No abstract available.
Compliance*

Introduction : Home exercise programs are part of home-based rehabilitation or self-management for chronic conditions and are typically unsupervised by health professionals. This paper aimed to identify the most common factors affecting compliance to a home exercise program among patients of a community-based rehabilitation. Methods : This study correlated age, gender, civil status and educational background with perceived factors affecting compliance among patients undergoing community-based rehabilitation. A self-generated questionnaire with a 5-point Likert-type scale was used to measure the patient-related, therapy-related and health care factors affecting compliance. Correlation of the demographic characteristics listed with factors affecting compliance was determined using Person's r and Spearman rho. Results : Around 90-95% of respondents agreed or strongly agreed with the patient-related, therapy-related and health care system factors listed. Correlating with age, pain was a barrier in achieving goals (r=-0.383). Willingness to do exercises had some correlation with doing the home exercises (r=0.366). Pain was a barrier in doing the exercises among married patients (r = -0.485). Willingness to do exercises at home was weakly negatively correlated with a low educational attainment (r = -0.287). All the correlations were not significant. Conclusion Compliance to a home exercise program are inluenced by the patient's motivation, pain as a barrier in achieving goals, and accommodating staff. Female gender and single status correlated with better compliance but the correlation was not significant.
Compliance

Massive transfusion protocol (MTP) was designed to improve the outcome of patients at risk of massive haemorrhage. This study focused on the prevalence, indications, factors associated with indication of MTP activation cases and twenty-four-hour mortality among those who received MTP in Hospital Universiti Sains Malaysia (USM). A retrospective cross-sectional study was performed on 110 patients for whom MTP was activated in Hospital USM. Data were extracted from the medical records and blood bank system (MyTransfusi). Descriptive statistics and logistic regression were used for statistical analysis. A total of 273,087 patients were admitted to Hospital USM and 193 patients required MTP activation during the study period. The prevalence of MTP activation was only 0.07%. This study included 110 MTP activation cases which consisted of 62 (56.3%) trauma and 48 (43.7%) non-trauma patients. The overall mean age of patients was 40.0 years old, and majority were male (66.4%). The two most common MTP activation indications were motor vehicle accidents (93.5%) and gastrointestinal bleeding (50%). Female and presence of comorbidity significantly associated with MTP activation indication. Meanwhile, no emergency procedure and non-compliance to activated MTP were significantly associated with high mortality within twenty-four-hour post MTP activation. The prevalence of MTP was low. Our result suggested that early emergency procedures and compliance towards MTP improved patient outcomes.
Compliance

No abstract available.
Compliance* ; Humans

No abstract available.
Compliance* ; Humans

An investigation on 400 patients and relatives in the T©y Ninh General Hospital during 8-9/2001 has shown that 85.5% of interviewees felt compliance with material facilities, medical equipment, techniques, hospital bursar, waiting for consultation, admission to hospital, tests and attitude of health staffs. 17% of interviewees did not feel the compliance of regulation of patient's room and visiting.
Inpatients ; Compliance

For the treatment of osteoporosis, patients' compliance for medication is one of important factor for fracture prevention. Though various medications were developed for osteoporosis, still patients' compliance for the medication is low. Clinical implication of treatment compliance in the treatment of osteoporosis and specific characteristics of various medications were reviewed.
Compliance ; Osteoporosis

No abstract available.
Compliance* ; Rehabilitation*

Purpose: This study aimed to evaluate the level of knowledge on Standard Precautions, level of compliance to Standard Precautions, and General self-efficacy of nurses in a tertiary hospital. Also, this study aimed to identify the relationship between those variables. Design and Methods: A descriptive correlational research design was utilized in the study. 168 nurses from the tertiary hospital from Nueva Ecija, Philippines were recruited to complete a questionnaire about their knowledge and compliance to Standard Precautions and their General self-efficacy. The data was coded, encoded, and statistically analyzed using PSPP 1.2.0 (GNU Project. New York City, New York, USA). Results: Findings indicated that nurses have good knowledge and high compliance concerning standard precautions; also, findings showed that nurses have a moderate level of general self-efficacy. However, there was no remarkable relationship between the level of knowledge, level of compliance in Standard Precautions, and general self-efficacy. Conclusions Although the researcher concluded a high level of knowledge among nurses, statistical analysis showed no relationship when correlated with compliance. This concluded that knowledge of Standard Precautions does not necessarily influence compliance and its application. Also, findings inferred that a moderate level of general self-efficacy did not act upon the level of compliance of nurses to Standard Precautions.
Compliance ; Knowledge

Introduction: Sepsis is an emerging problem that needs to be recognized early and addressed promptly with hydration and appropriate antibiotics. This study aims to assess the adherence to surviving sepsis campaign (SSC) bundle within three hours and six hours, length of hospital stay and mortality among adult patients admitted at ManilaMed–Medical Center Manila diagnosed with sepsis. Methods: A retrospective cohort study was performed in all adult patients admitted at ManilaMed–Medical Center Manila diagnosed with sepsis and septic shock from January to September 2017. Parameters for SSC bundle for three and six hours were used to assess compliance. Outcomes such as length of hospital stay and mortality were determined. Results: This study included a total of 85 subjects and majority are females (56%). Mean age of study subject was 67.5±17.67 years. Adherence to SSC bundle in three and six hours were observed particularly in blood cultures (45%), administering broad-spectrum antibiotics (69%), fluid resuscitation at 30 mL/kg for hypotensive patients (22%) and administering vasopressors (78%) to maintain systemic perfusion. However, adherence to other parameters of the bundle was not observed, namely: measurement and re-measurement of lactate levels and measurement of CVP and SCVO2. In terms of outcome, the average length of hospital stay is 11 days and mortality was 42%. Discussion: Sepsis is a fatal disease if not promptly recognized and addressed. The SSC bundle was formulated to guide clinicians and other healthcare providers in managing sepsis or septic shock patients. Some of the parameters are absent or are not routinely done in some institution, maximizing the resources that are present is ideal. Conclusion The compliance rate is deemed submaximal since eyeing for a 90-100% compliance rate is recommendable in a tertiary hospital. Emphasis on early identification, obtaining blood cultures and timely initiation of antimicrobials should be done.
Sepsis ; Compliance