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ABSTRACT Objective: To describe how smartphone applications can contribute to the management of epilepsy in children and adolescents. Data source: This is an integrative review conducted on the Medline, PubMed, and SciELO databases, based on the descriptors "epilepsy" and "smartphone." Original studies published between 2017-2023 in Portuguese or English that addressed the research question were included. Theses and dissertations, duplicate studies, literature reviews, and studies that did not answer the research question were excluded. Data synthesis: A total of 178 studies were located, of which six were selected for this review. The sample included 731 participants (631 children and adolescents with epilepsy and 100 caregivers). The applications allow for the collection of seizure frequency; timing and type of crisis; reminders for medication administration; and information about sleep quality. They can store these data for healthcare professionals, caregivers, and users to monitor the progress of the condition. Conclusions: The use of applications in managing seizures in children and adolescents with epilepsy shows promising results by promoting continuous and personalized monitoring. Further studies are needed to optimize beneficial outcomes and overcome challenges.
RESUMO Objetivo: Descrever como aplicativos de smartphone podem contribuir para o gerenciamento de quadros de epilepsia em crianças e adolescentes. Fontes de dados: Trata-se de uma revisão integrativa realizada nas bases de dados Medline; PubMed e SciELO, com base nos descritores "epilepsy" e "smartphone". Foram incluídos estudos originais publicados entre 2017-2023 em português ou inglês que respondessem à pergunta de investigação. Teses e dissertações, estudos duplicados, revisões de literatura e estudos que não responderam à questão de pesquisa foram excluídos. Síntese dos dados: Foram localizados 178 estudos, dos quais seis foram selecionados para compor esta revisão. A amostra incluiu 731 participantes (631 infantojuvenis com epilepsia e 100 cuidadores). Os aplicativos permitem a coleta da frequência de convulsões; momento e o tipo de crise; lembretes para a administração de medicamentos; e informações sobre a qualidade do sono, sendo capazes de armazenar esses dados para profissionais da saúde, cuidadores e usuários acompanharem a evolução do quadro. Conclusões: O uso de aplicativos no manejo das convulsões de crianças e adolescentes com epilepsia apresenta resultados promissores ao promoverem um monitoramento contínuo e personalizado. Novos estudos são necessários para otimizar os resultados benéficos e superar desafios.
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Resumen Objetivo: Ante la escasez de investigaciones que traten de manera conjunta el conocimiento, la calidad y la higiene del sueño en el adolescente, el objetivo del presente estudio es analizar las diferencias y las relaciones que existen entre estas variables en función de características sociodemográficas y personales. Método: A través de los instrumentos Sleep Beliefs Scale (SBS), Spanish Adolescents and Young Adults Pittsburgh Sleep Quality Index (AYA-PSQI-S) y Adolescents Sleep Hygiene Scale Revied (ASHSr), se midieron las características del sueño de 140 estudiantes (M = 16,75; DE = 0,75). Resultados: El 89,3% de los adolescentes presentaban problemas de sueño, subyacentes de la mejorable higiene del sueño por parte del 62,2% y de un escaso conocimiento general del sueño. El sexo femenino y el alumnado en cursos superiores presentaron mayores problemas para conciliar el sueño, somnolencia y una baja gestión cognitiva-emocional (p < 0,05). La higiene del sueño (β = - 0,344), la edad (β = 0,154) y el autoconcepto (β = -0,349) son los factores que predijeron significativamente (p < 0,05) la calidad del sueño del adolescente. Conclusiones: La adquisición de una adecuada higiene del sueño se vuelve fundamental para mejorar la calidad del descanso y la funcionalidad diurna en adolescentes, destacando su importancia, sobre todo, en niveles académicos avanzados y en el caso específico de las mujeres.
Abstract Objective: Given the scarcity of research addressing the intersection of knowledge, sleep quality, and hygiene among adolescents, the primary objective of this study is to analyse the variations and correlations among these variables based on socio-demographic and personal characteristics. Method: The Sleep Beliefs Scale (SBS), the Spanish Adolescents and Young Adults Pittsburgh Sleep Quality Index (AYA-PSQI-S), the Adolescents Sleep Hygiene Scale Revied (ASHSr) were used to measure the sleep characteristics of the 140 Spanish students (M = 16,75; SD = 0,75). Results: Sleep problems were found in 89,3% of the adolescents, underlying poor sleep hygiene in 62,2% and poor general sleep knowledge (SBS = 12,04). Females and students in higher grades presented greater problems in falling asleep, sleepiness, and poor cognitive-emotional management (p < 0,05). Sleep hygiene (β = - 0,344), age (β = 0,154), and self-concept (β = -0,349) were the factors that significantly (p < 0,05) predicted adolescent sleep quality. Conclusions: The acquisition of proper sleep hygiene becomes crucial to enhance the quality of rest and daytime functionality in adolescents, emphasizing its significance, especially in advanced academic levels and specifically in the case of females.
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O câncer, frequentemente relacionado ao envelhecimento, impulsiona pacientes a buscarem tratamento hospitalar ou métodos alternativos, como plantas medicinais. Este estudo visou avaliar os perfis sociodemográfico e clínico e o consumo de plantas para fins medicinais entre pacientes idosos em tratamento oncológico no Hospital Araújo Jorge (HAJ). Dados de 55 pacientes foram analisados, abrangendo informações sociodemográficas, tipos de câncer, tratamento, a utilização de plantas medicinais, o objetivo de uso, as fontes de informações sobre plantas e se notaram alguma reação adversa após o consumo. A faixa etária mais encontrada foi 61 a 70 anos (67,27%), a maioria dos pacientes eram homens (63,64%), com ensino fundamental incompleto (32,73%), casados (56,36%) e que moram no interior de Goiás (43,64%). Quanto ao tratamento, a maioria realizava quimioterapia (40,00%) e o câncer gástrico foi mais relatado (14,54%). Sobre o uso de plantas medicinais, a maioria relatou simpatizar com o consumo (58,18%), e acredita em sua segurança devido à origem natural (59,37%). Informações sobre o uso de plantas medicinais eram obtidas com amigos, vizinhos e familiares (21,81%). Ao relatar sobre o consumo de plantas medicinais durante a quimioterapia, a maioria não percebeu nenhum efeito (40,63%). Foram citadas 17 plantas, que eram utilizadas no tratamento anticâncer (29,00%) e preparadas como infusões (18,75%) pelo uso das folhas frescas (60,00%), principalmente para uso interno (46,87%). Diante disso, a atenção farmacêutica se mostra vital para guiar pacientes nas práticas seguras e eficazes de consumo. Isso inclui direcionar sobre doses adequadas, efeitos colaterais e interações, garantindo bem-estar e prevenindo riscos à saúde.
Cancer, which is often related to ageing, drives patients to seek hospital treatment or alternative methods such as medicinal plants. This study aimed to evaluate the sociodemographic and clinical profile and the consumption of plants for medicinal purposes among elderly patients undergoing cancer treatment at the Araújo Jorge Hospital (AJH). Data from 55 patients was analyzed, covering sociodemographic information, types of cancer, treatment, the use of medicinal plants, the purpose of use, the source of information about plants and whether they noticed any adverse reactions after consumption. The most common age group was 61 to 70 years (67.27%), the majority of patients were men (63.64%), had incomplete primary education (32.73%), were married (56.36%) and lived in the interior of Goiás (43.63%). With regard to treatment, the majority were undergoing chemotherapy (40,00%) and gastric cancer was the most frequently reported (14.54%). With regard to the use of medicinal plants, the majority were sympathetic to their consumption (58.18%) and believed them to be safe due to their natural origin (59.37%). Information on the use of medicinal plants was obtained from friends, neighbors and family members (21.81%). When reporting on the consumption of medicinal plants during chemotherapy, the majority did not notice any effect (40.63%). Seventeen plants were mentioned, which were used for anticancer treatment (29,00%) and prepared as infusions (18.75%) with fresh leaves (60,00%), mainly for internal use (46.87%). In view of this, pharmaceutical care is vital to guide patients in safe and effective consumption practices. This includes guidance on appropriate doses, side effects and interactions, ensuring well-being and preventing health risks.
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Humans , Male , Female , Middle Aged , Aged , Aged, 80 and overABSTRACT
Resumen Introducción: Existe un creciente interés en la relación entre la orientación sexual de una persona y su bienestar subjetivo, por el vínculo de dicha orientación con diversas esferas de la vida, como apoyo social, salud y satisfacción vital. Sin embargo, la investigación sobre la relación entre estas variables en función de la orientación sexual es escasa en población universitaria. Este estudio examina la asociación entre el apoyo de familia, amistades y otras personas con la satisfacción vital, de forma directa y mediada por la salud autopercibida; se comparan estas relaciones en estudiantes universitarios heterosexuales y lesbianas, gays, bisexuales y de otras orientaciones no heterosexuales (LGB+) en Chile. Método: La muestra (n = 525) respondió un cuestionario en línea con preguntas sociodemográficas, sobre apoyo social percibido, salud autopercibida y satisfacción vital. Los datos se analizaron utilizando un modelo de ecuaciones estructurales y análisis multigrupo. Resultados: El apoyo familiar se asoció positivamente con la satisfacción vital, directamente y mediado por la salud autopercibida, tanto en estudiantes heterosexuales como LGB+; el apoyo de amigos y de otras personas mostró asociaciones diferenciadas por orientación sexual. Sin embargo, este modelo fue estadísticamente similar para ambos grupos. Conclusiones: Estos hallazgos destacan la relevancia de distintos tipos de apoyo social en la satisfacción vital de estudiantes universitarios según su orientación sexual.
Abstract Introduction: The literature shows an increasing interest in the relationship between individuals' sexual orientation and their subjective well-being, linking the former to various spheres of life, such as social support, health, and life satisfaction. However, research on the impact of sexual orientation in the relationship between subjective well-being variables is scarce in the university population. This study examined the associations between support from family, friends and other people with life satisfaction, directly and mediated by self-perceived health, comparing these relationships in heterosexual and lesbian, gay, bisexual and other non-heterosexual (LGB+) university students in Chile. Method: The sample (n = 525) answered an online questionnaire with sociodemographic questions about perceived social support, self-perceived health, and life satisfaction. Data were analyzed using structural equation modeling and multigroup analysis. Results: Family support was positively associated with life satisfaction, directly and mediated by self-perceived health, in both heterosexual and LGB+ students; support from friends and others showed differential associations by sexual orientation. However, the proposed model was statistically similar for both groups. Conclusion: These findings highlight the relevance of different types of support on the life satisfaction of university students according to their sexual orientation.
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Background: The utilization of over-the-counter (OTC) drugs among medical students during academic exams has raised concerns about health risks and potential implications. This cross-sectional study aimed to estimate the prevalence of OTC drug utilization among medical students. Methods: A cross-sectional study was conducted using pre-validated questionnaire. The data obtained was tabulated, analysed and the results were calculated in percentages.150 students had participated in this study of which 100 were selected by simple random sampling. Results: The use of OTC drugs was common amongst undergraduate students. Majority of students (92%) who participated in the study had used OTC drugs at some point in their life. Commonly used OTCs were antacids (73%) and the most common indications for use of OTCs was cough and cold (92%). 87% of students preferred OTC drugs due to ease and convenience while 44% preferred OTC drugs due to lack of time to consult the doctor. Doctors (32.3%) followed by family and friends; textbook/journals were found to be the most common source of information on OTC drugs. Conclusions: A tendency to choose self-medication over doctor’s consultation by most of the undergraduate medical students was consistently seen in the present study. This unrestrained use of OTC drugs certainly possesses several health risks. Awareness should be created among undergraduate medical students to restrict the use of OTC drugs and efforts should be undertaken to increase the sale of drugs without prescription.
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Resumen Introducción : La planificación compartida de la atención (PCA) es un proceso reflexivo, deliberativo y estructurado. Involucra a la persona enferma y su en torno afectivo. Los profesionales sanitarios reconocen barreras para iniciar la PCA. La autoeficacia percibida es un principal predictor del éxito en los procesos de aprendizaje. Objetivos: 1) Adaptar transculturalmente la escala de autoeficacia percibida en PCA en español para Argentina (ACP-SEs); 2) Explorar la confiabilidad y la validez de la escala y 3) Explorar la autoeficacia en PCA en profesionales argentinos. Métodos : Estudio instrumental exploratorio realizado a profesionales de la salud que asisten pacientes con enfermedades crónicas avanzadas, interdisciplinarios, a través de una prueba de comprensión del instrumento ACP-SEs y la validación psicométrica en una muestra intencional de profesionales. Se analizaron variables sociodemográficas y la experiencia previa. Resultados : Luego de la prueba de comprensión y adaptación lingüística de la escala a través de un test cognitivo con 8 profesionales con experiencia con pa cientes crónicos avanzados se logró la versión de la escala ACP-SEs Ar. Participaron en la exploración 236 profesionales, el 83% asistía pacientes con enfermedad crónica avanzada; el 52.9% médicos; 52% recibió formación informal en PCA y 11% tenía un documento de directivas anticipadas personal. La consistencia interna de la escala fue alta (alfa de Cronbach = 0.89). Las preguntas sobre pronóstico, objetivos y preferencias de tratamiento, y reevaluación de los objetivos de cuidados mostraron diferencias sig nificativas entre médicos y no médicos. Conclusión : La escala ACP-SEs Ar demostró propie dades psicométricas adecuadas.
Abstract Introduction : Shared care planning (ACP) is a reflec tive, deliberative and structured process involving the sick person and his or her caring environment.Health professionals recognize barriers to initiating ACP.Per ceived self-efficacy is one of the main predictors of success in learning processes. Objectives: 1) To cross-culturally adapt the ACP self-efficacy scale in Spanish for Argentina (ACP-SEs); 2) To explore the reliability and validity of the scale; and 3) To explore self-efficacy in ACP in Argentinean professionals. Method : Exploratory instrumental study carried out on health professionals who assist patients with ad vanced chronic diseases, interdisciplinary through a comprehension test of the ACP-SEs instrument and psychometric validation in a purposive sample of pro fessionals. Sociodemographic variables and previous experience were analyzed. Results : After the comprehension test and linguistic adaptation of the scale through cognitive testing with eight professionals with experience with advanced chronic patients, the ACP-SEs Ar version of the scale was achieved. 236 professionals participated in the exploration, 83% attended patients with advanced chronic disease, 52.9 % were physicians, 52% received informal training in ACP, and 11% had a personal advance directive document. The scale's internal con sistency was high (Cronbach's alpha = 0.89). Questions about prognosis, treatment options, goals, treatment preferences, and reassessment of goals of care showed significant differences between physicians and non-physicians. Conclusion : We explored PCA self-efficacy in health professionals with the ACP-SEs Ar scale validated for the first time in Argentina.
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Resumo A autoeficácia dos docentes e seu acesso a recursos podem influenciar a transição do ensino presencial para o ensino remoto emergencial. Este estudo objetivou construir e verificar evidências de validade das escalas de Autoeficácia e Acesso a Recursos de Docentes do Ensino Superior que passaram pela transição para aulas remotas. As escalas foram construídas e submetidas à validação semântica e por juízes. A coleta de dados foi realizada a distância com 135 professores. Foram realizadas análises descritivas, exploratórias e confirmatórias. Ambas as escalas apresentaram cargas fatoriais acima de 0,4. A escala de Autoeficácia docente apresentou-se unifatorial com bom índice de consistência interna (α = 0,95) e bons indicadores de ajuste (x 2 : 256,794; df: 131; CMIN/DF: 1,96; GFI: 0,89; RMSR: 0,05; CFI: 0,93; TLI: 0,91; RMSEA: 0,07). A escala de acesso a recursos apresentou-se com dois fatores e obteve bons índices de consistência interna (α entre 0,80 e 0,88) e bons indicadores de ajuste (x 2 : 67,99; df: 31; CMIN/DF: 2,19; GFI: 0,90; RMSR: 0,12; CFI: 0,94; TLI: 0,92; RMSEA: 0,094). Este estudo amplia o conhecimento a respeito da transição do ensino presencial para o ensino remoto, e traz implicações práticas que poderão auxiliar no planejamento e desenvolvimento das ações educacionais.
Abstract Teachers' self-efficacy and access to resources can influence the transition to emergency remote teaching. This study aimed to build and verify validity evidences of the Self-Efficacy and Access to Resources scales of Higher Education Teachers who underwent the transition to remote classes. The scales were constructed and submitted to semantic and expert validation. Data collection was carried out remotely with 135 teachers. Descriptive, exploratory and confirmatory analyzes were carried out. Both scales presented factor loadings above 0.4. The Teacher Self-Efficacy scale was unifactorial with a good internal consistency index (α = 0.95) and good adjustment indicators (x2: 256.794; df: 131; CMIN/DF: 1.96; GFI: 0.89; RMSR: 0.05; CFI: 0.93; TLI: 0.91; RMSEA: 0.07). The access to resources scale had two factors and obtained good internal consistency indexes (α between 0.80 and 0.88) and good adjustment indicators 67.99; df: 31; CMIN/DF: 2.19; GFI: 0.90; RMSR: 0.12; CFI: 0.94; TLI: 0.92; RMSEA: 0.094). This study expands knowledge regarding the transition from face-to-face teaching to remote teaching, and brings practical implications that may help in the planning and development of educational actions.
Resumen La autoeficacia de los docentes y el acceso a los recursos pueden influir en la transición a la enseñanza remota de emergencia. Este estudio tuvo como objetivo construir y verificar evidencias de validez de las escalas de Autoeficacia y Acceso a Recursos de Profesores de Educación Superior que atravesaron la transición a clases remotas. Las escalas fueron sometidas a validación semántica y de expertos. La recolección de datos se realizó de forma remota con 135 docentes. Se realizaron análisis descriptivos, exploratorios y confirmatorios. Ambas escalas presentaron cargas factoriales superiores α 0,4. La escala de Autoeficacia Docente fue unifactorial, con buen índice de consistencia interna (α = 0,95) y buenos indicadores de ajuste (x2: 256,794; gl: 131; CMIN/DF: 1,96; GFI: 0,89; RMSR: 0,05; CFI: 0,93; TLI: 0,91; RMSEA: 0,07). La escala de Acceso a Recursos tuvo dos factores y obtuvo buenos índices de consistencia interna (α entre 0,80 y 0,88) y buenos indicadores de ajuste X 67,99; df: 31; CMIN/DF: 2,19; GFI: 0,90; RMSR: 0,12; CFI: 0,94; TLI: 0,92; RMSEA: 0,094). Este estudio amplía el conocimiento sobre la transición de la enseñanza presencial a la enseñanza remota, y aporta implicaciones que pueden ayudar en la planificación y desarrollo de acciones educativas.
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Resumen En un contexto donde la dinámica familiar y la autoestima de los adolescentes se erigen como elementos fundamentales para su desarrollo, esta investigación propone desentrañar las intrincadas conexiones entre ambas variables a través de un estudio cuantitativo, no experimental, correlacional y de corte transversal, y teniendo como objetivo principal determinar la relación entre el funcionamiento familiar y la autoestima durante los meses de noviembre y diciembre de 2022, en 870 estudiantes de bachillerato de la ciudad de Guayaquil. Los datos se obtuvieron a partir del cuestionario de funcionamiento familiar FF-SIL y la escala de Autoestima de Rosenberg aplicados previamente por el personal del Departamento de Consejería Estudiantil. El análisis mostró el predominio de familias moderadamente funcionales en la población estudiada (43,3 % mujeres y 53,9 % hombres), con diferencias estadísticamente significativas, la población femenina (45,54 %) y la masculina (47,90 %) con relación a la variable funcionamiento familiar. La autoestima valorada como baja prevaleció en ambos sexos (51,5 % mujeres y 38,8 % hombres), exhibiendo diferencias estadísticamente significativas entre la población femenina (25,54) y la masculina (27,54) respecto a esta variable. La correlación del funcionamiento familiar con la autoestima concluyó como estadísticamente significativa directamente proporcional y de baja intensidad. Estos resultados proporcionan una base significativa para futuras intervenciones y políticas destinadas a fortalecer el bienestar psicológico de los adolescentes.
Abstract In a context where family dynamics and adolescent self-esteem stand as fundamental elements for their development, this research proposes to unravel the intricate connections between both variables through a quantitative, non-experimental, correlational, and cross-sectional study and taking This study aimed to determine the relationship between family functioning and self-esteem during November and December 2022, in 870 high school students in the city of Guayaquil. The data were obtained from the FF-SIL family functioning questionnaire and the Rosenberg Self-Esteem scale previously applied by the Student Counseling Department staff. The analysis showed the predominance of moderately functional families in the studied population (43.3% women and 53.9% men), with statistically significant differences between the female population (45.54 %) and the male population (47.90) concerning the family functioning variable. Self-esteem was valued as low prevailed in both sexes (51.5% women and 38.8% men), exhibiting statistically significant differences between the female population (25.54) and the male population (27.54 %) regarding this variable. The correlation of family functioning with self-esteem was statistically significant, directly proportional, and low intensity. These results provide a significant basis for future interventions and policies to strengthen adolescents' psychological well-being.
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Objetivo: Validar el contenido de un cuestionario de auto-reporte en español para explorar actitudes, prácticas y barreras de odontólogos no especialistas en periodoncia frente al diagnóstico y tratamiento de problemas periodontales y criterios para derivar. Materiales y métodos: Seis especialistas en periodoncia de cinco países latinoamericanos construyeron versión#1 de un cuestionario. 21 expertos de tres áreas disciplinares de 6 países valoraron de 1 a 5 (1: totalmente en desacuerdo, 5: totalmente de acuerdo) cada ítem en su pertinencia, relevancia, claridad y coherencia. Según grado de acuerdo se reformuló cada ítem y se construyó versión#2 que fue piloteada en 60 odontólogos no especialistas en periodoncia, 3 de ellos fueron entrevistados para evaluar la comprensión y semántica. Luego del análisis se elaboró la versión final (versión#3). Resultados: Los ítems formulados de versión#1 tuvieron una valoración promedio de 4,6 (rango 3.7-5). Fueron reformulados evitando palabras confusas y que tuvieran aceptación transversal en países participantes, se eliminó ítem con menor puntuación de acuerdo de expertos. La aplicación de versión#2 tuvo un tiempo de respuesta de 12 minutos, se reformularon opciones y agregaron 4 ítems para obtener la versión final con 44 preguntas. Conclusiones: Se construyó un cuestionario de auto-reporte con validez de contenido para evaluar actitudes y prácticas en salud-enfermedad periodontal en odontólogos generales o no especialistas en periodoncia de habla hispana.
Aim: T o validate the content of a self-report questionnaire in Spanish to explore attitudes, practices and barriers of dentists non-specialized in periodontics when facing the diagnosis and treatment of periodontal problems and criteria for referral. Materials and methods: Six specialists in periodontics from five Latin American countries constructed version#1 of a questionnaire. Twenty-one experts from 3 disciplinary areas from 6 countries rated each item from 1 to 5 (1: totally disagree, 5: totally agree) regarding its appropriateness, relevance, clarity, and coherence. According to the degree of agreement, the item was reformulated, and version #2 was built, which was tested on 60 dentists non-specialized in periodontics. Then, 3 of them were interviewed to assess comprehension and semantics. After analysis, the final version was prepared (version#3). Results: The items formulated in version#1 had an average score of 4.6 (range 3.7-5). Questions and options were reformulated, avoiding confusing words and having transversal acceptance in the participating countries. The items with the lowest degree of expert agreement were eliminated. The application of version#2 had a response time of 12 minutes, options were reformulated, and 4 items were added to obtain the final version with 44 questions. Conclusions: A self-report questionnaire with content validity was constructed to assess attitudes and practices in periodontal health and disease in Spanish-speaking general dentists or non-specialists in periodontics.
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The objective of this study was to assess the knowledge, attitude and practice of self-medication and its health impact among South Asian people. This systematic review was conducted at the Department of Public Health, under the Faculty of Health Sciences of University of Sunderland, United Kingdom (UK) during December 2020 to December 2022.For this study, a comprehensive literature review was conducted on the knowledge, attitudes, and behaviors of self-medication among COVID-19-affected adults aged 18 and older in South Asian nations The design of this review was completed in accordance with the Preferred Reporting Items for Systematic Reviews (PRISMA). Critical Appraisal Skills Programme (CASP)-2019 were used to identify the methodological problems in each individual study report. In this systematic review ten qualifying studies were examined with a total of (n=5137) study subjects. Among the study subjects, 2211 (43.04%) COVID 19 afflicted People had enough knowledge of self- medication followed 2001 (38.95%) COVID19 affected people in South Asia had a favorable attitude toward self-medication, 2906 (56.56%) people had performed self-medication and 206 (4.01%) had adverse impacts on their health. Bangladesh and India had the greatest and lowest rates of self-medication, 88.3% and 17.9%, respectively. In addition, the greatest rate of self-medication was seen among medical students in Pakistan (83%). This study investigated that during the COVID-19 Pandemic, self-medication was very common, with over half of the study population engaging in it. Therefore, it is vital to enhance the public awareness about the adverse effects of self-medication without having proper knowledge.
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Background: Breast cancer is the most common cancer among females. In India, breast cancer is the top most cancer with about 13.6% new cases diagnosed in 2020. Current knowledge of the aetiology of breast cancer offers little prospect of primary prevention. So secondary prevention like breast screening, which include self breast examination have to be done. The present study was designed to determine the knowledge, attitude and practice regarding BSE among women aged 18 years and above. Methods: A cross sectional study was conducted on 241 females above 18 years of age in rural health care training centre affiliated to IGGMC, Nagpur. All consecutive participants were interviewed in person using a predesigned and pre-tested proforma. SPSS Version 20 was used to analyse the data collected. Results: It was seen that the mean age of participants was 29.98±7.382 years The majority of participants were belonged to the Hindu religion (63.9%) and nuclear family (82.57%). Majority of participants (68.05%) were having poor knowledge about BSE, most of the participants were having good attitude (51.45%), majority of participants (53.11%) were having poor practice to BSE. Conclusions: BSE is one of the most effective preventive health behaviour for the early detection of breast cancer. In this study, it is evident that knowledge about BSE is low. This indicate that there is a need for Health education about breast cancer and BSE among the rural population of India to improve the KAP about BSE for early detection and better survival.
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Background: Now-a-days, Smartphone offers people great opportunities and luxuries. According to the Telecom Regulatory Authority of India (TRAI); in 2021, India had roughly 180.96 million mobile users, and issues by mobile phone use have been significantly increased in recent years Nomophobia is a modern phobia that appeared in this digital era. It is the conjunction of "nonmobile" and "phobia� and refers to the worry, anxiety, and discomfort associated with not having a mobile device when needed. The objectives of this study are to understand (a) prevalence of nomophobia in medical students; (b) association of Nomophobia with self-esteem among medical students; and (c) association of nomophobia with life satisfaction among medical students. Methods: This was an observational, cross-sectional, single-centred, self-assessable questionnaire-based study. 700 students (pursuing MBBS, internship or residency) from the government medical college, Bhavnagar were enrolled. The participants were assessed by proforma containing demographic details, a questionnaire of Nomophobia (NMPQ), Rosenberg Self-Esteem Scale (RSES), and Satisfaction with Life Scale (SWLS). The statistical analysis was done with Graph Pad Instat version 3.06 (San Diego, California, US). Proportions were compared by using the Chi-square test while NMPQ, RSES, and SWLS scores were compared by the Students t test. Results: We found all participants had some degree of nomophobia (29% mild, 31.29% moderate, and 5.43% severe). Nomophobia had a significant association with self-esteem and satisfaction with life. Conclusions: Participants with nomophobia are more likely to experience low self-esteem and poor satisfaction with life.
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Background: Pregnancy triggers various physical and psychological changes, including common first-trimester symptoms like nausea and vomiting. Self-hypnosis can help alleviate these symptoms, offering an alternative treatment for pregnant women. Methods: This double-blind randomized controlled trial (RCT) included 44 pregnant women with gestational ages less than 20 weeks, selected through purposive and total sampling. Participants were divided into two groups: the treatment group (n=22) received self-hypnosis recordings with water sounds, while the control group (n=22) received recordings of water sounds only. Both groups listened to the recordings for 15 minutes each morning and night over a period of 4 weeks. The study took place in the Kedunggalar Health Center area from June to July 2023. The PUQE-24 instrument measured nausea and vomiting severity before the intervention and weekly for four weeks thereafter. Data were analyzed using independent sample t-test and repeated measures analysis of variance (ANOVA). Results: The treatment group experienced a statistically significant reduction in nausea and vomiting intensity, as indicated by PUQE-24 scores, at week I (p=0.013), week II (p=0.000), week III (p=0.000), and week IV (p=0.000). The treatment group showed a greater reduction in mean PUQE-24 scores compared to the control group (p<0.05). Clinically, nausea and vomiting intensity decreased from moderate to mild or none in the treatment group, while the control group showed no significant changes. Conclusions: Self-hypnosis is effective in reducing the intensity of nausea and vomiting in patients with emesis gravidarum.
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Background: Easy over the counter availability of abortion pills leads to unsupervised rampant use of the pills which further results in physical and mental health complications and social and financial burdens for women, communities and health systems. Aims and objectives were to study the sociodemographic, obstetric and clinical profile of the women presenting with unsupervised intake of abortifacient, and to study the acceptance of post abortal contraception and also the method of contraception accepted.Methods: This present study was carried out in women with history of unsupervised self-intake of abortifacient and presenting with complain of bleeding per vaginum and various other complications in the emergency or outpatient department of obstetrics and gynaecology between October 2022 to September 2023 at Nehru Hospital, BRD Medical college, Gorakhpur. Complete personal, sociodemographic and obstetric history was obtained. Complete general and systemic examination was done and all routine investigations were sent.Results: A total of 197 women were enrolled in this study. In our study majority 39.48% (n=77) of women were between 25-30 years age. 56.34% (n=111) belonged to low socioeconomic strata and 69.54% (n=137) resided in urban area. 42.63% (n=84) were gravida 3 or more. 22.8% cases took abortifacient pills beyond 9 weeks of gestation. All patients procured the contraceptive from local practitioner, quacks, medical stores and chemists without any consultation from gynecologist. Most frequent complain was Chronic bleeding per vaginum with RPOC (n=112, 56.85%). Majority patients had moderate to severe anemia and 53.8% (n=106) required blood transfusion. 2.03% (n=4) presented with features of sepsis and 2.03% (n=4) presented with ruptured ectopic. Majority (n=160, 81.21%) didn抰 opt for post abortion contraception.Conclusions: One major contributor to unsafe abortions is the easy availability of abortion pills. These pills should be restricted from over-the-counter sales and made available to the public only through authorized MTP centres with a proper prescription.
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Os grupos em saúde nascem para fomentar práticas coletivas de saúde, tendo se expandido para a atenção básica, encontrando ressonância na promoção da saúde e da qualidade de vida. Baseados nas teorias de Pichon-Rivière e de Yalom e Leszcz, esses grupos são capazes de contribuir para mudanças significativas na qualidade de vida de seus usuários participantes. Este artigo tem como objetivo analisar as contribuições dos grupos operativos da atenção primária à saúde a partir da visão de seus usuários e compreender a operacionalização desses grupos. Trata-se de pesquisa descritiva e analítica de caráter qualitativo, realizada em quatro grupos operativos em saúde da atenção básica de um município do Rio Grande do Norte, no interior do semiárido nordeste brasileiro. Os dados foram coletados por questionário socioeconômico e grupos focais entre março e agosto de 2023, sendo utilizada estatística descritiva para os questionários e análise temática de conteúdo para os grupos focais. Os questionários revelaram um predomínio de participantes do sexo feminino, com faixa etária acima dos 60 anos e situação socioeconômica de baixa renda. A análise de conteúdo demonstrou a efetividade dos grupos em produzir vetores grupais e fatores terapêuticos, além de seu potencial, como campo para a educação popular em saúde, em fomentar as redes sociais, o apoio, o acolhimento e o bem-estar biopsicossocial. Os grupos em saúde são estratégias eficazes na promoção da saúde e na qualidade de vida. Entretanto, ressalta-se a necessidade de pesquisas que avaliem a eficácia global dos grupos nos processos de morbimortalidade.
Health care groups were created to promote collective health practices and were expanded into Primary Care, helping to promote health and quality of life. Based on the theories of Pichon-Rivière and Yalom and Lezscz, these groups can contribute to significant changes in the quality of life of their participating users. Thus, this article analyzes the contributions of Primary Health Care operating groups from users' perspective and understands their operationalization. A descriptive analytical qualitative research was conducted with four health operating groups in Primary Care from a municipality in Rio Grande do Norte, in the semi-arid northeastern Brazil. Data were collected by means of a socioeconomic questionnaire and focus groups between March and August 2023, and investigated using descriptive statistics (questionnaires) and thematic content analysis (focus groups). The questionnaires revealed a predominance of female participants over 60 years old and with low-income socioeconomic status. Content analysis showed the groups' effectiveness in producing group vectors and therapeutic factors, as well as their potential as a field for popular health education in fostering social networks, support, user embracement, and biopsychosocial well-being. Health groups are effective strategies for promoting health and quality of life, future research should evaluate their global effectiveness in morbidity and mortality.
Los grupos de salud se crearon para promover prácticas de salud colectiva y se expandieron a la atención primaria, repercutiendo en la promoción de la salud y la calidad de vida. Basados en las teorías de Pichon-Rivière y Yalom y Lezscz, los grupos son capaces de contribuir a cambios significativos en la calidad de vida de sus usuarios participantes. Este artículo tuvo por objetivo analizar las contribuciones de los grupos operativos de atención primaria de la salud desde la perspectiva de sus usuarios, así como comprender la operacionalización de estos grupos. Se trata de una investigación cualitativa, descriptiva y analítica, realizada en cuatro grupos operativos de salud en atención primaria de un municipio de Rio Grande do Norte (Brasil), en el interior de la región semiárida del Nordeste de Brasil. Los datos se recogieron de un cuestionario socioeconómico y de grupos focales en el período entre marzo y agosto de 2023, utilizando estadística descriptiva para los cuestionarios y análisis de contenido temático para los grupos focales. Los cuestionarios revelaron un predominio de los participantes del sexo femenino, mayores de 60 años y con nivel socioeconómico de bajos ingresos. El análisis de contenido demostró la eficacia de los grupos en la producción de vectores grupales y factores terapéuticos, además de su potencial como campo de educación popular en salud para fomentar redes sociales, apoyo, acogida y bienestar biopsicosocial. Los grupos de salud son estrategias efectivas para promover la salud y la calidad de vida. Sin embargo, se destaca la necesidad de investigaciones que evalúen la efectividad global de los grupos en los procesos de morbimortalidad.
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Este estudo objetivou avaliar o nível de aderência ao autocuidado no tratamento do DMII entre pacientes usuários de insulina atendidos em uma unidade de saúde da família em Palmas, Tocantins, em 2023. Trata-se de uma pesquisa com abordagem quantitativa com 24 portadores de DMII em uso de insulina que responderam a dois questionários, um com perguntas sociodemográficas e o outro sobre atividades de autocuidado relacionadas ao diabetes. Os resultados mostraram que os entrevistados demonstraram baixa adesão ao exercício e à atividade física, com uma média abaixo de 2, o que representou o pior resultado obtido no QAD. Em contrapartida, a adesão ao uso dos medicamentos orais e insulina foi satisfatória, com médias superiores a seis dias por semana. A maioria dos entrevistados apresentou melhor adesão ao tratamento medicamentoso, seja de forma isolada ou associada com cuidados específicos, como cuidado com os pés, ou baixa ingestão de doces. No entanto, a prática de exercício e a atividade física e a adesão às orientações alimentares foram as áreas de menor comprometimento. Diante disso, recomenda-se que os profissionais da saúde desenvolvam estratégias clínico-educativas direcionadas aos portadores de DMII, com o intuito de promover a saúde e incentivar o uso correto dos fármacos e a adesão aos autocuidados, objetivando prevenir complicações relacionadas a essa patologia, além de reforçar a importância do autocuidado para prevenir complicações associadas à doença.
This study aimed to evaluate the level of adherence to self-care in the treatment of DMII among insulin-using patients treated at a family health unit in Palmas, Tocantins, in 2023. This is a quantitative study with 24 DMII patients using insulin who answered two questionnaires, one with sociodemographic questions and the other about self-care activities related to diabetes. The results showed that the interviewees demonstrated low adherence to exercise and physical activity, with an average below 2, which represented the worst result obtained in the QAD. In contrast, adherence to the use of oral medications and insulin was satisfactory, with averages of more than six days per week. The majority of interviewees showed better adherence to medication treatment, whether alone or associated with specific care, such as foot care, or low intake of sweets. However, exercise and physical activity and adherence to dietary guidelines were the areas of least impairment. Therefore, it is recommended that health professionals develop clinical-educational strategies aimed at people with DMII, with the aim of promoting health and encouraging the correct use of drugs and adherence to self-care, aiming to prevent complications related to this pathology, and reinforces the importance of self-care to prevent complications associated with the disease.
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Objective. This study was conducted with the aim of the effect of team members teaching design (TMTD) vs. regular Lectures method on the self-efficacy of the multiple sclerosis patients. Methods. This research is a randomized controlled trial study. In this study, 48 multiple sclerosis persons of members of Jahrom MS Society participated. The persons were selected by simple random sampling and then divided into three groups of: TMTD (n=16), regular lecture method (n=16), and control (n=16), by random allocation method. In the intervention groups, six training sessions were held twice a week; control group did not receive education. Data was collected by the MS self-efficacy questionnaire of Rigby et al. in the before, immediately and one month after the intervention. Results. Patients in three intervention and control groups were similar in terms of demographic variables. The results of the repeated measurement test before, immediately and one month after the intervention showed that the mean of the all dimensions of self-efficacy in two intervention groups had increased significantly (p<0.05). While these changes were not significant in the control group (p ≥ 0.05). Also, there was a significant difference in the mean of the all dimensions of self-efficacy between the intervention groups of TMTD and regular lectures. Conclusion. Based on the findings, TMTD compared to regular lectures method had a more significant effect on improving the self-efficacy of multiple sclerosis patients. Therefore, it is recommended that nursing use this educational approach to increase patients' self-efficacy.
Objetivo. Determinar el efecto del diseño de la enseñanza colaborativa de los miembros del equipo (En inglés: Team Members Teaching Design -TMTD) frente al método de las clases regulares sobre la autoeficacia de los pacientes con esclerosis múltiple (EM).Métodos. Ensayo controlado aleatorizado realizado con la participación de 48 personas con esclerosis múltiple afiliados a la Sociedad de Esclerosis Múltiple de Jahrom (Iran), que fueron seleccionados por muestreo aleatorio simple y luego asignados en forma randomizada en tres grupos, dos de intervención: TMTD (n=16) y método de clases regulares (n=16), y un grupo control (n=16). En los grupos de intervención se impartieron seis sesiones educativas (dos por semana); mientras que el grupo control no recibió educación. Se empleó el cuestionario de autoeficacia en EM de Rigby et al. en los momentos: antes, inmediatamente después de terminada la intervención y un mes de finalizada la misma.Resultados. Los pacientes de los tres grupos de intervención y control eran similares en cuanto a variables demográficas. Los resultados de la prueba de medidas repetidas antes, inmediatamente y un mes después de la intervención mostraron que la media de todas las dimensiones de autoeficacia en los dos grupos de intervención había aumentado significativamente (p<0.05). Mientras que estos cambios no fueron significativos en el grupo de control (p ≥ 0.05). Además, hubo una diferencia significativa en la media de todas las dimensiones de autoeficacia entre los grupos de intervención de TMTD y clases regulares, siendo mayor en TMTD. Conclusión. El TMTD comparado con el método de clases regulares, tuvo un mejor efecto en el aumento de la autoeficacia de los pacientes con EM. Por lo tanto, se sugiere a enfermería utilizar este enfoque educativo para aumentar la autoeficacia de los pacientes.
Objetivo. Determinar o efeito do desenho de ensino colaborativo dos membros da equipe (em inglês: Team Members Teaching Design -TMTD) comparado ao método de aulas regulares na autoeficácia de pacientes com esclerose múltipla (EM). Métodos. Ensaio controlado randomizado realizado com a participação de 48 pessoas com esclerose múltipla afiliadas à Sociedade de Esclerose Múltipla de Jahrom (Irã), que foram selecionadas por amostragem aleatória simples e depois distribuídas aleatoriamente em três grupos, dois grupos de intervenção: TMTD (n=16 ) e método de aula regular (n=16), e um grupo controle (n=16). Foram ministradas seis sessões educativas nos grupos de intervenção (duas por semana); enquanto o grupo de controle não recebeu educação. Foi utilizado o questionário de autoeficácia em SM de Rigby et al. nos momentos: antes, imediatamente após o término da intervenção e um mês após seu término. Resultados. Os pacientes dos três grupos intervenção e controle foram semelhantes em termos de variáveis demográficas. Os resultados do teste de medidas repetidas antes, imediatamente e um mês após a intervenção mostraram que a média de todas as dimensões da autoeficácia nos dois grupos de intervenção aumentou significativamente (p<0.05). Embora essas alterações não tenham sido significativas no grupo controle (p ≥ 0.05). Além disso, houve diferença significativa na média de todas as dimensões de autoeficácia entre os grupos de intervenção TMTD e aulas regulares, sendo maior no TMTD. Conclusão. O TMTD comparado ao método de aula regular teve melhor efeito no aumento da autoeficácia dos pacientes com EM. Portanto, sugere-se que a enfermagem utilize essa abordagem educativa para aumentar a autoeficácia dos pacientes.
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Humans , Male , Female , Reading , Self Efficacy , Multiple Sclerosis , Self Care , Education , ExtremitiesABSTRACT
Background: Diabetes is a high prevalence non-communicable disease (NCD), with its highest burden in low- and middle-income countries. The International Diabetes Federation estimates that the global prevalence of diabetes is approximately 537 million people. By 2030, this figure is expected to rise to nearly 643 million, and by 2045, it is projected to reach 783 million. In sub-Saharan Africa, an estimated 24 million adults have diabetes, with a regional prevalence of 4.5%. Children with diabetes in this region often remain undiagnosed, and even if diagnosed, many lack access to essential services and resources such as insulin, syringes, and monitoring equipment, leading to avoidable deaths. Methods: The study design was a descriptive cross-sectional study. The study was conducted between September 2021 and September 2022 among children and adolescents with type 1 diabetes who attended selected facilities in Nairobi City County, Kenya. Qualitative and quantitative data were obtained using a self-administered semi-structured questionnaire, focus group discussions, and key informant interviews with the participants. The data was cleaned and then exported to SPSS V.23 for analysis. Results: The study investigated the demographic and socio-economic profiles of children and adolescents with type 1 diabetes in the study area, their level of knowledge regarding self-management practices, the self-management practices carried out by these respondents and explored the relationship between demographic and socio-economic factors, knowledge levels, and self-management practices among children and adolescents with T1D. Conclusions: The study findings will be of great importance for health professionals and policymakers in designing appropriate interventions to improve self-management practices among children with T1D.
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Background: Self-medication is a significant issue in public health, with varying global prevalence. It is one of the major causes of the emergence of antibiotic resistance in India. The study's objective was to identify the pattern, cause, and adverse events of self-medication in Maharashtra's urban and rural areas. Methods: A cross-sectional survey was conducted using a pre-populated questionnaire; including information on age (18-85 years), non-prescription and prescription medication use. Age, gender, past medical and medication history, social history, and self-medication pattern, frequency, reason, source of information, and adverse events noticed as a result of self-medication are all sociodemographic questions on the questionnaire. A percentage analysis was used to examine the data. Results: Study states that out of 400 sample, 76% of the individuals self-medicate, with painkillers (49.4%), antacids (23.7%), antibiotics (15.3%), being the most often used drugs for ailments like headache, fever, bodily pain, and acidity. The top most medications taken for self-medication are paracetamol (53.1%), pantoprazole (30.43%), ondansetron (13.62%), and azithromycin (12.46%); 66.07% usage of prescription drugs as self-medication was found. The most frequent causes of self-medication were discovered to be mild illnesses, the easy accessibility of medications, and chemist recommendations, 8% of those surveyed had adverse events, and sources of information were chemists, past prescriptions, family members, and acquaintances. Conclusions: In Maharashtra, self-medication is a prevalent practice that primarily utilizes over-the-counter (OTC) drugs. As a result, consumers should be made aware of the hazards of antibiotic resistance and other pharmaceuticals.
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Background: Self-medication is widely practiced globally as a major form of self-care for pain management. Unfortunately, with the COVID-19 pandemic, prescription-only drugs are now increasingly being self-prescribed. This study was conducted to study self-medication practices of analgesics and associated factors among medical students of Lahore. Methods: A cross sectional study was conducted among 432 participants. The participants were all current MBBS students (age group=18-25 years) studying in various medical colleges of Lahore, Pakistan. Data were analyzed using SPSS. The significance value was set at p<0.05. The study was conducted from September, 2021 to October, 2021. Results: Self-medication practices were found to be high among medical students of Lahore, 296 (68.5%) out of total participants (432). Of all the analgesics, acetaminophen was the most preferred for relief of pain of various etiologies (64.58%). The most common reason of self-medication was headache (50.69%). Reason for self-medication for the majority of study population was that disease was not severe enough and did not merit to consult a doctor (36.34%). Conclusions: Education on self-medication should be introduced at the undergraduate level to create awareness among students. The study also indicates the need for establishing health clinics in universities so that the students may benefit from the professional advice of trained health staff in the clinics rather than practicing self-prescription. Periodic survey about self-medication practices is required to improve awareness, prevent health issues related to adverse drug reactions of self-medication practices, and prevent economic burden on healthcare system in Pakistan.