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The quality of older adults'involvement in clinical communication with general practitioners:evidence from rural towns in Australia 被引量:1
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作者 Mohammad Hamiduzzaman Noore Siddiquee +2 位作者 Harry James Gaffney muhammad aziz rahman Jennene Greenhill 《Global Health Journal》 2023年第4期186-193,共8页
Objective:A study was conducted about the putative links of older rural Australians'health knowledge and preparation with their quality of involvement in patient-general practitioner(GP)communication during health... Objective:A study was conducted about the putative links of older rural Australians'health knowledge and preparation with their quality of involvement in patient-general practitioner(GP)communication during health intake visits.Methods:It was a cross-sectional study between January 2021 and April 2022.The 32-item quality of involvement in communication scale was designed and incorporated into the SurveyGizmo software.This online survey was administered by sending an email request to the Renmark Rotary Club,which actively promoted this study across five rural towns in South Australia.121 participants completed the surveys.Mean-sum scores were calculated based on the questionnaire responses to evaluate outcomes,specifically initiation of information,active participation,and emotional expression.We employed different methods including t-tests,ANOVA,and leaner regressions to analyse data.Results:The demographic profile of participants characterised by a female predominance(58.7%,71/121),a majority falling within the 65-<70 age bracket(47.1%,57/121),and a high level of educational attainment(58.7%had completed high school or higher,71/121).Additionally,35%of the participants predominantly spoke a language other than English at home.Regarding the initiation of information with GPs,the mean sum-score was(20.5+3.7),indicating a marginally above-average level of engagement.Contrarily,the active participation was suboptimal,as suggested by a mean sum score of(35.9±6.3).Furthermore,the emotional expression was relatively low,with a mean score of(13.9±1.8).Substantial variations were discerned in the quality of patient-GP communication,contingent upon factors such as educational background,language spoken at home,health literacy,and preparatory measures for clinical visits.Participants who predominantly spoke a language other than English at home demonstrated significantly lower levels of information initiation with their GPs(P<0.o01).Higher educational attainment was positively correlated with increased active participation(P<0.001).Enhanced health literacy and thorough visit preparation were significantly associated with increased levels of active participation(P<0.001).Conclusion:Meaningful engagement through recognition,empowerment,and support(health literacy programs)for older rural adults is suggested for improving their quality of involvement in communication with GPs. 展开更多
关键词 Shared decision making Clinical communication General practitioners Older adults Rural health AUSTRALIA
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Wearable activity trackers and health awareness: Nursing implications
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作者 Karen-Leigh Edward Loretta Garvey muhammad aziz rahman 《International Journal of Nursing Sciences》 CSCD 2020年第2期179-183,共5页
Purpose:Wearable devices are commonly used to measure physical activity.However,it remains unclear the effect of wearing these devices on health awareness.Our aim was to provide evidence related to wearing physical ac... Purpose:Wearable devices are commonly used to measure physical activity.However,it remains unclear the effect of wearing these devices on health awareness.Our aim was to provide evidence related to wearing physical activity trackers and health awareness.Methods:A quantitative comparison study design was used comparing participants who wore physical activity tracking devices(n=108)and those who did not(n=112).A paper-based Physical Health Knowledge survey designed for the purpose of this research was used for data collection in 2018.Results:A difference between participants who wore physical activity tracking devices and those that did not was identified in relation to activity levels and physical health awareness.Wearable devices are suggested as an opportunity for nurses to engage people in physical activity with the potential to improve their health awareness.Conclusions:Nurses are well placed in the healthcare landscape to work with patients who own an activity tracker device concerning increasing activity self-monitoring.This information the patient has from the device can also form the basis of health discussions between nurses and the people in their care. 展开更多
关键词 EXERCISE Fitness trackers Health behaviour Health literacy Wearable electronic devices
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急性冠状动脉综合征患者使用冠状动脉介入治疗的性别差异:来自澳大利亚墨尔本一家大型城市医院的经验
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作者 Linda Worrall-Carter Andrew MacI saac +1 位作者 Elizabeth Scruth muhammad aziz rahman 《中国护理管理》 CSCD 2017年第2期288-288,共1页
目的 :本研究旨在验证急性冠状动脉综合征(ACS)患者使用冠状动脉介入治疗的性别差异。方法 :对墨尔本一家大型城市医院2009-2012年住院的2096例ACS患者数据库进行了回顾性分析。ACS包括不稳定型心绞痛(UA)、ST段抬高型心肌梗死(STEMI)和... 目的 :本研究旨在验证急性冠状动脉综合征(ACS)患者使用冠状动脉介入治疗的性别差异。方法 :对墨尔本一家大型城市医院2009-2012年住院的2096例ACS患者数据库进行了回顾性分析。ACS包括不稳定型心绞痛(UA)、ST段抬高型心肌梗死(STEMI)和非ST段抬高型心肌梗死(NSTEMI)。结果 :患者的平均年龄为64.3岁,其中624例(30%)为女性。一半病例被诊断为NSTEMI,23%的病例为STEMI,25%的病例为UA。与男性患者相比,女性患者入院时年龄较大,诊断为STEMI的比例较低,吸烟率较低;在严重共存病或使用冠状动脉造影方面,未观察到性别差异。诊断为STEMI的病例中,女性患者接受血管成形术支架的比例比男性患者低39%(调整OR=0.61,95%可信区间为0.39~0.96);接受冠状动脉旁路移植术的比例比男性患者低66%(调整OR=0.34,95%可信区间为0.13~0.93)。诊断为NSTEMI的病例中,女性患者接受冠状动脉旁路移植术的比例比男性患者低44%(调整OR=0.56,95%可信区间为0.37~0.83)。35~49岁的年轻病例中,女性患者接受血管成形术支架的比例低于男性患者;50岁以上的年长病例中,女性患者接受冠状动脉旁路移植术的比例低于男性患者。结论 :坚持以指南为基础的治疗,将有助于确保知识从指南到临床实践的转换。在进一步的研究中,调查临床表现,根据性别对ACS进行无创性检查和医学干预,也许可以更深入地解释冠状动脉介入治疗的性别差异。 展开更多
关键词 冠状动脉介入治疗 血管造影术 血管成形术 冠状动脉旁路移植术 急性冠状动脉综合征 性别 澳大利亚
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