جستجوی مقالات مرتبط با کلیدواژه « chronic illness » در نشریات گروه « پزشکی »

Aging poses a significant risk for activity and functional limitations. Problems among aged populations are interrelated, and these problems can lead to other disorders and finally leave a negative impact on the quality of life (QoL) This study used the screening of activity limitation and safety awareness (SALSA) scale to screen and measure activity limitations among the elderly.

A community‑based descriptive cross‑sectional study was conducted among 928 elderly from the three districts of Tamil Nadu, India. The SALSA scale was administered via a door‑to‑door interview, and data analysis was carried out. Simple random sampling was used to obtain the study subjects in the selected study area. Chi‑square tests and binary logistic regression were performed to find the association between selected risk factors.

Among the 928 elderly, 53.7% of them were males, 84.9% were between the age of 60 and 69 years, and 31% were 70 years and above. The study found that 66.5% of the elderly have mild activity limitations, 15.7% of them had moderate limitations, 4.8% of them had severe limitations, around 3% of them had extreme limitations, and 10.3% of them had no significant limitations. The binary logistic regression found people of age 65 and above (OR = 3.80), female gender (OR = 2.90), with hypertension (OR = 1.95), vision problem (OR = 1.92), decreased sensation of the foot (OR = 3.41), as the significant independent risk factors for activity limitation among the elderly.

The study found self‑reported activity limitations among the elderly to be nearly 90%. The SALSA scale may be used as a handy tool to identify the activity limitation in community‑based geriatric checkups.

Health education is a crucial consideration in the healthcare system and has the potential to improve global health. Recently, researchers have expressed interest in streamlining health education, utilizing digital tools and flexible curriculums to make it more accessible, and expanding beyond disease and substance abuse prevention. They have also expressed interest in promoting global health through health and safety promotion programs. Amidst the COVID‑19 pandemic, climate change, the refugee crisis, and overpopulation, healthcare crises are erupting all over the world. A lack of health education has and will continue to have a profound impact on community healthcare indicators, particularly in low‑income nations. Current priorities within the health education sector include digitization, equity, and infectious disease prevention. Studies and data from university journals and other academic databases were analyzed in a literature review. Health education programs have a significant positive impact on attitudes and behaviors regarding global health. Improving upon these programs by digitizing them and expanding upon the scope of health education will help ensure that such interventions and programs make a significant difference.

Cognitive fusion is a substantial variable of acceptance and commitment therapy (ACT). Recently, various instruments have been developed to assess cognitive fusion, including a version relevant to medical illness referred to as the Cognitive Fusion Questionnaire-Chronic Illness (CFQ-CI).

This study aimed to assess the validity and reliability of the Persian version of CFQ-CI in multiple sclerosis (MS) patients.

In a cross-sectional study, the Persian version of CFQ-CI and several other measures that assessed self-compassion, depression, and social anxiety symptoms were administered on 195 MS patients in Shiraz Emam Reza Clinic. Exploratory factor analysis (EFA), internal consistency, and convergent validity were used for data analysis.

EFA revealed a 1-factor model. The Cronbachα was 0.92. As to the convergent validity, CFQ-CI had positive associations with measures of depression and social anxiety and negative associations with self-compassion.

Overall, this research supports the psychometric properties of the Persian version of CFQ-CI.

A majority of parents of children with chronic illness encounter physical conditions, as well as some degrees of burnout, anxiety, and depression. This study examined the prevalence of burnout in the primary caregivers of children with chronic conditions and its related factors.

A descriptive cross-sectional study was conducted on 385 family caregivers of children with chronic conditions who were selected by convenience sampling method from 4 healthcare centers in Kashan and Isfahan Provinces, Iran. A demographics questionnaire and the Maslach Burnout Inventory (MBI) were used to gather the required data. The MBI assesses caregiver burnout in 3 domains of emotional exhaustion, depersonalization, and reduced personal accomplishment. The obtained data were analyzed in SPSS using Mann-Whitney U test, Kruskal-Wallis test, Chi-Squared test, Fisher’s Exact test, Analysis of Variance (ANOVA), and linear regression analysis. P<0.05 was considered significant.

The Mean±SD age of the examined caregivers and children were 38.2±8.04 and 8.9±4.9 years, respectively. Fifty percent of the research participants were fathers, and 74.3% had a family size of >4 members. The ill children were mostly boys (60%) and afflicted with renal (45.2%) or neurological (18.2%) disorders. The mean scores of the caregivers in the 3 subscales of emotional exhaustion, depersonalization, and personal accomplishment, were 22.21, 6.40, and 13.24, respectively. However, 62.3% and 47.9% of the caregivers experienced high or moderate levels of emotional exhaustion and depersonalization; nearly all of them (99.2%) experienced reduced personal accomplishment. The age of the child, the type of chronic condition, the frequency of medical visits, as well as the caregiver’s age, job, income, and family size, could predict caregiver burnout (r2=0.17).

The family caregivers of children with chronic conditions experience moderate burnout. Nurses and other healthcare providers should be aware of the signs of caregiver burnout and its contributing factors; accordingly; appropriate plans should be made for the periodic evaluation of family caregivers.

Primary care practitioners and travel medicine physicians are primarily responsible for identifying individuals who may be unfit for overseas travel and consulting with them pre-travel. Pre-existing medical conditions such as cardiovascular disease, chronic respiratory conditions and diabetes mellitus (DM) have the potential to complicate travel journeys. A considerable percentage of travel-associated illness may be due to the decompensation of a pre-existing medical condition. This review seeks to address the challenges faced by travellers with each of these conditions, including recently updated and evidence-based practical approaches for travel with comorbidities.

Sources for this review were identified through searches of PubMed/Google Scholar for materials published between 1st January 2000 and 31st December 2019, using combinations of search terms.

The volume of literature on travelling with a pre-existing condition exploded with more than 865 associated articles indexed on the PubMed alone as of March 2020. After screening titles, abstracts and, in some cases, the full text version of indexed articles, 121 articles were deemed relevant to the subject matter of this review.

Rational approaches to pre-planning for travel with a medical condition will contribute to the prevention of problems while in transit as well as when at the travel destination. It is imperative for health care providers to be aware of the preventative measures and current recommendations that should be taken before and during travel to protect individuals with a chronic illness. Further research and studies should be directed to protect this vulnerable group of travellers.

NCDs require an ongoing management for optimal outcomes, which is challenging in emergency settings, because natural disasters increase the risk of acute NCD exacerbations and lead to health systems’ inability to respond. This study aims to develop a protocol for a systematic review on non-communicable diseases in natural disaster settings.

This systematic review protocol is submitted to the International Prospective Register of Systematic Reviews (Registration No. CRD42020164032). The electronic databases to be used in this study include: Medline, Scopus, Web of Science, Clinical Key, CINAHL, EBSCO, Ovid, EMBASE, ProQuest, Google Scholar, Cochrane Library (Cochrane database of systematic reviews; Cochrane central Register of controlled Trials). Records from 1997 to 2019 are subject to this investigation. Three independent researchers will review the titles, abstracts, and full texts of articles eligible for inclusion, and if not matched, they will be reviewed by a final fourth reviewer. The proposed systematic review will be reported in accordance with the reporting guideline provided in the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) statement. We select studies based on: PICOs (Participants, Interventions, Comparators, and Outcomes).

This systematic review identifies any impacts of natural disasters on patients with NCDs in three stages i.e. before, during and in the aftermath of natural disasters.

A comprehensive response to NCD management in natural disasters is an important but neglected aspect of non-communicable disease control and humanitarian response, which can significantly reduce the potential risk of morbidity and mortality associated with natural disasters.

Over the decades, the delivery of long-term care (LTC) in the Middle East has encountered substantial hurdles due to inadequate resource allocation. As a result, the low-income and uninsured populations have encountered growing challenges in accessing quality healthcare. The objective of this study was to investigate the impact of co-payments or out-of-pocket payments on LTC access in the United Arab Emirates (UAE) in contrast to other Middle East countries. A quantitative secondary research approach was used in the study to collect relevant data on the topic from government reports, academic studies, and international healthcare institutions. The fndings indicated that long-term healthcare fnancing that largely focuses on out-of-pocket payments has substantial negative economic impacts on low-income households. Growing evidence from low income earning countries like Yemen, Syria, the State of Palestine, and Iraq shows evidence of households pushed into deep destitution and impoverishment due to expensive long-term medical expenses. The condition is worsened in families without insurance cover, among the elderly, and loss of household income resulting from chronic health. As such, the existing LTC fnancing plan in the Middle East largely exposes poor households without insurance cover or government fnancing or subsidies to substantial fnancial burden and poverty. In conclusion, there is an urgent need for research into alternative LTC fnancing strategies for coping with indirect and direct costs of illness to inform better social care policies for poor households in the Middle East.