scholarly journals Person-Centered Care in a Tertiary Hospital Through Patient’s Eyes: A Cross-Sectional Study

2021 ◽  
Vol Volume 15 ◽  
pp. 761-773
Author(s):  
Bashayer Al-Sahli ◽  
Abdelmoneim Eldali ◽  
Mohammed Aljuaid ◽  
Khaled Al-Surimi
2019 ◽  
Author(s):  
Bashayer Al-Sahli1 ◽  
Khaled Al-Surimi

Abstract Background: Healthcare systems around the world have begun to move towards a person (or patient)-centered care approach. Although this approach seems to have been newly adopted in some healthcare organizations, there is no evidence of person-centered care among hospitals in Saudi Arabia. The aims of this study were to assess patients’ perspectives on the climate of person-centered care and its associated factors in a Saudi tertiary hospital, and to examine the reliability of the Arabic version of the Person-centered Climate Questionnaire – Patient (PCQ-P) version. Methods: Using a cross-sectional study design, the validated version of the PCQ-P was distributed to 300 adult patients admitted to hospital for more than 48 hours. Patients from 16 inpatient departments at King Faisal Specialist Hospital and Research Center, a tertiary hospital in Riyadh, Saudi Arabia, were interviewed using the PCQ-P. Descriptive and inferential statistical analysis was performed using SPSS (version 22; IBM, NY, USA). Results: A total of 300 questionnaires were completed. Within this number of respondents, 159 (53%) were females; 119 were aged 21–40 years; 72.7% were married; 147 (49%) had attained up to a high school level of education; and (67.4%) were unemployed. Inpatients’ overall mean PCQ-P score was 73 ± 9.988 out of 85. Results suggested some significant associations between patient characteristics and their perspectives on person-centered care, such as age ( P =0.005), gender ( P <0.001), nationality ( P =0.026), area of residency ( P =0.001), route to admission ( P =0.002), length of stay ( P =0.003), and hospital preference ( P =0.010). The Arabic version of the PCQ-P was found to be reliable (Cronbach’s α=0.840), indicating its applicability to measure the climate of person-centered care in an Arabic-speaking context. Conclusions: Patient and hospital characteristics are important in terms of patients’ perceptions of the climate of person-centered care. The Arabic translation of the PCQ-P tool is a reliable way to measure this climate within the setting of an Arabic-speaking tertiary care hospital.


Author(s):  
Dharmpal Godara ◽  
Vijay Pal Singh Dhayal

Background: The present study highlights the occurrence of Incidental gallbladder carcinoma (IGBC) detected during histopathological examination in cholecystectomy specimens removed for cholelithiasis. Methods- This is a tertiary hospital based cross-sectional study of 500 cholecystectomy specimens removed during cholelithiasis. Relevant hospital records, histopathology slides and reports were reviewed, re-evaluated and studied. Results: 4(0.80%) cases of incidental gall bladder carcinoma (IGBC) were diagnosed from the histopathological evaluation (HPE) of 500 cholecystectomy specimens, constituting 0.80% of gall bladder specimens received during the study period. The age of the patients with IGBC ranged from 51-80 years. More females were affected than males with a M:F ratio of 1:3. Conclusion: Early detection of IGBC by histopathological examination would have a favourable impact on prognosis and management thereby increasing the survival outcome. Keywords: Cholelithiasis, Incidental Gall Bladder Carcinoma


2019 ◽  
Vol 7 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Olumide Abiodun ◽  
Olusola Shobowale ◽  
Charles Elikwu ◽  
Daniel Ogbaro ◽  
Adebola Omotosho ◽  
...  

2020 ◽  
Vol 5 (2) ◽  
pp. 1027-1030
Author(s):  
Shanti Sunuwar Subedi ◽  
Rakina Bhansakarya ◽  
Sajjan Kumar Sharma

Introduction: To evaluate the maternal and perinatal outcome in booked and unbooked cases. Objectives: To assess the maternal and fetal outcomes in unbooked and booked patients. Methodology: This was a cross-sectional comparative study conducted in the Department of Obstetrics and Gynecology from Augustti2019 to January 2020. Using a convenient sampling technique, 204 samples were taken and cross-sectional study was done. Results: There were total 204 cases in this study;102were booked and 102 were unbooked. In this study, 85(83%) of booked cases were educated up to secondary level as compared toti65 (64%) of unbooked cases. There was no significant difference in Apgar score in 1 and 5 minute between booked and unbooked cases. More babies in the unbooked group were transferred to NICU as compared to the booked group and the difference was significant (9.8%vs 1.9%). Greater proportion of booked cases had spontaneous vaginal delivery (81.3% vs 59.8%) and complications like preterm delivery, anemia, preeclampsia/ eclampsia, complicated labor and puerperal sepsis was also less in the booked group. Conclusions: The study showed that unbooked mothers and their newborns had higher chance of having complications.


2020 ◽  
Vol 54 (4) ◽  
pp. 225-230
Author(s):  
Marc Tshilanda ◽  
Ulrick S. Kanmounye ◽  
Remy Kapongo ◽  
Michel Tshiasuma

Objectives: Stroke is one of the leading causes of death, disability, and dementia in developing countries. Our study aimed to evaluate the systemic disorders associated with mortality in patients admitted within 72 hours of the initial stroke event. Setting: The study took place at a tertiary hospital in Kinshasa. Participants: Patients admitted within 72 hours of the initial stroke event. Interventions: This cross-sectional study consisted of a retrospective review of stroke patient records from January 2016 to December 2018. The Pearson-Chi square test and odds ratios were calculated with a threshold of significance of 0.05. Main outcome measures: Mortality Results: We recruited 114 cases. The mean age was 61.8 ± 2.4 years, and the sex ratio was 1.78 in favor of men. Hypertension (76.3%), dyslipidemia (71.1%), and diabetes mellitus (58.8%) were the most frequent comorbidities. Most patients had hypoxia (85.9%), hypertension (82.4%), hyperglycemia (57.8%), and fever (28.1%). We registered thirty-two deaths (28.1%): 20 (62.5%) from the ischemic strokes, and 12 (37.5%) from hemorrhagic strokes. Systemic disorders with the worst prognosis during were arterial hypotension (OR=3.87, p >0.001), and fever (OR = 1.56, p = 0.047). Conclusion: Arterial hypotension and fever adversely affect stroke patient outcomes, and strokes are responsible for high mortality in Congo


2018 ◽  
Vol 43 ◽  
pp. e18-e25 ◽  
Author(s):  
Immacolata Dall'Oglio ◽  
Michela Di Furia ◽  
Emanuela Tiozzo ◽  
Orsola Gawronski ◽  
Valentina Biagioli ◽  
...  

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