PFLEGEprevent – Präventiv der Arbeitsbelastung von Pflegekräften begegnen. Ergebnisse einer randomisiert kontrollierten Interventionsstudie zur Wirksamkeit einer Präventionsmaßnahme für Pflegekräfte

2020 ◽  
Author(s):  
Veronika Ehegartner ◽  
Michaela Kirschneck ◽  
Eva M Wilhelm ◽  
Dieter Frisch ◽  
Angela Schuh ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Short Form ◽  
Well Being ◽  
Short Form Health Survey ◽  
Work Ability Index ◽  
Stress Scale ◽  
Form Health ◽  
Ability Index ◽  
Short Form Health

Zusammenfassung Hintergrund Pflegekräfte in Deutschland sind zunehmend von physischen und psychischen Belastungen beeinträchtigt, was sich negativ in den Krankheitstagen und Frühberentungszahlen niederschlägt. Im Projekt PFLEGEprevent wurde ein Präventionsprogramm entwickelt, das auf die speziellen Bedürfnisse des Pflegepersonals ausgerichtet ist, damit deren Ressourcen im Umgang mit Arbeitsbelastungen und Herausforderungen des beruflichen Alltags gestärkt werden. Das Präventionsprogramm wurde in einer RCT mit Pflegekräften implementiert und auf seine Wirksamkeit in den Bereichen Stress, Arbeitsfähigkeit und Lebensqualität hin evaluiert. Methodik Die randomisiert kontrollierte Interventionsstudie wurde im Wartegruppendesign mit 6 Erhebungszeitpunkten über 9 Monate durchgeführt. Die Datenerhebung der Zielgrößen erfolgte über validierte Instrumente: Perceived Stress Questionnaire (PSQ), Perceived Stress Scale (PSS), Work Ability Index (WAI), Erholungs-Belastungs-Fragebogen für den Arbeitskontext (EBF-Work 27), Short-Form-Health Survey (SF-12) und WHO-Five Well-Being Index (WHO-5). Neben deskriptiven Analysen wurde der t-Test für unabhängige Stichproben verwendet, um die Veränderungen in der primären und den sekundären Zielgrößen zwischen den Studiengruppen zu vergleichen. Ergebnisse Es nahmen 125 (92% weiblich, Durchschnittsalter 46,7 Jahre) Pflegekräfte an der Studie teil. Es zeigten sich signifikante Gruppenunterschiede in den Veränderungen der Zielgröße zu den Follow-up-Messungen bis zu 9 Monaten. Besonders das Stressempfinden reduzierte sich in der Interventionsgruppe langfristig. Das allgemeine Wohlbefinden in dieser Gruppe verbesserte sich zu allen Erhebungszeitpunkten signifikant zum Ausgangswert. Schlussfolgerung Die Evaluation des Präventionsprogrammes zeigte noch nach 9 Monaten einen positiven Effekt in der gemessenen Zielgröße PSQ zum Stresserleben. In den weiteren Zielgrößen konnten signifikante Gruppenunterschiede zu den Nacherhebungszeitpunkten nach 1 und 3 Monaten gezeigt werden.

The Adaptation and Evaluation of a Pilot Mindfulness Intervention Promoting Mental Health in Student Athletes

2020 ◽  
pp. 1-21
Author(s):  
Audrey G. Evers ◽  
Jessica A Somogie ◽  
Ian L. Wong ◽  
Jennifer D. Allen ◽  
Adolfo G. Cuevas
Keyword(s):  
Mental Health ◽  
Perceived Stress ◽  
Student Athletes ◽  
Short Form ◽  
University Of Southern California ◽  
Short Form Health Survey ◽  
Stress Scale ◽  
Before And After ◽  
The University ◽  
Short Form Health

The objective of this study was to examine the effectiveness of a pilot mindfulness program for student athletes by assessing mental health, mindfulness ability, and perceived stress before and after the intervention. The mindfulness program was adapted from a program developed at the University of Southern California. The four-session intervention taught the basics of mindfulness, self-care skills, and guided meditations. Participants completed surveys before and after the intervention. Mindfulness ability was assessed with the Cognitive and Affective Mindfulness Scale, mental health was assessed with a modified Short Form Health Survey, and stress was assessed with the Perceived Stress Scale. After the intervention, participants reported improvement in mindfulness ability, t(28) = −2.61, p =  .014, mental health, t(28)  =  −2.87, p =  .008, and a trending improvement in perceived stress, t(28)  =  1.86, p =  .073. A short mindfulness program may be effective for improving mental health and mindfulness ability in collegiate student athletes.

scholarly journals Family and friends' fears of recurrence: impact on the patient's recovery after subarachnoid hemorrhage

2013 ◽  
Vol 119 (4) ◽  
pp. 948-954 ◽  
Author(s):  
Judith Covey ◽  
Adam J. Noble ◽  
Thomas Schenk
Keyword(s):  
Quality Of Life ◽  
Subarachnoid Hemorrhage ◽  
Health Survey ◽  
Short Form ◽  
Well Being ◽  
Health State ◽  
Short Form Health Survey ◽  
Form Health ◽  
Short Form Health

Object Patients with subarachnoid hemorrhage (SAH) and their close friends and family may be excessively fearful that the patient will have a recurrence, and such fears could play a critical role in the poor recovery shown by many patients The authors examined whether these fears could account for significant variance in psychosocial outcomes. Methods The authors prospectively studied a sample of 69 patients with SAH alongside their spouse, other family member, and/or close friend identified as their significant other (SO). The patient/SO pairs were assessed at 13 months postictus for their fears of recurrence and for health-related quality of life on the 8 domains of the 36-Item Short Form Health Survey. Results The SOs were found to be significantly more fearful of SAH recurrence than the patients. The SO's fears also explained unique variance in the patient's recovery on 4 of the 36-Item Short Form Health Survey domains over and above the patient's own fears, demographic and/or neurological variables, and the patient's history of psychiatric or neurological problems. The domains affected reflected activity-based and functional aspects of the patient's quality of life as opposed to more general characteristics of their emotional well-being or physical health state. Conclusions The patient's recovery may be compromised if their spouse, close family, and/or friends are excessively fearful about their suffering a recurrence. Perhaps the SO's fears cause them to be overprotective of the patient and to restrict their day-to-day activities. Attention must therefore be given to the experience of having a loved one suffer from an SAH, and alleviating the caregiver's fears could help to promote a better outcome for the patient.

scholarly journals Clinical and radiographic outcomes for microsurgical unilateral laminotomy for bilateral decompression of lumbar spinal stenosis for elderly patients-A retrospective cohort study

2020 ◽  
Author(s):  
Bin Lv
Keyword(s):  
Elderly Patients ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Short Form ◽  
Short Form Health Survey ◽  
Radiographic Outcomes ◽  
Form Health ◽  
Lumbar Spinal ◽  
Short Form Health

Abstract BackgroundRecently, unilateral laminotomy for bilateral decompression (ULBD) has become a alternative to conventional decompression for symptomatic lumbar spinal stenosis (LSS),and this minimally invasive surgical technique has shown a satisfactory outcomes and low complications. However, the influence of old age on the risk of postoperative complications and clinical outcome is not well understood.OBJECTIVEThe purpose of this study was to evaluate clinical and radiographic outcomes and complication rates after ULBD in elderly patients.Study DesignSingle center retrospective observational study.SettingAll data was from the affiliated people's hospital of Jiangsu University.METHODSIn this study, 39 elderly patients were treated for lumbar spinal stenosis by ULBD between January 2016 and January 2018. Follow-up consisted of radiologic investigations, Visual Analog Scale, Oswestry Disability Index, and 36-Item Short-Form Health Survey at 6 and 12 months postoperatively. Preoperative comorbidity, postoperative complications and revision surgery rates were also analyzed.RESULTSThere were 12 female patients and 27 male patients with a mean age of 75.83 ± 9.16 years. 20 patients had one levels of spinal stenosis, 13 patients had two levels of stenosis, 6 patients had three levels of stenosis. Average follow-up time was 14.6 ± 7.8 months (range, 6–24 months), Total complications were 10.2%(4/39),and reoperation rate was 2.5%(1/39). Oswestry Disability Index scores decreased significantly (from 32.26 ± 6.82 to 11.44 ± 2.50 at 6 months and 10.56 ± 2.29 at 12 months), and 36-Item Short-Form Health Survey parameter scores demonstrated a significant improvement in the follow-up results.LimitationA multi-center study is recommended to confirm our findings and explore the factors related to clinical and radiographic outcomes.CONCLUSIONSULBD for lumbar spinal stenosis is a safe and effective treatment for elderly patients, improves these patients’ quality of life and does not pose an increased risk of complications.

scholarly journals Prospective Associations of the Short Form Health Survey Vitality Scale and Changes in Body Mass Index and Obesity Status

2018 ◽  
Vol 2018 ◽  
pp. 1-10
Author(s):  
Cathrine Lawaetz Wimmelmann ◽  
Emilie Rune Hegelund ◽  
Anna Paldam Folker ◽  
Emilie Just-Østergaard ◽  
Merete Osler ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Body Mass ◽  
Short Form ◽  
Baseline Body Mass Index ◽  
Short Form Health Survey ◽  
Form Health ◽  
Vitality Scale ◽  
Short Form Health

Objectives. The objectives of the current study were to prospectively investigate the predictive value of the vitality scale of the Short Form Health Survey for changes in body mass index and development of obesity. Methods. The study population comprised 2864 (81.5%) men and 648 (18.5%) women from the Metropolit Project and the Danish Longitudinal Study on Work, Unemployment and Health, who participated in a follow-up examination in 2009–2011 corresponding to a follow-up period of 3–7 years. Associations of vitality with body mass index and obesity were investigated separately for men and women in linear and logistic regression models adjusting for age, baseline body mass index, education, physical activity, smoking, and obesity-related diseases. Results. Vitality was significantly associated with change in body mass index among men (p<0.001) and women (p<0.05) gaining weight after adjusting for age, baseline body mass index, education, physical activity, smoking, and obesity-related diseases. No significant associations of vitality with BMI change were observed among individuals maintaining or losing weight during the follow-up period. Furthermore, vitality significantly predicted development of obesity among women. Conclusion. The study indicates that vitality is of predictive value for increases in BMI over time among individuals gaining weight and may further predict the development of obesity among women. This identification of poor vitality as a potential risk indicator for weight gain and development of obesity may be beneficial in clinical practice.

Comparison of Impacts of a Corporate All-Comer Mindfulness Program between Employees with Compromised and Preserved Wellbeing

2020 ◽  
Author(s):  
Yasushi Ito ◽  
Izumi Sasamori
Keyword(s):  
Stress Reduction ◽  
Short Form ◽  
High Stress ◽  
Short Form Health Survey ◽  
Stress Scale ◽  
Form Health ◽  
Total Mood Disturbance ◽  
The Impact ◽  
Post Assessment ◽  
Short Form Health

Abstract Background: Evidence to support a corporate mindfulness program is limited to a small number of studies focusing primarily on employees with compromised wellbeing and/or under high stress levels. The primary aim of this study was to, in a corporate setting, compare the impact of a mindfulness program between employees with compromised and preserved wellbeing. Methods: We conducted in-person and online 8-week adapted Mindfulness-Based Stress Reduction (MBSR) programs among all-comers and compared the impacts on the compromised wellbeing group (CWG), as defined by Total Mood Disturbance (TMD) scores in the Profile of Mood States 2, equal to or higher than the Japanese national mean of 50 and Mental Component Summary (MCS) scores in the 12-Item Short-Form Health Survey second version, lower than the national mean, and on the preserved wellbeing group (PWG), as defined by either TMD scores lower than 50 or MCS scores equal to or higher than 50. Results: Thirty-six employees completed the pre- and post-assessment. The CWG, accounting for 17 of 36 (47.2%), had significantly higher TMD [Mean±SD (95% confidence interval): 60.6±10.3 (55.3 - 65.9)] and lower MCS [40.6±5.5 (37.8 - 43.5)] scores than the national mean as expected and attended class more frequently than the PWG (6.1±1.6 times vs. 4.6±2.3, respectively, p < 0.05), while the PWG had significantly lower TMD [45.7±4.5 (43.5 - 47.9)] and higher MCS [52.8±6.5 (49.6 - 55.9)] scores than the national mean. Both the CWG and PWG showed significant similar within group improvements after the program in Perceived Stress Scale (PSS: 32.4±8.8 to 25.6±9.7, p< 0.05, Cohen’s d= -0.69 and 23.2±4.5 to 21.2±5.2, p < 0.01, d = -0.78, respectively) and TMD (60.6±10.3 to 51.4±11.9, p < 0.05, d = -0.69 and 45.7±4.5 to 42.9±4.4, p < 0.01, d = -0.70) scores while only the CWG showed an improved MCS score. Changes from the baseline between the groups were significant only in MCS scores. Conclusions: The current study suggests that adapted MBSR may be beneficial for corporate employees with preserved wellbeing, providing corporate planners with the evidence required to expand corporate mindfulness programs to a larger employee population.

scholarly journals Clinical Efficacy and Rehabilitation of Microscopic “Over the Top” for Bilateral Decompression in Degenerative Lumbar Stenosis: A Retrospective Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Bin Lv ◽  
Sixin Sun ◽  
Haosheng Wang ◽  
Li Xiao ◽  
Tao Xu ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Postoperative Complications ◽  
Clinical Efficacy ◽  
Geriatric Patients ◽  
Short Form ◽  
Short Form Health Survey ◽  
Form Health ◽  
Over The Top ◽  
Short Form Health

Background. Recently, “over the top” (also called ULBD; microscopic unilateral laminotomy for bilateral decompression) is a less invasive technique for symptomatic degenerative lumbar spinal stenosis (LSS), and this minimally invasive surgical technique has demonstrated favorable therapeutic outcomes. However, the risk of postoperative complications remains controversial. Objective. This study is aimed at determining the clinical efficacy and complication and rehabilitation of the microscopic “over the top” for degenerative LSS in geriatric patients. Study Design. This was a retrospective study. Setting. All data were obtained from the People’s Hospital of a University. Methods. A retrospective analysis of 39 consecutive elderly patients treated for LSS by microscopic “over the top” between January 2016 and January 2018 was performed. A postoperative rehabilitation program for geriatric patients with restricted weight-bearing was instituted after the microscopic “over the top” treatment. Estimated blood loss, duration of operation, length of hospitalization, and total complications were also evaluated. The CT and MRI examinations of the lumbar spine were collected to evaluate the completeness of the nerve decompression. Clinical data were assessed at 6 months and 12 months after operation utilizing the visual analog scale (VAS), Oswestry Disability Index (ODI), and 36-Item Short-Form Health Survey (SF-36). Preoperative comorbidities, complications, and revision surgery were also recorded. Results. We enrolled a total of 39 degenerative LSS patients (27 male and 12 female patients, mean age of 75.8 ± 9.2 years). Twenty patients had one-level of degenerative LSS; thirteen patients had two-level of LSS; six patients had three-level of LSS. The average follow-up time in our study was 14.6 ± 7.8 months (range, 6-24 months). The overall complication rate was 10.2% (4/39), and the reoperation rates at one year were 2.5% (1/39). VAS back and leg pain score at 6 months were decreased to 1.8 ± 0.7 and 1.4 ± 0.6 , respectively, and remained at 1.9 ± 0.3 and 1.2 ± 0.2 at 12 months, respectively. ODI scores improved significantly from 32.26 ± 6.82 to 11.44 ± 2.50 at 6 months and 10.56 ± 2.29 at 12 months. 36-Item Short-Form Health Survey scores revealed a significant improvement throughout follow-up. Postoperative complications included dural tear ( n = 2 ), neurologic deficit ( n = 1 ), and reoperation ( n = 1 ). No infections or hematomas were reported. Limitation. Multicenter research is recommended to confirm our results and investigate the factors related to clinical and radiographic results. Conclusions. Microscopic “over the top” technique is a safe, effective option in the therapy of degenerative LSS and obtained satisfactory functional outcomes when coupled with aggressive rehabilitation, with a long recurrence-free recovery.

Messung der gesundheitsbezogenen Lebensqualität mit dem SF-8

Diagnostica ◽  
2012 ◽  
Vol 58 (3) ◽  
pp. 145-153 ◽  
Author(s):  
Volker Beierlein ◽  
Matthias Morfeld ◽  
Corinna Bergelt ◽  
Monika Bullinger ◽  
Elmar Brähler
Keyword(s):  
Health Survey ◽  
Short Form ◽  
Short Form Health Survey ◽  
Form Health ◽  
Sf 36 ◽  
Deutsche Bevölkerung ◽  
Short Form Health

Zusammenfassung. Der Short-Form Health Survey SF-8 ist ein Instrument zur Messung der gesundheitsbezogenen Lebensqualität, einem wichtigen Outcomekriterium klinischer Studien und in den Gesundheitswissenschaften. Das Instrument ist eine Kurzform des häufig verwendeten SF-36, mit dem acht Dimensionen der subjektiven Gesundheit gemessen sowie zwei Summenskalen Körperlicher und Psychischer Gesundheit berechnet werden können. Der SF-8 wurde im Jahr 2004 im Rahmen einer bundesweit durchgeführten Mehrthemenbefragung eingesetzt. Basierend auf diesen Daten können erstmalig repräsentative Normdaten zum SF-8 (N = 2552) aus einer schriftlichen Befragung für die deutsche Bevölkerung vorgelegt werden. Die Referenzdaten werden alters- sowie geschlechtsdifferenziert berichtet und auf Zusammenhänge mit soziodemografischen Merkmalen analysiert. Seltene fehlende Werte in den Antworten weisen auf eine gute Akzeptanz des Instruments hin. Auch wenn der SF-8 in verschiedenen Subskalen mit Deckeneffekten behaftet ist, kann sein Einsatz aufgrund seiner Ökonomie empfohlen werden.

scholarly journals Validation of the Arabic version of the “12-item short-form health survey” (SF-12) in a sample of Lebanese adults

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Chadia Haddad ◽  
Hala Sacre ◽  
Sahar Obeid ◽  
Pascale Salameh ◽  
Souheil Hallit
Keyword(s):  
Quality Of Life ◽  
Principal Component Analysis ◽  
Psychometric Properties ◽  
Short Form ◽  
Principal Component ◽  
Arabic Version ◽  
Short Form Health Survey ◽  
Form Health ◽  
Short Form Health

Abstract Background In clinical practice, quality of life measures can be used alongside some types of assessment to give valuable information that can identify areas that influence an individual and help the clinician make the best healthcare choices. This study aimed to investigate the psychometric properties of the Arabic version of the 12-item short-form health survey (SF-12) in a sample of Lebanese adults. Methods This cross-sectional study performed between July and November 2019 recruited 269 participants. Cronbach’s alpha was used to assess the reliability of the SF-12 questionnaire, and a factor analysis using the principal component analysis was performed to confirm its construct validity. Results The mean score for the “physical component summary (PCS-12)” was 50.27 ± 8.94 (95 % CI: 49.18–51.36) and for the “Mental component summary (MCS-12)” was 44.95 ± 12.17 (95 % CI: 43.47–46.43). A satisfactory Cronbach’s alpha was found for the two components: MCS (α = 0.707) and PCS (α = 0.743). The principal component analysis converged over a two-factor solution (physical and mental), explaining a total variance of 55.75 %. Correlations between the SF-12 scales and single items were significant, showing a good construct validity. The “physical functioning”, “role physical”, “bodily pain”, and “general health” subscales were highly associated with “PCS-12”, while the “vitality”, “social functioning”, “role emotional”, and “mental health” subscales were more associated with MCS-12. Conclusions The Arabic version of the SF-12 is a reliable, easy-to-use, and valid tool to measure health-related quality of life in the general population. Future studies using a larger sample size and focusing on questionnaire psychometric properties are necessary to confirm our findings.

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