Prevalence and associated factors of potentially inappropriate medications among Thai patients with heart failure

Author(s):  
Kittipak Jenghua
2020 ◽  
Vol 28 (6) ◽  
pp. 652-659 ◽  
Author(s):  
Mariam Zahwe ◽  
Hadi Skouri ◽  
Samar Rachidi ◽  
Maurice Khoury ◽  
Samar Noureddine ◽  
...  

2018 ◽  
Vol 33 (7) ◽  
pp. 423-432 ◽  
Author(s):  
Tuan Anh Nguyen ◽  
Thang Pham ◽  
Huyen Thi Thanh Vu ◽  
Thanh Xuan Nguyen ◽  
Trinh Thi Vu ◽  
...  

This study examined the use of potentially inappropriate medicines that may affect cognition (PIMcog) in people with dementia and its associated factors. Medical records of all outpatients with dementia attending a tertiary hospital in Vietnam between January 1, 2015, and December 31, 2016, were examined. Medicine use was assessed against a list of PIMcog. Variables associated with having a PIMcog were assessed using a multiple logistic regression. Of the 128 patients, 41% used a PIMcog, 39.1% used cholinesterase inhibitors (CEIs) concomitantly with anticholinergics, and 18% used antipsychotics. The number of hospital visits (adjusted odds ratio [OR]: 1.08; 95% confidence interval [CI]: 1.02-1.16) and number of treating specialists (adjusted OR: 0.61; 95% CI: 0.45-0.83) were associated with PIMcog use. This study highlights a high-level use of medicines that can further impair cognition or reduce the effectiveness of CEIs in people with dementia. Efforts to improve quality use of medicines for this population are warranted.


2020 ◽  
Vol 19 (7) ◽  
pp. 609-618
Author(s):  
Mei-Fang Chen ◽  
Shin-Rong Ke ◽  
Chih-Ling Liu ◽  
Tao-Cheng Wu ◽  
Ya-Mei Yu ◽  
...  

Background: Sedentary behaviours may be related to factors such as self-efficacy, mood and social support. However, there is a paucity of longitudinal follow-up studies examining factors related to sedentary behaviour from physical-psychosocial perspectives in patients with heart failure. Aims: The purpose of this study was to explore the multidimensional associated factors and impacts of sedentary behaviour in heart failure patients. Methods: A longitudinal design was used. A convenience sample of 128 heart failure patients recruited from two large medical centres in northern Taiwan was obtained. Patients were interviewed with structured questionnaires to assess physical activity, symptom distress, exercise self-efficacy, anxiety and depression, social support, sleep quality and quality of life before discharge and at 3 and 6 months after discharge. Results: Heart failure patients reported low physical activity and tended to be sedentary. Sedentary behaviour was gradually reduced from hospitalization to 6 months after discharge. Sleep quality, quality of life, analgesic use, symptom distress and exercise self-efficacy were significant associated factors that explained 42.1–51% of the variance in sedentary behaviour. Patients with high sedentary behaviour had significantly greater depression and poorer sleep and quality of life than those with low sedentary behaviour at hospitalization and showed a significant improvement in depression at 3 and 6 months after discharge. Conclusion: Sedentary behaviour is common in heart failure patients and has impacts on depression and quality of life. An appropriate physical activity programme focusing on disease self-management and enhancing self-efficacy is needed for heart failure patients to improve their sedentary behaviour and quality of life.


2019 ◽  
Vol 153 (5) ◽  
pp. 191-195
Author(s):  
Aida Muñoz-Ferrer ◽  
Laura Rodriguez-Pons ◽  
Ignasi Garcia-Olivé ◽  
Josep Lupón ◽  
Marta de Antonio ◽  
...  

2020 ◽  
pp. 147451512094547
Author(s):  
Min-Hui Liu ◽  
Chao-Hung Wang ◽  
Tao-Hsin Tung ◽  
Chii-Ming Lee ◽  
Ai-Fu Chiou

Background: Meaning in life serves as a protective mechanism for coping with persistent, often distressful symptoms in patients with heart failure. However, meaning in life and its associated factors are not adequately explored in patients after acute hospitalisation for heart failure. Aims: To explore the associated factors of meaning in life in patients with heart failure from acute hospitalisation to 3 months post-discharge. Methods: A total of 103 hospitalised patients with heart failure in Northern Taiwan were recruited using a longitudinal study design and interviewed with structured questionnaires including meaning in life, symptom distress, care needs, and social support at hospitalisation, 1 month and 3 months post-discharge. Results: A total of 83 patients completed the 3 months follow-up. The presence of meaning in life significantly increased from hospitalisation to 3 months post-discharge. Decreases in care needs ( B=−0.10, P=0.020) and social support ( B=−0.18, P=0.016) from hospitalisation to 3 months post-discharge were significantly associated with an increase in the presence of meaning in life, while a decrease in social support was associated with an increase in the search for meaning in life ( B=−0.17, P=0.034). Conclusion: Care needs and social support were pivotal factors for developing meaning in life for patients with heart failure. Assessments of care needs and social support might help strengthen their meaning in life.


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