scholarly journals Az orvos–beteg kommunikáció új lehetőségei – a betegek elvárásai alapján

2018 ◽  
Vol 159 (50) ◽  
pp. 2136-2143
Author(s):  
Regina Molnár ◽  
Zoltán Sági ◽  
Zsuzsanna Fejes ◽  
Kálmán Törőcsik ◽  
Béla Köves ◽  
...  

Abstract: Introduction: Nowadays doctor–patient consultation is not limited to personal appointments, there are new technical possibilities to keep contact. Aim: The aim of our study was to examine the way in which the doctor and patient interact with each other between two personal consultations and how the patients would like to reach their physicians when needed. Method: Questionnaire survey was done among waiting patients in an outpatient clinic in Budapest. The questionnaire was based on the following groups of questions: habits of visiting a doctor, the methods of communication with a specialist, use of technical tools and socio-demographic data. Statistical analysis: Simple descriptive analysis, chi-square test and binary logistic regression were used. Results: The participants (260 persons) were in 36.2% male and in 63.8% female. One out of four patients did not contact the doctor between two personal consultations. The rest of the patients contacted the nurse by phone or their doctors on their mobile even as per different socio-demographic groups but without a significant difference in between those. Two thirds of the patients would like to have more face to face appointments with their doctor, half of them would like to keep contact by e-mail, and one out of three would call the doctor on mobile phone as far as possible. More men need personal consultations dominantly and in smaller proportion divorced, widowed and patients with vocational education. Half of the patients would like to e-mail their doctor, especially the younger and higher educated people. Conclusion: Patients’ consultation preferences differ by socio-demographic groups. Reestablishing conditions by taking all of our results into account, the efficiency of outpatient-clinics could be increased. Orv Hetil. 2018; 159(50): 2136–2143.

2013 ◽  
Vol 3 (2) ◽  
pp. 32-35 ◽  
Author(s):  
Apeksha Mainali

Introduction: Intra-oral and extra-oral tissues are at risk of damage during orthodontic treatment, most commonly oral ulcerations. Clinicians should assess and monitor every aspect of patient’s treatment procedure to achieve an uneventful and successful final result. Objective: To evaluate occurrence of oral ulcerations in patients undergoing orthodontic treatment. To evaluate the most common type of ulceration and to assess the management of such ulcerations by the orthodontists. Materials & Method: A questionnaire-based study was used among Nepalese and international orthodontists. Data were analyzed statistically using descriptive analysis and Chi-square test, p<0.05 was considered to be significant with a confidence interval of 95%. Result: Most common oral ulceration encountered during orthodontic treatment was traumatic ulceration which was managed by symptomatic measures. There was a statistically significant difference in the method of education to the patients among national and international orthodontists. Conclusion: Careful use of instruments, careful fitting and adjustment of the appliances should be done to avoid oral ulcerations during orthodontic treatment. Topical medicines can be used for management of such ulcers. Nepalese orthodontists should focus on using audio-visual aids for patient education as it has great promise in enhancing patient understanding and in prompting behavioral change.  


Author(s):  
Ritanjali Majhi

This study identifies factors responsible for customers’ attitudes and perceptions towards emerging internet banking sector. It also reveals the importance of the key variables relating to customers’ demographic and social inputs. A sample of 156 customers is personally surveyed using a structured questionnaire in various cities of Andhra Pradesh. The data are analyzed using descriptive analysis like chi-square test, cross tabulations, t-test and factor analysis, and the proposed hypotheses are tested. Further the effects of psychometric factors are analyzed and the results are compared with those obtained without psychometric input. Extensive analysis of the data reveals that factors such as customer relationship management, word of mouth and the attitudes of the customers play important roles in increasing the productivity with respect to internet banking. Hypothesis tests also demonstrate that significant difference exists in usage of mobile banking and SMS banking with reference to demographic factors. The quality of the service also influences the customers to choose internet banking as a better alternative.


2021 ◽  
Author(s):  
Yoichi Takaki Konno ◽  
Fernanda Menezes de Faria ◽  
Gisele Zocoller Seno ◽  
Vinicius dos Santos Sguerri ◽  
Ana Carolina Gonçalves Olmos ◽  
...  

Abstract Background: The importance of consultation-liaison psychiatry (CLP) services have been progressively growing in all general hospitals.Methods: Data were collected from medical records of patients treated by the CLP service, from 2014 to 2020, including clinical-demographic data, characteristics of hospitalization, reason for request, treatment plan, and clinical outcome. For these analyses, the chi-square test, z-test, and Kruskal-Wallis test were used. The level of significance was set at 5%.Results: A total of 2,742 consultation requests were evaluated by the psychiatry team. The number of requests made grew by 109.64% over the years. In 58.21% of cases, the patient was in the ward, and 33% were requested by Internal Medicine. There was a statistically significant difference (p <0.001) in the distribution of reasons for request according to patients' characterization variables.Conclusions: This study sought to analyze the functioning and growth of CLP in a tertiary Brazilian general hospital. The present findings reinforce the importance of this service and the need to implement and develop CLP in general hospitals.


Revista CEFAC ◽  
2020 ◽  
Vol 22 (5) ◽  
Author(s):  
Regiane Ferreira Rezende ◽  
Leonor Bezerra Guerra ◽  
Sirley Alves da Silva Carvalho

ABSTRACT Purpose: to investigate the satisfaction of deaf people in relation to the health services, to characterize the sample regarding sociodemographic, socioeconomic, and self-perception of deafness, and to verify if there is an association between satisfaction with care, communication, professionals, and self-perception of deafness. Methods: an observational, cross-sectional study conducted with a semi-structured questionnaire in 74 deaf adults. A descriptive analysis of the characterization of the sample and attendance, and an analysis of the association between satisfaction, professionals, self-perception, service used, and schooling level was performed, using the chi-square test. The level of significance adopted was 5%. Results: the sample was composed mainly of women (66.2%), 18 to 28 years old (46.5%), of socioeconomic class D (51.3%), having finished high school (56.76%), and employed as an office assistant or typist (90%), 63.5% self-declared as deaf, 51.3% were bilingual, and 54.4% were not satisfied with the medical care. There was a statistically significant difference between the level of satisfaction of the volunteers with the health care received in relation to the different health professionals who attended them (p< 0.05). Conclusion: most of the population was not satisfied with medical care, although this service was most sought. The type of communication used by the professionals and the presence of an interpreter were not effective. It is necessary to implement strategies to ensure accessibility and comprehensive careto this population.


2019 ◽  
Vol 2 (1) ◽  
pp. 293
Author(s):  
Ahmadi NH ◽  
Elly Noerhidajati ◽  
Siti Maesaroh

Cognitive function varies in each human being, from simple to complex, requiring attention, concentration, and coordination. Cognitive is related to a person's ability to think, solve problems, organize and also to communicate and interact with others and the environment. Methods: cross-sectional research, samples involve the students of medical faculty of Unissula-Semarang with GPA less than 3 and more than 3 graduated in 2018, instrument Mini-Mental State Examination (MMSE). Descriptive analysis and Chi-square test. Results and Discussion: samples are 56 students, the highest gender is men (51%), the range of age 18-21 years old (53.6%), the number of GPA is the same as the one below and above 3 there are 28 (50%). Test Chi Square gender difference with P value of 0.422 GPA gender does not have significant difference to the GPA, based on the age of the results of T-test p-value 0.000, showed age had significant difference to the GPA, where the age is getting younger GPA is getting better, based on the scores of MMSE test, it was obtained p 1.000, MMSE score has no significant difference with the GPA. Conclusion: Gender and MMSE value have no difference with GPA, there is difference between age and GPA, the younger the students the better GPA the students achieve.


Author(s):  
Endalkachew H. Maru ◽  
Tigist W. Leulseged ◽  
Ishmael S. Hassen ◽  
Wuletaw C. Zewde ◽  
Nigat W. Chamesew ◽  
...  

ABSTRACTBackgroundAs the number of new cases and death due to COVID-19 is increasing, understanding the characteristics of severe COVID-19 patients and identifying characteristics that lead to death is a key to make an informed decision. In Ethiopia, as of September 27, 2020, a total of 72,700 cases and 1165 deaths were reported.ObjectiveThe study aimed to assess the determinants of death in Severe COVID-19 patients admitted to Millennium COVID-19 Care Center in Ethiopia.MethodsA case-control study of 147 Severe COVID-19 patients (49 deaths and 98 discharged alive cases) was conducted from August to September 2020. A comparison of underlying characteristics between cases (death) and controls (alive) was assessed using a chi-square test and an independent t-test with a p-value of <0.05 considered as having a statistically significant difference. Multivariable binary logistic regression was used to assess a statistically significant association between the predictor variables and outcome of Severe COVID-19 (Alive Vs Death) where Adjusted Odds ratio (AOR), 95% CIs for AOR, and P-values were used for testing significance and interpretation of results.ResultsHaving diabetes mellitus (AOR= 3.257, 95% CI= 1.348, 7.867, p-value=0.00), fever (AOR=0.328, 95% CI: 0.123, 0.878, p-value= 0.027) and Shortness of breath (AOR= 4.034, 95% CI= 1.481, 10.988, p-value=0.006) were found to be significant predictors of death in Severe COVID-19 patients.ConclusionsThe outcome of death in Severe COVID-19 patients is found to be associated with exposures to being diabetic and having SOB at admission. On the other hand, having a fever at admission was associated with a favorable outcome of being discharged alive.


Author(s):  
Tigist W. Leulseged ◽  
Degu G. Alemahu ◽  
Ishmael S. Hassen ◽  
Endalkachew H. Maru ◽  
Wuletaw C. Zewde ◽  
...  

ABSTRACTBackgroundStudies show that having some symptoms seems to be associated with more severe disease and poor prognosis. Therefore, knowing who is more susceptible to symptomatic COVID-19 disease is important to provide targeted preventive and management practice. The aim of the study was to assess the determinants of having symptomatic disease among COVID-19 patients admitted to Millennium COVID-19 Care Center in Ethiopia.MethodsA case-control study was conducted from August to September 2020 among a randomly selected 765 COVID-19 patients (372 Asymptomatic and 393 Symptomatic patients). Chi-square test and independent t-test were used to detect the presence of a statistically significant difference in the characteristics of the cases (symptomatic) and controls (asymptomatic), where p-value of <0.05 considered as having a statistically significant difference. Multivariable binary logistic regression was used to assess a statistically significant association between the independent variables and developing symptomatic COVID-19 where Adjusted Odds ratio (AOR), 95% CIs for AOR, and P-values were used for testing significance and interpretation of results.ResultsThe result of the multivariable binary logistic regression shows that age group (AOR= 1.818, 95% CI= 1.210, 2.731, p-value=0.004 for 30-39 years; AOR= 1.611, 95% CI= 1.016, 2.554, p-value=0.043 for 40-49 years and AOR= 4.076, 95% CI= 2.582, 6.435, p-value=0.0001 for years and above), sex (AOR= 1.672, 95% CI= 1.216, 2.299, p-value=0.002) and history of diabetes mellitus (AOR= 2.406, 95% CI= 1.384, 4.181, p-value=0.002) were found to be significant factors that determine the development of symptomatic disease in COVID-19 patients.ConclusionsDeveloping a symptomatic COVID-19 disease was found to be determined by exposures of old age, male sex, and being diabetic. Therefore, patients with the above factors should be given enough attention in the prevention and management process, including inpatient management, to pick symptoms earlier and to manage accordingly so that these patients can have a favorable treatment outcome.


Author(s):  
Elia Fernández-Martínez ◽  
Tania Fernández-Villa ◽  
Carmen Amezcua-Prieto ◽  
María Morales Suárez-Varela ◽  
Ramona Mateos-Campos ◽  
...  

Menstrual problems affect many young women worldwide, conditioning both their academic performance and quality of life. This study sought to analyse the prevalence of menstrual problems and their possible relationship with lifestyle among Spanish university women, as part of a research project (UniHcos Project) involving a cohort of 11 Spanish universities with 7208 university students. A descriptive analysis was performed using the bivariate chi-square test and the Student’s t-test together with a binary logistic regression, in which the dependent variable was ‘suffering from menstrual problems’. Menstrual problems were identified in 23.8% of the students, representing women who paid more visits to the doctor and to emergency rooms, and who consumed more painkillers and contraceptives. In relation to dietary preferences, menstrual problems were 1.39 (CI 95% 1.22–1.61; p = 0.000) times more likely among women classified as high-risk alcohol users according to the AUDIT questionnaire, and 1.187 (CI 95% 1.029–1.370; p = 0.019) times greater among those who consumed sweets daily, 1.592 (CI 95% 1.113–2.276; p = 0.011) times more frequent among those who eat fish daily, and 1.199 (CI 95% 1.004–1.432; p = 0.045) times greater among those who were dieting. Menstrual problems affect many college students and potentially modifiable lifestyle variables exist which may influence their prevalence. It would be interesting to develop programmes to promote women’s health in the university context.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sura Ali Ahmed Fuoad ◽  
Dena Nadhim Mohammad ◽  
Marwa Abdul-Salam Hamied ◽  
Balkees Taha Garib

Abstract Background Identifying the prevalence of orofacial malignancies is essential to provide health-care programs and services for a specific population. This study aimed to specify the prevalence, clinical and histopathological features of oral malignancies in Sulaimani for over 12 years. Methods All archived reports for orofacial specimens from 2008 to 2019 were collected from three major centers in Sulaimani governorate. The demographic data, date, type of surgery, lesion's site, and diagnosis were recorded. The ICD-10 coding was specified for each case. A Chi-square test was used to assess differences between genders. A one-way ANOVA test was applied to analyze the differences in mean age distributions among different sites of oral malignancies and oral squamous cell carcinoma histopathological grades. P < 0.05 was considered significant. Results Orofacial malignant lesions account for 14.53% of the total sample. Patients' mean age was (55.46 ± 18.48) years, and they were predominantly males (M: F ratio = 1.15:1). The tongue was the frequently affected site (14.8%). A Chi-square test showed no significant difference between genders concerning age (P = 0.118), years of registration (P = 0.28), and site (P = 0.29). The C06 (represents; cheek mucosa C06.0, the vestibule of mouth C06.1, retromolar area C06.2, and other unspecified parts of mouth C06.8) was the most frequent topographical ICD-code (18.1%). Carcinoma was a frequent malignancy (63.2%). OSCC was the most common lesion (56.4%). It commonly affects males, and the tongue was the frequent site (24.1%) followed by lip (17.8%). Conclusions There is a slight increase in the registered oral malignancies in Sulaimani city over 12 years; they were predominated in males, in 61–70 years old patients, and being oral squamous cell carcinoma types.


Author(s):  
Imam Jayanto ◽  
Vitarani Dwi Ananda Ningrum ◽  
Wahyuni Wahyuni

ABSTRACTDiarrhea defined as bowel movements that does not form or in a liquid consistency with increasingfrequency. According to the data of World Health Organization (WHO), diarrhea isthe number one cause of infant mortality in the world. This research aims to describe thepharmacological use of antidiarrheal therapy and rehydration in the management hospitalizeddiarrheal patients in Sleman District Hospital according with SPM in this case using the SPMSardjito Hospital, Yogyakarta. This research carried out with the observational analytic crosssectional design (cross-sectional) and a prospective collecting data on patients hospitalizeddiarrhea in Sleman District Hospital during June to September 2012. Sampling used purposivesampling techniques that meets inclusion criteria. Type of data in this research is secondarydata and primary data taken from the demographic data and patient medical records aswell as interviews with relevant patients. Analysis the research data done in 2 ways, that isusing descriptive analysis to describe the demographic distribution of diarrhea in SlemanDistrict Hospital. Then continued with the inferential analysis using SPSS test a logisticsBinner and chi-square test. The results are was 34% the suitability treatment in the form ofantibiotic therapy for diarrhea; was 16.68% in the form of diarrhea rehydration therapy; was100% in the form of antidiarrheal therapy.Keywords : Acute diarrhea, therapeutic efficacy, binary logisticABSTRAKDiare didefinisikan sebagai buang air besar yang tidak berbentuk atau dalamkonsistensi cair dengan frekuensi yang meningkat. Menurut data Badan Kesehatan Dunia(WHO), diare adalah penyebab nomor satu kematian balita di seluruh dunia. Penelitian inibertujuan untuk mengetahui gambaran terapi farmakologi penggunaan antidiare dan rehidrasidalam penanganan pasien diare rawat inap di RSUD Sleman dengan mengacu pada SPMRSUP Sardjito, Yogyakarta. Penelitian ini dilakukan secara observasional dengan rancangananalitik cross sectional (potong lintang) dan pengambilan data secara prospektif pada pasiendiare rawat inap di RSUD Sleman selama Juni – September 2012. Pengambilan sampelmenggunakan teknik purposive sampling yang telah memenuhi kriteria inklusi. Jenis datayang digunakan dalam penelitian ini adalah data sekunder dan data primer yang diambil daridata demografi dan data rekam medik pasien serta wawancara langsung dengan pasienterkait. Analisis data hasil penelitian dilakukan dengan 2 cara, yaitu memakai analisisdeskriptif untuk mengetahui gambaran distribusi demografi pasien diare di RSUD Sleman.Lalu dilanjutkan dengan analisis inferensial dengan memakai uji SPSS berupa logistik binnerdan uji chi-square. Hasilnya terdapat kesesuaian terapi sebesar 34% yang berupa terapiantibiotik untuk diare; sebesar 16,68% yang berupa terapi rehidrasi diare; sebesar 100% yangberupa terapi antidiare.Kata Kunci : Diare akut, kemanjuran terapi, logistik biner


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