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Evaluation of the health literacy levels of patients applying to FamilyMedicine outpatient clinics 家庭医学门诊患者健康素养水平评价
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/FMPCR.2021.105907
Z. Gamsızkan, M. Sungur
Background. Today, the concept of health literacy is used to determine the health needs of the population in parallel with ever-increasing health knowledge. Objectives. The aim of the study is to evaluate the health literacy level of patients who apply to the Family Medicine preventive health services of Düzce University Hospital and to investigate the relevant factors that may be related to health literacy. Material and methods. This study was a cross-sectional study carried out between October 2018 and April 2019. The patients were evaluated utilizing the “Health Literacy Survey-European Union (HLS-EU)” scale. The study took place in Düzce Medical Faculty Hospital, Turkey. Results. A total of 816 patients, 48.5% (n = 396) of them male and 51.4% (n = 420) female, were included in the study. The general health literacy levels of the patients were as follows: 30.6% (n = 250) insufficient, 33.4% (n = 272) limited, 28.9% (n = 236) sufficient, 7.1% (n = 58) excellent. According to all subdimensions and matrix averages of the scale used in the study, the mean score that patients received in understanding and applying health information in the disease prevention dimension (8.45 ± 2.30, 8.10 ± 2.38, respectively) was found to be lower than health care (11.20 ± 2.72, 11.63 ± 3.01, respectively). Conclusions. The study results revealed a lower level of health literacy in terms of disease prevention rather than healthcare utilization. Initiatives to increase people’s knowledge of disease prevention should be planned.
背景。今天,卫生知识普及的概念被用来确定人口的卫生需求,与此同时,卫生知识也在不断增加。目标。本研究旨在评估申请浙江大学附属医院家庭医学预防保健服务的患者的健康素养水平,并探讨可能影响健康素养的相关因素。材料和方法。这项研究是在2018年10月至2019年4月期间进行的一项横断面研究。采用“欧盟健康素养调查(HLS-EU)”量表对患者进行评估。该研究在土耳其d zce医学院医院进行。结果。共纳入816例患者,其中男性占48.5% (n = 396),女性占51.4% (n = 420)。患者总体健康素养水平为:250人(30.6%)素质不高,272人(33.4%)素质一般,236人(28.9%)素质良好,58人(7.1%)素质优良。根据量表各子维度及矩阵平均,患者在疾病预防维度对健康信息的理解和应用的平均得分(分别为8.45±2.30、8.10±2.38)低于卫生保健维度(分别为11.20±2.72、11.63±3.01)。结论。研究结果显示,在疾病预防方面,而不是在医疗保健利用方面,卫生素养水平较低。应规划提高人们对疾病预防知识的举措。
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引用次数: 0
Association between frailty status and cognitive performance of elderly patients attending the Family Medicine Outpatient Clinic in Ismailia, Egypt 衰弱状态与在埃及伊斯梅利亚家庭医学门诊就诊的老年患者认知表现之间的关系
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/FMPCR.2021.105933
R. Saudi, E. Tosson, H. Salama
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引用次数: 1
The role of nutrition in the treatment of irritable bowel syndrome 营养在肠易激综合征治疗中的作用
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/fmpcr.2021.108206
A. Aoun, J. Maalouf, Sara Khalil, V. Khoury
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引用次数: 1
Evaluating the level of professional moral courage of pre-hospital emergency staff in the management of patients with COVID-19 院前急救人员在COVID-19患者管理中的职业道德勇气水平评价
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/fmpcr.2021.110352
F. Aliakbari, M. Heidari, Sadegh Heydarpoor, Salman Yadollahi, Rahim Ali Sheikhi
A – Study design, B – Data Collection, C – Statistical Analysis, D – Data Interpretation, E – Manuscript Preparation, F – literature Search, G – Funds Collection Background. emergency medical Services (emS) are an important part of the healthcare system. decision making is the most important part of their profession, as they often have to make a quick decision and act upon it, despite the critical conditions of the patient. They are often the first to deal with COVID-19, and they experience severe physical, mental or moral stress. Objectives. The aim of this study was to determine the level of Professional Moral Courage (PMC) of Pre-Hospital Emergency (PHE) staff in the management of patients with COVID-19. Material and methods. This descriptive, analytical study was conducted in 2020. A total of 200 PHE staff entered the study, recruited by the census sampling method. Data collection was undertaken using a validated moral courage questionnaire. The data was analyzed using SPSS version/21 with descriptive and analytic tests. Results. The mean age of the participants was 34.42 ± 7.14, and mean of their work experience was 10.29 ± 6.59 years, of the mean moral courage score was 90.77 ± 2.97. There was a significant relationship between the mean score of moral courage and age, type of employment and participation in disaster exercises and training courses ( p < 0.001). Conclusions. The findings of the study showed a significant relationship between various variables and level of moral courage in PHE staff. Awareness of the moral courage of PHE staff is the first step to improve their preparedness. This study provides evidence of the need and potential positive impact of moral education opportunities for healthcare team. the
A -研究设计,B -数据收集,C -统计分析,D -数据解释,E -论文准备,F -文献检索,G -资金收集背景。紧急医疗服务(emS)是医疗保健系统的重要组成部分。决策是他们职业中最重要的部分,因为他们经常必须做出快速决定并采取行动,尽管病人的情况危急。他们往往是第一批应对COVID-19的人,他们经历着严重的身体、精神或道德压力。目标。本研究的目的是确定院前急救(PHE)人员在COVID-19患者管理中的职业道德勇气(PMC)水平。材料和方法。这项描述性分析研究于2020年进行。共有200名PHE工作人员参与了这项研究,他们是通过人口普查抽样方法招募的。使用有效的道德勇气问卷进行数据收集。数据采用SPSS version/21进行描述性检验和分析性检验。结果。参与者的平均年龄为34.42±7.14岁,平均工作经验为10.29±6.59岁,平均道德勇气得分为90.77±2.97分。道德勇气平均分与年龄、就业类型、参加灾害演习和培训课程有显著相关(p < 0.001)。结论。该研究的结果表明,各种变量与公共卫生部门员工的道德勇气水平之间存在显著关系。认识到公共卫生部门员工的道德勇气是提高他们准备工作的第一步。本研究提供医疗团队道德教育机会的必要性及潜在正面影响的证据。的
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引用次数: 0
The role of diabetes self-care education and practice in the management of type 2 diabetes mellitus (T2DM) 糖尿病自我保健教育与实践在2型糖尿病(T2DM)治疗中的作用
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/fmpcr.2021.110350
Olusegun Adams, Olabode M. Shabi, Busuyi Kolade Akinola, Olusegun E. Gabriel, Ibrahim S. Bello, Ololade Akinpelu
A – study design, B – Data Collection, C – Statistical Analysis, D – Data Interpretation, E – Manuscript Preparation, F – literature search, G – Funds Collection Background. diabetes self-care is yet to be incorporated into diabetes management policy, hence the need to establish its practice as an essential catalyst for good glycemic control in the management of diabetes patients. Objectives. This study was aimed at determining the role of diabetes self-care education (DSME) and practice in the management of T2DM patients. Material and methods. A hospital-based study was conducted on 120 adults with T2DM who had been presenting at the clinic for at least two months. The study participants were divided into two groups. Group 1 was the test group and had DSME, while group 2 served as the control. Data was collected using a questionnaire, and clinical parameters of glycemic control were measured both pre-and post-intervention period. Results. A significant relationship was found between diabetes education, diabetes self-care and glycemic control. This was demon strated by the significant difference in the proportion of those who achieved good FPG from 28.3% pre-intervention to 51.7% post--intervention ( p = 0.001); 2HPP from 30% to 46.7% ( p = 0.060) and HbA 1c from 53.3% to 85% ( p < 0.001) in the test group; while that of the control was FPG 18.3% to 30% ( p = 1.355), 2HPP 11.7% to 26.7% ( p = 0.369) and HbA 1c 43.3% to 53.3% ( p = 0.804). This showed a significant improvement in the glycemic control of the test group compared to the control group. Conclusions. We conclude that good knowledge and practice of diabetes self-care is relevant to the achievement of good glycemic control.
A -研究设计,B -数据收集,C -统计分析,D -数据解释,E -稿件准备,F -文献检索,G -资金收集背景。糖尿病自我保健尚未纳入糖尿病管理政策,因此需要将其实践作为糖尿病患者管理中良好血糖控制的重要催化剂。目标。本研究旨在确定糖尿病自我保健教育(DSME)和实践在T2DM患者管理中的作用。材料和方法。一项以医院为基础的研究对120名在诊所就诊至少两个月的成年2型糖尿病患者进行了研究。研究参与者被分为两组。组1为试验组,存在DSME,组2为对照组。采用问卷调查收集数据,并测量干预前后血糖控制的临床参数。结果。糖尿病教育、糖尿病自我护理与血糖控制之间存在显著关系。获得良好FPG的比例从干预前的28.3%显著差异到干预后的51.7% (p = 0.001),证明了这一点;试验组hpp从30%降至46.7% (p = 0.060), HbA 1c从53.3%降至85% (p < 0.001);对照组FPG 18.3% ~ 30% (p = 1.355), 2HPP 11.7% ~ 26.7% (p = 0.369), HbA 1c 43.3% ~ 53.3% (p = 0.804)。这表明,与对照组相比,试验组的血糖控制有了显著改善。结论。我们得出结论,良好的糖尿病自我保健知识和实践与实现良好的血糖控制有关。
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引用次数: 2
Early detection of diabetic nephropathy based on albumin creatinine ratio (acr) in type 2 diabetes mellitus patients in Medan. Indonesia 棉兰地区2型糖尿病患者白蛋白肌酐比值(acr)对糖尿病肾病的早期检测。印尼
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/fmpcr.2021.105903
R. Amelia, D. Sari, R. Muzasti, I. Fujiati, H. Wijaya
Background. Diabetic nephropathy (DN) is one of the chronic microvascular complications of type 2 diabetes mellitus (T2DM). Microalbuminuria is a marker that can be used in detecting these complications so that preventive measures can be taken. Objectives. This study aimed to detect DN as T2DM complications by measurement of the urine albumin-to-creatinine ratio (ACR) as a marker and to analyze the factors that may influence the ratio in T2DM patients. Material and methods. The study design was a correlative study with a cross-sectional approach. The study population was all T2DM patients who regularly visit the diabetic clinic and primary health care in Medan. The sample size consisted of 89 subjects, while the subjects were recruited by consecutive sampling. Data was processed using SPSS and was analyzed using descriptive statistics and one-way ANOVA. Results. The study results showed that most T2DM patients had normal to mildly increased ACR levels in 49 subjects (55.1%). There was a relationship between increased ACR levels with blood glucose level (BGL) ( p = 0.01), HbA 1c ( p = 0.03), HDL-C ( p = 0.01) and triglyceride ( p = 0.04). In contrast, increased ACR levels had no relationship with age ( p = 0.27), duration of illness ( p = 0.13), systolic blood pressure ( p = 0.31), total cholesterol ( p = 0.90) and LDL-C ( p = 0.89), respectively. Conclusions. The study showed that BGL, HbA 1c , HDL-C and triglyceride had a strong relationship with the increased ACR level, which is believed to be a DN marker. ACR can be a screening tool for DN in T2DM patients and other T2DM complications, such as cardiovascular complications and retinopathy.
背景。糖尿病肾病(DN)是2型糖尿病(T2DM)的慢性微血管并发症之一。微量白蛋白尿是一种可用于检测这些并发症的标志物,以便采取预防措施。目标。本研究旨在通过测量尿白蛋白与肌酐比值(ACR)作为指标,检测DN是否为T2DM并发症,并分析影响该比值的因素。材料和方法。本研究设计为相关研究,采用横断面方法。研究人群为定期到棉兰市糖尿病诊所和初级卫生保健机构就诊的2型糖尿病患者。样本量为89名受试者,采用连续抽样方式招募受试者。数据处理采用SPSS统计软件,分析采用描述性统计和单因素方差分析。结果。研究结果显示,49例(55.1%)T2DM患者ACR水平正常至轻度升高。ACR水平升高与血糖水平(BGL) (p = 0.01)、HbA 1c (p = 0.03)、HDL-C (p = 0.01)和甘油三酯(p = 0.04)呈正相关。相比之下,ACR水平升高与年龄(p = 0.27)、病程(p = 0.13)、收缩压(p = 0.31)、总胆固醇(p = 0.90)和LDL-C (p = 0.89)无关。结论。研究表明,BGL、HbA 1c、HDL-C和甘油三酯与ACR水平升高有密切关系,ACR水平被认为是DN的标志。ACR可作为T2DM患者及其他T2DM并发症(如心血管并发症和视网膜病变)中DN的筛查工具。
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引用次数: 3
Burnout, psychological disorders and perceived quality of care among pediatricians in the western region of Saudi Arabia 沙特阿拉伯西部地区儿科医生的职业倦怠、心理障碍和感知护理质量
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/FMPCR.2021.105928
Rana Rahimaldeen, K. Aboalshamat, B. Almehmadi, Bayadir Aljubairy, A. Aljohani, Khulud I Nur, Hifa Alsuhaibany
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引用次数: 1
Unmet dental needs in children – a cross-sectional study of 0.6 million children in the United States 儿童未满足的牙科需求——一项对美国60万儿童的横断面研究
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/FMPCR.2021.105929
Irene Rethemiotaki
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引用次数: 0
Treatment of cervical intraepithelial neoplasia in outpatient practice 宫颈上皮内瘤变的门诊治疗
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/fmpcr.2021.108196
Y. Kornovski, Y. Ivanova, S. Kostov, S. Slavchev, A. Yordanov
Background. the treatment of cin is based on two criteria: colposcopic assessment of the altered area and histological verification – the presence and degree of dysplasia are histological diagnoses. Objectives. To present some destructive (cryodestruction, CO2 laser vaporisation, radiofrequency ablation) and excisional (LLETZ/ /SWETZ) treatment techniques for cervical intraepithelial neoplasia (CIN), their selection criteria and application in outpatient practice. Material and methods. This is a retrospective study over a period of one year, which included 101 patients with histologically verified CIN. The diagnosis was made after targeted biopsy under colposcopic control or through a see-and-treat strategy. The following methods were applied: video colposcopy, co2 laser vaporisation using video colposcopy, cryodestruction, LLETZ (SWETZ) under video colposcopic control. Results. Destruction treatment was administered to 46 patients (45.5%). Excision therapy was performed on 55 patients (54.5%). CO2 laser vaporisation was performed on 20 (43.5%) of the patients with destructive treatment, cryodestruction – on 20 (43.5%), and radiofrequency ablation – on 6 (13%) patients. All patients on excision therapy underwent the LLETZ procedure. After a median follow-up of 2.5 years, no high grade squamous intraepithelial lesion (HGSIL) recurrence was observed. Conclusions. The characteristics of the altered area, the squamous-cylindrical epithelium border and degree of CIN’s are decisive for the choice of treatment method – destruction or excision. The role of colposcopy, in this respect, is essential. CINs are successfully treated in an outpatient setting by destructive (CO2 laser vaporisation, cryodestruction) and excisional methods (LLETZ, SWETZ).
背景。cin的治疗基于两个标准:阴道镜对改变区域的评估和组织学验证-不典型增生的存在和程度是组织学诊断。目标。介绍宫颈上皮内瘤变(CIN)的几种破坏性(冷冻破坏、CO2激光汽化、射频消融)和切除(LLETZ/ /SWETZ)治疗技术、选择标准及在门诊的应用。材料和方法。这是一项为期一年的回顾性研究,包括101例组织学证实的CIN患者。诊断是在阴道镜控制下或通过观察和治疗策略进行靶向活检后做出的。采用视频阴道镜、视频阴道镜下co2激光汽化、冷冻破坏、视频阴道镜控制下的LLETZ (SWETZ)。结果。破坏治疗46例(45.5%)。手术切除治疗55例(54.5%)。CO2激光汽化20例(43.5%),冷冻破坏20例(43.5%),射频消融6例(13%)。所有接受切除治疗的患者都进行了LLETZ手术。中位随访2.5年后,未观察到高级别鳞状上皮内病变(HGSIL)复发。结论。改变区域的特征,鳞状-圆柱形上皮边界和CIN的程度是选择治疗方法-破坏或切除的决定性因素。在这方面,阴道镜检查的作用是必不可少的。通过破坏性(CO2激光汽化,冷冻破坏)和切除方法(LLETZ, SWETZ)在门诊环境中成功治疗CINs。
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引用次数: 0
Correlation between maternal hemoglobin and serum transferrin receptor with lactoferrin concentration in breastfeeding mothers 哺乳期母亲血红蛋白和血清转铁蛋白受体与乳铁蛋白浓度的关系
IF 0.7 Q4 PRIMARY HEALTH CARE Pub Date : 2021-01-01 DOI: 10.5114/fmpcr.2021.110364
M. Zen Rahfiludin, Dina Rahayuning Pangestuti, S. Suyatno, S. Suroto
Background. Human milk is rich in both nutrient and non-nutrient content which leads to many benefits for the growth and development of children’s and mothers’ bodies. lactoferrin is one of the main proteins contained in human milk, and the factors that affect its concentration are important to comprehend. Objectives. This study aimed to analyze the correlation between hemoglobin and serum transferrin receptor with lactoferrin concen tration in human milk. Material and methods. This cross-sectional study was conducted from September to November 2017. The subjects were 79 pregnant mothers in three working areas of the primary health centers in semarang City, indonesia. hemoglobin and serum transferrin receptor data was obtained from blood during the third trimester of pregnancy, while lactoferrin concentration was measured in milk after de -livery. Hemoglobin concentration was measured using cyanmethemoglobin, serum transferrin receptor concentration using enzyme--linked immunosorbent assay (ELISA), and lactoferrin concentration using a human lactoferrin ELISA. Data analysis was performed with Spearman's rank correlation coefficient using SPSS version 23. Results. There was no correlation between maternal hemoglobin and lactoferrin concentration ( p = 0.636). There was also no correla tion between serum transferrin receptor and lactoferrin concentration ( p = 0.688). Hemoglobin and serum transferrin receptors did not affect the concentration of lactoferrin in breastfeeding mothers. Conclusions. The mechanism of lactoferrin homeostasis in human milk is still not completely understood. Further studies on this are important in order to promote a better quality of health for mothers and their children.
背景。母乳富含营养和非营养成分,对儿童和母亲身体的生长发育有很多好处。乳铁蛋白是母乳中含有的主要蛋白质之一,了解影响其浓度的因素很重要。目标。本研究旨在分析人乳中乳铁蛋白浓度与血红蛋白、血清转铁蛋白受体的相关性。材料和方法。本横断面研究于2017年9月至11月进行。研究对象是印度尼西亚三宝垄市初级保健中心三个工作区域的79名孕妇。血红蛋白和血清转铁蛋白受体数据是在妊娠晚期从血液中获得的,而乳铁蛋白浓度是在分娩后测定的。血红蛋白浓度用氰高铁血红蛋白测定,血清转铁蛋白受体浓度用酶联免疫吸附试验(ELISA)测定,乳铁蛋白浓度用人乳铁蛋白ELISA测定。数据分析采用SPSS version 23,采用Spearman等级相关系数。结果。母体血红蛋白与乳铁蛋白浓度无相关性(p = 0.636)。血清转铁蛋白受体与乳铁蛋白浓度也无相关性(p = 0.688)。血红蛋白和血清转铁蛋白受体不影响母乳喂养母亲的乳铁蛋白浓度。结论。人乳中乳铁蛋白稳态的机制尚不完全清楚。为了提高母亲及其子女的健康质量,这方面的进一步研究非常重要。
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引用次数: 0
期刊
Family Medicine and Primary Care Review
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