scholarly journals Post-Traumatic Growth among Patients with Gastrointestinal Cancer and Its Association with Social Support and Hope

Background: Diagnosis of cancer is a traumatic experience. But cancer patients may have some positive experiences that are called post traumatic growth (PTG). The aim of this study was to determine the rate of post-traumatic growth in cancer patients and its relationship with social support and hope. Materials and Methods: The present descriptive correlational study was conducted during May-August 2018 in Shiraz, Iran. Population included of 112 all adult patients with gastrointestinal cancer who referred to medical centers affiliated to Shiraz University of Medical Sciences. Data collection instruments included a demographic information form, post-traumatic growth inventory, social support appraisals scale, and Miller hope scale. The data were analyzed by SPSS software (version 23.0). P<0.05 was considered statistically significant. Analytical data were analyzed using the Pearson correlation coefficient, sample t test, one-way analysis of variance independent and multiple regression analysis. In the case of non-normal distribution, the equivalent nonparametric analysis was used. Results: The mean score (SD (for PTG was 81.37)15.64(which is considered as high level. The mean score (SD) for hope, and SS was 195.20 (24.92), and 97.39 (11.37), respectively. A significant positive correlation was found between PTG and both hope (r=0.687, P˂0.05) and SS (r=0.636, P˂0.05). The results of the multiple regression analysis showed a significant relationship between PTG, SS, and hope (P˂0.05). According to multiple regression analysis hope had a higher effect on PTG (ẞ=0.613) compared to SS (ẞ=0.192). Conclusion: The results showed a good level of PTG among the cancer patients. Regarding the association between PTG with the perceived SS and hope, health care providers can help their patient by hope instillation and providing social support.

2022 ◽  
Author(s):  
Hanan Daghash

Background: Nurses have been under heavy workloads since the outbreak of COVID-19 and are at a high risk of infection, leading to a high level of psychosocial risk. This can adversely affect nurses both psychologically and physically. Burnout is caused by prolonged stress during work. In the nursing profession, burnout is common, potentially affecting the well-being of nurses and their productivity. The identification of factors that may contribute to maintaining mental health and reducing burnout among frontline nurses during a pandemic is essential. Purpose: The purpose of this study was to explore how personal resilience, social support, and organizational support impact burnout among frontline staff nurses. Methods: This study involved 129 registered nurses from a COVID-19 designated hospital using four standardized scales. Results: The mean age of the respondents was 29.46 years (standard deviation = 4.89). The mean number of years respondents worked in this organization was 5.60 years and the nursing profession was 4.16 years. Most of the respondents were female and held a bachelor's degree in nursing. Multiple regression analysis was performed to predict burnout. Burnout was statistically significantly predicted by the multiple regression model (R2 = .420, F (3, 125) = 10.941, p < .0001; adjusted R2 = .406). Personal resilience, social support, and organizational support added statistically significantly to the prediction of burnout (p < .05). Conclusion: Findings from multiple regression analysis showed that nurses with low resilience and those who perceived inadequate social and organizational support had a higher risk of reporting more burnout. As a result of a bivariate analysis, there was no significant correlation between nurse variables and burnout level, except for age, which was negatively correlated with burnout level. Accordingly, young nurses tend to experience burnout, and nurse directors and managers must address this problem.


2020 ◽  
pp. 014556131990039
Author(s):  
Yousef Aljathlany ◽  
Abdullah Aljasser ◽  
Abdullah Alhelali ◽  
Manal Bukhari ◽  
Mohammed Almohizea ◽  
...  

Objectives: We aimed to comprehensively investigate different upper airway segments in adults, determine the predictors of the size of each segment, and identify an appropriate endotracheal tube (ETT) size chart. Study Design: Retrospective chart review. Setting: Tertiary care center. Materials and Methods: The data for patients aged >18 years who underwent neck computed tomography were screened. Patients with existing tumors, trauma, or any pathology that can alter the normal airway anatomy and those with intubation, tracheostomy, or nasogastric tubes were excluded. Computed tomography software was used to measure the anteroposterior diameter (APD), transverse diameter (TD), and cross-sectional area (CSA) at the glottic, proximal subglottic, distal subglottic, and tracheal levels. Multiple regression analysis was used to identify the predictors of the airway size. Results: One hundred patients were reviewed. The TD was consistently smaller than or equal to the APD at each level in all but 3 patients. The mean CSA and TD (170 mm2 and 11.3 mm, respectively) of the glottis indicated that the glottis was most often the narrowest level, followed by the proximal subglottis where the mean CSA and TD were 192.1 mm2 and 12.7 mm, respectively. Moreover, the mean APD was the smallest at the level of the trachea (20.1 mm). Multiple regression analysis confirmed that height and sex were the predominant predictors of measurements for the 4 airway segments. In addition, age was associated with the TD and CSA of the distal subglottic and tracheal segments, respectively. Conclusion: One-third of our participants exhibited a proximal subglottic diameter that was equal to or smaller than the glottic diameter. Our findings also suggested that the height and sex of the patients are important variables for the selection of an appropriate ETT size.


2011 ◽  
Vol 37 (1) ◽  
pp. 65-70 ◽  
Author(s):  
M. G. Hossain ◽  
R. Zyroul ◽  
B. P. Pereira ◽  
T. Kamarul

Grip strength is an important measure used to monitor the progression of a condition, and to evaluate outcomes of treatment. We assessed how various physical and social factors predict normal grip strength in an adult Malaysian population of mixed Asian ethnicity (254 men, 246 women). Grip strength was recorded using the Jamar dynamometer. The mean grip strength for the dominant hand was 29.8 kg for men and 17.6 kg for women. Multiple regression analysis demonstrated that the dominant hand grip strength was positively associated with height and body mass index, and negatively associated with age for both sexes. Dominant hand grip strength was related to work status for men ( p < 0.05) but not for women. However, there was no difference in grip strength among ethnic groups.


2020 ◽  
Author(s):  
Eri Katsuyama ◽  
Yoshia Miyawaki ◽  
Ken-ei Sada ◽  
Yosuke Asano ◽  
Keigo Hayashi ◽  
...  

Abstract Background To evaluate histological active and chronic lesions associated with proteinuria and serum creatinine (SCr) level as common clinical endpoints in many clinical trials for lupus nephritis (LN). Methods One hundred and nineteen patients from 1990 to 2015 with LN class III, IV, and V, as defined by the International Society of Nephrology/Renal Pathology Society classification, were enrolled. Multiple regression analysis was performed to explore semiquantitative histological variables related to urinary protein and SCr levels. Results The mean age of enrolled patients was 45 years and 79% were female. The mean SCr level was 0.87 mg/dl and mean urinary protein was 3.00 g/gCr at the time of the renal biopsy. Class IV (71%) was the most common type, followed by class III (17%) and class V (13%). Multicollinearity was confirmed between monocellular infiltration (variance inflation factor [VIF] = 10.22) and interstitial fibrosis (VIF = 10.29) and between karyorrhexis (VIF = 4.14) and fibrinoid necrosis (VIF = 4.29). After excluding fibrinoid necrosis and monocellular infiltration because of multicollinearity, only urinary protein level was correlated with wire loop (β−coefficient [β]: 1.09 and confidence interval [CI]: 0.35 to 1.83), and SCr level was correlated with glomerular sclerosis (β: 1.08 and CI: 0.43 to 1.74) by multiple regression analysis. Conclusion As urinary protein and SCr levels could not reflect active lesions quantitatively, they might be difficult to be evaluated for response to induction remission treatments in patients with LN.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257062
Author(s):  
Kiko Shiga ◽  
Keisuke Izumi ◽  
Kazumichi Minato ◽  
Tatsuki Sugio ◽  
Michitaka Yoshimura ◽  
...  

The importance of workers’ well-being has been recognized in recent years. The assessment of well-being has been subjective, and few studies have sought potential biomarkers of well-being to date. This study examined the relationship between well-being and the LF/HF ratio, an index of heart rate variability that reflects sympathetic and parasympathetic nerve activity. Pulse waves were measured using photoplethysmography through a web camera attached to the computer used by each participant. The participants were asked to measure their pulse waves while working for 4 weeks, and well-being was assessed using self-reported measures such as the Satisfaction With Life Scale (SWLS), the Positive and Negative Affect Schedule (PANAS), and the Flourishing Scale (FS). Each of the well-being scores were split into two groups according to the median value, and the LF/HF ratio during work, as well as the number of times an LF/HF ratio threshold was either exceeded or subceeded, were compared between the high and low SWLS, positive emotion, negative emotion, and FS groups. Furthermore, to examine the effects of the LF/HF ratio and demographic characteristics on well-being, a multiple regression analysis was conducted. Data were obtained from 169 participants. The results showed that the low FS group had a higher mean LF/HF ratio during work than the high FS group. No significant differences were seen between the high and low SWLS groups, the high and low positive emotion groups, or the high and low negative emotion groups. The multiple regression analysis showed that the mean LF/HF ratio during work affected the FS and SWLS scores, and the number of times the mean LF/HF ratio exceeded +3 SD had an effect on the positive emotion. No effect of the LF/HF ratio on negative emotions was shown. The LF/HF ratio might be applicable as an objective measure of well-being.


2016 ◽  
Vol 4 (02) ◽  
Author(s):  
Aris Setiawan ◽  
Niken Titi Pratitis

Abstract. The purpose of this study to examine the relation between religiosity and socialsupport to the resilience of Lapindo Sidoarjo Mudflow victims. Research variables weremeasured using resilience scale, scale of religiosity and social support scale. Subjectswere 60 victims of Lapindo mudflow that are married, age 20-40, and as a native. Datawere analyzed using multiple regression analysis. The results of multiple regressionanalysis showed that the variables religiosity and social support significantly associatedwith resilience (F = 22.863 at p = 0.000). Both variables contributed 44.5% towardsresilience. Separately, religiosity has a positive relationship with resilience (t = 2.439 to p= 0.018). Social support has a significant positive correlation with resilience (t = 4.952 atp = 0.000).Keywords: Religiosity, Social support, Resilience.


Dialog ◽  
2020 ◽  
Vol 42 (1) ◽  
pp. 69-80
Author(s):  
Imam Noviantoro ◽  
Gazi Saloom

Psychological well-being adalah keadaan dimana individu mampu menerima keadaan dirinya secara positif, baik keadaan yang sedang dijalaninya saat ini maupun pengalaman hidupnya termasuk pengalaman yang dianggapnya tidak menyenangkan dan menerima semua itu sebagai bagian dari dirinya. Penelitian ini bertujuan untuk untuk melihat apakah self esteem, optimisme dan social support secara bersama-sama mempengaruhi psychological well-being guru honorer SDN Kabupaten Serang. Populasi penelitian ini adalah 221 guru honorer SDN Kabupaten Serang. Sampel dalam penelitian ini berjumlah 210 guru honorer. Pengambilan sampel yang digunakan dalam penelitian ini menggunakan tekhnik purposive sampling. Metode penelitian ini menggunakan kuantitatif. Validitas alat ukur dalam penelitian ini diuji dengan Confirmatory Factor Analysis (CFA). Analisis data menggunakan multiple regression analysis (regresi berganda). Hasil penelitian menunjukkan bahwa self esteem, optimisme dan social support secara bersama-sama mempengaruhi psychological well-being. Variabel self esteem dan optimisme berpengaruh signifikan terhadap psychological well-being. Sedangkan variabel dukungan emosional, dukungan penghargaan, dukungan instrumental, dukungan informasi, dukungan kelompok, tidak terbukti secara statistik berpengaruh terhadap psychological well-being. Penelitian selanjutnya disarankan untuk memilih populasi  di suatu tempat atau beberapa area saja agar lebih terarah.


2019 ◽  
Vol 32 (4) ◽  
pp. 363-367 ◽  
Author(s):  
Sze M. Ng ◽  
Akinsola Ogundiya ◽  
Mohammed Didi ◽  
Mark A. Turner

Abstract Background There is limited data on adrenal function in the early days after birth in extremely premature infants. The relationship between plasma adrenocorticotrophic (ACTH) and cortisol hormone is central to the integrity of the hypothalamic-pituitary-adrenal (HPA) axis yet there are no studies examining this relationship in prematurity. Methods The aim of this study was to examine the relationship between early morning plasma cortisol and ACTH concentrations during the first 5 days after birth in infants born at less than 28 weeks’ gestation and to identify any independent factors that determine plasma cortisol levels in these infants during extreme prematurity. We prospectively studied early morning plasma ACTH and cortisol concentrations in infants born below 28 weeks’ gestation during the first 5 days of birth. Plasma cortisol was measured without extraction, using DPC Immulite® 2000 using a solid phase 2 site chemiluminescent immunometric assay. ACTH was measured using a radioimmunoassay. Spearman’s correlation was used to examine the relationship between cortisol and ACTH. Multiple regression analysis was used to examine the relationship between plasma cortisol and clinical risk index for babies (CRIB) score, antenatal dexamethasone, mode of delivery and gestation. Results There were 95 infants (53 males) of mean gestation 25.3 ± 1.3 standard deviation (SD) (range 23–27 + 6) weeks. The mean birth weight was 809 ± 17.0 g. The mean plasma cortisol was 400.5 ± 42.6 nmol/L and the mean plasma ACTH was 4.5 ± 0.9 pmol/L. Early morning plasma cortisol correlated significantly with gestation (R = 0.4, p = 0.005). Early morning plasma ACTH did not correlate with early morning plasma cortisol (R = −0.12, p = 0.7). Multiple regression analysis showed that gestation was the only independent determinant of early morning plasma cortisol concentration (beta coefficient = −0.4, p = 0.04). Conclusions The relationship between early morning plasma ACTH and plasma cortisol is either not established or is impaired in infants of less than 28 weeks’ gestation in the first 5 days after birth. The plasma cortisol level is mainly determined by gestation and is not directly related to illness severity, antenatal steroids or plasma ACTH in these infants in the first 5 days after birth.


2017 ◽  
Vol 5 (4) ◽  
pp. 62
Author(s):  
Shahariah Asmuni ◽  
Sabariah Yusoff ◽  
Nur Syuhadah Mohd Ses

The Goods and Services Tax (GST) has been introduced in Malaysia to replace the Sales and Services Tax (SST) to improve the efficiency of indirect tax collection. However, its implementation has not been fully understood by business people.  This research aims to examine the key factors that have contributed to the level of acceptance towards GST among business communities in a local city, Johor Bharu. In this study, three variables were selected namely awareness, understanding and attitude. Using questionnaire as a research instrument, 100 sets of questionnaires were distributed. Multiple regression analysis was used to test the relationship among awareness, understanding and attitude with the level of acceptance among business communities towards GST. The results revealed that the mean score for all independent variables is moderate. Awareness and attitude were found to have significant impact on the level of acceptance among business community towards GST, while understanding is not significant. The business community in Johor Bahru shows a moderate or positive level of acceptance and attitude towards GST.


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