Burden of Diabetic Foot Patients’ Caregivers and Affecting Factors: A Cross-Sectional Study

Author(s):  
Sadık Hançerlioğlu ◽  
İsmail Toygar ◽  
Ayşe Ayhan ◽  
İrem Yilmaz ◽  
Yavuz Orhan ◽  
...  

With the increase in the diabetic foot patients in recent decades, the caregivers of diabetic foot patients increase too. Most of these caregivers are informal caregivers. However, the studies examining the burden of the caregivers and affecting factors are limited. This study was conducted to determine the burden of the caregivers of diabetic foot patients and affecting factors. This cross-sectional study was conducted between the January and October 2020 in a diabetic foot council of a university hospital. Zarit Caregiver Burden Scale and a participant identification form were used for data collection. Most of the caregivers were female (75.2%) and the mean age was 51.27 ± 11.48 years. The burden of the caregivers was at moderate level in the current study. Factors affecting the caregivers’ burden were caregivers’ age, patients’ family structure, caregivers’ education level, caregivers’ income level, hours per week spending for the care of the patients, and lack of choice.

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252044
Author(s):  
Doaa Mahmoud Khalil ◽  
Elmorsy Elmorsy ◽  
Ahmed Arafa ◽  
Hesham Ahmed Nafady ◽  
Lamiaa Saleh

Purpose This study aimed to assess the factors affecting the prehospital time delay of the injured patients arriving at the Emergency Department of Beni-Suef University Hospital in Upper Egypt. Materials and methods In this cross-sectional study, the following data were retrieved from the hospital records of 632 injured patients between 1/1/2018 and 31/3/2018: age, sex, residence, means of transportation to the hospital, prehospital time delay, consciousness level on admission, source of injury, and type of worst injury. Results The prehospital time delay (>one hour) of the injured patients was positively associated with age >60 years and rural residence but inversely associated with consciousness level with odds ratios (95% confidence intervals) of 5.14 (2.26–11.68), 3.49 (2.22–5.48), and 0.56 (0.32–0.96), respectively. Conclusion The prehospital time delay of the injured patients arriving at the Emergency Department of Beni-Suef University Hospital in Egypt was associated with old age, rural residence, and consciousness level.


2018 ◽  
Author(s):  
Abdulelah Kinkar ◽  
Dalya Alqarni ◽  
Abdulaziz Alghamdi ◽  
Sahal Wali ◽  
Nasser Alghamdi ◽  
...  

BACKGROUND Epilepsy is a chronic disease characterized by periodic seizures that result from abnormal integrated firing impulses in the brain. It is one of the most common neurological disorders. Over the past few years, there has been increasing awareness about the effect that having a child with epilepsy has on parents and the reciprocal impact of parental knowledge and attitudes regarding epilepsy on the affected child. OBJECTIVE This study aimed to assess parental knowledge, attitudes, and behavior toward their epileptic children. METHODS A cross-sectional study was conducted in 2018 by the Pediatric Neurology Department of King Abdulaziz University Hospital, Jeddah, the Kingdom of Saudi Arabia. A sample size of 115 of 332 parents who have a child diagnosed with epilepsy and aged 18 years or younger were recruited for this study. Statistical analysis was performed using SPSS version 21. Data analysis was performed using an independent <italic>t</italic> test, a chi-square test, one-way analysis of variance, and correlation analysis. RESULTS A total of 115 participants answered the questionnaire; of these, 65 (56.5%) were men, with an average age of 40.3 years, and the mean age of the children was 9.0 years. Overall, 85 (85/115, 73.9%) children were taken care of by both of their parents. The mean parental knowledge score was 7.49 (SD 2.08) out of 12, and it was significantly related to the educational level of the parent (<italic>P</italic>=.004). The knowledge question that was most frequently answered incorrectly was “Diagnosis of epilepsy is usually made based on at least two unprovoked seizures.” As only 28.7% (33/115) of participants chose the correct answer, mean parental attitude score was 26.51 (SD 4.284) out of 35, and there was no significant relation with the educational level of parents (<italic>P</italic>=.13); however, it was negatively correlated with the child’s age (<italic>P</italic>=.045). Mean parental behavioral score was 23.35 (SD 4.121) out of 35, and there was no significant relation with the educational level of the parents (<italic>P</italic>=.24). The most negatively answered question for the behavior section was “I can leave my child without supervision,” with a mean score of 2.25 (SD 1.09) out of 5. Gender did not play a significant role in parental knowledge, attitudes, or behavior (<italic>P</italic>=.44, <italic>P</italic>=.77, and <italic>P</italic>=.99, respectively). CONCLUSIONS Parental knowledge in our sample still needs improvement. Therefore, more awareness campaigns should be made for the community and for the parents of affected children to create a supportive environment for the children and help them thrive and develop.


10.2196/12697 ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. e12697 ◽  
Author(s):  
Abdulelah Kinkar ◽  
Dalya Alqarni ◽  
Abdulaziz Alghamdi ◽  
Sahal Wali ◽  
Nasser Alghamdi ◽  
...  

Background Epilepsy is a chronic disease characterized by periodic seizures that result from abnormal integrated firing impulses in the brain. It is one of the most common neurological disorders. Over the past few years, there has been increasing awareness about the effect that having a child with epilepsy has on parents and the reciprocal impact of parental knowledge and attitudes regarding epilepsy on the affected child. Objective This study aimed to assess parental knowledge, attitudes, and behavior toward their epileptic children. Methods A cross-sectional study was conducted in 2018 by the Pediatric Neurology Department of King Abdulaziz University Hospital, Jeddah, the Kingdom of Saudi Arabia. A sample size of 115 of 332 parents who have a child diagnosed with epilepsy and aged 18 years or younger were recruited for this study. Statistical analysis was performed using SPSS version 21. Data analysis was performed using an independent t test, a chi-square test, one-way analysis of variance, and correlation analysis. Results A total of 115 participants answered the questionnaire; of these, 65 (56.5%) were men, with an average age of 40.3 years, and the mean age of the children was 9.0 years. Overall, 85 (85/115, 73.9%) children were taken care of by both of their parents. The mean parental knowledge score was 7.49 (SD 2.08) out of 12, and it was significantly related to the educational level of the parent (P=.004). The knowledge question that was most frequently answered incorrectly was “Diagnosis of epilepsy is usually made based on at least two unprovoked seizures.” As only 28.7% (33/115) of participants chose the correct answer, mean parental attitude score was 26.51 (SD 4.284) out of 35, and there was no significant relation with the educational level of parents (P=.13); however, it was negatively correlated with the child’s age (P=.045). Mean parental behavioral score was 23.35 (SD 4.121) out of 35, and there was no significant relation with the educational level of the parents (P=.24). The most negatively answered question for the behavior section was “I can leave my child without supervision,” with a mean score of 2.25 (SD 1.09) out of 5. Gender did not play a significant role in parental knowledge, attitudes, or behavior (P=.44, P=.77, and P=.99, respectively). Conclusions Parental knowledge in our sample still needs improvement. Therefore, more awareness campaigns should be made for the community and for the parents of affected children to create a supportive environment for the children and help them thrive and develop.


2021 ◽  
Vol 104 (12) ◽  
pp. 1947-1952

Objective: To study the factors related to the rate of retention of Thai paramedics working in emergency medical service (EMS). Materials and Methods: Data were collected from paramedics all-over Thailand who decided to renew their 5-year license and were registered with the National Institute for Emergency Medicine (NIEMS). The present study was a cross-sectional study. Questionnaires were sent out between March 1 and March 31, 2021 via email, using Google forms. Results: Three hundred eighty-two questionnaires were sent, and 281 responses (74%) were obtained. Most were female (61.9%). The average age was 26.09±4.44 years. Median employment period was two years. At present, 89% of the cohort were still working as paramedics. The majority expect to continue the job for more than 10 years (41.6%). Factors affecting the retention rate were having an income of more than 15,000 Baht per month. The retention rate for the higher earning group was 11.27 times greater (adjusted OR 11.27, 95% CI 4.37 to 29.09, p<0.001) than those earning less than 15,000 Baht per month. In addition, as the mean professionalism score increased, the retention rate increased 3.63 times (adjusted OR 3.63, 95% CI 1.53 to 8.60, p=0.003). Conclusion: Remuneration and professionalism were the two factors related to the retention of the Thai paramedics in EMS. Perceived challenges to retention include professional council establishment and the Health Profession Act. Keywords: Emergency Medical Service; Paramedics; Retention


2021 ◽  
pp. 251660852098054
Author(s):  
Usha M. Khanapur ◽  
Jacob John ◽  
Arun Mathai Mani ◽  
Sanjith Aaron

Introduction: Caregivers have an important role in stroke recovery, especially after the acute phase of treatment. Caregiving for stroke survivors is associated with caregiver burden. Knowledge of factors influencing this caregiver burden is important for both the patient and the caregiver. Aim: To study the prevalence and predictors of major caregiver burden in survivors of moderate to severe stroke treated both conservatively and with surgical decompression. Methods: A community-based cross-sectional study where caregivers of stroke survivors with moderate to severe disability at discharge (modified Rankin Scale >3) were assessed between 3 months and 3 years of discharge. Results: Caregivers of 115 stroke survivors (82 conservatively treated and 33 who underwent decompressive hemicraniectomy) were studied. The majority (80%) were females. The mean period of caregiving was 18.8 ± 10.3 months (range 3-44 months). Major caregiver burden was seen in 36% (confidence interval [CI] = 27.3-44.7%). The significant predictors of major caregiver burden were daily caregiving for ≥4 hours (adjusted odds ratio [AOR] 5.3; CI = 1.84-15.3), patient activities of daily living dependency (AOR 3.66; CI = 1.03-13.03), and caregiver being the spouse (AOR 4.52; CI = 1.25-16.3). A total of 17% of the caregivers stopped working. Only (18%) had health insurance and 59% had borrowed money for treatment. A total of 88% of caregivers were happy regarding their decision to opt for surgery despite their current burden. Conclusion: Caregivers had stress in various domains. Shortening the caregiving hours especially in the initial months may help reduce the burden since the caregiver burden is also influenced by the patient’s dependency which improves over time.


2021 ◽  
Vol 9 (B) ◽  
pp. 1586-1590
Author(s):  
Rehab Sabry ◽  
Tamer M. Kolib ◽  
Marwa Ahmed ◽  
Heba G. Elnahas

BACKGROUND: Mastalgia is a common complaint in females aged 30–50 years. Mastalgia varies in degrees of severity. The quality of life of women may be adversely affected by severe mastalgia. It was associated with disturbance in sexual, social, and physical activities and behaviors. AIM: The main objective of this study is to investigate factors affecting mastalgia. METHODS: This is an analytical cross-sectional study. Conducted on 148 females attending the Family Medicine outpatient clinic. Mastalgia was assessed by new breast pain score. RESULTS: The mean age of patients was 32.6 and their mean body mass index (BMI) was 24.8. The majority of the cases were highly educated 48% and working 58.1%. There was a highly statistically significant difference between females with mild pain and those of moderate to severe pain regarding to BMI as the mean of BMI in patient with mild pain was 22.7 ± 2.5 while it was 27.6 ± 3.1., there was highly statistically significant difference between both groups as regards to the type of the contraception used that means females who used hormonal contraception had more pain. After logistic regression the only remaining significant factor was BMI 0.001. CONCLUSION: There are many factors affecting mastalgia as BMI, type of contraception, menstrual regularity, menstrual duration, breast pain duration, and premenstrual symptoms. But BMI is the most important factor affecting mastalgia.


Author(s):  
Hatan Hisham Mortada ◽  
Yara Aayed Alqahtani ◽  
Hadeel Zakaria Seraj ◽  
Wahbi Khalid Albishi ◽  
Hattan A Aljaaly

BACKGROUND Although plastic surgery has been gaining a lot of popularity recently, there seems to be limited perception and a poor understanding of this field by both medical professionals, including medical students, and the general public. This might alter referral patterns as well as medical students’ choice to pursue a career in plastic surgery. OBJECTIVE The purpose of this study was to assess knowledge and perception of plastic surgery among medical students and to explore the influencing factors underlying particular beliefs. METHODS Data for this cross-sectional study were collected between August 22 and December 22, 2017. The questionnaire was formulated on the basis of our own study objectives and from available questionnaires with similar objectives. It was composed of 14 questions divided into three main parts: demographics, the specialty of plastic surgery, and media involvement and its effect on plastic surgery. The study was conducted via an online questionnaire among medical students in all years at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Data were considered significant at P<.05. All analyses were performed using SPSS, version 20. RESULTS A total of 886 medical students participated in this study. We achieved a response rate of 56.79%. The mean age of the participants was 21.2 years. The mean awareness score was 9.7 (SD 4.2) for female students and 8.3 (SD 4.2) for male students (P<.001). The condition most commonly known to be treated by a plastic surgeon was burns (70.3% of responses). CONCLUSIONS Medical students do not have adequate awareness of plastic surgery, and early exposure to this specialty may enhance their awareness.


2015 ◽  
Vol 24 (3) ◽  
pp. 686-696 ◽  
Author(s):  
Odaléa Maria Brüggemann ◽  
Joyce Green Koettker ◽  
Manuela Beatriz Velho ◽  
Juliana Jacques da Costa Monguilhott ◽  
Marisa Monticelli

A cross-sectional study that aimed to assess the satisfaction of companions with the experience of supporting the parturient, and to identify the related factors. Data were collected at a university hospital in Southern Brazil, by means of semi-structured interviews with 314 caregivers, between October of 2009 and January of 2010. The satisfaction scores were determined by the Cronbach's alpha coefficient. The Kruskal-Wallis and the Mann-Whitney tests estimated the related factors. The mean satisfaction of the companions was high in three domains: 1) How the woman and the newborn were cared for (92,6; SD=11.5), 2) Welcoming in each place (89,9; SD=12.9), and 3) Explanation about what was happening (88,9; SD=14.1). The educational level was statistically related to the satisfaction in domain 3, not being present in the delivery room was statistically related to domain 1, and not receiving instructions from the physician regarding his role was statistically related to domain 2. The companions manifested high satisfaction with the experience of providing support to the women.


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