Spelling suggestions: "subject:"atient centred approach"" "subject:"apatient centred approach""
1 |
Development of a health education programme for self-management of Type 2 diabetes in Edo State, NigeriaAfemikhe, Juliana Ayafegbeh January 2016 (has links)
Philosophiae Doctor - PhD / Diabetes is a chronic, metabolic disease that requires lifelong medical management, health education and self-management. According to a World Health Organisation report, there is a global increase in the prevalence of diabetes and even more so in the low-and middle-income countries, specifically Nigeria, which has the highest number of people with diabetes in the African region of the World Health Organisation. As a global issue, the positive health outcomes of diabetes are tied to health education and self-management of the disease and using the health resources of nations. However, in the context of limited resources in Nigeria, there is a need for improvement of health education in self-management of Type 2 diabetes. Health education that is provided in some Nigerian health facilities is reported to be unstructured, without patients’ active participation, not tailored to the needs and the interests of the patients and limited collaboration between multi-disciplinary professionals. In this context, the aim of the study was to develop a structured health education programme for self-management of patients with Type 2 diabetes, to facilitate the quality of the lives of these patients .An adapted intervention mapping framework provided a structured process for development of an evidenced based programme. A mixed method approach was followed. In the first phase of the study an exploratory descriptive qualitative research design was followed. A purposive sampling approach was used in selecting (i) participants, who were patients with Type 2 diabetes and (ii) health-care professionals working in two health-care institutions in Benin City, Edo State, Nigeria. In phase 1, Step1 of the research was a situation analysis, which consisted of conducting 30 semi-structured interviews with patients; observation of nurses providing health education; and five focus group discussions with health-care professionals (nurses, dieticians and social workers). Qualitative data analysis was accomplished through using Tesch’s (1990) steps of analysis to identify themes and categories. The situation analysis revealed, firstly, that there was a lack in the knowledge and self-management of Type 2 diabetes among patients. Secondly, that the health-care professionals acknowledged their collective role in health education and were burdened with the patients who were non-adherent to self-management. The result also revealed the necessity to change from a traditional teaching method to a structured educational process that is patient-centred. The second phase of the research was the stage of developing the educational programme through collaboration with the stakeholders (health-care professionals and patients with Type 2 diabetes) using the findings from the data-analysis of the first phase supported with literature. In phase 2, Step 2 was to develop matrices from the data analysis in Phase 1 for the programme. Step 3 added theory-based intervention methods and practical applications to the preliminary program and in Step 4 the programme was described. This was followed in Step 5 by preparing health-care professionals for offering the programme to patients and implementing and evaluating the programme. The evaluation of the programme was by means of a quantitative pilot study in which a pre-post-test in a quasi-experiment was conducted with 28 patients and qualitative interviews after the program and post intervention interviews with the participants. The evaluation showed that the program was effective in meeting its objectives. In Step 6 a plan for the adoption, implementation, sustainability and evaluation of future implementations was developed.
|
2 |
The views of female rape survivors regarding the management received at an emergency unit in the North West provinceMosang, Koonyatse Maureen January 2014 (has links)
Sexual assault is a global public health and human rights challenge which cuts
across all social classes. According to a literature review based on 50 studies
from around the world, between 10% and 50% of women have experienced
some act of physical violence while one in every four women experience sexual
violence by an intimate partner at some point in their lives. In an emergency unit
in the North West, South Africa there are policies, guidelines and procedures in
place with regard to the management of the rape survivors after the incident
which focus on a medical orientated approach. The views of female rape
survivors on their management are neglected; therefore management is not
patient-centred. The main objective of the study was to explore and describe the
views of the female rape survivors regarding the management they received in
emergency unit to enable the health care professionals to move towards a more
patient-centred approach in the management these patients.
Appreciative Inquiry was used a research methodology. A qualitative design
using purposive sampling was used to select the participants. Unstructured
interviews were conducted with 10 female rape survivors and Tesch steps were
used to analyse the data.
Three main themes were identified, namely 1) therapeutic environment, 2)
optimal healthcare received and 3) excellence in service delivery. With regard to
the disease orientated management received the female rape survivors found it
to be good. The participants voiced that it is important that female rape survivors
should have an opportunity to attend group therapy following the rape incident so
that they are able to support each other. / Dissertation (MCur)--University of Pretoria, 2014. / lk2014 / Nursing Science / MCur / Unrestricted
|
3 |
Association of patient quality of life with the degree of agreement in the perceptions of patient disability within the stroke patient-rehabilitation therapist dyad: a cross-sectional study in postdischarge rehabilitation setting / 脳卒中患者とリハビリテーション療法士の間における患者の障害に関する認識の一致の程度と患者の生活の質との関連:退院後のリハビリテーションにおける横断的研究Takashi, Naoki 24 January 2022 (has links)
京都大学 / 新制・課程博士 / 博士(社会健康医学) / 甲第23612号 / 社医博第118号 / 新制||社医||11(附属図書館) / 京都大学大学院医学研究科社会健康医学系専攻 / (主査)教授 近藤 尚己, 教授 伊佐 正, 教授 髙橋 良輔 / 学位規則第4条第1項該当 / Doctor of Public Health / Kyoto University / DFAM
|
Page generated in 0.1145 seconds