scholarly journals Relationship between family functions with depression in palliative patients

2021 ◽  
Vol 2 (1) ◽  
pp. 1-3
Author(s):  
Johan Kurniawan ◽  
Ni Ketut Putri Aryani ◽  
Ida Ayu Kusuma Wardani

Background: Diseases or health problems are a part of life that can occur at any time. Terminal disease represents a patient's irreversible health condition, so that this group of patients can be given a therapeutic approach known as palliative care. Patients who experience significant conflict in the family can increase the likelihood of depression. Patients and Methods: This is a descriptive cross-sectional study in 32 subjects chosen by consecutive sampling. Measuring instrument used was Beck’s Depression Inventory. The family function scale is derived from the McCaster’s Model of Family Functioning known as the Family Assessment Device (FAD). Results: In this study, the average age of the sample was 46 years, unmarried from high school education. In the description of family functions obtained with overall results with moderate function. Correlation between the two things was found to be a weak negative correlation between FAD score and BDI score. The smaller the value score of FAD then will the greater the value of BDI. The worse the function of the family will be more severe levels of depression experienced by the sample in this study. Conclusion: We found there was a significant weak negative correlation between family function and depression in palliative patients at Sanglah Hospital Denpasar.

2019 ◽  
Vol 3 (1) ◽  
pp. 42
Author(s):  
I Gusti Ngurah Made Suwarba ◽  
Ni Putu Yunik Novayanti ◽  
I Gusti Lanang Sidiartha ◽  
Dewi Sutriani Mahalini

Background: It is important to maintain the adequate level of vitamin B6 to ensure stable metabolism. Vitamin B6 serum level might decreased by absorption disturbance or increasing demand. Valproic acid increase the synthesis of serum GABAergic in the other hand vitamin B6 is required as cofactor for gamma-amino butyric acid (GABA) formation. The dosage and duration of valproic acid therapy might be correlated with vitamin B6 serum level. The aim of this study is to know the correlation between vitamin B6 serum level against dosage and duration of valproic acid therapy in children with epilepsy.Materials and Methods: This is a cross sectional study to investigate the correlation between vitamin B6 serum level against dosage and duration of valproic acid therapy. The level of vitamin B6 serum was determined by checking vitamin B6 active form in serum, pyridoxal 5’-phospate (PLP).Results: In this study, 37 epilepsy children with valproic acid duration therapy more than 3 months was enrolled. Fifty six percent epilepsy children were male, commonly on children age 1-5 years old. Spearman correlation coefficient test showed a significant weak negative correlation between vitamin B6 serum level and dosage of valproic acid (r=–0.35; p=0.03), and very weak negative correlation with valproic acid duration therapy (r=-0.08; p=0.59), however it was not significant. Conclusion: There was a significant weak negative correlation between vitamin B6 serum level and very weak negative correlation with valproic acid duration therapy, but not significant in children with epilepsy.Keywords: correlation, valproic acid, vitamin B6


2020 ◽  
Vol 48 (7) ◽  
pp. 030006052093429
Author(s):  
Yao Wang ◽  
Shanshan Li ◽  
Weiyi Pan ◽  
Peng Xiao ◽  
Jiehong Zhang ◽  
...  

Objective We investigated factors affecting the disability assessment Longshi scale, and differences between the Longshi and Barthel scales, as well as modified Rankin scale (mRS), to determine whether the Longshi scale is superior to the other scales. Methods This cross-sectional study included 721 participants with disability. We performed the t-test, analysis of variance, Pearson’s correlation test, and multiple linear regression to analyze group differences and define explanatory variables. Results The Longshi scale had a strong positive correlation with the Barthel scale (r = 0.868) but a weak negative correlation with the mRS (r = –0.185). Scores obtained among seven study hospitals in two provinces of southeast China were significantly different (F = 8.034). Social activities of participants with disability can be positively predicted using the Longshi (β = 0.251) and Barthel scales (β = 0.276). However, age has a weak negative correlation with the Longshi scale (r = –0.163). Conclusion Training did not cause significant variations in assessment using the Longshi scale. However, the results differed among different regions. The Longshi scale showed a strong correlation with the Barthel scale but a weak correlation with the mRS. Assessment time was shorter using the Longshi scale and the scale can be used to predict the social activities of individuals with disability.


2020 ◽  
Vol 1 (1) ◽  
pp. 9-13
Author(s):  
Nyoman Widhyalestari Parwatha ◽  
Luh Nyoman Alit Aryani ◽  
Lely Setyawati ◽  
Cokorda Bagus Jaya Lesmana ◽  
Wayan Westa ◽  
...  

Background: Cigarette addiction not only affects physical health but also individual mental development. The family function is thought to influence the occurrence of cigarette addiction in adolescents. This study aims to determine the association between family function and cigarette addiction in high school students in Denpasar. Patients and Methods: The study participants were 138 high school students in Denpasar, aged 15-18 years. This study used an analytical cross-sectional method. Measurement of family functions using the Family Assessment Device (FAD) and cigarette addiction measured by the Fagerström Test for Nicotine Dependence (FTND) questionnaire. Data were analyzed descriptively and using the chi-square test with significance level p <0.05. Results: The results showed that high school students who smoked were 29.7%. Most high school students have a good family function (73.2%). There is an association between family function and cigarette addiction in high school students in Denpasar with OR 16.8 (95% CI 6.7-42.1; p <0.001). In this study, the most important dimension from the family function was the problem-solving dimension with OR 8.29 and 95% CI 3.4-20.30 (p <0.001). Conclusion: There is a positive association between family problem and cigarette addiction in high school students in Denpasar.


2017 ◽  
Vol 3 (1) ◽  
pp. 3
Author(s):  
Wika Hanida ◽  
E Mudjaddid ◽  
Habibah Hanum Nasution ◽  
Hamzah Shatri

Pendahuluan. Pendekatan holistik di bidang psikosomatik menekankan bahwa faktor spiritualitas dan dukungan padasisi spiritualitas dapat meningkatkan pelayanan serta memperbaiki kondisi psikologis pada pasien. Selama prosedurhemodialisis, respon inflamasi akan meningkat, dibuktikan dengan peningkatan konsentrasi interleukin-6 (IL-6). Aspekspiritual diyakini dapat menurunkan respon inflamasi. Oleh karena itu penelitian ini dilakukan untuk menguji hubunganantara tingkat spiritual dangan kadar IL-6 pada pasien hemodialisis kronik .Metode. Penelitian ini merupakan studi cross sectional yang dilakukan pada 51 pasien hemodialisis kronik di unit hemodialisisRSUP. H. Adam Malik dan RSU. Dr. Pirngadi Medan mulai bulan Juli-Agustus 2014. Pemeriksaan kadar IL-6 serum diukurdengan metode quantitative enzyme-linked immunosorbent assay (ELISA) serta dilakukan pengambilan sampel darah.Sementara itu, pengukuran spiritual dilakukan dengan pengisian kuesioner FACIT Sp-12 pada pagi hari, yaitu 30 menitsebelum hemodialisis berlangsung.Hasil. Didapatkan rerata skor subskala meaning (makna) 10,67 (SB 2,66), peace (damai) 9,63 (SB 2,19) dan faith (iman) 11,47 (SB 2,91). Nilai median kadar IL-6 serum pada penelitian ini adalah sebesar 5,63 (1,48-28,88) pg/mL, sedangkan nilai median FACIT Sp-12 adalah 30,00 (18-48). Hasil uji korelasi antara tingkat spiritual dengan kadar IL-6 serum menunjukkan koefisien korelasi (r) sebesar -0,330 dengan nilai p= 0,018, secara statistik menunjukkan korelasi negatif yang lemah.Simpulan. Spiritual pada pasien hemodialisis kronik tergolong tinggi serta terdapat korelasi negatif yang lemah antaraaspek spiritual dengan kadar IL-6 pada pasien hemodialisis kronik.Kata kunci: FACIT Sp-12, hemodialisis kronik, IL-6 Correlation between Spiritual Aspect and Serum Interleukin-6 Level in Chronic Hemodialysis PatientsIntroduction. Holistic approach in psychosomatic focus on spirituality factor and spiritual support is expected to improve services and psychological condition of the patients. Inflammatory response during hemodialisis procedure hence increased with the evidence of increasing level of serum interleukin-6 (IL-6). Further research is still needed to see the spiritual factors that can decrease the inflammatory factors. Methods. Cross sectional study on 51 chronic hemodialisis patients at RSUP. H. Adam Malik and RSU dr. Pirngadi Medan between July-August 2014. Serum IL-6 was measured using quantitative enzyme-linked immune sorbent assay (ELISA) methods. Blood samples and spiritual aspect assessment by handing out FACIT Sp-12 questionnaire to patients were taken in the morning, 30 minutes before hemodialisis. Results. Subscale meaning 10.67 (SB 2.66), peace 9.63 (SB 2.19) and faith 11.47 (SB 2.91). Median serum IL-6 level is 5,63 (1,48- 28,88) pg/mL. Median FACIT Sp-12 is 30,00 (18-48). Correlation test between serum IL-6 level and spiritual aspect have shown statistically weak negative correlation (correlation coefficient -0,330, p=0.018). Conclusions: spirituality level in chronic hemodialisis patients are higher. Weak negative correlation between serum IL-6 level and spiritual level on chronic hemodialisis patients was found in this study. Keywords: Chronic hemodialisis, FACIT Sp-12, IL-6


2020 ◽  
Vol 91 (4) ◽  
pp. 476-500
Author(s):  
Hyun-E Yeom ◽  
Jungmin Lee

This study investigated whether there are gender-based differences in the process wherein family functions influence stress through various health behaviors in midlife adults. A cross-sectional study was done using a convenience sample of 250 middle-aged Koreans. Data on the family APGAR index, four health behaviors (i.e., seeking health information, physical activity, healthy diet, and social interaction), and stress were collected by a self-administered survey and analyzed using hierarchical multiple linear regression analyses and a PROCESS macro for SPSS. The study results showed that an indirect effect of family function on stress through health behaviors was significant in women, whereas such a relationship was not shown in men. This study found that the process wherein family function is linked with stress through health behaviors differs by gender. Developing gender-specific interventions is essential to decrease stress in midlife adults.


2020 ◽  
Vol 18 (6) ◽  
pp. 658-661
Author(s):  
Mafalda Lemos Caldas ◽  
Miguel Julião ◽  
Ana João Santos ◽  
Harvey Max Chochinov

AbstractIntroductionThe Patient Dignity Question (PDQ) is a clinical tool developed with the aim of reinforcing the sense of personhood and dignity, enabling health care providers (HCPs) to see patients as people and not solely based on their illness.ObjectiveTo study the acceptability and feasibility of the Portuguese version of the PDQ (PDQ-PT) in a sample of palliative care patients cared for in primary care (PC).MethodA cross-sectional study using 20 palliative patients cared for in a PC unit. A post-PDQ satisfaction questionnaire was developed.ResultsTwenty participants were included, 75% were male; average age was 70 years old. Patients found the summary accurate, precise, and complete; all said that they would recommend the PDQ to others and want a copy of the summary placed on their family physician's medical chart. They felt the summary heightened their sense of dignity, considered it important that HCPs have access to the summary and indicated that this information could affect the way HCPs see and care for them. The PDQ-PT's took 7 min on average to answer, and 10 min to complete the summary.Significance of resultsThe PDQ-PT is well accepted and feasible to use with palliative patients in the context of PC and seems to be a promising tool to be implemented. Future trials are now warranted.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Prachita P. Walankar ◽  
Vrushali P. Panhale ◽  
Kanchi M. Vyas

Abstract Background Functional ankle instability is a common musculoskeletal condition affecting the community. It is characterized by repetitive bouts of giving away, recurrent sprains, and sensation of instability leading to functional deficits in an individual. The present study aimed to assess the influence of kinesiophobia on physical function and quality of life in participants with functional ankle instability. A cross-sectional study was conducted in 30 participants with functional ankle instability. Kinesiophobia was assessed using the 17-item Tampa Scale of Kinesiophobia, physical function using the Foot and Ankle Ability Measure (FAAM) and the FAAM-Sport version (FAAM-S), and quality of life using SF-36. Results The TSK score showed a moderate negative correlation with FAAM-S (r = −0.5, p = 0.005) and a weak negative correlation with SF-36 physical component summary (r = −0.42, p = 0.02). However, TSK showed no significant correlation with FAAM-ADL and SF-36 mental component summary. Conclusion Increased fear of movement, reduced physical function, and health-related quality of life were observed in functional ankle instability individuals. Hence, evaluation of these parameters is imperative in these individuals.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 626
Author(s):  
Saber Yezli ◽  
Yara Yassin ◽  
Abdulaziz Mushi ◽  
Bander Balkhi ◽  
Andy Stergachis ◽  
...  

We aimed to investigate the knowledge and practices of Hajj pilgrims regarding medication storage and handling during the Hajj mass gathering. In this cross-sectional study, adult pilgrims from 30 countries were interviewed using a structured questionnaire during the 2019 Hajj. The study enrolled 1221 participants with a mean age of 50.8 years (SD = 12.5, range = 18–98) and male:female ratio of 1.7:1. Most pilgrims were literate, 50.4% had a university or higher education, and 38% reported at least one underlying health condition. Most pilgrims reported receiving education regarding the proper way to store their medication during Hajj, mainly from physicians (73.7%) and pharmacists (39.4%). Although 68.2% of pilgrims had good knowledge regarding medication storage and the potential effect of inappropriate storage conditions on medications and health, inadequate knowledge and poor practice were identified among some. Level of education, having an underlying health condition and receiving health education on mediation storage were independently associated with good knowledge. Most pilgrims took their medications with them during Hajj, although storage and handling of their medication also varied depending on the stages of their Hajj pilgrimage journey. Improving Hajj pilgrims’ awareness and knowledge about appropriate storage and handling of their medications are beneficial in reducing the risk of associated adverse health outcomes, both during Hajj and beyond the mass gathering.


Author(s):  
Rosália Páscoa ◽  
Andreia Teixeira ◽  
Micaela Gregório ◽  
Rosa Carvalho ◽  
Carlos Martins

Lifestyle interventions are recognized as essential in the prevention and treatment of non-communicable diseases. Previous studies have shown that Portuguese patients tend to give more importance to diagnostic and laboratory tests than to lifestyle measures, and seem unaware that behavioral risks are the main modifiable risk factors. The study aimed to analyze patients’ perspectives about lifestyle behaviors and health in the context of family medicine in Portugal. A population-based cross-sectional study was carried out in Portugal (the mainland). A total of 900 Portuguese patients aged ≥20 years, representative of the population, were surveyed using face-to-face questionnaires. Participants were selected by the random route method. Descriptive statistics and non-parametric tests were performed to evaluate differences between the personal beliefs and the personal behavior self-assessment, as well as between the level of importance given to the family doctor to address health behaviors and the reported approach implemented by the family doctor, and its association with bio-demographic variables. The results indicate that the vast majority of this Portuguese cohort has informed beliefs regarding lifestyle behaviors, tends to overestimate their own behavior self-assessment, and strongly agrees that it is important that their family doctor asks/advises on these lifestyle behaviors, although the proportion of those who totally agree that their family doctor usually does this is significantly lower. Differences concerning bio-demographic variables were found. Future research directions should focus on the politics, economics, and policy aspects that may have an impact in this area. It will also be important to understand more broadly the relationships between lifestyle behaviors and clinical, physical, and sociodemographic variables.


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