Background:Caregiving to bedridden patients in India is set to become a major problem in future.Objective:To ascertain the profile of caregivers for the adult bedridden patients in Chandigarh, India.Materials and Methods:This cross-sectional study was conducted on 100 purposively selected bedridden people. The Katz Index of the activities of daily living was used to ascertain their degree of disability. Patients and families were interviewed about the patterns of care provision.Results:The mean age of subjects was 69 years. A majority (68%) of them lived in joint families. All of them required assistance in bathing, dressing, toileting, and transfer. In 54% of the cases someone was hired to look after the subjects. A majority of the caregivers (82%) were family members. All caregivers were untrained. In 35% of the cases unqualified practitioners were consulted, while in 59% of the cases government hospitals were consulted. Most patients (78) were given medicines on time. Complications like urinary tract infection (39%) and pressure ulcers (54%) were reported; 57% of the patients reported satisfaction with the care provided.Conclusion:The main source of caregivers for the bedridden was the family. Bedridden people had high rates of medical complications. There is a need for formal training for the caregivers.
Background:Looking at the current scenario of shortage of public health professionals on one hand and intense demand of community health services on the other it is imperative that the contribution of Ayurveda practitioners is increased in the field of public health. However, the updating of the knowledge of public health issues and concepts will ultimately decide whether they can be successfully integrated into the community health arena or not.Aim:This study was conducted to assess the knowledge level of Ayurveda practitioners about public health Issues with the aim find out the competence of Ayurveda practitioners regarding knowledge of public health issues.Materials and Methods:Cross-sectional study was conducted in the union territory, Chandigarh and two districts each of the states of Haryana and Punjab. Public health knowledge assessment tool comprising a questionnaire was used to collect information from the respondents who were registered Ayurveda doctors and interns. The data was analyzed with the help of IBM SPSS (Statistical Product and Service Solutions).Results:The respondents scored between 5 and 17 points out of a total of 19 points and majority (82%) of the respondents fell in the category of “having average knowledge”. The mean score was 8.42 ± 2.Conclusion:Curriculum and training of Ayurveda education need to have more public health related inputs and hence that the Ayurveda practitioners are well-versed with the public health concepts and could contribute in the public health field meaningfully.
Objective:To determine the factors affecting the quality of home based long-term care (LTC) provision for the adult bedridden patients in Chandigarh, India. Materials and methods:This cross-sectional study was conducted on 100 bedridden patients in Chandigarh. Disability was assessed using the Katz index and an interview schedule based on Craig handicap assessment and reporting technique (CHART) was used to assess the care provision to the bedridden patients. Available medical records and brief medical examination were also conducted on the spot. Quality of care was assessed based on the Donabedian model. Factors associated with the quality of care provision, based on literature, were examined for association in the study cases.Results: Mean age of the bedridden patients was 69 years. Sixtyeight patients lived in joint families. All had total dependence in the domains of bathing, dressing, toileting and transfer. The commonest cause of disability was neurological diseases. Mean duration of being bedridden was 16.4 months. Though the rates of complications like urinary infections (89%), bedsores (54%) were quite high, 57% patients reported satisfaction with the quality of care they were receiving. However, only 18 males and 6 females subjects were receiving good quality care according to our evaluation. Ownership of property/money by the subject was the only factor found to be associated with good quality of care. Gender of the subject, degree of disability, type of family in which the subject was living in and whether the patient is currently married or not did not seem to significantly affect the quality of care received by the subjects.Conclusion: Though more than half of the study subjects reported subjective satisfaction with the quality of care being received, objective evaluation based on the study criteria showed that only a quarter were actually receiving good quality care. Furthermore, the economic worth seemed to positively influence the quality of care being received by the subjects.
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