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Perception and satisfaction survey of foster families hosting students of the University of the Philippines in the community rotation

Florinda D.R. Urbano-Canuto ; Anna Guia O. Limpoco ; Shiela Marie S. Lavina

The Filipino Family Physician.2020;58(2):121-125.

Background: Immersion programs under the Community Health and Development Program (CHDP) of the University of the Philippines involved students living in a foster home. The experiences of foster families are valuable in improving the community immersion program. Objective: To determine the perceptions and satisfaction of foster families in hosting students of the University of the Philippines rotating in the five select municipalities of Cavite Methods: This was a cross sectional study utilized a semi-structured questionnaire. Data collection was done by a research assistant who was not involved with the students rotation Results: A total of 90 foster parents who hosted 430 students in three consecutive years were included. In general, there was favorable perception towards hosting students with a mean score of 8.47 (SD± 1.37). The lowest scores were reported by 13 families (14%) at a score of 6/10. The weekly monetary contributions, free consultations, monitoring of health conditions, acquiring additional knowledge about health prevention and if needed, an easy referral to Philippine General Hospital were some of the reported benefits. On the other hand, poor socialization, negative attitudes, non-performance of household chores and lack of privacy were the disadvantages expressed by families Conclusion Foster families were generally happy and satisfied however there were mixed positive and negative perceptions in hosting UP students rotating in the community
Residence Characteristics ; Students

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Effects of active video games on the physical and psychological well-being of children, adolescents, and young adults: A meta-analysis

Anne Rolaine V. Morante ; Shiela Marie S. Lavina

The Filipino Family Physician.2020;58(2):126-139.

Background: Game developers incorporated the enjoyment of playing video games into the promotion of positive health outcomes. It led to the development of video games that are considered to be a form of exercise and are now popularly called exergames. Objective: To determine the effect of active video-gaming on the physical and psychological well-being of children, adolescents, and young adults Methods: Literature was searched using databases such as PubMed, ProQuest, Scopus, ScienceDirect, CINAHL, and PsychInfo. Bibliographical articles from included studies were also examined. The review included studies involving children and adolescents (4-17 years old) and young adults (18-24 years old) who are of normal weight, overweight, or obese. The included articles were assessed for any risk of bias using RoB tool in Review Manager (RevMan) [Computer program] Version 5.3, Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration (2014). Results: A total of 7 studies were included in the quantitative assessment of physical activity (PA), Body Mass Index (BMI), body fat, and heart rate (HR). A total of 8 studies were included in the systematic review on perceived exertion, enjoyment, motivation, and perceived competence. Study results showed that exergames increase moderate-to-vigorous physical activity by 5.93 minutes 95% CI [4.81, 7.05]. However, there was no benefit found on body mass index, body fat, and heart rate. The review of articles showed mixed results on the benefits of exergames on RPE, enjoyment, motivation, and perceived exertion Conclusion Active video gaming increases moderate-to-vigorous physical activity in children, adolescents, and young adults. However, exergames neither decrease nor increase BMI, heart rate, and body fat. There were mixed results on the benefits of exergames on rating of perceived exertion, enjoyment, motivation, and perceived competence
Exergaming ; Exercise ; Overweight ; Pleasure

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Prevalence of risk factors of hypertension among employees of Cagayan Valley Medical Center

Marie Chris Yolka L. Pascua-Balubal ; Marialisa Dauigoy

The Filipino Family Physician.2020;58(2):135-139.

Background: Hypertension is the most common reason for consultation at the Cagayan Valley Medical Center Employees’ Health Services (CVMC EHS) Clinic. No local study has been done to investigate the risk factors of hypertension among the employees, purposely for health promotion and specific prevention activities against hypertension Objective: To determine the hypertension-related risk factors among employees of Cagayan Valley Medical Center, Tuguegarao City Methodology: The study was conducted at the CVMC EHS Clinic of the Department of Family and Community Medicine, utilizing the Annual Physical Examination records, with the Non-Communicable Diseases Risk Assessment Form of all employees satisfying the inclusion criteria, who came in for Annual Physical Examination from August 2017 to July 2018. Descriptive statistics was used to describe the collected data Results: Majority of the employees who had their Annual Physical Examination have hypertension (62.96%). Most of them were adults with ages ranging from 40 to 60 years old (73.91%), male (73.69%), and married (73.26%). As to socio-economic profile, most hypertensives were college graduate (96.87%) and with annual family income of Php 250,000 – 480,000 (74.52%). Clinical profile of hypertensive employees revealed a family history of hypertension (57.79%) and with obesity (47.36%). Risk factors noted to be common among the hypertensive employees are low physical activity (95.65%), family history of hypertension (85%), lack or insufficient intake of fruit and vegetables (60.87%) and frequent alcohol consumption (30.43%). Obesity and elevated lipid profile showed high prevalence among the hypertensive with 47.36% and 54.35%, respectively Conclusion The high prevalence of hypertension and its related risk factors among the regular employees of CVMC is of great concern. These underscore the need for urgent public health interventions to encourage changes in lifestyle pattern to promote health and prevent diseases
Hypertension ; Risk Factors ; Occupational Groups

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Clinical and demographic profile associated with prevalent complications among newly diagnosed Diabetes Mellitus type 2 patients seen at the Family Medicine Outpatient Department of East Avenue Medical Center from May 2018-April 2019

Mary Jean R. Delamida ; Marie Ruth A. Echavez

The Filipino Family Physician.2020;58(2):140-146.

Background: Diabetes ranks 8th among the Top 10 causes of mortality in the Philippines. Development of complications add to the burden of the disease. The passage of the Universal Health Care Law ensures all Filipinos access to comprehensive set of quality and preventive services without causing financial hardships Objective: To determine the clinical and demographic profile associated with prevalent complications among newly diagnosed T2DM seen at the outpatient setting of a tertiary DOH hospital Methods: A retrospective/cross – sectional study of newly diagnosed Diabetes Mellitus Type 2 from May 2018 – April 2019 using their charts through random sampling was used. Data were analyzed using descriptive statistics, iIndependent Sample T-test and Fisher’s Exact/Chi-square test for the difference of mean and frequency, respectively, and odds ratio from binary logistic regression for significant predictors of complications Results: Of the 116 newly diagnosed T2DM patients. 88 had complications and 28 patients had no complications. Majority of patients were 60-69 years old (40.52%), with SBP range of 140-150 mmHg (44.83%), FBS of >7.5mmHg (43.97%). Values for BUN and Creatinine between the two groups were significantly different. Most frequent complication was hypertension (54.87%). For every 10-year increase in age, the odds of having complications among newly diagnosed increased by 48%. For every 10 mmHg increase in SBP, the odds of having complications among newly diagnosed also increases by 75%.For every 0.5 mg/dl in FBS, the odds of having complications among newly diagnosed also increased by 91%.For every μmol/L in creatinine, the odds of having complications among newly diagnosed also increased 7.51 times Conclusion The most frequent complications among newly diagnosed T2DM were hypertension, microvascular, then macrovascular complications. The association between the profile and complication seen among newly diagnosed T2DM using odds ratio revealed predictors such as age, systolic blood pressure, FBS and creatinine.
Outpatients ; Diabetes Mellitus, Type 2 ; Family Practice

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Prevalence of anxiety and depressive symptoms among type 2 diabetic patients at Holy Child Hospital, Dumaguete City

Ylvirose B. Dollete

The Filipino Family Physician.2020;58(2):147-152.

Background: Depression and anxiety are commonly identified in association with chronic medical conditions including diabetes mellitus. Detection and prompt treatment of both co-morbid conditions should be addressed to improve clinical outcomes. Objective: To determine the prevalence of anxiety and depressive symptoms among type 2 diabetic patients at Holy Child Hospital, Dumaguete City. Methods: This cross-sectional study was conducted on June 2019 to August 2019 at Holy Child Hospital, Dumaguete City. Participants include all type 2 diabetic patients admitted during the study period. The Hospital Anxiety and Depression Scale (HADS) / HADS-P (for Filipino) were utilized to determine the prevalence of anxiety and depressive symptoms among diabetics. The presence of anxiety and depressive symptoms was determined by a HADS/HADS-P score of >8.0 for each subscale of anxiety and depression. Descriptive statistics including frequency, percentages, mean and standard deviation was calculated for each variable. T-test and chi-square test were applied to compare anxiety and depression across socio-demographic and clinical variables Results: A total of 102 diabetic patients were included in the study. Anxiety was present in 18 patients (17.65%) and was statistically significant among college graduates (p 0.005). Twenty-five patients (24.51%) had depressive symptoms. The prevalence of depression was significantly higher among those with increasing age (p 0.003), married and widowed patients (p 0.01), college graduates (p 0.03), retired (p 0.0009), with co-morbid conditions (p 0.01) and with advanced age of diabetes onset (p 0.0004). Conclusion The prevalence of anxiety and depression among diabetics admitted at Holy Child Hospital was lower compared to other studies but comparable among the medically-ill in the country. Screening for symptoms of anxiety and depression among diabetics is important in order to provide a prompt psychiatric referral and treatment to vulnerable patients, thereby improving morbidity and overall health outcome by providing a holistic approach to disease management.
Diabetes Mellitus, Type 2 ; Anxiety ; Depression

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Association between polypharmacy and dementia among Filipino elderly in a tertiary care hospital in Metro Manila, Philippines: A case-control study

Jose Ma. H. Zaldarriaga ; Beatrice M. Demigillo ; Angelo Gabriel G. Gumila ; Daniel Manuel O. Macrohon Jr ; Kimberly V. Ponsworno ; Jerson Jerick N. Taguibao

The Filipino Family Physician.2020;58(2):153-156.

Background: Polypharmacy has been linked to multiple undesirable effects notably medication, non-compliance and adverse drug reactions. Objective: This case-control study aimed to determine the association between polypharmacy and dementia among Filipino elderly patients in a tertiary care hospital in Metro Manila, Philippines. Methods: The average daily use of medications was compared between cases and controls composed of admitted Filipino elderly patients with and without dementia, respectively, while controlling for co-morbidities and sociodemographic factors. Data collection was accomplished by obtaining relevant information from medical records. These underwent descriptive statistical analysis, chi-square test, and logistic regression. The odds ratio between dementia and polypharmacy was ultimately determined, among other variables. Results: The incidence of polypharmacy is 12.6% greater in those with diagnosed dementia vis-à-vis those without. Although multivariate logistic regression analysis showed that the odds ratio of dementia was 1.474 (95% CI 0.834–2.604) for those considered to experience polypharmacy compared to patients using four or less drugs, none of the variables identified, including polypharmacy, have p-values of less than 0.05. Conclusion The risk of developing dementia does not have a statistically significant association with the number of regularly administered medications in the Filipino elderly. Other variables also revealed no significant correlation on both bivariate and multivariate analyses. This may be the first study to report such an absence of association, particularly in the Philippines, and thus calls for further research and investigation on this subject.
Polypharmacy ; Dementia ; Case-Control Studies

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Information needs and information-seeking behavior among resident physicians in a tertiary hospital in Iloilo City

Chris Jomyrson R. Binas

The Filipino Family Physician.2020;58(2):157-161.

Background: Many physicians encounter clinical questions in their practice. However, many of these questions are left unanswered due to various reasons. Objective: The study aimed to determine the information needs and information-seeking behavior among resident physicians in a tertiary hospital in Iloilo City. Methods: The study used a cross-sectional study design. The fifty-seven resident physicians of the different residency training programs of Iloilo Mission Hospital answered a twenty-minute self-administered questionnaire on May 2019. Data entry, descriptive statistics, and correlational analysis were done using Microsoft Excel version 1905 and SPSS version 26. Pearson chi square and Gamma tests at alpha level 0.05 were used to assess the association between variables. Results: Majority (80.7%) of resident physicians needed access to health information resource to answer their daily clinical queries. Respondents have an average of 4.7 questions per patient per meeting. They successfully answered 60.9% of questions encountered. Their preferred information resources were fellow residents, online journals, Medscape, consultants, and Google. The top three barriers to information seeking are lack of time, forgetting the question, and difficulty in finding answers in selected health resource. All respondents exhibit a positive attitude towards pursuing evidence-based answers. There is no relationship between age, gender, specialty, and attitude towards pursuing answers. Conclusions The resident physicians of Iloilo Mission Hospital pursued and answered 60.9 % of questions encountered in clinical practice. The respondents believed that using health information resources can improve patient care and update one’s medical knowledge.
Information Seeking Behavior ; Information Sources

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A multicenter study on the gaps and potential barriers in palliative care services

Dan Robert S. Mariano ; Ma. Teresa Tricia Guison-Bautista

The Filipino Family Physician.2020;58(2):162-167.

Background and Objective: Palliative care is a human right. In the local setting, only a few data have been published regarding its practice among healthcare workers. This study aimed to determine the gaps and potential barriers in palliative care services among resident physicians. Methodology: A cross-sectional study design using a 27-item interview-based questionnaire was conducted from July to September 2019 among resident trainees in seven departments of four hospitals in Manila, Philippines. The data gathered were tallied using Microsoft Excel and analyzed using STATA Statistical Software with p-value of 0.05 as statistically significant. Results: A total of 200 physicians participated in the study. Majority of the respondents referred patients to palliative care services, primarily for symptom control and home care upon the diagnosis of a terminal illness. Sixty percent of respondents correctly identified patients eligible for hospice care. The 3 services rated as most important in palliative care were pain control, symptom control and psychological support. Most of the respondents perceived that palliative care is underutilized, and yet they felt that attending doctors know when referral to such is appropriate. The discrepancy is due to their lack of knowledge on the nature of its scope of care and eligibility criteria. The common barriers for referral to palliative care were “no time to refer secondary to rapid demise of the patient”, “difficulty in accurately predicting death”, and “lack of time to discuss issues of dying and hospice care”. These presumed barriers contradicted the respondents’ perceived practices in advance care planning, particularly on confirming the goals of treatment with the patient and family. Conclusion The prevailing illiteracy on palliative care that poorly translates to actualization is alarming as it deprives many patients of their right to a dignified and quality of life given their limited days. The inexcusable lack of awareness must be the impetus to a massive knowledge drive to impact clinical practice.
Hospices ; Physicians

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Cross infection after a difficult intubation of a COVID-19 confirmed patient

Grace Colesio-De Guzman

The Filipino Family Physician.2020;58(2):168-171.

Coronavirus Disease 2019 (COVID-19) is a new infectious disease with no definitive treatment and subsequently became a global pandemic. It has a reported morbidity rate of 19% among health care workers. Patients infected with COVID-19 are at risk for developing respiratory failure requiring intubation. Careful infection control measures to prevent cross-infection to healthcare providers are necessary. While exact mechanisms of transmission are unknown, person to person horizontal transmission arise, and the risk of spread during aerosol-generating procedures is a major concern. This is a case of an anesthesiologist who developed cough, ageusia, and loose bowel movement after performing an intubation to a patient with difficult airway. She was diagnosed with COVID-19 and eventually made a full recovery. It highlights the clinical course of the illness from onset to recuperation and the need to understand optimal use of PPE in healthcare settings.
COVID-19 ; Health Personnel

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Family resources (SCREEM Res) and coping strategies of Filipino patients in a primary care clinic in Imus, Cavite during the COVID-19 pandemic

Roseanne Sharon C. Borromeo ; Maria Catherine P. Lim

The Filipino Family Physician.2021;59(1):62-67.

Background: The COVID-19 pandemic has resulted in several stressors and difficulties among Filipinos, forcing everyone to cope with the limited resources. There are limited local studies on measuring how well Filipinos are coping in the pandemic. Knowledge on the predominant coping strategy during this crisis and which resources are lacking may guide physicians in tailoring appropriate interventions. Objective: The study aimed to determine the Family Resources and coping strategies of Filipino patients seen in a private, primary clinic in Bucandala (Imus, Cavite) during the COVID-19 pandemic, using the SCREEM Res and Filipino Coping Strategies (FCS) Scale, respectively. Methods: A cross-sectional, descriptive study was carried out among adult patients who consulted at a private primary clinic in Imus from November to December 2020. Respondents answered a self-administered survey on sociodemographic profile, family resources (SCREEM Res) and coping strategies (FCS Scale). Results: A total of 140 respondents were included in the study. They almost equally belonged to the average (49.29%) or low income group (47.14%) with a median household size of 4.9. Many (44.29%) were unemployed. The median Total SCREEMRes score of the respondents was 25 (adequate). However, 42% of the respondents had moderately inadequate resources. The SCREEM Res domains of social, cultural and religious resources were adequate (median, 5) while the educational, economic and medical resources were moderately inadequate (median, 4). FCS scores were highest for the domains religiosity, problem solving and cognitive reappraisal and lowest for substance use. Conclusion Respondents had adequate social, cultural and religious family resources but moderately inadequate economic, educational and medical resources. Their predominant coping strategies include religiosity, problem solving and cognitive reappraisal. Family physicians may partner with families in augmenting their inadequate resources by maximizing the use of the dominant coping strategies.
COVID-19 ; Adaptation, Psychological ; Pandemics

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