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Primary Mental Health Care in Rural Greece: A Single Center Experience
Sofia Zyga,
Eleni Mitropoulou,
Victoria Alikari,
Panagiotis Prezerakos,
Maria Tsironi,
Panagiotis Andriopoulos,
John Stathoulis,
Foteini Tzavella,
Evangelos C. Fradelos
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
1-6
Received:
1 July 2017
Accepted:
4 July 2017
Published:
2 August 2017
DOI:
10.11648/j.ajns.s.2018070301.11
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Abstract: Economic Indicators of the Situation of Rural Areas (as compared to city residents) such as average income, education, poverty, unemployment rates and employers who do not provide health insurance are some facts that making this population vulnerable. Factors that affect the "Health Condition" of "Rural Populations" are: disproportionately large numbers of young and elderly people, health risks, abuse, family violence and neglect, climatic (weather) Geographical isolation, lack of access to healthcare and lack of resources for mental health services The purpose of this retrospective study is to present dada from a Mental Health center of the Psychiatric Sector of a regional General Hospital in the 3-year period 2013-2015. Material and Methods: This is an epidemiological study. The collection of data was performed with a specially designed for the purpose of the study form that included the recording of data. In particular, race, age, gender, marital status were recorded. In addition, level of education, diagnosis according to ICD 10 and other clinical data. Results: Common mental disorders experienced by patients visiting the Mental Health Center were recurrent depressive episodes, schizophrenia, depressive disorder, obsessive compulsive disorder and bipolar disorder. Conclusions: This Mental Health Center, have treated both Greeks and foreigners, as well as patients residing outside of his sector. The main diagnoses for patients were recurrent depressive episodes, schizophrenia, depressive episodes, obsessive compulsive disorder and bipolar affective disorder. Most patients were instructed and suggested a follow up examination. About half of the patients were stable, one third had an improvement, and only 15% had deteriorated their condition. Patients who were aggravated were significantly younger and had a follow up examination.
Abstract: Economic Indicators of the Situation of Rural Areas (as compared to city residents) such as average income, education, poverty, unemployment rates and employers who do not provide health insurance are some facts that making this population vulnerable. Factors that affect the "Health Condition" of "Rural Populations" are: disproportionately large nu...
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Communication as the Basis of Care for Patients with Chronic Diseases
Michael Kourakos,
Evangelos C. Fradelos,
Ioanna V. Papathanasiou,
Maria Saridi,
Theodora Kafkia
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
7-12
Received:
12 July 2017
Accepted:
13 July 2017
Published:
9 August 2017
DOI:
10.11648/j.ajns.s.2018070301.12
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Abstract: Now that chronic illnesses are the main cause of death and disability worldwide, patients must be involved in healthcare process, contributing to almost every level of decision or action. Communication is a process that is dynamic and continuous and influenced by a number of factors, and in the field of health care is of particular importance. Communication of patients with healthcare professionals affects patients' outcomes, helps them learn to regulate their emotions, increases compliance and is correlated with patient confidence and satisfaction as well as quality of life. Health communication strategies should respond to the needs of the public so that it complies with its health recommendations.
Abstract: Now that chronic illnesses are the main cause of death and disability worldwide, patients must be involved in healthcare process, contributing to almost every level of decision or action. Communication is a process that is dynamic and continuous and influenced by a number of factors, and in the field of health care is of particular importance. Comm...
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Comprehension of Information for Informed Consent Among Hemato-Oncology Study Participants in Eldoret, Kenya
Lucy Jepkemei Chebungei,
Violet Naanyu,
Edwin Were
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
13-24
Received:
24 May 2017
Accepted:
1 August 2017
Published:
21 August 2017
DOI:
10.11648/j.ajns.s.2018070301.13
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Abstract: The use of Informed consent (IC) became a prerequisite for research in response to abuses of human subjects during the last half-century, yet participant's comprehension of presented information is rarely explored. Major ethical concerns arise when information offered is not well comprehended by research participants. It is therefore a fundamental concern for all researchers to ensure that there is good comprehension of informed consent information in biomedical researches hence the current study endeavored to evaluate the comprehension of information for informed consent by Hemato- Oncology study participants. A descriptive cross sectional study design was used where systematic and convenience sampling techniques were used to sample the mothers who had assented to the study and research assistants involved in recruiting (recruiters) respectively. Two sets of semi-structured questionnaires were administered to 201 mothers and 6 recruiters, separately. Data from mothers and recruiters was collected for a period of one month and analyzed using descriptive and non- parametric correlation technique of multiple correspondence analysis (MCA). The response rate was 187 (93%) and 6 (100%) for the mothers and research assistants respectively. The mean age of the mothers was 28 ± 2.24 years with most having either secondary 89 (48%) or college education 67 (36%). Their preferred language of communication was English 165 (88%) or Kiswahili 22 (12%). The mean comprehension index of IC contents by the mothers was 73.27% (Std. Dev: 28.72%). Recruiters who had more than one year experience in research used ≥ 30 min in IC process compared to ≥ 1 hour for those who had been in research for less than one year. Low comprehension levels were found among older mothers (≥ 35 years) and those with primary education, however, comprehension was higher in participants who considered the consent form to be of appropriate length 181 (97), written in an easy to understand language 173 (96) and preferably written in English 165 (88%). The level of comprehension among the mothers on IC contents was relatively high with a few recording low comprehension. Age, education level, language of transmission, length and readability of the consent form as well as recruiter experiences were all found to influence comprehension of IC information.
Abstract: The use of Informed consent (IC) became a prerequisite for research in response to abuses of human subjects during the last half-century, yet participant's comprehension of presented information is rarely explored. Major ethical concerns arise when information offered is not well comprehended by research participants. It is therefore a fundamental ...
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Measuring Religiosity in Nursing: Reliability, Validity and Psychometric Properties of the Greek Translation of the Centrality of Religiosity Scale -15
Evangelos C. Fradelos,
Michael Kourakos,
Sofia Zyga,
Foteini Tzavella,
Konstantinos Tsaras,
Eleni Christodoulou,
Aristides Daglas,
Ioanna V. Papathanasiou
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
25-32
Received:
31 July 2017
Accepted:
1 August 2017
Published:
21 August 2017
DOI:
10.11648/j.ajns.s.2018070301.14
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Abstract: Many nurses today are religious and sometimes there exist some religious motivations on becoming a nurse. They are often responsible through their care to assess and facilitate spiritual well-being, identify spiritual distress and to provide religious and spiritual care. Nurses need to understand their own spirituality and religiosity before they can successfully integrate them into their care. Aim: The present study aims to assess Greek nurses’ religiosity and to validate the Centrality of Religiosity Scale (CRS) in the Greek language. Material and Methods: The CRS-15 questionnaire is an anonymous self-administered questionnaire that contains fifteen, five point Likert scale, closed questions (ranging 1-5). The sample of the study was 344 nurses and nurse assistants. Exploratory factor analysis, with principal components analysis, was performed for checking the construct validity of the questionnaire. The test–retest reliability and the internal consistency were also examined. Statistical analysis performed using SPSS 21.0. Statistical significance level was set at p=0.05. Results: The final Greek version of the questionnaire includes all the fifteen questions. The mean age of the participants was 42.9±7.5. Two factors exported from the statistical analysis: the first one corresponded to religious practices and the second one to religious beliefs and experiences. The Cronbach-a coefficient was 0.952 for the total questionnaire and for Religious beliefs and experiences is a=0.923 while for the religious practices is a=0.926. Conclusions: The CRS-15, is a valuable and reliable questionnaire that can be used for assessing religiosity in Greek population.
Abstract: Many nurses today are religious and sometimes there exist some religious motivations on becoming a nurse. They are often responsible through their care to assess and facilitate spiritual well-being, identify spiritual distress and to provide religious and spiritual care. Nurses need to understand their own spirituality and religiosity before they c...
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Mood Disorders in Children and Adolescents with Type 1 Diabetes
Minasidou Eugenia,
Kourouzidou Korina,
Mina Sophia,
Kourakos Michael,
Dimitriadou Alexandra,
Kafkia Theodora
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
33-38
Received:
10 July 2017
Accepted:
1 August 2017
Published:
23 August 2017
DOI:
10.11648/j.ajns.s.2018070301.15
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Abstract: Diabetes Mellitus is a chronic disease than can cause negative mood, interpersonal problems, inefficacy, anhedonia and negative self-confidence. In addition, quality of life is affected for the patient and his/her family, mainly in everyday and social activities as well as in psychological status. In the present study the relationship between type 1 Diabetes Mellitus and mood disorders in children and adolescents has been investigated, as well as the factors affecting, negatively or positively, the way these disorders are manifested. Seventy two children and adolescents (47 girls and 25 boys) that attended hospital’s outpatient’s clinics in northern Greece were the sample of the study. Participation was voluntary; having obtained informed consent from parents and children. The Children Depression Inventory (CDI Kovacs, 1980) was used. Data analysis was conducted using SPSS 20.00. The research revealed that boys experience more interpersonal problems and inefficacy than girls. Looking with more details into the participants’ family status statistical significance was detected only regarding negative mood. Higher depression scores were noticed for “single parent families” followed by “divorced parents”, while children who lived with both parents scored the lowest. The results showed that statistically significant difference existed in the total CDI score and the subscales of negative self-confidence and inefficacy. Children up to 12 years old scored lower than children older than 13 years old. In conclusion, diabetes is requiring from children and their families adjustment in everyday life in order to achieve a good health and mental status. Knowledge of early signs and symptoms of childhood depression can help parents and teachers to detect them and ask for professional help and support. Healthcare professionals should plan care in a way that psychological support, positive motivation and compliance to treatment could be enhanced.
Abstract: Diabetes Mellitus is a chronic disease than can cause negative mood, interpersonal problems, inefficacy, anhedonia and negative self-confidence. In addition, quality of life is affected for the patient and his/her family, mainly in everyday and social activities as well as in psychological status. In the present study the relationship between type ...
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Relationship Between Socio-demographic Characteristics and Attitudes of Nursing Students Toward Psychiatry in Kenya
Philip Kimutai Sanga,
Donald Kokonya,
John Arudo,
Juliah Nyamwata
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
39-44
Received:
3 October 2017
Accepted:
31 October 2017
Published:
24 November 2017
DOI:
10.11648/j.ajns.s.2018070301.16
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Abstract: There exists disparity between the level of demand for mental health nursing services and the number of psychiatric nurses available. Few students enroll in the psychiatric nursing specialty in Kenya. The aim of this study was to investigate the relationship between socio-demographic characteristics of nursing students and their attitudes towards psychiatric nursing. The study was carried out at three universities and five colleges of nursing in Western Kenya among students pursuing bachelor's degree & diploma courses (n=245). Cluster and systematic random sampling techniques were used to select the study participants. A descriptive cross sectional design was used and data were collected using semi-structured questionnaires. Data were analyzed using statistical package for social sciences (SPSS) for windows version 21. Statistical significance was set at p≤0.05. Two-sided t-test was used to compare the mean of those willing to pursue psychiatric nursing and those not willing. There was a significant relationship between religion and preparation for mental health clinical placement (p=0.03). The Catholics had a higher mean of 2.9 (95% CI = 2.8 – 3.0) unlike the protestants who had a mean of 2.8 (95% CI = 2.8 – 2.9). Female participants were significantly knowledgeable about mental illness compared to males (p = 0.03) with a mean of 2.8 (95% CI = 2.7 – 2.8) versus a mean of 2.7 (95% CI = 2.6 – 2.8) for the males. A significant relationship between anxiety surrounding mental illness and availability of a psychiatric unit within the training institution was noted (p=0.008). Those who had a psychiatric unit within their training institution had a higher mean of 2.5 (95% CI = 2.4 – 2.6) compared to that of those in institutions that did not have psychiatric training institutions within the learning institutions with a mean of 2.3 (95% CI = 2.2 – 2.4). There was a significant relationship between the students’ interests in nursing after completion of secondary school and experience during clinical placement (p = 0.05). Those who had higher interest had a higher mean of 2.8, 95% CI=2.7 – 2.8 compared to their counterparts with a mean of mean 2.4 (95% CI=1.9–2.8). The researchers recommends early exposure of students to psychiatric patients in their training, improvement on mentorship programmes for the students in psychiatry, thorough preparation of students for their clinical placement and provision of more opportunities for further studies in psychiatric nursing. A study to determine the influence of religion on attitudes towards psychiatric nursing is recommended.
Abstract: There exists disparity between the level of demand for mental health nursing services and the number of psychiatric nurses available. Few students enroll in the psychiatric nursing specialty in Kenya. The aim of this study was to investigate the relationship between socio-demographic characteristics of nursing students and their attitudes towards p...
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Relationship Between Nurse Managers' Leadership Styles and Staff Nurses' Job Satisfaction in a Greek NHS Hospital
Christina Konstantinou,
Panagiotis Prezerakos
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
45-50
Received:
5 November 2017
Accepted:
7 November 2017
Published:
24 November 2017
DOI:
10.11648/j.ajns.s.2018070301.17
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Abstract: Leadership style of nurse managers plays a significant role in staff nurses' job satisfaction. The aim of this study was to examine the relationship between leadership style of nurse managers and nurses' job satisfaction in a Greek NHS Hospital. Two questionnaires were distributed to and completed by the nursing staff working in the Hospital: a) the Multifactor Leadership Questionnaire (MLQ Form) for distinguished nurse managers' leadership style of and b) the Minnesota Satisfaction Questionnaire (MSQ) to measure the dependent variable of the nurses’ job satisfaction Data were collected from December 2013 to March 2014. Data were entered and analyzed using SPSS version19.0. Significance level was set up to p≤0.05. The mean scores of the subscales of transformational leadership style were slightly higher than the mean scores of the subscales of the transactional leadership style, which leads us to conclude that nurses prefer the transformational leadership style. The overall rating of satisfaction and the satisfaction scores due to intrinsic factors indicated moderate satisfaction, while the satisfaction rates due to extrinsic factors indicated low satisfaction. Further studies in the greek healthcare sector are recommended to determine the perceptions of head and staff nurses on various leadership styles and its effects.
Abstract: Leadership style of nurse managers plays a significant role in staff nurses' job satisfaction. The aim of this study was to examine the relationship between leadership style of nurse managers and nurses' job satisfaction in a Greek NHS Hospital. Two questionnaires were distributed to and completed by the nursing staff working in the Hospital: a) th...
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Psychoeducational Interventions in Bipolar Disorder
Olga Velentza,
Evangelia Grampsa,
Euterpi Basiliadi
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
51-56
Received:
6 November 2017
Accepted:
8 November 2017
Published:
24 November 2017
DOI:
10.11648/j.ajns.s.2018070301.18
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Abstract: Introduction: Psychoeducation is considered to be an integral part of the modern and total therapeutic treatment for mental disorder. It is the main intervention in the application of theory of psychosocial rehabilitation in practice. Purpose of this paper records the psychoeducation programs for mental illnesses, especially in bipolar disorder, in order to present the benefits of psychoeducational intervention both to mental sufferers and their families and / or caregivers through a bibliographic review. Conclusions: Family education and therapy is aimed at the well-being of all members, while psychoeducation aims to effectively treat the patient and maintain the balance. Family education helps members to be more "efficient" in interventions for their mentally ill and achieve better results when it is done in group, as this promotes the exchange of views and the mutual reinforcement.
Abstract: Introduction: Psychoeducation is considered to be an integral part of the modern and total therapeutic treatment for mental disorder. It is the main intervention in the application of theory of psychosocial rehabilitation in practice. Purpose of this paper records the psychoeducation programs for mental illnesses, especially in bipolar disorder, in...
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Pulmonary Embolism: A Literature Review
Kourkouta Lambrini,
Koukourikos Konstantinos,
Iliadis Christos,
Ouzounakis Petros,
Tsaloglidou Areti
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
57-61
Received:
6 November 2017
Accepted:
8 November 2017
Published:
24 November 2017
DOI:
10.11648/j.ajns.s.2018070301.19
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Abstract: Pulmonary embolism is the blockage of a branch of the pulmonary artery by a substance that has traveled from elsewhere in the body through the bloodstream. The majority of pulmonary embolisms are caused by venous thromboembolism but in some cases it may also come from other sources (fat, injuries, orthopedic surgeries or amniotic fluid during childbirth). The aim of this retrospective study is to highlight some important information about the pulmonary embolism. Extensive review of the recent literature was conducted in electronic database Medline and via the link of the Greek Association of Academic Libraries (HEAL-Link). Pulmonary embolism can be immediately a life threatening situation. Cause of the disease is the blockage of an artery in the lungs usually by a clot (clogging). Pulmonary embolism is divided into (a) small and medium size (b) multiple pulmonary emboli, and (c) massive pulmonary embolism. There are several factors that affect the occurrence of pulmonary embolism such as age over 40 years, major surgery, fractures, particularly those of the basin and prolonged bed stay (more than five days). The treatment of pulmonary embolism and its diagnosis should be direct because many times even today people lose their lives, despite the tremendous development of diagnostic tools.
Abstract: Pulmonary embolism is the blockage of a branch of the pulmonary artery by a substance that has traveled from elsewhere in the body through the bloodstream. The majority of pulmonary embolisms are caused by venous thromboembolism but in some cases it may also come from other sources (fat, injuries, orthopedic surgeries or amniotic fluid during child...
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Feeding Protocol for Mothers Having Infant with Cleft Lip and Cleft Palate
Faten Shafik Mahmoud Nasar,
Samah Abdalla Mohammed Amer,
Howaida Moawad Ahmed Aly
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
62-71
Received:
10 November 2017
Accepted:
16 November 2017
Published:
12 December 2017
DOI:
10.11648/j.ajns.s.2018070301.20
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Abstract: Background: Cleft palate an opening in the roof of the mouth due to a failure of the palatal shelves to come fully together from either side of the mouth and fuse during the first months of development as an embryo. The opening in the palate causing feeding problems. Mothers of infant born with clefts have many questions and concerns, including basic information regarding care especially feeding. The aim of the study: To assess the knowledge and practice of mothers regarding feeding of their infant with cleft lip and cleft palate. Evaluate the effectiveness of feeding protocol on knowledge and practice of mothers having infant with cleft lip and cleft palate. To find out the association between knowledge and practice of mothers having infant with cleft lip and cleft palate with their selected demographic variables. Research design: A quasi- experimental design was adopted in the current study. Sample: Convenience sample of sixty mothers having infants with cleft lip and/or palate. Setting: was carried out in the inpatient surgical department and outpatient surgical clinic of Specialized Pediatric Hospitals at Benha City. The tool of data collection: Tool I: A structured interviewing questionnaire consists from three parts, Part 1: Infants ‘and mothers personal characteristics. Part (2): Evaluation of infant feeding reported from their mothers. Part (3): Mothers’ knowledge pre/post feeding protocol. Tool II: Observational checklist of mother’s practice pre/post feeding protocol. Results: The study results revealed that the mean age of infant was 3.8± 3.3, and more than half of mother had family history of cleft lip and palate. Also more than half of mother use sitting position during feeding, there were statistical significant differences between knowledge and practice of mothers post feeding protocol at P<0.05. Conclusion: The feeding protocol was effective and improved mother’s knowledge and practice regarding feeding of their infant with cleft lip and palate. Recommendation: The study recommended that it is importance of update feeding protocol for mothers having infant with cleft lip and palate.
Abstract: Background: Cleft palate an opening in the roof of the mouth due to a failure of the palatal shelves to come fully together from either side of the mouth and fuse during the first months of development as an embryo. The opening in the palate causing feeding problems. Mothers of infant born with clefts have many questions and concerns, including bas...
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Quality of Life of Patients with Decompensated Cirrhosis Who Undergoing Serial Large Volume Paracentesis
Vasiliki Kontou,
Maria Kapella,
Andriana Theodorakopoulou,
Theodoros Katsaras,
Spilios Manolakopoulos,
Dimitris Pectasidis,
John Koskinas
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
72-76
Received:
4 December 2017
Accepted:
6 December 2017
Published:
25 December 2017
DOI:
10.11648/j.ajns.s.2018070301.21
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Abstract: Introduction: Serial large volume paracentesis is the most common treatment option for refractory ascites in patients with decompensated cirrhosis. This treatment aims to relieve symptoms and maximize the functionality of the individual’s everyday life, and to generally improve patient’s QoL to any extent, considering the limits imposed by the course of the diseases and patients health status. Purpose of this study is to assess the QoL of patients with decompensated cirrhosis undergoing serial large volume paracentesis. Material and Method: A cohort of 60 patients attending the 2nd Department of Medicine, Medical School of Athens, Hippokration Hospital was recruited. The data were collected with the help of a two-part anonymous self-reported questionnaire consisting of a sheet containing clinical and demographic information and the SF-36 scale. Mean and standard deviation for continuous data and frequencies, and percentages for categorical data were calculated. Non parametric tests such were applied. For the analysis of the data, the statistical package SPPS20 was employed. Results: Out of the total number of participants in the study, 64.41% were men and 35.59% were women. The average age of the respondents was 70.8, with a standard deviation of 10.9 years. More than half (56.14%) were past smokers, 31.58% were current smokers and the remaining 12.28% were non-smokers. The statistical analysis revealed that patients with higher education (p <0.05) reported better scores in QoL on the scales mental health, functionality, and vitality. Women, according to the results of our research, experienced a better QoL on the scale of physical activity than men (p <0.05). Also, those who were not suffering from another disease and were not smokers had a better QoL. Conclusions: Based on the findings of the present study, it appears that factors such as educational level, marital status, age, gender, hospital readmissions can affect the QoL of patients subject to large volume paracentesis. Implementation and evaluation of health education programs aimed at improving the QoL of these patients and their families is of vital importance.
Abstract: Introduction: Serial large volume paracentesis is the most common treatment option for refractory ascites in patients with decompensated cirrhosis. This treatment aims to relieve symptoms and maximize the functionality of the individual’s everyday life, and to generally improve patient’s QoL to any extent, considering the limits imposed by the cour...
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Quality of Life in Patients with Chronic Hepatitis C Submitted to Treatment with Interferon and Ribavirin
Andriana Theodorakopoulou,
Maria Kapella,
Vasiliki Kontou,
Sofia Giovaso,
Theodoros Katsaras,
Spilios Manolakopoulos,
Dimitris Pectasidis,
John Koskinas
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
77-85
Received:
4 December 2017
Accepted:
6 December 2017
Published:
25 December 2017
DOI:
10.11648/j.ajns.s.2018070301.22
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Abstract: Introduction: Chronic hepatitis C is a serious public health problem worldwide. Approximately eighty percent of the patients with acute infection will fall back to chronicity with long term complications such as cirrhosis, liver failure, hepatocellular cancer and death. The HCV infection per se has been found to be related with a variety of neuropsychiatric symptoms. Treatment of hepatitis C with interferon plus ribavirin is related with many side effects and affects the quality of patients’ life. Purpose: The purpose of this study is to assess the quality of life in patients with chronic hepatitis C undergoing treatment with interferon and Ribavirin. Data and Methodology: The research sample was 173 patients with hepatitis C who were treated in the Outpatient Liver Unit, 2nd Department of Internal Medicine, Medical School of Athens, Hippokratio General Hospital". The data were hand- collected after the Short Form 36 scale completion by the patients. For the data analysis the statistical package SPSS 13 was used and more specifically statistical t-test and anova analysis. Results: Out of all the patients participated in the study the 28.9% were women and 71.1% were men with an average age of 54.4 years with a standard deviation of 8.14 years. The 87.3% had concomitant diseases; 88.4% diabetes, 56.6% hypertension and 59.5% high cholesterol. 38.15% of the sample had re-admitted to the hospital, 18.40% had previous heart attack and 63.16% were former smokers. The statistical analysis indicated those who had a higher education degree peported higher quality of life sores in the dimensions of mental health (p=0.001), physical function (p=0.01) and vitality (p=0.000). Similar, married patients reported higher quality of life scoers in several dimension as well as patients without readmissions, patients without comorbidities and non-smokers. Conclusions: treatment with interferon and Ribavirin affects the quality of life of patients with chronic hepatitis C. Factors such as age, lifestyle, educational level, the reintroduction in the hospital and marital status can affect the life and mental health of the patient. The factors that adversely affect the quality of life must be identified and treated promptly by health professionals
Abstract: Introduction: Chronic hepatitis C is a serious public health problem worldwide. Approximately eighty percent of the patients with acute infection will fall back to chronicity with long term complications such as cirrhosis, liver failure, hepatocellular cancer and death. The HCV infection per se has been found to be related with a variety of neurops...
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Application of Health Belief Model among Youth at High Risk for Obesity in West Bank (Palestine)
Nawal Mahmoud Soliman,
Hemat Abd Elmoneem Elsayied,
Mustafa Mohammad Shouli
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
86-96
Received:
3 November 2017
Accepted:
3 December 2017
Published:
4 January 2018
DOI:
10.11648/j.ajns.s.2018070301.23
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Abstract: Overweight and obesity are the fifth leading risk for global deaths. At least 2.8 million adults die each year as a result of being overweight or obese. The study aim to evaluate the effect of application of health belief model (HBM) among youth at high risk for obesity in Palestine (West Bank). Research design: A quasi- experimental design was used. Settings: The study was conducted at Faculty of Nursing /A-Najah National University which located in Nablus and IBN Sina College for Health Sciences, West Bank- Palestine. Subjects: A purposive sample of 117 students, from both previous setting at high risk for obesity was included. Tools, three tools were used to collect data. A self-administered questionnaire, it was composed of 4 parts; the health belief model (HBM) sub- constructs which used in this study and anthropometric measurement to detect body mass index & levels of risk for obesity. Results: Revealed that according to BMI and levels of risk for obesity shows, less than half of youth were obesity class1 (low risk) while more than one third was obesity class II (moderate risk). There was a highly significant difference between student’s knowledge and their practices regarding obesity, healthy food, and exercises pre & post application of HBM. Conclusion: Application of health belief model was effective in improved knowledge and practices of the student at high risk for obesity and changing health behavior. Recommendations: Conducting routine screening for obesity, dieting, and other weight reduction practices as an integral part of the ongoing health care provided by all health services. HBM also suggests that the benefits and barriers of changing health behavior must be taken into consideration, as those who perceive more benefits than barriers are more likely to take action.
Abstract: Overweight and obesity are the fifth leading risk for global deaths. At least 2.8 million adults die each year as a result of being overweight or obese. The study aim to evaluate the effect of application of health belief model (HBM) among youth at high risk for obesity in Palestine (West Bank). Research design: A quasi- experimental design was use...
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Reliability and Validity of the Kidney Disease Questionnaire Among Greek Patients Undergoing Hemodialysis
Victoria Alikari,
Maria Tsironi,
Vasiliki Matziou,
Foteini Tzavella,
Evangelos Fradelos,
Sofia Zyga
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
97-102
Received:
6 November 2017
Accepted:
12 November 2017
Published:
12 January 2018
DOI:
10.11648/j.ajns.s.2018070301.24
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Abstract: Disease related knowledge for patients undergoing hemodialysis is a crucial part for health related quality of life. Purpose To investigate the reliability and validity of the knowledge scale “The Kidney Disease Questionnaire”. Methods Between October 2016 and April 2017 a group of patients undergoing hemodialysis (N=321) completed the Greek version of “The Kidney Disease Questionnaire”. Test-retest reliability and internal consistency were tested. Construct validity was checked through discriminant and convergent validity using the scales GR-Simplified Adherence Questionnaire-HD and Missoula Vitas Quality of Life Index-15. The significance level was set up at 5%. Statistical analysis was performed using the IBM SPSS Statistics version 21. Results As far as the test-retest reliability an agreement was reached between the first and the second completion. The Index Cronbach's Alpha was equal to 0,85. The Kidney Disease Questionnaire was found to be associated with both the GR- Simplified Adherence Questionnaire-HD and Missoula Vitas Quality of Life Index-15. Finding differences in knowledge scores depending on age, if they were living alone, the educational level, years on hemodialysis, and vascular access suggest the discriminant validity of the questionnaire. Conclusions The “Kidney Disease Questionnaire” is a reliable and valid tool in order to explore the level of knowledge for patients undergoing hemodialysis.
Abstract: Disease related knowledge for patients undergoing hemodialysis is a crucial part for health related quality of life. Purpose To investigate the reliability and validity of the knowledge scale “The Kidney Disease Questionnaire”. Methods Between October 2016 and April 2017 a group of patients undergoing hemodialysis (N=321) completed the Greek versio...
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Therapeutic Relationship and Quality of Life in Chronic Diseases
Alexandra Mitsi,
Michael Kourakos,
Georgia Poulimenakou,
Demetra Latsou,
Markos Sarris
Issue:
Volume 7, Issue 3-1, June 2018
Pages:
103-108
Received:
25 February 2018
Accepted:
4 March 2018
Published:
22 March 2018
DOI:
10.11648/j.ajns.s.2018070301.25
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Abstract: The relationship between healthcare professionals and patients is a special form of human relationship. The interpersonal relationship developed among the patient and the caregiver involves not only communication and active listening, but also emotions from both sides. The establishment of a therapeutic relationship and the roles within it are largely determined by the behavior of those involved. A therapeutic relationship requires effective communication and empathy of the nurse practitioner, as well as the patient’s active participation in the process. The quality of the relationship between two people is the most important element in determining the effectiveness of the care delivered.
Abstract: The relationship between healthcare professionals and patients is a special form of human relationship. The interpersonal relationship developed among the patient and the caregiver involves not only communication and active listening, but also emotions from both sides. The establishment of a therapeutic relationship and the roles within it are larg...
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