Counseling Research Articles

Survey on knowledge, attitude and behavior in patients with chronic kidney disease

Objective To investigate the knowledge, attitude, and behavior of patients with chronic kidney disease (CKD) in the community. Methods A questionnaire survey on knowledge, attitude and behavior through the mobile WeChat was conducted among 1 006 CKD patients in 57 villages of Jinze and Huaxin communities in Shanghai Qingpu district from June 2016 to May 2018, and the results were analyzed. Results The accuracy rate about CKD knowledge in 1 006 CKD patients was 69.98%. The participants who were very willing to accept referral, learning CKD knowledge, periodic follow-up, health education and lifestyle counseling accounted for 60.40%, those who were willing accounted for 32.59% and not willing for 7.01%. The survey of behavioral patterns showed that 29.17% often participated in actively learning disease knowledge, periodic follow-up and counseling, reasonable diet and regular exercise; 52.96% occasionally participated and 17.87% never participated. There were no significant differences in knowledge about CKD among patients of different sex, age and occupation(t=0.475,F=7.111,F=0.563;all P>0.05); while the CKD knowledge level was higher in patients with college or above educational levels (7.80±3.96) , or patients with a disease history over 5 years (7.64±2.84) , or patients with stage 5 CKD (8.25±1.16) . Conclusion The rate of knowledge, attitude and behavior in CKD patients is relatively low, especially in attitude and behavior. In order to control the disease progression and reduce the adverse impact of the disease, it is necessary to take effective measures to improve the attitude and behavior of CKD patients. Key words: Chronic kidney disease; Knowledge; Attitudes; Behaviors; Combination of medical and medical care

Extending obesity care beyond the office doors using telemedicine health coaches. A pilot test randomized trial

Purpose: Expert guidelines recommend primary care pediatricians identify obesity in children and provide patient-centered counseling around lifestyle risk behaviors. We compared the effect of delivering lifestyle risk behaviors counseling by primary care providers with and without a health coach reinforcing this messaging via telemedicine on patients’ reported behaviors, risk category and weight status. Methods A prospective, randomized, open-label intervention study was conducted over 12 months. Participants were assigned to one of two groups 1) telemedicine lifestyle risk behavior counseling (Telehealth) with CCDSS-supported primary care and 2) CCDSS-supported primary care (PC) …

Improving patient experience and education on congenital heart defects: the evolving role of digital heart models, 3D-printing and mobile application.

Background: Effective counseling and good communication are vital to adequately educate families on congenital heart disease (CHD) anatomy, prognosis, and surgical options. In addition, families desire to have easy access to reliable sources of information to further educate themselves and their social networks. Advanced digital and 3D printing technology has enabled the creation of CHD-specific visual aids aimed at improving patient-physician communication and enhancing the patient-family experience. Objective: To determine ambulatory CHD patient family/caregiver response to new tech-based counseling utilizing 3D printed hearts and …

How many babies is too many?: Census Data from a Newborn Rounder Service

Background: Pediatric hospitalists are increasingly responsible for routine newborn care in the newborn nursery. Newborn encounters differ from pediatric encounters in their perceived level of acuity versus amount of time spent with a family. A significant amount of time is needed for counseling, documentation, and communication with outpatient providers. Ideal staffing models are not yet known for this type of work. Objective: To determine the average number of newborn patient encounters seen by a newborn pediatric hospitalist, and determine a volume saturation point for patient care. Design/Methods: Newborn billing data from …

Feeding Outcomes Following Infant Tracheostomy

Background: While need for technology-assisted feedings is common among infants who have received tracheostomy, long-term feeding outcomes for this medically population have not been well described. Improved knowledge about the expected feeding needs over time for these infants may be beneficial for family counseling, medical decision-making, and advocating for related services. Objectives: 1) Characterize feeding methods in infants after tracheostomy at time of initial hospital discharge and during subsequent follow up 2) Identify factors associated with long term achievement of full oral feedings in infants after tracheostomy Methods: We conducted a large retrospective review of all …

Less Than Half of Pediatricians Educate Parents of Newborns on the Risks and Benefits of Swaddling

Background: Little is known about what counseling parents receive regarding safe swaddling practices and what training pediatricians are receiving. The purpose of this study is to determine what education parents of newborns are receiving on swaddling, and what training pediatricians are receiving. Methods: Parents of patients aged 0-12 months who presented to clinic for any evaluation without a diagnosis of hip dysplasia were administered an anonymous online survey. Parents were asked about their experiences …

Influence of Career Management on Performance of Firms Listed in the Nairobi Securities Exchange in Kenya

The study sought to determine the influence of career management on firm performance at the firms which are listed in the Nairobi Securities Exchange. The study was anchored on resource based view theory and shareholder value maximization theory. The research design used was a cross-sectional survey, target population included the head of human resources and finance directors in all the listed firms since they were better placed and conversant with the subject of this study and were involved in the development of the policies and review of performance. Sample size comprised of 136 respondents and data was collected through structured questionnaires to meet the objectives of the study. Responses were tabulated, coded and processed by use of a computer Statistical Package for Social Science (SPSS) to analyze the data. Both descriptive and inferential statistics techniques were used to analyze the data. Findings revealed that the relationship between career management and firm performance was positive and statistically significant. The study concluded that career development and planning, career mentors/ counseling, career centres and firms planning for employee growth and progression are key career management determinants for the performance of firms listed in the Nairobi Stock Exchange (NSE) and recommended that career management practices should be widely adopted by NSE listed firms as doing so would lead to improved performance.

Media Use of Children and Adolescents in the Digital Age: Views and Practices of Filipino Pediatricians in a Tertiary Care Hospital

Background. Children and adolescents nowadays are exposed to digital media, altering the way they live, communicate, learn and play. Policy statements on digital media are published internationally, and modified accordingly with media’s increasing influence in children’s daily lives. Across these recommendations, the pediatrician’s role is emphasized. Locally, no research has been done in exploring pediatricians’ knowledge and practices regarding media use recommendations, and no local guidelines have been published. Objectives. To determine Filipino pediatricians’ knowledge, attitudes, and counseling practices (KAP) on digital media use of children and adolescents. KAP were …

The Healthy Weight and Your Child Collaborative: A Pilot Project to Improve Obesity-related Primary Care and Cultivate Clinic-Community Linkages for Pediatric Weight Management

Obesity now affects an estimated 19% of children, and countering this epidemic will require that stronger connections be forged between clinic and community systems. For children identified with obesity, pediatric primary care providers play a key role with respect to conducting recommended assessments and ensuring that appropriate follow-up occurs, typically including patient/family-centered counseling. Gaps in care are particularly notable for these patients, due both to the complexities of care and to systemic barriers, including a lack of trusted, community programs to assist providers with behavioral treatment. Furthermore, even …

Analyzing Vitamin D3 Compliance in Pediatric Fractures

Background: Children should be the population of interest to prevent osteoporosis. Patient adherence to supplemental regimens and lifestyle adjustments is of concern to physicians, researchers, and community health advisors. This study was designed to evaluate supplementation compliance in children with fractures. The goal of supplementation counseling in this study was to maintain compliance during the period of fracture …

허난설헌의 자기극복 과정에 관한 상담학적 의미 고찰

허난설헌의 자기극복 과정에 관한 상담학적 의미 고찰

Prenatal diagnosis of unilateral absence of pulmonary artery by echocardiography

Objective To analyze the echocardiography features of unilateral absence of pulmonary artery (UAPA) features and improve the prenatal diagnosis accuracy of UAPA by analyzing fetal echocardiography features. Methods Fetal echocardiographic features were analyzed retrospectively in 6 cases with prenatal diagnosis of UAPA between June 2012 and October 2018. At the same time, ultrasonic manifestations of 3 patients whose antenatal examinations were performed in other hospitals and diagnosed as UAPA in our hospital were retrospectively analyzed. The fetal echocardiography characteristics of UAPA were summarized. Results Among the 6 fetuses with UAPA, 4 cases were diagnosed as isolated unilateral absence of proximal right pulmonary artery, 1 was unilateral absence of proximal left pulmonary artery with tetralogy of Fallot (TOF) and 1 was isolated unilateral absence of proximal left pulmonary artery. Characteristic sonographical findings included: ①When other intracardiac abnormalities were absent, the inner diameter and proportion of the heart cavity was normal. ②Multi-view showed that the normal confluence structure disappeared at the branch of the main pulmonary artery, and the diameter of normal pulmonary artery branch was widened. ③On the basis of three vessels and trachea view (3VT), moved the probe up and down to make a transverse scan, two-dimensional and color Doppler flow imaging (CDFI) showed a large vessel (the brachiocephalic trunk artery) originating from the aortic arch which had dual vascular features, it means that it was difficult to distinguish the pulmonary artery branch from the aortic branch. ④On coronal view of the large vessel, two-dimensional and CDFI clearly showed that the large vessel originating from the aortic arch was the brachiocephalic trunk artery, and the pulmonary artery branch connected with the brachiocephalic trunk artery by the ipsilateral vertical arterial duct (DA) which originated from the root of brachiocephalic trunk artery, but the left pulmonary artery branch connected with the ventral side of the aortic arch by the left DA in UAPA fetus with TOF. ⑤Spectrum Doppler of the anomalous vessels of the lungs confirmed that it was the pulmonary artery, and the blood flow of the anomalous PA branch was isolated and no exact connection with the main pulmonary artery. Conclusions UAPA can be accurately diagnosed prenatally by echocardiography. The brachiocephalic trunk artery coronary view is very important for the diagnosis of this disease.Early diagnosis plays an important role in prenatal counseling and prognosis assessment. Key words: Echocardiography; Fetus; Unilateral absence of pulmonarya; Tetralogy of fallot

COUNSELEE SATISFACTION IN FACE-TO-FACE AND CYBER-COUNSELING APPROACH TO HELP CYBER-BULLYING VICTIMS IN THE ERA OF INDUSTRIAL REVOLUTION 4.0: COMPARATIVE ANALYSIS

The aim of this research is to investigate the difference in the level of satisfaction of the counselee (victims) of cyber-bullying after receiving counseling services through face-to-face and cyber-counseling approaches. The research method uses Quasi-Experimental Non-equivalent Control Group Pretest/Posttest Design. Quantitative data obtained using Client Satisfaction Instrument (CSI) and the Revised Cyber-bullying Inventory (RCBI). Data is then analyzed using an independent t-test to see the difference in the satisfaction level of the counselee (victims) of cyber-bullying. Respondents research totaling 64 people involved and conducted in two study groups, the control group using face-to-face counseling (n=32) and group experiments using cyber-counseling (n=32). The results of the study have found that counseling services have been given to the counselee (victims) of cyber-bullying with the cyber-counseling approach shows higher satisfaction compared to a face-to-face approach. Article visualizations:

Differences in Student Assertive Behavior in term of Gender

This research is motivated by the phenomenon of the number of students who are unable to behave assertively. The purpose of this study was to see the differences in assertive behavior of male and female students. This research is a type of quantitative research with a comparative descriptive method. The number of samples was 248 students of BK FIP UNP with proportional random sampling technique. The instrument of this study was a questionnaire about assertive behavior with a Likert scale model. Data were analyzed using the percentage formula and for differences in assertive behavior students with t-test techniques using SPSS version 20.00. The findings of this study indicate that (1) assertive behavior of students as a whole is in the moderate category with a percentage of 67.74% which expresses assertive behavior male students are higher than female students, (2) the results of the t-test state that there are differences significant with a significant level of 0.013. Based on the research, the counselor can help students with guidance and counseling services so that students have high assertive behavior.

Tackling Teen Substance Use: Computer-Based Risk Screening Paired with Brief Provider Counseling

Assessing teen substance use and providing effective counseling are ongoing challenges for primary care providers.To test one possible approach,

Effectiveness of Weight Loss Interventions on Nonalcoholic Fatty Liver Disease

As there is no licensed pharmacologic therapy for the treatment of nonalcoholic fatty liver disease (NAFLD), clinical guidelines recommend counseling

Bioecological Counseling

Bioecological Counseling

Community intervention in elderly patients with insomnia

Community intervention was conducted for 60 elderly patients with insomnia who attended the clinic of Sanlihe NO.1 Community Health Service Station of Yuetan Community Health Service Center from October 2016 to December 2016. Community intervention strategies included appointed visit to contracted family doctors, health counseling by specialists, lifestyle interventions, drug interventions, psychological interventions, individualized interventions, regular home visits and follow-up, self-management and referral to specialist service. After 1 year of community intervention, the differences of sleep quality self-assessment score [(29.77±7.20) vs. (28.62±6.79) ; t=7.48, P<0.01] and COOP/WONCA score [(17.38±3.35] vs. (16.00±3.09); t=8.69, P<0.01] before and after the intervention were statistically significant. Community intervention is helpful to improve the quality of sleep and life of the elderly insomnia patients. Key words: The elder; Insomnia; Community intervention

Investigation of pharmacist-managed clinic in Guangdong and concept of quality management

Objective To investigate the implementation of pharmacist-managed clinic(PMC) in Guangdong, and to provide reference for quality management of pharmacist-managed clinics. Methods Collection of a list of all medical institutions that have established pharmaceutical clinics in Guangdong province before July 2018.The development of PMCs at these institutions found in the list was investigated by conducting a questionnaire survey via WeChat and telephone interviews. Results 41 questionnaires were completed, of which 40 were valid, accounting for 97.6%.A total of 40 institutions established PMCs, in which 39 were tertiary hospitals(22.5% of the total number of tertiary hospitals in the province), and 1 was level-1 hospital(0.26% of the total number of first-class hospitals in the province). The main PMC categories are chronic disease management clinics, followed by anticoagulant/thrombolytic clinics, pregnant and lactating PMC, COPD management clinics, and drug counseling comprehensive clinics.81.7% of the visiting pharmacists were of head pharmacist qualifications.The average daily outpatient volume of the 25 hospitals were 3-5 patients.The service time was about 10-60 minutes per patient in most cases.Their common causes for consultation were adverse drug reactions, drug interactions or incompatibility, drug usage and dosage, drug adjustment and drug selection.Only 9 institutions established a management system, working process and standardized medical records for medication therapy management. Conclusions PMC is an important part of medical services.To ensure its service quality, we should learn from the concept of three-level management of medical quality, and perfect the construction of quality management system of pharmaceutical outpatient clinics. Key words: Pharmacist-managed clinic; Quality management; Medication therapy management; Homogenization of pharmaceutical services

Cost utility analysis of pharmacist counseling care for breast cancer chemotherapy outpatients.

Chemotherapy for cancer is increasingly implemented in the outpatient setting. Pharmacists contribute to cancer treatment by conducting counseling during outpatient chemotherapy visits. They provide guidance on drug treatment, side effects, and side effect countermeasures on every visit. However, there have been few economic evaluations of pharmacist involvement in outpatient chemotherapy. Therefore, we performed a cost utility analysis. We assigned usual care (control) and pharmacist counseling to two groups of 19 patients receiving outpatient chemotherapy for breast cancer at Gifu Municipal hospital. Quality of life was measured at three timepoints before and during chemotherapy treatment using the EuroQol 5 dimension instrument (EQ-5D). EQ-5D values across the timepoints were 0.831, 0.757, and 0.791 for the control group, and 0.882, 0.883, and 0.921 for the pharmacist counseling group. The additional cost in the pharmacist counseling group was 2,227 yen per counseling session. The change in quality-adjusted life years (QALY) was a maximum of -0.021±0.186 in the control group and 0.007±0.199 in the pharmacist counseling group. The maximum cost for one QALY was 1,360,558 yen (≈12,460 US dollars). Pharmacists' counseling in outpatient cancer chemotherapy for breast cancer patients had an acceptable incremental cost-effect ratio, contributing to improved patient quality of life without significant additional expenditure to healthcare.