Quality of Life at work and Motivation for Research Activities for Residents of General Practice in two Different Surgical Departments in Greece

2017 ◽  
Vol 41 (S1) ◽  
pp. s785-s785
Author(s):  
I. Christodoulou ◽  
K. Apostolou ◽  
G. Kazantzi ◽  
E. Xenodoxidou ◽  
C. Pogonidis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Practice ◽  
Work Environment ◽  
Large City ◽  
Scientific Development ◽  
City Hospital ◽  
Provincial Hospital ◽  
Research Activities ◽  
Number Of Patients

IntroductionQuality of life at work has very much to do with educational efforts during medical residence years. Constant changes of work environment for general practice residents, is a strong reason for high levels of stress at work.ObjectivesOur study is to present the general rules of work for general practice residents in surgical departments in Greece and the quality of their lives and career motivation.MethodsWe use information coming from two hospitals, a large city hospital which covers a population of 780.000 of citizens during all-night duties, and a provincial hospital, which covers a population of 50.000 citizens.ResultsIn both workplaces, general practice residents spend much of their education time in the emergencies department or the outpatient clinics of surgery. Stress is more intense in the large hospital, based on the number of patients examined per day and the frustration they receive at work. However, the heavy duty to accompany a patient for a transfer to other hospital is much more often in province, and then the stress is much more intense and lasting. Frustration is also often in the urban hospital where the residents of various specialties are more experienced and have more confidence due to their departments expertise. Satisfaction at work varies according to the personality of every doctor.ConclusionsOpportunities for scientific development through participation in scientific meetings was stronger in the provincial Hospital due to a good team of strongly motivated researchers that happened to be there and better work environment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals MEDICAL AND SOCIAL CONSEQUENCES OF PELVIC BRAKE FRACTURES ACCORDING TO ZAPORIZHZHIA TRAUMATOLOGICAL MSEC

2021 ◽  
Vol 48 (1) ◽  
Author(s):  
I. I. Trufanov ◽  
O. V. Tribushnoj ◽  
Yu. P. Klyatskij ◽  
V. V. Kosilo ◽  
G. L. Polyakov
Keyword(s):  
Quality Of Life ◽  
Bone Fractures ◽  
Pelvic Trauma ◽  
Pelvic Fractures ◽  
Social Consequences ◽  
City Hospital ◽  
Steady Growth ◽  
Number Of Patients ◽  
Icd 10

Abstract The purpose of the study. Is to analyze the medical and social consequences of pelvic fractures in combination with polysegmental injuries, study the health care system for these injuries, predict complications and mortality to assess the quality of life of patients with pelvic fractures and other segments (lower or upper limb). Materials and methods. The examination reports were examined according to the Zaporizhia Regional Trauma expertise commission code ICD-10 codes/manual S32 (Fracture of the lumbar spine and pelvic bones). Results. According to the Zaporizhia Regional Trauma expertise commission, the number of patients after bone fractures in 2014–2018 is 44 people. The analysis of the material revealed the general tendencies of steady growth of the number of patients with pelvic trauma to disability, which confirms the world statistics. During the period 2016–2019 on the basis of «Сity hospital of emergency medical care» and «City Hospital № 9» were operated on 28 patients with fractures of the acetabulum, of which as a result of osteoarthritis of the hip joint surgery was performed in 3 cases (10, 7%). Conclusions. Some methods of trauma care need to be improved, aimed at reducing their trauma, as well as preventive measures for the development of general and local complications in victims with combined pelvic trauma, refusal of surgical treatment entails improper fracture fusion and disability Keywords: polytrauma, disability, temporary disability, polysegmental injuries, quality of life.

EXPERIENCE IN PALLIATIVE CARE FOR CANCER PATIENTS IN A HOSPICE "CITY HOSPITAL No. 20", ST. PETERSBURG

2021 ◽  
pp. 158-164
Author(s):  
Владимир Александрович Кошлаков
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Cancer Patients ◽  
Emotional Disorders ◽  
Well Being ◽  
Scientific Article ◽  
Main Task ◽  
City Hospital ◽  
Number Of Patients

В научной статье отражен многолетний опыт оказания паллиативной помощи онкологическим больным, находившимся в условиях хосписа. Главной задачей, которую ставили перед собой специалисты отделения, являлась обеспечение лучшего, насколько это возможно, качества жизни пациента с тягостными симптомами. В реальности, определить число пациентов, имеющих потребность в паллиативной помощи, с соблюдением всех ее принципов, очень трудно. Авторы статьи пытаются отразить различные подходы в оказании паллиативной помощи пациентам, находящимся в условиях стационарного отделения. Принципы оказания паллиативной помощи онкологическим больным имеют схожее направления, что и для пациентов с другими патологическим процессами, но все же основой процесса является устранение или просто максимальное облегчение симптомов, ухудшающих качество жизни онкобольного, а не просто терапия основного заболевания. Используемые схемы оказания комплексной медикаментозной помощи позволили снизить частоту проявления анемии, усилить лимфодренаж, уменьшить степень выраженности пролежней и в целом - компенсировать качество жизни онкологических больных с тягостными симптомами, что проявлялось улучшением физического и социального благополучия, а также отсутствием эмоциональных расстройств у пациентов. Комплексные подходы в паллиативной помощи позволяют специалистам наиболее полноценно реализовывать поставленные перед ними задачи. Полученный многолетний опыт работы специалистами хосписа может быть использован в профильных лечебных учреждениях The scientific article reflects the long-term experience of providing palliative care to cancer patients who were in a hospice. The main task that the specialists of the department set for themselves was to ensure the best, as far as possible, quality of life for the patient with painful symptoms. In reality, it is very difficult to determine the number of patients with a need for palliative care, observing all its principles. The authors of the article try to reflect the different approaches in the provision of palliative care to patients in an inpatient department. The principles of providing palliative care to cancer patients are similar to those for patients with other pathological processes, but still the basis of the process is the elimination or simply maximum relief of symptoms that worsen the quality of life of a cancer patient, and not just therapy of the underlying disease. The schemes used for the provision of complex medical care made it possible to reduce the incidence of anemia, enhance lymphatic drainage, reduce the severity of pressure ulcers and, in general, compensate for the quality of life of cancer patients with painful symptoms, which was manifested by an improvement in physical and social well-being, as well as the absence of emotional disorders in patients. Comprehensive approaches to palliative care allow specialists to fully implement their tasks. The many years of experience gained by hospice specialists can be used in specialized medical institutions

scholarly journals MEDICAL AND SOCIAL CONSEQUENCES OF PELVIC BRAKE FRACTURES IN COMBINATION WITH POLYSEGMENTARY INJURIES

2020 ◽  
Vol 47 (4) ◽  
Author(s):  
I. I. Trufanov ◽  
O. V. Tribushnoy ◽  
Yu. P. Klyatskij ◽  
V. V. Kosilo
Keyword(s):  
Quality Of Life ◽  
Bone Fractures ◽  
Pelvic Trauma ◽  
Pelvic Fractures ◽  
Social Consequences ◽  
City Hospital ◽  
Steady Growth ◽  
Number Of Patients ◽  
Icd 10

The purpose of the study. Is to analyze the medical and social consequences of pelvic fractures in combination with polysegmental injuries, study the health care system for these injuries, predict complications and mortality to assess the quality of life of patients with pelvic fractures and other segments (lower or upper limb). Materials and methods. The examination reports were examined according to the Zaporizhia Regional Trauma expertise commission code ICD-10 codes/manual S32 (Fracture of the lumbar spine and pelvic bones). Results. According to the Zaporizhia Regional Trauma expertise commission, the number of patients after bone fractures in 2014–2018 is 44 people. The analysis of the material revealed the general tendencies of steady growth of the number of patients with pelvic trauma to disability, which confirms the world statistics. During the period 2016–2019 on the basis of "Сity hospital of emergency medical care " and "City Hospital № 9" were operated on 28 patients with fractures of the acetabulum, of which as a result of osteoarthritis of the hip joint surgery was performed in 3 cases (10, 7%). Conclusions. Some methods of trauma care need to be improved, aimed at reducing their trauma, as well as preventive measures for the development of general and local complications in victims with combined pelvic trauma, refusal of surgical treatment entails improper fracture fusion and disability. Keywords: polytrauma, disability, temporary disability, polysegmental injuries, quality of life

PENINGKATAN KUALITAS HIDUP MELALUI LOGOTERAPI PADA KLIEN YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Test Group ◽  
Sampling Technique ◽  
T Test ◽  
P Value ◽  
Number Of Patients ◽  
Post Test ◽  
The Mean

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  

Features and methods of assessing health-related quality of life and cognitive functions in patients with glial tumors

2020 ◽  
pp. 47-56
Author(s):  
Vera Arsenyeva ◽  
Boris Martynov ◽  
Gennadiy Bulyshchenko ◽  
Dmitriy Svistov ◽  
Boris Gaydar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Functions ◽  
Well Being ◽  
Health Related Quality ◽  
Number Of Patients ◽  
Related Quality ◽  
Health Related ◽  
Eortc Qlq ◽  
Patients With Epilepsy

Gliomas make up about 8 cases per 100,000 population and the number of patients with this disease is only increasing. There can be not only various types of neurological deficits among the symptoms, but also personal and emotional changes, that seriously affects the quality of life. The modern model of health care includes not only recovery of the patient’s physical functions, but also his or her psychosocial well-being. In particular, the assessment and study of the characteristics of health-related quality of life, as well as cognitive functions in patients with gliomas, is increasingly recognized as an important criterion when considering the effectiveness of treatment. To date, the features of health related quality of life and cognitive functions of patients with epilepsy and acute cerebral circulation disorders have been studied sufficiently, and, as a result, techniques have been developed that accurately assess the QOL and CF in patients with these diseases. These are QOLIE-31 and QOLIE-AD-48 questionnaires for patients with epilepsy. This is the National Institutes of Health Stroke Scale (NIHSS), Orgogozo stroke scale (OSS), World Federation of Neurological Surgeons (WFNS) scale for the clinical assessment of subarachnoid hemorrhage (SAH) for patients with acute cerebrovascular accident. At the same time, there are no generally accepted methods for assessing quality of life and neurocognitive functions that are sensitive to changes in the condition of patients with gliomas in the early postoperative period by the time of discharge from the hospital. As a result, there is no systematic information on the dynamics of the quality of life of such patients, their neurocognitive functioning. The purpose of this article was to study the literature on QOL and CF in patients affected by neurological and neurosurgical disorders for the further selection of optimal methods for assessing dynamics of the condition of patients with glial brain tumors before and after surgery. At the moment, such requirements are only partially met by the EORTC QLQ-C30 questionnaire and its application EORTC QLQ-BN20.

Quality of life after anti-reflux surgical interventions: possible solutions to the problem

2020 ◽  
pp. 3-25
Author(s):  
D. Lukanin ◽  
G. Rodoman ◽  
M. Klimenko ◽  
A. Sokolov ◽  
A. Sokolov
Keyword(s):  
Quality Of Life ◽  
Hiatal Hernia ◽  
Antireflux Surgery ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Partial Fundoplication ◽  
Surgical Interventions ◽  
Number Of Patients ◽  
Laparoscopic Nissen

The article presents the results of a prospective controlled parallel clinical study of a new modification of laparoscopic antireflux surgery in the treatment of gastroesophageal reflux disease in combination with a hiatal hernia compared with laparoscopic Nissen fundoplication in terms of assessing quality of life after surgery. Clinical and instrumental examination of patients was carried out a year after surgical interventions. In accordance with the results of instrumental examination after surgery, the proposed modification of laparoscopic partial fundoplication is not inferior to laparoscopic Nissen fundoplication both, in terms of relief of reflux esophagitis symptoms and in relation to the recurrence of hiatal hernia. Clinical monitoring indicates a significantly higher quality of life for patients after the modified antireflux surgery, which is associated with a number of factors. The implementation of this fundoplication led to a decrease in the number of patients with complaints of dysphagia, the development of which is directly related to the surgery performance, as well as to a statistically significant reduction of bloating in the upper abdomen. Another advantage of the modified surgery is a significantly smaller number of cases of gas-bloat syndrome. In addition, the disorders developing in the framework of the gas bloat syndrome after laparoscopic Nissen fundoplication are more severe.

scholarly journals Quality of Life in Hidradenitis Suppurativa: An Update

2021 ◽  
Vol 18 (11) ◽  
pp. 6131
Author(s):  
Pavel V. Chernyshov ◽  
Andrew Y. Finlay ◽  
Lucia Tomas-Aragones ◽  
Francoise Poot ◽  
Francesca Sampogna ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hidradenitis Suppurativa ◽  
Acne Inversa ◽  
Health Related Quality ◽  
Number Of Patients ◽  
Related Quality ◽  
Health Related ◽  
Positive Effect ◽  
Specific Health

Knowledge on hidradenitis suppurativa/acne inversa (HS) is rapidly increasing. HS has a profound impact on patients and their family life. Several factors, such as comorbidities, unemployment and HS severity, make this impact even more severe. The most widely used instrument to measure this impact is the dermatology-specific DLQI. We also identified six HS-specific health-related quality of life (HRQoL) instruments. Of them, HIDRAdisk, HSIA, HiSQOL and HSQoL-24 are better validated but there is still lack of experience of its use. Several treatment methods showed positive effect on patients’ HRQoL. Surgery remains a method with a substantial positive effect on HRQoL. Several studies confirming a positive effect of adalimumab on the HRQoL of patients with HS were published during the last three years. Data on the influence of several other biologics on HRQoL of HS patients are controversial or based on studies with a small number of patients.

scholarly journals Cannabis and Canabidinoids on the Inflammatory Bowel Diseases: Going Beyond Misuse

2020 ◽  
Vol 21 (8) ◽  
pp. 2940
Author(s):  
Antonelly Cassio Alves de Carvalho ◽  
Gabriela Achete de Souza ◽  
Samylla Vaz de Marqui ◽  
Élen Landgraf Guiguer ◽  
Adriano Cressoni Araújo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Inflammatory Bowel Diseases ◽  
Literature Search ◽  
Cannabis Sativa ◽  
Antioxidant Properties ◽  
Number Of Patients ◽  
Bowel Diseases ◽  
Inflammatory Bowel ◽  
Anti Inflammatory

Inflammatory bowel diseases (IBD) are characterized by a chronic and recurrent gastrointestinal condition, including mainly ulcerative colitis (UC) and Crohn’s disease (CD). Cannabis sativa (CS) is widely used for medicinal, recreational, and religious purposes. The most studied compound of CS is tetrahydrocannabinol (THC) and cannabidiol (CBD). Besides many relevant therapeutic roles such as anti-inflammatory and antioxidant properties, there is still much controversy about the consumption of this plant since the misuse can lead to serious health problems. Because of these reasons, the aim of this review is to investigate the effects of CS on the treatment of UC and CD. The literature search was performed in PubMed/Medline, PMC, EMBASE, and Cochrane databases. The use of CS leads to the improvement of UC and CD scores and quality of life. The medical use of CS is on the rise. Although the literature shows relevant antioxidant and anti-inflammatory effects that could improve UC and CD scores, it is still not possible to establish a treatment criterion since the studies have no standardization regarding the variety and part of the plant that is used, route of administration and doses. Therefore, we suggest caution in the use of CS in the therapeutic approach of IBD until clinical trials with standardization and a relevant number of patients are performed.

IMPACTOS DO CONTEXTO PANDÊMICO NA SAÚDE MENTAL DOS PROFISSIONAIS DA ÁREA DA SAÚDE

2021 ◽  
Vol 7 (2) ◽  
pp. 253-272
Author(s):  
Amanda Cristina dos Santos Nogueira ◽  
Constance Rezende Bonvicini
Keyword(s):  
Quality Of Life ◽  
Work Environment ◽  
Social Economic ◽  
Sources Of Information ◽  
Front Line ◽  
Healthcare Organizations ◽  
Psychological Suffering ◽  
Health Area ◽  
Cultural Processes

The COVID-19 pandemic reflects in an intense and complex way in social, economic and cultural processes globally, also due to its sanitary nature in the work environment, a phenomenon that impacts and can have repercussions on workers' health. The general objective of this article was to analyze the influence that the pandemic scenario has on the mental health of professionals working in the health area, taking into account their work, quality of life and satisfaction with the organization. The methodology selected for the research was descriptive, qualitative, classified as a bibliographic research, in which the following descriptors were applied: satisfaction and quality of life in the work context, selecting academic sources of information that responded to the proposed objectives and that presented in the context of the pandemic. The results point to the fact that teams from healthcare organizations can be more affected in the context of the scenario, such as the nurses' class. It is portrayed that these professionals are doubly affected by the pandemic, in their work environment, while occupying the front line in the fight against the virus, and in their personal life, when they face the effects of social isolation, the absence of schools as partners, financial insecurity and related issues. Thus, it is concluded that the satisfaction and quality of life in the work environment was significantly affected by the pandemic, contributing to the development even psychological suffering in various spheres, including work stress, especially in environments where professionals from health.

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