scholarly journals Management of depression in primary care - A cross-sectional study in the North-East of England, UK

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Reshma Hegde ◽  
Prinul Gunputh ◽  
Baxi Sinha
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Secondary Care ◽  
Cross Sectional Study ◽  
Free Text ◽  
Sectional Study ◽  
Cross Sectional ◽  
North East ◽  
The North

Background: Depression is a common and serious disorder that impairs quality of life. Since general practitioners (GP) are considered gatekeepers to secondary care, the choice of interventions offered in primary care can have a significant impact not only on patients’ quality of life, but also on health service demands. Objective: To evaluate the confidence of GPs in diagnosing and managing depression; and, to assess the factors influencing their strategy in treating depression. Methods: A cross-sectional study was carried out among GPs working in the North-East of England, UK. The survey questionnaire consisted of mostly close-ended questions with some allowing for free-text comments (see Appendix 1). The responses obtained were analysed using Microsoft Excel. Results: Among the total of 63 respondents, most GPs were comfortable diagnosing depression. Most would consider combining talking therapies with antidepressants (68.3%) at presentation, followed by referral to talking therapies alone (41.2%). In only 14.3% of cases would antidepressant therapy alone be considered. For those patients non-responsive to initial treatment, 25.4% considered offering a different antidepressant or adjunct medication (such as a sedative, anxiolytic, or beta-blocker), and another 25.4% of GPs considered a combination with another antidepressant. 46.0% of participants were not comfortable prescribing dual antidepressants due to concerns about side effects, lack of experience, paucity of guidelines, and lack of timely access and guidance from the local mental team. Nearly all (98.4%) GP participants would agree to prescribe dual antidepressants on advice of the mental health team with telephone advice being the preferred means of communication in 65.1% of cases. Conclusion: The results of this study can help to develop closer co-operation between primary and secondary care by not only upskilling GPs through various means (educational events, training posts, etc.), but by also creating better communication channels at the interface between those two services. Key words: antidepressants, combination therapy, depression, primary care, primary-secondary care interface

Factors Associated With the Quality of Life of Patients With Venous Leg Ulcers in Primary Care: Cross-Sectional Study

2020 ◽  
pp. 153473462096756
Author(s):  
Carmen Folguera-Álvarez ◽  
Sofia Garrido-Elustondo ◽  
Milagros Rico-Blázquez ◽  
José Verdú-Soriano
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Cross Sectional Study ◽  
Perceived Quality ◽  
T Test ◽  
Leg Ulcers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Perceived Quality Of Life

The presence of venous leg ulcers (VLU) is associated with emotional disorders in individuals who have conditions, such as depression, anxiety, and sleeping problems, which result in a reduced perceived quality of life by these individuals. The study aim was to describe the perceived quality of life and associated factors for individuals with VLU. We conducted a cross-sectional study in 22 primary care health centers with a sample of 93 individuals with VLU. The variables collected were the following: perceived quality of life measured with Spanish version of the Charing Cross Venous Ulcer Questionnaire (CCVUQ-e), ulcer severity measured with the RESVECH 2.0 Score, demographic variables, and those related to the healing process. The results showed a mean CCVUQ-e score of 47.4 ± 11.8 points (Mean ± SD), with the most affected dimension being the emotional status, followed by cosmesis, social interaction, and domestic activities. The mean RESVECH 2.0 score was 11.1 ± 3.7 points. An association was found between ulcer-related pain and poorer quality of life ( P < .05, t test) and between erythema in perilesional skin and poorer quality life ( P < .05, t test). The signs of infection and inflammation in the VLUs were as follows: increasing exudate, friable tissue, and biofilm-compatible tissue, which were associated with a poorer quality of life ( P < .05, t test). The multivariate model was statistically significant and explained a variability of 26% in the CCVUQ-e score. This study confirms that wound severity, pain, and signs of infection in VLU decrease the perceived quality of life of individuals with these wounds.

scholarly journals Depression, quality of life and primary care: A cross-sectional study

2013 ◽  
Vol 3 (4) ◽  
pp. 245 ◽  
Author(s):  
Panos Andriopoulos ◽  
Maria Lotti-Lykousa ◽  
Evelina Pappa ◽  
Angelos A. Papadopoulos ◽  
Dimitris Niakas
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Quality of Life Before and After Transplantation in Solid Organ Recipients Referred to the North Italy Transplant program (NITp): A Cross-sectional Study

2019 ◽  
Vol 51 (6) ◽  
pp. 1692-1698 ◽  
Author(s):  
Antonino Cannavò ◽  
Serena Maria Passamonti ◽  
Daniele Vincenti ◽  
Maria Teresa Aurelio ◽  
Rosanna Torelli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cross Sectional Study ◽  
Solid Organ ◽  
Sectional Study ◽  
Cross Sectional ◽  
The North ◽  
Transplant Program ◽  
Before And After

scholarly journals Quality of life among pregnant women with urinary incontinence: A cross-sectional study in a Malaysian primary care clinic

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250714
Author(s):  
Aida Jaffar ◽  
Sherina Mohd-Sidik ◽  
Rosliza Abd Manaf ◽  
Chai Nien Foo ◽  
Quan Fu Gan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Pregnant Women ◽  
Primary Care Clinic ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Clinic ◽  
International Consultation

Background Pregnant women have an increased risk of urinary incontinence (UI), affecting their quality of life (QoL). This study aims to determine UI and its relationship with QoL among incontinent pregnant women. Methods This was a cross-sectional study in a semi-urban primary care clinic in Selangor, Malaysia, among pregnant women aged 18 years old and above. The validated study instruments consisted of questions on socio-demography, the International Consultation on Incontinence Questionnaire-UI Short Form (ICIQ-UI SF) to determine UI and the International Consultation on Incontinence Questionnaire Lower Urinary Tract Symptoms Quality of Life Module (ICIQ-LUTSQoL) to assess their QoL. A generalised linear model was used to determine the association between the continent and incontinent pregnant women with QoL. Results Of the approached 610 respondents, 440 consented to participate in the study, resulting in a response rate of 72.1%. The mean age was 29.8 years old (SD 4.69) with 82.2% (n = 148) having stress UI. Significant independent factors related to the decreased QoL were mid to late trimester (OR 3.06, 95% CI 1.48–6.32), stress UI, (OR 6.94, 95%CI 4.00–12.04) and urge UI (OR3.87, 95%CI 0.48–31.28). Non-Malay improved QoL (OR 0.29, 95% CI 0.16–0.52). Conclusions All types of UI significantly affecting pregnant women’s QoL. This information is useful in enhancing antenatal management at the primary care level, whereby they should be screened for UI and provided with effective early intervention to improve their QoL.

scholarly journals Rosacea: do microbes have some role in its causation? A cross-sectional study from North-East India

2019 ◽  
Vol 6 (1) ◽  
pp. 95
Author(s):  
Bijayanti Devi ◽  
Jantu Kumar Bhaumik ◽  
Nandita Bhattacharjee
Keyword(s):  
Quality Of Life ◽  
Sun Exposure ◽  
Cross Sectional Study ◽  
Control Culture ◽  
Coagulase Negative Staphylococcus ◽  
Sectional Study ◽  
Cross Sectional ◽  
North East ◽  
And Control

<p class="abstract"><strong>Background:</strong> Rosacea is a common inflammatory disease affecting the centrofacial skin. The etiopathogenesis is unknown and the disease follows a chronic course. It causes great social discomfort and reduces quality of life.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study was conducted from October 2011 to September 2013 in the Department of Dermatology, Venereology and Leprology of Regional Institute of Medical Sciences in Imphal, Manipur and all the patients diagnosed with rosacea were included. A detailed history and clinical examination were done and recorded in a preset proforma. Potassium hydroxide mount of skin scrapings and Gram stain as well as culture from lesion and control were performed.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 72 patients were included with female predominance. The mean age of the patients was 31.64±9.623 years. Sun exposure (70.8%) was the commonest exacerbating factor followed by fried spicy food (69.4%). Persistent erythema was seen in most of the patients (97.2%) and ETR was the commonest subtype (65.3%). Associated ocular manifestations were present in 4.2% of patients. The prevalence of <em>Demodex</em> mite was found to be higher in lesional skin as compared to the control. Culture from both lesion and control showed predominant growth of coagulase-negative staphylococcus (87% and 78.3% respectively).</p><p class="abstract"><strong>Conclusions:</strong> Rosacea is a multifactorial disorder with diverse clinical spectrum. Elimination of the triggering factors may help in controlling the flares and improve the quality of life.</p>

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