7 research outputs found
Psychospiritual care: a concept analysis
No full textPsychospiritual care has taken many forms and approaches. In the clinical setting, the meaning, variations, and inconsistencies in the delivery of psychospiritual and its related terms persist. The purpose of the study is to identify the meaning and attributes of psychospiritual care and enhance collaborative practice by presenting a concept analysis. This review used Walker and Avant's eight-step approach to concept analysis. Psychospiritual is a broad, dynamic, and unique concept that integrates psychological and spiritual methods. In this analysis, the defining attributes of psychospiritual care are intuitive self-awareness, therapeutic use of psychological and spiritual perspective, and cultivation of psychological and spiritual environment. Providing psychospiritual care promotes positive consequences, such as therapeutic effects for patients and promoting psychospiritual awareness among psychospiritual interventionists. A comprehensive definition of psychospiritual care has been developed. The findings contribute to science by creating a platform for developing practice standards, research, and theory. Implementing psychospiritual care may improve overall occupational health and well-being, thereby improving patient care delivery
Factors Influencing the Compliance of Pregnant Women with Iron and Folic Acid Supplementation in the Philippines: 2017 Philippine Demographic and Health Survey Analysis
No full textAnemia in pregnancy, which is a public health concern for most developing countries, is predominantly caused by iron deficiency. At least, 180 days of iron and folic acid (IFA) supplementation is recommended for pregnant women to mitigate anemia and its adverse effects. This study aimed to examine compliance with the recommendation of IFA supplementation and its underlying factors using the 2017 Philippine National Demographic and Health Survey data. The variables assessed included age, highest level of education, occupation, wealth index, ethnicity, religion, residence, number of pregnancies, time of first antenatal care (ANC) visit and number of ANC visits. Compliance with the recommendation of at least 180 days of IFA supplementation was the outcome variable. The study assessed 7983 women aged 15–49 years with a history of pregnancy. Of these participants, 25.8% complied with the IFA supplementation recommendation. Multiple logistic regression analysis showed that pregnant women of Islamic faith and non-Indigenous Muslim ethnicity were less likely to comply with the IFA supplementation recommendation. Being aged between 25 and 34 years, having better education and higher wealth status, rural residency, initiating ANC visits during the first trimester of pregnancy and having at least four ANC visits positively influenced compliance with IFA supplementation. The effect of residence on IFA adherence differed across the wealth classes. Strategies targeted at specific groups, such as religious minorities, poor urban residents, the less educated and young women, should be strengthened to encourage early and regular antenatal care visits for improving compliance
Factors Related To Treatment Coverage Of Lung Tuberculosis In Timor Island
No full textBackground: Treatment coverage (TC) of Tuberculosis (TB) as indicator of Tuberculosis is the main cause of death from infectious agents throughout the world. WHO has set 2030 as the end of TB, but treatment coverage in several countries is still low. Of all provinces in Indonesia, East Nusa Tenggara is the third lowest province with 40.1% coverage. On the Timor mainland, there are 3 districts with treatment coverage achievements below the national indicator (90%), namely South Central Timor District (43%), North Central East District (46%), and Belu District (71%). This condition will have an impact on achieving end TB by 2030. Several factors that may be the cause of the low contribution of treatment coverage include poverty, the ratio of community health centers/auxiliary health centers/pustu to sub-districts/population, motivation of TB program managers, availability of health insurance, cross-sectoral collaboration and TB management at the border. Objective: This research aims to determine the factors that contribute to the low achievement of treatment coverage. Method: the research used was quantitative study with cross sectional design. Result: the average age of respondents was 38,83 years (SD = 5,84), the average length of work of respondents was 10,87 (SD = 7.55). More than half, namely 66,3%, had a Diploma Nursing education. More of the three quarters of respondents, 75,9% were married. Nearly all patients were civil servants/P3K (94%). Most of the TB patients were from poor families (68,7%); all managers did not feel that there was cross-sectoral collaboration (94,0%). Only motivation that had significant relationship with TC
Temporal trends and associated factors in cesarean section use in the Philippines: an analysis of Demographic and Health Survey data from 1993 to 2017
No full textAbstract Background Cesarean section (CS) rate has become increasingly prevalent worldwide, which has raised concerns about the possible risks as they often result in frequently longer recovery periods for mothers and possible complications for both the mother and the child. The World Health Organization (WHO) recommends a 10–15% CS rate to maintain its safe use. Conducting trends analysis of CS and its associated factors is crucial in understanding its utilization. There is currently a limited knowledge on the increasing trends of CS and factors related to it that might help improve procedures and practice standards. The present study examined the trends and associated factors of CS use in the Philippines over the last two decades. Methods We utilized the Philippine National Demographic and Health Survey (PNDHS) data collected in 1993, 1998, 2003, 2008, 2013, and 2017. Descriptive and univariate techniques were used to characterize the survey participants and the trends of CS use over time. The data of 2017 PNDHS was used in the logistic regression analysis to assess the associated factors of CS use. Significant factors (p < 0.05) in the univariate analysis were considered in the logistic regression analysis. Results The overall use of CS has been significantly higher than the maximum cutoff of the WHO and increased from 15.8% in 1993 to 18.4% in 2017. Women aged 25 years or older, with higher education, belonged to middle or rich household, with newborn at 1 and 2–3 birth order, and with initial antenatal care visits (ANC) in the first or later trimester of pregnancy were significantly associated with CS use. Conclusion In the Philippines, the utilization of CS has continuously surpassed the recommended maximum cutoff of 15%. This increased rate is associated with maternal age, educational attainment, family income, birth order, and the timing of antenatal care visits. The socioeconomic factors demonstrate socioeconomic disparities in accessing CS services. Emphasizing the need for performing medically indicated CS can promote better maternal and child outcome and reduce the rate of unnecessary CS deliveries. Prioritizing initiatives to provide equitable access to CS services is imperative
Prevalence and factors associated with anemia in women of reproductive age across low- and middle-income countries based on national data
No full textAbstract Anemia is a global threat among women of reproductive age (WRA), or 15–49 years old women, both in developed and developing countries. Prevalence of anemia in WRA is higher by fourfold in developing countries, based on extensive studies and surveys conducted by WHO and UNICEF. However, there is limited studies that conducted pooled analysis of anemia prevalence in low resource countries. This study aimed to assess the prevalence and factors associated with anemia among women of reproductive age in low- and middle-income countries (LMICs). This study used secondary data from the Demographic and Health Survey (DHS) in 46 low- and middle-income countries during 2010–2021. Descriptive statistics of proportions between pregnant and non-pregnant mothers were assessed. Multilevel binary logistic regression was used to test the factors associated with anemia among women of reproductive age. A total of 881,148 women of childbearing age in LMICs were included. This study found a high prevalence of 45.20% (95% CI 41.21, 49.16) of anemia was observed in among pregnant women and 39.52% (95% CI 33.88, 45.15) anemia was observed in non-pregnant women. Educational status, wealth status, family size, media exposure, and residence were common factors significantly associated with anemia in both pregnant and non-pregnant women. The high global burden of anemia in LMICs continues to underline the need for unusual approaches and target interventions on an individual basis. Global commitment and movement to reduce the prevalence of anemia need to be revisited and redesigned for current circumstances
Landscape of genetic counseling in the Philippines
No full textIn this paper, we report on the professional development of genetic counselors in the Philippines as we discuss the status of genetic counseling training and research, along with the roles and scope of practice of genetic counselors. The development of a master's level training program for non-physician genetic counselors in the Philippines initiated in 2011 was in response to the increasing demand for genetic counseling services. There are currently 18 locally trained genetic counselors who are practicing in various fields including newborn screening, pediatrics, cancer, prenatal and preconception, neurology, and research. Despite the success of the genetic counseling training program, various professional challenges hinder maximizing the impact of genetic counselors in the health system. The challenges discussed in this paper include the limited number of genetic counselors, the lack of government positions officially recognizing the ‘genetic counselor’ title, and the absence of a regulatory framework. These issues require thorough discussion with appropriate government agencies and collaboration with other healthcare professional organizations with the ultimate goal of ensuring quality genetic counseling services nationwide
The Efficacy of Anthropometric Indicators in Predicting Non-Alcoholic Fatty Liver Disease Using FibroScan<sup>®</sup> CAP Values among the Taiwanese Population
No full textThe controlled attenuation parameter (CAP) measurement obtained from FibroScan® is a low-risk method of assessing fatty liver. This study investigated the association between the FibroScan® CAP values and nine anthropometric indicators, including the abdominal volume index (AVI), body fat percentage (BFP), body mass index (BMI), conicity index (CI), ponderal index (PI), relative fat mass (RFM), waist circumference (WC), waist–hip ratio (WHR), and waist-to-height ratio (WHtR), and risk of non-alcoholic fatty liver disease (fatty liver). We analyzed the medical records of adult patients who had FibroScan® CAP results. CAP values 2 to 34.9 kg/m2. Class 2 obesity is defined by a BMI ranging from 35 kg/m2 to 39.9 kg/m2, while class 3 obesity is designated by a BMI of 40 kg/m2 or higher. Out of 1763 subjects, 908 (51.5%) had fatty liver. The BMI, WHtR, and PI were found to be more strongly correlated with the CAP by the cluster dendrogram with correlation coefficients of 0.58, 0.54, and 0.54, respectively (all p < 0.0001). We found that 28.3% of the individuals without obesity had fatty liver, and 28.2% of the individuals with obesity did not have fatty liver. The BMI, CI, and PI were significant predictors of fatty liver. The BMI, PI, and WHtR demonstrated better predictive ability, indicated by AUC values of 0.72, 0.68, and 0.68, respectively, a finding that was echoed in our cluster group analysis that showed interconnected clustering with the CAP. Therefore, of the nine anthropometric indicators we studied, the BMI, CI, PI, and WHtR were found to be more effective in predicting the CAP score, i.e., fatty liver
