Idosos com demência: conhecimentos e atitudes dos médicos nas unidades de saúde

Steiner, Ana Beatriz Quintes; Jacinto, Alessandro Ferrari; Cítero, Vanessa de Albuquerque

doi:10.11606/s1518-8787.2020054002451

Cited by 4 publications

(6 citation statements)

References 7 publications

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“…Ova dijagnoza kod bolesnika je povezana s većom prevalencijom popratnih bolesti. Osobe koje žive s demencijom i s koegzistirajućim zdravstvenim problemima imaju manju vjerojatnost u postizanju jednake skrbi u usporedbi s ljudima bez demencije (16). U objavljenim istraživanjima Dewing i Dijk (2016.)…”

Section: Studenti Kao Populacijaunclassified

Differences in the attitudes of health and non-health students about aging and dementia

Kaleb,

Mulić,

Jerončić Tomić

2023

Hrvat. čas. zdr. znan.

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Cilj: Cilj ovog istraživanja je ispitati stavove studenata zdravstvenih i nezdravstvenih usmjerenja o starenju i demenciji.Metode: Istraživanje je presječno. Ispitanici su studenti Sveučilišta u Splitu s Medicinskog, Pomorskog i Filozofskog fakulteta te Odjela zdravstvenih studija. Obrađeni podatci prikupljeni su putem online ankete. Metode deskriptivne statistike prezentiraju srednje razine stavova upotrebom medijana i aritmetičke sredine s pokazateljima raspršenosti oko srednjih vrijednosti upotrebom interkvartilnog raspona, te standardne devijacije. χ2 testom ispituje se razlika u strukturi ispitanika. Kod ispitivanja hipoteza kori-ste se T-test, Anova test, te regresijska analiza. Analiza je rađena u statističkom softwareu STATISTICA 12, TIBCO Software Inc., California.Alati za mjerenje: Za potrebe istraživanja proveden je anketni upitnik od četiri (4) dijela: podatci o sociodemografskim obiljež-jima ispitanika, znanje ispitanika upotrebom Palmerove ljestvice, stavovi prema starenju i starijim osobama upotrebom Koganove ljestvice te stavovi prema demenciji DAS ljestvicom.Rezultati: Srednja razina stava na Koganovoj ljestvici je za 3,73 boda veća u odnosu na graničnu vrijednost 119. Ispitivanjem je utvrđena statistički značajna razlika između stava studenata zdravstvenog i nezdravstvenog usmjerenja (t=4,28; P<0,001). Znanje je ispitano Palmer ljestvicom znanja. Srednja razina znanja je 15,02 boda, te se kretala u rasponu od 1 do 23. Stav prema dementnosti je ispitan DAS ljestvicom. Povezanost starosne dobi i stavova o starenju i starijim osobama nije utvrđena (r=0,024; P=0,715), kao niti između dobi i Palmerove ljestvice (r=-0,114; P=0,083). Promjena stava prema demenciji nije povezana s pro-mjenom starosne dobi (r=0,060; P=0,364). Na DAS skali je veći zbroj za 2,39 bodova utvrđen kod ispitanih studentica u odnosu na ispitane studente (t=1,98; P=0,049). Ispitivanjem nije utvrđena prisutnost statistički značajne razlike s obzirom na spol (F=1,62; P=0,199). Ispitivanjem nije utvrđena prisutnost statistički značajne razlike s obzirom na mjesto stanovanja (F=0,20; P=0,819). Ispitivanjem nije utvrđena statistički značajna razlika s obzirom na godinu studiranja (F=2,07; P=0,070). Srednja razina stava kod studenata s osobnim iskustvom života sa starijim osobama, mjerena svim trima ljestvicama, statistički nije značajna. Statistički značajan utjecaj je utvrđen kod čimbenika dobi. Godina studija se pozitivno održava na znanje; studenti viših godina studija bilježe porast znanja u prosjeku za 0,15 bodova na svakoj narednoj godini studija (P=0,041). Zaključci: Presječnom istraživanju pristupilo je 233 studenta zdravstvenih i nezdravstvenih studija. Stav studenata medicinskih usmjerenja pozitivnija je u tri kategorije ispitivanja: prema starenju i starijim osobama, te demenciji. Stav studenata nije različit s obzirom na demografska obilježja (dob, spol, boravište, godina studiranja). Nismo dokazali razlike u stavu studenata prema stare-nju s obzirom na iskustvo suživota sa starijom osobom. Stav prema starenju i demenciji potvrđuje da je znanje najvažniji čimbenik koji utječe na njegovo formiranje.

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Section: Studenti Kao Populacijaunclassified

Differences in the attitudes of health and non-health students about aging and dementia

Kaleb,

Mulić,

Jerončić Tomić

2023

Hrvat. čas. zdr. znan.

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“…The Boettiger et al study projects increasing healthcare costs due to aging and non-communicable diseases in Saudi Arabia through 2030 [ 8 ]. In addition, dementia can impair function, limit daily activities and self-care routines, and increase caregiver burden [ 7 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Moreover, numerous studies around the world have shown that physicians possess a limited to moderate understanding of dementia [ 5 , 9 ]. According to Steiner et al, a disparity was observed in the comprehension of the diagnostic criteria for dementia among physicians compared to their expertise in the epidemiology and management of the condition in Brazil [ 9 ]. A study conducted by Leung et al in Hong Kong analyzed the self-reported proficiency levels of the participants and found that a substantial number of the subjects reported inadequate expertise on dementia due to a lack of practical experience.…”

Section: Introductionmentioning

confidence: 99%

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Dementia Knowledge Among Primary Healthcare Physicians in Riyadh, Saudi Arabia

Alsalem,

Alghathber,

Alowain

et al. 2024

Cureus

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Introduction: Dementia poses a significant healthcare challenge globally, and healthcare providers must have adequate knowledge about its diagnosis, management, and support services. By assessing the knowledge level of primary care physicians in Riyadh, we can identify potential gaps and areas for improvement in dementia care, ultimately enhancing patient outcomes and quality of life. This study holds promise in shedding light on the current state of dementia knowledge among primary healthcare physicians in Riyadh and offering insights into strategies to enhance dementia care in this region. Methods: This cross-sectional questionnaire-based study was conducted from the first of June 2023 to the end of December 2023 in Riyadh, Saudi Arabia. A validated questionnaire was used to assess physicians’ knowledge, attitude, and practice toward dementia. Results: A total of 151 physicians completed the questionnaires. The majority were male (55%), below 30 years of age (88.1%), and family medicine residents (84.8%). Most (74.8%) recognized old age as the most significant risk factor; an overwhelming majority of participants (98.7%) could not identify the minimum course of treatment to judge a medication’s effectiveness. The average score of correct responses (7.74 ∓ 4.11) was equivalent to 38.7%. Furthermore, the average correct responses were significantly different among the different job levels of the participants. Conclusions: The findings of this study highlight a lack of knowledge among primary care physicians regarding dementia, emphasizing the crucial importance of physician education in this area. Additionally, the results strongly indicate the need for emphasis on dementia education within the undergraduate medical curriculum, family medicine curriculum, and physician training programs. By addressing these educational gaps, we can better equip physicians to provide optimal care and support for individuals with dementia, ultimately improving patient care and quality of life.

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“…Senility, or pathological aging, occurs when there is more severe damage, leading to significant functional impairments, especially related to the individual’s cognitive ability, affecting memory, reasoning, praxic and gnostic functions, and communication, significantly compromising their autonomy and independence. Dementia mainly affects the elderly through progressive and irreversible neurodegenerative processes, potentially having disastrous consequences for each individual and directly affecting the family and society [ 3 - 6 ].…”

Section: Introductionmentioning

confidence: 99%

The Level of Knowledge and Attitudes Toward Dementia Among Senior Medical Students in Recife, Brazil

Wandark Filho,

Ferraz Segundo,

Cordeiro Fraga

et al. 2023

Cureus

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Introduction: Aging is no longer a phenomenon for society; it has become a reality in all countries, leading to a notable increase in the prevalence of dementia, a common condition among the elderly population. This situation highlights the importance of adequately preparing future healthcare professionals with the necessary knowledge and attitudes to effectively care for dementia patients. Objective: This study aims to describe the knowledge and attitudes toward dementia among fifth- and sixth-year medical students at a prestigious medical school in Recife, Brazil. Materials and methods: A descriptive, analytical cross-sectional study was conducted in which participants answered questionnaires related to epidemiological and educational data of the involved students, the assessment of the sample’s knowledge regarding dementia, and addressing attitude toward a patient with dementia. Data collection took place online, targeting fifth- and sixth-year medical students at the Faculdade Pernambucana de Saúde (FPS). Results: A total of 111 students participated in the study, with a majority of females (73.9%), most of them in the fifth year of medical school (79.3%). While the majority of the students received training during their undergraduate studies on cognitive changes related to dementia (58.6%), this knowledge was mostly theoretical (64%), and only a few students took extracurricular courses on the subject (7.2%). Regarding the questionnaire evaluating students’ knowledge, the overall mean was 6.69 points (on a scale of 0-14). Notably, there was no significant difference in correct answers among the tested areas of epidemiology, diagnosis, and management, with percentages of correct answers of 49.8%, 45.27%, and 52.53%, respectively. As for their attitudes toward dementia, the majority of students responded in a manner consistent with current literature and best practices for managing patients with functional dependence and cognitive changes. Conclusion: The results indicate that despite the notable rise in dementia cases across the world, the study revealed that the participants lacked essential knowledge about dementia. However, most of them demonstrated attitudes aligned with the best practices for managing dementia patients and their families. These data may suggest the need for greater attention in the teaching-learning process on the part of the medical school, as well as the promotion of extracurricular activities on this topic, in addition to enhancing the promotion of practical activities in geriatrics.

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Idosos com demência: conhecimentos e atitudes dos médicos nas unidades de saúde

Cited by 4 publications

References 7 publications

Differences in the attitudes of health and non-health students about aging and dementia

Differences in the attitudes of health and non-health students about aging and dementia

Dementia Knowledge Among Primary Healthcare Physicians in Riyadh, Saudi Arabia

The Level of Knowledge and Attitudes Toward Dementia Among Senior Medical Students in Recife, Brazil

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