Publications by authors named "Sofia Zyga"

61 Publications

External validation of International Classification of Injury Severity Score to predict mortality in a Greek adult trauma population.

Injury 2021 Oct 10. Epub 2021 Oct 10.

Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of the Peloponnese, 28 Karaiskaki, N. Penteli Attikis, Tripoli 15239, Greece.

Introduction: The International Classification of diseases- based Injury Severity Score (ICISS) obtained by empirically derived diagnosis-specific survival probabilities (DSPs) is the best-known risk-adjustment measure to predict mortality. Recently, a new set of pooled DSPs has been proposed by the International Collaborative Effort on Injury Statistics but it remains to be externally validated in other cohorts. The aim of this study was to externally validate the ICISS using international DSPs and compare its prognostic performance with local DSPs derived from Greek adult trauma population.

Materials And Methods: This retrospective single-center cohort study enrolled adult trauma patients (≥ 16 years) hospitalized between January 2015 and December 2019 and temporally divided into derivation (n = 21,614) and validation cohorts (n = 14,889). Two different ICISS values were calculated for each patient using two different sets of DSPs: international (ICISSint) and local (ICISSgr). The primary outcome was in-hospital mortality. Models' prediction was performed using discrimination and calibration statistics.

Results: ICISSint displayed good discrimination in derivation (AUC = 0.836 CI 95% 0.819-0.852) and validation cohort (AUC = 0.817 CI 95% 0.797-0.836). Calibration using visual analysis showed accurate prediction at patients with low mortality risk, especially below 30%. ICISSgr yielded better discrimination (AUC = 0.834 CI 95% 0.814-0.854 vs 0.817 CI 95% 0.797-0.836, p ˂ .05) and marginally improved overall accuracy (Brier score = 0.0216 vs 0.0223) compared with the ICISSint in the validation cohort. Incorporation of age and sex in both models enhanced further their performance as reflected by superior discrimination (p ˂ .05) and closer calibration curve to the identity line in the validation cohort.

Conclusion: This study supports the use of international DSPs for the ICISS to predict mortality in contemporary trauma patients and provides evidence regarding the potential benefit of applying local DSPs. Further research is warranted to confirm our findings and recommend the widespread use of ICISS as a valid measure that is easily obtained from administrative data based on ICD-10 codes.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2021.10.003DOI Listing
October 2021

Psychometric Properties of the Greek Version of the Caring Behaviors Inventory-16.

Cureus 2021 May 23;13(5):e15186. Epub 2021 May 23.

Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Tripolis, GRC.

Caring is a key component of nursing. Exploring patients' perceptions of caring behaviors is essential to providing high-quality health care. This study aimed to investigate the validity, reliability, and internal consistency of the Greek version of the Caring Behaviors Inventory-16. This descriptive cross-sectional study involved hospitalized patients from six major hospitals in Greece who completed the Caring Behaviors Inventory-16 scale. This is a self-completing questionnaire whose answers range from one to six on a Likert-type scale. The overall score ranges from 16 to 96. To study the reliability of the scale, 50 patients completed the scale twice within two weeks, and then the repeatability was tested using the Pearson's r correlation coefficient and the intraclass correlation coefficient. Construct validity and internal consistency were tested among 180 patients. Construct validity was tested through the principal component analysis. The internal consistency was tested through Cronbach's alpha index. The statistical analysis was performed through the IBM Statistical Package for the Social Sciences (SPSS) Statistics Version 21.0 (Armonk, NY: IBM Corp.). The level of statistical significance was set at 5%. The study was conducted in the period October-December 2019. According to the results, the average age of patients was 58 years old and 50.6% were men. The mean value of the scale was 79.31 (standard deviation ± 15.75). The principal component analysis showed that the scale is unidimensional highlighting one factor that explains 68.24% of the total variance. Questions loadings ranged from 0.575 to 0.912 on the same factor. This means that all questions measure the same structure and are strongly concentrated in the same construction. Regarding the repeatability test, no statistically significant differences were observed between the two measurements. Pearson's r coefficient was 0.82 while the intraclass correlation coefficient was 0.91 (p<0.001) and indicate the very good reliability of the scale. Cronbach's alpha was 0.967 and indicates the excellent internal consistency of the scale. Data analysis showed that the Caring Behaviors Inventory-16 is a valid, reliable, simple, and short tool for assessing patients' perceptions of caring behaviors. Further tests are suggested to confirm the construct validity, reliability among patients, nurses, or nursing students.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.15186DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8221654PMC
May 2021

Translation, Cultural Adaptation, Validation and Internal Consistency of the Factors of Nurses Caring Behavior.

Mater Sociomed 2021 Mar;33(1):34-40

Nursing Research and Practice Laboratory, Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Tripolis, Greece.

Introduction: The international literature presents a significant gap in the study of the factors affecting caring behaviors as perceived by nurses. This gap requires the study of the factors of nurses' caring behavior.

Aim: The translation and the cultural adaptation of the Factors of Nurses Caring Behaviors (FNCB) scale in the Greek language, the validity, and internal consistency of the scale.

Methods: Between November- December 2019, 329 Greek nurses from six public general hospitals completed the FNCB scale consisting of 32 items rating on a 5-point Likert scale. The scale was firstly translated in the Greek language, then back-translated in the English language and culturally adapted. To investigate the construct validity of the scale, exploratory factor analysis was carried out with principal component analysis. The test-retest reliability was performed while the internal consistency was checked through Cronbach's alpha coefficient. Statistical analysis was performed via the Statistical Program SPSS version 21.0. The statistical significance level was set up at 0.05.

Results: The final Greek version of the FNCB Scale includes six factors which were revealed from the exploratory factor analysis: Workplace Circumstances, Workload/Management, Interest/Perceptions on Nursing Job,Nurse's Educational Background, Patient's Demographic Characteristics, and Patient's Clinical Characteristics. The internal consistency of the scale was excellent (Cronbach's alpha 0.95).

Conclusions: The Greek version of the FNCB Scale is a valid and reliable questionnaire which can be used for the measure of factors affecting nurses' caring behavior.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.5455/msm.2021.33.34-40DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8116076PMC
March 2021

Assessment of psychological distress in end stage renal disease: is it spirituality related?

Med Pharm Rep 2021 Jan 29;94(1):79-87. Epub 2021 Jan 29.

Department of Nursing, University of Peloponnese, Sparta, Greece.

Introduction: Patients undergoing hemodialysis (HD) are faced with bearing this burden and report poor mental health. Spirituality can be a key factor in managing these problems among HD patients.

Aim: This cross-sectional study aimed at exploring possible factors that are associated with psychological distress among HD patients and testing its relation to spirituality.

Methods: HD patients were recruited from six dialysis units in Greece. Psychological distress was assessed using the scale Symptom Check List 90-R and spirituality using the Facit Sp-12 questionnaire. In addition, a special design questionnaire regarding demographic, social, and clinical characteristic was administrated.

Results: According to the results, factors such age, gender, marital status and area of residence are associated with psychological distress, while dimensions of spirituality such Meaning in Life and Peace can have a positive influence on psychological distress.

Conclusion: This study highlights the vital role of spirituality, which can act as a mechanism for managing stressful situations. In particular, this study highlights the positive effect of the meaning and purpose of life, as well as the role of peace and harmony.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.15386/mpr-1623DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7880071PMC
January 2021

The Effect of Spirituality in Quality of Life of Hemodialysis Patients.

J Relig Health 2021 Jan 7. Epub 2021 Jan 7.

Department of Nursing, University of Peloponnese, Sparta, Greece.

This study aimed to assess the effect of spirituality on quality of life of end-stage renal disease patients undergoing hemodialysis (HD). A cross-sectional study was carried out in six HD Units. The sample consisted of 367 patients averaging 61.8 years of age. For the measuring of spirituality and the quality of life, the FACIT-Sp-12 and the Missoula Vitas Quality of Life Index-15, respectively, were completed. Social and demographic data were, also, collected. Spirituality and its dimensions such as Meaning in Life and Peace had a positive effect on Global QoL, Symptoms, Interpersonal and in Well-being. Spirituality can have a positive effect on the QoL of HD patients. Therefore, in the context of the holistic approach of the individual, health systems can include spiritual evaluation and care of HD patients.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10943-020-01153-xDOI Listing
January 2021

Association Between Breastfeeding and Obesity in Preschool Children.

Mater Sociomed 2020 Jun;32(2):117-122

Laboratory of Physiology- Pharmacology, Department of Nursing, Faculty of Life Sciences, University of Peloponnese, Tripoli, Greece.

Introduction: Childhood obesity is a significant problem nowadays, with breastfeeding being one of many factors responsible for this issue. Breastfeeding as a natural way of feeding infants has many benefits for the child, the mother, and society.

Aim: The present study aimed to investigate the association between overweight children in preschool age and breastfeeding duration.

Methods: The current study included 674 preschool children aged 2-5 who attended various municipal kindergartens in South Athens. Questionnaires were given to parents where they recorded the child's personal and body data, parenting, and questions about pregnancy and lactation. The effect of BMI on the duration of breastfeeding in children was examined by the chi-square independence test. Fisher's and Monte Carlo simulations were also used. For data processing, Z scores and percentiles BMI for the first, second until fifth year of the child were found and based on these values the following categorization was performed; for values below -2 as low weight, values from -2 to 1 as normal weight, from 2 to 3 as overweight and over 3 as obese children. The Corresponding categorization was based on the 3rd, 85th, 97th, and 99.9th percentage position.

Results: The percentage of children at preschool age who have been breastfed for over six months and had normal weight was higher than those who breastfed below six months. Moreover, the proportion of children who were low weight, overweight and obese was lower in children who had been breastfed more than six months compared to those who breastfed for a shorter period. Additionally, a statistically significant difference was found for the effect of breastfeeding on childhood obesity in children aged 2 to 5 years.

Conclusion: There is a statistical association between breastfeeding duration and body weight in preschool age. Breastfeeding for more than six months has a positive impact on the child's weight.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.5455/msm.2020.32.117-122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7428923PMC
June 2020

Psychometric Properties of the Family Stigma in Alzheimer's Disease Scale in Greek Professional Caregivers.

J Nurs Meas 2020 08 23;28(2):259-282. Epub 2020 May 23.

National and Kapodistrian University of Athens, Athens, Greece.

Background And Purposes: The present study was undertaken in order to evaluate the validity and reliability of the Family Stigma in Alzheimer's Disease Scale (FS-ADS) in the Greek population.

Methods: The Greek version of the FS-ADS as well as the Maslach Burnout Inventory (MBI) was administered to 171 healthcare professional caring for people with dementia. Exploratory factor analysis was performed to examine the factor structure of the FS-ADS. Test-retest reliability was measured by administration of the FS-ADS in 20 individuals.

Results: Principal component analysis revealed 5, 8 and 3 factors (subscales) for each dimension of the original questionnaire, respectively, similar to other previously reported results in the literature. The overall Cronbach's α was .899, yielding a high internal consistency. Test-retest reliability was very high ( = 0.903, < .001). Statistically significant relationships were found between most of the FS-ADS dimensions and Maslach subscales.

Conclusion: The findings favor the use of FS-ADS in nurses and professional caregivers in general, for measuring stigma in dementia in Greece.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1891/JNM-D-18-00113DOI Listing
August 2020

Exploration of the relationship between stigma and burnout among Greek nurses in dementia care.

J Nurs Manag 2020 Apr 10;28(3):615-624. Epub 2020 Mar 10.

Nursing Department, National and Kapodistrian University of Athens, Athens, Greece.

Objective: To investigate possible correlations between stigma and burnout of nurses and non-graduate professional caregivers of elderly with dementia in nursing homes.

Background: Research on dementia stigma in health care professionals as well as its relationship with their well-being is seriously lacking.

Methods: This cross-sectional study involved a convenience sample of 171 nurses and other professional caregivers in 16 Greek elderly care units who responded to Maslah Burnout Inventory (ΜΒΙ) as well as the Family Stigma in Alzheimer's Disease Scale (FS-ADS). In order to find adjusted associations between independent variables and the stigma and burnout of professional caregivers, multiple linear regression analysis was used.

Results: Cognitive, emotional and behavioural attributions of the three dimensions of stigma were found to be independent predictive factors of burnout's dimensions which indicate that stigma nurses deposit on patients, contributes towards their burnout.

Conclusion: Educational preparation of geriatric nurses should provide them with the option of seeing dementia as a normal stage of life since reducing stigma can contribute towards preventing and managing professional burnout.

Implications For Nursing Management: In order to reduce burnout, nurse managers should design lifelong learning programs on the basis of changing the stigmatizing negative cognitive and emotional attitudes of professionals towards dementia.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1111/jonm.12964DOI Listing
April 2020

Correlation of Dietary Advanced Glycation End Products with the Hematological and Biochemical Markers of Patients with Chronic Kidney Disease Undergoing Hemodialysis.

Cureus 2019 Dec 12;11(12):e6360. Epub 2019 Dec 12.

Nursing, Faculty of Health Sciences, University of Peloponnese, Tripolis, GRC.

Aim The advanced glycation end products (AGEs) are among the mechanisms responsible for the pathogenesis and development of chronic kidney disease. The aim of this study was to estimate the dietary AGE intake and to assess its correlation with hematological and biochemical markers of patients with end-stage renal disease (ESRD) undergoing hemodialysis. Materials and methods For this study, a structured questionnaire of the exogenous AGEs was developed, whose reliability and validity were evaluated in the pilot phase of the study including 50 participants. The questionnaire was issued to 605 participants (305 ESRD patients undergoing hemodialysis and 300 controls), and a blood sample was obtained through which hematological and biochemical markers were analyzed. Results It was noted that patients with ESRD consume large quantities of dietary AGEs not only in absolute values but also in comparison with control subjects (p = 0.001), attributed mainly to the methods of product processing as well as cooking. It was also ascertained that dietary AGEs were correlated (p < 0.005) with fasting glucose and glycated hemoglobin (HbA1c) and with lipidemic profile markers, such as triglyceride, as well as inflammation markers, such as erythrocyte sedimentation rate, ferritin, and C-reactive protein. All the aforementioned markers show abnormally increased levels in patients with ERSD and diabetes compared with healthy subjects. Conclusion Patients with ESRD consuming foods favoring AGE formations combined with increased endogenous AGE burden the body with their harmful action. If the specific group of patients adopt dietary habits contributing to the containment or the inhibition of AGE formation, then this would lead to the improvement of their hematological and biochemical markers and in terms of the effects of AGEs on their health is deemed imperative through the creation of consulting and prevention programs.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.6360DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957054PMC
December 2019

The Contribution of Biofeedback Brain Boy Method to the Treatment of Anxiety Disorders.

Mater Sociomed 2019 Jun;31(2):105-109

Laboratory of Physiology and Pharmacology, Department of Nursing, School of Human Movement and Quality of Life, University of Peloponnese, Greece.

Introduction: Anxiety management is one of the most important health issues which is being faced by humans today. Biofeedback, as a method of neurophysiology, has been added to the methods recommended for this purpose.

Aim: The aim of the study was to measure the effectiveness of biofeedback method by using Brain Boy Universal Professional in the treatment of anxiety disorders.

Methods: The sample of this research study consisted of 50 individuals, suffering from symptoms of anxiety, who underwent biofeedback therapy. For the purposes of this study, the self-administered questionnaire Hamilton Rating Scale for Anxiety was completed by the individuals both before the initiation of the therapy and after individuals had completed ten sessions of treatment with biofeedback.

Results: Prior to biofeedback, 26% of the participants showed mild to moderate anxiety, 12% a medium severity of anxiety and the remaining 62% severe anxiety. After the completion of 10 sessions of biofeedback, 78% of the participants was found to experience mild to moderate anxiety, 12% a medium severity of anxiety and only 10% of severe anxiety.

Conclusion: Biofeedback can be a therapeutic method for the treatment of anxiety disorders, giving treatment to patients who do not respond to drugs but also to patients who want to apply to undergo such treatment alongside other therapeutic methods including drugs.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.5455/msm.2019.31.105-109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690315PMC
June 2019

The Effect of Fatigue and Pain Self- Efficacy on Health-Related Quality of Life Among Patients with Multiple Sclerosis.

Mater Sociomed 2019 Mar;31(1):40-44

Ministry of Health, Athens, Greece.

Introduction: Health-related quality of life is a major issue among patients with Multiple sclerosis (MS).

Aim: To explore the effect of fatigue and pain self-efficacy on health-related quality of life among patients with MS.

Methods: Between March and May 2018, 85 MS patients from a large Hospital of Athens region completed the questionnaires: a) Missoula-VITAS Quality of Life Index-15, which examines 5 dimensions of quality of life, b) Pain Self Efficacy Questionnaire which measures the pain self-efficacy that an individual perceives, c) Fatigue Assessment Scale (FAS) which measures fatigue, d) a questionnaire about the sociodemographic elements. Statistical analysis was performed using the IBM SPSS Statistics version 21. The significance level was set up to 0.001.

Results: Fatigue might predict the dimension of quality of life "Function" while Pain Self-Efficacy might, also, predict the dimension of quality of life "Interpersonal". A strong correlation was found between the dimensions of quality of life "Well-being" and "Transcendent" and between "Interpersonal" and Pain Self-Efficacy. The total score of fatigue was strongly correlated with Physical Fatigue and very strongly correlated with Mental Fatigue.

Conclusion: Fatigue and Pain Self-Efficacy are important predictors of the dimensions of quality of life among patients with MS. Pain in MS has to be taken into serious consideration in every patient with MS.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.5455/msm.2019.31.40-44DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6511379PMC
March 2019

Perioperative inadvertent hypothermia among urology patients who underwent transurethral resection with either TURis or transurethral resection of the prostate method.

Urologia 2019 May 28;86(2):69-73. Epub 2018 Mar 28.

2 Faculty of Nursing, University of Peloponnese, Sparta, Greece.

Purpose: The purpose of the study was to investigate the incidence of perioperative hypothermia in urology patients undergoing transurethral resection with either TURis or transurethral resection of the prostate method and to recognize the risk factors that were responsible for the occurrence of hypothermia intraoperatively in these patients.

Methods: It was a randomized prospective study. A total of 168 patients, according to American Society of Anesthesiologists physical status I-III, were scheduled for transurethral resection either with TURis or transurethral resection of the prostate method. We measured the core body temperature before (preoperative), during (perioperative) and after (postoperative) the surgery. Age, body mass index, American Society of Anesthesiologists score, duration of surgery, preoperative prostatic volume, and vital signs were also recorded.

Results: The prevalence of inadvertent hypothermia was 64.1% for the TURis group and 60% for the transurethral resection of the prostate group. Hypothermic patients in TURis group were significantly older (87.7 ± 1.7 vs 68 ± 6.7 years, p < 0.05) and had lower body mass index (26.9 ± 3.6 vs 29.2 ± 2.7, p < 0.05), while hypothermic patients in the transurethral resection of the prostate group were significantly older (86 ± 1.1 vs 70 ± 7.4 years, p < 0.05) and had notably higher duration of surgery (140.6 ± 28.9 vs 120.3 ± 14.3 min, p < 0.05) than normothermic patients.

Conclusion: Perioperative inadvertent hypothermia among urology patients who underwent transurethral resection with both TURis and transurethral resection of the prostate method is of high incidence. We recommend monitoring of the temperature of core body of all these patients, especially those with advanced age and lower body mass index.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1177/0391560318758937DOI Listing
May 2019

Anxiety-Depression of Dialysis Patients and Their Caregivers.

Medicina (Kaunas) 2019 May 20;55(5). Epub 2019 May 20.

Department of Nephrology, 'Aretaieio' Hospital, National and Kapodistrian University of Athens, 157 72 Athens, Greece.

: Anxiety-depression of patients undergoing hemodialysis has a strong relation with the levels of anxiety-depression of their caregivers. The aim of this study was to evaluate anxiety-depression of dialysis patients and their caregivers. : In this cross-sectional study, 414 pairs of patients and caregivers from 24 hemodialysis centers of Greece completed the Hospital Anxiety and Depression Scale (HADS). The statistical analysis of the data was performed through the Statistical Program SPSS version 20.0. The statistical significance level was set up at 5%. : The mean age of patients was 64 (54.06-72.41) years old and the mean duration of hemodialysis was 36 (16-72) months. The mean age of caregivers was 54 (44-66) years old. Of the total sample, 17.1% ( = 71) of patients had high levels of anxiety and 12.3% ( = 51) had high levels of depression. Additionally, 27.8% ( = 115) of caregivers had high levels of anxiety and 11.4% ( = 47) had high levels of depression. Caregivers had higher levels of anxiety when their patients had high levels of anxiety as well (42.3%). Additionally, they had higher levels of depression when their patients had high levels of depression as well (17.6%). : The results of this study showed a significant association between the levels of anxiety and depression among patients and caregivers. There is a necessity for individualized assessment of dialysis patients and their caregivers and the implementation of specific interventions for reducing the levels of anxiety and depression among them.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.3390/medicina55050168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572629PMC
May 2019

Assessment of fatigue in patients with a permanent cardiac pacemaker: prevalence and associated factors.

Arch Med Sci Atheroscler Dis 2018 20;3:e166-e173. Epub 2018 Dec 20.

Laboratory of Physiology and Pharmacology, Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta Lakonias, Greece.

Introduction: Fatigue is a debilitating symptom of subjective nature which lacks effective therapy. The aim of the study was to assess levels of fatigue and the associated factors among patients with permanent cardiac pacemaker (PCM).

Material And Methods: This was a cross-sectional study carried out in Athens. The study sample consisted of 250 patients with a PCM.

Results: Data indicated moderate to low levels of fatigue. Furthermore, women (median: 24, = 0.001), those with primary school education (median: 21, = 0.001), those who were "a little-not at all" informed about PCM (median: 31, = 0.001), those who had someone to help them in daily activities (median: 23, = 0.001), those who did not believe that PCM solved their cardiac problem (median: 36, = 0.001), and those who did not believe that their quality of life was improved (median: 35, = 0.001) had high levels of fatigue. Moreover, high levels of fatigue were felt by those who characterized themselves as anxious and those who reported to be very anxious about their heart rate and the proper function of PCM (medians: 21.5, 25 and 25 respectively). Additionally, more fatigue was felt by participants who did not smoke after implantation and did not exercise at all (medians: 20 and 24 respectively). Finally, older patients felt more fatigue (rho = 0.248) while the later the implantation device was inserted the more fatigue the patients felt (rho = 0.274).

Conclusions: The present results will help clinicians to acquire an in-depth knowledge of factors associated with fatigue after implantation.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.5114/amsad.2018.81085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374640PMC
December 2018

Effect of anxiety and depression on the fatigue of patients with a permanent pacemaker.

Arch Med Sci Atheroscler Dis 2018 5;3:e8-e17. Epub 2018 Feb 5.

Laboratory of Physiology and Pharmacology, Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta Lakonias, Greece.

Introduction: Permanent cardiac pacemakers (PPM) are the most common treatment for severe symptomatic bradycardia. This implanted life-saving device may involve a severe psychological burden to recipients or aggravate their symptoms such as fatigue. The aim of the study was to explore the effect of anxiety and depression on fatigue of patients' with a PPM.

Material And Methods: The study group consisted of 250 patients with a PPM. Data collected included: a) patients' characteristics, b) the Hospital Anxiety and Depression Scale (HADS) and c) the Fatigue Assessment Scale (FAS).

Results: High levels of anxiety and depression were observed in 27.2% and 14.0% of the sample, respectively. Regarding the fatigue total score it was found that 25% of the participants had a score higher than 26. Accordingly, with regard to physical and mental fatigue, 25% of enrolled patients had a score higher than 20 and 8, respectively. These values indicate moderate to low levels of fatigue. Furthermore, there was a statistically significant association between anxiety/depression and the total score of fatigue as well as between anxiety/depression and physical and mental fatigue ( < 0.001 for all associations).

Conclusions: Socio-demographic and patients' clinical characteristics are related to anxiety and depression. Understanding the association between psychological burden and fatigue after implantation as well as factors associated with these variables will help health professionals to provide beneficial care for PPM patients that will significantly contribute to better device outcomes.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.5114/amsad.2018.73231DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374639PMC
February 2018

A cross-sectional study for the impact of coping strategies on mental health disorders among psychiatric nurses.

Health Psychol Res 2018 May 8;6(1):7466. Epub 2018 May 8.

Psychiatric Department, "Sotiria" Athens General Hospital for Chest Diseases, Department of Nursing, University of Peloponnese, Sparta, Greece.

Several studies report that psychiatric nursing is a highly stressful occupation. The ways that nurses use in order to deal with stressful situations have a serious effect on their psychological mood and their health status. The purpose of this study was to investigate the coping strategies in predicting of depression and anxiety among mental health nurses working in public psychiatric hospitals. A descriptive, cross-sectional study was conducted in Athens, Greece from April to May 2017. A questionnaire consisting of the socio-demographic and work-related characteristics, the Patient Health Questionnaire-2, the Generalized Anxiety Disorder-2, and the 38-items Ways of Coping Questionnaire - Greek version, was completed by a total of 110 mental health nurses. Univariate and multivariate analyses were performed using the logistic regression model. Coping strategies focused on the problem (, , , and ) were the most commonly used by the mental health nurses. Strategies focused on emotion (, , , , and ) were positively associated with depression and anxiety outcomes. Also, the coping skills of (Adjusted Odds Ratio, AOR=0.402), and (AOR=3.719) were significant predictors only for elevated anxiety symptoms. The results from the study demonstrated the importance of coping behaviours in mental health problems of psychiatric nurses.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.4081/hpr.2018.7466DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247012PMC
May 2018

Are Burnout Syndrome and Depression Predictors for Aggressive Behavior Among Mental Health Care Professionals?

Med Arch 2018 Oct;72(4):244-248

Department of Psychology, University of Central Lancashire, Athens, Greece.

Aim: This study aims to examine the possible relation between depression and burnout as predictors to aggressive behaviors among mental healthcare professionals.

Methods: For the purposes of this study 72 mental health care professionals were recruited and were evaluated in three questionnaires which were provided to them online. Firstly regarding depression, the Center for Epidemiologic Studies Depression Scale (CES-D) was administered, secondly, concerning burnout, Maslach Burnout Inventory (MBI) was applied and finally, regarding aggression, the Aggression Questionnaire (GAQ) was employed. Statistical data analysis was performed using the IBM SPSS Statistics Version 19. The level of statistical significance was set at up at 0.05.

Results: The results showed that depression is considered to be a statistically significant predictor of aggressive behaviors. However, burnout was not found to be a statistically significant predictor of aggression. In addition, a statistically significant relationship was found between burnout and depression.

Conclusions: It seems to be of essential importance for mental healthcare professionals to be provided with support and assistance in order to diminish the potential high-stress levels and in that way to overcome depression and burnout of those who work in mental health settings.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.5455/medarh.2018.72.244-248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195016PMC
October 2018

The impact of education on knowledge, adherence and quality of life among patients on haemodialysis.

Qual Life Res 2019 Jan 3;28(1):73-83. Epub 2018 Sep 3.

Department of Nursing, University of Peloponnese, Efstathiou & Stamatikis Valioti and Plateon, 23100, Sparta, Greece.

Purpose: The purpose of the study was to assess the impact of an educational intervention on the level of knowledge, quality of life (QoL) and adherence to the treatment regimen among haemodialysis (HD) patients as well as to describe the association between these variables.

Methods: In this quasi-experimental interventional study, 50 HD patients at a HD centre in Western Attica were randomly assigned into intervention (N = 25, received education and a booklet) and control (N = 25, received only the booklet) groups. Knowledge, adherence and quality of life were measured pre- and post-intervention using the Kidney Disease Questionnaire, the GR-Simplified Medication Adherence Questionnaire-HD and Missoula Vitas Quality of Life Index-15, respectively. The statistical analysis of the data was performed with the help of the Statistical Program SPSS version 19.0. The statistical significance level was set up at 0.05.

Results: The increase of knowledge, adherence and QoL levels in the intervention group was significantly higher compared to the control group. There was no significant correlation between knowledge and adherence scores after the intervention. However, a significant positive correlation was found between the change in the overall QoL and the changes in the total adherence score as well as the adherence to the fluids and dietary behaviour.

Conclusions: An educational intervention can improve knowledge, adherence and QoL among HD patients. The increase of knowledge level is not associated with increased adherence. However, the increase of adherence may improve some dimensions of QoL.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11136-018-1989-yDOI Listing
January 2019

Assessment of Depression and Anxiety in Breast Cancer Patients: Prevalence and Associated Factors

Asian Pac J Cancer Prev 2018 Jun 25;19(6):1661-1669. Epub 2018 Jun 25.

Department of Nursing, Technological Educational Institute of Thessaly, Larissa, Greece. Email:

Introduction: Having breast cancer or receiving treatment has been seen as a traumatic experience for women due to its impacts on their self-image and sexual relationship, and may lead to an psychological reactions such as denial, anger, or intense fear toward their disease and treatment process. Also many of breast cancer patients have psychiatric morbidities such as depression and anxiety. Purpose: The purpose of this study was to assess the prevalence and associated factors of depression and anxiety in breast cancer patients, in order to identify independent predictors of mental health disorders risk. Material and Methods: A cohort of 152 breast cancer patients who were attending an outpatient oncology department was recruited. Data were collected with a structured questionnaire consisted by social, clinical and demographic information and PHQ-2 and GAD-2 scales. Results: The mean age of the patients was 53.25 years (SD=12.10), 69.7% of the patients underwent mastectomy and 30.3% ongectomy. Chemotherapy received 46.1% of patients as adjuvant therapy, 15.8% radiotherapy and 38.2% received both chemotherapy and radiotherapy. A large percentage found to be classified as depressed (38.2%) and anxious (32.2%) and factors that found to be associated were age, marital status, educational level, stage of cancer from univariate analyses and place of residence, religion, symptoms burden from multivariate analysis (for depression and anxiety). Conclusions: Breast cancer patients are in high risk for developing psychiatric disorders such as depression and anxiety. Being rural resident, non-Orthodox Christian and experiencing extend symptom burden can be predicting factors associated with depression and anxiety in breast cancer patients.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.22034/APJCP.2018.19.6.1661DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103579PMC
June 2018

Physical therapists' perceptions about patients with incomplete post-traumatic paraplegia adherence to recommended home exercises: a qualitative study.

Braz J Phys Ther 2019 Jan - Feb;23(1):33-40. Epub 2018 Jun 8.

Nursing Department, Frederick University, Nicosia, Cyprus.

Background: The overall purpose of physical therapy for patients with spinal cord injury is to improve health-related quality of life. However, poor adherence is a problem in physical therapy and may have negative impact on outcomes.

Objectives: To explore the physical therapists' perspectives about patients with incomplete post-traumatic paraplegia adherence to recommended home exercises.

Methods: A qualitative content analysis was conducted. Data were collected in a convenience sample using semi-structured interviews. Thirteen registered physical therapists in Athens area participated in the study.

Results: Five categories emerged from the data: (1) reasons to recommend home exercise by the physical therapist; (2) obstacles to recommend home exercise by the physical therapist; (3) methods addressing these obstacles; (4) the family's role in the adherence to recommended home exercise; and (5) the impact of financial crisis in adherence to recommended home exercise. All participants found the recommended home exercises essential to rehabilitation and health maintenance, and they value their benefits. They also expressed the obstacles that need to be faced during rehabilitation process in order to promote adherence.

Conclusion: Physical therapists should take into account the different obstacles that may prevent patients with incomplete post-traumatic paraplegia adherence to recommended home exercises. These involve the patients and their families, while, financial crisis has also an impact in adherence. In order to overcome these obstacles and increase adherence, communication with patient and family while taking into account the individual's needs, capacities, and resources are essential.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjpt.2018.05.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6546837PMC
June 2019

Symptoms in Advanced Cancer Patients in a Greek Hospital: a Descriptive Study

Asian Pac J Cancer Prev 2018 Apr 27;19(4):1047-1052. Epub 2018 Apr 27.

Research Laboratory “Care in Adult Cancer Patients”, Department of Nursing, Alexander Technological Educational Institute, Thessaloniki, Sparta, Greece. Email:

Background: Advanced cancer patients experience several physical or psychological symptoms which require palliative care for alleviation. Purpose: To assess the prevalence and intensity of symptoms among cancer patients receiving palliative care in a Greek hospital and to examine the association between reported symptoms and social clinical and demographic characteristics. Material-methods: This descriptive research was conducted during a sixmonth period using a convenient sample of 123 advanced cancer patients. All participants were assessed for their symptoms using the Edmonton Symptom Assessment System (ESAS) with a questionnaire covering demographic and clinical characteristics. Results: The mean age was 63.8± 10.8 years, with lung and breast (58.5% and 11.4%, respectively) as the most common primary cancer types. The most severe symptoms were fatigue, sleep disturbance, dyspnea, depression and anxiety. Negative correlations were revealed between age and the following symptoms: pain (r = -0.354, p = 0.001), fatigue (r = -0.280, p = 0.002), nausea (r = -0.178, p = 0.049), anorexia (r = -0.188, p = 0.038), dyspnea (r = -0.251, p = 0.005), and depression (r = -0.223, p = 0.013). Advanced breast cancer patients scored higher in pain, fatigue and dyspnea compared to those with other cancers. Conclusions: Hospitalized cancer patients in Greece experience several symptoms during the last months of their life. These are influenced by demographic characteristics. Appropriate interventions are strongly advised with appropriate recognition and evaluation of symptoms by health professionals.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.22034/APJCP.2018.19.4.1047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031771PMC
April 2018

Anxiety and Depression in Patients with Permanent Atrial Fibrillation: Prevalence and Associated Factors.

Cardiol Res Pract 2018 19;2018:7408129. Epub 2018 Feb 19.

Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Lakonia, Greece.

Atrial fibrillation (AF) is an important public health problem that is increasing at an alarming rate, worldwide. The most common type is permanent AF followed by the paroxysmal and persistent AF. . This study was aimed at exploring anxiety and depression and the associated factors in patients with permanent AF. . The sample of the study included 170 AF patients. Data collection was performed by the method of interview using the "Hospital Anxiety and Depression Scale" (HADS) to assess anxiety and depression and a questionnaire including patients' characteristics. . 70% of the participants were men, and 32.4% were above 70 years old. Furthermore, 34.9% of the patients had high levels of anxiety, and 20.2% had high levels of depression. Anxiety levels were statistically significantly associated with gender (=0.022), age (=0.022), educational level (=0.025), years having the disease (=0.005), and relations with nursing staff (=0.040). Depression levels were statistically significantly associated with age (=0.037), degree of information of the state of health ( < 0.001), years having the disease ( < 0.001), and relations with medical staff (=0.041). . Patients' characteristics are associated with anxiety and depression and need to be evaluated when treating this frequently encountered arrhythmia.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/7408129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836417PMC
February 2018

The Effect of Nutrition and Sleep Habits on Predisposition for Metabolic Syndrome in Greek Children.

J Pediatr Nurs 2018 May - Jun;40:e2-e8. Epub 2018 May 7.

Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece. Electronic address:

Purpose: To investigate the effect of lifestyle habits in childhood Metabolic Syndrome (MTS).

Design And Methods: Descriptive correlation study with 480 participants (5-12 years old) using a specially designed questionnaire was conducted. Anthropometric and biochemical analyses were performed.

Results: Fifteen percent of children exhibited predisposition for MTS. Regarding sleep habits, logistic regression analysis (LRA) showed that hour of sleep -before 22:00- was associated with decreased waist circumference (WC%) (p = .026). Midday siesta was negatively correlated with systolic (SBP) (p = .001) and diastolic blood pressure (DBP) (p = .046). In children without MTS, lack of sleep and night time sleep was positively correlated with DBP (p = .044) and fasting blood glucose (FBG) (p = .005). Regarding nutrition habits, fast food consumption was positively correlated with SBP (p = .006) and meat consumption was positively correlated with both Body Mass Index% (BMI%) (p = .038) and WC% (p = .023). LRA showed that fruit (p = .001) and legume (p = .040) consumption was associated with decreased FBG; fish consumption with decreased Low Density Lipoprotein (LDL) cholesterol (p = .031), vegetable (p = .054) and cereal consumption (p = .012) with decreased DBP. In children with MTS, fruits were associated with increased FBG (p = .034). In children without MTS, meat consumption was associated with increased LDL (p = .024), cereal with increased WC% (p = .002) and olive products with increased High Density Lipoprotein (HDL) cholesterol and BMI% (p = .037).

Conclusions: The adoption of both balanced diet and sleep habits seemed to be crucial for the prevention of MTS.

Practice Implications: Clinical health nurses could develop and implement preventive intervention programs in order to avoid metabolic complications in adulthood.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.pedn.2018.01.012DOI Listing
October 2018

Mental health, loneliness, and illness perception outcomes in quality of life among young breast cancer patients after mastectomy: the role of breast reconstruction.

Qual Life Res 2018 02 8;27(2):539-543. Epub 2017 Nov 8.

Department of Nursing, University of Peloponnese, Efstathiou & Stamatikis Valioti and Plateon Sparta, 23100, Tripoli, Greece.

Purpose: Το explore the relationship between mental health (depression, anxiety, and stress), loneliness, and illness perception with health-related quality of life (HRQoL) in young breast cancer patients, within a year after mastectomy, and to investigate the role of breast reconstruction.

Methods: Eighty-one women with stage II breast cancer-35 with breast reconstruction and 46 without breast reconstruction-completed the Missoula-VITAS Quality of Life Index-15, the Depression Anxiety Stress Scale 21, the UCLA Loneliness Scale, the Brief Illness Perception Questionnaire, and a questionnaire with demographic and medical information. Statistical analysis was performed using IBM SPSS Statistics version 20.

Results: Breast reconstruction was a significant predictor of total HRQoL and its domains. Women with breast reconstruction had better HRQoL, significantly better mental health, less stress and anxiety levels but experienced more physical discomfort and perceived higher level of physical distress compared to the ones without breast reconstruction. On the contrary, patients without breast reconstruction had higher level of loneliness, which was found to be correlated with poor HRQoL and higher levels of anxiety. Negative illness perceptions were associated with poor HRQoL for both groups.

Conclusions: Breast reconstruction is not a panacea for patients in improving HRQoL.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11136-017-1735-xDOI Listing
February 2018

Hemodialysis Patients' Information and Associated Characteristics.

Mater Sociomed 2017 Sep;29(3):182-187

University of Peloponnesus, Peloponnese, Greece.

Introduction: of this study was to explore characteristics associated with hemodialysis patients' degree of information.

Material And Methods: The sample of the study included 650 patients undergoing hemodialysis. For data collection a questionnaire specially designed for the needs of the research was used. More specifically, socio-demographic, clinical and other patients' characteristics were associated with the degree of information as it was reported by patients.

Results: of the 650 participants, 55.4% was men while 58.6% of the sample was aged over 60 years. Regarding information level, results showed that only 9.8% was "little" or "not all" informed about their health problem, 61,7% was "enough" informed whereas 28.5% were "very" informed. Statistically significant association was observed between degree of information and age (p=<0.001), family status (p=0.005), education (p=0.001), job (p=0.005) and number of children (p=0.019). In terms of clinical characteristics, statistically significant association was observed between the degree of information and whether patients had other disease or not (p=0.037), whether patients reported adherence to treatment guidelines (p=<0.001). Finally, statistically significant association was observed between the degree of information and relations with nursing staff (p=<0.001), doctors (p=0.007) and other patients (p=0.003), and whether patients faced difficulties in social (p=0.001) and family environment (p=0.002).

Conclusion: Health professionals when planning information interventions for orienting hemodialysis patients is increasingly important to evaluate socio-demographic, clinical and other patients ' characteristics and incorporate them in their project.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.5455/msm.2017.29.182-187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644202PMC
September 2017

Fatigue in Arthritis: A Multidimensional Phenomenon with Impact on Quality of Life : Fatigue and Quality of Life in Arthritis.

Adv Exp Med Biol 2017 ;987:243-256

Faculty of Human Movement and Quality of Life Sciences Department of Nursing, Efstathiou & Stamatikis Valioti and Plateon, University of Peloponnese, Sparti, 23100, Greece.

An important factor which influences the quality of life of patients with arthritis is the fatigue they experience. The purpose of this study was to assess the relationship between fatigue and quality of life among patients with osteoarthritis and rheumatoid arthritis. Between January 2015 and March 2015, 179 patients with osteoarthritis and rheumatoid arthritis completed the Fatigue Assessment Scale and the Missoula-VITAS Quality of Life Index-15 (MVQoLI-15). The study was conducted in Rehabilitation Centers located in the area of Peloponnese, Greece. Data related to sociodemographic characteristics and their individual medical histories were recorded. Statistical analysis was performed using the IBM SPSS Statistics version 19. The analysis did not reveal statistically significant correlation between fatigue and quality of life neither in the total sample nor among patients with osteoarthritis (r = -0.159; p = 0.126) or rheumatoid arthritis. However, there was a statistically significant relationship between some aspects of fatigue and dimensions of quality of life. Osteoarthritis patients had statistically significant lower MVQoLI-15 score than rheumatoid arthritis patients (13.73 ± 1.811 vs 14.61 ± 1.734) and lower FAS score than rheumatoid patients (26.14 ± 3.668 vs 29.94 ± 3.377) (p-value < 0.001). The finding that different aspects of fatigue may affect dimensions of quality of life may help health care professionals by proposing the early treatment of fatigue in order to gain benefits for quality of life.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/978-3-319-57379-3_22DOI Listing
April 2018

Assessment of Depression in Elderly. Is Perceived Social Support Related? A Nursing Home Study : Depression and Social Support in Elderly.

Adv Exp Med Biol 2017 ;987:139-150

Faculty of Human Movement and Quality of Life Sciences, Department of Nursing, Efstathiou & Stamatikis Valioti and Plateon, University of Peloponnese, Sparti, 23100, Greece.

Geriatric depression is more common in nursing homes and social support is a mechanism that mitigates the stressors of life factors and simultaneously promotes wellness and health. The purpose of the study was to assess the levels of depression and social support among elderly in nursing homes. During the period February 2016-March 2016 170 elderly residents in nursing homes completed the Geriatric Depression Scale-15 (GDS-15) and the Multidimensional Scale of Perceived Social Support (MSPSS). Statistical analysis was conducted with IBM SPSS Statistics 23. 37, 1% of the sample had depressive symptoms. Depression is statistically correlated with age and it is affected by the years of education (p = 0.003), the number of the children (p = 0.006), whether the elderly person is bedridden or not (p < 0.001), the frequency of visits by family members (p < 0.001) and whether the elderly performs activities outside the nursing home (0.001). Higher GDS score had those who were illiterate (6.41), those with one or no children (6.82 and 6.59 respectively), the bedridden (6.70), people without visits from relatives (7.69) and without activities outside (5.64). Also, social support is affected by the family status (p < 0.001), the number of children (p < 0.001), the frequency of visits by relatives (p < 0.001) and whether the elderly performs activities outside the foundation (p < 0.008). Higher MSPSS score had those who were married (61.60), those who had four children (63.50), people who accept visits from relatives every day (64.58) and people who do activities outside the institution (58.07). The appearance of this increased rate of depression symptoms in this elderly population leads to the need for more aid social support.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/978-3-319-57379-3_13DOI Listing
April 2018

Clinical, Social and Demographics Factors Associated with Spiritual Wellbeing in End Stage Renal Disease.

Adv Exp Med Biol 2017 ;987:77-88

Faculty of Human Movement and Quality of Life Sciences, Department of Nursing, Efstathiou & Stamatikis Valioti and Plateon, University of Peloponnese, Sparti, 23100, Greece.

Spiritual health is one of the important aspects of health status that is often neglected.

Aim: the present study aims to evaluate spiritual wellbeing in end stage renal disease patients undergoing hemodialysis and its relation to sociodemographic and clinical variables.

Methods: A convenience sample of 183 individuals undergoing hemodialysis was recruited. Measurements were conducted with the following instruments: (a) a sheet containing demographic data and clinical information such as duration of dialysis e.t.c (b) Facit Spiritual Wellbeing Scale (Facit-Sp12). Statistical analysis was contacted with SPSS v.22. Descriptive statistics were initially generated for sample characteristics. Parametric and no-parametric statistics were used for searching the relations between the variables. P values <0.05 were defined as reflecting the acceptable level of statistical significance.

Results: From the total of the 183 participants of the study the 69.9% were male and 30.1% female. The age range was from 26 to 88 years old, with mean 61.39 ± 14.11. The subscale "peace" is associated to gender (t = 2.150, p = 0.033), educational level (F = 2.698, p = 0.047) and duration of dialysis (F = 2.969, p = 0.033) and religious beliefs (t = -2.059, p = 0.041). The subscale "faith" is associated to gender (t = -3.428, p = 0.001), age (p = 0.006), number of children (F = 4.347, p = 0.014). Moreover, the subscale "meaning" is associated to age (p = 0.001). Finally its worth to be mentioned that comorbidity is associated to subscales "meaning" (t = -2.071, p = 0.040), "peace" (t = -2.377, p = 0.018) and the overall spiritual wellbeing (t = -1.988, p = 0.048).

Conclusions: Social, demographic factors as well as clinical variables such duration of dialysis and comorbidities are affecting spiritual wellbeing in end stage renal disease.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/978-3-319-57379-3_8DOI Listing
April 2018

Correlations Between Nutrition Habits, Anxiety and Metabolic Parameters in Greek Healthy Adults.

Adv Exp Med Biol 2017 ;987:23-34

Faculty of Human Movement and Quality of Life Sciences, Department of Nursing, Efstathiou & Stamatikis Valioti and Plateon, University of Peloponnese, Sparti, 23100, Greece.

Background: Anxiety combined with nervousness and apprehension consist a focal response to different life conditions. Lifestyle habits, anxiety and biochemical markers are in a constant interaction.

Aim: To investigate the prevalence of anxiety in healthy adults and its possible association with biochemical factors-lipid profile, liver markers, thyroid hormones-and lifestyle habits.

Methods: Quantitative descriptive correlation study. A total of 100 healthy adults participated in the research. A specially designed questionnaire and Hamilton's scale were used. Anthropometric and biochemical analyses were performed.

Findings: Overall, 61% of the participants presented moderate to very serious anxiety. The average score on the Hamilton scale was 13.82 (±9.000), with men exhibiting less stress than women. For p ≤ 0.05: Stress was positively correlated with impaired thyroid and hepatic function. Hepatic function was affected by both sugar products and water melon, which were positively correlated with total bilirubin and AST/SGOT respectively. Tomato, peppers and legumes were negatively correlated with AST/SGOT. Deep fried food was positively correlated with GGT and triglycerides. Legumes and fish were negatively correlated with CPK. Regarding the lipid metabolism, it was found that food cooked with oil was positively associated with uric acid, but non-cooked olive oil was negatively correlated with the risk for CAD. Thyroid function was negatively correlated with non-homemade food and pasta consumption and positively correlated with consumption of whole grains and green tea. Participants with subclinical hypothyroidism seemed to consume less vitamin B12, folic acid and vegetables.

Conclusion: No direct correlation between lifestyle habits and anxiety was found. Nevertheless, eating habits influenced biochemical markers-especially the thyroid hormones-which may be indirectly responsible for anxiety and related moods.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/978-3-319-57379-3_3DOI Listing
April 2018

Quality of Life in Elderly Bladder Cancer Patients Following a Cystectomy.

Adv Exp Med Biol 2017;989:297-300

Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece.

Introduction: Bladder cancer is the ninth most common cancer worldwide. The most common treatment for invasive cancer is radical cystectomy and urinary diversion (ileal conduit, continent urinary reservoir, orthotopic neobladder). In elderly patients, the standards methods of urinary diversion have been the ileal conduit and ureterocutaneostomy. Quality of life is an important consideration for patients with urinary diversion.

Purpose: The purpose of the present study was to review the literature on quality of life in elderly patients with bladder cancer following a cystectomy and urinary diversion.

Material And Method: A literature review was conducted using the electronic databases PubMed and Google scholar covering the period of time from 2006 to 2016. The following key words were entered: "quality of life", "bladder cancer", "elderly" "cystectomy" and a combination thereof. The exclusion criteria for the articles were languages other than English.

Results: It was found that various questionnaires were used. Some instruments measure QoL in general, whereas others are more specific with respect to the unique ways in which urinary diversion can impact patients' lives. Furthermore, some findings are contradictory, with certain results indicating that there is no statistically significant difference between quality of life parameters when comparing patients with a neobladder to those with an ileal conduit. In another study, patients who underwent orthotopic neobladder reconstruction reported significantly better physical functioning, role functioning, social functioning and QoL in general throughout the first postoperative months compared to patients who had ileal conduit formation.

Conclusions: All types of treatment have a number of advantages and disadvantages, the details of which should be explained to elderly patients thoroughly. This calls for comprehensive counseling sessions during which the patient and health professional discuss all relevant considerations.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/978-3-319-57348-9_28DOI Listing
May 2019
-->