Objective: The aim of study was to assess hospital phobia and its variation of depressive symptoms in primary care population. Introduction: Nosocomephobia is the fear of hospitals. It is a fairly common phobia; many people are known to suffer from it. Like that “If I go to a hospital, I’m fairly sure it is a fact that my life is not guaranteed.” Patients are afraid of hospitals, especially the emergency rooms. Hospitals are the mark of cure and health. They even usually result in huge expenses. Most people understand that it is a medical necessity and that one does not and fear must be overcome in case of Nosocomephobia though, the patient simply refuses to go to a hospital and the result often are not desirable including death especially in case of major life threatening conditions. Results: In Primary Care population (PCP) severity of Hospital-phobia is very high. Patients show different depressive symptoms like nausea, loss of appetite, mood swing etc. The result of survey shows that insomnia is the highest number found in depressive patients which is approximately 50% in male patients alone. Female the percentage is slightly low i.e. approximately 40%. Discussion and Conclusion: A survey has been conducted at Karachi to ascertain how many people are suffering from hospital phobia. Our survey result showed that the hospital fear (nosocomephobia) is very common in the biggest city of Pakistan i.e. Karachi. The best way to overcome the nosocomephobia is to change the mindset of the patient through some self-help techniques.
BACKGROUND: To determine factors that facilitate and are barriers to self-monitoring of blood glucose in type 2 diabetic patients visiting family medicine clinics at a tertiary care teaching hospital Karachi Pakistan. METHODS: Approximately 255 patients were consecutively recruited from the clinics during April 2018 to May 2019 at Family Medicine outpatient clinics at the Aga Khan University Hospital. Data on socio-demographic status, facilitators and barriers to SMBG were extracted through a questionnaire, after obtaining an informed written consent. Data was entered and analyzed in SPSS version 19.RESULTS: Among study participants 47.5% were above 50 years and 51.4% were males. About 30.2% of the participants were practicing SMBG at least once a month and 26% were practicing it daily. Fear of complications was the biggest facilitator (80.1%) and being expensive (51.4%) was barrier for SMBG. Over half of the SMBG practicing participants (59.7%) were diagnosed with diabetes for more than 05 years (p: 0.63). CONCLUSION: Assessment of blood glucose is a critical component of diabetes treatment and management. It can motivate patients to become active participants in their own care. Health care providers should communicate and educate the patients about the advantages of SMBG.
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