RESUMO
AIMS AND OBJECTIVES: To review community programmes promoting self-care or self-management for older people with chronic disease in Thailand. BACKGROUND: Identifying successful elements of culturally appropriate and effective community-based interventions to promote self-care with chronic illness is increasingly important. DESIGN: Integrative review. DATA SOURCES: CINAHL, Medline, Health Source Nursing Academic databases. METHODS: Integrative review of peer-reviewed articles written between 1946-2012. Articles were included if they described self-care, self-management, chronic disease and community care interventions targeting older people in Thailand. RESULTS: Of the 58 articles retrieved, only 13 articles met the eligibility criteria. Elements of effective interventions included: (1) providing culturally sensitive information, (2) including approaches of shared decision-making and mutual goal setting and (3) flexibility within the intervention to adapt to participant needs. CONCLUSIONS: Shared decision-making and mutual goal setting between interventionists and patients improved health behaviours and outcomes. Moreover, the flexibility to adopt the intervention to local characteristics demonstrated positive results. RELEVANCE TO CLINICAL PRACTICE: Promoting effective self-care and self-management behaviours is critical to improving outcomes for chronic conditions. The tailoring and targeting of interventions appropriate to individuals and communities are likely to be most effective in leveraging behaviour change. This review has identified that mutual goal setting improved health behaviours. The flexibility to adopt self-care interventions to community-based settings showed improved patient outcomes.
Assuntos
Enfermagem em Saúde Comunitária , Tomada de Decisões , Autocuidado , Idoso , Idoso de 80 Anos ou mais , Doença Crônica/enfermagem , Serviços de Saúde para Idosos , Humanos , Processo de Enfermagem , TailândiaRESUMO
INTRODUCTION: Aboriginal and Torres Strait Islander children have higher rates of disability than non-Indigenous children and are considered doubly disadvantaged, yet there is very little data reflecting prevalence and service access to inform design and delivery of services. Failing to address physical, social, and psychological factors can have life-long consequences and perpetuate longstanding health disparities. METHODS: A narrative literature review was undertaken to identify peer reviewed literature describing factors impacting on the prevention, recognition, and access to support and management of disability in Indigenous Australian children. RESULTS: Twenty-seven peer-reviewed journal articles met inclusion criteria. The majority of articles focused on the hearing loss and learning disabilities consequent of otitis media. Few articles reported data on urban or metropolitan Indigenous populations or described interventions. Individual/community-, provider-, and systems level factors were identified as impacting on recognition and management of disability in young Indigenous children. CONCLUSIONS: Given the burden of childhood disability, the limited literature retrieved is concerning as this is a barometer of activity and investment. Solutions addressing childhood disability will require collaboration between health, social and educational disciplines as well as an increased investment in prevention, identification and promotion of access.
Assuntos
Crianças com Deficiência/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Havaiano Nativo ou Outro Ilhéu do Pacífico/estatística & dados numéricos , Austrália/epidemiologia , Criança , Serviços de Saúde da Criança , Acessibilidade aos Serviços de Saúde , Humanos , PrevalênciaRESUMO
BACKGROUND: Pneumonia is a common cause of hospitalization in Aboriginal and Torres Strait Islander men and women. AIM: This article seeks to describe the importance of immunizing against pneumonia in Aboriginal Australians and suggest strategies for screening and follow-up. METHOD: An integrative literature review, using both published and gray literature was undertaken to identify methods of screening and surveillance strategies for pneumococcus. RESULTS: The literature was summarized under the following themes: Pneumococcal disease; prevention strategies; access to care; improving access to vaccinations; culturally competent interventions and the role of Aboriginal health professionals. CONCLUSION: Community controlled conditions and the role of the Aboriginal Health Workers are seen as critical to reducing health disparities. Nurses can play a critical role in bridging the gap between mainstream and community controlled organizations. Working to increase the numbers of Aboriginal health professionals is a critical step in improving health outcomes for Aboriginal and Torres Strait Islander peoples.
Assuntos
Pessoal de Saúde , Havaiano Nativo ou Outro Ilhéu do Pacífico , Processo de Enfermagem , Infecções Pneumocócicas/epidemiologia , Papel Profissional , Austrália/epidemiologia , Feminino , Acessibilidade aos Serviços de Saúde , Humanos , Masculino , Infecções Pneumocócicas/prevenção & controleRESUMO
Cardiovascular disease (CVD) is the number one killer of women worldwide, and it remains the primary cause of death and disability in both developed and developing countries. The International Council on Women's Health Issues is an international nonprofit association dedicated to the goals of promoting the health, health care, and the well-being of women. Based on the outcomes of a facilitated discussion at its 18th biannual meeting, delegates aim to raise awareness about the potent influence of gender-specific factors on the development, progression, and outcomes of CVD. Key recommendations for decreasing the burden of CVD are also discussed.
Assuntos
Congressos como Assunto , Saúde da Mulher , Doenças Cardiovasculares/prevenção & controle , Consenso , Feminino , Política de Saúde , Humanos , Fatores de Risco , Fatores Sexuais , Sociedades Científicas , Saúde da Mulher/tendências , Organização Mundial da SaúdeRESUMO
The International Council on Women's Health Issues (ICOWHI) is an international nonprofit association dedicated to the goal of promoting health, health care, and well-being of women and girls throughout the world through participation, empowerment, advocacy, education, and research. We are a multidisciplinary network of women's health providers, planners, and advocates from all over the globe. We constitute an international professional and lay network of those committed to improving women and girl's health and quality of life. This document provides a description of our organization mission, vision, and commitment to improving the health and well-being of women and girls globally.
Assuntos
Redes Comunitárias/organização & administração , Promoção da Saúde/organização & administração , Relações Interprofissionais , Saúde da Mulher , Direitos da Mulher , Adolescente , Adulto , Comportamento Cooperativo , Feminino , Saúde Global , Humanos , Cooperação Internacional , Sociedades/organização & administração , Serviços de Saúde da Mulher/organização & administraçãoRESUMO
Abstract Background: Pneumonia is a common cause of hospitalization in Aboriginal and Torres Strait Islander men and women. Aim: This article seeks to describe the importance of immunizing against pneumonia in Aboriginal Australians and suggest strategies for screening and follow-up. Method: An integrative literature review, using both published and grey literature was undertaken to identify methods of screening and surveillance strategies for pneumococcus. Results: The literature was summarized under the following themes: pneumococcal disease; prevention strategies; access to care; improving access to vaccinations; culturally competent interventions and the role of Aboriginal health professionals. Conclusion: Community controlled conditions and the role of the Aboriginal Health Workers are seen as critical to reducing health disparities. Nurses can play a critical role in bridging the gap between mainstream and community controlled organizations. Working to increase the numbers of Aboriginal health professionals is a critical step in improving health outcomes for Aboriginal and Torres Strait Islander peoples.