scholarly journals Complementary medicine use among Australian patients in an acute hospital setting: an exploratory, cross sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Freya Waddington ◽  
Jenny Lee ◽  
Mark Naunton ◽  
Greg Kyle ◽  
Jackson Thomas ◽  
...  

Abstract Background The use of Complementary Medicines (CMs) has significantly increased in Australia over the last decade. This study attempts to determine the extent to which complementary and alternative medicines are recorded, ceased or initiated in the acute hospital setting and investigate which health professionals have a role in this process. Methods A cross-sectional study of inpatients was conducted at a major tertiary teaching hospital. Patient’s medical records were examined to determine the rates of complementary medicine (CM) use and recording on medication charts and discharge prescriptions. Patient progress notes were audited to determine which health professionals were involved with the initiation or cessation of CMs during the inpatient stay. Results Three hundred and forty-one patients were included for analysis of which 44.3% (n = 151) participants were recorded as utilizing a CM. Patients were admitted on a mean of 2 (±1.4[Sd]; 0–9[range]) CMs and discharged on a mean of 1.7 CMs (±1.3[Sd]; 0–5[range]). 274 individual CMs were recorded on inpatient medication reconciliation forms with multivitamins, magnesium, fish oil and cholecalciferol recorded the most frequently. One hundred and fifty-eight changes to patient CM usage were recorded during the patient hospitalisation. One hundred and seven of these changes (68%) were not accounted for in the patient progress notes. Conclusion Patients use of CM in this hospital setting do not reflect the national estimated usage. On the occasions that CM products are included in patient records, they are subsequently deprescribed following patient examination in hospital. It is currently unclear which health professionals have a role in this deprescribing process.

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Anish Khalil ◽  
Muhammad Faheem ◽  
Ammad Fahim ◽  
Haran Innocent ◽  
Zainab Mansoor ◽  
...  

Background. The biomedical care for cancer has not been complemented by psychosocial progressions in cancer care.Objectives. To find the prevalence of anxiety and depression amongst cancer patients in a hospital setting.Design and Setting. This cross-sectional study was conducted at the tertiary care hospitals Shifa International Hospital Islamabad and Nuclear Medicine, Oncology, and Radiotherapy Institute [NORI].Patients and Methods. 300 patients were interviewed from both the outpatient and inpatient department using The Aga Khan University Anxiety and Depression Scale (AKUADS).Main Outcome Measures. Using a score of 20 and above on the AKUADS, 146 (48.7%) patients were suffering from anxiety and depression.Results. When cross tabulation was done between different factors and the cancer patients with anxiety and depression, the following factors were found out to be significant with associatedpvalue < 0.05: education of the patient, presence of cancer in the family, the severity of pain, and the patient’s awareness of his anxiety and depression. Out of 143 (47.7%) uneducated patients, 85 (59.4%) were depressed, hence making it the highest educational category suffering from depression and anxiety.Conclusion. The prevalence of anxiety and depression amongst cancer patients was high showing that importance should be given to screening and counseling cancer patients for anxiety and depression, to help them cope with cancer as a disease and its impact on their mental wellbeing.Limitations. The frequency of female patients in our research was higher than those of male patients.


PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0208387 ◽  
Author(s):  
Sophia Holmlund ◽  
Joseph Ntaganira ◽  
Kristina Edvardsson ◽  
Pham Thi Lan ◽  
Jean Paul Semasaka Sengoma ◽  
...  

2021 ◽  
Vol 20 (2) ◽  
pp. 254-282
Author(s):  
Beatriz Montes- Berges ◽  
M. Elena Ortúñez Fernández

Objetivo: Analizar los efectos psicológicos que la actual pandemia de coronavirus (covid19) está teniendo en los profesionales del ámbito sanitario.Métodos: Estudio descriptivo de corte transversal en una muestra de 1150 profesionales del ámbito sanitarios, seleccionados al azar. Las mediciones y los resultados se explicaron con el modelo teórico el Diferencial Semántico propuesto por Osgood.Resultados: Se ha encontrado que, en general, el personal del ámbito sanitario se siente muy desprotegido, con miedo y estresado. Confieren más miedo al autocontagio que al contagio de otros. Perciben su trabajo como eficaz, beneficioso, activo, útil y flexible, y simultáneamente se siente amable, afectivo, sincero, cálido y discreto. Encontramos que las enfermeras, y después los técnicos en cuidados enfermeros se sienten más útiles, valientes, importantes y sinceras que otras categorías sanitarias, entre las que figuran los y las médicos/as. Las emociones que sentían el personal sanitario están fuertemente influidas por la orientación política que tuvieran.Conclusión: El estudio realizado sobre el efecto psicológico de la actual pandemia en los profesionales del ámbito sanitario aporta diferencias significativas en función de la profesión, el contrato laboral, el sexo y la orientación política de los entrevistados. Objective: To analyze the psychological effects that the current coronavirus pandemic (covid19) is having on healthcare professionals.Methods: Descriptive cross-sectional study in a sample of 1,150 healthcare professionals, randomly selected. Measurements and results were explained with the theoretical model of the Semantic Differential proposed by Osgood.Results: It has been found that, in general, healthcare professionals feel very unprotected, afraid and stressed. They were more afraid of self-contagion than of others. They perceived their work as effective, beneficial, active, useful and flexible, and at the same time, they feel kind, affective, sincere, warm and discreet. We found that nurses, and later, nurse care technicians feel more useful, brave, important, and sincere than other healthcare categories, including physicians. The emotions that the health personnel felt were strongly influenced by their political orientation.Conclusion: The study carried out on the psychological effect of the current pandemic on health professionals provides significant differences depending on the profession, the employment contract, the sex and the political orientation of the interviewees.


2021 ◽  
Vol 18 (6) ◽  
pp. em319
Author(s):  
Marcos Roberto Tovani-Palone ◽  
Christian R. Mejia ◽  
Alan Quispe-Sancho ◽  
Katerin Lesly Chambi-Macedo ◽  
Verónica Laurel-Vargas ◽  
...  

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