scholarly journals Evaluation of the effects of a new integrated health management service model on p eople  with risk factors for dyslipidemia

2020 ◽  
Author(s):  
Rui Zhang ◽  
Shuang Wang ◽  
Yi-Ni He ◽  
Bin Wu ◽  
Ying Wu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Health Promotion ◽  
Health Literacy ◽  
Disease Prevention ◽  
General Practitioners ◽  
Health Management ◽  
Health Protection ◽  
Management Services

Abstract Background: Dyslipidemia is a factor that affects the occurrence and development of many chronic diseases. With its prevalence increasing each year, dyslipidemia has caused substantial disease and economic burdens in China and around the world. Appropriate health management is imperative for people with risk factors for dyslipidemia. We established a new model of health management services (integration of general practice and personalized disease prevention in health management, IGPDP) to more appropriately manage people with risk factors for dyslipidemia. Methods: The experiment was conducted in Shenyang, Liaoning Province, China. We selected 5 administrative districts with populations of more than 100,000. Twenty-three community health service centers with a daily average of more than 50 outpatients were selected. A total of 5,032 subjects with risk factors for dyslipidemia who met the inclusion criteria were included in this study. Using prospective cohort study methods, the subjects were followed up for 24 months. The subjects were randomly divided into the control and test groups, and they received traditional health management services or IGPDP. We analyzed and compared changes in disease prevention, health protection, and health promotion between the two groups.Results: In terms of disease prevention, we found that after the intervention, subjects' behavioral risk factors (smoking habits, diets, sedentary lifestyles) and health literacy improved. In terms of health protection, we observed a decrease in Body mass index (BMI), a gradual improvement in blood lipid levels, and an overall increase in quality of life scores. In terms of health promotion, after the intervention, the proportion of the subjects who were willing to accept the contracted services of general practitioners increased.Conclusion: IGPDP can effectively cultivate healthy lifestyles, improve health literacy, reduce biological risk factors, decrease risk of dyslipidemia, and improve quality of life of subjects. IGPDP is conducive to improving the quality of the service of general practitioners, increasing the trust of the general public, and facilitating the establishment of a hierarchical medical system.

scholarly journals Evaluation on the Effects of a New Integrated Health Management Service Model on People With Risk Factors for Dyslipidemia

2020 ◽  
Author(s):  
Rui Zhang ◽  
Shuang Wang ◽  
Yi-Ni He ◽  
Bin Wu ◽  
Ying Wu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Health Promotion ◽  
Health Literacy ◽  
Disease Prevention ◽  
General Practitioners ◽  
Health Management ◽  
Management Service ◽  
Traditional Health

Abstract Background: Dyslipidemia is a factor affecting the occurrence and development of many chronic diseases. With its prevalence increasing year by year, dyslipidemia has caused a huge burden of disease and economy in China and even the world. Appropriate health management is imperative for people with risk factors for dyslipidemia. However, the traditional health management service models mainly focus on the population with chronic diseases. Therefore, we need to establish new models of health management services to more appropriately manage people with risk factors for dyslipidemia. Methods: Among the 5 administrative districts with a population of more than 100,000 in Shenyang, 23 community health service centers with an average daily outpatient number of more than 50 were selected. A total of 5,032 subjects with risk factors for dyslipidemia who met the inclusion criteria were included in this study. Using prospective cohort study methods. The subjects were followed up for 24 months. They were randomly divided into control group and test group , and received integration of general practice and personalized disease prevention in health management (IGPDP) or traditional health management services, respectively. We analyzed and compared changes in disease prevention, health protection, and health promotion between the two groups at baseline, 12 months after the intervention, and 24 months after the intervention.Results: In terms of disease prevention, we found that after the intervention, participants' behavioral risk factors (smoking, diet, sedentary) improved and their health literacy improved. In terms of health protection, we observed a decrease in BMI (biological risk factor), a gradual improvement in blood lipid levels, and an overall increase in quality of life scores. In terms of health promotion, after the intervention, the proportion of the subjects willing to accept the contracted services of general practitioners increased.Conclusion: IGPDP can effectively cultivate healthy lifestyle of subjects, improve health literacy, reduce biological risk factors, reduce the risk of dyslipidemia, and improve subjects' quality of life. IGPDP is conducive to improving the service quality of general practitioners, the trust of the general public, and facilitating the establishment of a hierarchical medical system.

scholarly journals Health literacy and associated factors in patients with chronic diseases, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C F Tenani ◽  
M L R Sousa ◽  
M J Batista
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Blood Pressure ◽  
Health Promotion ◽  
Oral Health ◽  
Health Literacy ◽  
Chronic Diseases ◽  
Public Health Service ◽  
The Public

Abstract Chronic diseases of the population have been a global challenge for public health. Considered a new field of study, health literacy (LS) is the ability to obtain and understand basic health information and services needed to make health decisions. Worse outcomes, such as less control of chronic diseases, have been associated with LS. Thus, the objective of the study was to investigate the association of LS, clinical and behavioral conditions in patients with chronic non-communicable diseases (NCDs) users of the public health service in Brazil. It was a cross-sectional study, conducted from July to December 2019, with 238 adult users of the public health service, in a random sample, from 10 basic health units, in Piracicaba-SP, Brazil. A questionnaire was applied to obtain socioeconomic, behavioral, and LS data (Suka et al, 2013). The outcome was LS (high, medium and low) and the independent variables: CNCDs (diabetes, systemic blood pressure), clinical conditions (pressure, tooth loss, pain, visible plaque and insertion loss), behaviors (brushing, use of dental floss), determinants (type and frequency of service use) and self-perception (oral health and quality of life) in health. Descriptive statistical analysis was performed, and the Chi-Square test, based on a conceptual model adapted for LS (5% significance level). They had low levels of literacy 35.3% (n = 84), average 35.7% (n = 85), and high 29.0% (n = 69). Low LS levels were associated with older individuals, low education, less brushing and flossing, irregular use of dental services, edentulism, pain, loss of insertion, negative self-perception of oral health and quality of life, and better systolic blood pressure index. The results of this study show the association of LS with behavioral and clinical factors, showing an important role in the health-disease process in this population. LS should be considered in health promotion policies in future studies. Key messages Our study shows the importance of health literacy, and its association with health outcomes in individuals with chronic non-communicable diseases. Within the important global epidemiological panorama of chronic diseases, better understanding the role of LS is important, and it can collaborate with health promotion strategies for this population.

scholarly journals Study protocol for a randomized controlled trial to improve the quality of life of housewives with musculoskeletal disorders: a health promotion intervention based on a participatory ergonomic approach—the Housewives Ergonomic Intervention (HEI) trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Samaneh Norouzi ◽  
Sedigheh Sadat Tavafian ◽  
Rosanna Cousins ◽  
Hamidreza Mokarami
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Health Promotion ◽  
Musculoskeletal Disorders ◽  
Work Ability ◽  
Psychosocial Intervention ◽  
Intervention Group ◽  
Qualitative Approach ◽  
The Impact

Abstract Background A variety of household chores expose women to a variety of biomechanical and psychosocial risk factors. A result of this is many housewives with musculoskeletal disorders. Given the interactive effects of these risk factors, it is necessary to consider multiple strategies to mitigate their effects. Accordingly, the present study will investigate the impact of a health promotion training program based on a participatory ergonomic approach towards a reduction in the prevalence of musculoskeletal disorders and an improvement in the quality of life of housewives. Methods Iranian housewives aged 20–65 years currently attending a specialist health clinic due to a painful musculoskeletal complaint will be invited to join the study. Recruitment will continue until a sample of 160 women provides informed consent to participate. The study will be conducted using a mixed-methods protocol in two phases. In the first phase, psychosocial and biomechanical risk factors will be identified using a qualitative approach. In the next phase, the results from the qualitative approach will be used to develop a conceptual framework based on health promotion theories and an intervention program based on a participatory ergonomic approach designed. Participants will be randomly allocated into one of four groups: (1) biomechanical intervention group, (2) psychosocial intervention group, (3) multidisciplinary intervention group (both biomechanical and psychosocial intervention), and (4) a control group. Data will be collected using Rapid Entire Body Assessment (REBA), Visual Analog Scale (VAS), Work Ability Score (WAS), Hospital Anxiety and Depression Scale (HADS), and the 36-item Short-Form health survey (SF-36) at baseline in 3-month and 6-month follow-up assessments. The impact of the three interventions on musculoskeletal disorders, work ability, stress, and quality of life will then be evaluated. Discussion The study will provide a practical approach to reducing stress, reducing musculoskeletal disorders, enhancing the ability to work, and improving the quality of life of women with musculoskeletal disorders associated with housework. If the designed interventions in the present study are effective, they will have the great practical potential for generalization to all housewives. Trial registration ClinicalTrials.gov IRCT20200602047640N. Registered on 07 September 2020 with the IRCTID.

Quality of Life of Patients With Peripheral Arterial Disease and Chronic Stable Angina

Angiology ◽  
2011 ◽  
Vol 63 (3) ◽  
pp. 223-228 ◽  
Author(s):  
W. Richard W. Wilson ◽  
Robert A. Fitridge ◽  
Andrew J. Weekes ◽  
Claire Morgan ◽  
Rosanna Tavella ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Peripheral Arterial Disease ◽  
General Practitioners ◽  
Stable Angina ◽  
Chronic Stable Angina ◽  
Arterial Disease ◽  
Case Report Form ◽  
Peripheral Arterial

The Coronary Artery Disease in gENeral practiCE (CADENCE) study examined chronic stable angina (CSA). This further analysis examined atherosclerotic risk factors, symptomatic status, clinical management, and quality of life in patients with CSA with and without peripheral arterial disease (PAD). The CADENCE study involved 207 Australian general practitioners (GPs) recruiting 10 to 15 consecutively presenting patients with CSA (n = 2031). General practitioners completed a 2-page case report form, detailing demographic data, cardiovascular status, risk factors, and GP perception of control. Patients completed the Seattle Angina Questionnaire. Patients with coexisting CSA and PAD (17%) were more likely to be older and had more comorbidities than patients with CSA without coexisting PAD. Patients with peripheral arterial disease had a longer history of heart disease and were more likely to experience angina on a weekly basis. Patients with peripheral arterial disease had poorer quality-of-life indices.

scholarly journals Unfavourable factors promoting development of myopia among the students of medical colleges

2014 ◽  
Vol 21 (1) ◽  
pp. 17-19
Author(s):  
I. M. Valiakhmetova ◽  
S. G. Akhmerova ◽  
R. N. Sagitov
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
External Factors ◽  
Health Protection ◽  
Internal Factors ◽  
Medical College ◽  
Medical Colleges

To define the risk factors of myopia development among the students the authors got acquainted with spreading of the pathology among the students and their parents. 313 students of Tuimaizy medical college (at the age of 16 to 22 ys) and their parents (n = 579) participated in the study. Attention was paid to the internal factors (heredity, family atmosphere, quality of life) and to the external factors (the life, intensity in studying) -the factors promoting development of myopia. Special psychomedico-pedagogical commission has been organized for better health protection of the organ of vision in teenagers in Tuimaizy medical college.

scholarly journals Health for all in Cyprus: current situation, progress and prospects

2000 ◽  
Vol 6 (4) ◽  
pp. 809-812
Author(s):  
A. Agrotou ◽  
O. Kalakouta
Keyword(s):  
Quality Of Life ◽  
Health Promotion ◽  
Health Services ◽  
Disease Prevention ◽  
Current Situation ◽  
Current Health ◽  
Health Situation

This report describes the health situation in Cyprus with particular reference to the attainment of health for all. The current health situation in Cyprus is outlined and the system of health provision described. The efforts made to upgrade the health services, to strengthen health promotion and disease prevention and sustain the environment to safeguard quality of life and health are all described. The prospects for health for all in Cyprus are discussed

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