scholarly journals Treatment Compliance in Diabetics: Physician-Patient Relationship

2018 ◽  
Vol 23 (4) ◽  
pp. 503-507
Author(s):  
Anza Zahid ◽  
Muhammad Ali Ayub ◽  
Mujtaba Saeed ◽  
Nasir Pasha ◽  
Abdul Jabbar Dar ◽  
...  
Keyword(s):  
Good Practice ◽  
Treatment Compliance ◽  
Diabetic Patients ◽  
Physician Patient Relationship ◽  
Cross Sectional ◽  
Normal Glucose ◽  
Negative Trait ◽  
Normal Glucose Level ◽  
Physician Patient ◽  
Structured Questionnaire

Diabetes is a chronic disease and non-compliance attitude of patients poses a great challenge to the success of therapy. Multiple factors influence compliance among diabetics and other chronic diseases and non-compliance results in avoidable consequences and complications. In order to determine the magnitudeand factors of non-compliance to physicians’ advice in diabetics attending outpatients, a cross-sectional analytical study was conducted in outpatient diabetic clinics of Shaikh Zayed and Services Hospitals in Lahore. Results presented in this study are based on 177 patients investigated for 3 months (April 2014-June2014). Subjects were conveniently enrolled after taking written informed consent using a self-constructed and structured questionnaire. Out of 177 participants, 55.36% were females and 51.41% participants were in the range of 52-75 years of age. Among 79 males, majority (45.6%) were employees, whereas 91.8% werehousewives among females’ participants,. Out of 177 diabetic patients, 42 patients (23.7%) were non-compliant and 135 patients (62.5%) were found to be compliant. The normal glucose level was observed in 120/177 (67.8%) of participants. Interestingly, 97.2% subjects revealed agood attitude as the main trait of apractitioner whereas 2.8% claimed good practice and competency. Conversely, 94.4% blamed bad attitude as a trait of bad doctor whereas 4.6% reported that the bad practice and incompetency is responsible for the negative trait. Taken together, compliance to physician’s advice is better among diabetics attending tertiarycare hospitals in current study. The study encourages our health care system to provide more awareness and obtain a deeper understanding of factors causing non-compliance. A positive relationship between patient and practitioners would positively impact on the clinical outcome of the ailments and their therapies.

Nurses knowledge and practice regarding oxytocin administration during first stage labor in maternity ward of teaching hospital

2020 ◽  
Vol 7 (2) ◽  
pp. 103-111
Author(s):  
Bhagabati Lohani
Keyword(s):  
Pearson Correlation ◽  
Good Practice ◽  
Cross Sectional Study ◽  
Staff Nurses ◽  
Maternity Ward ◽  
Chi Square ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Knowledge And Practice ◽  
Structured Questionnaire

Introduction: Oxytocin is commonly used for induction of labor. The objective of the study was to assess the knowledge and practice regarding oxytocin administration during the first stage of labor in maternity ward. Method: A descriptive cross-sectional study was conducted among nurses of maternity ward of Patan Hospital, Nepal. Data was collected by using self-administered structured questionnaire for the knowledge assessment. Observation checklist was used to record the practice. Descriptive and inferential data analysis was done by SPSS version 16.The association and correlation between variables were measured by chi-square and Pearson correlation coefficient respectively. Result: Out of 31 nurse participants, majority (87.1%) had good knowledge and showed moderately good practice (in 70%) regarding oxytocin administration.  The correlation between knowledge and practice on use of oxytocin among the staff nurses had positive relationship(r=0.051). Conclusion: Majority of nurses had good level of knowledge and moderate level of practice on use of oxytocin.

scholarly journals Knowledge, attitude and practice among diabetic patients visiting a tertiary care hospital in Bangalore, Karnataka

2020 ◽  
Vol 7 (8) ◽  
pp. 3100
Author(s):  
Vindhya Polineni ◽  
Supriya Acharya
Keyword(s):  
Diabetes Care ◽  
Communicable Disease ◽  
Good Practice ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice ◽  
Diabetic Care

Background: Diabetes mellitus is a chronic non-communicable disease which has become the epidemic of the 21st century.  According to WHO 1.6 million deaths were estimated to be directly caused by diabetes in the year 2016 and attributed to be the seventh leading cause of death in the world. Objective of the study was to assess the knowledge, attitude, practice about diabetic care among the diabetic patient, and to assess the association between KAP of diabetic care and socio-demographic factors.Methods: Cross-sectional study was done with purposive sampling for 4 months, on 62 sample size. Data collection tool was the KAP questionnaire which was adapted a study by Herath HMM.Results: Out of 66 participants, 34 (51.5%) had good knowledge about diabetes, 27 (40.9%) and 5 had poor knowledge (7.6%), 16 had positive attitude about diabetes care (24.2%) and 50 (75.8%) had negative attitude, 47 had good practice about diabetes care (71.2%) and 19 (28.8%) of them had bad practice.Conclusions: Though majority of the study participants had good to moderate knowledge (92.4%), their attitude was negative (75.8%) and the knowledge level did not fully reflect into the attitude and practices (71.2%). This suggests there is a gap in the knowledge, attitude and practice.

scholarly journals Assessment of Diabetic Patients in a Tertiary Hospital on Knowledge, Practice of and Attitude to Lifestyle Modifications

2020 ◽  
Vol 8 (1) ◽  
pp. 7-13
Author(s):  
Stella Folajole Usifoh ◽  
Bose Ademola
Keyword(s):  
Lifestyle Modification ◽  
Tertiary Education ◽  
Good Practice ◽  
Tertiary Hospital ◽  
Good Knowledge ◽  
Diabetic Patients ◽  
Lifestyle Modifications ◽  
College Hospital ◽  
Cross Sectional ◽  
Knowledge Practice

Objective: To assessed the types 2 diabetic patient’s knowledge, the practice of, and attitude to lifestyle modification at University College Hospital (UCH), Ibadan. Methods: A cross-sectional descriptive study of types- 2 diabetic patients at the Medical outpatient clinic in UCH was done with a validated structured 48 item self-administered questionnaire that measured the socio-demographics, knowledge, practice of and attitude to lifestyle modifications. A purposive sampling of 99 consenting patients out of 103 determined with Yaro Tamane formulae was done.  Data were entered into SPSS v. 21 for descriptive and inferential analysis. Results: About 59.6% of respondents were within ≥60 years age range, and 68.7% of them were females. Many (51.5%) of them had tertiary education qualifications. On knowledge of symptoms, the majority 78 (78.8%) had good knowledge and 21(21.2%) had poor knowledge of diabetes mellitus. While 64 (64.6%) respondents had a good attitude and 35(35.4%) had a poor attitude towards lifestyle modification. Besides, a vast majority (94.9%) reported that lifestyle modification helps attain normal blood glucose levels, preserves life, assuage symptoms, and avert extended complications. The respondents tend to strongly agree to have a good practice of lifestyle modification with a weighted mean of 3.76 to 4.69 on a 5point scale. Conclusion: The majority of the respondents had good knowledge, the practice of and attitude to lifestyle modification which can help patients in altering long-term habits, eating or physical activity, and maintaining these practices as part of the management of the disorder.

Psychiatrists’ Attitude to the Psychiatrist’s Style of Dressing and Addressing: A Cross -Sectional Study

2019 ◽  
Author(s):  
Yousef Semnani ◽  
Arash Ardalan ◽  
Hamid Reza Shahpouri ◽  
fatemeh bastami
Keyword(s):  
Sampling Method ◽  
Cross Sectional Study ◽  
Patient Relationship ◽  
Sectional Study ◽  
Key Factors ◽  
Physician Patient Relationship ◽  
Cross Sectional ◽  
Randomized Sampling ◽  
Physician Patient ◽  
The Relationship

Abstract Background The relationship between physician and patient is important topic in medical practice. How a physician dresses and addresses the patients are key factors that contribute to developing a rapport. This study aimed to investigate the psychiatrist's perspectives in order to facilitate an effective communication with patients.Methods This descriptive-analytic study was done on psychiatrists and psychiatric residents through a non-selective and non-randomized sampling method. Data were collected based on a questionnaire. Variables were such as age, sex, duration of practice as a psychiatrist, priority for male psychiatrist dress preference, priority for female psychiatrist dress preferences, priority for choosing a doctor from a gender perspective, priority for being addressed by patients, using the word of the gentleman or lady to address the patients, and the type of verbs and pronouns used by the psychiatrist and the patient during the interview in terms of the total number of verbs and pronouns. Subsequently, eight photographs of male and female physician’s coverage according to the in Iranian culture were shown to the participants and they were asked to choose one.Results A total of 77 psychiatrists participated in this study, of which 45 (58.4%) were male and 32 (41.6%) were female. In case of male psychiatrist’s coverage, 56 (72.7%) participants preferred suits; whereas in case of female psychiatrist’s coverages, 25 (32.5%) participants chose colored mantos and scarves, 22 (28.6%) selected black manteos and head dresses. Sixty three (81.8%) patients believed that the gender of the physician was not important in determining the treating physician. According to the type of addressing the psychiatrist by patients, 71 (92.2%) participants preferred to call the doctor's name followed by surname and 60 (77.9%) psychiatrists wanted patients to use the word "Mr. or Ms.” prior their names. Sixty three (81.8%) psychiatrists stated that it was better to use plural pronouns and verbs in interviewing patients, and 67 (87%) preferred their patients to use plural verbs to address them.Conclusions Psychiatrists’ appearance and the accuracy of the patient-referring type, based on what the physicians believe, along with the characteristics of the patients’ perspectives, help improving physician-patient relationship.

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 Moral structuring of children during the process of obtaining informed consent in clinical and research settings

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Anderson Díaz-Pérez ◽  
Elkin Navarro Quiroz ◽  
Dilia Esther Aparicio Marenco
Keyword(s):  
Informed Consent ◽  
Educational Process ◽  
Moral Awareness ◽  
Structured Interviews ◽  
Physician Patient Relationship ◽  
Cross Sectional ◽  
Moral Structure ◽  
Patient Relationships ◽  
Physician Patient ◽  
Extreme Care

Abstract Background Informed consent is an important factor in a child’s moral structure from which different types of doctor–patient relationships arise. Children’s autonomy is currently under discussion in terms of their decent treatment, beyond what doctors and researchers perceive. To describe the influential practices that exist among clinicians and researchers toward children with chronic diseases during the process of obtaining informed consent. Methods This was a cross-sectional, qualitative study via a subjective and interpretivist approach. The study was performed by conducting semi-structured interviews of 21 clinicians and researchers. Data analysis was performed using the SPSS version 21® and Atlas Ti version 7.0® programs. Results The deliberative and paternalistic models were influential practices in the physician–patient relationship. In the deliberative model, the child is expected to have a moral awareness of their care. The paternalistic model determined that submission was a way of structuring the child because he or she is considered to be a subject of extreme care. Conclusions The differentiated objectification [educational] process recognizes the internal and external elements of the child. Informed consent proved to be an appropriate means for strengthening moral and structuring the child.

scholarly journals SELF-MEDICATION PRACTICES AND PERCEPTIONS AMONG UNDERGRADUATE MEDICAL STUDENTS OF MULTAN MEDICAL & DENTAL COLLEGE, MULTAN

1970 ◽  
Vol 7 (1) ◽  
pp. 58-61
Author(s):  
Asif Noor ◽  
Ejaz Hussain Sahu ◽  
Muhammad Umer Abdullah ◽  
Aftab Yousaf
Keyword(s):  
Medical Students ◽  
Good Practice ◽  
Cross Sectional Study ◽  
Undergraduate Medical Students ◽  
Self Medication ◽  
Cross Sectional ◽  
Study Results ◽  
Continued Use ◽  
N 93 ◽  
Structured Questionnaire

Background: Self-medication can be defined as "the drugs which are used to treat self-diagnosed disorders or indications, or the irregular or continued use of a prescribed drug for persistent or recurrent disease or symptoms." Methods: A descriptive cross sectional study was performed to understand the perceptions and practices about self-medication among students admitted to one of medical colleges in Pakistan located in Multan. A structured Questionnaire was distributed to the consenting students. The data were coded, entered and analyzed by using the Statistical Package for Social Science (SPSS) version 20.0. Out of 95 medical students 47.7% (n=45) were males and 52.3% (n=55) were females. Results: Among participants, self-medication was found in 98% (n=93) cases. Among self-medication respondents, more than 50% treated themselves only once while 32% twice, 12% thrice and only 2.1 % more than thrice. Self-medication was equally common in 3rd year, fourth year and final year medical students. While 24.2% of respondents perceived as a good practice, 42.1% took it as an acceptable practice while33.7% were of opinion that it was a totally unacceptable practice. The study revealed different reasons for self-medication and found that the most common reason was non-seriousness of disease i.e 43.2%, followed by convenience / time factor 42.1%, Cost saving 13.7% and least one was the non-availability of physician 1.1% . Regarding the use of drugs, antibiotics were the most common class used as self-medication 27.4%, followed by anti allergics 23.2%, vitamins 17.9%, pain killers 16.8% and antacids in 14.7 % cases. Conclusion: The study results indicate that Self-medication was common among medical students from clinical classes and most of students treated themselves at least once.

scholarly journals Factors Affecting Outpatient Consultation Length among Specialists in Tabriz, Iran

2019 ◽  
Author(s):  
Alireza Hajizadeh ◽  
Edris Kakemam ◽  
Milad Khodavandi ◽  
Rahim Khodayari-Zarnaq
Keyword(s):  
Medical Institute ◽  
Physician Patient Relationship ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Clinical Consultation ◽  
Outpatient Consultation ◽  
Bachelor's Degrees ◽  
Physician Patient ◽  
Consultation Time

Background: Sufficient length of consultations is of utmost importance for improving the quality of care and establishing a good physician-patient relationship. Multiple factors affecting outpatient consultation length were investigated among Sheikh Al-Raisi specialists. Sheikh Al-Raisi is a general medical institute in Tabriz, in 2018. Methods: This study was a cross-sectional and performed at a specialty clinic in Tabriz. In order to select the samples, random sampling was used. The consultations of 400 patients with 18 specialists were analyzed. Length of Consultation and demographics of patients and physicians were collected in the year 2018. Checklists were used to collect the data and a multiple regression analysis was applied to investigate the association of the variables with consultation length. Results: The mean and standard deviation consultation time was 6.9 and 2.6 min. In the multivariate model, the consultation time was longer for female patients. Lengthy consultation time was recorded in patients with bachelor's degrees or higher levels of education. The consultation time was longer in patients with gynecology problems (mean = 9.1) compared to those with other problems. In addition, older and female physicians provided longer consultation. Conclusion: Clinical consultation time in specialists’ practice is estimated as short and is associated with the characteristics of the patients and the doctors and the types of their specialty. The results can be applied to make specialty consultation more effective, which can ultimately result in the delivery of the most optimum consultation period for each and every patient.

scholarly journals Experiences and Interactions with the Healthcare System in Transgender and Non-Binary Patients in Austria: An Exploratory Cross-Sectional Study

2021 ◽  
Vol 18 (13) ◽  
pp. 6895
Author(s):  
Lovro Markovic ◽  
Daragh T. McDermott ◽  
Sinisa Stefanac ◽  
Radhika Seiler-Ramadas ◽  
Darina Iabloncsik ◽  
...  
Keyword(s):  
Healthcare System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Physician Patient Relationship ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Negative Experiences ◽  
Medical Settings ◽  
Trans Men ◽  
Physician Patient

Medical care of transgender and non-binary (TNB) patients if often a complex interdisciplinary effort involving a variety of healthcare workers (HCWs) and services. Physicians not only act as gatekeepers to routine or transitioning therapies but are also HCWs with the most intimate and time-intensive patient interaction, which influences TNB patients’ experiences and health behaviors and healthcare utilization. The aim of this study was to investigate the physician–patient relationship in a sample of TNB individuals within the Austrian healthcare system, and explore its associations with sociodemographic, health-, and identity-related characteristics. A cross-sectional study utilizing an 56-item online questionnaire, including the Patient-Doctor Relationship Questionnaire 9 (PDRQ-9), was carried out between June and October 2020. The study involved TNB individuals 18 or older, residing in Austria, and previously or currently undergoing medical transition. In total, 91 participants took part, of whom 33.0% and 25.3% self-identified as trans men and trans women, respectively, and 41.8% as non-binary. Among participants, 82.7% reported being in the process of medical transitioning, 58.1% perceived physicians as the most problematic HCWs, and 60.5% stated having never or rarely been taken seriously in medical settings. Non-binary participants showed significantly lower PDRQ-9 scores, reflecting a worse patient–physician relationship compared to trans male participants. TNB patients in Austria often report negative experiences based on their gender identity. Physicians should be aware of these interactions and reflect potentially harmful behavioral patterns in order to establish unbiased and trustful relations.

scholarly journals Clinical Characteristics and Outcome of Diabetic Ketoacidosis: Experience at BIRDEM, Dhaka, Bangladesh

2015 ◽  
Vol 3 (2) ◽  
pp. 53-56 ◽  
Author(s):  
Muhammad Abdur Rahim ◽  
Rozana Rouf ◽  
Ashraf Uddin Ahmed ◽  
Palash Mitra ◽  
Shahana Zaman ◽  
...  
Keyword(s):  
Diabetic Ketoacidosis ◽  
Low Income ◽  
Treatment Compliance ◽  
Income Group ◽  
Medical Emergency ◽  
Diabetic Patients ◽  
Precipitating Factors ◽  
Blurred Vision ◽  
Cross Sectional ◽  
Study Population

Background: Diabetic ketoacidosis (DKA) is a medical emergency. It may be the presenting feature of diabetes mellitus, but more commonly DKA complicates diabetic patients during inter-current acute illness or if they become non-compliant to anti-diabetic medications. Early detection and treatment of DKA including underlying cause is important in determining outcome.Objectives: To describe the demographic characteristics, presentations, precipitating factors and outcome of DKA.Methods: This cross-sectional study was conducted at BIRDEM General Hospital from January 2008 to December 2011.Results: Total patients were 200 with female predominance (56%). Mean age of the study population was 37.6 years. Incidence of DKA was more in known diabetic patients (71%) than in new cases (29%), more among rural population (53%) and low income group (76.5%). Common presentations included nausea (63%), vomiting (61%), polyuria (43%), polydypsia (42.5%), fever (29%), abdominal pain (28%), shortness of breath (28%), drowsiness (20%), blurred vision (13%), leg cramps (6.5%) and coma (7%). Infection (45.5%) was the commonest precipitating cause of DKA followed by non-adherence to insulin therapy (31%). Acute pancreatitis (5%), myocardial infarction (2%), stroke (1%) and surgery (1.5%) were less common precipitating factors. Aetiology of DKA could not be identified in 14% cases. Mean random blood glucose during admission was 27.1mmol/L and mean HbA1c was 11.3%. Severe acidosis (pH<7) was less common (8.5%). Neutrophil leukocytosis was present in 87% cases, irrespective of infection. In-hospital mortality was 6.5%.Conclusion: DKA occurred in diabetic patients in over two-third of the cases. In over two-third of the study population, DKA was precipitated by infection and non-adherence to insulin treatment. So, patient education regarding treatment compliance and sick days’ management are important and may prevent many cases of DKABangladesh Crit Care J September 2015; 3 (2): 53-56

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