scholarly journals Beneficial effects of short-term nutritional counselling at the primary health-care level among Brazilian adults

2005 ◽  
Vol 8 (7) ◽  
pp. 820-825 ◽  
Author(s):  
Daniela Saes Sartorelli ◽  
Elaine Cristina Sciarra ◽  
Laércio Joel Franco ◽  
Marly Augusto Cardoso
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Low Cost ◽  
Intervention Group ◽  
Saturated Fat ◽  
Nutritional Intervention ◽  
Primary Health Care Centre ◽  
Health Care Centre ◽  
Primary Health

AbstractObjectiveTo evaluate the impact of a low-cost nutritional intervention in changing the lifestyle of adults.DesignRandomised clinical trial.SettingPrimary health-care centre in São José do Rio Preto, São Paulo State, Brazil.SubjectsWe randomly assigned 104 adults (83 women and 21 men aged 30–65 years, body mass index 24–35 kg m−2, non-diabetic) into two groups: nutrition counselling and control. Each subject in the intervention group received three individualised nutritional counselling sessions during the first 6 months aimed at increasing intakes of fruits, vegetables and olive oil, reducing saturated fat and improving physical activity. Body composition, biochemical indicators and lifestyle were assessed at baseline and at 6 months and 1 year in both groups.ResultsAfter 6 months of follow-up, body weight, waist circumference, diastolic blood pressure, fasting blood glucose, total and low-density lipoprotein cholesterol, total and saturated fat, and dietary energy and cholesterol levels showed a more significant decrease among subjects in the intervention group than in the control group (P<05). Moreover, the intervention group showed significantly greater improvement in each intervention goal, such as reduced intake of saturated fat and increased intakes of fruits, vegetables, fibre and olive oil (P<0.05). After 12 months of follow-up, most of the outcomes were maintained.ConclusionsThe low-cost nutritional intervention programme improved serum lipids profile and weight control, and appeared to be feasible for use at a primary health-care centre in a developing country.

scholarly journals Effect of implementation intention on walking in people with diabetes

2020 ◽  
Vol 54 ◽  
pp. 103
Author(s):  
Marco Antonio Vieira da Silva ◽  
Thaís Moreira São-João ◽  
Marilia Estevam Cornelio ◽  
Fábio Luiz Mialhe
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Leisure Time Physical Activity ◽  
Intervention Strategy ◽  
Intervention Group ◽  
Implementation Intention ◽  
Control Group ◽  
Primary Health ◽  
Significant Difference

OBJECTIVE: To evaluate the effect of implementation intentions as an intervention strategy to promote walking in adults with type 2 diabetes mellitus (T2DM). METHODS: We conducted a controlled and randomized trial, with 12 months of follow-up, involving 65 people with T2DM recruited from primary health care units and allocated them in the control group (CG, n = 32) and intervention group (IG, n = 33). The IG received the implementation intention strategy to promote walking and the CG remained in follow-up for conventional treatment in primary health care. The researchers were blinded by anthropometric measurements and the filling of the instruments. RESULTS: After twelve months of follow up, the IG presented a statistically significant increase in the leisure time physical activity when compared with the CG (p = 0.0413) and showed a significant decrease in waist circumference (p = 0.0061). No significant difference was observed regarding body mass index and glycated hemoglobin among groups. CONCLUSIONS: Implementation intention was effective in promoting walking and improving clinical indicators in adults with T2DM.

scholarly journals The Presence of Stress, Burnout Syndrome and the Most Important Causes of Working Stress Among Physicians in Primary Health Care – an Observational Study from Banja Luka, Bosnia and Herzegovina

2019 ◽  
Vol 48 (2) ◽  
pp. 159
Author(s):  
Kosana Stanetić ◽  
Verica Petrović ◽  
Brankica Marković ◽  
Bojan Stanetić
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emotional Exhaustion ◽  
Primary Health Care Centre ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Health Care Centre ◽  
Primary Health ◽  
High Level ◽  
Banja Luka

<p><strong>Objective. </strong>To investigate the level and causes of stress and the risk of onset of burnout syndrome among physicians employed at the Primary Health Care Centre, Banja Luka.</p><p><strong>Subjects and Methods. </strong>Between March 1, 2018, and May 31, 2018 all physicians from the Primary Health Care Centre, Banja Luka were offered the following questionnaires to fill in: a socio-demographic questionnaire, a questionnaire for self-assessment of the level of stress and the Maslach Burnout Inventory for assessment of the risk of burnout syndrome. <strong>Results. </strong>Out of 211 physicians, 85.8% were female. A high level of stress was found in 77.7% of the subjects. Older doctors had higher levels of emotional exhaustion compared to younger doctors with a shorter length of service (r=0.236, P=0.01). Emotional exhaustion was significantly correlated with a high level of depersonalization, a low level of personal accomplishment and a high level of stress (r=0.380, r=-0.174 and r=0.574, P=0.01, P=0.04 and P&lt;0.01, respectively). Depersonalization correlated with a low level of personal accomplishment and stress (r=-0.347 and r=0.283, P&lt;0.01 and P=0.01, respectively), while the level of personal accomplishment was in a negative correlation with stress (r=-0.281, P=0.01). A high stress level was associated with a high degree of emotional exhaustion (OR 56.543; 95% CI 11.35-213.09; P&lt;0.001) as well as lack of personal accomplishment (OR 0.155; 95% CI 0.04-0.50; P=0.003).</p><p><strong>Conclusion. </strong>A high level of stress was associated with older age, female gender, as well as with a high degree of emotional exhaustion and a lack of personal accomplishment. Preventive measures are warranted.</p>

scholarly journals Immunisation-related Knowledge, Attitudes and Promotive Practices among Mothers in an Urban Primary Health Care Centre in South-East Nigeria: a Call for Improved Clinic-based Education

2020 ◽  
Vol 3 (2) ◽  
pp. 1-16
Author(s):  
I Okedo-Alex ◽  
I Akamike ◽  
A Adeke ◽  
C Uneke
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Maternal Education ◽  
Primary Health Care Centre ◽  
Childhood Vaccination ◽  
P Value ◽  
Care Centre ◽  
Health Care Centre ◽  
Adequate Knowledge ◽  
Primary Health

Background: Nigeria is among the five countries accounting for half of the world’s unimmunised children. Maternal knowledge and attitude play key roles in uptake and timeliness of routine childhood vaccination. This study assessed immunisation-related knowledge, attitudes and promotive practices among mothers in Abakaliki Ebonyi State Nigeria. Methods: This was a cross-sectional study among 117 mothers with children aged 0-23 months attending a Primary Health Care Centre in Abakaliki, Ebonyi State. Data were collected using an interviewer-administered questionnaire and analysed using SPSS version 20 with a p value of ≤ 0.05 considered statistically significant.Results: Over half (55.6%) of the respondents were aged 26-35years while 47% had secondary school education. Majority (91.5%) had previously vaccinated their children, but only 31.7% knew the dosing of polio vaccine. Less than half (42%) of the mothers had adequate knowledge about routes of vaccine administration. About half (49.7%) had adequate knowledge about the children’s next vaccination appointments. Most (94%) considered immunisation important in preventing childhood diseases with up to 95% of them willing to bring their children for immunisation. Only 57.3% were satisfied with the adequacy of immunisation-related information received from the clinic. Majority (81.2%) were timely in accessing immunisation for their babies. Educational status (P=0.035) and child’s age (P=0.008) were associated with knowledge and practice of immunisation respectively. Conclusion: Mothers in this study had good immunisation-related practices and positive attitude towards immunisation. Although majority had good knowledge, some knowledge gaps were identified. We recommend improved maternal education and content of clinic-based education on immunisation.

scholarly journals An Overview on Hyperthyroidism, Evaluation and Management Approach in Primary Health Care Centre

2021 ◽  
Vol 12 (2) ◽  
pp. 134-139
Author(s):  
Hussain Khalid Almudayni ◽  
Rayan Khalid Alhowaish ◽  
Basheer Maqbul Alotaibi ◽  
Amal Mohammed Alshehri ◽  
Abdulhadi Muflih Alqahtani ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Health Care Centre ◽  
Management Approach ◽  
Care Centre ◽  
Health Care Centre ◽  
Primary Health
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