Dissertations / Theses on the topic 'Health complaints'
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1
Patterson, Jan. "Consumers and complaints systems in health care /." Title page, contents and summary only, 1996. http://web4.library.adelaide.edu.au/theses/09PH/09php3174.pdf.
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O'Connell, Rhiannon. "Subjective sleep complaints in individuals with mental health problems." Thesis, University of Sheffield, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.323316.
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Altschuler, Rebecca, Gabrielle Caselman, Madison Hinkle, and Julia Dodd. "Anxiety Mediates the Relationship between Sexual Trauma Stigma and Somatic Health Complaints." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/208.
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Existing research demonstrates that sexual trauma victims experience increased risk of adverse health outcomes including cardiovascular disorders, increased risk of chronic pain, and somatic health complaints. Similarly, sexual trauma is correlated with increased risk of adverse psychological effects including PTSD, depression, and anxiety. Perceived stigmatization as a result of sexual trauma has been hypothesized to be a mechanism through which sexual trauma affects health. Sexual trauma stigma (STS) has been found to mediate the relationship between sexual trauma and psychological distress. The experience of stigmatization has also been linked to somatization and is associated with increased anxiety. Similarly, among a sample of participants with a trauma history, adversity and resultant discrimination predicted somatic health complaints with post-traumatic stress symptoms (PTSS) partially mediating this relationship. However, the experience of STS specifically and its effect on somatic health complaints and anxiety has not yet been examined. As anxiety is associated with somatic symptoms, and is often comorbid with PTSS, it may be a mechanism through which STS effects somatic health complaints. Therefore, the current study seeks to examine the relationship between STS and somatic health complaints as well as the potential mediating effect of anxiety.
It was hypothesized that STS would predict somatic health complaints, and that anxiety would mediate this relationship. An international sample of 528 women with a sexual trauma history was recruited via social media (Reddit) and mediation results were found using the “psych” package for RMarkdown (Version 5.2.2) with bootstrapping (5000 samples). Overall, the model was significant R2 = .19, (F(2,1230) = 148.53, p < .01). Regression analyses revealed that sexual trauma stigma was a significant predictor of both anxiety (b = .21, SE = .01, p < .01) and somatic health symptoms (b = .13, SE =.01, p < .01), and that anxiety also predicted somatic symptoms (b = .39, SE = .03, p < .01). Anxiety was found to significantly mediate the relationship between sexual trauma and somatic health symptoms, b = .08, SE = .01, 95% CI [0.06, 0 .11].
Current findings confirm the relationship between sexual trauma stigma and somatic health complaints and identify anxiety as an important mediator of this relationship. Providers should be aware that experiences of sexual victimization are related to feelings of stigmatization and may increase anxiety, impacting somatic health complaints. These findings indicate future clinical implications for trauma informed care within medical settings to better serve women who may experience stigma related to sexual trauma and highlights anxiety as a key target for interventions to reduce somatic symptoms.
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Altschuler, Rebecca, Madison Hinkle, and Julia Dodd. "Medical Mistrust Mediates the Relationship Between Sexual Victimization and Physical Health Complaints." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7334.
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Lundqvist, Linnea. "Socio-demographic variation in sleep difficulties among adolescents in Sweden." Thesis, Stockholms universitet, Centrum för forskning om ojämlikhet i hälsa (CHESS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-107583.
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Psychosomatic health, including sleep, is important for adolescent well-being and daily functioning. Sleep difficulties are more seldom studied per se and whether there is socio-demographic variation in sleep difficulties among adolescents in Sweden is less known. The overall aim of the present study was to examine the frequency and social distribution of sleep difficulties among adolescents in Sweden. The child supplements of the Survey of Living Conditions, a Swedish nationally representative sample of ages 10-18, from years 2002 and 2003 were used (n=2531). Information from adolescents was linked to information from parents in a cross-sectional study design. Based on logistic regression analyses, variation in sleep difficulties was present according to gender, age, family structure, family economy, parent’s unemployment and residential area. No systematic sleep inequality by social class was found in the present study. The main results showed that adolescent girls, older age groups of adolescents, adolescents living in reconstituted families, living in families with a lack of cash margin, having unemployed parents and living in big cities reported sleep difficulties to a greater extent. Social factors, together with biological, psychological and cultural factors interact in explaining the variation in sleep difficulties.
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Hackworth, Naomi Jean, and n/a. "Development and application of a methodology for the evaluation of a health complaints process." Swinburne University of Technology, 2007. http://adt.lib.swin.edu.au./public/adt-VSWT20070928.092053.
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The aim of the current study was to develop and test a methodology that could be
applied to the evaluation of the complaints processes of regulatory bodies of health
professionals in Australia including mental health regulatory bodies such as the board
that the Council of Australian Governments (COAG) are planning to set up to
regulate the psychology profession. The methodology was applied to the evaluation
of the complaints process at the Office of the Health Services Commissioner of
Victoria (HSC). There were four main research questions. The first research
question related to the extent to which the methodology was able to determine how
well the HSC was performing in their role of resolving health complaints. The second
research question explored the implications of the findings of the evaluation of the
HSC complaints process for the management of health complaints in general. The
third research question related to the strengths and limitations of the methodology
when applied in a practical setting and the final research question related to further
improvement of the methodology for future applications. Questionnaires and
telephone interviews were used to examine the experiences of 133 providers and 150
complainants whose complaints had been reviewed and closed in one year. The
methodology proved successful in assessing the performance of the complaints
process at the HSC. The findings of the evaluation indicated that complainants and
providers were generally satisfied with the process by which their complaints were
managed. However, they were in general less satisfied with the outcome. In
particular the evaluation highlighted the unintended negative consequences that
complaints processes can have on the complainants and respondents. It was
concluded that these maladaptive behavioural responses to complaints most probably
have their origins in the negative emotional overlay attached to health complaints
which has the potential to lead to unrealistic expectations of the process and
outcomes on the part of complainants, and maladaptive post-complaint practices for
health service providers. The findings highlight the importance of providing
advocacy and support for the parties involved in health complaints as a means of
minimising these maladaptive responses. Finally, it is acknowledged that these
findings are specific to Australian health regulatory systems.
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Hackworth, Naomi. "Development and application of a methodology for the evaluation of a health complaints process." Australasian Digital Thesis Program, 2007. http://adt.lib.swin.edu.au/public/adt-VSWT20070928.092053/index.html.
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Thesis (DPsych (Health Psychology)) - Faculty of Life and Social Sciences, Swinburne University of Technology, 2007.Submitted as a requirement for the degree of Professional Doctorate in Health Psychology, Faculty of Life and Social Sciences, Swinburne University of Technology - 2007. Typescript. Includes bibliographical references (p. 189-210).
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Valentine, Thomas Robert. "The Role of Affective Health in the Relationship between Cognitive Complaints and Cognitive Performance." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1491524146138446.
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Koistinen, K. (Kati). "Towards tailored mobile mental wellness training programs:a case study of the effects of health complaints." Master's thesis, University of Oulu, 2014. http://urn.fi/URN:NBN:fi:oulu-201408271795.
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Background: Neck problems, tiredness, depression and other mental health problems are nowadays very common. Many people have difficulties addressing their health problems because they don’t have the motivation or ability to change their attitudes and behaviours. It would be important to offer them help and tools so that they would be able to take care of themselves better and improve their well-being.
All sorts of technical equipment such as PC’s, laptops, tablets, and mobile phones have become part of people’s everyday life. There is a lot of potential to use these different technical devices as a tool for providing personal wellbeing programs and applications. These include games, social media and personal health applications.
The Aim of the Study: The aim of this thesis is to study if tailoring a general mobile mental wellness training application for stress management is possible and how it could be done to meet the needs of people who suffer from certain kinds of complaints. It was proposed that if the mobile mental wellness training program would be tailored to offer help for a certain complaint that a person suffers, it would improve user experience and person’s wellbeing.
Methods: This research was an empirical case study. Theoretical part of this study provides a review of articles and other relevant literature. Empirical part of this study consisted of a large questionnaire conducted for the students and employees of the University of Oulu (N=756) as well as user studies conducted for a smaller number of people (N=30) selected based on certain criteria. The user study participants were divided into three different groups according to their complaints: tiredness, depression, and neck problems group. These three complaints were top three according to the results of the background questionnaire. The user study consisted of a user experience study made in laboratory settings as well as a field trial period where the participants used the application independently and their actions were logged. The users were guided to use exercises that were expected to help them with their complaints. User tests were video recorded to prevent data loss.
Findings: The results showed that there weren’t big differences in user experience of the application between different complaint groups. User experience of the application was seen quite positive, but some issues made usage unpleasant, e.g. the application was mentioned being boring. Use of the application did not have an effect on people’s wellbeing. However the two-week long test period did not seem to be long enough. On the other hand, results also showed that people usually suffer from many different complaints at the same time so it is not easy to set people under certain complaint group and tailor health application very specifically for one complaint at time.
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Karlsson, Staffan. "Older people`s public health care and social services : Functional ability, health complaints, agreement in needs assessment and care satisfaction." Doctoral thesis, Lund University, Lund, Sweden, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-30857.
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The overall aim was to describe and compare functional ability and health complaints of older people receiving municipal care in relation to housing and informal care, and factors associated with medical health care, municipal care and informal care. Further, the aim was to investigate agreement in needs assessments between personnel and older people and to investigate care satisfaction and health-related quality of life among older people receiving municipal care and services. Study I and II included 1958 persons aged 65 years and above, who were assessed for functional ability, health complaints, and level of informal and municipal care and service. Study II in addition included data from a register including medical health care. In study III (n=152), standardised needs assessments were performed by the staff. Later, the older person’s view was collected in a personal interview concerning functional ability, health complaints, public and informal care. In addition (Study IV, n=166), SF-12 was used for measuring health-related quality of life and for measuring care satisfaction. Cohabitation was a predictor of a combination of municipal and informal care at home (OR: 5.935), while assistance with Instrumental Activities of Daily Living (IADL) provided by municipal home care and services predicted municipal care only (OR: 0.344). Care in special accommodation was predicted by advanced age (OR: 1.051), dependency in IADL (OR: 19.883), Personal Activities of Daily Living (PADL) (OR: 02.695), and impaired cognitive ability (OR: 3.849) with receiving municipal care only as a reference. Living alone (OR: 0.106), dependency in IADL (OR: 11.348) and PADL (OR: 2.506), impaired cognitive ability (OR: 3.448), impaired vision or blindness (OR: 1.812) and the absence of slowly healing wounds (OR: 0.407) were predictors of special accommodation with a combination of informal and municipal care at home as a reference. 35% of those with public care at home were admitted to hospital and 76% had contact with outpatient care by physician compared to 26% and 87% respectively of those in special accommodation. Living in special accommodation was associated with more contacts with primary health care (B=0.643) and fewer contacts with specialist care (B=-0.722). Informal care was associated with more contacts with primary health care (B=0.413), specialist care (B=0.787), admissions to (B=0.265) and days in hospital (B=1.573). Agreement for dependency in IADL and PADL varied between good (κ=0.78) and moderate (κ=0.43). Poor agreement was found for dizziness (κw=0.17) and fair agreement for impaired hearing, urinary incontinence, pain, anxiety and depressed mood (κw between 0.21 and 0.37). Older persons reported more health complaints than were found in the personnel’s assessments, although significantly lower estimation was found only for incontinence and vision. Agreement for provided public care at home was poor, while for informal care it varied between very good and moderate. Low care satisfaction was associated with dependency in IADL (B=-1.338 and B=-1.630), impaired mobility (B=-12.579), blindness (B=-26.143), faeces incontinence (B=-11.898 and B=-17.529) and anxiety (B=-6.105 and B=-27.197), while high care satisfaction was associated with dependency in PADL (B=2.109) and receiving informal care with IADL from spouse (B=8.738). In special accommodation, low care satisfaction had to do with continuity, timing, the staff’s personal characteristics and with their ability to give service. At home, the older people were the least satisfied with the staff’s ability to do housework and to give medical care, with the staff’s amount of time and with their own influence over their care.Härtill 1 appendix och 4 uppsatser
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Chandler, Helena Kate. "Factors affecting the relationship between trauma and illness behavior." Diss., Virginia Tech, 2002. http://hdl.handle.net/10919/27626.
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Associations between the experience of traumatic events and illness behaviors such as health complaints and healthcare use are reported in recent studies. Posttraumatic Stress Disorder (PTSD) symptoms and diagnosis have been found to mediate this trauma-illness relationship. Differences in health behaviors have additionally been noted in the literature, with trauma victims engaging in more negative health behaviors, which may subsequently affect illness status. Further, illness behaviors such as somatic complaints and healthcare utilization are influenced by modeling and reinforcement of such behaviors. The current study sought to evaluate the contributions of negative health behaviors, illness-related learning history, and PTSD symptoms on trauma victims' health complaints, functional health status, and utilization of healthcare services.
The final sample included 298 undergraduate students at a large southeastern university. Participants provided information about their trauma histories, health behaviors, illness-related learning history and current illness behaviors on group-administered self-report questionnaires. Consent to obtain utilization information from the university health center was also obtained. Hierarchical regression analyses were used to assess the additive contributions of the predictor variables.
The results indicated that health complaints, functional health status, and utilization behavior are each influenced by trauma history, with more illness behavior associated with greater trauma severity. In addition, health behaviors, illness-related learning history and PTSD symptoms all contribute to the prediction of health complaints and functional health status. Utilization behavior, however, was predicted only by trauma history and learning history. Further, the different types of learning history (modeling, reinforcement, priming) appear to affect different illness behaviors. Implications of the study are discussed.Ph. D.
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Duijts, Saskia Francisca Anthony. "Prediction and early intervention in employees at risk for sickness absence due to psychosocial health complaints." Maastricht : Maastricht : Universiteit Maastricht ; University Library, Universiteit Maastricht [host], 2007. http://arno.unimaas.nl/show.cgi?fid=9516.
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Kjellström, Jannike. "Psychosomatic health complaints among adolescents in Stockholm : The role of supportive relations with parents and teachers." Thesis, Stockholms universitet, Centrum för forskning om ojämlikhet i hälsa (CHESS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-104474.
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Family and school are the two major socialization agents for young people with important implications for their social, psychological and cognitive development. This thesis aimed to investigate the extent to which family conditions in terms of parental attachment and support (PAS) and school conditions in terms of participation and teacher support were associated with adolescents’ psychosomatic health. The thesis also explored whether school participation and support (SPS) could compensate for the potentially negative health implications of experiencing poor relational support at home. Association patterns according to gender and grade were also investigated. Data were derived from a classroom survey of all ninth and eleventh-grade students carried out in Stockholm 2006 (n=9,560). Results from linear regression analyses showed that both PAS and SPS were negatively associated with psychosomatic complaints. Gender and grade differences were also noted in respect to PAS and SPS as well as in the interaction between them. The study failed to find a compensatory function of school characteristics for less advantaged students, but modifying effects were nevertheless found. Students with a combination of high PAS and low SPS had worse health than expected, thus indicating that poor condition in school modifies the positive health effect of PAS in a negative way.
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DARAISEH, NANCY M. "A COMPREHENSIVE ASSESSMENT OF UNSAFE WORKING CONDITIONS, MUSCULOSKELETAL SYMPTOMS, AND SUBJECTIVE HEALTH COMPLAINTS AMONG NURSING PERSONNEL." University of Cincinnati / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1085423245.
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Cousins, Wendy Elaine. "Northern Ireland's Health and Social Services complaints systems : is the voice of the child being heard?" Thesis, Queen's University Belfast, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.501249.
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Holmin, von Saenger Isabelle. "Perceived teacher support and student psychosomatic health complaints : Exploring the role of schools' student composition and gender." Thesis, Stockholms universitet, Institutionen för folkhälsovetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-157532.
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Mental health problems have increased among adolescents in Sweden and research suggests that contextual matters could be of importance over and beyond individual socio-demographic characteristics. One such social context is school, where both the student composition of the school and its support can influence student health. This study explored the distribution of psychosomatic health complaints (PHC) and perceived teacher support (PTS) as well as the association between PTS and PHC, across school segregated profiles. It also examined gender differences in these distributions and associations. The study design was cross-sectional, and data came from classroom-surveys within Stockholm municipality of ninth grade students in 2014 (n=4904). Linear regression analyse was applied. Results showed that average levels of PHC varied across school segregation profiles for girls, while PTS varied for both gender. PTS was negatively associated with PHC for all students, while the strength of association varied across school profiles to the benefit of students in the most privileged schools. Gender differences in these associations was also observed. Conclusions were that school context, based on the student composition of the school, and its provided support was linked to psychosomatic health complaints among students in Stockholm and that gender played a role in understanding pathways in these associations.
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Abrahamsson, Klara. "Perceived neighbourhood insecurity and psychosomatic health complaints among adolescents in Stockholm : Exploring district-level and gendered inequalities." Thesis, Stockholms universitet, Centrum för forskning om ojämlikhet i hälsa (CHESS), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-131344.
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The neighbourhood is an essential arena for adolescents’ health development and research suggests that perceived neighbourhood insecurity (PNI) is associated with socio-economic status and self-rated health. The present study explored the distribution of adolescents’ PNI and its association with psychosomatic health complaints across districts. It also examined gender differences and whether family socio-economic position, foreign background and previous exposure to crime could explain part of the association. Data came from classroom-surveys within Stockholm municipality’s 14 districts in 2010, 2012 and 2014 (n=10,291). Linear and logistic multilevel regression models were applied. Results showed that the average level of PNI varied considerably between districts and were strongly connected to its socio-demographic composition. However, individual characteristics in terms of family background and previous exposure to crime only explained a minor part of the variation in PNI across districts. Girls reported more insecurity than boys in all districts. Gender differences in PNI decreased in absolute numbers, but increased in relative numbers, as the overall ‘neighbourhood safety’ increased. Between-district differences in health were minor, but PNI was still a strong predictor of individual-level health, especially for boys. Furthermore, the predictive power of PNI on health was stronger in districts perceived as safer.
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Leuer, Debora Kim. "A comparison study of food facility inspection scores and consumer complaints." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1711.
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Otter, Simon. "Challenging current perceptions : an exploration of the nature and extent of foot complaints in rheumatoid arthritis." Thesis, University of Brighton, 2008. https://research.brighton.ac.uk/en/studentTheses/9f817eb1-6ac0-4496-b10c-d82859092f31.
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The extent and nature of the impact of rheumatoid arthritis (RA) in the feet from the point of view of those with the disease is unknown. Most epidemiological studies of foot involvement in RA have been based upon radiological scoring or the findings of clinicians' examination of feet in clinically based populations. This thesis aimed to explore foot involvement in RA from the perspective of people with the disease integrated with the perceptions of rheumatologists and podiatrists. Three questionnaires were developed de novo through an iterative process of integrating information gained from focus groups, illness narratives and literature reviews. Following piloting, questionnaires sent to participants enquired about symptoms in the feet, the anatomical distribution of those symptoms, and their impact on quality of life from the perspectives of 1040 people with RA, 78 podiatrists and 414 rheumatologists throughout the UK. Additionally, the availability of podiatric services and the usefulness of interventions for foot symptoms and foot function were triangulated from participants. Quantitative data were analysed using SPSS and a process of thematic analysis was used to interpret qualitative data. Results from participants indicated that symptoms due to RA were prevalent in all parts of the foot and ankle but the metatarsophalangeal and ankle joints were most commonly and severely affected. Most people with RA (79%) reported suffering recurrent, moderate or severe foot pain every day. Other symptoms (stiffness, numbness and swelling) were also common. Overall, these findings were greater than those that have been reported previously. Foot complaints were noted to have a profound effect on quality of life, with loss of mobility due to symptoms in the feet, and difficulties finding comfortable footwear, leading to loss of independence, anger, frustration and depression; findings that have not been previously reported in detail. A gap between the need for specialist foot care and receiving such care was highlighted, with a total 82% of respondents having discussed their foot symptoms with their rheumatologist. Amongst these patients 64% had been referred to a podiatrist. Clinicians' assessment practices varied widely both within and between professions. Patients reported that on average rheumatologists examined their hands every 6.2 months, whereas their feet were only examined every 16.5 months; this led some patients to feel that rheumatologists were disinterested in their foot complaints. Additionally, the type of assessment undertaken by clinicians did not fully take account of the issues people with RA were reporting. Issues that were key to patients were quality of life and the ability to participate in valued life activities. Difficulties with obtaining adequate foot health care were noted by those with the disease and clinicians alike. Symptoms in the feet in RA are common, severe and tend to be under-reported by clinicians. Involvement of the metatarsophalangeal joints and ankles is especially troublesome. Motion in these joints is vital for normal propulsive gait. Severe involvement causes reduced mobility and impedes independence with considerable consequences for social integration. Outcome measures that exclude the feet discourage foot examination and thus do not fully account for domains of importance to those with RA. Rheumatologists and podiatrists need to work more closely in order for a more patient-centred service to be developed, where a biopsychosocial approach to foot care would more fully address the needs of people with RA.
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Eriksson, Mia. "A factor analysis-based study of trends in mental health problems among adolescents over a twenty-year period." Thesis, Stockholms universitet, Centrum för forskning om ojämlikhet i hälsa (CHESS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-109024.
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Background: Research points in different directions when looking at possible increases in mental health problems among adolescents. Findings in favor of an increase are questioned due to methodological problems. Aim: Investigating whether mental health problems among young adolescents are increasing over time in Europe and North America. If so, does the trend apply both to mean levels of symptoms and to the proportion of adolescents with substantial problems? Are the time-trends similar over sex and age-categories? Method: A total of 401 089 adolescents from a total of 38 countries are included in the analysis. Based on the eight health variables on self-rated health provided by the HBSC study, a measurement of mental health problems was created using factor analysis in SPSS. Results: Increases of mental health problems were found in Europe and North America. Increases were found both in terms of mean levels of symptoms and to the proportion of adolescents with substantial problems. Increases were seen in all age groups and among both girls and boys. Conclusion: Reasons behind the discovered increases are not known and should be further investigated as extensive research point to severe consequences of mental health problems in adolescence for later life. Key words Adolescents, mental health problems, trends, self-reported health (SRH), psychological health complaints (PHC)
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Sikkema, Kathleen J. "Psychosocial variables in the prediction of somatic complaints with applications to stress-related disorders." Thesis, Virginia Tech, 1988. http://hdl.handle.net/10919/44688.
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In Study 1, 280 undergraduate students (177 female, 103 male) were administered a battery of questionnaires assessing functional somatic symptoms, psychosocial variables, and behavioral responses to health-related situations. Significant predictors of functional somatic symptoms differed for females and males. The amount of stress experienced, perceived susceptibility to illness, perceived barriers to health care and level of pain tolerance were significant predictors for males. Significant predictors for females included perceived susceptibility to illness, amount of stress experienced, and not responding to health-related situations by seeking medical attention. A discriminant analysis correctly classified 21.25% of these groups.
Master of Science
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Grönblom-Lundström, Lena. "Rehabilitation in light of different theories of health : Outcome for patients with low-back complaints - a theoretical discussion." Doctoral thesis, Umeå universitet, Epidemiologi och folkhälsovetenskap, 2001. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-33475.
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The aim of this thesis was to investigate if the outcome of rehabilitation efforts is depending on what view health care has in relation to what need of care people have and if the outcome for different groups of patients with low-back complaints (specific versus non-specific complaints) is various successful. The outcome is measured in length of sick leave, number of spells and granted sickness and disability pensions. This thesis combines a theoretical analysis of different theories of health with studies of two empirical materials. One material comprises a group of individuals with low-back complaints (specific versus non-specific complaints) from a nation-wide survey of Living Conditions conducted by Statistics Sweden in 1981. The other material comprises a sample of individuals on sick leave either due to low-back complaints or other kinds of complaints than low-back complaints. The outcome of these studies are measured as to what extent people with low-back complaints are granted a disability pension (Paper III) and which the characteristics are of those on sick leave due to low-back complaints compared to those with other kinds of complaints (Paper IV). The results from Paper III revealed a difference concerning socio-economic group and granted disability pension between those with specific, non-specific and frequent low-back complaints. Those with non-specific and frequent low-back complaints were to higher extent manual workers and disability pensioners. The results of Paper IV reveals also a socio-economic difference besides that those with low-back complaints had longer sick leave periods and more spells. What does these results indicate? Are non-specific and frequent low-back complaints not successfully treated within the health care system? Is this due to how these matters have been identified? Are these individuals truly disabled due to their low-back complaints, if so how are they assessed and treated? I believe that the notions of health and disease as well as the social context in which people act influence the outcome of rehabilitation. If people judge their health as bad (here due to low-back troubles) and in need of health care and the health care system do not recognise their need when not identified as diseased a problem arises. These individuals claim that their ability to work is hampered due to the low-back complaint and the society has an obligation and needs a legitimate solution for those individuals that cannot support themselves due to ill health. This obligation makes a demand on the health care system. If non-specific complaints are assessed as non-medical problems, from a biomedical point of view, health care lacks measures to take care of these people if they ought to be taken care of within the health care system at all. But this outcome (a disability pension) may also indicate that people suffer from a “true” illness although not defined by objective findings. If that is the state one may ask if there is a lack of sufficient diagnostic procedures and measures as well. A rehabilitation approach stemming from a humanistic social perspective might lead to a more favourable outcome for people with low-back complaints, whether or not these complaints have been identified in a biomedical sense, as this perspective take into account both the goals, the resources and the social context of that individual. This thesis has paid attention to the matter that conceptual notions, which seldom are considered within clinical praxis, are of vital importance for the outcome of rehabilitation. Health care falls short especially when it comes to non-specific and frequent low-back complaints and this may be due to the biomedical model being used too strictly within a domain where other models, here exemplified as Pörn’s Theory of Health, might result in a more favourable rehabilitation outcome for the individual.digitalisering@umu
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Loi, Grahn Jesper. "Work-related stress and psychosomatic complaints : A quantitative study done among working adults in Sweden." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-49382.
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The workplace is an arena that most individuals spend time at. Work-related stress and psychosomatic complaints are problems for the society. Work-related stress has increased in Sweden over the past decades. The aim was to investigate the difference between men and women in work-related stress and psychosomatic complaints among working adults in the Swedish population, and to see if there is a relationship between work-related stress and psychosomatic complaints. The author posted an online survey on Facebook and Discord and 95 adults answered the survey. The result showed that there is a relationship between work-related stress and psychosomatic complaints. Psychosomatic complaints are more common among those who experience more work-related stress. There were no differences between men and women when it comes to work-related stress and psychosomatic complaints. The model Job demand control support model was used in this study. The model is measured with scales such as workload, time pressure and role conflicts. It can be used to see the relationship between job decision latitude and stress indicators. Psychosomatic complaints are more common among those who experience more stress. There are no differences between men and women when it comes to psychosomatic complaints and work-related stress.
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Quaye, Emmanuel. "Relevance of a Healthy Change Process and Psychosocial Work Environment Factors in Predicting Stress, Health Complaints, and Commitment Among Employees in a Ghanaian Bank." Thesis, Norges teknisk-naturvitenskapelige universitet, Psykologisk institutt, 2010. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-11899.
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This thesis was intended to examine the effect of the healthiness of change process and psychosocial work environment factors in predicting job stress, health complaints and commitment among employees in a Ghanaian bank (N=132), undergoing organizational change. The change process was measured in terms of dimensions from the Healthy Change Process Index (HCPI) and the psychosocial work environment was measured by the Demands-Control-Support (DCS) model. Hierarchical regression analyses revealed that each of the three HCPI dimensions predicted a specific outcome variable. Specifically, early role clarification predicted health complaints; constructive conflicts predicted stress, whereas manager availability predicted commitment. In terms of the DCS factors, demand was salient in predicting both stress, and health complaints, but not commitment. Control and support predicted health complaints, but not stress. Support predicted commitment, and also mediated the effect of manager availability on commitment. Notably, each of the three HCPI dimensions proved relevant in the Ghanaian banking sector but corporate decision makers, change leaders, and HR practitioners ought to concentrate effort on particular HCPI dimensions if they wish to influence stress, health complaints and commitment during workplace changes. Furthermore, the psychosocial work environment ought to be regularly monitored to ensure that these bankers work under reasonable levels of demands, have high control and receive more support if their psychosocial health during change is to be enhanced. In sum, the HCPI and the DCS models proved useful in this case from the Ghanaian banking sector. However, more research within a similar occupational setting will be essential in order to further validate the relevance of these models.
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Holmberg, Kirsten. "Health Complaints, Bullying and Predictors of Attention-deficit/Hyperactivity Disorder (ADHD) in 10-year-olds in a Swedish Community." Doctoral thesis, Uppsala universitet, Pediatrik, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-100928.
Full textAbstract:
Attention-deficit/hyperactivity disorder (ADHD) is one of the most common behavioural disturbances in school children. The aims of this thesis were to explore the association of ADHD with recurrent health complaints and bullying behaviour in children in grade four, and to evaluate whether it is possible to predict ADHD in grade four by screening before or at school entry. Cohort study in a population of 577 fourth graders (10-year-olds) in Sigtuna, a municipality in Stockholm County. All children were screened for attention and behaviour problems by parents and teachers in fourth grade. In a second step children with high scores underwent further clinical and cognitive assessments. Information about health complaints and bullying was collected from the children themselves in a classroom questionnaire. Hypotheses were tested in multivariate analyses with adjustment for sex and parental education. Screening with developmental indicators and Conners scale from routine child health services was performed. Sensitivity, specificity and positive predictive value for being diagnosed with ADHD in fourth grade was calculated. Recurrent abdominal pain, sleeping problems, and tiredness were associated with ADHD (adjusted relative risks: 2.2 [1.4-3.4], 1.7 [1.1-2.7], and 2.7 [1.7-4.1] respectively). ADHD was associated with bullying others students (adjusted odds ratios; 3.8 [95% C.I.: 2.0-7.2]) as well as being bullied (often 10.8 [4.0-29.0] and sometimes 2.9 [1.5-5.7]). The predictive value of developmental deviations for ADHD was no more than 20% and 50% when combining a Conner score of at least 10 from both parents and teachers. This thesis demonstrates a connection between ADHD in one as well as two settings (home and school), health complaints, and bullying in school children. Treatment strategies for ADHD need to include an effective evaluation and treatment of health complaints and effective interventions for bullying. Evaluation of ADHD should be considered in children with recurrent health complaints and in children involved in bullying. Screening does not identify children who are diagnosed with ADHD in grade four with a high degree of selectivity. It may be more important for schools to have an effective strategy for identifying and dealing with children who develop ADHD when these problems evolve, rather than before school entry.
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Lee, Robert Henry. "Comments, compliments and complaints : the use of patient feedback in the management of hospitals in the National Health Service in England." Thesis, King's College London (University of London), 2015. http://kclpure.kcl.ac.uk/portal/en/theses/comments-compliments-and-complaints(f800a5ff-be32-48e6-875e-76b3b38a091a).html.
Full textAbstract:
Feedback from patients has become increasingly important in the provision of health care and the management of health services in many countries in the last 30 years. Government policy in England and the published research literature from different countries have focused more on the collection than on the use of patient feedback. There are significant gaps in the research literature relating to the ways in which patient feedback is used in the management of health services. The purpose of this research is to examine how feedback from patients is (or is not) used in the management of hospitals in the National Health Service in England. This thesis contains the results of a qualitative study of the use of patient feedback in two purposively selected NHS foundation trusts in England. Data were collected through interviews with managers, from government and Trust documents and websites, and through the observation of meetings. The findings show that qualitative feedback about patients’ subjective experience of their illness and services is used by managers to engage with and motivate staff, but that the quantified results of surveys are used to establish criteria and standards for service improvement. Although compliments and commendations by patients are used to praise staff they are not used to help set explicit standards for service improvement. Boards of directors sometimes use feedback from patients to help set strategies for quality improvement, but appear not subsequently to use that feedback explicitly to monitor the implementation of these strategies or assure the quality of services. The thesis fills gaps in the published literature by demonstrating that, although patient feedback is used in a variety of ways in the management of staff and in the development of strategies to improve the quality of services, managers in general and boards of directors in particular do not always use that feedback systematically to assure and improve the standards of service for patients.
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Carlsund, Åsa. "Children`s Mental Health -with focus on family arrangements." Doctoral thesis, Mittuniversitetet, Avdelningen för omvårdnad, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-19759.
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The main aim of this thesis was to study children’s mental health with focus on family arrangements. The thesis was based on four studies (I-IV). Study number I, III and IV were quantitative studies with cross sectional design, using the Swedish version of Health behaviour in School- aged children (HBSC), including children aged 11, 13 and 15 years. The data was analysed with multiple linear regression analysis (I) and multivariate logistic regression analysis (III, IV). Study II was of qualitative descriptive design, based on 28 interviews with parents living in shared physical custody with their children. The qualitative study was analysed with inductive latent content analysis. Study I showed that lower levels of SHC and higher levels of SWB were associated with higher degrees of social capital in the family, school and neighbourhood. Social capital in family, school and neighbourhood had a cumulative influence on children’s SHC and SWB. In study II the participating parents described their own as well as the perceptions of their children and former partners. Parents’ perceptions changed from the beginning of shared physical custody, through the current situation, ending with perception of the future. The fifteen year old boys and girls (III) living in shared physical custody were more at risk of being a smoker or having been drunk compared with children living in two parent families. The results of sex <15 years and conduct problems showed that the risks didn’t differ significantly between these two groups. Study IV showed that children living in shared physical custody with their parents were more likely than children in two parent families to report multiple SHC, and low SWB. The variable of communication did not moderate the SHC and SWB of the children in any of these two groups. This thesis contribute with new and deeper understanding of the relatively new phenomenon: shared physical custody, and its associations to children’s mental health. The parent’s perceptions were an important complement to the children’s self reported health. In order to influence the decreasing mental health among children and adolescents, their opinions contributes to further understanding. Narratives from children, parents and practitioners are required in order to further study the association between children’s health outcomes and different family arrangements. Additional studies are needed to clarify how children’s mental health and different family arrangements are related to school, community economy, and society.Avhandlingens huvudsyfte var att studera barns mentala hälsa med fokus på familjekonstellationer. Fyra olika studier ligger till grund för avhandlingen (I-IV). Studie I, II och IV var kvantitativa studier med tvärsnittsdesign. Datamaterialet utgjordes av den svenska versionen av Health Behaviour in School- aged Children (HBSC) (Svenska skolbarns hälsovanor). De deltagande barnen var i åldrarna 11, 13 och 15 år. Datamaterialet analyserades med hjälp av multipel linjär regressions analys (I) samt multivariat logistisk regressionsanalys (III, IV). Studie II var av kvalitativ karaktär och baserades på 28 intervjuer med föräldrar som bodde växelvis boende med sina barn. Den kvalitativa studien analyserades med hjälp av induktiv latent innehållsanalys. Studie I visade att lägre nivåer av SHC (subjektiva hälsobesvär) och högre nivåer av SWB (subjektivt välbefinnande) hade ett samband med högre nivåer av socialt kapital i familjen, skolan och närområdet. Socialt kapital i familjen, skolan och närområdet hade en kumulativ effekt på barnens självrapporterade SHC och SWB. I studie två beskrev de deltagande föräldrarna sina egna upplevelser, samt upplevelser relaterat till barnen samt och den före detta partnern. Föräldrarnas upplevelser förändrades från den första tiden av växelvis boende till nuvarande situation och avslutades med tankar om framtiden. De växelvis boende femtonåriga pojkarna och flickorna i studie III rapporterade ökad risk för att vara såväl rökare som att ha varit berusade jämfört med 15- åringarna i traditionella familjer. Resultaten avseende sex <15 år samt beteendeproblem visade inga signifikanta skillnader mellan dessa två grupper. Studie IV visade att barn som bodde i växelvis boende rapporterade fler subjektiva hälsobesvär och lägre välbefinnande jämfört med barn i traditionella familjer. Kommunikationsvariabeln hade ingen modererande effekt på någon av dessa båda grupper. Föreliggande avhandling bidrar med såväl ny som fördjupad kunskap för det relativt nya fenomenet, växelvis boende, och dess relation till barns mentala hälsa. Föräldrarnas upplevelse var ett viktigt bidrag till barnens självrapporterade hälsa. För att kunna påverka barn och ungas rapporter om allt sämre mental hälsa, är deras åsikter ett viktigt inslag för ökade kunskaper inom området. Vi behöver barns, föräldrars och yrkesverksammas åsikter för att vidare kunna studera relationen mellan barns hälsoutfall och olika familjekonstellationer. Vi behöver också veta mer om olika familjekonstellationers relation till skolan, närområdet samt det övriga samhället.
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Petersen, Wendy. "Encounters with problems and challenges and the formal complaints mechanism in public health: Accounts and perceptions of a set of junior health professionals during early employment experience." Master's thesis, Faculty of Humanities, 2019. http://hdl.handle.net/11427/31028.
Full textAbstract:
The South African health system consists of partly privatized and partly public health care. It is the latter that is responsible for the wellbeing of the majority of the South African population. It is also the latter however that faces multiple challenges. Of these are challenges relating to working hours, staff to patient ratio, and burnout, as well as the availability of resources / equipment; supervision and training and the experiences of bullying. Moreover, research shows that while the working conditions / contexts as well as the availability of supervision that junior healthcare professionals work in and have access to has been studied extensively in both Northern and Southern literature; the bullying experienced by junior doctors and other junior health professionals have been extensively studied in Western literature with very little being done to study this phenomenon. Further, very little has been done to study questions pertaining to the mechanisms of laying complaints about these challenges in the South. Against this background, the thesis was concerned to explore experiences and perceptions of laying complaints to supervisors and the largest health regulatory body in South Africa, the Health Professions Council of South Africa (HPCSA). The thesis used semi-structured interviews to interview six junior healthcare professionals who are registered and thus regulated by the HPCSA in South Africa and who are in the process of or who have recently completed their compulsory year/s of internship / community service in any public hospital in South Africa. This was done in order to explore their accounts and perceptions of challenges and complaints mechanisms pertaining to these challenges in their first postgraduate years. The public health system in South Africa is still rife with many challenges. My research found that according to their own accounts, junior healthcare workers encounter these as direct challenges in their everyday experience. They bear the brunt of these by having to deal with major burnout associated with long working hours and understaffing. It also shows that their account is that there is a lack of much needed resources and equipment and that challenges associated with this often have dire consequences for both them and their patients. Further, my research showed that they continue to feel that they are not being properly trained and supervised and that they do indeed face many challenges relating to bullying behavior by senior health professionals. Connected to this, my research showed that despite being aware of the complaints mechanisms in place, these junior healthcare workers often have had negative experiences with laying complaints and / or have negative perceptions about complaint mechanisms such as their supervisors and the HPCSA. In sum, the findings show that these challenges sustain and exacerbate each other in a vicious cycle in South Africa. While the sample used in this research was based in issues of access and availability and is not representative, these patterns and themes emerged consistently and thus warrant further investigation both in themselves and as possibly representative of what is happening in the medical profession in South Africa.
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Santos, Emmylou C. "Effects of patient and physician gender on the assessment of a medical complaint." Scholarly Commons, 2003. https://scholarlycommons.pacific.edu/uop_etds/2725.
Full textAbstract:
This study investigated the effects of gender, both patient and physician, on how a medical complaint is perceived and acted upon by health professionals. A 2 x 2 factorial design was used, with gender of physician and patient as the two factors, respectively. The participants were physicians (M.D.s) who were recruited by approaching local hospitals/clinics and requesting their participation in the research. They were asked to respond to a patient vignette and a questionnaire assessing the physician's beliefs about and intentions toward the patient. Using a 2 x 2 ANOVA with a specified .05 significance level, no statistically significant differences were found in the assessment of the perceived seriousness of a medical complaint, in the aggressiveness of the work-up provided, and in the diagnoses given to patients. The findings from this study are of value in exploring the existence of gender bias in the medical setting. The absence of gender bias, as it occurred in this study, is an encouraging finding for members of the health care community.
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Surridge, Karen Suzanne. "Do individuals in mental health neurological outpatient and non-clinical populations have distinct profiles on the common cognitive complaints checklist (CCCC)?" Thesis, University of Birmingham, 2013. http://etheses.bham.ac.uk//id/eprint/4143/.
Full textAbstract:
Objectives: To use the Common Cognitive Complaints Checklist to provide base-rate data of common cognitive complaints in non-clinical individuals; and to identify common cognitive complaints that discriminate between three populations: non-clinical, mental health, mixed-neurological. Methods: 133 volunteers, recruited from three populations (non-clinical, mental health, mixed-neurological), completed measures of psychological distress, cognitive complaints and intellectual functioning. Results: The mental health group reported significantly higher levels of distress, and individuals with higher levels of distress tended to report more cognitive complaints. Base-rate data was established by calculating patterns of endorsement in the non-clinical group, providing a profile of ‘normal’ reporting. Three discriminant function analyses were applied, which performed excellently, revealing 26 items that maximally discriminated between the groups. Conclusions: The base-rate data revealed that it was unusual for individuals in the non-clinical group to report cognitive complaints occurring very frequently. These data could help clinicians determine whether or not the frequency of any complaint is ‘normal’. The calculated discriminant functions for the 26 identified items could be used to plot probabilities of responses falling within each of the three populations, helping clinicians determine the population in which their patients’ responses are likely to fall. Strengths and limitations are discussed along with suggestions for future research.
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Allen, Sarah. "An investigation into the psychobiological mechanisms underpinning the relationship between type D personality and physical health complaints in the general population." Thesis, Northumbria University, 2017. http://nrl.northumbria.ac.uk/36219/.
Full textAbstract:
Type D personality is characterised by high levels of social inhibition and negative affectivity, and is traditionally associated with poor prognosis and negative outcomes in cardiac patients. Research has also demonstrated links between Type D personality and adverse health outcomes among other clinical populations, and in apparently healthy individuals. A number of psychophysiological mechanisms have been suggested to underpin the relationship, including sympathetic dysregulation and maladaptive immune activation. However, previous findings are relatively inconclusive, and further exploration of potential psychobiological mechanisms is warranted. This project therefore aims to elucidate the potential mechanisms underpinning the relationship between Type D personality and poor physical health in the general population. In the current project, physical symptom clusters were derived from an existing tool designed to assess everyday health complaints, in order to ascertain the relationship between specific physical symptom clusters and Type D. Subsequently, a cross-sectional online questionnaire-based study was conducted to assess the associations between Type D personality and physical symptoms, in addition to a number of psychological and behavioural outcomes identified in the literature. Relationships between Type D and specific stress-related symptom clusters were observed. Subsequently, a one-year follow up was conducted to determine the dynamic nature of the Type D-health relationship and the potential mediating factors involved. Type D was related to metabolic, gastrointestinal and cold/flu symptom clusters, and anxiety and stressful life events were found to play mediating roles. Given the findings regarding Type D and stress-related symptoms, the subsequent phase of the project comprised an experimental study, which objectively examined sympathetic arousal in response to an acute stress task, in addition to inflammatory activation. Findings indicated that sympathetic dysregulation may be involved in the Type D-health relationship. Finally, a positive writing intervention was implemented to assess whether the influence of Type D on physical symptoms may be attenuated by means of increasing positive emotions. The utility of the intervention was demonstrated for reducing cold symptoms in Type D individuals over one month. Overall, this project provides novel contributions to the literature on Type D and adverse health, demonstrating links with specific symptom clusters, further evidence of a potential mechanism of sympathetic dysregulation and the value of a positive psychology invention in Type D individuals.
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Barauskytė, Eglė. "Kauno technologijos universiteto informatikos studentų darbo kompiuteriu ypatumai bei jo sąsajos su sveikata." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140611_140907-08896.
Full textAbstract:
Darbo tikslas - įvertinti Kauno technologijos universiteto informatikos studentų darbo kompiuteriu sąsajas su sveikata
Darbo uždaviniai
1. Aprašyti pagrindinius studentų darbo kompiuteriu rodiklius
2. Įvertinti studentų sveikatos nusiskundimų ir darbo kompiuteriu sąsajas
Darbo metodika. Tyrimo objektas – KTU informatikos fakulteto studentai (bakalauro studijos). Darbo kompiuteriu ir sveikatos sąsajos buvo tiriamos atliekant anoniminę anketinę apklausą. Tyrimas buvo vykdomas KTU elektronikos rūmų patalpose, paskaitų, seminarų bei pertraukų metu. Surinktos 272 respondentų užpildytos anketos (atitiko imties dydį). Duomenys buvo apdorojami SPSS 21.0 programa. Analizės metu buvo lyginami vidurkiai, skaičiuojami koreliacijos koeficientai ir galimybių santykiai.
Rezultatai. Daugiausiai laiko prie kompiuterio studentai praleidžia laisvalaikio tikslais savaitgalį, o mažiausiai – taip pat savaitgalį, tačiau mokymosi tikslais. Vaikinų ir žemesnio kurso studentų grupės nurodė didesnę laisvalaikio trukmę. Laisvalaikiu studentai dažniausiai žiūri filmus (89,3 proc.), o mokymosi metu dirba programomis (97,1 proc.). Moterys dažniau lankosi pokalbių svetainėse, o vyrai ir žemesnio kurso studentai žaidžia žaidimus. Dauguma studentų laisvalaikio metu sėdi prie stalo. Šią pozą pasirinko didesnė vyrų dalis, o sėdėjimą ant kito baldo – didesnė dalis moterų. Šio tyrimo metu nustatyta, kad 66,5 proc. respondentų dirbdami kompiuteriu nurodė jaučiantys regos, 64 proc. – skeleto - raumenų, 9,2 proc... [toliau žr. visą tekstą]The aim of the research – to evaluate the peculiarities of informatics students working on the computer and its relationship to the health of Kaunas University of Technology. To achieve this aim the following objectives have been raised 1. To describe students’ working on the computer main indicators. 2. To assess students’ health complaints and computer interfaces. Methods of the present research. The subject of investigation is the students of the department of informatics of KTU (bachelor studies). Computer and health interfaces have been investigated by anonymous questionnaire survey. The study was carried out in the premises of Electronics House of KTU during lectures, seminars and breaks. There were taken 272 filled questionnaires (it matched the sample size). The taken data were processed by SPSS 21.0 program. In the present investigation there were compared the averages, calculated the coefficients of correlation and the ratios of odds. The results. The majority of time students spend at the weekend for their leisure at the computer, but at least – as well as the weekend but for the learning purposes. The groups of boys and lower course students had shown a higher proportion of leisure time. Most frequently students watch films (89,3 percent) at their leisure time while learning they use various programs (97,1 percent). Women are visiting online chat rooms and men and lower course students are playing games. The most of students are sitting to the table on their... [to full text]
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Jangland, Eva. "The Patient–Health-professional Interaction in a Hospital Setting." Doctoral thesis, Uppsala universitet, Institutionen för kirurgiska vetenskaper, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-151420.
Full textAbstract:
The overall aim of the thesis was to describe patient−health-professional interactions in a hospital setting, with a specific focus on the surgical care unit. The thesis consists of four studies and includes both qualitative and quantitative studies. Content analysis and phenomenography were used in the qualitative studies; the quantitative study was an intervention study with a three-phase quasi-experimental design. The findings of study I showed that patient complaints to a local Patients’ Advisory Committee about negative interactions with health professionals most often concerned the perceived insufficiencies of information, respect, and empathy. The findings of study II showed that experiences of negative interactions with health professionals caused long-term consequences for individual patients and reduced patients’ confidence in upcoming consultations. The findings of the phenomenographic study (III) showed that surgical nurses understand an important part of their work in qualitatively different ways, which can be presented as a hierarchy of increasing complexity and comprehensiveness. In the most restricted understanding, surgical nurses focus on the work task, whereas in the others surgical nurses demonstrate increasing degrees of patient-centeredness. Finally, the results of study IV showed that an uncomplicated intervention that invited patients to express their daily questions and concerns in writing (using the ‘Tell-us card’) improved the patients’ perceptions of participation in their care in a surgical care unit. For further implementation of the Tell-us card to succeed, it needs to be prioritized and supported by leaders in ongoing quality improvement work. The value of a patient-focused interaction needs to be the subject of ongoing discussions in surgical care units. Patients’ stories of negative interactions could be used as a starting point for discussions in professional reflection sessions. It is important to discuss and become aware of different ways of understanding professional interactions and relationships with patients; these discussions could open up new areas of professional development. Providing patients an opportunity to ask their questions and express their concerns in writing, and using this information in the patient−health-professional interaction, could be an important step towards improved patient participation.
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Brubaker, Jennifer Ann. "Sleep and Health Related Quality of Life in Children with Cardiac Disease." Case Western Reserve University School of Graduate Studies / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1323311423.
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Su, Lijin. "Peer Victimizationand SubjectiveHealth-Acomparisonbe- tween students with and without disabilities in Sweden." Thesis, Jönköping University, HLK, CHILD, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-51706.
Full textAbstract:
Bullying can have a negative impact on children’s development andmental health. Studentswith disabilities aremore likely to be targeted for bullying than studentswithout disabilities. In particu- lar, studies have shown that studentswith disabilities are at greater risk of bullying than students without disabilities. In addition, childrenwithdisabilities have higher riskof lowsubjective health. Results showed that therewere significant differences in the dependent variables among four dif- ferent groups of bullying participants (disabled victims, victimswithout disabilities, non victims with disabilitiesandnon-victimswithoutdisabilities).Non-disabledstudentswhowere not bullied had the highest level of subjective health,while the subjective health of disabled students who are not bullied is higher than that of disabled students who are bullied and non-disabled students who are bullied. Thismeans that as the risk of exposure to bullying increases, the subjective health of childrenwith disabilitieswillbefurther lower.Childrenwithdisabilities alone have higher life satisfaction than those with disabilities who and bullied and have higher life satisfaction than those bullied without disabilities. And childrenwithdisabilities aremore likely to report somatic and psychological symptoms than childrenwithout disabilities.Children who were bullied reportedmore somatic symptoms than childrenwho were not bullied. Therefore, schools should establish student violence prevention interventions to reduce peer victimization regardless of students’ disabilities.
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Vitartaitė, Indrė. "Studentų fizinio aktyvumo ir miego kokybės sąsajų su sveikatos nusiskundimais tyrimas." Bachelor's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130910_100204-64740.
Full textAbstract:
Darbo objektas: Fizinio aktyvumo ir miego kokybės sąsajos su sveikatos nusiskundimais.
Darbo tikslas: Įvertinti sąsajas tarp studentų fizinio aktyvumo, miego kokybės ir sveikatos nusiskundimų.
Hipotezė: Mažiau fiziškai aktyvūs studentai pasižymi blogesne miego kokybe ir dažnesniais sveikatos nusiskundimais.
Uždaviniai:
1. Palyginti LSMU ir kolegijos studentų fizinio aktyvumo lygį, miego kokybę, mokymosi trukmę, patiriamą distresą, žalingus įpročius, vidinės darnos lygį ir sveikatos nusiskundimų dažnį.
2. Įvertinti sąsajas tarp studentų miego kokybės ir sveikatos nusiskundimų, patiriamo distreso, mokymosi trukmės, vidinės darnos lygio.
3. Įvertinti sąsajas tarp studentų fizinio aktyvumo lygio ir miego kokybės, sveikatos nusiskundimų, patiriamo distreso, nuovargio mokymosi procese, vidinės darnos lygio, žalingų įpročių.
Tyrimo imtis ir organizavimas: Momentinė anketinė apklausa buvo vykdoma 2012 m. spalio – lapkričio mėn. Viso apklausta 150 LSMU medicinos ir 150 Kauno kolegijos vadybos ir kraštotvarkos studentų.
Rezultatai: Žemu fizinio aktyvumo lygiu (mažiau nei kartą per savaitę) pasižymėjo 47,3 proc. LSMU ir 34,0 proc. kolegijos studentų (p = 0,004 ). 56,1 proc. kasdien sportuojantys studentai skundėsi miego trūkumu, tuo tarpu mažiau nei kartą per savaitę sportuojančių studentų tarpe miego trūkumu skundėsi 68,9 proc. (p = 0,04). Su blogesne miego kokybe patikimai siejosi neigiamas savo sveikatos vertinimas (p < 0,0001), silpna vidinė darna (p < 0,0001), kaklo skausmai (p < 0... [toliau žr. visą tekstą]Work object: physical activity and sleep quality associations with healh complaints. The aim of the work: to eveluate associations between physical activity, sleep quality and health complaints among students. Hypothesis: Less physically active students have poorer sleep quality and more frequent health complaints. The tasks: 1. To compare physical activity level, sleep quality, learning time, experienced distress, addictions, internal coherence level and frequency of health complaints between LUHS and college students. 2. To eveluate links between students sleep quality and health complaints, experienced distress, learning time, internal coherence level. 3. o eveluate links between students physical activity and sleep quality, health complaints, experienced distress, fatigue in the learning process, internal coherence level, addictions. Research process and the organization: instant questionnaire survey was carried out in October and November in 2012. There were questioned 150 medical students of LUHS and 150 management and landscape students of Kaunas college. The results: low level of physical activity was prevalent in 47, 3% among students of LUHS and 34,0 % students of college (p-0,004). These students go in for sports less than once a week. 56, 1 % students who go in for sports every day complained about the lack of sleep. While 68, 9 % (p=0,04) students who go in for sports less than once a week complained about the lack of sleep. According to poorer sleep quality... [to full text]
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Didrikaitė, Eglė. "Vidurinių mokyklų moksleivių psichosocialinių rizikos veiksnių, neracionalios mitybos ir sveikatos nusiskundimų sąsajų tyrimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130613_110246-99260.
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2012 m. rugsėjo, spalio ir lapkričio mėnesiais buvo atlikta trijų Kauno m. vidurinių mokyklų 6, 7, 8, 9 ir 10 klasių moksleivių anoniminė anketinė apklausa, kurios metu buvo apklausti 446 moksleiviai (230 mergaičių ir 216 berniukų). Klausimynas buvo sudarytas iš klausimų, susijusių su patiriamu priekabiavimu mokykloje, taip pat tyrėme ar moksleiviai turi sveikatos nusiskundimų: galvos skausmą, skrandžio ir pilvo skausmą, liūdesį, nerimą, blogą nuotaiką, nemigą, nervinę įtampą ir t.t. Moksleivių psichologinei būsenai įvertinti buvo įtraukta jau aprobuota A. Antanovsky vidinės darnos sutrumpinta 13 teiginių skalės versija. Potrauminio streso simptomai buvo vertinami Įvykio poveikio skale. Taip pat tyrėme moksleivių suvartojamų, kai kurių maisto produktų dažnį, buvome įtraukę tokius maisto produktus: alkoholiniai, energetiniai ir saldūs gazuoti gėrimai, bulvių traškučiai, saldainiai, šokoladai, picos, mėsainiai, šaldyti pusfabrikačiai, švieži vaisiai ir daržovės, košės, natūralios vaisių sultys, mėsa, žuvis ir t.t. Statistinė duomenų analizė atlikta naudojant kompiuterinį SPSS 15.0 for Windows versijos statistinį duomenų analizės paketą ir Microsoft Office Excel.In 2012. September, October and November have been carried out an anonymous questionnaire in three high school between 6, 7, 8, 9 and 10th grade student; there was questioned 446 students (230 girls and 216 boys). The questionnaire consisted of questions related to school bullying also investigated whether students have health complaints: headaches, stomach and abdominal pain, sadness, anxiety, low mood, insomnia, nervous tension, etc. To evaluate psychological state of pupils was used an approved A. Antonovsky Sense of Coherence condensed statements 13 scale version. Post-traumatic stress symptoms were rated by using Event scale. Also it was investigated frequency of students' usage of some food; there were added these foods: alcohol, energy and sweet fizzy drinks, crisps, sweets, chocolates, pizzas, burgers, frozen semi-finished goods, fresh fruits and vegetables, cereals, natural fruit juices meat, fish, etc. Statistical analysis was performed by using a computer SPSS for Windows version 15.0 statistical package and Microsoft Office Excel.
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Roos, Susanne. "Living with coeliac disease beyond the diagnosis." Doctoral thesis, Linköpings universitet, Hälsa, Aktivitet, Vård (HAV), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-71898.
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Introduction: Studies show that women living in Sweden treated for coeliac disease have lower subjective health than other women. After showing signs of remission, adults who have coeliac disease and follow a gluten-free diet, are expected to handle the treatment without any further planned follow-up by health care. Aim: The overall aim of this thesis was to study aspects of living with coeliac disease in adults in the years beyond the diagnosis. Methods: Quantitative methods were used in Studies I, II and III. A qualitative content analysis was performed in Study IV. Results: The results show that women with coeliac disease have a lower level of well-being than men with coeliac disease. The women who have coeliac disease reported a high rate of gastrointestinal symptoms, although they followed a gluten-free diet, and they visited health care services more frequently than women who did not have coeliac disease. A low rate of gastrointestinal symptoms, a positive self-image and few comorbidity emerged as factors that positively affected well-being. Worries also seemed to be a companion of women diagnosed with coeliac disease in adulthood, typically evident when socializing with others. Conclusion: This thesis may provide evidence questioning the validity of declaring all women with coeliac disease showing a normalized intestinal mucosa to be in remission, and thus leaving them to self-management. Clinical implications: Health care professionals need to be aware of that the transition to a gluten-free life may vary for individuals. It does not seem enough to follow a gluten-free diet to reach a state of good well-being for all women. A major task for health care providers is therefore to support women with CD in reaching better subjective treatment outcomes. The results may also contribute to that health care system develops routines in order to optimise the care and treatment of these patients.
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Narušytė, Gintarė. "Vartotojų skundų, pateiktų Valstybinei maisto ir veterinarijos tarnybai, analizė." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130618_094748-36506.
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Maisto sauga vienodai svarbi visoms institucijoms, susijusioms su žaliavų ir maisto produktų gamyba, pardavimu, apdorojimu bei kitokiu tvarkymu. Su maistu susijęs verslas turi būtų vykdomas pagal tinkamą maisto saugos valdymo programą, kuri sudaroma atsižvelgiant, pirmiausia, į verslo vaidmenį maisto grandinėje. Laikotarpiu nuo 2001 iki 2011 m. vidutiniškai kasmet bendras skundų skaičius padidėdavo 142 skundais arba 7,54 proc. per metus, t.y. 2001 metais buvo pateikti 1328 skundai, o 2011 metais - 2748 skundai.Food safety is equally important for all bodies concerned with raw materials and food production, marketing, processing and other processing. For food-related business should be conducted in accordance with proper food safety management program which shall be based, in particular, the role of business in the food chain. In the period from 2001 to 2011 the average annual increases in the total number of complaints received was 142 complaints, or 7.54 percent per year, 2001 year have been made 1328 complaints and in 2011 - 2748 complaints.
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Hansen, Kevin E. "Analyzing the effect of complaints, investigation of allegations, and deficiency citations on the quality of care in United States nursing homes (2007 – 2012)." Scholar Commons, 2015. http://scholarcommons.usf.edu/etd/5697.
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The quality of care in nursing homes has been evaluated from many varying perspectives, but few studies have analyzed quality in light of complaints made to state survey agencies by residents, their family members, or other individuals interacting with the nursing home. This study analyzed complaints, investigation of complaint allegations, and complaint-related deficiency citations to determine their effect, if any, on the quality of care in nationwide nursing homes. Using the Online Survey Certification and Reporting (OSCAR) survey dataset for facility characteristics and the complaint investigation dataset for outcomes of complaint investigation, analyses conducted included descriptives, correlations, conceptual mapping for complaint-related deficiencies, chi-square tests of independence, t-tests, and generalized estimating equations. At baseline, approximately 66% of nursing homes were for-profit and roughly 53% belonged to a chain membership, while the average percent of residents receiving Medicaid for care reimbursement was 60%. Results indicated that nursing homes differed significantly by profit status and chain membership on whether a complaint was received and whether a deficiency citation was issued following a complaint investigation. Additionally, certain facility and resident-aggregated characteristics, as indicated by odds ratios, were associated with an increase in the likelihood of receiving a complaint or a complaint-related citation. With respect to facility characteristics, for-profit nursing homes and those nursing homes belonging to a chain membership were found to have more complaints and more complaint-related deficiency citations than nonprofit nursing homes and non-chain facilities. Resident-aggregated characteristics, such as a nursing home having more residents restrained, more residents with a catheter, or more residents with a diagnosis of depression, indicated a greater likelihood of receiving a complaint or complaint-related deficiency citation in longitudinal analyses. While additional research could aid in interpreting the effect of complaints on quality of care in nursing homes, study results indicate several facility and resident-aggregated factors that may aid in better understanding of quality of care and improve the training of surveyors and nursing home staff to improve quality of care for residents.
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Girbig, Maria, Stefanie Deckert, Christian Kopkow, Ute Latza, Madeleine Dulon, Albert Nienhaus, David Groneberg, and Andreas Seidler. "Work-related complaints and diseases of physical therapists – protocol for the establishment of a “Physical Therapist Cohort” (PTC) in Germany." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2014. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-147087.
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Background: Only few studies deal with the workload of physical therapists and the health consequences, although this occupational group is quite important for the health care system in many industrialized countries (e.g. ca. 136 000 people are currently employed as physical therapists in Germany). Therefore, the current state of knowledge of work-related diseases and disorders of physical therapists is insufficient. The aim of the "Physical Therapist Cohort" (PTC) study is to analyze the association between work-related exposures and diseases among physical therapists in Germany. This article describes the protocol of the baseline assessment of the PTC study. Methods/Design: A cross-sectional study will be conducted as baseline assessment and will include a representative random sample of approximately 300 physical therapists employed in Germany (exposure group), and a population-based comparison group (n = 300). The comparison group will comprise a sample of working aged (18–65 years) inhabitants of a German city. Variables of interest will be assessed using a questionnaire manual including questions regarding musculoskeletal, dermal, and infectious diseases and disorders as well as psychosocial exposures, diseases and disorders. In addition to subjective measures, a clinical examination will be used to objectify the questionnaire-based results (n = 50). Discussion: The study, which includes extensive data collection, provides a unique opportunity to study the prospective association of work-related exposures and associated complaints of physical therapists. Baseline results will give first clues with regard to whether and how prevalent main exposures of physiotherapeutic work and typical work areas of physical therapists are associated with the development of work-related diseases. Thereby, this baseline assessment provides the basis for further investigations to examine causal relationships in accordance with a longitudinal design.
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Girbig, Maria, Stefanie Deckert, Christian Kopkow, Ute Latza, Madeleine Dulon, Albert Nienhaus, David Groneberg, and Andreas Seidler. "Work-related complaints and diseases of physical therapists – protocol for the establishment of a “Physical Therapist Cohort” (PTC) in Germany." BioMed Central, 2013. https://tud.qucosa.de/id/qucosa%3A28148.
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Background: Only few studies deal with the workload of physical therapists and the health consequences, although this occupational group is quite important for the health care system in many industrialized countries (e.g. ca. 136 000 people are currently employed as physical therapists in Germany). Therefore, the current state of knowledge of work-related diseases and disorders of physical therapists is insufficient. The aim of the 'Physical Therapist Cohort' (PTC) study is to analyze the association between work-related exposures and diseases among physical therapists in Germany. This article describes the protocol of the baseline assessment of the PTC study. Methods/Design: A cross-sectional study will be conducted as baseline assessment and will include a representative random sample of approximately 300 physical therapists employed in Germany (exposure group), and a population-based comparison group (n = 300). The comparison group will comprise a sample of working aged (18–65 years) inhabitants of a German city. Variables of interest will be assessed using a questionnaire manual including questions regarding musculoskeletal, dermal, and infectious diseases and disorders as well as psychosocial exposures, diseases and disorders. In addition to subjective measures, a clinical examination will be used to objectify the questionnaire-based results (n = 50). Discussion: The study, which includes extensive data collection, provides a unique opportunity to study the prospective association of work-related exposures and associated complaints of physical therapists. Baseline results will give first clues with regard to whether and how prevalent main exposures of physiotherapeutic work and typical work areas of physical therapists are associated with the development of work-related diseases. Thereby, this baseline assessment provides the basis for further investigations to examine causal relationships in accordance with a longitudinal design.
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Patamsytė, Ieva. "Emigracijoje gyvenančių lietuvių asmenybės bruožų, sveikatos rodiklių ir prisitaikymo naujoje aplinkoje sąsajos." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2010. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20100609_110056-79590.
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Tyrimo tikslas - įvertinti emigracijoje gyvenančių lietuvių asmenybės bruožų, sveikatos rodiklių ir prisitaikymo naujoje aplinkoje sąsajas, bei skirtumus su Lietuvoje gyvenančiais lietuviais.
Tyrime dalyvavo 409 tiriamieji: 199 emigracijoje gyvenantys lietuviai ir 209 Lietuvoje gyvenantys lietuviai. Tiriamieji pildė klausimyną, kurį sudarė BFI (asmenybės bruožams tirti) skalė, HAD (nerimastingumo ir pablogėjusios nuotaikos skalė), nusiskundimų sveikata dažnumo vertinimas, ir prisitaikymo naujoje aplinkoje strategijų klausimynas.
Tyrimo rezultatai parodė, kad Lietuvių emigrantai nepasižymi didesniu polinkiu į ekstraversiją, atvirumą patirčiai, neurotiškumą, sutarimą su kitais ir sąžiningumą, nei Lietuvoje gyvenantys lietuviai. Emigrantų stipriau išreikštas neurotiškumas siejasi su didesniu polinkiu į separatizmą, švelniau išreikštas neurotiškumas, ryškesnis sąžiningumas siejasi su geresne integracija. Nenustatyta neurotiškumo su asimiliacija ir atvirumo patyrimui su integracija sąsajų. Lietuvių emigrantai nurodo mažiau nusiskundimų sveikatos būkle, vyrauja stipriau išreikštas nerimastingumas ir pablogėjusi nuotaika, palyginti su Lietuvoje gyvenančiais lietuviais. Be to, emigrantų didesnis nerimastingumas siejasi su stipriau išreikšta ekstraversija, sutarimu su kitais ir sąžiningumu, blogesnė nuotaika būdinga pasižymintiems didesniu sąžiningumu, bei vyrams su stipresniu ekstraversijos ir sutarimo kitais bruožu. Mažiau nusiskundimų sveikata nurodo linkusieji į ekstraversiją... [toliau žr. visą tekstą]The purpose of this study is to ascertain personality traits, health complaints and acculturation strategies in the sample of Lithuanian emigrants living abroad and compare with Lithuanian local inhabitants. The research involved 409 participants: 199 Lithuanian emigrants, living abroad and 209 local citizens that live in Lithuanian. Participants had to fill in a questionnaire made up of BFI (Big Five Inventory), HAD (Hospital anxiety and depression scale), health complaints scale and Acculturative Behavior Scale. The research results showed that Lithuanian emigrants and non-emigrants do not differ in the level of extraversion, openness to experience, neuroticism, agreeableness and consciousness. Higher level of neuroticism tends to correlate with higher rates of separatism, lower neuroticism and stronger consciousness correlates with better integration. The results also showed that Lithuanian emigrants report less health complaints, but tend to have more anxiety and state of mind symptoms to compare with non-emigrants. The greater degrees of anxiety result in higher rates of extraversion, agreeableness and consciousness. Lithuanian emigrants with higher rates of consciousness and especially men with higher degree of extraversion and agreeableness tend to have worse state of mind. It is noticed that less heath complaints demonstrate those who are more extraverted, agreeable, less neurotic and men who are more open to experience. Moreover, higher degree of separatism enhances... [to full text]
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Karpenko, Veronika. "Clinically Significant Symptom Change in Adolescents Receiving Outpatient Community Mental Health Services: Does it Relate to Satisfaction, Perceived Change, Therapeutic Alliance, and Improvement in Presenting Problems?" Ohio University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1273609072.
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Bulgarelli, Alexandre Favero. ""Saúde bucal em idosos: queixas relatadas, Ribeirão Preto (SP)"." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/17/17139/tde-06092006-152827/.
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O trabalho estudou queixas, cuidados, importância e satisfação com a saúde bucal em uma população de idosos cadastrados no Núcleo de Saúde da Família III na cidade de Ribeirão Preto. Os idosos foram selecionados para participarem na pesquisa levando-se em conta a capacidade cognitiva (Mini Mental Examination), as atividades normais da vida cotidiana, bem como o consentimento em participar por livre vontade. Os participantes responderam um questionário, em suas residências, sobre saúde bucal elaborado especificamente para o presente estudo, em data previamente agendada pelo pesquisador. O questionário continha questões relacionadas à situação sócio-demográfica, cuidados com saúde bucal, situação protética, auto-avaliação sobre saúde bucal, bem como queixas referentes a este fato. Procurou-se desta forma, identificar o perfil da população estudada segundo levantamento das queixas mais prevalentes, situação em relação aos cuidados com dentes e/ou próteses, bem como a satisfação e o valor dado à saúde bucal. Os dados receberam tratamento estatístico para observação de associações de variáveis através de Teste exato de Fisher e Qui-quadrado, aceitando-se a associação quando o valor de p era menor ou igual a 0,05. A população adscrita, no referido núcleo no período de realização do presente estudo, era de 503 idosos dos quais foram entrevistados 261, e deste número, 90 idosos (34,5%) eram do sexo masculino e 171 (65,5%) do sexo feminino. A população possuía baixa escolaridade (60,2% com até 4 anos de estudo) e maior número de representantes com idade entre 60 a 69 anos (46,7%). A maioria dos idosos morava com familiares e os homens eram os responsáveis financeiros. Parte significativa dos entrevistados relatou ser desdentada total (48,7%) e este fato esteve associado à idade, escolaridade e convívio na mesma residência. Os indivíduos desdentados totais referiram sua saúde bucal como importante (45,2%) e boa (77,7%) sendo que, entre indivíduos satisfeitos com sua saúde bucal 53,6% eram desdentados totais, e tais variáveis estiveram associadas. Em relação aos cuidados, idosos mais jovens relataram maior número de escovações diárias dos dentes e/ou próteses. Quanto às queixas observou-se maior ocorrência de lesões/feridas na cavidade bucal, queixas referentes à articulação temporomandibular (ATM), mau hálito, boca seca e dificuldade para mastigar. Dentre estas queixas o mau hálito (p=0,015) e a dificuldade para mastigar (p=0,000) mostraram-se estatisticamente associadas à quantidade de dentes. A queixa referente à dificuldade para mastigar estava associada à mobilidade de próteses inferiores (p=0,001). Desta forma concluiu-se que os cuidados com a saúde bucal diminuíram com o avançar da idade, os idosos relataram sentir-se satisfeitos com suas condições de saúde bucal, classificando a mesma como importante, e ser desdentado total não significou necessariamente atribuir valores negativos a esta condição. A falta de dentes não foi referida como uma queixa porém apareceu associada à insatisfação com a saúde bucal. E finalmente concluiu-se que a dificuldade para mastigar esteve associada à idade e à mobilidade das próteses inferiores, sendo que na faixa etária mais avançada esta queixa foi mais freqüente.The present survey was carried out to study complaints, care, value and satisfaction toward oral health in an aged population filled in the Family Heath Centre III at Ribeirão Preto. The elder were selected to participate in the study according to their cognitive status (Mini Mental Examination Test), normal life activities and their own acceptance to participate. The elder answered at their home, in a previous scheduled procedure, a questionnaire about oral health which was developed specific to the study purpose. The specific domiciliary questionnaire had questions about social demographical profile, oral health care, prosthetic condition, subjective self-reported oral health status and oral health complaints. It was identificated the population profile toward the most prevalent oral health complaints, teeth and prosthetic hygiene and care, satisfaction and self-reported oral health value. The data received statistical treatment to observe the association between variables according to the Fischer Exact and Chi square Tests, and the association was accepted when the p value was equal or lower than 0.05. The population, filled at the Family Health Centre III in the period of the study development, was 503 aged people with more than 60 years old, and 261 were interviewed, where 90 (34.5%) were male and 171 (65.5%) were female. In general the aged reported low education level (60.2%) and they were represented most frequently by the age between 60 to 69 years old (46.7%). The higher of the aged reported living with family and the men were responsible for the financial support of the family. Significant sample of the aged reported being edentate (48.7%) and this fact was correlated to the aged, educational level and living with the family. The edentate people reported that their oral health were important (45.2%) and good (77.7%), and the satisfied people (53.6%) were edentate and these variable were correlated. According to own oral health care, the younger subject reported a higher number of diary tooth brushing. It was reported a higher number of oral wounds, temporomandibular joint, fetid breath, dry mouth and masticator complaints. Among these complaints the fetid breath (p=0,015) and the masticator difficulty (p=0,000) were statistically correlated to inferior denture mobility (p=0,001). It was concluded that oral health care decrease as time goes by, the aged reported being satisfied with their oral health condition, and their oral health was self-classified as an important issue. The subject reported that being edentate do not mean that it is a negative profile. The tooth missing was not reported as complaint but it was statistically correlated with dissatisfaction toward own oral health. Finally it was concluded that masticator difficulty was statistically correlated to inferior dentures mobility being this complain higher reported in the older aged subject sample.
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Thomas, David Gervaise. "The Rise and Recession of Medical Peer Review in New South Wales, 1856-1994." University of Sydney. Policy and Practice, 2002. http://hdl.handle.net/2123/480.
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The exercise of autonomy and self-regulation is seen in the literature as one of the basic criteria of professionalism. Since in modern states Medicine has generally been the occupational grouping which has most completely attained that status, it is seen as the model or archetype of professionalism. This study focuses on just one aspect of medical autonomy, that relating to the right of medical professionals to be accountable only to their fellow professionals as far as the maintenance of practice standards are concerned. In this thesis, the theory underlying this system of "peer review" is examined and then its application during the course of the 20th century is traced in one particular jurisdiction, that of the State of New South Wales in Australia. The reason for the focus on NSW is that in this jurisdiction, medical autonomy existed and was exercised in a particularly pure and powerful form after it was instituted in 1900. However, it was also in NSW that for the first time anywhere in the world, an institutional challenge to medical disciplinary autonomy emerged with the establishment in 1984 of the "Complaints Unit" of the Department for Health. The thesis of this study is that as a result of this development, which within a comparatively short space of time led to the emergence of a system of "co-regulation" of medical discipline, medical disciplinary autonomy and peer review had within a decade, been so severely challenged as to be almost extinct in this State. In the light of theoretical frameworks provided by Weber, Habermas and the American scholar Robert Alford, the study examines the long drawn out struggle to institute medical autonomy in NSW in the 19th century, its entrenchment by subsequent legislation over the next eight decades and the "counter-attack" staged by the emergent forces of consumerism, supported by the forces of the ideology of "Public Interest Law" in the last two decades of the century. The study concludes with a discussion of the implications for definitions of professionalism which might result from the loss by Medicine in NSW, of its right to exclusive control of medical discipline and the consequent disappearance of medical peer review.
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Mitchell, Susanne. "Evaluating impacts and defining public perceptions of police body-worn cameras (BWCs)." Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1555332027726849.
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Nygren, Karina. "Adolescent self-reported health in the Umeå region : Associations with behavioral, parental and school factors." Doctoral thesis, Umeå universitet, Institutionen för socialt arbete, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-54177.
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This thesis consists of a quantitative and a qualitative study. The quantitative study (articles I-III) aimed to examine how self-reported health in adolescence is associated with behavioral, parental, and school factors. Through a survey directed at all adolescents in grades 7-9, data were collected in 2005 in a region in northern Sweden (n=5060). Statistical methods were used to analyze the survey data: chi2tests, multivariate logistic regressions and multilevel logistic regressions. Results showed that even though most adolescents reported good health, there were also rather large proportions of adolescents who reported headaches, stomach aches and feelings of stress. Girls reported poor health to a higher extent than boys, a difference that was larger in grade 9 than in grade 7. The results also showed that being norm compliant was associated with good self-reported health. Furthermore, perceiving relations and communication with parents as poor was associated with poor self-reported health; however, this relationship could not explain gender differences in self-reported health. Continuing on, analyses showed that there exist greater variations in self-reported health between students (within a school) than between different schools. On an individual level, poor relations to teachers, bullying and truancy were associated with poor general health. The qualitative study (article IV) sought to examine barriers to and facilitators of utilization of local school survey results within a school setting. In 2011, 21 school district managers and principals within a Swedish municipality were interviewed. Analyses were performed using a qualitative content analysis. The results from the qualitative study showed that the dissemination and utilization of school survey results appeared as two interrelated phases in one process. Barriers and facilitators differed qualitatively depending on the phase, dissemination or utilization. In conclusion, professionals as well as researchers need to consider the complexity of adolescent health and its social determinants. Adolescent health is a concern for multiple sectors in society, which highlights the need for further development of collaborations between professionals in relevant fields, such as health care, school and social services.Den här avhandlingen består av en kvantitativ och en kvalitativ studie. Syftet med den kvantitativa studien (artikel I-III) var att undersöka sambandet mellan ungdomars självrapporterade hälsa och deras normrelaterade beteende samt föräldra- och skolfaktorer. Data samlades in under 2005, genom en enkät som riktade sig till alla ungdomar i årskurs 7-9 i en region i norra Sverige (n=5060). De statistiska metoder som användes i den kvantitativa studien var bland annat chi2- test, logistisk regression samt flernivåanalys. Resultaten visade att även om de flesta ungdomar rapporterade en god allmän hälsa, så var det också en relativt stor andel som rapporterade huvudvärk, magont samt upplevelser av stress. Flickor rapporterade sämre hälsa än pojkar, en skillnad som var större i åk 9 jämfört med åk 7. Resultaten visade också att normföljsamhet hade ett signifikant samband med god självrapporterad hälsa. De ungdomar som upplevde relationen och kommunikationen med sina föräldrar som dålig, rapporterade också dålig hälsa i högre utsträckning än övriga. Sambandet mellan självrapporterad hälsa och föräldrarelationer kunde inte förklara skillnaderna i ohälsa mellan pojkar och flickor. Vidare, analyser visade att det fanns större variationer i självrapporterad hälsa mellan ungdomar (inom en skola) än mellan olika skolor. Dåliga relationer med lärare, skolk, samt att bli utsatt för mobbning hade ett signifikant samband med dålig självrapporterad hälsa, på en individuell nivå. Syftet med den kvalitativa studien (artikel IV) var att undersöka vilka faktorer inom skolan som möjliggör och som utgör barriärer för användningen av enkätresultaten från en lokal skolenkät. 2011 genomfördes 21 intervjuer med skolområdeschefer och rektorer inom en kommun i Sverige. Analyser av intervjumaterialet genomfördes med hjälp av kvalitativ innehållsanalys. Resultaten från denna studie visade att spridningen och användningen av resultaten från skolenkäten kan beskrivas som två relaterade faser i en process. De faktorer som underlättade samt utgjorde barriärer för spridningen och användningen av enkätresultaten var kvalitativt olika varandra beroende på vilken fas i processen respondenterna hänvisade till. Dessa resultat illustrerar den mångfacetterade komplexitet som inryms i ungdomars hälsa och dess sociala determinanter, en komplexitet som både forskare och professionella behöver ta hänsyn till. Ungdomars hälsa angår ett flertal samhällssektorer, vilket visar på betydelsen av en fortsatt utveckling av samverkan mellan professionella inom exempelvis hälso- och sjukvården, skolan och socialtjänsten.
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Storer, Jennifer L. "Therapeutic Alliance with Adolescent Clients: The Role of Attachment Style and Parent-Adolescent Agreement Regarding Targets of Therapy and Problem Severity." Ohio University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1282168764.
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Eriksson, Elin, and Magnus Häglund. "Organisatoriska orsaker till vårdtagares missnöje med vården." Thesis, Högskolan i Gävle, Medicin- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-25885.
Full textAbstract:
Bakgrund Systemet för vård och omsorg är en invecklad konstruktion med många olika aktörer och yrkesgrupper, som lyder under olika styrning och har olika förutsättningar. Inom denna organisation kan många situationer uppstå som kan orsaka missnöje hos vårdtagare. Syfte Att beskriva organisatoriska faktorer inom vården, som orsakar missnöje hos vårdtagare, samt att beskriva urvalsprocesserna till de valda artiklarnas undersökningsgrupper. Metod Litteraturstudie baserad på tolv artiklar, både kvantitativa och kvalitativa, från åren 2007–2017. Huvudresultat Det största problemområdet för patienter var tillgänglighet. Väntetider av olika slag förekom ofta: väntan på att få en tidsbokning, lång tid i väntrum, väntan på behandling med mera. Specifikt för primärvården framkom svårigheter att få tid över huvud taget, och uppfattningar hos patienter om att primärvården inte kan hjälpa dem med deras problem. Missnöje med den fysiska vårdmiljön nämndes främst i form av personalbrist och brist på vårdplatser, men det förekom även andra klagomål relaterade till den fysiska miljön. Bristande samordning mellan olika aktörer och instanser vållar missnöje hos somliga patienter, bland annat i form av dålig kontinuitet i vården. Slutsatser Det finns en rad orsaker till vårdtagares missnöje som har sin grund i vårdens organisation. Med ett fokus på vårdtagarens känslor kan sjuksköterskan hjälpa vårdtagaren att utveckla och förbättra hur hen hanterar den problematiska situationen och känslorna som uppstår. Detta underlättas av att sjuksköterskan har kunskap om hur organisationen är uppbyggd, och förståelse för dess komplexitet. Denna kunskap och förståelse är även en god förutsättning för organisatoriskt förbättringsarbete.Background The health care system is an complex structure with many different actors and professions, who are subject to different management and different conditions. Within this organisation, many situations may arise that can cause dissatisfaction among care recipients. Aim To describe organisational factors in healthcare that cause dissatisfaction with carers, as well as to describe the selection processes for the selected articles' sample groups. Design Literature review based on twelve articles, both quantitative and qualitative, from 2007-2017. Main results The main problem area for patients was accessibility. Waiting times of various kinds were common: waiting to get an appointment, long time in the waiting room, waiting for treatment, and more. Specific to primary care were difficulties in getting appointments at all, and perceptions in patients that primary care could not help them with their problems. Dissatisfaction with the physical care environment was mentioned mainly in the form of understaffing and unavailability of hospital beds, but there were also other complaints related to the physical environment. Lack of coordination between different actors cause discontent in some patients, for instance due to poor continuity of care. Conclusions There are a number of reasons for care recipients’ dissatisfaction that have their foundation in the health care organization. Focusing on the patient's emotions, the nurse can help the patient in developing and improving the handling of the problematic situation and the feelings that arise. This is facilitated by the nurse having knowledge of how the organisation is structured, and understanding of its complexity. This knowledge and understanding is also a good prerequisite for organisational improvement.