scholarly journals Opportunistic Screening for Hypertension, Overweight and Obesity among Companions of Patients Attending the Family Medicine Clinic of a Nigerian Tertiary Hospital

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Olaniran Oyeyemi ◽  
Ogunleye Olayinka O ◽  
Ojomu Funke
Keyword(s):  
Family Medicine ◽  
Tertiary Hospital ◽  
Overweight And Obesity ◽  
Opportunistic Screening ◽  
Medicine Clinic ◽  
The Family

scholarly journals Lifestyle practices among hypertensive patients attending the Family Medicine Clinic in a tertiary hospital in Nigeria

2021 ◽  
Vol 6 (2) ◽  
pp. 050-060
Author(s):  
Alali Dan-Jumbo ◽  
Paul O. Dienye ◽  
Nnenna O. Nnadi ◽  
Simon Uriah
Keyword(s):  
Physical Activity ◽  
Family Medicine ◽  
Health Workers ◽  
Tertiary Hospital ◽  
Lifestyle Modifications ◽  
Tobacco Products ◽  
Hypertensive Patients ◽  
Medicine Clinic ◽  
The Family ◽  
Lifestyle Practices

Introduction: Hypertension is a major modifiable cause of cardiovascular disease affecting more than one billion people globally. Lifestyle modifications form the corner stone for the mitigation of identified risk factors and the prevention and control of hypertension. Some of these factors include cessation of cigarette smoking, weight reduction, increase in physical activity, moderation of dietary sodium and alcohol intake and following the DASH eating plan. They may also facilitate drug step-down and drug withdrawal in highly motivated individuals. The objective of this study was to determine the extent to which diagnosed hypertensive patients modify their lifestyle. Methods: This was a cross-sectional study among 230 patients with essential hypertension in the Family Medicine clinic in a tertiary hospital using a structured pretested questionnaire. Results: Most of the participants (149; 64.8%) were educated on lifestyle practices by health workers. Abstaining from tobacco products (230; 100%) and drinking alcohol (230; 100%) were the most used lifestyle practices. Dietary fruit consumption (93; 40.4%) and engagement in physical activity for thirty minutes per day (35; 15.2%) were the least used lifestyle practices. Conclusion: Health workers were the main source of education of the participants on lifestyle modification. Use of alcohol and consumption of tobacco products were not practiced by all the study participants. Dietary fruit consumption and engagement in physical activity were not popular lifestyle practices. It is recommended that primary care clinicians inquire about unhealthy lifestyles during clinical consultations as well as motivate hypertensive patients to adopt and adhere to appropriate lifestyle modifications.

RETROSPECTIVE ANALYSIS OF THE MEDICAL DOCUMENTATION OF PATIENTS WHO APPLIED TO THE AMBULATORY OF GENERAL PRACTICE - FAMILY MEDICINE

2019 ◽  
Vol 72 (5) ◽  
pp. 938-941
Author(s):  
Оlexander Ye. Kononov ◽  
Liliana V. Klymenko ◽  
Ganna V. Batsiura ◽  
Larysa F. Matiukha ◽  
Olha V. Protsiuk ◽  
...  
Keyword(s):  
Family Medicine ◽  
Middle Ages ◽  
Risk Groups ◽  
Medical Documentation ◽  
Aged Patients ◽  
Family Doctors ◽  
Functional Changes ◽  
Medicine Clinic ◽  
Leading Role ◽  
The Family

Introduction: In today’s realities of health care reform in Ukraine family doctors play a leading role. The aim of our work was to analyze the medical cards of patients who applied for medical care to the family medicine clinic. Materials and methods: It was analyzed outpatient medical cards of 87 patients who applied to the family medicine clinic in the Khotov village, Kyiv region. The study included people aged 18 to 60 years, which corresponded to the groups of young and middle ages according to the WHO classification. Review: Our findings indicate the prevalence of functional changes among young people: somatoform dysfunction of the autonomic nervous system - 9 (37,5%) and the development of organic manifestations at middle-aged patients: arterial hypertension - 32 (62,7%) and coronary artery disease - 17 (33,3%). Conclusions: This study is important for determining the risk groups, early diagnosis and prevention of diseases.

scholarly journals Effect of diabetes self-management education on glycaemic control among type 2 diabetic patients at a family medicine clinic in Kenya: A randomised controlled trial

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Catherine W. Gathu ◽  
Jacob Shabani ◽  
Nancy Kunyiha ◽  
Riaz Ratansi
Keyword(s):  
Family Medicine ◽  
Usual Care ◽  
Primary Outcome ◽  
Self Management ◽  
Diabetic Patients ◽  
Educational Approach ◽  
Medicine Clinic ◽  
The Family

Background: Diabetes self-management education (DSME) is a key component of diabetes care aimed at delaying complications. Unlike usual care, DSME is a more structured educational approach provided by trained, certified diabetes educators (CDE). In Kenya, many diabetic patients are yet to receive this integral component of care. At the family medicine clinic of the Aga Khan University Hospital (AKUH), Nairobi, the case is no different; most patients lack education by CDE.Aim: This study sought to assess effects of DSME in comparison to usual diabetes care by family physicians.Setting: Family Medicine Clinic, AKUH, Nairobi.Methods: Non-blinded randomised clinical trial among sub-optimally controlled (glycated haemoglobin (HbA1c) ≥ 8%) type 2 diabetes patients. The intervention was DSME by CDE plus usual care versus usual care from family physicians. Primary outcome was mean difference in HbA1c after six months of follow-up. Secondary outcomes included blood pressure and body mass index.Results: A total of 220 diabetes patients were screened out of which 140 met the eligibility criteria and were randomised. Around 96 patients (69%) completed the study; 55 (79%) in the DSME group and 41 (59%) in the usual care group. The baseline mean age and HbA1c of all patients were 48.8 (standard deviation [SD]: 9.8) years and 9.9% (SD: 1.76%), respectively. After a 6-month follow-up, no significant difference was noted in the primary outcome (HbA1c) between the two groups, with a mean difference of 0.37 (95% confidence interval: -0.45 to 1.19; p = 0.37). DSME also made no remarkable change in any of the secondary outcome measures.Conclusion: From this study, short-term biomedical benefits of a structured educational approach seemed to be limited. This suggested that offering a short, intensified education programme might have limited additional benefit above and beyond the family physicians’ comprehensive approach in managing chronic conditions like diabetes.

Urban female patients' perceptions of the family medicine clinic as a site for abortion care

Contraception ◽  
2009 ◽  
Vol 80 (2) ◽  
pp. 174-179 ◽  
Author(s):  
Susan E. Rubin ◽  
Emily M. Godfrey ◽  
Miriam Shapiro ◽  
Marji Gold
Keyword(s):  
Family Medicine ◽  
Female Patients ◽  
Medicine Clinic ◽  
Abortion Care ◽  
The Family ◽  
A Site

scholarly journals Comparison of patients’ satisfaction with eye care and family medicine services at a primary health centre in Ogun State, Nigeria

2021 ◽  
Vol 8 (12) ◽  
pp. 5687
Author(s):  
Anthony O. Betiku ◽  
Akinsola B. Folashade ◽  
Olufisayo T. Aribaba ◽  
Omodele O. Jagun ◽  
Omobola O. Oduyoye
Keyword(s):  
Patient Satisfaction ◽  
Family Medicine ◽  
Health Centre ◽  
Primary Health Centre ◽  
Eye Care ◽  
Medicine Clinic ◽  
Ogun State ◽  
Primary Health ◽  
The Family ◽  
Eye Clinic

Background: Patient satisfaction need to be assessed to enable the health care provider assess the quality of care from the patients’ perspective. This study aimed to assess and compare the level of patient satisfaction with the two main health services (primary eye care and family medicine services) at primary health centre (PHC), Pakoto, Ifo local government area of Ogun State, Nigeria.Methods:  This study was a descriptive cross-sectional study. A total of 280 adult patients attending the eye clinic and family medicine clinic at the PHC, Pakoto were recruited. A structured, interviewer-administered questionnaire-the patient satisfaction questionnaire (PSQ-III) was used. Data analysis was done using Epi Info 7.0.9.7 version.Results: The average overall mean score was higher in the eye clinic (3.7±0.4) than the family medicine clinic (3.5±0.3) and mean difference was statistically significant (p=0.004, t=-2.876). Most listed areas of dissatisfaction by respondents in the eye clinic were waiting period (17.2%) and number and visiting days of doctors (19%). However, at the family medicine clinic the most listed areas of dissatisfaction were all aspects of medical care (17.7%), electricity (17.7%) and toilet facilities (14.7%). There was significant association between income and general satisfaction (p=0.001)Conclusions: Most patients were generally satisfied with medical care at both clinics studied at the PHC, Pakoto. However, areas of dissatisfaction included waiting period, number of doctors and visiting days and provision of basic amenities. The study recommends that doctors should be encouraged to reside at the PHC, Pakoto and there should be provision of good basic amenities. 

scholarly journals The Frequency of Night-Eating Syndrome in People Aged 18-65 Who Admitted to a Family Medicine Clinic of a Tertiary Hospital

2019 ◽  
Vol 8 (3) ◽  
pp. 121-125
Author(s):  
Murat Dicle ◽  
Suleyman Gorpelioglu ◽  
Cenk Aypak
Keyword(s):  
Family Medicine ◽  
Cardiovascular System ◽  
Smoking Status ◽  
Night Shift ◽  
Public Health Problem ◽  
Tertiary Hospital ◽  
Night Eating Syndrome ◽  
Night Eating ◽  
Medicine Clinic ◽  
Significant Difference

Aim: Night Eating Syndrome is thought to pose a risk for the development of cardiovascular system, endocrinological and psychiatric diseases. The aim of our study was to investigate the frequency of night-eating syndrome and risk factors related to night eating syndrome. Methods: This cross-sectional, descriptive study was carried out among 525 people who admitted to the Family Medicine Clinic of a tertiary hospital between 01 October and 30 November 2018. The night-eating questionnaire was applied to the partcipants using face-to-face interview. Persons with a psychiatric disorder, who have a history of chronic medication or disease, who have alcohol and drug addiction and who are working on the night shift were excluded from the study. p values < 0.05 were considered as statistically significant. Results: Fifty-one (9.7%) of the 525 patients admitted to our clinic met the criteria of Night Eating Syndrome. In our study, there were statistically significant difference between night eating syndrome and non-night eating syndrome groups with respect to smoking status and body mass index. Conclusion: Night eating syndrome is a hidden public health problem which is related to cardiovascular system diseases, diabetes mellitus and psychiatric disorders besides obesity. Because of the presence of serious health problems associated with night eating syndrome, it is very important to determine night eating syndrome in primary care.

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