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Biomedical subjects

Waris Qidwai

Publications and source records attributed to Waris Qidwai.

At least 19 recordsLinked to original sources
PubMed2005

Healing during physician-patient consultation.

OBJECTIVE: To determine the patient perceptions regarding healing during a physician-patient consultation. DESIGN: A questionnaire-based survey. PLACE AND DURATION OF STUDY: Family Practice Center of the Aga Khan University Hospital, Karachi, Pakistan, in June 2004. PATIENTS AND METHODS: A questionnaire was designed that included the demographic profile of patients comprising age, gender, education and occupation as well as questions in line with the study objective. It was administered to 111 patients, visiting outpatient department of the hospital. Participants were explained the study objective, a written consent was taken and full confidentiality was assured. RESULTS: The mean age of the study population was 27.86 years. Majority of the subjects were males with 68% having graduate or more education. A physician-patient consultation has healing properties for patients and physicians, according to 99 (89%) and 67 (65%) respondents respectively, with 65 (58%) having had experienced healing during the consultation process. The competence of a physician, individual attention given by a physician and a cool and calm attitude of a physician, were reported to increase healing in a physician-patient consultation according to 34 (30%), 32 (29%) and 13 (11%) respondents respectively. The unhelpful physician behavior, incorrect diagnosis and physician's rude and arrogant attitude were reported to decrease healing according to 42 (37%), 15 (14%) and 14 (13%) respondents respectively. CONCLUSION: The study shows that a majority of the patients believe a physician-patient consultation has healing properties on its own, based on healing potential in the consultation process itself. Physicians must try to find ways to improve their ability to act as healers during consultation with patients.

Adult↗
PubMed2004

Distribution of lower urinary tract symptoms (LUTS) in adult women.

OBJECTIVE: To determine the distribution of lower urinary tract symptoms in adult women and the frequency with which the women consulted a health care provider for their symptoms. DESIGN: Cross-sectional analytical study. PLACE AND DURATION OF STUDY: Community Health Center of Aga Khan University Hospital from November 1st to 30th, 2002. SUBJECTS AND METHODS: A trained interviewer administered a structured questionnaire to women patients or attendants aged 18 years and older coming to the center. RESULTS: Fifty-two percent of the study subjects reported having at least one or more urinary complaints in the past. Stress incontinence was the highest reported complaint (38.4%) followed by burning (34.4%), frequency (26%), painful micturition (20.4%), urge incontinence (18.8 %), incomplete emptying of bladder (14.4%), dribbling (12.4%) and poor stream (8.4%). Forty-three percent of the women with LUTS never consulted a health care provider for their problem. CONCLUSION: Although the distribution of LUTS among females was found to be high, the patients did not consider it important enough to consult a health care provider. There is a need to create awareness among females regarding LUTS and the need to consult a health care provider for their problems.

Adult↗
PubMed2004

Patient compliance among family practice patients.

OBJECTIVE: To document patient compliance and perceptions among family practice patients. DESIGN: A questionnaire-based survey of a convenience sample. PLACE AND DURATION OF STUDY: Family Practice Center of Aga Khan University Hospital, Karachi, Pakistan, between October 2003 and January 2004. SUBJECTS AND METHODS: Family practice patients were interviewed without systematic randomization. A questionnaire including data on demographic profile of the patient and compliance, was administered by the study investigators. Ethical requirement including the administration of written informed consent and confidentiality were ensured. SPSS computer software was used for data management. RESULTS: A total of 119 patients were interviewed, of which 86 (72%) were females. The mean age was 34.6 years. Thirty two (27%) of the respondents had graduate education. Forty three (36.1%) respondents had the last physician's visit within the previous two weeks. Recommendations made at the previous physician's visit were followed in 170 (79.8%) cases. Desire to get better was reported by 172 (79.6%) respondents, as a reason for compliance. In patient's view, being polite, friendly and kind to the patient and explaining treatment to the patient, could improve patient compliance. CONCLUSION: There is a need to have a broad based approach to improve patient compliance including patient education, following principles of good clinical practice and giving due consideration to financial costs. We recommend further research and debate on the important issue of patient compliance.

Adult↗
PubMed2004

Patients' views about physicians' spiritual role in medical practice.

OBJECTIVE: To study patient perceptions with regard to spirituality in medical practice. DESIGN: A questionnaire-based survey. PLACE AND DURATION OF STUDY: Family Practice Center of Aga Khan University Hospital, Karachi, Pakistan, during July 2003. SUBJECTS AND METHODS: Family practice patients were interviewed using a questionnaire which included data on demographic profile of the patient and perceptions on spirituality in medical practice. The study investigators administered the questionnaire without using systematic randomization. Ethical requirements including the administration of a written informed consent and the provision of confidentiality were ensured. SPSS computer software was used for data management. RESULTS: One hundred patients were interviewed. A majority was married men, in the 20-40 years age group being of grade XII and above educational status. Ninety-two (92%) respondents believed in physicians having healing powers given by God, 78 (78%) felt that physicians should consider religious needs of the patient during treatment and 44 (44%) believed it is the competence of a physician that results in his/her healing ability. Thirty (30%) respondents sought treatment from faith healers and believed that medical care should include faith healing. Ninety-four(94%) respondents believed that praying and reciting the Quran helps in healing. Patient expectation that a physician be regular with regard to prayers, fasting, zakat donation and avoiding riba were reported by 91 (91%), 89 (89%),97 (97%) and 63 (63%) respondents respectively. The findings of the study are not representative and have no statistical reliability. CONCLUSION: We have documented patient perceptions with regard to spirituality in medical practice. Such information has important implications for patient care and we strongly recommend further debate and research on the issue.

Adolescent↗
PubMedDate not supplied

Are our people health conscious? Results of a patients survey in Karachi, Pakistan.

BACKGROUND: Life style is known to influence health and may be responsible for certain diseases. There is a need to document the life style on health among the Pakistani population. METHODS: The study was conducted on patients visiting the Family Practice Center, the Aga Khan University, Karachi. A questionnaire was used to collect information on the demographic profile, and the life style on health. The ethical requirements for conducting the study were met. RESULTS: 393 patients were surveyed. The majority were young married men, in either private or government service. Preference for consumption of fats/oils, sweets, spicy foods, salt, fruits/vegetables, tea, coffee, cola drinks and alcohol was found among 103 (26%), 84 (22%), 86 (22%), 110 (28%), 239 (61%), 319 (81%), 117 (30%), 253 (64%) and 13 (03%) respondents respectively. Hand washing after defecation, before eating food and after work was seen among 341 (87%), 296 (75%) and 256 (65%) respondents respectively. Brushing of teeth after eating food, before breakfast and bedtime was seen in 56 (14%), 346 (88%) and 176 (45%) respondents respectively. Preventive dental check-up was practiced by 102 (26%) of the respondents. Sleep of less than 6 hours per day among 74 (19%), water consumption of less than 1 liter daily among 84 (21%) and fish consumption on once a week basis among 173 (44%) respondents was found. Tobacco and betel nuts use was found among 69 (17%) and 79 (20%) respondents. CONCLUSIONS: We have documented a clear need to raise public awareness on the issue of life style on health. There is a need and we strongly recommend debate and further research, along with interventional strategies in line with the available evidence on healthy life style.

Adult↗
PubMedDate not supplied

Use of folk remedies among patients in Karachi Pakistan.

BACKGROUND: The concept that food is medicine is being practiced in certain parts of the world, with positive outcomes on health of the population. We have such practice in Pakistan but it needs to be brought in line with the available scientific evidence. METHODS: The study was conducted on 270 patients, visiting the Family Practice Center, the Aga Khan University, Karachi. A questionnaire was used to collect information on the demographic profile, and the use of folk remedies for medicinal uses. RESULTS: Substantial use of folk remedies for different medical conditions has been documented. The remedies included cinnamon, ginger, cloves, cordimon, sesame oil, poppy seeds, honey, lemon, table salt, eggs and curd. The medical conditions in which folk remedies are used in respondents' view, include conditions such as common cold, cough and flu to more serious conditions such as asthma, jaundice and heat stroke. CONCLUSIONS: We have found a substantial use of folk remedies for treatment of medical conditions. There is a need to organize their use on scientific lines.

Adult↗