Pcfm6 เวชศาสตร์ครอบครัว

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เวชศาสตร์ครอบครัวและการดูแลสุขภาพกลุ่มเมตาบอลิก

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Pcfm6 เวชศาสตร์ครอบครัว

  1. 1. 4 6 12 19 23 33 38 45 52Case Report 58 63 68 70 74 76 80
  2. 2. 4
  3. 3. 5
  4. 4. Effectiveness of Multidisciplinary Team Approach Technique on Controlling HbA1C in Diabetes Mellitus Type 2 Patients6
  5. 5. 2Abstract 3 1 7
  6. 6. C) 18
  7. 7. Mean SD Mean SD P-value Mean SD Mean SD P-value 1 9
  8. 8. 11 7 8 410
  9. 9. 11
  10. 10. Preliminary Survey Report12
  11. 11. 13
  12. 12. 14
  13. 13. 95 15
  14. 14. 16
  15. 15. 17
  16. 16. 18
  17. 17. Waist circumference value used for diagnosis metabolic syndrome Abstract 1 2 3 4 5 19
  18. 18. 6 7 8 9 10 11 1220
  19. 19. Sensitivity Sensitivity ROC Curve ROC Curve21
  20. 20. 22
  21. 21. 23
  22. 22. 9 1 2 3 4 5,6 7 824
  23. 23. 10 25
  24. 24. Allocation26
  25. 25. p-value2) 27
  26. 26. p-value28
  27. 27. p-value 29
  28. 28. 11 p-value p-value30
  29. 29. 12 31
  30. 30. 32
  31. 31. 1 33
  32. 32. Abstract 7 3,4 5,6 1 234
  33. 33. 1 35
  34. 34. 3 436
  35. 35. 37
  36. 36. Patient-Centred Care 1 2 338
  37. 37. 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
  38. 38. 9 10 11 10 12 13 14 1540
  39. 39. (Components of Patient-centred care) 16disease and illness) 17 (understanding the whole person) The Thai Journal of Primary Care and Family Medicine 41
  40. 40. 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
  41. 41. 23(a focus on healing) 22 realistic) 23 23 The Thai Journal of Primary Care and Family Medicine 43
  42. 42. 44
  43. 43. 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
  44. 44. 10 1,9,10 5,9 8-11 2,10 (Burden and Coping) 9 9 1046
  45. 45. 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
  46. 46. 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
  47. 47. (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
  48. 48. Reference 11.50
  49. 49. 35. The Thai Journal of Primary Care and Family Medicine 51
  50. 50. The Metabolic syndrome 152
  51. 51. 23-4 5-6 7 The Thai Journal of Primary Care and Family Medicine 53
  52. 52. 8 5.54
  53. 53. Random Plasma glucose as a Screenting testRandom Plasma glucose Sensitivity (mg/dl) (%) (%) 55 44 The Thai Journal of Primary Care and Family Medicine 55
  54. 54. 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
  55. 55. The Thai Journal of Primary Care and Family Medicine 57
  56. 56. 58
  57. 57. The Thai Journal of Primary Care and Family Medicine 59
  58. 58. 60
  59. 59. The Thai Journal of Primary Care and Family Medicine 61
  60. 60. 62
  61. 61. 23 The Thai Journal of Primary Care and Family Medicine 63
  62. 62. 64
  63. 63. The Thai Journal of Primary Care and Family Medicine 65
  64. 64. 66
  65. 65. The Thai Journal of Primary Care and Family Medicine 67
  66. 66. 68
  67. 67. The Thai Journal of Primary Care and Family Medicine 69
  68. 68. 70
  69. 69. The Thai Journal of Primary Care and Family Medicine 71
  70. 70. 72
  71. 71. The Thai Journal of Primary Care and Family Medicine 73
  72. 72. 74
  73. 73. The Thai Journal of Primary Care and Family Medicine 75
  74. 74. 76
  75. 75. The Thai Journal of Primary Care and Family Medicine 77
  76. 76. 78
  77. 77. The Thai Journal of Primary Care and Family Medicine 79

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