scholarly journals Adequacy of Cancer-Related Pain Treatments and Factors Affecting Proper Management in Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Kald Beshir Tuem ◽  
Leake Gebremeskel ◽  
Kibrom Hiluf ◽  
Kbrom Arko ◽  
Haftom Gebregergs Hailu
Keyword(s):  
Pain Management ◽  
Assessment Tool ◽  
Negative Impact ◽  
Short Form ◽  
Brief Pain Inventory ◽  
Cross Sectional Study ◽  
Self Report ◽  
Cross Sectional ◽  
Specialized Hospital ◽  
Strong Opioids

Background. Cancer-related pain (CRP) is a major problem with a potential negative impact on quality of life of the patients and their caregivers. Purpose. To assess the adequacy of cancer-related pain management in Ayder Comprehensive Specialized Hospital (ACSH). Methodology. A facility-based cross-sectional study design was conducted in ACSH from January to March 2019. A well-structured professional-assisted questionnaire using Brief Pain Inventory-Short Form (BPI-SF) was used to collect data concerning the severity of pain, functioning interference, and adequacy of pain management in cancer patients. Data were analyzed using SPSS v.21. Result. Out of 91 participants, 47 (51.6%) were male and 52 (57.1%) were between the age group of 18–45, with the mean age of 44.8 ± 13.6 years. According to the pain assessment tool (BPI), 85 (93.4%) patients experienced pain and 90 (98.9%) patients had activity interference; negative pain management index (PMI) was observed in 40 (43.95%) patients, showing that 43.95% were receiving inadequate pain management. Out of 38 patients who received no analgesics, 35.2% were found to have inadequate pain management, whereas those who took strong opioids had 100% effective pain management and the majority of the patients were in stage III. Among 38 (41.76%) only 20 (52.63%) received adequate pain management, based on patients’ self-report in which 18.7% of the participants stated that they got 30% pain relief and only 1.1% got 90% relief. The predictors of undertreatment were presence of severe pain, metastasis, comorbidity, and stage of the cancer and could also be due to the educational level and monthly income, as evidenced by significant association. Conclusion. This study suggests that cancer pain management in ACSH was sufficient for only 56%. However, large numbers of individuals are suffering from a manageable pain. Hence, remedial action should be taken, including increasing awareness of symptom management in medical staff and incorporating existing knowledge into routine clinical practice.

Impact of service failure severity and agreeableness on consumer switchover intention

2016 ◽  
Vol 28 (3) ◽  
pp. 420-434 ◽  
Author(s):  
Zeeshan Riaz ◽  
Muhammad Ishfaq Khan
Keyword(s):  
Negative Impact ◽  
Positive Impact ◽  
Service Failure ◽  
Asian Country ◽  
Cross Sectional Study ◽  
Self Report ◽  
Cross Sectional ◽  
Content Type ◽  
Mediating Role ◽  
Failure Severity

Purpose – The purpose of this paper is to examine the asymmetric impact of service failure severity and agreeableness on consumer switchover intention with the mediating role of consumer forgiveness in the aftermath of service failure. Design/methodology/approach – In total, 364 university students were given a hypothetical service failure situation and their response was collected through a standardized questionnaire. Multiple regression and Preacher and Hayes (2004) mediation analysis tests were conducted to analyze data. Findings – The findings reveal that service failure severity has a direct positive impact on switchover intention and it also has an indirect impact on switchover intention through consumer forgiveness which it tends to weaken. On the other side, agreeableness has a direct negative impact on switchover intention, and it inhibits switchover intention indirectly too by stimulating forgiveness. Research limitations/implications – A cross-sectional study involving convenience sampling has been conducted through self-report measures. Generalization of the research findings shall therefore be done with caution. Practical implications – Severity of failure hampers forgiveness and therefore service managers should check factors that may challenge the tolerance level of consumers. While gauging satisfaction in post failure scenario, it is equally important to gauge consumer forgiveness. Originality/value – This study is among the initial endeavors to explore forgiveness in service failures context. Also it is the first validation of a direct positive relationship between agreeableness and forgiveness in a South Asian country.

scholarly journals Levels of physical activity in people with chronic pain

2017 ◽  
Vol 73 (1) ◽  
Author(s):  
Romy Parker ◽  
Emma Bergman ◽  
Anelisiwe Mntambo ◽  
Shannon Stubbs ◽  
Matthew Wills
Keyword(s):  
Physical Activity ◽  
Chronic Pain ◽  
Pain Management ◽  
Brief Pain Inventory ◽  
Cross Sectional Study ◽  
Control Group ◽  
Chronic Pain Management ◽  
Pain Group ◽  
Cross Sectional ◽  
Management Intervention

Background: People who suffer from chronic pain are thought to have lower levels of physical activity compared to healthy individuals. However, there is a lack of evidence concerning levels of physical activity in South Africans with chronic pain. Objectives: To compare levels of physical activity in a South African sample of people with chronic pain compared to matched controls. Methods: A cross-sectional study was conducted with 24 participants (12 with chronic pain and 12 in the control group matched for age, gender and residential area). Convenience sampling was used. The participants with chronic pain (12) were identified from the Groote Schuur Hospital, Chronic Pain Management Clinic (CPMC) waiting list and had not yet received any chronic pain management intervention. Healthy matched controls were selected from volunteers in the community. With the desired alpha level set at 0.05 and the power at 0.9, 45 participants were required to detect a minimum of a 50 per cent difference between groups in levels of physical activity as measured in steps per day using pedometers. The international physical activity questionnaire (IPAQ) and the brief pain inventory (BPI) were used as measures of physical activity and pain. Objective indicators of physical activity that were used included the 6-minute walk test (6MWT), repeated sit-to-stand test (RSST), 7 days of pedometry and body mass index (BMI). Results: The chronic pain group performed significantly worse on the 6MWT (335 m [30–430] vs 680 m [430–795]; U = 0.5; p < 0.01) and on the RSST (17.9 s [11.83–105] vs 7.85 s [5.5–11.5]; U = 0; p < 0.01). The chronic pain group also had significantly lower scores on pedometry (mean daily: 2985.1 [32.8–13785.4] vs 6409.4 [4207.1–15313.6]; U = 35; p < 0.03). The BMI for the chronic pain group was significantly higher than matched controls (29.36 kg/m2 [18.94–34.63] vs 22.16 kg/m2 [17.1–30.86]; U = 34; p < 0.03). Conclusion: Participants with chronic pain had a reduced capacity for physical activity. The pedometry results illustrate a range of maladaptive strategies adopted by those with chronic pain. The majority of people with chronic pain appear to avoid physical activity leading to greater disability as a result of immobility and muscle atrophy. However, a small subgroup appears to ignore their pain and push themselves physically despite their pain. This perseverance behaviour leads to further pain as a consequence of muscle and joint overuse. Both maladaptive behavioural responses result in further sensitisation of the central nervous system. The method used to target physical activity in these patients should be considered in treatment planning, specifically for physiotherapy.

scholarly journals Examining the relationship between engagement and perceived stress-related cognitive complaints in the argentinian working population

2020 ◽  
Vol 16 (1) ◽  
pp. 12-31 ◽  
Author(s):  
Agustín Ramiro Miranda ◽  
Luisina Rivadero ◽  
Jorge Ángel Bruera ◽  
Virginia Villarreal ◽  
Laura Yhicel Bernio ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Work Engagement ◽  
Negative Impact ◽  
Work Productivity ◽  
Well Being ◽  
Cross Sectional Study ◽  
Self Report ◽  
Cognitive Complaints ◽  
Cross Sectional ◽  
The Relationship

Stress has a negative impact on cognitive functioning and occupational well-being. The aim of this study was to assess the relationship among perceived stress, cognitive complaints and work engagement in public employees from Córdoba, Argentina. In this cross-sectional study, self-report questionnaires were administered to 240 participants. Spanish versions of the following instruments were used: Perceived Stress Scale (PSS), Utrecht Work Engagement Scale (UWES), Memory Failures in Everyday (MFE), Executive Complaint Questionnaire (ECQ). Statistical analysis included ANOVA, path analysis, and multiple logistic regression. Stressed workers showed lower work engagement and more cognitive complaints, even after adjusting for demographic variables. Negative associations were also observed between work engagement and cognitive complaints, suggesting that cognitive difficulties are related to engagement. Given the relation among stress, cognition, and work engagement, it is important to consider these factors to foster workers’ health and work productivity.

Dysphagia related quality of life (QoL) following total laryngectomy (TL)

2017 ◽  
Vol 16 (1) ◽  
pp. 115-121 ◽  
Author(s):  
Anastasios M. Georgiou ◽  
Maria Kambanaros
Keyword(s):  
Quality Of Life ◽  
Laryngeal Cancer ◽  
Total Laryngectomy ◽  
Assessment Tool ◽  
Negative Impact ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Therapeutic Decisions ◽  
Starting Point

Abstract Purpose: This cross-sectional study evaluated the relationship between dysphagia post-total laryngectomy (TL) and quality of life (QoL) of people who reside in Greece. This is the first such report to be undertaken on the topic. Methods: Speech and language therapists typically use patient judgement to identify difficulties with swallowing. The Greek adaptations of the M.D. Anderson Dysphagia Inventory (MDADI) and the Eating Assessment Tool (EAT-10) were completed by members of the Hellenic Association of Laryngectomees (HAL). More than 400 questionnaires were sent, but only 23 were returned (18 males and 5 females). Results: The results revealed that dysphagia has a negative impact on the QoL of people who have undergone TL for treatment of laryngeal cancer. Conclusion: It appears that not only treatment (i.e. TL) of the primary disease, but also secondary problems as a result of the treatment, such as dysphagia, have a significant impact on the QoL of patients and must be taken into consideration when therapeutic decisions for laryngeal cancer are made. The qualitative measures used here provide a starting point to objectively describe QoL as perceived by TL patients. This is particularly pertinent in Greece where access to delivery and quality of health services has been challenging because of recent fiscal constraints.

scholarly journals Frequency of pain and eating disorders among professional and amateur dancers

2016 ◽  
Vol 134 (6) ◽  
pp. 501-507 ◽  
Author(s):  
Maria Angélica Kurpel Diogo ◽  
Gabriel Gomes de Oliveira Ribas ◽  
Thelma Larocca Skare
Keyword(s):  
Eating Disorders ◽  
Short Form ◽  
Brief Pain Inventory ◽  
Cross Sectional Study ◽  
Eating Attitudes ◽  
Cross Sectional ◽  
Ballet Dancers ◽  
Lower Limb Pain ◽  
Pain Symptoms ◽  
Eat 26

ABSTRACT CONTEXT AND OBJECTIVE: The pursuit of perfection can cause anxiety and lead dancers to exceed their physical limits. The aim here was to evaluate the prevalence of pain symptoms and eating disorders among professional and amateur dancers. DESIGN AND SETTING: Observational cross-sectional study; Curitiba, PR, Brazil. METHODS: Data on 150 professional and non-professional practitioners of ballet, jazz and street dance were collected through specific questionnaires: Brief Pain Inventory-Short Form (BPI-SF), Eating Attitudes Test-26 (EAT-26), Bulimic Investigatory Test Edinburgh (BITE) and State-Trait Anxiety Inventory-T-6 (STAI-T-6). RESULTS: Pain was observed in 58.6% of the sample, equally between professionals and amateurs (P = 0.19). Ballet dancers had more lower-limb pain than the other groups (P = 0.05). EAT-26 showed a tendency towards more eating disorders among the amateurs (P = 0.06). Higher risk of eating disorders was found among ballet dancers (P = 0.004) and jazz practitioners (P = 0.02) than among street dancers. Amateurs had more symptoms on the BITE scale (P < 0.0001), more pain (P = 0.002) and higher anxiety (P < 0.0001). Eating disorders were more common among females (P = 0.01) and singles (P = 0.02). Professionals were more satisfied with their own body image than amateurs (P < 0.001). CONCLUSIONS: Pain symptoms were found in almost half of the sample, equally among professionals and amateurs as well as between the three dance styles. Female and singles had more eating disorders. Those with eating disorders had higher levels of pain and anxiety.

scholarly journals Predictors and Prevalence of Pain and Its Management in Four Regional Cancer Hospitals in India

2018 ◽  
pp. 1-9
Author(s):  
Katherine E. Doyle ◽  
Shatha K. El Nakib ◽  
M.R. Rajagopal ◽  
Sunil Babu ◽  
Geeta Joshi ◽  
...  
Keyword(s):  
Pain Management ◽  
Cancer Pain ◽  
Brief Pain Inventory ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Survey Tool ◽  
Patients With Cancer ◽  
Pain Management Index ◽  
Indian Patients ◽  
Prevalence Of Pain

Purpose More than 1 million new occurrences of cancer are diagnosed in India annually. Among patients with cancer, pain is a common and persistent symptom of the disease and its treatment. However, few studies to date have evaluated the prevalence of pain and the adequacy of pain management in Indian hospitals. This cross-sectional study aimed to assess the prevalence and sociodemographic patterns of cancer pain and pain management among a sample of inpatients and newly registered outpatients at four large regional cancer centers in India. Methods A sample of 1,600 patients with cancer who were current inpatients or newly registered outpatients were recruited and administered a questionnaire that was based on the Brief Pain Inventory. The survey tool included questions on demographics, medical history, and extent of clinical pain experienced. In addition, a pain management index score was created to link the severity of cancer pain with medication prescribed to treat it. Results A total of 88% of patients reported pain in the past 7 days, and approximately 60% reported that their worst pain was severe. Several demographic and medical characteristics of the study population predicted severe pain, including the following: lower educational level, outpatient status, and debt incurred as a result of illness. A total of 67% of patients were inadequately treated with analgesics. Inadequate pain management was associated with both treatment hospital and patient type, and patients who reported debt as a result of their illness were more likely to have inadequate pain management. Conclusion A majority of Indian patients with cancer experience significant pain and receive inadequate pain management. Improvement of pain management for Indian patients with cancer is needed urgently.

scholarly journals Children still experience pain during hospital stay: a cross-sectional study from four countries in Europe

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
V. Vejzovic ◽  
J. Bozic ◽  
G. Panova ◽  
M. Babajic ◽  
A-C Bramhagen
Keyword(s):  
Pain Management ◽  
Pain Relief ◽  
Hospital Stay ◽  
Hospital Staff ◽  
Cross Sectional Study ◽  
Self Report ◽  
Cross Sectional ◽  
Number Of Children ◽  
Cross Sectional Design ◽  
Experience Pain

Abstract Background Little is known whether children experience pain during hospital stay from the child’s own perspective or not. The existing studies tend to be based on a small number of children and therefore have limitations concerning the generalisability of the results. Aim The aim of this study was to describe children’s self-reported pain and experience concerning pain management during hospital stay. Methods This study has a quantitative cross-sectional design with descriptive statistics as data analysis. Results A total of 786 questionnaires, Pain in Children in Hospital, were distributed in four countries with the response rate of 75% which was almost equal between countries. Our result showed that 87% (503/579) children at hospital self-reported pain during the past 24 h. Nearly 63% of the children reported a pain score of > 5 the last 24 h. Most of children reported that they had received a question about pain from the hospital staff, and that the staff observed and assessed their pain. Totally 95% reported that they were satisfied with their pain relief during the last 24 h. Conclusion Our study showed that when children were given the possibility to self-report pain, nearly 2/3 expressed that they had experienced pain during hospital stay. However, most of them reported satisfaction with pain management and their pain relief.

scholarly journals Adult Attachment and Extradyadic Involvement in Dating Relationships: The Mediating Role of Commitment

2016 ◽  
Vol 9 (1) ◽  
pp. 47-47
Author(s):  
A. Martins ◽  
◽  
I. Narciso ◽  
M. C. Canavarro ◽  
M. Pereira ◽  
...  
Keyword(s):  
Short Form ◽  
Well Being ◽  
Cross Sectional Study ◽  
Investment Model ◽  
Self Report ◽  
Attachment Representations ◽  
Cross Sectional ◽  
Relevant Variable ◽  
Face To Face ◽  
The Relationship

Objective: The aim of this study was to assess whether the association between attachment representations, attitudes toward infidelity, interest in alternatives and sexual and emotional extradyadic involvement (EDI), both face-to-face and online, was mediated by the level of commitment in the relationship. Design and Method: The sample of this cross-sectional study consisted of 628 participants (201 men and 427 women), with a mean age of 23.36 years (SD = 3.91), all of whom reported being in an exclusive dating relationship for an average of 34 months. Participants completed the following self-report questionnaires: Extradyadic Behaviors Inventory, Attitudes toward Infidelity Scale, Experience of Close Relationships – Short Form, and Investment Model Scale. Results: Avoidant attachment was significantly associated with more positive attitudes toward infidelity, greater interest in alternatives, and all forms of EDI. Attachment-related anxiety was only associated with emotional EDI. The association between attachment-related avoidance and more favorable attitudes toward infidelity, greater interest in alternatives and both face-to-face and online EDI was mediated by low levels of commitment. No mediating effects were found for attachment-related anxiety. Conclusions: Avoidantly attached individuals indicated greater interest in alternatives and propensity to engage in EDI, especially when the levels of commitment in the relationship were low. These results are consistent with the literature suggesting that avoidant individuals engage in extradyadic behaviors as a way to meet their desires of independency. Commitment emerges as a relevant variable clarifying the involvement in extradyadic behaviors that may compromise the relational well-being.

scholarly journals A Comparison of Pain Scale on Neonates in a Top Refferal Hospital in Indonesia

2021 ◽  
Vol 5 (1) ◽  
pp. 126-135
Author(s):  
Nenty Septiana ◽  
Yeni Rustina ◽  
Defi Efendi
Keyword(s):  
Pain Management ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Pain Scale ◽  
Assessment Scale ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Expert Nurses ◽  
The Impact

Background: Pain assessment scale in neonates is the cornerstones of pain management so that the impact of pain can be prevented to maximize neonatal growth and development.Purpose: This study aimed to identify the most appropriate pain assessment scale used for neonates in Indonesia.Methods: A cross sectional study design was used in 30 neonates hospitalized using Neonatal Infant Pain Scale (NIPS), Neonatal infant Acute Pain Assessment Scale (NIAPAS) and Pain Assessment Tool (PAT). Pain assessment was performed by nurses (n=30) and expert nurses (n=5) participated in the validation of scales. Statistical analysis using validity (content, construct and concurrent validity) and reliability (inter-rater reliability and internal consistency) test.Results: NIPS instrument have excellent validity, reliability, and feasibility value compared with NIAPAS and PAT.Conclusion: NIPS was shown a valid, reliable, and practical scale for assessing pain in neonates. It allows nurses to identifying pain and help to provide of appropriate pain management

Coping Style as a Mediator of the Relationship Between Depressive Symptoms and Deliberate Self-Harm

Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 272-279 ◽  
Author(s):  
Allison S. Christian ◽  
Kristen M. McCabe
Keyword(s):  
Depressive Symptoms ◽  
Undergraduate Students ◽  
Cross Sectional Study ◽  
Self Report ◽  
Hierarchical Regression ◽  
Cross Sectional ◽  
Deliberate Self Harm ◽  
Self Blame ◽  
Self Harm ◽  
The Relationship

Background: Deliberate self-harm (DSH) occurs with high frequency among clinical and nonclinical youth populations. Although depression has been consistently linked with the behavior, not all depressed individuals engage in DSH. Aims: The current study examined maladaptive coping strategies (i.e., self-blame, distancing, and self-isolation) as mediators between depression and DSH among undergraduate students. Methods: 202 students from undergraduate psychology courses at a private university in Southern California (77.7% women) completed anonymous self-report measures. Results: A hierarchical regression model found no differences in DSH history across demographic variables. Among coping variables, self-isolation alone was significantly related to DSH. A full meditational model was supported: Depressive symptoms were significantly related to DSH, but adding self-isolation to the model rendered the relationship nonsignificant. Limitations: The cross-sectional study design prevents determination of whether a casual relation exists between self-isolation and DSH, and obscures the direction of that relationship. Conclusions: Results suggest targeting self-isolation as a means of DSH prevention and intervention among nonclinical, youth populations.

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