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1.
Medicine (Baltimore) ; 99(8): e19167, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32080095

RESUMO

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.


Assuntos
Grupos Étnicos/estatística & dados numéricos , Alfabetização em Saúde/estatística & dados numéricos , Grupos Minoritários/estatística & dados numéricos , Inquéritos e Questionários/normas , Sucesso Acadêmico , Adolescente , China/epidemiologia , Estudos Transversais , Feminino , Educação em Saúde/estatística & dados numéricos , Humanos , Masculino , Reprodutibilidade dos Testes , República da Coreia/etnologia , Características de Residência/estatística & dados numéricos , População Rural/estatística & dados numéricos , Fatores Sexuais
2.
Disasters ; 44(1): 205-228, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31524986

RESUMO

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.


Assuntos
Primeiros Socorros , Educação em Saúde/estatística & dados numéricos , Humanos
3.
BMC Public Health ; 19(1): 1505, 2019 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-31711469

RESUMO

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.


Assuntos
Detecção Precoce de Câncer/estatística & dados numéricos , Educação em Saúde/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Neoplasias do Colo do Útero/prevenção & controle , Adulto , Idoso , Detecção Precoce de Câncer/psicologia , Feminino , Gana , Humanos , Programas de Rastreamento/estatística & dados numéricos , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Autoeficácia , Inquéritos e Questionários , Neoplasias do Colo do Útero/psicologia , Adulto Jovem
4.
BMC Health Serv Res ; 19(1): 817, 2019 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-31703681

RESUMO

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.


Assuntos
Cuidadores/educação , Bem-Estar da Criança/estatística & dados numéricos , Aconselhamento/normas , Educação em Saúde/normas , Estado Nutricional , Criança , Pré-Escolar , Enfermagem em Saúde Comunitária/normas , Enfermagem em Saúde Comunitária/estatística & dados numéricos , Aconselhamento/estatística & dados numéricos , Estudos Transversais , Feminino , Gana , Educação em Saúde/estatística & dados numéricos , Pessoal de Saúde/educação , Humanos , Lactente , Masculino , Mães/educação , Relações Profissional-Paciente , Saúde da População Rural
5.
BMC Health Serv Res ; 19(1): 810, 2019 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-31699085

RESUMO

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.


Assuntos
Parto Obstétrico/estatística & dados numéricos , Preferência do Paciente/estatística & dados numéricos , Cuidado Pré-Natal/estatística & dados numéricos , Adulto , Estudos Transversais , Tomada de Decisões , Etiópia , Feminino , Educação em Saúde/estatística & dados numéricos , Pesquisa sobre Serviços de Saúde , Humanos , Gravidez , Características de Residência/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
6.
Nihon Koshu Eisei Zasshi ; 66(9): 560-573, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-31588092

RESUMO

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.


Assuntos
Centros Comunitários de Saúde , Idoso Fragilizado , Fragilidade/prevenção & controle , Educação em Saúde/métodos , Idoso , Idoso de 80 Anos ou mais , Eficiência Organizacional , Educação em Saúde/estatística & dados numéricos , Humanos , Japão
7.
Artigo em Inglês | MEDLINE | ID: mdl-31505892

RESUMO

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.


Assuntos
Diabetes Mellitus Tipo 2/terapia , Educação em Saúde/métodos , Educação de Pacientes como Assunto/estatística & dados numéricos , Autocuidado/estatística & dados numéricos , Autoeficácia , Adulto , Idoso , Automonitorização da Glicemia , Feminino , Educação em Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Pacientes/estatística & dados numéricos , República da Coreia , Adulto Jovem
8.
BMC Res Notes ; 12(1): 602, 2019 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-31533856

RESUMO

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.


Assuntos
Conscientização , Complicações do Diabetes/terapia , Diabetes Mellitus Tipo 2/complicações , Conhecimentos, Atitudes e Prática em Saúde , Hospitais de Distrito , Inquéritos e Questionários , Adolescente , Adulto , Idoso , Complicações do Diabetes/diagnóstico , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/terapia , Etiópia , Feminino , Educação em Saúde/métodos , Educação em Saúde/normas , Educação em Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Adulto Jovem
9.
Eur J Obstet Gynecol Reprod Biol ; 241: 88-93, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31479991

RESUMO

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.


Assuntos
Educação em Saúde/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Complicações Infecciosas na Gravidez/prevenção & controle , Infecções Urinárias/prevenção & controle , Adolescente , Adulto , Feminino , Educação em Saúde/métodos , Humanos , Incidência , Filipinas/epidemiologia , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Cuidado Pré-Natal , Infecções Urinárias/epidemiologia , Adulto Jovem
10.
Artigo em Inglês | MEDLINE | ID: mdl-31514391

RESUMO

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.


Assuntos
Diabetes Mellitus Tipo 2 , Resíduos Perigosos , Educação em Saúde/estatística & dados numéricos , Insulina/administração & dosagem , Eliminação de Resíduos de Serviços de Saúde , Idoso , Serviços de Saúde Comunitária , Diabetes Mellitus , Diabetes Mellitus Tipo 2/tratamento farmacológico , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Malásia , Masculino , Pessoa de Meia-Idade , Atenção Primária à Saúde , Inquéritos e Questionários
11.
Afr J Reprod Health ; 23(2): 101-109, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31433598

RESUMO

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.


Assuntos
Comportamento Contraceptivo/estatística & dados numéricos , Pessoas com Deficiência/psicologia , Pessoas com Deficiência/estatística & dados numéricos , Serviços de Planejamento Familiar/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Acesso aos Serviços de Saúde , Serviços de Saúde Reprodutiva/estatística & dados numéricos , Comportamento Sexual/etnologia , Adolescente , Adulto , Atitude do Pessoal de Saúde , Anticoncepcionais Femininos/uso terapêutico , Dispositivos Anticoncepcionais , Etiópia/epidemiologia , Feminino , Educação em Saúde/estatística & dados numéricos , Humanos , Saúde Reprodutiva , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
12.
BMC Health Serv Res ; 19(1): 449, 2019 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-31272432

RESUMO

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.


Assuntos
Aconselhamento/normas , Educação em Saúde/normas , Serviços de Saúde Materna/normas , Cuidado Pré-Natal/normas , Adulto , Criança , Aconselhamento/estatística & dados numéricos , Estudos Transversais , Feminino , Educação em Saúde/estatística & dados numéricos , Pessoal de Saúde , Humanos , Laos/epidemiologia , Serviços de Saúde Materna/estatística & dados numéricos , Gravidez , Cuidado Pré-Natal/estatística & dados numéricos
13.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 31(2): 175-177, 2019 May 07.
Artigo em Chinês | MEDLINE | ID: mdl-31184051

RESUMO

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.


Assuntos
Anopheles , Erradicação de Doenças , Malária , Animais , China/epidemiologia , Educação em Saúde/estatística & dados numéricos , Incidência , Conhecimento , Malária/epidemiologia , Malária/prevenção & controle , Controle de Mosquitos , Projetos Piloto , Densidade Demográfica
14.
Compr Child Adolesc Nurs ; 42(sup1): 115-121, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31192721

RESUMO

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.


Assuntos
Diabetes Mellitus Tipo 1/terapia , Educação em Saúde/normas , Cooperação do Paciente/psicologia , Autogestão/educação , Adolescente , Criança , Diabetes Mellitus Tipo 1/psicologia , Feminino , Educação em Saúde/métodos , Educação em Saúde/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Indonésia , Masculino , Cooperação do Paciente/estatística & dados numéricos , Autogestão/métodos , Inquéritos e Questionários
15.
Isr J Health Policy Res ; 8(1): 50, 2019 06 06.
Artigo em Inglês | MEDLINE | ID: mdl-31171033

RESUMO

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.


Assuntos
Educação em Saúde/normas , Pessoal de Saúde/educação , Comunicação Interdisciplinar , Medicina Preventiva/normas , Idoso , Estudos Transversais , Feminino , Educação em Saúde/estatística & dados numéricos , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Medicina Preventiva/estatística & dados numéricos , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/normas , Atenção Primária à Saúde/estatística & dados numéricos
16.
JMIR Mhealth Uhealth ; 7(5): e12794, 2019 05 14.
Artigo em Inglês | MEDLINE | ID: mdl-31094354

RESUMO

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.


Assuntos
Depressão Pós-Parto/diagnóstico , Educação em Saúde/normas , Aplicativos Móveis/normas , Mães/psicologia , Adulto , Análise de Variância , Depressão Pós-Parto/epidemiologia , Depressão Pós-Parto/psicologia , Feminino , Educação em Saúde/métodos , Educação em Saúde/estatística & dados numéricos , Hong Kong/epidemiologia , Humanos , Aplicativos Móveis/estatística & dados numéricos , Mães/estatística & dados numéricos , Gravidez , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Método Simples-Cego
18.
BMC Res Notes ; 12(1): 212, 2019 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-30961663

RESUMO

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).


Assuntos
Automonitorização da Glicemia/estatística & dados numéricos , Diabetes Mellitus Tipo 2/diagnóstico , Conhecimentos, Atitudes e Prática em Saúde , Hiperglicemia/diagnóstico , Hipoglicemiantes/uso terapêutico , Adulto , Idoso , Glicemia/metabolismo , Índice de Massa Corporal , Estudos Transversais , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/tratamento farmacológico , Diabetes Mellitus Tipo 2/fisiopatologia , Etiópia , Feminino , Educação em Saúde/estatística & dados numéricos , Humanos , Hiperglicemia/sangue , Hiperglicemia/tratamento farmacológico , Hiperglicemia/fisiopatologia , Modelos Logísticos , Masculino , Adesão à Medicação/estatística & dados numéricos , Pessoa de Meia-Idade , Fatores Sexuais , Inquéritos e Questionários
19.
Ann Ist Super Sanita ; 55(1): 70-79, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30968841

RESUMO

INTRODUCTION: Numerous municipalities in Italy currently experience asbestos health impact, in particular excesses of pleural mesothelioma incidence and mortality. This paper presents an integrated analysis of epidemiological studies and communication actions in affected municipalities to highlight how communication has been implemented depending on health impact evidence and involvement of local stakeholders. METHODOLOGY: Four case studies are identified concerning industrial and natural sources of asbestos exposure having different diseases burden. This integrated analysis benefited from multidisciplinary skills. DISCUSSION: Evidence of different stakeholders engagement is presented to emphasize their role in the communication process. Similarities and differences among case studies allowed us to identify lessons-learned to be transferred in other asbestos contaminated sites. CONCLUSIONS: The adoption of communication strategies and practices, since the very early evidence of asbestos health impact, represents a relevant contribution for epidemiological and health surveillance, particularly for those communities where asbestos health impact has only been recently reported.


Assuntos
Asbestos/efeitos adversos , Asbestose/epidemiologia , Educação em Saúde/estatística & dados numéricos , Asbestose/prevenção & controle , Comunicação , Exposição Ambiental , Humanos , Incidência , Itália/epidemiologia , Neoplasias/epidemiologia , Neoplasias/etiologia , Exposição Ocupacional , Vigilância em Saúde Pública
20.
J Autism Dev Disord ; 49(7): 3007-3015, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31016674

RESUMO

Despite the dramatic rise in Autism Spectrum Disorder (ASD) prevalence, limited information is known about ASD knowledge of the general population. The Autism Spectrum Knowledge Scale, General Population version (ASKSG) was collaboratively constructed to create a measure of ASD knowledge specifically for the general population. The ASKSG is a 31-item measure that assesses one's knowledge and understanding of ASD. Adults in the general population participated in the current study (N = 318). Findings indicate that the ASKSG is a valid and reliable measure and can adequately measure ASD knowledge in this population. A greater understanding of general population knowledge pertaining to ASD can be used to better inform identification, intervention, and advocacy, thus improving the outcomes for individuals with ASD.


Assuntos
Transtorno do Espectro Autista/diagnóstico , Transtorno do Espectro Autista/psicologia , Transtorno Autístico/diagnóstico , Transtorno Autístico/psicologia , Educação em Saúde/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Prevalência , Comportamento Social
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