scholarly journals Lifestyles and determinants of perceived health in Italian grown-up/adult congenital heart patients: a cross-sectional and pan-national survey

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e030917 ◽  
Author(s):  
Federica Dellafiore ◽  
Rosario Caruso ◽  
Cristina Arrigoni ◽  
Serena Francesca Flocco ◽  
Alessandro Giamberti ◽  
...  
Keyword(s):  
Physical Health ◽  
National Survey ◽  
Congenital Heart ◽  
Short Form ◽  
Perceived Health ◽  
Psychological Needs ◽  
Secondary Outcome ◽  
Health Perceptions ◽  
Cross Sectional ◽  
Adult Congenital

ObjectivesTo provide the first epidemiological lifestyle descriptions of the Italian grown-up/adult congenital heart disease (GUCH/ACHD) population by identifying the determinants of poor perceived health status.DesignCross-sectional pan-national survey.SettingItalian GUCH/ACHD patients who were members of the Italian Association of GUCH/ACHD.Primary and secondary outcome measuresTo discuss these lifestyle descriptions through an ad hoc developed questionnaire and health perceptions (ie, mental and physical health perception) through a short form health survey (SF-12).Results629 patients included; many investigated GUCH/ACHD lifestyles were determined similar to those of the general population — with the exception of the smoking habits, which were lower. The odds of the occurrence of inadequate physical health perceptions increased by more than two times in patients undergoing antiarrhythmic therapies (OR adjusted=2.045; 95% CI=1.201 to 3.479; p=0.008; n=629), more than 1.5 times in patients taking oral anticoagulants (OR adjusted=1.638; 95% CI=1.038 to 2.585; p=0.034; n=629) and roughly 1.7 times in patients treated with antiplatelets (OR adjusted=1.743; 95% CI=1.024 to 2.966; p=0.041; n=629). The odds of the occurrence of inadequate mental health perceptions increased by 1.7% for every year that the patients aged (OR adjusted=1.017; 95% CI=1.002 to 1.032; p=0.025; n=629).ConclusionParticular attention should be paid to these ageing patients’ increasing psychological needs, and additional research is needed to identify associations between their lifestyles and clinical outcomes.

scholarly journals Sarcopenia, physical frailty, undernutrition and obesity cooccurrence among Portuguese community-dwelling older adults: results from Nutrition UP 65 cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e033661 ◽  
Author(s):  
Ana Rita Sousa-Santos ◽  
Cláudia Afonso ◽  
Nuno Borges ◽  
Alejandro Santos ◽  
Patrícia Padrão ◽  
...  
Keyword(s):  
Older Adults ◽  
Nutritional Assessment ◽  
Multinomial Logistic Regression ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Secondary Outcome ◽  
Physical Frailty ◽  
Cross Sectional ◽  
European Working

ObjectivesTo investigate the coexistence of sarcopenia, frailty, undernutrition and obesity and to identify the factors associated with the cooccurrence of these conditions in an older population.DesignCross-sectional.SettingPortugal.Participants1454 older adults with 65 years or older, from Nutrition UP 65 study.Primary and secondary outcome measuresSarcopenia was identified using the European Working Group on Sarcopenia in Older People 2 guidelines and physical frailty using Fried phenotype. Mini-Nutritional Assessment-Short Form was used to ascertain undernutrition, and obesity was evaluated by body mass index.Results57.3% presented at least one condition, 38.0% were identified with one and 19.3% were identified with two or more conditions. When all preconditions were considered, 95.7% of the older adults presented at least one of these preconditions or conditions. Multinomial logistic regression multivariate analysis revealed that being male (OR 0.61; 95% CI 0.43 to 0.88), being married or in a common-law marriage (OR 0.58; 95% CI 0.40 to 0.84) and having a higher educational level (OR 0.23; 95% CI 0.07 to 0.73) were inversely associated with having two or more conditions, while age >75 years (OR 1.60; 95% CI 1.14 to 2.24), a poor self-perception of health status (OR 5.61; 95% CI 3.50 to 9.01), ≥5 medications (OR 3.11; 95% CI 1.77 to 5.46) and cognitive impairment (OR 1.84; 95% CI 1.37 to 2.48) were directly associated.ConclusionsAlmost three out of five older adults presented at least one of the conditions related to nutritional status, and about one in five had two or more of these occurrences. However, the low coexistence observed between all of these reinforces the need to assess them all individually during the geriatric assessment.

scholarly journals DUKUNGAN SOSIAL PRAMURUKTI DENGAN KONDISI KESEHATAN FISIK LANJUT USIA DI BALAI PELAYANAN SOSIAL LANSIA CEPIRING KABUPATEN KENDAL

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Triana Arisdiani ◽  
Livana PH
Keyword(s):  
Social Support ◽  
Physical Health ◽  
Elderly People ◽  
Negative Impact ◽  
The Elderly ◽  
Psychological Needs ◽  
Health Conditions ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional

Pendahuluan : Jumlah lansia yang banyak di Indonesia haruslah ditangani secara keseluruhan dengan memperhatikan kebutuhannya. Kebutuhan fisiologis dasar lansia yang harus dipenuhi adalah higiene, nutrisi, kenyaman, oksigenasi, cairan elektrolit, eliminasi urin dan fekal, dan tidur. akan berdampak buruk terhadap kesehatan, Kebutuhan fisiologis dan psikologis lansia yang tidak terpenuhi dapat menyebabkan kerentanan terhadap penyakit, stres konfusi, disorientasi, gangguan mood, kurang fresh, menurunnya kemampuan berkonsentrasi, kemampuan membuat keputusan. Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial pramurukti dengan kondisi kesehatan fisik lanjut usia di panti pelayanan sosial lansia cepiring kabupaten Kendal. Metode : Penelitian ini merupakan study deskriptif korelasi dengan pendekatan cross sectional. Jumlah sampel sebanyak 74 orang.  Teknik sampling dalam penelitian ini menggunakan total sampling. Hasil : Hasil penelitian menunjukkan bahwa menunjukkan sebagian besar pramurukti memberikan dukungan dalam tingkat rendah hingga sedang yaitu sebanyak 13 (56,5%) orang. Hasil perhitungan menggunakan chi - square didapatkan nilai p value 0,316 (P>0,05) sehingga hasil analisis tidak adanya hubungan antara dukungan sosial pramurukti dengan kondisi kesehatan fisik lansia. Diskusi : Penelitian ini diharapkan dapat digunakan sebagai referensi untuk mengembangkan penelitian yang serupa menggunakan variabel yang berbeda.Kata Kunci          : Dukungan Sosial, Kondisi Kesehatan Fisik, Lansia Introduction: The large number of elderly people in Indonesia must be handled as a whole by paying attention to their needs. The basic physiological needs of the elderly that must be met are hygiene, nutrition, comfort, oxygenation, electrolyte fluid, urine and faecal elimination, and sleep. will have a negative impact on health, physiological and psychological needs of unmet elderly can lead to susceptibility to disease, confusion, disorientation, mood disorders, lack of freshness, decreased ability to concentrate, ability to make decisions. Objective: This study aims to determine the relationship between pre-proof social support and the physical health conditions of elderly people at the social care institutions of the elderly cepiring Kendal district. Method: This study is a descriptive correlation study with a cross sectional approach. The number of samples is 74 people. The sampling technique in this study used total sampling. Results: The results of the study showed that most of the prostitutes provided support in the low to moderate levels of 13 (56.5%) people. The calculation results using chi-square obtained p value 0.316 (P> 0.05) so that the results of the analysis there is no relationship between pre-proof social support and physical health conditions of the elderly. Discussion: This research is expected to be used as a reference for developing similar research using different variables.Keywords: Social Support, Physical Health Conditions, Elderly

scholarly journals Acute stress of the healthcare workforce during the COVID-19 pandemic evolution: a cross-sectional study in Spain

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e042555
Author(s):  
José Joaquín Mira ◽  
Irene Carrillo ◽  
Mercedes Guilabert ◽  
Aurora Mula ◽  
Jimmy Martin-Delgado ◽  
...  
Keyword(s):  
Stress Responses ◽  
Health Professionals ◽  
Acute Stress ◽  
Psychological Needs ◽  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Health Staff ◽  
Evolutionary Stage ◽  
Sectional Study ◽  
Cross Sectional

ObjectivesTo determine the volume of health professionals who suffered distress due to their care of patients with COVID-19 and to analyse the direction in which the response capacity of the professionals to face future waves of COVID-19 is evolving.DesignA cross-sectional study.SettingPrimary care and hospitals in Spain.ParticipantsA non-randomised sample of 685 professionals (physicians, nurses and other health staff).Primary and secondary outcome measuresFrequency and intensity of stress responses measured by the Acute Stress of Health Professionals Caring COVID-19 Scale (EASE). Variation of stress responses according to the number of deaths per day per territory and the evolutionary stage of the COVID-19 outbreak measured by the Kruskal-Wallis and the Mann-Whitney U tests.ResultsThe average score on the EASE Scale was 11.1 (SD 6.7) out of 30. Among the participants, 44.2% presented a good emotional adjustment, 27.4% a tolerable level of distress, 23.9% medium–high emotional load and 4.5% extreme acute stress. The stress responses were more intense in the most affected territories (12.1 vs 9.3, p=0.003) and during the disillusionment phase (12.7 vs 8.5 impact, 10.2 heroic and 9.8 honeymoon, p=0.000).ConclusionsThe pandemic has affected the mental health of a significant proportion of health professionals which may reduce their resilience in the face of future waves of COVID-19. The institutional approaches to support the psychological needs of health professionals are essential to ensure optimal care considering these results.

scholarly journals When Love Hurts – Mental and Physical Health Among Recently Divorced Danes

2020 ◽  
Vol 11 ◽  
Author(s):  
Søren Sander ◽  
Jenna Marie Strizzi ◽  
Camilla S. Øverup ◽  
Ana Cipric ◽  
Gert Martin Hald
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Short Form ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Partner Status ◽  
Adverse Health Outcomes ◽  
Background Population ◽  
Study Results ◽  
Mental And Physical Health

The last decades of research have consistently found strong associations between divorce and adverse health outcomes among adults. However, limitations of a majority of this research include (a) lack of “real-time” research, i.e., research employing data collected very shortly after juridical divorce where little or no separation periods have been effectuated, (b) research employing thoroughly validated and population-normed measures against which study results can be compared, and (c) research including a comprehensive array of previously researched sociodemographic- and divorce-related variables. The current cross-sectional study, including 1,856 recently divorced Danes, was designed to bridge these important gaps in the literature. Mental and physical health were measured using the Short Form 36 (SF-36)-2. Analyses included correlational analyses, t-test comparisons, and hierarchical multiple regression analyses. The study found that the health-related quality of life of Danish divorcees was significantly worse than the comparative background population immediately following divorce. Across gender, higher levels of divorce conflict were found to predict worse mental health, and worse physical health for women, even when controlling for other socio-demographic variables and divorce characteristics. Among men, lower age and higher income predicted better physical health, while more children, more previous divorces, participant divorce initiation, new partner status, and lower levels of divorce conflict predicted better mental health. Among women, higher income, fewer previous divorces, new partner status, and lower levels of divorce conflict predicted better physical health while higher income, participant divorce initiation, new partner status, and lower levels of divorce conflict predicted better mental health. The findings underscore the relevance of providing assistance to divorcees who experience higher levels of divorce conflict immediately following divorce, in seeking to reduce potential long-term negative health effects of divorce.

scholarly journals Patient satisfaction in outpatient medical care: the case of Iraq

2020 ◽  
Vol 3 (2) ◽  
pp. 176-182
Author(s):  
Saad Ahmed Ali Jadoo ◽  
Shukur Mahmood Yaseen ◽  
Mustafa Ali Mustafa Al-Samarrai ◽  
Anmar Shukur Mahmood
Keyword(s):  
Patient Satisfaction ◽  
Linear Regression ◽  
Health Services ◽  
Short Form ◽  
Descriptive Analysis ◽  
Health Resources ◽  
Perceived Health ◽  
Service Satisfaction ◽  
Cross Sectional ◽  
Convenience Sample

  Background: Healthcare providers are increasingly interested in patient satisfaction as an indicator to assess the quality of health services. This study investigates the level of satisfaction among Iraqi patients attending the outpatient (OP) clinic. Methods: This was a cross-sectional study conducted from October to December 2019 among outpatient attendees in two busiest centers in Iraq. A convenience sample of 235 (response rate of 88.0%) completed the self-administered short-form patient satisfaction questionnaire (PSQ-18). The independent variables included socio-demographic, economic, and self-perceived health status. Data were analyzed in SPSS, where descriptive analysis (mean ± standard deviation) and univariate (independent sample t-test, ANOVA test) and multivariate linear regression “Enter technique” was done at 0.05 level of significance and 95% confidence interval. Results:  The mean age of respondents was 39.3 (±14.8). The sample was mostly women (55.3%), and 37.4% in the age group of 30-49 years.  More than half of participants residing in the urban regions (54.5%) from families of monthly household income less than 500,000 Iraq Dinars (USD 400). However, the majority (70.6%) have the first visit to the OP clinic, and 53.6% self-perceived health as good or very good. Results of multiple linear regression showed that patients residents in rural regions (B= 5.4 , P <0.001), married (B= 4.8, P <0.001), unemployed (B= 4.7, P <0.001)  and low educated (B= 1.5, P <0.051)  exhibited higher service satisfaction score compared to urban residents, single, employed and high educated participants respectively. However, patients aged fifty years and more (B= -2.1, P <0.001) and those with poor health (B=-2.5, P <0.001) exhibited lower service satisfaction scores compared to young age patients and the healthy participants, respectively. Conclusion: The high demand for the use of health resources in metropolitan cities by the rural population indicates inequality in the distribution of health services and an increase in the rural-to-urban displacement.

scholarly journals Perceived Health Concerns During COVID 19 Crisis Amongst Jamaicans

2021 ◽  
Vol 04 (09) ◽  
Author(s):  
Sukanya Prasad MBBS, MPH ◽  
Keyword(s):  
Mental Health ◽  
Risk Perception ◽  
Physical Health ◽  
Questionnaire Survey ◽  
Perceived Health ◽  
Personal Health ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Health Concerns ◽  
Societal Health

Aim: The COVID-19 pandemic is an unprecedented global crisis affecting several countries, including Jamaica. The risk perception of a crisis is shaped by both real hazards and perceived threats. Therefore, a cross-sectional research survey was conducted in August 2020 to evaluate Jamaicans' perceived health concerns during COVID-19. Methods: A cross-sectional randomized online questionnaire survey was sent to a total of 268 participants. As a result, 92 people (34%) responded to the online questionnaire survey in August 2020, and SPSS analyzed the data. Results and Discussion: Out of 92 respondents, 78% were females, 22% were males, and more than 70% of participants were over 35 yrs. old. 52% of participants perceived the country was not prepared for a crisis such as COVID-19. The biggest concerns during this crisis were family health (39%), economic hardship (28%), societal health (20%), and personal health (13%). In personal health, the majority of Jamaicans were concerned about physical and mental health during this crisis. Conclusion: The responding and understanding of the ongoing COVID-19 pandemic are functions of both natural threats and perceived risks. The interaction of physical health and risk perception is complex and dependent on understanding the crisis, uncertainty, and destructive potential. The results suggest a crisis burden on mental health in addition to physical health; therefore, an effective campaign should be planned to prevent a deepening mental health crisis. This research study suggests a potential burden on societal health in healthcare delivery systems and other public health services. The awareness program should be promoted to motivate and help the Jamaicans to handle the crisis. The policymakers should consider working with government, science, and faith-based institutions to develop a multidisciplinary framework to control the COVID-19 pandemic's negative impact on Jamaican society.

scholarly journals ‘Well-being paradox’ revisited: a cross-sectional study of quality of life in over 4000 adults with congenital heart disease

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e049531
Author(s):  
Caroline Sophie Andonian ◽  
Sebastian Freilinger ◽  
Stephan Achenbach ◽  
Peter Ewert ◽  
Ulrike Gundlach ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patient Reported

ObjectiveThe present cross-sectional study investigated quality of life (QOL) in a large cohort of German adults with congenital heart disease (ACHDs) in association with patient-related and clinical variables.DesignCross-sectional survey.ParticipantsBetween 2016 and 2019, a representative sample of 4014 adults with various forms of congenital heart defect (CHD) was retrospectively analysed. Inclusion criteria were confirmed diagnosis of CHD; participant aged 18 years and older; and necessary physical, cognitive and language capabilities to complete self-report questionnaires.Primary and secondary outcome measuresQOL was assessed using the 5-level EQ-5D version (EQ-5D-5L). Sociodemographic and medical information was obtained by a self-devised questionnaire. Associations of QOL with patient-reported clinical and sociodemographic variables were quantified using multiple regression analysis and multiple ordinal logit models.ResultsOverall, ACHDs (41.8±17.2 years, 46.5% female) reported a good QOL comparable to German population norms. The most frequently reported complaints occurred in the dimensions pain/discomfort (mean: 16.3, SD: p<0.001) and anxiety/depression (mean: 14.3, p<0.001). QOL differed significantly within ACHD subgroups, with patients affected by pretricuspid shunt lesions indicating the most significant impairments (p<0.001). Older age, female sex, medication intake and the presence of comorbidities were associated with significant reductions in QOL (p<0.001). CHD severity was positively associated with QOL within the dimensions of self-care (OR 0.148, 95% CI 0.04 to 0.58) and mobility (OR 0.384, 95% CI 0.19 to 0.76).ConclusionCurrent findings temper widely held assumptions among clinicians and confirm that ACHDs experience a generally good QOL. However, specific subgroups may require additional support to cope with disease-related challenges. The negative correlation of QOL with age is especially alarming as the population of ACHDs is expected to grow older in the future.Trial registration numberDRKS00017699; Results.

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