How common are Chinese patients with multimorbidity involved in decision making and having a treatment plan? a cross‐sectional study

2021 ◽  
Author(s):  
KP Lee ◽  
S Y S Wong ◽  
BH K Yip ◽  
E L Y Wong ◽  
F T T Lai ◽  
...  
Keyword(s):  
Decision Making ◽  
Treatment Plan ◽  
Cross Sectional Study ◽  
Chinese Patients ◽  
Sectional Study ◽  
Cross Sectional

How common are Chinese patients with multimorbidity involved in decision making and having a treatment plan? a cross-sectional study

2019 ◽  
Author(s):  
Kam Pui Lee ◽  
Samuel Yeung Shan Wong ◽  
Benjamin Hon Kei Yip ◽  
Eliza Lai Yi Wong ◽  
Dicken Chan ◽  
...  
Keyword(s):  
Decision Making ◽  
Outpatient Clinic ◽  
Healthcare Professionals ◽  
Treatment Plan ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Chinese Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Specialist Outpatient Clinic

Abstract Background Creating a treatment plan (TP) through shared decision making (SDM) with healthcare professionals, is of paramount importance for patients with multimorbidity. This study aims to estimate the prevalence of SDM and TP in patients with multimorbidity, and study the association between SDM/TP with demographics and patients’ confidence to manage their diseases.Method This cross-sectional study used an internationally recognized survey. 1,032 patients aged 60 or above with multimorbidity, were recruited from a specialist outpatient clinic, general outpatient clinic (GOPC) and a geriatric day hospital. The proportion of patients reported to have SDM and TP were estimated. Associations between the presence of SDM/TP and patients’ demographic data, and the confidence level to manage their illnesses, were then studied using logistic regression.Results The prevalence of SDM and TP were 35.8% and 82.1%, respectively. The presence of TP was associated with receiving healthcare from the same doctor or in the same facilities, and being recruited from GOPC. Presence of SDM (OR 1.381, p=0.054) and TP(OR 2.195, p<0.0001) were associated with enhanced confidence in dealing with diseases.Conclusion Most people with multimorbidity had TP in Hong Kong, but fewer patients had SDM.Practice implications: Ways to promote SDM in HK are needed.

scholarly journals The relationship between the atherogenic index of plasma and arterial stiffness in essential hypertensive patients from China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan Yin ◽  
Minghui Li ◽  
Lingling Yu ◽  
Feng Hu ◽  
Yu Yu ◽  
...  
Keyword(s):  
Essential Hypertension ◽  
Arterial Stiffness ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Atherogenic Index ◽  
Chinese Patients ◽  
Multivariate Linear Regression Analysis ◽  
Sectional Study ◽  
Cross Sectional ◽  
Atherogenic Index Of Plasma

Abstract Background The atherogenic index of plasma (AIP) always remains in a potential association with arterial stiffness, however, this association has not been fully discovered and needs to be studied in depth in large hypertensive patient populations. The present analysis thus sought to further explore the association that exists between AIP and arterial stiffness in Chinese patients diagnosed with arterial hypertension. Methods This cross-sectional study analyzed 4744 Chinese individuals with essential hypertension. AIP was defined as the base 10 logarithm of the ratio of plasma of triglycerides to high-density lipoprotein cholesterol levels indicated in molar concentrations. Measurement of arterial stiffness was carried out via brachial-ankle pulse wave velocity (baPWV). Results Data were adjusted for potential confounding variables, and multivariate linear regression analysis revealed AIP to be positively correlated with baPWV (β = 1.34, 95% CI: 0.96 to 1.72, P < 0.001). When AIP was instead treated as a categorical variable divided into quartiles, the same relationship was observed (P for trend < 0.001). We additionally found AIP and baPWV had a stronger positive association in individuals with a body mass index (BMI) < 24 kg/m2 (P for interaction < 0.05). Conclusion AIP and arterial stiffness were positively correlated in essential hypertension patients in China, especially in those with a BMI < 24 kg/m2. Clinical trial registration ChiCTR1800017274.

scholarly journals Prelicensure Nursing Students’ COVID-19 Attitude Impact on Nursing Career Decision during Pandemic Threat in Taiwan: A Cross-Sectional Study

2021 ◽  
Vol 18 (6) ◽  
pp. 3272
Author(s):  
Shu-Chun Lin ◽  
Lee-Fen Ni ◽  
Yu-Ming Wang ◽  
Shu Hsin Lee ◽  
Hung-Chang Liao ◽  
...  
Keyword(s):  
Decision Making ◽  
Nursing Students ◽  
Perceived Control ◽  
Career Decision ◽  
Cross Sectional Study ◽  
Attitude Scale ◽  
Sectional Study ◽  
Career Decision Making ◽  
Cross Sectional ◽  
Prelicensure Nursing

The COVID-19 pandemic may cause a nursing shortage. Prelicensure nursing students who are exposed to high-stress COVID-19 events are related to defective career decision-making. This study validated the COVID-19 attitude scale and clarified how their attitudes about COVID-19 affected their behavioral intentions toward career decision-making. We conducted a cross-sectional study and recruited a convenience sample of 362 prelicensure nursing students from Northern and Central Taiwan. Two measurements were applied, including the Nursing Students Career Decision-making instrument and COVID-19 attitude scale. We used AMOS (version 22.0) to perform a confirmatory factor analysis. The Cronbach α of the COVID-19 attitude scale was 0.74 and consisted of four factors. The most positive attitude was the nursing belief factor, and the least positive factor was emotional burden. Prelicensure nursing students’ COVID-19 attitudes were significantly positively associated with their career decision-making attitudes and perceived control (ß = 0.41 and ß = 0.40, respectively; p < 0.001). All the key latent variables explained significantly 23% of the variance in the career decision-making behavioral intentions module. In conclusion, the COVID-19 attitude scale is valid. Although the prelicensure nursing students’ COVID-19 attitudes had no direct effect on career decision-making intentions, they had a direct effect on career decision-making attitudes and the perceived control.

scholarly journals Factors influencing decision-making to accept elective caesarean section: A descriptive cross-sectional study

Heliyon ◽  
2021 ◽  
pp. e07755
Author(s):  
Victoria Bam ◽  
Alberta Yemotsoo Lomotey ◽  
Abigail Kusi-Amponsah Diji ◽  
Hayford Isaac Budu ◽  
Dorothy Bamfo-Ennin ◽  
...  
Keyword(s):  
Decision Making ◽  
Caesarean Section ◽  
Elective Caesarean Section ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing

scholarly journals Impacto del grado de satisfacción en las expectativas del estudiante universitario. El caso de la Universidad Autónoma de Chiapas (UNACH)

2019 ◽  
pp. 20-27
Author(s):  
Marco Antonio Ovando Díaz ◽  
Octavio Grajales Castillejos
Keyword(s):  
Decision Making ◽  
Human Resources ◽  
Cross Sectional Study ◽  
Academic Training ◽  
Sectional Study ◽  
Cross Sectional ◽  
Institutional Services ◽  
Bachelor's Degrees ◽  
Degree Of Satisfaction ◽  
The University

The general objective of the article is to determine the degree of satisfaction of the students of the Autonomous University of Chiapas, Mexico, through a cross-sectional study to assess the institutional services offered and their impact on their academic training. The specific objectives are: 1) Analyze the opinion of students regarding their curriculum and teachers, 2) Analyze the opinion of students regarding the knowledge of university regulations and 3) Describe the conditions of University infrastructure: physical and technological. The methodology used was the explanatory method of qualitative-quantitative and transverse cutting, for this it was necessary to design and apply a Likert-type survey, which was applied to 3,842 enrolled students of the 5th. to the 8th. semester of 22 Bachelor's degrees from the various UNACH headquarters. The contribution that this research has is: a) Provide academic elements to university authorities for decision making in their accreditation processes, b) Training of human resources through the participation of students in the development of research and c) Sensitize the university community through the publication of research results.

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