Introduction: Precision Personalized Care (PPC) defines as a new approach to health care service on improving diabetes patients’ self-management. To date, Taipei Veterans General Hospital has started implement the program of PPC. The purpose of this study was to observe the implementation of PPC and its’ beneficial on the improvement of self-management among diabetes patients at the Taipei Veteran General Hospital, Taiwan.Methods: This study applied a clinical observational-exploration method such as supervision by visiting the wards, examination rooms and laboratories in the hospital and further discussing with the health professionals’ and patients with diabetes by direct interview while observing each PPC implementation from April 18th to May 2nd, 2019. The participants of this observational study included three nurses, a nutritionist, a doctor and 3 patients. Descriptive and explorative methods were attempted to analyze the data.Results: The comprehensive and continuous implementation of diabetes self-management education (DSME) and diabetes self-management support (DSMS) programs were the target and focus point of activities to improve diabetes patients’ self-management. It focused on the patient centered-care, tailored, and more precise to find patients’ personal meet as defined as PPC. Clinical laboratory tests (e.g., blood sugar, hemoglobin A1C counts, low-density cholesterol, kidney functions, proteinuria, fundus and peripheral neuropathy examinations) were carried out regularly to support the program. Both programs and clinical assessment test were integrated with the Diabetes Pay for Performance (diabetes -P4P), a large-fund government program which supported by Taiwan National Health Insurance (NHI).Conclusion: The continuous and comprehensive PPC can successfully reduce the incidence of diabetes complications in Taiwan. The PPC approach can be used as a magnificent reference for the development of quality health services and research development for diabetes patients in Indonesia.
BACKGROUND: Degenerative processes in the elderly can cause various kinds of disorders, including cardiovascular disorders such as hypertension. The heart muscle loses contractile efficiency and strength, decreases relaxation of vascular smooth muscle, loss of connective tissue elasticity resulting in decreased ability to stretch, and decreases the ability of blood vessels to stand up. Physical activity can have an impact on changes in the strength of the smooth muscle in the heart so that the pulse in the heart can be strong and regular. AIM: The purpose of this study was to determine the description of the elderly physical activity level with hypertension in Posbindu Sumber Sehat Kangkung Village, Demak Regency. METHODS: This type of research is descriptive using a cross-sectional design. The study was conducted in Posbindu Sumber Sehat Kangkung Village, Demak Regency, with a proportional stratified random sampling technique. The number of samples in this study was 63 elderly with hypertension respondents. The data collection tool uses the Global Physical Activity Questionnaire. Analysis of the data used frequency distribution. RESULTS: The results showed that the elderly physical activity with hypertension was included in the category of moderate physical activity (60.3%); blood pressure in elderly with hypertension was mostly included in the category of mild hypertension (54.0%). CONCLUSION: Based on these results, it is expected that elderly with hypertension will always increase physical activity, especially the frequency and duration that is carried out according to ability.
Background: The popular intervention in avoiding diabetes complications in several countries is health education. However, a tailored care education approach based on the phenotyping of patients’ abilities, preferences, cultural orientation is still unclear.Purpose: To discover elements and develop strategies to implement tailored care education for patients with diabetes through a systematic review.Methods: This two-stage systematic review was conducted. The first stage was primary search and assessed the quality of articles followed by discovering elements and developing strategies of tailored care education for patients with diabetes in the second stage.Results: This review included 44 out of 1421 articles that were published in English and focused to discuss on tailored care education for patients with diabetes. Self-management, patient preferences, patient value, interprofessional collaboration, tailored support, glycemic control, and patient centre were among the elements. These factors were utilized to develop seven step strategies for providing diabetes patients with tailored care education.Conclusion: Traditional clinical intervention, decision-making, and future research trends are predicted to be transformed into a personalized care approach. Establishing the effectiveness of tailored care education programs in reducing the risk of diabetes complications among diabetic patients is needed.
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