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1.
J Med Internet Res ; 22(5): e19128, 2020 05 06.
Artigo em Inglês | MEDLINE | ID: mdl-32330115

RESUMO

BACKGROUND: During the coronavirus disease (COVID-19) pandemic, governments issued movement restrictions and placed areas into quarantine to combat the spread of the disease. In addition, individuals were encouraged to adopt personal health measures such as social isolation. Information regarding the disease and recommended avoidance measures were distributed through a variety of channels including social media, news websites, and emails. Previous research suggests that the vast amount of available information can be confusing, potentially resulting in overconcern and information overload. OBJECTIVE: This study investigates the impact of online information on the individual-level intention to voluntarily self-isolate during the pandemic. Using the protection-motivation theory as a framework, we propose a model outlining the effects of cyberchondria and information overload on individuals' perceptions and motivations. METHODS: To test the proposed model, we collected data with an online survey (N=225) and analyzed it using partial least square-structural equation modeling. The effects of social media and living situation were tested through multigroup analysis. RESULTS: Cyberchondria and information overload had a significant impact on individuals' threat and coping perceptions, and through them on self-isolation intention. Among the appraisal constructs, perceived severity (P=.002) and self-efficacy (P=.003) positively impacted self-isolation intention, while response cost (P<.001) affected the intention negatively. Cyberchondria (P=.003) and information overload (P=.003) indirectly affected self-isolation intention through the aforementioned perceptions. Using social media as an information source increased both cyberchondria and information overload. No differences in perceptions were found between people living alone and those living with their families. CONCLUSIONS: During COVID-19, frequent use of social media contributed to information overload and overconcern among individuals. To boost individuals' motivation to adopt preventive measures such as self-isolation, actions should focus on lowering individuals' perceived response costs in addition to informing them about the severity of the situation.


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Educação em Saúde , Internet , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Autoeficácia , Distância Social , Mídias Sociais , Adaptação Psicológica , Betacoronavirus , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/transmissão , Estudos Transversais , Correio Eletrônico/provisão & distribução , Humanos , Intenção , Motivação , Pneumonia Viral/psicologia , Pneumonia Viral/transmissão , Quarentena/psicologia , Autocuidado/psicologia , Mídias Sociais/provisão & distribução , Inquéritos e Questionários
2.
Int J Gynaecol Obstet ; 149(2): 123-129, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32037532

RESUMO

BACKGROUND: Human papillomavirus (HPV) testing may be feasible for primary cervical cancer screening in low-resource countries. OBJECTIVE: To compare self-sampling by women with clinician-performed sampling for HPV testing in Africa. SEARCH STRATEGY: MEDLINE, Google scholar, EMBASE, and several journals were searched from 2000 until 2015 using relevant terms. SELECTION CRITERIA: Selected studies compared self-sampled and clinician-sampled HPV tests. DATA COLLECTION AND ANALYSIS: Data extraction forms included description of the type of HPV screening, description of any additional intervention components, study design, sample size, follow-up periods, analytic approach, reported numerical outcomes, results, and limitations. RESULTS: Twenty-five studies were identified. Women of a wide age range were successful at self-sampling in many African countries. More than 95% of self-samples yielded HPV DNA results. The concordance in test results between self-collected samples and clinician-collected samples was reasonably high in most studies. In all studies, the quality of cytology from self-sampling matched that of clinician-sampling. Women were generally positive about self-collection, but noted some concerns. CONCLUSION: Self-sampling for HPV DNA testing seems to represent a feasible alternative to the Pap test. Further research is needed to provide a solid evidence base to inform using of self-sampling for HPV DNA testing for primary cervical cancer screening.


Assuntos
Programas de Rastreamento/métodos , Infecções por Papillomavirus/diagnóstico , Manejo de Espécimes/métodos , Adulto , África , Detecção Precoce de Câncer/métodos , Feminino , Humanos , Papillomaviridae/isolamento & purificação , Infecções por Papillomavirus/virologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Autocuidado/psicologia , Neoplasias do Colo do Útero/prevenção & controle
3.
Br J Nurs ; 29(1): 44-49, 2020 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-31917940

RESUMO

AIMS AND OBJECTIVES: the purpose of this pilot study was to explore the attitudes and perceptions of members of the UK public towards self-care for minor ailments. BACKGROUND: with an ageing and increasing population, and an NHS under extreme pressure, methods to reduce demand on health services are vital. Increasing the use of self-care for minor ailments is one way in which this pressure could be alleviated. DESIGN AND METHOD: this study used qualitative methods including semi-structured telephone interviews. The data were then evaluated, and key themes drawn out using thematic analysis. FINDINGS: the results showed that the public are aware of the notion of self-care, and some are engaging with it. However, for a number of reasons, patients are still likely to want a face-to-face appointment despite the use of online and telephone advice services. CONCLUSION: the study highlighted that there are multifactorial aspects impacting on a patient's likelihood of engaging in self-care when faced with a minor illness. The results are not generalisable to every member of the public, but interesting questions are raised with regard to the usefulness of current public health messages in various media when there appears to be a lack of desire from the public to use some recommended services.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Autocuidado/psicologia , Índice de Gravidade de Doença , Humanos , Projetos Piloto , Medicina Estatal , Reino Unido
4.
Br J Nurs ; 29(2): 84-90, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31972118

RESUMO

Intermittent self-catheterisation (ISC) is the method of choice for men with lower urinary tract symptoms who need to drain retained urine from the bladder. It is preferred to using an indwelling urinary catheter as it has lower risks of complications and catheter-associated urinary tract infection. Learning ISC can be challenging for men initially but, with the support of knowledgeable nurses experienced in teaching ISC, the technique can be learned, accepted and normalised, improving symptom control and quality of life. This paper discusses the results of a survey exploring men's experiences of learning ISC with the Hydrosil Go™ (C.R. Bard Inc-now part of Becton, Dickinson and Company) silicone catheter and to highlight issues important to men when learning and living with ISC. The survey collected data from four countries: UK, France, Netherlands and Italy. It aims to help nurses who teach ISC and inform them to discuss what matters to men when learning and living with ISC.


Assuntos
Cateterismo Uretral Intermitente/instrumentação , Aprendizagem , Autocuidado/psicologia , Silicones , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
5.
Int J Equity Health ; 19(1): 8, 2020 01 13.
Artigo em Inglês | MEDLINE | ID: mdl-31931810

RESUMO

BACKGROUND: Aboriginal women are frequently called upon to support their families and other community members. At times, such supporting roles can be burdensome for these women. Many Aboriginal women live with chronic conditions. We explored the ways in which the women's caring roles impacted on how they maintained their own health. METHODS: The aim of this manuscript is to explore the psychosocial factors associated with the management of health and chronic disease in Aboriginal women. An interpretive phenomenological approach was used for the analysis of 72 in-depth semi-structured interviews. These interviews were conducted in four community controlled Aboriginal health services, in urban, rural and remote settings, across two states and a territory in Australia. RESULTS: Women living with chronic disease experience multiple challenges while caring for family, such as intergenerational trauma, mental health issues relating to addiction, domestic and family violence and incarceration. When these women become ill, they also have to take care of themselves. These women provided informal and unfunded care in response to a range of complex family and community problems. This continuous caring for family affected the women's ability to maintain their health and manage their own chronic conditions. CONCLUSION: The caring roles and responsibilities Aboriginal women have in their community impact on their health. Aboriginal women provide much needed refuge and support to family and the wider community. Underfunded and over-burdened formal support services are not meeting the needs of many Aboriginal women. Improved culturally secure resources and social services are required within communities to support Aboriginal women to successfully manage their own health.


Assuntos
Doença Crônica/etnologia , Doença Crônica/terapia , Grupo com Ancestrais Oceânicos/psicologia , Autocuidado/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Austrália , Feminino , Serviços de Saúde do Indígena , Humanos , Pessoa de Meia-Idade , Grupo com Ancestrais Oceânicos/estatística & dados numéricos , Pesquisa Qualitativa
6.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem, HANSEN | ID: biblio-1051323

RESUMO

Objetivo: Analisar a percepção de pacientes com hanseníase sobre suas Necessidades Humanas Básicas alteradas. Método: Pesquisa qualitativa e descritiva, realizada com dez pacientes inscritos no Programa Nacional de Controle da Hanseníase em uma Unidade Básica de Saúde em Belém-PA. Dados coletados de agosto a setembro de 2017, por meio de entrevista semiestruturadas e prontuários dos participantes. Os dados foram organizados e analisados na perspectiva da análise de conteúdo. A pesquisa foi aprovada, sob o nº 2.148.415/23.06.2017, pelo Comitê de Ética da Escola de Enfermagem Magalhães Barata. Resultados: foram detectadas cinco necessidades alteradas: necessidades fisiológicas, de segurança, de amor e/ou sociais, de estima e de autorrealização. Evidenciou-se que a percepção das necessidades alteradas estimula ações de autocuidado, com vistas a sua satisfação. Conclusão: O enfermeiro deve prestar cuidados humanizados ao paciente com hanseníase, motivando-os para a autonomia e para o autocuidado, contribuindo para a melhoria da qualidade de vida


Objective: To analyze Hansen's disease patients' perception on their altered fundamental human needs. Method: Qualitative descriptive research, conducted with ten patients who were registered in the National Hansen's Disease Control Program at a Health Unit, in Belém-PA. The data was collected from August to September, 2017, through semi structured interviews and patients' medical reports. The data was organized and analyzed from the perspective of content analysis. The research was approved under the nº 2.148.415/23.06.2017 through the zip code of the Magalhães Barata Nursing School. Results: Five altered needs were identified: physiological, security, of love and/or social, esteem and self-actualizing needs. It was noticeable that the perception of the altered stimulates self-care actions, aiming its satisfaction. Conclusion: The nurse should provide humanized care to Hansen's disease patients, motivating them in order to achieve autonomy and self-care, contributing to an improvement in their quality of life


Objetivos: Analizar la percepción de los pacientes con hanseníasis sobre sus necesidades humanas fundamentales cambiadas. Método: Investigación descriptiva cualitativa, realizada con diez pacientes inscritos en el Programa Nacional de Control de la Hanseníasis en una Unidad Básica de Salud en Belém-PA. Los datos fueron recolectados desde agosto hasta septiembre de 2017, por medio de entrevistas semiestructuradas e historial clínico de los participantes. Los datos fueron organizados y analizados en la perspectiva del análisis de contenido. La investigación fue aprobada bajo el número 2.148.415/23.06.2017 a través del código postal de la Escuela de Enfermería Magalhães Barata. Resultados: Fueron detectadas cinco necesidades cambiadas: necesidades fisiológicas, de seguridad, de amor y/o sociales, de estima y de autorrealización. Fue evidenciado que la percepción de las cambiadas estimula acciones de autocuidado con el objetivo de alcanzar su satisfacción. Conclusión: El enfermero debe ofrecer cuidados humanizados a los pacientes con hanseníasis, motivándolos a todos para la autonomía y para el autocuidado, contribuyendo para la mejoría en la cualidad de vida


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Autocuidado/psicologia , Hanseníase/prevenção & controle , Hanseníase/terapia , Qualidade de Vida , Educação em Saúde , Pesquisa Qualitativa
7.
AIDS Behav ; 24(2): 506-515, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31865516

RESUMO

Transgender female sex workers (TFSW) are highly affected by HIV, with a global prevalence of 27%. HIV self-testing (HIVST) to screen sexual partners has helped men who have sex with men and female sex workers make informed sexual decisions and avoid HIV exposure. This is the first report on TFSW's experiences screening clients using HIVST. Ten TFSW were each given ten HIVST kits and returned after 3 months to complete an online questionnaire and undergo an interview. Eight of them reported using HIVST with potential partners. Among fifty potential partners who were asked in person to test, 42 (84%) were clients. Thirty-four out of fifty (68%) accepted and 16 (32%) refused. Very few violent incidents occurred, and participants felt empowered by offering HIVST to others. Nevertheless, HIVST market cost was prohibitive for future use. HIVST use with clients could be feasible for TFSW if the cost were lowered or subsidized.


Assuntos
Sorodiagnóstico da AIDS/métodos , Infecções por HIV/diagnóstico , Programas de Rastreamento/estatística & dados numéricos , Autocuidado/métodos , Autoexame/estatística & dados numéricos , Profissionais do Sexo/psicologia , Parceiros Sexuais , Pessoas Transgênero/psicologia , Adulto , Feminino , Infecções por HIV/epidemiologia , Infecções por HIV/prevenção & controle , Homossexualidade Masculina/psicologia , Homossexualidade Masculina/estatística & dados numéricos , Humanos , Masculino , New York/epidemiologia , Prevalência , Porto Rico/epidemiologia , Autocuidado/psicologia , Comportamento Sexual , Inquéritos e Questionários
8.
BMC Public Health ; 19(1): 1701, 2019 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-31856796

RESUMO

BACKGROUND: The Patient Activation Measure (PAM) is a recognized measure of how active patients are in their care, and has been translated into several languages and cultural contexts. Patient activity, self-care, and health literacy have become increasingly important aspects of health care, and thus reliable measures of these are needed. However, a Swedish translation of PAM is currently lacking. The aim of the study was to translate and assess the validity and reliability of the Swedish PAM-13. METHODS: A self-report questionnaire was handed out to 521 patients at ten medical, geriatric, and surgical wards, and one Virtual Health Room. The Rasch model was employed, using the partial credit model, to assess the functioning of the PAM scale, item fit, targeting, unidimensionality, local independence, differential item functioning (DIF), and person-separation index. Evidence of substantive, content, structural, and external validity was examined. RESULTS: Of the 521 patients who were consecutively handed a questionnaire, 248 consented to participate, yielding a response rate of 47.6%. The average measure for each category advanced monotonically. The difficulty of the PAM items ranged from - 1.55 to 1.26. The infit and outfit values for the individual items were acceptable. Items 1, 2, and 4 showed disordered thresholds. The mean person location was 1.48 (SD = 1.66). The person-item map revealed that there were no item representations at the top of the scale. The evidence for unidimensionality was ambiguous and response dependency was seen in some items. DIF was found for age. The person separation index was 0.85. CONCLUSION: The Swedish PAM-13 was reliable, but was not conclusively found to represent one underlying construct. It seems that the Swedish PAM-13 lacks strong evidence for substantive, content, and structural validity. Although valid and reliable measures of ability for activation in self-care among patients are highly warranted, we recommend further development of PAM-13 before application in everyday clinical care.


Assuntos
Alta do Paciente , Participação do Paciente/estatística & dados numéricos , Autocuidado/psicologia , Inquéritos e Questionários , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Suécia , Traduções , Adulto Jovem
9.
Rev Infirm ; 68(254): 27-28, 2019 Oct.
Artigo em Francês | MEDLINE | ID: mdl-31587847

RESUMO

The doctor-patient relationship tends to reconfigure. The chronic patient is recognised for the ability to perform certain healthcare activities, but also for a type of expertise related to his or her personal experience with illness. However, what are the individual and collective benefits of this expertise? How is it enhanced by connected medical systems?


Assuntos
Doença Crônica/terapia , Relações Médico-Paciente , Autocuidado/psicologia , Doença Crônica/psicologia , Humanos
10.
Medicine (Baltimore) ; 98(38): e17290, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31568013

RESUMO

BACKGROUND: Previous studies have reported that self-selection of the training intensity can be an interesting strategy to improve adherence in aerobic exercise programs. However, its effectiveness with weight training has not been systematically reviewed and remains unclear. In this study, we will describe a systematic review protocol that aims to investigate if people are able to self-select an intensity during weight training sufficient to enhance muscular strength. METHODS: This protocol is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. In this study, we will search the following electronic databases: PubMed, Science Direct, Scopus, Web of Science and SPORTDiscus. Intervention studies with at least one weight training session performed at self-selected intensity, with people from both genders and all age ranges will be included. The Downs & Black checklist will be used for methodological quality assessment. Two experienced reviewers will independently perform the selection of studies, data extraction, and evaluation of the methodological quality. CONCLUSION: This will be the first systematic review describing the results of weight training intervention studies with self-selected intensity. This study will provide high-quality and reliable evidence for health professionals and may direct methodological recommendations for further studies. PROSPERO REGISTRATION NUMBER: CRD42019120323.


Assuntos
Treinamento de Resistência/métodos , Autocuidado , Humanos , Força Muscular , Resistência Física , Autocuidado/psicologia
11.
Chiropr Man Therap ; 27: 44, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31636895

RESUMO

Background: The literature supports the effectiveness of self-management support (SMS) to improve health outcomes of patients with chronic spine pain. However, patient engagement in SMS programs is suboptimal. The objectives of this study were to: 1) assess participation in self-care (i.e. activation) among patients with spine pain, 2) identify patients' barriers and enablers to using SMS, and 3) map behaviour change techniques (BCTs) to key barriers to inform the design of a knowledge translation (KT) intervention aimed to increase the use of SMS. Methods: In summer 2016, we invited 250 patients with spine pain seeking care at the Canadian Memorial Chiropractic College in Ontario, Canada to complete the Patient Activation Measure (PAM) survey to assess the level of participation in self-care. We subsequently conducted individual interviews, in summer 2017, based on the Theoretical Domains Framework (TDF) in a subset of patients to identify potential challenges to using SMS. The interview guide included 20 open-ended questions and accompanying probes. Findings were deductively analysed guided by the TDF. A panel of 7 experts mapped key barriers to BCTs, designed a KT intervention, and selected the modes of delivery. Results: Two hundred and twenty-three patients completed the PAM. Approximately 24% of respondents were not actively involved in their care. Interview findings from 13 spine pain patients suggested that the potential barriers to using SMS corresponded to four TDF domains: Environmental Context and Resources; Emotion; Memory, Attention & Decision-Making; and Behavioural Regulation. The proposed theory-based KT intervention includes paper-based educational materials, webinars and videos, summarising and demonstrating the therapeutic recommendations including exercises and other lifestyle changes. In addition, the KT intervention includes Brief Action Planning, a SMS strategy based on motivational interviewing, along with a SMART plan and reminders. Conclusions: Almost one quarter of study participants were not actively engaged in their spine care. Key barriers likely to influence uptake of SMS among patients were identified and used to inform the design of a theory-based KT intervention to increase their participation level. The proposed multi-component KT intervention may be an effective strategy to optimize the quality of spine pain care and improve patients' health-outcomes.


Assuntos
Dor nas Costas/terapia , Pacientes/psicologia , Autocuidado/psicologia , Adolescente , Adulto , Idoso , Dor nas Costas/psicologia , Quiroprática , Feminino , Pessoal de Saúde/psicologia , Humanos , Bases de Conhecimento , Masculino , Pessoa de Meia-Idade , Ontário , Autogestão/psicologia , Inquéritos e Questionários , Pesquisa Médica Translacional , Adulto Jovem
12.
Emerg Nurse ; 27(5): 19-22, 2019 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-31475501

RESUMO

This article explores secondary traumatic stress (STS) and the emotional challenges that emergency nurses face when dealing with traumatised patients. The few studies on STS have shown a higher occurrence of STS symptoms in emergency nurses but provide limited evidence on how personal experiences may contribute to STS. Risk factors identified include repeated exposure to trauma; morbidity and mortality; personal trauma; chronic stressors; workload and emergency department pressures. STS can lead to reduced job satisfaction, sick leave and burnout. Protective factors include awareness and self-care, emotional intelligence, social support and education about STS. Strategies to minimise STS include balancing personal and professional life and the support of employers to help reduce compassion fatigue and aid staff retention.


Assuntos
Esgotamento Profissional/psicologia , Enfermagem em Emergência , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/psicologia , Fadiga por Compaixão/psicologia , Humanos , Satisfação no Emprego , Fatores de Risco , Autocuidado/psicologia , Apoio Social
13.
Urology ; 134: 97-102, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31499079

RESUMO

OBJECTIVE: To determine whether women overactive bladder symptoms would report more frequent unhealthy toileting behaviors. METHODS: A community-based sample of adult women was electronically recruited to complete the Toileting Behavior Scale and the International Consultation on Incontinence Questionnaire - Overactive Bladder module, as well as clinical and demographic questionnaires. The associations between overactive bladder and toileting behavior subscales were assessed as continuous variables using Spearman's rank correlation and as dichotomous variables with multivariable logistic regression. RESULTS: Of the 6562 adult women included in the analytic sample, 1059 (16.1%) were classified as having overactive bladder. Of the toileting behavior subscales, convenience voiding had the highest, positive association with overactive bladder score (r = 0.301, P < .0001). On multivariable logistic regression, women with overactive bladder (OAB) were more likely to report behaviors of convenience voiding (odds ratio [OR] 1.13, confidence intervals [CI] 1.11-1.15), delayed voiding (OR 1.05, CI 1.02-1.08), straining to void (OR 1.05, CI 1.03-1.07), and position preference (OR 1.13, CI 1.08-1.18). CONCLUSION: OAB symptoms were associated with specific toileting behaviors of convenience voiding, delayed voiding, straining to void, and position preference. Further investigation is needed to determine if toileting behaviors are a risk factor for OAB or a compensatory adaptation to mitigate symptoms.


Assuntos
Sintomas Comportamentais/diagnóstico , Qualidade de Vida , Autocuidado , Bexiga Urinária Hiperativa , Incontinência Urinária de Urgência , Micção , Adulto , Aparelho Sanitário , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Fatores de Risco , Autocuidado/métodos , Autocuidado/psicologia , Inquéritos e Questionários , Avaliação de Sintomas/métodos , Avaliação de Sintomas/estatística & dados numéricos , Estados Unidos , Bexiga Urinária Hiperativa/diagnóstico , Bexiga Urinária Hiperativa/epidemiologia , Bexiga Urinária Hiperativa/fisiopatologia , Bexiga Urinária Hiperativa/psicologia , Incontinência Urinária de Urgência/etiologia , Incontinência Urinária de Urgência/psicologia
15.
Int J Health Plann Manage ; 34(3): 1055-1064, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31364209

RESUMO

OBJECTIVES: The HIV/AIDS epidemic rages on in China, particularly among men who have sex with men (MSM). MSM with HIV/AIDS also tend to have poorer quality of life than other members of the population. A major contributor to these issues is the huge gap between the increasing demand of MSM for medical services and the availability of such services; their current needs cannot be met only with the services of the Chinese Center for Disease Control and Prevention. The aim of the present study was to examine the quality of life of MSM with HIV/AIDS in Shanghai, as well as determine whether it is influenced by chronic disease self-management (CDSM). METHODS: We conducted a pre-post study to evaluate the effect of CDSM on participants' quality of life. Four hundred twenty participants were assigned to either the CDSM group (n = 210) or the control group (n = 210). We collected data on quality of life (using the Medical Outcomes Study HIV Health Survey [MOS-HIV]) and various psychological and behavioral variables via interviewer-administered questionnaires. RESULTS: The physical and mental health summary scores of the MOS-HIV were 53.7 and 49.9, respectively. The CDSM group showed a significant improvement in quality of life and a significant decrease in the proportion of participants with anxiety symptoms (from 38.6% to 22.6%). Furthermore, the frequency of condom use increased from 43.3% to 47.3%. CONCLUSION: MSM with HIV generally had low quality of life in Shanghai. The CDSM program might help promote the quality of life of MSM while helping them practice healthy behaviors.


Assuntos
Doença Crônica/terapia , Infecções por HIV/terapia , Homossexualidade Masculina , Autocuidado , Adolescente , Adulto , Terapia Comportamental/métodos , China , Infecções por HIV/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida/psicologia , Sexo Seguro/estatística & dados numéricos , Autocuidado/métodos , Autocuidado/psicologia , Inquéritos e Questionários , Adulto Jovem
16.
PLoS One ; 14(8): e0220632, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31408474

RESUMO

OBJECTIVE: To assess triage compliance and the effect of the time from screening to triage on follow-up among HPV-positive women. METHODS: We recruited 1232 women in a screening campaign in Madagascar from February to October 2015. In the first period (February-May), HPV tests were performed remotely using the cobas test. In the second period (May-October), testing was performed on-site using the Xpert HPV assay. HPV-positive women were invited for triage with visual inspection with acetic acid (VIA) and Lugol's iodine (VILI). Systematic biopsy and endocervical brushing were performed on all HPV-positive women for quality control. Three groups were defined according to time from HPV testing to triage invitation for HPV-positive women-Group I: delayed (> 3 months), Group II: prompt (24-48 hours), and Group III: immediate (< 24 hours). RESULTS: A total 1232 self-sampled HPV tests were performed in the study period (496 in Group I, 512 in Group II, and 224 in Group III). Participants' mean age was 43.2 ± 9.3 years. Mean time from screening to VIA/VILI testing was 103.5 ± 43.6 days. Overall HPV prevalence was 28.0%. HPV prevalence was 27.2% in Group I (cobas test), 29.2% in Group 2 (Xpert test), and 26,7% in Group III (Xpert test). The VIA/VILI compliance rate was 77.8% for Group I, 82.7% for Group II, and 95.0% for Group III. Of women undergoing VIA/VILI, 56.3% in Group I and 43.5% in Groups II/III had positive results. Prevalence of cervical intraepithelial neoplasia grade 2 or worse among HPV-positive women was 9.8% for Group I and 6.8% for Groups II/III. Non-adherence was higher among rural women, uneducated women, and women in Group I. CONCLUSION: HPV-positive women with immediate VIA/VILI triage invitation had the best triage compliance. A single-day test and triage strategy is preferred for low-resource settings.


Assuntos
Detecção Precoce de Câncer/estatística & dados numéricos , Infecções por Papillomavirus/complicações , Cooperação do Paciente/estatística & dados numéricos , Autocuidado/estatística & dados numéricos , Neoplasias do Colo do Útero/diagnóstico , Adulto , Idoso , Biópsia , Colo do Útero/patologia , Detecção Precoce de Câncer/métodos , Detecção Precoce de Câncer/psicologia , Feminino , Humanos , Madagáscar/epidemiologia , Pessoa de Meia-Idade , Cooperação do Paciente/psicologia , Autocuidado/psicologia , Triagem , Neoplasias do Colo do Útero/patologia , Neoplasias do Colo do Útero/virologia
17.
J Clin Nurs ; 28(23-24): 4424-4433, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31410895

RESUMO

AIMS AND OBJECTIVES: To measure cancer-related fatigue (CRF), self-care agency (SCA) and fatigue self-care strategies, and to explore the relationship between CRF and SCA. BACKGROUND: Cancer-related fatigue has been consistently rated as the most elusive, common and severe of symptoms that patients with cancer undergoing chemotherapy experience. Despite its frequency and severity, CRF is poorly managed. A renewed focus on supporting self-care among patients with cancer has been found to reduce symptom burden, empower patients and improve patient satisfaction. Understanding the link between self-care agency (i.e. capability and willingness to self-care) and CRF levels will help practitioners to better support individuals on the cancer journey. DESIGN: A descriptive, correlational survey design was employed. METHODS: Patients (n = 362) undergoing chemotherapy with a primary diagnosis of breast, colorectal, Hodgkin's and non-Hodgkin's lymphoma cancers were recruited from four oncology centres in one city in the South of Ireland. Participants completed the Piper Fatigue Scale-Revised, Appraisal of Self-care Agency Scale and a researcher-developed Fatigue Self-Care Survey. Multivariate logistic regression was used to examine the relationship between CRF and self-care agency using a dichotomous dependent variable score of four as the cut-off between those deemed to be fatigued (≥4) and those not fatigued (<4). As recommended by the EQUATOR Network, the STROBE checklist of items for cross-sectional studies is used to report the study. RESULTS: The incidence of CRF was high with 75% of participants scoring clinically relevant CRF. Higher SCA (OR = 0.96, 95% CI = 0.93-0.99, p = .011) was associated with decreased odds of developing CRF. Having non-Hodgkin's lymphoma (OR = 3.02, 95% CI = 1.29-7.07, p = .011) was associated with increased odds of developing CRF. CONCLUSIONS: Patient's undergoing chemotherapy experience significant fatigue. Higher capability for self-care is associated with lower fatigue. The promotion of SCA and self-care strategies can impact on CRF. RELEVANCE TO CLINICAL PRACTICE: Understanding the link between self-care abilities and fatigue can lead to more individualised and tailored approaches to CRF.


Assuntos
Antineoplásicos/efeitos adversos , Fadiga/etiologia , Neoplasias/tratamento farmacológico , Autocuidado/psicologia , Adulto , Idoso , Estudos Transversais , Fadiga/psicologia , Feminino , Humanos , Irlanda , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
18.
Pflege ; 32(5): 267-276, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31441714

RESUMO

Support self-management of symptoms in cancer therapies:The Symptom-Navi-Program Abstract. Background: Cancer patients experience a variety of symptoms associated with their disease and treatment. Many patients express uncertainty how to self-manage these symptoms. We developed the Symptom-Navi-Program (SNP) to support cancer patients' symptom self-management. The SNP comprises concise information leaflets, Symptom-Navi-Flyers (SNF), with content tailored to the needs of patients and nurse-led semi-structured consultations. AIM: The aim of the study was to to explore if patients experienced with the SNP with a focus on the perceived usefulness. METHOD: In a qualitative study, we conducted ten semi-structured interviews with cancer patients undergoing treatment. The interviews conduct and data analysis was based on thematic analysis as defined by 1-2Braun and Clarke (2006). RESULTS: Overall, patients described the SNP as a helpful facilitator for their self-management of symptoms. They highlighted its usefulness in an emotionally challenging situation. Nurse-led education and SNF tailored to the individual situation were experienced as self-management empowering elements. Consequently, patients experienced to know and have more choices in their symptom management strategies. Patients also described to use SNF to inform their relatives. CONCLUSIONS: Patients experience the SNP as a promising tool to facilitate their symptom self-management. Its implementation in clinical practice will now be further evaluated.


Assuntos
Neoplasias/terapia , Relações Enfermeiro-Paciente , Autocuidado/psicologia , Humanos , Pesquisa em Avaliação de Enfermagem , Educação de Pacientes como Assunto , Pesquisa Qualitativa
19.
PLoS One ; 14(7): e0220304, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31348814

RESUMO

BACKGROUND: The needs of Chinese patients undergoing home-based rehabilitation after hip replacement surgery remain unclear. In this study, we qualitatively investigated the needs of Chinese patients undergoing home-based rehabilitation after hip replacement surgery. METHODS: A total of 21 participants undergoing home-based rehabilitation after hip replacement surgery were included in this study. Individual semi-structured interviews involving all participants were performed to determine the needs and experiences of this patient population during home-based rehabilitation. Data were subjected to qualitative content analysis. RESULTS: The patients had numerous needs during rehabilitation. Three substantive themes, namely, the need to obtain health-related knowledge, the need to obtain care and support, and the needs of those who cannot perform self-care, were identified from the qualitative data. The participants shared valuable insights into their needs during home-based rehabilitation after hip replacement and provided potential suggestions. CONCLUSIONS: Patients undergoing home-based rehabilitation after hip replacement have several strong needs and lack proper guidance. The initial and continuous engagement of rehabilitation professionals and the establishment of related policies based on patient's needs are potential approaches for improving the effectiveness of home-based rehabilitation after hip replacement.


Assuntos
Artroplastia de Quadril/reabilitação , Autocuidado/estatística & dados numéricos , Idoso , Artroplastia de Quadril/psicologia , Feminino , Nível de Saúde , Serviços de Assistência Domiciliar , Humanos , Entrevistas como Assunto , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Educação de Pacientes como Assunto , Pesquisa Qualitativa , Autocuidado/psicologia
20.
J Surg Res ; 244: 181-188, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31299434

RESUMO

BACKGROUND: Hernias are one of the most commonly encountered surgical conditions, and every year, more than 20 million hernia repairs are performed worldwide. The surgical management of hernia, however, is largely neglected as a public health priority in developing countries, despite its cost-effectiveness. To date, the prevalence and impact of hernia have not been formally studied in a community setting in Cameroon. The aim of this study was to determine the prevalence and characteristics of untreated hernia in the Southwest region of Cameroon. METHODS: This study was a subanalysis of a cross-sectional community-based survey on injury in Southwest Cameroon. Households were sampled using a three-stage cluster sampling method. Household representatives reported all untreated hernias occurring in the past year. Data on socioeconomic factors, hernia symptoms, including the presence of hernia incarceration, and treatment attempts were collected between January 2017 and March 2017. RESULTS: Among 8065 participants, 73 persons reported symptoms of untreated hernia, resulting in an overall prevalence of 7.4 cases per 1000 persons (95% confidence limit 4.98-11.11). Groin hernias were most commonly reported (n = 49, 67.1%) and predominant in young adult males. More than half of persons with untreated hernia (56.7%) reported having symptoms of incarceration, yet 42.1% (n = 16) of these participants did not receive any surgical treatment. Moreover, 21.9% of participants with untreated hernias never presented to formal medical care, primarily because of the high-perceived cost of care. Untreated hernias caused considerable disability, as 21.9% of participants were unable to work because of their symptoms, and 15.1% of households earned less money. CONCLUSIONS: Hernia is a significant surgical problem in Southwest Cameroon. Despite over half of those with unrepaired hernias reporting symptoms of incarceration, home treatment and nonsurgical management were common. Costs associated with formal medical services are a major barrier to obtaining consultation and repair. Greater awareness of hernia complications and cost restructuring should be considered to prevent disability and mortality due to hernia.


Assuntos
Efeitos Psicossociais da Doença , Hérnia/epidemiologia , Adolescente , Adulto , Fatores Etários , Camarões/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Avaliação da Deficiência , Feminino , Virilha , Gastos em Saúde/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Hérnia/complicações , Hérnia/economia , Hérnia/terapia , Herniorrafia/economia , Herniorrafia/psicologia , Herniorrafia/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Educação de Pacientes como Assunto , Prevalência , Fatores de Risco , Autocuidado/economia , Autocuidado/psicologia , Autocuidado/estatística & dados numéricos , Fatores Sexuais , Adulto Jovem
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