Needs of Patients with Chronic Respiratory Diseases Within Primary Healthcare

 

n = 214

n

%

Gender

Women

113

53.1
 
Men

100

46.9

Age (year)

24 and below

6

2.8
 
25–44

25

11.8
 
45–64

72

34.1
 
65–84

97

46.0
 
85 and above

11

5.2

Place of residence

Village

74

35.1
 
City/town population:
   
 Below 5,000

28

13.3
 
 5,000–10,000

14

6.6
 
 10,000–50,000

50

23.7
 
 50,000–100,000

18

8.5
 
 100,000–200,000

17

8.1
 
 Over 200,000

10

4.7

Education

Primary

40

19.0
 
Vocational

62

29.5
 
Secondary

59

28.1
 
Post-secondary

25

11.9
 
Higher

24

11.4

Marital status

Single

28

13.2
 
Married

121

57.1
 
Divorced

9

4.2
 
Widowed

54

25.5

Diagnosis

J44 Other chronic obstructive pulmonary diseases

80

37.4
 
J45 Bronchial asthma

78

36.5
 
J43 Pulmonary emphysema

32

15.0
 
J42 Unspecified chronic bronchitis

27

12.6
 
J41 Chronic simple and mucous- purulent bronchitis

25

11.7
 
J47 Bronchiectasis

8

3.7

Most common co-existing diseasesa

I10 Primary hypertension

92

43.0
 
M47 Spondylosis

63

29.4
 
I70 Atherosclerosis

39

18.2
 
M15 Osteoarthritis of multiple joints

22

10.3
 
I25 Chronic ischemic heart disease

21

9.8


aSome patients were diagnosed as having at least two pathological entities




Table 2
Met/unmet needs of patients


























































































































































































































































































No

Needs

n %

unmet

met

Total

1

Accommodation

n

15

188

203

%

7.4

92.6

100

2

Food and grocery (shopping)

n

51

162

213

%

23.9

76.1

100

3

Looking after the home

n

49

161

210

%

23.3

76.7

100

4

Self-care at home

n

37

163

200

%

18.5

81.5

100

5

Daytime activities

n

62

150

212

%

29.3

70.8

100

6

Physical health

n

86

124

210

%

41.0

59.1

100

7

Psychical health

n

43

110

153

%

28.1

71.9

100

8

Information on condition and treatment

n

27

159

186

%

14.5

85.5

100

9

Psychological distress

n

93

116

209

%

44.5

55.5

100

10

Drinking alcohol and problems associated with drinking

n

15

89

104

%

14.4

85.6

100

11

Narcotics

n

6

208

214

%

2.8

97.2

100

12

Medicines that are not prescribed

n

148

63

211

%

70.1

29.9

100

13

Social life

n

56

156

212

%

26.4

73.6

100

14

Intimate relationships

n

18

43

61

%

29.5

70.5

100

15

Satisfaction with intimate relationships

n

13

93

106

%

12.3

87.7

100

16

Satisfaction with sexual life

n

73

101

174

%

42.0

58.1

100

17

Need of having children

n

18

11

29

%

62.1

37.9

100

18

Satisfaction with relationship with children

n

6

104

110

%

5.5

94.6

100

19

Possibility of communication by phone

n

12

199

211

%

5.7

94.3

100

20

Possibility of using public transport

n

47

85

132

%

35.6

64.4

100

21

Ability of budgeting own money

n

20

189

209

%

9.6

90.4

100

22

Getting all the money entitled to

n

58

85

143

%

40.6

59.4

100


Within the pro-health behaviors, the highest median was found in the category of preventive behaviors (3.8, min–max: 1–5), lower in the category of positive mental attitudes (3.7, min–max: 1.5–5.0), and the lowest in the categories of health practices (3.6, min–max: 1.5–5.0) and healthy eating habits (3.3, min–max: 1.0–5.0).


3.1 Results of Correlations


A low Camberwell index was more frequently reported by seniors (r = −0.28, p = 0.0004) with no relationship (r = 0.24, p = 0.0003), with the low level of acceptance of the disease (r = 0.40, p = 0.0001), low level of satisfaction with QoL (r = 0.48, p = 0.0001), low level of satisfaction with the quality of health state (r = 0.42, p < 0.0001), low level of QoL in the physical domain (r = 0.55, p < 0.0001), low level of QoL in the psychological domain (r = 0.68, p < 0.0001), low level of QoL in the social relationship domain (r = 0.62, p < 0.0001), low level of QoL in the environmental domain (r = 0.57, p < 0.0001), low level of healthy eating habits (r = 0.30, p < 0.0001), low level of preventive behavior (r = 0.20, p = 0.0038), low level of positive mental attitudes (r = 0.35, p < 0.0001), low level of satisfaction from health care (r = 0.19, p = 0.0298), high somatic index (r = −0.24, p = 0.0004), high index of services (r = −0.22, p = 0.0014), and a high number of chronic diseases (r = −0.40, p < 0.0001). There was no statistically significant correlation between the results of Camberwell index and gender, place of residence, level of health practices, BMI, and the hospitalization index.
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Jul 2, 2016 | Posted by in RESPIRATORY | Comments Off on Needs of Patients with Chronic Respiratory Diseases Within Primary Healthcare

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