Self-Care Activities among People with Multiple Sclerosis in Denmark: Use and User Characteristics

2017 ◽  
Vol 24 (4) ◽  
pp. 240-245
Author(s):  
Marie Lynning ◽  
Kirsten Hanehøj ◽  
Astrid Karnøe Knudsen ◽  
Lasse Skovgaard
Keyword(s):  
Multiple Sclerosis ◽  
Online Survey ◽  
Self Care ◽  
Primary Source ◽  
User Characteristics ◽  
Cross Sectional ◽  
Low Level ◽  
Wide Range ◽  
Cross Sectional Design ◽  
High Level

Background: People with multiple sclerosis (PwMS) are known to use a wide range of medical and non-medical treatments. This study aims at investigating the use of self-care activities within this patient group. Material and Methods: The study follows a descriptive cross-sectional design based on an online survey among members of the Danish Multiple Sclerosis Society's permanent respondent panel. Results: The results of the study indicate that the respondents carry out a wide variety of self-care activities. These activities comprise conventional activities as well as complementary and alternative medicine (CAM)-based activities. The self-care activities are mainly kept up for non-specific and preventive purposes, with primarily personal or non-specific issues as the primary source of inspiration. Comparative analyses indicate that respondents with a low level of self-care more often are men, belong to the young age group and have a low level of education, a low level of self-assessed state of health, a low level of self-assessed quality of life (QoL), and an unknown subdiagnosis. Respondents with a high level of self-care are more often women and have a high level of self-assessed QoL. Conclusions: A wide variety of self-care activities are carried out by PwMS, comprising conventional as well as CAM-based activities. The purposes of such activities are manifold, but they are mainly of non-specific and preventive nature. Differences in background characteristics exist between groups of low and high levels of self-care.

scholarly journals Gambaran Kecemasan Anak Usia 6-12 Tahun terhadap Perawatan Gigi di SD Kristen Eben Haezar 2 Manado

e-GIGI ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Seily E. Sanger ◽  
Damajanty H.C. Pangemanan ◽  
Michael A. Leman
Keyword(s):  
Preventive Care ◽  
Dental Care ◽  
Dental Anxiety ◽  
Descriptive Study ◽  
Cross Sectional ◽  
Care Experience ◽  
Low Level ◽  
Fear Survey Schedule ◽  
Cross Sectional Design ◽  
High Level

Abstract: Dental anxiety is a condition of fear to visit a dentist even for preventive care or therapy and uncertainity anxiety to dental care. This study was aimed to describe the anxiety of children 6-12 years old for the dental care at SD Kristen Eben Haezar 2 Manado. This was a descriptive study with a cross-sectional design. Samples were 44 students of 6-12 years old at SD Eben Haezar 2 Manado who had dental care experience, obtained by using total sampling. Data were obtained by filling the questionnaire of Children Dental Fear Survey Schedule-subscale (CFSS-DS). The results showed that most students with high levels of anxiety were at the age of 6-8 years (20.48%), while most students with low level of anxiety were at the age of 9-12 years old (47.74%). Of the 44 students, 27 students (61.36%) had low level of anxiety whereas 17 students (38.64%) had high level of anxiety. Based on gender, the percentages of students with high level and low level of anxiety were higher in females than in males. Conclusion: In general, students with low level of anxiety were at the age of 9-12 years old meanwhile students with high level of anxiety were at the age of 6-8 years. Either high or low level of anxiety was most found in females.Keywords: anxiety, children, dental care Abstrak: Kecemasan dental merupakan suatu ketakutan terhadap kunjungan ke dokter gigi untuk perawatan pencegahan ataupun terapi dan rasa cemas tidak beralasan terhadap perawatan gigi. Penelitian ini bertujuan untuk mendapatkan gambaran kecemasan anak usia 6-12 tahun terhadap perawatan gigi di SD Kristen Eben Haezar 2 Manado. Jenis penelitian deskriptif dengan desain potong lintang, mengunakan metode pengambilan sampel total. Terdapat 44 siswa aktif SD Kristen Eben Heazer 2 Manado berusia 6-12 tahun dan pernah mendapatkan perawatan gigi. Data diambil berdasarkan pengisian kuesioner Children Fear Survey Schedule-Dental Subscale (CFSS-DS). Hasil penelitian menunjukkan responden dengan tingkat kecemasan tinggi ditemukan paling banyak pada usia 6-8 tahun (20,48%), sedangkan yang dengan tingkat kecemasan rendah ditemukan pada usia 9-12 tahun (47,74%). Tingkat kecemasan rendah ditemukan pada 27 responden (61,36%) dan tingkat kecemasan tinggi ditemukan pada 17 reponden (38,64%). Berdasarkan jenis kelamin, responden dengan tingkat kecemasan tinggi maupun rendah lebih banyak ditemukan pada responden perempuan. Simpulan: Responden dengan tingkat kecemasan rendah lebih banyak didapatkan pada rentang usia 9-12 tahun sedangkan responden dengan tingkat kecemasan tinggi lebih banyak didapatkan pada rentang usia 6-8 tahun. Baik tingkat kecemasan tinggi maupun rendah lebih banyak ditemukan pada responden perempuan.Kata kunci: kecemasan, anak, perawatan gigi

scholarly journals Gambaran Tingkat Pengetahuan Perawat Tentang Code Blue System di RSUP Prof. Dr. R. D. Kandou Manado

e-CliniC ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Randi B. Dame ◽  
Lucky T. Kumaat ◽  
Mordekhai L. Laihad
Keyword(s):  
Respiratory Arrest ◽  
Spontaneous Circulation ◽  
Design Data ◽  
Cross Sectional ◽  
Return Of Spontaneous Circulation ◽  
Low Level ◽  
Code Blue ◽  
Level Of Knowledge ◽  
Cross Sectional Design ◽  
High Level

Abstract: Code blue system is an emergency system consisting of a code blue team that provides immediate relief to all patients with emergencies during respiratory arrest and/or cardiac arrest. The application of code blue aims to reduce mortality and increase the rate of return of spontaneous circulation (ROSC). To achieve the goal of implementing the blue system code, nurses as the code blue local team must have good level of knowledge and understanding of the code blue system. This study was aimed to determine the profile of nurses' knowledge about the code blue system at Prof. Dr. R. D. Kandou Hospital Manado. This was a descriptive study with a cross sectional design. Data of demography and measurement were obtained by using questionnaires. Respondents were 91 nurses who were in charge in medical ward of Prof. Dr. R. D. Kandou Hospital Manado. The results showed that 27 nurses (29.67%) had high level category of knowledge about code blue systems; 23 nurses (25.28%) had fairly high level category; 24 nurses (26.37%) had low level category, and 17 (18.68%) nurses had very low level category. Conclusion: The majority of nurses at Prof. Dr. R. D. Kandou Hospital Manado had high level category of knowledge about the code blue system.Keywords: knowledge level, code blue system, nurse Abstrak: Code blue system adalah sistem kegawatdaruratan yang terdiri dari tim code blue yang memberikan pertolongan segera pada semua pasien dengan kegawatdaruratan saat henti napas dan atau henti jantung. Penerapan code blue bertujuan untuk mengurangi angka mortalitas serta meningkatkan angka return of spontaneous circulation (ROSC) atau kembalinya sirkulasi spontan. Untuk mencapai tujuan dari penerapan code blue system, perawat sebagai salah satu responden tim code blue lokal harus memiliki tingkat pengetahuan dan pemahaman yang baik tentang code blue system. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan perawat tentang code blue system di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif dengan desain potong lintang. Data demografi dan hasil pengukuran menggunakan alat ukur kuesioner. Responden penelitian ialah 91 perawat yang bertugas di irina-irina RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian mendapatkan sebanyak 27 perawat (29,67%) mempunyai tingkat pengetahuan tentang code blue system dengan kategori tinggi; 23 perawat (25,28%) dengan kategori cukup tinggi; 24 perawat (26,37%) dengan kategori rendah; dan 17 peerawat (18,68%) dengan kategori sangat rendah. Simpulan: Mayoritas perawat di RSUP Prof. Dr. R. D. Kandou Manado mempunyai tingkat pengetahuan tentang code blue system pada kategori tinggiKata kunci: tingkat pengetahuan, code blue system, perawat

scholarly journals Knowledge, Perceptions, and Prevention Practices among Palestinian University Students during the COVID-19 Pandemic: A Questionnaire-Based Survey

2021 ◽  
Vol 58 ◽  
pp. 004695802199394
Author(s):  
Basma Salameh ◽  
Sami Basha ◽  
Walid Basha ◽  
Jihad Abdallah
Keyword(s):  
University Students ◽  
Online Survey ◽  
Risk Groups ◽  
Affecting Factors ◽  
Cross Sectional ◽  
Effective Prevention ◽  
Cross Sectional Design ◽  
High Level ◽  
Palestinian Universities ◽  
The University

The purpose of this study is to offer a timely understanding of university students’ knowledge, perception, and preventative practices related to COVID-19 in Palestine and to determine affecting factors (gender, region, and type of locality). A cross-sectional design was used and data was collected over 2 weeks in April 2020 through an online survey. A total of 484 surveys were collected from students from different Palestinian universities. Participants showed high levels of knowledge across multiple topics (symptoms and characteristics of COVID-19, prevention practices, and at-risk groups), although respondents were less likely to indicate mask wearing as an effective prevention practice compared to other practices, and almost one-third reported incorrectly that taking antibiotics is effective in preventing COVID-19 infection. Respondents reported the most trust in the Ministry of Health as a source of information, and the least trust in social media. A generally high level of acceptance of government regulations related to the COVID-19 pandemic was found. Given the current global situation and the second wave of infections in Palestine, plans should be in place to disseminate correct information and combat newly-emerging rumors and misinformation through channels that are trusted by the university student population.

scholarly journals Doctors’ engagement with a formal system of continuing professional development in Ireland: a qualitative study in perceived benefits, barriers and potential improvements

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e049204
Author(s):  
Holly Rose Hanlon ◽  
Lucia Prihodova ◽  
Thelma Russell ◽  
Deirdre Donegan ◽  
Ann O'Shaughnessy ◽  
...  
Keyword(s):  
Professional Development ◽  
Thematic Analysis ◽  
Online Survey ◽  
Professional Competence ◽  
Formal System ◽  
Continuing Professional Development ◽  
Cross Sectional ◽  
Wide Range ◽  
Workplace Challenges ◽  
Cross Sectional Design

ObjectivesTo examine experiences of participation in a mandatory system of continuing professional development (CPD) among doctors in Ireland, in order to identify areas for improvement.DesignA qualitative cross-sectional design was used.Participants1408 participants (701 male, 707 female) were recruited via email from a population of 4350 doctors enrolled on a Royal College of Physicians of Ireland Professional Competence Scheme (PCS) for the 2017/2018 year, and completed an online survey as part of a larger study examining experiences and attitudes towards participation in PCS. A subset of the sample (434 participants) responded to an optional open-ended question about PCS participation. Responses to the open-ended question were analysed using thematic analysis.ResultsThematic analysis resulted in five main themes relating to perceived barriers to PCS participation across a wide range of areas: ‘Evidence of participation’, ‘The structure of PCS’, ‘Questioning the benefits of formal CPD’, ‘Workplace challenges’ and ‘Access issues’.ConclusionsTaken together, the five themes outlined in this study give a wide-ranging, in-depth picture of the challenges faced by Irish doctors, which expand on well-documented factors such as time constraints, to illustrate a series of complex, interacting factors. Some barriers, such as difficulty obtaining evidence of participation, may be relatively easily addressed. Others, such as issues with the way the PCS is structured, are more intractable, and require further research to understand more fully and develop appropriate solutions.

scholarly journals Self-Care Behavior Assessment of Fragile School-Age Children: An Application of Orem's Self-Care Framework

2019 ◽  
Vol 11 (2) ◽  
pp. 11
Author(s):  
Raghad Hussein Abdelkader ◽  
Hala Bawadi
Keyword(s):  
Self Care ◽  
Capital City ◽  
School Age Children ◽  
School Age ◽  
Medically Fragile ◽  
Cross Sectional ◽  
Medically Fragile Children ◽  
Cross Sectional Design ◽  
High Level ◽  
Care Behavior

INTRODUCTION: Fragile children who were once called; “terminal cases” nowadays are able to live, due to technical advances; although they are requiring permanent assistance. This study aimed to identify the levels of self-care behavior of school-age medically fragile Jordanian children. METHODS & MATERIAL: A cross-sectional design using Orem self-care behavior questionnaire to measure the level of self-care behavior of 96 medically fragile children in capital city (Amman), who hospitalized at least once at the affiliated hospitals.  RESULT: 63. 3%, n=61 children had high level of self-care behavior with overall mean = 62.3 SD=20. ANOVA and Tukey’s post hoc comparisons of the three groups indicate that the level of self care behavior at the late school age 12-14 years old (mean = 71.56, SD = 4.71) and the early school age 6-9 years (mean = 67.05, SD = 4.73) reported significantly higher than the middle school age 10-12 years old (mean 66.95, SD = 4.37), p = .001. A round half of the children complaining of respiratory disease 42.7%, n=41. CONCLUSION: Performing nursing interventions and providing proper discharge plans for school age children and home care for medically fragile children will be based according to the self-care behavior level.

scholarly journals Early perception, behavior, knowledge, and preventive practices related to COVID-19 among Palestinians

2021 ◽  
pp. 175797592110350
Author(s):  
Basma Salim Salameh ◽  
Sami Basha ◽  
Jihad Abdallah ◽  
Walid Basha
Keyword(s):  
Online Survey ◽  
Risk Groups ◽  
Cross Sectional ◽  
Conspiracy Theories ◽  
Preventive Practices ◽  
Large Populations ◽  
Level Of Knowledge ◽  
Cross Sectional Design ◽  
High Level ◽  
Palestinian Population

It is necessary to understand early perception, behavior, and knowledge of coronavirus disease 2019 (COVID-19) and preventive practices in relation to suggested policies and information accessible to the Palestinian population during the early stages of the pandemic. The aim of this research is to contribute to this understanding for the purpose of affecting future practical preventive policies that can be implemented and adapted in Palestine in order to shape a new reflective practices model to face any future epidemic crisis of any type. A cross-sectional design was used to conduct the study over 3 weeks in April 2020 and an online survey was disseminated in all areas of Palestine. A total of 1040 responses were collected from persons who were over 18 years of age. A high level of knowledge related to COVID-19 was found, including symptoms and characteristics of the virus, prevention practices, and at-risk groups. Respondents believe that they are more susceptible to influenza than COVID-19 and more likely to be infected by the influenza virus than the COVID-19 virus but expect that infection of influenza would be less severe than infection of COVID-19. Respondents were more inclined to find COVID-19 worrying and stressful than they were to find it fear-inducing. Around two-thirds of respondents believe that different types of COVID-19-related conspiracy theories are true to some degree. Going forward, it is crucial and essential to provide basic awareness among large populations around diseases, which can contribute to positively influencing people’s knowledge and attitudes and their perception toward such diseases and combat conspiracy theories.

scholarly journals Kinematic Analysis of Lower Limb Joint Asymmetry during Gait in People with Multiple Sclerosis

Symmetry ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 598
Author(s):  
Massimiliano Pau ◽  
Bruno Leban ◽  
Michela Deidda ◽  
Federica Putzolu ◽  
Micaela Porta ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Lower Limb ◽  
Sagittal Plane ◽  
Cross Sectional Study ◽  
Camera Motion ◽  
Cross Sectional ◽  
Temporal Parameters ◽  
Wide Range ◽  
Edss Score ◽  
Spatio Temporal

The majority of people with Multiple Sclerosis (pwMS), report lower limb motor dysfunctions, which may relevantly affect postural control, gait and a wide range of activities of daily living. While it is quite common to observe a different impact of the disease on the two limbs (i.e., one of them is more affected), less clear are the effects of such asymmetry on gait performance. The present retrospective cross-sectional study aimed to characterize the magnitude of interlimb asymmetry in pwMS, particularly as regards the joint kinematics, using parameters derived from angle-angle diagrams. To this end, we analyzed gait patterns of 101 pwMS (55 women, 46 men, mean age 46.3, average Expanded Disability Status Scale (EDSS) score 3.5, range 1–6.5) and 81 unaffected individuals age- and sex-matched who underwent 3D computerized gait analysis carried out using an eight-camera motion capture system. Spatio-temporal parameters and kinematics in the sagittal plane at hip, knee and ankle joints were considered for the analysis. The angular trends of left and right sides were processed to build synchronized angle–angle diagrams (cyclograms) for each joint, and symmetry was assessed by computing several geometrical features such as area, orientation and Trend Symmetry. Based on cyclogram orientation and Trend Symmetry, the results show that pwMS exhibit significantly greater asymmetry in all three joints with respect to unaffected individuals. In particular, orientation values were as follows: 5.1 of pwMS vs. 1.6 of unaffected individuals at hip joint, 7.0 vs. 1.5 at knee and 6.4 vs. 3.0 at ankle (p < 0.001 in all cases), while for Trend Symmetry we obtained at hip 1.7 of pwMS vs. 0.3 of unaffected individuals, 4.2 vs. 0.5 at knee and 8.5 vs. 1.5 at ankle (p < 0.001 in all cases). Moreover, the same parameters were sensitive enough to discriminate individuals of different disability levels. With few exceptions, all the calculated symmetry parameters were found significantly correlated with the main spatio-temporal parameters of gait and the EDSS score. In particular, large correlations were detected between Trend Symmetry and gait speed (with rho values in the range of –0.58 to –0.63 depending on the considered joint, p < 0.001) and between Trend Symmetry and EDSS score (rho = 0.62 to 0.69, p < 0.001). Such results suggest not only that MS is associated with significantly marked interlimb asymmetry during gait but also that such asymmetry worsens as the disease progresses and that it has a relevant impact on gait performances.

scholarly journals Burnout Determinants among Nurses Working in Palliative Care during the Coronavirus Disease 2019 Pandemic

2021 ◽  
Vol 18 (7) ◽  
pp. 3358
Author(s):  
José Vítor Gonçalves ◽  
Luísa Castro ◽  
Guilhermina Rêgo ◽  
Rui Nunes
Keyword(s):  
Palliative Care ◽  
Health Care Professionals ◽  
Online Survey ◽  
Three Dimensions ◽  
Linear Regression Models ◽  
Perceived Health Status ◽  
Cross Sectional ◽  
National Network ◽  
Work Related ◽  
High Level

Nurses working in palliative care are at risk of burnout. The Copenhagen Burnout Inventory was used to determine burnout levels of nurses working in the Portuguese national network of palliative care. We evaluated the contribution of personal, work, and COVID-19 variables in three burnout subclasses: personal, work, and patient-related. A cross-sectional, exploratory, and quantitative design was employed and participants were sampled using convenience and snowball technique. An online survey was conducted and 153 nurses participated in our study. Socio-demographic characterization was conducted, levels of burnout and determinants were explored through multiple linear regression models for its three dimensions. High levels of personal, working, and patient burnout were present in 71 (46%), 68 (44%), and 33 nurses (22%), respectively. Most of them agreed that COVID-19 had an impact on their activities. Significant personal and work related burnout factors found were specialization in palliative care, self-perceived health status, unit type, weekly hours of work, and allocation to COVID-19 units. Gender was found to be a significant factor in patient-related burnout. There is a high level of burnout among nurses working in the Portuguese national network of palliative care. Measures for identification and mitigation of burnout are necessary to protect health care professionals.

scholarly journals COVID-19 Vaccine Acceptance in Azuay Province, Ecuador: A Cross-Sectional Online Survey

Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 678
Author(s):  
Julio Jaramillo-Monge ◽  
Michael Obimpeh ◽  
Bernardo Vega ◽  
David Acurio ◽  
Annelies Boven ◽  
...  
Keyword(s):  
Rural Areas ◽  
Online Survey ◽  
Vaccination Campaign ◽  
Postgraduate Education ◽  
Effective Vaccine ◽  
Cross Sectional ◽  
Lower Education Level ◽  
Vaccination Acceptance ◽  
History Of ◽  
High Level

We investigated the COVID-19 vaccination acceptance level in Azuay province, Ecuador through an online survey from 12th to 26th February (before the start of the COVID-19 vaccination campaign in Ecuador). Overall, 1219 respondents participated in the survey. The mean age was 32 ± 13 years; 693 participants (57%) were female. In total, 1109 (91%) of the participants indicated they were willing to be vaccinated with a COVID-19 vaccine, if the vaccine is at least 95% effective; 835 (68.5%) if it is 90% effective and 493 (40.5%) if it is 70% effective; 676 (55.5%) participants indicated they feared side effects and 237 (19.4%) thought the vaccine was not effective. Older age, having had a postgraduate education, a history of a negative COVID-19 test, a high level of worry of contracting COVID-19, believing that COVID-19 infection can be prevented with a vaccine and understanding there is currently an effective vaccine against COVID-19 were associated with higher vaccination acceptance. A vaccination education campaign will be needed to increase the knowledge of Ecuadorians about the COVID-19 vaccine and to increase their trust in the vaccine. People with a lower education level and living in rural areas may need to be targeted during such a campaign.

Psychological, Structural, Social and Economic Determinants of Suicide Attempt: Risk Assessment and Decision Making Strategies

2021 ◽  
pp. 003022282110034
Author(s):  
Azam Farmani ◽  
Mojtaba Rahimianbougar ◽  
Yousef Mohammadi ◽  
Hossein Faramarzi ◽  
Siamak Khodarahimi ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Suicide Attempt ◽  
Suicide Attempts ◽  
Psychological Services ◽  
Cross Sectional ◽  
Economic Determinants ◽  
History Of ◽  
Cross Sectional Design ◽  
High Level ◽  
Risk Assessment And Management

The aim of this research was to conduct a risk assessment and management of psychological, structural, social and economic determinants (PSSED) in a suicide attempt. The sample consisted of 353 individuals who had a recorded history of suicidal attempt; and 20 professional individuals by purposive sampling method within a descriptive cross-sectional design. Worksheets for RAM and AHP were used for data collection in this study. The rate of suicide attempt was 7.21 per 100,000 population in this study. Analysis showed that depression and mental disorders; personality disorders; family problems; socio-cultural and economic problems; lack of awareness; and low level of education have a high level of risk for suicide attempts. Psychiatric and psychological services; awareness and knowledge of life skills; medical services to dysfunctional families; development of community-based planning for PSSED of suicide; and employment and entrepreneurship services may lower suicide attempt risk.

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