scholarly journals Patient and Provider Comfort and Concerns in Mobile Health Application Use in Healthcare

Author(s):  
Mark Call ◽  
Sarahfaye Dolman ◽  
Kristen Miller

Early implementation of telehealth and mHealth technologies have illustrated the positive potential impact these technologies can have on the healthcare domain. Leveraging mobile device capabilities has the potential to facilitate patient engagement and improve provider-to-patient communication, thus improving patient outcomes. A cross-sectional study surveyed provider and patients to gauge mobile use regarding current mHealth activities as well as concerns and comfort of both parties when using this technology. Results revealed that age, income, type of insurance, and employment mediated either patient comfort and concerns; whereas provider role was the only factor mediating provider concerns. Patients had significantly higher levels of concern when compared to providers. These results can be leveraged to focus effort in implementing and developing telehealth and mHealth technologies.

2020 ◽  
Vol 23 (3) ◽  
pp. 169-177
Author(s):  
Alvinda Apriliatul Jannah ◽  
Anisah Ardiana ◽  
Retno Purwandari

Hope is a crucial issue in patients with cancer. Hope can be increased by providing social support. Social support can be obtained from the nurses caring behavior. This research aimed to analyze the relationship between nurses caring behavior and recovery hope level of cancer patients undergoing chemotherapy program at Baladhika Husada Hospital in Jember. A cross-sectional study was conducted to 112 respondents using the Caring Behavior Inventory (CBI-24) questionnaire and Scale of Hope. The data were analyzed applying the Kendall Tau B (τ) correlation. The results showed that there was a relationship between nurses caring behavior with the level of recovery expectancy of cancer patients undergoing chemotherapy programs at Baladhika Husada Hospital in Jember (p-value <0.001; τ = 0.375). Nurse caring behavior increases patient comfort and makes patients more enthusiastic about undergoing therapy. Patients feel valued and get more information from nurses. Therefore, the patient's recovery hopes can increase. This study concludes that nurses caring behavior can increase the expectation of recovery of cancer patients. Abstrak Harapan adalah hal krusial pada pasien kanker. Harapan dapat ditingkatkan dengan pemberian dukungan sosial yang bisa didapat dari perilaku caring perawat. Tujuan dari penelitian ini adalah untuk menganalisis hubungan perilaku caring perawat dengan tingkat harapan sembuh pasien kanker yang menjalani program kemoterapi di Rumah Sakit Baladhika Husada Jember. Penelitian ini menggunakan metode cross sectional dan 112 responden didapatkan dengan teknik sampel purposive samping. Data didapatkan melalui kuesioner CBI-24 dan kuesioner skala harapan. Analisis pada penelitian ini menggunakan uji korelasi Kendall Tau B (τ). Hasil menunjukkan terdapat hubungan antara perilaku caring perawat dengan tingkat harapan sembuh pasien kanker yang menjalani program kemoterapi di Rumah Sakit Baladhika Husada Jember (p value < 0,001; τ = 0,375). Perilaku caring perawat dapat meningkatkan kenyamanan pasien dan membuat pasien lebih semangat menjalankan terapi yang dijalani. Pasien merasa dinilai dan mendapatkan informasi lebih dari perawat. Maka dari itu, harapan sembuh pasien dapat meningkat. Kesimpulan dari penelitian ini adalah perilaku caring perawat dapat meningkatkan harapan sembuh pasien kanker.  


2021 ◽  
Vol 5 (8) ◽  
pp. 811-817
Author(s):  
Nora Fitri ◽  
Syarif Indra ◽  
Hendra Permana

Background: Traumatic brain injury is still a major threat because it can cause global morbidity and mortality. Many factors can affect the outcome of a traumatic brain injury. Some conditions that can exacerbate traumatic brain injury include GCS conditions, blood pressure variability, and pupillary reflexes.Methods: The research was conducted in M. Djamil Padang Hospital from October 2020 to March 2021. The study design was a cross-sectional study in traumatic brain injury patients with ≤ 48 hours of onset and the aged between 18-60 years. The subjects in this study consisted of 66 subjects. At 6 weeks after onset, a GOS assessment was performed to assess patient outcomes. Statistical analysis was performed computerized with SPSS 22.0. P-value <0.05 was considered statistically significant. Results: Most of the patients were male (71.2%) with an average age of 36.41 ± 14,275 years, and the most common injury mechanism was traffic accidents (95.5%). There was a significant relationship between onset of incidence, hypotension, pupillary reflexes, and Rotterdam score with the outcome of traumatic brain injury patients (p<0.05) and there was no significant relationship between age, gender, and mechanism of injury with the outcome patients with traumatic brain injury. Conclution: The onset of events, hypotension, pupillary reflexes, and Rotterdam scores significantly affect the outcome patients of traumatic brain injury.


BMC Surgery ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Christophe Mpirimbanyi ◽  
Alexandre Nyirimodoka ◽  
Yihan Lin ◽  
Bethany L. Hedt-Gauthier ◽  
Jackline Odhiambo ◽  
...  

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e017188 ◽  
Author(s):  
Helena Greter ◽  
Bruno Mmbando ◽  
Williams Makunde ◽  
Mohamed Mnacho ◽  
William Matuja ◽  
...  

IntroductionWorldwide, there are an estimated 50 million people affected by epilepsy. Its aetiology is manifold, and parasitic infections play an important role, specifically onchocerciasis. In onchocerciasis endemic areas, a distinctive form of epilepsy has been described as nodding syndrome, affecting children and causing nodding seizures, mental retardation and debilitating physical development. Onchocerciasis control programmes using community-directed treatment with ivermectin (CDTI) are implemented in endemic countries. This study is designed to contribute to a better understanding of the linkage between the onset of epilepsy, onchocerciasis and CDTI. Comparing the epidemiological data on epilepsy and onchocerciasis from pre-CDTI and 20 years after its introduction will allow identifying a potential impact of ivermectin on the onset of epilepsy.Methods and analysisThe study will be conducted in the Mahenge highlands in Tanzania. Study site selection is based on an in-depth study on epilepsy in that area dating from 1989. CDTI was introduced in 1997. By a door-to-door approach, the population will be screened for epilepsy using a validated questionnaire. Suspected cases will be invited for a neurological examination for case verification. Onchocerciasis prevalence will be assessed by a rapid epidemiological assessment. As an indicator for ongoing transmission, children younger than 10 years of age will be tested for Ov16 antibodies. Ivermectin use will be assessed at household level. Epilepsy data will be analysed in comparison with the 1989 data to reveal pre-CDTI and post-CDTI prevalence and incidence.Ethics and disseminationThe protocol has received ethical approval from the ethics committees of the University of Antwerp, Belgium, and of the National Institut of Medical Research, Dar es Salaam, Tanzania. The findings will be published in peer-reviewed journals, and presented to the health authorities in Tanzania, at national, regional and village level.


2022 ◽  
Vol 16 (1) ◽  
Author(s):  
Shu Takakura ◽  
Kenta Toda ◽  
Makoto Yamashita ◽  
Tomoko Kitajima ◽  
Takafumi Suematsu ◽  
...  

Abstract Background The COVID-19 pandemic and associated lockdown had a considerable impact on eating disorders (EDs). We evaluated the clinical features of Japanese ED patients before and after the first COVID-19 outbreak-related state of emergency (April 7, 2020). Methods We studied 148 patients who were divided into two groups based on when they arrived at our clinic: before (Before group: n = 86) or after (After group: n = 62) the start of the first state of emergency. All patients completed the Japanese versions of the Eating Disorder Inventory (EDI) and Parental Bonding Instrument (PBI). Results The After group was substantially younger than the Before group (p = .0187). Regardless of the ED type, patients who developed an ED during the first state of emergency tended to be significantly younger than those who developed one before. Differences in EDI characteristics were observed between the two groups. The PBI care subscale was notably higher (p = .0177) in the After group. The PBI maternal care subscale was the only statistically significant factor associated with age (β = -0.35, p < .0001). Conclusions Home confinement associated with the COVID-19 pandemic and the ensuing increase in parent-child closeness may have influenced the decreased age of ED patients at their initial consultation. Treatment interventions should consider the differences in the clinical features of EDs.


Author(s):  
Farzin Halabchi ◽  
Reza Mazaheri ◽  
Khashayar Sabeti ◽  
Masoud Yunesian ◽  
Zahra Alizadeh ◽  
...  

Purpose: To compare the severity outcomes of COVID-19 disease between patients with and without regular sports participation. Methods: In a cross-sectional study, the authors investigated all patients who visited the emergency department of Imam Khomeini hospital with signs and symptoms of COVID-19 from February 20 to April 20, 2020. Then the authors assessed all patient outcomes (outpatient vs hospitalization or death). Finally, the authors compared the outcomes between athletes with regular sports participation and others, adjusting for confounding factors of age and sex. Results: Of all 4694 adult patients, 249 individuals (137 males and 112 females with mean [SD] age of 36.45 [9.77] y) had regular participation in different sport disciplines. Overall, 30 (12%) athletes were hospitalized or died (30 and 0, respectively) compared with 957 (21.5%) nonathletes (878 and 79, respectively). Athletes with regular sports participation were 1.49 times less likely to be hospitalized (P = .044). Conclusions: Regular sports participation may positively affect the clinical outcome, regardless of confounding factors of age and sex. The probability of hospitalization in athletes with regular sports participation was 33% lower than nonathletes. However, more longitudinal studies are needed to determine the causal effects.


2020 ◽  
Vol 6 (1) ◽  
pp. 3-19 ◽  
Author(s):  
Susmita Shrestha ◽  
Bibek Khadka

Correction: The page numbers on this article were changed from 4-20 to 3-19 on 31/08/2020. Introduction: We presume that the knowledge of patients about Magnetic Resonance imaging (MRI) scan is of utmost importance for smooth workflow, patient comfort, patients’ safety and to mitigate patients’ compliance and save valuable scan time. Therefore, the purpose ofthis study was to determine the awareness of patients undergoing MRI scan regarding Knowledge, Perception and Safety. Methods: This descriptive cross-sectional study was carried out in Chitwan Medical College Teaching Hospital from April to September, 2018. Total of 310 patients referred to undergo MRI scan were assessed by a questionnaire form covering 4 parts: Part 1- aimed to gather the socio demographic data such as age, sex, occupation and educational status of patients, Part 2- included the knowledge regarding MRI and its safety, Part 3- comprised the patient perception before MRI scan and Part 4 constituted the patient perception after MRI scan.The form was filled by an investigator oneself in a face to face interview with the patients. Results: Among 310 patients, 35.2% were illiterate and 19.4% graduated from high school. Majority of 85.5% patients answered that MRI uses harmful ionizing radiation like CT scan and radiography. Almost 43 patients who answered MRI functions in disease treatment also answered decreased in pain after MRI scan (Male = 15 and Female = 28) were in age group between 25 years and 50 years. This study also revealed that majority of 26.8% (i.e. n = 83) patients faced problem as claustrophobia along with anxiety during the scan, out of which 13 patients have history of previous MRI scan. Conclusions: In our study decrease in pain was higher in diagnosis and treatment answer. Majority of the patients faced anxiety along with claustrophobia during the MRI scan. Assessment of patient knowledge, perception and safety regarding MRI scan can be the key to increase patient compliance and save valuable scan time.


2017 ◽  
Vol 27 (6) ◽  
pp. 960-965
Author(s):  
Jean-David Zeitoun ◽  
Jeanne Reboul-Marty ◽  
Jérémie H. Lefèvre

Author(s):  
Daisy Flores‐Rodrigo ◽  
Jonathan Meza‐Mauricio ◽  
Belen Retamal‐Valdes ◽  
Frank Mayta‐Tovalino ◽  
Gerardo Mendoza‐Azpur

Sign in / Sign up

Export Citation Format

Share Document