Scandinavian journal of primary health care
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Scand J Prim Health Care · Mar 2024
Pre-hospital management and patient-related factors affecting access to the surgical care of appendicitis - a survey study.
Long pre-hospital delay substantially increases the likelihood of perforated appendicitis. This study aimed to find patient-related factors affecting this delay. ⋯ Advanced age, fever and failure to suspect acute appendicitis in primary care are associated with prolonged pre-hospital delay and complicated appendicitis.
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Scand J Prim Health Care · Mar 2024
Exploring general practice research in Germany: a systematic review of dissertation topics from 1965-2023.
Since its academic inception in the 1960s, Germany's general practice has seen numerous dissertations, many of which are housed in the 'Archive of German language General Practice' (ADAM). ⋯ The diversity of 167 research topics underscores the vastness and complexity of general practice in Germany. This structured overview is pivotal for facilitating focused and interconnected research endeavors in the field.
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Scand J Prim Health Care · Mar 2024
District nurses experiences in providing terminal care in rural and more urban districts. A qualitative study from the Faroe Islands.
To explore district nurses' experiences in providing terminal care to patients and their families until death in a private home setting. ⋯ Our findings underline the complexity of terminal care. The nurses felt exhausted yet rewarded from being able to fulfil a patient's wish to die at home. Experience and intuition guided their practice. They emphasised that good collaboration with the GPs, the palliative care team and the families was important. Establishing an outgoing function for the palliative care team to support the nurses and the families would increase the scope for home deaths. Working conditions differed between rural and urban districts.
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Scand J Prim Health Care · Mar 2024
Management and documentation of pneumonia - a comparison of patients consulting primary care and emergency care.
To compare management and documentation of vital signs, symptoms and infection severity in pneumonia patients seeking primary care and emergency care without referral. ⋯ Vital signs were documented less often in primary care than in emergency care. Patients in primary care appear to have a less severe pneumonia, indicating attendance to the correct care level. The traffic light scoring model identified more patients at risk of severe infection than CRB-65, where the parameters were documented to a limited extent.
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Scand J Prim Health Care · Mar 2024
Improving cardiovascular control in a hypertensive population in primary care. Results from a staff training intervention.
A pilot study to evaluate a staff training intervention implementing a nurse-led hypertension care model. ⋯ Although this primary care intervention based on staff training failed to improve BP control, it resulted in improved cardiovascular control by improved cholesterol lowering treatment.