1.Findings of a study on nurses involvement in health education for patients attending Primary healthcare facilities
Pagmadulam B ; Dagiitseren G ; Enkhtuul Ch ; Oidov V ; Odgerel L ; Oyuntsetseg S ; Myagmartseren D ; Unutuya E ; Narantulga B
Mongolian Journal of Health Sciences 2026;97(7):6-10
Background:
Population health literacy constitutes a comprehensive competency to access, understand, appraise, and apply health information, serving as a foundational prerequisite for disease prevention frameworks. Within primary healthcare settings, nursing counseling plays a pivotal role in fostering healthy behaviors among citizens; however, there remains a critical need to quantitatively evaluate the correlation between these behavioral modifications and health literacy, thereby establishing an evidence-based analysis.
Aim:
To assess the level of health literacy and healthy lifestyle habits among citizens, and to evaluate their correlation with nursing counseling and support.
Materials and Methods:
A cross-sectional analytic study was conducted between August and September 2026, enrolling 145 citizens aged 18 and older who received care at the Tsetsekhairkhan Family Health Center of Songinokhairkhan district, Ulaanbaatar city and Telmen Soum Health Center in Zavkhan Province. HL was evaluated using the Mongolian version of the HLS-EU-Q16 questionnaire, and total scores were calculated. Nursing involvement was evaluated via a structured questionnaire. Data analysis was performed using SPSS 21.0, utilizing logistic regression analysis to determine Odds Ratios (OR) and p-values.
Results:
The mean HLS-EU-Q16 score of the participants (n=145) was 10.4±3.2. Regarding HL level distribution, 42.1% (n=61) were inadequate, 34.5% (n=50) were problematic/limited, and 23.4% (n=34) possessed sufficient health literacy. Participants perceived nursing support as highly influential (58.8%) and moderately influential (29.8%) in adopting healthy habits. Regular recipients of health counseling from nurses demonstrated a 3.79-fold higher likelihood of actively pursuing a healthy lifestyle (OR=3.79, 95% CI: 1.84–7.81, p=0.001) and a 3.05-fold higher likelihood of implementing the counseling into practice (OR=3.05, 95% CI: 1.35–6.88, p=0.0076).
Conclusion
Although citizens exhibit a limited capacity to independently search for and appraise health information—reflecting an overall inadequate level of HL—nurse-led counseling and support exert a direct, statistically significant positive impact on enhancing healthy behaviors among citizens.
2.Screening for asymptomatic cardiac ventricular dysfunction in diabetic subjects
Tsolmon U ; Chingerel Kh ; Burmaa B ; Sumiya Ts ; Pagmadulam S ; Chuluuntsetseg O ; Enkhjargal Yu
Mongolian Journal of Health Sciences 2025;86(2):55-59
Background:
Type 2 diabetes has increased risk of heart failure 2-4 times more than those in non-diabetic subjects. The
early detection of asymptomatic ventricular dysfunction by using NT-pro BNP test in diabetic patients is the best strategy
for decreasing morbidity and mortality of heart failure.
Aim:
The aims of this study were to detect asymptomatic cardiac ventricular dysfunction by using NT-pro BNP test in
subjects with type 2 diabetes and to define the factors associated with elevated NT-proBNP.
Materials and Methods:
This cross-sectional study was included diabetic and non diabetic subjects aged from 35- to 64
years, who had no clinical symptoms of heart failure. Cardiovascular risk factors were detected by clinical examinations.
NT-pro BNP determination was performed on an immunoassay analyzer (FIA1100, Getein Bio Medical Inc, China),
which uses reagent strip to obtain quantitative NT-pro BNP results in plasma. The cut-off point for NT-pro BNP was 300
pg/ml.
Results:
A total of 536 subjects without clinical symptoms of heart failure were included in the study of which, 150 were
diabetic and 386 were non diabetic. The mean age was 52.8 ± 7.8 years and 281 (52.4%) were females. Cardiac ventricular
dysfunction was detected in 7.3% of diabetic and 5.2% of non diabetic subjects. Cardiac ventricular dysfunction in
diabetic subjects was increased with age and non-significantly higher in females than in males (8.3% vs 6.4%, p>0.05). In
the logistic regression analysis, uncontrolled hypertension (OR 3.80, 95% CI 1.07–13.44), long duration of disease (OR
5.30, 95% CI 1.36-20.66), and ageing (OR 5.40, 95% CI 1.29–22.88) were significantly correlated cardiac ventricular
dysfunction in subjects with type 2 diabetes.
Conclusion
Cardiac ventricular dysfunction in subjects with type 2 diabetes was detected 1.4 times more than those
in non diabetic subjects. The likelihood of positive NT-pro BNP test in subjects with type 2 diabetes was independently
(p<0.05) associated with advanced age, uncontrolled hypertension and long duration of diabetes.
3.Evaluation of some changes in liver function in patients with alcohol use disorder
Udmaral B ; Byambajargal D ; Pagmadulam B ; Oyundelger M ; Zoljargal S ; Oyunchimeg D ; Erdenebat N
Diagnosis 2025;112(1):75-79
Background:
To evaluate changes in liver function in patients with alcohol use disorder and propose preventive measures.
Methods:
In this study, 118 people were examined between January 2024 to December 2024. Results were analyzed SPSS.
Result:
The mean subject age was 48.6± 10.3 years, male: female ratio was 5:1. Mean arterial pressure was 104±12.8 mmHg, ALT 86.7 ± 93.8 (U/L), AST 89.3±82.8 (U/L), GGT 213.8±252.3 (U/L). A statistically
significant correlation was found between AST and ALT levels (R² = 0.562). However, no significant correlation was observed between body mass index (BMI) and blood glucose levels (R² = 0.002). The AST/ALT ratio was also statistically significant (p = 0.0001).
Conclusion
Excessive alcohol consumption increases the levels of liver enzymes AST 89.3 ± 82.8 (U/L), ALT 86.7
± 93.8 (U/L), and GGT 213.8 ± 252.3 (U/L), leading to increased liver cell damage. Therefore, it is necessary to reduce alcohol consumption and implement preventive measures.
Result Analysis
Print
Save
E-mail