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1.
Article in English | WPRIM | ID: wpr-922834

ABSTRACT

@#Assessment is a critical component of the social work field. It is crucial, as it identifies the essential needs and wants of the client. Origami is a beneficial tool used by other mental health professionals to observe and evaluate children's dimensions such as social and motor skills, frustration, selfregulation, attention-concentration, and more however, little research has examined origami in the context of assessments used by social workers with children. This primarily qualitative case study explores how social workers can benefit from origami as an assessment tool for five to twelve-yearold children. Sixteen social workers (n=16) completed an online survey about the benefits of using origami to help assess and identify children's current issues. Twelve codes and four themes were created. Results correlate with previous mental health literature stating that origami is a helpful assessment aid tool to observe motor skills, follow directions, self-regulation, social skills, creativity, spatial awareness, problem-solving, concentration, and self-esteem among children. This research provides new knowledge to help social workers assess children. It provides social workers with a tool that other mental health professionals are benefiting from. Additionally, it introduced social workers to an assessment aid that is considered easy to use, non-threatening simple, and without a cultural barrier. Additionally, social workers interested in other ways to understand children also benefit from this research

2.
Article in English, Spanish | LILACS-Express | LILACS | ID: biblio-1177951

ABSTRACT

Introduction: The tool for assessing the Mental Health System of the World Health Organization has been used in different countries in different countries,by which examining the mental health system and identifying their problems along with finding out the instrumental problems are done simoltaneously. Objetive: this study was conducted in order to develop the means of evaluating the mental health system organization of the world health organization in iran. Method: This research is based on the implementation, analytical, and in terms of variables, combination (qualitative and quantitative), and purposeful, exploratory, and from the perspective of the result, an application that was carried out in six phases. Phase I: Review of texts that have been used to recognize the status of countries Different and Iran. Phase II: The status of mental health system in Khuzestan province was investigated and the problems of mental health system and instrumental problems were determined. Phase III: weaknesses and strengths of the mental health system evaluation tool were surveyed in Khuzestan province, Phase IV: To identify the key components of the WHO Mental Health Routing Program and the 2013-2015 operational plan for development of tools, in the fifth phase: The proposed components were embedded in each main field of the tool, and the content of the content validity and content validity index were evaluated by the experts. Result: Finally, 11 main components were identified and 95 questions were designed for them, which in the sixth phase these questions Mental Health Managers were given an exploratory and confirmatory factor analysis and identified their main factors and their impact on the development of the Mental Health Assessment System of the World Health Organization. Using PLS software from 11 components and 95 suggested questions, 6 factors influencing The development of tools has been identified whose impact coefficients include: Leadership and Governance (0.972), mental health and e-service use (0.929), Policy and Legislative Framework (0.697), status analysis (0.613), mental health services pattern for common disorders (0.413), mental health promotion services (0.259). Conclusion: The development of the Mental Health Assessment Tool of the World Health Organization in Iran will help identify the mental health gap and, with regard to the problems, will be the best pattern for providing mental health services


Introducción: La herramienta para evaluar el Sistema de Salud Mental de la Organización Mundial de la Salud se ha utilizado en diferentes países en diferentes países, mediante el cual el examen del sistema de salud mental y la identificación de sus problemas junto con el descubrimiento de los problemas instrumentales se realizan de forma simultánea. Objetive: este estudio se realizó con el fin de desarrollar los medios para evaluar la organización del sistema de salud mental de la organización mundial de la salud en Irán. Método: Esta investigación se basa en la implementación, analítica y en términos de variables, combinación (cualitativa y cuantitativa), y con una finalidad, exploratoria y, desde la perspectiva del resultado, una aplicación que se realizó en seis fases. Fase I: Revisión de textos que se han utilizado parareconocer el estado de países diferentes e Irán. Fase II: Se investigó el estado del sistema de salud mental en la provincia de Khuzestan y se determinaron los problemas del sistema de salud mental y los problemas instrumentales. Fase III: se examinaron las debilidades y fortalezas de la herramienta de evaluación del sistema de salud mental en la provincia de Khuzestan, Fase IV: para identificar los componentes clave del Programa de Enrutamiento de Salud Mental de la OMS y el plan operativo 2013-2015 para el desarrollo de herramientas, en la quinta fase : Los componentes propuestos se integraron en cada campo principal de la herramienta, y los expertos evaluaron el contenido de la validez de contenido y el índice de validez de contenido. Resultado: Finalmente, se identificaron 11 componentes principales y se diseñaron 95 preguntas para ellos, que en la sexta fase a estas Gerentes de Salud Mental se les realizó un análisis factorial exploratorio y confirmatorio e identificaron sus factores principales y su impacto en el desarrollo de la Salud Mental Sistema de evaluación de la Organización Mundial de la Salud. Utilizando el software PLS de 11 componentes y 95 preguntas sugeridas, se han identificado 6 factores que influyen El desarrollo de herramientas cuyos coeficientes de impacto incluyen: Liderazgo y Gobernanza (0,972), salud mental y uso de servicios electrónicos (0,929), Marco Político y Legislativo (0.697), análisis de estado (0.613), patrón de servicios de salud mental para trastornos comunes (0,413), servicios de promoción de salud mental (0,259). Conclusión: El desarrollo de la Herramienta de evaluación de salud mental de la Organización Mundial de la Salud en Irán ayudará a identificar la brecha de salud mental y, con respecto a los problemas, será el mejor patrón para proporcionar servicios de salud mental.

3.
Article | IMSEAR | ID: sea-203046

ABSTRACT

Breast cancer is a major health burden among Indian females in their young age. As the females came to know the disease isalready in advance stage. To get rid from the complications they have to undergo for mastectomy and after mastectomy they havedisturbed Psychophysiological Wellbeing. In the present methodological study researcher has developed PsychophysiologicalWellbeing Assessment Tool (PWAT) based on Roy's Adaptation Model after three rounds of item analysis and Delphi surveywith experts of different fields of nursing to assess their Psychophysiological wellbeing. After the finalization of PWAT it wasimplemented on 200 post mastectomy breast cancer patients who were under radiation therapy or chemotherapy and selected byNon- probability purposive sampling technique, in Rajinra Hospital Patiala. Data was collected and analyzed by using descriptiveand inferential statistics. Common consensus of experts was obtained from 72 pooled items to final version of PWAT with 38items. The reliability of instrument was estimated by using split half Chronbachs alpha which was r=0.87. Statistically all theitems of PWAT were found inter correlated and were compatible to each other. The mean score range of physiological well-beingwas 57.40 as compared to mean score range of the psychological well-being of breast cancer patients was 83.17.There waspositive correlation (0.347) between physiological wellbeing and psychological wellbeing at the level of 0.001. Thus it wasstatistically evident that if physiological well-being score increased then psychological wellbeing score also increased. Thus itmay be concluded that if the nurses would be equipped with PWAT, they will do quick assessment of psychophysiologicalwellbeing of post mastectomy breast cancer patients. Their timely intervention will help in decreasing re-hospitalizations ofpatients and help in cost containment for the health care industry which is the essence of quality care management.

4.
Article in Chinese | WPRIM | ID: wpr-905344

ABSTRACT

Spinal cord injury (SCI) is a common traumatic disease. Patients with limited mobility are prone to pressure injuries, which seriously affect the patient's rehabilitation process. The use of risk assessment scale can effectively predict the occurrence of pressure injuries. This article reviewed the pathogenesis, risk factors, and use of different risk assessment tools for patients with spinal cord injury, compared the content, assessment methods, applicable population, reliability and validity of each risk assessment scale, summarized the advantages and disadvantages of different assessment scales, and provided reference to choose the best risk assessment tool.

5.
Chinese Journal of Epidemiology ; (12): 127-130, 2020.
Article in Chinese | WPRIM | ID: wpr-798894

ABSTRACT

Frailty syndrome, caused by degenerative changes in the body and the body vulnerability due to a variety of chronic diseases, is associated with adverse outcomes, such as fall, disability and mortality. With the development of antiretroviral therapy, the average life span of HIV/AIDS patients is extended, the number of elderly living with HIV/AIDS has increased, resulting the increase of the incidence of frailty syndrome in this population. The incidence of frailty syndrome in the elderly is associated with HIV infection and adverse reaction of antiretroviral therapy. Early assessment and intervention of frailty syndrome in elderly HIV/AIDS patients can reduce adverse clinical events and improve the quality of life.

6.
Article in English | WPRIM | ID: wpr-827361

ABSTRACT

Coping style is a cognitive or behavioral strategy taken by individuals in the face of stress. Positive coping style is of great significance for improving the physical and mental outcomes of elderly patients with urinary incontinence. Accurate assessment of coping styles for the elderly patients with urinary incontinence can provide reference for the subsequent development of intervention measures. The existing coping style assessment tools for elderly incontinence at home and abroad include specific scale of incontinence, relevant psychological assessment scale, and universal scale. In a word, the progress in the studies on relevant assessment tools is slow, and it mainly focuses on the assessment of female population. The assessment content is relatively single and lacks of pertinence and systematization. In the future, a comprehensive scale with strong adaptability should be developed based on the characteristics of elderly incontinence patients in China.


Subject(s)
Adaptation, Psychological , Aged , China , Female , Humans , Urinary Incontinence
7.
Chinese Journal of Epidemiology ; (12): 127-130, 2020.
Article in Chinese | WPRIM | ID: wpr-787696

ABSTRACT

Frailty syndrome, caused by degenerative changes in the body and the body vulnerability due to a variety of chronic diseases, is associated with adverse outcomes, such as fall, disability and mortality. With the development of antiretroviral therapy, the average life span of HIV/AIDS patients is extended, the number of elderly living with HIV/AIDS has increased, resulting the increase of the incidence of frailty syndrome in this population. The incidence of frailty syndrome in the elderly is associated with HIV infection and adverse reaction of antiretroviral therapy. Early assessment and intervention of frailty syndrome in elderly HIV/AIDS patients can reduce adverse clinical events and improve the quality of life.

8.
Article in English | WPRIM | ID: wpr-825497

ABSTRACT

@#ract Various standardised assessment tools have been used to evaluate children with disabilities. However, assessment tools that provide information on the movement and function of children with specific learning disabilities (SLD) are still limited. This article provides a narrative review of the characteristics of five movement and/or function assessment tools. The strengths and limitations of the tools will be highlighted. Empirical studies on the assessment tools used are reviewed based on three criteria: (i) standardised tools; (ii) assessment of movement and/or function; (iii) applicability to children with SLD ranging from 4–17 years of age and widely used in practice. The following instruments have been included as they have been found to fulfil the criteria: (i) the Bruininks-Oseretsky test of motor proficiency-2 (BOT-2); (ii) the movement assessment battery for children-2 (MABC-2); (iii) the pediatric balance scale (PBS); (iv) the Vineland adaptive behaviour scale-II (VABS-II) and (v) the pediatric evaluation of disability inventory-computerised adaptive test (PEDI-CAT). The article presents the characteristics, strengths and limitations of five standardised assessment tools that are currently in use, which measure the movement and/or function of children with SLD. This article concludes with a discussion of recommendations for the best approaches to evaluating the movement and functional abilities of children with SLD.

9.
Article | IMSEAR | ID: sea-201621

ABSTRACT

Background: Assessment of students in medical colleges was done by traditional practical examination for evaluation of practical or clinical skills, which is subjective in nature and suffer from lack of objectivity. So a uniform system of clinical and practical evaluation of medical students is always desirable. An objective structured practical examination (OSPE) is one such method believed to meet the deficiencies of the conventional system of practical/clinical examination. This study is an attempt to evaluate the effectiveness of OSPE as a formative assessment tool compared to traditional methods for M.B.B.S. students.Methods: A cross sectional comparative study was carried out on 56 MBBS students in KAMSRC, Hyderabad, Telangana. Students of 3rd year M.B.B.S were subjected to traditional practical evaluation followed by OSPE. A eight station OSPE was conducted one week after the TPE. The scores obtained in both were compared. All the data collected was entered and analyzed with MS excel software 2007.Results: Average marks scored by the students in OSPE (17.78±2.69) were higher as compared to traditional practical examination (15.00±3.49) which was statistically significant. 74.4% of the students strongly agreed that OSPE is fairer in comparison to traditional practical examination. 90.5% students strongly agreed that variability of examiner and patient can be removed to a large extent by OSPE.Conclusions: Based on the observation, OSPE was found to be a more effective assessment tool than traditional method.

10.
Article | IMSEAR | ID: sea-201487

ABSTRACT

Background: Worldwide elderly population is rapidly increasing. This is posing many challenges in elderly population. Malnutrition in them is one of the major problems but ignored component. Socio-economic, demographic and environmental factors are those greatly influence their nutritional status. Hence the present study was undertaken to assess the effect of socio-economic, demographic and environmental factors on nutritional status of elderly. Methods: The present study was a cross-sectional study which included 545 elderly population of Uchagaon subcentre and was carried out over a period of 1½ years. After selecting Uchagaon subcentre by simple random sampling technique and house to house survey was carried out to select eligible elderly participants who met the selection criteria. Data was collected from eligible elderly by using pretested questionnaire and Mini Nutritional Assessment (MNA) tool. Results: 65.1% were between the age group of 60-69 years. 55% were females, 66% were currently married, 60% had no formal schooling, 67.2% were belongs to socio-economic status of either class IV/V. 23.5% were malnourished and 49% were at risk of malnutrition. There was association found between nutritional status of elderly with increase in age, marital status, educational status, occupation, socio-economic status, type of family and housing condition. Conclusions: In the present study majority of the elderly were at risk of malnutrition. The nutritional status of elderly was associated with increase in age, marital status, educational status, occupation, socio-economic status, type of family and housing condition of rural elderly and subsequently modify those factors to improve the nutritional status of elderly and this can be a scope for further study in future.

11.
Article | IMSEAR | ID: sea-200082

ABSTRACT

Background: The study was designed to identify value of structured viva (SV) as an assessment tool, to ascertain its correlation with unstructured viva (UV) and to find relationship between viva and theory examination results.Methods: This prospective and observational study was conducted on a total of 135 students of the 2nd professional MBBS. All students faced two viva sessions (SV and UV), each of 10 marks on same topics in general pharmacology and autonomic nervous system. Time limit per student was 10 minutes. SV was conducted on pre-validated, standardized cards (n=40) with 5 questions in each card and 0.5 marks of each question. By draw of lots to be performed by students themselves, each student was given 4 cards. One week prior to the viva, the theory examination of 40 marks on same topics was conducted.Results: The mean marks of all students in SV (3.46�44) were significantly lower (P <0.0001) than those of UV (4.61�02). There was significant less deviation of mean marks in all groups of SV (P <0.05). The mean percentage marks of SV (34.63�.37%) had similarities with results of theory examination (34.67�.49%) (P=0.9720), while the difference between mean percentage marks of UV (46.15�.19%) and theory was statistically highly significant (P <0.0001).Conclusions: SV increases objectivity and reduces subjectivity as compared to UV because of similar pattern of questions, difficulty levels and standardised scoring system. SV provides an opportunity to measure how well students can apply knowledge. Thus, SV can be used for formative and summative assessment.

12.
Indian J Public Health ; 2019 Mar; 63(1): 51-57
Article | IMSEAR | ID: sea-198095

ABSTRACT

Background: With demographic shifts, there is an unprecedented increase in noncommunicable diseases, multimorbidity, and geriatric syndromes among older adults, especially in economically weaker sectors. However, there is no socioculturally appropriate tool to screen older adults for age-related health needs, multimorbidity, and geriatric syndromes at their doorstep. Objective: Our objective was to create a self-assessment tool, 搃ntegrated care tool� (ICT), and to assess its psychometric properties by applying it on older adults from multiple settings such as hospital, community, and old-age home (assisted living services). Methods: new questionnaire was developed using standardized procedure including item development, pilot testing, and psychometric validation. After obtaining the institutional ethics committee clearance, data were collected from consenting respondents attending the Outpatient Department of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi, community settings through health camps, and long-term care center, between May 2016 and February 2017. Data were computerized and analyzed by principal component analysis as extraction method and orthogonal varimax as rotation method. Results: The final 30-item questionnaire was arranged into various domains as per rotated component matrix analysis. Overall internal consistency of the final questionnaire, as calculated by Cronbach's alpha, was 0.79, and the measure of sampling adequacy was 0.79. Conclusion: ICT-BRIEF is a simple, self-assessment/caregiver-assisted tool to screen the health needs of older adults. This tool can be validated for developing risk score and scaled up to generate a large database to create elderly centered care plans.

13.
Article in Chinese | WPRIM | ID: wpr-905101

ABSTRACT

In the developed countries, long-term care insurance system is adopted to deal with the problem of long-term care for the elderly. The developed countries use long-term care assessment tools to assess the objective needs of the elderly, and then adopt a hierarchical management system to achieve rational allocation of resources. The development of long-term care assessment tools in the developed countries is relatively mature. Long-term care assessment tools in the development countries not only assesse the activities of daily living of the elderly and cognitive ability, but also pay more attention to the assessment of medical care. Presently, China's mainland region is also doing long-term care insurance system pilot. The assessment tools of the pilot cities mainly assess activities of daily living, cognitive ability and social participation. As the first city to enter an aging population in China, Shanghai's assessment tool is more comprehensive, which not only includes activities of daily living, cognitive ability and social participation, but also includes medical care. In line with the national community-home care model, Shanghai has also increased home environmental assessment. Taiwan, combined with our cultural background on the basis of foreign assessment tools, pays more attention to the load of primary caregivers, so as to reduce the pressure of informal caregivers.

14.
Chinese Critical Care Medicine ; (12): 916-919, 2019.
Article in Chinese | WPRIM | ID: wpr-754080

ABSTRACT

With advances in intensive care, more patients are surviving from critical illness, and post-intensive care syndrome (PICS) began to get people's attention. Early detection and intervention of PICS can improve the quality of life of intensive care unit (ICU) survivors and reduce the rate of re-hospitalization. However, effective, reliable, and easy-to-use assessment tools are the basis for early detection and evaluation of intervention outcomes. Thus, we introduce the evaluation tools for PICS from the perspective of universality or specificity, aim to provide reference for doctors or nurses to choose suitable assessment tools for PICS, and to provide reference for the development of localized assessment tools for PICS in China, so as to promote the related research of PICS.

15.
Article in Chinese | WPRIM | ID: wpr-823789

ABSTRACT

With the increase of life expectancy, the incidence of dementia has been steadily rising. At present, the elderly with dementia mainly live at home and rely on their family caregivers, which brings heavy economic pressure and physical and mental burden to caregivers. Understanding and timely assessing the needs of dementia family and building a home-based care model suitable for dementia can provide strong support for dementia family ,thereby reducing social medical care pressure .This article reviews the dementia need assessment tools, demand status and home care models of dementia family, aiming to provide tools for assessing needs and to provide reference for the establishment of home care model of dementia in line with the needsofdementia familyand China's national conditions.

16.
Article in English | WPRIM | ID: wpr-760737

ABSTRACT

OBJECTIVES: To compare and assess the performance of 6 osteoporosis risk assessment tools for screening osteoporosis in Malaysian postmenopausal women. METHODS: Six osteoporosis risk assessments tools (the Simple Calculated Osteoporosis Risk Estimation [SCORE], the Osteoporosis Risk Assessment Instrument, the Age Bulk One or Never Estrogen, the body weight, the Malaysian Osteoporosis Screening Tool, and the Osteoporosis Self-Assessment Tool for Asians) were used to screen postmenopausal women who had not been previously diagnosed with osteoporosis/osteopenia. These women also underwent a dual-energy X-ray absorptiometry (DXA) scan to confirm the absence or presence of osteoporosis. RESULTS: A total of 164/224 participants were recruited (response rate, 73.2%), of which only 150/164 (91.5%) completed their DXA scan. Sixteen participants (10.7%) were found to have osteoporosis, whilst 65/150 (43.3%) were found to have osteopenia. Using precision-recall curves, the recall of the tools ranged from 0.50 to 1.00, whilst precision ranged from 0.04 to 0.14. The area under the curve (AUC) ranged from 0.027 to 0.161. The SCORE had the best balance between recall (1.00), precision (0.04–0.12), and AUC (0.072–0.161). CONCLUSIONS: We found that the SCORE had the best balance between recall, precision, and AUC among the 6 screening tools that were compared among Malaysian postmenopausal women.


Subject(s)
Absorptiometry, Photon , Area Under Curve , Body Weight , Bone Diseases, Metabolic , Estrogens , Female , Humans , Malaysia , Mass Screening , Osteoporosis , Risk Assessment , Self-Assessment
17.
Article in Chinese | WPRIM | ID: wpr-803613

ABSTRACT

With the increase of life expectancy, the incidence of dementia has been steadily rising. At present, the elderly with dementia mainly live at home and rely on their family caregivers, which brings heavy economic pressure and physical and mental burden to caregivers. Understanding and timely assessing the needs of dementia family and building a home-based care model suitable for dementia can provide strong support for dementia family, thereby reducing social medical care pressure. This article reviews the dementia need assessment tools, demand status and home care models of dementia family, aiming to provide tools for assessing needs and to provide reference for the establishment of home care model of dementia in line with the needsofdementia familyand China's national conditions.

18.
Journal of Medical Biomechanics ; (6): E555-E559, 2019.
Article in Chinese | WPRIM | ID: wpr-802393

ABSTRACT

With the increasing life span of the population and the increasing proportion of the elderly population, the elderly with osteoporosis are prone to hip fractures, which brings heavy economic burdens to the family and society. The progress in predicting hip fractures from the aspects of the proximal femur geometry, bone mineral density (BMD), fracture risk assessment tool (FRAX) and finite element analysis (FEA) based on computed tomography (CT) imaging was reviewed, in order to understand the influencing factors of fracture risk, improve the accuracy of hip fracture risk prediction for the elderly, detect the high fracture risk group at an early stage, and hence to reduce the occurrence of fractures with appropriate preventing measures, and provide theoretical references for the prevention and treatment of hip fractures.

19.
Article in Chinese | WPRIM | ID: wpr-753943

ABSTRACT

Objective: To compare and analyze the patient perceived quality of care in primary health institutions within medical groups from the experience of Zhenjiang city in Jiangsu Province. Methods : Random selection was used picking the districts and community health centers. In this paper, one district was randomly selected from each medical group,and then one community health center (CHC) was randomly selected in the sample district. The Primary Care Assessment Tool survey (PCAT) was conducted in the sample primary health institutions. Thereafter, data analysis was conducted using the ddescriptive statistics and multi-linear regression methods. Results : Research results showed that the PCAT total score of CHC in Rehabilitation Medical Group (25. 21 ) was significantly higher than that in Jiangbin Medical Group (23.06) with the variation coefficient of β =2. 191. Except for the "extent of affiliation with a place" and " coordination (information systems),,,PCAT scores in all the other core domains were significantly higher in Rehabilitation Medical Group than those in Jiangbin Medical Group. Conclusion : Given the PCAT results, patients perception on quality of care in primary health institutions figuring in Rehabilitation Medical Group was better than those in Jiangbin Medical Group. The close relationship in management and technical skills, and the formation of interest allocation mechanism probably probably contributed into the way towards the results.

20.
Article in Chinese | WPRIM | ID: wpr-712504

ABSTRACT

Objective To evaluate the quality of primary healthcare institutions entrusted to private hospitals as seen by the consumers. Methods The vertical integrated model between Renhe Hospital and Lixian township health center was selected as the case study. Consumer survey data of both November 2016 and September 2017 were collected by using Primary Care Assessment Tool(PCAT) (n=376). Stata 14.0 and Excel 2013 were used for descriptive statistics and multiple linear regression. Results Scoring in such key domains as continuity, comprehensiveness and coordination, and the derivative domains was higher in 2017 than those of 2016. And the differences were significant except for the domain of continuity and coordination (referral). PACT total score in 2017 was 21.28,higher than 19.83 in 2016 and the difference was significant(P<0.01). Conclusions Under the vertical integrated model between Renhe and Lixian, the quality of primary healthcare institutions was improving from 2016 to 2017 from the perspective of consumers. First contact (accessibility), comprehensiveness (services availability) and community orientation of primary healthcare institutions need to be strengthened in the future.

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