scholarly journals Prediabetes and cardiovascular complications study: Highlights on gestational diabetes, self-management and primary health care

2021 ◽  
Vol 9 (6) ◽  
pp. 543-556
Author(s):  
Ezekiel Uba Nwose ◽  
Phillip Taderera Bwititi ◽  
Otovwe Agofure ◽  
Echinei Jacob Oshionwu ◽  
Ekenechukwu Esther Young ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Gestational Diabetes ◽  
Cardiovascular Complications ◽  
Self Management ◽  
Primary Health

scholarly journals MALAYSIAN DIABETES PATIENTS’ PERCEPTIONS, ATTITUDES AND PRACTICES IN RELATION TO SELF-CARE AND ENCOUNTERS WITH PRIMARY HEALTH CARE PROVIDERS

2018 ◽  
Vol 2 (3) ◽  
pp. 1-10
Author(s):  
Lim Shiang Cheng ◽  
Jens Aagaard-Hansen ◽  
Feisul Idzwan Mustapha ◽  
Ulla Bjerre-Christensen
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Self Management ◽  
Care Providers ◽  
Attitudes And Practices ◽  
Primary Health ◽  
Primary Health Care Providers ◽  
Primary Healthcare Clinics ◽  
Diabetes Patients

Introduction: Studies from many parts of the world have explored factors associated with poor diabetes self-management including Diabetes Self-Management Education (DSME). Research Methodology: This study was conducted among 162 diabetes patients at primary healthcare clinics in Malaysia using semi-structured exit-interviews to explore their perceptions, attitudes and practices in relation to self-care and encounters with primary health care providers. Results and Discussion: Generally, the patients had limited knowledge, lack of motivation and encountered difficulties in diabetes self-management. The DSME was inadequate due to limited time allocated for consultations with doctors, language barriers and the lack of interpersonal and communication skills of HCPs. Conclusion: In view of the positive effects of quality DSME on the health outcomes and quality of life among diabetes patients, it is important for the primary healthcare clinics in Malaysia to strengthen the diabetes services through training in communication of all HCPs, awareness of language difference and task shifting.

An evaluation of the self-management support capacity of providers of chronic condition primary care

2012 ◽  
Vol 18 (2) ◽  
pp. 112 ◽  
Author(s):  
Tracy E. Cheffins ◽  
Julie A. Twomey ◽  
Jane A. Grant ◽  
Sarah L. Larkins
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Chronic Condition ◽  
Health Care Services ◽  
Readiness To Change ◽  
Structured Interview ◽  
Self Management ◽  
Management Support ◽  
Primary Health

Self-management support (SMS) is an important skill for health professionals providing chronic condition management in the primary health care sector. Training in SMS alone does not always lead to its utilisation. This study aimed to ascertain whether SMS is being used, and to identify barriers and enablers for SMS in practice. Health professionals who underwent SMS training were invited to participate in a semi-structured interview. A response rate of 55% (14 of 24) was achieved. All interviewees rated their understanding of the principles of SMS as moderate or better. In relation to how much they use these principles in their practice, several (5 of 14) said minimally or not at all. The tools they were most likely to use were SMART goals (8 of 14) and decision balance (5 of 14). Core skills that were being used included problem solving (11 of 14), reflective listening (13 of 14), open-ended questions (12 of 14), identifying readiness to change (12 of 14) and goal setting (10 of 14). The most important barriers to implementing SMS were current funding models for health care, lack of space and staff not interested in change. The most highly rated enabling strategies were more training for general practitioners and more training for practice nurses; the lowest rated was more training for receptionists. The increasing prevalence of chronic conditions due to ageing and lifestyle factors must be addressed through new ways of delivering primary health care services. Self-management support is a necessary component of such programs, so identified barriers to SMS must be overcome.

scholarly journals Improving pregnancy care during the COVID-19 pandemic for pregnant women as vulnerable groups through assistance at the primary health care facility

2021 ◽  
Vol 4 (1) ◽  
pp. 29
Author(s):  
Muhamad Jauhar ◽  
Kurniati Puji Lestari
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pregnant Women ◽  
Smartphone Application ◽  
World Health ◽  
Vulnerable Groups ◽  
Self Management ◽  
Online Classes ◽  
Pregnancy Care ◽  
Primary Health

Since it was found in December 2019, the novel Coronavirus Disease 2019 (COVID-19) has spread from Wuhan, China, to many other countries. A rapid increase of newly found cases was observed, and finally, in March 2020, the World Health Organization declared that Coronavirus Disease 2019 (COVID-19) is a global pandemic. As one of the vulnerable groups, pregnant women need to avoid COVID-19 transmission and maintain pregnancy health during the pandemic. This study aimed to improve pregnant women's self-management during the COVID-19 pandemic in the working area of the Padangsari Primary Health Care Services, Semarang City. The research method used an experimental design with a pre-posttest without a control group. A Smartphone application, namely "SEHARI," was used to share the module and video about pregnancy health guidelines; furthermore, various activities of this study included online classes for pregnant women via a WhatsApp group, pregnancy care behavior surveys, and evaluations. The offline activity was done in 1 meeting for 90-120 minutes, while online activities were done as needed. This study's target population was 22 pregnant women in  Puskesmas Padangsari Semarang City's working area selected by purposive sampling. A questionnaire was used that measures mother's behavior while engaging in pregnancy care and pregnancy examination screening. The validity and reliability tests showed that the instrument was valid and reliable to improve self-management of pregnant women during the COVID-19 pandemic in the working area. Bivariate data analysis of the independent variable's effect on the dependent variables used paired and independent t-tests to measure the self-management of pregnant women. The results showed that 50% of pregnant women fulfilled nutritional needs well, 59.1% of pregnant women did tetanus immunization, and 59.1% did pregnancy examinations and visits. Despite being a vulnerable group, pregnant women must continue their antenatal care during the pandemic with a strict health protocol. Specially designed online classes and Smartphone application can be used as media to deliver the essential health meassages so that pregnant women can still monitor their pregnancy health and have a way to bridge the existing programs in primary health care.

scholarly journals INDUCED HYPERTENSION AND GESTATIONAL DIABETES AMONG PREGNANT MOTHERS ATTENDING PRIMARY HEALTH CARE CENTERS IN ERBIL CITY

2017 ◽  
Vol 7 (1) ◽  
pp. 39-44
Author(s):  
Nazar Ali Sherin Doski ◽  
◽  
Rukhosh Ishaq Mikha ◽  
Jawdat Mamand AL-hag Baker ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Gestational Diabetes ◽  
Primary Health ◽  
Induced Hypertension ◽  
Primary Health Care Centers ◽  
Health Care Centers ◽  
Pregnant Mothers

scholarly journals Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

2021 ◽  
Vol 18 (22) ◽  
pp. 12171
Author(s):  
Natalie Robson ◽  
Hassan Hosseinzadeh
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Primary Health Care ◽  
Usual Care ◽  
Meta Analysis ◽  
Self Management ◽  
Primary Health ◽  
Randomised Controlled ◽  
Hba1c Levels

Primary health care physicians are increasingly offering telehealth services to patients not only for its cost and time saving advantages but for the additional benefits telehealth can provide for patients with type 2 diabetes (T2D) such as improved self-management behaviours. To support the development of telehealth based T2D clinical care models in primary health care settings, a narrative synthesis and meta-analysis of randomised controlled trial studies was completed for 29 studies that evaluated the effect of one or more types of telehealth interventions on HbA1c levels compared to usual care alone. Results from the random effects meta-analysis demonstrated that telehealth interventions had a stronger influence on HbA1c compared to usual care with a mean difference in HbA1c \% −0.18 (CI −0.35, −0.01), p = 0.04. Results from the subgroup meta-analysis demonstrated that telehealth interventions, when grouped by type of telemonitoring (mHealth and telephone communication), all have a stronger effect on lowering HbA1c levels; however, none of these findings were significant. Key findings from this review demonstrate that telehealth interventions that address T2D self-management behaviours and have higher levels of health care provider engagement, have greater effects on lowering HbA1c levels compared to usual care alone.

scholarly journals “Standing on common ground” - a qualitative study of self-management support for patients with multimorbidity in primary health care

2020 ◽  
Author(s):  
Joel Freilich ◽  
Gunnar Nilsson ◽  
Mirjam Ekstedt ◽  
Maria Flink
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Registered Nurses ◽  
Family Caregivers ◽  
Urban Areas ◽  
Common Ground ◽  
Self Management ◽  
Main Theme ◽  
Management Support ◽  
Primary Health

Abstract Background: Multimorbidity, the co-existence of two or more chronic conditions in an individual, is present in most patients over 65 years. Primary health care (PHC) is uniquely positioned to provide the holistic and continual care recommended for this group of patients, including support for self-management. The aim of this study was to explore professionals’, patients’, and family caregivers’ perspectives on how PHC professionals should support self-management in patients with multimorbidity. This study also includes experiences of using telemedicine to support self-management.Methods: A mixed qualitative method was used to explore regular self-management support and telemedicine as a tool to support self-management. A total of 42 participants (20 physicians, 3 registered nurses, 12 patients, and 7 family caregivers) were interviewed using focus group interviews (PHC professionals), pair interviews (patients and family caregivers), and individual interviews (registered nurses, patients, and family caregivers). The study was performed in urban areas in central Sweden and rural areas in southern Sweden between April 2018 and October 2019. Data were analyzed using content analysis.Results: The main theme that emerged was “Standing on common ground enables individualized support.” To achieve such support, professionals needed to understand their own views on who bears the primary responsibility for patients’ self-management, as well as patients’ self-management abilities, needs, and perspectives. Personal continuity and trustful relationships facilitated this understanding. The findings also indicated that professionals should be accessible for patients with multimorbidity, function as knowledge translators (help patients understand their symptoms and how the symptoms correlated with diseases), and coordinate between levels of care. Telemedicine supported continual monitoring and facilitated patient access to PHC professionals.Conclusion: Through personal continuity and patient-centered consultations, professionals could collaborate with patients to individualize self-management support. For some patients, this means that PHC professionals are in control and monitor symptoms. For others, PHC professionals play a less controlling role, empowering patients’ self-management. Development and improvement of eHealth tools for patients with multimorbidity should focus on improving the ability to set mutual goals, strengthening patients’ inner motivation, and including multiple caregivers to enhance information-sharing and care coordination.

scholarly journals Factors Associated with Postpartum Glucose Testing Following Gestational Diabetes Mellitus

2021 ◽  
Vol 36 (4) ◽  
pp. e282-e282
Author(s):  
Fatin Aina Abu Bakar ◽  
Tengku Alina Tengku Ismail
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Factors Associated ◽  
Glucose Testing ◽  
Health Care Clinics ◽  
Primary Health ◽  
The World

Objectives: Glucose testing at six weeks after delivery has been recommended by the World Health Organization as the earliest period to detect abnormal glucose tolerance among women with gestational diabetes mellitus (GDM). However, the rate of postpartum glucose testing in many parts of the world is low, between 30–60%. Therefore, we sought to determine the proportion of women with GDM who underwent glucose testing at six weeks postpartum and the factors associated with the compliance to the test. Methods: We conducted a cross-sectional study between January and April 2017 in 13 governmental primary health care clinics in the southern part of Peninsular Malaysia. All eligible postpartum women registered from January to June 2016 who had GDM during their most recent pregnancy were included. Descriptive and multiple logistic regression analyses were performed. Results: Out of 341 women, 35.8% attended primary health care clinics for glucose testing six weeks postpartum. The factors significantly associated with the compliance to postpartum glucose testing were GDM diagnosis in previous pregnancy (adjusted odds ratio (AOR) = 1.76; 95% confidence interval (CI): 1.04–2.99; p =0.036) and normal level of glycated hemoglobin during the most recent pregnancy (AOR = 2.49; 95% CI: 1.06–5.86; p =0.036). Conclusions: The proportion of women with GDM who underwent postpartum glucose testing remained low. Hence, strategies should be reinforced to encourage all women with GDM to undergo postpartum glucose testing.

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