scholarly journals Correlación entre estrés, niveles de cortisol y estrategias de afrontamiento en pacientes con cáncer sometidos a tratamiento

2020 ◽  
Vol 19 (4) ◽  
pp. 196-219
Author(s):  
Victor Manuel Ramos Frausto ◽  
Lucía Caudillo Ortega ◽  
José María de la Roca Chapas ◽  
Martha Alicia Hernández González ◽  
Gloria Barbosa Sabanero ◽  
...  
Keyword(s):  
Coping Strategies ◽  
World Health ◽  
Cross Sectional ◽  
Calidad De Vida ◽  
Mixed Treatment ◽  
Health Organization ◽  
Cáncer De Piel ◽  
And Coping ◽  
The Relationship

Introducción: El cáncer es una de las principales causas de morbilidad y mortalidad en el mundo, según la Organización Mundial de la Salud (OMS), en 2012 14 millones de casos nuevos y 8,2 millones de muertes. Se demostró que los pacientes en tratamiento, cirugía, quimioterapia y radioterapia tienen niveles altos de cortisol que influye en su calidad de vida. Objetivo: Identificar la relación entre el estrés, a nivel de cortisol y las estrategias de afrontamiento en pacientes con cáncer sometidos a tratamiento.Material y métodos: Estudio transversal, descriptivo y correlacional realizado junio a diciembre del 2019. Resultados epidemiológicos: 68.2% mujeres 31.8 % hombres, entre 17 y 76 años, con diagnósticos de: Ca mama (30.3%), de próstata (18.3), colon (15.2), pulmón (13.6), cervical (12.1% gástrico (9.1%) cáncer de piel (1.5%). Estadísticos: El 35,3% informaron cortisol a niveles normales y 64.5% niveles altos; el estrés obtuvo un promedio de 13.9 (DE = 4.64). Sobre el nivel de cortisol y el tipo de tratamiento, se observaron diferencias significativas (X2 = 1,546, p = .04), es decir, el paciente que tienen un tratamiento mixto el cortisol es más alto. Conclusiones: Es importante reevaluar las estrategias centradas en el problema, analizar implicaciones y proponer estudios en el contexto en que se desenvuelven, en futuro desarrollar una intervención incluyendo actividades de enfermería en la quimioterapia y radioterapia, apoyando estrategias de afrontamiento efectivas. En este sentido y derivado de la minimización de amenazas centradas en el problema, es importante tener un enfoque integral más profundo. Introduction: Cancer is one of the leading causes of morbidity and mortality worldwide, according to the World Health Organization (WHO), in 2012 14 million new cases and 8.2 million deaths. (WHO, 2019). Patients in treatment, surgery, chemotherapy and radiation therapy have been shown to have high levels of cortisol that influence their quality of life. Objective: to identify the relationship between stress, cortisol level and coping strategies in cancer patients undergoing treatment. Material and methods: Cross-sectional, descriptive and correlational study conducted June to December 2018. In 65 male and female patients under treatment. Results: 68.2% were women 31.8% men, between 17 and 76 years. With diagnoses Ca breast (30.3%), prostate cancer (18.3), colon (15.2), lung (13.6), cervical (12.1% gastric (9.1%) skin cancer (1.5%). Statistics: 35.3% reported cortisol at normal levels and 64.5% high levels; stress averaged 13.9 (DE s 4.64). On the level of cortisol and the type of treatment, significant differences were observed (X2 x 1,546, p .04), i.e. the patient who has a mixed treatment cortisol is higher. Conclusions: It is important to reevaluate the strategies focused on the problem, analyze implications and propose studies in the context in which they operate, in the future develop an intervention including nursing activities in chemotherapy and radiotherapy, supporting effective coping strategies. minimizing threats focused on the problem, it is important to have a deeper comprehensive approach.

scholarly journals The Mental Health Impact of COVID-19 Pandemic on Health Care Workers and Coping Strategies: A Systematic Literature Review

2021 ◽  
Vol 17 (09) ◽  
pp. 48
Author(s):  
Amal Alaradi ◽  
Sobia Irum ◽  
Nowara Ebrahim ◽  
Fatima Mohamed Jaffar Mohamed ◽  
Fatima Mohamed Jaffar Hazeem ◽  
...  
Keyword(s):  
Mental Health ◽  
Coping Strategies ◽  
Social Life ◽  
Working Hours ◽  
Health Impact ◽  
World Health ◽  
Cross Sectional ◽  
Global Pandemic ◽  
Health Organization ◽  
And Coping

<strong>Background</strong>: In December 2019, the COVID-19 outbreak originated in Wuhan, China. Since then, this virus has spread at a very rapid rate affecting many countries. The World Health Organization (WHO) subsequently declared a global pandemic, and a range of precautions have been implemented to reduce the spread of the virus. Some of these precautions included social distancing, self-isolation, and quarantine of those who have contracted or potentially contracted COVID-19. Healthcare workers (HCWs) are at high risk because of the constant contact with infected patients for extended periods or by exposure to a patient’s environment or biological samples. This may cause fear of transmitting the infection to their families. Also, the extended working hours put them under severe stress, fatigue, and adverse social life. All of these factors affect their behaviors and attitudes. <strong>Purpose:</strong> to explore the mental health impact of COVID-19 on HCWs as this will be reflected on their performance on such crisis. Besides, we aim to investigate HCWs' coping strategies during the pandemic and provide coping recommendations based on evidence. <strong>Methods:</strong> A systematic review using PRISMA methodology was used through three electronic databases, including PubMed, ScienceDirect, and Scopus. All cross-sectional studies that were published in English and that assessed the mental health impact of COVID-19 on HCWs or/and coping strategies adopted by them were included. <strong>Results</strong>: A total of one hundred and forty articles total were retrieved from the three databases and were reviewed for relevance. reviews for relevance after remove duplicate. We Ended up with twenty-four recent studies from 2020 that were included in the analysis. As COVID-19 has started in China, our review identified many studies that were done there on the subject of HCWs mental health due to the crisis. Italy took the second place in the number of studies. Nurses and physicians were the populations targeted in many studies. <strong>Conclusion: </strong>COVID-19 has created much pressure on HCWs. This pressure has increased the following mental health complaints: anxiety, depression, insomnia, and stress. Many studies have emphasized the effects of social support as an effective way of coping with COVID-19.

scholarly journals Quality of life of patients at the referral Emergency Unit of the Clinics Hospital/Unicamp

2012 ◽  
Vol 6 (2) ◽  
pp. 386
Author(s):  
Ana Carolina Gaban ◽  
Kátia Stancato
Keyword(s):  
Quality Of Life ◽  
Social Relationships ◽  
Life Assessment ◽  
World Health ◽  
Emergency Unit ◽  
Cross Sectional ◽  
World Health Organization Quality ◽  
Calidad De Vida ◽  
Health Organization

ABSTRACTObjective: to understand the quality of life (QOL) of patients treated at the referenced Emergency Unit of the Clinics Hospital of the State University of Campinas. Method: quantitative, cross-sectional and descriptive study, using the abbreviated version of the World Health Organization Quality of Life assessment, the WHOQOL-bref in 100 patients admitted to the service. The characteristics of QOL studies cover four areas - physical, psychological, environmental and social relationships. Results: the population’s average age was 40.0 years, ranging from age 18.0 to 83.0 years. There was a female predominance, 71.0% women and 29.0% men. We observed the highest score in the psychological domain (66.0) (SD: 17.0), and the environmental domain showed the lowest (55.0) (SD: 15.0), which includes availability and quality of health services. The social relationships domain had a higher maximum score, scoring 100, followed by the physical domain (96), psychological (92) and environmental (91). Conclusion: the identification of problems and needs presented by patients on site, by the QOL assessment at the moment of their  admission to the service in their physical, social, psychological aspects and their relationship with the environment, allows nurses to focus their assistance and direct patients to other services (psychiatry, nutritionist, social worker, physiotherapy, others). This way, without mischaracterizing the treatment provided by the service, treatment can be offered according to the average of the parameters of QOL presented by the patients, these being the ultimate consumers of the health service. Key words: quality of life; patients; epidemiology. RESUMOObjetivo: conhecer a qualidade de vida (QV) dos pacientes atendidos na Unidade de Emergência Referenciada do Hospital de Clínicas da Universidade Estadual de Campinas. Método: estudo quantitativo, transversal e descritivo, utilizando a escala abreviada de qualidade de vida da Organização Mundial de Saúde, o WHOQOL-bref, em 100 pacientes. O projeto foi aprovado pelo Comitê de Ética em Pesquisa da Faculdade de Ciências Médicas da Universidade Estadual de Campinas, parecer nº 1036/2009. Resultados: a população apresentou idade média de 40,0 anos, com variação da faixa etária de 18,0 a 83,0 anos. Houve predomínio do sexo feminino, 71,0% mulheres e 29,0% homens. Observou-se o maior escore no domínio psicológico (66,0) (DP:17,0), e o domínio ambiental apresentou o menor (55,0) (DP: 15,0), que inclui disponibilidade e qualidade dos serviços de saúde. O domínio relações sociais apresentou maior pontuação máxima, com escore 100, seguidos pelo domínio físico (96), psicológico (92) e ambiental (91). Conclusão: a identificação dos problemas e necessidades apresentados pelos pacientes no local, pela QV apresentada no momento da admissão ao serviço, em seus aspectos físicos, sociais, psicológicos e relações com o meio ambiente, possibilita ao enfermeiro o enfoque assistencial e direcionamento a outros serviços (psiquiatria, nutricionista, assistência social, fisioterapia, outros). Assim, sem descaracterizar o atendimento do serviço, há o acréscimo do olhar terapêutico de acordo com a média dos parâmetros de qualidade de vida apresentados pelos pacientes, sendo estes, os consumidores finais do serviço de saúde. Descritores: qualidade de vida; pacientes; epidemiologia.RESUMENObjetivo: conocer la calidad de vida (QOL) de los pacientes atendidos en la Unidad de Emergencia de Referencia en Hospital de Clínicas en la Universidad Estatal de Campinas. Método: cuantitativo, transversal, descriptivo, utilizando la escala abreviada de la calidad de vida de la Organización Mundial de la Salud, el WHOQOL-bref en 100 pacientes ingresados ​​en el sitio. Las características de los estudios de la calidad de vida cubren cuatro áreas - física, la relación psicológica, social y medio ambiente. Resultados: la edad media de la población fue de 40,0 años, que van desde los 18,0 a 83,0 años. Hubo predominio del sexo femenino, las mujeres 71,0% y 29,0% hombres. Hemos observado el mayor puntaje en el dominio psicológico (66,0) (DE: 17,0), y del medio ambiente mostraron la más baja (55,0) (DE: 15,0), que incluye la disponibilidad y la calidad de los servicios de salud . El dominio de las relaciones sociales tenían una puntuación máxima más alta, anotando 100, seguido por el dominio físico (96), psicológicos (92) y ambientales (91). Conclusión: la identificación de problemas y necesidades que presentan los pacientes en el sitio, presentado por la QOL al ingresar en el servicio en términos de relación física, social, psicológica y con el medio ambiente, permite a las enfermeras para enfocar la asistencia y orientación a otros servicios (psiquiatría, especialista en dietética, trabajo social, fisioterapia, otro). Por lo tanto, sin estropear la atención del servicio, busque la adición de tratamiento de acuerdo con el promedio de los parámetros de QOL presentadas por los pacientes, siendo estos últimos los usuarios finales de los servicios de salud. Descriptores: calidad de vida; pacientes; epidemiologia.

scholarly journals THE RELATIONSHIP BETWEEN OCCUPATIONAL STRESSORS AND COPING STRATEGIES IN NURSING TECHNICIANS

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Sandra de Souza Pereira ◽  
Carla Araujo Bastos Teixeira ◽  
Emilene Reisdorfer ◽  
Mariana Verderoce Vieira ◽  
Edilaine Cristina da Silva Gherardi-Donato ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Exploratory Research ◽  
Occupational Stressors ◽  
Cross Sectional ◽  
Coping Scale ◽  
Cross Sectional Design ◽  
Quantitative Descriptive ◽  
And Coping ◽  
Nursing Professionals ◽  
The Relationship

ABSTRACT This is a quantitative, descriptive and exploratory research, with cross-sectional design that investigated the stressors experienced by nursing technicians working in general hospital and identified the coping strategies most used by them. The sample contained 310 participants. A sociodemographic questionnaire and the Ways of Coping Scale were used. For the analysis we used descriptive statistics and calculated the Cronbach's alpha. 60% of professionals used the strategies focused on the problem; 57.4% attributed their stress to working conditions, 26.8% to relationships in the workplace, 5.5% to the lack of reward at work and only 0.6% to problems personal. We conclude that strategies focused on the problems were the most used, indicating an approximation of the stressor in order to fix it. The identified stressors indicate the need for planning, stimulating and recognizing nursing professionals.

scholarly journals Faktor-Faktor yang Mempengaruhi Prilaku Pemberian Asi Eksklusif di Kelurahan Tabona Kecamatan Kota Ternate Selatan

2018 ◽  
Vol 7 (2) ◽  
pp. 14
Author(s):  
Karima Soamole
Keyword(s):  
Exclusive Breastfeeding ◽  
Complementary Feeding ◽  
Cross Sectional Study ◽  
World Health ◽  
Survey Method ◽  
Additional Food ◽  
Cross Sectional ◽  
The World ◽  
Health Organization ◽  
The Relationship

Abstract : It is estimated that 80% of mothers who gave birth were able to produce milk in quantities sufficient for the purposes of the baby in full without any additional food and according to the World Health Organization recommends breastfeeding until the age of 4-6 months baby. Annually, more than 25,000 babies Indonesia and 1.3 million babies around the world can be saved by exclusive breastfeeding in 1999, while according to the 2000 report, the WHO approximately 1.5 million children die because they are not feeding properly, less than 15% infants worldwide are given for four months of exclusive breastfeeding and complementary feeding is often inappropriate and unsafe. This research is explanatory research because it explains the relationship between independent variables and dependent variable through hypothesis testing. The method used in this study is a survey method with cross sectional study design. The population in this study are all mothers who breastfeed in Puskesmas Kalumata 2012. Knowledge of the highest in the category of knowledge of both 81 (95.3%) and the behavior of the Exclusive breastfeeding is highest among respondents with a good knowledge of the 55 categories (67.9%). Respondents' attitudes toward breastfeeding Exclusive showed much respondeng that supports 54 (63.5%) and 31 (36.5%) that does not support exclusive breastfeeding her baby. Family Support tehadap respondents in the most exclusive breastfeeding: supporting respondents in exclusive breastfeeding her baby 64 (75.3%) and 21 (24.7%) who did not support the.

scholarly journals Assessment of quality of life in type 2 diabetes mellitus patients using World Health Organization quality of life-BREF questionnaire and appraisal of diabetes scale - a cross-sectional study

2021 ◽  
Vol 15 (3) ◽  
Author(s):  
Supriya Patil ◽  
Yamini Patil ◽  
Sanjay Kumar Patil
Keyword(s):  
Quality Of Life ◽  
Cross Sectional Study ◽  
World Health ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Mean ◽  
Health Organization

Diabetes is a chronic metabolic disorder that disturbs the quality of life (QOL) of patients. Therefore, evaluation of diabetes- related QOL could be a key outcome measure for its management. This study assessed the QOL in type 2 diabetes mellitus (T2DM) patients using the World Health Organization (WHO) quality of life (QOL)˗BREF questionnaire and disease-specific appraisal of diabetes scale (ADS). In this cross-sectional study, 520 T2DM patients were included. Patients’ demographic data, clinical information was collected through interviews, and the WHOQOL-BREF instrument and ADS were used for the QOL of patients. Statistical analysis was performed by using R software (Version 3.6.0). The mean ADS scores were lower in controlled diabetic subjects (18.50±3.08) and higher in uncontrolled diabetic subjects (19.29±2.73) (P<0.05). For WHOQOL-BREF, the mean scores for all the domains (overall general health, physical, psychological, social, and environmental) were significantly higher in controlled diabetic subjects (P<0.001). In addition, the age, duration of diabetes, associated comorbidities, treatment, and HbA1c level of patients showed a highly significant correlation with WHOQOL-BREF (P<0.001). Diabetic patients had poor-to-average QOL. Therefore, public health measures and education of diabetic patients are essential to create more awareness for improving the QOL of T2DM.

scholarly journals HUBUNGAN PENINGKATAN BERAT BADAN DAN KETIDAKTERATURAN SIKLUS HAID DENGAN PENGGUNA KB SUNTIK PADA AKSEPTOR KB DI PUSKESMAS PEMBINA PALEMBANG TAHUN 2018

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Bina Aquari Bina Aquari
Keyword(s):  
Significant Relationship ◽  
Hormonal Contraception ◽  
World Health ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Monthly Period ◽  
Health Organization ◽  
The Relationship

ABSTRAK   Kontrasepsi Hormonal sebagai salah satu alat Kontrasepsi meningkat dan tajam. Menurut World Health Organization (WHO) 2014, Pengguna alat kontrasepsi suntik yaitu 35,3%, pil yaitu 30,5%, IUD yaitu 15,2%, Implant 7,3%, dan 11,7% Kontrasepsi lainnya. Tujuan penelitian ini untuk mengetahui apakah ada hubungan peningkatan berat badan dan ketidakteraturan siklus haid dengan KB suntik pada akseptor KB di Puskesmas Pembina Palembang Tahun 2018.Rumusan masalah penelitian ini adalah hubungan antara umur dan pengetahuan akseptor tentang KB Suntik di Puskesmas Pembina Palembang Tahun 2018.Penelitian ini menggunakan survey analitik dengan pendekatan cross sectional yang dilakukan dengan kuesioner.Uji Statistic yang dipakai adalah Uji Chi-Square. Populasi dalam penelitian ini berjumlah 62 orang dan seluruh Populasi dijadikan sampel. Dari hasil analisa univariat responden yang memakai KB Suntik lebih besar yaitu sebanyak 36 orang (58,1%), dan 26 orang (41,9%) yang tidak memakai KB Suntik. Responden yang berat badannya meningkat memakai kontrasepsi sebanyak 33 orang (53,2%), sedangkan responden yang berat badannya tidak meningkat sebanyak 29 orang (46,8%) dibandingkan dengan responden yang siklus haidnya tidak teratur adalah sebanyak 32 orang (51,6%). Hasil analisa statistik dengan menggunakan Uji Chi-Square dengan df = 1 ada hubungan yang bermakna peningkatan berat badan dengan KB Suntik pada akseptor KB diperoleh p value (0.006) lebih kecil dari (0,05) dan ada hubungan yang bermakna ketidakteraturan siklus haid dengan KB suntik pada akseptor KB diperoleh p value (0,011) lebih kecil dari (0,05). Saran agar petugas kesehatan meningkatkan kinerja dan sistem informasi mengenai masalah yang berhubungan dengan pemakaian KB Suntik.       ABSTRACT   The hormonal contraception as becoming on of the contraceptions tools which is increasing sharply. Based on world Health Organitation (WHO) the user of injected contraception is 35,3%, pill 30,5%, IUD 15%, implant 7,3%, and 11,7% for another contraception. The purpose of this research is for knowing wheter there is the increasing of weight and the irregular of monthly period with injected contraception for the acceptor at Puskesmas Pembina Palembang in 2014. The main case of this research is the relationship between the increasing of the weight and the irregular monthly period at Puskesmas Pembina Palembang in 2014. This research using analytic survey with cross sectional closing yhat was done by using questioner, the statistic test which take is Chi-Square test. The population in this reseacrh are 62 peoples, and all off them as becoming the sample from the result of respondent univariat analyze whom using the injected contraception in bigger that is exactly 36 people (58,1%) and 26 people (41,9%) whom do not using it. The respondent with their weight is increasing because of using contraception is 33 people (53,2%), while the respondent whom the weight do not increasing is 29 people (46,8%), when we compare with the respondent whom the monthly period is irregular are 32 people (51,6%). The result for statistic analyze by using the Chi-Square test with the df = 1 says that there is a significant relationship between the weight increasing with the injected contraception for the acceptor we get p value (0,006) is smaller than (0,05) and there is significant relationship between the injected contraception for the acceptor we get p value (0,011) with is smaller than (0,05). The sugestion of the health workes to increasing the performance the information sistem about the problem that is connected with the inject contraception using

Assessing Functional Disability Among Persons Experiencing Homelessness

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505192p1-7512505192p1
Author(s):  
John V. Rider ◽  
Justina Selim ◽  
Alexys Garcia
Keyword(s):  
Functional Disability ◽  
Cross Sectional Study ◽  
World Health ◽  
Daily Functioning ◽  
Occupational Engagement ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Related ◽  
Health Organization

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This cross-sectional study provides a deeper understanding of how the experience of homelessness affects occupational engagement and quality of life. Health-related disparities among persons experiencing homelessness and their implications for functioning in daily life were analyzed through the World Health Organization Disability Assessment Schedule 2.0. Results indicate that the emotional burden of health conditions had the greatest impact on daily functioning. Highly affected domains included participation, mobility, and life activities. Primary Author and Speaker: John V. Rider Additional Authors and Speakers: Justina Selim, Alexys Garcia

scholarly journals Work addiction and quality of life: a study with physicians

2017 ◽  
Vol 15 (2) ◽  
pp. 130-135 ◽  
Author(s):  
Walter Fernandes de Azevedo ◽  
Lígia Andrade da Silva Telles Mathias
Keyword(s):  
Quality Of Life ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
World Health Organization Quality ◽  
Work Addiction ◽  
Organization Quality ◽  
Health Organization ◽  
Improve Health

ABSTRACT Objective To evaluate the quality of life of physicians and investigate to what extent it is affected by work addiction. Methods This is an exploratory, descriptive and cross-sectional study, conducted with 1,110 physicians. For data collection, we used a questionnaire with sociodemographic information, the World Health Organization Quality of Life BREF, and the Work Addiction Scale. Results Most physicians presented high quality of life. Female participants presented lower quality of life in the domains psychologic, environment and general (p<0.05). Quality of life was negatively correlated with the number of shifts (p<0.005). The higher the addiction to work, the lower the quality of life. Conclusion The research allowed understanding the implications of work addiction in the quality of life. Further studies are required to support the development of strategies that improve health conditions and quality of life of medical professionals.

scholarly journals New Growth Curves for Spanish Children (0–10 Years) in the Region of Extremadura

2021 ◽  
Vol 18 (17) ◽  
pp. 8953
Author(s):  
Luis Pardo-Galán ◽  
Raquel Pastor-Cisneros ◽  
Daniel Collado-Mateo ◽  
José Adsuar ◽  
Miguel García-Gordillo ◽  
...  
Keyword(s):  
Growth Curves ◽  
Cross Sectional Study ◽  
World Health ◽  
Regional Government ◽  
Cross Sectional ◽  
Mean Values ◽  
The Social ◽  
The Mean ◽  
Health Organization

The anthropometric reference data used to examine the growth pattern of children in Spain are obtained from studies carried out several years ago. In the region of Extremadura, the tables obtained by the Faustino Obergozo Foundation, which date back to 2004, are used. The first objective of this work is to develop growth tables and graphs that accurately reflect the somatometric variables of children in Extremadura. Secondly, the averages of these variables by sex will be compared to determine if there are significant differences between them. A database provided by the General Directorate of Planning, Training, and Health and Social Quality of the Regional Government of Extremadura was used, which contains the measurements of height, weight, and body mass index (BMI) of boys and girls in Extremadura between the years 2006–2016. The database was analyzed using the Statistical Package for the Social Sciences (SPSS) version 23 and the R software version 3.5.1, considering a cross-sectional study. As a result, the tables and growth graphs of Extremadura’s population base for weight and height are presented, from birth to 10 years, as well as comparisons of the average values of the analyzed variables between boys and girls. We found that there are significant differences in the mean values, according to sex, of the height and weight. On the other hand, BMI progressed normally when comparing the results of the Extremadura population with those reflected by the World Health Organization (WHO). Differences were found when comparing the results with those obtained by the Faustino Orbegozo Foundation.

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