What is cancer pain? Investigating attitudes of patients, carers, and health professionals: A cross‐sectional survey

Pain Practice, Год журнала: 2025, Номер 25(3)

Опубликована: Март 1, 2025

Cancer pain is a prevalent and debilitating symptom that impacts quality of life. Pain management remains challenging; however, due to various barriers, including stigma associated with opioid use, ambiguous roles clinicians, diverse attitudes toward among healthcare professionals, patients, carers. To explore the surrounding cancer carers, health professionals at tertiary hospital. A cross-sectional online survey was conducted Peter MacCallum Centre. The included demographic measures statements assessing management. Data analyzed using descriptive statistics in IBM SPSS 29. Ethics approval granted by HREC. 308 participants (153 patients 155 professionals) completed survey. results revealed significant variability its Discrepancies understanding between patients/carers were observed. Differing views on goals revealed, 51.6% expecting elimination compared 20.6% professionals. clinicians also perceived differently, highlighting lack clarity responsibilities. Both groups emphasized need for increased education study substantial emerged understanding, many carers uncertain about nature pain, contrasting professionals' recognition complexity. terminology distinguishing "cancer pain" from "non-cancer may contribute this confusion, suggesting reconsider these semantics. Divergent clinician use underscored uncertainties, especially regarding specialist access prescribing practices. bridge gaps, clearer communication revised guidelines potentially improving patient outcomes.

Язык: Английский

---

Health in the context of healthy ageing among people aged 65+ in South Bohemia

Kontakt, Год журнала: 2025, Номер unknown

Опубликована: Март 11, 2025

Язык: Английский

---

The Sleep Expectation–Reality Gap: Exploring Discrepancies Between Perceived and Ideal Sleep Duration in Primary Care Patients

Healthcare, Год журнала: 2025, Номер 13(6), С. 650 - 650

Опубликована: Март 17, 2025

Objective: This study aimed to quantify the discrepancy between perceived and ideal sleep duration among primary care patients identify demographic, lifestyle, psychological factors associated with this expectation–reality gap. Methods: A cross-sectional was conducted 300 adult patients, who completed a survey assessing demographics, perceptions, insomnia severity (Insomnia Severity Index, ISI). Sleep defined as difference duration. Statistical analyses included Wilcoxon signed-rank tests, Spearman’s correlations, multiple linear regression examine predictors of discrepancy. Results: Participants reported mean 6.39 ± 1.36 h, significantly lower than their 8.07 0.75 h (p < 0.001). significant found in 81.3% participants, while only 2.0% exceeded needs. Higher ISI scores were strongly greater (r = −0.476, p The model explained 27.7% variance 0.001), (β −0.425, higher BMI −0.192, cola drink consumption 0.142, 0.009), older age 0.163, 0.002) predictors. Gender, hypnotic medication use, alcohol intake non-significant. Conclusions: substantial gap exists, linked severity, age, lifestyle factors. Addressing maladaptive expectations through cognitive–behavioral interventions may improve satisfaction reduce insomnia-related distress.

Язык: Английский

---

Mechanism Assessment of Physician Discourse Strategies and Patient Consultation Behaviors on Online Health Platforms: Mixed Methods Study

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e54516 - e54516

Опубликована: Март 19, 2025

Online health platforms are currently experiencing significant growth. Patients can conveniently seek medical consulting services on such platforms. Against the backdrop of thriving development digital care, patterns physician-patient communication undergoing profound changes. It is imperative to focus physician discourse strategies during online interactions, which will improve efficiency and achieve better management relationship. This study aims explore influencing mechanism between patient consultation behavior Additionally, we crucial mediating role trust moderating shared decision-making in process. We used a mixed research approach mechanism. Data basic attributes text records were collected from Chunyu Doctor website using web spider. The obtained total 8628 interaction texts January 2022 July 2023. Physician (capacity-oriented strategy, quality-oriented goodwill-oriented strategy), trust, captured through mining random forest model. First, employed extract speech acts, modal resources, special linguistic resources each record. Then, well-trained model, specific strategy based learned features patterns. generated 863 groups samples with 17 data fields. hypotheses tested an "ordinary least squares" stability test was conducted by replacing dependent variable. capacity-oriented had effects (β=.151, P=.007; β=.154, P<.001; β=.17, P<.001, respectively). should be noted that anticipated strong effect not observed. Instead, more prominent. notification adequacy moderated (β=.172; P<.001). expression (β=.124; P<.001), (β=.104; P=.003). played behavior. findings suggest implications for stimulating providing guidance effective physicians, thus constructing trustworthy image, improving relationship, increasing platform traffic.

Язык: Английский

---

Patient Satisfaction Level and its Various Determinants in a Tertiary Care Hospital of Peshawar, Pakistan: A Cross-Sectional Study

Pakistan Journal of Health Sciences, Год журнала: 2025, Номер unknown, С. 247 - 252

Опубликована: Фев. 28, 2025

Patient satisfaction is a surrogate metric for quality of services provided by healthcare system. Objective: To assess patient and associated factors in major tertiary care hospital. Methods: This cross-sectional study was conducted at the Lady Reading Hospital (LRH), Peshawar, Pakistan. All patients admitted indoor treatment least 2 days were enrolled through multistage sampling technique. Patients to ICU, CCU, psychiatry or oncology wards COVID-19 positivity excluded. level assessed with Satisfaction Questionnaire (PSQ)-18. Likert scale utilized evaluate patients’ response, where ranged from 1 (complete dissatisfaction) 5 satisfaction). cumulative score ≥ 50 classified as satisfied. Results: Of total 384 enrolled, 199 (~52%) older than 45 years age, while female male ratio 1.25:1. The number satisfied significantly higher dissatisfied (313 vs. 71: p < 0.01). Highest domain D7 (i.e., accessibility convenience: 72%), followed D6 time spent doctor: 69%). A minimum D2 technical quality: 53%). Moreover, age ≥45 (~86%), gender bachelor education (~100%) medical allied (~86%) expressed satisfaction. Conclusion: Overall, showed high LRH, Peshawar.

Язык: Английский

---

The challenges and rewards of social prescribing in family medicine

Frontiers in Health Services, Год журнала: 2024, Номер 4

Опубликована: Окт. 14, 2024

In the practice of medicine, it is not uncommon to observe drastically different treatment outcomes in patients with nearly identical diseases and medical treatment. This phenomenon can be attributed a variety factors apart from care that influence health outcomes, collectively known as social determinants (SDOH). These include income, education, employment status, availability healthy food support. 1 The impact SDOH on well-being was illustrated by McKeown et al, who studied death records England Wales mid-19 th century early 1960s. 2,3 They observed mortality causes had fallen significantly steadily decades before emergence modern modalities such antibiotics intensive unit. posited increase life expectancy could improved living conditions, access clean water, nutrition sanitation. 4 It becoming increasingly clear medicine goes beyond just biomedical aspect. encapsulated "biopsychosocial" approach proposed Engel 1977. 5 emphasizes social, psychological behavioral dimensions illness aspect has grown popularity since its introduction. Social prescribing, also community referral, connecting their carers range local non-medical sources support optimize SDOH. 6 referrals are generally, but exclusively, professionals primary settings. First practiced United Kingdom (UK) 1990s, prescribing aims expand options consultation providing locally available resources which often within voluntary, enterprise sector. 7 allows individuals more connected resilient, enabling them take ownership own care.Social line World Health Organization's (WHO) Regional Action Plan Healthy Aging Western Pacific, advocates for older population through collaboration between service providers team. 8 As supporting whose issues exacerbated problems becomes progressively complex, become relevant important, especially family medicine. because physicians typically follow-up over long period time understand patients' background thoroughly.The gradually popular demand increasing most societies, theoretically an effective way addressing these needs. 9 article discusses some potential rewards challenges offering setting.Social myriad benefits, among improvement health. achieves this incorporating economic environmental considerations address individual's needs holistic encourages greater health.According WHO, global increased significantly, 66.8 years 2000 73.4 2019. 10 Loneliness depression amplify age, stemming loss familial ties, independent diminishing ties cultural roots. 11 There mounting evidence loneliness detrimental associated risk coronary heart disease, stroke, depression, cognitive decline Alzheimer's disease. 12 Recent suggests exclusive elderly affects people all ages. 13,14 there great societal need emotional services outside therapy.A wide including community-based activities, information advice, befriending transport. were frequently assessed Rotherham Prescribing Pilot Project UK. 15 regard, emerges feasible solution match activities those facing isolation. A mixed methods evaluation UK found 72% service-users felt less lonely after receiving support, additional benefits well-being, confidence, purpose. 16 Beyond positive effects physical well. helpful many longer have chronic conditions poor compromise quality life. 17 For example, green connect nature-based improve health, popular. An Opening Doors Outdoors program north Wales, 12-week intervention focusing either outdoor walking or climbing participants experienced terms fitness strength. 18 Likewise, appraisal Luton Program Pescheny al energy expenditure levels enrollment program. 19 pilot Australia mental participation programs led significant improvements status. 20 Current literature shows strong link meta-analysis Lamers may prognosis illness. 21 help alleviate isolation anxiety, boost interaction confidence daily world where finite, mismatch supply growing patients. 22 Appropriate resource allocation remains central tenet decision-making process any healthcare system. 23 relieve strain system, ensuring judicious use limited resources.The intricately intertwined, complex socioeconomic wealth education profound effect outcomes. 4,24 estimated approximately 20% consult general practitioner primarily issues, 25 expectation find solutions problems.However, workers lack appropriate expertise capacity themselves. patient expectations result unmet needs, leading repeat clinic visits, perceptions inadequate subsequently dissatisfaction. addition, referred settings tertiary centers persistent unresolved require prolonged hospitalization stay. shown Toh Singapore study alone, financial aid caregiver stress associations length stay acute hospitals. 26 serves adjunctive measure By referring workers, ensure concerns addressed expertise, while channeling clinical towards complaints. Furthermore, helps enhance satisfaction fosters trust sector.Despite number pose barriers wider adoption system.One challenge understanding awareness resources, both amongst relatively new concept, unaware difficult explain survey practitioners' UK's National System (NHS) 63% doctors they would like deeper practice, responding aspects prescribing. 27 countries practitioners operate individually, feel overwhelmed amidst already heavy workload responsibilities. 28 Many existence benefits. 29,30 favor treatments open considering programs. 31 present preconceived personal agendas. conventionally expect thoroughly assess complaint, come diagnosis investigations formulate long-term plan. 32 fact, Williams al. wanted explanation showed lesser desire "support". 33 With mind, should advocated setting, replacement therapy.Evidence-based meticulous, explicit, judicious, reasonable modern, best about individual 34 due transparent nature extensive accessibility electronic databases data research acquired. 35 era evidence-based helped routinely define standard base relating been problematic barrier widespread adoption. Given heterogenous highly dependent context, evaluate components arrive at generalizable conclusions applied societies vastly cultures. systematic review conducted 2017 effectiveness little value money. 36 relative robust hinder acceptance profession.The administration system requires moving parts, human goodwill voluntary sector crucial provided free-of-charge volunteer help. Brighton Hove Farenden total 5824 hours given navigation during first months 37 funding combination public private funding, non-recurrent variable depending governmental goals. 38 popular, operating costs run cope expected rise. adult NHS risen past decade, 2022/23 than £2 billion higher 2010/11. 39 Thus, sustainability uncertain must evaluated.Social facilitates shift person-centric preventive approach. acknowledges balanced lifestyle importance proactively disease prevention. context aging chronically unwell population, interventions key sustainable 40 conclusion, despite recognition various important continue raising pursuing efficacy. current promoting integration we move embracing embodies concept

Язык: Английский

---

Crafting Human-AI Interaction: A Rhetorical Approach to Adaptive Interaction in Conversational Agents

Опубликована: Ноя. 20, 2024

Язык: Английский

---

They paid attention to the whole of me in some way, both physically, mentally, and everything in between: a qualitative study of patients’ experiences of interdisciplinary rehabilitation (PREVSAM) in primary care for musculoskeletal disorders

Scandinavian Journal of Primary Health Care, Год журнала: 2024, Номер unknown, С. 1 - 12

Опубликована: Дек. 28, 2024

Purpose To explore and describe patients' experiences perceptions of rehabilitation according to the model 'Prevention sickness absence through early identification at-risk patients with musculoskeletal pain' (PREVSAM).

Язык: Английский

---