scholarly journals Distress and Spiritual Well-Being in Brazilian Patients Initiating Chemotherapy during the COVID-19 Pandemic—A Cross-Sectional Study

Author(s):  
Angelo Braga Mendonça ◽  
Eliane Ramos Pereira ◽  
Carinne Magnago ◽  
Pedro Gilson da Silva ◽  
Diva Cristina Morett Leão ◽  
...  

Social distancing and the priority given to COVID-19 patients in health services, which caused postponement of appointments and cancer treatment, may have triggered unprecedented levels of distress in cancer patients. The aim of this study was to analyze the prevalence of distress and the levels of spiritual well-being of people initiating chemotherapy during the COVID-19 pandemic, identifying the factors associated with distress, and determining if there is a relationship between distress and spiritual well-being. A cross-sectional study was conducted with 91 Brazilians. Data were collected by applying the Spiritual Well-Being Scale (SWBS) and the Distress Thermometer and Problem List for Patients. The prevalence of distress was 59.5%, and the average score of spiritual well-being was 106.54 (±9.06). Emotional issues were the most reported by patients with distress. The Poisson regression showed that male sex (PR = 0.588; 95% CI 0.392–0.881), age (PR = 0.985; 95% CI 0.973–0.996), and spiritual well-being score were predictors of distress (PR = 0.971; 95% CI 0.946–0.996). These findings indicate that distress relief involves implementation of public health programs capable of integrating spiritual interventions into cancer care.

2014 ◽  
Vol 19 (4) ◽  
pp. 292-296 ◽  
Author(s):  
Kayloni Olson ◽  
Kathi J. Kemper

We explored the relationships between potentially modifiable factors (mindfulness and self-compassion), intermediate factors (resilience and stress), and outcomes of interest in a cross-sectional study of medical trainees (compassionate care and clinician well-being). Among the 12 participants, the average age was 27.6 years. Mindfulness and self-compassion were positively associated with confidence in providing calm, compassionate care ( r = 0.91 and 0.81, respectively; P < .01); they were also positively correlated with clinician resilience ( P < .01), which was correlated with clinician mental health ( r = 0.83; P < .01). Perceived stress was strongly and significantly negatively correlated with all measures ( rs ranging from –0.62 for flourishing to –0.92 for confidence in delivering calm, compassionate care; P < .05 for all correlations). Given the positive correlations between mindfulness and self-compassion with both clinician well-being and confidence in providing calm, compassionate care, interventional studies are warranted to determine what kind of training most efficiently and effectively improves trainee mindfulness and self-compassion.


2020 ◽  
Vol 7 (1) ◽  
pp. 32
Author(s):  
Ady Irwansyah ◽  
Hanafi Muljohardjono ◽  
Agustina Konginan

Latar Belakang: Tiap tahun ribuan Tenaga Kerja Indonesia (TKI) dideportasi menuju Shelter Nunukan, Kalimantan Utara, dengan status TKI bermasalah terkait legalitas, terlibat konflik kekerasan fisik, masalah gaji, hingga tidak terpenuhinya hak. TKI korban deportasi mengalami gejala gangguan jiwa, yang dicetuskan dan dipengaruhi oleh beberapa faktor potensial.Tujuan Penelitian: Menganalisis faktor yang berhubungan dengan kejadian gangguan jiwa pada TKI yang mengalami deportasi di Kabupaten Nunukan, Kalimantan Utara.Metode Penelitian: Penelitian ini adalah analitik observasional korelasi klinis dengan pendekatan cross sectional study. Penelitian dilaksanakan di Shelter, Kabupaten Nunukan, Kalimantan Utara, selama bulan Februari – Maret 2018. Subyek yang memenuhi kriteria akan diambil datanya secara total sampling melalui instrumen kuesioner dan dianalisis secara statistik.Hasil Penelitian: Seluruh subyek penelitian, 67 orang, didapatkan  gangguan jiwa, didominasi episode depresif (14,9%), gangguan anxietas menyeluruh (14,9%), dan distimia (13,4%). Hasil Oneway Anova pada variabel religiusitas (Spiritual Well Being; Religious Well Being; Existential Well Being) dan kategori gangguan jiwa, didapatkan berturut-turut nilai p = 0,962; p = 0,853; p = 0,523 (p > 0,05). Hasil uji Fisher’s exact antara variabel tipe kepribadian dengan gangguan kejiwaan didapatkan nilai signifikansi sebesar p=0,306 (p > 0,05). Hasil uji Fisher’s Exact antara variabel dukungan sosial dan gangguan kejiwaan didapatkan nilai signifikansi p=0,686 (p>0,05). Hasil uji Fisher’s Exact variabel stresor psikososial dengan gangguan jiwa, didapatkan nilai signifikansi sebesar p=0,328 (p > 0,05).Simpulan: Seluruh subyek penelitian didapati mengalami gangguan jiwa dengan tipe yang bervariasi. Tidak didapatkan hubungan antara tipe kepribadian, stresor psikososial, dukungan sosial,daan tingkat religiusitas dengan kejadian gangguan jiwa pada Tenaga Kerja Indonesia yang mengalami deportasi di Kabupaten Nunukan, Kalimantan Utara.


Author(s):  
Bianca Cristine Soares Ferreira ◽  
Shirley Santos Martins ◽  
Tamires Barradas Cavalcante ◽  
João Ferreira Silva Junior ◽  
Sueli Coelho da Silva Carneiro

Objectives: To analyze the relationships between the quality of life (QOL) of people with stoma with sociodemographic, clinical, lifestyle, sanitation, and housing indicators. Method: Cross-sectional study with a sample of 106 individuals with stoma interviewed from May to December 2019. A sociodemographic and clinical questionnaire and the City of Hope Quality of Life Ostomy Questionnaire were used. Results: Spiritual well-being (7.71 +/-1.09) was the best performing domain. Quality of life did not differ between men and women (p = 0.372), but was associated with education (< 0.001) and family income (p = 0.025), diabetes (p = 0.008) and alcoholism (p = 0.044), drinking water conditions (p < 0.001), garbage disposal (p = 0.021), having electricity (p = 0.034), housing type (p = 0.026), number of rooms (p = 0.023), and housing coverage (p = 0.021). Conclusion: worse socioeconomic, sanitation, and housing indicators appear to negatively impact the QOL of people with stomata.


2018 ◽  
Vol 71 (2) ◽  
pp. 398-405 ◽  
Author(s):  
Simone Maria Muniz da Silva Bezerra ◽  
Eduardo Tavares Gomes ◽  
Paulo César da Costa Galvão ◽  
Karolayne Vieira de Souza

ABSTRACT Objective: To characterize relations between spiritual well-being and hope of patients in the preoperative period of cardiac surgery. Method: Exploratory cross-sectional study with quantitative approach, performed in the infirmaries of a reference hospital in cardiology. We evaluated 69 patients hospitalized in preoperative period of myocardial revascularization, valve repair or replacement. Results: We verified that patients hold relevant scores of hope and welfare in all areas, being the existential well-being significantly lower than the religious one. The average of the spiritual well-being score was below the required to be considered high. There was no significant correlation between welfare and hope. Conclusion: Nurses should develop a watchful eye to these issues, be trained in specific protocols of spiritual anamnese and use the real moments of care to strengthen the patients.


2019 ◽  
pp. 145-154 ◽  
Author(s):  
Hasan Jafaripoorr ◽  
Mehdi Safarabadi ◽  
Yasaman Pourandish ◽  
Ali Khanmohammadi ◽  
Seied Mohammad Aghaiepoor ◽  
...  

2021 ◽  
Author(s):  
Angella Namulindwa ◽  
John Hans Wasswa ◽  
Winnie Muyindike ◽  
Robert Tamukong ◽  
Joseph Oloro

Abstract Background: Highly Active Antiretroviral Therapy is efficacious in suppression of Human Immunodeficiency Virus (HIV) however, it is associated with numerous toxicities hence great effort has been put into development of antiretrovirals with better tolerability. The World Health Organization recommended dolutegravir as first-line antiretroviral therapy however, recent studies have raised concerns regarding its safety in real-clinical settings due to adverse drug reactions (ADEs). Hence the purpose of this study was to establish the prevalence and factors associated with adverse drug events among patients on dolutegravir-based regimen at the Immune Suppression Syndrome (ISS) Clinic- Mbarara Regional Referral Hospital (MRRH).Methods: A retrospective cross-sectional study was conducted at ISS Clinic-MRRH among 375 randomly selected patients who had been exposed to DTG-based regimen for at least 12 weeks. The patients were interviewed to obtain data on sociodemographics, dietary habits and thereafter their files reviewed to obtain data on ADEs. Data entry was done using Epi-data 3.0 and exported to SPSS version 25.0 for analysis. The prevalence of ADEs was determined as a percentage, and ADE associated factors were assessed using bivariate analysis, those found significant were further subjected to multivariate logistic regression model and were considered significant at P<0.05.Results: The prevalence of adverse drug events among patients on DTG-based regimen was found to be 33.1% (124/375) with 5.6% (7/124) participants discontinued from treatment due ADEs, 4 of which were due to hyperglycemia and 3 due to liver toxicity. The commonly experienced ADEs included abdominal pain, hyperglycemia and liver toxicity each at 7.3%, headache at 11.3%, and allergy at 36.3%. Male sex (AOR 1.571, 95% CI 1.433- 1.984), WHO stage one at entry to care (AOR 4.586, 95% CI 1.649-12.754), stage two (AOR 4.536, 95% CI 1.611-12.776), stage three (AOR 3.638, 95% CI 1.262-10.488), were significantly associated with ADEs. Patients with undetectable viral load at initiation of DTG-based regimen were less likely to experience ADEs (AOR = .324, 95% CI .1167-.629).Conclusions: Up to a third of patients on DTG-based regimen experienced ADEs. Male sex, WHO HIV disease stage and a detectable viral load at initiation of DTG-based regimen were significantly associated with ADEs. It is crucial to actively monitor patients with these characteristics for ADEs.


2020 ◽  
Vol 28 (3) ◽  
pp. 540-547
Author(s):  
Junye Yu ◽  
Yuanyuan Song ◽  
Huan Dong ◽  
Xiuzhen Su ◽  
Peishan Zhang

Author(s):  
Chotirat Nakaranurack ◽  
Weerawat Manosuthi

Objectives: The prevalence of non-AIDS-related comorbidities is increasing in HIV-infected patients receiving antiretroviral therapy. In Thailand, data regarding the prevalence of non-AIDS comorbidities and factors associated with metabolic complications in HIV-infected patients have not been well-documented. Methods: This cross-sectional study was conducted in 2011 and included 874 HIV-infected patients. Results: The age of patients was 45(8) years represented as mean (standard deviation [SD]). The current CD4 count was 502(247) cells/mm3. In all, 388 (44%) of the included patients had at least 1non-AIDS comorbidity. The most frequently documented comorbidities were hyperlipidemia in 271 (70%) patients. Using multivariate analysis, older age(odds ratio [OR] = 1.82, 95% confidence interval [CI] = 1.51-2.19), male sex (OR = 1.55, 95%CI = 1.14-2.11), high current CD4 count(OR = 1.00, 95%CI = 1.00-1.00), and taking abacavir (ABC)-containing(OR = 2.59, 95%CI = 1.16-5.78)and didanosine (ddI)-containing antiretroviral regimens (OR = 4.16, 95%CI = 1.09-15.84)were associated with the presence of metabolic complications (all Ps<.05). Conclusion: The prevalence of comorbidities is substantially high. Clinical monitoring and effective management of these comorbidities and metabolic complications are recommended, especially in HIV-infected patients who present with these associated factors.


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