Anthroposocial-Medical-Educational Approach and Educational Diagnosis of People Living with Type 2 Diabetes: Case of the National Obesity Centre in Cameroon
Danielle Takam,
Myriam Sylvie Ambomo,
Jean-Claude Katte
Issue:
Volume 12, Issue 1, March 2023
Pages:
1-10
Received:
18 April 2022
Accepted:
28 May 2022
Published:
9 March 2023
Abstract: Therapeutic patient education is an approach that is increasingly used in the management of chronic diseases. It has a structure, the first essential component of which is the educational diagnosis. However, empirical findings show that this first link is often forgotten or poorly negotiated in the implementation of therapeutic patient education. This situation reveals a difficulty in contextualising the proposed models. Hence our objective, which was to describe the process of integrating the anthroposocial-medical approach into the construction of an educational diagnosis for people living with type 2 diabetes. We conducted a descriptive qualitative study in the National Obesity Centre of the Yaoundé Central Hospital. People living with type 2 diabetes and health professionals constituted our target population and our sample size reached saturation with 16 participants (10 patients and 6 professionals). Semi-structured interviews using interview guides were conducted with the participants. The results revealed that in order to integrate the anthropological dimension in the construction of the educational diagnosis, firstly, the health professional must become acquainted with the patient's culture, his or her eating habits, find out about his or her dietary difficulties and investigate his or her behaviour in the usual environment. Secondly, the health professional must get the patient to verbalise his or her representation of the disease, his or her practices and therapeutic remedies. Thirdly, the health professional must get the patient to narrate his or her therapeutic itinerary. In order to integrate the social dimension into the construction of the educational diagnosis, the professional must firstly find out about the patient's economic situation. Secondly, he/she must find out about the patient's profession, his/her plans, find out about his/her professional interactions and assess his/her physical activity. Thirdly, he/she has to find out about his/her interactions with his/her family. Finally, in order to integrate the medical dimension into the construction of the educational diagnosis, the health professional must collect the patient's biomedical data and assess the patient's knowledge of his or her illness. In conclusion, the anthroposocialmedical approach can be considered as a contextual guide in the process of constructing an educational diagnosis which constitutes the foundation for the development of a therapeutic education programme.
Abstract: Therapeutic patient education is an approach that is increasingly used in the management of chronic diseases. It has a structure, the first essential component of which is the educational diagnosis. However, empirical findings show that this first link is often forgotten or poorly negotiated in the implementation of therapeutic patient education. T...
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Neonatal Danger Signs: Knowledge and Its Correlates Among Mothers Attending Child Vaccination Program at Public Health Centers of Southwest Ethiopia
Aman Dule,
Sadik Habib,
Mustefa Mohammedhussein
Issue:
Volume 12, Issue 1, March 2023
Pages:
11-17
Received:
5 January 2023
Accepted:
30 March 2023
Published:
18 April 2023
Abstract: Neonatal danger signs are the indication of the presence of clinically significant risk of neonatal morbidity and mortality which pursues the need for the early assessment and therapeutic interventions. In this regards, the main aim of this study was to examine the status of knowledge about neonatal danger signs and its correlates among mothers attending child vaccination program at public health centers of south west Ethiopia. Facility based cross sectional study was conducted in November, 2020. Four hundred eleven participants were recruited through systematic random sampling. Pre-tested structured questionnaires were used to collect data. Data were entered into Epidata version 3.1 and analyzed by SPSS version 20. Binary logistic regression was employed and explanatory variables with P value < 0.25 in the bivariate logistic regression were included in the multivariable logistic regression model. Adjusted odd ratio was considered to determine association and P value < 0.05 was used to declare statistical significance. As the result indicated, about 34.3% (95% CI: 29-38.9) of participants reported to have good knowledge of neonatal danger signs. Maternal age between 29-32 year (AOR =7.3, 95% CI: 3.7-14.5), being government employee (AOR=2.5, 95% CI: 1.3-4.9), ANC attendance (AOR = 3.95, 95% CI: 2.1-7.52), two or more ANC visits (AOR=3.79, 95% CI: 1.79-8.05) and having ≥ 3 PNC visit during the last delivery (AOR=4.3, 95% CI: 2.14-8.63) were significantly associated with good knowledge of neonatal danger signs. In conclusions, nearly two thirds of participants had poor knowledge of neonatal danger signs which indicates the need for the necessary intervention. Maternal age and occupation, and the trends of ANC and PNC visit were identified as the factors that had linked to the status of maternal knowledge about neonatal danger signs.
Abstract: Neonatal danger signs are the indication of the presence of clinically significant risk of neonatal morbidity and mortality which pursues the need for the early assessment and therapeutic interventions. In this regards, the main aim of this study was to examine the status of knowledge about neonatal danger signs and its correlates among mothers att...
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