- Studying the effect of structured ostomy care training on quality of life and anxiety of patients with permanent ostomy. [Journal Article]Int Wound J 2019IW
- Patients with ostomy are faced with several physical, psychological, and social challenges and need to be prepared to overcome these challenges. Studies have shown that training plays an important role in helping patients to adapt with ostomy, live with it, and improve their psychological well-being and quality of life (QOL). Therefore, the present study aimed to determine the effect of structure…
Patients with ostomy are faced with several physical, psychological, and social challenges and need to be prepared to overcome these challenges. Studies have shown that training plays an important role in helping patients to adapt with ostomy, live with it, and improve their psychological well-being and quality of life (QOL). Therefore, the present study aimed to determine the effect of structured ostomy care training on QOL and anxiety of the patients with permanent ostomy. In this randomised clinical trial study, 60 eligible participants were recruited from the only ostomy clinic in Kerman, Iran. They were selected using a purposive sampling method and randomly assigned to either a control group that received routine ostomy care or an intervention group that attended oral and practical training and a question and answer session by a trained ostomy nurse and received an ostomy information booklet besides their routine care. Outcome variables were anxiety and QOL in general and its physical, mental, social, and spiritual dimensions in detail. By using the anxiety subscale of Hospital Anxiety and Depression Scale (HADS) and City of Hope-quality of life [COH-QOL], data were collected before and 2 months after intervention in both groups. Data were analysed by SPSS version 19 using χ², analysis of variance (ANOVA), independent t, and paired t test and multiple regression analysis. The results showed that the intervention group had significantly lower mean scores in anxiety (P = .001) and a higher mean score in overall QOL (P = .009) compared with the control group. The most significant increase was observed for psychological, social, and physical aspects, and the least was in the spiritual aspect, all of which improved after intervention. After controlling the effects of confounding variables such as age, ostomy period, and number of children, the structured training programme still had a positive effect on QOL. Structured ostomy care training, including face-to-face education and personal practice of using ostomy equipment, along with written material provided by the ostomy nurse specialist, may lead to an increase in the overall QOL and a decrease in the perceived anxiety level in patients. This type of training is not routinely delivered to ostomy patients in our health care setting, so it is feasible to prepare surgical wards and to educate nurses to work with their patients before and after ostomy creation. Furthermore, to ease patients' religious concerns, we recommend counselling, and the support of religious leaders in the Muslim community may play a key role to adaptation regarding religious matters after ostomy surgeries and alleviate patients' concerns.
- Empowerment in Polish fathers of children with autism and Down syndrome: the role of social support and coping with stress - a preliminary report. [Journal Article]J Intellect Disabil Res 2019JI
- CONCLUSIONS: Results show that fathers of children with autism and intellectual disability require support in family empowerment and that the significance of emotion-focused and problem-focused coping and social support in the context of empowerment differs in fathers of children with autism and Down syndrome. These results should be considered preliminary because of the limited sample size.
- When culture fails: coping with cultural trauma. [Journal Article]J Anal Psychol 2019; 64(4):530-547JA
- The research into the phenomenon of cultural trauma is growing as the effects of historical transformations are recognized and analysed. The concept of cultural trauma and the analytic concept of the cultural complex is a suitable theoretical approach for this research. The Lithuanian experience of cultural trauma after the historical shifts indicates the importance of the interplay between socie…
The research into the phenomenon of cultural trauma is growing as the effects of historical transformations are recognized and analysed. The concept of cultural trauma and the analytic concept of the cultural complex is a suitable theoretical approach for this research. The Lithuanian experience of cultural trauma after the historical shifts indicates the importance of the interplay between societal and individual factors in coping with trauma. Academic psychotraumatological studies carried out at Vilnius University indicate a stronger traumatic experience by people who are survivors of direct political repression and even intergenerational transmission of trauma, but this group also seems to demonstrate an intergenerational transmission of resilience. Paradoxically, from a long-term perspective, the victims of direct repression seem to have suffered less than the people who accommodated to the regime, and this applies also to their offspring. Analysis in terms of overcoming cultural trauma indicates that society is gradually integrating historic traumatic experiences, although a healthy cultural identity has not yet been restored.
- Association of Electronic Health Record Design and Use Factors With Clinician Stress and Burnout. [Journal Article]JAMA Netw Open 2019; 2(8):e199609JN
- CONCLUSIONS: Although EHR design and use factors are associated with clinician stress and burnout, other challenges, such as chaotic clinic atmospheres and workload control, explain considerably more of the variance in these adverse clinician outcomes.
- [Workplace health promotion as a tool for reducing the consequences of ageing of the working population]. [Journal Article]Med Pr 2019MP
- A significant intensification of the ageing process in Poland, projected for the upcoming years, will have serious socioeconomic consequences. This demographic process at the macro level will result in lower contributions to the state budget (due to decreased workforce) and higher public expenses (on pensions, healthcare and long-term care). Implications at the meso (workplace) level will include…
A significant intensification of the ageing process in Poland, projected for the upcoming years, will have serious socioeconomic consequences. This demographic process at the macro level will result in lower contributions to the state budget (due to decreased workforce) and higher public expenses (on pensions, healthcare and long-term care). Implications at the meso (workplace) level will include the diminishing and ageing of workforce, which will then cause troubles in recruitment. Decreased ageing personnel's productivity due to absence and presenteeism is also probable. One way of coping with such challenges by the state is to support social and occupational activity of the society. One of the tools to be employed within such a policy is workplace health promotion (WHP). In literature there are no thorough elaborations summarizing WHP advantages in this field. The aim of this paper is to outline the scientific evidence of WHP effectiveness in counteracting/reducing the consequences of the ageing process (the shrinking workforce and the declining productivity of the ageing personnel, associated with absence/presenteeism). A narrative literature review was conducted (Polish and English publications identified in the EBSCO/PubMed databases, using the Google engine and a snowball method). The potential of WHP stems from its effectiveness in enhancing employees' health/preventing health problems. A good health condition reduces the shrinking of workforce via sustaining workability/occupational activity. It also mitigates the impact of absence and/or presenteeism. Health problems have the opposite effect. Although the analysis of the WHP effectiveness in strengthening workability, extending occupational activity, reducing absence/presenteeism/related loss of productivity belongs to poorly developed scientific areas, the systematic literature reviews that have been gathered reflect the WHP potential in these fields. Med Pr. 2019;70(5).
- [Selected personality traits as predictors of coping flexibility in a group of officers of the State Fire Service]. [Journal Article]Med Pr 2019MP
- CONCLUSIONS: Risk taking propensity is an important predictor of flexibility in coping. The service period is a moderator (at the level of statistical tendency) of the relationship between empathy and flexibility in coping, especially in the field of variability in the use of coping strategies. Med Pr. 2019;70(5).
- Peer Victimization, Coping Strategies, Depression, and Suicidal Ideation Among Young Adolescents. [Journal Article]Crisis 2019; :1-7C
- CONCLUSIONS: Adolescents who blame themselves for being bullied might be at a heightened risk for depression and suicidality compared to adolescents who did not use self-blame.
- Do Dutch News Reports About Suicide Refer to Suicide Prevention Strategies? [Journal Article]Crisis 2019; :1-4C
- CONCLUSIONS: The results of this study suggest that current knowledge about protective characteristics of news reports on suicide needs to be better implemented in The Netherlands.
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- The start of migration correlates with arrival timing, and the total speed of migration increases with migration distance in migratory songbirds: a cross-continental analysis. [Journal Article]Mov Ecol 2019; 7:25ME
- CONCLUSIONS: As the start of migration is endogenously controlled and/or affected by hatching date, directional selection can probably act on existing within-species/within-population variation to alter arrival timing. This factor and the importance of variation in the start of migration for arrival timing suggest that migratory species/populations in which there is sufficient variation in the start of migration and transgenerational processes affect the corresponding timing may present an advantage over others in coping with anthropogenic-induced global changes.