scholarly journals Prevalence of Depression and Its Associated Factors among Diabetes Mellitus Patients in an Urban Primary Care Clinic

2021 ◽  
pp. 100-106
Author(s):  
M. Miskan ◽  
K. Ambigga
Keyword(s):  
Diabetes Mellitus ◽  
Primary Care ◽  
Formal Education ◽  
Primary Care Clinic ◽  
Depression Scale ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Care Clinic ◽  
Prevalence Of Depression ◽  
Probable Depression

Aims: To determine the prevalence of depression among patients with Diabetes Mellitus and to identify its associated risk factors. Study design:  This is a cross sectional study. Place of study: This study was conducted in an urban primary care clinic in a tertiary hospital in Malaysia. Methodology: This study utilized a self-administered questionnaire, Hospital Anxiety and Depression scale (HADS-D) for the data collection. A total of 358 respondents were eligible to be included in this study. Results:  A total of 382 respondents were recruited in this study using universal sampling method. A total number of 358 eligible respondents were included in the final data analysis. The response rate for this study was 94%. Respondents’ mean age was 60.8 years ± 10.3, 56% females, 38% Malays, 76% were married, 37.7% had Diabetes for more than 5 years and 76.3% had completed secondary school education. This study concluded that 63.7% of participants had poor diabetes control and 26% had probable depression. On multiple logistic regression, respondents who earned income less than RM 500 per month were 2.6 times more likely to have probable depression (aOR: 2.64, 95% CI:1.29 -5.43). Patients who received no formal education were 4.5 times more likely to have probable depression (aOR: 4.51 95% CI:1.74-11.63). Respondents with co-morbid illness were almost 3 times more likely to have probable depression (aOR: 2.92, 95% CI: 0.1-0.8). Conclusion: Prevalence of probable depression was high and there was a significant association between depression with income, education level and co-morbid illness. Thus, there is a need to identify and manage depression accordingly among diabetic patients.

scholarly journals Elderly Patients in Primary Care are Still at Risks of Receiving Potentially Inappropriate Medications

2021 ◽  
Vol 12 ◽  
pp. 215013272110350
Author(s):  
Pasitpon Vatcharavongvan ◽  
Viwat Puttawanchai
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Clinical Decision ◽  
Cross Sectional Study ◽  
Study Data ◽  
Patient Specific ◽  
Potentially Inappropriate Medications ◽  
Cross Sectional ◽  
Care Clinic ◽  
Inappropriate Medications

Background Most older adults with comorbidities in primary care clinics use multiple medications and are at risk of potentially inappropriate medications (PIMs) prescription. Objective This study examined the prevalence of polypharmacy and PIMs using Thai criteria for PIMs. Methods This study was a retrospective cross-sectional study. Data were collected from electronic medical records in a primary care clinic in 2018. Samples were patients aged ≥65 years old with at least 1 prescription. Variables included age, gender, comorbidities, and medications. The list of risk drugs for Thai elderly version 2 was the criteria for PIMs. The prevalence of polypharmacy and PIMs were calculated, and multiple logistic regression was conducted to examine associations between variables and PIMs. Results Of 2806 patients, 27.5% and 43.7% used ≥5 medications and PIMs, respectively. Of 10 290 prescriptions, 47% had at least 1 PIM. The top 3 PIMs were anticholinergics, proton-pump inhibitors, and nonsteroidal anti-inflammatory drugs (NSAIDs). Polypharmacy and dyspepsia were associated with PIM prescriptions (adjusted odds ratio 2.48 [95% confident interval or 95% CI 2.07-2.96] and 3.88 [95% CI 2.65-5.68], respectively). Conclusion Prescriptions with PIMs were high in the primary care clinic. Describing unnecessary medications is crucial to prevent negative health outcomes from PIMs. Computer-based clinical decision support, pharmacy-led interventions, and patient-specific drug recommendations are promising interventions to reduce PIMs in a primary care setting.

scholarly journals Cross-Cultural Comparisons of Subjective Cognitive Complaints in a Diverse Primary Care Population

2021 ◽  
pp. 1-11
Author(s):  
Danelly Rodríguez ◽  
Emmeline Ayers ◽  
Erica F. Weiss ◽  
Joe Verghese
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Cognitive Function ◽  
African Americans ◽  
Primary Care Clinic ◽  
Depression Scale ◽  
Cognitive Complaints ◽  
Care Clinic ◽  
Primary Care Population ◽  
Subjective Cognitive Complaints

Background: Very few studies have explored the utility of subjective cognitive complaints (SCCs) in primary care settings. Objective: We aim to investigate associations between SCCs (item-level), objective cognitive function (across domains and global), and mood in a diverse primary care population, including subjects with mild cognitive impairment. Methods: We studied 199 (75.9%females; 57.8%Hispanics; 42.2%African Americans) older adults (mean age 72.5 years) with memory concerns at a primary care clinic. A five-item SCC questionnaire, and objective cognitive assessments, including the Montreal Cognitive Assessment (MoCA) and the Geriatric Depression Scale, were administered. Results: Logistic regression analyses showed associations between SCC score and depressive symptoms. A memory-specific (“memory worsening”) SCC predicted scores on the MoCA (p = 0.005) in Hispanics. Conclusion: SCCs are strongly linked to depressive symptoms in African Americans and Hispanics in a primary care setting; a specific type of SCC is related to global cognitive function in Hispanics.

Improved Control of Type 2 Diabetes Mellitus: A Practical Education/Behavior Modification Program in a Primary Care Clinic

1999 ◽  
Vol 92 (7) ◽  
pp. 667-672 ◽  
Author(s):  
NATHAN A. RIDGEWAY ◽  
DONALD R. HARVILL ◽  
LEO M. HARVILL ◽  
THELMA M. FALIN ◽  
GAYLE M. FORESTER ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Primary Care ◽  
Type 2 Diabetes Mellitus ◽  
Behavior Modification ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Practical Education

scholarly journals Prevalence, perceptions and practices associated with non-adherence to diabetes medications in primary care setting: A cross sectional study in urban Bangalore

2016 ◽  
Vol 7 (6) ◽  
pp. 106-109
Author(s):  
Leeberk Raja Inbaraj ◽  
Carolin Elizabeth Georg ◽  
Nan Lin Kham ◽  
Gift Norman
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Cross Sectional Study ◽  
Blood Glucose Monitoring ◽  
Adherence Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Clinic ◽  
Adherence To Diet ◽  
Multiple Doses

Background: Adherence to diet and drugs, blood glucose monitoring, foot care, exercise and early recognition of the complications, are the crucial elements for tertiary prevention of Diabetes Mellitus. Non compliance can lead to poor glycemic control which can eventually aggravate complications and lead to disability and mortality. This study aimed  at estimating prevalence of non-adherence and identify perceptions and practices associated with non-adherence.Materials and Methods: A cross sectional study was conducted in a primary care clinic in a disadvantaged community Hundred patients with Diabetes were recruited and interviewed using a semi-structured questionnaire.Results: Non adherence rate was 30%. Those who are unable to remember multiple doses (37.5%) were 2.77 (95% CI: 0.94-8.15) times more likely to non-adhere to the treatment than those who are able to remember multiple doses (16.7%).Similarly Patients who often discontinued medications and switched over to alternative system medicines tended to be non- adherent 8.5 (95% CI:1.6- 45.0) times more than those who continued treatment without interruption. Non adherence was not associated with age, gender, education level, and cost of medication and duration of diabetes. People who were illiterate and elderly did not know the consequences of missing doses and stopped medications when they felt better as well as resorted to traditional medicinesConclusions: Counselling sessions should focus on perceptions and ideas about diabetes. Innovative health education modalities have to be developed for illiterate and elderly people.Asian Journal of Medical Sciences Vol.7(5) 2016 106-109

scholarly journals Factors influencing insulin acceptance among type 2 diabetes mellitus patients in a primary care clinic: a qualitative exploration

2013 ◽  
Vol 14 (1) ◽  
Author(s):  
Hasliza Abu Hassan ◽  
Hizlinda Tohid ◽  
Rahmah Mohd Amin ◽  
Mohamed Badrulnizam Long Bidin ◽  
Leelavathi Muthupalaniappen ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Primary Care ◽  
Type 2 Diabetes Mellitus ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Factors Influencing ◽  
Qualitative Exploration

scholarly journals Disclosure of Traditional and Complementary Medicine Use and Its Associated Factors to Medical Doctor in Primary Care Clinics in Kuching Division, Sarawak, Malaysia

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Anak Kelak Johny ◽  
Whye Lian Cheah ◽  
Safii Razitasham
Keyword(s):  
Primary Care ◽  
Complementary Medicine ◽  
Associated Factors ◽  
Primary Care Clinic ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Medical Doctor ◽  
Open Communication ◽  
Cross Sectional ◽  
Care Clinic

The decision by the patients to disclose traditional and complementary medicine (TCM) use to their doctor is an important area to be explored. This study aimed to determine the disclosure of TCM use and its associated factors to medical doctor among primary care clinic attendees in Kuching Division, Sarawak. It was a cross-sectional study using questionnaire, interviewer administered questionnaire. A total of 1130 patients were screened with 80.2% reporting using TCM. Logistic regression analysis revealed that being female (AOR = 3.219, 95% CI: 1.385, 7.481), perceived benefits that TCM can prevent complication of illness (AOR = 3.999, 95% CI: 1.850, 8.644) and that TCM is more gentle and safer (AOR = 4.537, 95% CI: 2.332, 8.828), perceived barriers of not having enough knowledge about TCM (AOR = 0.530, 95% CI: 0.309, 0.910), patient dissatisfaction towards healthcare providers being too business-like and impersonal (AOR = 0.365, 95% CI: 0.199, 0.669) and paying more for healthcare than one can afford (AOR = 0.413, 95% CI: 0.250, 0.680), and accessibility of doctors (AOR = 3.971, 95% CI: 2.245, 7.023) are the predictors of disclosure of TCM use. An open communication between patients and doctor is important to ensure safe implementation and integration of both TCM and medical treatment.

Study of frailty prevalence and status of elder diabetic patients in a primary care clinic

2016 ◽  
Vol 120 ◽  
pp. S78
Author(s):  
Yuan-Ching Liu ◽  
Neng-Chun Yu ◽  
Shu-Hua Feng ◽  
Lan-Fen Lin ◽  
Chia-Hui Cheng ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Diabetic Patients ◽  
Care Clinic
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