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Pcfm6 เวชศาสตร์ครอบครัว
 

Pcfm6 เวชศาสตร์ครอบครัว

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เวชศาสตร์ครอบครัวและการดูแลสุขภาพกลุ่มเมตาบอลิก

เวชศาสตร์ครอบครัวและการดูแลสุขภาพกลุ่มเมตาบอลิก

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    Pcfm6 เวชศาสตร์ครอบครัว Pcfm6 เวชศาสตร์ครอบครัว Document Transcript

    • 4 6 12 19 23 33 38 45 52Case Report 58 63 68 70 74 76 80
    • 4
    • 5
    • Effectiveness of Multidisciplinary Team Approach Technique on Controlling HbA1C in Diabetes Mellitus Type 2 Patients6
    • 2Abstract 3 1 7
    • C) 18
    • Mean SD Mean SD P-value Mean SD Mean SD P-value 1 9
    • 11 7 8 410
    • 11
    • Preliminary Survey Report12
    • 13
    • 14
    • 95 15
    • 16
    • 17
    • 18
    • Waist circumference value used for diagnosis metabolic syndrome Abstract 1 2 3 4 5 19
    • 6 7 8 9 10 11 1220
    • Sensitivity Sensitivity ROC Curve ROC Curve21
    • 22
    • 23
    • 9 1 2 3 4 5,6 7 824
    • 10 25
    • Allocation26
    • p-value2) 27
    • p-value28
    • p-value 29
    • 11 p-value p-value30
    • 12 31
    • 32
    • 1 33
    • Abstract 7 3,4 5,6 1 234
    • 1 35
    • 3 436
    • 37
    • Patient-Centred Care 1 2 338
    • The primary care consultation7 (1976)(History of patient-centred care)Client-centred therapy4 (1951) The patient-centred clinical method: a model for the doctor-patient interaction in family medicine8 (1984)Patient-centred medicine with illness-centeredcare5 (1957) PATIENT PRESENTS CUES OF UNWELLNESS DOCTOR SEARCHES TWO PARALLEL AGENDASTotal person approach6 (1972) DOCTOR’S AGENDA PATIENT’S AGENDA History Physical Examination Laboratory Investigation Expectations Feelings Fears DIFFERENTIAL UNDERSTANDING DIAGNOSIS ILLNESS EXPERIENCE INTEGRATION The Thai Journal of Primary Care and Family Medicine 39
    • 9 10 11 10 12 13 14 1540
    • (Components of Patient-centred care) 16disease and illness) 17 (understanding the whole person) The Thai Journal of Primary Care and Family Medicine 41
    • 20 (an awareness of the potential for a power dynamic) 21 Paternalistic : prevention and health promotion) 18 19 Consumeristic : Default : Mutuality : (enhancing the patient-doctor relationship) X X X X X X X X42
    • 23(a focus on healing) 22 realistic) 23 23 The Thai Journal of Primary Care and Family Medicine 43
    • 44
    • Dyspnea palliation: The review 1,2 3 4 5 1-6 6 6 7 8,9,44-46 The Thai Journal of Primary Care and Family Medicine 45
    • 10 1,9,10 5,9 8-11 2,10 (Burden and Coping) 9 9 1046
    • 12 (pharmacologic management) 13 Strong opioids 13 9 17,18 (Dyspnea assessment) 17,18 19,20 21 22 23,2414,15 25 16 The Thai Journal of Primary Care and Family Medicine 47
    • Oxygen therapy 25 25 31 9 4,5,8,9,22 31 32,33 9,22,26 32 33 27 27 34 27 35 27 31,36 28 29 29 37 30 3748
    • (non-pharmacologic management) 9 34 38 37 39,40 4 1,41 42 43 31 The Thai Journal of Primary Care and Family Medicine 49
    • Reference 11.50
    • 35. The Thai Journal of Primary Care and Family Medicine 51
    • The Metabolic syndrome 152
    • 23-4 5-6 7 The Thai Journal of Primary Care and Family Medicine 53
    • 8 5.54
    • Random Plasma glucose as a Screenting testRandom Plasma glucose Sensitivity (mg/dl) (%) (%) 55 44 The Thai Journal of Primary Care and Family Medicine 55
    • Random BG BG 140-199 BG<1 00 BG>2 40 2hGB>200 OGTT DIABETES NORMAL 125 100- 2hrBG140-199 FBG IFG IGT IGT+IFG BEHAVIOR MODIFICATION56
    • The Thai Journal of Primary Care and Family Medicine 57
    • 58
    • The Thai Journal of Primary Care and Family Medicine 59
    • 60
    • The Thai Journal of Primary Care and Family Medicine 61
    • 62
    • 23 The Thai Journal of Primary Care and Family Medicine 63
    • 64
    • The Thai Journal of Primary Care and Family Medicine 65
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    • The Thai Journal of Primary Care and Family Medicine 67
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    • The Thai Journal of Primary Care and Family Medicine 69
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    • The Thai Journal of Primary Care and Family Medicine 71
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    • The Thai Journal of Primary Care and Family Medicine 73
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    • The Thai Journal of Primary Care and Family Medicine 75
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    • The Thai Journal of Primary Care and Family Medicine 77
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    • The Thai Journal of Primary Care and Family Medicine 79