Browsing by Author "Millere, I."
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Item Effectiveness of diabetes mellitus management program at primary health care level(2019) Tazhbenova, S. T.; Millere, I.; Yermukhanova, L. S.; Sultanova, G.; Turebaev, M.; Sultanova, B. P.; Rīga Stradiņš UniversityAnnotation: Diabetes mellitus is considered not only a serious chronic disease, but also as an important medical and social problem that is becoming increasingly important. Disease management programs are needed to empower patients and help them develop the necessary skills for self-management of their condition. Objective: To evaluate the effectiveness of the Type 2 Diabetes Management Program at the primary health care level. Methods: Study design is a prospective study, case-control. The study of the intervention group included 114 adults with type 2 diabetes participating in the Disease Management Program and the control group-60 adults with type 2 diabetes not participating in the Disease Management Program. All the investigated persons live in the service area of the municipal polyclinic No. 4 of Aktobe city (Aktobe region, Western region of Kazakhstan). A traditional care which included regular follow-ups every 3 months was provided in the control group. The selection of patients in the control group was carried out by random sampling. Both groups were randomized by age, gender, and duration of illness. The main result evaluated glycated hemoglobin levels, blood pressure, body mass index, and low density lipoprotein levels after 9 months. Results: According to the data obtained after 9 months of the study the analysis showed a decrease in the average level of glycated hemoglobin in the intervention group (7.8 ± 1.5%) compared with the control group (8.6 ± 1.8%) (p <0.05). And also in the intervention group (134.6 ± 12.5 and 83.3 ± 6.5) compared with the control group (125.7 ± 10.4 and 80.7 ± 6.2), systolic and diastolic blood pressure is shown below. There were no statistically significant differences between the groups according to body mass index and low-density lipoprotein. Findings: This Diabetes Management Program allows you to control such indicators as glycated hemoglobin and blood pressure in a positive direction. While both body mass index and low density lipoproteins remained at the same level due to the short observation time.Item Nurses' views of infection control organization in regional hospitals of Latvia(2012) Platace, D.; Millere, I.; Rīga Stradiņš UniversityItem Stress Coping of Patients with Substance use Disorder in Latvia(2014) Sudraba, Velga; Millere, A.; Pūce, Andris; Millere, E.; Zumente, Z.; Deklava, L.; Millere, I.; Caune, L.; Vagale, A.; Rīga Stradiņš UniversityStress is a part of our everyday life and it plays an important role in causing various diseases. Studies related to aetiology of using pshyhoactive substances have shown that stress is one of strongest factor that provokes the use of addictive substanceswhichemphasizes necessity of research aboutstress copingtypes for patients with addiction. Purpose of study is to examine stress coping among patients with substance use disorders in Latvia.2 research tools were used: a demographic questionnaire and “The Ways of coping scale” (Folkman& Lazarus, 1985). The results show that women use emotion-oriented stress coping. For women who have completed treatment, more specific ways of stress coping are accepting responsibility, escape-avoidance and positive reappraisal. Among men, the dominant stress coping strategy is problem-oriented stress coping. Male patients who have completed treatment use more accepting responsibility and planful problem solving.Item Stress coping strategies of Drug and Alcohol Addicted patients in Latvia(2015) Sudraba, V.; Millere, A.; Deklava, L.; Millere, E.; Zumente, Z.; Circenis, K.; Millere, I.; Sabiedrības veselības un sociālās labklājības fakultāte; Faculty of MedicineIt is believed that people are starting to use drugs to cope with stress on a daily basis because they do not see other option. Aim is to discover Drug and Alcohol Addicted patients’ stress coping strategies. We used Demographic questionnaire and “The Ways of Coping” scale. Results shows that there are statistically significant differences between alcohol and drug addicted patients were observed in subscales: Confrontive Coping, Seeking Social Support, Distancing, Self-Controlling and Positive Reappraisal. This study is important because it allows realizing and evaluating the range of stress-coping types of patients with addiction and to compare the result of alcohol and drug addicts.Item Treatment Motivation Differences between Minnesota and Methadone Program Patients with Substance Use Disorder in Latvia(2015) Sudraba, V.; Millere, A.; Deklava, L.; Millere, E.; Zumente, Z.; Circenis, K.; Millere, I.; Sabiedrības veselības un sociālās labklājības fakultāte; Faculty of MedicineItem Treatment Motivation Factor Analysis of Patients with Substance Use Disorders In Latvia(2014) Millere, A.; Pūce, Andris; Millere, E.; Zumente, Z.; Sudraba, V.; Deklava, L.; Millere, I.; Caune, L.; Vagale, A.; Rīga Stradiņš UniversityMotivation plays a significant role in treatment of any illness especially for the patients with addiction problems, moreover motivation is a factor which influences patients to look for treatment possibilities, follow instructions of the treatment and particularly make prosperous long term changes. The purpose of this study is to examine the treatment motivation; stages of motivational changes and influencing factors of motivation among patients with substance use disorders in Latvia. Following research tools were used: a demographic questionnaire developed by the study authors, SOCRATES 8A/ 8D questionnaires (Miller & Tonigan, 1996) and “Treatment motivation questionnaire” (Ryan, Plant & O’Malley, 1995). Results of motivation scores in this population tended to be quite high, particularly to Internal Motivation and Help Seeking scale, furthermore average for Internal Reasons and Help Seeking increased during the treatment statistically significantly.