994 resultados para Housing and health
Resumo:
Aim:
Background:
Diabetes education has become a priority area in primary and secondary care, and many education programmes are now embedded within a patient’s care package. There are few contemporaneous explorations of patients’ views about lifestyle self-management. Such research is vital in order to identify areas that require further support, refinement or enhancement in terms of patient education.
Methods:
Focus groups were held with patients recently diagnosed with type 2 diabetes (n516, 38% female, aged 45–73 years). In-depth semi-structured interviews were conducted with HPs (n57). Discussions focussed on self-management specifically in relation to making dietary and physical activity changes. All discussions were tape recorded, transcribed and analysed by emergent themes analysis using NVivo to manage the coded data.
Findings:
Barriers were divided into six main categories: difficulty changing well- stablished habits, negative perception of the ‘new’ or recommended regimen, barriers relating to social circumstances, lack of knowledge and understanding, lack of motivation and barriers relating to the practicalities of making lifestyle changes. HPs generally echoed the views of patients. In conclusion, even against a background of diabetes education, recently diagnosed patients with type 2 diabetes discussed a wide range of barriers to self-management of diet and physical activity. The findings could help to provide HPs with a deeper understanding of the needs of recently diagnosed patients and may help refine current diabetes education activities and inform the development of educational resources.
Resumo:
Objective : To explore associations among quality indicators (QI; e.g. pressure ulcers, falls and/or fractures, physical restraint, use of multiple medications, unplanned weight loss) of the Victorian Public Sector Residential Aged Care Services (VPSRACS) with other demographic and health-related factors.
Methods : Data for 380 residents over a 3-month period were extracted retrospectively from client databases at four VPSRAC facilities.
Results : Four significant logistic regression models were developed. The strongest models related to falls and polypharmacy. Significant associations for these models included the following: (1) residents with a higher body mass index were 6% less likely (95% confidence interval (CI) 1%–11%) to fall, whereas high levels of cognitive impairment increased the risk of falling by 8% (95% CI 2%–14%); (2) being ambulant with a gait aid more than doubled the risk of falling compared with non-ambulant residents (95% CI 19%–546%); and (3) higher cognitive impairment was associated with a 6% (95% CI 1%–11%) reduction in the likelihood of polypharmacy.
Conclusions : Identification of significant relationships between the VPSRACS QI and other demographic and health-related factors is a preliminary step towards a more in-depth understanding of the factors that influence the QI and predict adverse events.
Resumo:
In this paper consideration is given to aspects of social and professional music use premised from a “music as health” perspective. This critical exploration is intended to reveal values about music participation and music listening, with consideration of the way music is constructed as a contributor to social gains within music as health application. The frequently encountered expectation that music participation and music listening are innately good and “helpful” is examined. A range of projects are described and examined with reference to the theme of music's “commodified goodness” or what has elsewhere been termed, the ubiquitous “goodness of music” (Edwards, 2008b).
