scholarly journals Determinants of Hypertension Self-management Behaviors: An Application of the Intervention Mapping Approach

2020 ◽  
Author(s):  
Mehdi Mirzaei-Alavijeh ◽  
Farzad Jalilian ◽  
Seyyed Nasrollah Hosseini ◽  
Mohammad Esmaeil Motlagh ◽  
Mohhamad Fatahi ◽  
...  
Keyword(s):  
Intervention Mapping ◽  
Outcome Expectations ◽  
Cross Sectional Study ◽  
Self Management ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Mapping Approach ◽  
Southwestern Iran ◽  
Management Behaviors ◽  
Structured Questionnaire

Abstract Background Hypertension is one of the key risk factors for several diseases; can be followed several complications. The aim of this study was determine the determinants of hypertension self-management behaviors based on intervention mapping approach.Methods A cross-sectional study was conducted among 800 hypertension patients in the in southwestern Iran, during 2018 which was systematic random sampling selected for participation in this study. A structured questionnaire was applied for collecting data and data were analyzed by SPSS version 16 using t-test, the ANOVA, bivariate correlations and linear regression analysis.Results The mean age of respondents was of 58.25 years (SD: 12.10), ranged from 30 to 74 years. These results suggest that the assessed constructs explained 51% of the variance in hypertension self-management behaviors. The best predictors for hypertension self-management behaviors were barriers, outcome expectations and self-efficacy.Conclusion The current study provides support for the use of intervention mapping approach in predicting hypertension self-management behaviors. These findings have implications for the evidence based design of hypertension self-management behaviors promotion interventions.

scholarly journals Determinants of Hypertension Self-management Behaviors: An Application of the Intervention Mapping Approach

Health Scope ◽  
2021 ◽  
Vol 10 (4) ◽  
Author(s):  
Mehdi Mirzaei-Alavijeh ◽  
Farzad Jalilian ◽  
Mohammad Fattahi ◽  
Masoumeh Vaezi ◽  
Mohammad Mahboubi
Keyword(s):  
Intervention Mapping ◽  
Outcome Expectations ◽  
Cross Sectional Study ◽  
Self Management ◽  
Cross Sectional ◽  
Mapping Approach ◽  
Collection Data ◽  
Southwestern Iran ◽  
Age Range ◽  
Management Behaviors

Background: Hypertension is one of the key risk factors for several diseases. Objectives: The aim of this study was to determine the determinants of hypertension self-management behaviors (HSBs) based on intervention mapping approach. Methods: A cross-sectional study was conducted among 800 hypertensive patients in southwestern Iran in 2018. A structured questionnaire was applied for data collection. Data were analyzed using SPSS version 16. Results: The mean age of respondents was 58.25 years (SD: 12.10; age range: 30 - 74 years). The best predictors for HSBs were perceived barriers, outcome expectations, and self-efficacy. Conclusions: Our findings have implications for the evidence-based design of HSBs promotion interventions.

Post-destructive eye surgery, associated depression at Sekuru Kaguvi Hospital Eye Unit, Zimbabwe: Pilot Study

2013 ◽  
Vol 72 (2) ◽  
Author(s):  
M. M. Kawome ◽  
R. Masanganise
Keyword(s):  
Cross Sectional Study ◽  
Current Management ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Eye Surgery ◽  
Management Protocol ◽  
Before And After ◽  
Patient Health ◽  
Study Population ◽  
Structured Questionnaire

Destructive eye surgery is associated with more complications than just loss of visual functions of the eye and aesthetics. Currently there is very little published literature on post-destructive eye surgery associated depression. Zimbabwe has been experiencing a surge in the rate of destructive eye surgery done at the National Tertiary Eye Unit. This situation could be churning out lots of unrecognized depressed clients into the community who require assistance in one form or another.Objectives: To determine the prevalence of post-destructive eye surgery associated depression among patients attending Sekuru Kaguvi Hospital Eye Unit and assess if the current management protocol of patients undergoing destructive eye surgery at the Eye Unit addresses the problem adequately.Methods: A cross-sectional study of 28 randomly selected patients who had destructive eye surgeries at Sekuru Kaguvi Hospital was conducted over five months from 1st March 2012 to end of July 2012. A structured questionnaire containing 15 questions on the following items: gender, age, diagnosis, surgical procedure done, expectations before and after surgery, adequacy of counseling given and involvement of family was used to collect data. Nine questions to assess depression were adapted from the Patient Health Questionnaire (PHQ-9).Setting:  The study was conducted at SekuruKaguvi Hospital Eye Unit, Parirenyatwa Group of Hospitals in Harare.Results:  Twenty-eight patients who underwent destructive eye surgery during the study period were selected using systematic random sampling. The gender ratio was 1:1 and the mean age was 38.7 years with a range from 24 to 65 years. Fifty percent of the patients in the study had orbital exenteration while the rest had enucleation (14%) and evisceration (36%). Twenty-eight percent of the study population had depression.Conclusion: Destructive eye surgery is frequently associated with depression and our current management protocol of patients undergoing destructive eye surgery does not address this problem.

scholarly journals Regularity of Clinical Visits and Medication Adherence of Patients with Hypertension or Diabetes in Rural Yunnan Province of China

2020 ◽  
Vol 17 (24) ◽  
pp. 9297
Author(s):  
Qiufeng Gao ◽  
Lanxi Peng ◽  
Wenbin Min ◽  
Jingchun Nie ◽  
Aiqin Wang ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Yunnan Province ◽  
Rural China ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Self Management ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Structured Questionnaire

Chronic diseases can be controlled through effective self-management. The purpose of this study is to explore the regularity of clinical visits and medication adherence of patients with hypertension or diabetes (PWHD), and its association with the first experience with care and individual factors in rural Southwestern China. This cross-sectional study was carried out in Yunnan province in 2018 and recruited 292 PWHD and 122 village clinics from 122 villages in 10 counties. Participants were interviewed using a structured questionnaire. Results show around 39% of hypertensive and 25% of diabetic patients neither visited physicians nor took medicine regularly during the preceding three months of the interview date. The regression results further indicated that individual characteristics of the PWHD, including patient age, health status, and economic level, as well as their first experience with care, were significantly associated with their regular healthcare behavior. In addition to providing medical services, on average each sample village clinic, with around two physicians, simultaneously managed 180 hypertensive and 45 diabetic patients. This study revealed the need for further reforms in terms of improving self-management and thus recommends an increase in the quantity and the quality of human resources in the primary healthcare realm in rural China.

scholarly journals Hygiene and Sanitation Practices and the Risk of Morbidity among Children 6–23 Months of Age in Kumbungu District, Ghana

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Fusta Azupogo ◽  
Fadilatu Abdul-Rahaman ◽  
Beatrice Gyanteh ◽  
Ambrose Atosona
Keyword(s):  
Respiratory Tract Infections ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Multiple Logistic Regression ◽  
Sectional Study ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Main Determinants ◽  
Tract Infections ◽  
Structured Questionnaire

Background. Poor hygiene and sanitation (WASH) practices are characterised by the manifestation of disease and infections, notably diarrhoea and respiratory tract infections (RTIs) among children. This study aimed to assess the influence of WASH practices on the occurrence of diarrhoea and RTIs among children 6–23 months of age. Methods. An analytical cross-sectional study design was conducted in June 2017. Systematic random sampling technique was used to select 300 mothers/caregivers with children aged 6–23 months from 9 communities in the Kumbungu District. We assessed the WASH practices, socio-demographic characteristics of the households and the occurrence of diarrhoea and RTIs among the children with a semi-structured questionnaire. The Hygiene Improvement Framework observational guide was adapted for household sanitation. Backward binary multiple logistic regression was used to determine the WASH practices that significantly predicted morbidity. Results. About 53% and 55.3% of the children reportedly experienced diarrhoea and RTIs, respectively, two weeks before the survey. Caregiver handwashing with soap after defecation [OR = 0.32 (95% C.I: 0.19, 0.52)] and before feeding [OR = 0.50 (95% C.I: 0.30, 0.84)] as well as washing the child’s hands with or without soap before feeding [OR = 0.21 (95% C.I: 0.04, 1.01)] were associated with lower odds of diarrhoea morbidity. The main determinants of RTI morbidity included caregiver handwashing with or without soap after defecation [OR = 0.29 (95% C.I: 0.10, 0.81)] and washing of the child’s hands with soap before feeding [OR = 0.60 (95% C.I: 0.37, 0.99)] However, we found no association between household sanitation and diarrhoea as well as RTI among the children. Conclusion. About a half each of the children had diarrhoea and RTI 2 weeks before the survey. The results emphasise the need for urgent targeting of handwashing and waste disposal programmes to avert the high burden of diarrhoea and RTIs among children.

The Effect of Information–Motivation–Behavioral Skills on Breastfeeding Success: A Hypothetical Model

2019 ◽  
Vol 31 (4) ◽  
pp. 378-386
Author(s):  
Pınar Akgün ◽  
Ayşe Taştekin
Keyword(s):  
Structural Equation ◽  
Cross Sectional Study ◽  
Equation Model ◽  
Self Management ◽  
Turkish Women ◽  
Hospital Data ◽  
Hypothetical Model ◽  
Cross Sectional ◽  
Behavioral Skills ◽  
Management Behaviors

Introduction: Although breastfeeding is a common practice in Turkey, there are problems with exclusive breastfeeding for the first 6 months of life or sustaining breastfeeding. The purpose of this study was to determine the variables that affect breastfeeding success of Turkish women by creating a hypothetical model based on the information–motivation–behavioral skills model. Methodology: This cross-sectional study was conducted with 229 women who gave birth at a public hospital. Data were collected using a questionnaire and through observation. Structural equation model was used for data analyses. Results: Information was found to directly affect behavioral skills and indirectly affect self-management behaviors and breastfeeding success ( p < .05). The motivation was found to affect self-management behaviors directly ( p < .05). Behavioral skills were found to directly affect self-management behaviors and indirectly affect breastfeeding success ( p < .05). Discussion: The results can be used to develop culturally congruent nursing interventions and improve breastfeeding success.

scholarly journals Occurrence of tuberculosis and predictors of zoonotic TB transmission among livestock workers in Lafia, Nigeria

2020 ◽  
Vol 17 (4) ◽  
pp. 35-50
Author(s):  
C.A. Agada ◽  
J. Mohammed ◽  
A.E.J. Okoh ◽  
A.J. Ogugua
Keyword(s):  
Cross Sectional Study ◽  
Good Knowledge ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Good Practices ◽  
Attitudes And Practices ◽  
Abattoir Worker ◽  
Knowledge Attitudes And Practices ◽  
Abattoir Workers ◽  
Structured Questionnaire

Although tuberculosis (TB) is prevalent in domestic animals and man in Nigeria, prevalence and zoonotic tuberculosis (ZTB) predictors information among livestock workers in Lafia, is scarce. This study determined TB prevalence and ZTB predictors among livestock workers in the town.In a cross-sectional study, sputum samples from 96 participants selected by systematic random sampling (56 abattoir workers and 40 cattle herdsmen and marketers), to whom semi-structured questionnaire was issued, were tested with Ziehl Neelson stain. Data generated were analysed with STATA 12 and OpenEpi at 0.05 critical value (α). From the 96 samples, 13.54% prevalence was recorded. Awareness of ZTB was 60.42% and logistic regression analysis showed good knowledge of ZTB as the predictor (OR=62.89, 95% CI=7.19-549.69, P=0.000). Similarly, ZTB knowledge was 37.50% and the significant predictors were being old (OR=22.09, 95% CI=1.11-13.38, P=0.034); well aware (OR=22.09, 95% CI=2.61-187.27, P=0.005) and good practices (OR=4.78, 95% CI=1.39-16.60) towards ZTB. Thirty-four percent of the respondents engaged in good practices preventing ZTB exposure with the predictors being: an abattoir worker (OR = 3.03, 95% CI=1.04-9.09, P=0.042) and having ZTB good knowledge (OR=4.36, 95% CI=1.33-14.22, P=0.015). Tuberculosis was prevalent among the participants and they need enlightenment on ZTB transmission since they lacked good knowledge, attitudes and practices that prevent it. Keywords: Knowledge, Practices, Predictors, Prevalence, Tuberculosis

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