNIVERSAL HEALTH COVERAGE","authors":"M. Aidalina","doi":"10.32827/ijphcs.6.5.144","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.144","url":null,"abstract":"Background: Universal health coverage (UHC) indicators for monitoring the progress of effective service coverage for non-communicable diseases (NCDs) are still lacking. This paper aims to prove the possibility of adapting Quality Performance Indicators (QPIs) as indicators for effective service coverage of NCDs in the context of UHC. Materials and Methods: By reviewing major literatures on UHC framework and indicators between the years 2012 and 2015, service coverage indicators criteria and effective coverage indicator criteria were compiled. Two QPIs: one on breast cancer and one on acute myocardial infarction from renowned sources were selected as examples and their fulfilment of the indicator criteria was analysed. Result: The findings demonstrated that the selected QPIs were able to fulfil the criteria for indicators to measure effective service coverage component of Universal Health Coverage. Conclusion: It is proposed that suitable QPIs be considered to be adapted as indicators for UHC monitoring for non-communicable diseases. Keywords: Quality performance indicators, effective service coverage, universal health coverage.","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78681234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DETERMINANTS FOR POSITIVE COMPUTED TOMOGRAPHY PULMONARY ANGIOGRAPHY (CTPA) IN DIAGNOSING PULMONARY EMBOLISM IN NORTHEAST STATE OF PENINSULAR MALAYSIA 在马来西亚半岛东北部诊断肺栓塞的计算机断层扫描肺血管造影(ctpa)阳性的决定因素
Pub Date : 2019-11-07 DOI: 10.32827/ijphcs.6.5.131
H. Arif, Hafizuddin Awang, M. Abdullah
Background: This study was conducted to estimate the annual proportion of positive computed tomography pulmonary angiography (CTPA) in diagnosing pulmonary embolism and determine its socio-demographic and clinical determinants. Materials and Methods: CTPA datasets of 431 patients from 2014 to 2017 were analysed retrospectively to estimate the annual proportion of cases with pulmonary embolism in Kelantan, a northeast state of peninsular Malaysia. Comparative cross-sectional study between positive and negative CTPA cases among 388 randomly selected patients that fulfilled the inclusion criteria was conducted to determine associated factors for positive CTPA finding. Descriptive statistics, simple and multiple logistic regressions were used for data analysis. Result: The annual proportion of positive CTPA cases ranged from 25.2% to 33.3%. The mean age of patients with positive CTPA finding was 50.32 years old and majority of positive CTPA patients were male (67.0 %), cigarette smoker (67.0 %), non-hypertensive (58.9%) and had high Well’s score (74.5%). Older age, male gender and high Wells score were the significant determinants for positive CTPA findings with an adjusted odds ratio (aOR) of 1.03 (95% confidence interval (CI): 1.01-1.05; p = 0.004), 5.42 (95% CI: 2.31-12.68; p < 0.001), and 13.45 (95% CI: 6.93-26.11; p < 0.001), respectively. Conclusion: Patients with older age, male gender and high Wells score were more likely to get positive CTPA finding. These significant determinants might help clinicians in preventing unnecessary CTPA examination, thus unjustified radiation to the patient can be avoided.
背景:本研究旨在估计每年肺栓塞诊断中ct肺血管造影(CTPA)阳性的比例,并确定其社会人口统计学和临床决定因素。材料和方法:回顾性分析2014年至2017年431例患者的CTPA数据集,以估计马来西亚半岛东北部吉兰丹州每年肺栓塞病例的比例。随机选取符合纳入标准的388例CTPA阳性和阴性患者进行对比横断面研究,以确定CTPA阳性发现的相关因素。采用描述性统计、简单logistic回归和多元logistic回归进行数据分析。结果:年CTPA阳性病例比例为25.2% ~ 33.3%。CTPA阳性患者的平均年龄为50.32岁,以男性(67.0%)、吸烟者(67.0%)、非高血压(58.9%)和高Well’s评分(74.5%)为主。年龄较大、男性和高Wells评分是CTPA阳性结果的显著决定因素,校正优势比(aOR)为1.03(95%置信区间(CI): 1.01-1.05;p = 0.004), 5.42 (95% CI: 2.31-12.68;p < 0.001), 13.45 (95% CI: 6.93-26.11;P < 0.001)。结论:年龄较大、男性、Wells评分较高的患者CTPA阳性率较高。这些重要的决定因素可能有助于临床医生避免不必要的CTPA检查,从而可以避免对患者进行不合理的放疗。
{"title":"DETERMINANTS FOR POSITIVE COMPUTED TOMOGRAPHY PULMONARY ANGIOGRAPHY (CTPA) IN DIAGNOSING PULMONARY EMBOLISM IN NORTHEAST STATE OF PENINSULAR MALAYSIA","authors":"H. Arif, Hafizuddin Awang, M. Abdullah","doi":"10.32827/ijphcs.6.5.131","DOIUrl":"https://doi.org/10.32827/ijphcs.6.5.131","url":null,"abstract":"Background: This study was conducted to estimate the annual proportion of positive computed tomography pulmonary angiography (CTPA) in diagnosing pulmonary embolism and determine its socio-demographic and clinical determinants. Materials and Methods: CTPA datasets of 431 patients from 2014 to 2017 were analysed retrospectively to estimate the annual proportion of cases with pulmonary embolism in Kelantan, a northeast state of peninsular Malaysia. Comparative cross-sectional study between positive and negative CTPA cases among 388 randomly selected patients that fulfilled the inclusion criteria was conducted to determine associated factors for positive CTPA finding. Descriptive statistics, simple and multiple logistic regressions were used for data analysis. Result: The annual proportion of positive CTPA cases ranged from 25.2% to 33.3%. The mean age of patients with positive CTPA finding was 50.32 years old and majority of positive CTPA patients were male (67.0 %), cigarette smoker (67.0 %), non-hypertensive (58.9%) and had high Well’s score (74.5%). Older age, male gender and high Wells score were the significant determinants for positive CTPA findings with an adjusted odds ratio (aOR) of 1.03 (95% confidence interval (CI): 1.01-1.05; p = 0.004), 5.42 (95% CI: 2.31-12.68; p < 0.001), and 13.45 (95% CI: 6.93-26.11; p < 0.001), respectively. Conclusion: Patients with older age, male gender and high Wells score were more likely to get positive CTPA finding. These significant determinants might help clinicians in preventing unnecessary CTPA examination, thus unjustified radiation to the patient can be avoided.","PeriodicalId":14315,"journal":{"name":"International Journal of Public Health and Clinical Sciences","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88237598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
IMPLICATIONS OF ARTIFICIAL INTELLIGENCE IN HEALTHCARE DELIVERY IN THE HOSPITAL SETTINGS: A LITERATURE REVEIW 人工智能在医院医疗服务中的意义:文献综述
Pub Date : 2019-11-01 DOI: 10.32827/ijphcs.6.5.22
Nada Khaled, Turki
Background: Artificial intelligence use in healthcare is increasing over the years. The aim of this review is to determine the positive and negative implications of artificial intelligence in healthcare delivery in hospital settings. Methods: Literature search was done using keywords “artificial intelligence”, “hospital” and “implications” from databases of Scopus, Science Direct, Google scholar and PubMed. The literature search was limited to articles published in English, available in open access and articles that are able to be retrieved in full text format. Result: Artificial intelligence has positive influence on health care delivery especially in hospitals in terms of quality of care, efficiency and accuracy. On the other hand, artificial intelligence can also have negative implications in terms of ethical, privacy and dehumanization of care. Conclusion: In conclusion, the positive implication of artificial intelligence and the wide range opportunities for technological development exceed the negative aspect, especially when the negative aspects are addressed appropriately or avoided.
背景:近年来,人工智能在医疗保健领域的应用越来越多。本综述的目的是确定人工智能在医院医疗保健服务中的积极和消极影响。方法:从Scopus、Science Direct、Google scholar、PubMed等数据库中检索关键词“artificial intelligence”、“hospital”、“implications”进行文献检索。文献检索仅限于以英文发表的、开放获取的文章和能够以全文格式检索的文章。结果:人工智能对医疗服务,特别是医院的医疗服务质量、效率和准确性产生了积极的影响。另一方面,人工智能也可能在伦理、隐私和护理的非人性化方面产生负面影响。结论:总之,人工智能的积极影响和技术发展的广泛机会超过了消极方面,特别是当消极方面得到适当解决或避免时。
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引用次数: 0
THE DEVELOPMENT OF HEALTH-RELATED QUALITY OF LIFE PROGRAMME AMONG TYPE 2 DIABETIC PATIENTS IN TAM BINH DISTRICT, VINH LONG PROVINCE, VIETNAM 越南永隆省潭平区2型糖尿病患者健康相关生活质量规划的发展
Pub Date : 2019-11-01 DOI: 10.32827/ijphcs.6.5.167
N. Le, Niruwan Turnbull, C. V. Dam, Santisith Khiewkhern
Background: The number of diabetic people is rapidly increasing in Vietnam as well as in the world. Type 2 diabetic patients were reported reduced health-related quality of life. The research investigates on: (1) Exploration of the relative factors to health-related quality of life of diabetic patients in Tam Binh district, Vinh Long province, Vietnam in 2018 - 2019. (2) Implementation the health-related quality of life programme of diabetic patients. (3) Evaluation of the effectiveness of health-related quality of life programme of diabetic patients after six months of the implementation programme. Methods: The participants are the type 2 diabetic patients with aging 35 and over, diabetic duration more than 6 months and living at least 6 months in Tam Binh district. The mixed methods research is used with: Phase 1: The quantitative method is performed to assess the quality of health-related quality of life of 500 type 2 diabetic patients by the Vietnamese diabetes quality of life questionnaire. Phase 2: The quasi-experimental method is designed to set up an empowerment programme, then will compare the health behaviour the 85 diabetic patient group by the Knowledge of diabetes, Attitude toward to deal with diabetes and Practice with diabetic management questionnaire. Phase 3: We will evaluate the effectiveness of the programme of the patients with both questionnaires on phase 1 and 2. The data will be analysed with the Package for Social Sciences version 22 program. One-way analysis of variance is used to evaluate the differences in the domains of the health-related quality of life among the different groups. The T-test is used for analysis on the quasi-experimental research. Discussion : This research will assess the health-related quality of life of type 2 diabetes in Tam Binh district, Vinh Long province, Vietnam. Diabetes’ health-related quality of life is usually lower than the healthy people. However, the other studies showed that this was improved after the implementation programme. Therefore, this experimental study will increase the health-related quality of life of type 2 diabetic patients. Key words: Diabetes, Vietnam, health-related quality of life, KAP questionnaire, empowerment programme.
背景:在越南和世界范围内,糖尿病患者的数量正在迅速增加。据报道,2型糖尿病患者健康相关生活质量下降。研究目的:(1)2018 - 2019年越南永隆省潭平区糖尿病患者健康相关生活质量相关因素探讨。(2)实施糖尿病患者健康相关生活质量规划。(3)实施方案6个月后糖尿病患者健康相关生活质量方案的有效性评价。方法:研究对象为年龄在35岁及以上、糖尿病病程在6个月以上、居住在谭平地区的2型糖尿病患者。采用混合方法研究:第一阶段:采用越南糖尿病生活质量问卷定量评价500例2型糖尿病患者健康相关生活质量。第二阶段:采用准实验的方法设计赋权方案,通过对85例糖尿病患者的糖尿病知识、对待糖尿病的态度和糖尿病管理的实践问卷对其健康行为进行比较。第3阶段:我们将通过第1阶段和第2阶段的问卷调查来评估患者方案的有效性。数据将与社会科学包22版程序进行分析。使用单因素方差分析来评估不同组之间健康相关生活质量领域的差异。准实验研究采用t检验进行分析。讨论:本研究将评估越南永隆省Tam Binh地区2型糖尿病患者的健康相关生活质量。糖尿病患者的健康相关生活质量通常低于健康人。但是,其他研究表明,在执行方案之后,情况有所改善。因此,本实验研究将提高2型糖尿病患者的健康相关生活质量。关键词:糖尿病,越南,健康相关生活质量,KAP问卷,赋权计划。
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引用次数: 1
KNOWLEDGE, ATTITUDE, AND PRACTICE LEVEL OF FAMILY PLANNING SERVICE RECIPIENTS IN THE HEALTH DISTRICT OF PETALING, SELANGOR 雪兰莪州petaling卫生区计划生育服务接受者的知识、态度和实践水平
Pub Date : 2019-10-22 DOI: 10.32827/ijphcs.6.5.9
Kun Yun Lee, Eliza Othman, Haslinda Hassan, Fazlina Mohamad Yusof, Mohamed Paid Yusof
Background: Family planning (FP) is important to ensure the wellbeing of mothers and children. There are various facilitators and barriers towards a successful FP program. In the health district of Petaling (PKD Petaling), the uptake of FP is not optimum. However, local data are scarce to pinpoint the reasons. This study aims to assess the knowledge, attitude, and practice (KAP) level among the potential FP recipients and its associated factors. Materials and Methods: A cross-sectional study using self-administered questionnaires was conducted at six health clinics in PKD Petaling from May-July 2017. Descriptive analysis with chi-square and logistic regression analysis were conducted to identify associated factors. Result: Majority of the 360 respondents were Malays (75.3%) and married (91.9%). The overall KAP was 80.3%, 71.9%, and 46.7%. OCP and condom were the two most recognised FP methods whereas OCP and Depo Provera were the most commonly used. Education level was associated with a good knowledge and positive attitude towards FP. The predictors of current FP usage included older age, having 4 or more children, good knowledge and attitude about FP. Conclusion: An effective FP programme require the identification and understanding of the various factors associated with the KAP level of FP to formulate appropriate improvement strategies. Based on the results, fear of side effects and husband’s opposition were the most prominent reasons for not using contraception. Dissemination of accurate information, inclusion of husband in FP decision-making, continuous staff training to improve the counselling effectiveness are needed to improve the uptake of FP in PKD Petaling. Keywords: Family planning, contraception, KAP, Malaysia, service recipient
背景:计划生育(FP)对确保母亲和儿童的福祉至关重要。成功的计划生育项目有各种各样的促进因素和障碍。在Petaling卫生区(PKD Petaling),计划生育的摄取不是最佳的。然而,当地数据很少,无法查明原因。本研究旨在评估计划生育受助人的知识、态度和行为(KAP)水平及其相关因素。材料与方法:采用自填问卷的横断面研究方法,于2017年5 - 7月在Petaling PKD的6个卫生诊所进行。采用卡方分析和逻辑回归分析进行描述性分析,以确定相关因素。结果:360名受访者中,大多数是马来人(75.3%),已婚(91.9%)。总体KAP分别为80.3%、71.9%和46.7%。OCP和避孕套是最被认可的两种计划生育方法,而OCP和Depo Provera是最常用的。受教育程度与良好的FP知识和积极的FP态度有关。目前计划生育使用的预测因素包括年龄较大、有4个及以上子女、对计划生育有良好的了解和态度。结论:一个有效的计划生育项目需要识别和理解与计划生育KAP水平相关的各种因素,以制定适当的改进策略。结果显示,担心副作用和丈夫反对是不采取避孕措施的最主要原因。传播准确的信息,将丈夫纳入计划生育决策,持续的工作人员培训,以提高咨询的有效性,以提高计划生育在PKD Petaling中的吸收。关键词:计划生育,避孕,KAP,马来西亚,服务对象
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引用次数: 0
PREDICTORS OF DENTAL CARIES AMONG ADULTS AND ADOLESCENTS IN A DENTAL CLINIC IN NORTH-EASTERN NIGERIA 尼日利亚东北部一家牙科诊所中成人和青少年龋齿的预测因素
Pub Date : 2019-10-22 DOI: 10.32827/ijphcs.6.5.123
H. A. Disa, Balami A.B, A. Mala, Fusami, U. M. Gimba
ABSTRACT Background: Dental caries constitute a public health burden globally. They occur when the balance between their protective factors and risk factors is disturbed. The aim of the study was to determine the predictors of dental caries among adults and adolescents in a dental clinic in north-eastern Nigeria. Materials and Methods: A case-control study design was used, with cases drawn from the dental clinic, and controls from the general out-patient unit of the same hospital. Systematic random sampling was used to select both cases and controls. Those selected from the dental clinic underwent a thorough oral examination, using the specific caries index and were included into the study if they had any of a decayed, missing, or filled tooth. Those selected from the out-patient clinic were examined in a similar manner, and were included into the study as controls, once they did not have a decayed, missing, or filled tooth. A structured questionnaire was used to collect information on respondents’ socio-demographic characteristics and oral care habits. Chi-square test was used to compare the socio-demographic characteristics of the groups and to test the association between dental caries and oral care habits. Multivariate logistic regression was used to determine the predictors of dental caries. Result: A total of 124 respondents were recruited into this study, comprising of 59 respondents with dental caries (cases), and 65 without dental caries (controls). Their ages ranged from 15 to 63 years. Daily teeth cleaning (OR=0.33, 95% CI: 0.11-0.97; p =0.044), and teeth cleaning after every meal (OR=0.28, 95% CI: 0.10-0.78; p =0.015), were associated with lower odds of having dental caries. Tooth ache was the major reason for visiting the dentist, among both cases (78.6%) and controls (68.6%). Conclusion: The study emphasizes the very important role of oral hygiene in preventing dental caries. The study also suggests that with very frequent teeth cleaning, refined sugars may not pose additional risks of developing dental caries. Keywords: Dental caries, predictors, teeth cleaning
摘要背景:龋齿是全球公共卫生负担。当他们的保护因素和危险因素之间的平衡被打破时,他们就会出现。该研究的目的是确定尼日利亚东北部一家牙科诊所成人和青少年龋齿的预测因素。材料和方法:采用病例对照研究设计,病例来自牙科诊所,对照组来自同一家医院的普通门诊部。采用系统随机抽样方法选择病例和对照。那些从牙科诊所挑选出来的人接受了彻底的口腔检查,使用特定的龋齿指数,如果他们有任何蛀牙、缺牙或补牙,就被纳入研究。那些从门诊选择的人以类似的方式进行检查,一旦他们没有蛀牙,缺牙或补牙,就被纳入研究作为对照。采用结构化问卷收集调查对象的社会人口学特征和口腔护理习惯信息。采用卡方检验比较各组的社会人口学特征,并检验龋齿与口腔护理习惯之间的关系。采用多元逻辑回归确定龋病的预测因素。结果:本研究共招募124名调查对象,其中有龋病59例,无龋病65例。他们的年龄从15岁到63岁不等。每日清洁牙齿(OR=0.33, 95% CI: 0.11-0.97;p =0.044),每餐后清洁牙齿(OR=0.28, 95% CI: 0.10-0.78;P =0.015),患龋齿的几率较低。牙痛是去看牙医的主要原因,两组患者(78.6%)和对照组(68.6%)均如此。结论:本研究强调口腔卫生在预防龋病中的重要作用。该研究还表明,如果经常清洁牙齿,精制糖可能不会造成龋齿的额外风险。关键词:龋齿,预测因素,牙齿清洁
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International Journal of Public Health and Clinical Sciences
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