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An appraisal of non-professional perspectives on occlusal anomalies and orthodontic careEspeland, Lisen V. January 1993 (has links)
Thesis--University of Oslo, 1993. / Includes bibliographical references.
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An appraisal of non-professional perspectives on occlusal anomalies and orthodontic careEspeland, Lisen V. January 1993 (has links)
Thesis--University of Oslo, 1993. / Includes bibliographical references.
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Three dimensions of sick role patients' expectations for care, dependency in illness, and skepticism of care /Juelsgaard, Nancy Ellen. January 1976 (has links)
Thesis (M.S.)--University of Wisconsin, School of Nursing. / eContent provider-neutral record in process. Description based on print version record.
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The experiences of patients receiving haemodialysis treatment in an open setting environment at an academic hospital in JohannesburgKhomba, Mayamiko Munthali 26 August 2014 (has links)
BACKGROUND: Patients receiving haemodialysis (HD) treatment experience a significant
symptom burden and their needs are multifaceted. In HD unit, patients receive treatment in a
diverse cultural and open ward setting. However, patients‟ experiences of receiving HD
treatment in an open ward setting are not known.
OBJECTIVES: The central aim of this study was to explore and describe the experiences of
patients receiving HD treatment in an open setting environment at an academic hospital in
Johannesburg.
DESIGN: A qualitative, exploratory and descriptive study was conducted at a public, tertiary
level academic hospital in Johannesburg after obtaining ethical approval from Wits University
and relevant authorities.
SETTING: The research setting for this study was an adult Chronic Renal Dialysis Unit.
POPULATION: Sixteen adult (age 18 and above) patients receiving chronic HD treatment
were recruited purposively in this study.
INTERVENTIONS: An in-depth semi-structured interview was conducted either before or
after receiving HD treatment, which was audio-recorded, transcribed then analysed by using
Giorgi Phenomenological method.
FINDINGS: A mood enhancer appeared a major theme as participants positively valued the
open setting environment for their overall and psychological well-being. Participants
expressed by being with others and sharing experiences, a sense of community likened to a
family developed. Common to all participants‟ language was the use of the “we” in relation to
being in the open setting environment. This expression of the “we” by participants was
interpreted as a community concept. The use of “we” associated with the concept of
community described as a space to which every patient receiving HD belonged. They
described their experiences in a collective manner. This was evident in repetitive reference to
their common space, being together, sharing experiences, and finding identity from one
another, being understood and a sense of being protected with personal relations that extend
beyond 10 years for some.
This open space contributed to shaping their perception of body image and illness. The nurse‟s
role in timeously providing HD care was appreciated by many.
However, being exposed to multiple situations of chronic illness and treatment a sense of fear
developed. Any negative event experienced, watched, observed, or heard in the HD unit
triggered fear in the patients. Two common fears were of HD complications and the constant
threat of death. Complications such as clotting, muscle cramps and collapsing because of
hypotension as well as watching somebody dying on the machine were all reported in this
study and so psychological counselling was felt to be very important.
CONCLUSION
The recommendations proposed in this study hopefully will assist HD staff to intervene and
make adjustments to support patients‟ holistic needs. Further studies into patients receiving
HD in open settings and mixed-gender space are required for diversity of experiences and
knowledge from different settings.
Keywords: Haemodialysis, hospital environment, open setting, patient experiences
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Help-seeking for depression in rural women a community portrait /Fisher, Vicky Mitchell, January 1900 (has links)
Thesis (Ph.D.)--Virginia Commonwealth University, 2005. / Title from title-page of electronic thesis. Prepared for: Dept. of Adult Health Nursing. Bibliography: leaves 107-116.
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Exploring health-seeking behaviour of disadvantaged populations in rural Bangladesh /Ahmed, Syed Masud, January 2005 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst., 2005. / Härtill 5 uppsatser.
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The consequences of revealing diagnosis and prognosis to cancer patientsPienschke, Darlene. January 1972 (has links)
Thesis (M.S.)--University of Wisconsin. School of Nursing, 1972. / eContent provider-neutral record in process. Description based on print version record.
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Behavioral factors and urinary tract symptoms in adult femalesStolder, Mary Ellen. January 1980 (has links)
Thesis (M.S.)--University of Wisconsin-Madison, 1980. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 47-52).
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Perceptions that adults with rheumatoid arthritis have of their disease and home care practisesThomson, Andrea Kjervik. January 1975 (has links)
Thesis (M.S.)--University of Wisconsin. School of Nursing, 1975. / eContent provider-neutral record in process. Description based on print version record.
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Clinical outcomes and patient retention in the antiretroviral roll-out programme at Letaba Hospital, Limpopo Province, South Africa.Semenya, Matshehla Mary-Anne Lebogang 24 April 2014 (has links)
The roll-out of antiretroviral drugs in South Africa started in March 2004. In Mopani
district, a rural district of Limpopo Province, the roll-out programme commenced in
October 2004. While many resources were invested in this program, no study has assessed
the clinical outcomes in this rural district. In addition, most studies conducted in South
Africa were conducted in urban and tertiary settings. Assessing clinical outcomes is
important in determining whether the program is making the desired clinical difference in
the lives of the patients and may serve as feedback into the program for quality
improvement purposes.
Methodology
The study was a retrospective record review of patients who were initiated on
antiretroviral (ARV) treatment between December 2007 and November 2008. A
structured questionnaire was used to collect data from 124 patient’s files and data was
collected up to November 2011. The data collected included patients’ socio-demographic
characteristics, clinical outcomes (CD4 count, viral load, presence of opportunistic
infections, adverse effects and hospital admissions recorded at 6, 12, 24 and 36 months),
the number of patients who were still attending the ARV clinic at 36 months and the
reasons why patients are no longer attending the clinic. Data was analysed with Epi-Info
and STATA.
Results
Of the 124 patients, 69% were females, 28% males and 3% did not have their sex
specified. The majority of the patients were between 30 and 49 years. There was a
significant improvement in CD4 count and viral load between baseline and all timeperiods
after the initiation of ARV treatment. The mean CD4 count at baseline was 128The roll-out of antiretroviral drugs in South Africa started in March 2004. In Mopani
district, a rural district of Limpopo Province, the roll-out programme commenced in
October 2004. While many resources were invested in this program, no study has assessed
the clinical outcomes in this rural district. In addition, most studies conducted in South
Africa were conducted in urban and tertiary settings. Assessing clinical outcomes is
important in determining whether the program is making the desired clinical difference in
the lives of the patients and may serve as feedback into the program for quality
improvement purposes.
Methodology
The study was a retrospective record review of patients who were initiated on
antiretroviral (ARV) treatment between December 2007 and November 2008. A
structured questionnaire was used to collect data from 124 patient’s files and data was
collected up to November 2011. The data collected included patients’ socio-demographic
characteristics, clinical outcomes (CD4 count, viral load, presence of opportunistic
infections, adverse effects and hospital admissions recorded at 6, 12, 24 and 36 months),
the number of patients who were still attending the ARV clinic at 36 months and the
reasons why patients are no longer attending the clinic. Data was analysed with Epi-Info
and STATA.
Results
Of the 124 patients, 69% were females, 28% males and 3% did not have their sex
specified. The majority of the patients were between 30 and 49 years. There was a
significant improvement in CD4 count and viral load between baseline and all timeperiods
after the initiation of ARV treatment. The mean CD4 count at baseline was 128 The roll-out of antiretroviral drugs in South Africa started in March 2004. In Mopani
district, a rural district of Limpopo Province, the roll-out programme commenced in
October 2004. While many resources were invested in this program, no study has assessed
the clinical outcomes in this rural district. In addition, most studies conducted in South
Africa were conducted in urban and tertiary settings. Assessing clinical outcomes is
important in determining whether the program is making the desired clinical difference in
the lives of the patients and may serve as feedback into the program for quality
improvement purposes.
Methodology
The study was a retrospective record review of patients who were initiated on
antiretroviral (ARV) treatment between December 2007 and November 2008. A
structured questionnaire was used to collect data from 124 patient’s files and data was
collected up to November 2011. The data collected included patients’ socio-demographic
characteristics, clinical outcomes (CD4 count, viral load, presence of opportunistic
infections, adverse effects and hospital admissions recorded at 6, 12, 24 and 36 months),
the number of patients who were still attending the ARV clinic at 36 months and the
reasons why patients are no longer attending the clinic. Data was analysed with Epi-Info
and STATA.
Results
Of the 124 patients, 69% were females, 28% males and 3% did not have their sex
specified. The majority of the patients were between 30 and 49 years. There was a
significant improvement in CD4 count and viral load between baseline and all timeperiods
after the initiation of ARV treatment. The mean CD4 count at baseline was 128 cells/mm3; it increased to 310 cells/mm3 at 6 months, 380 cells/mm3 at 12 months and 470
cells/mm3 at 24 months. By 6 months, 67% of the patients had achieved viral suppression,
but at 24 months, patients started having viral rebound. During the study, 20 patients fell
pregnant and four patients fell pregnant twice. Overall, pregnant patients had a
significantly higher viral load compared to non-pregnant patients (p-values = 0.015 at 6
months, 0.002 at 12 months and 0.027 at 24 months). Seventy two percent of patients were
retained in the program at 36 months. Of the 28% that were no longer attending the clinic,
11.3% were transferred to other institutions, 6.5% were down referred to clinics, 3.2%
died, 3.2% defaulted and 3.2% were lost to follow-up.
Conclusion
This study shows that good clinical outcomes can be achieved within an antiretroviral rollout
program in a rural hospital. The biggest magnitude of clinical benefits was observed in
the first six months after the initiation of ARV treatment with threats of viral rebound
thereafter. There was good patient retention at 36 months after initiation of ARV treatment
and a significant difference in viral load between pregnant and non-pregnant patients. The
high rate of unplanned pregnancy signifies the need to place closer attention to family planning among female patients on antiretroviral treatment.
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