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1.
Spec Care Dentist ; 40(1): 49-54, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31912539

RESUMO

PURPOSE/AIM: To assess self-perception of oral health among institutionalized older adults in Taubate, Brazil. METHOD AND MATERIALS: Demographics, oral, and systemic health data were collected from a sample of 89 institutionalized older adults. The Geriatric Oral Health Assessment Index (GOHAI) was applied to assess their self-perception of oral health. A linear regression model using GOHAI scores and considering age, BMI, gender, race, dry mouth, denture status, number of teeth, number of comorbid conditions, and number of medications as independent variables was generated. RESULTS: Fifty-five percent were male, with an average age of 75.9 years (±9.1), 43.8% identified as mixed race, and 42.7% as white. The average BMI was 23.9 (±3.8), the average number of comorbid condition was 1.8 (±1.4), and the average number of daily medications was 6.2 (±3.6). The average number of teeth was 3.9 (±7.4), and 57.3% of the participants reported dry mouth sensation; 8.9% presented oral lesions, with denture stomatitis as the most common oral lesion (5.6%). The average GOHAI score was 31.1 (±3.7). Regression analysis showed a negative correlation between BMI and GOHAI scores (P = .032, R2  = 7.2%). CONCLUSIONS: Self-perception of oral health was good and negatively correlated with BMI.


Assuntos
Saúde Bucal , Xerostomia , Idoso , Brasil , Avaliação Geriátrica , Humanos , Masculino , Autoimagem
2.
N Engl J Med ; 381(26): 2567-2568, 2019 12 26.
Artigo em Inglês | MEDLINE | ID: mdl-31881144
3.
Rev Infirm ; 68(256): 25-27, 2019 Dec.
Artigo em Francês | MEDLINE | ID: mdl-31870474

RESUMO

At the patient's bedside 24 hours a day, the nurse is at the heart of the rehabilitation management of the severely burnt patient: installation, technical dressings, supervision of postures and placement of compressors, to limit the functional consequences to the type of retractable and hypertrophic scars. The nurse takes care of the patient in this long journey leading to social reintegration; from accompaniment to autonomy and acceptance of self-image.


Assuntos
Queimaduras , Bandagens , Queimaduras/psicologia , Queimaduras/reabilitação , Queimaduras/terapia , Humanos , Autoimagem
4.
Community Dent Health ; 36(4): 298-302, 2019 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-31778302

RESUMO

OBJECTIVE: To identify clinical and psychological predictors of OHRQoL. METHODS: Cross-sectional clinical and questionnaire study with 332 adolescents aged 11-14 years. The facial profile was classified through photographs and dental malocclusion was classified by the Dental Health Component of the Index of Orthodontic Treatment Need. The psychosocial variables were assessed by the Aesthetic Component of IOTN, the Orthodontic Aesthetic Subjective Impact Score and the Global Negative Self-Evaluation. OHRQoL was measured using the Oral Health Impact Profile (OHIP-14). The associations were analyzed by multiple logistic regression models. RESULTS: Higher aesthetic concern and low self-esteem were 3.43 and 3.34 times more likely to affect OHRQoL (p⟨0.05), respectively. The facial and dental aspects of malocclusion were unrelated to OHRQoL. CONCLUSIONS: Facial and dental aspects of malocclusion were unrelated to OHRQoL, whereas psychosocial variables such as self-perception of orthodontic treatment need and self-esteem predicted adolescents' oral health related quality of life.


Assuntos
Má Oclusão , Qualidade de Vida , Adolescente , Criança , Estudos Transversais , Humanos , Saúde Bucal , Autoimagem , Inquéritos e Questionários
5.
Rev Lat Am Enfermagem ; 27: e3199, 2019 Oct 14.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31618392

RESUMO

OBJECTIVE: to evaluate self-esteem, the consumption of alcohol, tobacco and other substances in outsourced workers of a public university. METHOD: a descriptive-analytical, cross-sectional, quantitative study developed with 316 outsourced workers from a municipality in the Southeast of Brazil. Data was collected through a characterization tool, the Rosenberg Self-Esteem Scale and the Alcohol, Smoking and Substance Involvement Screening Test. For data analysis, we used descriptive statistics, Pearson's chi-square test, Fisher's exact test, odds ratio and logistic regression. RESULTS: the majority of workers had high self-esteem and some used alcohol, tobacco, marijuana and inhalants. A significant association between gender, age group and work shift with self-esteem; between the risk of developing problems related to alcohol consumption with sex, age group, marital status, religious belief and number of children; between the practice of physical activity and the risk of developing problems related to the consumption of tobacco products was found. CONCLUSION: this study contributes to the increase of knowledge due to the small number of researches involving this subject and to contribute to the nurses to have subsidies to work with this population using strategies to combat the triggers of psychic disorders.


Assuntos
Consumo de Bebidas Alcoólicas/epidemiologia , Serviços Terceirizados/estatística & dados numéricos , Autoimagem , Fumar/epidemiologia , Uso de Tabaco/epidemiologia , Universidades/estatística & dados numéricos , Adulto , Consumo de Bebidas Alcoólicas/psicologia , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Fatores de Risco , Comportamento Sedentário , Fatores Sexuais , Fumar/psicologia , Fatores Socioeconômicos , Inquéritos e Questionários , Uso de Tabaco/psicologia
6.
J Music Ther ; 56(4): 348-380, 2019 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-31605612

RESUMO

Music therapy research with youth who are grieving often reports on a combination of interventions, such as lyric analysis, improvisation, and/or songwriting. Unfortunately, the lack of theoretical transparency in how and why these interventions affect targeted outcomes limits interpretation and application of this important research. In this exploratory study, the authors evaluated the impact of an 8-session, theory-driven group songwriting program on protective factors in adolescent bereavement, and also sought to better understand adolescents' experiences of the program. Using a single-group, pretest-posttest convergent mixed methods design, participants were enrolled from three study sites and included 10 adolescents (five girls and five boys), ages 11-17 years, who self-identified as grieving a loss. Outcomes measured included grief, coping, emotional expression, self-esteem, and meaning making. Qualitative data were captured through in-session journaling and semi-structured interviews. There were no statistically significant improvements for grief, self-esteem, coping, and meaning making. Individual score trends suggested improvements in grief. The majority of the participants reported greater inhibition of emotional expression, and this was statistically significant. Thematic findings revealed that the program offered adolescents a sense of togetherness, a way to safely express grief-related emotions and experiences verbally and nonverbally, and opportunities for strengthening music and coping skills. These findings suggest that engaging in collaborative therapeutic songwriting with grieving peers may decrease levels of grief, enhance creative expression, and provide social support. More research is needed on measuring self-esteem, emotional expression, coping, and meaning making outcomes in ways that are meaningful to adolescents.


Assuntos
Adaptação Psicológica , Luto , Emoções , Musicoterapia/métodos , Redação , Adolescente , Criança , Feminino , Pesar , Humanos , Masculino , Música , Pesquisa Qualitativa , Autoimagem , Apoio Social
7.
Rev Lat Am Enfermagem ; 27: e3174, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31596409

RESUMO

OBJECTIVE: to analyze the contributions of the in situ simulation in the self-confidence of early childhood and elementary education teachers regarding the initial management of health complications in school. METHOD: this is a pre-post testing quasi-experimental study. Two pre and post in situ simulation instruments were applied to 76 teachers, namely: visual analogue scale of teachers' self-confidence in the management of health complications at school, and a questionnaire to assess their knowledge on the subject. The educational activity was composed of four scenarios of in situ simulation. The data were analyzed by descriptive and analytical statistics using univariate and multivariate linear regression. RESULTS: the comparison of results of pre and post in situ simulation self-confidence identified promotion of self-confidence (p<0.001), especially for those teachers with less professional experience (p=0.008), without previous similar experience (p=0.003) and who actively participated in the simulation (p=0.009). CONCLUSION: the teachers feel uncomfortable to handle health complications. The in situ simulation elevated the perception of self-confidence among teachers.


Assuntos
Serviços de Saúde Escolar , Professores Escolares , Autoimagem , Treinamento por Simulação , Adulto , Brasil , Educação Profissionalizante/métodos , Feminino , Educação em Saúde , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Fatores de Tempo
8.
AIDS Behav ; 23(Suppl 3): 276-286, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31586283

RESUMO

We characterized the potential benefits and risks of participating in a microenterprise program targeting low-income women living with HIV (WLWH) in Alabama; and described potential mechanisms through which microenterprise programs could influence sexual risk behaviors and engagement in HIV care. Fourteen stakeholders and 46 WLWH (89% African American) participated in the qualitative study. Data were collected using in-depth interviews (stakeholders) and focus group discussions (WLWH). NVivo qualitative software was used for the management and analysis of the data. The data revealed four main mechanisms through which microenterprise programs could potentially improve health outcomes: (1) social support and encouragement from other women, (2) improvement in self-esteem, (3) creating structure in the women's lives, and (4) financial strengthening. Potential risks included unwanted disclosure of HV status, stigma and loss of insurance benefits. Microenterprise programs have the potential to be acceptable and may contribute to improved health and social outcomes among low-income WLWH in Alabama.


Assuntos
Infecções por HIV/psicologia , Motivação , Autoimagem , Empresa de Pequeno Porte/organização & administração , Adulto , Alabama/epidemiologia , Feminino , Grupos Focais , Infecções por HIV/epidemiologia , Humanos , Entrevistas como Assunto , Pobreza , Pesquisa Qualitativa , Assunção de Riscos , Comportamento Sexual , Estigma Social
9.
Rev Saude Publica ; 53: 82, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31576942

RESUMO

OBJECTIVE: To estimate the prevalence of poor self-rated sleep and to identify the population subgroups most susceptible to the problem. METHODS: This is a cross-sectional, population-based study developed with data from the Health Survey conducted in the city of Campinas (ISACamp 2014/2015). Data from a sample of 1,998 individuals aged 20 years or older were analyzed. The self-rated quality of sleep was analyzed according to socio-demographic characteristics, morbidities, health behaviors and feeling of well-being. The association of sleep quality with different complaints and characteristics of sleep was also analyzed. Adjusted prevalence ratios were estimed using Poisson multiple regression model allowing for the sample weights. RESULTS: Prevalence of poor self-rated sleep was 29.1% and showed to be significantly higher in women, in individuals aged from 40 to 50 years, migrants, without occupation, physically inactive in leisure context, with common mental disorder (PR = 1.59), with greater number of health problems (PR = 2.33), poor self-rated health (PR = 1.61), and life dissatisfaction. Poor sleep was strongly associated with reports of difficulty in initiating sleep (PR = 4.17), in maintaining sleep (PR = 4.40) and with never or almost never feeling well when waking up (PR = 4.52). CONCLUSIONS: The results identify the population subgroups with poor quality of sleep that deserve greater attention. It also highlight the need to consider, in addition to the presence of comorbidities, mental health and the feeling of well-being in the care of patients with sleep problems and in the interventions planed for promoting healthy sleep.


Assuntos
Qualidade de Vida , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/fisiopatologia , Sono/fisiologia , Adulto , Brasil/epidemiologia , Estudos Transversais , Feminino , Comportamentos Relacionados com a Saúde , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Autoimagem , Fatores Sexuais , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
10.
Medicine (Baltimore) ; 98(42): e17518, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31626112

RESUMO

Little is known about the relationship between levels of self-esteem and the development of depression in young adults. The present study investigated the relationship between self-esteem and depression to determine whether self-esteem levels are a risk factor for the development of depression in young adults. This study was conducted with 113 college students aged 19 to 35 (major depressive disorder (MDD) n = 44, Mild Depressive Symptoms (MDS) n = 37, Healthy Control n = 32). The levels of clinical symptoms, self-esteem, resilience, social support, and quality of life, as well as personality traits, were assessed (by Patient Health Questionnaire-9, generalized anxiety disease-7, State-Trait Anxiety Inventory-S, Resilience Appraisal Scale, Rosenberg Self-Esteem Scale, Quality of Life, and NEO-personality inventory (NEO-PI)). The MDS group with high self-esteem reported having the lowest levels of social support, resilience, agreeableness, and extraversion compared to those of the MDD group and control group with high self-esteem. In contrast, the MDS group with low self-esteem showed no differences in social support, resilience, agreeableness and openness according to the NEO-PI scale. Sex and age had no significant impact on the results. Levels of self-esteem are strongly associated with the development of depression. Results suggest that early intervention for depression in young adults needs to focus on improving their levels of social support, resilience, and positive domains of personality. Further studies on the effects of high self-esteem in the development of depression are warranted.


Assuntos
Depressão/psicologia , Transtorno Depressivo Maior/psicologia , Autoimagem , Estudantes/psicologia , Adulto , Feminino , Humanos , Masculino , Personalidade , Inventário de Personalidade , Qualidade de Vida , Resiliência Psicológica , Fatores de Risco , Apoio Social , Adulto Jovem
11.
Enferm. clín. (Ed. impr.) ; 29(5): 280-290, sept.-oct. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-184152

RESUMO

Objetivo: Los objetivos de este trabajo han sido determinar el estado ponderal y los hábitos de alimentación y de consumo de alcohol y tabaco en estudiantes universitarios, determinar la asociación de estas variables con la autopercepción negativa de sus hábitos alimentarios, así como analizar el riesgo de desarrollar algún tipo de trastorno de la conducta alimentaria (TCA). Método: Se llevó a cabo un estudio transversal en 422 estudiantes universitarios. Los parámetros analizados fueron: estado nutricional, hábitos alimentarios, consumo alcohol/tabaco y conductas de TCA. Se aplicó regresión logística para identificar factores asociados a una percepción negativa de los hábitos alimentarios. Resultados: El 5% de la población presentaba peso insuficiente, el 16% sobrepeso y el 4% obesidad. El 55% no realizaba las cinco comidas/día. Los alimentos recomendados de ingesta diaria se consumían por debajo de las recomendaciones, mientras que embutidos/carnes grasas, bollería industrial, carnes magras y pescados se consumían en exceso. Percibieron sus hábitos alimentarios como buenos/muy buenos el 63%. El consumo de alcohol/tabaco predominaba los fines de semana. Las chicas mostraron mayor preocupación por su imagen (80,6% vs. 33%) y miedo a engordar (52,5% vs. 23,9%). Casi el 30% presentó una percepción distorsionada de su imagen corporal. Encontramos un riesgo del 12,8% de anorexia nerviosa atípica y del 4,7% de bulimia nerviosa atípica. Conclusiones: Los estudiantes universitarios presentan un estilo de vida poco saludable, principalmente debido a hábitos alimentarios alejados de las recomendaciones. Más del 17% presentan riesgo de desarrollar TCA atípico. Esta información puede resultar de interés para desarrollar acciones preventivas


Objective: The objectives of this paper were to determine weight status, eating, and alcohol drinking and smoking habits of university students, to determine the association between these variables with negative self-perception of their eating habits and to assess the risk of developing eating disorders. Method: A cross-sectional study was carried out on 422 university students. The parameters analyzed were: nutritional status, eating habits, alcohol/ tobacco consumption, and risk of eating disorder. Logistic regression was applied to identify factors associated with a negative perception of eating habits. Results: Out of the whole population that was analyzed, 5% were underweight, 16% overweight and 4% obese. Fifty-five percent of the sample analyzed did not consume five meals a day. The recommended foods for daily consumption were consumed below recommendations, while sausages/fatty meats, industrial pastries, lean meats, and fish were over-consumed. Overall, the population perceived their eating habits as good/very good (63%). Alcohol and tobacco consumption predominated at weekends. The girls were more image-conscious (80.6% vs. 66%) and fearful of gaining weight (52.5% vs. 23.9%). Almost 30% had a distorted perception of body image. There was a 12.8% risk of atypical anorexia nervosa and 4.7% of atypical bulimia nervosa. Conclusions: College students led unhealthy lifestyles, mainly due to eating habits that do not conform to the establish recommendations. More than 17% are at risk of developing an atypical eating disorder. This information may be of interest in developing preventive actions


Assuntos
Humanos , Estudantes de Ciências da Saúde , Saúde do Estudante , Estilo de Vida , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Estado Nutricional , Estudos Transversais , Modelos Logísticos , Comportamento Alimentar , Alcoolismo/epidemiologia , Tabagismo/epidemiologia , Autoimagem , Anorexia/epidemiologia
12.
J Rehabil Med ; 51(9): 660-664, 2019 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-31478056

RESUMO

OBJECTIVE: To investigate different aspects of self-perceived impact of stroke 1 and 5 years after stroke onset, with a focus on self-perceived participation. DESIGN: Longitudinal cohort study. PARTICIPANTS: Forty-five persons diagnosed with first-time stroke included in the Stroke Arm Longitudinal study at University of Gothenburg (SALGOT). METHODS: Participants responded to the Stroke Impact Scale, the Impact on Participation and Autonomy and the European Quality of Life 5 dimensions at 1 year and 5 years post-stroke. Wilcoxon signed-rank test was used to check for differences in changes over time between groups. RESULTS: In general, the perceived consequences of stroke were more severe after 5 years compared with at 1 year. Strength, emotion and participation were the areas most affected, along with restrictions in social life and autonomy indoors. Global disability (mRS) was moderately correlated with quality of life. CONCLUSION: The perceived impact of stroke becomes more prominent with time, even for persons with mild-to-moderate stroke. This study highlights the need for long-term support for persons with stroke.


Assuntos
Qualidade de Vida/psicologia , Reabilitação do Acidente Vascular Cerebral/métodos , Acidente Vascular Cerebral/psicologia , Estudos de Coortes , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Autoimagem , Fatores de Tempo
13.
Psico USF ; 24(3): 517-528, jul.-set. 2019. tab, il
Artigo em Inglês | LILACS | ID: biblio-1040781

RESUMO

This study aimed to evaluate the dimensionality of the Rosenberg Self-Esteem Scale (RSES), by testing the adjustment of eight factorial models: a one-factor and two-factor model and six single-factor models controlling for the method effect associated with the wording of negative and positive items, through the correlated traits-correlated uniqueness (CTCU) and correlated traits-correlated methods (CTCM) approaches. We also tested measurement invariance across gender. A total of 689 participants took part in the study, with ages between 18 and 70 years (M = 25.5; SD = 8.06), mainly females (77.1%), who answered the RSES and sociodemographic questions. The results showed that single-factor models controlling for the effect of negative items alone or positive and negative items together best fit the data. The results also indicated that the RSES is invariant across gender, presenting the same theoretical structure and psychological meaning for men and women. (AU)


O presente estudo objetivou avaliar a dimensionalidade da Escala de Autoestima de Rosenberg (EAR), testando o ajuste de oito modelos fatoriais: unifatorial, bifatorial, e seis modelos unifatoriais controlando-se o efeito do método associado à redação dos itens negativos e positivos através das estratégias correlated traits-correlated uniqueness (CTCU) e correlated traits-correlated methods (CTCM). Ademais, avaliou-se se a EAR é invariante quanto ao gênero. Compuseram a amostra 689 participantes com idades variando entre 18 e 70 anos (M = 25,5; SD = 8,06), sendo a maioria do sexo feminino (77,1%), os quais responderam a EAR e perguntas sociodemográficas. Os resultados indicaram que modelos unifatoriais, controlando-se o efeito do método associado aos itens negativos ou aos itens negativos e positivos conjuntamente, são os mais ajustados aos dados. Observou-se também que a EAR é invariante em relação ao gênero, apresentando a mesma estrutura teórica e significado psicológico para homens e mulheres. (AU)


Este estudio objetivó evaluar la dimensionalidad de la Escala de Autoestima de Rosenberg (EAR), probando el ajuste de ocho modelos factoriales: unifactorial, bifactorial, y seis modelos unifactoriales controlando el efecto del método de redacción de los ítems negativos y positivos a través de las estrategias correlated traits-correlated uniqueness (CTCU) y correlated traits-correlated methods (CTCM). Además, se evaluó si la EAR es equivalente a través de género. La muestra se conformó por 689 personas, con edades variando entre 18 y 70 años (M=25,5, DE=8,06), la mayoría mujeres (77,1%), que respondieron a la EAR y las preguntas sociodemográficas. Los resultados indicaron que los modelos unifactoriales, controlando el efecto del método asociado a los ítems negativos o a los ítems negativos y positivos conjuntamente, son los más ajustados a los datos. Se observó también que la EAR es equivalente a través de género, presentando la misma estructura teórica y significado psicológico para hombres y mujeres. (AU)


Assuntos
Humanos , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Autoimagem , Reprodutibilidade dos Testes
15.
Rev Esp Salud Publica ; 932019 Aug 14.
Artigo em Espanhol | MEDLINE | ID: mdl-31409763

RESUMO

OBJECTIVE: Over the past decade, overweight and childhood obesity has increased markedly, and children are therefore dissatisfied with their body image due to the beauty canons established in today's society. The purpose of this paper was to examine the level of obesity and body satisfaction based on sociodemographic and contextual variables of the educational center as well as the relationship they have with the physical self-concept on a sample of primary school and compulsory secondary school students city of Badajoz. METHODS: The instruments used in the study were the questionnaire of Physical Self-concept (CAF) and questionnaire of Bodily Silhouettes. RESULTS: The study involved 1,093 schoolchildren aged between 11 and 14 years old (M = 11.6) from 19 educational centers. CONCLUSIONS: There is a high percentage of overweight students (20%) and a high percentage of satisfied students with their body image (79%). Regarding the relationship between the level of obesity and body satisfaction with sociodemographic and contextual variables we can see how obesity presents significant differences depending on the nature of the center and the educational offer. On the other hand, the correlation analyzes carried out reveal significant differences between the level of obesity and body dissatisfaction with some scales of physical self-concept. You can also observe significant differences between the level of obesity of the school with body dissatisfaction (more cases than expected of students satisfied with their body image with normal weight and fewer cases than expected of students satisfied with their body image with overweight and obesity).


Assuntos
Imagem Corporal/psicologia , Peso Corporal , Sobrepeso/psicologia , Satisfação Pessoal , Autoimagem , Adolescente , Índice de Massa Corporal , Criança , Feminino , Humanos , Masculino , Obesidade , Instituições Acadêmicas , Espanha , Estudantes , Inquéritos e Questionários
16.
J Clin Neurosci ; 68: 51-54, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31375305

RESUMO

Heart failure is a chronic disease that impairs the quality of life and leads to several psychiatric disorders, especially depression and anxiety. The present study intended to investigate suicide risk and its association with depression, hopelessness and self-esteem in patients with chronic heart failure. 32 patients with chronic heart failure and 32 healthy control subjects with similar sociodemographic attributes were included in the present case control study. Sociodemographic data form, Beck Hopelessness Scale (BHS), Beck Depression Inventory (BDI), Rosenberg Self-Esteem Scale (RSE) and Suicide Probability Scale (SPS) were applied to all subjects. It was determined that the BHS (11.4 ±â€¯3.74 vs. 4.8 ±â€¯4.02, p < 0.001), BDI (22.2 ±â€¯11.9 vs 9.2 ±â€¯7.6, p < 0.001) and SPS (67.6 ±â€¯15.9 vs 59.2 ±â€¯10.9, p = 0.018) scores were statistically higher in the patient group when compared to the control group. It was also established that the self-esteem of subjects in the patient group was lower when compared to the control (p < 0.001). A positive correlation was determined between the SPS and BHS, and BDI and RSE scores (p < 0.001). Suicide risk was higher among the patients with heart failure when compared to the control group. This increase in suicide risk significantly correlated with high levels of hopelessness, depression, and low self-esteem in the patient group. Heart failure is one of the chronic diseases that increases suicidal ideation. The identification of suicidal ideation in the present patient group facilitated both the prevention of suicidal behavior and positive contribution to treatment.


Assuntos
Depressão/etiologia , Insuficiência Cardíaca/psicologia , Autoimagem , Ideação Suicida , Adulto , Estudos de Casos e Controles , Doença Crônica/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Suicídio
17.
J Dairy Sci ; 102(10): 9505-9511, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31378487

RESUMO

Optimization of work processes and personnel compliance becomes progressively essential to ensure high process and product quality on dairy farms with an increasingly nonfamily work force. Standard operating procedures (SOP) are important to minimize variation. In addition to having a set of protocols and SOP, regular training of employees is indispensable to reduce procedural drift. A total of 243 farm owners, employees, and veterinarians from 35 farms were invited to take 3 microlearning lessons for colostrum management and provide feedback in an embedded survey. The overall response rate was 48%, and almost all participants accessed the SOP within the course (i.e., 92, 90, and 96% in the first, second, and third course, respectively). Overall, 59% (22/37) launched the course in their leisure time and 80% stated that they were convinced to work more accurately after having taken the course. Most employees underestimated the time spent in the course (76%), accessed background information (89%), or provided feedback (55%). These observations are indicative of high engagement. Overall, 78% of employees felt more confident in correct task completion after the training.


Assuntos
Criação de Animais Domésticos/educação , Colostro/metabolismo , Autoimagem , Animais , Indústria de Laticínios/métodos , Fazendeiros , Fazendas , Feminino , Humanos , Lactação , Gravidez , Inquéritos e Questionários , Médicos Veterinários
18.
Tidsskr Nor Laegeforen ; 139(11)2019 Aug 20.
Artigo em Norueguês, Inglês | MEDLINE | ID: mdl-31429227

RESUMO

BACKGROUND: Many questionnaires for measuring the quality of life for patients with obesity require comprehensive calculation before they are used. There is a need for questionnaires that permit simple assessment of the responses during a patient consultation. We have developed the questionnaire Patient-Reported Outcomes in Obesity (PROS). The objective of the study was to test the reliability and validity of the questionnaire. MATERIAL AND METHOD: The questionnaire was used to ask patients about the extent to which they perceived their weight or body shape as bothersome. A group of patients with an average body mass index (BMI) of 42 (n = 109) completed the PROS questionnaire and The Impact of Weight Quality of Life questionnaire (IWQOL-Lite) before undergoing obesity surgery. Another group with an average body mass index of 29 (n = 95) completed the PROS questionnaire 1-5 years after having undergone obesity surgery. 67,7 % of the patients were > 40 years and 79 % were women. For the statistical analysis we used Cronbach's alpha, factor analysis, Spearman's rank test and independent t-test. RESULTS: Cronbach's alpha for the total PROS score was 0.90, and the factor analysis showed a significant factor (eigenvalue = 4.7) that explained 58.4 % of the variance. The test-retest correlation was 0.93 (p < 0.001). The correlation coefficients between the PROS score, the total IWQOL-Lite score (rs = -0.91) and body mass index (rs = 0.60) were all significant (p < 0.001). The t-test showed an effect size (difference in standard deviation) between the non-surgery and the surgery groups of 1.9 (95 % CI 1.6-2.5) for the PROS questionnaire and 2.1 (95 % CI 1.7-2.5 for the total IWQOL-Lite score. INTERPRETATION: The PROS questionnaire is a reliable and valid questionnaire for measurement of obesity-specific quality of life.


Assuntos
Obesidade/psicologia , Medidas de Resultados Relatados pelo Paciente , Qualidade de Vida , Adulto , Cirurgia Bariátrica , Índice de Massa Corporal , Estudos Transversais , Escolaridade , Exercício/psicologia , Feminino , Humanos , Relações Interpessoais , Masculino , Estado Civil , Pessoa de Meia-Idade , Dor/psicologia , Reprodutibilidade dos Testes , Autoimagem , Comportamento Sexual/psicologia , Sono , Discriminação Social/psicologia , Trabalho/psicologia
19.
BMC Public Health ; 19(1): 1165, 2019 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-31455290

RESUMO

BACKGROUND: Self-harm in adolescents is of growing concern internationally but limited evidence exists on the prevalence of self-harm in those living with HIV, who may be at higher risk of poor mental health outcomes. Therefore our aim was to determine the prevalence and predictors of self-harm among young people with perinatally-acquired HIV (PHIV) and HIV negative (with sibling or mother living with HIV) young people living in England. METHODS: 303 PHIV and 100 HIV negative young people (aged 12-23 years) participating in the Adolescents and Adults Living with Perinatal HIV cohort study completed an anonymous self-harm questionnaire, as well as a number of standardised mental-health assessments. Logistic regression investigated predictors of self-harm. RESULTS: The median age was 16.7 years in both groups, and 40.9% of the PHIV and 31.0% of the HIV negative groups were male. In total 13.9% (56/403) reported having ever self-harmed, with no difference by HIV status (p = 0.089). Multivariable predictors of self-harm were female sex (adjusted odds ratio (AOR) 5.3, (95% confidence interval 1.9, 14.1), p = 0.001), lower self-esteem (AOR 0.9 (0.8, 0.9) per 1 point increase, p < 0.001) and having ever used alcohol (AOR 3.8 (1.8, 7.8), p < 0.001). Self-esteem z-scores for both PHIV and HIV negative participants were 1.9 standard deviations below the mean for population norms. CONCLUSIONS: Self-harm is common among PHIV and HIV negative adolescents in England. Reassuringly however, they do not appear to be at an increased risk compared to the general adolescent population (15-19% lifetime prevalence). The low level of self-esteem (compared to available normative data) in both groups is worrying and warrants further attention.


Assuntos
Infecções por HIV/epidemiologia , Infecções por HIV/transmissão , Transmissão Vertical de Doença Infecciosa/estatística & dados numéricos , Comportamento Autodestrutivo/epidemiologia , Adolescente , Criança , Estudos de Coortes , Estudos Transversais , Inglaterra/epidemiologia , Feminino , Humanos , Masculino , Prevalência , Fatores de Risco , Autoimagem , Inquéritos e Questionários , Adulto Jovem
20.
Georgian Med News ; (291): 136-144, 2019 Jun.
Artigo em Russo | MEDLINE | ID: mdl-31418747

RESUMO

The article focuses on the peculiarities of preventing the syndrome of emotional burnout in the socionomic sphere specialists and determines its results. The authors reveal that specifics of this process and levels of the burnout syndrome manifestation among the specialists of this category. It was found out that the most effective is the professional activity, which is based on acmeological approach focused on the self-realization of specialist's personality, and depends on the inherent sociopsychological, organizational, and personal determinants allowing mobilizing potential resources for overcoming this phenomenon. The effectiveness of overcoming the syndrome of «emotional burnout¼ of «helping¼ professions specialists is based on the use of knowledge about the nature and mechanisms of its emergence and the activity of the subject of this activity himself. Thus, a program for the prevention of burnout syndrome among socionomic type specialists was developed and implemented; it implied using special innovative methods aimed at: creating a favorable psychological climate, trust relationships; developing the ability to recognize one's feelings, voice and analyze them. In addition, this program is aimed at teaching how to deal with stress, relieve emotional tension, and develops the skills of the hygiene of adverse emotional states and to increase socionomic sphere specialists' self-esteem. In the course of studies, conflict situations were analyzed and constructive forms of behavior in the conflict were modelled, which further contributed to the prevention of actions of non-constructive mechanisms in real business interaction. The program allowed to increase motivation to use psycho-hygienic techniques in order to overcome the emotional burnout syndrome, increase self-confidence, improve emotional and psychological climate in the team, which may indicate the feasibility of introducing the program into work with socionomic sphere specialists.


Assuntos
Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Emoções , Especialização , Humanos , Autoimagem
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