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1

Suryani, Suryani, Efri Widianti, Taty Hernawati, and Aat Sriati. "Psikoedukasi Menurunkan Tingkat Depresi, Stres dan Kecemasan pada Pasien Tuberkulosis Paru." Jurnal Ners 11, no. 1 (April 27, 2016): 128–33. http://dx.doi.org/10.20473/jn.v11i1.1455.

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Introduction: Pulmonery Tuberculosis is a chronic pulmonary disease that affects physicallly and psychosocially for the patients . Until now, the government’s programs in overcoming this disesase still focus on treatment and prevention of infection. The programs has not yet to lead to a psychosocial problem of the patients whereas the psychosocial impact has a big influence on treatment compliance and prognosis of patients with Pulmonery Tuberculosis.Methods: This study was quassy experiment to test the effect of psychoeducation on the level of stress, anxiety and depression of Patients with pulmonary tuberculosis. 74 patients with Pulmonery Tuberculosis involved in this study divided into two group (37 involved in intervention and 37 involved as control group). Results: of the study showed that psychoeducation was effective in reducing stress, anxiety and depression of the patients with Pulmonery Tuberculosis.Conclusion: Psycho education should be provided for patients with pulmonary tuberculosis at the Community health Center.
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Situmorang, Setiasima BR, Veny Elita, and Bayhakki Bayhakki. "GAMBARAN STRES PSIKOSOSIAL PADA PENDERITA HIPERTENSI PRIMER USIA DEWASA." Coping: Community of Publishing in Nursing 10, no. 3 (June 29, 2022): 339. http://dx.doi.org/10.24843/coping.2022.v10.i03.p15.

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Adult age is a productive age that is vulnerable to various psychosocial stressors which are closely related to physical and psychological stress, causing hypertension problems. Primary hypertension in adulthood has a negative impact on physical and psychological. This study aims to determine the description of psychosocial stress in adults with primary hypertension. The method used by the researcher is quantitative with a descriptive research design carried out on 68 respondents with primary hypertension using purposive sampling technique. The measuring instrument used was a psychosocial stress questionnaire which was modified from the Holmes and Rahe Stress Inventory and DASS 42 questionnaire as well as literature review and data analysis using univariate analysis. The results showed that the majority of respondents experienced moderate psychosocial stress (52,9%). Respondents who experienced psychosocial stress based on household work with moderate psychosocial stress (53,3%). Based on physical illness, those with primary hypertension were not accompanied by other complaints with moderate psychosocial stress (54%). Based on interpersonal relationships that have close interpersonal relationships with mild psychosocial stress amounted to 52,9%. Psychosocial stress of adults with primary hypertension is in the category of moderate psychosocial stress.
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Rendra Zola, Nurul Intan, Fathra Annis Nauli, and Gamya Tri Utami. "Gambaran Stres Psikososial dan Faktor-Faktor yang Mempengaruhinya Pada Remaja." JKEP 6, no. 1 (May 31, 2021): 40–50. http://dx.doi.org/10.32668/jkep.v6i1.406.

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Teenagers are a transition from children to adults who have a lot of changes,it causes teens to experience psychological stress. The factors that influence psychosocial stress are living conditions, school environment, family economic status, relationships with others, unplanned events and habits. This study aim to determine the description of psychosocial stress and the factors that influence it in students at SMAN 8 Pekanbaru. The total respondents were 101 respondents using accidental sampling.. The measuring instrument used was a questionnaire from Holmes and Rahe and analyzed using univariate.. The results showed that the majority of respondents experienced moderate psychosocial stress (47.5%). Respondents who experienced the condition of the living environment factors were 51.5%, the state of the school environmental factors were 50.5%, family economic status factors were 37.6%, relationship factors with other people were 49.5%, unplanned incidence factors were as many as 31,7% and habit 2,% showed psychosocial stress. The researcher concluded that the majority of respondents experienced moderate psychosocial stress with the most influencing factor is the state of the environment in which they live. This research recommends adolescents to add information and add insight about psychosocial stress and the factors that influence it and can prevent it.
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Jarczak, Joanna, Henryk Noga, and Zbigniew Małodobry. "Stress as a psychosocial threat in the work of a policeman." Prace Naukowe Akademii im. Jana Długosza w Częstochowie. Technika, Informatyka, Inżynieria Bezpieczeństwa 6 (2018): 433–41. http://dx.doi.org/10.16926/tiib.2018.06.31.

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Kusuma, Mutiara Tirta Prabandari Lintang, Ronny Tri Wirasto, and Emy Huriyati. "Status stres psikososial dan hubungannya dengan status gizi siswa SMP Stella Duce 1 Yogyakarta." Jurnal Gizi Klinik Indonesia 6, no. 3 (March 1, 2010): 138. http://dx.doi.org/10.22146/ijcn.17722.

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Background: Adolescent is a transition phase from childhood to adulthood that marked by the change on physical, mental and psychosocial aspect. Adaptation on the change that people met in their life is called psychosocial stress. Stress makes a change on food habit and a disturbance on nutrition’s absorbance. Those circumstances affect people’s nutritional status.Objectives: To identify the correlation between psychosocial stress and nutritional status among SMP Stella Duce 1 Yogyakarta’s students.Methods: This study was an observational study which used a cross sectional design. It held by quantitative approach to identify the relationship between psychosocial stress and nutritional status. Subject of the study were 85 students of SMP Stella Duce 1 Yogyakarta. Respondent’s identities were collected by using identity questionnaire. Psychosocial stress’s status was collected by using SRRS questionnaire (social readjustment rating scale) that was modified for adolescent. Respondent’s calories intakes were assessed by using the form food recall 3 x 24 h. Anthropometrics data collected were weight and height. The adjustment of psychosocial stress’s status used SRRS questionnaires. Calories intake were measured by using nutrition software (Fp2). Student’s nutritional status was measured by using Epi 2000 software. Relationship’s analysis among variables uses statistical test of SPSS 12.00, with the correlation or linear regression test.Result: From this study, 49.4% (42 people) have normal nutritional status, 4.7 % at under nutrition level, 25.9% at risk of obesity, and 20% obesity. From the measurement of psychosocial stress’s score, there were 61.2% (52 people) in a non-tress condition, while the other was on stress at different level. Statistical test showed that there was no relationship between psychosocial stress and nutritional status (p > 0.05).Conclusion: There was no significant relationship between psychosocial stress and nutritional status among SMP Stella Duce 1 Yogyakarta’s students.
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Aström, M., K. Asplund, and T. Aström. "Psychosocial function and life satisfaction after stroke." Stroke 23, no. 4 (April 1992): 527–31. http://dx.doi.org/10.1161/01.str.23.4.527.

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Szczygieł, Magdalena. "Stres w pracy nauczyciela – wybrane uwarunkowania." Kultura-Społeczeństwo-Edukacja 18, no. 2 (December 15, 2020): 311–29. http://dx.doi.org/10.14746/kse.2020.18.12.1.

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Stress aspects still remain as an existing problem, which requires further interdisciplinary studies. Considering the strong impact of chronic exposure to psychosocial stressors at a workplace in relational and incentives contexts of undertaking professional duties, those aspects gain in importance in teachers’ work. A person stays in a continuouscontact with a student, parent or another teacher, and their motivation seems to be a key aspect for the entire education process. The presented article is an attempt to capturestress indicators in a teachers’ work, as well as ways of dealing with them in a school reality. The article begins by highlighting the most important stress definitions, followed by a brief methodology of self-research. Then the author describes stressors present in teacher’s work, which were identified in empirical studies, and ways of dealing with stress used by tested teachers. The article ends with conclusions and recommendations for further representative studies.
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Pell, Charlene. "What to Do When People Stare: A Workshop to Teach Individuals With Disfiguring Conditions to Contend With Staring and Improve Control of Social Interactions." Journal of Burn Care & Research 40, no. 6 (August 23, 2019): 743–51. http://dx.doi.org/10.1093/jbcr/irz117.

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Abstract Facial disfigurement due to any congenital or acquired condition is a social disability that can impede communication, contribute to awkward social interactions, and cause individuals with differences to be isolated and rejected. Yet, few interventions have been developed to address the psychosocial consequences of living with a visible difference, despite research indicating that the more visible the disfigurement is to others, the greater the social implication and challenge for the affected individual. This article reviews the impact of the “What to Do When People Stare” social and communication workshop, including its theoretical basis (drawn from anthropological research and theory pertaining to disfigurement), the phenomenon of staring, and the experience of being the target of a stare. The review highlights feedback from 46 individuals with disfiguring conditions caused by burns, dermatological conditions, and craniofacial conditions who completed a Workshop Evaluation Survey. The instructor, who has a facial difference, reviewed the science of staring, the role and influence of the media and beauty in society, myths associated with disfigurement, social and communication skills, and asked specific questions to elicit feelings and beliefs about why people stare, and how it feels to be the object of a stare. After completing the workshop, 80% of participants reported that they felt better prepared to cope with staring, and 83% reported a better understanding about the motives of staring. The workshop demonstrates the need to increase awareness of visible differences and to teach individuals with visible differences and the general public appropriate social skills for engaging with one another. The workshop’s success to date highlights the need for similar programs addressing the psychosocial communicative dimensions related to staring. Collaborations with burn centers and other nonprofit organizations that treat and assist individuals with psychosocial issues related to visible difference could strengthen content and assessment data.
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Budd, Nadine, Jayne K. Jeffries, Jessica Jones-Smith, Anna Kharmats, Ann Yelmokas McDermott, and Joel Gittelsohn. "Store-directed price promotions and communications strategies improve healthier food supply and demand: impact results from a randomized controlled, Baltimore City store-intervention trial." Public Health Nutrition 20, no. 18 (February 22, 2017): 3349–59. http://dx.doi.org/10.1017/s1368980017000064.

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AbstractObjectiveSmall food store interventions show promise to increase healthy food access in under-resourced areas. However, none have tested the impact of price discounts on healthy food supply and demand. We tested the impact of store-directed price discounts and communications strategies, separately and combined, on the stocking, sales and prices of healthier foods and on storeowner psychosocial factors.DesignFactorial design randomized controlled trial.SettingTwenty-four corner stores in low-income neighbourhoods of Baltimore City, MD, USA.SubjectsStores were randomized to pricing intervention, communications intervention, combined pricing and communications intervention, or control. Stores that received the pricing intervention were given a 10–30 % price discount by wholesalers on selected healthier food items during the 6-month trial. Communications stores received visual and interactive materials to promote healthy items, including signage, taste tests and refrigerators.ResultsAll interventions showed significantly increased stock of promoted foodsv. control. There was a significant treatment effect for daily unit sales of healthy snacks (β=6·4, 95 % CI 0·9, 11·9) and prices of healthy staple foods (β=–0·49, 95 % CI –0·90, –0·03) for the combined groupv. control, but not for other intervention groups. There were no significant intervention effects on storeowner psychosocial factors.ConclusionsAll interventions led to increased stock of healthier foods. The combined intervention was effective in increasing sales of healthier snacks, even though discounts on snacks were not passed to the consumer. Experimental research in small stores is needed to understand the mechanisms by which store-directed price promotions can increase healthy food supply and demand.
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Elliya, Rahma, Marliyana Marliyana, and Yulianto Yulianto. "Stres psikososial kronis dengan kejadian hipertensi pada pekerja lapangan pabrik gula PT. Indolampung Perkasa." Holistik Jurnal Kesehatan 14, no. 1 (April 22, 2020): 46–51. http://dx.doi.org/10.33024/hjk.v14i1.1609.

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Chronic psychosocial stress and hypertension among sugar cane plantation workers in Lampung, IndonesiaBackground: The background of this research is based on data obtained from the 2016 Tulang Bawang District Health Office; hypertension is one of the causes of death. In 2016 the number of deaths from hypertension in Tulang Bawang Regency was 34 cases. Based on the results of the pre-survey by researchers, it was known from 532 workers who went to the Medical Clinic at PT. Indolampung Perkasa diagnosed with hypertension as many as 168 (31.57%) people.Purpose: Knowing correlation between chronic psychosocial stress and hypertension among sugar cane plantation workers in Lampung Indonesia.Methods: Type of study was quantitative, with cross sectional design. The populations of this study were all sugar cane plantation workers at PT. Indolampung Perkasa and sample of 229 respondents. Data collection was primary, directly to respondents by distributing questionnaires. Data analysis was chi square with OR 2.637.Results: It was known from 229 respondents with hypertension, as many as 79 (34.5%) respondents were hypertensive and as many as 150 (65.5%) respondents were not hypertensive. Known from 229 respondents with stress, as many as 82 (35.8%) respondents were stressed and as many as 147 (64.2%) respondents were not stressed with (p-value 0.001; OR 2,637).Conclusion: There were correlation between chronic psychosocial stress and hypertension among sugar cane plantation workers in Lampung Indonesia.Keywords: Chronic psychosocial stress; Hypertension; Sugar cane plantation workersPendahuluan: Berdasarkan data yang diperoleh dari Dinas Kesehatan Kabupaten Tulang Bawang tahun 2016, penyakit hipertensi menjadi salah satu penyebab kematian. Pada tahun 2016 jumlah kematian akibat hipertensi di Kabupaten Tulang Bawang sebanyak 34 kasus. Berdasarkan hasil pra survey yang dilakukan peneliti diketahui dari 532 orang pekerja yang berobat ke Medical Clinic PT. Indolampung Perkasa dengan diagnosa hipertensi sebanyak 168 (31,57%) orang.Tujuan: Diketahui hubungan stres psikososial kronis dengan kejadian hipertensi pada pekerja lapangan.Metode: Jenis penelitian kuantitatif, dengan desain / rancangan cross sectional. Populasi sebanyak 532, sampel sebanyak 229 responden. Pengumpulan data secara primer, langsung kepada responden dengan membagikan kuesioner. Analisis data secara univariat (distribusi frekuensi) dan bivariat (chi square) dengan nilai OR 2,637.Hasil: Diketahui dari 229 responden dengan hipertensi, sebanyak 79 (34,5%) responden yang hipertensi dan sebanyak 150 (65,5%) responden yang tidak hipertensi. Diketahui dari 229 responden dengan stres psikososial kronis, sebanyak 82 (35,8%) responden yang stres psikososial kronis dan sebanyak 147 (64,2%) responden yang tidak stres psikososial kronis dengan (p-value 0,001 ; OR 2,637).Simpulan: Ada hubungan stres psikososial kronis dengan kejadian hipertensi pada pekerja lapangan.
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Wardani, Dyah Ayu Kusuma, Emy Huriyati, Mustikaningtyas Mustikaningtyas, and Janatin Hastuti. "Obesitas, body image, dan perasaan stres pada mahasiswa di Daerah Istimewa Yogyakarta." Jurnal Gizi Klinik Indonesia 11, no. 4 (April 30, 2015): 161. http://dx.doi.org/10.22146/ijcn.22649.

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Background: Obesity can lead to various health problems including psychosocial problems. Obesity also relates to body image which may affect psychosocial health.Objective: To examine the relationship between obesity, body image, and perceived stress among college students in Yogyakarta Province.Method: This study is a cross-sectional design in 150 college students (75 boys and 75 girls) at Universitas Gadjah Mada and Universitas Technology Yogyakarta. Perceived stress was measured using 10 items of the Perceived Stress Scale (PSS-10), body image was evaluated using 16 items of the Body Shape Questionnaire (BSQ-16) and obesity was estimated using the percentage of body fat calculated from anthropometric measurements. Chi-square test, Spearman correlation analysis, and odds ratio were used to test the hypotheses.Results: There was significant correlation between obesity and body image in male (r= 0.32, p<0,01) and female students (r= 0.23, p<0,05). Obese male students were 7 times likely to have negative body image than non-obese male students. While no significant relationship was found between obesity and perceived stress, non-obese students had almost two times likely to perceive stress. Similarly, body image was not significantly related to perceived stress in male and female students, however, it was likely that students with negative body image had about 1,5 times to feel stress than those with positive body image.Conclusion: Obesity was significantly associated with body image among male and female college students in Yogyakarta Province. However, no significant relationship was found between obesity and perceived stress as well as between body image and perceived stress among the students.
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Tuomilehto, Jaakko, Tarja Nuottimäki, Kalervo Salmi, Kari Aho, Mervi Kotila, Cinzia Sarti, and Daiva Rastenytè. "Psychosocial and Health Status in Stroke Survivors After 14 Years." Stroke 26, no. 6 (June 1995): 971–75. http://dx.doi.org/10.1161/01.str.26.6.971.

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Gittelsohn, Joel, Hee-Jung Song, Sonali Suratkar, Mohan B. Kumar, Elizabeth G. Henry, Sangita Sharma, Megan Mattingly, and Jean A. Anliker. "An Urban Food Store Intervention Positively Affects Food-Related Psychosocial Variables and Food Behaviors." Health Education & Behavior 37, no. 3 (November 3, 2009): 390–402. http://dx.doi.org/10.1177/1090198109343886.

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Obesity and other diet-related chronic diseases are more prevalent in low-income urban areas, which commonly have limited access to healthy foods. The authors implemented an intervention trial in nine food stores, including two supermarkets and seven corner stores, in a low-income, predominantly African American area of Baltimore City, with a comparison group of eight stores in another low-income area of the city. The intervention (Baltimore Healthy Stores; BHS) included an environmental component to increase stocks of more nutritious foods and provided point-of-purchase promotions including signage for healthy choices and interactive nutrition education sessions. Using pre- and postassessments, the authors evaluated the impact of the program on 84 respondents sampled from the intervention and comparison areas. Exposure to intervention materials was modest in the intervention area, and overall healthy food purchasing scores, food knowledge, and self-efficacy did not show significant improvements associated with intervention status. However, based on adjusted multivariate regression results, the BHS program had a positive impact on healthfulness of food preparation methods and showed a trend toward improved intentions to make healthy food choices. Respondents in the intervention areas were significantly more likely to report purchasing promoted foods because of the presence of a BHS shelf label. This is the first food store intervention trial in low-income urban communities to show positive impacts at the consumer level.
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Fujikawa, Tokumi, Ichiro Yanai, and Shigeto Yamawaki. "Psychosocial Stressors in Patients With Major Depression and Silent Cerebral Infarction." Stroke 28, no. 6 (June 1997): 1123–25. http://dx.doi.org/10.1161/01.str.28.6.1123.

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Beirens, Tinneke M. J., Eduard F. van Beeck, Johannes Brug, Paul den Hertog, and Hein Raat. "Why Do Parents with Toddlers Store Poisonous Products Safely?" International Journal of Pediatrics 2010 (2010): 1–8. http://dx.doi.org/10.1155/2010/702827.

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Unintentional poisoning is a major cause of nonfatal injuries in children aged 0–24 months. Associations between self-reported habits on the child safe storage of medication and cleaning products and family, and psychosocial factors were assessed, using a model based on the Protection Motivation Theory. By identifying correlates of safety behavior in this manner, more insight in factors which influence this behavior is obtained. Health promotion activities in order to promote safety behavior should address these factors in order to increase the effectiveness of the health message. Data were gathered from a cross-sectional survey using self-administered questionnaires, mailed to a population sample of 2470 parents with toddlers. The results indicate that the promotion of safe storage of medication and cleaning products should address the family situation, personal cognitive factors as well as social factors. Interventions should particularly focus on parents' self-efficacy of storing poisonous products in a child safe manner and on the vulnerability of their child in their home concerning an unintentional poisoning incident.
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Gittelsohn, Joel, Vinutha Vijayadeva, Nicola Davison, Vickie Ramirez, Leo W. K. Cheung, Suzanne Murphy, and Rachel Novotny. "A Food Store Intervention Trial Improves Caregiver Psychosocial Factors and Children's Dietary Intake in Hawaii." Obesity 18, S1 (February 2010): S84—S90. http://dx.doi.org/10.1038/oby.2009.436.

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Wermer, M. J. H., I. C. van der Schaaf, P. Van Nunen, P. M. M. Bossuyt, C. S. Anderson, and G. J. E. Rinkel. "Psychosocial Impact of Screening for Intracranial Aneurysms in Relatives With Familial Subarachnoid Hemorrhage." Stroke 36, no. 4 (April 2005): 836–40. http://dx.doi.org/10.1161/01.str.0000158906.79898.3a.

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Chunaifa, Leyna, Yayi Suryo Prabandari, and Baning Rahayujati. "Stres psikososial dan kejadian kandidiasis vulvovaginalis pada wanita pekerja seks di Banyumas." Berita Kedokteran Masyarakat 33, no. 7 (July 1, 2017): 331. http://dx.doi.org/10.22146/bkm.18029.

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PurposeThis study aimed to determine the relationship between psychosocial stress with candidiasis vulvovaginalis (KVV) incidence in female sex workers (FSW).MethodsThe research design was a case control study conducted in health center clinics in the Banyumas District. The sample size was 164 FSW (82 cases & 82 control). The research instrument was structured questionnaires, Social Readjustment Rating Scale (SRRS), laboratory equipment and microscopes for inspection KVV. Data analysis used logistic regression tests to calculate odds ratios (OR), confidence interval (CI), and p value.ResultsThe multivariate analysis showed that stress was not KVV risk factors, and the risk factors that contribute to the occurrence of KVV in FSW were oral sex (OR = 3.31, 95% CI = 1.60 to 6.83, p-value = 0.001) and smoking more than 10 cigarettes/day (OR = 2.33, 95% CI = 1.2 to 4.59, p-value = 0.014).ConclusionsThe risk factors of KVV were oral sex and smoking ≥ ten cigarettes/day. We recommend to avoid oral sex and smoking < ten cigarettes/day to avoid the risk of KVV infection.
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Kurniawati, Dian Aulia, Mateus Sakundarno Adi, and Rita Hadi Widyastuti. "Tingkat Stres Lansia dengan Penyakit Tidak Menular." Jurnal Keperawatan Jiwa 8, no. 2 (May 1, 2020): 123. http://dx.doi.org/10.26714/jkj.8.2.2020.123-128.

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Stres pada lansia dengan penyakit tidak menular merupakan masalah psikososial yang dapat mempengaruhi kualitas hidup dan kesejahteraan lansia apabila tidak segera diatasi, terutama dalam hal perawatan dirinya yang berpusat pada kepatuhan dalam pengobatan serta manajemen diri. Namun, penelitian yang membahas tentang tingkat stres pada lansia dengan penyakit tidak menular di wilayah kerja Puskesmas Pudakpayung Kota Semarang belum tersedia sehingga penelitian ini perlu dilakukan untuk melihat tingkat stres lansia dengan penyakit tidak menular: diabetes mellitus dan hipertensi. Penelitian menggunakan desain cross sectional dengan jumlah sampel 109 lansia dengan penyakit tidak menular yang didapatkan melalui teknik total sampling di wilayah kerja Puskesmas Pudakpayung di Kota Semarang pada tahun 2020. Kriteria inklusi dalam penelitian ini adalah lansia berusia 60 tahun keatas dengan penyakit tidak menular yaitu diabetes melitus dan hipertensi, menderita penyakit < 5 tahun. Instrumen yang digunakan dalam penelitian ini adalah Depresion, Anxiety, Stress Scale (DASS-42) berisi 14 pertanyaan, dengan tingkatan Discriminant validity dan mempunyai reliabilitas sebesar 0,8806 berdasarkan Cronbach Alpha. Hasil penelitian menunjukkan bahwa lansia dengan diabetes melitus sebagian besar mengalami stres sedang sebesar 62,7% dan lansia dengan hipertensi mengalami stres sedang sebesar 59,1%. Kata kunci: lansia, penyakit tidak menular, stres STRESS LEVELS IN ELDERLY WITH NON-COMMUNICABLE DISEASES ABSTRACTStress in elderly with Non-communicable Diseases is an psychosocial problem that can affect the quality of life and well-being of the elderly if not immediately addressed, especially in terms of self-care that is centered on adherence in medication and self-management. However, research that discusses about the levels of stress in elderly with non-communicable diseases in the working area of Pudakpayung’s Public Health Centers in Semarang City is not yet available, so this research are needs to be done to look at the stress levels in elderly with non-communicable diseases : diabetes mellitus and hypertension. The study used a cross sectional design with 107 elderly with non-communicable diseases to be a sample obtained through total sampling techniques in Pudakpayung’s Public Health Centers in Semarang City on 2020. The criteria of inclusion in this study were the elderly aged 60 years and above with non-communicable diseases, suffering from illness < 5 years. The instruments used in this study were Depression, Anxiety, Stress Scale (DASS-42) contains 14 questions, with levels Discriminant validity and reliability have amounted to 0,8806 by Cronbach Alpha. The results showed that elderly with diabetes mellitus mostly experienced moderate stress by 62,7% and the elderly with hypertension experienced moderate stress by 59.1%. Keywords: elderly, non-communicable diseases, stress
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Sandu, Mihaela Luminița, Lavinia Maria Pruteanu, and Alina Mihaela Tabacaru (Ionescu). "Psychosocial Climate in the Primary Work Group in State Organizations." Anuarul Universitatii Petre Andrei din Iasi - Fascicula: Asistenta Sociala, Sociologie, Psihologie 25 (2020): 149–65. http://dx.doi.org/10.18662/upasw/25/41.

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The psychosocial climate has a great variety of definitions, this being due to the different point of view from which it is approached: pragmatic, affective, normative, structural. In the psychosociological literature in our country, the definitions proposed for this concept are mostly focused on the attitudinal-emotional aspect of this phenomenon and consequently they generally have many notes in common. Organizational and managerial theories have largely begun with the discovery of the importance of people and the socio-human climate for the efficient functioning of companies. Through multiple analyzes and research, the dynamics of the human factor in the organization and management was configured. From the beginning we must distinguish two universes within any organization. On the one hand, machines and technology, the market and production flows, productivity and competitiveness of products representing a distinct universe of corporations, on the other hand, the other universe, as significant as the first, represented by individual people and relationships among them, the knowledge that people store, produce and apply, the values they adhere to, the myths they generate. Therefore, we have two distinct and at the same time complementary universes: one technological and the other human. The technological universe can be changed easily and quickly. It is rational and visible. The cultural universe, however, is much less transparent, it mixes rationalities in different combinations, which only those who participate directly can understand. Leadership is also a field of research and a practical skill that encompasses the ability of an individual or organization to "lead" or guide other people, teams, or an entire organization. Leadership viewed from a European and non-academic perspective includes a vision of a leader that can be changed not only through community goals but also through the pursuit of personal power. Leadership can result from a combination of several factors. A leadership style is the style of a leader to provide direction, implement plans and motivate people. It is the result of the leader's philosophy, personality and experience.
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Thaivalappil, Abhinand, Andrew Papadopoulos, and Ian Young. "Intentions to adopt safe food storage practices in older adults." British Food Journal 122, no. 1 (October 31, 2019): 181–97. http://dx.doi.org/10.1108/bfj-07-2019-0483.

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Purpose The purpose of this paper is to apply the theory of planned behaviour (TPB) to determine which psychosocial factors are predictors of older adults’ safe food storage practices at home. Design/methodology/approach An online structured questionnaire was developed and administered to older adults (60+). Two behavioural intention outcomes were investigated: thawing meats safely and storing leftovers within recommended guidelines. The survey instrument measured socio-demographic and TPB variables: attitudes, subjective norms, perceived behavioural control and intentions. A measure of self-reported habitual behaviour was also recorded and used to determine whether past practice influenced behavioural intentions. Findings Respondents (n=78) demonstrated good intentions to safely defrost meats and store leftovers. The models accounted for 41 and 48 per cent of the variance in intentions to perform safe storage behaviours. Attitudes and subjective norms were predictors of intentions to safely thaw meats. Habitual behaviour was a significant predictor of behavioural intentions to safely store leftovers. Perceived behavioural control was a significant predictor of intentions to thaw meats and store leftovers. Research limitations/implications The sample size was small, and results are to be interpreted with caution. Practical implications The results indicate that theory-based solutions to solving food safety among consumers may be a feasible strategy. Originality/value The study is the first of its kind to apply the TPB to this consumer group.
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Ciompi, Luc. "Affects as Central Organising and Integrating Factors a New Psychosocial/Biological Model of the Psyche." British Journal of Psychiatry 159, no. 1 (July 1991): 97–105. http://dx.doi.org/10.1192/bjp.159.1.97.

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A new psychosocial/biological model of the psyche is proposed, in which the affects play a central role in organising and integrating cognition. The psyche is understood here as a complex hierarchical structure of affective/cognitive systems of reference (or ‘programmes for feeling, thinking, and behaviour’), generated by repetitive concrete action. These systems store past experience in their structure, and provide the functional basis for further cognition and communication. Affects endow these programmes with a specific qualitative value (such as motivation), connect cognitive elements synchronically and diachronically, and contribute to their storage and mobilisation according to context. They also participate in differentiating cognitive systems at higher levels of abstraction. These assumptions are supported by recent findings on the role of the limbic and hypothalamic system for the regulation of emotion, on neuronal plasticity, and on the phenomenon of state-dependent learning and memory. Refutable hypotheses are formulated for further research on the interaction of emotion and cognition.
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Dubar, Marie, Jean‐Pol Frippiat, Thomas Remen, Amir Boufenzer, Corentine Alauzet, Cedric Baumann, Sebastien Gibot, and Catherine Bisson. "Comparison of sTREM‐1 and associated periodontal and bacterial factors before/after periodontal therapy, and impact of psychosocial factors." Journal of Clinical Periodontology 47, no. 9 (July 20, 2020): 1064–78. http://dx.doi.org/10.1111/jcpe.13339.

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Arauz-Boudreau, Alexy, Alexa Riobueno-Naylor, Haregnesh Haile, Juliana M. Holcomb, Cara M. Lucke, Bernard Joseph, Michael S. Jellinek, and J. Michael Murphy. "How an Electronic Medical Record System Facilitates and Demonstrates Effective Psychosocial Screening in Pediatric Primary Care." Clinical Pediatrics 59, no. 2 (December 6, 2019): 154–62. http://dx.doi.org/10.1177/0009922819892038.

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Using questionnaires, administrative claims, and chart review data, the current study explored the impact of using an electronic medical record system to administer, score, and store the Pediatric Symptom Checklist (PSC-17) during annual pediatric well-child visits. Within a sample of 1773 Medicaid-insured outpatients, the electronic system demonstrated that 90.5% of cases completed a PSC-17 screen electronically, billing codes indicating a screen was administered agreed with the existence of a questionnaire in the chart in 98.8% of cases, the classification of risk based on PSC-17 scores agreed with the classification of risk based on the Current Procedural Terminology code modifiers in 72.9% of cases, and 90.0% of clinicians’ progress notes mentioned PSC-17 score in treatment planning. Using an electronic approach to psychosocial screening in pediatrics facilitated the use of screening information gathered during the clinical visit and allowed for enhanced tracking of outcomes and quality monitoring.
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Sarjiyah, Sarjiyah, Endar Timiyatun, and Sri Hariyanti. "Hubungan penerapan family centered care oleh perawat dengan stres orangtua selama hospitalisasi bayi." Health Sciences and Pharmacy Journal 2, no. 3 (December 5, 2018): 89. http://dx.doi.org/10.32504/hspj.v2i3.42.

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Hospitalization of infant causes stress of the parents. Stress which is experienced by parents during infant’s hospitalization has a negative impact. Some of the effects of parental stress include physical problems (fatigue, insomnia, gastritis, headaches, anorexia), and psychosocial problems (frustration, depression, self-blame, emotional and uncooperative) One of the services that can minimize parental stress is implementation of family centered care. The objective of this research is to know the relationship between the implementation of family centered care by nurse with parental stress during infant’s hospitalization in Perinatology Ward Panembahan Senopati Hospital, Bantul,Yogyakarta.This research was a non-experimental, with a cross-sectional design. The sampling technique was purposive sampling with a total of 95 respondents whose parents were hospitalized in the Perinatology Ward of Panembahan Senopati Hospital, Bantul, Yogyakarta. Data was perfomed by kendall tau test. Family centered care application carried out by nurses in the Perinatology Ward of Panembahan Senopati Hospital Bantul, Yogyakarta, was in the majority in the good category of 45 respondents (47.4%), and the stress experienced by parents in the low stress category was 44 respondents (46.3%). Correlation test results p-value = 0.000 (p-value < 0.05)and r = 0.899.The conclussion was there was a relationship between the implementation of family centered care performed by nurses with parental stress during infant’s hospitalization. The better implementation of family centered care, the lower the stress level of parents.
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Lau, Nancy, Alison O'Daffer, Susannah Colt, Joyce P. Yi-Frazier, Tonya M. Palermo, Elizabeth McCauley, and Abby R. Rosenberg. "Android and iPhone Mobile Apps for Psychosocial Wellness and Stress Management: Systematic Search in App Stores and Literature Review." JMIR mHealth and uHealth 8, no. 5 (May 22, 2020): e17798. http://dx.doi.org/10.2196/17798.

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Background In an oversaturated market of publicly available mobile apps for psychosocial self-care and stress management, health care providers, patients, and consumers interested in mental health–related apps may wonder which, if any, are efficacious. Readily available metrics for consumers include user popularity and media buzz rather than scientific evidence. Objective This systematic review aimed to (1) examine the breadth of therapeutic contents and features of psychosocial wellness and stress management apps available to self-help seekers for public download and (2) determine which of these apps have original research support. Methods First, we conducted a systematic review of publicly available apps on the iPhone App Store (Apple Inc) and Android Google Play (Google LLC) platforms using conventional self-help-seeking search terms related to wellness and stress. The results were limited to English-language apps available for free download. In total, 2 reviewers independently evaluated all apps and discussed the findings to reach 100% consensus regarding inclusion. Second, a literature review was conducted on the included apps to identify supporting studies with original data collection. Results We screened 3287 apps and found 1009 psychosocial wellness and stress management apps. Content varied widely. The most common evidence-based strategy was mindfulness-meditation, followed by positive psychology and goal setting. Most apps were intended to be used as self-help interventions, with only 1.09% (11/1009) involving an electronic therapist and 1.88% (19/1009) designed as a supplement to in-person psychotherapy. Only 4.66% (47/1009) of apps targeted individuals with psychological disorders, and less than 1% of apps (6/1009, 0.59%) targeted individuals with other chronic illnesses. Approximately 2% (21/1009, 2.08%) were supported by original research publications, with a total of 25 efficacy studies and 10 feasibility studies. The Headspace mindfulness app had the most evidence, including 8 efficacy studies. Most other scientifically backed apps were supported by a single feasibility or efficacy study. Conclusions Only 2.08% (21/1009) of publicly available psychosocial wellness and stress management mobile apps discoverable to self-help seekers have published, peer-reviewed evidence of feasibility and/or efficacy. Clinicians and investigators may use these findings to help patients and families navigate the volume of emerging digital health interventions for stress management and wellness.
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Pramaneta, Richa, Yufitriana Amir, and Oswati Hasanah. "Gambaran Stres Pada Orang Tua dan Anak yang Mengalami Penyakit Leukemia: Literatur Review." Jurnal Ilmiah Universitas Batanghari Jambi 22, no. 1 (February 24, 2022): 412. http://dx.doi.org/10.33087/jiubj.v22i1.2047.

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Leukemia is a malignant disease of Hematopoietic tissue which is characterized by the replacement of the marrow element from normal bone by abnormal/neoplastic blood cells. The main treatment for leukemia is chemotherapy. Chemotherapy treatment has side effects both physically and psychosocially. The first source of stress that occurs in parents is caused by children who are hospitalized, and then the second source of stress can be caused by the surrounding environment, the third source of stress is the treatment for children in accordance with medical procedures. Stress that occurs in children caused by anxiety and fear related to the whole process and the possibility of bodily injury, physical danger, and pain. This researcher used a literature review design using research journal searches using Google Scholar and PubMed with the keywords parent and child stress leukemia. There were 5 articles that matched the inclusion criteria followed by a matrix analysis based on the objectives, methods, samples, and research results. The results of the literature review show that the stress experienced by parents and children is categorized at moderate levels. This is to determine the level of stress for parents and children who experience leukemia.
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Gittelsohn, Joel, Elizabeth M. Kim, Siran He, and Marla Pardilla. "A Food Store–Based Environmental Intervention Is Associated with Reduced BMI and Improved Psychosocial Factors and Food-Related Behaviors on the Navajo Nation." Journal of Nutrition 143, no. 9 (July 17, 2013): 1494–500. http://dx.doi.org/10.3945/jn.112.165266.

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Robles, Brenda, Tony Kuo, and Courtney S. Thomas Tobin. "What Are the Relationships between Psychosocial Community Characteristics and Dietary Behaviors in a Racially/Ethnically Diverse Urban Population in Los Angeles County?" International Journal of Environmental Research and Public Health 18, no. 18 (September 19, 2021): 9868. http://dx.doi.org/10.3390/ijerph18189868.

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To address existing gaps in public health practice, we used data from a 2014 internet panel survey of 954 Los Angeles County adults to investigate the relationships between psychosocial community characteristics (PCCs) and two key chronic disease-related dietary behaviors: fruit and vegetable (F+V) and soda consumption. Negative binomial regression models estimated the associations between ‘neighborhood risks and resources’ and ‘sense of community’ factors for each dietary outcome of interest. While high perceived neighborhood violence (p < 0.001) and perceived community-level collective efficacy (p < 0.001) were associated with higher F+V consumption, no PCCs were directly associated with soda consumption overall. However, moderation analyses by race/ethnicity showed a more varied pattern. High perceived violence was associated with lower F+V consumption among White and Asian/Native Hawaiian/Other Pacific Islander (ANHOPI) groups (p < 0.01). Inadequate park access and walking as the primary mode of transportation to the grocery store were associated with higher soda consumption among the ANHOPI group only (p < 0.05). Study findings suggest that current and future chronic disease prevention efforts should consider how social and psychological dynamics of communities influence dietary behaviors, especially among racially/ethnically diverse groups in urban settings. Intervention design and implementation planning could benefit from and be optimized based on these considerations.
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Fortin, Jean-Paul, Marie-Pierre Gagnon, Alain Cloutier, and Françoise Labbé. "Evaluation of a telemedicine demonstration project in the Magdalene Islands." Journal of Telemedicine and Telecare 9, no. 2 (April 1, 2003): 89–94. http://dx.doi.org/10.1258/135763303321327948.

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The Magdalene Islands are an archipelago located in the middle of the Gulf of St Lawrence, more than 1000 km away from supra-regional medical referral centres. We have implemented and evaluated a telemedicine network for the local hospital on the Magdalene Islands. During a 13-month study period, 118 transmissions were made. Orthopaedics and radiology were the medical specialties that used telemedicine most frequently. Store-and-forward imaging was the technique used most often because of the large number of transmissions in orthopaedics and radiology. Various medical specialties and psychosocial services used videoconferencing, while realtime imaging (ultrasound) was used in gynaecology and obstetrics. A combination of videoconferencing and imaging was used for otolaryngology. A total of 101 individual patients benefited from a teleconsultation during the study period. Eight emergency transfers were avoided and 15 patients who would have required elective transfer were managed locally by telemedicine. For health-care providers, telemedicine seemed to be an acceptable way of delivering specialized services. Nevertheless, demonstration projects in telemedicine are quite different to 'real life' telemedicine utilization. Deployment of telemedicine in the health-care system as a whole will require a more structured approach.
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Jilcott Pitts, Stephanie B., Shu Wen Ng, Jonathan L. Blitstein, Alison Gustafson, and Mihai Niculescu. "Online grocery shopping: promise and pitfalls for healthier food and beverage purchases." Public Health Nutrition 21, no. 18 (October 19, 2018): 3360–76. http://dx.doi.org/10.1017/s1368980018002409.

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AbstractObjectives(i) To determine the current state of online grocery shopping, including individuals’ motivations for shopping for groceries online and types of foods purchased; and (ii) to identify the potential promise and pitfalls that online grocery shopping may offer in relation to food and beverage purchases.DesignPubMed, ABI/INFORM and Google Scholar were searched to identify published research.SettingTo be included, studies must have been published between 2007 and 2017 in English, based in the USA or Europe (including the UK), and focused on: (i) motivations for online grocery shopping; (ii) the cognitive/psychosocial domain; and (iii) the community or neighbourhood food environment domain.SubjectsOur search yielded twenty-four relevant papers.ResultsFindings indicate that online grocery shopping can be a double-edged sword. While it has the potential to increase healthy choices via reduced unhealthy impulse purchases, nutrition labelling strategies, and as a method to overcome food access limitations among individuals with limited access to a brick-and-mortar store, it also has the potential to increase unhealthy choices due to reasons such as consumers’ hesitance to purchase fresh produce online.ConclusionsAdditional research is needed to determine the most effective ways to positively engage customers to use online grocery shopping to make healthier choices.
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Zamyatin, K. A., D. I. Nozdrachev, D. G. Kakadzhikova, U. V. Golovanova, and G. A. Varaksin. "Assessment of the quality of mobile applications for smoking cessation and its potential for the modification of psychosocial and behavioral risk factors for cardiovascular disease." Russian Journal of Cardiology 27, no. 9 (August 18, 2022): 5190. http://dx.doi.org/10.15829/1560-4071-2022-5190.

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Aim. To analyze the functionality and characteristics of quit smoking applications available to Russian-speaking users using validated scales for its evaluation.Material and methods. Applications were searched in the App Store and Google Play, and a specialized MARS scale was used to evaluate applications. A total of 598 applications were found, of which 54 applications met the inclusion criteria and were included in the study.Results. It was found that 54% of applications use short- and medium-term goals as methods and techniques to increase the likelihood of quitting tobacco, while 31% of applications use various educational materials in order to form a negative attitude towards smoking. In addition, 22% of applications use cognitive and behavioral techniques of cognitive behavioral therapy. A negative moderate correlation was established between the application user rating and MARS score (r=-0,32).Conclusion. The Russian-language anti-smoking mobile applications included in this study demonstrated satisfactory quality on average. A significant number of applications use proven effective cognitive behavioral therapy techniques. At the same time, mobile applications in healthcare has shortcomings, especially in terms of compliance with guidelines, and needs to be further improved.
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Astuti, Lenny, and Linda Rusma Wati. "Hubungan Tingkat Stres dengan Kualitas Hidup Penderita Hipertensi di Masa COVID-19 di Puskesmas Merdeka Palembang." Malahayati Nursing Journal 5, no. 2 (February 1, 2023): 435–45. http://dx.doi.org/10.33024/mnj.v5i2.7958.

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ABSTRACT Hypertension is the main cause of premature death worldwide. Hypertension is also the highest comorbid COVID-19 at 50.1%. One of the causes of increased blood pressure in hypertensive patients is stress, continuous stress can affect the quality of life in physical, psychological, social, and environmental aspects. The purpose of this study was to determine the relationship between stress levels and the quality of life of hypertension sufferers during the COVID-19 period at the Merdeka Palembang Health Center. The research method used a descriptive-analytic method using a cross-sectional approach. The sampling technique used was accidental sampling. The research subjects were hypertension sufferers at Merdeka Health Center Palembang with a total sample of 30 people. This research was conducted on 30 May- 4 June. The results of data analysis research with statistical tests (chi-square) show that there is a significant relationship between stress levels and the quality of life of hypertension sufferers with a p-value = 0.003 so it can be concluded that there is a relationship between stress level and quality of life of hypertension sufferers during COVID-19 at the Merdeka Health Center in Palembang. This study concludes that it is necessary to conduct counseling on stress management so that psychosocial problems such as stress that can cause a decrease in quality of life in patients with hypertension can be minimized. Keywords: Stress Level, Quality of Life, Hypertension ABSTRAK Hipertensi merupakan penyebab utama kematian dini di seluruh dunia.hipertensi juga menjadi komorbid COVID-19 tertinggi yaitu sebesar 50,1%. Salah satu penyebab peningkatan tekanan darah pada pasien hipertensi adalah stres, stres yang berkelanjutan dapat mempengaruhi kualitas hidup dalam aspek fisik, psikologis, sosial dan lingkungan. Tujuan Penelitian ini adalah untuk mengetahui hubungan tingkat stres dengan kualitas hidup penderita hipertensi di masa COVID-19 di Puskesmas Merdeka Palembang. Metode Penelitian menggunakan metode deskriptif analitik dengan menggunakan pendekatan secara cross sectional. Teknik pengambilan sampel menggunakan accidental sampling. Subyek penelitian adalah penderita hipertensi di Puskesmas Merdeka Palembang dengan jumlah sampel sebanyak 30 orang. Penelitian ini dilakukan pada tanggal 30 Mei- 4 Juni. Hasil Penelitian analisis data dengan uji statistik (chi-square) menunjukan bahwa ada hubungan yang signifikan antara tingkat stres dengan kualitas hidup penderita hipertensi dengan p value = 0,003 sehingga dapat disimpulkan bahwa ada hubungan antara tingkat stres dengan kualitas hidup penderita hipertensi di masa COVID-19 di Puskesmas Merdeka Palembang.Kesimpulan pada penelitian ini perlu dilakukannya penyuluhan tentang manajemen stress sehingga masalah-masalah psikososial seperti stres yang dapat menyebabkan penurunan kualitas hidup pada penderita hipertensi dapat diminimalkan. Kata Kunci: Tingkat Stres, Kualitas Hidup, Hipertensi
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Tobing, Duma Lumban. "TINGKAT STRES, KECEMASAN DAN PENYESUAIAN DIRI PADA LANSIA YANG DI TINGGAL PASANGAN HIDUP." Indonesian Journal of Health Development 5, no. 1 (February 12, 2023): 39–50. http://dx.doi.org/10.52021/ijhd.v5i1.116.

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ABSTRAK Menyesuaikan diri dengan kematian pasangan adalah salah satu tantangan perkembangan pada lanjut usia. Lansia yang kehilangan pasangan bisa mengalami berbagai perubahan, termasuk mental dan emosional. Stres kehilangan pasangan dapat menimbulkan masalah psikososial yaitu kecemasan. Penelitian ini bertujuan untuk mengetahui hubungan tingkat stres dan kecemasan dengan penyesuaian diri pada lansia yang ditinggal pasangan hidup di Kelurahan Grogol. Penelitian ini menggunakan rancangan korelasional dengan pendekatan cross sectional untuk mengetahui korelasi antara dua variabel, variabel independen tingkat stress dan kecemasan serta variabel dependen penyesuaian diri pada lansia yang ditinggal pasangan hidup. Pengambilan data dilakukan melalui observasi langsung dengan menggunakan instrumen Perceived Stress Scale (PSS-10), Geriatric Anxiety Scale (GAS) dan instrument penyesuaian diri lansia yang ditinggal pasangan hidup. Sampel pada penelitian ini berjumlah 32 responden yang diambil menggunakan teknik purposive sampling. Analisa data yang digunakan adalah analisis univariat dan bivariat menggunakan uji chi square (p < 0,05). Hasil penelitian ditemukan responden paling banyak perempuan sebanyak 18 responden (56,3%) berusia 60-70 tahun sebanyak 19 responden (59,4%), tingkat pendidikan terbanyak pada katagori tingkat pendidikan rendah sebanyak 19 responden (59,4%), sebagian besar responden sudah ditinggal pasangan hidup ≥ 3 tahun sebanyak 19 responden (49,4%). Sebagian besar mengalami stress sedang sebanyak 18 responden (56,3%), kecemasan sedang sebanyak 19 responden (59,4%) dan memiliki penyesuaian diri negativf sebanyak 19 responden (59,4%). Analisis bivariat menunjukkan adanya hubungan yang signifikan antara tingkat stress dengan penyesuaian diri pada lansia yang ditinggal pasangan hidup dengan nilai p-value 0,041 (p < 0,05) dan adanya hubungan signifikan antara kecemasan dengan penyesuaian diri pada lansia yang ditinggal pasangan hidup dengan nilai p-value 0,018 (p < 0,05). Peneliti menyarankan agar lansia dapat membentuk self help group sebagai group pendukung. Kata Kunci: Kecemasan, Lansia ditinggal pasangan hidup, Penyesuaian diri, Stres ABSTRACT Adjusting to the death of a partner is one of the developmental challenges in old age. The elderly person who has lost a partner can experience various changes, including mental and emotional. The stress of losing a partner can cause psychosocial problems, namely anxiety. This study aims to determine the relationship between stress and anxiety levels with adjustment in the elderly who are left by their spouses in Grogol Village. This study used a correlational design with a cross-sectional approach to determine the correlation between the two variables, the independent variables stress and anxiety levels, and the dependent variable adjustment in the elderly who are left by their spouses. Data collection was carried out through direct observation using the Perceived Stress Scale (PSS-10) instrument, the Geriatric Anxiety Scale (GAS), and the adjustment instrument for the elderly who have been left by a spouse. The sample in this study amounted to 32 respondents who were taken using a purposive sampling technique. The data analysis used was univariate and bivariate analysis using the chi-square test (p <0.05). The results of the study found that most respondents were women, 18 respondents (56.3%) aged 60-70 years, 19 respondents (59.4%), with the highest level of education in the category of low education level, 19 respondents (59.4%), some Most of the respondents had been left by their spouse for ≥ 3 years as many as 19 respondents (49.4%). Most of them experienced moderate stress as many as 18 respondents (56.3%), moderate anxiety as 19 respondents (59.4%), and had negative self-adjustment as many as 19 respondents (59.4%). Bivariate analysis showed that there was a significant relationship between stress levels and adjustment in the elderly who were left by a spouse with a p-value of 0.041 (p <0.05) and there was a significant relationship between anxiety and adjustment in the elderly who were left by a spouse with a p-value value 0.018 (p < 0.05). Researchers suggest that the elderly can form a self-help group as a support group. Keywords: Anxiety, Elderly left by a spouse, Adjustment, Stress
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Tonezer, Cristiane, Marta Nichelle Do Amaral, Simone Fátima Mascarello Cervini, and Maria Regina Martinazzo. "Identidade gastronômica: patrimônio imaterial do oeste catarinense/ Gastronomic identity: immaterial heritage of the catarinense west." Geografares, no. 25 (June 27, 2018): 238–62. http://dx.doi.org/10.7147/geo25.17619.

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A cultura dos povos está ligada à alimentação e para entender sua diversidade e especificidade tornam-se imprescindíveis resgatar aspectos históricos, visitar o passado e trazer hábitos, costumes e crenças de cada etnia. Este estudo objetiva resgatar a memória gastronômica das etnias formadoras do Oeste de Santa Catarina. Como metodologia utilizou-se a pesquisa-ação, onde além da revisão de literatura buscou-se descrever as ações de um projeto de extensão denominado Patrimônio Gastronômico do Oeste de Santa Catarina. Como resultado chegou-se aos ingredientes chaves de quatro etnias: italiana, alemã, cabocla e polonesa e a partir deles criou-se um novo prato representando-as, o Revirado. AbstractThe objective was to develop and validate a culturally appropriate instrument to evaluate the impact of a pilot intervention program in the food environment to promote healthy eating in small food stores in an urban food desert. A formative research was carried out for the validation of the instrument, including meetings of researchers, visits to all the streets in the study's region to identify food stores, visits to food distribution system agents', community workshops with the local community and in-depth interviews with food store owners for content and apparent validity. Instrument reliability was tested by Cronbach alpha coefficient. The development of the instrument included questions to evaluate the Identification and Characterization of Store; Marketing Parameters (i.e. influencers for including new food itens and frequency of product acquisition and profitability); and Psychosocial Factors Scale (i.e. expectations regarding healthy food sales, expectations regarding impact of intervention, and self-efficacy in relation to the marketing of healthy foods). Validation process allowed a review of all questions and questions' responses, with Cronbach alpha between 0.440 to 0.967 in the final instrument questions. It can be concluded that the instrument was developed to identify relevant characteristics of the food distribution system and can be used in epidemiological studies and public policies to evaluate increase access to healthy foods.Key words:Validation Studies; Urban Health; Food Environment
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Jacobs, Jamie M., Chelsea S. Rapoport, Arielle Horenstein, Madison Clay, Emily A. Walsh, Jeffrey Peppercorn, Jennifer S. Temel, and Joseph A. Greer. "Study protocol for a randomised controlled feasibility trial of a virtual intervention (STRIDE) for symptom management, distress and adherence to adjuvant endocrine therapy after breast cancer." BMJ Open 11, no. 1 (January 2021): e041626. http://dx.doi.org/10.1136/bmjopen-2020-041626.

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IntroductionPatient adherence to adjuvant endocrine therapy (AET) after a diagnosis of hormone-sensitive breast cancer is poor. Previous interventions have failed to produce changes in adherence, address patient preferences or include theoretically informed and evidence-based components. Therefore, we iteratively developed a patient-centred, evidence-based, small-group, videoconference intervention to improve adherence and symptom management as well as reduce distress for patients taking AET after breast cancer (Symptom-Targeted Randomised Intervention for Distress and Adherence to Adjuvant Endocrine Therapy, STRIDE).Methods and analysisThe current study is a non-blinded, randomised, controlled, feasibility trial of STRIDE compared with a medication monitoring control group. The primary objective is to examine the feasibility and acceptability of STRIDE, while secondary objectives are to assess changes in objective and subjective adherence, symptom distress and satisfaction with AET. Patients will be recruited from the Massachusetts General Hospital Cancer Center in Boston, Massachusetts. The total number of patients accrued will be 75, with ≥60 patients completing the study. All patients will store their AET in an electronic pill bottle for objective adherence monitoring. Patients randomly assigned to the STRIDE intervention will receive 6 weekly 1-hour sessions, in small groups of two, delivered via videoconferencing by a trained mental health professional. Patients assigned to the control group will store their medication in the electronic pill bottle and receive follow-up oncology care as usual. All participants will complete self-report psychosocial measures at baseline, 12 weeks and 24 weeks postbaseline.Ethics and disseminationThe study is funded by the National Cancer Institute of the National Institutes of Health and is approved by the Dana-Farber/Harvard Cancer Center Institutional Review Board (Protocol #18–603, V.1.2, first approval date 1 February 2019). The study will be reported in accordance with the Consolidated Standards of Reporting Trials statement for non-pharmacological trials. Results will be published in peer-reviewed academic journals, presented at scientific meetings and disseminated to patient organisations and media outlets.Trial registration numberNCT03837496; Pre-results.
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Zeky, Nicole, Colleen LeBlanc, Elizabeth McDonough, and Dedrick Moulton. "FOOD ACCESS AND MENTAL HEALTH IN PEDIATRIC INFLAMMATORY BOWEL DISEASE." Inflammatory Bowel Diseases 29, Supplement_1 (January 26, 2023): S16. http://dx.doi.org/10.1093/ibd/izac247.033.

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Abstract PURPOSE It has been estimated that about 25% of patients with inflammatory bowel disease (IBD) are diagnosed before the age of 18. Food insecurity, limited or lack of access to enough food, has been associated with poor outcomes in childhood health including mental health problems. United States Department of Agriculture (USDA) defines a food desert as a census tract that meets criteria for low access to a grocery store and low income. Depression and anxiety have been well documented in pediatric patients with IBD. Functional Disability Inventory (FDI) is a measure of limitations in both physical and psychosocial functioning secondary to physical health. Our hypothesis is that patients in low access areas to healthy food will have more evidence of depression, anxiety and higher disability scores. METHODS This study is a retrospective chart review of patients diagnosed with Crohn's Disease (CD) or ulcerative colitis (UC) between 2019 to 2022. Patient’s addresses were entered into the USDA food access atlas to determine if they lived in an area of low access. Psychology screening included depression screening (PHQ-9), anxiety screening (GAD-7), and functional disability inventory (FDI). Screening questionnaires including PHQ-9, GAD-7, FDI were completed if patients were 12 years of age or old. If 11 years of old or less, parents completed FDI screening forms. RESULTS Our study consisted of 57 patients with an average age of 12.8 years at diagnosis. Thirty-three patients (58%) were non-Hispanic white, 19 (33%) were African American, and 3 were Hispanic (5%). Depression screening was positive in 22 patients (48%) and anxiety screening was positive in 25 patients (60%). Of those living in low access areas, 45% met criteria for depression, 53% met criteria for anxiety. There were comparable rates of depression between the low access group compared to the adequate access group (45% vs 50%, respectively) and rates of anxiety (53% vs. 61%, respectively). Patients in areas of low access had higher disability scores (9.88±11.9) than those in adequate access (5.88±6.1). When considering those who lived in a food desert (11 total), 8 patients were African American, 2 were non-Hispanic white, and 1 was self-described as other. Patients in the food desert group had higher rates of depression (78%) and anxiety (70%) compared to the low access group. Patients in the food desert group had the highest FDI scores (12.7 ±9.7). CONCLUSION Pediatric IBD patients had higher rate of depression and anxiety; However, there was no relationship between food access and depression or anxiety. When considering those in a food desert, the rate of depression increased to 78% and anxiety increased to 70%. Patients living in a food desert had the highest FDI scores. More information is needed on how multiple psychosocial factors might affect depression in children with IBD.
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Ong, Royston, Samantha Edwards, Denise Howting, Benjamin Kamien, Karen Harrop, Gianina Ravenscroft, Mark Davis, et al. "Study protocol of a multicentre cohort pilot study implementing an expanded preconception carrier-screening programme in metropolitan and regional Western Australia." BMJ Open 9, no. 6 (June 2019): e028209. http://dx.doi.org/10.1136/bmjopen-2018-028209.

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IntroductionPreconception carrier screening (PCS) identifies couples at risk of having children with recessive genetic conditions. New technologies have enabled affordable sequencing for multiple disorders simultaneously, including identifying carrier status for many recessive diseases. The aim of the study was to identify the most effective way of delivering PCS in Western Australia (WA) through the public health system.Methods and analysisThis is a multicentre cohort pilot study of 250 couples who have used PCS, conducted at three sites: (1) Genetic Services of Western Australia, (2) a private genetic counselling practice in Perth and (3) participating general practice group practices in the Busselton region of WA. The primary outcome of the pilot study was to evaluate the feasibility of implementing the comprehensive PCS programme in the WA healthcare system. Secondary outcome measures included evaluation of the psychosocial impact of couples, such as reproductive autonomy; identification of areas within the health system that had difficulties in implementing the programme and evaluation of tools developed during the study.Ethics and disseminationApproval was provided by the Women and Newborn Health Service Human Research Ethics Committee (HREC) at King Edward Memorial Hospital for Women (RGS0000000946) and the University of Western Australia (UWA) HREC (RA/4/20/4258). Participants may choose to withdraw at any time. Withdrawal will in no way affect participating couples' medical care. Study couples will be redirected to another participating health professional for consultation or counselling in the event of a health professional withdrawing. All evaluation data will be deidentified and stored in a password-protected database in UWA. In addition, all hard copy data collected will be kept in a locked cabinet within a secure building. All electronic data will be stored in a password-protected, backed-up location in the UWA Institutional Research Data Store. All evaluative results will be published as separate manuscripts, and selected results will be presented at conferences.
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Sanches, Lucas Daniel, Renata Fagundes Lopes, Matheus Ribeiro Theodósio Fernandes Melzer, Maria Aparecida De Oliveira, and Paula Andrea Martins. "Desenvolvimento e validação de instrumento para avaliar o impacto de um programa de intervenção em comércios de alimentos em área de deserto alimentar/Development and validity of an instrument to evaluate the impact of an intervention in food stores at an urban food desert." Geografares, no. 25 (June 27, 2018): 396–411. http://dx.doi.org/10.7147/geo25.17604.

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ResumoObjetivou-se desenvolver e validar um instrumento adequado para avaliar o impacto de um programa piloto de intervenção no ambiente alimentar local para promoção da alimentação saudável em comércios de varejo de alimentos da Zona Noroeste em Santos/SP, região caracterizada como deserto alimentar. Foi realizada pesquisa formativa para validação do instrumento, incluindo reuniões de pesquisadores, varredura no território estudado para identificação dos comércios de alimentos, visitas a atores do canal de distribuição de alimentos, oficinas comunitárias com a comunidade local e entrevistas em profundidade com proprietários dos estabelecimentos para validação de conteúdo e validade aparente. Foi testada confiabilidade do instrumento por coeficiente de alfa de Cronbach. O desenvolvimento do questionário incluiu questões para avaliação da Identificação e Caracterização do Comércio; Parâmetros de Comercialização, incluindo importância de fatores para a inclusão de um novo alimento, frequência de aquisição de produtos, rentabilidade; e Escala de Fatores Psicossociais, incluindo expectativa em relação às vendas de alimentos saudáveis, expectativa em relação ao impacto, e autoeficácia em relação à comercialização de alimentos saudáveis. A validação permitiu revisão de todas as questões e alternativas de resposta do questionário, com alfa de Cronbach variante de 0,440 a 0,967 nas questões do instrumento final. Este resultado indica que o instrumento proposto foi capaz de identificar características relevantes do sistema de distribuição de alimentos á nível local e pode ser utilizado em estudos epidemiológicos para avaliação de políticas públicas territoriais elaboradas para aumento do acesso a alimentos saudáveis.Palavras-chave: Estudos de Validação; Saúde da População Urbana; Ambiente Alimentar AbstractThe objective was to develop and validate a culturally appropriate instrument to evaluate the impact of a pilot intervention program in the food environment to promote healthy eating in small food stores in an urban food desert. A formative research was carried out for the validation of the instrument, including meetings of researchers, visits to all the streets in the study's region to identify food stores, visits to food distribution system agents', community workshops with the local community and in-depth interviews with food store owners for content and apparent validity. Instrument reliability was tested by Cronbach alpha coefficient. The development of the instrument included questions to evaluate the Identification and Characterization of Store; Marketing Parameters (i.e. influencers for including new food itens and frequency of product acquisition and profitability); and Psychosocial Factors Scale (i.e. expectations regarding healthy food sales, expectations regarding impact of intervention, and self-efficacy in relation to the marketing of healthy foods). Validation process allowed a review of all questions and questions' responses, with Cronbach alpha between 0.440 to 0.967 in the final instrument questions. It can be concluded that the instrument was developed to identify relevant characteristics of the food distribution system and can be used in epidemiological studies and public policies to evaluate increase access to healthy foods.Key words:Validation Studies; Urban Health; Food Environment
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Parisi, Sara M., Lisa M. Bodnar, and Tamara Dubowitz. "Weight resilience and fruit and vegetable intake among African-American women in an obesogenic environment." Public Health Nutrition 21, no. 2 (October 10, 2017): 391–402. http://dx.doi.org/10.1017/s1368980017002488.

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AbstractObjectiveTo investigate relationships between weight resilience (maintaining a normal weight in a food desert environment) and fruit and vegetable (F&V) intake, attitudes and barriers.DesignCross-sectional, in-person surveys collected May–December 2011, including self-reported data on F&V-related psychosocial factors, attitudes and barriers. Two 24 h dietary recalls were completed; weight and height were measured. Multivariable regression models estimated prevalence ratios (95 % CI).SettingTwo low-income, predominantly African-American food deserts in Pittsburgh, Pennsylvania, USA.SubjectsWomen aged 18–49 years (n 279) who were the primary food shopper in a household randomly selected for a parent study.ResultsFifteen per cent were weight resilient, 30 % were overweight and 55 % were obese. Overall, 25 % reported eating ≥5 F&V servings/d. After adjustment for age, education, parity, employment, living alone, physical activity, per capita income and mean daily energy intake, women eating ≥5 F&V servings/d were 94 % more likely to be weight resilient compared with those eating <5 servings/d (1·94; 1·10, 3·43). Across BMI groups, self-efficacy regarding F&V consumption was high and few F&V barriers were reported. The most frequently reported barrier was concern about the cost of F&V (36 %). Of the attitudinal F&V-related factors, only concern about wasting food when serving F&V was associated with weight resilience in adjusted models (0·29; 0·09, 0·94). In a model predicting consuming ≥5 F&V servings/d, driving one’s own car to the store was the only attitudinal F&V-related factor associated with consumption (1·50; 1·00, 2·24).ConclusionsIn this population, weight resilience may be encouraged by improving access to affordable and convenient F&V options and providing education on ways to make them palatable to the entire household, rather than by shifting women’s F&V perceptions, which are already positive.
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Platt, Jodyn, Minakshi Raj, and Sharon L. R. Kardia. "The public’s trust and information brokers in health care, public health and research." Journal of Health Organization and Management 33, no. 7/8 (November 7, 2019): 929–48. http://dx.doi.org/10.1108/jhom-11-2018-0332.

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Purpose Nations such as the USA are investing in technologies such as electronic health records in order to collect, store and transfer information across boundaries of health care, public health and research. Health information brokers such as health care providers, public health departments and university researchers function as “access points” to manage relationships between the public and the health system. The relationship between the public and health information brokers is influenced by trust; and this relationship may predict the trust that the public has in the health system as a whole, which has implications for public trust in the system, and consequently, legitimacy of involved institutions, under circumstances of health information data sharing in the future. This paper aims to discuss these issues. Design/methodology/approach In this study, the authors aimed to examine characteristics of trustors (i.e. the public) that predict trust in health information brokers; and further, to identify the factors that influence trust in brokers that also predict system trust. The authors developed a survey that was administered to US respondents in 2014 using GfK’s nationally representative sample, with a final sample of 1,011 participants and conducted ordinary least squares regression for data analyses. Findings Results suggest that health care providers are the most trusted information brokers of those examined. Beliefs about medical deceptive behavior were negatively associated with trust in each of the information brokers examined; however, psychosocial factors were significantly associated with trust in brokers, suggesting that individual attitudes and beliefs are influential on trust in brokers. Positive views of information sharing and the expectation of benefits of information sharing for health outcomes and health care quality are associated with system trust. Originality/value This study suggests that demonstrating the benefits and value of information sharing could be beneficial for building public trust in the health system; however, trust in brokers of information are variable across the public; that is, knowledge, attitudes and beliefs are associated with the level of trust different individuals have in various health information brokers – suggesting that the need for a personalized approach to building trust.
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Najder, Anna, and Dorota Merecz-Kot. "OCCUPATIONAL STRESS AND PSYCHOSOCIAL RISK AMONG JOURNALISTS." Medycyna Pracy, January 2, 2014. http://dx.doi.org/10.13075/mp.5893.2014.008.

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"Speech, Surgical, and Psychosocial Considerations for 22Q Deletion Syndrome." Perspectives of the ASHA Special Interest Groups 4, no. 5 (October 31, 2019): 893–95. http://dx.doi.org/10.1044/2019_pers-19-00010.

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Download the ASHA CE Questions PDF from the toolbar above. Use the questions to guide your Perspectives reading. When you're ready, purchase the activity from the ASHA Store and follow the instructions to take the exam in ASHA's Learning Center. Available until September 7, 2022.
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Thompson, Vivian, Cindy Nederveld, Megan Barry, Timothy J. Bernard, Dianne Thornhill, and Emily Wheat. "Abstract 64: Screening For Psychosocial Health In Pediatric Stroke." Stroke 54, Suppl_1 (February 2023). http://dx.doi.org/10.1161/str.54.suppl_1.64.

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Introduction: Impaired psychosocial health after stroke in adults is well established, with high prevalence of post-stroke anxiety and depression. Behavioral health following pediatric stroke is less well described. Early data suggest that pediatric stroke patients may experience higher rates of anxiety, depression, ADHD and PTSD. Early detection and treatment of behavioral health concerns can lead to improved psychosocial outcomes. However, screening measures to assess psychosocial functioning in pediatric stroke patients have not yet been explored. Methods: This single-center retrospective cohort study (COMIRB 21-3536) examined behavioral health following pediatric stroke using the Pediatric Symptom Checklist (PSC-17) at an outpatient stroke clinic. The PSC-17 screens for a broad range of behavioral health symptoms including internalizing, externalizing, and attention concerns. This dataset included patients with a diagnosis of ischemic stroke, hemorrhagic stroke, CSVT, or periventricular venous infarction (PVI) between 0-18 years of age. Comparison data included all children seen at general outpatient pediatric appointments. Chi-square goodness of fit tests were performed to compare elevated PSC-17 score proportions in children with stroke to proportions found in the general pediatric population. Results: We identified 65 pediatric stroke patients with a parent-reported PSC-17. Global, internalizing, and externalizing scores were higher among pediatric stroke patients compared to the general pediatric population, but there was no statistically significant difference in attention measures. Conclusions: The PSC-17 identifies a higher prevalence of psychosocial health concerns among children who have experienced a stroke as compared to the general pediatric population. The PSC-17 may serve as an effective screening tool to identify pediatric stroke patients who may benefit from further psychosocial evaluation.
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Chan, Mimi Wai Man. "Abstract WMP22: Effects Of Visual Arts-based Interventions On Physical And Psychosocial Outcomes Among Stroke Survivors: A Systematic Review And Meta-analysis." Stroke 54, Suppl_1 (February 2023). http://dx.doi.org/10.1161/str.54.suppl_1.wmp22.

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Background: Visual arts-based interventions may have potential effects on post-stroke physical and psychosocial outcomes, but the current evidence is unclear. Objectives: (1)To determine the effects of visual arts-based interventions on physical and psychosocial outcomes among stroke survivors, and (2)to identify the best practice of visual arts-based interventions that have optimal effects on physical and psychosocial outcomes among stroke survivors. Methods: Seventeen databases were searched. Two reviewers independently screened for the eligible studies, appraised methodological quality assessment, and extracted data. Methodological quality was assessed using the revised Cochrane risk of bias tool for randomised trials. Meta-analysis was conducted using Review Manager 5.4, and narrative synthesis was performed if there was insufficient data for meta-analysis. Grading of Recommendations Assessment, Development and Evaluation was adopted to assess the certainty of evidence. Results: Seven studies were included in this review. The pooled results suggested that visual arts-based interventions had significant effects on activities of daily living (SMD: 0.96, 95%CI: 0.24 to 1.69, p =0.009, I 2 =87%), upper limb function (SMD: 0.83, 95%CI: 0.42 to 1.24, p <0.0001; I 2 =6%), and depressive symptoms (SMD: -1.14, 95%CI: -1.67 to -0.61, p <0.0001, I 2 =70%). While the effect on hand function (SMD: 0.47, 95% CI: -0.43 to 1.37, p =0.31; I 2 =82%) and anxiety (SMD: -0.80, 95%CI: -1.71 to 0.11, p =0.08; I 2 =86%) were non-significant. Narrative synthesis showed that the effects of visual arts-based intervention on self-efficacy, social participation, and quality of life were uncertain. This review also found that five non-visual art activities with education, task orientation, sharing, feedback, and support as parts of the component of visual arts-based interventions might contribute to the benefits of physical and psychosocial outcomes after stroke. Conclusion: This review found that stroke survivors may benefit from visual arts-based interventions to improve physical and psychosocial outcomes. However, the quality of evidence was relatively low, further rigorous randomised controlled trials are recommended to strengthen the current evidence.
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Seagraves, Karen B. "Abstract 61: Invisible Symptoms Post-Thrombectomy: Evaluating Psychosocial in Addition to Functional Outcomes." Stroke 51, Suppl_1 (February 2020). http://dx.doi.org/10.1161/str.51.suppl_1.61.

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Background and Purpose: With increased volume of both young adult stroke patients and mechanical thrombectomy for reversal of LVO, young adult stroke survivors (YASS) are increasingly discharged directly home with minimal neurological deficits. No studies have examined the psychosocial experiences of these YASS and whether these experiences are associated with stroke-specific quality of life (SSQOL). The purpose of this study was to describe YASS post-stroke symptoms, their understanding and perception of those symptoms, and to examine relationships among psychosocial variables: anxiety, depression, fatigue, illness threat perceptions and SSQOL. Methods: A cross-sectional, exploratory design was used. YASS 18-55 years of age and 1-18 months post-stroke who received a thrombectomy at a metropolitan CSC and discharged directly home were recruited. Demographic and clinical data (e.g. NIHSS, mRS, TICI scores) were collected from the hospital’s EMR. Participants completed questionnaires to assess psychosocial variables using an online or paper survey. Descriptive statistics and Spearman rho correlations were performed. Results: Participants ( N = 14) had a mean age 45 years (SD = 6.2), were 4-18 months post-stroke, 71% female, 57% Black, and had low discharge NIHSS scores ( M = 2, SD = 2.6). Five participants had clinically severe fatigue with three borderline cases. There was one case of clinically significant anxiety with one borderline case, and one case of clinically significant depression with three borderline cases. All participants perceived some level of threat of their symptoms, and overall SSQOL was decreased. Higher levels of fatigue, anxiety, depression and illness perception threat were significantly related to lower SSQOL. Conclusions: In spite of having minimal to no physical deficits, these YASS described psychosocial symptoms, notably fatigue, that may impact recovery and transition back to the community. Symptom assessments, provision of education, resources and ongoing support before and after discharge home may be beneficial. Standard practice is a 90-day post-procedure patient assessment, however earlier post-procedure follow-up may help providers identify and address these symptoms.
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Rahman, Subhannur, and Rian Tasalim. "Pengaruh Pemberian Dukungan Kesehatan Jiwa Dan Psikososial Terhadap Penurunan Tingkat Stres Dan Kecemasan Pada Masyarakat Banjar Di Masa Pandemi Covid 19." DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN 13, no. 1 (September 27, 2022). http://dx.doi.org/10.33859/dksm.v13i1.788.

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Latar Belakang : Prevalensi kejadian Covid-19 di Kalimantan Selatan mengalami peningkatan jumlah, baik kasus yang terkonfirmasi sampai dengan kasus kamatian karena Covid-19. Banyaknya dampak yang ditimbulkan dari permasalahan ini menjadikan masyarakat banjar merasakan kerugian secara fisik, sosial, ekonomi dan psikologis. Perasaan stress, was-was, khawatir, cemas, takut, dan gelisah menghadapi kondisi seperti ini menyebabkan resiko penurunan imun selama masa pandemi yang dikhawatirkan berdampak pada mudahnya penularan Covid-19 di lingkungan individu, keluarga dan masyarakat banjar. Selama masa pandemi Covid-19 masyarakat Kalimantan Selatan hanya berfokus pada bagaimana meningkatkan kesehatan fisik, namun masih mengenyampingkan usaha untuk meningkatkan kesehatan jiwa dan psikososial mereka. Oleh sebab itu dengan adanya dukungan kesehatan jiwa dan psikososial selama masa pandemi kemungkinan dapat menurunkan tingkat stress dan kecemasan masyarakat banjar.Tujuan : Penelitian ini bertujuan untuk mengetahui pengaruh pemberian dukungan kesehatan jiwa dan psikososial dalam menurunkan tingkat stress dan kecemasan masyarakat Banjar selama masa pandemic covid 19.Metode : Penelitian ini menggunakan jenis penelitian eksperimen dengan desain penelitian pre eksperimental (one group pretest-posttest design) dengan jumlah sampel sebanyak 30 orang. Teknik pengambilan sampel dilakukan dengan cara purposive sampling.Hasil : Berdasarkan hasil uji statistik menggunakan uji Wilcoxon Tes untuk mengukur tingkat stress dan kecemasan sebelum dan sesudah intervensi didapatkan nilai p value 0,000 lebih kecil dari α = 0,05.Simpulan : Adanya pengaruh pemberian dukungan kesehatan jiwa dan psikososial terhadap penurunan tingkat stres dan kecemasan masyarakat banjar di masa pandemi Covid-19. Kata kunci: Dukungan Kesehatan Jiwa dan Psikososial, Kecemasan, Stres. The Effect of Providing Mental Health and Psychosocial Support on Reducing Stress and Anxiety Levels in the Banjar Community During the Covid 19 PandemicBackground: The prevalence of Covid-19 in South Kalimantan has increased, both confirmed cases and deaths due to Covid-19. The many impacts caused by this problem make the Banjar community suffer physical, social, economic and psychological losses. Feelings of stress, anxiety, worry, anxiety, fear, and dealing with conditions like these cause a decrease in immunity during the pandemic which has an impact on the ease of transmission of Covid-19 in individuals, families and the Banjar community. During the Covid-19 pandemic, the people of South Kalimantan only focused on how to improve their physical health, but still put aside efforts to improve their mental and psychosocial health. Therefore, with mental health and psychosocial support during the pandemic, it is possible to reduce the stress and anxiety levels of the Banjar community.Objective: This study aims to determine the effect of providing mental health and psychosocial support in reducing stress and anxiety levels of the Banjar community during the COVID-19 pandemic.Methods: This study used an experimental research design with a pre-experimental research design (one group pretest-posttest design) with a sample of 30 people. The sampling technique was carried out by purposive sampling.Results: Based on statistical results using the Wilcoxon test to measure stress levels before and before the intervention, the p value of 0.000 was smaller than = 0.05.Conclusion: There is an effect of providing mental health and psychosocial support on reducing stress and anxiety levels in the Banjar community during the Covid-19 pandemic. Keywords: Mental Health and Psychosocial Support, Anxiety, Stress.
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Salinas, Joel, Roberta M. Ray, Rami Nassir, Kamakshi Lakshminarayan, Christina Dording, Jordan Smoller, Sylvia Wassertheil-Smoller, Jonathan Rosand, and Erin C. Dunn. "Abstract 111: Factors Associated With New-onset Depression Following Ischemic Stroke: Results From the Women’s Health Initiative." Stroke 47, suppl_1 (February 2016). http://dx.doi.org/10.1161/str.47.suppl_1.111.

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Background: Although poststroke depression is a common and devastating consequence of stroke, few studies have examined the occurrence and correlates of developing depression among stroke survivors without a history of depression before the stroke. Hypothesis: Using data on post-menopausal women from the Women’s Health Initiative (WHI), we estimated the odds of new-onset depression poststroke (NDPS) and assessed the associations of psychosocial and other factors with NDPS. Methods: We analyzed data from 1433 respondents who were stroke-free at enrollment and had no self-reported history of depression prior to their non-fatal ischemic stroke, and had information regarding stroke severity. NDPS was assessed in the five-year period after stroke using the Center for Epidemiologic Studies Depression Scale or new antidepressant medication use. Unadjusted 5-year depression rates are presented by demographic, comorbid, and psychosocial factors measured pre-stroke. Vascular territory of stroke is given by the Oxfordshire classification. Logistic regression provided odds ratios of NDPS controlling for multiple covariates. Results: New-onset depression post ischemic stroke occurred in 21.4% (306/1433) of the analytic cohort and varied by stroke outcome as measured by the Glasgow scale ranging from 16.7% of those with good recovery to 31.5% of those severely disabled. Women with total anterior circulation infarction had the highest level (45.8%) of NDPS while those with lacunar infarction had the lowest (19.1%). Among those with ischemic stroke and good recovery (n=754), moderate level of optimism was associated with a reduced odds of NDPS (compared to low optimism, OR, 0.29; 95%CI, 0.14-0.63) adjusting for demographics, behavioral factors, and comorbidities. Cynical hostility, social support, and traumatic life events were unassociated with NDPS. Conclusions: New-onset depression is common after ischemic stroke among post-menopausal women. Though rarely studied in poststroke depression, psychosocial factors (specifically optimism) may play a role in reducing risk for new-onset depression after stroke.
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Fritz, Michele, Anne Hughes, Amanda Woodward, Paul Freddolino, and Mathew J. Reeves. "Abstract 164: The Michigan Stroke Transitions Trial: Assessment of Unmet Needs and Case Management Activities from an In-home Patient-Centered Social Work Case Management Program." Stroke 48, suppl_1 (February 2017). http://dx.doi.org/10.1161/str.48.suppl_1.164.

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Background: Inadequate stroke transitions adversely affect survivors, caregivers and families, contributing to hospital readmissions, recurrent stroke, and poor quality of life. Unfortunately few evidence-based transitional care programs exist for stroke. We report preliminary experience with a patient-centered Social Work Case Management (SWCM) program, including frequency and type of unmet patient needs and duration of case management services. Methods: The Michigan Stroke Transitions Trial (MISTT) is a pragmatic randomized trial testing the efficacy of an in-home SWCM program against Usual Care for improving stroke survivor and caregiver recovery experiences. The 60 day intervention offers patient-centered case management services addressing psychosocial and medical needs to improve quality of life and increase patient activation and self-management. The SWCM program is designed to address patient identified unmet needs and includes providing support, improving preparedness, and managing stroke prevention. Results: During the first 6 months, 46 patients were randomized to the SWCM intervention group. Initial assessments were initiated a median of 5 days after returning home. Twenty-five patients (56%) identified at least one unmet need during the initial assessment. The mean number of unmet needs was 1.7 (range 0-10) and covered a wide range of psychosocial (n=9) and medical (n=5) domains. Mental health (22%), symptoms requiring assistance (20%), and monthly expenses (20%) were the most common unmet needs. Among cases who completed the intervention (n=35), the intervention duration ranged from 18-118 days (mean= 69). For 8 of these cases (22%) case management exceeded 60 days. Total case interaction time averaged 5.5 hours (0.5 to 21 hours) and communication occurred across diverse individuals and organizations. Conclusion: Psychosocial unmet needs are prevalent among stroke survivors during the first 60 days of in-home recovery. These needs require considerable time to manage and involve communication across multiple service organizations. Given the complexity of in-home stroke transitions, stroke survivors can benefit from short-term case management, with some cases requiring longer term management.
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Kaunang, Vindy Dortje, Andi Buanasari, and Vandri Kallo. "GAMBARAN TINGKAT STRES PADA LANSIA." JURNAL KEPERAWATAN 7, no. 2 (July 25, 2019). http://dx.doi.org/10.35790/jkp.v7i2.24475.

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Abstract: Elderly there is gradual physical and psychological deterioration, where the declinein conditions can cause stress to some elderly people. Psychosocial problems in the elderly caninclude stress, anxiety (anxiety) and depression. The problem comes from several aspects,including changes in physical, psychological and social aspects. This study was conducted todescribe stress levels in the elderly at Badan Penyantunan Sosial Usia Terlantar Senja Cerah.Methods of this research is a descriptive survey research. The research was carried out at theBadan Penyantunan Sosial Usia Terlantar Senja Cerah in June to July 2019. This study usedthe Depression Anxiety Stress Scale 42 instrument which was changed to 20 questions.Univariate analysis to find out and describe the description of each variable consisting of age,type of sex, physical stress and psychological stress. These data are displayed in the form offrequency distribution tables and percentages. The results showed that of the 51 elderly in thisstudy, 47 elderly (92.2%) experienced mild physical stress. This study also found that of 51elderly people in this study, 43 elderly (84.3%) experienced mild psychological stress. Inconclusion, the results of this study get an overview of physical and psychological stress in theelderly at the Balai Penyantunan Sosial Lanjut Usia Terlantar Senja Cerah.Keywords: Physical Stress, Psychological Stress, Elderly.Abstrak: Lansia terjadi kemunduran fisik dan psikologis secara bertahap, dimana penurunankondisi tersebut dapat menimbulkan stres pada sebagian lansia. Masalah psikososial pada lansiadapat berupa stres, ansietas (kecemasan) dan depresi. Masalah tersebut bersumber dari beberapaaspek, diantaranya perubahan aspek fisik, psikologis dan social. Penelitian ini dilakukan untukmengetahui gambaran tingkat stress pada lansia di Balai Penyantunan Sosial Lanjut UsiaTerlantar Senja Cerah. Metode penelitian ini merupakan penelitian survei deskriptif. Penelitiantelah dilaksanakan di Balai Penyantunan Sosial Lanjut Usia Terlantar Senja pada Juni sampaidengan Juli 2019. Penelitian ini menggunakan instrumen Depression Anxiety Stres Scale 42yang dirubah menjadi 20 pertanyaan. Analisis univariat untuk mengetahui dan mendeskripsikangambaran pada masing-masing variabel yang terdiri dari umur, jenis kelamin, stress fisik danstress psikologi. Data-data tersebut ditampilkan dalam bentuk tabel distribusi frekuensi danpersentasi. Hasil penelitian menunjukkan bahwa dari 51 lansia dalam penelitian ini, sebanyak47 lansia (92,2%) mengalami stress fisik ringan. Penelitian ini juga mendapatkan dari 51 lansiadalam penelitian ini, sebanyak 43 lansia (84,3%) mengalami stress psikologis ringan.Kesimpulan, hasil penelitian ini mendapatkan gambaran stress fisik dan psikologis pada lansiadi Balai Penyantunan Sosial Lanjut Usia Terlantar Senja Cerah.Kata Kunci: Stres Fisik, Stres Psikologis, Lansia.
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