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1
Simard, Virginie. "Relations entre les comportements interpersonnels du psychothérapeute, la motivation des clients face à la thérapie et leur santé mentale /". Chicoutimi : Trois-Rivières : Université du Québec à Chicoutimi ; Université du Québec à Trois-Rivières, 2005. http://dx.doi.org/doi:10.1522/24604870.
Testo completoAbstract (sommario):
Thèse (M.Ps.) -- Université du Québec à Chicoutimi, 2005."Mémoire présenté à l'Université du Québec à Chicoutimi comme exigence partielle de la maîtrise en psychologie offerte à l'Université du Québec à Chicoutimi en vertu d'un protocole d'entente avec l'Université du Québec à Trois-Rivières." Comprend des réf. bibliogr. : f. [103]-115. Document électronique également accessible en format PDF.
2
Peng, Siwei, e 彭思玮. "Medication nonadherence among hypertension patients". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48425230.
Testo completoAbstract (sommario):
Optimal effect of medical treatment requires patients' adherence to those treatments, which plays a even greater role than the medical decision made by physicians. With the epidemiological dynamic evolving, chronic disease becomes the major burden of healthcare, such as AIDS, hypertension, COPD, tuberculosis, asthma, epilepsy, schizophrenia, depression and diabetes, which make the adherence especially medication adherence a sightworthy issue because the risk of poor adherence with the complexity and duration of treatment with both of them are inherent to chronic diseases. Among patients with hypertension, medication nonadherence contributes to poorly controlled blood pressure as an significant yet unrecognized role. With the mediator of negative outcomes of further development of vascular disorders, including stroke, heart failure, renal insufficiency and coronary diseases, medication nonadherence to antihypertensives become the root of all devil in terms of healthcare.
In terms of healthcare utilization, it costs approximately 396 to 792 million dollars per year and creates a significant burden. Effect factors for medication nonadherence among hypertension patients include knowledge about hypertension, beliefs about hypertension, perceived beliefs about medication, inadequate self-management behaviors, physician-patient relationship, social support and healthcare policy. The achievements of current single level interventions are not satisfactory, therefore multiple level interventions are calling for attention.Everyone in the healthcare system are responsible to alter the situation. A comprehensive healthcare system that consummates all the effect factors is the effective and efficient solution.published_or_final_version
Public Health
Master
Master of Public Health
3
Pernet, Adeline. "Coproduire un soin sûr et efficace : le développement des capabilités des patients en radiothérapie". Thesis, Paris, CNAM, 2013. http://www.theses.fr/2013CNAM0906/document.
Testo completoAbstract (sommario):
Cette recherche traite de la participation des patients à la sécurité des soins en radiothérapie, qui se définit comme les actions mises en œuvre par les patients pour réduire la probabilité d’erreurs médicales et/ou pour atténuer les effets des erreurs lorsqu’elles surviennent effectivement. La sécurité des patients en radiothérapie est devenue une priorité centrale pour les politiques publiques suite aux accidents récents survenus à Épinal, Toulouse ou Grenoble pour les plus emblématiques. Dans ce contexte, la participation des patients peut être un moyen d'amélioration de la sécurité des soins. L’objectif général de cette étude est de comprendre la dynamique constructive des capabilités des patients dans la coproduction d’un soin sûr et efficace. Les capabilités des patients se définissent comme les contributions réelles faites par ces derniers et visant à assurer la sécurité et l'efficacité des soins.L'étude est menée dans les services de radiothérapie d’un hôpital et d'un centre de lutte contre le cancer. Plusieurs méthodes ont été combinées pour analyser l'activité de travail des manipulateurs, des patients et de l’activité conjointe entre ces deux partenaires : des observations des séances de traitement, des entretiens semi- directifs avec des manipulateurs et des patients, des auto- et allo -confrontations avec des manipulateurs et des entretiens d'explicitation avec des patients.Les résultats décrivent les contributions effectives mises en œuvre par les patients, et montrent que la coopération du patient agit comme une barrière de sécurité supplémentaire qui renforce la sécurité et l'efficacité du traitement. L'environnement et la durée de radiothérapie (traitement répétitif sur plusieurs semaines) sont des ressources externes qui fournissent une opportunité créative pour le patient d’apprendre de la situation et de l'évaluer en observant ce qui se passe. L'étude s’attache également à analyser les facteurs qui permettent (facteurs dits « positifs ») ou au contraire empêchent (facteurs dits « négatifs ») de convertir les capacités des patients en capabilités, c’est-à-dire en contributions effectives. Les facteurs de conversion positifs sont relatifs aux patients (connaissance des risques associés aux soins, motivation personnelle), au collectif manipulateur-patient (objectif commun, synchronisation cognitive, synchronisation opératoire) et aux manipulateurs (construction d’une relation de confiance, encouragement et renforcement positif). Cependant, les capabilités des patients ne sont pas toujours optimisées et les fortes pressions temporelles rencontrées par les manipulateurs dans leur pratique peuvent empêcher leur développement.Cette étude a permis de montrer qu’il y a une volonté conjointe des professionnels et des patients d’aller ensemble vers une meilleure coopération. Elle montre également que la coopération du patient est une nécessité qui reste encore méconnue et sous-exploitée, alors qu’elle permettrait probablement de réduire le nombre de situations et des comportements à risques des patients. Cette participation active, si elle ne doit en aucun cas être exigée et être une source d’anxiété supplémentaire pour le patient, mérite d’être développée et encouragéeThis research deals with patient participation to patient safety, which can be defined as the actions taken by patients to reduce the likelihood of medical errors and / or mitigate the effects of errors when they do occur. Patient safety in radiotherapy has become a central priority for public policies further to the recent accidents arisen at Épinal, Toulouse and Grenoble for the most symbolic. In this context, patient participation may be a way of improvement of patient safety. The general objective of this study is to understand the constructive dynamics of patient capabilities in the co-production of a safe and effective care. Patient capabilities are defined as the actual contributions made by patients to ensure the safety and effective of care.The study was conducted in the radiotherapy departments of a public hospital and of a cancer center. Several methods have been combined to analyze the work activity of radiographers, of patients and of joint activity between the two partners : observations of treatment sessions, semi-structured interviews with manipulators and patients, self- and allo-confrontations with radiographers and elicitation interviews with patients.The results describe the actual contributions carried out by patients and show that patient cooperation acts as an additional safety barrier for patient safety. The environment of care and the duration of radiotherapy (repetitive and long treatment) constitute external resources, which provide a creative opportunity for the patient to learn from the situation and to evaluate it by observing what happens. The study also attempts to analyze the factors that allow ("positive" factors) or prevent ("negative" factors) patient capacities to become capabilities, i.e. actual contributions. The positive conversion factors are relative to the patients (knowledge of risks associated to care, personal motivation), to the collective (common objective, cognitive synchronization, operative synchronization) and to radiographers (construction of a trust relationship, encouragement and positive strengthening). However, patient capabilities are not always optimized and the strong work-related temporal pressures can prevent their development.This study highlights that there is a common will of professionals and patients to go together towards a better cooperation. It also shows that patient cooperation is a necessity that remains still unknown and underexploited, while it would likely reduce the number of risky situations and patients’ risky behaviors. Even if this active participation should not be required and be an additional source of anxiety for the patient, it should be developed and encouraged
4
Gross, Olivia. "Experts et expertise : le cas des patients : Contribution à la caractérisation du patient-expert et de son expertise". Thesis, Paris 13, 2014. http://www.theses.fr/2014PA131003.
Testo completoAbstract (sommario):
Les nouvelles technologies de l’information rendent l’accès au savoir possible, des forum et des réseaux sociaux permettent aux malades de s’organiser, le monde associatif se structure, et dans cette dynamique, des patients sont considérés des experts de leur maladie chronique. Toutefois, la nature de leur expertise reste floue et polémique et appelle à être caractérisée. Pour caractériser ce phénomène, nous avons utilisé comme cadre conceptuel le socioconstructivisme et l’individualisme méthodologique. A partir d’une première grille d’analyse issue d’une recension des écrits sur les notions d’expert et d’expertise, il a été procédé à des entretiens avec 12 patients reconnus socialement comme ayant une pratique d’expert ainsi qu’à des entretiens avec des professionnels de santé qui les côtoient en différentes circonstances. La première grille d’analyse ayant permis d’identifier les domaines à explorer, nous avons procédé à l’analyse qualitative et compréhensive des récits de vie des patients et mis en évidence leur motivation, éthique, déontologie, rapport au savoir, modalités d’apprentissages, savoirs, actions, compétences, traits de personnalité, et leur rapport aux soins et à leurs soignants. Deux types de patients-experts émergent qui se consacrent soit aux problématiques biomédicales, soit à l’accompagnement social et au système de soins. Ces deux types de patients-experts ont en commun d’être des acteurs sociaux passionnés et altruistes, qui poursuivent l’objectif d’améliorer la prise en charge de la maladie et/ou sa prévention, qui déploient à cet effet des compétences interculturelles, émotionnelles et de l’autonomie, et qui assurent des rôles d’interface, de porte-voix et d’éclaireurs. Ces acteurs motivés, qui participent à identifier des problématiques de santé et à les élucider, intéressent la santé publique dans la mesure où nos résultats interrogent le type de fonctions qu’ils pourraient occuper dans le système de santé et la forme que pourrait prendre la valorisation de leurs actionsNew information technology provides access to knowledge; thanks to forums and social networks, patients can organize, constructing a community in which some patients are considered experts in their chronic disease. The nature of that expertise is unclear and controversial, however, and demands characterizations. To characterize this phenomenon we employed social constructivism and methodological individualism as a conceptual framework. Using an initial analysis grid taken from a literature review on the concepts of expert and expertise, we interviewed twelve patients socially acknowledged as having expert experience, as well as health professionals with whom they have contact in a variety of circumstances
5
Nizamova, Mika, e Zarah Barrett. "Vårdmiljöns betydelse för patientens välbefinnande". Thesis, Sophiahemmet Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3934.
Testo completoAbstract (sommario):
SAMMANFATTNING Bakgrund Upplevelsen av hälsa och välbefinnande är beroende av hur miljön vi befinner oss i är utformad. Ett av sjuksköterskans ansvarsområden är att se efter att vårdmiljön uppfyller patientens behov. Vårdmiljön kan utformas av flera olika aspekter såsom ljud, ljus och natur vilka alla har förmågan att kunna skapa en känsla av trygghet. Sjukvårdsreformatorn F. Nightingale menade att den fysiska miljön var lika viktig som den psykiska och sociala omgivningen för att återfinna hälsa samt förebygga sjukdomar. Syfte Syftet med denna litteraturöversikt var att beskriva aspekter i vårdmiljön som främjar patientens välbefinnande. Metod Metoden som valdes för denna studie var en icke-systematisk litteraturöversikt. Databassökningar gjordes i PubMed, CINAHL, Academic Search Elite samt manuella sökningar. Ett urval av 17 vetenskapliga artiklar gjordes efter noggrann granskning. Artiklarna som användes var både kvalitativa och kvantitativa, dessa har kvalitetsgranskats med hjälp av Sophiahemmets Högskolas bedömningsunderlag. Integrerad dataanalys användes som metod. Resultat En hälsofrämjande vårdmiljö påverkar patientens välbefinnande och autonomi under tiden de vårdas på sjukhus. Det första intrycket vid besök på sjukhus är det som utgörs av den fysiska miljön. Vidare framkom att enkelrum ledde till minskat buller, bättre sömn samt stärkt socialt stöd och personlig integritet. Fönster och utsikt över naturen skapade en känsla av fridfullhet då naturen kunde hjälpa till att stärka patientens inre kraft genom distraktion. Naturligt ljus ökade välmåendet och förbättrade sömnen. En välkomnande vårdmiljö med ”mysighetsfaktor” och avskildhet ökade känslan av hemtrevlighet vilket förbättrar välbefinnandet hos patienterna och ökade dessutom närvaron av anhöriga vilka utgjorde ett stort stöd för patienterna. Slutsats Genom en ökad kunskap om vårdmiljöns betydelse för patientens välbefinnande, kan åtgärder vidtas för hur allmänna utrymmen utformas. Vårdmiljön kan antingen stödja eller hindra patientens återhämtningsprocess och har kapaciteten att främja patientens livskvalitet. Denna studie ger en inblick i vårdmiljöns betydelse och bidrar med lärdomar som vidare kan tillämpas i vårt framtida kliniska arbete inom professionen. Nyckelord: Patienters nöjdhet, patientens acceptans av vård, patienter, miljödesign, vårdmiljö.ABSTRACT Background The design of the environment affects our experience of health and well-being. One of the nurse's responsibilities is to ensure that the care environment meets the patient's needs. The care environment can be designed by several different factors such as sound, light and nature. All with a capacity to provide a feeling of security. According to healthcare reformer F. Nightingale, the physical environment was equally important to the psychological and social environment in order to regain health and prevent disease. Aim The purpose of this literature review was to describe aspects of the care environment that promote the patient’s well-being. Method The method used was non-systematic literature review. Database searches were performed in PubMed, CINAHL, Academic Search Elite as well as manual searches. A selection of 17 scientific articles was made after careful review. The articles were of both quantitative and qualitative research methods, these have been quality checked with the help of Sophiahemmet University’s assessment data. They were analysed based on the integrated data analysis method. Results A health-promoting care environment affects the patient's well-being and autonomy while they are being cared for in hospital. The first impression when visiting a hospital is that of the physical environment. Furthermore, it turned out that single rooms led to reduced noise, better sleep and strengthened social support and personal integrity. Windows and views of nature created a feeling of peace as nature could help strengthen the patient's inner power through distraction. Natural light as well as artificial light increased the well- being and improved sleep. A welcoming care environment with a “cosiness factor” and privacy increased the feeling of homeliness, which improves the well-being of the patients and also increased the presence of relatives who constituted a great support for the patients. Conclusion Through increased knowledge on the importance of the care environment for the well- being of the patient, measures can be taken focusing on the design of public spaces in this environment. The care environment can either support or hinder the patient's recovery process and has the ability to promote the patient’s quality of life. This study provides an insight into the importance of the care environment and contributes with lessons that can be further applied in our future clinical work within the profession. Keywords: Patient satisfaction, patient acceptance of health care, patients, environment design, health facility environment.
6
Kshetri, Kanak Bikram. "Modelling patient states in intensive care patients". Thesis, Massachusetts Institute of Technology, 2011. http://hdl.handle.net/1721.1/76985.
Testo completoAbstract (sommario):
Thesis (M. Eng.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 2011.Cataloged from PDF version of thesis.
Includes bibliographical references (p. 71-74).
Extensive bedside monitoring in hospital Intensive Care Units (ICU) has resulted in a deluge of information on patient physiology. Consequently, clinical decision makers have to reason with data that is simultaneously large and high-dimensional. Mechanisms to compress these datasets while retaining their salient features are in great need. Previous work in this area has focused exclusively on supervised models to predict specific hazardous outcomes like mortality. These models, while effective, are highly specific and do not generalize easily to other outcomes. This research describes the use of non-parametric unsupervised learning to discover abstract patient states that summarize a patient's physiology. The resulting model focuses on grouping physiologically similar patients instead of predicting particular outcomes. This type of cluster analysis has traditionally been done in small, low-dimensional, error-free datasets. Since our real-world clinical dataset affords none of these luxuries, we describe the engineering required to perform the analysis on a large, high-dimensional, sparse, noisy and mixed dataset. The discovered groups showed cohesiveness, isolation and correspondence to natural groupings. These groups were also tested for enrichment towards survival, Glasgow Coma Scale values and critical heart rate events. In each case, we found groups which were enriched and depleted towards those outcomes.
by Kanak Bikram Kshetri.
M.Eng.
7
凌綽姿 e Cheuk-chi Ling. "Evidence-based pain education programme for cancer patients with pain". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43251365.
Testo completo
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Chumbley, Gillian Mary. "Patients' evaluation of patient controlled analgesia after surgery". Thesis, St George's, University of London, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.249438.
Testo completo
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Le, May Andree Christine. "Nurse-patient touch and wellbeing of elderly patients". Thesis, King's College London (University of London), 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.392280.
Testo completo
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Morrical, Kathy Jo S. "Readiness to learn as described by adults experiencing a change in health/illness status". Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1272425.
Testo completo
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Ramones, Valerie. "Patient education and compliance in the hypertensive elderly". Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276814.
Testo completoAbstract (sommario):
This study examined the difference among 3 patient education intervention strategies and compliance in the hypertensive elderly. The strategies were verbal instructions, written instructions and both verbal and written instructions. An ex post facto descriptive design was implemented based on a Cognitive Information Processing Theory of Learning. Forty subjects were recruited and interviewed. Data analysis revealed that compliance did not differ significantly with the type of educational strategy.
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Chartier, Céline Grimaud Nicole. "L'observance à une thérapeutique médicamenteuse au long cours exemple des patients douloureux chroniques pris en charge au centre d'évaluation et de traitement de la douleur de Nantes /". [S.l.] : [s.n.], 2008. http://castore.univ-nantes.fr/castore/GetOAIRef?idDoc=47276.
Testo completo
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Klässbo, Maria. "HIP disability : patient education, classification and assessment /". Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-425-9/.
Testo completo
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O'Brien, Roxanne Louise. "Keeping patients safe: The relationship between patient safety climate and patient outcomes". Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3378501.
Testo completo
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Söderholm, Werkö Sophie. "Patient Patients? : Achieving Patient Empowerment through active participation, increased knowledge and organisation". Doctoral thesis, Stockholms universitet, Företagsekonomiska institutionen, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-7261.
Testo completoAbstract (sommario):
This study examines patient empowerment in two local diabetes branch organisations in Sweden. In particular, the study focuses on the organisations’ membership, participation and influence on external actors. The overall aim of this thesis is to explore patient empowerment in order to discern what influence patient organisations and individual members can have and how they use it. This study is based on both quantitative and qualitative empirical data. Interviews with active members from two local diabetes organisations were conducted and a survey was carried out to identify the members’ thoughts and feelings about their membership, motivations, participation and influence, as well as to examine their local organisation, its work and influence. The findings form an overall picture of how members experience their organisation, memberships and empowerment. Characteristics of the two local patient branch organisations were identified and the leaders were found to be intensely dedicated people. The interviews, survey and participant observations revealed the members’ opinions about their organisation, their reasons for joining, their involvement, participation and influence, as well as their understanding of the local organisation and the Swedish Diabetic Association (SDA) and their possibility to empower them. Without organisations, members felt that they could not have a significant influence on external actors and events.
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Söderholm, Werkö Sophie. "Patient patients? : achieving patient empowerment through active participation, increased knowledge and organisation /". Stockholm : School of Business, Stockholm University, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-7261.
Testo completo
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Gunnarsson, Anna-Karin. "Patients with Hip Fracture : Various aspects of patient safety". Doctoral thesis, Uppsala universitet, Ortopedi, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-232825.
Testo completoAbstract (sommario):
The overall aim of the thesis was to investigate whether patient safety can be improved for patients with hip fracture by nutritional intervention and by pharmacological treatment with cranberry concentrate. Another aim was to describe the patients’ experience of involvement in their care. The thesis includes results from four studies that include both quantitative and qualitative design. Studies I and II were intervention studies with a quasi-experimental design, with intervention and comparison groups. Study III was a randomised, double-blind, placebo-controlled trial with intervention and control groups. Study IV took a qualitative approach. Study I showed that when patients with hip fracture received nutritional supplementation according to nutritional guidelines, from admission until five days postoperatively, fewer patients developed pressure ulcers. Study II showed that it is possible to objectively evaluate a short-term nutritional intervention through the nutritional biochemical marker IGF-1, as it was affected by a five-day high-energy regimen. The randomised controlled trial, Study III, showed that a short-term treatment from admission until five days postoperatively with cranberry as capsules does not seem to be useful in preventing positive urine cultures in female patients with hip fracture and a urinary catheter. Finally, Study IV showed that patients with hip fracture reported experiencing very little involvement in their nursing care, to the extent that fundamental aspects of nursing care went unfulfilled. Patients did not feel valued by the nurses and unbearable pain that affected rehabilitation was reported. Positive interactions with nurses, however, did encourage patients to be more active. It is possible for every nurse to improve patient safety at bedside when caring for patients with hip fracture. Simply by increasing caloric/energy intake, it is possible to prevent pressure ulcers. It is also important to involve patients in nursing care, since the patients have experienced low or almost no involvement in care. Nurses need to see each patient as a whole person with different wishes and needs. However, certain prerequisites have to be in place to give nurses the opportunity to increase patient safety at bedside for patients with hip fracture.
18
Kotze, E., e T. McDonald. "A longitudinal patient record for patients receiving antiretroviral treatment". Journal for New Generation Sciences, Vol 10, Issue 1: Central University of Technology, Free State, Bloemfontein, 2012. http://hdl.handle.net/11462/598.
Testo completoAbstract (sommario):
Published ArticleIn response to the Human Immunodeficiency Virus (HIV) epidemic in the country, the South African Government started with the provisioning of Antiretroviral Therapy (ART) in the public health sector. Monitoring and evaluating the effectiveness of the ART programme is of the utmost importance. The current patient information system could not supply the required information to manage the rollout of the ART programme. A data warehouse, consisting of several data marts, was developed that integrated several disparate systems related to HIV/AIDS/ART into one system. It was, however, not possible to trace a patient across all the data marts in the data warehouse. No unique identifiers existed for the patient records in the different data marts and they also had different structures. Record linkage in conjunction with a mapping process was used to link all the data marts and in so doing identify the same patient in all the data marts. This resulted in a longitudinal patient record of an ART patient that displayed all the treatments received by the patient in all public health care facilities in the province.
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Waltz, Margaret. "(Im)Patient Patients: An Ethnography of Medical Waiting Rooms". Case Western Reserve University School of Graduate Studies / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=case1457030358.
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Petit, Amanda. "Patient-Provider Communication in Patients with Inflammatory Bowel Disease". Ohio University Honors Tutorial College / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ouhonors1528924843222824.
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RinaldiFuller, Julie. "Patient to nurse ratios and safety outcomes for patients". [Denver, Colo.] : Regis University, 2008. http://165.236.235.140/lib/JRinaldiFuller2008.pdf.
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Westfall, Lee Lucia. "The effects of a structured patient education program on adaptation to cancer". Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276581.
Testo completoAbstract (sommario):
This study examined changes in adult learning, adaptation, and anxiety that occurred as the result of the adult cancer education program "I Can Cope." The study utilized a repeated measures descriptive design. A volunteer sample of 19 subjects participated in this study. Changes in each person's pre-mid-post-test scores were measured against their pre-mid-post-test scores on three instruments: (a) Course Inquiry Test; (b) Purpose in Life Test; and (c) A-State Anxiety Inventory. A comparison of scores measured whether any short-term adult learning, adaptation and change in anxiety occurred as a result of the "I Can Cope" Program. The study did demonstrate that an organized adult patient education program could foster and enhance adult learning and adaptation as well as influence anxiety of participants.
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Flora, Luigi. "Le patient formateur : élaboration théorique et pratique d’un nouveau métier de la santé". Paris 8, 2012. http://www.theses.fr/2012PA083535.
Testo completoAbstract (sommario):
Le projet de cette recherche vise à questionner les enjeux : existentiel, relationnel, institutionnel et socio anthropologiques révélés par le patient formateur. Les objectifs opérationnels de cette thèse tendent vers la compréhension de la part de savoirs des malades et leurs interactions avec celle des professionnels de la santé, leur transmissibilité et des processus en œuvre tant à titre : individuel, collectifs que sociétaux dans le domaine de la santé et des systèmes de santé. Les thèmes théoriques abordés concernent le concept de l’éthique du Care, les sciences de l’éducation, les regards sociologiques et anthropologiques concernant le sujet, et pour cela sont abordés les champs de la formation et des apprentissages des adultes, les concepts de promotion de la santé et d’éducation thérapeutique comme l’histoire du savoir des malades et des nouvelles figures qui ont émergé. Au plan épistémologique, cette recherche s’inscrit dans la démarche qualitative, compréhensive, autour de la théorie ancrée, à partir d'approches : d'observation directe, participative et de recherche-action. Au plan méthodologique, le mode de recueil des données s’appuie : sur des entretiens de patients, patients formateurs vivant avec une ou des maladies chroniques qui ont réalisé un retour réflexif, des initiateurs de dispositifs innovants, triangulés avec des immersions de terrain et des publications sur les environnements approchés lorsque ces dernières existaient. L’interprétation des données éclaire les enjeux questionnés à des niveaux micro, méso et macro, et abouti sur une proposition d’élaboration théorique et pratique d’un nouveau métier de la santé, celui de patient formateurThis research questions the existential, relational, institutional and socio anthropological aspects related to the experiences of patients in their function of trainers of medical staff. The goal is is to improve the understanding of the patients’ knowledge, of the way they communicate it, of the way they interact with health professionals, and of the individual, collective, and societal processes they rely on. The theoretical frame is built around the ethical concept of Care, the sciences of education, the sociological and anthropological ways of considering the subject. The theoretical frame draws on theories concerning teaching and learning in adult education, health promotion strategies, therapeutic education, and history concerning patients, their experiences and their knowledge. The epistemology of this research is qualitative, comprehensive, and is inspired by grounded theory, using mostly direct, participative observations and action-research. On the methodological level, data are collected through interviews with patients living suffering from chronical disease. They often have gained insights from reflecting on their experience as patients, and sometimes even have created new ideas or procedures related to their disease or to care. We used data from fieldwork and available research to improve understanding on micro, méso and macro levels which resulted in the theorical and practical proposal of a new health profession : the patient as a trainer of medical staff
24
Hellbom, Maria. "Individual Support for Cancer Patients : Effects, Patient Satisfaction and Utilisation". Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2001. http://publications.uu.se/theses/91-554-5183-7/.
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Chou, Cheng-hui. "Patient characteristics related to hospital readmission in heart failure patients". Cleveland, Ohio : Case Western Reserve University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=case1220463022.
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26
馮淑貞 e Shuk-ching Corina Fung. "Needs assessment for schizophrenic patients in an out-patient clinic". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31225998.
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Chou, Cheng-hui. "Patient characteristics related to hospital readmission in heart failure patients". Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1220463022.
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28
Furniss, Stephanie. "Characteristics of Patients Using a Patient Portal via Mobile Technology". The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1492468236459889.
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Fung, Shuk-ching Corina. "Needs assessment for schizophrenic patients in an out-patient clinic /". Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk/hkuto/record.jsp?B24391049.
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30
Hamdy, R. C., J. V. Lewis, Amber Kinser, A. Depelteau, Rebecca Copeland, T. Kendall-Wilson e K. Whalen. "Too Many Choices Confuse Patients With Dementia". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1231.
Testo completoAbstract (sommario):
Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.
31
Liénard, Aurore. "Contribution à l'étude de l'optimisation de la relation soignant-soigné en médecine". Doctoral thesis, Universite Libre de Bruxelles, 2010. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/210136.
Testo completoAbstract (sommario):
La communication est au centre de la relation soignant-soigné en médecine. Si la littérature dans ce domaine est abondante, il reste aujourd’hui de nombreuses questions relatives à l'efficacité des formations des médecins à la communication en termes d'acquisition et de transfert de compétences. Ce travail de thèse a étudié ces questions au travers de quatre objectifs: l'évaluation de l'acquisition de compétences communicationnelles dans un contexte hautement émotionnel, l'évaluation du transfert de compétences communicationnelles dans la pratique clinique, l'évaluation de l'impact de l'acquisition et du transfert de compétences communicationnelles sur l'état émotionnel du patient, et l'évaluation de l'impact de l'acquisition et du transfert de compétences communicationnelles sur l'état émotionnel du patient et de son proche. Des programmes de formation à la communication ont donc été testés empiriquement. Les résultats de ces études montrent qu'un programme de formation à la communication permet l'acquisition de compétences communicationnelles centrées sur le patient ainsi que le transfert de ces compétences en situations cliniques. De plus, ce transfert de compétences est perçu par les patients. Ces études montrent néanmoins qu'un programme de formation à la communication n'a d'impact ni sur l'évolution de l'anxiété des patients lors de consultations médicales impliquant un patient seul ni sur l'évolution de l'anxiété des patients et de leurs proches lors de consultations médicales impliquant un patient accompagné par un proche. Ces résultats soulignent l'importance de proposer dès aujourd'hui ce type de formations dans les curriculums des médecins mais aussi de continuer à améliorer l'optimisation de ces formations à la relation soignant-soigné. /Communication is at the center of the doctor-patient relationship in medicine. Although literature is abundant in this area, there are now many questions about the effectiveness of communication training for physicians in terms of acquisition and transfer of skills. This thesis has addressed these issues through four objectives: the assessment of communication skills in a highly emotional context, the assessment of transfer of communication skills in clinical practice, the assessment of the impact of acquisition and transfer of communication skills on the patient's emotional state, and the assessment of the impact of acquisition and transfer of communication skills on the patient's and its relative's emotional state. Two communication skills training programs have been tested empirically. Results of these programs show that a training program allows the acquisition of patient-centred communication skills and the transfer of these skills in clinical practice. Moreover, this transfer of skills is perceived by patients. Results of the studies included in this thesis show however that a communication skills training program has no impact on the evolution of patient anxiety following medical consultation or on the evolution of patient and relative anxiety following medical consultation when patient was accompanied by a relative. These results underscore the importance of including this type of training in the curricula of doctors but also to further study the optimisation of such training program to doctor-patient relationship.Doctorat en Sciences Psychologiques et de l'éducation
info:eu-repo/semantics/nonPublished
32
Tumelo, Sylvia Mmamoseka 1953. "COMPLIANCE AND FAMILY INVOLVEMENT WITH TUBERCULOSIS PATIENTS IN BOTSWANA". Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275566.
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Nieminen, Cecilia, e Jelena Tomic. "Att vårdas i en flerbäddssal : En litteraturöversikt om patienters erfarenheter av att vårdas i en flerbäddssal". Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-4275.
Testo completoAbstract (sommario):
Bakgrund: Att vårdas i en flerbäddssal med andra medpatienter kan medföra både positiva och negativa erfarenheter för patienter. När en människa intar rollen som patient hamnar hen i en situation där patientens avskildhet kan bli svår att bevara och värdigheten kan bli hotad. Syfte: Syftet var att beskriva patienters erfarenheter av att vårdas i en flerbäddssal med andra medpatienter. Metod: En litteraturöversikt baserad på tio vetenskapliga studier, varav nio var kvalitativa och en var både kvalitativ och kvantitativ. Studierna som erhölls ifrån databaserna CINAHL och PUBMED analyserades och sammanställdes. Resultat: Resultatet presenteras i fyra huvudteman och sju subteman. Det första huvudtemat benämns som Att vårdas i en flerbäddssal med tre subteman; Betydelsen av att ha sällskap av medpatienter, Stödjande samtal av medpatienter och Bevara självständighet och värdighet genom ett oberoende. Det andra huvudtemat benämns som Patienternas upplevelse av att vistas i en flerbäddssal med andra medpatienter med ett subtema; Att vårdas i en könsblandad flerbäddsal som ett hot mot värdigheten. Det tredje huvudtemat benämns som Patienters upplevelse av att höra och föra ett samtal i en flerbäddssal med ett subtema; Draperiernas betydelse för avskildhet i en flerbäddssal. Det fjärde huvudtemat benämns som Svårigheter med att bevara avskildhet i en flerbäddssal med ett subtema; Strategier för att vara avskild i en flerbäddssal. Diskussion: Diskussionen baseras på litteraturöversikten resultat, där författarna diskuterar resultatet utifrån livsvärldsbegreppet och konsensusbegreppet människa. I diskussionen lyfts de nämnda erfarenheter som förekom i resultatdelen och hur sjuksköterskan kan förhålla sig till och arbeta för att tillgodose patientens individuella behov.Background: Being cared for in multiple-bed hospital rooms with other fellow patients can have both positive and negative experiences for patients. When a person takes the role of patient harbors she/he in a situation where the patient's privacy can be difficult conserved and dignity can be threatened. Aim: The aim was to explore patients' experiences of being cared for in multiple-bed hospital room with other fellow patients. Method: A literature review based on ten scientific studies, of which nine was qualitative and one was both qualitative and quantitative. The studies were obtained from CINAHL and PUBMED which are then analyzed and compiled. Results: The results are presented in four main themes and seven subthemes. The first main theme is referred to as being cared for in a multiple-bed room with three subthemes: The importance of having the company of fellow patients, promoting conversations of fellow patients and preserve the autonomy and dignity towards the staff .The second main theme is referred to as patients' experience of staying in a multiple-bed room with other fellow patients with a subtema; Being cared for in a mixed-gender multiple-bed room as a threat to dignity. The third main theme is referred to as Patients' experience of hearing and having a conversation in a multiple-bed room with a subtema; The curtains importance of privacy in a multiple-bed room. The fourth main theme is referred to as Difficulties with preserving privacy in a multiple-bed room with a subtema; Strategies to be private in a multiple-bed room. Discussions: The discussion is based on the literature review results, which the authors discuss the results based on the life-world concept and consensus concept of human. The discussion highlighted those experiences that occurred in the results section and how the nurse can relate to and work to meet individual patient needs.
34
Schirg, Glenn Richard. "Determining the patient satisfaction factors for hospital room service & the association of room service with the overall satisfaction with the hospital experience". Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007schirgg.pdf.
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Bugeau, Lise Chiffoleau Anne. "Connaissances et éducation des patients traités par antivitamines K enquête auprès de patients de pharmacies d'officine de Loire-Atlantique et Vendée /". [S.l.] : [s.n.], 2007. http://castore.univ-nantes.fr/castore/GetOAIRef?idDoc=13336.
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36
Andersson, Boman Oskar, e Andreas Eriksson. "Upplevelser av information på akutmottagningar ur ett patientperspektiv: En litteraturöversikt". Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-384650.
Testo completoAbstract (sommario):
Bakgrund: Tidigare forskning har visat på vikten av information för patienters vårdupplevelse och säkerhet. Ändå finns tydliga belägg för att informationen brister på akutmottagningar. Det är därför viktigt att sammanställa patienters upplevelser inom området. Syfte: Att undersöka patienters upplevelser av information på akutmottagningar. Metod: Deskriptiv design med litteraturöversikt som metod där 16 vetenskapliga kvalitativa originalartiklar analyserades. Resultat: Fem teman skapades: Initial vård på akutmottagningen; efterföljande väntetid; tillstånd och behandling; förståelse och minnesförmåga; samt avslutande vård på akutmottagningen. Både positiva och negativa upplevelser framkom. Mest framträdande var negativa upplevelser angående bristande information om saker som väntetider, tillstånd och behandling. Slutsats: Information är en viktig del av vården på en akutmottagning och denna studie belyser dess betydelse ur ett patientperspektiv. I resultatet framkom en mängd olika upplevelser som visar på problemområdets relevans. Behov av mer forskning specifikt gällande patienters upplevelser av information anses behövas. Genom att belysa patienters upplevelser har brister och även möjligheter till förbättringar synliggjorts, vilket kan vara av nytta för sjuksköterskor i sin profession.Background: Previous research has shown the importance of information for the patients care experience and safety. Still there is clear evidence that information is lacking at emergency departments [ED]. It is therefore important to gather patient experiences on the subject. Purpose: To investigate patient experiences of information in emergency departments. Method: Descriptive design with a literature review as method where 16 scientific qualitative original articles was analyzed. Results: Five themes was created: Initial care at the ED; following waiting time; condition and treatment; understanding and ability to remember; and final care at the ED. Both positive and negative experiences emerged. Most prominently was negative experiences regarding lack of information about subjects such as waiting times, condition and treatment. Conclusion: Information is a crucial part of the care at the ED and this study highlights its importance from the patient perspective. A lot of different experiences emerged in the result that displays the relevance of the problem area. The need of further research regarding patient experiences of information is considered needed. Flaws and opportunities for improvement has also been revealed by highlighting patient experiences, which may be of use for nurses in their profession.
37
Shatri, Maida, e Anna Garmefelt. "Patienters upplevelse av vårdmiljö på operations- och intensivvårdsavdelning : Systematisk litteraturstudie". Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-73200.
Testo completoAbstract (sommario):
Abstrakt Bakgrund: Vårdmiljön på operations- och intensivvårdsavdelningen är avancerad och högteknologisk. Att vara patient och behöva vårdas på sjukhus innebär att komma till en främmande miljö med risk att förlora kontroll över sig själv och behöva överlämnas till andra. Förhållandet mellan patient, vårdpersonal, närstående, teknik, omgivning samt omvärld anses vara avgörande för hur patienten kommer att uppleva vårdmiljön. Syfte: Att beskriva patienters upplevelser av vårdmiljön på operations- och intensivvårdsavdelning. Metod: Systematisk litteraturstudie med induktiv och kvalitativ ansats. Analysen utfördes genom att syntetisera och summera innehållet i 17 kvalitativa primärstudier. Resultat: Resultatet består av 3 huvudteman och 8 underteman. Tema nr 1: Att vara patient i en främmande och teknisk vårdmiljö - patienternas förändrade upplevelser av sig själva, att befinna sig mellan fantasi och verklighet, att ha och inte kontroll över sin situation samt familjens betydelse för patienternas upplevelser. Tema nr 2: Patienternas upplevelser av rädsa - att vara rädd samt rädsla mot existensen. Tema nr 3: Personalens betydelse för patienternas upplevelser - att vara väl eller icke väl omhändertagen samt att behandlas som subjekt eller objekt. Slutsats: Patienternas upplevelser av vårdmiljön på operations- och intensivvårdsavdelningen beskrevs som både positiva och negativa, betryggande och skrämmande men var framförallt individuella. Relationen med vårdpersonalen och att som patient känna sig väl omhändertagen samt att bli bemött och behandlad med respekt, där patientens integritet och individualitet låg till grund för vårdandet, var den viktigaste aspekten i patienternas möte med vården.
38
DeAdder, Dawna Nadine. "The illness experience of patients following a myocardial infarction : implications for patient education". Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/29706.
Testo completoAbstract (sommario):
This study used the research method of phenomenology to elicit the patient's perspective of the illness experience following a myocardial infarction (MI). The purpose of studying this experience was to gain an understanding of what it meant to men and women to have a MI, what the learning needs were following a MI, and how these learning needs were met. It was proposed that patients would view the illness experience differently from health professionals, thus the patients would identify different learning needs. Anderson's (1985) adaptation of Kleinman's health care system framework was used to conceptualize this problem.
Three males and two females, ranging in age from 42 to 77 years, participated in the study. Data were collected through 11 in-depth interviews. From analysis of this data significant statements were extracted to provide a description of the phenomenon under study.
The findings of this study suggest that health professionals and patients do view the MI experience from different perspectives. The emphasis of the patients on understanding the MI experience from the reality of their world is reflected in their attempts to rationalize the occurrence of the MI and their desires to know more about
their own MI, prognosis, and treatment. In order to plan patient education that will assist post-MI patients in their recovery health professionals must assess patients individually for their: (1) beliefs regarding risk factors and causes of MI; (2) desire for Information; (3) preference for method of instruction; and, (4) preference for timing of education.Applied Science, Faculty of
Nursing, School of
Graduate
39
Reininghaus, Ulrich. "Improving the measurement of patient-reported outcomes in patients with psychosis". Thesis, Queen Mary, University of London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.535513.
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40
Wong, Sau-Yee, e 黃秀怡. "Determinants of patient satisfaction towards medication information inSOPD patients: DISMIS study". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972330.
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41
Thomas, Veronica J. "Personality characteristics of patients and the effectiveness of patient controlled analgesia". Thesis, University of London, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.261202.
Testo completoAbstract (sommario):
One of the most exciting developments within postoperative pain research in recent years has been the introduction of Patient Controlled Analgesia (PCA). PCA is a technique in which patients self-administer small doses of opioids intravenously and it has been shown to be more effective than the conventional intramuscular injection method (IMI). However, PCA requires costly equipment and this necessarily places constraints on its availability. Therefore it is vital to ensure that the PCA facilities which are available are used as efficiently as possible. Essential to this is an understanding of the categories of patients for whom it will be most effective. At present the basis of selection of patients for PCA is often unclear. Frequently anaesthetists use the extent of trauma as a guide, although there is no evidence that this is the most effective strategy. Moreover, it ignores numerous factors which empirical research has shown to influence the experience of postoperative pain. These include state and trait anxiety, neuroticism and coping style. Until now their importance has only been investigated within the IMI analgesic regime. The present thesis remedies this omission by investigating pain/personality relationships under both PCA and IMI regimes. A particular interest was the identification of ways of detecting the patients who would benefit most from the use of PCA in terms of personality profiles. This study investigated whether knowledge of the patient characteristics of state anxiety and trait anxiety, neuroticism and coping style can be used to predict which patients will benefit the most from PCA. This research involved two main studies, in which a sample of 164 adult female and male patients undergoing major elective surgery were preoperatively assessed in terms of anxiety, neuroticism and coping style. Postoperatively they were allocated to either PCA or IMI analgesic regimes and their pain experience was assessed at 6,18 and 24 hours after surgery. The data were analyzed using Pearson's Correlations, T tests, Analysis of Variance and Multiple Regression. The findings revealed that state anxiety and coping style were significant predictors of postoperative pain for PCA as well as IMI regimes. Patients using PCA experienced significantly better pain relief than did their IMI counterparts. However, it was the patients with high levels of state anxiety using PCA who benefited the most. The superior pain control of PCA was not found to be related to the presence of the technically sophisticated PCA machine. PCA was also associated with a reduction in the length of hospital stay and a saving of nursing time on the ward. Patients had positive reactions about being in control of their pain relief, whilst staff felt that patient control was beneficial. They were also impressed by the time saving element of PCA. The implications for the management of post operative pain and the financial saving are considered.
42
ALMEIDA, VITOR PINHEIRO DE. "PATIENT-BUDDY-BUILD: CUSTOMIZED MOBILE MONITORING FOR PATIENTS WITH CHRONIC DISEASES". PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2013. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=28691@1.
Testo completoAbstract (sommario):
PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIROCOORDENAÇÃO DE APERFEIÇOAMENTO DO PESSOAL DE ENSINO SUPERIOR
PROGRAMA DE EXCELENCIA ACADEMICA
Este trabalho consiste do desenvolvimento de uma ferramenta para a geração de aplicativos móveis, que possibilita um monitoramento customizado, para o acompanhamento à distância de pacientes com doenças crônicas. A customização ocorre a partir de parâmetros e descrições formais, tais como: preferências do paciente, tipo da doença crônica, processo de acompanhamento desejado pelo seu médico, medicação prescrita e dados sobre o contexto (o entorno) do paciente, estes últimos obtidos de sensores. Com base nestes dados, o sistema irá determinar quais informações são mais relevantes para serem adquiridas do paciente através de questionários ou de sensores disponíveis no dispositivo móvel. Informações relevantes são informações que melhor ajudam a identificar possíveis alterações no processo de monitoramento de um paciente. Estas informações serão enviadas pelo dispositivo móvel, juntamente com os dados dos sensores, para o médico responsável. O processo de acompanhamento médico e a natureza da doença crônica definir ao o conjunto de informações que serão coletadas. É importante ressaltar que o objetivo não é realizar diagnósticos, mas sim, prover informações atualizadas aos médicos sobre os seu pacientes, possibilitando assim, realizar um acompanhamento preventivo à distância.
This thesis consists of the development of a tool for generating mobile applications that enables a customized form of remote monitoring of patients with chronic diseases. The customization is based on parameters and formal descriptions of patient preferences, the type of chronic disease, monitoring procedure required by the doctor, prescribed medication and information about the context (i.e. environment) of the patient, where the later is to be obtained from sensors. Bases on this data, the system will determine which information are more relevant to be acquired from the patient through questionnaires and sensors embedded or connected to the smart phone. Relevant information are information that best helps to identify possible changes in the monitoring process of a patient. This set of information will be sent by the mobile application to the responsible physician. The medical treatment and the kind of chronic disease will define the set of information to be collected. It should be stressed that the goal is not to support automatic diagnosis, but only to provide means for physicians to obtain updated information about their patients, so as to allow remote monitoring of patients.
43
Caruso, Myah. "The Patient-Physician Relationship from the Perspective of Economically Disadvantaged Patients". Antioch University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=antioch150362027045926.
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44
Sesay, Mohamed Lamin. "Patient Characteristics and Treatment Outcomes Among Tuberculosis Patients in Sierra Leone". Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10269501.
Testo completoAbstract (sommario):
Despite decades of the implementation of the directly observed therapy short-course (DOTS), Sierra Leone is ranked among the 30 highest TB-burdened countries. Several factors account for unfavorable treatment outcomes, among which are patient characteristics. Previous studies have only focused on treatment compliance without any consideration for the factors that lead to noncompliance to treatment. The purpose of this study was to investigate patient characteristics that are associated with treatment noncompliance (treatment not completed) among TB patients undergoing the DOTS program in Sierra Leone. A retrospective longitudinal quantitative design was used to analyze secondary data from the completed records of 1,633 TB patients, using the Andersen’s behavioral model of health services utilization as a theoretical framework work. Descriptive statistics and bivariate and multivariate logistic regressions were used to analyze the data. The results show that there was no significant association between treatment completion and age, gender, and TB-case category. On the other hand, being HIV-positive decreases the odds of treatment completion. Also, the educational level, geographic location, and year of treatment were significantly associated with treatment completion. Overall, program performance improved as the number of dropouts decreased significantly between 2013 and 2015. The social change implication of this study was that it identified HIV-positive patients and rural communities as areas needing specific attention such as the assignment of case managers to ensure compliance thereby improve DOTS program performance, thereby reducing the incidence and transmission of TB.
45
Kindberg, Erik. "Word embeddings and Patient records : The identification of MRI risk patients". Thesis, Linköpings universitet, Institutionen för datavetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-157467.
Testo completoAbstract (sommario):
Identification of risks ahead of MRI examinations is identified as a cumbersome and time-consuming process at the Linköping University Hospital radiology clinic. The hospital staff often have to search through large amounts of unstructured patient data to find information about implants. Word embeddings has been identified as a possible tool to speed up this process. The purpose of this thesis is to evaluate this method, and that is done by training a Word2Vec model on patient journal data and analyzing the close neighbours of key search words by calculating cosine similarity. The 50 closest neighbours of each search words are categorized and annotated as relevant to the task of identifying risk patients ahead of MRI examinations or not. 10 search words were explored, leading to a total of 500 terms being annotated. In total, 14 different categories were observed in the result and out of these 8 were considered relevant. Out of the 500 terms, 340 (68%) were considered relevant. In addition, 48 implant models could be observed which are particularly interesting because if a patient have an implant, hospital staff needs to determine it’s exact model and the MRI conditions of that model. Overall these findings points towards a positive answer for the aim of the thesis, although further developments are needed.
46
Frazier-Warmack, Victoria Maria. "Impact of Telephone Call on Patient Satisfaction in Adult Oncology Patients". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3443.
Testo completoAbstract (sommario):
Patient satisfaction is an ongoing action in which hospitals and health care providers are constantly seeking strategies to improve their satisfaction ratings. In the ambulatory oncology infusion setting, patient satisfaction is also a key metric that is being monitored, but actual patient satisfaction is unknown. Guided by Lewin's change theory and King's theory of goal attainment, the aim of this project was to use a strategy of conducting follow-up telephones calls to determine if patient satisfaction improved in an ambulatory oncology setting. A descriptive comparative approach was used to evaluate patient satisfaction before and after a telephone follow-up intervention. Participants who were starting an initial or new chemotherapy protocol were randomized into the telephone follow-up (TFU) group or the control group. A TFU script was used to guide the telephone conversation with patients about their experience with the first chemotherapy visit. All participants (N= 62) completed the OUT-PATSAT 35 questionnaire before starting their chemotherapy and 72 hours after the chemotherapy. Demographic characteristics of participants did not differ from the general cancer population. T tests were used to determine whether satisfaction differed between the two groups and revealed that participants receiving the TFU had significantly greater satisfaction in all domains post treatment, compared to those who did not (t = 2.90, df = 15, p = .01), suggesting the TFU had a positive effect on patient satisfaction. Incorporating follow-up telephone calls as a standard of practice to persons receiving an initial or new chemotherapy protocol may contribute to improved patient satisfaction scores and positive social change through an improved sense of well-being in cancer patients.
47
Subramanyan, Nandhini, e Ranjani Subramanyan. "Patient data representation for outcome prediction of congestive heart failure patients". Thesis, Högskolan i Halmstad, CAISR Centrum för tillämpade intelligenta system (IS-lab), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-40818.
Testo completoAbstract (sommario):
Artificial Intelligence (AI) has its roots in every field in present scenario. Healthcare is one of the sectors where AI is reaching considerable growth in recent years. Tremendous increase in healthcare data availability and considerable growth in big data analytic methods has paved way for success of AI in healthcare and research is being driven towards improvement in quality of service. Healthcare data is stored in the form of Electronic Health Records (EHR) which consists of temporally ordered patient information. There are many challenges with EHR data like heterogeneity, missing values, biases, noise, temporality etc. This master thesis focuses on addressing the problem of visit level irregularity which refers to irregular timing between events (patient’s visits).
48
Nilsson, Sara, e Johanna Persson. "Vilka erfarenheter patienter med hepatit C har av bemötandet i vården". Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-13537.
Testo completoAbstract (sommario):
Bakgrund: Den vanligaste smittvägen för hepatit C är genom intravenöst drogmissbruk. Smittöverföring kan även ske via blodtransfusioner eller stickskador i vården. Det finns många fördomar förknippade med sjukdomen och risken är stor att dessa färgar mötet med patienter. Det är viktigt att som vårdpersonal vara medveten om hur den egna synen på sjukdomen kan påverka bemötandet. Syfte: Syftet var att belysa vilka erfarenheter patienter med hepatit C har av bemötandet i vården. Metod: Studien utformades som en allmän litteraturöversikt av tolv kvalitativa artiklar. Manifest innehållsanalys användes. Resultat: Patienter med HCV hade blandade erfarenheter av mottagandet: välkomnande, avvisande eller otryggt. Vidare ledde detta till erfarenheter av stöd eller diskriminering. Patienter kunde ha erfarenheter av professionellt stöd eller brist på professionellt stöd. Diskriminering kunde orsakas av antingen vårdpersonal eller organisation. Slutsats: På grund av stigmatisering kring sjukdomen är patienter med hepatit C en utsatt grupp i samhället. Vårdpersonalens kunskap är en viktig del i bemötandet. Det krävs utbildning för att kunna erbjuda en mer holistisk vård vid hepatit C än i dagsläget. Genom ökad kunskap kring både sjukdom och bemötande kan bemötandet påverkas positivt, det vill säga: mottagandet blir bättre, stödet ökar och diskrimineringen minskar.Background: The most common route of transmission of hepatitis C is through intravenous drug abuse. Transmission can also occur through blood transfusion. There are many prejudices associated with hepatitis C. Chances are that this colors interactions with patients. It is important that healthcare professionals are aware of how their own perception of the disease may affect the encounter. The Objective was to highlight the experiences patients with hepatitis C have of the encounter in the healthcare. Method: The study was designed as a general literature review of twelve qualitative articles. Manifest content analysis was used. Results: Patients with hepatitis C had mixed experiences of receipt: welcoming, rejecting or unsafe. This led to experiences of support or discrimination. Patients experienced professional support or lack of professional support. Discrimination could be caused either by healthcare professionals or the organization. Conclusion: Because of stigma surrounding the disease patients with hepatitis C are a vulnerable group in society. The knowledge of healthcare professionals is an important part of the encounter. It requires training to provide holistic care for hepatitis C. Increased knowledge about both the disease and patient-professional relation can positively affect the encounter: the reception gets better, support increases and discrimination is reduced.
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Willmann, Chantel Shroyer. "Comparison of the effects of programmed instruction versus lecture on knowledge acquisition among post myocardial infarction patients". Virtual Press, 1991. http://liblink.bsu.edu/uhtbin/catkey/834614.
Testo completoAbstract (sommario):
The purpose of the study was to determine the effects of either a programmed instruction booklet or group lecture on knowledge of post myocardial infarction patients. A convenience sample of 30 post myocardial infarction patients enrolled in Cardiac Rehabilitation at a midwestern hospital were asked to participate.Subjects were assigned either to the experimental group or the lecture group. The pretest was administered to both groups. The experimental group received the self instruction booklet and the lecture group received a posttest was immediately completed by the participants. A nonequivalent pretest-posttest repeated measure design was utilized in the study.The results of the study showed a mean improvement in knowledge scores for both the booklet group and lecture group, with the booklet group having the larger gain in knowledge scores. The knowledge gain however, was not significant at the 0.05 level.School of Nursing
50
Oi, Katsuya. "Understanding the Role of Patient Activation in the Association between Patient Socio-Economic Demographics and Patient Experience". PDXScholar, 2012. https://pdxscholar.library.pdx.edu/open_access_etds/467.
Testo completoAbstract (sommario):
This study focuses on the association between patient characteristics, which include both demographic and contextual factors, and patients' experiences with health care. The pre-existing literature provides rich information about patients' various demographics related to patient experience. Despite the abundance of empirical evidence showing that patients' demographics do affect how they perceive their health care. However, there is little to no empirical knowledge explaining the significance of such factors. As the existing literature points out the need for taking into contextual factors such as patient's beliefs, attitudes, skills that are pertinent to dealing with health care, my study proposes patient activation as such a contextual factor that explains the association between patient demographics and patient experience. Findings suggest that patient activation is a strong predictor of two patient experience measures: patients' rating of doctor-patient communication and their self-reported difficulties in getting needed care. However, it is also observed that the mediating effects of patient activation vary by the two dimensions of patient experiences. Though this study demonstrates that promoting patient activation may be able to normalize how patients report the quality of doctor-patient interaction, further research is needed to address access to care issues.