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The relationship between the duration of diabetes and dimensions of general health and quality of life associated with the health of diabetic patients 糖尿病病程与糖尿病患者总体健康状况和生活质量之间的关系
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_1377_23
Sepehr Nickzad, Majid Foroutan, Amir Hossain Hedayati, Mohammad Reza Pourmohseni, Nemat Sotodeh Asl
ABSTRACT Diabetes is one of the most common chronic diseases in the world. Diabetes has a major impact on the quality of life of patients. The purpose of this study is the relationship between the duration of diabetes and dimensions of general health and quality of life associated with the health of diabetic patients. In this cross-sectional-analytical study, diabetic patients with more than 1-year history who were not suffering from other chronic diseases were included in the study. Then, using 15 questions for diabetes quality of life, questionnaires and GHQ28 general health were investigated in terms of quality of life and general health. The data were statistically analyzed using SPSS version 24 software. The average age was equal to 42.8 ± 14.4 years (with a median of 40 years). The average duration of the disease in the patients was equal to 7.7 ± 7.2 years (with a median of 5 years). The average quality of life score of the patients was equal to 50.3 ± 7.8 (out of 75). A negative and significant correlation between age and quality of life of patients was observed (P < 0.001). The duration of the disease had a direct and significant relationship with the general health score. But a significant difference between the quality of life of married and single people was not observed (P = 0.613). A direct and significant relationship between duration of disease, age with physical symptoms (P < 0.001), anxiety and insomnia (P = 0.001), social activity failure (P = 0.013), and depression (P = 0.001) was observed and was also observed with the overall score of general health (P < 0.001). The duration of diabetes disease affects the quality of life and general health of diabetic patients, and discomfort, depression, and anxiety are the main problems that affect the quality of life of diabetic patients.
摘要 糖尿病是世界上最常见的慢性疾病之一。糖尿病对患者的生活质量有很大影响。本研究旨在探讨糖尿病病程与糖尿病患者一般健康状况和生活质量之间的关系。 在这项横断面分析研究中,研究对象包括病史超过 1 年且未患有其他慢性疾病的糖尿病患者。然后,利用 15 个糖尿病生活质量问题、调查问卷和 GHQ28 一般健康状况,对生活质量和一般健康状况进行了调查。数据使用 SPSS 24 版软件进行统计分析。 研究对象的平均年龄为 42.8 ± 14.4 岁(中位数为 40 岁)。患者的平均病程为 7.7 ± 7.2 年(中位数为 5 年)。患者的平均生活质量评分为(50.3 ± 7.8)分(满分 75 分)。观察发现,患者的年龄与生活质量之间存在明显的负相关(P < 0.001)。病程与总体健康评分有直接和显著的关系。但已婚者和单身者的生活质量没有明显差异(P = 0.613)。病程、年龄与躯体症状(P<0.001)、焦虑和失眠(P=0.001)、社交活动失败(P=0.013)和抑郁(P=0.001)之间存在直接和显著的关系,与一般健康总分之间也存在直接和显著的关系(P<0.001)。 糖尿病病程影响糖尿病患者的生活质量和总体健康状况,而不适、抑郁和焦虑是影响糖尿病患者生活质量的主要问题。
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引用次数: 0
How to spark the potential of research in nursing students? 如何激发护理专业学生的研究潜能?
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_344_24
S. Mukhida, Lokesh Kumar
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引用次数: 0
A task shifting strategy for elimination of cervical cancer by 2030 到 2030 年消除宫颈癌的任务转移战略
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_406_24
Sanjana Agrawal, Suganya Panneerselvam, Senthilkumar Ramasamy
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引用次数: 0
Empowering patients: Harnessing mnemonics for non-communicable disease management 增强患者的能力:利用记忆法管理非传染性疾病
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_1406_23
Subhashree Das, Debkumar Pal, Swosti Kiran, Arka RoyChowdhury, Manish Taywade, BinodKumar Patro
ABSTRACT The epidemiological transition caused a significant non-communicable disease burden in all countries, including India. It can be tackled appropriately by integrating pharmacological and non-pharmacological interventions. The outcome of the disease or control status related to the disease condition depends significantly on patient education. Mnemonics is already an accepted way of improving cognition. The newer learning theories talk about different types of mnemonics and their role in imparting knowledge. We developed three mnemonics regarding essential information related to hypertension, diabetes mellitus, and obesity. It will help achieve better control status in those diseases by improving cognition.
摘要 流行病学转型给包括印度在内的所有国家造成了巨大的非传染性疾病负担。可以通过整合药物和非药物干预措施来适当解决这一问题。与疾病状况相关的疾病结果或控制状况在很大程度上取决于患者教育。记忆法已经是一种公认的提高认知能力的方法。较新的学习理论谈到了不同类型的记忆法及其在传授知识方面的作用。我们开发了三种与高血压、糖尿病和肥胖症相关的基本信息记忆法。这将有助于通过提高认知能力来更好地控制这些疾病。
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引用次数: 0
Prevalence of diabetes distress and its correlates among adults with type 2 diabetes mellitus in a primary health center of Bihar − A cross-sectional study 比哈尔邦一家初级保健中心 2 型糖尿病成人中糖尿病困扰及其相关因素的流行率 - 一项横断面研究
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_96_24
Bijaya Naik, R. Rao, Manisha Verma, SantoshKumar Nirala, Sanjay Pandey, Mounica Gera, Anuvarshini Ramalingam
ABSTRACT Diabetes is a chronic disease associated with many complications. Approximately 20% of people living with diabetes suffer from some form of depression. “Diabetes distress” (DD) is used to describe the significant negative psychological reactions related to emotional burdens and worries specific to an individual’s experience to manage severe, complicated chronic disease such as diabetes. To determine the proportion having DD and to identify the sociodemographic and morbidity related factors associated with the presence of DD among adults with Type2DM who are being treated at PHC Naubatpur, Bihar. This facility based cross-sectional analytical study was done over 3 months among 260 Type2DM patients attending PHC Naubatpur. Sociodemographic details and morbidity related details were collected followed by PAID questionnaire to assess DD Around 60% of the participants were of age ≤60 years. Majority (63.8%) of the participants were having diabetes from past 1-10years. One-fourth (24.6%) of them were having score of ≥40, therefore having DD. Alcohol consumption and presence of diabetes complications in the participants were found to be independent predictors of DD. This study showed a high (24.6%) prevalence of DD. It is essential to identify high-risk patients with different mental health needs. Healthcare providers should focus on reducing DD and devise ways to increase self-care practices and coping skills.
摘要 糖尿病是一种伴有多种并发症的慢性疾病。大约 20% 的糖尿病患者患有某种形式的抑郁症。"糖尿病困扰"(DD)用于描述与个人管理严重、复杂的慢性疾病(如糖尿病)的经历中特有的情绪负担和担忧相关的显著负面心理反应。 在比哈尔邦 Naubatpur 初级保健中心接受治疗的 2 型糖尿病成人中,确定有 DD 的比例,并找出与存在 DD 相关的社会人口学和发病率因素。 这项以医疗机构为基础的横断面分析研究历时 3 个月,研究对象是在 Naubatpur 初级保健中心就诊的 260 名 2 型糖尿病患者。研究收集了社会人口详情和发病率相关详情,然后通过 PAID 问卷评估了 DD 约 60% 的参与者年龄在 60 岁以下。大多数参与者(63.8%)在过去 1-10 年间患有糖尿病。其中四分之一(24.6%)的人得分≥40,因此患有糖尿病。研究发现,饮酒和糖尿病并发症是预测 DD 的独立因素。 这项研究显示,糖尿病并发症的发病率很高(24.6%)。识别有不同心理健康需求的高危患者至关重要。医疗服务提供者应将重点放在减少糖尿病并发症上,并想方设法提高自我护理实践和应对技能。
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引用次数: 0
Comparison of isometric handgrip test among pregnant offspring of hypertensive parents and pregnant offspring of non-hypertensive parents 高血压父母的怀孕后代与非高血压父母的怀孕后代的等长手握试验比较
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_5_24
CS Siva Shankari, Aruna Raju, Uthpala Vadakaluru, S. Niveatha
ABSTRACT A family history of hypertension is one of the important risk factors for the development of pregnancy-induced hypertension (PIH). Offspring of hypertensive parents should be screened for PIH. The isometric handgrip (IHG) test is used to assess autonomic function among them. Autonomic function dysregulation can indicate their predisposition to develop PIH later in the course of pregnancy. To compare the IHG among pregnant offspring of hypertensive parents (Group 1) and non-hypertensive parents (Group 2). This is a cross-sectional study done among 100 pregnant women in the second trimester (50 participants in each group). Blood pressure responses to sustained hand grip for 2 minutes of maximum voluntary contraction (MVC) were recorded, immediately at the end of the IHG test and after 5 minutes of the IHG test. Independent t-test and Mann–Whitney U test were used to compare the responses in two groups. There is no statistical difference in basal blood pressure and heart rate between the two groups. Group 1 exhibited a significant increase in systolic blood pressure (SBP) and diastolic blood pressure (DBP) compared to Group 2 immediately after 2 minutes of the IHG test. There is a significant increase in SBP after 5 minutes of the IHG in Group 2. Offspring of hypertensive parents have increased sympathetic reactivity and restoration of the blood pressure is significantly less compared to offspring of normotensive parents, which may predispose them for PIH. IHG can be applied as a convenient tool to screen the population who are at risk of PIH in places like primary health centres or field screenings where IHG is one possible option.
摘要 高血压家族史是妊娠诱发高血压(PIH)的重要危险因素之一。高血压父母的后代应接受 PIH 筛查。等长握手(IHG)试验可用于评估他们的自主神经功能。自主神经功能失调可预示其在妊娠后期易患 PIH。 比较高血压父母(第 1 组)和非高血压父母(第 2 组)的妊娠后代的 IHG。 这是一项横断面研究,研究对象为 100 名怀孕后三个月的孕妇(每组 50 人)。分别在 IHG 测试结束后和 IHG 测试 5 分钟后记录持续握手 2 分钟最大自主收缩(MVC)时的血压反应。 采用独立 t 检验和 Mann-Whitney U 检验比较两组的反应。 两组的基础血压和心率没有统计学差异。IHG 试验 2 分钟后,第一组的收缩压(SBP)和舒张压(DBP)比第二组明显升高。IHG 5 分钟后,第 2 组的 SBP 明显升高。 与血压正常的父母的后代相比,高血压父母的后代交感神经反应性增高,血压恢复能力明显降低,这可能使他们容易患 PIH。IHG 可作为一种方便的工具,用于筛查初级保健中心或实地筛查等场所的 PIH 高危人群,IHG 是其中一种可能的选择。
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引用次数: 0
Awareness of school teachers about students common emergencies during school time in the eastern region, Saudi Arabia: A cross-sectional study 沙特阿拉伯东部地区学校教师对学生在校期间常见紧急情况的认识:横断面研究
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_1954_23
A. Alruwaili, Hajar Al Sulaiteen, A. Alanazy, Zahraa Almousa, Maryam Alshaqaqiq, Albatool Alhofufi, N. Almulhem, Zahraa Alibrahim
ABSTRACT Schools have to ensure student safety and well-being. However, medical emergencies involving injuries are common, requiring teachers to provide prompt first aid before professional care arrives. This study assessed knowledge and awareness of first aid among school teachers to identify areas needing improvement. This cross-sectional study surveyed 371 teachers from the eastern region primary schools using a standardized questionnaire assessing first aid knowledge across areas like bleeding control, fractures, seizures, choking, and burns. Demographic factors were analyzed for correlations with knowledge levels. Pearson’s Chi-square tests analyzed bivariate relationships comparing correct knowledge identification percentages across teacher sociodemographic. The level of statistical significance was at a P value <0.05 across tests. Only 157 teachers felt able to appropriately handle medical emergencies. Major knowledge gaps existed regarding airway obstruction and chemical injuries, with 168 unable to identify correct responses for choking first aid and 105 unsure of chemical burn management steps. Appropriate fracture management was lacking, with just 70 correctly endorsing nose pinch for nosebleeds. Cardiopulmonary resuscitation knowledge was inadequate, with 57 of teachers unaware of the basics. Teachers demonstrating higher knowledge levels overwhelmingly had prior first aid training (153, 66.5%) compared to untrained counterparts (89, 63.1%). The study revealed poor first aid knowledge among elementary school teachers for effectively managing child emergencies. Strategies enhancing delivery must address barriers around training access, knowledge attrition, and variability in baseline skills through sustainable system-wide policies applied nationally. Fulfilling schools’ ethical obligations toward maintaining student safety requires urgent reforms to bolster emergency preparedness.
摘要 学校必须确保学生的安全和福祉。然而,受伤的紧急医疗事件屡见不鲜,这就要求教师在专业护理人员到达之前及时提供急救。本研究对学校教师的急救知识和意识进行了评估,以找出需要改进的地方。 这项横断面研究使用标准化问卷调查了东部地区小学的 371 名教师,评估了他们在止血、骨折、癫痫、窒息和烧伤等方面的急救知识。研究分析了人口统计学因素与知识水平的相关性。皮尔逊卡方检验分析了教师社会人口学正确知识识别百分比的二元关系。所有测试的统计显著性水平均为 P 值小于 0.05。 只有 157 名教师认为自己能够恰当地处理医疗紧急情况。在气道阻塞和化学伤害方面存在较大的知识差距,168 名教师无法确定窒息急救的正确应对措施,105 名教师不清楚化学烧伤的处理步骤。缺乏适当的骨折处理方法,仅有 70 人正确掌握了捏鼻止血的方法。心肺复苏知识不足,57 名教师不了解基本知识。知识水平较高的教师绝大多数都接受过急救培训(153 人,66.5%),而未接受过培训的教师只有 89 人(63.1%)。 研究表明,小学教师的急救知识水平较低,无法有效处理儿童突发事件。提高培训效果的策略必须通过在全国范围内实施可持续的全系统政策,解决培训机会、知识流失和基线技能差异等方面的障碍。要履行学校维护学生安全的道德义务,就必须进行紧急改革,加强应急准备。
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引用次数: 0
Analysis of acute poisoning cases at a tertiary care hospital 一家三级医院的急性中毒病例分析
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_1653_23
Harish Gupta
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引用次数: 0
1947 Partition of India and its lessons 1947 年印度分裂及其教训
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_398_24
Harish Gupta
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引用次数: 0
Advancing insights into non-alcoholic fatty liver disease: A critical analysis of ultrasonography and beyond 增进对非酒精性脂肪肝的了解:对超声波及其他技术的批判性分析
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_419_24
Swati Ghonge, S. M. Vajjala
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引用次数: 0
期刊
Journal of Family Medicine and Primary Care
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