Needs of Nursing for Prevention and Management of Non- Communicable Diseases in Primary Care Settings
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Abstract
OBJECTIVE: This study aims to describe the needs of nursing for NCDs as described by patients with NCDs, healthcare providers (HP), and hospital accreditation (HA) surveyors in primary care settings.
MATERIAL AND METHODS: This descriptive study was conducted in five Thai Health Promoting Hospitals (THPH). Participants included 385 patients with NCDs, 21 HP, and 10 HA surveyors. Data were collected using questionnaires and medical records were then analyzed using descriptive statistics.
RESULTS: Mean age of patients, HP, and HA surveyors was 63.9 ± 10.7, 39.3 ± 12.5, and 49.9 ± 12.2 years, respectively. Most of the patients were female (72.2%) and had at least 2 diseases (73.4%). More than half of the patients were overweight or obese, had excessive waist circumference, and average systolic blood pressure higher than normal. The highest need of nursing as described by patients was emergency care, similarly to all HP’s needs, while the highest need of nursing as described by HA surveyors was human resources. The patients’ need for emergency care includes contact with HP, knowledge of emergency complications, basic emergency response skills, and follow up health status, while the HP’s needs include referral system in emergency care, basic emergency response skills, and knowledge and skill of emergency management. In addition, human resources include knowledge and skills for NCDs in primary care and in the community and an assessment of medical equipment.
CONCLUSION: Results suggested that HP, including nurses, should increase knowledge and skills in emergency care for patients with NCDs in primary care settings.
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References
World Health Organization. Noncommunicable diseases. Key facts [online]. 2018. (Accessed at May 30, 2019 at http://www. who.int/news-room/fact-sheets/detail/noncommu- nicablediseases).
Center of Disease Control and Prevention. CDC Global Noncommunicable Diseases NCDs [online]. 2013. (Accessed at May 30, 2019 at www.cdc.gov).
Vos T, Allen C, Arora M, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015.Lancet 2016;388(10053):1545-602.
Bloom DE, Cafiero E, Jané-Llopis E, et al. The global economic burden of noncommunicable diseases. Program on the Global Demography of Aging; 2012.
Department of Disease Control. Situation on NCDs Prevention and Control in Thailand. Nonthaburi: Ministry of Public Health; 2018.
Boontong T, Athaseri S, Sirikul, N. Nurse Practitioners Role towards Primary Medical Care in Primary Health Care setting. Thai J Nurs Council 2007;22(4):24-37.
Hanucharurnkul S. Nurses in primary care and the nurse practitioner role in Thailand. Contemp Nurs 2007;26(1):83-93.
Kelsey JL, Whittemore AS, Evans AS, et al. Methods in observational epidemiology. Monographs in Epidemiology and Biostatistics; 1996.
Amarya S, Singh K, Sabharwal M. Ageing Process and Physiological Changes. In Gerontology. 2018.
Navaratnarajah A, Jackson SH. The physiology of ageing. Medicine 2017;45(1):6-10.
Powell MP, Yu X, Isehunwa O, et al. Trends in Urgency of Emergency Department Visits among Those with and without Multiple Chronic Conditions, 2007- 2012. J Hosp Med Manage 2016;2:2.
Beevers G, Lip GY, O’Brien E. The pathophysiology of hypertension. BMJ 2001;322(7291):912-6.
Scheen AJ. Pathophysiology of type 2 diabetes. Acta Clinica Belgica 2003;58(6):335-41.
Duque AS, Fernandes L, Correia AF, et al. Awareness of stroke risk factors and warning signs and attitude to acute stroke. Int Archive Med 2015;8.
Mellon L, Doyle F, Rohde D, et al. Stroke warning campaigns: delivering better patient outcomes? A systematic review. Patient Relat Outcome Meas 2015;6:61-73.
Pinto VJ, George P. Awareness on risk factors and warning signs of stroke among individuals with hypertension. Hypertension 2017;188:2410-14.
Ministry of Public Health. Hospital Data Center (HDC) [online].2019. (Accessed at May 30, 2019 at https:// bit. ly/2NkKQaq.).
Electronic Transactions Development Agency. Thailand Internet User Profile 2017.
Kosiborod M, Gomes MB, Nicolucci A, et al. Vascular complications in patients with type 2 diabetes: prevalence and associated factors in 38 countries (the DISCOVER study program). Cardiovas Diabetol 2018;17(1): 150.
Zheng Y, Ley SH, Hu FB. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nat Rev Endocrinol 2018;14(2):88-98.
Park E, Kim J. The Impact of a Nurse Led Home VisitationProgram on Hypertension Self‐Management among OlderPublic Health Nurs 2016;33(1);42-52.
Nursing Division Ministry of Public Health. Homeward.Ministry of Public Health. 2013.
Mohd MM AH, Phung H, Sun J, et al. The predictors tomedication adherence among adults with diabetes in theUnited Arab Emirates.J Diabetes Metabo Disord 2015;15:30.
American Heart Association. Highlights from the 2017 guidelinefor prevention, detection, evaluation and management of highblood pressure in adults: A Report of the American Collegeof Cardiology/American Heart Association Task Force onClinical Practice Guidelines 2017. 2017. (Accessed at May30, 2019 at https://bit.ly/2U9owUk.).
Lin LK, Sun Y, Heng BH, et al. Medication adherence andglycemic control among newly diagnosed diabetes patients.BMJ Open Diabetes Res Care 2017;5(1):e000429.
Piaseu N, Deesamer S, Chaladthanyakit K, Tarakul S, et al.Role and Responsibility of Nurses in Primary Care Systems:Central Region, the 4th Health Area. Research Report.Nonthaburi; The Thai Nursing and Midwifery Council: 2020.
Department of Medical Services. Guideline for ER servicedelivery. Nonthaburi; Ministry of Public Health: 2017.
Manatura O. Client Perception on the Primary Care ServiceProvided by the Chakarat Health Service Network, AmphurChakarat, Nakhonratchasima. J Boromarajonani Coll Nurs2014;18(1):17-28.
Kitreerawutiwong N, Jordan S, Hughes D. Facility type andprimary care performance in sub-district health promotionhospitals in Northern Thailand. PloS One 2017;12(3):e0174055
The Healthcare Accreditation Institute. Hospital and HealthcareStandard (4 ed.). Bangkok; Deeone:2018.