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1.
J Med Internet Res ; 22(5): e18825, 2020 05 04.
Artículo en Inglés | MEDLINE | ID: mdl-32314976

RESUMEN

BACKGROUND: Since the coronavirus disease (COVID-19) epidemic in China in December 2019, information and discussions about COVID-19 have spread rapidly on the internet and have quickly become the focus of worldwide attention, especially on social media. OBJECTIVE: This study aims to investigate and analyze the public's attention to events related to COVID-19 in China at the beginning of the COVID-19 epidemic (December 31, 2019, to February 20, 2020) through the Sina Microblog hot search list. METHODS: We collected topics related to the COVID-19 epidemic on the Sina Microblog hot search list from December 31, 2019, to February 20, 2020, and described the trend of public attention on COVID-19 epidemic-related topics. ROST Content Mining System version 6.0 was used to analyze the collected text for word segmentation, word frequency, and sentiment analysis. We further described the hot topic keywords and sentiment trends of public attention. We used VOSviewer to implement a visual cluster analysis of hot keywords and build a social network of public opinion content. RESULTS: The study has four main findings. First, we analyzed the changing trend of the public's attention to the COVID-19 epidemic, which can be divided into three stages. Second, the hot topic keywords of public attention at each stage were slightly different. Third, the emotional tendency of the public toward the COVID-19 epidemic-related hot topics changed from negative to neutral, with negative emotions weakening and positive emotions increasing as a whole. Fourth, we divided the COVID-19 topics with the most public concern into five categories: the situation of the new cases of COVID-19 and its impact, frontline reporting of the epidemic and the measures of prevention and control, expert interpretation and discussion on the source of infection, medical services on the frontline of the epidemic, and focus on the worldwide epidemic and the search for suspected cases. CONCLUSIONS: Our study found that social media (eg, Sina Microblog) can be used to measure public attention toward public health emergencies. During the epidemic of the novel coronavirus, a large amount of information about the COVID-19 epidemic was disseminated on Sina Microblog and received widespread public attention. We have learned about the hotspots of public concern regarding the COVID-19 epidemic. These findings can help the government and health departments better communicate with the public on health and translate public health needs into practice to create targeted measures to prevent and control the spread of COVID-19.


Asunto(s)
Atención , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Educación en Salud , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Opinión Pública , Medios de Comunicación Sociales/estadística & datos numéricos , China/epidemiología , Infecciones por Coronavirus/transmisión , Emociones , Educación en Salud/métodos , Educación en Salud/estadística & datos numéricos , Humanos , Neumonía Viral/transmisión , Salud Pública/métodos , Salud Pública/estadística & datos numéricos , Medios de Comunicación Sociales/provisión & distribución
2.
J Med Internet Res ; 22(5): e18897, 2020 05 05.
Artículo en Inglés | MEDLINE | ID: mdl-32325426

RESUMEN

BACKGROUND: SARS-CoV-2 (severe acute respiratory coronavirus 2) was spreading rapidly in South Korea at the end of February 2020 following its initial outbreak in China, making Korea the new center of global attention. The role of social media amid the current coronavirus disease (COVID-19) pandemic has often been criticized, but little systematic research has been conducted on this issue. Social media functions as a convenient source of information in pandemic situations. OBJECTIVE: Few infodemiology studies have applied network analysis in conjunction with content analysis. This study investigates information transmission networks and news-sharing behaviors regarding COVID-19 on Twitter in Korea. The real time aggregation of social media data can serve as a starting point for designing strategic messages for health campaigns and establishing an effective communication system during this outbreak. METHODS: Korean COVID-19-related Twitter data were collected on February 29, 2020. Our final sample comprised of 43,832 users and 78,233 relationships on Twitter. We generated four networks in terms of key issues regarding COVID-19 in Korea. This study comparatively investigates how COVID-19-related issues have circulated on Twitter through network analysis. Next, we classified top news channels shared via tweets. Lastly, we conducted a content analysis of news frames used in the top-shared sources. RESULTS: The network analysis suggests that the spread of information was faster in the Coronavirus network than in the other networks (Corona19, Shincheon, and Daegu). People who used the word "Coronavirus" communicated more frequently with each other. The spread of information was faster, and the diameter value was lower than for those who used other terms. Many of the news items highlighted the positive roles being played by individuals and groups, directing readers' attention to the crisis. Ethical issues such as deviant behavior among the population and an entertainment frame highlighting celebrity donations also emerged often. There was a significant difference in the use of nonportal (n=14) and portal news (n=26) sites between the four network types. The news frames used in the top sources were similar across the networks (P=.89, 95% CI 0.004-0.006). Tweets containing medically framed news articles (mean 7.571, SD 1.988) were found to be more popular than tweets that included news articles adopting nonmedical frames (mean 5.060, SD 2.904; N=40, P=.03, 95% CI 0.169-4.852). CONCLUSIONS: Most of the popular news on Twitter had nonmedical frames. Nevertheless, the spillover effect of the news articles that delivered medical information about COVID-19 was greater than that of news with nonmedical frames. Social media network analytics cannot replace the work of public health officials; however, monitoring public conversations and media news that propagates rapidly can assist public health professionals in their complex and fast-paced decision-making processes.


Asunto(s)
Betacoronavirus , Comunicación , Infecciones por Coronavirus/epidemiología , Educación en Salud/estadística & datos numéricos , Medios de Comunicación de Masas/estadística & datos numéricos , Neumonía Viral/epidemiología , Salud Pública , Medios de Comunicación Sociales/estadística & datos numéricos , Infecciones por Coronavirus/virología , Humanos , Pandemias , Neumonía Viral/virología , República de Corea/epidemiología
3.
Medicine (Baltimore) ; 99(8): e19167, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32080095

RESUMEN

To verify the validity of functional health literacy scale and analyze what influences functional health literacy.Using convenience sampling method based on cross-sectional data to select 589 left-behind senior high-school students in an ethnic minority area, using the functional health literacy scale.The scale results were relatively strong, and the absolute fitness index, value-added fitness index, and simple fitness index reached the fitness standards. The overall functional health literacy score was (0.65 ±â€Š0.12), which falls within the upper middle class. Gender(t = 2.40, P < .05), ethnicity (t = 4.28, P < .001), place of residence (t =  = 4.51, P < .001), mother's education level (F = 3.608, P < .05), self-assessment of grades for 1 year (F = 25.781, P < .001), and whether the participant liked the health education content (F = 9.416, P < .001) had impacts on overall functional health literacy.The study results show that relatively satisfactory reliability and validity and can be applied further analysis for improving students functional health literacy levels.


Asunto(s)
Grupos Étnicos/estadística & datos numéricos , Alfabetización en Salud/estadística & datos numéricos , Grupos Minoritarios/estadística & datos numéricos , Encuestas y Cuestionarios/normas , Éxito Académico , Adolescente , China/epidemiología , Estudios Transversales , Femenino , Educación en Salud/estadística & datos numéricos , Humanos , Masculino , Reproducibilidad de los Resultados , República de Corea/etnología , Características de la Residencia/estadística & datos numéricos , Población Rural/estadística & datos numéricos , Factores Sexuales
4.
Disasters ; 44(1): 205-228, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31524986

RESUMEN

While the public can play a vital role in saving lives during emergencies, intervention is only effective if people have the skills, confidence, and willingness to help. This review employs a five-stage framework to systematically analyse first aid and emergency helping literature from 22 countries (predominately in Asia, Australia, Europe, and the United States). The review covers 54 articles that investigate public first-aid knowledge and uptake of first-aid training (40); public confidence in first-aid skills and willingness to help during an emergency (21); and barriers to or enablers of learning first aid and delivering first aid in an emergency (25). The findings identify high levels of perceived knowledge, confidence, and willingness to help, supporting the contention that the public can play a vital role during an emergency. However, the findings also point to low uptake levels, low tested skill-specific knowledge, and barriers to learning first aid and helping, indicating that the first-aid training landscape is in need of improvement.


Asunto(s)
Primeros Auxilios , Educación en Salud/estadística & datos numéricos , Humanos
5.
BMC Health Serv Res ; 19(1): 810, 2019 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-31699085

RESUMEN

BACKGROUND: Even though maternal mortality during the time of delivery can be prevented with proper medical care in the health facilities with skilled healthcare professionals, unexpectedly death is still high and is a persistent challenge for low-income countries. Therefore identifying factors affecting the preference of institutional delivery after antenatal care service attendance is a key intervention to reduce maternal morbidity and mortality. METHOD: A community-based cross-sectional study was conducted using face to face using interviewer-administered questionnaire from a total of 528 women who gave their last birth within 12 months prior to the study period who attended antenatal care (ANC) services. Descriptive statistics, bivariable and multivariable logistic regressions analysis were performed. Statistical significance was considered at p < 0.05 and odds ratio with 95% CI were calculated to examine factors associated with institutional delivery. RESULTS: Of the 528 pregnant women attending ANC services, 250 (47.3%) gave birth in health facilities (95% CI: 43.2, 51.7%). Urban residence [AOR = 7.8, 95% CI: 4.1, 15.6], four or more ANC visits [AOR = 4.5, 95% CI: 1.6, 12.3], those who got health education on ANC [AOR = 2.9, 95% CI: 1.5, 5.6] and decision on place of delivery with her partner agreement [AOR = 3.3, 95% CI: 1.3, 8.7] were found to be contributing factors for the preference of institutional delivery. CONCLUSION: Institutional delivery was not adequate. Residence, number of antenatal care visits, health education, decisions making on a place of delivery and having awareness of the difference of place of delivery were contributing factors for the preference of institutional delivery.


Asunto(s)
Parto Obstétrico/estadística & datos numéricos , Prioridad del Paciente/estadística & datos numéricos , Atención Prenatal/estadística & datos numéricos , Adulto , Estudios Transversales , Toma de Decisiones , Etiopía , Femenino , Educación en Salud/estadística & datos numéricos , Investigación sobre Servicios de Salud , Humanos , Embarazo , Características de la Residencia/estadística & datos numéricos , Encuestas y Cuestionarios , Adulto Joven
6.
BMC Public Health ; 19(1): 1505, 2019 Nov 11.
Artículo en Inglés | MEDLINE | ID: mdl-31711469

RESUMEN

BACKGROUND: The burden of cervical cancer continues to rise in developing economies. Women in the sub-Saharan African region have higher chances of developing cervical cancer due to a greater prevalence of related risk factors. The purpose of this study was to determine the effect of health education intervention on cervical cancer and screening perceptions of women in the Komenda, Edina, Eguafo, and Abirem (K.E.E.A) District in the Central Region of Ghana. METHODS: A non-equivalent control-group design was used to select church women; 396 in the intervention group and 386 in the control group, aged 11 to 70 years in the K.E.E.A District in the Central Region of Ghana. Data was collected via a validated structured interview schedule and analysed using the paired - and independent-samples t-tests, Kruskal-Wallis test, and Mann-Whitney U test. RESULTS: A comparison of the mean differences between the pre-post-test scores for the intervention and control groups showed a statistically significant difference for knowledge of cervical cancer (t = 6.22, df = 780, p = 0.001), knowledge of cervical cancer screening (t = 5.96, df = 780, p = 0.001), perceived seriousness (t = 3.36, df = 780, p = 0.001), perceived benefits (t = 9.19, df = 780, p = 0.001), and perceived barriers (t = 3.19, df = 780, p = 0.001). However, perceived susceptibility for the intervention group reduced, evidenced by a decrease in the mean (mean = - 0.12) compared to the control group (mean = 0.93) and this was statistically significant (t = 2.72, df = 780, p = 0.007). CONCLUSIONS: Health education interventions are critical in improving knowledge and perceptions, and increasing self-efficacy of women about cervical cancer and screening.


Asunto(s)
Detección Precoz del Cáncer/estadística & datos numéricos , Educación en Salud/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Aceptación de la Atención de Salud/estadística & datos numéricos , Neoplasias del Cuello Uterino/prevención & control , Adulto , Anciano , Detección Precoz del Cáncer/psicología , Femenino , Ghana , Humanos , Tamizaje Masivo/estadística & datos numéricos , Persona de Mediana Edad , Aceptación de la Atención de Salud/psicología , Autoeficacia , Encuestas y Cuestionarios , Neoplasias del Cuello Uterino/psicología , Adulto Joven
7.
BMC Health Serv Res ; 19(1): 817, 2019 Nov 08.
Artículo en Inglés | MEDLINE | ID: mdl-31703681

RESUMEN

BACKGROUND: This study evaluated the Health Works (HWs) nutritional counselling skills and information shared with caregivers. This was a cross-sectional study in which an observation checklist was used to examine Growth Monitoring and Promotion (GMP) activities and educational/counselling activities undertaken by health workers (HWs) to communicate nutrition information to caregivers, depending on the ages of the children. METHODS: A total number of 528 counselling interactions between health workers and caregivers in 16 Child welfare Clinics (CWCs) in two rural districts in Ghana were observed. Frequencies were presented for the information that was obtained from each caregiver and those that were provided by the HWs during the nutritional counselling sessions. RESULTS: About 95.1 and 61.8% of the caregiver-HW interactions involved mothers of children who were less than 6 months of age and those above 6 months respectively. HWs counselled the caregivers on appropriate nutrition for the child. Health talk messages that were shared with caregivers focused mainly on the importance of attending CWCs and vaccination of children and rarely included any teaching materials. In most of the interactions, HWs made of child's feeding practices the past 1 month; and also did not provide advice on specific issues of IYCF. Nutritional counselling information given for non-breastfeeding children was inadequate and in some cases absent. Little attention was given to the feeding of children with animal products during counselling. CONCLUSION: Generally nutritional information given to caregivers who had children above 6 months was inadequate.


Asunto(s)
Cuidadores/educación , Bienestar del Niño/estadística & datos numéricos , Consejo/normas , Educación en Salud/normas , Estado Nutricional , Niño , Preescolar , Enfermería en Salud Comunitaria/normas , Enfermería en Salud Comunitaria/estadística & datos numéricos , Consejo/estadística & datos numéricos , Estudios Transversales , Femenino , Ghana , Educación en Salud/estadística & datos numéricos , Personal de Salud/educación , Humanos , Lactante , Masculino , Madres/educación , Relaciones Profesional-Paciente , Salud Rural
8.
Nihon Koshu Eisei Zasshi ; 66(9): 560-573, 2019.
Artículo en Japonés | MEDLINE | ID: mdl-31588092

RESUMEN

Objectives Preventing frailty is a crucial issue in aging societies such as Japan. In 2011, we launched an action research project in Yabu City, Hyogo Prefecture, to develop effective community-based strategies to prevent frailty in the elderly. We attempted to introduce community-based frailty prevention classes in every administrative district with the help of the senior workforce at Silver Human Resources Centers. This study aimed to evaluate the effectiveness and the applicability to different communities of this strategy, which will be called the "Yabu model."Methods Using PAIREM (Plan, Adoption, Implementation, Reach, Effectiveness, Maintenance) framework, we evaluated the effectiveness and the applicability to different communities of the Yabu model. To evaluate its effectiveness, we conducted a baseline and follow-up survey of residents aged 65 years or older in 2012 (n=7,287, 90.7% response rate) and 2017 (n=8,157, 85.7%), using a mailed self-administered questionnaire.Results (1) Plan: The idea was to establish a frailty prevention class (60 min/session, once a week) consisting of resistance exercises and nutritional or psychosocial programs (standard course, six months, 20 sessions/course; short course, one and a half months, 6 sessions/course; after the course, residents continued with the activities themselves). We planned to launch three classes in the first year (2014) and then to increase the number of classes by ten each year after the second year. (2) Adoption: Out of 154 administrative districts, 36 (23.4%) held frailty prevention classes between 2014 and 2017. (3) Implementation: The median attendance rate for the standard or short course (number of times each participant attended/number of frailty prevention class sessions held) was 75.0%. (4) Reach: A total of 719 older people participated in the standard or short course. The participation rate in the administrative districts, where each frailty prevention class was held, was 32.8%, while at the city level it was 8.1%. (5) Effectiveness: Propensity score matching after multiple imputations were performed. While the prevalence of frailty in non-participants increased by 13.7% in the five years from 2012 to 2017, it only increased by 6.8% in participants. Compared to non-participants, program participants had a significantly lower prevalence odds ratio of frailty at the time of the follow-up survey (OR=0.65, 95% confidence interval 0.46-0.93). (6) Maintenance: After the standard or short course, 25 out of 26 communities (96.2%) continued the frailty prevention activities once a week.Conclusion The frailty prevention classes were adopted across many districts and lowered the participants' risk of frailty. Moreover, participants continued to engage in frailty prevention activities even after the course. These results indicate the Yabu model's effectiveness and its applicability for a different community.


Asunto(s)
Centros Comunitarios de Salud , Anciano Frágil , Fragilidad/prevención & control , Educación en Salud/métodos , Anciano , Anciano de 80 o más Años , Eficiencia Organizacional , Educación en Salud/estadística & datos numéricos , Humanos , Japón
9.
BMC Res Notes ; 12(1): 602, 2019 Sep 18.
Artículo en Inglés | MEDLINE | ID: mdl-31533856

RESUMEN

OBJECTIVES: Awareness about complications is important to reduce diabetes related morbidity and mortality. This study aimed to assess awareness of diabetes complications and associated factors among type 2 diabetic patients. Institution based cross sectional study was conducted from April to June, 2019, using simple random sampling technique, and interviewer administered questionnaires. RESULTS: The mean age was 41 ± 1.46 years and 56% were females. Awareness regarding diabetic complications was 48.5% with 95% CI (43.3, 52.7%). Male sex (AOR: 4.67, 95% CI (2.53, 8.61)), age of 31-45 years (AOR: 7.30, 95% CI (3.10, 17.17)), 46-70 years old (AOR: 15.02, 95% CI (6.11, 36.92)), read and write (AOR: 3.79, 95% CI (1.78, 8.06)), primary school (AOR: 9.58, 95% CI (3.26, 28.18)), high school and above (AOR: 7.46, 95% CI (3.02, 18.44)), NGO employee (AOR: 7.24, 95% CI (2.68, 19.53)), having a family history of DM (AOR: 5.55, 95% CI (2.53, 12.20)); income of 1001-1500 (AOR: 3.22, 95% CI (1.28, 8.10)), 1501-2500 (AOR: 11.73, 95% CI (4.32, 31.81)) and > 2500 Ethiopian birr (AOR: 7.18, 95% CI (1.70, 30.28)) ≥ 2500 ETB (AOR: 7.18, 95% CI (1.70, 30.28)) were significantly associated with good awareness. To improve patient's awareness on DM complications providing health education for type 2 diabetic patients is crucial.


Asunto(s)
Concienciación , Complicaciones de la Diabetes/terapia , Diabetes Mellitus Tipo 2/complicaciones , Conocimientos, Actitudes y Práctica en Salud , Hospitales de Distrito , Encuestas y Cuestionarios , Adolescente , Adulto , Anciano , Complicaciones de la Diabetes/diagnóstico , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/terapia , Etiopía , Femenino , Educación en Salud/métodos , Educación en Salud/normas , Educación en Salud/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Adulto Joven
10.
Artículo en Inglés | MEDLINE | ID: mdl-31505892

RESUMEN

This study investigated the effect of applying a customized diabetes education program through pattern management (PM), using continuous glucose monitoring system (CGMS) results, on individual self-care behaviors and self-efficacy in patients with type 2 diabetes mellitus. Patients with type 2 diabetes who had never received diabetes education, enrolled from March to September 2017, were sequentially assigned to either PM education or control groups. In the PM education group, the CGMS test was first conducted one week before diabetes education and repeated three times by PM in order to obtain data on self-care behaviors and self-efficacy. These results were then compared before and after education at three and six months. The control group received the traditional diabetes education. Self-efficacy showed statistically significant interactions between the two groups over time, indicating a significant difference in the degree of self-efficacy between the PM education and control groups. Diabetes education by PM using CGMS result analysis improved life habits with a positive influence on self-care behaviors and self-efficacy for diabetes management. Further studies are needed to further develop and apply individual diabetes education programs in order to sustain the effects of self-care behaviors and self-efficacy in patients with diabetes who experience a decrease in self-efficacy after three months of education.


Asunto(s)
Diabetes Mellitus Tipo 2/terapia , Educación en Salud/métodos , Educación del Paciente como Asunto/estadística & datos numéricos , Autocuidado/estadística & datos numéricos , Autoeficacia , Adulto , Anciano , Automonitorización de la Glucosa Sanguínea , Femenino , Educación en Salud/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Pacientes/estadística & datos numéricos , República de Corea , Adulto Joven
11.
Eur J Obstet Gynecol Reprod Biol ; 241: 88-93, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31479991

RESUMEN

OBJECTIVE: Pregnancy-related urinary tract infections (UTI) is the leading cause of obstetrical ward admissions and is responsible for poor maternal and perinatal outcomes. This study aimed to reduce the incidence of UTI by improving the knowledge and preventive practices of pregnant women through the implementation of a health education package. STUDY DESIGN: A health education package consisting of a seminar, sending of weekly text messages, and distribution of educational leaflets on UTI awareness and prevention was implemented in various rural health units in Pampanga, Philippines. A structured questionnaire was used to assess the pre- and post-intervention knowledge and preventive practices of pregnant women. Whereas, urinalysis results from the various rural health units were used to assess the incidence of UTI among the respondents. RESULTS: Significant improvement (p <  0.001) was observed regarding the participant's knowledge and water intake after the intervention. Although there was no significant change (p =  0.16) in their hygiene statistically, all participants had improvements in hygiene practices after the intervention. The number of pregnant women who were positive for UTI also decreased significantly (p <  0.001) following the intervention. CONCLUSION: The implemented health education package was able to reduce the incidence of pregnancy-related UTI by improving the knowledge and preventive practices of pregnant women.


Asunto(s)
Educación en Salud/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Complicaciones Infecciosas del Embarazo/prevención & control , Infecciones Urinarias/prevención & control , Adolescente , Adulto , Femenino , Educación en Salud/métodos , Humanos , Incidencia , Filipinas/epidemiología , Embarazo , Complicaciones Infecciosas del Embarazo/epidemiología , Atención Prenatal , Infecciones Urinarias/epidemiología , Adulto Joven
12.
Artículo en Inglés | MEDLINE | ID: mdl-31514391

RESUMEN

Background: Structured education is needed to cultivate safe sharp disposal behavior among diabetic patients. Thus, this study aimed to assess the effectiveness of the Diabetes Community Sharp Disposal Education Module in improving knowledge and sharp disposal practice among Malaysian Type 2 diabetic patients. Methods: This quasi-experimental study was conducted at primary health clinics in two districts in Kelantan, a state in the North-East Region of Peninsular Malaysia. A total of 132 Type 2 diabetic patients on insulin therapy were involved, with 68 participants in each control and intervention group. The health education intervention was based on the validated Diabetes Community Sharp Disposal Education Module. The knowledge and practices were measured using a validated questionnaire at baseline, one month, and three months after the intervention. Results: There was a significant increment in the mean knowledge score for intervention group; from baseline to one month follow up and from baseline to three months follow up [Greenhouse-Geisser; F(1.5, 199.7) = 62.38, p < 0.001; effect size (η2) = 0.318]. Intervention group had significantly higher mean knowledge score as compared to control group; at one month and three months follow up [F(1, 134) = 17.38, p < 0.001; effect size (η2) = 0.115]. There was a statistically significant increment in the proportion of participants in the intervention group who practiced the proper community sharp disposal method over time, X2(2) = 52.061, p < 0.001. Conclusions: The Diabetes Community Sharp Disposal Education Module was an effective health education tool to improve knowledge and encourage Malaysian diabetic patients to engage with proper sharp disposal practices.


Asunto(s)
Diabetes Mellitus Tipo 2 , Residuos Peligrosos , Educación en Salud/estadística & datos numéricos , Insulina/administración & dosificación , Eliminación de Residuos Sanitarios , Anciano , Servicios de Salud Comunitaria , Diabetes Mellitus , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Malasia , Masculino , Persona de Mediana Edad , Atención Primaria de Salud , Encuestas y Cuestionarios
13.
Afr J Reprod Health ; 23(2): 101-109, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31433598

RESUMEN

Attention to the sexual reproductive health needs of persons with disabilities is important to ensure the protection and promotion of their human rights, to move forward the international development agenda, and to build a truly inclusive society. The objective of this study was to assess modern contraceptive use and associated factors among women with disabilities in Gondar city, Ethiopia. A community-based cross- sectional study was employed, from 25 June to 05 August 2013. All 280 reproductive age women with disabilities who were found in the town during study period were included. Data were coded, entered and cleaned using EPI INFO statistical software version 3.5.2, and analysed by Software Statistical Packages for Social Sciences version 16. About 18% of participants had ever used modern contraceptive and the contraceptive prevalence rate among study participants and currently married women were 13.1% and 20.2% respectively. One fourth of respondents believed that existing family planning service delivery points were not accessible. The proportion of modern contraceptive use among participants was low. Age, marital status, education, income, and type of disability were significant predictors of modern contraceptive use. Therefore, social behavioural change communication interventions should be designed to improve the awareness of people living with disabilities on modern contraceptives based on the needs and type of disabilities.


Asunto(s)
Conducta Anticonceptiva/estadística & datos numéricos , Personas con Discapacidad/psicología , Personas con Discapacidad/estadística & datos numéricos , Servicios de Planificación Familiar/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Accesibilidad a los Servicios de Salud , Servicios de Salud Reproductiva/estadística & datos numéricos , Conducta Sexual/etnología , Adolescente , Adulto , Actitud del Personal de Salud , Anticonceptivos Femeninos/uso terapéutico , Dispositivos Anticonceptivos , Etiopía/epidemiología , Femenino , Educación en Salud/estadística & datos numéricos , Humanos , Salud Reproductiva , Factores Socioeconómicos , Encuestas y Cuestionarios , Adulto Joven
14.
BMC Health Serv Res ; 19(1): 449, 2019 Jul 04.
Artículo en Inglés | MEDLINE | ID: mdl-31272432

RESUMEN

BACKGROUND: It is increasingly recognized that improving the quality of maternal health care delivery is of utmost importance in many countries. In Laos, the quality of antenatal care (ANC) service remains inadequate, but it has never been assessed thoroughly. This study aims to determine the ANC quality at the urban and rural public health facilities in Laos and provides suggestions to improve health education and counseling in addition to other routine care in public ANC services. METHODS: This health-facility based, cross-sectional observation study included both health providers (n = 77) and pregnant women (n = 421) from purposively selected health facilities (n = 16). Information on the mothers' current pregnancies, previous visits and their last children was collected. The time spent for each ANC session as well as ANC services provided were recorded. Descriptive and inferential statistics were applied to analyze the data. RESULTS: Overall performance of ANC services by health care providers was poor in both urban and rural areas. Insufficient provision of information on danger signs during pregnancy, nutrition, breast feeding and iron supplements was revealed. Generally the communication skills, behavior and attitude of health providers were very poor. Less than a quarter of pregnant women were treated with kindness and respect. Only 4% of the observed ANC session took privacy into consideration. Less than 10% of available information materials were used during each ANC session. None of the health providers in both rural and urban areas performed specific counseling. Overall mean (SD) time-spent for each ANC session was 16.21 (4.28) minutes. A positive correlation was identified between the length of working experience of health providers and their physical performance scores (adjusted R square = 0.017). CONCLUSIONS: The overall performance of ANC services by health care providers was inadequate in both urban and rural areas. Insufficient provision of health education and poor communication skills of health care providers were revealed. Existing IEC materials were scarcely used. Taking action to improve the quality of ANC services by training and providing specific guidelines, creating dedicated rooms, and providing sufficient and effective materials for counseling are all greatly needed in public health facilities in Laos.


Asunto(s)
Consejo/normas , Educación en Salud/normas , Servicios de Salud Materna/normas , Atención Prenatal/normas , Adulto , Niño , Consejo/estadística & datos numéricos , Estudios Transversales , Femenino , Educación en Salud/estadística & datos numéricos , Personal de Salud , Humanos , Laos/epidemiología , Servicios de Salud Materna/estadística & datos numéricos , Embarazo , Atención Prenatal/estadística & datos numéricos
15.
Compr Child Adolesc Nurs ; 42(sup1): 115-121, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31192721

RESUMEN

Children with Type-1 Diabetes Mellitus (TIDM) need long-term care that requires supervision. Without good management, there will be an increase in blood glucose, which can cause complications in organs and tissues. One way to improve self-management and level of compliance in blood glucose control is by providing education. This study aimed to determine the effect of PRISMA education on self-management and level of compliance in children with T1DM. This study used a quasi-experimental design with no control group. PRISMA education using animated videos was given to the respondents who filled out the questionnaire about self-management and level of compliance (pre-test) and were evaluated on the eighth day (post-test). The sample of this study consisted of 31 children in Jakarta, Bogor, Depok, and Tangerang. The results of this study indicate that PRISMA education had significant effects on self-management (p < 0.05) and level of compliance (p < 0.05). The delivery of self-management education in the form of animated videos could improve self-management and children's compliance in the management of diet, physical act, treatment, stress management and blood glucose control. Thus, this educational tool could be useful if it is integrated into nursing interventions, especially in the field of pediatric nursing.


Asunto(s)
Diabetes Mellitus Tipo 1/terapia , Educación en Salud/normas , Cooperación del Paciente/psicología , Automanejo/educación , Adolescente , Niño , Diabetes Mellitus Tipo 1/psicología , Femenino , Educación en Salud/métodos , Educación en Salud/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Humanos , Indonesia , Masculino , Cooperación del Paciente/estadística & datos numéricos , Automanejo/métodos , Encuestas y Cuestionarios
16.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 31(2): 175-177, 2019 May 07.
Artículo en Chino | MEDLINE | ID: mdl-31184051

RESUMEN

OBJECTIVE: To explore the working mode of continuous malaria elimination. METHODS: Judong Village in Congjiang County, Guizhou Province, which had the highest record of malaria incidence in the history of Guizhou Province, was selected as a pilot, a comprehensive prevention and control intervention was carried out aiming at the malaria epidemic, transmission and influencing factors, and the effect was evaluated after the intervention. RESULTS: From 2015 to 2016, through those intensive measures of constructing system, improving environment and health education, the people's awareness of malaria prevention was increased, the people's enthusiasm and initiatives to participate in the prevention and control of malaria were improved in Judong Village. Meanwhile, the roads were hardened and beautified, the dispose of sewage, feces and garbage was centralized. The awareness rate of malaria prevention knowledge of residents increased to 85% to 95%, and the formation rate of anti-mosquito behavior increased to 89.66%. The density of media Anopheles reduced from 0.56 to 0.07 mosquitoes per hour each mosquito catching platform. CONCLUSIONS: A long-term mechanism for malaria prevention and control has been almost constructed in Judong Village, which facilitates the consolidation of malaria control achievements, and the progress towards malaria elimination.


Asunto(s)
Anopheles , Erradicación de la Enfermedad , Malaria , Animales , China/epidemiología , Educación en Salud/estadística & datos numéricos , Incidencia , Conocimiento , Malaria/epidemiología , Malaria/prevención & control , Control de Mosquitos , Proyectos Piloto , Densidad de Población
17.
Isr J Health Policy Res ; 8(1): 50, 2019 06 06.
Artículo en Inglés | MEDLINE | ID: mdl-31171033

RESUMEN

BACKGROUND: Preventive medicine and health education are among the strategies used in coping with chronic diseases. However, it is yet to be determined what effect do personal and organizational aspects have on its' implementation in primary care. METHODS: A cross-sectional survey was conducted in order to assess and compare preventive medicine and health education activities in three types of primary care models: solo working independent physicians, nurse-physician collaborations and teamwork (nurses, dietitians and social workers working alongside a physician). Questionnaires were emailed to 1203 health professionals between September and November 2015, working at Maccabi Healthcare Services, the second largest Israeli healthcare organization. Self-reported rates of health education groups conducted, proactive appointments scheduling and self-empowerment techniques use during routine appointments, were compared among the three models. Independent variables included clinic size as well as health professionals' occupation, health behaviors and training. A series of multivariate linear regressions were performed in order to identify predictors of preventive medicine and health education implementation. Computerized health records (CHR) validated our self-report data through data regarding patients' health behaviours and outcomes, including health education group registration, adherence to occult blood tests and influenza vaccinations as well as blood lipid levels. RESULTS: Responders included physicians, nurses, dietitians and social workers working at 921 clinics (n = 516, response rate = 31%). Higher rates of proactive appointments scheduling and health education groups were found in the Teamwork and Collaboration models, compared to the Independent Physician Model. Occupation (nurses and dietitians), group facilitation training and personal screening adherence were identified as preventive medicine and health education implementation predictors. Group registration, occult blood tests, healthy population's well-controlled blood lipids as well as influenza vaccinations among chronically ill patients were all significantly higher in the Teamwork and Collaboration models, compared to the Independent Physician Model. CONCLUSIONS: The Teamwork and Collaboration models presented higher rates of preventive medicine and health education implementation as well as higher rates of patients' positive health behaviours documented in these models. This suggests multidisciplinary primary care models may contribute to population's health by enhancing preventive medicine and health education implementation alongside health professionals' characteristics.


Asunto(s)
Educación en Salud/normas , Personal de Salud/educación , Comunicación Interdisciplinaria , Medicina Preventiva/normas , Anciano , Estudios Transversales , Femenino , Educación en Salud/estadística & datos numéricos , Personal de Salud/psicología , Personal de Salud/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Medicina Preventiva/estadística & datos numéricos , Atención Primaria de Salud/métodos , Atención Primaria de Salud/normas , Atención Primaria de Salud/estadística & datos numéricos
19.
JMIR Mhealth Uhealth ; 7(5): e12794, 2019 05 14.
Artículo en Inglés | MEDLINE | ID: mdl-31094354

RESUMEN

BACKGROUND: Smartphone-based psychoeducation interventions may be a low-cost, user-friendly alternative to resource-consuming, face-to-face antenatal classes to educate expectant mothers. OBJECTIVE: This study aimed to empirically examine whether such an intervention would lead to reduced postnatal depression, anxiety, or stress and result in a better health-related quality of life. METHODS: A single-blind randomized controlled trial was conducted in Hong Kong. All first-time expectant mothers with less than 24 weeks of gestation remaining and attending the antenatal clinic at a public hospital were included. Participants were assigned to the intervention group or the control group by drawing lots. The lots, presented in sealed opaque envelopes, were randomly designated as "intervention" or "control" by stratified randomization. The intervention, a psychoeducational mobile app, was provided in addition to the treatment as usual (TAU) services from the hospital. Follow up with participants took place at 4 weeks postpartum. The primary outcome was the difference in the levels of antenatal and postnatal depression, assessed by the Edinburgh Postnatal Depression Scale (EPDS). The intention-to-treat approach was employed in the analyses. RESULTS: The final sample was 660 expectant mothers (nintervention=330 and ncontrol=330). The mean difference in EPDS scores between the two groups was -0.65 (95% CI -1.29 to 0.00; P=.049) after adjusting for confounding factors. Associations were found between participation in the intervention and reduced depression, and attendance in TAU classes and increased stress levels. CONCLUSIONS: The smartphone-based intervention plus TAU services was effective in reducing postnatal depression at 4 weeks postpartum compared with a control condition of TAU only, making this a cost-effective alternative to TAU education for expectant mothers. Limitations of the study included the short postpartum period after which the follow-up assessment was conducted and the inclusion of first-time mothers rather than all mothers. TRIAL REGISTRATION: HKU Clinical Trials Registry HKUCTR-2024; http://www.hkuctr.com/Study/Show/ 34f62a2f6d594273a290491827206384.


Asunto(s)
Depresión Posparto/diagnóstico , Educación en Salud/normas , Aplicaciones Móviles/normas , Madres/psicología , Adulto , Análisis de Varianza , Depresión Posparto/epidemiología , Depresión Posparto/psicología , Femenino , Educación en Salud/métodos , Educación en Salud/estadística & datos numéricos , Hong Kong/epidemiología , Humanos , Aplicaciones Móviles/estadística & datos numéricos , Madres/estadística & datos numéricos , Embarazo , Escalas de Valoración Psiquiátrica/estadística & datos numéricos , Método Simple Ciego
20.
BMC Res Notes ; 12(1): 212, 2019 Apr 08.
Artículo en Inglés | MEDLINE | ID: mdl-30961663

RESUMEN

OBJECTIVE: To assess the self-care practices and associated factors among diabetic patients in West Ethiopia. RESULTS: A total of 252 study participants were included in the study, of this 54.8% were male. Of the participants more than half 150 (59.5%) had poor glycemic control and 153 (60.7%) of the participants had good self-care. Majority of the study participants 209 (82.9%) had adequate foot care and more than half 175 (69.4%) and 160 (63.5%) had adequate dietary plan and exercise management respectively. However of the total diabetic patients only 38 (15.1%) had adequate blood glucose testing practices. On multivariable logistic analysis poor self-care practices were more likely to occur among male patients (AOR = 5.551, 95% CI = 2.055-14.997, p = 0.001), patients living in rural area (AOR = 5.517, 95% CI = 2.184-13.938, p < 0.001), patients with duration of diabetes < 6 years (AOR = 41.023, 95% CI = 7.373-228.257, p < 0.001), patients with no access for self-monitoring blood glucose (AOR = 9.448, 95% CI = 2.198-40.617, p = 0.003), patients with poor knowledge about diabetes (AOR = 67.917, 95% CI = 8.212-561.686, p < 0.001) and patients with comorbidities (AOR = 18.621, 95% CI = 4.415-78.540, p < 0.001).


Asunto(s)
Automonitorización de la Glucosa Sanguínea/estadística & datos numéricos , Diabetes Mellitus Tipo 2/diagnóstico , Conocimientos, Actitudes y Práctica en Salud , Hiperglucemia/diagnóstico , Hipoglucemiantes/uso terapéutico , Adulto , Anciano , Glucemia/metabolismo , Índice de Masa Corporal , Estudios Transversales , Diabetes Mellitus Tipo 2/sangre , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Diabetes Mellitus Tipo 2/fisiopatología , Etiopía , Femenino , Educación en Salud/estadística & datos numéricos , Humanos , Hiperglucemia/sangre , Hiperglucemia/tratamiento farmacológico , Hiperglucemia/fisiopatología , Modelos Logísticos , Masculino , Cumplimiento de la Medicación/estadística & datos numéricos , Persona de Mediana Edad , Factores Sexuales , Encuestas y Cuestionarios
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