A systematic review of menopausal symptom management decision aid trials

Maturitas ◽  
2011 ◽  
Vol 69 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Janet S. Carpenter ◽  
Jamie L. Studts ◽  
Margaret M. Byrne
2016 ◽  
Vol 2 (1) ◽  
pp. 28
Author(s):  
Chindy Maria Orizani

ABSTRAKWanita berhak memilih penanganan premenopause namun penentuan keputusan menimbulkan masalah baru. Penelitian ini bertujuan untuk menelaah literature mengenai pengalaman penentuan keputusan dalam memilih penanganan gejala menopause dan peran petugas kesehatan terutama perawat untuk membantu proses penentuan keputusan. Sumber diambil dari database PubMed, ScienceDirect, dan SAGEPub. Enam kata kunci yang digunakan adalah fulltext, berbahasa Inggris, penelitian kualitatif berhubungan dengan penentuan keputusan dalam memilih penanganan gejala menopause. Total terdapat 42 artikel dari empat Negara yang berbeda dan setelah dilakukan pemilihan kriteria inklusi, empat artikel yang ditelaah. Dari empat artikel menemukan bahwa wanita mengungkapkan perasaan mereka tentang kurangnya informasi tentang menopause dan manajemen gejala menopause sehingga mereka menemukan kesulitan ketika memutuskan untuk terapi. Sebagian besar itu menunjukkan tentang kurangnya dukungan dari petugas kesehatan. Dari artikel juga menemukan mengenai faktor tentang pengambilan keputusan, dibagi menjadi empat kategori: (1) karakteristik individu (demografi, pengalaman menopause, gejala); (2) nilai-nilai, sikap, keyakinan, dan preferensi (sikap dan keyakinan tentang menopause dan perawatan, modalitas disukai, toleransi untuk risiko / efek samping); (3) fakta dan informasi tentang menopause dan manajemen gejala (jumlah, jenis, sumber, kredibilitas, ketersediaan); dan (4) konteks pelayanan kesehatan (perawatan kesehatan penyedia komunikasi, kepercayaan, ketersediaan / waktu, pengetahuan, hubungan). Sebuah model yang komprehensif pengambilan keputusan manajemen gejala menopause harus dibuat di Indonesia. Perawat sebagai penyedia layanan harus meningkatkan kemampuan komunikasi yang efektif untuk membantu perempuan dalam proses pengambilan keputusan misalnya dengan menggunakan intervensi Coacing Decision di acara bimbingan atau konsultasi.Kata kunci: penentuan keputusan wanita menopause, penetuan keputusan, peran perawatABSTRACTWomen have a right for choose the best premenopause treatment for her ownself, but decision making process sometime become new problem. Aim of this study was to review the literature regarding experience related to women’s menopausal symptoms management decision making and role of care provider especially nurse for helping client in decision making process. Reference lists collected from PubMed, ScienceDirect, and SAGEPub database. There are six keywords have been used for searching the article. Full- text, English language, qualitative study articles related to women’s menopausal symptom management decision making were reviewed. A total of 42 articles from four different countries and after considered inclusion criteria, four articles were reviewed. From four articles found that women expressed their feeling about a lack menopause information and its menopausal symptom management so they found difficulties when decided for the therapy. Most of it showed about a lack of support from care provider. From articles also found about factors about decision making, devided to four catagories: (1) individual characteristics (demographics, menopause experience, symptomatology); (2) values, attitudes, beliefs, and preferences (attitudes and beliefs about menopause and treatments, preferred modalities, tolerance for risks/side effects); (3) facts and information about menopause and symptom management (amount, type, source, credibility, availability); and (4) health care context (health care provider communication, trust, availability/time, knowledge, relationship). A comprehensive model of menopausal symptom management decision making should be made in Indonesia. Nurse as a care provider must increase an effective communication ability to help women in decision making process for example by using Decision Coacing Intervention at tutoring or consultation event. Keywords: woman’s menopause decision making, decision making, role of nurse DOWNLOAD FULL TEXT PDF >>


10.2196/15588 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e15588 ◽  
Author(s):  
Jill Meirte ◽  
Nick Hellemans ◽  
Mieke Anthonissen ◽  
Lenie Denteneer ◽  
Koen Maertens ◽  
...  

Background Patient-reported outcome measures (PROMs) are important in clinical practice and research. The growth of electronic health technologies provides unprecedented opportunities to systematically collect information via PROMs. Objective The aim of this study was to provide an objective and comprehensive overview of the benefits, barriers, and disadvantages of the digital collection of qualitative electronic patient-reported outcome measures (ePROMs). Methods We performed a systematic review of articles retrieved from PubMED and Web of Science. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed during all stages. The search strategy yielded a total of 2333 records, from which 32 met the predefined inclusion and exclusion criteria. The relevant ePROM-related information was extracted from each study. Results Results were clustered as benefits and disadvantages. Reported benefits of ePROMs were greater patient preference and acceptability, lower costs, similar or faster completion time, higher data quality and response rates, and facilitated symptom management and patient-clinician communication. Tablets were the most used ePROM modality (14/32, 44%), and, as a platform, Web-based systems were used the most (26/32, 81%). Potential disadvantages of ePROMs include privacy protection, a possible large initial financial investment, and exclusion of certain populations or the “digital divide.” Conclusions In conclusion, ePROMs offer many advantages over paper-based collection of patient-reported outcomes. Overall, ePROMs are preferred over paper-based methods, improve data quality, result in similar or faster completion time, decrease costs, and facilitate clinical decision making and symptom management. Disadvantages regarding ePROMs have been outlined, and suggestions are provided to overcome the barriers. We provide a path forward for researchers and clinicians interested in implementing ePROMs. Trial Registration PROSPERO CRD42018094795; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=94795


Author(s):  
Jorge Freire de Sousa ◽  
José A. Barros-Basto ◽  
Paulo Lima Júnior

This chapter also illustrates the potential of the proposed approach as a practical and readily implementable management decision aid in the context of a current case that involved the maintenance team of a Portuguese regional office of a worldwide equipment company.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Ji-Yun Hwang ◽  
Bo-young Lee ◽  
Sung-Min Yook

Abstract Objectives Although red ginseng is one of the bestselling herbal medicines, little studies have evaluated and summarized the effects of red ginseng intake on human health using a systematic review. Methods We systematically searched for epidemiological studies from 1997 to 2018 regarding red ginseng intake and health in the PubMed, DBPIA, and EMBASE databases. A total of 41 related studies were qualitatively reviewed under the four functionalities of red ginseng: immunity enhancement, prevention of metabolic syndrome and diabetes, blood circulation and prevention of hypertension, and menopausal symptom relief. Results We identified thirteen studies for immunity enhancement, ten prevention of metabolic syndrome and diabetes (reduced postprandial blood glucose levels), nine for blood circulation and prevention of hypertension, and five for menopausal symptom relief. Functional effects of red ginseng may be related to antioxidant effects via fermentation, although some studies have reported inconsistent effects such as insulin sensitivity. Conclusions Red ginseng may have potential health promoting effects based on this systematic review. Further meta-analysis study is needed to identify and evaluate whether these potential effects of red ginseng exist. Funding Sources This study was supported by the Korea Ginseng Corp.


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