scholarly journals Patient and Disease Characteristics Associated with Activation for Self-Management in Patients with Diabetes, Chronic Obstructive Pulmonary Disease, Chronic Heart Failure and Chronic Renal Disease: A Cross-Sectional Survey Study

PLoS ONE ◽  
2015 ◽  
Vol 10 (5) ◽  
pp. e0126400 ◽  
Author(s):  
Irene Bos-Touwen ◽  
Marieke Schuurmans ◽  
Evelyn M. Monninkhof ◽  
Yvonne Korpershoek ◽  
Lotte Spruit-Bentvelzen ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Renal Disease ◽  
Survey Study ◽  
Self Management ◽  
Chronic Obstructive ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Disease Characteristics ◽  
Patients With Diabetes

scholarly journals Family influences on self-management among functionally independent adults with diabetes or heart failure: do family members hinder as much as they help?

2010 ◽  
Vol 6 (1) ◽  
pp. 22-33 ◽  
Author(s):  
Ann-Marie Rosland ◽  
Michele Heisler ◽  
Hwa-Jung Choi ◽  
Maria J. Silveira ◽  
John D. Piette
Keyword(s):  
Heart Failure ◽  
Family Support ◽  
Family Members ◽  
Self Care ◽  
Female Gender ◽  
Self Management ◽  
Depression Symptoms ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patients With Diabetes

Objectives: Among functionally independent patients with diabetes or heart failure, we examined family member support and family-related barriers to self-care. We then identified patient characteristics associated with family support and family barriers and how each was associated with self-management adherence. Methods: Cross-sectional survey of 439 patients with diabetes or heart failure (74% response rate). Results: 75% of respondents reported supportive family involvement in self-care; however, 25% reported frequent family-related barriers to self-care. Women reported family support less often (64% v. 77%) and family barriers to self-care more often (30% v. 21%) than men. 78% of respondents reported involved family members nagged or criticized them about illness care. In multivariate models, low health literacy, partnered status and higher family function were associated with higher family support levels, while female gender, older age, higher education, and more depression symptoms were associated with family barriers to self-care. Family barriers were associated with lower disease care self-efficacy (p<0.01), and both barriers and family support were associated with patients’ self-management adherence (both p<0.05). Discussion: Family members are highly involved in the self-care of these higher functioning patients. Interventions should help patients with chronic illness overcome family barriers to self-care and help families use positive and effective support techniques.

scholarly journals The Impact of the COVID-19 Pandemic on Self-Reported Management of Chronic Conditions

2021 ◽  
Vol 8 ◽  
pp. 237437352110076
Author(s):  
Hyllore Imeri ◽  
Erin Holmes ◽  
Shane Desselle ◽  
Meagen Rosenthal ◽  
Marie Barnard
Keyword(s):  
Locus Of Control ◽  
Chronic Conditions ◽  
Online Survey ◽  
Health Locus Of Control ◽  
Patient Activation ◽  
Survey Study ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
The Impact

Chronic conditions (CCs) management during the COVID-19 pandemic and the impact of the pandemic on patient activation (PA) and health locus of control (HLOC) remain unknown. This cross-sectional online survey study examined the role of COVID-19 pandemic-related worry or fear in PA and HLOC among patients with CCs. Individuals with CCs (n = 300) were recruited through MTurk Amazon. The questionnaire included sociodemographic questions, the Patient Activation Measure, and the Multidimensional Health Locus of Control–Form B. Out of the 300 participants, 9.7% were diagnosed with COVID-19, and 7.3% were hospitalized. Patients with cancer, chronic kidney disease, chronic obstructive pulmonary disease, drug abuse/substance abuse, and stroke reported significant difficulties in managing their CCs due to worry or fear because of COVID-19. More than half of the sample (45.7%) reported COVID-19-related worry or fear about managing their CCs, and these patients had lower PA and lower external HLOC compared to patients not affected by COVID-19-related worry or fear. Health professionals should provide more support for patients facing difficulties in managing their CCs during the COVID-19 pandemic.

scholarly journals Significance of platelet counts in health and disease: Insights from a population study using data from the National Health and Nutrition Examination Survey

2019 ◽  
Vol 7 (30) ◽  
pp. 4-11
Author(s):  
Sariya Wongsaengsak ◽  
Jeff Dennis ◽  
Meily Arevalo ◽  
Somedeb Ball ◽  
Kenneth Nugent
Keyword(s):  
Population Study ◽  
National Health ◽  
Mexican Americans ◽  
Large Population ◽  
Chronic Obstructive ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Health And Disease ◽  
Using Data

Background: Platelets are important mediators of coagulation, inflammation, andatherosclerosis. We conducted a large population study with National Health and NutritionExamination Survey (NHANES) data to understand the relationship of total platelet count(TPC) with health and disease in humans.Methods: NHANES is a cross-sectional survey of non-institutionalized United States adults,administered every 2 years by the Centers for Disease Control and Prevention. Participantsanswer a questionnaire, receive a physical examination, and undergo laboratory tests. TPCvalues were analyzed for a six-year period of NHANES (2011–2016). Weighted 10th and 90thpercentiles were calculated, and logistic regression was used to predict likelihood (Odds ratio[OR]) of being in categories with TPC < 10th percentile or > 90th percentile. Statistical analysiswas performed using Stata/SE 15.1, using population weights for complex survey design.Results: The mean TPC for our sample (N = 17,969) was 236 × 103/μL (SD = 59 × 103)with the 10th percentile 170 × 103/μL and the 90th percentile 311 × 103/μL. Hispanics (otherthan Mexican Americans) and obese individuals had lower odds of a TPC < 10th percentile.Males, Blacks, adults aged ≥ 45 years, and those with a recent (last 12 months) hospital staywere more likely to have a TPC < 10th percentile. Obese individuals and Mexican Americanshad higher odds of having TPC > 90th percentile. Individuals with a congestive heart failure(CHF) or coronary heart disease (CHD) diagnosis had over twice the odds (OR 2.06, 95% CI:1.50-2.82, p =< 0.001, and 2.11, 95% CI: 1.48-3.01, p =< 0.001, respectively) of having TPC<10th percentile. Individuals with an emphysema or asthma diagnosis were more likely to haveTPC > 90th percentile (OR 1.84, 95% CI: 1.08-3.13, p = 0.026, and 1.25, 95% CI: 1.00-1.56,p = 0.046, respectively). A diagnosis of chronic obstructive pulmonary disease and cancer didnot have significant associations with TPC.Conclusions: Our study showed that obese individuals are more likely to havehigher TPC. Individuals with CHF and CHD had higher odds of having TPC < 10thpercentile, and those with emphysema and asthma were more likely to have TPC > 90thpercentile.

Sign in / Sign up

Export Citation Format

Share Document