LIVIVO - Search results -

Search results

Result 1 - 10 of total 26

Search options

Article ; Online: Sleep Quality and Associated Factors in Elderly Patients with Type-2 Diabetes Mellitus

Nopakoon Nantsupawat / Sitthichai Khamchet / Nida Buawongpong / Kanokporn Pinyopornpanish / Teerapat Nantsupawat / Chaisiri Angkurawaranon / Yanee Choksomngam

Siriraj Medical Journal, Vol 75, Iss

2023 Volume 5

Abstract: Objective: The prevalence of poor sleep quality has been greatly escalating over the past years, along with the surging of type 2 Diabetes Mellitus (DM). The aging population is most concerned as sleep quality is notably impaired and influences the ... ...

Abstract	Objective: The prevalence of poor sleep quality has been greatly escalating over the past years, along with the surging of type 2 Diabetes Mellitus (DM). The aging population is most concerned as sleep quality is notably impaired and influences the diabetic condition. This study aimed to observe the sleep quality and factors related to poor sleep quality in elderly patients with type-2 DM. Materials and Methods: A cross-sectional study of patients with type 2 DM, aged 60 years and above was conducted. The questionnaires included demographic data, the Thai version of the Pittsburgh Sleep Quality Index (T-PSQI), the Thai version of the Diabetic-39, and the Thai Geriatric Depression Scale-15. Factors associated with sleep quality were analyzed using the logistic regression model. Results: Among 385 participants with a mean age of 67 years old was 63.90% female. The prevalence of poor sleep quality was 9.88%. No association was found between sleep quality and glycemic levels. The related factors for poor sleep quality were sex (aOR = 2.57, p = 0.035, 95%CI = 1.06-5.93), body mass index (aOR =1.09, p = 0.028, 95% CI = 1.00-1.20), and diabetic complications. Diabetic retinopathy showed highest odd ratio (aOR = 6.28, p = 0.021, 95% CI = 1.32-29.94). Conclusion: The prevalence of poor sleep quality was low in the current study. We found a strong association between diabetic complications and poor sleep quality. Evaluation of sleep quality may help to enhance overall health and care for diabetic geriatric patients.
Keywords	sleep quality ; poor sleep quality ; diabetes mellitus type 2 ; geriatric ; older adult ; Medicine (General) ; R5-920
Language	English
Publishing date	2023-05-01T00:00:00Z
Publisher	Mahidol University
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Is the Association between Herbal Use and Blood-Pressure Control Mediated by Medication Adherence? A Cross-Sectional Study in Primary Care

Phaviga Thangsuk / Kanokporn Pinyopornpanish / Wichuda Jiraporncharoen / Nida Buawangpong / Chaisiri Angkurawaranon

International Journal of Environmental Research and Public Health, Vol 18, Iss 12916, p

2021 Volume 12916

Abstract: Herbs have been used worldwide for many health conditions as an alternative treatment, including hypertension. Their use might affect the use of conventional medications, as well as blood-pressure control. This study aims to determine whether the ... ...

Abstract	Herbs have been used worldwide for many health conditions as an alternative treatment, including hypertension. Their use might affect the use of conventional medications, as well as blood-pressure control. This study aims to determine whether the potential associations between herb use and high blood pressure in hypertensive patients was mediated by medication adherence. A cross-sectional study was conducted using questionnaires and available medical databases at a primary care clinic of a tertiary hospital in Chiang Mai, Thailand. The data were collected from 450 patients with essential hypertension. Drug adherence was assessed by the Morisky Green Levine Medication Adherence Scale. The history of herbs used in the past three months was obtained. The goal of controlled blood pressure was defined in accordance with the Thai guidelines on the treatment of hypertension. Of the total 450 patients, 42% had high adherence. Nearly 18% reported herb use in the past three months. High medication adherence was strongly associated with blood-pressure control when adjusted for age, gender, education, the presence of comorbidities, and herb use (aOR 26.73; 95% CI 8.58–83.23; p < 0.001). The association between herb use and blood-pressure control did not achieve statistical significance ( p = 0.143). However, the adjusted odds ratio of the association between herb use and blood-pressure control was diluted from 0.67 to 0.83 when adding the factor of medication adherence to the model. In conclusion, herb use was associated with poor medication adherence, which was in turn associated with poor blood-pressure control. Assessing this information contributes to appropriate exploration and counseling.
Keywords	behavioral medicine ; patient adherence ; hypertension ; primary care ; complementary and alternative medicine ; Medicine ; R
Subject code	630
Language	English
Publishing date	2021-12-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Prevalence and Associated Factors of Depression in Medical Students in a Northern Thailand University

Suwatthanachai Phomprasith / Nuntaporn Karawekpanyawong / Kanokporn Pinyopornpanish / Wichuda Jiraporncharoen / Benchalak Maneeton / Phichayut Phinyo / Suppachai Lawanaskol

Healthcare, Vol 10, Iss 488, p

A Cross-Sectional Study

2022 Volume 488

Abstract: This study was conducted to investigate the prevalence and associated factors of depression in medical students. This cross-sectional study investigated the prevalence and associated factors of depression in medical students from May 2018 to April 2019. ... ...

Abstract	This study was conducted to investigate the prevalence and associated factors of depression in medical students. This cross-sectional study investigated the prevalence and associated factors of depression in medical students from May 2018 to April 2019. Depression was diagnosed using the nine-item Patient Health Questionnaire. We evaluated the following potential predictors: demographic data, stressors, psychiatric comorbidities, emotional intelligence (EI), and perceived social support. The association between potential factors and depression was analyzed using multiple logistic regression analysis. The prevalence of depression was 149 of 706 students with 12.5% suicidality. Second- and fourth-year medical students were high-risk groups. Risk factors identified were insufficient income, physical illness, and previous psychiatric illness. Depression in medical students likely coincides with anxiety, internet addiction, sleep problems, and loneliness. Highly associated stressors were personal relationships, physical health, mental health, difficulties in social relationships, satisfaction with grades, and boredom with medical education. Protective EI factors included emotional self-control, problem-solving abilities, inner peace, and life satisfaction. Up to 21.1% of medical students had depression. In this study, among multiple known risk factors of depression, we found that EI is the novel protective factor against depression among medical students. EI training might be protective intervention for medical students in the future.
Keywords	depression ; well-being ; loneliness ; treatment continuation ; emotional quotient ; Medicine ; R
Subject code	150
Language	English
Publishing date	2022-03-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Concerns of Home Isolating COVID-19 Patients While Receiving Care via Telemedicine during the Pandemic in the Northern Thailand

Kanokporn Pinyopornpanish / Nopakoon Nantsupawat / Nida Buawangpong / Suphawita Pliannuom / Tanat Vaniyapong / Wichuda Jiraporncharoen

International Journal of Environmental Research and Public Health, Vol 19, Iss 6591, p

A Qualitative Study on Text Messaging

2022 Volume 6591

Abstract: As there were strict limits on contact between health professionals and patients during the COVID-19 pandemic, telemedicine increased in importance with regard to improving the provision of health care and became the preferred method of care. This study ... ...

Abstract	As there were strict limits on contact between health professionals and patients during the COVID-19 pandemic, telemedicine increased in importance with regard to improving the provision of health care and became the preferred method of care. This study aims to determine the topics of concern expressed by individuals with COVID-19 receiving care at home via teleconsultation. The qualitative study was conducted using secondary data of chat messages from 213 COVID-19 patients who had consented to online consultation with the health care team. The messages were sent during the home isolation period, which was between 29th October and 20th December 2021. Thematic analysis was used to analyze the data. All patients had consented to the use of their data. A small majority of the patients were female (58.69%). The average age was 32.26 ± 16.92 years. A total of 475 questions were generated by 150 patients during the isolation period. Nearly thirty percent (29.58%) never asked any questions. From the analysis, the questions could be divided into three themes including: (1) complex care system; (2) uncertainty about self-care and treatment plan with regard to lack of knowledges and skills; and (3) concern about recovery and returning to the community after COVID-19 infection. In conclusion, there were enquiries about many aspects of medical care during home isolation, detailed answers from professionals were useful for the self-care of patients and to provide guidance for their future health behavior. The importance of the service being user friendly and accessible to all became increasingly evident.
Keywords	telemedicine ; telehealth ; teleconsultation ; COVID-19 ; home isolation ; text message ; Medicine ; R
Subject code	360
Language	English
Publishing date	2022-05-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Associations between Family Functioning and Symptoms of Attention-Deficit Hyperactivity Disorder (ADHD)

Yanee Choksomngam / Wichuda Jiraporncharoen / Kanokporn Pinyopornpanish / Assawin Narkpongphun / Krongporn Ongprasert / Chaisiri Angkurawaranon

Healthcare, Vol 10, Iss 8, p

A Cross-Sectional Study

2022 Volume 1502

Abstract: Poor family functioning is linked with poor child ADHD symptoms. However, there are many dimensions of family functioning. Thus, this study aims to find the association between each dimension of family functioning and controlled ADHD symptoms in an Asian ...

Abstract	Poor family functioning is linked with poor child ADHD symptoms. However, there are many dimensions of family functioning. Thus, this study aims to find the association between each dimension of family functioning and controlled ADHD symptoms in an Asian culture. This cross-sectional study involved caregivers of 113 Thai children with ADHD ages 4–16 years old who visited the Outpatient Department at Maharaj Nakorn Chiang Mai Hospital between October 2017 and March 2018. The caregivers completed the Chulalongkorn Family Inventory and the SNAP-IV Thai version. Logistic regression was used to examine each dimension of family functioning adjusting for potential confounders. In univariate analyses, six of the seven dimensions of family functioning were associated with controlled ADHD symptoms. In multivariate analyses, findings revealed that good family roles (aOR 7.48, 95% CI = 1.56 to 35.85, p = 0.01) and behavior control (aOR 2.56, 95% CI = 1.08 to 6.03, p = 0.03) were associated with controlled ADHD symptoms. In children with ADHD with poor symptom control, the assessment of family functioning could be helpful. Developing a more specific intervention for caregivers that promotes good family roles and behavioral control may be beneficial.
Keywords	attention-deficit hyperactivity disorder ; ADHD ; symptom ; family functioning ; Medicine ; R
Subject code	150
Language	English
Publishing date	2022-08-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Stakeholders’ perspectives of a good death

Pawapol Keratichewanun / Nisachol Dejkriengkraikul / Chaisiri Angkurawaranon / Kanokporn Pinyopornpanish / Lalita Chutarattanakul / Nopakoon Nantsupawat / Nutchar Wiwatkunupakarn / Wichuda Jiraporncharoen

Heliyon, Vol 9, Iss 5, Pp e15775- (2023)

A qualitative study from Thailand

2023

Abstract: Background: A ‘good death’ is one of palliative care's main goals. However, there are different perspectives on what a good death is. Perspectives from three groups of people involved in the dying process: patients, caregivers, and healthcare providers; ... ...

Abstract	Background: A ‘good death’ is one of palliative care's main goals. However, there are different perspectives on what a good death is. Perspectives from three groups of people involved in the dying process: patients, caregivers, and healthcare providers; are crucial because how they interact will affect the overall quality of end-of-life care. Objective: The aims were to 1) explore what is a good death and 2) how to achieve it from the perspectives of those involved in patient care. Methods: A qualitative study was conducted between February to August 2019. The recruitment triad of stakeholders consisted of one patient with their primary caregiver and their physician. Interviews were conducted by researchers who had no prior relationship with the participants and were not a part of the healthcare team. Each research aim was analyzed separately using thematic content analysis. Data saturation was reached when no new or emerging themes emerged. Fourteen people were interviewed; five patients, five caregivers, and four physicians. Results: Regarding perspectives of a good death, four themes emerged: 1: Peaceful natural progression and symptom-free, 2: Acceptance of death and dignity, 3: Readiness for death is facilitated by social support and the environment, and 4: Faith and religious values can bring peace. For the second research question regarding how to help the patient achieve a good death, three themes emerged: 1: provide supportive care, 2: good communication, and 3: prioritize the patients’ wishes. Conclusion: In the Thai context, the meaning of a good death relates to symptom control, acceptance of death, social support, and faith. However, a clear understanding of each individual's meaning of good death is required due to individualized needs and perceptions. Physicians and stakeholders looking to support good death should focus on providing supportive care, good communication, and prioritizing the patient's will and wishes.
Keywords	Palliative care ; Health personnel ; Terminal care ; Death ; Qualitative research ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
Subject code	170
Language	English
Publishing date	2023-05-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Lowered blood pressure targets identify new, uncontrolled hypertensive cases

Naphassanan Charoensab / Kanokporn Pinyopornpanish / Phaviga Thangsuk / Wichuda Jiraporncharoen / Chaisiri Angkurawaranon

BMC Health Services Research, Vol 20, Iss 1, Pp 1-

patient characteristics and implications for services in Thailand

2020 Volume 7

Abstract: Abstract Background According to the new hypertension treatment guidelines blood pressure (BP) readings need to be kept below or equal to 130/80 mmHg in patients aged less than 65 years old. This study shows the change in proportion of identified cases ... ...

Abstract	Abstract Background According to the new hypertension treatment guidelines blood pressure (BP) readings need to be kept below or equal to 130/80 mmHg in patients aged less than 65 years old. This study shows the change in proportion of identified cases of uncontrolled blood pressure in light of these changes. Methods The data was collected from 248 hypertensive patients who had visited an outpatient clinic at the Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Thailand. Patients were classified into three groups: The 3 groups were: 1) controlled BP group (BP is 130/80 mmHg or lower); 2) newly identified uncontrolled group (BP between 130/80 mmHg and 140/90 mmHg) and 3) existing uncontrolled group (BP higher than 140/90 mmHg). Health behaviors, past history related to hypertensive disease and current pharmacological treatments were compared. Results Of the total 248 patients, 56% were female and the mean age was 58.8 (sd 5.99) years old. Following application of the new guidelines, the group designated as uncontrolled increased from 21.7 to 74.2%, an additional 52.4% due to new BP targets. Higher BMI was associated with uncontrolled HT (p = 0.043). While the average number of medication taken was similar across the three groups, it was poor medication adherence (p < 0.013) which was associated with the uncontrolled disease. Conclusions Lower BP targets will increase the number of identified hypertensive patients. While intensifying pharmacological treatment may be considered, our study suggests that two behavioral factors should not be overlooked. Weight reduction and enhancement of medication adherence remains an important mainstream treatment strategy.
Keywords	Hypertension ; Clinical management ; Thailand ; Clinical practice guidelines ; blood pressure control ; Public aspects of medicine ; RA1-1270
Subject code	610
Language	English
Publishing date	2020-09-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Is Electronic Health Literacy Associated with Learning Outcomes among Medical Students in the First Clinical Year?

Krittai Tanasombatkul / Kanokporn Pinyopornpanish / Chaisiri Angkurawaranon / Nida Buawangpong / Auswin Rojanasumapong / Wichuda Jiraporncharoen

European Journal of Investigation in Health, Psychology and Education, Vol 11, Iss 68, Pp 923-

A Cross-Sectional Study

2021 Volume 932

Abstract: Medical students tend to use the internet as a primary resource when seeking health information. This study aims to assess the patterns of internet use, eHL level, and learning outcomes with eHL among medical students at Chiang Mai University. A cross- ... ...

Abstract	Medical students tend to use the internet as a primary resource when seeking health information. This study aims to assess the patterns of internet use, eHL level, and learning outcomes with eHL among medical students at Chiang Mai University. A cross-sectional study was conducted among 88 medical students in the first clinical year. The eHL level was determined using the Thai version of the electronic Health Literacy Scale or eHEALS. The patient case report scores were obtained representing the learning outcome. Linear regression was used to identify factors influencing their eHL level and case report scores. Students recognized the importance and usefulness of the internet. The mean eHEALS score was 33.45. There was a lower degree of agreement on questions regarding internet usage, having skills to evaluate the resources, and confidence in using health information to make health decisions. The eHEALS score had no statistically significant association with most variables and case report scores, but with the longer time of internet use ( p -value = 0.014). Although medical students perceived that they have high eHL levels, they report lower confidence in using the information. Including critical thinking skills for electronic health information in the medical curriculum could be useful.
Keywords	electronic health literacy ; internet use ; medical students ; Public aspects of medicine ; RA1-1270 ; Psychology ; BF1-990
Subject code	302
Language	English
Publishing date	2021-08-01T00:00:00Z
Publisher	Asociación Universitaria de Educación
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Utilization of Health Care Services and Common Disease Diagnoses among University Students

Suphawita Pliannuom / Kanokporn Pinyopornpanish / Chaisiri Angkurawaranon / Kanokwan Pinyopornpanish / Anawat Wisetborisut / Surinporn Likhitsathian / Wichuda Jiraporncharoen

International Journal of Environmental Research and Public Health, Vol 18, Iss 7148, p

An Analysis of 35,249 Students from Thailand

2021 Volume 7148

Abstract: The health care services for university students are important to improve student health and well-being. Analyzing the database of health conditions in the health service system will identify common health problems, which could be useful in further ... ...

Abstract	The health care services for university students are important to improve student health and well-being. Analyzing the database of health conditions in the health service system will identify common health problems, which could be useful in further appropriate and specific health service planning. This study aims to investigate the utilization of health care services and common disease diagnoses among university students enrolled at Chiang Mai University during the academic year of 2018. A retrospective study was carried out using health data from the electronic health records (EHR) database of the university hospital. Ethical procedures were followed. Out of the overall 35,249 students in the academic year 2018, 17,284 students (49.03%) had visited an outpatient department (65,150 outpatient department visits), and 407 students (1.15%) had been admitted to the hospital (458 inpatient department admissions). The proportions of utilization between each field of education and training were similar across both groups. The top five categories of diagnosis, for both outpatient department visits and inpatient department admissions, differed between gender. Some of the most common diseases included trauma and injury conditions, respiratory diseases, and mental health. The conclusion of the study is that integration of a health promotion program with preventive methods, especially regarding traffic injury, transmitted diseases, mental health support, and safe environments are essential for university students. A general overview of utilization and common diseases among university students, which is still lacking in the literature, could be useful as a platform to enhance health care services for common diseases.
Keywords	university students ; health care service ; electronic health records ; epidemiology ; Medicine ; R
Language	English
Publishing date	2021-07-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Internet Use, Electronic Health Literacy, and Hypertension Control among the Elderly at an Urban Primary Care Center in Thailand

Auswin Rojanasumapong / Wichuda Jiraporncharoen / Nopakoon Nantsupawat / Mary Ellen Gilder / Chaisiri Angkurawaranon / Kanokporn Pinyopornpanish

International Journal of Environmental Research and Public Health, Vol 18, Iss 9574, p

A Cross-Sectional Study

2021 Volume 9574

Abstract: This study aimed to explore the internet usage and electronic health literacy (eHL) among adults aged 60 and older with hypertension and to explore the associations between eHL and blood pressure control. A cross-sectional survey was conducted at an out- ... ...

Abstract	This study aimed to explore the internet usage and electronic health literacy (eHL) among adults aged 60 and older with hypertension and to explore the associations between eHL and blood pressure control. A cross-sectional survey was conducted at an out-patient primacy care clinic in the urban city center of Chiang Mai, Thailand. eHL was measured using the eHealth Literacy Scale (eHEALS). Logistic regression was used to identify the association between eHL and blood pressure, adjusting for age and sex as a priori confounders and key sociodemographic factors previously identified in univariable analysis. A total of 110 older adult patients with a history of diagnosed hypertension agreed to participate. The mean age of the participants was 67 years old. Fifty-six participants (50.9%) had used the internet in their lifetime. Among internet users, 37 out of 56 participants (66%) could be classified as having high eHL. However, there was insufficient evidence for associations among internet use, eHL and hypertension control. This result potentially creates new opportunities for eHealth education and interventions. Efforts to produce centralized clear, reliable health information targeting this demographic would be worthwhile to help manage chronic diseases such as hypertension in Thailand in the future.
Keywords	internet use ; electronic health literacy ; hypertension ; older adults ; Medicine ; R
Subject code	300
Language	English
Publishing date	2021-09-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

To top

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED