Pakuotės lapelis, tai įstatymu reglamentuota informacija apie konkretų vaistą, skirta pacientui ir esanti vaisto pakuotės viduje. Pagrindinis reikalavimas pakuotės lapeliui – gyventojams jis turi būti aiškus ir suprantamas. Pakuotės lapelis kaip ir kiti rašytiniai šaltiniai iš esmės yra svarbi priemonė pacientams sveikatos švietimo klausimais. Jie skirti tam, kad papildytų ir sustiprintų žinias po konsultacijų ir didintų gydymo efektyvumą. Tikslas. Įvertinti visuomenės vaistinės pacientų požiūrį į kartu su vaistu gaunamą pakuotės lapelį. Tyrimo metodas. Tiriami buvo vaistinės pacientai perkantys vaistus Lietuvos vaistinėse. Tyrimo metu buvo apklausta 360 pacientų skirtingose Lietuvos vietovėse. Apklausos buvo vykdomos Lietuvos didmiestyje, miestuose ir kaimo regionuose. Tyrimui atlikti buvo naudojama anoniminė anketinė apklausa. Tyrimo anketa buvo sudaryta iš 17 klausimų. Trys klausimai apie vaistus, vienas klausimas apie informacinius šaltinius, kuriais pacientas naudojasi, penki klausimai apie pakuotės pakuotės lapelį ir aštuoni asmeniniai klausimai apie respondentą. Tikslinamajam tyrimui atlikti buvo naudojama anoniminė anketinė apklausa. Jo metu apklausti 33 pacientai, norint patikrinti duomenis, gautus pirmojo tyrimo metu. Apklausos buvo atliekamos skirtingose Kauno vaistinėse. Apklausoje buvo orientuojamasi į pacientų nurodomus pakuotės lapelių trūkumus, bei į informacijos naudingumo tyrimą, įvertinant tai, ką pacientai lapelyje mano esant svarbiausia. Rezultatai. 9... [toliau žr. visą tekstą] / Package leaflet is regulated by the law with the neccessary information about a particular drug and contained inside the package of drug. The main requirement of the package insert - it must be clear and understandable. Leaflet as well as other written sources of the substance is an important tool for patient education. They are designed to complement and enhance the knowledge and effectiveness of treatment. Objective: To evaluate pharmacy patients approach on drug- derived package leaflets. Methods: 360 pharmacy patients in different locations of Lithuania. Survey was made in three types of areas: big city, town and rural area. The survey was carried out using an anonymous questionnaire. The study questionnaire consisted of 17 questions. Three questions about the drugs, a question about information sources, five questions on the package leaflet and eight personal questions about the respondent. Control study was carried out using an anonymous questionnaire.. During the 33 patients interviewed, in order to verify the data obtained in the first study. Survey has been carried out in Kaunas in different pharmacies. The survey was tailored to patients' leaflet usefulness of the information, assess what the patient considers most important. Results: The public recognizes the leaflet as a key of written drug information source. 97 percent of surveyed patients were satisfied with the idea of package leaflet. Survey of patients revealed that the leaflet was always read by 78.9 per... [to full text]

Class of 2009 Abstract / OBJECTIVES: Truck drivers one of the most vital components of a country’s economy, and also one of the most medically underserved populations. To date, few studies have explored the healthcare needs of over the road truck drivers. The objective of this study is to determine if a need exists for the creation of a healthcare education program for over the road truck drivers and if retail pharmacy could be an effective setting for such a program. METHODS: A needs assessment analysis was used to examine available literature concerning the healthcare of over the road truck drivers. A multi-question survey was designed to illicit the feasibility of initiating a healthcare education program to over the road truck drivers in a retail pharmacy setting. This survey was administered to third year pharmacy interns, and 67 completed surveys were collected. RESULTS: Statistics from the selected literature showed over the road truck drivers had increased health risks and barriers to receive proper healthcare. Sixty-two percent of the pharmacy interns felt they could help provide healthcare education to over the road truck drivers, but 71% of interns felt that management wanted to have as little time as possible expended providing education and counseling. CONCLUSIONS: Over the road truck drivers are at increased risk of healthcare problems due to the demands of the profession and a healthcare education program is warranted to help

Class of 2017 Abstract / Objectives: The aim of this project was to assess community-dwelling older adults’ knowledge of prescription and Over-the-Counter (OTC) medications associated with fall risk, then provide an online educational intervention tailored to older adults on the topics they answer incorrectly. The knowledge assessment of the missed questions will be repeated after the online education to detect the effectiveness of the online intervention in increasing the knowledge of community-dwelling older adults. Methods: This study used an interventional design with pre-test, post-test survey method to quantitatively analyze community-dwelling older adults’ knowledge on medication-related fall risk. The persons taking the survey were community dwelling older adults, 65 years of age and older, living in the greater Tucson and Phoenix areas. Data was obtained through an online Qualtrics questionnaire between February 1, 2016 and February 1, 2017. The survey respondents answered questions regarding prescription and OTC medications associated with fall risk. For the questions they answered incorrectly, an online educational intervention tailored to older adults was provided immediately. The knowledge assessment of the missed questions was repeated after the online education to detect the effectiveness of the intervention. Results: Questionnaires were completed by 302 community-dwelling older adults. The mean age of the participants was 79 (range 65 to > 96), and majority were women (61.2%). A majority of respondents (53.87%) reported falling once in the last 5 years. Of the total participants, 50% were taking between 5 and 9 prescribed medications and 56% taking 0 to 4 OTC medications. The primary outcome of this study is that online education was effective in educating community dwelling older adults on medication-related fall risk. Patients whose pharmacist had previously educated them did not directly correlate with better performance on the pretest than those who did not receive counseling. Participants that received online education during the survey improved their score from 69% before education to 84% post education. Conclusions: The online educational intervention on medication-related fall among older adults was effective and informative. Such educational strategy may be used by pharmacists to educate older patients using medications that may increase fall risks.

Purpose: This study investigates knowledge about HPV and examines if pediatric dental providers should include HPV education for guardians of patients 10-18 years. Methods: Legal guardians of 10-18 year-old patients of the Virginia Commonwealth University Pediatric Dental Clinic were enrolled in this prospective cohort study. Participants completed a baseline survey, were provided HPV education, completed an initial follow-up survey, and then completed a 6-month follow-up survey. Results: A total of 54 participants completed the baseline and initial follow-up surveys and 17 completed the 6-month follow-up survey. The average number of correct responses was 3.4 of 6 knowledge questions, which significantly improved to 5.4 at follow-up (P<.0001). The greatest increase in the percent responding correctly was regarding HPV and oropharyngeal cancer from 22% baseline to 91% at initial follow-up (P<.0001). Regarding Stage of Change, 14 (23%) of those not initially in the Action group had improved at least 1 stage. At the 6-month follow-up, 3 (43%) guardians reported completing the HPV vaccine series. Conclusions: These results demonstrate limited knowledge about HPV and highlight the pediatric dental provider’s ability to educate. Since the greatest knowledge gap pertained to HPV and oropharyngeal cancer, it is important for pediatric dental providers to increase their role in HPV education. As oral cancers are the purview of dentists, practitioners should be involved with their patients’ consideration of the HPV vaccine.

Purposes/Aims: The aim of this study was to create a web-based brokerage of patient decision-making aids, titled Split Decision™, and to evaluate student nurse and student nurse practitioners' intent to use and recommend the prototype website based on their perceived usability, usefulness and satisfaction. Rationale/Background: Adult patients frequently report confusion about treatment options, hindering their ability to fully participate in healthcare decision-making. Over 500 patient decision-aids exist on the internet, but are scattered across dozens of websites. Creation of a web-based decision-aid platform would utilize the existing information-seeking habits of patients, but provide them with evidence-based information when evaluating treatment options. Methods: Exemplar decision-aids were chosen from the 563 decision-aids published in the Ottawa Research Institute database and posted on a decision-aid brokerage website. Online access to the website was offered to study participants (n=29) from May to June 2016. Demographic information, quantitative and qualitative responses were collected from each website user and analyzed to evaluate perceived usability, satisfaction, and intention to use the pilot website. Results: Usability of the Split Decision™ website was found to be above average on Systems Usability Scale ratings. Participants rated the website highest on visual appeal and clear terminology on quantitative measures. Qualitative responses cited confusion with the navigation of pages and hyperlinks as areas of future improvement. Conclusion: Study participants expressed a hope for future expansion of the website to other topics and patient populations. Further study of the Split Decision™ website will be planned to test revisions suggested during by participants during this doctoral project.

Nous cherchons à comprendre et à expérimenter la création d’un dispositif d’action collective coordonnée autour de parcours de soins, que nous avons appelé CareHolder. Ce dispositif se caractérise par sa gouvernance, des instruments, des activités et des acteurs marqués par leur diversité, sans liens organisationnels prédéfinis et qu’aucune autorité supérieure n’oblige à travailler ensemble. Nous appuyant sur la perspective du sensemaking et du sensegiving (Weick), nous avons posé l’hypothèse que la construction collective de sens puisse être à l’origine d’une construction sociale s’organisant ex-nihilo. Nous analysons ce processus de construction à deux niveaux d’analyse : 1) le déploiement du processus de création collective de sens comme construction d’un processus social basé sur la mise en sens d’une activité collective de soin (l’Éducation Thérapeutique du Patient) et 2) le rôle du sensegiver dans sa capacité à soutenir le «CareHolder». L’Éducation Thérapeutique du patient est ici envisagée comme outil thérapeutique et comme outil managérial. Nos principaux résultats ont mis en évidence les habiletés du sensegiver dans ce processus de construction, qui sont au nombre de trois, à savoir sa capacité à : 1) mettre en relation les acteurs, 2) favoriser l’équivocité pour animer et régénérer une vision et 3) savoir ancrer ce qui émerge des relations en jouant sur des éléments rituéliques et en permettant aux acteurs de « prendre place » dans cet environnement nouveau de travail collectif avec le patient. Nous suggérons des recommandations empiriques et des pistes de recherches futures / We are trying to understand and experiment with the creation of a collective action program that is coordinated around approved health care pathways. This program is called CareHolder, and is based in an area not far from a large city in the Provence-Alpes-Côte d’Azur region. It distinguishes itself for its governance, tools, activities, and for its key players marked by their diversity, without any predefined organizational links and without a higher authority requiring them to work together. By relying on the perspectives of sensemaking and sensegiving (Weick), we have stated the hypothesis that the collective sensemaking process is at the root of a social structure organized ex-nihilo. We shall analyze this process on two analytical levels: 1) the unfolding of the collective sensemaking process as the development of a social process based on giving sense to a collective healthcare program (Therapeutic Patient Education), and 2) the role of the sensegiver in its capacity to support the “CareHolder”. The Therapeutic Patient Education is here envisaged both as a therapeutic tool and as a managerial tool. We have analyzed the emergence and the implementation of the CareHolder over several years. Our main results have highlighted the three skills of the sensegiver during the collective sensemaking process: 1) bringing the players together, 2) promoting equivocality to encourage and clarify an outlook, and 3) being able to anchor what emerges from the relations by relying on ritualistic elements and enabling the players to ‘settle into’ this new collective working environment with the patient. We propose empirical recommendations and future research paths

The objective of this study was to determine whether 11 independent variables or combinations of variables help to predict a diabetes-related hospital readmission for patients with diabetes within 60 days from discharge. The variables were categorized into four main groups: (a) patient characteristics, (b) lifestyle, (c) biomarkers, and (d) disease management aspects. A convenience sample of 389 historical medical records of patients who were admitted to a rural hospital in northeastern North Carolina with a diagnosis of, or relating to, diabetes was studied. After comparing predictive discriminant analysis (PDA) and logistic regression (LR), PDA performed better and was chosen to analyze a convenience sample of patients admitted to the hospital for a diabetes-related diagnosis from January, 2004 to December, 2006. The best overall subset accurately classified 27 cases with six predictors that included (a) systolic blood pressure, (b) smoking status, (c) blood glucose range, (d) ethnicity, (e) diabetes education, and (f) diastolic blood pressure. In an effort to simplify the prediction process, the subsets of two predictors were examined. The results of the analysis returned four subsets of 2-predictor variable combinations that correctly classified cases for readmission. Each of the four subsets has two predictors that are statistically and practically significant for predicting readmissions for a diabetes-related problem within fewer than 60 days. These combinations are the predictor subsets of (a) smoking status and being treated by a specialist or non-specialist physician, (b) a religious affiliation or a lack thereof and smoking status, (c) gender and smoking status, and (d) smoking status and ethnicity. / by Darwin E. Asper. / Vita. / Thesis (Ph.D.)--Florida Atlantic University, 2009. / Includes bibliography. / Electronic reproduction. Boca Raton, Fla., 2009. Mode of access: World Wide Web.

Etude 1 : Peu d’études à notre connaissance, s’intéressent à comprendre les raisons d’acceptabilité ou de refus d’un programme, elles sont souvent limitées à l’approche qualitative et en nombre de participants. La première partie de nos résultats montre qu’il existe un profil de patients « adhérents » à l’ETP avec des différences en termes d’excès de poids, de souffrance psychologique, de tendances comportementales et confirme le rôle du schéma de dépendance affective dans l’adhésion à l’ETP. La seconde partie des résultats montrent que les tendances comportementales ne suffisent pas à elles seules à expliquer les raisons qui poussent un patient à participer à un programme et met en avant l’influence des perceptions du patient sur l’adhésion à l’ETP. En effet, un profil internalisant serait davantage actif dans la recherche de solutions et d’informations concernant la chirurgie ou en participant à des groupes.Etude 2 : Les études ont démontré l’efficacité de l’ETP sur un plan biopsychosocial, pédagogique (acquisition de connaissances et de compétences) et sur la qualité de vie du patient obèse. Or aucune étude n’explore l’évolution des variables biopsychosociales après une ETP préparant à la chirurgie bariatrique. Les résultats montrent que la chirurgie apporte de nombreux bénéfices au patient en améliorant la perte de poids, l’anxiété, l’inhibition comportementale et la qualité de vie du patient opéré. Toutefois, la participation impacte les variables d’anxiété et d’évitement. L’analyse qualitative explorant le vécu des transformations au cours de la première année, corrobore les résultats de l’analyse quantitative. En effet, les patients ETP ont acquis des compétences émotionnelles et sociales leur permettant de verbaliser les changements liés à la chirurgie pouvant impacter la qualité du bien-être psychosocial et alimentaire.Etude 3 : Aucune étude n’explore l’influence d’un profil de patient adhérent à l’ETP sur la qualité de vie postopératoire. Nos résultats mettent en avant l’influence de certaines variables telles que l’affectivité positive, la dépendance à la récompense, un jeune âge et une perte de poids satisfaisante sur la qualité de vie. Cette étude valide notre hypothèse de recherche : la qualité de vie dépend de modérateurs psychopathologiques qui sont l’anxiété, la dépression, de facteurs personnels comme l’âge, la dépendance à la récompense mais aussi de facteurs biomédicaux comme l’IMC postopératoire. / Study 1: Few studies to our knowledge concentrate on understanding the reasons for acceptation or refusal of a program, they are often limited to a qualitative approach and in number of participants. The first part of our results shows there is a profile of patients ‘adhering’ to TPE with differences in terms of weight excess; psychological suffering; behavioral tendencies; and confirms the predictive role of the affective dependence schematic in TPE adhesion. However, the second part of the results shows that behavioral tendencies do not suffice by themselves in explaining the factors that push patients to participate in a program and brings to light the influence of patient perception on TPE adhesion. Indeed, an internalizing profile would be more active in the research of solutions and complementary information concerning surgery or in participating in groups.Study 2: Studies show the effectiveness of TPE on the biopsychosocial, educational (acquiring information & skills) levels and on the quality of life of the obese patient. However, no study investigates the evolution of biopsychosocial variables after a TPE preparing to bariatric surgery. Results show that surgery contributes to numerous benefits for the patient including weight loss, anxiety reduction, behavioral inhibition and quality of life improvement. However, participation impacts anxiety and avoidance variables. The qualitative analysis exploring the way transformations are lived throughout the first year corroborates the results of the quantitative analysis. As a matter of fact, TPE patients acquire emotional and social skills allowing them to verbalize the changes linked to the surgery that may impact the quality of psychosocial and dietary well-being.Study 3: No studies explore the influence of a TPE-adhering patient’s profile on post operatory quality of life. Our results bring forth the influence of specific variables such as positive affect, reward dependence, young age, and a weight loss, satisfactory on quality of life. This study validates our research hypothesis: quality of life depends on psychopathological moderators which are anxiety, depression, personal factors such as age, reward dependency ; but also on biomedical factors such as post operatory BMI.

I Sverige insjuknar varje år minst 25-30 000 människor i stroke. Risken att drabbas ökar med starkt stigande ålder. De flesta som drabbas är över 65 år. Människor som drabbats av stroke vårdas allt kortare tid på akutsjukvård vilket kan innebära att närstående får ta ett större ansvar efter utskrivning. Flera studier visar att informationsbehovet kring stroke är stort, men de flesta studier bygger på vad den drabbade behöver för information. Få studier är gjorda som konkret visar vilken information närstående efterfrågar under vårdtiden. För att kunna förbättra informationsgivningen på sjukhuset är det viktigt att ta del av närståendes egna upplevelser av vilken information de behöver få.Syftet är att beskriva hur information om den anhöriges sjukdom, vård och behandling erfars av närstående till personer som drabbats av stroke, under tiden den anhörige vårdas på sjukhus. Metoden som används är fenomenologi med ett livsvärldsperspektiv. Resultatet grundar sig på sex intervjuer med närstående. I analysen framträdde innebörden av hur information om den anhöriges sjukdom, vård och behandling erfars av de närstående och innebörden beskrivs som; ”Att vara oförberedd på att få information”, ”Att vara osäker på vem som har ansvar för min anhörige”, Att vara oinvigd om vad som sker under en dag på avdelningen”, samt ”Att känna oro inför utskrivning och framtiden”. Resultatet beskriver att samtliga informanter är överens om att mer information borde ges av vårdpersonalen och att grunden för all information och kommunikation kräver en engagerad och tillmötesgående vårdpersonal. / <p>Program: Fristående kurs</p><p>Uppsatsnivå: D</p>

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