scholarly journals The sexuality of a colostomized person as a major component of quality of life and nursing care

2017 ◽  
Vol 7 (8) ◽  
pp. 104
Author(s):  
Cristilene Akiko Kimura ◽  
Ivone Kamada ◽  
Dirce Bellezi Guilhem ◽  
Breno Silva de Abreu De Abreu ◽  
Renata Costa Fortes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Sexual Activity ◽  
Nursing Care ◽  
Social Issues ◽  
Regional Hospital ◽  
Qualitative Approach ◽  
Educational Process ◽  
Care Process

The colostomized person's perceptions regarding sexuality and sexual activity is a major component of quality of life and nursing care, however due to several limitations, the questionnaire only approach, although validated for such applications, has not enough resolution, due to its qualitative approach, to capture more delicate aspects of the impact of an ostomy onto a otherwise healthy patient. In order to correct such bias, a exploratory-descriptive study of a qualitative approach based on Bardain’s content analysis was conducted.  80 colostomized participants were recruited from Stomatology Outpatient Clinics in the Hospital de Base, Regional Hospital of Asa Norte and the Regional Hospital of Gama, Distrito Federal, Brazil. Data was collected through a clinical and sociodemographic questionnaire, as well as an individual interview. The results are presented in five categories: self-concept, leakage issues, odor and gases, stigma, sexual activity and companionship. The analysis suggests that the fulfillment of nursing care ideals, through clear and objective communication, results in the colostomized person's care and can favor in the acceptance of their new way of living. The exchange of knowledge and practices between the colostomized patient and the medical care support crew, in special the nursing care, allows the establishment of strategies that contribute gradually to the full health care, promoting the improvement of the QoL of both the colostomized person as well his/her partner. It is concluded that health services should provide care process in health and nursing, with the purpose of guaranteeing means for the planning of a holistic implementation of health care. This planning should include the psychological support and the educational process that develops one's ability for self-care, which may interfere in the role of sexuality and sexual activity, in addition to the physiological, psychological and social issues.

Contemporary Aspects of Training in Vocational Secondary Schools and Students’ Health

2021 ◽  
pp. 53-59
Author(s):  
EI Shubochkina ◽  
EG Blinova
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Status ◽  
Chronic Diseases ◽  
Working Conditions ◽  
Educational Process ◽  
Vocational Schools ◽  
Medical Support ◽  
Second Year

Introduction: Current vocational secondary education (VSE) in Russia is characterized by a focus on practical training (as part of dual training) aimed at improving professional competencies of graduates. It also demonstrates negative trends in adolescent health, which requires optimization and development of specific algorithms of medical support for students aged 14–22 years and older appropriate to their academic and practical workload. Objective: To assess adaptation of college students to learning conditions, depending on their health status, and to substantiate ways of improving their health care. Material and methods: We retrieved and analyzed information from the database of multicenter studies conducted within the unified program of the National Medical Research Center for Children’s Health of the Russian Ministry of Health. Our sample included 197 first- and second-year college boys from the cities of Omsk and Moscow studying to become welders and auto mechanics. The quality of life, health and well-being indicators were evaluated according to the International Medical Outcomes Study 36-item short-form (MOS SF-36). The students were divided into subgroups based on their health status. The statistical processing complied with modern requirements and criteria of evidence-based medicine. Results: We established that vocational schools admitted a significant number of applicants with the above specialty preferences suffering from chronic diseases (21.1–26 %). Results of the questionnaire-based survey of future welders and car mechanics revealed difficulties in adaptation to the educational process of the students with chronic disorders expressed by lower quality of life indicators, frequent health complaints and feelings of fatigue, especially in second-year students who experience an increasing academic and practical workload. Conclusions: Students with chronic diseases mastering professions with hazardous working conditions represent population at risk, require health monitoring, determination of professional suitability, and control over the working conditions in industrial practice. The importance of protecting health of future professionals is determined by implementation of practice-based training in 42 % of vocational schools. Models of school medicine proposed to optimize health care in comprehensive schools can be adapted to conditions of secondary vocational facilities. Foreign studies have proved feasibility of an early onset of work-related diseases in certain occupations, even before completion of training, thus necessitating vocational guidance, professional medical advice, and development of an effective system of medical support for adolescents and students.

scholarly journals HUBUNGAN INTENSI DENGAN PERILAKU PERAWAT DALAM PENDOKUMENTASIAN ASUHAN KEPERAWATAN DI INSTALASI GAWAT DARURAT

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Ardhiles Wahyu Kurniawan
Keyword(s):  
Health Care ◽  
Work Environment ◽  
Nursing Care ◽  
Care Process ◽  
Nursing Documentation ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Good Intention ◽  
Care Health

Abstract : The complex IGD work environment will affect the quality of care, health care, including inaccurate or incomplete documentation. Incomplete nursing documentation indicates that the nursing care process is not working properly and continuously. Intentionin documenting can predict the appearance of person behavior including the behavior of nurses, especially in documenting nursing care. The purpose of this study was to analyze correlation intention with nurse behavior in documenting nursing care in Emergency Installation. The research design used correlational analysis with cross sectional approach. The sample in this research is part of nurse of executing at IGD Rumkit TK II dr Soepraoen, IGD RS Panti Waluya Sawahan and IGD RS Islam Malang. The sample of 45 nurses IGD and 341 documents were selected according to inclusion and exclusion criteria. The result of statistical analysis of gamma that there is a significant correlation between intention and nursing documentation behavior evidenced by value of p = 0,000, positive correlation direction and strong correlation value is proved by r = 0,739. Hospital and nurse IGD is expected to develop a good intention then formed good nursing documenting behavior as well.Keywords : Nurse IGD, Intention, Nursing Documentation. Abstrak: Lingkungan kerja IGD yang kompleks akan mempengaruhi kualitas perawatan, pelayanan kesehatan, termasuk dokumentasi yang dilakukan tidak tepat atau tidak lengkap. Dokumentasi keperawatan yang tidak lengkap menunjukkan proses asuhan keperawatan tidak berjalan dengan baik dan berkesinambungan. Intensi dalam pendokumentasian dapat memprediksi munculnya perilaku seseorang termasuk perilaku perawat khususnya dalam pendokumentasian asuhan keperawatan. Tujuan penelitian ini untuk menganalis hubungan intensi dengan perilaku perawat dalam pendokumentasian asuhan keperawatan di Instalasi Gawat Darurat. Desain penelitian menggunakan analysis correlationaldengan pendekatan cross sectional. Sampel dalam penelitian ini adalah sebagian perawat pelaksana di IGD Rumkit TK II dr Soepraoen, IGD RS Panti Waluya Sawahan Malang dan IGD RS Islam Malang. Sampel berjumlah 45 perawat IGD dan 341 dokumen dipilih sesuai dengan kriteria inklusi dan ekslusi. Hasil analisis statistik uji gammamenunjukkan terdapat hubungan signifikan antara intensi dengan perilaku pendokumentasian keperawatan dibuktikan dengan nilai p = 0,000, arah korelasi positif, dan nilai korelasi kuat dibuktikan dengan nilai r = 0,739. Rumah Sakit dan perawat IGD diharapkan mengembangkan intensi yang baik sehingga diharapkan terbentuk perilaku pendokumentasian keperawatan yang baik pula. Kata Kunci : Perawat IGD, Intensi, Dokumentasi Keperawatan.

scholarly journals Zdravstvena nega obolelih od karcinoma dojke sa metastatskim promenama na endokranijumu

2021 ◽  
Vol 5 (9) ◽  
pp. 14-21
Author(s):  
Gora Miljanović ◽  
Vida Čolaković ◽  
Dragana Terzić-Marković ◽  
Vesna Jovanović ◽  
Mirjana Smuđa ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Patient Care ◽  
Nursing Care ◽  
Direct Method ◽  
Care Process ◽  
Care Needs ◽  
Optimal Care ◽  
Complex Needs

Introduction: Breast cancer is the transformation of healthy breast cells into malignant cells. The disease is characterized by metastases that can range from limited bone metastases to wide-spread and life-threatening metastases. The main goal of caring for these patients is to successfully control the symptoms of the disease, the side effects of the tumor while preserving the quality of life and surviving as long as possible. Objective was to show the specifics of interventions in the health care of a patient with breast cancer with metastatic changes in the endocranium Methods: We used a descriptive method and a conservative direct method: case study of a patient with breast cancer and metastatic changes in the brain according to the method of the Nursing Care Process (NCP). Discussion: Modern nursing care implies patient care according to a scientifically based method, universal in the nursing practice NCP, according to which care is focused on the patient/family, re-specting their preferences. NCP includes: continuous assessment of the patient's condition and defining problems and care needs, setting goals and selecting optimal care strategies. The most COM-mon collaborative problems for our patient were: pain, fatigue, anemia, insomnia. The problems that the nurses solved through independent interventions were: deficit in self-care, prevention of falls and injuries, lack of knowledge regarding the radiation pro-cedure, risk of infection, and the possibility of excess fluid volume. Conclusion: Patients with advanced breast cancer and their families have complex needs, the failure of which can result in impaired quality of life. An individual approach is needed in as-sessing the patient's condition, identifying needs, and planning interventions based on scientific evidence, available health re-sources, and preferences of patient/family. Patient care according to the NCP method promises a more comprehensive approach, improved patient experience as well as improved medical out-comes.

Health Systems Indicators and Quality of Life in Persons with Spinal Cord Injury in South Africa

2021 ◽  
Author(s):  
Eugene Nizeyimana ◽  
Anthea Rhoda ◽  
Joyce Mothabeng ◽  
Francois Theron ◽  
Conran Joseph
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Health System ◽  
Nursing Care ◽  
Disability Pension ◽  
Private Health Care ◽  
Cord Injury

Abstract Background Knowledge of health system indicators are essential to the living situation of persons with disabilities. Assessing and collating the performance of health systems is important in order to identify areas of improvement. The main aim of this study is to assess the relationship between health system indicators and self-reported quality of life (QoL) among persons with spinal cord injury who accessed either public or private health care services in South Africa. Methods A cross-sectional survey was implemented to analyse and compare health system indicators and self-reported QoL for 200 persons over the age of 18 with either a traumatic or non-traumatic spinal cord injury. The survey further compared the impact of public or private health care access on these indices. Health system indicators include: access to disability pension, vocational rehabilitation, health and nursing care, public space, medications, assistive devices and transportation. Self-reported quality of life indicators include: satisfaction with health; ability to perform activities of daily living; yourself; personal relationships; and living conditions. A total score of Quality of life was calculated using these 5 domains. Results The highest scores for health indicators were access to a disability pension (76%) and access to required health care (72%). Indicators that negatively affected respondents’ lives were access to public spaces (70%), transport (56%), medications (56%) and nursing care (53%) which were reported to have made participants’ lives significantly harder. Participants who accessed private health care reported a higher QoL score in comparison with those in the public health system who reported more problems. There was a negative correlation between QoL and access to a disability pension and a positive correlation between QoL and access to public spaces, medication, transport and nursing care. Conclusion Performance of health system indicators influence living situation, and different healthcare insurances play a significant role in health system performance and self-reported QoL among persons with SCI in South Africa. Additionally, persons with SCI who have the ability to overcome the challenges encountered due to poor performing health systems report better quality of life.

scholarly journals Evaluating the Effects of a Mobile Health App on Reducing Patient Care Needs and Improving Quality of Life After Oral Cancer Surgery: Quasiexperimental Study

10.2196/18132 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e18132
Author(s):  
Tze-Fang Wang ◽  
Rou-Chen Huang ◽  
Su-Chen Yang ◽  
Chyuan Chou ◽  
Lee-Chen Chen
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Oral Cancer ◽  
Cancer Patients ◽  
Nursing Care ◽  
Control Group ◽  
Care Needs ◽  
Oral Cancer Patients ◽  
Experimental Group

Background Intervention with a mobile Health (mHealth) app can improve the efficacy of early detection of oral cancer and the outcomes for patients taking oral anticancer medications. The quality of life of oral cancer patients is significantly reduced within three months after surgery; also, their needs for nursing care and health information increase, mainly due to side effects and associated psychological problems. Objective This study aimed to evaluate changes in the care needs and quality of life of patients with oral cancer after receiving the intervention of a newly developed mHealth app. Methods After surgery, oral cancer patients were divided into an experimental group (n=50) who received the mHealth app intervention and a control group (n=50) who received routine health care and instruction. After 3 months of intervention, survey questionnaires were used to assess the patients’ quality of life, nursing care needs, and acceptance of the mHealth app. Results The physiological care needs were significantly decreased in the experimental group compared with the control group (P<.05). Although the differences were not statistically significant, the psychological needs, communication needs, and care support needs all improved after the mHealth app intervention. The overall improvement in quality of life was higher in the experimental group than in the control group (–7.24 vs –4.36). In terms of intention to use, perceived usefulness, and perceived ease of use, the acceptability scores of the mHealth app were significantly increased after 3 months of intervention (P<.05). Conclusions Compared with routine health care and instruction, for patients after surgery, the education/information intervention using the mHealth app significantly reduced their nursing care needs, improved their quality of life, and increased their acceptance of using an mHealth app on a mobile device. These findings can provide a theoretical basis for future health care app design and improvement. This study suggests that an mHealth app should be incorporated into the routine care of oral cancer patients to provide medical information quickly and improve their self-management abilities, thereby reducing the patients’ need for physiological care and improving their quality of life. Trial Registration ClinicalTrials.gov NCT04049968; https://www.clinicaltrials.gov/ct2/show/NCT04049968

scholarly journals Evaluating the Effects of a Mobile Health App on Reducing Patient Care Needs and Improving Quality of Life After Oral Cancer Surgery: Quasiexperimental Study (Preprint)

2020 ◽  
Author(s):  
Tze-Fang Wang ◽  
Rou-Chen Huang ◽  
Su-Chen Yang ◽  
Chyuan Chou ◽  
Lee-Chen Chen
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Oral Cancer ◽  
Cancer Patients ◽  
Nursing Care ◽  
Control Group ◽  
Care Needs ◽  
Oral Cancer Patients ◽  
Experimental Group

BACKGROUND Intervention with a mobile Health (mHealth) app can improve the efficacy of early detection of oral cancer and the outcomes for patients taking oral anticancer medications. The quality of life of oral cancer patients is significantly reduced within three months after surgery; also, their needs for nursing care and health information increase, mainly due to side effects and associated psychological problems. OBJECTIVE This study aimed to evaluate changes in the care needs and quality of life of patients with oral cancer after receiving the intervention of a newly developed mHealth app. METHODS After surgery, oral cancer patients were divided into an experimental group (n=50) who received the mHealth app intervention and a control group (n=50) who received routine health care and instruction. After 3 months of intervention, survey questionnaires were used to assess the patients’ quality of life, nursing care needs, and acceptance of the mHealth app. RESULTS The physiological care needs were significantly decreased in the experimental group compared with the control group (<i>P</i>&lt;.05). Although the differences were not statistically significant, the psychological needs, communication needs, and care support needs all improved after the mHealth app intervention. The overall improvement in quality of life was higher in the experimental group than in the control group (–7.24 vs –4.36). In terms of intention to use, perceived usefulness, and perceived ease of use, the acceptability scores of the mHealth app were significantly increased after 3 months of intervention (<i>P</i>&lt;.05). CONCLUSIONS Compared with routine health care and instruction, for patients after surgery, the education/information intervention using the mHealth app significantly reduced their nursing care needs, improved their quality of life, and increased their acceptance of using an mHealth app on a mobile device. These findings can provide a theoretical basis for future health care app design and improvement. This study suggests that an mHealth app should be incorporated into the routine care of oral cancer patients to provide medical information quickly and improve their self-management abilities, thereby reducing the patients’ need for physiological care and improving their quality of life. CLINICALTRIAL ClinicalTrials.gov NCT04049968; https://www.clinicaltrials.gov/ct2/show/NCT04049968

scholarly journals PENINGKATKAN KUALITAS HIDUP PASIEN KANKER DENGAN IMPLEMENTASI PERAWATAN KESEHATAN PSIKOSEKSUAL

Jurnal NERS ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 7 ◽  
Author(s):  
Yati Afiyati ◽  
Budi Keliat ◽  
Ida Ruwaida ◽  
Imami Rachmawati ◽  
Nur Agustini
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Nursing Care ◽  
Self Efficacy ◽  
Health Care Services ◽  
Oncology Nurses ◽  
Patients With Cancer ◽  
Health Care Training ◽  
Care Training

Introduction: The contribution of nurses in improving the quality of life of patients with cancer has caused them to have needs of getting knowledge and skills to provide services on psychosexual health care. Training on psychosexual health care has been developed, implemented and given to oncology nurses in Indonesia in order to fulfill the needs so that the nurses are able to provide psychosexual health care to cancer survivors and their spouse. Method: The training utilized a method of pre- and post-test evaluation to identify outcomes including changes of evaluation scores of knowledge, belief, practice, and self-efficacy of trainees before and after receiving psychosexual health care training. Result: The training has been implemented on 46 oncology nurses in Indonesia so that they can have knowledge, practice, belief and self-efficacy in providing psychosexual health care to patients with cancer and their spouse. After training and mentorship had been provided, there were significant changes on knowledge, belief and self-efficacy in providing psychosexual health care services to patients with cancer and their spouse; however, there were no significant changes on practices. Discussion: The training has become a standard nursing care for cancer in Indonesia and has provided scientific evidences that nurses have contribution in improving quality of life of patients with cancer by providing a comprehensive nursing care through implementation of psychosexual health care in their daily nursing care for patients with cancer and their spouse. Keywords:  Psychosexual health care, training, nursing, cancer

scholarly journals Evaluations related to the quality of health and nursing care of patients after abdominal surgery

2014 ◽  
Vol 13 (1) ◽  
pp. 25-30
Author(s):  
Natalja Istomina ◽  
Artūras Razbadauskas ◽  
Arvydas Martinkėnas
Keyword(s):  
Health Care ◽  
Abdominal Surgery ◽  
Nursing Care ◽  
Health Care Quality ◽  
Significant Others ◽  
Care Quality ◽  
Care Process ◽  
Abdominal Operations ◽  
Quality Of Nursing

Background / objectiveEvaluations of the health care quality of patients after abdominal operations are significant for the improvement of health care quality in all hospitals. However, there are a lot of discussions how to evaluate the patient’s opinion and attitudes. The aim of the present study was to analyze patients’ evaluations of the quality of abdominal surgical nursing care.MethodsA multicenter, cross-sectional, analytical study was performed. The study was conducted in 11 abdominal surgical wards at Lithuanian hospitals. The data were collected in June 2007 and January 2008. Patients (n = 1208) after abdominal operations participated in the study. A GNCS-P with the response rates of 74 % was used. The data were analyzed statistically.ResultsThe co-operation with significant others and the progress of the nursing and health care process were evaluated lowest by patients. The patient age and satisfaction were the factors related to the quality of nursing care.ConclusionsThe abdominal surgical nursing and health care is a specific surgical area in which different patients are involved; however, all of them expect the good quality of health care before, during, and after abdominal surgery. The process of nursing care in abdominal surgery is specific because of the limited time of patient hospitalization, usually multiple patients’ diagnosis, as well as multiple contacts and relationships with many different staff. Surgical patient participation in the process of health care should be based on the effective relationship and co-operation among patients, medical specialists, and significant others, which is necessary and imperative for increasing the quality of abdominal surgical nursing care.Key words: health and the quality of nursing care, surgical health care, abdominal surgery, patient evaluations.Pacientų po pilvo operacijų sveikatos priežiūros ir slaugos kokybės vertinimai Įvadas / tikslasPacientų po pilvo operacijų sveikatos priežiūros kokybės vertinimai yra reikšmingi siekiant gerinti ligoninės paslaugų kokybę. Tačiau daug diskutuojama, kaip būtų galima vertinti pacientų nuomonę ir požiūrį į kokybę. Tyrimo tikslas – išanalizuoti pacientų sveikatos priežiūros ir slaugos kokybės vertinimus.MetodaiTyrimui atlikti buvo pasirinktas daugiacentris aprašomasis tyrimo metodas. Pacientų apklausa vyko 2007 m. birželio–2008 m. sausio mėn. septynių Lietuvos ligoninių 11-oje pilvo chirurgijos skyrių. Pacientai (n=1208), kuriems atlikta pilvo operacija,apklausti paskutinę hospitalizacijos dieną. Klausimynų grįžtamumas 74 proc. Atlikta statistinė duomenų analizė.RezultataiBendradarbiavimą su paciento artimaisiais ir sveikatos priežiūros pažangą pacientai įvertino blogiausiai. Pacientų amžius ir pasitenkinimas sveikatos priežiūra turėjo koreliacinį ryšį su sveikatos priežiūros kokybe.IšvadosPacientų po pilvo operacijų sveikatos priežiūra ir slauga yra specifinė chirurgijos sritis. Visi jie tikisi gauti kokybiškas paslaugas prieš operaciją, jos metu ir po jos. Slaugos procesas pilvo chirurgijoje yra savitas ir todėl, kad pacientų hospitalizacijos laikas yra ribotas, jie dažnai serga gretutinėmis ligomis, turi daug kontaktų ir santykių su personalu. Pacientų dalyvavimas sveikatos priežiūros procese turi būti grindžiamas efektyviais jų santykiais ir bendradarbiavimu su medikais ir savo artimaisiais, nes nuo to priklauso paslaugos kokybės tobulinimas.Reikšminiai žodžiai: sveikatos priežiūros ir slaugos kokybė, chirurginė sveikatos priežiūra, pilvo operacija, pacientų vertinimai

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