scholarly journals The prevalence, grouping, and distribution of stressors and their association with anxiety among hospitalized patients

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260921
Author(s):  
Patricia K. Palmer ◽  
Kathryn Wehrmeyer ◽  
Marianne P. Florian ◽  
Charles Raison ◽  
Ellen Idler ◽  
...  
Keyword(s):  
Multiple Stressors ◽  
Well Being ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Study Results ◽  
Insured Patients ◽  
Predictive Study ◽  
Hospital Inpatients

Anxiety is prevalent among hospital inpatients and it has harmful effects on patient well-being and clinical outcomes. We aimed to characterize the sources of hospital distress and their relationship to anxiety. We conducted a cross-sectional study of inpatients (n = 271) throughout two Southeastern U.S. metropolitan hospitals. Participants completed a survey to identify which of 38 stressors they were experiencing. They also completed the State Trait Anxiety Inventory six-item scale. We evaluated the prevalence of stressors, their distribution, and crude association with anxiety. We then used multivariate logistic regression to estimate the association between stressors and clinically relevant anxiety, with and without adjusting for demographic variables. We used factor analysis to describe the interrelationships among stressors and to examine whether groups of stressors tend to be endorsed together. The following stressors were highly endorsed across all unit types: pain, being unable to sleep, feelings of frustration, being overwhelmed, and fear of the unknown. Stressors relating to isolation/meaninglessness and fear/frustration tend to be endorsed together. Stressors were more frequently endorsed by younger, female, and uninsured or Medicaid-insured patients and being female and uninsured was associated with anxiety in bivariate analysis. After controlling for the sources of distress in multivariate linear analysis, gender and insurance status no longer predicted anxiety. Feelings of isolation, lack of meaning, frustration, fear, or a loss of control were predictive. Study results suggest that multiple stressors are prevalent among hospital inpatients and relatively consistent across hospital unit and disease type. Interventions for anxiety or emotional/spiritual burden may be best targeted to stressors that are frequently endorsed or associated with anxiety, especially among young and female patients.

scholarly journals Bullies, Victims and Provocative Victims in Context: Discriminant Factors in a Portuguese Adolescent Sample

2017 ◽  
Vol 13 (20) ◽  
pp. 23 ◽  
Author(s):  
Marina Carvalho ◽  
Catia Branquinho ◽  
Margarida Gaspar De Matos
Keyword(s):  
Well Being ◽  
Cross Sectional Study ◽  
Traumatic Experiences ◽  
After School ◽  
Cross Sectional ◽  
Strong Argument ◽  
Positive Attitudes ◽  
People Participation ◽  
Study Results ◽  
Making Friends

Context: With strong and serious impacts on health and individual well-being, bullying presents itself as one of the most traumatic experiences at school age. Objective: analyse the differences between bullies, victims and provocative-victims for individual, relational, school and contextual factors. Design: cross-sectional study based on the 2014 Health Behaviour in School-aged Children study. Results: Bullies reported consuming more tobacco and drugs, but less alcohol, when compared to victims and provocative-victims. Bullies also reported being more involved and having more security feelings at school, better relationships with their peers, being better accepted by the peers, and more positive attitudes, compared to victims and provocative-victims; which reported more fear, sadness, rejection feelings, and also, more withdrawal at school. Group differences were also found in the time spent with friends in everyday life, nigh outs and well-being, with bullies presenting the higher odds. Provocative-victims reported involving more in fights than victims. Otherwise, bullies reported making friends more easily and spending more time with friends after school. Conclusions: Given the different characteristics and impacts of bullying on victims, bullies and provocative-victims, it is essential to consider the interrelations of groups and focus on a more engaging perspective, based on an ecological intervention model. A strong argument is also made related to the need to include young people participation in the definition of public policies to prevent peer related violence, as well as a need to focus not only in the prevention of peer related violence, but also to focus on violence-free, positive relationships

scholarly journals Factors associated with the stigma-discrimination complex towards healthcare workers among university students during the coronavirus pandemic in Mexico

2021 ◽  
Author(s):  
Carlos Arturo Cassiani-Miranda ◽  
Isabel Álvarez-Solorza ◽  
Adalberto Campo-Arias ◽  
Yinneth Andrea Arismendy-López ◽  
Andrés Felipe Tirado-Otálvaro ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Health Workers ◽  
Well Being ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Probabilistic Sampling ◽  
Related Stigma ◽  
Prevalence Ratios

AbstractThe COVID-19-related stigma towards healthcare workers negatively influences their performance and job satisfaction, and well-being. The frequency of COVID-19-related stigma towards healthcare workers and its associated factors has not been sufficiently investigated. The objective was to determine the frequency and variables associated with COVID-19-related stigmatisation towards health workers in emerging-age university adults in Mexico. Analytical and cross-sectional study using an online questionnaire in 1,054 students between 18 and 29 years of age. Demographic variables, religiosity, fear of COVID-19 and stigma-discrimination related to COVID-19 towards healthcare workers were analysed. The latter was set as the dependent variable, while demographic variables, religiosity and high fear of COVID-19 were the independent variables. For the association between the variables, a binomial and logarithmic generalised linear model was designed to calculate the adjusted prevalence ratios. The proportion of high stigma-discrimination was 12.4%, and this was associated with a high fear of COVID-19 (APR 1.51, 95% CI 1.06 to 2.23). The main limitations were the cross-sectional nature, social desirability bias, non-probabilistic sampling. The results highlight the importance of establishing programmes to reduce COVID-19-related stigmatisation towards healthcare workers.

scholarly journals Determinants of treatment adherence among the patients receiving treatment in the ART centre of a tertiary hospital in Kolkata, West Bengal, India

2016 ◽  
Vol 4 (1) ◽  
pp. 73
Author(s):  
Atanu Biswas ◽  
Asok Kumar Mandal
Keyword(s):  
West Bengal ◽  
Population Sample ◽  
Well Being ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Adherence Level ◽  
Cross Sectional ◽  
Medical College ◽  
Hiv Aids

Background: WHO recommended adherence of 95% or more to antiretroviral therapy for better outcome in terms of general well-being and decreased chance of drug resistance. This study was conducted with the objective of describing the factors associated with adherence pattern to ongoing ART regimens in adults with HIV/AIDS in R. G. Kar Medical College and Hospital (RGKMCH), a tertiary hospital in Kolkata, West Bengal, India.Methods: An observational, descriptive cross-sectional study was conducted on the adults receiving treatment at the ART centre of R. G. Kar Medical College, Kolkata. Patients above 15 years of age, who received at least one year of treatment before the day of the interview, comprise the study population. Sample size was 279. We tried to find out any association between adherence level and factors like socio-demographic profile, treatment profile, lifestyle pattern etc. applying bivariate analysis, Chi square test, multiple logistic regressions. Data were analyzed using IBM SPSS (version 20).Results: Different factors like employment status, monthly income, language of communication, addiction, following advice on food and water intake, side effects from ART were found to be statistically associated with level of adherence among the subjects.Conclusions: Emphasis should be given on thorough counseling of the people with HIV/AIDS so as to motivate them to take medication as advised and to maintain adequate adherence level of therapy improving their general well-being.

The influence of work environment relationships on mental health of Brazilian seamstresses

Work ◽  
2021 ◽  
Vol 70 (1) ◽  
pp. 167-175
Author(s):  
Neliane Aparecida Silva ◽  
Letícia Yamawaka de Almeida ◽  
Jaqueline Lemos de Oliveira ◽  
Lilian Carla de Almeida ◽  
Regina Célia Fiorati ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Work Environment ◽  
Interpersonal Relationships ◽  
Well Being ◽  
Cross Sectional Study ◽  
Self Report ◽  
Cross Sectional ◽  
Support Providers ◽  
Study Results

BACKGROUND: The work environment is a place in which different kinds of interpersonal relationships are developed and can contribute positively or negatively to productivity and to workers’ well-being. Discussion on this topic may contribute to building more coping strategies to fight against gender inequality and the emotional repercussions of these conditions. OBJECTIVE: This is a cross-sectional study that investigated the possible influence of work environment relationships on the mental health of Brazilian seamstresses. METHODS: The participants were seamstresses from four clothing factories in a city in the southwest of Brazil. For data collection, we used the Social Support Perception at Work Scale; Self-Report Questionnaire; Alcohol, Smoking and Substance Involvement Screening Test; and a focus group. The quantitative data were statistically analyzed, and data from the focus groups were analyzed using content analysis. RESULTS: Interpersonal relationships at work were mentioned as sources of conflict and stress but also as emotional and material social support providers. In the sample studied, these relationships did not influence directly the development of mental health disorders. CONCLUSIONS: Study results suggest that a low level of education is an important factor that increases the vulnerability of these women to the precariousness of work, and, consequently to developing mental health symptoms or aggravating previous mental health distress. However, emotional and material support from peers likely protects these workers’ mental health.

scholarly journals Analysis of the factors related to academic disapproval in the education of nurses: A mixed-method study

2021 ◽  
Vol 29 ◽  
Author(s):  
George Oliveira-Silva ◽  
Natália Del’ Angelo Aredes ◽  
Hélio Galdino-Júnior
Keyword(s):  
Nursing Students ◽  
Interpersonal Relationships ◽  
Mixed Method ◽  
Family Income ◽  
Well Being ◽  
Cross Sectional Study ◽  
High Rate ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Basic Area

Objective: to evaluate the frequency and factors associated to disapproval among nursing students. Method: a descriptive and cross-sectional study, outlined by the convergent mixed method. A total of 88 nursing students of a Brazilian public university took part. The Reduced Academic Experiences Questionnaire was used for evaluating academic adaptation. The association of the variables in the study with disapproval was verified by bivariate analysis. Results: the frequency of disapprovals in the sample was 68.2%, recurrences in the same discipline in 39.8%, with the associated factors: age over or equal to 22 years old (p=0.015), family income below 2 minimum wages (p=0.019) and lag in the curricular flow (p<0.001). Disciplines with higher frequencies of disapprovals are of the basic area, taught in the first two years of the course and common to the health courses. Students without disapprovals had better perception of physical and psychological well-being (p=0.002), good interpersonal relationships (p=0.017) and more assertive study behaviors (p=0.005). Personal, study-related and institutional issues were motivating. Conclusion: the results reveal a high rate of disapproval, especially in the basic area. An association was found between disapprovals and mental health for nursing students during their education process, and difficulties were pointed out that can culminate with the disapproval rate in the curricular flow.

scholarly journals Impact of COVID-19 pandemic on the health-related anxiety and behavioral changes among pregnant women – A cross-sectional study

2021 ◽  
Vol 12 (11) ◽  
pp. 16-21
Author(s):  
Ranita Roy Chowdhury ◽  
Suvobrata Sarkar ◽  
Manidip Pal ◽  
Jayeeta Mukherjee ◽  
Gairik Bera
Keyword(s):  
Pregnant Women ◽  
Well Being ◽  
Cross Sectional Study ◽  
Behavioral Changes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Results ◽  
Health Related ◽  
Internal Sources ◽  
The Impact

Background: The outbreak of COVID-19 has been the cause of agony for millions of people worldwide. Anxiety of losing near ones and stress of rearing children besides bearing the bulk of domestic tasks have led to certain behavioral changes in the pregnant women. Aims and Objectives: This study aims to assess anxiety, awareness, and behavioral changes among pregnant women during COVID-19 pandemic. Materials and Methods: A cross-sectional study was conducted in the Department of Obstetrics and Gynaecology, College of Medicine and J.N.M. Hospital, Kalyani, West Bengal, India, from May 1, 2020, to December 31, 2020. All antenatal patients after the second trimester visiting the OPD or maternity ward, satisfying inclusion criteria after formal consent, were considered for the study. Results: Out of a total of 139 patients, mostly primigravida, 122 (87.7%) participants were of 18–33 years age. Observations revealed that 24% more women were worried about their own health after the arrival of pandemic. The overall worry percentage for unborn baby (88%), existing children (76%), and older relatives (38%) remained uniform throughout the study period. Staying at home, stocking of food, and medical equipment showed a downward trend toward the end of the study. Conclusion: The impact of the pandemic has been mammoth, taking a toll on the behavior and anxiety of the pregnant women, which when unnoticed may have a long-term effect on their mental health as well as family life. Physical and mental support from external and internal sources will pave the way to a healthier mental well-being of these antenatal mothers.

Consumption of energy drink and associated factors

2019 ◽  
Vol 50 (1) ◽  
pp. 131-142
Author(s):  
Towhid Hasan ◽  
Marjia Sultana ◽  
Lincon Chandra Shill ◽  
Sara Sultana
Keyword(s):  
University Students ◽  
Energy Drink ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Consumption Pattern ◽  
Negative Effects ◽  
Cross Sectional ◽  
Potential Health ◽  
Content Type ◽  
Study Results

Purpose Energy drink (ED) consumption has become a common trend, especially among the youth. Hence, the purpose of this study was undertaken to assess the ED consumption pattern among the university students and investigate the independent predictors for their preference of such drinks. Design/methodology/approach It was a cross-sectional study conducted among 323 students from various departments of Noakhali Science and Technology University, Bangladesh. Findings Among students, about 57 per cent were male, and mostly between 21-23 years. About 31 per cent of the students had never consumed ED, while 69 per cent had consumed such drinks at least once in their lifetime. Only 31.4 per cent of the ever consumer had knowledge of its components, and 14.3 per cent of them did not know the negative effects of ED. Bivariate analysis identified the variables that were significantly associated with students’ consumption of ED. Taking the significant factors into a multivariate model, the risks of ED consumption were male gender (OR = 3.82; 95 per cent CI = 2.24 − 6.52), longer study duration in university (OR = 1.02; 95 per cent CI = 1.00 − 1.03) and doing regular physical activity (OR = 1.69; 95 per cent CI = 1.04 − 2.75). Originality/value High consumption of ED among university students is evident, yet their perception regarding components and potential health hazards of such drinks is opaque. This study results suggest the necessity of formulating policy and intervention strategies concentrating on the predictors of ED consumption to promote consciousness about ingredients and related health effects of ED among students of all levels in Bangladesh and other countries as well.

scholarly journals Ações de responsabilidade social nas academias de ginástica de uma cidade no Norte do Brasil

2018 ◽  
Vol 87 (2) ◽  
Author(s):  
Rafaela Cristina Araújo-Gomes ◽  
Gabriel dos Santos Gonçalves ◽  
Claúdio Joaquim Borba-Pinheiro
Keyword(s):  
Social Responsibility ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Fitness Centers ◽  
Fitness Center ◽  
Appropriate Treatment ◽  
Study Results ◽  
Corporate Social ◽  
The City

Introdução: As academias de ginástica são empresas voltadas para a prática de atividade física. Ações de responsabilidade social empresarial estão relacionadas a posturas, comportamentos e ações voltadas à promoção da qualidade de vida e bem-estar do público interno e externo da empresa.Objetivo: Examinar as ações de responsabilidade social que são realizadas pelas academias, na cidade de Tucuruí-PA.Métodos: Estudo transversal do qual participaram seis academias da cidade de Tucuruí-PA. A coleta de dados foi feita através de um questionário semiestruturado com questões fechadas, abrangendo cinco áreas de responsabilidade social: 1) Bom relacionamento com os clientes; 2) Ações para a comunidade; 3) Tratamento adequado com os funcionários; 4) Legalização; e 5) Responsabilidade com o meio ambiente, realizado em forma de entrevista com os proprietários das academias.Resultados: Observou-se que a área do relacionamento com os clientes é a mais importante para as academias avaliadas. Todavia, de modo geral, há, também, uma preocupação com as outras áreas abordadas.Conclusão: As academias analisadas buscavam realizar ações de responsabilidade social dentro das cinco áreas abordadas neste estudo. Os resultados foram discutidos.Social Responsibility actions in a Fitness Center of a North Brazilian CityIntroduction: The fitness centers are companies dedicated to the practice of physical activity. Actions of corporate social responsibility are related to postures, behaviors and actions aimed at promoting the quality of life and well-being of the internal and external public of the company.Objective: To examine the actions of social responsibility that are carried out by the fitness centers on the city of Tucuruí-PA.Methods: Cross-sectional study involving six fitness centers from the city of Tucuruí-PA. Data collection was done through a semi-structured questionnaire with closed questions, covering five areas of social responsibility: 1) Clients relationship; 2) Actions for the community; 3) Appropriate treatment with employees; 4) Legalization; and 5) Environment responsibility. It was applied as interview to the fitness centers’ owners.Results: Relationship with the clients was the most important area observed for the fitness center. However, in general, there is also a concern with the other addressed areas.Conclusion: The fitness centers evaluated sought to carry out social responsibility actions within the five areas addressed in this study. Results were discussed.

Conflict Avoidance in Old Age

GeroPsych ◽  
2017 ◽  
Vol 30 (2) ◽  
pp. 61-70 ◽  
Author(s):  
Lia Oberhauser ◽  
Andreas B. Neubauer ◽  
Eva-Marie Kessler
Keyword(s):  
Social Support ◽  
Perceived Social Support ◽  
Well Being ◽  
Cross Sectional Study ◽  
Conflict Avoidance ◽  
Subjective Well Being ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adult Lifespan ◽  
Set Up

Abstract. Conflict avoidance increases across the adult lifespan. This cross-sectional study looks at conflict avoidance as part of a mechanism to regulate belongingness needs ( Sheldon, 2011 ). We assumed that older adults perceive more threats to their belongingness when they contemplate their future, and that they preventively react with avoidance coping. We set up a model predicting conflict avoidance that included perceptions of future nonbelonging, termed anticipated loneliness, and other predictors including sociodemographics, indicators of subjective well-being and perceived social support (N = 331, aged 40–87). Anticipated loneliness predicted conflict avoidance above all other predictors and partially mediated the age-association of conflict avoidance. Results suggest that belongingness regulation accounts may deepen our understanding of conflict avoidance in the second half of life.

ASSESSMENT OF SKILLED BIRTH ATTENDANTS REGARDING HELPING BABIES BREATH INTERVENTION TO IMPROVE NEWBORN CARE IN RURAL DISTRICT OF SINDH

1970 ◽  
Vol 7 (1) ◽  
pp. 48-53
Author(s):  
Sheh Mureed ◽  
Muhammad Hassan Gandro ◽  
Walid Hassan
Keyword(s):  
Newborn Care ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Skilled Birth Attendants ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Birth Attendants ◽  
Study Results ◽  
Knowledge And Practice ◽  
Labour Room

Background: Globally, 3.1 million newborn deaths occur every year out of these estimated 400,000 neonatal deaths occur in Pakistan. All neonatal deaths 99% take place in poorest region and countries of the world, usually within hours of birth; mostly the cause of neonatal deaths is hypoxia. To access knowledge and practice of SBAs regarding HBB and to access the availability of equipments required for HBB. Methods: Descriptive Cross-Sectional Study on SBAs as trained in HBB. All 46 SBAs trained on HBB working in Labour room eight rural Health centers, four Taluka, One district Head Quarter Health Facilities and thirteen Mlbcs of the district, were included in the sample for study. All 41 SBAs were trained on HBB participated in the study. Results: Mean age of 30 years. Out of total 41 participants 25 were working in B-EmoNC (61%), 3in C-EmoNC (7.3%) and 13 in mid wife laid birth Centre (MLBC) or birth station (31.7%). About 92.7% of participants said that main purpose of HBB training is to decrease the NMR by improving newborn care. Drying of newborn is 82.7%, hand washing is 95.12% and 85.3% of the study participants said that they gave 30-40 breaths per minutes. Cord clamp and pair of ties was accessible to 85% of participants versus 14.3% who reported it's not accessible. Almost one quarter (34.1%) participants have low knowledge and practice. Knowledge and training had significant effect on the overall practices of the skilled birth attendants for skilled birth deliveries and reduce the neonatal deaths (P <0.001). Conclusion: Tools play a vital role for the implication of the knowledge into practices and tools were available almost to every participant. Although few barriers also identified for the less application of the helping hand babies trainings in the community.

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