Factors associated with anxiety in multiprofessional health care residents during the COVID-19 pandemic

ABSTRACT Objective: To estimate the prevalence and factors associated with anxiety among multiprofessional health residents during the COVID-19 pandemic. Methods: Cross-sectional study, conducted in July 2020 with multiprofessional health residents (n = 67) from a university hospital. We used the Beck Anxiety Inventory to assess anxiety. Analyzing data through the chi-square test, likelihood ratio, and multiple analysis using Poisson regression with robust variance. Results: The proportion of moderate/severe anxiety was 31.3%, which showed significant association with working in sectors involving COVID-19 and directly with suspected/confirmed cases of COVID-19. During the multiple analysis, we found prevalence of anxiety in participants who needed psychological support after entering their residence and those who used psychotropic meds. Conclusion: The results seem to indicate that residents had their mental health impaired during the pandemic, but the maintenance of the variables in the model also suggests that they sought help to control anxiety.

Download Full-text

Position of lips and tongue in rest in newborns with and without ankyloglossia

CoDAS ◽

10.1590/2317-1782/20202020069 ◽

2021 ◽

Vol 33 (6) ◽

Author(s):

Silvia Márcia Andrade Campanha ◽

Roberta Lopes de Castro Martinelli ◽

Durval Batista Palhares

Keyword(s):

Visual Inspection ◽

Cross Sectional Study ◽

University Hospital ◽

Sectional Study ◽

Hospital Data ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Significant Difference ◽

Chi Square Test

ABSTRACT Purpose Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Methods Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. Results When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Conclusion Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.

Download Full-text

Assessment of patient safety challenges and electronic occurrence variance reporting (e-OVR) barriers facing physicians and nurses in the emergency department: a cross sectional study

BMC Emergency Medicine ◽

10.1186/s12873-020-00391-2 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Ahmed I. Albarrak ◽

Ammar S. Almansour ◽

Ali A. Alzahrani ◽

Abdulaziz H. Almalki ◽

Abdulrahman A. Alshehri ◽

...

Keyword(s):

Emergency Department ◽

Patient Safety ◽

Cross Sectional Study ◽

University Hospital ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Electronic Reporting ◽

Chi Square Test ◽

Usability Data

Abstract Background The purpose of patient safety is to prevent harm occurring in the healthcare system. Patient safety is improved by the use of a reporting system in which healthcare workers can document and learn from incidents, and thus prevent potential medical errors. The present study aimed to determine patient safety challenges facing clinicians (physicians and nurses) in emergency medicine and to assess barriers to using e-OVR (electronic occurrence variance reporting). Methods This cross-sectional study involved physicians and nurses in the emergency department (ED) at King Khalid University Hospital (KKUH) in Riyadh, Saudi Arabia. Using convenience sampling, a self-administered questionnaire was distributed to 294 clinicians working in the ED. The questionnaire consisted of items pertaining to patient safety and e-OVR usability. Data were analyzed using frequencies, means, and percentages, and the chi-square test was used for comparison. Results A total of 197 participants completed the questionnaire (67% response rate) of which 48 were physicians (24%) and 149 nurses (76%). Only 39% of participants thought that there was enough staff to handle work in the ED. Roughly half (48%) of participants spoke up when something negatively affected patient safety, and 61% admitted that they sometimes missed important patient care information during shift changes. Two-thirds (66%) of the participants reported experiencing violence. Regarding e-OVR, 31% of participants found reporting to be time consuming. Most (85%) participants agreed that e-OVR training regarding knowledge and skills was sufficient. Physicians reported lower knowledge levels regarding how to access (46%) and how to use (44%) e-OVR compared to nurses (98 and 95%, respectively; p < 0.01). Less than a quarter of the staff did not receive timely feedback after reporting. Regarding overall satisfaction with e-OVR, only 25% of physicians were generally satisfied compared to nearly half (52%) of nurses. Conclusion Although patient safety is well emphasized in clinical practice, especially in the ED, many factors hinder patient safety. More awareness is needed to eliminate violence and to emphasize the needs of additional staff in the ED. Electronic reporting and documentation of incidents should be well supported by continuous staff training, help, and feedback.

Download Full-text

Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional Study

International Journal of Hypertension ◽

10.1155/2017/6537956 ◽

2017 ◽

Vol 2017 ◽

pp. 1-11

Author(s):

Kenneth Nuamah ◽

Harriet Affran Bonful ◽

Joseph Danso Yeboah ◽

Ebenezer Antwi Amankwaah ◽

Daniel Boakye ◽

...

Keyword(s):

Cross Sectional Study ◽

Sociodemographic Characteristics ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Ashanti Region ◽

Chi Square Test ◽

Regional Capital ◽

Educational Campaigns

Background. Hypertension remains a cause of morbidity and mortality in the Ashanti Region of Ghana. It has been featured in the top ten causes of OPD attendance, admissions, and deaths since 2012. We investigated the sociodemographic characteristics and spatial distribution of inpatient hypertensives and factors associated with their admission outcomes. Methods. A 2014 line list of 1715 inpatient HPT cases aged ≥25 years was used for the cross-sectional analytic study. Accounting for clustering, all analyses were performed using the “svy” command in Stata. Frequencies, Chi-square test, and logistic regression analysis were used in the analysis. Arc view Geographic Information System (ArcGIS) was used to map the density of cases by place of residence and reporting hospital. Results. Mean age of cases was 58 (S.D 0.0068). Females constituted 67.6% of the cases. Age, gender, and NHIS status were significantly associated with admission outcomes. Cases were clustered in the regional capital and bordering districts. However, low case densities were recorded in the latter. Conclusion. Increasing NHIS access can potentially impact positively on hypertension admission outcomes. Health educational campaigns targeting men are recommended to address hypertension-related issues.

Download Full-text

Faktor Yang Berhubungan Dengan Kinerja Tenaga Kesehatan Di Rawat INAP RSUD Batusangkar

Jurnal Endurance ◽

10.22216/jen.v3i3.3005 ◽

2018 ◽

Vol 3 (3) ◽

pp. 440

Author(s):

Sri Handayani ◽

Puteri Fannya ◽

Putri Nazofah

Keyword(s):

Health Personnel ◽

Poor Performance ◽

Cross Sectional Study ◽

The Philippines ◽

Bivariate Analysis ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Master Level

Based on data from the Indonesia Ministry of Health in 2015, In Indonesia, new professional nurses were just 2% of the total nurses. This figure was much lower than the Philippines which has reached 40% with bachelor and master level as their education. The purpose of this study was to determine the relationship between age, and leadership with the performance of health personnel. The design of this research was analytical research with Cross Sectional Study. The population in this study was all nurses and doctors who served in the internal room, children, surgery and midwifery. Sampling using total sampling by questionnaires. The data was processed by univariate and bivariate analysis using Chi-square test. The result showed that 57,8% nurses had poor performance, 56,3% doctors had poor performance, 64,4% nurses had average age 26-35 years, 56,2% doctors had average age 36-45 years, 64.4% nurses have poor leadership, and 50.0% of doctors have less good leadership. There is a relationship between age and leadership with the performance of health personnel. Berdasarkan data kemenkes RI tahun 2015 jumlah tenaga kesehatan terbanyak yaitu perawat sebanyak 147.264 orang (45,65%). Di Indonesia, perawat profesional baru mencapai 2% dari total perawat yang ada. Angka ini jauh lebih rendah dibandingkan dengan Filipina yang sudah mencapai 40% dengan pendidikan strata satu dan dua. Tujuan penelitian ini untuk mengetahui hubungan antara umur, kepemimpinan dengan kinerja tenaga kesehatan. Jenis penelitian yang digunakan adalah desain penelitian analitik dengan Cross Sectional Study. Populasi pada penelitian ini adalah semua perawat dan dokter. Pengambilan sampel dengan menggunakan Total Sampling. Pengambilan data menggunakan kuesioner. Data diolah dengan analisis univariat menggunakan statistik deskriptif dan analisis bivariat menggunakan uji Chi-square. Hasil penelitian didapatkan 57,8% perawat memiliki kinerja kurang baik, 56,3% dokter memiliki kinerja kurang baik, 64,4% perawat memiliki umur rata-rata 26-35 tahun 64,4%, 56,2% dokter memiliki umur rata-rata 36-45 tahun, 64,4% perawat memiliki kepemimpinan kurang baik, 50,0% dokter memiliki kepemimpinan kurang baik. Terdapat hubungan antara umur dan kepemimpinan dengan kinerja tenaga kesehatan.

Download Full-text

Prevalence of Insomnia and Factors Associated with it Among the Elderly People of Sarangdanda VDC in Panchthar District

Dhaulagiri Journal of Sociology and Anthropology ◽

10.3126/dsaj.v4i0.4517 ◽

1970 ◽

Vol 4 ◽

pp. 129-142 ◽

Cited By ~ 1

Author(s):

Raj Kumar Subedi

Keyword(s):

Elderly People ◽

The Elderly ◽

Cross Sectional Study ◽

Interview Schedule ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Keywords Alcohol ◽

Chi Square Test ◽

Restorative Sleep

Insomnia is one of the major and unsolved problems in older people. Most of the sleep studies report that the different forms of insomnia like Difficulty Initiating Sleep (DIS), Difficulty Maintaining Sleep (DMS) and Non-Restorative Sleep (NRS) are common among the elderly that are associated to many factors. The objective of the study was to measure the prevalence of insomnia and the factors associated to it among the elderly people. A cross-sectional study was conducted among 142 elderly people of and above 60 years of age in Sarangdanda VDC of Panchthar District of Eastern Nepal. The presence or absence of insomnia and the associated factors were assessed on them by the help of interview schedule. The results were analyzed using chi-square test in SPSS (version 11.5). DMS was the most common reported form of insomnia among the elderly followed by DIS and NRS. Association between insomnia and each of factors like use of tobacco before sleeping hours, eating too close to bedtime, use of tea/coffee before sleeping hours and use of alcohol before sleeping hours were statistically significant at 95% level of confidence. Insomnia affects a large proportion of elderly and is triggered by many factors like use of tobacco before sleeping hours, use of tea/coffee before sleeping hours, eating too close to bedtime and use of alcohol before sleeping hours. Keywords: Alcohol; tea/coffee; difficulty initiating sleep (DIS); difficulty maintaining sleep (DMS); non-restorative sleep (NRS); tobacco DOI: 10.3126/dsaj.v4i0.4517 Dhaulagiri Journal of Sociology and Anthropology Vol.4 2010 pp.129-142

Download Full-text

Psychopathological Factors Associated With Burnout in Intensive Care Nurses: A Cross-Sectional Study

Journal of the American Psychiatric Nurses Association ◽

10.1177/1078390321999725 ◽

2021 ◽

pp. 107839032199972

Author(s):

Erman Yıldız

Keyword(s):

Intensive Care ◽

Emotional Exhaustion ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

University Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Anxiety Depression ◽

The Relationship

BACKGROUND: Although previous studies have separately revealed that parameters such as anxiety, depression, and secondary traumatic stress (STS) are associated with burnout, there is still a limited understanding of the relationship between anxiety, depression, and STS and burnout in intensive care unit (ICU) nurses. AIMS: To investigate the relationship between levels of burnout, anxiety, depression, and STS in ICU nurses. METHOD: A cross-sectional study was conducted with ICU nurses ( N = 164) from a university hospital in eastern Turkey. The participants completed the anxiety, depression, STS, and burnout scales along with the descriptive characteristics form. The data were analyzed using descriptive statistics, correlation, and logistic regression analysis. RESULTS: The mean scores for STS, anxiety, depression, and burnout were 40.60 ± 13.77, 17.14 ± 12.90, 13.28 ± 9.75 and 41.39 ± 14.87, respectively. The results showed that, in the ICU nurses, anxiety, depression, and STS components explained 61% of emotional exhaustion, 38% of depersonalization, and 13% of personal accomplishment. CONCLUSIONS: While the present findings supported the paradigm that burnout in ICU nurses is associated with STS, anxiety, and depression, they also revealed some details about the psychopathological factors associated with burnout. These details were as follows: (1) individuals who resorted to avoidance as a component of STS on a high level were more likely to experience emotional exhaustion and depersonalization, (2) individuals with severe depressive symptoms were more likely to experience a decrease in their personal accomplishment, and (3) individuals with anxiety symptoms were more likely to experience both emotional exhaustion and personal accomplishment.

Download Full-text

Exploration of COVID-19-Based Changes to Caregiver Burden and Caregiving Intensity among Informal Caregivers

Innovation in Aging ◽

10.1093/geroni/igaa057.3459 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 945-945

Author(s):

Steven Cohen ◽

Zachary Kunicki ◽

Megan Drohan ◽

Mary Greaney

Keyword(s):

Caregiver Burden ◽

Informal Caregivers ◽

Cross Sectional Study ◽

Sectional Study ◽

Multinomial Regression ◽

Chi Square ◽

Cross Sectional ◽

Unpaid Care ◽

Factors Associated ◽

Amazon's Mechanical Turk

Abstract Individuals providing unpaid care of assistance to family members and friends (e.g. informal caregivers), may have been uniquely impacted by the COVID-19 pandemic. Research is needed to examine the pandemic’s effect on informal caregivers’ caregiving intensity and burden. Therefore, this cross-sectional study was conducted to explore self-reported changes in caregiver intensity (CI) and caregiver burden (CB) due to the pandemic to identify factors associated with changes in responsibilities and burdens. In June 2020, informal caregivers providing care to someone aged 50+ (n=835) reported their current and pre-pandemic caregiving intensity and burden. Data were collected via Amazon’s Mechanical Turk. Chi-square tests were used to examine bivariate associations between pandemic time (pre vs. post) differences in CI and CB. Multinomial regression was used to assess multivariate predictors of changes to CI and CB due to COVID-19. Results showed a significant U-shaped association between initial CB and CB change due to COVID-19. Higher levels of initial CB were associated with both a significant decrease in CB during COVID-19 (OR 1.33, 95%CI 1.06-1.67), and a significant increase in CB during COVID-19 (OR 1.22, 95%CI 1.05-1.43). There were no significant associations between initial CB and changes in CI due to COVID-19, although older caregivers were more likely to experience a decrease in CB due to caregiving (OR 1.02, 95%CI 1.00-1.05). These mixed results suggest that caregivers with high initial CB experienced the most extreme changes to CB due to COVID-19. Future planned analyses will focus on understanding the potential drivers behind these unexpected results.

Download Full-text

Systemic disorders and the prognosis of stroke in Congolese patients: a cross-sectional study

Ghana Medical Journal ◽

10.4314/gmj.v54i4.4 ◽

2020 ◽

Vol 54 (4) ◽

pp. 225-230

Author(s):

Marc Tshilanda ◽

Ulrick S. Kanmounye ◽

Remy Kapongo ◽

Michel Tshiasuma

Keyword(s):

Stroke Patient ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Arterial Hypotension ◽

Sectional Study ◽

Stroke Event ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

The Mean

Objectives: Stroke is one of the leading causes of death, disability, and dementia in developing countries. Our study aimed to evaluate the systemic disorders associated with mortality in patients admitted within 72 hours of the initial stroke event. Setting: The study took place at a tertiary hospital in Kinshasa. Participants: Patients admitted within 72 hours of the initial stroke event. Interventions: This cross-sectional study consisted of a retrospective review of stroke patient records from January 2016 to December 2018. The Pearson-Chi square test and odds ratios were calculated with a threshold of significance of 0.05. Main outcome measures: Mortality Results: We recruited 114 cases. The mean age was 61.8 ± 2.4 years, and the sex ratio was 1.78 in favor of men. Hypertension (76.3%), dyslipidemia (71.1%), and diabetes mellitus (58.8%) were the most frequent comorbidities. Most patients had hypoxia (85.9%), hypertension (82.4%), hyperglycemia (57.8%), and fever (28.1%). We registered thirty-two deaths (28.1%): 20 (62.5%) from the ischemic strokes, and 12 (37.5%) from hemorrhagic strokes. Systemic disorders with the worst prognosis during were arterial hypotension (OR=3.87, p >0.001), and fever (OR = 1.56, p = 0.047). Conclusion: Arterial hypotension and fever adversely affect stroke patient outcomes, and strokes are responsible for high mortality in Congo

Download Full-text

ANALISIS HUBUNGAN KEBIASAAN JAJAN DENGAN TERJADINYA PENYAKIT DIARE PADA ANAK DI SD INPRES AMARO KABUPATEN BARRU

Jurnal Ilmiah Kesehatan Diagnosis ◽

10.35892/jikd.v15i1.309 ◽

2020 ◽

Vol 15 (1) ◽

pp. 6-9

Author(s):

Irmayani

Keyword(s):

Cross Sectional Study ◽

Personal Hygiene ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Purposive Sampling ◽

Chi Square Test

Diare adalah pengeluaran kotoran (tinja) dengan frekuensi yang meningkat (tiga kali dalam 24 jam) disertai dengan perubahan konsistensi tinja menjadi lembek atau cair, dengan atau tanpa darah/lendir dalam tinja.(Wijoyo, yosef 2013). Penelitian ini bertujuan untuk mengetahui hubungan kebiasaan jajan dengan terjadinya penyakit diare pada anak di SD Inpres Amaro Kabupaten barru. Penelitian ini dilakukan dengan menggunakan jenis penelitian Analitik Correlative dengan desain Cross Sectional Study, populasi dalam penelitian ini adalah siswa yang ada di SD Inpres Amaro Kabupaten Barru sebanyak 109 orang. Pengambilan sampel menggunakan teknik purposive sampling, didapatkan 51 responden sesuai dengan kriteria inklusi. Pengumpulan data dilakukan dengan menggunakan kuesioner. analisa data mencakup analisis univariat dengan mencari distribusi frekuensi, analisis bivariat menggunakan uji Chi- Square Test dengan interval kemaknaan α 0,05. Dari hasil analisis bivariat pada kebiasaan jajan didapat nilai ρ = 0,004 dan personal hygiene didapat nilai ρ = 0,008. Kesimpulan dalam penelitian ini adalah terdapat hubungan antara kebiasaan jajan dengan terjadinya penyakit diare pada anak di SD Inpres Amaro Kabupaten Barru

Download Full-text

Relationship Between Undernutrition and Periodontal Diseases Among Yemen Population: a Cross-sectional Study

10.21203/rs.3.rs-132860/v1 ◽

2020 ◽

Author(s):

Milad Al-kalisi ◽

Manal Al-Hajri ◽

Sarah Al-Rai

Keyword(s):

Periodontal Diseases ◽

Cross Sectional Study ◽

Categorical Variables ◽

Fisher Exact Test ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Mean Values ◽

Khat Chewing ◽

Chi Square Test

Abstract Background: Undernutrition is an inadequate supply of energy and nutrients. Periodontal diseases (PDs) defined as a broad form of chronic inflammatory diseases of the gingiva, bone and ligaments supporting the teeth. This study aimed to reveal the effect of undernutrition, using body mass index (BMI) and serum albumin level (Alb) on PDs and other risk factors as age, smoking and khat chewing. Methods: This was a cross-sectional study conducted at the faculty of dentistry, Sana’a University. Of 1920 patients attended to clinics, only 229 matched the study criteria. Oral examination was performed to assess the periodontal clinical parameters measurements. BMI and Alb was measured. Statistical analysis was used to present the association between categorical variables was assessed using Chi square test and Fisher-Exact test. ANOVA was used to assess the differences in the mean values of the quantitative outcomes. Chi square test was used to evaluate the association between BMI and age, gender, occupation, education level, smoking, khat chewing as well as BMI with PDs. Results: Most of participants (58.5%) were males and most of the study sample (91.3%) was at the age group of (18-35). Among all subjects, (81.2%) of cases were diagnosed with gingivitis. (60.7%) of study participants were mildly undernourished according to BMI. (93%) of participants showed normal Alb level. Regarding to habits, only (18.2%) of patients were smokers and more than half of participants (59.4%) were khat chewers. Conclusion: There was a relationship between PDs and undernutrition which was obviously seen between gingivitis and mild undernutrition.

Download Full-text