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1.
Dimens Crit Care Nurs ; 40(3): 156-163, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33792274

RESUMEN

BACKGROUND: Previous research on nurses during pandemics has focused on nurses working in one facility or type of unit; this study focuses on nurses caring for COVID-19 patients in a variety of units in different sites across the United States. OBJECTIVE: The aim of this study was to understand the experiences of registered nurses working with hospitalized COVID-19 patients. METHODS: This study used a hermeneutic phenomenology design. Semistructured interviews via telephone were conducted and then transcribed verbatim. Colaizzi's method of analysis was used. Data saturation was achieved with 14 participants. RESULTS: Three major themes were evident. They were "the human connection," "the nursing burden," and "coping." Subthemes were identified under each major theme. DISCUSSION: This study depicted nurses who are caring, empathetic, and resilient. They had many recommendations for fellow nurses, the public, and health care organizations.


Asunto(s)
Adaptación Psicológica , /psicología , Personal de Enfermería en Hospital/psicología , Adulto , Actitud del Personal de Salud , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Estados Unidos/epidemiología
2.
BMC Psychol ; 9(1): 51, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33794995

RESUMEN

BACKGROUND: Coping strategies play a key role in modulating the physical and psychological burden on caregivers of stroke patients. The present study aimed to determine the relationship between the severity of burden of care and coping strategies amongst a sample of Iranian caregivers of older stroke patients. It also aimed to examine the differences of coping strategies used by male and female caregivers. METHODS: A total of 110 caregivers of older patients who previously had a stroke participated in this descriptive and cross-sectional study. The Zarit Burden Interview and Lazarus coping strategies questionnaires were used for data collection. Questionnaires were completed by the caregivers, who were selected using convenience sampling. The collected data were analyzed using Pearson's correlations and independent t-tests. RESULTS: The mean age of participants was 32.09 ± 8.70 years. The majority of the caregivers sampled reported mild to moderate (n = 74, 67.3%) burden. The most commonly used coping strategies reported were positive reappraisal and seeking social support. Results of the independent t-test showed that male caregivers used the positive reappraisal strategy (t(110) = 2.76; p = 0.007) and accepting responsibility (t(110) = 2.26; p = 0.026) significantly more than female caregivers. Pearson's correlations showed a significant positive correlation between caregiver burden and emotional-focused strategies, including escaping (r = 0.245, p = 0.010) and distancing (r = 0.204, p = 0.032). CONCLUSIONS: Caregivers with higher burden of care used more negative coping strategies, such as escape-avoidance and distancing. In order to encourage caregivers to utilize effective coping skills, appropriate programs should be designed and implemented to support caregivers. Use of effective coping skills to reduce the level of personal burden can improve caregiver physical health and psychological well-being.


Asunto(s)
Cuidadores , Accidente Cerebrovascular , Adaptación Psicológica , Adulto , Estudios Transversales , Femenino , Humanos , Irán , Masculino , Adulto Joven
3.
Revista Digital de Postgrado ; 10(1): 255, abr. 2021. ilus
Artículo en Español | LILACS, LIVECS | ID: biblio-1147589

RESUMEN

A principios del nuevo milenio surgió el concepto del "Trauma urbano moderno", sustentando en la experiencia de varios conflagraciones en zonas densamente pobladas. Fue definido como un conflicto violento, cerrado, con heridas destructivas y de difícil acceso para su evacuación. Su manejo incluyo el cuestionamiento de viejos dogmas y la incorporación de nuevas estrategias. El motín del reten "La Planta", el incremento en las detonaciones por granadas fragmentarias y los graves enfrentamientos entre bandas delictivas o contra cuerpos de seguridad, en diversas zonas de Caracas indican el establecimiento de una modalidad mas agresiva de violencia. Los cirujanos capitalinos se enfrentan con más frecuencia a lesiones severas y múltiples. El personal medico requiere la adecuada comprensión y preparación para afrontar este nuevo tipo de heridas. La reciente enfermedad Covid 19 representa un desafió agregado en el abordaje de los pacientes con traumatismos(AU)


The experience in many combats in densely populated urban areas, determined the new concept of "Modern urban warfare" in the beginning of the new millennium. This definition is a warfare violent, close-quarter, with destructive injuries and the delayed of evacuation. New innovations were incorporate. The revolt in the "La Planta" prison, the increase of grenades explosions and engagement between criminal organized, in many zones of Caracas, illustrated this new definition. The venezuelans surgeons attended many severe and multiple injuries. The surgical personal need understand this new kind of injuries. The new disease Covid 19 represents a challenge in the attention of these patients(AU)


Asunto(s)
Humanos , Masculino , Femenino , Población Urbana , Violencia , Heridas y Traumatismos , Mortalidad , Personal de Salud , Violencia con Armas , Prisiones , Adaptación Psicológica , Salud Laboral , Infecciones por Coronavirus
4.
BMC Psychol ; 9(1): 53, 2021 Apr 06.
Artículo en Inglés | MEDLINE | ID: mdl-33823945

RESUMEN

BACKGROUND: In the case of people who carry an increased number of anxiety traits and maladaptive coping strategies, psychosocial stressors may further increase the level of perceived stress they experience. In our research study, we aimed to examine the levels of perceived stress and health anxiety as well as coping styles among university students amid the COVID-19 pandemic. METHODS: A cross-sectional study was conducted using an online-based survey at the University of Debrecen during the official lockdown in Hungary when dormitories were closed, and teaching was conducted remotely. Our questionnaire solicited data using three assessment tools, namely, the Perceived Stress Scale (PSS), the Ways of Coping Questionnaire (WCQ), and the Short Health Anxiety Inventory (SHAI). RESULTS: A total of 1320 students have participated in our study and 31 non-eligible responses were excluded. Among the remaining 1289 participants, 948 (73.5%) and 341 (26.5%) were Hungarian and international students, respectively. Female students predominated the overall sample with 920 participants (71.4%). In general, there was a statistically significant positive relationship between perceived stress and health anxiety. Health anxiety and perceived stress levels were significantly higher among international students compared to domestic ones. Regarding coping, wishful thinking was associated with higher levels of stress and anxiety among international students, while being a goal-oriented person acted the opposite way. Among the domestic students, cognitive restructuring as a coping strategy was associated with lower levels of stress and anxiety. Concerning health anxiety, female students (domestic and international) had significantly higher levels of health anxiety compared to males. Moreover, female students had significantly higher levels of perceived stress compared to males in the international group, however, there was no significant difference in perceived stress between males and females in the domestic group. CONCLUSION: The elevated perceived stress levels during major life events can be further deepened by disengagement from home (being away/abroad from country or family) and by using inadequate coping strategies. By following and adhering to the international recommendations, adopting proper coping methods, and equipping oneself with the required coping and stress management skills, the associated high levels of perceived stress and anxiety could be mitigated.


Asunto(s)
Adaptación Psicológica , Ansiedad , Control de Enfermedades Transmisibles , Estudios Transversales , Femenino , Humanos , Masculino , Pandemias , Estrés Psicológico
5.
Artículo en Inglés | MEDLINE | ID: mdl-33803737

RESUMEN

BACKGROUND: The outbreak of Coronavirus Disease 2019 (COVID-19) has seriously affected people's life. The main aim of our investigation was to determine the interactive effects of disease awareness on coping style among Chinese residents during the COVID-19 pandemic. METHODS: A total of 616 Chinese residents from 28 provinces were recruited to participate in this investigation. A questionnaire was used to collect demographic characteristics, cognition of COVID-19, and disease-related stress sources. Coping styles were assessed via the Simplified Coping Style Questionnaire (SCSQ). RESULTS: The survey showed that the main source of information on COVID-19 was different in relation to gender, age, educational level, and occupation (p < 0.001). People's knowledge of the disease, preventive measures, and stress factors were different in relation to demographic characteristics (p < 0.001). Compared with the baseline values, the scores of positive coping and negative coping based on SCSQ in relation to gender, age, educational level, and occupation were statistically significant (p < 0.001, except for participants older than 60 years). Different educational levels corresponded to statistical significant differences in positive coping (p = 0.004) but not in negative coping. CONCLUSIONS: During the pandemic, people with different characteristics had different levels of preventive measures' awareness, which influenced their coping styles. Therefore, during public health emergencies, knowledge of prevention and control measures should be efficiently provided to allow more effective coping styles.


Asunto(s)
Pandemias , Adaptación Psicológica , China/epidemiología , Cognición , Humanos , Persona de Mediana Edad , Encuestas y Cuestionarios
6.
Psychiatr Hung ; 36(1): 53-66, 2021.
Artículo en Húngaro | MEDLINE | ID: mdl-33686015

RESUMEN

INTRODUCTION: Several studies have investigated the relationship between personality and psychoactive substance use. Researches of personality and marijuana use suggests that certain personality traits differentiate between occasional and regular marijuana consumers. Understanding the relationship between individual persona - lity traits and marijuana use is a key step in the development of prevention and treatment methods. In the current study, we present the development of emotion regulation difficulties, coping with stress, impulsivity, external-internal control and sensation seeking in occasional and regular marijuana users. METHODS: 322 people participated in our study, within this 51 occasional and 56 regular marijuana users and 215 non-marijuana users who formed the control group. The examined personality traits were measured with the Diffi - culties in Emotion Regulation Scale, the Coping Inventory for Stressful Situations, the Barratt Impulsiveness Scale, the Internal-External Locus of Control Scale and the Sensation Seeking Scale. RESULTS: Varying levels of marijuana use increased difficulty in emotion regulation as well as impulsivity. Addi tio nally, the use of emotion-oriented coping strategies were most common in occasional and regular marijuana use. Regular marijuana users were more likely to have external control than occasional users. Non-marijuana users were less sen - sation seekers that the two groups of marijuana users, however, we did not find significant difference between occasio nal and regular users.


Asunto(s)
Adaptación Psicológica , Cannabis/efectos adversos , Regulación Emocional , Conducta Impulsiva , Control Interno-Externo , Uso de la Marihuana/psicología , Personalidad , Sensación , Humanos , Estrés Psicológico/psicología
7.
BMJ Open ; 11(3): e045949, 2021 03 19.
Artículo en Inglés | MEDLINE | ID: mdl-33741672

RESUMEN

INTRODUCTION: The health, psychological and socioeconomic vulnerabilities of low-wage migrant workers have been magnified in the COVID-19 pandemic, especially in high-income receiving countries such as Singapore. We aimed to understand migrant worker concerns and coping strategies during the COVID-19 pandemic to address these during the crisis and inform on comprehensive support needed after the crisis. METHODS: In-depth semi-structured interviews were carried out with migrant workers diagnosed with COVID-19. The participants were recruited from a COVID-19 mass quarantine facility in Singapore through a purposive sampling approach. Interviews were transcribed verbatim and thematic analysis performed to derive themes in their collective experience during the crisis. RESULTS: Three theme categories were derived from 27 interviews: migrant worker concerns during COVID-19, coping during COVID-19 and priorities after COVID-19. Major stressors in the crisis included the inability to continue providing for their families when work is disrupted, their susceptibility to infection in crowded dormitories, the shock of receiving the COVID-19 diagnosis while asymptomatic, as well as the isolating conditions of the quarantine environment. The workers coped by keeping in contact with their families, accessing healthcare, keeping updated with the news and continuing to practise their faith and religion. They looked forward to a return to normalcy after the crisis with keeping healthy and having access to healthcare as new priorities. CONCLUSION: We identified coping strategies employed by the workers in quarantine, many of which were made possible through the considered design of care and service delivery in mass quarantine facilities in Singapore. These can be adopted in the set-up of other mass quarantine facilities around the world to support the health and mental well-being of those quarantined. Our findings highlight the importance of targeted policy intervention for migrant workers, in areas such as housing and working environments, equitable access to healthcare, and social protection during and after this crisis.


Asunto(s)
Adaptación Psicológica , /psicología , Migrantes/psicología , Humanos , Entrevistas como Asunto , Pandemias , Cuarentena/psicología , Singapur
8.
Transl Psychiatry ; 11(1): 174, 2021 03 17.
Artículo en Inglés | MEDLINE | ID: mdl-33731687

RESUMEN

This study examined prevalences of anxiety and depression and their correlations with daily routines among Hong Kong Chinese during the COVID-19 pandemic. Random digit dialing recruited two population-representative samples of 6029 residents during a period of low infection and limited intervention (survey 1: n = 4021) and high incidence and intensive measures (survey 2: n = 2008). Prevalence of anxiety for survey 1 and survey 2 were 14.9% and 14% and depression were 19.6% and 15.3%, respectively. Increased odds of anxiety and depression were associated with disrupted routines and lower socioeconomic status in both surveys, whereas depression was inversely related to the novel preventive routine of avoiding going to crowded places in survey 1. The prevalences of anxiety and depression were higher than preceding public health/social crises. A heavier burden of psychiatric conditions was evidenced amongst people experiencing disrupted daily routines across different phases of the pandemic and without novel preventive routines in the early phase.


Asunto(s)
Ansiedad/epidemiología , Control de Enfermedades Transmisibles , Depresión/epidemiología , Conductas Relacionadas con la Salud , Adaptación Psicológica , Adolescente , Adulto , Anciano , Estudios de Cohortes , Desinfección , Femenino , Desinfección de las Manos , Hong Kong/epidemiología , Humanos , Masculino , Máscaras , Persona de Mediana Edad , Prevalencia , Adulto Joven
9.
East Asian Arch Psychiatry ; 31(1): 3-8, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33753570

RESUMEN

OBJECTIVES: To compare older adults with late-life depression (LLD) and healthy controls in terms of suicidal ideation during the COVID-19 pandemic, and to determine predictors of suicidal ideation. METHODS: Between March and April 2020, old adults diagnosed with major depressive disorder (single or recurrent episode) as defined by the DSM-5 were recruited from psychiatric clinics or inpatient wards, whereas 31 healthy older adults without a history of depression or other psychiatric illnesses were recruited from voluntary organisations or elderly community centres. Their depressive symptoms, perceived severity of the pandemic, perceived time spent on receiving related information, perceived health, levels of loneliness, perceived coping efficacy, suicidal ideation, and the level of symptomatic responses to a specific traumatic stressor in the past week were assessed. RESULTS: In total, 21 men and 43 women aged 61 to 89 years were interviewed through telephone by trained research assistants. Of them, 33 were older adults with LLD (cases) and 31 were healthy older adults (controls). Older people with LLD had a higher level of suicidal ideation than healthy controls, after controlling for the level of depression and medical comorbidity (F (1, 59) = 5.72, p = 0.020). Regression analyses showed that coping efficacy and loneliness accounted for a significant portion of the variance in suicidal ideation, and loneliness significantly predicted the level of stress. Mediation analyses reveal an indirect effect between group and suicidal ideation through coping efficacy (Z = 2.43, p = 0.015). CONCLUSIONS: Older people with LLD are at increased suicidal risk and require timely mental health support. Coping efficacy and loneliness are important predictors for suicidal ideation and stress.


Asunto(s)
Trastorno Depresivo Mayor , Trastornos Mentales , Enfermedades no Transmisibles , Ideación Suicida , Suicidio , Adaptación Psicológica , Anciano , /prevención & control , Estudios de Casos y Controles , Depresión/diagnóstico , Depresión/etiología , Trastorno Depresivo Mayor/diagnóstico , Trastorno Depresivo Mayor/epidemiología , Trastorno Depresivo Mayor/psicología , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Femenino , Hong Kong/epidemiología , Humanos , Soledad/psicología , Masculino , Trastornos Mentales/diagnóstico , Trastornos Mentales/epidemiología , Trastornos Mentales/psicología , Enfermedades no Transmisibles/epidemiología , Enfermedades no Transmisibles/psicología , Sistemas de Apoyo Psicosocial , Estrés Psicológico/diagnóstico , Estrés Psicológico/etiología , Suicidio/prevención & control , Suicidio/psicología
10.
Soc Sci Med ; 274: 113748, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33648821

RESUMEN

Understanding the health-related quality of life (HrQoL) of hospitalized COVID-19 survivors is an emerging global challenge arising from the current pandemic. A qualitative study of the experiences of sixteen hospitalized COVID-19 survivors from Nanning City, China, was conducted using semi-structured telephone interviews in May 2020. These first-hand accounts were critically and empirically analysed to identify emerging health and social issues, and provide potential solutions to improve survivors' quality of life. This in-depth, qualitative study of HrQoL for hospitalized COVID-19 survivors provides the first empirical evidence and conceptual framework with eight dimensions (physical symptoms, anxiety, trauma, economic loss, place-based identity, self-stigma, health self-interventions, and changing lifestyle) for understanding the physiological, psychological, socio-economic and health behavioral aspects of their daily lives. We argue that local and global governments should provide integrated healthcare, social and digital infrastructure to support this vulnerable group. More comparative and multi-disciplinary studies in this area are needed to generate academic standards of assessing health-related quality of life and produce good practice guidelines for promoting urban resilience in response to public health disasters.


Asunto(s)
/terapia , Calidad de Vida/psicología , Sobrevivientes/psicología , Adaptación Psicológica , China , Humanos , Entrevistas como Asunto , Investigación Cualitativa
11.
Nephrol Nurs J ; 48(1): 31-48, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33683842

RESUMEN

The purpose of this literature review was to explore the qualitative evidence on coping strategies used by patients with end stage kidney disease (ESKD) to manage the challenges and outcomes associated with the condition. A systematic review design following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines was used, and a thematic analysis was used to analyze the data. Four themes were identified from the 14 selected studies: external support, emotion management strategies, reliance on faith or spirituality, and self-care practices. Implications of these findings are discussed. Further primary qualitative studies using interviews and focus groups are needed to gain additional in-depth evidence of ESKD-related coping strategies.


Asunto(s)
Adaptación Psicológica , Fallo Renal Crónico , Diálisis Renal , Humanos , Fallo Renal Crónico/psicología , Fallo Renal Crónico/terapia , Investigación Cualitativa , Espiritualidad
12.
J Occup Health ; 63(1): e12209, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33665926

RESUMEN

OBJECTIVE: The COVID-19 pandemic has caused devastating damage to employment globally, particularly among the non-standard workforce. The objective of this study was to identify the effects of the pandemic on the employment status and lives of working students in Japan. METHODS: The Labour Force Survey (January 2019 to May 2020) was used to examine changes in students' work situations. In addition, to investigate the economic and health conditions of university students during the pandemic, the Student Lifestyle Survey was conducted in late May 2020. This survey asked students at a national university in Tokyo about recent changes in their studies, work, and lives. RESULTS: The number of working students reported in the Labour Force Survey has declined sharply since March 2020, falling by 780,000 (46%) in April. According to a survey of university students' living conditions, 37% were concerned about living expenses and tuition fees, and a higher percentage of students who were aware of financial insecurity had poor self-rated health. CONCLUSION: Nearly half of working students have lost their jobs during the pandemic in Japan, which has affected their lives, studies, and health. There is a need to monitor the impact of economic insecurity on students' studies and health over time, and to expand the safety net for disadvantaged students.


Asunto(s)
/psicología , Empleo/psicología , Estilo de Vida , Salud Laboral/estadística & datos numéricos , Estudiantes/psicología , Adaptación Psicológica , Adulto , Empleo/estadística & datos numéricos , Femenino , Humanos , Japón , Masculino , Salud Mental/estadística & datos numéricos , Estudiantes/estadística & datos numéricos , Equilibrio entre Vida Personal y Laboral , Adulto Joven
13.
Invest Educ Enferm ; 39(1)2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33687811

RESUMEN

This article presents a systematized reflection and discussion around two guiding axes: the first discusses aging and vulnerabilities to biological, physical, cognitive, social and affective losses that require specific attention, as well as vulnerabilities to COVID-19 to which institutionalized elderly people are exposed; the second, we reflect on the adoption of restrictive and protective measures to prevent the spread of the virus, aiming to keep the elder health and mitigate the effects of the pandemic. The conclusion is that the pandemic has increased the many vulnerabilities to which institutionalized older people were already exposed, adding vulnerability to a new disease, such as COVID-19, due to its high lethality and comorbidity, aggravated by precariousness of long-term Brazilian institutions due to the negligence of public authorities, civil society, the management of the institution and the families of the patients. The post-pandemic scenario will require collective efforts to protect and ensure the survival of the elderly living in those residences.


Asunto(s)
/epidemiología , Institucionalización/estadística & datos numéricos , Poblaciones Vulnerables/estadística & datos numéricos , Adaptación Psicológica , Factores de Edad , Anciano , Envejecimiento , Brasil/epidemiología , Humanos
14.
J Nurs Adm ; 51(4): 185-191, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33734177

RESUMEN

OBJECTIVE: This pilot study investigated increasing nurse resiliency utilizing a toolkit of stress-reducing interventions on medical-surgical units at 4 hospitals. BACKGROUND: Resiliency-building activities are time consuming and undertaken outside work hours. Although the activities show a positive impact on resilience, researchers investigated whether similar results could be achieved where nurses experience work stress. METHODS: This quasi-experimental pretest and posttest interventional study used a within-subjects design. Provided toolkits included written instructions to carry out the study. Nurses completed surveys at baseline, at 10 time points over a 6-week period, and at study conclusion. RESULTS: The Connor-Davidson Resilience Scale-10 scores increased significantly at follow-up (P < .02). Self-reported stress levels decreased over the 10 shifts with continued use of the interventions. CONCLUSION: Using stress-reducing interventions during work decreased stress and increased resiliency, thereby offering nurse leaders additional options to promote a healthy workforce at the bedside.


Asunto(s)
Agotamiento Profesional/prevención & control , Desgaste por Empatía/prevención & control , Personal de Enfermería en Hospital/psicología , Resiliencia Psicológica , Adaptación Psicológica , Adulto , Femenino , Humanos , Relaciones Interprofesionales , Satisfacción en el Trabajo , Masculino , Persona de Mediana Edad , Estrés Laboral/prevención & control , Proyectos Piloto
15.
Rev Fac Cien Med Univ Nac Cordoba ; 78(1): 3-8, 2021 03 12.
Artículo en Español | MEDLINE | ID: mdl-33787032

RESUMEN

Introduction: Living with a genetic condition is complex and may be limiting for the adolescent. This situation is considered a stress factor and risk factor for the mental health of both the patient and his family. Objective: To study the levels of psychological adaptation and genetic literacy in adolescents with genetic diseases residing in Argentina. Methods: Correlational and quantitative design and cross sectional scope. The protocol consisted of an informed consent, a sociodemographic data questionnaire, and the Genetic Health Literacy Screening Tool (REAL G) and Psychological Adaptation Scale (PAS) instruments. The sampling was intentional and composed by 68 cases. Results: The REAL G indicated low levels of genetic literacy in all its components (decoding, familiarity, comprehension, arithmetic). Regarding psychological adaptation, an M = 4.02 (SD = 0.8) was found for the general scale and high scores for all the dimensions. Conclusion: Adolescents diagnosed with genetic diseases in Argentina have a good level of psychological adaptation to their disease, despite having low levels of genetic literacy.


Asunto(s)
Adaptación Psicológica , Alfabetización , Adolescente , Argentina , Humanos , Estudios Retrospectivos
17.
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200594, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33681957

RESUMEN

OBJECTIVE: Reflect on the work experienced by the nurse in coping with the COVID-19 pandemic in a public hospital of the State of Rio Grande do Norte. METHODS: Reflective essay based in the professional experience in a public reference hospital for the care of patients affected by COVID-19 in the State of Rio Grande do Norte. Results were organized in two empirical categories, which emphasize potentialities and barriers in the nurse's work in the face of the COVID-19, presented by means of Ishikawa diagram. RESULTS: Two categories emerged from the experiences: Nursing leadership in organizing health services to face COVID-19; and the performance of nursing care management in the COVID-19 pandemic. FINAL CONSIDERATIONS: It is necessary to value the nurse's work in all its attributes, as well as strengthen the interdisciplinary work processes, which collaborate to overcome the crisis caused by the pandemic.


Asunto(s)
Adaptación Psicológica , Liderazgo , Rol de la Enfermera/psicología , Atención de Enfermería/psicología , Personal de Enfermería en Hospital/psicología , Adulto , Brasil/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención de Enfermería/estadística & datos numéricos , Pandemias
19.
J Korean Acad Nurs ; 51(1): 92-104, 2021 Feb.
Artículo en Coreano | MEDLINE | ID: mdl-33706334

RESUMEN

PURPOSE: This study aimed to understand and describe the diabetes self-management experience of visually impaired people with diabetes. METHODS: Ten participants were recruited through a website used by the visually impaired from February to March 2020. Data were collected through two focus group interviews conducted in June 2020; each group consisted of five participants. All interviews were recorded with the consent of the participants and transcribed verbatim. The transcribed data were analyzed using qualitative content analysis. RESULTS: Seven categories were as follows; a two-faced, lifelong companion, an unprepared encounter, struggle to live, love-hate relationship with family, strategies to adapt, lessening attention to self-management, the desire to learn properly. CONCLUSION: It can be concluded that the visually impaired have fewer opportunities for receiving diabetes self-management education than general diabetic patients. Consequently, plans to improve the education available to such patients are required. Additionally, psychological counseling and diabetes education for patients' families are necessary, and improving the perception of medical workers regarding the visually impaired will be prove useful.


Asunto(s)
Diabetes Mellitus Tipo 2/prevención & control , Automanejo/psicología , Personas con Daño Visual/psicología , Adaptación Psicológica , Adulto , Anciano , Diabetes Mellitus Tipo 2/dietoterapia , Diabetes Mellitus Tipo 2/patología , Relaciones Familiares , Femenino , Grupos Focales , Humanos , Hipoglucemiantes/uso terapéutico , Entrevistas como Asunto , Masculino , Persona de Mediana Edad
20.
Medicine (Baltimore) ; 100(8): e23718, 2021 Feb 26.
Artículo en Inglés | MEDLINE | ID: mdl-33663038

RESUMEN

ABSTRACT: Pain as a result of cervical radiculopathy (CR) can be widespread, nondermatomal and individually specific, but the association between pain extent and other clinical features has never been explored. The objective of this study is to investigate whether pain extent relates to clinical variables including pain intensity in addition to health indicators including disability, general health, depression, somatic anxiety, coping strategies or self-efficacy.An observational cohort study was conducted. Participants were recruited from 4 hospital spinal centres in Sweden. Pain extent was quantified from the pain drawings of 190 individuals with cervical disc disease, verified with magnetic resonance imaging (MRI) and compatible with clinical findings (examined by a neurosurgeon), that show cervical nerve root compression. Pain extent was evaluated in relation to neck pain, arm pain, and headache intensity. Multiple linear regression analysis were then used to verify whether pain extent was associated with other health indicators including disability, health-related quality of life, depression, somatic anxiety, coping strategies and self-efficacy.Pain extent was directly related to neck, arm and headache pain intensity (all P < .01). Multiple linear regression revealed that pain extent was significantly associated only to the level of perceived disability (P < .01).Increased pain extent in people with CR is associated with higher headache, neck and arm pain intensity, and disability but not measures of general health, depression, somatic anxiety, coping strategies or self-efficacy.


Asunto(s)
Evaluación de la Discapacidad , Estado de Salud , Dolor/etiología , Dolor/psicología , Radiculopatía/complicaciones , Adaptación Psicológica , Adulto , Factores de Edad , Anciano , Vértebras Cervicales , Depresión/etiología , Personas con Discapacidad , Ejercicio Físico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Dimensión del Dolor , Calidad de Vida , Autoeficacia , Factores Sexuales , Factores Socioeconómicos , Suecia , Evaluación de Capacidad de Trabajo , Adulto Joven
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