scholarly journals Care, Support and Therapy Service of HIV Patients with the “SATE Krembung” Application

Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 221
Author(s):  
Totok Indarto ◽  
Arif Rahman Nurdianto ◽  
Dyah Ayu Febiyanti
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Patient Adherence ◽  
Hiv And Aids ◽  
Hiv Patients ◽  
Cross Sectional ◽  
Service Effectiveness ◽  
Primary Health ◽  
Age Range

Introduction: The prevalence and incidence of HIV and AIDS in Sidoarjo is still high. Today, the adherence of patients to several ART services in Sidoarjo is quite low and varied. Therefore the researchers want to find out the effectiveness of registration using “the SATE Krembung” application in terms of service effectiveness, reducing the Lost Follow Up (LFU) and increasing patient adherence in Krembung Primary Health Care.Methods: The study was cross-sectional. The use of alternative ART service modes was done via “the SATE Krembung” application as an integrated queue system. The patients who participated in this study were HIV patients at Krembung Primary Health Care who accessed ART at Krembung Primary Health Care within the age range of 20 - 60 years. The total number of samples in this test was 16 patients.Results: Registration using “the SATE Krembung” application can reduce the waiting time for getting access to services for the HIV patients who plan on getting CST services and ART collection.Conclusion: Service effectiveness due to the use of “the SATE Krembung” application can improve service quality, reduce the Lost Follow Up (LFU) and increase the patient adherence in Krembung Primary Health Care’s ART services.

Follow-Up Evaluation on Oral Antidiabetic Drug Use: A Study of Effectiveness, Safety and Patient Adherence in Surabaya Primary Health Care

2018 ◽  
Vol 9 (4) ◽  
Author(s):  
Lisa Aditama ◽  
Umi Athiyah ◽  
Wahyu Utami ◽  
Abdul Rahem
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Drug Therapy ◽  
Patient Adherence ◽  
Adherence Behavior ◽  
Primary Health ◽  
Oral Antidiabetic ◽  
Study Results ◽  
Gastrointestinal Problems

Medication non-adherence is one of the biggest causes of leftover medicines. Up to 50% of patients worldwide do not take their prescribed medicines as recommended. Optimising the use of medication is beneficial to improving clinical outcomes for patients with chronic disease. Purpose: The aim of this study was to determine the effectiveness and safety of drug therapy, evaluate patient adherence, and identify of the patient's non-adherence behavior for oral antidiabetic drugs (OADs). Methods: This study using non-experimental design, with mixed-methods (explanatory sequential design). A total of 32 patients with type 2 diabetes mellitus in referral program of national health care security system (BPJS Kesehatan) were included in this study from Primary Health Care in the north region of Surabaya. There are 6 domains of adherence behavior developed in this study. Results: The effectiveness of drug therapy in this study was 56,25%. About 68,75% of patients experienced to hypoglycemia and 6,25% had gastrointestinal problems caused by drug therapy. The adherence assessment found that 43,75% patients non adherence to medication. Leftover medicines found in the patient's home comes from multiple visits to health care facilities (53,12%) and patient non-adherence (37,5%). Conclusion: Follow-up evaluation as the continuous process in medication management services, led pharmacist in the strategic position to evaluates the patient's response to drug therapies in terms of effectiveness, safety, adherence and also avoiding unnecessary leftover medicines.

scholarly journals HUBUNGAN DUKUNGAN KELUARGA DAN PERAN TENAGA KEFARMASIAN TERHADAP KEPATUHAN MINUM OBAT ANTIHIPERTENSI

2021 ◽  
Vol 7 (1) ◽  
pp. 19-26
Author(s):  
Dewi Puspita Apsari ◽  
I Gusti Ngurah Manik Satria Wibawa Putra ◽  
Ida Bagus N Maharjana
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Support ◽  
Patient Adherence ◽  
Communication Styles ◽  
Uncontrolled Hypertension ◽  
Cross Sectional ◽  
Primary Health ◽  
Hypertension Therapy ◽  
Pharmacist Role

Abstrak : Hipertensi yang tidak terkontrol dapat mengakibatkan berbagai macam komplikasi. Ketidakpatuhan terhadap pengobatan adalah salah satu penyebab hipertensi tidak terkontrol. Dukungan keluarga dan peran tenaga kefarmasian yang tinggi merupakan faktor yang dapat mempengaruhi kepatuhan pasien dalam menjalankan terapi hipertensi. Penelitian ini bertujuan mengetahui hubungan dukungan keluarga dan peran tenaga kefarmasian terhadap kepatuhan minum obat antihipertensi di Puskesmas. Desain penelitian yang digunakan adalah analitik dengan pendekatan cross sectional study. Penelitian dilaksanakan pada bulan Maret-Mei tahun 2020 dan populasi pada penelitian ini adalah 100 pasien hipertensi lansia yang melakukan pengobatan rawat jalan di Puskesmas Mengwi I. Analisis data dilakukan dengan cara univariat dan bivariat dengan menggunakan uji Rank Spearman. Hasil uji statistik yang dilakukan didapatkan hubungan yang signifikan (p=0,00) dan kuat (r=0,558) antara skor total dukungan keluarga terhadap kepatuhan minum obat antihipertensi pada 73 (73 %) responden. Selain itu juga pada peran tenaga kefarmasian, terlihat hubungan yang signifikan (p=0,00) antara penyediaan informasi, konseling pengobatan dan gaya komunikasi tenaga farmasi terhadap kepatuhan minum obat antihipertensi. Dari hasil penelitian dapat disimpulkan bahwa dukungan keluarga dan peran tenaga kefarmasian berpengaruh signifkan terhadap kepatuhan minum obat antihipertensi di Puskesmas Mengwi I. Abstract: Uncontrolled hypertension can lead to various complications. Nonadherence to therapeutic plans has been reported for uncontrolled hypertension. Family support and pharmacist role are factors that can affect patient adherence in carrying out hypertension therapy.  The purpose of this study was to determine the relationship between family support and pharmacist role with adherence therapeutic plans. The study was conducted in March-May 2020 and the population in this study were  100 hypertensive adult respondents who were undergoing outpatient treatment at Primary Health Care Mengwi I. Data analysis was performed by means of univariate and bivariate using Rank Spearman. Statistical test results found that there is a significant (p=0,00) and strong (r=0,558) relationship between total score family support with adherence hypertension therapy. In addition, there is a significant (p=0,00) between drug information, counseling, and communication styles of pharmacists with adherence to hypertension therapy. From the research results, it can be concluded that family support and pharmacist role have a significant effect on adherence to hypertension therapy in Primary Health Care Mengwi I.

scholarly journals DIABETIC CONTROL SITUATION;

2018 ◽  
Vol 21 (05) ◽  
pp. 936-940
Author(s):  
Muhammad Saeed Siddiqui ◽  
Muhammad Aziz ◽  
Makki Ahmad Ali
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Blood Sugar ◽  
Fasting Blood Sugar ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Age Range ◽  
Health Care Centers

Objectives: To determine the prevalence of controlled diabetes in registereddiabetic patients with Hemoglobin A1c (HbA1c) ≤ 7 or Fasting blood Sugar ≤ 130 mg/dl inthree primary Health Care Centers of Al- Ameer Ahmad Sector of Makkah. Methods: This studywas a descriptive study (cross sectional) started from 20 June 2012 to 30 September 2012. ThePrimary Health Care Centers randomly selected were AL-Zahir, Al-Hindavia and Kudai Al- Hijra.The sample size calculated was 320 patients with confidence level of 95% and confidenceinterval of 5. The cut of values adjusted for all diabetes mellitus patients was, haemogloblin A1c( HBA1c) ≤ 7 or fasting blood sugar (FBS) ≤ 130 mg/dl .Hypertension values were set as 140/90 mm of Hg. Results: Overall the age range was 25 – 87 (62) years and a mean of +/- SDof 58.66 +/- 11.97. Out of 320 diabetic patients selected (152 only diabetes + 168 patients ofdiabetes with hypertension) 21.25 % have disease under control. Most effected age range ofuncontrolled diabetes was 45-74 years. HbA1c test for study year was not done in 83.43 %cases. The age and Gender difference in two groups were not significant, however the resultsof controlled and non-controlled diabetic patients in three Primary Health Care Centers wassignificant (P <0.05 ). Conclusions: Diabetes Control programme at the level of Primary HealthCenters showed a very low level of success in study groups. There is a need to reconsider thecontrol strategy.

scholarly journals Evaluation of Application of Nutritional Status Assessment for Children Under 5 years by Using IMCI Program in a Sample of Primary Health Care Centers in Baghdad City

2019 ◽  
Vol 14 (2) ◽  
pp. 75-78
Author(s):  
Samir M. Raoof ◽  
Rana D. Raoof ◽  
Mohammed A. Ibraheem
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nutritional Status ◽  
World Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Status Assessment ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background: World Health Organization (WHO) and United Nation International Children Fund (UNICEF) developed a strategy known as Integrated Management of Childhood Illness (IMCI); which aims to reduce less than five years children morbidity and mortality in developing countries. Objective: To assess the completion of the IMCI format status in primary health care centers, Baghdad. Methods:  A cross sectional study with analytic element was conducted during the period from 15th  of January till 15th  May 2016 in selected Primary health centers in Baghdad, Iraq. The sample consists of form of child files less than 2 months and form from 2 month up to 5 years children. Classified correctively, determined follow up visits, Comparison classified of nutritional status assessment between health center and IMCI guideline. Result: 1400 child files were collected, 1295 from child files (2months-5year), and 105 forms from child less than 2 month. In form less than 2 months (correct classified 54.29%, incorrect 45.71%), (Determined date of follow up 13.33%, not determined 86.67%).Form from (2month-5years) (57.07% correct classified, 43.93% incorrect classified), (Determined date Follow up visit 38.38%, Not determined visit 61.62%). Conclusion: Impaired classification of nutritional status assessment

scholarly journals Convergent and discriminative validity of the Frail-VIG index with the EQ-5D-3L in people cared for in primary health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan-José Zamora-Sánchez ◽  
Edurne Zabaleta-del-Olmo ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Gemma Pérez-Tortajada ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Convergent Validity ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Programme ◽  
Discriminative Validity ◽  
Primary Health ◽  
Related Quality

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.

scholarly journals Cohort study of ageing from Bagé (SIGa-Bagé), Brazil: profile and methodology

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elaine Thumé ◽  
Marciane Kessler ◽  
Karla P. Machado ◽  
Bruno P. Nunes ◽  
Pamela M. Volz ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Rio Grande ◽  
Cognitive Testing ◽  
Rio Grande Do Sul ◽  
Primary Health ◽  
The Impact

Abstract Background The Bagé Cohort Study of Ageing is a population-based cohort study that has recently completed the first follow-up of a representative sample of older adults from Bagé, a city with more than 100,000 inhabitants located in the state of Rio Grande do Sul, Brazil. This is one of the first longitudinal studies to assess the impact of primary health care coverage on health conditions and inequalities. Our aim is to investigate the prevalence, incidence and trends of risk factors, health behaviours, social relationships, non-communicable diseases, geriatric diseases and disorders, hospitalisation, self-perceived health, and all-cause and specific-cause mortality. In addition, we aim to evaluate socioeconomic and health inequalities and the impact of primary health care on the outcomes under study. Methods/design The study covers participants aged 60 or over, selected by probabilistic (representative) sampling of the urban area of the city of Bagé, which is covered by Primary Health Care Services. The baseline examination included 1593 older adults and was conducted from July 2008 to November 2008. After eight to nine years (2016/2017), the first follow-up was conducted from September 2016 to August 2017. All participants underwent an extensive core assessment programme including structured interviews, questionnaires, cognitive testing (baseline and follow-up), physical examinations and anthropometric measurements (follow-up). Results Of the original participants, 1395 (87.6%) were located for follow-up: 757 elderly individuals (47.5%) were re-interviewed, but losses in data transfer occurred for 22. The remaining 638 (40.1%) had died. In addition, we had 81 (5.1%) refusals and 117 (7.3%) losses. Among the 1373 older adults who were followed down, there was a higher proportion of female interviewees (p=0.042) and a higher proportion of male deaths (p=0.001) in 2016/2017. There were no differences in losses and refusals according to gender (p=0.102). There was a difference in average age between the interviewees (68.8 years; SD ±6.5) and non-interviewees (73.2 years; SD ±9.0) (p<0.001). Data are available at the Department of Social Medicine in Federal University of Pelotas, Rio Grande do Sul, Brazil, for any collaboration.

scholarly journals Factors Related to Primary Health Care Provision: A Cross-Sectional Study in an Elderly Rural Population

2015 ◽  
Vol 38 (5) ◽  
pp. 343-356
Author(s):  
Ana Maseda ◽  
José Carlos Millán-Calenti ◽  
Julia Carpente ◽  
José Luis Rodríguez-Villamil ◽  
Carmen de Labra
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Population ◽  
Cross Sectional Study ◽  
Health Care Provision ◽  
Care Provision ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health

scholarly journals The situation of nursing education in Latin America and the Caribbean towards universal health

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Silvia Helena De Bortoli Cassiani ◽  
Lynda Law Wilson ◽  
Sabrina de Souza Elias Mikael ◽  
Laura Morán Peña ◽  
Rosa Amarilis Zarate Grajales ◽  
...  
Keyword(s):  
Health Care ◽  
Latin America ◽  
Primary Health Care ◽  
Nursing Education ◽  
Clinical Decision Making ◽  
Clinical Experiences ◽  
Cross Sectional ◽  
Primary Health ◽  
The Caribbean ◽  
Universal Health

Objective: to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health. Method: quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries. Results: a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31.3%, without Brazil this is reduced to 8.3%. The ratio of clinical experiences in primary health care services to hospital-based services was 0.63, indicating that students receive more clinical experiences in hospital settings. The results suggested a need for improvement in internet access; information technology; accessibility for the disabled; program, faculty and student evaluation; and teaching/learning methods. Conclusion: there is heterogeneity in nursing education in Latin America and the Caribbean. The nursing curricula generally includes the principles and values of Universal Health and primary health care, as well as those principles underpinning transformative education modalities such as critical and complex thinking development, problem-solving, evidence-based clinical decision-making, and lifelong learning. However, there is a need to promote a paradigm shift in nursing education to include more training in primary health care.

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