Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 18.519
Filtrar
1.
Cancer Control ; 28: 1073274821989709, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33563050

RESUMEN

The 2019 novel coronavirus (COVID-19) pandemic has prompted the reorganization in the scheduling and method of care for many patients, including patients diagnosed with cancer. Cancer patients, who have an immunocompromised status, may be at a higher risk of severe symptoms from infection with COVID-19. While information is rapidly evolving regarding COVID-19, Canada, both nationally and provincially, has been conveying new information to patients online. We assessed the content and readability of COVID-19-related online Canadian patient education material (PEM) for cancer patients to determine if the content of the material was written at a grade reading level that the majority of Canadians can understand. PEMs were extracted from provincial cancer agencies and the national Canadian Cancer Society, evaluated using 10 readability scales, qualitatively analyzed to identify their themes and difficult word content. Thirty-eight PEMs from both national and provincial cancers associations were, on average, written above the recommended 7th grade level. Each of the associations' average grade levels were: BC Cancer (11.00 95% confidence interval [CI] 8.27-13.38), CancerControl Alberta (10.46 95% CI 8.29-12.62), Saskatchewan Cancer Agency (11.08 95% CI 9.37-12.80), Cancer Care Manitoba (9.55 95% CI 6.02-13.01), Cancer Care Ontario (9.35 95% CI 6.80-11.90), Cancer Care Nova Scotia (10.95 95% CI 9.86-12.04), Cancer Care Eastern Health Newfoundland and Labrador (10.14 95% CI 6.87-13.41), and the Canadian Cancer Society (10.06 95% CI 8.07-12.05). Thematic analysis identified 4 themes: public health strategy, information about COVID-19, patient instructions during COVID-19, and resources. Fifty-three percent of the complex words identified were medical jargon. This represents an opportunity to improve PEM readability, to allow for greater comprehension amongst a wider target audience.


Asunto(s)
/prevención & control , Servicios de Salud , Oncología Médica/métodos , Neoplasias/terapia , Educación del Paciente como Asunto/métodos , /aislamiento & purificación , /epidemiología , Canadá , Comprensión , Alfabetización en Salud , Humanos , Neoplasias/diagnóstico , Pandemias , Educación del Paciente como Asunto/estadística & datos numéricos , Educación del Paciente como Asunto/tendencias , Lectura , /fisiología
3.
J Electrocardiol ; 64: 72-75, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33348137

RESUMEN

In response to the COVID-19 pandemic, a protocol was designed for mail-out devices and educational materials created to teach patients how to install a device for 2 weeks of continuous ambulatory ECG monitoring. We compared data collection from two sequential patient populations; one who received standard device application in the same clinic in the months before the pandemic response, and another, who received their device by mail for self-installation. Patients received a single phone call when the device was mailed and were able to contact the manufacturer as needed for support. A total of 47 devices were assessed from each group. Each group was similar in age (70 vs 65 years), and clinical indication for monitoring. Noise signal magnitude (22.34 vs 26.28%), symptom based manual activation (10 vs 8 events) and APB/recorded hour burden measurements (37.05 vs 23.36%) were similar in both groups (all comparisons were statistically non-significant). Both groups had a similar mean of hours recorded (240.37 vs. 245.05 h). Zero patient kits were lost, and all reports were delivered. Overall, it was found that a mail-delivered home-based recording platform can be reliably used to acquire clinical data with similar data quality and patient compliance as a conventional in-clinic model for long term ambulatory ECG monitoring.


Asunto(s)
Electrocardiografía Ambulatoria , Educación del Paciente como Asunto/métodos , Anciano , Electrocardiografía Ambulatoria/instrumentación , Electrocardiografía Ambulatoria/métodos , Femenino , Servicios de Atención de Salud a Domicilio , Humanos , Masculino , Persona de Mediana Edad , Automanejo
4.
Res Social Adm Pharm ; 17(1): 2002-2004, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33317768

RESUMEN

BACKGROUND: Community pharmacists and their teams are easy accessible healthcare providers with an important role in primary care. As a consequence of the COVID-19 epidemic, (pharmaceutical) care and specifically communication between patients and healthcare providers is compromised. OBJECTIVE: To describe the impact of the COVID-19 epidemic on the provision of pharmaceutical care in the Netherlands. METHODS: A cross-sectional study with an online questionnaire was sent to community pharmacies in the Netherlands. The questionnaire covered the following main topics: changes in pharmacy setting and logistic procedures, communication about medication and baseline characteristics. RESULTS: Pharmacies implemented hygiene measures and minimized direct patient-provider contact, e.g. by delivering medication at home to a wider range of patients (47.0%), temporarily not conducting medication reviews (55.8%) and only performing inhalation instructions via telephone (22.3%). Only a small number of pharmacies used telepharmacy, such as video calling during patient education and counseling. A total of 76.7% of the participants expressed concerns towards the pharmaceutical care for vulnerable patients. CONCLUSIONS: Our results show considerable impact of the COVID-19 epidemic on both logistic procedures and services regarding patient education and counseling. Pharmacies should be stimulated to implement telepharmacy or remote service to optimally support patients during the COVID-19 epidemic.


Asunto(s)
/epidemiología , Servicios Comunitarios de Farmacia/organización & administración , Farmacéuticos/organización & administración , Adulto , Comunicación , Estudios Transversales , Femenino , Accesibilidad a los Servicios de Salud , Humanos , Masculino , Persona de Mediana Edad , Países Bajos , Educación del Paciente como Asunto/métodos , Atención Primaria de Salud/organización & administración , Rol Profesional , Encuestas y Cuestionarios , Telemedicina/organización & administración
5.
Farm. hosp ; 44(6): 254-271, nov.-dic. 2020. tab, graf
Artículo en Español | IBECS | ID: ibc-197694

RESUMEN

OBJETIVO: Desarrollar un cuestionario en español dirigido a evaluar el proceso de información y obtención del consentimiento informado en investigación clínica desde la perspectiva del paciente. Con esta herramienta se pretende analizar en los pacientes que participan en un ensayo clínico los siguientes aspectos: la experiencia y desarrollo práctico del proceso de consentimiento informado, su nivel de satisfacción con dicho proceso y su nivel de comprensión del estudio. MÉTODO: Estudio de desarrollo, adaptación y validación de un cuestionario autocumplimentable para evaluar el proceso de consentimiento informado a través de la información obtenida de los pacientes. Los pasos seguidos fueron: revisión bibliográfica, generación de un pool de ítems, redacción del cuestionario, revisión por expertos, pilotaje, optimización y análisis de legibilidad. También se realizó una evaluación, selección, traducción y adaptación al español de una herramienta disponible en lengua inglesa que permitiese valorar la comprensión del paciente de la información. RESULTADOS: El cuestionario quedó conformado por cuatro apartados que permiten evaluar: 1) datos sociodemográficos, 2) aspectos prácticos relacionados con el desarrollo del proceso de consentimiento informado, 3) valoración del paciente del proceso (satisfacción, expectativas y motivaciones), 4) grado de comprensión. Para valorar la comprensión se seleccionó el cuestionario Quality of Informed Consent questionnaire, que fue traducido por tres traductores bilingües. Se incluyeron tres preguntas adicionales para evaluar la comprensión de conceptos relacionados con el equívoco terapéutico y el enmascaramiento de los tratamientos. La validez de contenido fue evaluada mediante consulta con un panel de expertos. En el análisis de legibilidad se obtuvo un valor de Índice de Flesch-Szigriszt de 64,34 equivalente a un grado de dificultad "normal" en la escala Inflesz. En el estudio piloto se entrevistó a 32 pacientes que mostraron no tener dificultades para comprender las preguntas ni problemas a la hora de utilizar las escalas de respuesta. El tiempo medio de cumplimentación del cuestionario fue de 16,6 minutos. CONCLUSIONES: La herramienta desarrollada es útil a la hora de conocer y valorar el proceso de consentimiento informado desde la perspectiva del paciente al que se le invita a participar en un estudio. Su aplicación podría resultar de ayuda a los investigadores para verificar que se ha seguido un adecuado proceso y para identificar aspectos concretos que son susceptibles de ser modificados y optimizados


OBJECTIVE: To develop a Spanish-language questionnaire aimed at evaluating patients' perception of the way they are briefed and their consent is obtained prior to participating in clinical trials. The tool was conceived to evaluate the following aspects: patients' personal experience, the way the informed consent process was implemented in practice, patients' level of satisfaction with the process, and their level of understanding of the study itself. METHOD: This study looked into the development, adaptation and validation of a self-administered questionnaire intended to evaluate the informed consent process on the basis of information provided by respondents. The steps followed included: literature review, generation of an items pool, drawing up of the questionnaire, expert review, piloting, and reading ease optimization and analysis. A commonly-used English-language questionnaire was evaluated, translated into Spanish and adapted so as to determine the extent to which subjects understood the information conveyed to them. RESULTS: In its final version, the questionnaire came to comprise four sections intended to evaluate: 1) socio-demographic data; 2) practical aspects related with the development of the informed consent process; 3) patients' perception of the process (satisfaction, expectations and motivations); and 4) their level of understanding. Understanding was gaged using the QuIC questionnaire, translated by three bilingual translators. Additional questions were included to evaluate the understanding of concepts related with blinding and therapeutic misconception. The validity of the contents was evaluated by consulting with an expert panel. The reading ease analysis yielded an IFSZ score of 64.34, equivalent to an "average difficulty" grade on the Inflesz scale. In the pilot study, interviews were held with 32 patients, who did not appear to have any difficulties in understanding the questions asked of them or in using Likert-type scales to respond. Mean completion time was 16.6 minutes. CONCLUSIONS: The tool developed as part of this study has shown itself capable of providing an understanding and an assessment of the informed consent process from the perspective of a patient who is invited to participate in a clinical trial. Implementation of the questionnaire could help investigators ascertain that the process has been correctly executed and identify specific aspects that may require to be changed or optimized


Asunto(s)
Humanos , Ensayos Clínicos como Asunto/normas , Consentimiento Informado , Sujetos de Investigación/educación , Educación del Paciente como Asunto/métodos , Selección de Paciente , Satisfacción del Paciente , Toma de Decisiones , Proyectos Piloto
6.
Math Biosci Eng ; 17(6): 7428-7441, 2020 10 28.
Artículo en Inglés | MEDLINE | ID: mdl-33378904

RESUMEN

Since the initial identification of a COVID-19 case in Wuhan, China, the novel disease quickly becomes a global pandemic emergency. In this paper, we propose a dynamic model that incorporates individuals' behavior change in social interactions at different stages of the epidemics. We fit our model to the data in Ontario, Canada and calculate the effective reproduction number $\mathcal{R}_t$ within each stage. Results show that $\mathcal{R}_t$ > 1 if the public's awareness to practice physical distancing is rela-tively low and $\mathcal{R}_t$ < 1 otherwise. Simulations show that a reduced contact rate between the susceptible and asymptomatic/unreported symptomatic individuals is effective in mitigating the disease spread. Moreover, sensitivity analysis indicates that an increasing contact rate may lead to a second wave of disease outbreak. We also investigate the effectiveness of disease intervention strategies. Simulations demonstrate that enlarging the testing capacity and motivating infected individuals to test for an early diagnosis may facilitate mitigating the disease spread in a relatively short time. Results also indicate a significantly faster decline of confirmed positive cases if individuals practice strict physical distancing even if restricted measures are lifted.


Asunto(s)
/prevención & control , Educación del Paciente como Asunto/métodos , Conducta Social , Algoritmos , Número Básico de Reproducción , Control de Enfermedades Transmisibles , Simulación por Computador , Brotes de Enfermedades , Humanos , Ontario/epidemiología , Pandemias , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
7.
Artículo en Inglés | MEDLINE | ID: mdl-33322161

RESUMEN

The objective of this study was to determine the impact of a postoperative educational intervention program on the health-related quality of life (HRQoL) of patients with hip fracture using a controlled clinical trial in a randomized, multicenter study. In total, 102 patients (45.5%) from trauma units at the two University Hospitals of the province of Cáceres received the educational program, whereas 122 (54.5%) did not. Patients were consecutively included in either an intervention or a control group. Patients from the intervention group received an educational program during admission and the postoperative period. Patients from the control group did not receive any educational program. These patients were managed according to routine protocols. The patients were predominantly female (76.3%), aged 84.6 years (SD 6.1). All dimensions in both groups at 12 months showed a significant decrease with respect to baseline, except for bodily pain in both groups (p = 0.447; p = 0.827) and social functioning in the intervention group (p = 0.268). Patients receiving the educational program showed higher levels in the dimensions of the Mental Component Summary (MCS-12) (p = 0.043), vitality (p = 0.010), and social functioning (p < 0.001), as well as in the dimensions of the SF-12 health survey questionnaire of HRQoL 12 months after surgery. In conclusion, our study of the intervention group showed that there were significant improvements in MCS-12, vitality, and social function dimensions compared to the control group.


Asunto(s)
Fracturas de Cadera/psicología , Dolor/prevención & control , Educación del Paciente como Asunto/métodos , Cuidados Posoperatorios/métodos , Calidad de Vida , Anciano de 80 o más Años , Femenino , Servicios de Salud para Ancianos , Fracturas de Cadera/cirugía , Humanos , Masculino , Evaluación de Resultado en la Atención de Salud , Encuestas y Cuestionarios
8.
Medicine (Baltimore) ; 99(50): e23657, 2020 Dec 11.
Artículo en Inglés | MEDLINE | ID: mdl-33327351

RESUMEN

WeChat in China has been used for public health education and the prevention of diseases. This study introduced a WeChat-based program for rabies prevention and evaluated the users' satisfaction with the program using the technology acceptance model.An online satisfaction questionnaire was used to survey 315 users who had followed the WeChat official account in China, and their satisfaction scores were assessed and analyzed.The users were generally satisfied with the WeChat-based program as an educational and instructional tool with the mean satisfaction score for each item ranging from 3.9 to 4.6 out of a maximum of 5.0 and the total mean satisfaction score of 41.5 out of a maximum of 50.0 (SD = 4.3). Urban users showed more satisfaction than rural users (P = .03). Users who were satisfied also reported that they intended to recommend WeChat to others (P = .00).Findings from the present study indicated that WeChat was considered a useful educational and instructional tool for dog-bite victims among young and urban population. This model of a WeChat-based program for rabies prevention should be expanded to other areas in China.


Asunto(s)
Mordeduras y Picaduras/epidemiología , Educación del Paciente como Asunto/métodos , Satisfacción del Paciente , Rabia/prevención & control , Medios de Comunicación Sociales , Adulto , Factores de Edad , Animales , China , Perros , Femenino , Humanos , Masculino , Estudios Prospectivos , Características de la Residencia , Adulto Joven
9.
Medicine (Baltimore) ; 99(46): e22873, 2020 Nov 13.
Artículo en Inglés | MEDLINE | ID: mdl-33181655

RESUMEN

BACKGROUND: A comprehensive geriatric assessment (CGA) of elderly patients is useful for detecting the patients vulnerabilities. Exercise and early rehabilitation, nutritional intervention, traditional Chinese medicine (TCM), standardized medication guidance, and patient education can, separately, improve and even reverse the physical frailty status. However, the effect of combining a CGA and multi-disciplinary management on frailty in elderly patients remains unclear. The present study assessed the effects of a CGA and multi-disciplinary management on elderly patients with frailty in China. METHODS: In this study, 320 in patients with frailty ≥70 years old will be randomly divided into an intervention group and a control group. The intervention group will be given routine management, a CGA and multi-disciplinary management involving rehabilitation exercise, diet adjustment, multi-drug evaluation, acupoint massage in TCM and patient education for 12 months, and the control group will be followed up with routine management for basic diseases. The primary outcomes are the Fried phenotype and short physical performance battery (SPPB). The secondary outcomes are the clinical frailty scale (CFS), non-elective hospital readmission, basic activities of daily living (BADL), 5-level European quality of life 5 dimensions index (EQ-5D), nutrition risk screening-2002 (NRS-2002), medical insurance expenses, fall events, and all-cause mortality. In addition, a cost-effectiveness study will be carried out. DISCUSSION: This paper outlines the protocol for a randomized, single-blind, parallel multi-center clinical study. This protocol, if beneficial, will demonstrate the interaction of various intervention strategies, will help improve elderly frailty patients, and will be useful for clinicians, nurses, policymakers, public health authorities, and the general population. TRIAL REGISTRATION: Chinese Clinical Trials Register, ChiCTR1900022623. Registered on April 19, 2019, http://www.chictr.org.cn/showproj.aspx?proj=38141.


Asunto(s)
Atención Integral de Salud/métodos , Anciano Frágil , Fragilidad/rehabilitación , Evaluación Geriátrica/métodos , Servicios de Salud para Ancianos , Actividades Cotidianas , Anciano , Anciano de 80 o más Años , China , Terapia por Ejercicio/métodos , Femenino , Humanos , Masculino , Medicina China Tradicional/métodos , Terapia Nutricional/métodos , Estado Nutricional , Grupo de Atención al Paciente , Educación del Paciente como Asunto/métodos , Calidad de Vida , Ensayos Clínicos Controlados Aleatorios como Asunto , Índice de Severidad de la Enfermedad , Método Simple Ciego , Resultado del Tratamiento
10.
Medicine (Baltimore) ; 99(46): e23102, 2020 Nov 13.
Artículo en Inglés | MEDLINE | ID: mdl-33181675

RESUMEN

BACKGROUND: Colonoscopy is considered a safe and effective tool for detecting colorectal cancer. Nevertheless, the proportion of patients are hesitating to receive colonoscopy. Smartphone education may decrease the barrier of colonoscopy. The aim of this study is to examine the effectiveness of smartphone education in colonoscopy. METHODS: We conducted a prospective, double-blinded, randomized, controlled study to examine the effectiveness of smartphone education on embarrassment, bowel preparation, and satisfaction in colonoscopy. The patients' embarrassment was measured by the colonoscopy embarrassment scale. The quality of the bowel preparation was evaluated by gastroenterologists according to the Aronchik Scale. The satisfaction of colonoscopy care was assessed by a satisfaction scale developed by the authors. RESULTS: A total of 150 patients were analyzed in the smartphone education and control groups (n = 75 in each group). The smartphone education group reported fewer embarrassment (B = -2.78, P = .02) than those of the control group, the patients who were older (B = .15, P = .001) and who were male (B = 2.91, P = .003) showed higher embarrassment. Additionally, smartphone education group were likely to have better colon preparation (odds ratio = 2.46, 95% confidence interval: 1.20-5.02) than that of the control group. Smartphone education also improved the satisfaction with care (ß = 4.60, P < .001), and above normal body mass index decreased the satisfaction with care (ß = -0.19, P < .05). CONCLUSION: Smartphone education improves embarrassment, bowel preparation, and satisfaction with care in patients receiving colonoscopy.


Asunto(s)
Colonoscopía/psicología , Neoplasias Colorrectales/diagnóstico , Instrucción por Computador , Cooperación del Paciente/psicología , Cuidados Preoperatorios , Teléfono Inteligente , Colonoscopía/métodos , Instrucción por Computador/instrumentación , Instrucción por Computador/métodos , Método Doble Ciego , Desconcierto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Evaluación de Resultado en la Atención de Salud , Educación del Paciente como Asunto/métodos , Satisfacción Personal , Cuidados Preoperatorios/métodos , Cuidados Preoperatorios/psicología
11.
West J Emerg Med ; 21(6): 52-60, 2020 Oct 06.
Artículo en Inglés | MEDLINE | ID: mdl-33052818

RESUMEN

The current coronavirus disease 2019 (COVID-19) pandemic is forcing healthcare systems around the word to organise care differently than before. Prompt detection and effective triage and isolation of potentially infected and infectious patients are essential to preventing unnecessary community exposure. Since there are as yet no medications to treat or vaccines to prevent COVID-19, prevention focuses on self-management strategies, creating patient education challenges for physicians doing triage and testing. This article describes a five-step process for effectively educating, at discharge, patients who are suspected of being infectious and instructed to self-isolate at home. We are proposing the CEdRIC strategy as a practical, straightforward protocol that meets patient education and health psychology science requirements. The main goal of the CEdRIC process is to give patients self-management strategies aimed at preventing complications and disease transmission. The COVID-19 pandemic is challenging clinicians to rapidly teach their patients self-management strategies while managing the inherent pressures of this emergency situation. The CEdRIC strategy is designed to deliver key information to patients and standardize the discharge process. CEdRIC is currently being tested at triage centres in Belgium. Formal assessment of its implementation is still needed.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Prestación de Atención de Salud/organización & administración , Pandemias/prevención & control , Educación del Paciente como Asunto/métodos , Neumonía Viral/prevención & control , Bélgica , Betacoronavirus , Humanos , Triaje/métodos
14.
Cochrane Database Syst Rev ; 10: MR000045, 2020 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-33026107

RESUMEN

BACKGROUND: Randomised trials (also referred to as 'randomised controlled trials' or 'trials') are the optimal way to minimise bias in evaluating the effects of competing treatments, therapies and innovations in health care. It is important to achieve the required sample size for a trial, otherwise trialists may not be able to draw conclusive results leading to research waste and raising ethical questions about trial participation. The reasons why potential participants may accept or decline participation are multifaceted. Yet, the evidence of effectiveness of interventions to improve recruitment to trials is not substantial and fails to recognise these individual decision-making processes. It is important to synthesise the experiences and perceptions of those invited to participate in randomised trials to better inform recruitment strategies. OBJECTIVES: To explore potential trial participants' views and experiences of the recruitment process for participation. The specific objectives are to describe potential participants' perceptions and experiences of accepting or declining to participate in trials, to explore barriers and facilitators to trial participation, and to explore to what extent barriers and facilitators identified are addressed by strategies to improve recruitment evaluated in previous reviews of the effects of interventions including a Cochrane Methodology Review. SEARCH METHODS: We searched the Cochrane Library, Medline, Embase, CINAHL, Epistemonikos, LILACS, PsycINFO, ORRCA, and grey literature sources. We ran the most recent set of searches for which the results were incorporated into the review in July 2017. SELECTION CRITERIA: We included qualitative and mixed-methods studies (with an identifiable qualitative component) that explored potential trial participants' experiences and perceptions of being invited to participate in a trial. We excluded studies that focused only on recruiters' perspectives, and trials solely involving children under 18 years, or adults who were assessed as having impaired mental capacity. DATA COLLECTION AND ANALYSIS: Five review authors independently assessed the titles, abstracts and full texts identified by the search. We used the CART (completeness, accuracy, relevance, timeliness) criteria to exclude studies that had limited focus on the phenomenon of interest. We used QSR NVivo to extract and manage the data. We assessed methodological limitations using the Critical Skills Appraisal Programme (CASP) tool. We used thematic synthesis to analyse and synthesise the evidence. This provided analytical themes and a conceptual model. We used the GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach to assess our confidence in each finding. Our findings were integrated with two previous intervention effectiveness reviews by juxtaposing the quantitative and qualitative findings in a matrix. MAIN RESULTS: We included 29 studies (published in 30 papers) in our synthesis. Twenty-two key findings were produced under three broad themes (with six subthemes) to capture the experience of being invited to participate in a trial and making the decision whether to participate. Most of these findings had moderate to high confidence. We identified factors from the trial itself that influenced participation. These included how trial information was communicated, and elements of the trial such as the time commitment that might be considered burdensome. The second theme related to personal factors such as how other people can influence the individual's decision; and how a personal understanding of potential harms and benefits could impact on the decision. Finally, the potential benefits of participation were found to be key to the decision to participate, namely personal benefits such as access to new treatments, but also the chance to make a difference and help others. The conceptual model we developed presents the decision-making process as a gauge and the factors that influence whether the person will, or will not, take part. AUTHORS' CONCLUSIONS: This qualitative evidence synthesis has provided comprehensive insight into the complexity of factors that influence a person's decision whether to participate in a trial. We developed key questions that trialists can ask when developing their recruitment strategy. In addition, our conceptual model emphasises the need for participant-centred approaches to recruitment. We demonstrated moderate to high level confidence in our findings, which in some way can be attributed to the large volume of highly relevant studies in this field. We recommend that these insights be used to direct or influence or underpin future recruitment strategies that are developed in a participant-driven way that ultimately improves trial conduct and reduces research waste.


Asunto(s)
Toma de Decisiones , Selección de Paciente , Ensayos Clínicos Controlados Aleatorios como Asunto , Sujetos de Investigación/psicología , Adulto , Comunicación , Apoyo Financiero , Humanos , Educación del Paciente como Asunto/métodos , Investigación Cualitativa , Distribución Aleatoria , Medición de Riesgo , Tamaño de la Muestra , Negativa del Paciente al Tratamiento/psicología
15.
Niger J Clin Pract ; 23(10): 1395-1400, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33047696

RESUMEN

Objective: To investigate of effects of using phase-contrast video technique on education in oral hygiene training. This one blind, parallel randomized controlled trial was conducted in a tertiary clinic. Fifty-three patients who presented to the orthodontics department aged 12-20 years were divided into two groups randomly by computer-generated assigned codes to receive oral hygiene education. The participants were blinded to type of education method. Before orthodontic therapy, the control group was trained only by the conventional method, while the test group was trained by phase-contrast video microscopy method in addition to conventional method. Some images and videos of moving microorganisms in dental plaque were shown to the patients in test group on a computer monitor. Subjects and Methods: The bacterial count, plaque index, and gingival index scores were compared. Measurements were obtained in baseline and follow-ups which were repeated with 1-month intervals after the training. Results: The plaque index scores (1.05 ± 0.1 vs. 1.43 ± 0.2; P < 0.001) and gingival index scores (0.90 ± 0.1 vs. 1.14 ± 0.2; P < 0.001) in test group was statistically lower than those in control group at the end of the study. The gingival index scores reduced by 39% in test group vs. 14% in control group. The number of bacteria significantly decreased in the group trained with phase-contrast video microscope technique (8,059,133 ± 3016 vs. 10,830,600 ± 4919; 0.018). Conclusions: The training with phase-contrast microscopy has a more positive effect than the traditional method in oral hygiene education.


Asunto(s)
Placa Dental/prevención & control , Microscopía de Contraste de Fase/métodos , Microscopía por Video , Higiene Bucal , Ortodoncia , Educación del Paciente como Asunto/métodos , Cepillado Dental/instrumentación , Adolescente , Bacterias , Niño , Atención Odontológica , Placa Dental/etiología , Índice de Placa Dental , Femenino , Humanos , Masculino , Aparatos Ortodóncicos , Método Simple Ciego , Adulto Joven
16.
Yakugaku Zasshi ; 140(10): 1295-1298, 2020.
Artículo en Japonés | MEDLINE | ID: mdl-32999207

RESUMEN

Health professionals should adopt best practices that are cognizant of the communication skills of their patients. Pharmacists should be knowledgeable about hearing disabilities to effectively provide medication education to deaf and hard-of-hearing (HH) patients. The Act for Eliminating Discrimination against Persons with Disabilities requires pharmacists to take the appropriate actions to their patients. However, awareness about the appropriate actions for eliminate discrimination has not increased among medical professionals. This survey examined the knowledge about hearing disabilities, practice of appropriate actions and confidence in medication education to deaf and HH patients on 216 pharmacists in Yahata Pharmaceutical Association in November 2019. Pharmacists had poor awareness about hearing disabilities and about 30% of participants misunderstood appropriate actions in communication to deaf and HH patients. Practice of appropriate action in medication education were taken by only about half of the participants. In particular, placing Ear symbol had not be taken at all. Participants felt that they could provide medication education sufficiently by written materials in spite of poor understanding about the literacy of deaf individuals. On the other hand, they felt unconfident due to lack of understanding about hearing disabilities and how to communicate with their patients. This survey suggests that pharmacists need to learn about hearing disabilities for effective communication and practice of appropriate action in medication education to patients with hearing disabilities. Learning hearing disabilities may enable them to take the actions that are necessary to eliminate discrimination and enhance their confidence in providing medication education.


Asunto(s)
Comunicación , Conocimientos, Actitudes y Práctica en Salud , Educación del Paciente como Asunto , Personas con Deficiencia Auditiva , Farmacéuticos/psicología , Autoimagen , Competencia Clínica , Comprensión , Humanos , Educación del Paciente como Asunto/métodos , Encuestas y Cuestionarios
17.
J Diabetes Sci Technol ; 14(6): 1107-1110, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33050727

RESUMEN

With the recent pivot to telehealth as a direct result of the COVID-19 pandemic, there is an imperative to ensure that access to affordable devices and technologies with remote monitoring capabilities for people with diabetes becomes equitable. In addition, expanding the use of remote Diabetes Self-Management Education and Support (DSMES) and Medical Nutrition Therapy (MNT) services will require new strategies for achieving long-term, effective, continuous, data-driven care. The current COVID-19 pandemic has especially impacted underserved US communities that were already disproportionately impacted by diabetes. Historically, these same communities have faced barriers in accessing timely and effective diabetes care including access to DSMES and MNT services, and diabetes technologies. Our call to action encourages all involved to urge US Federal representatives to widen access to the array of technologies necessary for successful telehealth-delivered care beyond COVID-19.


Asunto(s)
Nube Computacional/tendencias , Infecciones por Coronavirus/epidemiología , Diabetes Mellitus/terapia , Accesibilidad a los Servicios de Salud/tendencias , Neumonía Viral/epidemiología , Telemedicina/tendencias , Atención de Salud Universal , Infecciones por Coronavirus/terapia , Democracia , Complicaciones de la Diabetes/epidemiología , Complicaciones de la Diabetes/terapia , Diabetes Mellitus/epidemiología , Accesibilidad a los Servicios de Salud/organización & administración , Disparidades en Atención de Salud/organización & administración , Disparidades en Atención de Salud/tendencias , Humanos , Invenciones/tendencias , Área sin Atención Médica , Pandemias , Educación del Paciente como Asunto/métodos , Educación del Paciente como Asunto/organización & administración , Educación del Paciente como Asunto/tendencias , Neumonía Viral/terapia , Automanejo/métodos , Automanejo/tendencias , Telemedicina/métodos , Telemedicina/organización & administración
18.
Eur J Endocrinol ; 183(6): 551-559, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33055299

RESUMEN

Introduction: The low prevalence of pituitary diseases makes patient autonomy crucial, and self-management programs should be more common. Objectives: To assess the efficacy of an education program for patients with pituitary diseases in terms of patients' quality of life, satisfaction and goal attainment. Design and methods: Adult patients with pituitary disorders were recruited in a tertiary referral center and chose at least three of eight possible sessions on various topics, from disease management to psychosocial issues. Patients were included if they attended at least three sessions between 2012 and 2016 and completed the initial, final, and follow-up questionnaires. Data on quality of life (SF36), satisfaction and goal attainment were analyzed. Results: Fifty-three patients were included (33 women; mean age, 53.5 years). There were a significant quality of life improvements in terms of physical and psychic limitation scores at the final assessment that persisted at follow-up evaluation. Most patients reached their objectives, especially those on sharing experiences and improving autonomy and self-confidence. More than half set new objectives at the end of the program, the most popular one being to reinforce their knowledge of their pituitary disease, its evolution and treatment (17.1% of patients). The mean overall satisfaction score was 3.75/4. At follow-up evaluation, patients reported improved self-management of pituitary disease (3.6/5) and improved self-efficacy (3.8/5). Conclusion: Individualizing the educational objectives of patients with pituitary disease improves the way they live with their disease. If confirmed in other cohorts, this approach could become the gold standard for education programs in rare endocrine diseases.


Asunto(s)
Educación del Paciente como Asunto/normas , Enfermedades de la Hipófisis/psicología , Enfermedades de la Hipófisis/terapia , Automanejo/psicología , Adulto , Anciano , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Educación del Paciente como Asunto/métodos , Proyectos Piloto , Enfermedades de la Hipófisis/diagnóstico , Calidad de Vida/psicología , Automanejo/métodos , Encuestas y Cuestionarios/normas
19.
Enferm. clín. (Ed. impr.) ; 30(5): 317-325, sept.-oct. 2020. tab
Artículo en Español | IBECS | ID: ibc-196774

RESUMEN

OBJETIVO: Validar el contenido del guion de un video educativo para promover el autocuidado de la fístula arteriovenosa en los pacientes renales crónicos, con enfermeras y comunicadores sociales. MÉTODO: Estudio metodológico que construyó y validó un video educativo. En primer lugar, las demandas de autocuidado se identificaron por medio de una revisión de la literatura sobre autocuidado con fístula arteriovenosa. A continuación, la construcción del video siguió los pasos de preproducción, producción y posproducción. La validación del contenido del video ocurrió en la fase de preproducción y contó con 22 jueces de enfermería y profesionales de los medios. El estudio fue aprobado por el Comité de Ética en Investigación, bajo el Certificado de ética: 61705516.0.0000.5208. RESULTADOS: Los siguientes ítems presentaron una evaluación negativa de los jueces: las escenas descritas reflejan estereotipos o discriminación (p = 0,008), el ritmo de las escenas es agotador (p = 0,001/p = 0,034), los personajes/imágenes son atractivos para el público (p = 0,006), las ilustraciones reflejan aspectos importantes del tema en el estudio (p = 0,006), las ilustraciones motivan la comprensión del mensaje de video (p = 0,001) y la estructura general es creativa (p = 0,001). CONCLUSIÓN: El video educativo fue considerado válido por jueces de enfermería y profesionales de los medios de comunicación, para promover el autocuidado de la fístula arteriovenosa en pacientes renales


OBJECTIVE: To validate the content of the script of an educational video to promote self-care with arteriovenous fistula in chronic renal patients with nurses and social communicators. METHOD: Methodological study that constructed and validated an educational video. Firstly, the demands of self-care were identified through a literature review on self-care with arteriovenous fistula. Then the construction of the video followed the steps of pre-production, production and post-production. The script's content validation occurred in the pre-production phase and counted on 22 nursing judges and media professionals. The study was approved by the Ethics Committee in Research, under opinion 61705516.0.0000.5208. RESULTS: The following items received a negative evaluation from the judges: "The scenes described reflect stereotypes or discrimination" (p = 0.008) and "The pace of the scenes is tiring" (p = 0.001/p = 0.034), "The characters/images are appealing to the audience (p = 0.006), "The illustrations reflect important aspects of subject under study" (p = 0.006), "The illustrations promote the understanding of the video message" (p = 0.001) and "The general structure is creative" (p = 0.001). CONCLUSION: The educational video was considered valid by the nursing judges and media professionals to promote self-care with arteriovenous fistula among renal patients


Asunto(s)
Humanos , Grabación en Video/métodos , Autocuidado/métodos , Fístula Arteriovenosa/enfermería , Educación del Paciente como Asunto/métodos , Insuficiencia Renal Crónica/enfermería , Fallo Renal Crónico/enfermería , Fallo Renal Crónico/terapia
20.
Enferm. clín. (Ed. impr.) ; 30(5): 326-332, sept.-oct. 2020. graf, tab
Artículo en Español | IBECS | ID: ibc-196775

RESUMEN

OBJETIVO: El objetivo del estudio fue medir la efectividad de la terapia psicoeducativa en la carga familiar de los pacientes con esquizofrenia paranoide. MÉTODOS: En este estudio se utilizó un diseño de investigación experimental con un grupo de control equivalente que utilizó 84 muestras de asignación aleatoria en un hospital psiquiátrico en Semarang. El instrumento del estudio fue la versión indonesia de la escala de carga del cuidador (CBS). Se utilizó la prueba Mann-Whitney para analizar los datos. RESULTADOS: Los hallazgos obtenidos muestran la efectividad de la terapia psicoeducativa sobre la carga familiar en el grupo experimental en comparación con la terapia estándar en el grupo control (antes: Z=−1,27; p = 0,092; después: Z=−3,47; p = 0,002). CONCLUSIÓN: Concluimos que la terapia psicoeducativa de la familia, como la aplicada en el grupo experimental, puede disminuir la carga familiar en las familias de pacientes con esquizofrenia paranoide. La aplicación de una terapia psicoeducativa familiar puede servir de guía a la enfermera psiquiátrica en la reducción de la carga familiar en el cuidado de pacientes con esquizofrenia paranoide


AIM: The study aimed to measure the effectiveness of psychoeducational therapy on the burden of families of paranoid schizophrenia patients. METHODS: An experimental research design was used in this study with an equivalent control group using 84 random allocation samples at a mental hospital in Semarang. The study instrument was the Indonesian version of the care burden scale (CBS). The Mann-Whitney test was used for the data analysis. RESULTS: The findings obtained show the effectiveness of psychoeducational therapy on family burden in the experimental group as opposed to standard therapy in the control group (before: Z=−1.27; P=.092, and after: Z=−3.47; P=.002). CONCLUSION: We conclude that family psychoeducational therapy, as given to the experiment group, can decrease the family burden for the family of a paranoid schizophrenia patient. The application of family psychoeducational therapy can serve as guidance for the psychiatric nurse in reducing the family burden in the care of patients with paranoid schizophrenia


Asunto(s)
Humanos , Masculino , Femenino , Esquizofrenia Paranoide/enfermería , Esquizofrenia Paranoide/terapia , Educación del Paciente como Asunto/métodos , Resultado del Tratamiento , Ajuste Social , Familia/psicología , Cuidadores/educación , Cuidadores/psicología , Encuestas y Cuestionarios
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA