scholarly journals Spirituality in Coping with Pain in Cancer Patients: A Cross-Sectional Study

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1671
Author(s):  
Sharon Shyrley Weyll Oliveira ◽  
Rayzza Santos Vasconcelos ◽  
Verônica Rabelo Santana Amaral ◽  
Hélder Fernando Pedrosa e Sousa ◽  
Maria Alzira Pimenta Dinis ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Cancer Patients ◽  
Cross Sectional Study ◽  
The Other ◽  
Northeastern Brazil ◽  
Sectional Study ◽  
Cross Sectional ◽  
Other Hand ◽  
Painful Sensation ◽  
The Impact

Spirituality has been identified as an adaptive coping strategy and a predictor of better quality of life in cancer patients. Despite the relevance of spirituality in the health–disease process, it is noted that the assessment of the impact of spirituality in coping with pain is still incipient. The objective of this study is to assess the impact of spirituality in coping with pain in cancer patients. This quantitative cross-sectional study was carried out in a medium-sized hospital and a cancer patient support institution located in northeastern Brazil. A questionnaire with sociodemographic and clinical variables was used and the following instruments were applied: Visual Analogue Scale (VAS); Short-Form McGill Pain Questionnaire (SF-MPQ); Neuropathic Pain 4 Questions (DN4); Spiritual Wellbeing Scale (SWBS); WHOQOL Spirituality, Religiousness and Personal Beliefs (WHOQOL-SRPB). Most people with no pain had higher scores on the SWBS. Neuropathic pain was identified in 23 patients and was associated with the highest level of spirituality used as a way of coping with pain. As faith increases, pain decreases in intensity by 0.394 points. On the other hand, as inner peace increases, pain increases by 1.485 points. It is concluded that faith is a strategy for coping with pain, in particular neuropathic pain, minimizing its intensity. On the other hand, greater levels of inner peace allow to increase the awareness of the painful sensation. It is expected that these findings may be useful to integrate spirituality care in healthcare facilities as a resource for positive coping for people in the process of becoming ill, contributing to the therapeutic path and favouring a new meaning to the experience of the disease.

scholarly journals A cross-sectional study on associations of physical symptoms, health self-efficacy and suicidal ideation among Chinese hospitalized cancer patients following diagnosis.

2020 ◽  
Author(s):  
Qingyi Xu ◽  
Shuhua Jia ◽  
Maiko Fukasawa ◽  
Lin Lin ◽  
Jun Na ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Suicidal Ideation ◽  
Cancer Patients ◽  
Self Efficacy ◽  
Epidemiological Studies ◽  
Cross Sectional Study ◽  
Physical Symptoms ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

Abstract Background: Epidemiological studies have shown elevated suicide risk in cancer patients compare with the general population. This study was performed to examine the association between physical symptoms and suicidal ideation among Chinese hospitalized cancer patients and test the modifying effect of health self-efficacy on this association. Methods: A cross-sectional study was conducted among 544 cancer patients from oncology settings in two general hospitals in northeast China via face-to-face interviews. Suicidal ideation was measured by using four items from the Yale Evaluation of Suicidality scale, dichotomized into a positive and negative score. Multivariable logistic regression was applied to examine the impact of physical symptoms, health self-efficacy and their interactions on suicidal ideation.Results: We found a suicidal ideation rate of 26.3% in patients following cancer diagnosis. Logistic regression showed that insomnia (aOR=1.84, 95% CI 1.13 to 3.00, p =0.015), lack of appetite (aOR=2.14, 95% CI 1.26 to 3.64, p =0.005) were positively associated with suicidal ideation, low health self-efficacy showed a marginally significant exaggerating effect on the association between pain and suicidal ideation (aOR = 2.77, 95% CI 0.99 to 7.74, p =0.053), even after controlling for significant socio-demographic, clinical characteristics and depression. Conclusions: These findings demonstrate the associations between insomnia、lack of appetite and suicidal ideation and highlight the potential moderating role of health self-efficacy in the identification and prevention of suicide among cancer patients.

scholarly journals A cross sectional study to determine the prevalence of cough and its impact in patients with lung cancer: a patient unmet need

BMC Cancer ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Amélie Harle ◽  
Alex Molassiotis ◽  
Oliver Buffin ◽  
Jack Burnham ◽  
Jaclyn Smith ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Patients ◽  
Smoking Status ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
Common Symptom ◽  
Sectional Study ◽  
Cross Sectional ◽  
Lung Cancer Patients ◽  
The Impact

Abstract Background There is absence of literature related to cough prevalence and its characteristics in lung cancer patients, with information deriving only from broader symptoms occurrence studies. The aims of this study were to provide a snapshot of the prevalence of all-cause-cough in lung cancer patients and to characterise cough in terms of its impact and severity. Methods A cross-sectional study recruiting consecutive lung cancer patients over a pre-defined period of time and using cough-specific validated tools in a tertiary referral centre in the UK, including a cough severity VAS and the Manchester Cough in Lung Cancer scale (MCLCS). Results Data was collected from 202 patients. All-cause cough prevalence was 57% (through VAS) both in the screened (N = 223) and research (N = 202) population or 67% (through the MCLCS), and cough severity was moderate at a mean of 32 mm (in a 100 mm VAS). Age, sex, smoking status, lung cancer histology, stage and comorbidities were not associated with cough prevalence. The only variable associated with lower cough reports was being ‘on anticancer treatment’; fewer patients on treatment reported a cough (40%) compared to those off treatment (54%) (p = 0.04). The impact of cough (as measured by MCLCS) was also significant (mean score = 22). About 18% of patients felt moderate/severe distress from their cough and about 15% often or always reported disturbed sleep due to coughing. Half the patients felt their cough warranted treatment. Conclusions Cough is a common symptom in lung cancer with considerable impact on patients’ lives. Cough presence and severity should regularly be assessed in clinical practice. There is an urgent need to focus on developing more potent antitussive treatments and improve the management of this complex and distressing symptom.

scholarly journals Impact of early palliative care on survival in advanced-stage cancer patients: An institution-based retrospective cross-sectional study

2019 ◽  
Vol 4 (4) ◽  
pp. 151-155
Author(s):  
NIKETA THAKUR ◽  
Sushmita Ghoshal
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Active Treatment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Hospital Data ◽  
Cross Sectional ◽  
Oncological Treatment ◽  
Early Palliative Care ◽  
The Impact

Background: While treating patients with the advanced disease it becomes very challenging for the clinicians to decide as to when the active treatment is justified and when should palliative care be introduced in patient's treatment. American Society of Clinical Oncology (ASCO) suggested that patients with advanced cancer, regardless of patient or outpatient, should receive dedicated palliative care services, early in the disease course, simultaneous with active treatment. Similar recommendations have been proposed by the European Society of Medical Oncology (ESMO). Keeping in view this background, we aimed to do this study. Aim: To study the impact of the introduction of early palliative care into routine oncological management on patient's survival.Methods: This retrospective cross-sectional study is based on hospital data for patients who died in the hospice between the year 2017 and 2018. The complete information including age, gender, date of death, diagnosis, procedures, and medical interventions, as well as the date of documentation, was obtained of each patient.Results: A total of 27 patients were enrolled in this study. The mean age at presentation was 50.3 years. 11 (40.7%) patients received oncological treatment integrated with palliative care in the last month of life. The median duration of survival from diagnosis till death was 7 months in the patients who received only palliative care and 10 months in patients who received integrated onco-palliative care in the last month of life (P=0.452). 14 (51.8%) patients received early palliative care. The median survival of the patients who received early palliative care and of those who were offered palliative care towards the end of life was 8.5 months and 7 months respectively (P=0.040).Conclusion: Based on our results, we strongly believe that early palliative care when integrated into standard oncological treatment in advance stage cancer patients can prolong patient's survival.

scholarly journals A cross-sectional study on associations of physical symptoms, health self-efficacy and suicidal ideation among Chinese hospitalized cancer patients following diagnosis.

2020 ◽  
Author(s):  
Qingyi Xu ◽  
Shuhua Jia ◽  
Maiko Fukasawa ◽  
Lin Lin ◽  
Jun Na ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Suicidal Ideation ◽  
Cancer Patients ◽  
Self Efficacy ◽  
Cross Sectional Study ◽  
Physical Symptoms ◽  
Life Questionnaire ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

Abstract Background: To examine the association between physical symptoms and suicidal ideation among Chinese hospitalized cancer patients post-diagnosis, and test the modifying effect of health self-efficacy on this association. Methods: A cross-sectional study was conducted among 544 cancer patients from oncology setting in two general hospitals in northeastern China. Suicidal ideation data was collected by face-to-face interview using the Yale Evaluation of Suicidality scale (YES). Patients also rated on the McGill Quality of Life Questionnaire (MQOL), the Hamilton Depression Rating scale (HAMD-17) and the Strategies Used by People to Promote Health scale (SUPPH). Multivariable logistic regression was applied to examine the impact of physical symptoms, health self-efficacy and their interactions on suicidal ideation. Results: We found a suicidal ideation rate of 26.3% in patients following cancer diagnosis. Logistic regression showed that insomnia (aOR=1.84, 95% CI 1.13 to 3.00, p =0.015), lack of appetite (aOR=2.14, 95% CI 1.26 to 3.64, p =0.005) were significantly associated with suicidal ideation, low health self-efficacy showed a marginally significant exaggerating effect on the association between pain and suicidal ideation (aOR = 2.77, 95% CI 0.99 to 7.74, p =0.053), even after controlling socio-demographic, clinical characteristics and depression. Conclusions: Insomnia, loss of appetite, even after adjusting depression, are associated with suicidal ideation, health self-efficacy play a moderating role on pain and suicidal ideation among Chinese cancer patients. Paying attention to these physical symptoms and promoting the sense of health self-efficacy could be useful for suicide intervention.

scholarly journals Physicians’ experiences with euthanasia: a cross-sectional survey amongst a random sample of Dutch physicians to explore their concerns, feelings and pressure

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Kirsten Evenblij ◽  
H. Roeline W. Pasman ◽  
Johannes J. M. van Delden ◽  
Agnes van der Heide ◽  
Suzanne van de Vathorst ◽  
...  
Keyword(s):  
Random Sample ◽  
Assisted Suicide ◽  
Cross Sectional Study ◽  
The Other ◽  
Recent Case ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Other Hand ◽  
The One ◽  
The Impact

Abstract Background Physicians who receive a request for euthanasia or assisted suicide may experience a conflict of duties: the duty to preserve life on the one hand and the duty to relieve suffering on the other hand. Little is known about experiences of physicians with receiving and granting a request for euthanasia or assisted suicide. This study, therefore, aimed to explore the concerns, feelings and pressure experienced by physicians who receive requests for euthanasia or assisted suicide. Methods In 2016, a cross-sectional study was conducted. Questionnaires were sent to a random sample of 3000 Dutch physicians. Physicians who had been working in adult patient care in the Netherlands for the last year were included in the sample (n = 2657). Half of the physicians were asked about the most recent case in which they refused a request for euthanasia or assisted suicide, and half about the most recent case in which they granted a request for euthanasia or assisted suicide. Results Of the 2657 eligible physicians, 1374 (52%) responded. The most reported reason not to participate was lack of time. Of the respondents, 248 answered questions about a refused euthanasia or assisted suicide request and 245 about a granted EAS request. Concerns about specific aspects of the euthanasia and assisted suicide process, such as the emotional burden of preparing and performing euthanasia or assisted suicide were commonly reported by physicians who refused and who granted a request. Pressure to grant a request was mostly experienced by physicians who refused a request, especially if the patient was ≥80 years, had a life-expectancy of ≥6 months and did not have cancer. The large majority of physicians reported contradictory emotions after having performed euthanasia or assisted suicide. Conclusions Society should be aware of the impact of euthanasia and assisted suicide requests on physicians. The tension physicians experience may decrease their willingness to perform euthanasia and assisted suicide. On the other hand, physicians should not be forced to cross their own moral boundaries or be tempted to perform euthanasia and assisted suicide in cases that may not meet the due care criteria.

scholarly journals Formative evaluation impacting the results of summative evaluation-a feedback based cross sectional study carried out among instructors of an international medical school

2017 ◽  
Vol 5 (7) ◽  
pp. 2865
Author(s):  
Kusai M. Alsalhanie ◽  
Sanjib Das ◽  
Sulaimaan Abdus-Samad
Keyword(s):  
Medical School ◽  
Formative Evaluation ◽  
Descriptive Study ◽  
Cross Sectional Study ◽  
The Other ◽  
Summative Evaluation ◽  
Sectional Study ◽  
Instructional Unit ◽  
Cross Sectional ◽  
The Impact

Background: In all forms of teaching worldwide, evaluation is fundamental in measurement of the students’ acquisition and understanding of the material covered.  Evaluation is divided into two separate forms.  The goal of formative evaluation is to monitor students learning and provide ongoing students feedback. This in turn improves teaching and help finding strengths and weaknesses of students.  Summative evaluation on the other hand is to evaluate students learning at the end of the instructional unit to compare students’ performance with some other standards. Currently several types of formative evaluation activities are in practice at our institution. This study was performed to explore the views of faculties as to the impact of formative evaluation on summative evaluation within the MD program.Methods: A cross sectional descriptive study was conducted using a questionnaire to record the opinions and then the data was collected, analysed and interpreted.Results: All respondents opined that formative evaluation aids the students in isolating specific weak areas. All faculties indicated that, formative evaluation is important for them as it aids in targeting problem areas within their classes. A sizable percentage of respondents also supported that formative evaluation helped instilling the need for regular study and intensive learning within their students.  Furthermore, many respondents (75%) didn’t accept the statement that frequent formative evaluation impeded their students’ focussed learning leading to deficient performance in summative evaluation.Conclusions: Formative evaluation positively impacts summative ones in many ways.

scholarly journals Mental Health and Adherence to COVID-19 Protective Behaviors among Cancer Patients during the COVID-19 Pandemic: An International, Multinational Cross-Sectional Study

Cancers ◽  
2021 ◽  
Vol 13 (24) ◽  
pp. 6294
Author(s):  
Angelos P. Kassianos ◽  
Alexandros Georgiou ◽  
Maria Kyprianidou ◽  
Demetris Lamnisos ◽  
Jeļena Ļubenko ◽  
...  
Keyword(s):  
Mental Health ◽  
Cancer Patients ◽  
Online Survey ◽  
Population Based ◽  
Cross Sectional Study ◽  
Protective Behaviors ◽  
Sectional Study ◽  
National Guidelines ◽  
Cross Sectional ◽  
The Impact

A population-based cross-sectional study was conducted during the first COVID-19 wave, to examine the impact of COVID-19 on mental health using an anonymous online survey, enrolling 9565 individuals in 78 countries. The current sub-study examined the impact of the pandemic and the associated lockdown measures on the mental health, and protective behaviors of cancer patients in comparison to non-cancer participants. Furthermore, 264 participants from 30 different countries reported being cancer patients. The median age was 51.5 years, 79.9% were female, and 28% had breast cancer. Cancer participants reported higher self-efficacy to follow recommended national guidelines regarding COVID-19 protective behaviors compared to non-cancer participants (p < 0.01). They were less stressed (p < 0.01), more psychologically flexible (p < 0.01), and had higher levels of positive affect compared to non-cancer participants. Amongst cancer participants, the majority (80.3%) reported COVID-19, not their cancer, as their priority during the first wave of the pandemic and females reported higher levels of stress compared to males. In conclusion, cancer participants appeared to have handled the unpredictable nature of the first wave of the pandemic efficiently, with a positive attitude towards an unknown and otherwise frightening situation. Larger, cancer population specific and longitudinal studies are warranted to ensure adequate medical and psychological care for cancer patients.

The impact of the use of a footrest on the quality of chest compressions. A prospective, randomized, cross-sectional study

2018 ◽  
Vol 31 (3) ◽  
Author(s):  
Jolanta Majer ◽  
Sandra Pyda ◽  
Jerzy Robert Ladny ◽  
Antonio Rodriguez-Nunez ◽  
Lukasz Szarpak
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Chest Compressions ◽  
Cross Sectional ◽  
The Impact

scholarly journals Impact of Community-Led Total Sanitation and Hygiene on Prevalence of Diarrheal Disease and Associated Factors among Under-Five Children: A Comparative Cross-Sectional Study in Selected Woredas of Gamo Gofa Zone, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Agune Ashole Alto ◽  
Wanzahun Godana ◽  
Genet Gedamu
Keyword(s):  
Drinking Water ◽  
Diarrheal Disease ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Sanitation And Hygiene ◽  
The Impact ◽  
Gamo Gofa

Background. Diarrheal diseases are still one of the major causes of morbidity in under-five children in sub-Saharan Africa. In Ethiopia, diarrhea is responsible for 9% of all deaths and is the major cause of under-five mortality. Objective. To assess the impact of community-led total sanitation and hygiene on the prevalence of diarrheal disease and factors associated among under-five children in Gamo Gofa Zone. Methods. Community-based comparative cross-sectional study design was used to compare the impact of community-led total sanitation and hygiene intervention on under-five diarrheal disease. Multistage sampling method was employed. The data were collected by using pretested structured questionnaires. Data quality was ensured by daily supervision completeness and consistency. The data were coded, entered, and cleaned by using Epi Info version 7 and were analyzed by using SPSS version 20. Bivariate and multivariable analyses were carried out by using binary logistic regression. Significance was declared by using p value of <0.05 and AOR with 95% confidence intervals. Results. The response rate of this study was 93.3%. The overall diarrhea prevalence was 27.5% (CI = (24.06, 30.97)) which was 18.9% (CI = (14.94, 23.2)) in implemented and 36.2%. (CI = (30.41, 41.59)) in nonimplemented woredas. Children whose age was between 12 and 23 months (AOR = 1.6) and greater than 24 months (AOR = 5), availability of handwashing facilities (AOR = 4), disposal of waste in open field (AOR = 9.7), unimproved source of drinking water (AOR = 6.5), using only water for handwashing (AOR = 6), children who started complementary feeding less than 6 months (AOR = 5.6) and greater than 6 months (AOR = 5.2), and utensils used to feed children such as bottle (AOR = 3.9) were the factors positively associated with diarrhea. Conclusion. The overall prevalence of under-five diarrhea was 27.5%. The prevalence was low in CLTSH woredas as compared with non-CLTSH woredas. The study showed that handwashing facility, using only water for handwashing, open refuse disposal, and unimproved source of drinking water among under-five had a statistically significant association with diarrhea occurrence in CLTSH nonimplemented areas. Integrated efforts are needed from the Ministry of Health together with the WASH Project in improving drinking water, handwashing facilities, and solid waste disposal practices.

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