Background The COVID-19 pandemic impacted health care workers in many ways including mental health. This impact is usually underestimated in particular in developing countries. Objectives The study aims to assess the level of anxiety, depression, risk perception, and coping strategies of Albanian healthcare workers during the COVID-19 pandemic and to identify associated factors. Methods A cross-sectional online study was conducted from April to May 2020 by recruiting health care personnel through the snowballing method. Data collection was carried out through social media using the Generalized Anxiety Disorder (GAD-7) scale and Patient Health Questionnaire (PHQ-9) by Google forms. Participants were recruited from all health care sectors including doctors, nurses, etc. working in both the public and private sectors. Results 410 questionnaires were included in the analysis. Most participants were nurses (59.3%), female (78.5%), and belonged to the age group 26–40 years (46.3%). Mild levels of anxiety were expressed in 26.9% of participants while 7.2% of them expressed moderate levels. 23.1% and 12.1% of participants expressed respectively mild and moderate depression levels. High levels of risk perception were found. A statistical association was found between occupation (p = 0.011), gender (p = 0.031), providing care for COVID-19 patients (p = 0.011), and the availably of mental health support in the workplace. Poor coping strategies were reported among participants. Conclusions Mental health support should be a priority of the healthcare system in particular for young health care workers caring for COVID-19 patients. It can improve the mental health status of health care workers and their family members, impacting the quality of care provided.
Background: Coronavirus disease caused by the novel coronavirus Covid-19 is a current worldwide outbreak. The use of quarantine and isolation proved effective in containing the spread of infection. Objectives: The purpose of this cross-sectional study was to assess the mental health of Albanian people residing in the country and abroad during the quarantine period for the Covid-19 pandemic. Design: This study was carried out from 25th March-20th April 2020 through a web survey shared on social networks. The goal was to reach at least the minimum sample size for cross-sectional studies. The Patient Health Questionnaire (PHQ-9) was used to assess mental health. Chi-square (χ 2) and Fisher-Exact test were used to assess the statistical significance among variables. P values ≤0.05 were considered statistically significant. Results: 715 participants were included in the final analyses (78.41% females and 21.53% males). Most were residents in Albania (80.41%) and the others resided mainly in Italy (6.89%), Greece (3.51%), Germany (2.43%), Kosovo (1.62%) and the UK (1.69%). Statistical association was found between gender, country of residency and measures taken. Summary score of PHQ-9 items was 6.4662. The total score of depression classification shows that 31.82% and 12.90% of participants have respectively mild and moderate depression. Female participants showed the highest score for some items of PHQ-9, p≤0.05. Conclusions: Findings suggest that health care professionals should recognize and address mental health problems associated with Covid-19 especially in vulnerable groups. Acting in a timely and proper manner is essential in preventing these problems from becoming chronic.
Background: Nurses play an important role in preventive medicine because they represent the largest sector of health professionals. This role is very crucial in developing countries, which are going through rapid societal and economic changes, associated with a rising burden of cancers due to different risk factors. The current study aimed to compare health awareness between nurses and healthy women regarding preventive gynecological examinations and to answer the question -can nurses make a difference in women's health? Materials and Methods: This cross sectional research included a total of 150 women, 70 nurses and 80 healthy women, randomly selected. Data were collected in 2014 in Vlora city through a self-administered questionnaire that assessed different variables about preventive gynecological examinations. Results: Cervical screening rates were 20.3% and 41.8%, respectively, for nurses and healthy women, despite the former having a statistical significant greater knowledge of risk factors and symptoms. Conclusions: Even if the health awareness of nurse participants can be considered good, they need themselves to increase participation rates in cervical screening if they are to provide role models for health education/promotion addressing misconceptions and barriers.
Chronic neck pain is one of the most frequent musculoskeletal disorders in adults. It not only disrupts a person's quality of life but there is also with very high economic costs. The effects of physiotherapy in this problem are still unclear, and more the combination of physiotherapy with other treatment methods. The purpose was to review the literature in relation to the effectiveness of the combination of physiotherapy with other treatments as an important alternative in the treatment of chronic neck pain in adult patients. The research included the electronic database of Ovid PubMed, PEDro, NLM Tools, and CINAHL. Seven studies on the effects of physiotherapy in combination with other treatments in chronic neck pain were included in the review. Adults patients, only randomized clinical trials, and the studies published in the past two years were the inclusion criteria. The variable that was taken into account after primary treatment was the reduction of chronic neck pain. The study results showed that clinical studies were limited, even if the multimodal intervention may be an effective intervention for chronic neck pain patients. The review showed that physiotherapy has satisfactory effects in the treatment of chronic neck pain in combination with multimodal interventions but there is not enough evidence, due to the small number of trials included in the review.
Urinary incontinence (UI), the complaint of any involuntary leakage of urine is a disorder that affects women far more frequently than men. This case study shows a woman aged 48 diagnosed with stress UI. She experienced up to three episodes of incontinence per day and required the use of sanitary pads. Symptoms of urgency and frequency up to nine times per day were also reported. Symptoms worsened after each effort. Pelvic floor exercises are recommended to the woman for a period of 3 months. After 12 weeks the patient reported improvement of stress incontinence symptoms and reduction in incontinent episodes. This treatment isn't very recognized in Albania.
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