MyMedR

Common fears of patients undergoing bronchoscopy

Poi PJ, Chuah SY, Srinivas P, Liam CK

Eur Respir J, 1998 May;11(5):1147-9.

In the world of medical literature, little has been reported about the fears of patients undergoing bronchoscopy. The aim of this study was to identify the common fears of patients undergoing fibreoptic bronchoscopy and to determine whether any factors might contribute to reducing these fears. One hundred and four consecutive patients undergoing bronchoscopy were interviewed. Sixty one patients expressed fear about the procedure, as follows: afraid of pain (33); afraid of breathing difficulties (11); afraid of oropharyngeal irritation (5); afraid of the bronchoscopy findings (2); afraid of sedation, cross-infection and nasal lignocaine spray, respectively (3); and unable to be specific (7). There was no difference between the "no fear" and "fearful" groups in ethnicity, source of referral, education, previous endoscopy, doctors' explanation and the patients' understanding of the procedure and its indication. "Fearful" patients were significantly younger (t=2.082, p=0.037) and female (chi2=4.180, p=0.038). Doctors were more likely to explain the indication for bronchoscopy than how it would be performed (chi2=6.403; p=0.011), and patients were more likely to understand why they needed a bronchoscopy than how it would be performed (chi2=21.505; p<0.001). Fear preceding bronchoscopy is independent of patients' demographic features except for age and gender. Doctors tend to explain "why" but not "how" the procedure is performed. Provision of detailed information about sensations that are likely to be experienced in bronchoscopy could be used to allay some of these common fears.

Matched MeSH terms: Attitude to Health*

Fulltext How parents in a rural area of Pekan district, Pahang perceive immunisation

Amal MN

Med J Malaysia, 1995 Jun;50(2):198-200.

PMID: 7565200

Matched MeSH terms: Attitude to Health*

Problems in leprosy control and the need for human behaviour and socio-economic research

Rajagopalan K, Joo LK

Southeast Asian J Trop Med Public Health, 1986 Sep;17(3):486-8.

PMID: 3563618

Matched MeSH terms: Attitude to Health*

Human behavioural research applied to the leprosy control programme of Sarawak, Malaysia

Chen PC

Southeast Asian J Trop Med Public Health, 1986 Sep;17(3):421-6.

PMID: 3563609

In 1984, in Sarawak, there were a total of 1,099 recorded cases of leprosy for a population of 1.3 million. However, for each case recorded, it is estimated that two others remain undiagnosed as a consequence of the stigmatization associated with leprosy. For the five year period, 1979-1983, an average of 29 new cases were detected each year of which 8.6 (30%) were deformed due to the late stages at which it was being reported. To increase the case-finding rate, human behavioural research was applied to the leprosy control programme so as to develop culture-specific health education packages aimed at self diagnosis and self referral in order to detect the large pool of undiagnosed cases hidden behind the veil of aversion, fear and ignorance. This was achieved through anthropological studies to identify how the various major ethnic groups perceived leprosy and their attitudes towards leprosy. Taking into account these findings, health education packages aimed at adults as well as children were developed for the Chinese as well as the non-Chinese, and consisted of newspaper articles, cartoon tape-slides, cartoon story books and posters.

Matched MeSH terms: Attitude to Health*

Fulltext The disabled person

Merican M

Med J Malaysia, 1981 Dec;36(4):196-8.

PMID: 6460920

Matched MeSH terms: Attitude to Health

Fulltext Malaysia's third COVID-19 wave - a paradigm shift required

Rampal L, Liew BS

Med J Malaysia, 2021 01;76(1):1-4.

PMID: 33510100

The first case of COVID-19 was reported in Malaysia on the 25 January 2020. By the 20 January 2021, the cumulative numbers reported confirmed cases of COVID-19 had reached 169,379 including 630 deaths. Malaysia has been hit by three waves of COVID-19. This article reports on the three waves, the current situation and some of the possible factors associated. It outlines the need to reassess the overall situation, re-strategize the approach in order to contain the spread. The first COVID-19 wave lasted from 25 January to 16 February 2020, the second wave occurred between the 27 February 2020 and the 30 June 2020. The current third wave began on 8th September 2020.The sudden surge of cases in the third wave was mainly due to the two largest contributors, namely the Benteng Lahad Datu cluster in Sabah state and Kedah's Tembok cluster. The current situation is critical. The daily confirmed cases of COVID-19 continue to soar. The challengers faced by healthcare workers and other front liners is tremendous. Non-communicable diseases such as cardiovascular diseases, diabetes and cancer are the leading cause of death in Malaysia. A paradigm shift in the approach is required to ensure the sustainability of the normal healthcare services provided by the government especially for the lower income groups. There is also a need to expedite the tabling of Tobacco Control Bill in coming parliament session which is long overdue. H.E. the King of Malaysia has called on all Malaysians to put aside political, racial and religious differences and show the spirit of loyalty, humanitarianism and steadfastness in fighting the COVID-19 pandemic.

Matched MeSH terms: Attitude to Health

Life after myocardial infarction from the perspective of Muslim patients and carers in Malaysia

Sukeri S, Mirzaei M, Leeder SR

Int J Cardiol, 2013 Oct;168(4):4512-3.

PMID: 23886534 DOI: 10.1016/j.ijcard.2013.06.112

Matched MeSH terms: Attitude to Health*

Fulltext Habits and attitudes of Malaysian military doctors towards smoking

Supramaniam V

Med J Malaysia, 1980 Mar;34(3):205-10.

PMID: 7412660

A postal questionnaire survey was carried out among military doctors during June to August 1979 on habits and attitudes to smoking. An 87% response rate was obtained. Smoking prevalence was found to be 50%. 45% of medical officers are heavy smokers. Age at starting influence the amount smoked. Service life had no influence on smoking habits. Attitudes to smoking vary between the different categories of doctors. The habits and attitudes indicate a mental revolution on the part of doctors is required prior to any anti-smoking programme as they have to be sufficiently motivated to lead the fight.

Matched MeSH terms: Attitude to Health*

Food ideology and eating behavior: contributions from Malay studies

Laderman C

Soc Sci Med, 1984;19(5):547-59.

PMID: 6484640 DOI: 10.1016/0277-9536(84)90050-9

A study of food ideology and eating behavior in a Malay village demonstrates that the relationship between belief and action is complex and not always predictable. Over-reliance upon stated beliefs, and generalizations derived from particular ecological settings, have influenced investigators into making universal and logical statements about Malay eating behavior and its health consequences--a logic which, however, does not always jibe with reality. Food ideology, like any other portion of a belief system, is subject to innovation, interpretation and rationalization, and contains within it 'rules to break rules' which assure the continued integrity of the symbolic system by patterning what might otherwise be seen as rifts in its fabric. An understanding of eating behavior must be based both on a knowledge of the subsidiary, as well as primary, clauses of food ideology, and on direct observation of the behaviors elicited by these beliefs and modified by the setting, the situation and the individual.

Matched MeSH terms: Attitude to Health*

Attitudes on health care of villagers attending a rural clinic in Malaysia

Heggenhougen HK

Med J Malaysia, 1979 Dec;34(2):108-16.

PMID: 548711

Matched MeSH terms: Attitude to Health*

A Systematic Review of the Psychometric Properties of Self-Report Measures of Attitudes to Aging

Faudzi FNM, Armitage CJ, Bryant C, Brown LJE

Res Aging, 2019 07;41(6):549-574.

PMID: 30700233 DOI: 10.1177/0164027518825117

The aim of this study was to describe and systematically evaluate the psychometric properties of attitudes to aging measures that have been validated in adults younger than 60 years. Studies were assessed for methodological quality using the COnsensus-based Standards for the selection of health Measurement INstruments. Best evidence synthesis was performed to summarize the levels of evidence. Systematic searching yielded 21 articles, relating to 10 different measures. Some instruments were validated only in middle-aged and older people, while others were validated in a wider age range. Measures differed in whether their items related to participants' own experiences of aging, their anticipated future aging, and/or aging in general. None of the measures had had all of its psychometric properties assessed. The Expectations Regarding Ageing-12 and the Anxiety About Ageing Scale received positive ratings for the greatest number of psychometric properties, but capture different constructs, and may be differentially suited to different age groups of younger adults.

Matched MeSH terms: Attitude to Health*

Fulltext A human touch

Manley S

J Gen Intern Med, 2018 10;33(10):1822-1823.

PMID: 29968052 DOI: 10.1007/s11606-018-4549-9

Matched MeSH terms: Attitude to Health*

Fulltext Beliefs and practices of Chinese diabetic patients concerning the cause and treatment of their ill-health

Soong FS

Singapore Med J, 1971 Dec;12(6):309-13.

PMID: 5141587

Information on the beliefs and practices of 50 Chinese diabetic patients concerning the cause and treatment of their ill-health were collected by the interview method with the aid of a questiOnnaire which has been protested. it was found that 34 of the patients were using “Chinese” medicines, in addition to Western-style treatment. Only two of the patients knew the true cause of diabetes. 37 of the patients understood that treatment cannot effect a radical cure. The beliefs and practices of the diabetic patients were inﬂuenced by two main sources of information, the pattern of traditional Chinese beliefs and Western medicine. The implications of the study in community health education on diabetes and education of the diabetic patient were discussed.

Matched MeSH terms: Attitude to Health*

Fulltext Fogging to combat dengue: factors influencing stakeholders' attitudes in Malaysia

Arham AF, Amin L, Mustapa MAC, Mahadi Z, Yaacob M, Wasli MMP, et al.

BMC Public Health, 2023 Jun 14;23(1):1140.

PMID: 37312081 DOI: 10.1186/s12889-023-16054-3

BACKGROUND: Fogging is a conventional technique used to combat Aedes mosquitoes and prevent dengue disease. It is often implemented in outbreak areas or areas harbouring a high density of Aedes mosquitoes. Currently, studies on stakeholders' attitudes towards fogging are still limited in number. Therefore, this study aims to assess Malaysian attitudes, and identify the predicting factors influencing such attitudes.

METHODS: A validated instrument was used to interview 399 randomly selected respondents from the public (n = 202, 50.6%) and scientists (n = 197, 49.4%) in the Klang Valley region of Malaysia. The data were analysed using PLS-SEM involving Smart-PLS software.

RESULTS: The results confirmed that stakeholder attitudes toward fogging should be viewed in terms of a multi-dimensional association. The stakeholders surveyed were highly positive with regard to the application of fogging to control dengue but professed moderate concerns as to associated risks. The PLS-SEM analyses demonstrated that the perceived benefit was the most important factor influencing attitudes, followed by trust in key players.

CONCLUSIONS: This result provides a good insight from the perspective of education and unravels the underlying fundamentals of stakeholders' attitudes toward the fogging technique. The findings also provide a positive indicator to the responsible parties involved to continue the usage of this technique in conjunction with improvements with regard to its safety aspects, and possibly in combination with other environmental-friendly alternatives in order to achieve a healthy environment without dengue in Malaysia.

Matched MeSH terms: Attitude to Health*

Fulltext Exploring the experiences and perceptions of haemodialysis patients observing Ramadan fasting: a qualitative study

Adanan NIH, Adnan WAHWM, Khosla P, Karupaiah T, Daud ZAM

BMC Nephrol, 2021 02 02;22(1):48.

PMID: 33530941 DOI: 10.1186/s12882-021-02255-8

BACKGROUND: The festival of Ramadan is a month of spiritual reflection for Muslims worldwide. During Ramadan, Muslims are required to refrain from eating and drinking during daylight hours. Although exempted from fasting, many patients undergoing maintenance haemodialysis (HD) opt to participate in this religious practice. Many studies have explored the effects of Ramadan on health outcomes, however, the exploration from patients' own point of view pertaining to this religious practice is lacking. Thus, we aimed to explore the experiences and perceptions of Muslim HD patients observing Ramadan fasting from three HD centres in Klang Valley, Malaysia.

METHOD: An exploratory phenomenology qualitative study was conducted whereby subjects were purposively selected based on previous experience in observing Ramadan fasting. Face-to-face in-depth interviews were conducted, and study data were analyzed thematically and iteratively coded using a constant comparison method.

RESULTS: Four major themes emerged from the data, namely: (i) "fasting experiences", (ii) "perceived side effects of fasting", (iii) "health-seeking behavior" and, (iv) "education and awareness needs". Patients expressed the significance of Ramadan fasting as well as the perceived impact of fasting on their health. Additionally, there is lack of health-seeking behaviour observed among patients thus, raising needs for awareness and education related to Ramadan fasting.

CONCLUSIONS: Findings of this study shed light on patients' experiences and perceptions regarding Ramadan fasting which warrants the needs for an effective communication between patients and health care practitioners through a structured-Ramadan specific education program.

Matched MeSH terms: Attitude to Health*

Cultural factors in the epidemiology of filariasis due to Brugia malayi in an endemic community in Malaysia

Riji HM

Southeast Asian J Trop Med Public Health, 1983 Mar;14(1):34-9.

PMID: 6612423

A study was carried out to identify some of the cultural factors in the epidemiology of filariasis in an endemic community in Malaysia. The viewpoint of the community, data an responses on knowledge of illness and filariasis, host related factors, health examination, vector study were analysed and discussed. The observations noted on cultural factors were: Occupational pattern: Different agricultural occupations seemed to related to transmission in terms of body exposure. Activities not related to production of crops: Play groups in late afternoon, bathing of household members near and after sunset, congregations at prayer houses very much exposed the population to mosquito bites in different degree in terms of length of time spent outside the house. Knowledge of filariasis: Filariasis was understood in terms of elephantiasis, the chronic stage of the disease. Other signs of disease-adenolymphangitis, red lines running down one or both legs and abscess were generally recognized but not often annonated with specific disease. Attitude toward disease: Filariasis was not seen as a health problem and the idea of filarial worms was still hard to believe. Knowledge on disease causation: Biological causes were generally recognized, though the idea of bacteria was not widespread.

Matched MeSH terms: Attitude to Health*

The development of culture-specific health education packages to increase case-finding of leprosy in Sarawak

Chen PC, Sim HC

Southeast Asian J Trop Med Public Health, 1986 Sep;17(3):427-32.

PMID: 3563610

For any health education to succeed, the people's perception of the disease, their beliefs and cultural practices are of utmost importance as these have tremendous influence on their acceptance of new ideas. It is therefore essential to develop appropriate health education packages based on the understanding of the traditional and socio-cultural belief systems of the people. Thus on the basis of anthropological studies, health education packages were developed for the leprosy control programme in Sarawak, aimed at both adults and children. Newspaper articles, cartoon tape-slides, cartoon story books as well as posters were developed for both Chinese as well as other groups such as Malays, Ibans and Kayans. These were field tested and are now used in the Rejang Valley of Sarawak.

Matched MeSH terms: Attitude to Health*

Some beliefs and practices affecting the health of the aborigines (Orang Asli) of Bukit Lanjan, West Malaysia

Foong-San S

Southeast Asian J Trop Med Public Health, 1972 Jun;3(2):267-76.

PMID: 4343262

Matched MeSH terms: Attitude to Health*

Fulltext Bringing leprosy into the open

Chen PCY

World Health Forum, 1988;9(3):323-6.

PMID: 3252811

A study in Sarawak, Malaysia, revealed diverse opinions, prejudices and degrees of knowledge about leprosy among various ethnic groups. The information gathered was used as the base on which a health education package relating to the disease was established. It is intended that this will lead to the early detection and treatment of a higher proportion of cases than has previosly been possible

Matched MeSH terms: Attitude to Health

Fulltext Patient health education--an experiment

Singh N

Med J Malaysia, 1980 Jun;34(4):343-6.

PMID: 7219260

A' brief' of an attempt in integration of health education of patients as a part and parcel of treatment and management in hospitals in Kelantan is outlined. The methodology used in the context of local situation is described, problems and short-comings highlighted, and a few suggestions made including recommendations for further such trial efforts in other hospitals in the country.

Matched MeSH terms: Attitude to Health

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