Factors related to Self-care Behaviors among Older Adults with Heart Failure in Thai Nguyen General Hospital, Vietnam
|
|
- Nelson Jenkins
- 6 years ago
- Views:
Transcription
1 Factors related to Self-care Behaviors among Older Adults with Heart Failure in Thai Nguyen General Hospital, Vietnam Nguyen Ngoc Huyen Master student in Gerontological Nursing, Faculty of Nursing, Burapha University, Thailand Pornchai Jullamate, Waree Kangchai Faculty of Nursing, Burapha University, Thailand Abstract Self-care behavior is well known to prevent frequent hospitalization and to reduce the mortality rates among older adults with heart failure. This descriptive correlational study aimed to explore the level of self-care behavior and to examine the relationships between related factors (gender, income, educational level, comorbidity, heart failure knowledge and social support) and self-care behaviors among older adults with heart failure. One hundred and twenty-six participants were conveniently sampled and participated into this study during January to March The data collection was performed at the Cardiology-Rheumatology Unit of Thai Nguyen General Hospital, Vietnam using four questionnaires: The Demographic and Clinical Data Form, The Dutch Heart Failure Knowledge Scale (with its reliability of.72), The European Heart Failure Selfcare Behaviors Scale-9 (with its reliability of.73), and The Multidimensional Scale Perceived Social Support (with its reliability of.74). Percentage, mean, standard deviation, Spearman Correlation Coefficient and the Pearson Product Moment Correlation Coefficient was used to analyze the data. The results revealed that the samples had low level of self-care behaviors of heart failure ( X =33.58, SD = 5.32). Knowledge of heart failure and social support statistically significant correlated with self-care behaviors (r =.66, and r =.53, p <.01, respectively). Nursing intervention programs in regarding of social support and knowledge of heart failure are recommended for enhancing self-care behaviors of older adults with heart failure. Keywords Heart failure, Older adults, Self-care behaviors. I. INTRODUCTION Heart failure (HF) is the only cardiovascular condition whose prevalence and incidence increase with age worldwide [1]. It mainly affects about 6-10% of the people aged over 65 years [2]. HF is the most common reason for hospitalization and readmission among older adults with heart failure [3]. It is reported that hospitalization rose from 877,000 to 1,106,000 in 2006, an increase of 171% in American [4]. Self-care behaviors are important to optimize heart failure patients to prevent serious complications and consequences. However, many patients with HF have inadequate selfcare behaviors [5]. Self-care behaviors among older adults with HF have been reported to be complex and difficult for them since patients must adhere to symptom monitoring, and treatment regimens [6]. One reason may be that the elderly have multiple age-associated changes in the most organ systems such as cardiovascular, respiration, digestion, vision, hearing, etc [7,8]. In The First International Conference on Interdisciplinary Research and Development, 31 May - 1 June 2011, Thailand 7.1
2 Nguyen Ngoc Huyen, Pornchai Jullamate, and Waree Kangchai addition to complexity of HF treatment regimens, most of older adult patients also have many co-morbid diseases [3]. Nonadherence to medication and lifestyle change are other major problems in older adults with HF [9]. Poor self-care behaviors with lack of adherence to a HF regimen lead to 20-60% of HF rehospitalization [10]. Despite improved selfcare behavior for adherence to treatment of HF, the mortality rate of HF remains high contributing to 300,000 deaths each year in the United States [11]. HF self-care behaviors are influenced by various factors including gender, educational level, income, co-morbidity, knowledge of HF and social support [12,13,14]. Nevertheless, findings from the literature review show inconclusive relationships among those factors and HF self-care behaviors. Additionally, those studies were performed in Western countries, which are culturally quite different from Vietnam. Although factors related to self-care behaviors had been widely discussed in the literature. However, formal study on this issue in Vietnam is limited. It is necessary to ascertain the relationships among those factors and such behaviors. Therefore, the aim of this study is to explore self-care behaviors and associated factors affecting such behaviors among older adults with HF in Thai Nguyen, Vietnam. II. METHODOLOGY This descriptive correlational study was conducted at Cardiology- Rheumatology Unit of Thai Nguyen General Hospital located in central of Thai Nguyen province, northeastern of Vietnam. It consists of 700 beds and is recognized as the greatest hospital in this province. The samples of 126 older adults with heart failure at the Cardiology-Rheumatology Unit of the Thai Nguyen General Hospital were recruited by convenient sampling method with the following criteria: age of 60 and over; had a medical diagnosis of heart failure, and had stable health condition with neither any serious complications nor cognitive impairment. Data were collected during January to March, Approval of the Institutional Review Board of the Faculty of Nursing, Burapha University, and the permission from the Director of Thai Nguyen General Hospital were obtained. Permission for using the instruments was also obtained. HF older adults who admitted to the Cardiology- Rheumatology Unit were invited to participate in this study, and they agreed to sign a consent form. The right of participants to withdraw from the study, as well as confidentiality was presented. They were interviewed to complete the questionnaires for 15 to 20 minutes. The completion of the questionnaires was checked at the end of each interview. Data were entered into a file in a statistical software program for analyzing. 1. Instruments 1.1. The Demographic and Clinical Data Form. It consists of two parts. The first part included items on age, gender, marital status, educational level, income, paying for the treatment, living condition. The second part was completed by the researcher and included information from the patient s medical record on aetiology of HF, and comorbid condition The Revised European Heart Failure Self-care Behavior Scale (EHFScBS-9) It was developed by Jaarsma (2009) [15] consisting of 9 items which covers information on the self-care behavior of patients with HF including daily weighing, fluid restriction, and medication, and contacting health care providers when they experience increased weight gain. The EHFScBS-9 is a 5-point Likert scale from 1 I completely agree to 5 I completely disagree. After discussing with the author of this instrument, the researcher converted the scoring by 5 I completely agree to 1 I completely disagree. Thus, higher score indicates better self-care behaviors. Special Issue of the International Journal of the Computer, the Internet and Management, Vol. 19 No. SP1, June,
3 Factors related to Self-care Behaviors among Older Adults with Heart Failure in Thai Nguyen General Hospital, Vietnam 1.3. The Multidimensional Scale of Perceived Social Support (MSPSS) It was developed by Zimet (1988) [16] aiming to measure the perceived social support. The MSPSS is a 12-item instrument to measure on three subscales of social support: (1) Significant Other Subscale (4 items), (2) Family Subscale (4 items), and (3) Friends Subscale (4 items). Each item was made on a 7-point Likert-type scale ranging from 1 very strongly disagree to 7 very strongly agree. Total mean score of social support ranges from 1 to 7. The more mean score the older adults with HF have, the higher received social support they perceive The Dutch Heart Failure Knowledge Scale (DHFKS) It was developed by Van der Wal (2005) [17] consisting of 15 multiple-choice items which is divided into three parts: (1) four items concerns HF in general, (2) six items evaluates on diet, fluid restriction and activity which measure HF treatment; and (3) five items measure symptoms and symptom recognition. For each item, a patient can choose one correct answer from three choices so 1 point is given, whereas a person receives 0 point when the answer is wrong or missing. The possible total score for knowledge of HF ranges from 0 to 15. The higher score the older adults with HF patient have, the better knowledge they have. 2. Psychometric properties of the instruments Translation and back translation of the original EHFScBS-9, DHFKS, and MSPSS were performed by three bilingual in English and Vietnamese by using back-translation technique as recommended [18]. Then the author confirmed all three back translation versions with the original authors. Internal consistency reliability of the EHFScBS-9 and MSPSS was.73, and.74, respectively; and the KR-20 of the DHFKS was Data analysis Descriptive statistics were used for the demographic data and for level of self-care behaviors. Pearson Product Moment Correlation Coefficient and Spearman Correlation Coefficient were used to examine the relationship between the independent and dependent variables. The significance level was set at.05 and statistical software program was used for all data analysis. III. RESULTS There are 61 male (48.4%), and 65 female (51.6%) with age ranging from 60 to 90 years old (mean age = 70.38). About 46% of participants were married and 34.1 % were widowed. The majority of patients (68.3%) had only complete general education. Most of them were lived with family (77.8%), and were paid their treat by health insurance (77.8%). The highest percentage (36.5%) of individual and family had a monthly income more than 6,500,000 VND (9,000 Bath). TABLE 1 DEMOGRAPHIC DATA OF HF PATIENTS (N=126) The First International Conference on Interdisciplinary Research and Development, 31 May - 1 June 2011, Thailand 7.3
4 Nguyen Ngoc Huyen, Pornchai Jullamate, and Waree Kangchai Most of subjects (50.8%) had no comorbidity. The finding of this study showed the low level of HF self-care behaviors ( X = 33.58, SD= 5.32). There were significant, moderate and positive correlations between knowledge of HF, social support and self-care behaviors (r =.66, and r =.53, p <.01, respectively). Gender, educational level, income, and comorbidity were no significant correlations with self-care behaviors (Table 2) IV. DISCUSSION Overall, the finding demonstrated that half of older adults with HF (50.9%) had low level of self-care behaviors. This finding is consistent with other studies which found that self-care behaviors of elderly with HF remain low [19]. Self-care behaviors might be difficult for older adults with HF because of age-related changes such as cardiovascular, respiration, digestion, vision, and hearing [8]. In this study, most of the participants (76.2%) had completed low education level. Therefore, when these factors are combined with lack of education, the complexities of self-care required for successful self-care of heart failure is compromised. Despite focusing on patient education on selfcare behaviors every month by the nurses at the Cardiology- Rheumatology Unit of Thai Nguyen General Hospital, the process of selfcare is not readily learned or understood by most patients with heart failure [20]. Clearly, selfcare must be learned, and it must be deliberately performed continuously in time [21]. The reason for this is that older adults cannot perform those behaviors, which may lead to low level of self-care behaviors among them. Knowledge of HF moderate correlates with self-care behaviors (r=.66, p <.01). This study revealed that most of patients (76.2%) had low educated, may be they have a low level of knowledge of HF. Orem, (2001) mentioned that knowledge is power that enables self-care; it must be specific and organized around meeting of known self-care requisites. Base on Orem s theory, older adults self-care behaviors are influenced by their knowledge about the specifics of HF self-care to perform the behaviors. To help patients meet their requirements for selfcare, greater attention needs to be given to understanding the inhibiting and promoting effects of Basic Conditioning Factors on self-care performance. In addition, knowledge about HF is also significantly related to adherence self-care behaviors in an elderly HF population [9]. These studies demonstrate that knowledge is a factor affecting the performance of self-care behaviors in patients with HF. In this study, the impact of knowledge on self-care behaviors among patients with HF is clear. Even though it is recognized that knowledge is essential for self-care, knowledge is not sufficient for older adults to perform selfcare behaviors. The results are consistent with previous reports in the literature review [14,22,23]. Social support had moderate and positive statistically significant relationship with selfcare behaviors (r =.53, p <01). The results are similar to previous studies by Gallager et al. (2011) [24] and Sayer et al. (2008) [25] which found that perceived of social support was significantly related to patients overall heart failure self-care. One possible explanation is that Vietnamese culture and tradition encourages young family members to care for older people especially parents till death [26]. It is noticed that approximately 77.8% of participants in this study lived with their family. In addition, social support from family and friends is associated with better HF treatment adherence [24]. This may be support older adults with HF to adhere to selfcare behaviors. Special Issue of the International Journal of the Computer, the Internet and Management, Vol. 19 No. SP1, June,
5 Factors related to Self-care Behaviors among Older Adults with Heart Failure in Thai Nguyen General Hospital, Vietnam Gender did not have a large influence on HF self-care behaviors, contrary to the results of Riegel et al. (1995) [27] which found that females reported taking better care of themselves than males. However, Lee et al. (2009) found that older HF patients were associated with worse self-care, especially response to symptoms which occur for both men and women. Thus, it may be explained why gender had no relation to self-care behaviors. Surprisingly, the relationship between educational level and self-care behavior should not be interpreted as suggesting that a patient who is lower educated cannot learn self-care. Because self-care is a process that patients can be taught. Older adults who had lower educational level may spend more time to learn self-care than do those who had high educational level [13]. In addition, educational level is always positively associated with income, which may influence self-care, although income was not a significant of self-care in this study. TABLE 2 RELATIONSHIPS BETWEEN GENDER, EDUCATIONAL, INCOME, CO-MORBIDITY, KNOWLEDGE OF HF, AND SOCIAL SUPPORT (N=126). Co-morbidity was not significant with HF self-care behaviors. 49.2% of subjects in this study had only one co-morbid condition. This can be explained that multiple comorbid conditions might be a barrier to prevent HF patients to perform self-care [28]. The presence of co-morbidities contributes to difficultly in self-care in four major areas: medication taking, dietary adherence, symptom monitoring, and decision making about how to manage multiple conditions [29]. However, the present study concerns about only HF older adults had comorbidity or not. The numbers of patients who had and had no co-morbidity are almost the same (49.2 % and 50.9%) therefore; it is not surprising that why this study did not find the relationship between co-morbidity and such behaviors. V. CONCLUSION AND RECOMMENDATION HF is a common condition in the older population. HF self-care behaviors are essential for patients with HF to master for achieving the best possible health outcomes. The important conclusions from the data reported in this study are that self-care behaviors among older adults in the Vietnamese population with HF were low level. Modifiable factors related to self-care behaviors include knowledge of HF and social support. Based on research findings, nurses can develop assessment plans to identify older adult patients with HF who have low selfcare behaviors. Nursing intervention programs regarding social support and knowledge of HF are recommended for enhancing self-care behaviors of older adults with HF. ACKNOWLEDGEMENT I would like to express my appreciation to the Faculty of Nursing, Burapha University for partial funding support I also would like to thank the staffs at the Cardiology Rheumatology Unit in Thai Nguyen General Hospital, and all participants who make a great contribution to this work. REFERENCES [1] S.A. Hunt, W.T. Abraham, M.H. Chin, A.M. Feldman, and G.S. Francis, et al, ACC/AHA 2005 Guideline update for the diagnosis and management of chronic heart failure in the adult Summary article: A report of the American College of Cardiology/American Heart Association task force on practice guidelines: Developed in collaboration with the international society for heart and lung transplantation, Circulation., Vol. 112, pp. e154-e235, Sep [2] J.J. Mc Murray, and M.A. Pfeffer, Heart failure, Lancet., Vol. 365, pp , May- Jun The First International Conference on Interdisciplinary Research and Development, 31 May - 1 June 2011, Thailand 7.5
6 Nguyen Ngoc Huyen, Pornchai Jullamate, and Waree Kangchai [3] M. Imazio, A. Cotroneo, G. Gaschino, A. Chinaglia and P. Gareri, et al, Management of heart failure in the elderly people, International Journal of Clinical Practice., Vol. 62, pp , Feb [4] American Heart Association. (2009). Heart disease and stroke statistics: Our guide to current statistics and the supplement to our heart and stroke facts 2009 Update At-A-Glance. Retrieved December 29, 2009, from [5] M. Lainscak, J.G.F. Cleland, M.J. Lenzen, I. Keber & K. Goode, et all, Nonpharmacologic Measures and Drug Compliance in Patients with Heart Failure: Data from the EuroHeart Failure Survey, The American Journal of Cardiology., Vol. 99, pp. 31D 37D, Apr [6] T. Jaarsma, H.H. Abu-Saad, K. Dracup, and R. Halfens, Self-care behavior of patients with heart failure, Scandinavian Journal of Caring Sciences., Vol. 14, pp , [7] B. Carlson, B. Riegel, and D. Moser, Self-care abilities of patients with heart failure, Heart Lung., Vol. 30, pp , Sep [8] C.A. Miller, Nursing for wellness in older adults, 5th ed., Lippincott Williams & Wilkins, [9] M.H.L. van der Wal, and T. Jaarsma, Adherence in heart failure in the elderly: Problem and possible solutions, International Journal of Cardiology, Vol. 125, pp , Apr [10] D.K. Moser, and J.F. Watkins, Conceptualizing self-care in heart failure a life course model of patient characteristics, Journal of Cardiovascular Nursing, Vol. 23, pp , May-Jun [11] National Heart, Lung, and Blood Institute (2010). Heart failure. Available: HF_WhatIs.html. [12] P.M. Chriss, J. Sheposh, B. Carlon, and B. Riegel, Predictors of successful heart failure self-care maintenance in the first three months after hospitalization, Heart Lung, Vol. 33, pp , Nov-Dec [13] J.M. Rockwell, and B. Riegel, Predictors of selfcare in persons with heart failure, Heart Lung, Vol. 30, pp , Feb [14] N.T. Artinian, M. Magnan, M.Sloan, and M.P. Lange, Self-care behaviors among patients with heart failure. Heart Lung, Vol.31, pp , May [15] T. Jaarsma, K.F. Arestedt, J. Martensson. K. Dracup, and A. Stromberg, The European heart failure self-care behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument, European Journal Heart Failure, Vol. 11, pp , 2009 [16] M.H.L. van der Wal, T. Jaarsma, D.K. Moser, and D.J. van Veldhuisen, Developing and testing of the Dutch knowledge heart failure scale, European Journal Cardiovascular Nursing., Vol. 4, pp , Dec [17] G. D. Zimet, N. W. Dahlem, S. G. Zimet, and G. K. Farley, The multidimensional scale of perceived social support, Journal of Personality Assessment., Vol. 52, pp , [18] E. S. Cha, K. H. Kim, and J.A. Erlen, Translation of scales in cross-cultural research: Issues and techniques, Journal of Advanced Nursing., Vol. 58, pp , May [19] W. Li-ping, W. Li-zil, and Z. Ke-dan, Investigation and analysis on self-care behaviors in elderly patients with chronic heart failure, Nursing Journal of Chinese People s Liberation Army, Nov [20] J. Cameron, L. Worrall-Carter, B. Riegel, S.K. Lo, and S. Stewart, Testing a model of patient characteristics, psychologic status, and cognitive function as predict of self-care in persons with chronic heart failure, Heart Lung, Vol. 38, pp , Feb [21] D. E. Orem, Nursing: Concepts of practice, 6 th ed., St. Louis, Mosby, [22] M.H.L. van der Wal, T. Jaarsma, D.K. Moser, N.J. Veeger, and W.H. van Gilst, et al, Compliance in heart failure patients: the importance of knowledge and beliefs, European Heart Journal, Vol. 27, pp , Feb [23] H. Ni, D. Nauman, D. Burgess, K.Wise, and K. Crispell, et al, Factors influencing knowledge of and adherence to self-care among patients with heart failure. Archives of Internal Medicine, Vol. 159, pp , Jun [24] R. Gallager, M.L. Luttik, and T. Jaarsma, Social Support and Self-care in Heart Failure, Journal of Cardiovascular Nursing, Mar [25] S.L. Sayers, B. Riegel, S. Pawlowski, J.C. Coyne, and F.F. Samaha, Social support and self-care of patients with heart failure. Ann Behav Med, Vol. 35, pp , Feb [26] L. Quynh and L. Thao, Cultural Attitudes of Vietnamese Migrants on Health Issues, Link: loadid=591, [27] B. Riegel, and I. Gocka, Gender differences in adjustment to acute myocardial infarction, Heart Lung, Vol. 24, pp , Nov-Dec [28] C.S. Lee, B., Riegel, A. Driscoll, J. Suwanno, and D.K. Moser, et al, Gender differences in heart failure self-care: A multinational cross-sectional study, International Journal of Nursing Studies, Vol. 46, pp , Apr [29] B. Riegel, D.K. Moser, S.D. Anker, L.J. Appel, and S.B. Dunbar, et al, State of the science: Promoting self-care in persons with heart failure: A scientific statement from the American Heart Association, Circulation, Vol. 120, pp , Aug Special Issue of the International Journal of the Computer, the Internet and Management, Vol. 19 No. SP1, June,
Factors Affecting Adherence to Self-care Behaviors among Outpatients with Heart Failure in Korea. Ok, Jong Sun 1 Choi, Heejung 2
Korean Journal of Adult Nursing (Korean J Adult Nurs) Vol. 27 No. 2, 242-250, April 2015 ISSN 1225-4886 (Print) / ISSN 2288-338X (Online) http://dx.doi.org/10.7475/kjan.2015.27.2.242 Factors Affecting
More informationPatients in Sudan. Department of Medical Nursing, Faculty of Nursing Al Neelain University, Khartoum, Sudan
Factors affecting treatment Compliance of Heart Failure a,b*, Imad Fadl-Elmula c a Department of Medical Nursing, Faculty of Nursing Al Neelain University, Khartoum, Sudan b Department of Nursing, Faculty
More informationCHAPTER - III METHODOLOGY
74 CHAPTER - III METHODOLOGY This study was designed to determine the effectiveness of nurse-led cardiac rehabilitation on adherence and quality of life among patients with heart failure. 3.1. RESEARCH
More informationLong-Term Compliance With Nonpharmacologic Treatment of Patients With Heart Failure
Long-Term Compliance With Nonpharmacologic Treatment of Patients With Heart Failure Maurice M W Nieuwenhuis, Tiny Jaarsma, Dirk J van Veldhuisen, Douwe Postmus and Martje H L van der Wal Linköping University
More informationDisease knowledge, self-care behaviours and life quality in heart failure: Experience of the Taiwan National Health care
Original Article Brunei Int Med J. 2011; 7 (5): 269-79 Disease knowledge, self-care behaviours and life quality in heart failure: Experience of the Taiwan National Health care Min-Hui LIU 1, Chao-Hung
More informationCompliance in heart failure patients: the importance of knowledge and beliefs
European Heart Journal (2006) 27, 434 440 doi:10.1093/eurheartj/ehi603 Clinical research Compliance in heart failure patients: the importance of knowledge and beliefs Martje H.L. van der Wal 1 *, Tiny
More informationAdherence to health behaviour advice in heart failure
Adherence to health behaviour advice in heart failure Prof. Nana Pogosova National Research Center for Preventive Medicine Moscow, Russian Federation Heart Failure (HF) As the final point for many cardiac
More informationHow does depression affect self-care?
How does depression affect self-care? I. Lesman-Leegte, Department of Cardiology University Medical Centre Groningen The Netherlands g.a.t.lesman-leegte@thorax.umcg.nl The University Medical Centre Groningen
More informationJBI Database of Systematic Reviews & Implementation Reports 2014;12(2)
The effectiveness of reducing dietary sodium intake versus normal dietary sodium intake in patients with heart failure on reducing readmission rate: a systematic review protocol Palle Larsen 1,4 Preben
More informationHEART FAILURE KNOWLEDGE AND PERFORMANCE OF SELF-CARE BEHAVIORS A RESEARCH PAPER SUBMITTED TO THE GRADUATE SCHOOL
HEART FAILURE KNOWLEDGE AND PERFORMANCE OF SELF-CARE BEHAVIORS A RESEARCH PAPER SUBMITTED TO THE GRADUATE SCHOOL IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE MASTER OF SCIENCE BY PEGGY TAULBEE
More informationDECLARATION OF CONFLICT OF INTEREST
DECLARATION OF CONFLICT OF INTEREST Socio-cultural influences of heart failure self-care among an ethnic minority population Victoria Vaughan Dickson, PhD, CRNP Assistant Professor Brookdale Fellow 2010
More informationCHAPTER 3. Research Methodology
CHAPTER 3 Research Methodology The research studies the youth s attitude towards Thai cuisine in Dongguan City, China in 2013. Researcher has selected survey methodology by operating under procedures as
More informationClinical Study Predictors of Better Self-Care in Patients with Heart Failure after Six Months of Follow-Up Home Visits
Nursing Research and Practice Volume 2013, Article ID 254352, 5 pages http://dx.doi.org/10.1155/2013/254352 Clinical Study Predictors of Better Self-Care in Patients with Heart Failure after Six Months
More informationValidation of the Russian version of the Quality of Life-Rheumatoid Arthritis Scale (QOL-RA Scale)
Advances in Medical Sciences Vol. 54(1) 2009 pp 27-31 DOI: 10.2478/v10039-009-0012-9 Medical University of Bialystok, Poland Validation of the Russian version of the Quality of Life-Rheumatoid Arthritis
More informationHeart Failure Self-Care in Developed and Developing Countries
University of Pennsylvania ScholarlyCommons School of Nursing Departmental Papers School of Nursing 8-2009 Heart Failure Self-Care in Developed and Developing Countries Barbara Riegel University of Pennsylvania,
More informationSOCIAL SUPPORT FOR MEDICATION ADHERENCE AMONG THAI PEOPLE WITH POST-ACUTE MYOCARDIAL INFARCTION: FACTOR ANALYSIS
Original Research Article 1 SOCIAL SUPPORT FOR MEDICATION ADHERENCE AMONG THAI PEOPLE WITH POST-ACUTE MYOCARDIAL INFARCTION: FACTOR ANALYSIS Rapin Polsook *, Yupin Aungsuroch, Sureeporn Thanasilp Faculty
More informationDeterminants of Psychological Distress in Chinese Older People with Type 2 Diabetes Mellitus
Determinants of Psychological Distress in Chinese Older People with Type 2 Diabetes Mellitus Y.L. TSANG 1, Doris, S.F. YU 2 1 Accident and Emergency Medicine Academic Unit, 2 The Nethersole School of Nursing,
More informationSelf-Efficacy as a Mediator in the Relationship between Social Support and Self- Care in Patients with Heart Failure
Available online at www.ijmrhs.com ISSN No: 2319-5886 International Journal of Medical Research & Health Sciences, 2017, 6(6): 157-162 Self-Efficacy as a Mediator in the Relationship between Social Support
More informationA SELF-COMPLETED NUTRITION SCREENING TOOL FOR COMMUNITY- DWELLING OLDER ADULTS WITH HIGH RELIABILITY: A COMPARISON STUDY
14 HUHMANN_04 LORD_c 05/03/14 09:39 Page339 A SELF-COMPLETED NUTRITION SCREENING TOOL FOR COMMUNITY- DWELLING OLDER ADULTS WITH HIGH RELIABILITY: A COMPARISON STUDY M.B. HUHMANN 1, V. PEREZ 2, D.D. ALEXANDER
More informationKeywords: consultation, drug-related problems, pharmacists, Theory of Planned Behavior
DEVELOPMENT OF A QUESTIONNAIRE BASED ON THE THEORY OF PLANNED BEHAVIOR TO IDENTIFY FACTORS AFFECTING PHARMACISTS INTENTION TO CONSULT PHYSICIANS ON DRUG-RELATED PROBLEMS Teeranan Charoenung 1, Piyarat
More informationMeasuring Perceived Social Support in Mexican American Youth: Psychometric Properties of the Multidimensional Scale of Perceived Social Support
Marquette University e-publications@marquette College of Education Faculty Research and Publications Education, College of 5-1-2004 Measuring Perceived Social Support in Mexican American Youth: Psychometric
More informationEffectiveness of heart failure management: what are the key components? T. Jaarsma
Effectiveness of heart failure management: what are the key components? T. Jaarsma tiny.jaarsma@liu.se HF management ESC HF Guidelines: Crucial characteristcs Effective Disease management Multi- facetted
More informationHYPERTENSION IN MEN WHO ARE BLACK, A MOBILE HEALTH FEASIBILITY STUDY (HIMB mhealth)
HYPERTENSION IN MEN WHO ARE BLACK, A MOBILE HEALTH FEASIBILITY STUDY (HIMB mhealth) Khalida Saalim SUMR Scholar Georgetown University Mentor: Lisa Lewis, PhD, RN, FAAN University of Pennsylvania School
More informationTitle Page. Title Behavioral Influences on Controller Inhaler Use for Persistent Asthma in a Patient-Centered Medical Home
Title Page Title Behavioral Influences on Controller Inhaler Use for Persistent Asthma in a Patient-Centered Medical Home Authors Sue J. Lee a, Kathleen J. Pincus a, PharmD, BCPS, Adrienne A. Williams,
More informationDepression and the Usefulness of a Disease Management Program in Heart Failure
Journal of the American College of Cardiology Vol. 55, No. 17, 2010 2010 by the American College of Cardiology Foundation ISSN 0735-1097/10/$36.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2009.11.082
More informationMOKP COST CONTAINMENT GRANT FINAL REPORT
MOKP COST CONTAINMENT GRANT FINAL REPORT Project Title: Helping Recipients Ask: The Effectiveness of Improved Health Education on Increasing Living Donation. Applicant Name: Amy D. Waterman, PhD Address:
More informationSelf-reported versus true adherence in heart failure patients: a study using the Medication Event Monitoring System
Neth Heart J (2012) 20:313 319 DOI 10.1007/s12471-012-0283-9 ORIGINAL ARTICLE Self-reported versus true adherence in heart failure patients: a study using the Medication Event Monitoring System M. M. W.
More informationImplementing Rapid Response Teams (RRT) National Call September 13, 2007
Implementing Rapid Response Teams (RRT) National Call September 13, 2007 Purpose By the end of this call, participants will have: Heard successes and learnings from Improvement Teams Updated information
More informationIranian Journal of Diabetes and Lipid Disorders; 2011; Vol 10, pp 1-6
Iranian Journal of Diabetes and Lipid Disorders; 2011; Vol 10, pp 1-6 Evaluation of psychometric properties of the third version of the Iranian Diabetes Attitude Scale (IR-DAS-3) Mohammad Yoosef Mahjouri
More informationInformation about the Critically Appraised Topic (CAT) Series
Information about the Critically Appraised Topic (CAT) Series The objective of the Doctor of Nursing Practice (DNP) program at George Mason University is to prepare graduates for the highest level of nursing
More informationFamily Expectations, Self-Esteem, and Academic Achievement among African American College Students
Family Expectations, Self-Esteem, and Academic Achievement among African American College Students Mia Bonner Millersville University Abstract Previous research (Elion, Slaney, Wang and French, 2012) found
More informationDr. Hala Hazam Al-Otaibi Department of Food Sciences and Nutrition, Community Nutrition College of Agriculture and Food Science, King Faisal
Dr. Hala Hazam Al-Otaibi Department of Food Sciences and Nutrition, Community Nutrition College of Agriculture and Food Science, King Faisal University Osteoporosis is a disease characterized by decreased
More informationGender Differences in Diabetes
523 Gender Differences in Diabetes Attitudes and Adherence JAMES T. FITZGERALD, PhD; ROBERT M. ANDERSON, EdD; WAYNE K. DAVIS, PhD This study focused on three questions: Is there a difference in men s and
More informationINFLUENCES ON SELF-CARE IN WOMEN WITH HEART FAILURE: A PILOT STUDY
Texas Medical Center Library DigitalCommons@TMC UT SON Dissertations (Open Access) School of Nursing Summer 8-2016 INFLUENCES ON SELF-CARE IN WOMEN WITH HEART FAILURE: A PILOT STUDY Joy Corcione Follow
More informationAs a country in economic transition, China faces fundamental barriers to
Challenges of Health Economics and Observational Research in China Graeme Jacombs, MA, MSc (with Marco DiBonaventura, PhD) China Healthcare Reform As a country in economic transition, China faces fundamental
More informationPalliative Care and IPOST Hospital Engagement Network June 5, Palliative Care
Palliative Care and IPOST Hospital Engagement Network June 5, 2012 Jim Bell, MD Medical Director St. Luke s Palliative Care and Hospice Palliative Care The interdisciplinary specialty that focuses on improving
More informationChapter 3 - Does Low Well-being Modify the Effects of
Chapter 3 - Does Low Well-being Modify the Effects of PRISMA (Dutch DESMOND), a Structured Selfmanagement-education Program for People with Type 2 Diabetes? Published as: van Vugt M, de Wit M, Bader S,
More informationDiabetes is a lifelong chronic disease in which patients deliver. over 95% of their own care. They must acquire the
The Relationship Between Diabetes-Related Attitudes and Patients Self- Reported Adherence ROBERT M. ANDERSON, EdD; JAMES T. FITZGERALD, PhD; MARYS. OH, BS This study involved 1202 patients who were placed
More informationSafety and health training model It is expected that better recognition of hazards can reduce risks to workers. Course depth and suitable teaching met
Y.J. Hong, Y.H. Lin, H.H. Pai, et al DEVELOPING A SAFETY AND HEALTH TRAINING MODEL FOR PETROCHEMICAL WORKERS Yu-Jue Hong, Ya-Hsuan Lin, Hsiu-Hua Pai, 1 Yung-Chang Lai, 2 and I-Nong Lee 3 Institute of Public
More informationHuangdao People's Hospital
Table of contents 1. Background... 3 2. Integrated care pathway implementation... 6 (1) Workload indicators... 6 A. In eligible for care pathway... 6 B. Care pathway implementation... 7 (2) Outcome indicators...
More informationBEHAVIORAL ASSESSMENT OF PAIN MEDICAL STABILITY QUICK SCREEN. Test Manual
BEHAVIORAL ASSESSMENT OF PAIN MEDICAL STABILITY QUICK SCREEN Test Manual Michael J. Lewandowski, Ph.D. The Behavioral Assessment of Pain Medical Stability Quick Screen is intended for use by health care
More informationInvestigating the correlation between personal characteristics and health status of Community- Living Elders and Intensity of Fear of Falling
International Research Journal of Applied and Basic Sciences 2013 Available online at www.irjabs.com ISSN 2251-838X / Vol, 4 (5): 1146-1150 Science Explorer Publications Investigating the correlation between
More informationPREDICTORS OF QUALITY OF LIFE IN HIV INFECTED WOMEN, MEDAN, INDONESIA
Original Research Article S31 PREDICTORS OF QUALITY OF LIFE IN HIV INFECTED WOMEN, MEDAN, INDONESIA Siska Evi Martina 1,*, Sunanta Thongpat 2, Pornruedee Nitirat 3 1 Sint Carolus School of Health Sciences,
More informationSelf-efficacy and Social Support in Cystic Fibrosis Patients
ORIGINAL ARTICLE Self-efficacy and Social Support in Cystic Fibrosis Patients Vincenzo Di Ciommo 1, Eva Mazzotti 2, Ornella Piscitelli 3, Vincenzina Lucidi 4 1 Bambino Gesù Children s Hospital, Epidemiology
More informationTrends in Second-Hand Tobacco Smoke Exposure Levels at Home among Viet Nam School Children Aged and Associated Factors
RESEARCH ARTICLE Trends in Second-Hand Tobacco Smoke Exposure Levels at Home among Viet Nam School Children Aged 13-15 and Associated Factors Nguyen Tuan Lam 1, Pham Thi Quynh Nga 1 *, Hoang Van Minh 2,
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Effectiveness of Structured Teaching Programme on Knowledge and Attitude Regarding Early Detection
More informationHae Won KIM. KIM Reproductive Health (2015) 12:91 DOI /s x
KIM Reproductive Health (2015) 12:91 DOI 10.1186/s12978-015-0076-x RESEARCH Open Access Sex differences in the awareness of emergency contraceptive pills associated with unmarried Korean university students
More informationPsychosocial Wellbeing of People with Cancer and Heart Disease: The Case of Clients in Ayder Referral Hospital, Northern Ethiopia
Psychosocial Wellbeing of People with Cancer and Heart Disease: The Case of Clients in Ayder Referral Hospital, Northern Ethiopia Teklebrhan Berhe Department of Psychology, Adigrat University, Tigray,
More informationValidity and Reliability Testing: Urdu Translated Modified Response to Symptoms Questionnaire
ORIGINAL ARTICLE Validity and Reliability Testing: Urdu Translated Modified Response to Symptoms Questionnaire Saleema Allana 1, Tazeen Ali 2, Khurshid Khowaja 4, Aamir Hameed Khan 3 and Debra Kay Moser
More informationCHAPTER 3 RESEARCH METHODOLOGY
CHAPTER 3 RESEARCH METHODOLOGY The research on a study of consumer acceptance and attitude toward air purifier. Researcher hasselected survey methodology by operating under procedures as follows: 3.1 Determining
More informationA simplified education program improves knowledge, self-care behavior, and disease severity in heart failure patients in rural settings
A simplified education program improves knowledge, self-care behavior, and disease severity in heart failure patients in rural settings Mary A. Caldwell, RN, PhD, a Kathryn J. Peters, RN, MSN(c), b and
More informationSelf-Care Confidence Mediates the Relationship Between Perceived Social Support and Self-Care Maintenance in Adults With Heart Failure
Journal of Cardiac Failure Vol. 19 No. 3 2013 Self-Care Confidence Mediates the Relationship Between Perceived Social Support and Self-Care Maintenance in Adults With Heart Failure CRYSTAL W. CENE, MD,
More informationResults. Variables N = 100 (%) Variables N = 100 (%)
ht t p: / / doi. or g/ 10. 4038/ s l j ps yc. v8i 2. 8157 Stigma experienced by persons diagnosed to have a mental illness turn to see the doctor in the clinic. Participants were invited to complete the
More informationKnowledge And Attitude on Self Monitoring of Blood Glucose (Smbg) Among Diabetic Patients Belongs to Waghodia Taluka
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 5, Issue 5 Ver. II (Sep. - Oct. 2016), PP 06-11 www.iosrjournals.org Knowledge And Attitude on Self Monitoring
More information367 4TH INTERNATIONAL CONFERENCE ON BUSINESS AND ECONOMIC
367 4TH INTERNATIONAL CONFERENCE ON BUSINESS AND ECONOMIC INVESTIGATING STUDENTS AWARENESS AND USAGE INTENTION TOWARDS HALAL LABELLED COSMETICS AND PERSONAL CARE PRODUCTS IN MALAYSIA Phuah Kit Teng Graduate
More informationTitle: An examination of patients experience following hospital discharge post-cabg and/or VR: A systematic review
Title: An examination of patients experience following hospital discharge post-cabg and/or VR: A systematic review Author: Suzanne Fredericks RN, PhD Key Messages: The type of post-operative complication
More informationSocial Support as a Mediator of the Relationship Between Self-esteem and Positive Health Practices: Implications for Practice
15 JOURNAL OF NURSING PRACTICE APPLICATIONS & REVIEWS OF RESEARCH Social Support as a Mediator of the Relationship Between Self-esteem and Positive Health Practices: Implications for Practice Cynthia G.
More informationJournal of Nursing Education and Practice, 2013, Vol. 3, No. 5
ORIGINAL RESEARCH Randomized controlled trial of comprehensive nursing intervention on readmission, mortality and quality of life among Egyptian heart failure patients: A 12 month follow up study Amal
More informationWorld Journal of Pharmaceutical and Life Sciences WJPLS
wjpls, 2016, Vol. 2, Issue 6, 376-388. Research Article ISSN 2454-2229 Salma et al. WJPLS www.wjpls.org SJIF Impact Factor: 3.347 ROLE STRAIN AND BURDEN AMONG CAREGIVERS OF PARKINSON S DISEASE 1 Salma
More informationDoes Cognitive Impairment Predict Poor Self-Care in Patients with Heart Failure?
University of Pennsylvania ScholarlyCommons School of Nursing Departmental Papers School of Nursing 4-21-2010 Does Cognitive Impairment Predict Poor Self-Care in Patients with Heart Failure? Jan Cameron
More informationHPV and the Projected Health Policy. Saman Aziz MD, MHPE, MPH University of Illinois at Chicago
HPV and the Projected Health Policy Saman Aziz MD, MHPE, MPH University of Illinois at Chicago Background Preventive care and health education promote health and disease prevention. HPV is a virus passed
More informationIMPLEMENTING RECOVERY ORIENTED CLINICAL SERVICES IN OPIOID TREATMENT PROGRAMS PILOT UPDATE. A Clinical Quality Improvement Program
IMPLEMENTING RECOVERY ORIENTED CLINICAL SERVICES IN OPIOID TREATMENT PROGRAMS PILOT UPDATE A Clinical Quality Improvement Program Today: National completion rates for OTP s hover between 11 14% Retention
More informationThe Relationship Between Self-Care and Health Status Domains in Thai Patients With Heart Failure
University of Pennsylvania ScholarlyCommons School of Nursing Departmental Papers School of Nursing 10-2009 The Relationship Between Self-Care and Health Status Domains in Thai Patients With Heart Failure
More informationStatit pimd Client Panel. Guy March, Product Lead, Midas+ Statit
Statit pimd Client Panel Guy March, Product Lead, Midas+ Statit Statit pimd/ppr Statit Software Started ~25 years ago Currently serving 650 hospitals Guy March Working with Statit QC products for over
More informationCHAPTER 3 RESEARCH METHODOLOGY. In this chapter, research design, data collection, sampling frame and analysis
CHAPTER 3 RESEARCH METHODOLOGY 3.1 Introduction In this chapter, research design, data collection, sampling frame and analysis procedure will be discussed in order to meet the objectives of the study.
More informationPredictors of Depression Among Midlife Women in South Korea. Ham, Ok-kyung; Im, Eun-Ok. Downloaded 8-Apr :24:06
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationA study on foreign students' preventive behavior, knowledge and attitude towards tuberculosis
Vol.6 (Bioscience and Medical Research 05), pp.87-93 http://dx.doi.org/0.457/astl.05.6.58 A study on foreign students' preventive behavior, knowledge and attitude towards tuberculosis Hye-Gyung An, Ju-Young
More informationCONSUMERS PROTECTION PERFORMANCE OF HEALTH PERSONNEL IN SUB-DISTRICT HEALTH PROMOTING HOSPITALS
2014 Bali, Indonesia Global Illuminators, Kuala Lumpur, Malaysia. CONSUMERS PROTECTION PERFORMANCE OF HEALTH PERSONNEL IN SUB-DISTRICT HEALTH PROMOTING HOSPITALS, KHON KAEN PROVINCE. 1 SumaleeLarangsitand
More informationFactors related to self-care behaviours in heart failure: A systematic review of European Heart Failure Self-Care Behaviour Scale studies
691644CNU0010.1177/1474515117691644European Journal of Cardiovascular NursingSedlar et al. research-article2017 Review Article Factors related to self-care behaviours in heart failure: A systematic review
More informationThe Australian Homicide Project:
The Australian Homicide Project: Key Findings on Intimate Partner Homicide Paul Mazerolle Griffith University Li Eriksson Griffith University Holly Johnson University of Ottawa Richard Wortley University
More informationFACILITATORS AND BARRIERS TO DIABETES EDUCATION IN HMONG IMMIGRANTS LIVING IN THE UNITED STATES
FACILITATORS AND BARRIERS TO DIABETES EDUCATION IN HMONG IMMIGRANTS LIVING IN THE UNITED STATES Investigator: Fay Mitchell-Brown, PhD, RN, CCRN Coinvestigator: Lynne Nemeth, PhD, RN, FAAN July 25, 2016
More informationChapter 8. Summary and general discussion Samenvatting (Dutch summary)
Chapter 8 Summary and general discussion Samenvatting (Dutch summary) Summary and general discussion Objective of this dissertation Currently, a substantial part of the Dutch urban population consists
More informationCompliance in Chronic Obstructive Pulmonary Disease Patients Attending Pulmonary Medicine OPD in a Tertiary Care Hospital: Prospective study
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) E-ISSN: 2279-0853, p-issn: 2279-0861. Volume 7, Issue 6 (Mar.- Apr. 2013), PP 34-38 Compliance in Chronic Obstructive Pulmonary Disease Patients
More informationSatisfaction and Adherence in a Social Support Intervention Among. Women with Congestive Heart Failure. A Senior Honors Thesis
Social Support Intervention Satisfaction 1 Satisfaction and Adherence in a Social Support Intervention Among Women with Congestive Heart Failure A Senior Honors Thesis Presented in Partial Fulfillment
More informationCHAPTER III RESEARCH METHODOLOGY
CHAPTER III RESEARCH METHODOLOGY Research methodology explains the activity of research that pursuit, how it progress, estimate process and represents the success. The methodological decision covers the
More informationClinical Students Perception towards the Care of HIV Positive Patients in Tertiary Hospitals, Bayelsa State, Nigeria
IOSR Journal of Nursing and Health Science (IOSRJNHS) eissn: 2320 959.p ISSN: 2320 940 Volume 3, Issue 6 Ver. IV (v.dec. 204), PP 072 Clinical Students Perception towards the Care of HIV Positive Patients
More informationMeasurement of Mental Health among Adolescents at the Population Level (MMAP) Conceptual Framework and Roadmap
Measurement of Mental Health among Adolescents at the Population Level (MMAP) Conceptual Framework and Roadmap The Roadmap to the Measurement of Mental Health among Adolescents at the Population Level
More informationAge and gender differences in heart failure symptom cluster profiles Kristen A. Sethares, PhD, RN, CNE College of Nursing University of Massachusetts
Age and gender differences in heart failure symptom cluster profiles Kristen A. Sethares, PhD, RN, CNE College of Nursing University of Massachusetts Dartmouth, No. Dartmouth, Ma. Heart Failure Affects
More informationTobacco Use. Overview. General Data Note. Summary NYSDOH
Tobacco Use * Note: For interpretation purposes, please print this report and supplemental document in color Overview Smoking is a leading cause of preventable death and can also cause many illnesses,
More informationThe Predictive Roles of Self-efficacy, Illness Perception, and Social Support in Self-care of Patients with Heart Failure
تاثیر آموزش خانواده محور بر میسان تبعیت... Preventive Care in Nursing & Midwifery Journal 207; 7(3): 39-46 Abstract The Predictive Roles of Self-efficacy, Illness Perception, and Social Support in Self-care
More informationOriginal Research Article
Journal of College of Medical Sciences-Nepal, Vol-, No, Jul-Sept Effectiveness of Structured Teaching Programme on Knowledge regarding Risk factors and Prevention of Suicidal Behaviour among Adolescents
More informationMarketing Mix Influencing Consumer Behavior in Choosing Skin Care Clinic at Chularat Hospital 1bangkok
ISBN 978-93-84468-86-6 2016 International Research Conference on Social Sciences, Humanities and Interdisciplinary Studies (RCSSHIS-2016) Pattaya (Thailand) Dec. 16-17, 2016 Marketing Mix Influencing Consumer
More informationHBsAg PREVALENCE AND KNOWLEDGE ON HEPATITIS B AMONG STIENG TRIBE ADULTS IN BINH PHUOC PROVINCE, VIETNAM
Original Article 123 HBsAg PREVALENCE AND KNOWLEDGE ON HEPATITIS B AMONG STIENG TRIBE ADULTS IN BINH PHUOC PROVINCE, VIETNAM Ai Thien Nhan Lam, Khemika Yamarat *, Robert Sedgwick Chapman College of Public
More informationVALUES AND ENTREPRENEURIAL ATTITUDE AS PREDICTORS OF NASCENT ENTREPRENEUR INTENTIONS
VALUES AND ENTREPRENEURIAL ATTITUDE AS PREDICTORS OF NASCENT ENTREPRENEUR INTENTIONS Noel J. Lindsay 1, Anton Jordaan, and Wendy A. Lindsay Centre for the Development of Entrepreneurs University of South
More informationCardiac rehabilitation: The psychological changes that predict health outcome and healthy behaviour
Psychology, Health & Medicine, February 2005; 10(1): 88 95 Cardiac rehabilitation: The psychological changes that predict health outcome and healthy behaviour SUSAN MICHIE 1, DARYL O CONNOR 2, JULIAN BATH
More informationJefferson County School Based Health Centers Participation Report
Jefferson County School Based Health Centers 212-213 Participation Report Background: School Based Health Centers (SBHCs) were established during the 28-29 school year to address a need for adolescent
More informationJune 28, 2008 General Assembly, Fort Lauderdale Presented by Linda Laskowski Unitarian Universalist Church of Berkeley
Congregations Count! June 28, 2008 General Assembly, Fort Lauderdale Presented by Linda Laskowski Unitarian Universalist Church of Berkeley or How a UU Membership Chair Stopped Trying to Doing Everything
More informationA Study on Knowledge and Attitudes Regarding Sexuality of Elderly People in Korea
Journal of Korean Academy of Nursing (2007) Vol. 37, No. 2, 179 184 A Study on Knowledge and Attitudes Regarding Sexuality of Elderly People in Korea Kyung-Ja Lee 1, Myoung-Sook Kwon 2, Mi Ja Kim 2, Seong
More informationThe Chinese University of Hong Kong The Nethersole School of Nursing. CADENZA Training Programme
The Chinese University of Hong Kong The Nethersole School of Nursing CTP003 Chronic Disease Management and End-of-life Care Web-based Course for Professional Social and Health Care Workers Copyright 2012
More informationISSN X Journal of Educational and Social Research Vol. 2 (8) October 2012
The Investigation of Czech Lower Secondary School Pupils Toward Science Subjects Milan Kubiatko Doi:10.5901/jesr.2012.v2n8p11 Institute for Research in School Education, Masaryk University, Brno,Czech
More informationSmoking Cessation Counselling
Smoking Cessation Counselling Results of a 2005 Survey of Quebec NURSES Michèle Tremblay, Daniel Cournoyer, Daniela Jukic, Jennifer O Loughlin,, Université de Montréal INTRODUCTION More than 13,000 men
More informationBlood Pressure Management: A Journey in Quality Improvement Phil E. Yphantides, M.D.
Blood Pressure Management: A Journey in Quality Improvement Phil E. Yphantides, M.D. Medical Director, Urgent Care Hypertension and Diabetes Physician Champion Sharp Rees-Stealy Medical Group San Diego,
More informationLife Situations Of Elderly People With Heart Disease: The Impact Of Self-Efficacy On Self-Care
ISPUB.COM The Internet Journal of Advanced Nursing Practice Volume 5 Number 2 Life Situations Of Elderly People With Heart Disease: The Impact Of Self-Efficacy On Self-Care M Salamah, S Wahl, K Abriam-Yago
More information1. Evaluate the methodological quality of a study with the COSMIN checklist
Answers 1. Evaluate the methodological quality of a study with the COSMIN checklist We follow the four steps as presented in Table 9.2. Step 1: The following measurement properties are evaluated in the
More informationSymptomology of Elevated Blood Pressure in Black Women with Hypertension
Symptomology of Elevated Blood Pressure in Black Women with Hypertension Devita T. Stallings, Joanne Kraenzle Schneider Journal of Health Care for the Poor and Underserved, Volume 28, Number 1, February
More informationConceptual Model of Diabetes Self-Management for Middle-Aged Population of Rural Area of Pakistan
University of Wollongong Research Online Faculty of Social Sciences - Papers Faculty of Social Sciences 2017 Conceptual Model of Diabetes Self-Management for Middle-Aged Population of Rural Area of Pakistan
More informationSmoking Cessation Counselling
Smoking Cessation Counselling Results of a 2005 Survey of Quebec PHARMACISTS Michèle Tremblay, Daniel Cournoyer, Jennifer O Loughlin,, Université de Montréal INTRODUCTION More than 13,000 men and women
More informationPromoting Health Promotion Behaviors in the Low Income, Uninsured Population
Promoting Health Promotion Behaviors in the Low Income, Uninsured Population Maria Alice Masciarelli, RN, MSN, FACHE, CPHQ STTI Biennial November 2015 1 Disclosure The presenter attests that there was
More informationA new scale (SES) to measure engagement with community mental health services
Title A new scale (SES) to measure engagement with community mental health services Service engagement scale LYNDA TAIT 1, MAX BIRCHWOOD 2 & PETER TROWER 1 2 Early Intervention Service, Northern Birmingham
More informationCHF AND PATIENT COMPLIANCE 1. Congestive Heart Failure Readmission Rates with Relation to Patient Compliance. A thesis presented by
CHF AND PATIENT COMPLIANCE 1 Congestive Heart Failure Readmission Rates with Relation to Patient Compliance A thesis presented by Samantha B. Corral Presented to the College of Education and Health Professions
More information