EVALUATION OF QUALITY OF LIFE OF PATIENTS WITH PRIMARY BRONCHIAL ASTHMA IN THE HEALTH CARE SYSTEM

2021 ◽  
Vol 2 (4) ◽  
pp. 51-54
Author(s):  
Dilrabo Alikulova ◽  
◽  
Rixsi Salikhodjaeva

The study of risk factors leading to the development of asthma, conducted in the form of a survey and interviews. 52% of patients with a diagnosis of asthma noted the presence of the disease among close relatives. Among the risk factors leading to bronchial asthma, the most common are pollen and tobacco (49.1%). 59.2% of patients diagnosed with asthma do not follow the diet. Keywords:asthma, nurses, primary health care, prevention, risk factors

Author(s):  
Zeleke Yimechew Nigussie ◽  
Nebreed Fesseha Zemicheal ◽  
Gizachew Tadele Tiruneh ◽  
Yibeltal Tebekaw Bayou ◽  
Getnet Alem Teklu ◽  
...  

2017 ◽  
Vol 127 (1) ◽  
pp. 5-9
Author(s):  
Ewa Warchoł-Sławińska ◽  
Marzena Furtak-Niczyporuk ◽  
Marta Sławińska ◽  
Krzysztof Włoch ◽  
Marek Kos ◽  
...  

Abstract Introduction. General practitioner (GP) plays an important role in the health care system as he is the first person that a patient turns to with his health related problem. The crucial role of the primary health care system is to control risk factors contributing to civilization diseases such as cancer, diabetes or cardiovascular diseases. Aim. The aim of the research was the assessment of the selected aspects of patients’ satisfaction with a GP’s care. Conducted study provided answers to questions about the level of patient’s satisfaction, his expectations and needs in the field of doctor’s care within the primary health care system. Material and methods. Diagnostic poll was used as a method to study public opinion. The poll was based on the research technique in the form of the original questionnaire consisting of 23 closed-ended questions. Study group consisted of 99 primary health care patients from lubelskie voivodship. Results. The majority of the studied group assessed the quality of general practitioners’ services both in cities and rural areas as high. Respondents declared their satisfaction with the availability of diagnostic tests (73%), quality of information about health condition and treatment provided by the doctor (80%), information about how the medicine should be taken and about further treatment (65%) and respect for privacy and dignity (82%). Minority of the researched group was dissatisfied with the quality of general practitioner’s services mainly because of the limited access to diagnostic tests (27%), low quality of information provided by the doctor about method of taking medicine (35%), short time of the doctor’s visit (38%), suggested method of treatment (36%), disrespect for privacy and dignity of a patient (18%) and limited access to medical documentation (24%). Conclusions. There is a need to implement actions that will increase patients’ satisfaction with the medical services provided by general practitioners, especially in the following fields: length of the doctor’s visit, quality of information provided by the doctor, improvement in the patient – doctor relation, full access to medical documentation and promotion of health by doctors.


Author(s):  
Lauren Russo ◽  
Karen Willis ◽  
Natasha Smallwood

Objectives: Interstitial lung disease (ILD) is a debilitating and life-limiting condition, requiring multi-disciplinary care. While guidelines recommend early specialist palliative care referral to improve symptoms and quality of life, few patients access such care towards the end-of-life. This study aimed to explore clinicians’ perspectives regarding specialist palliative care and opioids to understand barriers to optimal care and guide clinical practice improvement initiatives. Methods: A cross-sectional, exploratory, qualitative study was undertaken with Australian respiratory clinicians caring for people with ILD (n = 17). In-depth, semi-structured interviews were audio-recorded, transcribed verbatim and coded. Thematic analysis was undertaken to extrapolate recurring ideas from the data. Results: Four themes were identified: 1) understanding how to improve patient care and support, 2) the need to dispel stigmatized beliefs and misconceptions, 3) the importance of trusted relationships and good communication and 4) the challenges of navigating the health-care system. Participants discussed the need to implement early specialist palliative care and symptom palliation to alleviate symptoms, provide emotional support and augment quality of life. Participants described challenges accessing palliative care and opioids due to stigmatized beliefs amongst patients and clinicians and difficulties navigating the health-care system. Trusted therapeutic relationships with patients and strong inter-disciplinary partnerships with collaborative education and communication were perceived to improve patients’ access to symptom palliation. Conclusion: Specialist palliative care and opioids were believed to improve patients’ quality of life, however, many barriers can make accessing such care challenging. To address these issues, multi-disciplinary collaboration, high-quality communication and trusted therapeutic relationships are crucial throughout the ILD illness journey.


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