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Background: Effective delivery of health education is critical to achieving the goal of controlled diabetes. The objective was to assess the impact of health education among patients with Type 2 Diabetes mellitus. Materials and Methods: This study was quasi-experimental done with type 2 diabetes mellitus of tertiary care hospital.100 diabetes patients were included and randomized into two groups to receive health education material and standard care. The intervention consisted of health education intervention via text messages and images. The glycemic parameters were assessed before and at the end of 3 months of intervention. Paired t-tests were applied. Results: Mean (SD) of HbA1c before the start of the intervention among the patients with intervention and control arm were 10.1(�9) and10.6 (�3) respectively. There was a significant difference in FBS, PPBS and HbA1c- (198(�) vs 112(�, 277(�) vs 151(�) and 10.1(�9) vs 7.2(�9) in the intervention group before and after the intervention (p-value <0.05).No significant difference was found in the control arm. Conclusion: There was a significant difference in the group that received health education intervention compared to the standard therapy group. Thus, well-designed health education delivery could maintain better glycemic control in patients with uncomplicated type 2 diabetes mellitus. ============================================ This retrospective, observational study was conducted by collecting data from medical records during COVID 19 pandemic from March 2020 till August 2020. This was compared with the data of 2019 during similar months. The impact of COVID 19 on use of preventive and curative paediatric health care service units like outpatient department, casualty, intensive care and immunization clinic were assessed. Data from 2019 to 2020 were compared using standard parametric and nonparametric tests. There was a significant decline in routine OPD (68%) attendance during the COVID 19 period as compared to pre-COVID period. Paediatric ward admissions and PICU admissions were decreased by 55% and 42% respectively. We also observed a significant 43% decline in the number of children attending immunization clinic in the year 2020. The fear of COVID 19 pandemic and the measures taken to control the pandemic has affected the health seeking behaviour of patients. This evaluation of trends in healthcare use may help in planning the delivery of healthcare service delivery in future.
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@#No-show or non-attendance at outpatient appointments are one of the most challenging operational issues in health care clinics, including dietetics outpatient clinics. No-show has a negative impact on the efficiency and effectiveness of delivery of outpatient care in a hospital setting. This can negatively affect the patient’s short term and long-term wellbeing due to missed opportunity to address the patient’s nutrition issue in a timely manner. This study aims to investigate the reasons for no-show and thus to reduce the no-show rate in diet clinic from baseline of 40.7% to standard of less than 25%. The initial phase of the study was conducted from June to September 2017 at Hospital Sultan Ismail’s diet clinic. No-show cases were identified using system data. No-show patients or guardian of no-show patients were contacted to record the reason for missing the appointments. Descriptive analysis was used to analyze the results. Strategy for change was planned and implemented to target the major reason for no-show. The pre-remedial phase result shows a no-show rate of 40.7%. A total of 102 patients were contacted (34%, n=102) to identify their reason of non-attendance to diet clinic. Paediatric patients aged 1 to 12 year-old contributed the highest percentage of no-show (37.3%, n=38). The major reasons identified for no-show are forgetting and remembered wrong appointment date (35.3%, n=36), followed by ill or admitted to ward (13.7%, n=14) and others (12.7%, n=13) such as personal issues and school examination. Remedial measure using Short Message Service (MySMS) resulted in a reduction of no-show rate to 22.2% which achieved our standard of less than 25% (p<0.05). Automated reminder using Short Message System (MySMS) is found to be effective in reducing no-show rate. Periodic audit is needed to ensure continuous effectiveness of remedial measure. Further studies need to be conducted in weighing the cost effectiveness of this method for long term run.
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Eighty patients with hyperthyroidism treated in PLA 903 Hospital from February 2016 to May 2017 were randomly divided into two groups with 40 cases in each group.Patients in control group received routine outpatient education and those in study group received regular formatted mobile short message during follow-up in addition to routine education.The knowledge of disease,the compliance and satisfaction of treatment were assessed.After 12 weeks of follow-up,the TSH level was higher [0.430(0.050,2.806) vs.0.210(0.003,1.098) mU/L,Z=-8.07,P＜0.01],FT3 [(3.24± 1.18) vs.(4.18±2.07)ng/L,t=-2.49,P＜ 0.05] and FT4 levels [(12.43±6.82) vs.(19.58±19.06) ng/L,t=-2.26,P＜0.05] were lower in study group than those in control group.The scores of disease knowledge (6.12± 1.77 vs.5.25±1.79,t=4.67,P＜0.05),the Morisky scores of medication compliance (3.77±0.47 vs.3.37±0.73,t=8.22,P＜0.01),the rates of compliance for returning (85％ vs.65％,x2=4.27,P＜0.05) and the satisfaction rates with treatments (93％ vs.75％,x2=3.30,P＜0.05) in the study group were significantly higher than those in the control group.The score of disease knowledge in study group increased from 4.32± 1.55 before treatment to 6.12± 1.77 after 12 weeks of follow-up (t=22.65,P＜0.01).The results indicate that the health education plus regular formatted text message during follow-up can effectively improve the disease knowledge score,the compliance and satisfaction with treatment in patients with hyperthyroidism.
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Resumen Se expone, en detalle, el proceso de implementación de dos servicios de referencia en la Biblioteca de la Corte Interamericana de Derechos Humanos, mediante el uso de dispositivos y aplicaciones móviles. Los servicios implementados son la atención de consultas por mensaje de texto (SMS) y el envío de alertas informativas a través de Whatsapp. Se abordan detalles de la instalación, las pruebas del servicio y las políticas de implementación. Se concluye que las nuevas tecnologías móviles están brindando a las bibliotecas modernas posibilidades de ofertar sus servicios, dando al usuario la capacidad de utilizar los recursos de la unidad de información sin desplazarse físicamente al edificio; estas posibilidades no necesariamente requieren de una alta inversión presupuestaria para llevarlas a cabo.
Abstract The process of implementation of two reference services in the Library of the Inter-American Court of Human Rights is presented in detail through the use of mobile devices and applications. The services implemented are the attention of queries by text message (SMS) and the sending of informational alerts through Whatsapp. Installation details, service testing and implementation policies are addressed. It is concluded that new mobile technologies are giving libraries new possibilities to offer their services, giving the user the ability to use the resources of the information unit without moving physically to the building. These new possibilities do not necessarily require a high budget investment to carry them out.
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Software , Information Products and Services , Mobile Applications , Libraries, Special/organization & administration , Internet Access , JurisprudenceABSTRACT
Introduction: Physical activity is the most important self-management behaviour indiabetes. The aim of this study was to evaluate the impact of a short message service (SMS) basedon a health promotion model (HPM) on the physical activity of diabetic patients.Methods: This quasi-experimental study consisted of 37 type II diabetes patients in an SMSgroup and 36 type II diabetes patients in a control group. The patients in both groups completedwritten consent forms and questionnaires at the beginning of the study. The patients in the SMSgroup received training messages within two weeks (two or three messages daily) in the field ofphysical activity based on HPM constructs. Both groups completed questionnaires in three stages(at the beginning of the study, four weeks after the first visit, and three months later) comprisingdemographic factors, questions regarding the constructs, and 7-day physical activity recall. Afterdata collection, statistical analysis was conducted using an independent t-test, a Chi-square test,and a repeated measures analysis of variance (ANOVA).Results: As compared with the control group, changes in mean scores of perceivedself-efficacy (P = 0.001) and family support (P = 0.046) of physical activity in the training groupwere significantly greater and perceived barriers (P < 0.001) were significantly lower over time.The physical activity performance of the SMS group was better three months after training ascompared with that of the control group (P < 0.001).Conclusion: The results demonstrated the efficacy of training messages in changing thebeliefs and physical activity behaviours of diabetic patients.
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Taking the First Hospital Affiliated to Traditional Chinese Medicine University of Guangzhou as an example,the paper puts forward to establish the hospital's intelligent Short Message Service (SMS) follow-up visit system based on the analysis of research conditions and existing problems of domestic and overseas follow-up visit system,introduces the follow-up visit registration process and functional modules,and summarizes the application efficiency.This system can greatly improve the follow-up visit efficiency,reduce the rate of loss to follow-up visit,and immediately update information of patients.
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Objective To apply short message service (SMS) for pulmonary rehabilitation in residence. Methods A total of 102 old pa-tients with chronic obstructive pulmonary disease (COPD) in stable situation were equally divided into three groups randomly. They all ac-cepted a two-week lesson of exercise project, and then took in the project for 22 weeks. Meanwhile, group A phoned to their experts once a week, group B was phoned by their experts once a week, and group C accepted SMS once a day and sent back to the experts. They were in-vestigated with Exercise Self Regulatory Efficacy Scale (Ex-SERS), modified British Medical Research Council Scale (mMRC) and COPD Assessment Test (CAT) before and after intervention. Results The score of Ex-SERS was the most in group C (F=179.53, P<0.001), with the interaction of time (F=387.09, P<0.001). While the scores of mMRC (F=8.754, P<0.001) and CAT (F=11.32, P<0.001) were the least in group C. Conclusion Application of SMS in the integrated management for pulmonary rehabilitation in residence may improve the self regu-latory efficacy of exercise, release the dyspnea and the influence on living in patients with COPD.
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Resident health card is the golden key for the trans-institutional, trans-regional, interconnected, and intercommunicating medical and health information service , resource sharing and collaboration , the stress was thus laid in this paper on the specific target, design ideas, general design program, implementation of their functions, and measures for their safety for the resident health card operation system on Internet.
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Objective To understand the willingness on acceptance of a short-message-service (SMS) program provided for HIV/STD testing and the related factors,among male clients at the STD clinics in China.Methods Convenience sampling method was used to select study subjectsat a STD clinic in Wuxi,Jiangsu province.A questionnaire survey was conducted among the subjects to collect the information on socio-demographic characteristics and willingness of acceptance to the SMS.Results A total of 368 SMS subjects were surveyed,in which 75.5％ expressed the willingness of acceptance,while 57.2％ and 38.1％ of them wanted to receive the short message every 3 months or 6 months,respectively.53.8％ of the respondents showed their willingness to share the news with their sexual partners about SMS and 44.8％ of them would do the same to their friends.Data from the Multivariate logistic regression analysis showed that those who had received senior high school or above education (aOR =3.632,95％CI:1.939-6.715),having homosexual behavior (aOR =1.973,95％ CI:1.234-8.358) or those having received AIDS related intervention service in the past year (aOR=9.416,95％CI:4.822-18.309) were more likely to accept the SMS.Conclusion SMS seemed to be acceptable among the male STD clinic clients in Wuxi,suggesting that it is feasible to conduct the SMS as a strategy to improve the HIV/STDs testing program at the STD clinics in the future.Promotion of SMS should be strengthened and the provision of general AIDS intervention service at the STD clinics should be established in order to make more STD clinic clients understand this SMS.
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Aims: To explore the pattern of unmet medicine information needs of hypertensive patients on long term therapy and their attitude to use of SMS (mobile phone short message service) for medicine information exchange with hospital pharmacists. Sample: 117 hypertensive patients on long term therapy who had been accessing care for at least one year. Study Design: An exploratory medicine information exchange programme followed by a cross-sectional survey. Place and Duration of Study: Outpatient Clinic of Department of Cardiology at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria between October, 2010and May, 2011. Methods: Patients were prompted with SMS twice weekly for 5-8 months for use of their medication with advice to send their medicine information needs to the hospital pharmacist. Received messages were subjected to content analysis to identify their themes. A semi-structured questionnaire was used to explore patient attitude to the use of SMS. The 17-item questionnaire was designed on a 5-point Likert scale for responses with weights of 0-4. Data obtained were analysed using both descriptive and inferential statistics. These include frequencies and mean of weighted averages (MWA); tests of relationships, associations and of differences in means. Results: A total of 63 SMS texts were received from the respondents and 44% of the messages expressed medicine information needs. Majority of the enquiries were related to indications and adverse effects. The patients’ attitude to the use of SMS for medicine information exchange with pharmacists was generally positive (MWA=3.13) with no significant demographic effects. Some (46%) of the patients called for institutionalisation of the medicine information exchange programme. Conclusion: The unmet medicine information needs of chronic hypertensive patients in the study were related mainly to indications and side effects of prescribed and nonprescribed medications and the patients clamoured for use of SMS in redressing the anomaly.
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A total of 296 patients were randomly divided into short message group (n =153) and non short message group (n =143).The former group received short message service (SMS) for follow-ups while the latter group had routine oral follow-ups.The return visit rate,recall rate of glycosylated hemoglobin (HbA1c),HbAlc level and glucose control rate for diabetics were assessed after one-year follow-up.The return visit rate (96％) and recall rate of HbAlc (78％) in the short message group were significantly higher than those in the non-short message group (59％,25％,P ＜0.01 for both).The HbAlc level after one-year follow-up (6.51 ± 0.74) ％ was lower than that one year before (6.85 ± 1.26) ％ in the short message group.The glucose control rate after one year (82％) were significantly higher than that one year before in the short message group (65％) and that after one year in the non-short message group(59％,P ＜ 0.01).Use of SMS platform system for follow-ups and health education can effectively improve the return visit rate and glucose control rate,lower the HbA1c level.in diabetics.
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Objetivo: Evaluar la utilidad de los mensajes de texto (Short Message Service, SMS) para mejorar el rendimiento académico en estudiantes de medicina. Materiales y métodos: Se realizó un estudio experimental en estudiantes de medicina humana que asistieron a una academia de Anatomía Humana, quienes fueron separados en un grupo control (55 estudiantes) y un grupo experimental (36 estudiantes). Todos recibieron las mismas clases de anatomía. El grupo experimental recibió además once SMS con la intención de animarlos a dedicar más tiempo al estudio. Resultados: El porcentaje de estudiantes que llegaron a dar el examen final fue significativamente mayor en el grupo experimental (27,8%) que en el grupo control (10,9%) (p=0,0387). Sin embargo, no hubo diferencia significativa entre el porcentaje de estudiantes que aprobaron el examen final en el grupo experimental (4/10) y el grupo control (2/6) (p=0,7897). Conclusión: Se encontró que la asistencia al examen final fue mayor en el grupo experimental. Los SMS pueden ser de utilidad en la educación médica, y sus aplicaciones deberían ser estudiadas.
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PURPOSE: The purpose of this study was to investigate the effect of a short message service intervention on adherence to maximal barrier precautions (MBP) and catheter-related blood stream infections. METHOD: The data were collected from March to September, 2008, at an 826-bed university-affiliated hospital in Daejeon. The study participants were 24 physicians who were inserting central catheters and 133 patients (control group 78 and intervention group 55) with central catheter insertions. The researcher sent the message (adherence to MBP and optimal recommendations) to each internal medicine doctor using the short message service (SMS) for cellular phones. Messages were sent monthly for 3 months. Data were analyzed by chi-square test and t-test using SPSS 12.0 windows program. RESULT: Adherence to maximal barrier precautions was significantly increased from 44.9% to 69.1% (p=.006) after the SMS intervention. But changes in the rate of CRBSI (catheter related blood stream infection) between the intervention group (1.89) and the control group (4.45) were not significant (p=.323). CONCLUSIONS: The results indicate that the SMS intervention is effective in increasing the adherence to maximal barrier precautions and the SMS intervention can be recommended for utilization in infection control nursing practice.
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Humans , Catheter-Related Infections , Catheters , Cell Phone , Infection Control , Internal Medicine , Rivers , Text MessagingABSTRACT
Objective In order to promote service lever,hospitals started to use mobile phone text messages to construct short message platform. Methods Based on mobile phone text message services provided by China Mobile Inc. and China Unicom Inc,hospitals formulated platform service procedures including the service on demand system,booking a whole month and broadcasting; designed a variety of interactive processes of short message for business. Results Such platform can be used to apply reservation,notification for PACS,LIS reports,services for in-patient,information for managers and transaction among employees. Conclusion With such platform,hospitals will build up friendly relationship between doctors and patients,improve office automation system,and upgrade service lever. Along with this event,the future will open out bright prospects for us.