SUMMARY -In this observational study, direct and indirect (moderator and mediator) relationships between sociodemographic (age, gender, life partner, education level, income and length of treatment) and psychological (Hospital Anxiety and Depression Scale, HADS) variables and satisfaction with hospital care (EORTC INPATSAT32) in adult (advanced cancer) patients were investigated. Study sample consisted of 75 hospitalized advanced cancer patients recruited at the Zagreb University Hospital Centre and Sestre milosrdnice University Hospital Centre in 2015. Statistically significant negative correlations were found between HADS and elementary school education level, as well as with all satisfaction variables (satisfaction with physicians, nurses and organization). Moderate to high and statistically signifi cant positive correlations were found between elementary school level and all satisfaction variables. Gender and level of education appeared as signifi cant moderator variables in the relationship between HADS and satisfaction with nurse care. Th ere were no signifi cant mediator eff ects of sociodemographic variables on the correlation between HADS and satisfaction with care. Male participants who were more disturbed emotionally were more satisfi ed with nurses. Participants with elementary and high school levels of education and lower scores on HADS were more satisfi ed with nurses, while participants with university level of education had higher HADS scores and lower level of satisfaction with nurses.
A B S T R A C T The aim of this study is to identify factors that influence the success of the implementation of the primary and secondary prevention programs in
Iako su od završetka Domovinskog rata prošla gotovo tri desetljeća, hrvatski branitelji još uvijek se susreću s preprekama koje su uvjetovane, između ostalog, i raznim društvenim fenomenima koji su imali nepovoljan utjecaj na aktivnosti branitelja i njihov posttraumatski rast. Cilj rada je prikazati aktivnosti hrvatskih branitelja tijekom razdoblja pandemije i potresa u gradu Zagrebu i Banovini te njihove refleksije na posttraumatski rast branitelja. Sudionici istraživanja su hrvatski branitelji s invaliditetom koji su članovi udruga branitelja i koji su aktivno sudjelovali u pomoći sugrađanima i suborcima tijekom aktualne pandemije koronavirusa te potresa u gradu Zagrebu i Banovini. Istraživanje je pokazalo da su branitelji bili aktivno uključeni u psihološku podršku i osnaživanje sugrađana, prikupljanje i prijevoz potrebne pomoći te fizičku pomoć u obliku prikupljanja i dostave građevinskog materijala, kontejnera za stanovanje, kuhanja obroka, saniranja šteta od potresa, poput raščišćavanja ruševina, popravka krovišta i drugih fizičkih poslova. Takav aktivni oblik uključivanja u pomoć zajednici rezultirao je i poboljšanjem psihološke dobrobiti i osobnog rasta branitelja. U istraživanju je prikazano šest vodećih područja osobnog rasta koja su identificirana na osnovi intervjua s ispitanicima: osjećaj vlastite vrijednosti i da su potrebni drugim ljudima, otkrivanje vlastitih mogućnosti i snaga, zaboravljanje vlastitih nevolja kroz pomaganje drugima, mogućnost rađenja boljih stvari u životu, osjećaj pripadnosti društvu, osjećaj braniteljskog zajedništva. Ovi rezultati upućuju na potrebu opsežnijeg uključivanja braniteljske populacije u društveni život kroz razne aktivnosti i sadržaje koji nisu sporadični i vezani samo uz rad pojedinih aktivnih braniteljskih udruga. Ključne riječi: hrvatski branitelji, posttraumatski rast, aktivnost branitelja u krizama, potres, pandemija
Background: Chronic pain is a global public health issue with increasing prevalence. Chronic pain causes sleep disorder, reactive anxiety, and depression, impairs the quality of life; it burdens the individual and society as a whole. The aim of this study was to examine non-medical factors related to the outcome of the treatment of chronic non-malignant pain. Methods: A cross-sectional study with two groups of patients was conducted using a questionnaire with biological, psychological, and social characteristics of patients. Since this study was cross-sectional, it was not possible to determine whether some factors were the cause or the consequence of unsuccessful treatment outcome, which is at the same time one of the disadvantages of cross-sectional studies. Results: The poor outcome of the treatment of chronic non-malignant pain in a multivariate binary logistic regression model was statistically significantly associated with the lower quality of life (OR = 0.95 (95% CI: 0.91–0.99; p = 0.009), and higher depression level OR = 1.08 (95% CI: 1.02–1.14; p = 0.009). The outcome of the treatment was not directly related to social support measured by the multivariate binary logistic regression model (OR = 1.04, 95% CI: 0.95–1.15, p = 0.395), but solitary life (without partner) was (OR = 2.16 (95% CI: 1.03–4.53; p = 0.043). Conclusion: The typical patient with a poor pain management outcome is retired, presents depressive behavior; their pain disturbs general activity and sleeping. Moreover, they have a physically disturbed quality of life and require self-treatment due to the inaccessibility of doctors and therapies. The principle of treatment of patients with chronic, non-malignant pain should take into account a biopsychosocial approach with individually adjusted procedures.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.