scholarly journals A health education model based on knowledge, attitude, and practice used as adjunct therapy for metabolic syndrome complicated with acute pancreatitis: A case report

2020 ◽  
Vol 48 (5) ◽  
pp. 030006052092427
Author(s):  
Shuyun Xiong ◽  
Meizhu Ding ◽  
Ping Li ◽  
Shufen Pan ◽  
Guanlan Li ◽  
...  

Herein, a relatively rare case is reported in which a knowledge, attitude, and practice (KAP) health education model was applied in a young female patient with metabolic syndrome (MS) and acute pancreatitis (AP), with a satisfactory effect. The purpose of this report is to provide a reference for a viable health education program in clinical practice for intervention of MS with concurrent AP in the absence of clinical trials. The patient’s unhealthy lifestyle led to obesity, diabetes mellitus, severe fatty liver, hyperlipidemia, and AP. We used a KAP health education model in a nursing intervention and evidence-based multidisciplinary cooperation to develop a personalized diet, exercise plan, education plan, and continuous care of the patient after discharge from the hospital. Within 2 months, the patient achieved weight loss, stable blood lipids, controlled blood sugar levels, and decreased glycated hemoglobin level from 9.0% to 5.4%. This KAP-based health education model has clinical importance as an intervention for lifestyle modification in patients with MS and AP. This approach can be adopted to help other patients to effectively control and prevent the recurrence of diseases.

Author(s):  
Gloria K Sam ◽  
Jobin Thomas ◽  
Riya Alexander ◽  
Sheen Ann Varughese

Objectives: The prime objective of this study is to assess knowledge, attitude, and practice (KAP) toward medications in a community of Davangere city.Methods: This community-based study was conducted for 6 months using medication therapy management aspects. Ethical clearance was obtainedfrom the Institutional Ethical Committee. Patients above 18 years of age who were willing to participate were included in the study. The data werecollected using specific data collection forms, and KAP toward medications of each patient was assessed using KAP questionnaire. Medicationadherence was analyzed using Morisky Medication Adherence Scale 4. Patient counseling about disease, medication, and lifestyle modification wasgiven, and the orally taking household drugs were segregated according to class and specific clinical uses.Results: Out of 129 patients, 58.1% were male. Out of 19 diseases encountered during the study, diabetes mellitus (32.56%) and hypertension(25.58%) were most prevalent. Majority of patients (63.57%) were prescribed with cardiovascular agents. Paracetamol was found as a commonhousehold drug. Sixty-nine percent of patients were procuring medication directly from the pharmacy and the remaining 31% were procuring theirmedication after consulting the physician. Mean scores of KAP in basal and endpoint assessment were compared using Student’s t-test. p value wasfound to be <0.000.Conclusion: The study tried to entitle the name of pharmacist as a patient educator who gives proper guidance to the patient and family membersabout the disease, domestic drug management, lifestyle modification, etc. The result of efficient patient counseling will be reflected on the properadherence of patient toward the medication and improved quality of life.Keywords: Knowledge, attitude and practice (KAP), Medication therapy management (MTM), Morisky medication adherence Scale – 4 (MMAS-4),patient education.


Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 87
Author(s):  
Hamdan Hariawan ◽  
Oedojo Soedirham ◽  
Abu Bakar

Background: Inpatients who are attached in intravenous devices tend to experience physical discomfort. This condition can lead to the decrease in performing Salat as a Muslim prayer. The purpose of this study was to determine the effect of individual coaching on knowledge, attitude, and practice of Salat among Muslim inpatient. This study used quasi-experimental design.Mehods: The samples were 36 Muslim inpatients. The data were collected by self-constructed questionnaire and analyzed by using Independent t-test and Mann Whitney test with α ≤ 0.05.Results: Before giving intervention, the means of pretest score in both groups were 14.33+2.17 and 14.39+2.28 for knowledge, 26.17+2.31 and 26.50+3.17 for attitude, and 10.00+2.91 and 10.50+3.45 for practice. There was no significant difference scores of knowledge (p=0.941), attitude (p=0.924), and practice (p=0.635) between two groups before giving intervention. However, after giving intervention, these scores have changed to 19.00+1.72 and 14.89+2.29 for knowledge, 26.97+2.25 and 26.61+2.81 for attitude, 15.33+3.80 and 10.50+3.45 for practice and there was higher significance scores of knowledge (p=0.000), attitude (p=0.003), and practice (p=0.000) after giving intervention.Conclusions: Coaching is the suitable method to increase Muslim inpatients knowledge, attitude, and ability to practice Salat. This study recommends the nurse to do coaching as a nursing intervention in helping patient to perform Salat


2020 ◽  
pp. 1-4
Author(s):  
Shubhi Agarwal ◽  
Usha Devi C

BACKGROUND Polycystic ovary syndrome (PCOS) is the most common endocrine disorder amongst women of reproductive age associated with various clinical and psychological manifestations. Promoting awareness and lifestyle modifications is essential to empower the female PCOS population to take health care decisions for the treatment and management. OBJECTIVE Assessment of knowledge, attitude and practice(KAP) among PCOS population is significant in behavioral and lifestyle modification. Thus, the present study was undertaken to develop a KAP tool. METHODS An observational, non-controlled study was conducted using random sampling in the age range of 15-25 years. A total of 600 subjects were screened with the help of a standardized screening questionnaire and the presence of PCOS was confirmed using the Rotterdam criteria (2003).A KAP tool validated by an expert panel was given to the subjects confirmed for PCOS to assess knowledge, attitude and practices. The validity was assessed using exploratory factor analysis. The Spearman-Brown correlation coefficients helped to assess reliability for knowledge, attitude and practice domains, which were found to be 0.83, 0.63 and 0.47 respectively. RESULTS Significant knowledge was found among confirmed PCOS subjects, but had low attitudes and their practices did not commensurate with their knowledge about PCOS and Nutrition. CONCLUSION The present research contributes to the understanding of a growing PCOS epidemic in urban India and document the need to screen knowledge, attitude and practice, to develop supportive interventions addressing quality of life issues to reduce the distress among women with PCOS.


2017 ◽  
Vol 5 (9) ◽  
pp. 132-144
Author(s):  
Ibrahim Emaeldin ◽  
Fatima Fadul Ali ◽  
Mohamed Osman Elamin ◽  
Elfatih Aburass

The use of insecticide leads to considerable health hazards for people, due to direct contact during application, contamination of food or drinking water. The effects of the dispersal and negligent handling of insecticide are a significant global health problem. WHO, estimated that one million unintentional acute insecticide poisonings occurred worldwide annually. It was expected that 735,000 cases of specific chronic effects and 37,000 unspecific health effects such as forms of cancer would occur annually. This emphasizes the role of awareness as a core element in protection of handlers. The study was conducted as a quasi-experimental design in BahrI locality among Malaria Control workers  to assess the effect of health education on knowledge attitude and practice among Malaria Control Workers towards Chemical Insecticide Handling during the period of 2014- 2016 . A sample size of 80-targeted workers was taken by total Coverage due to the limited number of workers. Data was collected by questionnaire, observation, interviews and Reports and records. The methods used in intervention includes; training of trainers, lectures on insecticides hazard for human being and environment safe insecticides handling,   posters to explain the lectures , pamphlets about safe handling of insecticides and about insecticides poisoning and first aid of insecticides Poisoning  and videos to reinforce  the lectures. In addition use a comprehensive questionnaire pre and post to evaluate the effect of health education. Data collected was analyzed manually and by computer using SPSS program. The results revealed that knowledge of workers about the hazards of insecticides to human health increased from 80% in pre-test to 100% after the intervention. The results also showed there is an improvement of the positive attitude towards the prevention of insecticides hazards from 92% to 100% after intervention due to health education intervention. Health education intervention increases the positive behavior of workers regards eat, drinking and smoking while handling insecticides to 100% of Malaria Control Workers in post- test believe that insecticides enter to body through inhalation while in the pre- test percentage was85%, 90% of Workers in post- test believes that insecticides enter to body through eating and drinking during work, while in the pre- test percentage was 70% and 100% of Workers in post-test  believe that the insecticides enter to body through Skin while in the pre- test the percentage was 65 %.that was due to health education intervention The study concluded that health education had a remarkable improvement in knowledge attitude and practice among Malaria Control Workers and all those who were handling insecticides. The study recommended that extensive health education programs, training, required to improve the knowledge, attitudes and practices of all workers about Chemical Insecticide Handling in Bahri Locality. Further studies are needed to determine protective measures.


Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1430 ◽  
Author(s):  
Hitoshi Nishizawa ◽  
Iichiro Shimomura

The clinical importance of assessment of metabolic syndrome lies in the selection of individuals with multiple risk factors based on visceral fat accumulation, and helping them to reduce visceral fat. Behavioral modification by population approach is important, which adds support to the personal approach. The complexity of visceral fat accumulation requires multicomponent and multilevel intervention. Preparation of food and physical environments could be useful strategies for city planners. Furthermore, actions on various frameworks, including organizational, community, and policy levels, have been recently reported. There are universal public health screening programs and post-screening health educational systems in Japan, and diseases management programs in Germany. Understanding one’s own health status is important for motivation for lifestyle modification. The U.S. Preventive Services Task Force recommends that primary care practitioners screen all adults for obesity and offer behavioral interventions and intensive counseling. Established evidence-based guidelines for behavioral counseling are needed within the primary care setting.


Author(s):  
Mahendra Singh Rathore ◽  
Jyoti Jain ◽  
Mukul Dixit

Background: The present study was conducted to assess the knowledge, attitude and practice regarding Tuberculosis among non TB patients in Udaipur.Methods: A cross sectional study conducted at Geetanjali Medical College and Hospital, Udaipur among the non TB patients during the period of 1st June 2015 to 31st December 2016 after obtaining Ethical clearance from Human Research Ethical Committee. Study was conducted on 220 patients using a pre tested questionnaire after taking their verbal consent to participate in study.Results: Insignificant difference in knowledge about TB was found between male and female respondents. More than 65% of respondents found to have correct knowledge regarding sign and symptom, mode of acquiring TB and mode of preventing TB.Conclusions: Health education directed towards improve knowledge and bringing a change in attitude and practice among non TB patients is needed to create awareness and remove myths about tuberculosis in groups of people in the community.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Petmore Zibako ◽  
Nomsa Tsikai ◽  
Sarah Manyame ◽  
Themba G. Ginindza

Abstract Background Cervical cancer (CC) morbidity and mortality is still high in developing countries like Zimbabwe. Treatment for CC is out of reach for many women, hence the need to maximise on prevention which mainly includes screening and administering human papillomavirus (HPV) vaccine. Knowledge about CC prevention is a prerequisite for utilisation of all the available options for CC prevention, yet little is known about its levels and the corresponding attitudes and practices on cancer prevention methods within the society. Methods A cross sectional survey was done to assess knowledge, attitude and practice (KAP) on CC prevention among mothers of girls aged between 9 and 14 years in Zimbabwe as well as factors explaining the KAP. Four hundred and six mothers participate. Descriptive and inferential statistics (binary logistic regression and Chi-Square test of association) were applied to determine participant characteristics with KAP using STATA version 16 software. Findings Overall KAP of cervical cancer prevention is in a poor state. The knowledge was poor with 24% being able to say CC is caused by HPV; the attitude is negative with 58% being of the opinion that CC is caused by witchcraft and it is a death sentence, while the bad practices of relying only on traditional means were being practiced. Factors associated with knowledge are: not having medical aid (odds: 0.17, 95%CI: 0.05–0.59, p = 0.005) and high levels of education (secondary level odds: 4.20; 95%CI: 2.25–7.84 p < 0.001 and tertiary odds: 7.75; 95%CI: 2.04–29.45, p-value: 0.003 compared to primary education). Attitude towards CC management was driven by levels of education (secondary level odds: 0.39, 95%CI: 0.20–0.78, p = 0.007 and tertiary odds: 0.12, 95%CI: 0.04–0.33, p < 0.001), the same factor increases odds of good practice (secondary odds: 3.78, 95%CI: 1.99–7.18, p < 0.001 and tertiary odds: 3.78, 95%CI: 1.99–7.18, p < 0.001). On the other hand, HPV vaccine knowledge was also very moderate (with majority of mothers not knowing the right age of vaccination; vaccine acceptability was high (90%), but uptake was very low (8% had their daughter vaccinated). Conclusion KAP about CC prevention was poor with factors necessary for improvement of KAP identified as education, medical insurance coverage. Making health education easily accessible in schools, primary health facilities and various media platforms will help to address the myths on causes of CC and how it can be treated. Health education and availability of free screening services and free vaccine will improve CC prevention out outcomes.


2019 ◽  
Vol 12 (1) ◽  
pp. 496-503
Author(s):  
Al-Zahraa Mohammad Soliman ◽  
Al-Said Hassan ◽  
Howaida Henry Fahmy ◽  
Amira E. Abdelsalam ◽  
Mostafa Abdo Ahmed Salem

Background: Nutrition during pregnancy is an important element for the pregnant women and their developing fetus, they must take enough calories and nutrients to provide the essential requirements for both themselves and their fetus and to prevent complications of abnormal weight gain in pregnancy. Objectives: To determine the effect of the nutritional health education program on changing knowledge, attitude, and practice towards a healthy lifestyle during pregnancy, obtaining optimal weight gain and consequently its effect on maternal and fetal outcomes. Subjects and Methods: An interventional study (pre-post test), in Zagazig university antenatal care outpatient clinic was conducted. Subjects' Criteria: 135 pregnant females in the first trimester aged 18-35 years who did not have any chronic medical disorder with Body Mass Index between 18.5 and 24.9 kg/m2 were enrolled. Methods: Data collection was done using a semi-structured questionnaire about females’ socio-demographic characteristics, obstetric, family and clinical history. Health education sessions were applied to the pregnant females and their knowledge, attitude, and practice about healthy nutrition were assessed before and after the intervention. Ultrasound was performed, maternal and fetal outcomes were detected. Results: This study was conducted on 135 pregnant females from whom 9 cases had excluded at the time of delivery due to the detection of ultrasound abnormalities and 16 women were dropped out during the follow-up period. After the nutritional education program, the proportions of adequate knowledge, attitude, and practice were increased from (28.2% to 77.3%), (8.2% to 75.5%) and (32.7% to 77.3%) respectively (p-value <0.001). There was a statistically significant higher cesarean section, Intra and post-partum complications (85.7%vs 42.9%p<0.001), (71.4% vs17.2% p<0.001) and (25.7%vs7.1% p=0.008) [Odds (95% C.I); 8 (6.7-11.3), 12.1(11.7-13.9) and 4.5(1.2-8.7)], higher neonatal weight and neonatal blood glucose (p<0.001& 0.009) in over-weight versus optimal weight gain groups respectively. Conclusion: The intervention was effective in increasing pregnant females’ knowledge, attitude, and practice towards healthy nutrition during pregnancy, obtaining optimal weight gain and improving maternal and fetal outcomes.


2020 ◽  
Vol 23 (19) ◽  
Author(s):  
Venkat PK ◽  
Balaji Chinnasami ◽  
Subash Sundar ◽  
Kanimozhi Sadasivam ◽  
Balaji Ramraj

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