PSYCHOSOCIAL FACTORS IN THE WELFARE OF SURGICAL PATIENTS

This study explored the psychosocial factors influencing family caregivers during the care of patients who underwent surgery and are in pain. Family caregivers play key roles in the care of post-surgical patients in different cultures. However, research has not adequately explored family caregivers’ experiences within the post-operative context in Ghana.An exploratory qualitative design was employed. Data collection involved individual interviews. Concurrent content analysis was undertaken and saturation of data was achieved with 12 family caregivers and one key informant. The participants were recruited from the surgical department of a tertiary health facility in Accra, the capital city of Ghana.The study revealed six themes that influenced family caregivers in the care of post-surgical patients: faith, fear, feeling of relief, empathy, commitment and inadequate knowledge. Health professionals should meaningfully integrate and educate family caregivers on patient care and pain management within the post-surgical context.

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Onset and disappearance of gastrointestinal symptoms in diabetes: Influence of psychosocial factors, disease duration and glycemic control

Gastroenterology ◽

10.1016/s0016-5085(01)81151-3 ◽

2001 ◽

Vol 120 (5) ◽

pp. A232-A232

Author(s):

N TALLEY ◽

M JONES ◽

M HOROWITZ

Keyword(s):

Glycemic Control ◽

Psychosocial Factors ◽

Disease Duration ◽

Gastrointestinal Symptoms

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Long-Term Follow-Up of Surgical Patients Extolled

Skin & Allergy News ◽

10.1016/s0037-6337(06)71614-x ◽

2006 ◽

Vol 37 (10) ◽

pp. 52

Author(s):

KAREN DENTE

Keyword(s):

Surgical Patients ◽

Long Term Follow Up

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Abstract #1226: E-Glycemic Management System Safely Maintains Glycemic Targets with a Low Incidence of Hypoglycemia for Nondiabetic Cv Surgical Patients in the Inpatient Setting

Endocrine Practice ◽

10.1016/s1530-891x(20)42455-3 ◽

2015 ◽

Vol 21 ◽

pp. 287-288

Author(s):

Joseph Aloi ◽

Paul Chidester ◽

Jagdeesh Ullal ◽

Amy Henderson ◽

Robby Booth ◽

...

Keyword(s):

Management System ◽

Surgical Patients ◽

Inpatient Setting ◽

Low Incidence ◽

Glycemic Targets ◽

Glycemic Management

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Quality management in the prophylaxis of venous thrombembolism - Results of a survey including 464 medical and surgical patients

VASA ◽

10.1024/0301-1526/a000082 ◽

2011 ◽

Vol 40 (2) ◽

pp. 123-130

Author(s):

Klein-Weigel ◽

Richter ◽

Arendt ◽

Gerdsen ◽

Härtwig ◽

...

Keyword(s):

Renal Function ◽

High Risk ◽

Quality Management ◽

High Risk Group ◽

Surgical Patients ◽

Medical Patients ◽

Risk Status ◽

Vte Prophylaxis ◽

Safety Concerns

Background: We surveyed the quality of risk stratification politics and monitored the rate of entries to our company-wide protocol for venous thrombembolism (VTE) prophylaxis in order to identify safety concerns. Patients and methods: Audit in 464 medical and surgical patients to evaluate quality of VTE prophylaxis. Results: Patients were classified as low 146 (31 %), medium 101 (22 %), and high risk cases 217 (47 %). Of these 262 (56.5 %) were treated according to their risk status and in accordance with our protocol, while 9 more patients were treated according to their risk status but off-protocol. Overtreatment was identified in 73 (15.7 %), undertreatment in 120 (25,9 %) of all patients. The rate of incorrect prophylaxis was significantly different between the risk categories, with more patients of the high-risk group receiving inadequate medical prophylaxis (data not shown; p = 0.038). Renal function was analyzed in 392 (84.5 %) patients. In those patients with known renal function 26 (6.6 %) received improper medical prophylaxis. If cases were added in whom prophylaxis was started without previous creatinine control, renal function was not correctly taken into account in 49 (10.6 %) of all patients. Moreover, deterioration of renal function was not excluded within one week in 78 patients (16.8 %) and blood count was not re-checked in 45 (9.7 %) of all patients after one week. There were more overtreatments in surgical (n = 53/278) and more undertreatments in medical patients (n = 54/186) (p = 0.04). Surgeons neglected renal function and blood controls significantly more often than medical doctors (p-values for both < 0.05). Conclusions: We found a low adherence with our protocol and substantial over- and undertreatment in VTE prophylaxis. Besides, we identified disregarding of renal function and safety laboratory examinations as additional safety concerns. To identify safety problems associated with medical VTE prophylaxis and hot spots quality management-audits proved to be valuable instruments.

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Relationship of Sense of Coherence to Other Psychosocial Indices

European Journal of Psychological Assessment ◽

10.1027/1015-5759.20.4.227 ◽

2004 ◽

Vol 20 (4) ◽

pp. 227-236 ◽

Cited By ~ 19

Author(s):

Sara Holmberg ◽

Anders Thelin ◽

Eva-Lena Stiernström

Keyword(s):

Social Support ◽

Psychosocial Factors ◽

Sense Of Coherence ◽

Living Conditions ◽

Strong Negative Correlation ◽

Cross Sectional ◽

Positive Correlation ◽

Work Related ◽

Job Demand ◽

The Mean

Summary: The concept of “sense of coherence” (SOC) has been widely recognized since it was first introduced by Antonovsky. The originality and usefulness of the SOC scale and its relation to other psychosocial measures has been the subject of lively debate. The aim of this paper was to test for associations between SOC and work-related psychosocial factors (mainly the Job Demand-Control model), general living conditions, education, and social network factors. Cross-sectional data from a population-based sample of 1782 rural males from nine counties in Sweden were analyzed with a multiple regression technique. The subjects were occupationally active at inclusion and the mean age was 50 years (range 40-60). SOC was assessed with the original 29-item questionnaire. Psychosocial variables and lifestyle factors were assessed using questionnaires and structured interviews. The mean SOC among the subjects was 152.3 (standard deviation, 19.4). A strong negative correlation was found between SOC and job demand, whereas a positive correlation with job control was demonstrated. A positive correlation with general living conditions and with social support was also found. However, there was no correlation to education and occupation. Thus, SOC was shown to be strongly correlated to work-related psychosocial factors and social support, but independent of sociodemographic factors.

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