Dissertations / Theses on the topic 'Recovery outcome'
To see the other types of publications on this topic, follow the link: Recovery outcome.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Recovery outcome.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Ekholm, Radford. "Humeral shaft fractures : epidemiology and outcome /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7140-724-5/.
Full text
2
Leferink, Evelyn Ruth. "Outpatient recovery of older women following a breast biopsy with benign outcome." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://hdl.handle.net/1993/2189.
Full textAbstract:
An exploratory pilot study of the older woman's ($>$60 years) outpatient recovery experience following breast biopsy with benign outcome was undertaken retrospectively using an ethnographic approach. Six older women were interviewed in their homes or ambulatory breast clinic using a semi-structured interview guide. A quantitative instrument, Mishel Uncertainty in Illness Scale-Community Form (MUIS-C) was used to measure the levels of uncertainty experienced during the diagnostic phase and results were compared with narrative descriptive data reported in the interviews. The Mishel Uncertainty in Illness Theory was used as a conceptual framework. Barriers to breast screening for older women, breast biopsy experience, psychosocial responses to the procedure, and outpatient recovery were examined as reflected in a review of the literature. Several questions regarding the experience of older women were asked: (1) What physical symptoms and physiological limitations do older women experience and how do they manage them during the at-home recovery period? (2) What fears and concerns do older women identify postoperative and while awaiting the final diagnosis? (3) What is the level of uncertainty experienced by older women while awaiting definitive diagnosis? (Abstract shortened by UMI.)
3
James, Kelly Marie. "Evaluation of Psychological Recovery in Patients with Major Medical Illnesses." BYU ScholarsArchive, 2010. https://scholarsarchive.byu.edu/etd/2178.
Full textAbstract:
The OQ-45.2 (Outcome Questionnaire-45.2) is a measure of psychological distress that examines patients' emotional states and level of functioning in society. This measure was administered at admission and discharge to inpatients at a level II trauma center with in- and outpatient populations in addition to the BBHI-2 (Brief Battery for Health Improvement-2) and FIM (Functional Independence Measure). Results suggested that patients demonstrated psychological improvements from admission to discharge. In addition, the OQ-45.2 was found to correlate with nearly all subtests of the BBHI-2. Finally, diagnosis, length of stay, and number of psychotherapy sessions were not predictive of improvements on the OQ-45.2 total score, suggesting that this measure can be appropriately used on a heterogeneous medical population.
4
Song, Rachel B. "Utility and repeatability of quantitative outcome measures to assess recovery after canine spinal cord injury." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1429298773.
Full text
5
Fitzpatrick, Janet M. "Patient-based outcomes : older adults' perceptions of hospital and recovery experiences /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq54846.pdf.
Full text
6
Walby, Gary W. "Associations between individual, social, and service factors, recovery expectations and recovery strategies for individuals with mental illness." [Tampa, Fla.] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0002203.
Full text
7
Katzenbach, Ray J. "Measuring Growth: The Reliability and Validity of the Utah Recovery Scale." BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3561.
Full textAbstract:
Recently the direction of consumer mental health care in the United States has shifted in terms of its approach to recovery. In this sense recovery is not thought to be a complete amelioration of symptoms, but rather the acquisition of meaningful relationships, independent living, and fulfilling work. In response to these changes, the Utah division of the National Alliance for the Mentally Ill (NAMI-Utah) conducted consumer focus groups for the purpose of developing a tool to monitor this new conceptualization of recovery. The focus groups generated 10 recovery indicators based on recovery as the Substance Abuse and Mental Health Services Administration have defined it. This study explored initial psychometric reliability and validity estimates for these recovery indicators and their ability to track changes in recovery over time. In addition, the study also explored the relationship between distress reduction and recovery both concurrently and over time.
8
van, Ierssel Jacqueline Josee. "Development of the Concussion Recovery Questionnaire - A Self-Report Outcome Measure of Functional Status Following Concussion." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39996.
Full textAbstract:
Tradition measures of recovery, such as patient-reported symptoms, objective measures such as balance, specific dimensions such as depression, fatigue, cognitive status, and exercise tolerance do not fully capture the impact of the concussion on performing individual activities and participating in life situations as experienced by the patient. No concussion-specific measure of functional status currently exists.
Objectives
The overarching purpose of this dissertation was to develop a concussion-specific measure of functional status. There were two specific objectives:
1. To examine the concept of functioning post-concussion;
2. To generate questionnaire items based on a conceptual model of functioning.
Methods
This dissertation follows the recommendations of the Association for Medical Education in Europe as a framework with which to meet the objectives. The first objective was addressed by (1) generating a list of concussion-specific concepts through a systematic review (Chapter 3), and (2) qualitative interviews with individuals with persistent post-concussion symptoms and clinicians with concussion expertise (Chapter 4). The relationships between the concepts that emerged from those studies are presented graphically in a conceptual model to meet the second objective. The concepts were then transformed into questionnaire items and pretested through cognitive interviews with individuals with PPCS and clinicians with concussion expertise. Finally, the questionnaire items were critically evaluated for proportion of shared content against existing measures used in concussion clinical trials by coding all items to the International Classification of Functioning, Disability and Health.
Results
Objective 1
Three main themes emerged from the qualitative findings: (1) functioning at the level of the individual and society; (2) environmental barriers and facilitators; and (3) capacity, defined as the length of time one could perform a task before the onset of symptoms, and the length of time it took to recovery from those symptoms.
Objective 2
The final questionnaire is presented as the CORE-Q, which is comprised of 53 items over three complimentary subscales, namely the Post-Concussion Functional Scale, the Concussion Modifiers Scale, and the Global Functional Recovery Scale. Each subscale corresponds to one of the three main themes. No existing outcome measure contained more than 40% of the content within the CORE-Q, or 55% of any subscale.
Conclusions
The CORE-Q is a unique measure of functional status post-concussion that considers functioning from a biopsychosocial perspective. Further studies are needed to assess the psychometric properties of the CORE-Q before it is adopted into clinical practice and intervention trials.
9
Nilsson, Karin. "Recovery from adolescent onset anorexia nervosa : a longitudinal study." Doctoral thesis, Umeå : Univ, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1119.
Full text
10
Herwig, Mathias [Verfasser]. "Einführung eines standardisierten Behandlungspfades Rapid Recovery™ in der Schulterendoprothetik, klinisches und radiologisches Outcome / Mathias Herwig." Düsseldorf : Universitäts- und Landesbibliothek der Heinrich-Heine-Universität Düsseldorf, 2020. http://d-nb.info/1215335687/34.
Full text
11
Reed, Joseph A. "Outcome Differences in the Wellness Management and Recovery Program: A Comparison of Community Mental Health Centers and Consumer-Operated Service Sites." University of Toledo / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1430405025.
Full text
12
Tadesse, Elazar. "Integrated community-based management of severe acute child malnutrition : Studies from rural Southern Ethiopia." Doctoral thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-292781.
Full textAbstract:
Background: The World Health Organization (WHO) recommends the community-based Outpatient Therapeutic Program (OTP) as a standard treatment protocol for the management of uncomplicated Severe Acute Malnutrition (SAM) at the community level. OTP has been scaled up and integrated into the existing grassroots level government health systems in several developing countries. The aim of this thesis was to assess the implementation and outcome of a scaled-up and integrated OTP service provided at community level. Methods: One qualitative study and three quantitative studies were conducted in southern Ethiopia. Children admitted to 94 integrated OTPs, their caregivers and health extension workers providing primary health care services in the nearby health posts were included in this study. The quantitative studies were based on data generated from observation of a cohort of 1,048 children admitted to the integrated OTPs. Result: On admission 78.8% of the children had SAM. The majority of these children 60.2% exited the program neither achieving program recovery criteria nor being transferred to inpatient care. Fourteen weeks after admission to OTP, 34.6% were severely malnourished and 34.4% were moderately malnourished, thus 69.0% were still acutely malnourished. Ready-to-use Therapeutic Foods (RUTFs) provided for SAM children were commonly shared with other children in the household and sold as a commodity for the collective benefit of the family thus admitted children received only a portion of the provided amount. Further, the program suffered a severe shortage of RUTFs, where only 46.6% of admitted children were given the recommended amount of RUTFs by providers on admission and only 34.9% of these had uninterrupted provision during the follow-up. Conclusion: The integrated OTPs we studied provide a constrained service and the use of RUTFs by families is not as intended by the program. The majority of admitted children remained acutely malnourished after participating in the program for the recommended duration. For integrated OTPs to be effective in chronically food-insecure contexts, interventions that also address the economic and food needs of the entire household are essential. This may require a shift to view SAM as a symptom of broader problems affecting a family rather than as a disease of an individual child. In addition, further research is needed to understand the health system context regarding RUTFs and medication supply and service utilization of integrated OTPs.
13
Aaro, Jonsson Catherine. "Long-term cognitive outcome of childhood traumatic brain injury." Doctoral thesis, Stockholm : Department of Psychology, Stockholm University, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-38530.
Full text
14
Eriksson, Marie. "Aspects on stroke outcome : survival, functional status, depression and sex differences in Riks-Stroke, the National Quality Register for Stroke Care." Doctoral thesis, Umeå universitet, Folkhälsa och klinisk medicin, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1649.
Full textAbstract:
Stroke is a major cause of death and disability worldwide. In Sweden, about 30 000 strokes occur each year. The aim of this thesis was to analyse survival, functional outcome and self-reported depression after stroke, and to explore possible differences between men and women in stroke care and outcome. These studies were based on Riks-Stroke, the Swedish national quality register for stroke care. Information on background variables and treatment were collected during the hospital stay. The patient’s situation and outcome after stroke were followed-up after 3 months. Long term survival was retrieved from the Swedish Population Register (Folkbokföringen). Possible sex-differences in stroke care and outcome 3 months after stroke were explored in 24 633 strokes, registered during 2006. In conscious patients, the proportions treated at stroke units were similar for men and women. Men and women had equal chance to receive thrombolytic therapy or secondary prevention with oral anticoagulants. Compared to men, women were less likely to develop pneumonia, but more likely to experience deep venous thromboses and fractures during hospital stay. Women had worse 3-month survival and functional outcome, differences that were explained by their higher age and impaired level of consciousness on admission. Women felt more depressed and perceived their health as worse than men did. Women were also less satisfied with the care they had received in the hospital. The agreement between self-reported functional outcome 3 months after stroke and the commonly used modified Rankin Scale (mRS) was explored in 555 stroke survivors from 4 hospitals during May-September 2005. Riks-Stroke’s self-reported questions classified 76% of the patients into correct mRS grade. The association between functional outcome 3 months after stroke and 3-year survival was assessed in 15 959 men and women who had had a stroke during 2001-2002. Patients with estimated mRS grades 3, 4 and 5 had hazard ratios for death of 1.7, 2.5 and 3.8, respectively, as compared with patients with lower grades, 0-2. Depressed mood, male sex, high age, diabetes, smoking, antihypertensive therapy at onset and atrial fibrillation were also identified as predictors of poor survival. Self-reported depression 3 months after stroke and use of antidepressants were analysed in 15 747 stroke survivors from 2002. Fourteen percent felt depressed 3 months after stroke. Female sex, age <65, previous stroke, living alone or in institution, or being dependent in activities of daily living (ADL) were factors associated with self-reported depression. At the follow-up, 22% of the men and 28% of the women were using antidepressant medication, which were approximately twice as many as in the general population. Still, 8% of all patients in Riks-Stroke reported depressive mood but no treatment with antidepressants. In conclusion, men and women with stroke in Sweden experience similar treatment and outcome in most aspects. Patient-reported functional outcome can be reliably transformed to a standard disability scale. Impaired functional outcome three months after stroke is an independent predictor of poor long-term survival. Depressive mood is common after stroke and is associated with poor survival and impaired functional outcome.
15
Mendoza, Alonzo Jennifer Lorena. "Predicting the Clinical Outcome in Patients with Traumatic Brain Injury using Clinical Pathway Scores." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4544.
Full textAbstract:
The Polytrauma/TBI Rehabilitation Center (PRC) of the Veterans Affairs Hospital (VAH) treats patients with Traumatic Brain Injury (TBI). These patients have major motor and cognitive disabilities. Most of the patients stay in the hospital for many months without major improvements. This suggests that patients, family and the VAH could benefit if healthcare provider had a way to better assess or "predict" patients' progression. The individual progress of patients over time is assessed using a pre-defined multi-component performance measure Functional Independence Measures (FIM) at admission and discharge, and a semi-quantitative documentation parameter Clinical Pathway (CP) at weekly intervals. This work uses already de-identified and transformed data to explore developing a clinical outcome predictive model for patients with TBI, as early as possible. The clinical outcome is measured as percentage of recovery using CP scores. The results of this research will allow healthcare providers to improve the current resource management (e.g. staff, equipment, space) through setting goals for each patient, as well as to provide the family more accurate and timely information about the status and needs of the patient.
16
Färdig, Rickard. "Illness Management and Recovery : Implementation and evaluation of a psychosocial program for schizophrenia and schizoaffective disorder." Doctoral thesis, Uppsala universitet, Psykiatri, Ulleråker, Akademiska sjukhuset, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-175241.
Full textAbstract:
The aim of the present thesis was to examine the effectiveness of the Illness Management and Recovery (IMR) program for teaching clients with schizophrenia or schizoaffective disorder to better manage their illness and to promote recovery. This was accomplished through an examination of the program’s effects on psychosocial functioning and psychopathology, the evaluation of general and specific impact of neurocognition on learning the fundamentals of illness self-management, and the impact of symptom severity on outcome of the IMR program. The utility of the illness management and recovery scale to evaluate illness self-management of clients with schizophrenia and schizoaffective disorder was also investigated. The effects of the IMR program were evaluated in a randomized controlled trial that compared participants in the program to participants receiving treatment as usual. 41 participants were recruited at six psychiatric outpatient rehabilitation centers in Uppsala, Sweden, and were randomly assigned to IMR groups for approximately 40 sessions or to a treatment as usual control condition. The IMR program participants demonstrated greater improvement compared to participants in treatment as usual in illness self-management, reduced psychiatric symptoms, improved coping skills, and decreases in suicidal ideation. The findings suggest that the IMR program is effective in improving the ability of individuals with schizophrenia and schizoaffective disorder to better manage their illness. Possible association between neurocognitive functioning and the acquisition of illness self-management skills was investigated in a total of 53 participants who completed the IMR program. Speed of processing was related to client reported illness self-management skills acquisition, before and after controlling for psychiatric symptoms and medication, but neurocognitive functioning did not predict improvement in clinician ratings of client illness self-management skills. The findings suggest that compromised neurocognitive functioning does not reduce response to training in illness self-management. The impact of symptom severity on outcome of the IMR program was explored in 52 participants who completed the program. The results suggest that significantly more participants met the severity criterion of remission at post-treatment, and it appears that participants not reaching the severity criterion at post-treatment, also benefited from the IMR program, as indicated by the similar effect sizes of the two subgroups (meeting versus not meeting the severity criterion at post-treatment). The psychometric properties of the Illness Management and Recovery Scale (IMRS) were evaluated in 107 participants with a diagnosis of schizophrenia or schizoaffective disorder. And an item-by-item investigation was conducted in order to establish their utility in monitoring the clients' progress in the IMR program. Both the client and clinician version of the IMRS demonstrated satisfactory internal consistency, large test-retest reliability, and convergent validity with conceptually related measures of psychiatric symptoms, quality of life, and perception of recovery. The findings support the utility of the IMRS as a measure of illness self-management and recovery in clients with schizophrenia and schizoaffective disorder. The general findings of this thesis support the IMR program to be effective in improving the ability of the participants to manage their disorder. The impact of neurocognitive dysfunction on the participants’ ability to learn the fundamentals of illness self-management seems to be limited, and symptom severity did not limit the benefits of the IMR program. Support for the utility of the IMRS to monitor the participants’ progress in the program was also found, providing a brief and economical method for assessing outcome of the IMR program.Syftet med föreliggande avhandlingsarbete var att undersöka Illness Management and Recovery (IMR) programmets effekter av att lära klienter att bättre hantera negativa konsekvenser av schizofreni eller schizoaffektiv sjukdom och att främja återhämtning. Detta åstadkoms genom en utvärdering av IMR programmets inverkan på psykosocial funktion och psykopatologi, en undersökning av specifik och generell påverkan av neurokognition avseende deltagarnas möjligheter att lära in grundläggande sjukdomshanteringsfärdigheter (illness self-management), samt en undersökning av huruvida schizofrenisymtomens svårighetsgrad inverkar på programutfallet. Vidare undersöktes Illness Management and Recovery Skalans (IMRS) användbarhet för att utvärdera sjukdomshantering och återhämtning (illness self-management and recovery) hos personer med schizofreni eller schizoaffektiv sjukdom. IMR programmets effekter utvärderades genom en randomiserad kontrollerad studie i vilken 41 programdeltagare jämfördes med deltagare i kontrollgrupp vilka fick enbart sedvanlig psykiatrisk behandling. Deltagarna rekryterades vid sex subspecialiserade psykiatriska öppenvårdsmottagningar och slumpades till att antingen delta i IMR programmet eller kontrollgrupp. IMR programmets deltagare uppvisade i jämförelse med kontrollgruppen förbättring i sjukdomshantering, minskade psykiatriska symtom, förbättrade coping-färdigheter samt minskade självmordsbeteenden. Resultaten stöder antagandet att IMR programmet är effektivt vad gäller att förbättra deltagarnas förmåga att hantera negativa effekter av schizofreni och schizoaffektiv sjukdom. Möjliga associationer mellan neurokognitiv funktion och förmågan att tillägna sig färdigheter för sjukdomshantering undersöktes hos 53 deltagare som genomförde IMR programmet. Resultaten pekar på att neurokognitiva svårigheter inte inverkar på deltagarnas möjligheter att lära sig sjukdomshantering enligt IMR modellen. Processhastighet var relaterad till klientrapporterad sjukdomshantering men inte till klinikerrapporterad sjukdomshantering. Processhastighet tycks vara relevant för klientens upplevelse av hur väl han eller hon tillägnat sig programmets strategier och färdigheter, snarare än sjukdomshantering per se. Huruvida schizofrenisymtomens svårighetsgrad inverkar på utfallet av IMR programmet undersöktes hos 52 deltagare som genomförde IMR programmet. Resultaten pekar på att signifikant fler deltagare uppfyllde svårighetsgradskriteriet för remission av schizofrenisymtom efter genomfört IMR program. Även deltagare som inte uppfyllde svårighetsgradskriteriet har nytta av IMR programmet något som indikeras av de båda gruppernas (uppfyllde jämfört med uppfyllde inte svårighetsgradskriteriet) likartade effektstorlekar. Illness Management and Recovery Skalans (IMRS) psykometriska egenskaper undersöktes för 107 deltagare med en schizofreni eller schizoaffektiv diagnos. Skalans enskilda frågor analyserades för att undersöka skalans användbarhet för att utvärdera deltagares progress och utfall i IMR programmet. Både klient och kliniker versionen av skalan uppvisade tillfredsställande intern konsistens, stor test-retest reliabilitet och konvergent validitet med konceptuellt relaterade instrument för psykiatriska symtom, livskvalité och återhämtning. Resultaten stöder antagandet att IMRS är ett användbart instrument för att utvärdera sjukdomskontroll och återhämtning för personer med schizofreni eller schizoaffektiv sjukdom. Avhandlingsarbetets resultat stöder antagandet att IMR programmet är effektivt vad gäller att förbättra deltagarnas förmåga att hantera de negativa konsekvenserna av schizofreni och schizoaffektiv sjukdom. Neurokognitiva svårigheter inverkar i begränsad utsträckning på deltagarnas möjligheter att lära sig sjukdomshantering och schizofrenisymtom tycks ha begränsad inverkan på programutfallet. Resultaten stöder även antagandet att IMRS är ett användbart instrument för att utvärdera sjukdomskontroll och återhämtning för personer med schizofreni eller schizoaffektiv sjukdom, vilket erbjuder en kortfattad och ekonomisk metod att utvärdera effekterna av IMR.
17
Stein, Stella (Maria). "Exploring the relationship between hemi-inattention and functional recovery in the first six months after stroke : a longitudinal study with a multilevel modelling approach to data analysis." Thesis, Brunel University, 2015. http://bura.brunel.ac.uk/handle/2438/11336.
Full textAbstract:
In recent years, the functional outcomes of patients with right hemisphere stroke (RHS) received considerable attention due to their impact on disability, independent living, quality of life and economic burden. Hemi-inattention (HI) is a complex condition which often accompanies RHS. It is characterised by reduced alertness, attention and low spatial awareness levels. Past studies reported poor outcomes in patients with HI and inconsistent findings in regard to the relationship of HI with functional outcome. Literature review of 13 relevant studies highlighted poor research methodology which complicated interpretation of previous results. Aims: The aim of this study was to address the clinically important question “What is the relationship between early HI status (HI±) and functional change in the 1st six months after right hemisphere stroke?” by improving on research methodology from past studies. Methods: An all-inclusive stroke severity RHS sample (58 with and 35 without HI) were recruited from two stroke units and assessed on motor and cognitive factors with validated measurement tools on four occasions; baseline, hospital discharge, 6 weeks after discharge, and 6 months after stroke. A multi-level modelling approach was used to analyse change in functional progress over time with potential explanatory motor and cognitive factors. Results: HI status was only statistically significant when modelled alone. Its predictive importance greatly diminished when modelled with other factors e.g. stroke severity, time since stroke and age. Conclusion: On average, HI group membership at baseline is unrelated to functional recovery when other influential factors are also considered. The findings extend current knowledge in stroke recovery research and provide suggestions for optimal therapeutic and rehabilitation outcomes. In contrast with traditional methods of regression analysis, multi-level modelling techniques enabled important relationships to be studied in depth. This resulted in new insights into the data which can be used to inform patient management and future research in the field.
18
Lo, Hoi Shan. "Effectiveness of a self-efficacy enhancing stroke self-management program on promoting recovery of community-dwelling stroke survivors." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/99499/1/Hoi%20Shan_Lo_Thesis.pdf.
Full textAbstract:
This thesis reports a randomised controlled trial that evaluated the effectiveness of a new nurse-led self-efficacy enhancing stroke self-management program for Chinese community-dwelling stroke survivors. This new program underpinned by Bandura’s constructs of self-efficacy and outcome expectation, featured goal-setting, action-planning, and provided vicarious experiences by sharing with groups and video sessions about stroke survivors’ experience. The results provided significant evidence to inform clinicians’ and stakeholders’ decision-making in integrating the new program into current community support services for stroke survivors. It also highlighted nurses’ roles and contribution to stroke survivors’ recovery after discharge from hospital.
19
Fisher, Peter Leonard. "Recovery from generalised anxiety disorder following psychologcal therapy: An investigation using jacobson methodology, analysis of its validity and a conceptural framework for outcome prediction." Thesis, University of Dundee, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.488581.
Full text
20
Ahmed, Niaz. "Blood pressure in acute ischaemic stroke : blood pressure and stress in the acute phase of stroke and influence of initial blood pressure on stroke-outcome /." Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-700-2/.
Full text
21
Underhill, Andrea T. "Gender differences in traumatic brain injury outcomes survival, functional independence, and employment status /." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2008. https://www.mhsl.uab.edu/dt/2008p/underhill.pdf.
Full text
22
Andersson, Peter. "Surgery and anorectal function in Chron's colitis /." Linköping, 2003. http://www.bibl.liu.se/liupubl/disp/disp2003/med789s.pdf.
Full text
23
McGarrett, Collin Kathleen. "Time to Follow Commands, Duration of Post-Traumatic Amnesia, and Total Duration of Impaired Consciousness as Predictors of Outcome Following Pediatric Traumatic Brain Injury." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1587156828071613.
Full text
24
Mickelson, Bryan K. "Client Change in Multi-Model Treatment: A Comparison of Change Trajectories in Group, Individual, and Conjoint Formats in a Counseling Center." Diss., CLICK HERE for online access, 2008. http://contentdm.lib.byu.edu/ETD/image/etd2758.pdf.
Full text
25
Shatto, Rachel Renee, and Mara Goodman. "Long-Term Recovery Outcomes in Aphasia." Thesis, The University of Arizona, 2013. http://hdl.handle.net/10150/297761.
Full textAbstract:
Aphasia is an acquired language impairment associated with damage to the language-dominant hemisphere. In this study, aphasia recovery outcomes were examined from 73 individuals who participated in aphasia treatment over extended periods of time. Aphasia quotient (AQ) scores attained from the Western Aphasia Battery (WAB) were used as measurement of language change as well as classification of severity for all individuals. Across all participants, language performance improved an average of +5.62 AQ points over about four years. The slope of the recovery curve for the entire population was positive and significant. When participants were examined relative to aphasia severity, those in the moderate category showed the most improvement over time with an average increase of 11.68 AQ points. Age at the time of aphasia onset was a significant predictor of improvement in language performance as measured by the WAB, suggesting that younger individuals have a better prognosis for continued improvement over the years following the event. The findings from the study indicated that many individuals continue to improve even at relatively long times post onset, and that significant language gains can be made regardless of the amount of time passed, especially when the recovery process is not complicated by the effects of advanced age.
26
Goodman, Mara Lee. "Long-Term Recovery Outcomes in Aphasia." Thesis, The University of Arizona, 2013. http://hdl.handle.net/10150/311770.
Full text
27
Lindström, Maria. "Promoting agency among people with severe psychiatric disability : occupation-oriented interventions in home and community settings." Doctoral thesis, Umeå universitet, Arbetsterapi, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-50038.
Full textAbstract:
In general, people with severe psychiatric disability living in sheltered or supported housing lead passive, solitary lives. Current rehabilitative approaches often neglect considering an agentic perspective of the residents in sheltered or supported housing. Furthermore, the outreach and societal contexts are often not considered. Thus, practitioners tend to overlook the potential in providing support and rehabilitation that is adapted to their individual, collective and changing needs. My approach was to develop a model for Everyday Life Rehabilitation (ELR), which has a potential to promote agency while targeting recovery, meaningful daily occupations, social participation, and person-driven goals. We employed two occupational therapists (OT) and offered an intervention with ELR in a medium-sized municipality in northernSwedenand evaluated this intervention from the perspectives of residents and community care workers (CCW), using a combination of quantitative and qualitative methods. This thesis comprises four studies that focus on a home and community context, late rehabilitation efforts, daily occupations, and client-centredness. The overall aim is to understand and evaluate the impact of recovery- and occupation-oriented interventions in a home context for people with severe psychiatric disability. The study settings are sheltered and supported housing facilities. The first study (n=6) explores the significance of home for occupational transformations. The analysis reveals how residential conditions facilitate rehabilitative interactions, generating occupational transformations such as increasing social competence and taking charge of daily occupations. The second study evaluates occupation- and health-related outcomes of the ELR-intervention for residents (n=17). Pre-, post-, and follow-up differences in tests scores on goal attainment, occupation, and health-related factors indicate that important progress is made. The third study explores residents’ (n=16) narratives about occupational transformations in the context of everyday life and life history. Narrative analysis discloses stories of ‘rediscovering agency’, referring to occupational and identity transformations. The fourth study illuminates community care workers’ (n=21) experiences of collaborating with residents and OTs, using ELR. The CCW’ view on residents, rehabilitation, and the own role, along with organisational conditions in the housing facility, seem to characterise different outlooks influencing the CCWs responsiveness or resistance to the intervention. In conclusion, rehabilitation in a supported housing context appears paradoxical due to tensions between opposing values such as authentic versus artificial, and independence versus dependence. However, if residents are engaged in challenging these tensions, they can function as ‘progressive tensions’ generating change. Considering the personal and social meaning of home also appears to be valuable. The intervention studies on ELR, demonstrate its value for participants and indicates that a recovery approach applying ELR would promote shared perspectives among residents, CCWs, and OTs, while facilitating ‘agent-supported rehabilitation’ and ‘out-of-housing strategies’. The thesis provides initial support for the use of ELR-interventions and proposes continued research.Vardagslivets Rehabilitering (Everyday Life Rehabilitation)
28
Minnen, Molly E. "The Association of Subordinate Perceptions of Supervisor Recovery with Subordinate Recovery Outcomes." Thesis, Virginia Tech, 2020. http://hdl.handle.net/10919/96430.
Full textAbstract:
Recent literature surrounding the process of recovery from work and work-related demands has included the supervisor as a key variable influencing how and if employees recover from work. Recovery represents the return of personal resources to their pre-work levels and is typically conceptualized as taking place during non-work time (e.g., at night after work, weekends, holidays). It is theorized to take place through four main recovery experiences: psychological detachment from work, relaxation, mastery experiences, and control over leisure time. This study extends the literature surrounding recovery experiences to include subordinate perceptions of supervisor recovery as a potential predictor of subordinate recovery and well-being. Participants (N=252) completed three time-lagged surveys and reported their perceptions of their supervisor’s recovery (Time 1), their own recovery (Time 2), and their feelings of vigor and fatigue (Time 3). Perceived supervisor recovery was empirically distinguishable from supervisor support for recovery and provided incremental validity in predicting subordinate recovery beyond this support perception. These results bolster the conclusion that supervisor recovery can spillover to directly influence subordinate recovery.M.S.
Recent research has focused on how the supervisor may influence how and if subordinates are able to rest and recover from the demands they face at work. The process of recovery from work is usually thought to take place during time away from work (e.g., at night after work, weekends, holidays) and is thought to occur through four experiences: psychological detachment from work (cutting mental and physical ties with work), relaxation (positive mood and low effort), mastery experiences (building skills or hobbies), and control over leisure time (being able to decide how to spend one’s time). This thesis extends previous work to include subordinate perceptions of how his / her supervisor is recovering from work as a potential predictor of subordinate recovery and recovery related outcomes. Participants (N=252) completed three surveys over the course of four weeks and reported their perceptions of their supervisor’s recovery (Survey 1), their own recovery (Survey 2), and their feelings of vigor and fatigue (Survey 4). Subordinate perceptions of the mastery and control of their supervisor was related to subordinate mastery and control above and beyond existing measures of how the supervisor may influence subordinate recovery. These results suggest that the supervisor may be an important role model in how subordinates recover.
29
Hughes, Michael John. "Enhanced recovery after liver surgery." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/22803.
Full textAbstract:
Introduction Liver resection offers curative treatment to a number of malignant conditions. It has traditionally been associated with poor post-operative outcomes. More recently a mortality rate of less than five per cent has become established but morbidity remains high. Enhanced Recovery After Surgery (ERAS) has become established practice in a number of surgical specialties and has shown improvement in post-operative outcomes. ERAS has been introduced for liver resection however practice is less well established and liver surgery has several complexities that need to be accommodated in order to optimise post-operative care. The following thesis aims to identify areas that require clarification and investigate peri-operative care components to establish optimum practice. Methods Systematic review and meta-analysis were performed to identify areas that required clarification and were lacking in sufficient evidence to guide practice. A randomised controlled trial was performed to compare established areas of practice. Prospective observational studies were performed when exploratory investigation was required. Retrospective analysis of a prospectively collected database was performed to identify risk factors for post-operative morbidity. Patients included in the above trials underwent liver resection at the Royal Infirmary of Edinburgh, UK, between December 2012 and August 2014. Results Post-operative analgesia after liver resection was identified as being an area that was controversial. Continuous wound infiltration was shown to offer improved recovery times when compared to epidural with no significant associated disadvantages. After retrospective review of 603 liver resections, extended resection was observed to be associated with high morbidity rates. It was hypothesised that post-operative nutritional requirements might be higher in these patients. This was not found to be the case but post-operative energy requirements were found to be difficult to predict after liver resection, suggesting the benefits of real-time monitoring of energy expenditure. Finally acetaminophen metabolism was suspected of being altered after major resection. An observational study suggested that despite altered metabolism, glutathione deficiency was not observed after major resection and so liver volume was not a contra-indication to acetaminophen administration. Summary Liver resection offers a complex set of conditions on which to base an enhanced recovery protocol. Current ERAS literature does not completely address these issues. This thesis has investigated several aspects of care unique to liver surgery in an attempt to optimise peri-operative care and improve post-operative outcome after liver surgery.
30
Useman, Tammy. "Patient Compliance and Recovery Outcomes in Rehabilitation Therapy." Honors in the Major Thesis, University of Central Florida, 2006. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1007.
Full textAbstract:
This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Health and Public Affairs
Health Sciences
31
Jones, Rebecca. "Borderline personality disorder : clinical outcomes and personal recovery." Thesis, University of Liverpool, 2014. http://livrepository.liverpool.ac.uk/2005900/.
Full textAbstract:
This thesis focuses on outcomes and recovery from a diagnosis of borderline personality disorder (BPD). It comprises two distinct journal papers, namely a systematic literature review and an empirical paper.
32
Bardsley, Martin John. "A study of patient outcomes in an acute hospital." Thesis, London School of Economics and Political Science (University of London), 1991. http://etheses.lse.ac.uk/1355/.
Full textAbstract:
Outcome measures have been developed in an acute hospital for specific patient groups (primarily cholecystectomy, diabetes, coronary angioplasty and knee replacements). For each condition a set of indicators was derived which ranged from clinical and laboratory measures to measures of general health status. All indicators attempt to show changes in patient health over time. It has been shown possible to collect the necessary data for such outcomes measures. The costs and methods of data collection varied between conditions. Patient completed questionnaires were found to be particularly useful and in inpatient studies have given high response rates (over 95%) for postal follow-ups and have been validated by interviews. The differing ability of the various indicators to show clinical changes has been demonstrated. In all specialties there was found to be generally high levels of association between different indicators. The information collected on patient outcomes was presented at meetings of the various clinical teams and the value of the information in promoting practical change was examined. It was concluded that different indicators have different value in such reviews and that three key characteristics are identified. The first concerns whether the measures reflect clinical or patient's perceptions of health. The second concerns the extent to which an indicator is a direct measure of health or a proxy (or process) measure. The third concerns the extent to which an observed outcome indicator can be linked to particular processes of care. The study has generated support from the clinicians and it is suggested has changed their views on how they judge their own performance. In some instances practical changes have resulted form the presence of the outcome information. The potential future roles for outcome measurement in the health service is discussed.
33
Davis, Sharon H. "Outcomes of the Implementation of the Mental Health Recovery Measure in the DeKalb Community Service Board Population." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/91.
Full textAbstract:
The relationship between mental health and public health has been debated for decades. But when services are delivered through publically funded mental health clinics, it clearly becomes a public health endeavor. One of the latest trends in mental health service delivery is the recovery concept. Developed in the 1990’s, the recovery concept represents a paradigm shift where successful treatment is defined by self-awareness, self-care, and self-fulfillment. Furthermore, patients are encouraged to assess their own progress in the recovery process. There are currently nine unique assessment tools to measure recovery progress, including the Mental Health Recovery Measure (MHRM), which was used in this study. The current study followed the implementation of the recovery model in the DeKalb Community Service Board (DeKalb CSB). DeKalb CSB has 12 locations that serve 10,000 patients with mental illness, substance abuse, and developmental disabilities each year. Only patients with primary diagnoses of mental health or substance abuse disorders were considered for this study. Implementation of the MHRM began in December 2008 and included all DeKalb CSB patients, however only new DeKalb CSB patients were considered for this study. During 13 months of data collection 960 clients completed 2 assessments and 196 completed 3 assessments. A new consumer is defined as someone who has just completed the intake process and has no record of previous service at DeKalb CSB. The current study examined trends in MHRM data in the DeKalb CSB population; and offered recommendations for future implementation.
34
Lages, Cristiana Raquel Costa. "Drivers of service recovery performance : perceived organisational support, learning and psychological job outcomes." Thesis, University of Warwick, 2007. http://wrap.warwick.ac.uk/2393/.
Full textAbstract:
Service recovery is an under-researched area in theoretical and empirical terms (Smith, Bolton, and Wagner 1999). In particular, limited knowledge exists regarding the factors which have an impact on the service recovery performance of frontline employees (Boshoff and Allen 2000). This research draws on goal orientation theory, perceived organisational support theory and the literature on psychological job outcomes and service recovery, in order to investigate the drivers of service recovery performance. The major goals of this study are to determine the effect of learning goal orientation on service recovery performance and the impact of perceived organisational support on learning goal orientation. Additionally, the effect of both learning goal orientation and perceived organisational support on emotional exhaustion is investigated. These simultaneous relationships are empirically tested for the first time. Following a review of the key literature, an integrative conceptual framework comprising a set of hypotheses is proposed and empirically tested in the UK. A total of 740 frontline service employees from the catering industry (representing a response rate of about 32%) provide the data for the analysis. Confirmatory factor analysis (CFA) is employed to assess the fit of the seven measurement components of the model and structural equation modelling (SEM) is used to test the hypothesised path model. The findings provide academic insights that may open new fruitful avenues for further research. In particular, two unexpected results contradict the extant theory: job satisfaction has a negative impact on service recovery performance and emotional exhaustion has a positive impact on service recovery performance. The new empirical results reveal that learning goal orientation has a positive impact on service recovery performance. Additionally, perceived organisational support has a positive effect on learning goal orientation. Moreover, whereas perceived organisational support has a negative impact on emotional exhaustion, learning goal orientation is unrelated to emotional exhaustion. Finally, the findings provide several managerial implications for service marketing practitioners by offering them practical guidelines to develop and implement effective service recovery programmes. Suggestions are provided in terms of the best practices when recruiting and training frontline service employees.
35
Weerakoon, Ruwan P. "Investigating opportunities for improving sustainability outcomes in post disaster road infrastructure recovery projects." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/102052/1/Ruwan_Weerakoon_Thesis.pdf.
Full textAbstract:
The research developed a sustainability assessment checklist for improving sustainability outcomes in post-disaster infrastructure recovery projects. The social, economic, environmental sustainability, and engineering and governance were the key elements. This research analysed three case studies and their existing disaster recovery strategies that were implemented to rebuild infrastructures damaged by natural disasters. The research sought to develop a comprehensive triple bottom line sustainability assessment checklist for post-disaster management in road infrastructure.
36
Tait, Lynda Ann. "Psychological adjustment to psychosis : assessment of the nature, determinants and outcomes of recovery styles." Thesis, University of Birmingham, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.269883.
Full text
37
Hoy, Janet M. "Outcomes and Incomes: Implementing a Mental Health Recovery Measure in a Medical Model World." online version, 2008. http://rave.ohiolink.edu/etdc/view.cgi?acc%5Fnum=case1207019285.
Full text
38
Ringhoff, Daniel Harold. "Clinical and Criminal Justice Outcomes in the Jail Diversion and Trauma Recovery (JDTR) Program." Scholar Commons, 2015. https://scholarcommons.usf.edu/etd/5565.
Full textAbstract:
This mixed methods study evaluated clinical and criminal justice outcomes of the Florida Jail Diversion and Trauma Recovery (JDTR) program that utilized compensated veteran peer mentors. Quantitative results showed veteran participation in JDTR improved clinical outcomes, such as PTSD symptoms, function difficulty and depression scores, but not criminal justice outcomes such as re-arrest rates. Study limitations, however, prevent the drawing of conclusions regarding the potential effectiveness of veteran peer interventions improving criminal justice outcomes. Qualitative results showed participants overwhelmingly viewed their assigned veteran peer mentor as a "peer" and rated them as "very important" to their future success. Improvements in avoidance and numbing and depression symptoms also suggest peer interventions may be effective in improving responsivity to evidence-based criminal justice interventions. Overall, findings were consistent with the RNR model that views mental illness as a responsivity factor, not a criminogenic need. They were also consistent with research on "first generation" forensic mental health interventions that shows improvements in clinical outcomes do not result in reductions in recidivism. Social workers as well as other mental health clinicians and policy makers should be familiar with evidenced-based criminal justice strategies, such as RNR, that focus on reducing recidivism and should incorporate these strategies into the development, implementation and evaluation of "second generation" interventions. Future research should evaluate the fidelity of implementation of such interventions as well as the role of peer mentors and importance of the recovery model and therapeutic alliance in improving criminal justice outcomes and responsivity.
39
Johnson, Laurie Ann. "Developing a Management Framework for Local Disaster Recovery: A study of the U.S. disaster recovery management system and the management processes and outcomes of disaster recovery in 3 U.S. cities." 京都大学 (Kyoto University), 2009. http://hdl.handle.net/2433/123863.
Full text
40
Pilot, Peter. "Short and long term recovery after total hip replacement physiological, pathophysiological, outcomes and clinical implications /." Kerkrade : Maastricht : D&L graphics ; University Library, Universiteit Maastricht [host], 2006. http://arno.unimaas.nl/show.cgi?fid=5380.
Full text
41
Scalese, Adam Michael. "Understanding the Processes and Outcomes of the LDS Addiction Recovery Program's Pornography Addiction Support Groups." BYU ScholarsArchive, 2019. https://scholarsarchive.byu.edu/etd/8593.
Full textAbstract:
This study qualitatively investigated the processes and outcomes associated with the The Church of Jesus Christ of Latter-day Saints’ (LDS) Addiction Recovery Program (ARP), with a specific focus on their Pornography Addiction Support Group (PASG) meetings. Researchers interviewed 24 (21 males, 3 females) individuals with varying experiences in PASG meetings. Their interview content was broken down into themes. Primary findings suggest that PASG participants experience a significant amount of shame due to their pornography use behaviors. Member-to-member sharing in meetings facilitates self-compassion and lessens shame. Participants reported strong spiritual process in PASG meetings and some spiritual outcomes. Attendance in PASG meetings impacts the way participants viewed their treatment conceptualization, problematic pornography use (PPU) behaviors, self, and God. Further, negative aspects of PASG meetings include the use of an addiction model, a focus on PPU behaviors, and some shaming experiences.
42
Lefler, Leah. "An assessment of early-stage forest restoration outcomes and the instruments used to evaluate ecosystem recovery." Thesis, University of Waterloo, 2006. http://hdl.handle.net/10012/2906.
Full textAbstract:
Ecological restoration projects are considered successful when identified goals are achieved and the ecosystem progresses along a predicted successional trajectory. My study examined the progress of early-stage forest restoration projects within the Regional Municipality of Waterloo to determine the variables that affect early successional trajectories. The study was undertaken to gain further insight into the most appropriate methods to use in the evaluation of restoration outcomes and to provide some useful recommendations for restoration ecologists and practitioners. Between April-October 2005 and April 2006, data were collected using a stratified random sampling technique and the wandering-quarter method to evaluate herbaceous vegetation, regenerating woody vegetation and mature trees at 7 forest restoration sites within the Regional Municipality of Waterloo. The Regional Municipality of Waterloo was selected as the study area because it has restoration projects established in forested ecosystems and the Region is typical of southern Ontario, i. e. , forest ecosystems have been disturbed by urban and agricultural activities and require ecological restoration.
A nested Analysis of Variance was used to test the responses of various herbaceous and woody vegetation parameters to the restoration site, restoration technique nested within the restoration site, and transects nested within the restoration technique. Site location, restoration technique, and restoration transect all appear to significantly affect restoration progress for some structural metrics. Species diversity (measured by the Shannon-Wiener Index) was significantly affected by the restoration site (p<0. 01) and transect nested within the restoration technique (p<0. 01). For some sites, differences in diversity among transects are expected to diminish as restoration proceeds and natural succession progresses. For heavily degraded sites, however, that exhibit low native plant species diversity may require a more intensive restoration strategy to improve local conditions. Density was significantly affected by the restoration site (p<0. 001) and the restoration technique nested within the site (p<0. 01). Sites without a closed forest canopy had higher densities of plants for all sampling guilds. The percentage of native species was significantly affected by the restoration site (p<0. 01) and the restoration technique nested with the site (p<0. 05). Sites that were restored from degraded forest conditions, rather than from old fields, exhibited significantly higher percentages of native plants for all sampling guilds.
Generally, sites with high species diversity, a high percentage of native species, and high density indicated that ecological restoration was progressing on the predicted successional trajectories and should lead to a successful restoration as time goes on. Results indicate that 4 out of 7 restoration sites are progressing as expected, i. e. , towards the predetermined restoration goal. The remaining 3 restoration sites may recover over time, but will most likely require additional restoration measures to achieve a desirable long-term outcome. At early-stages, structural measures appear to be useful indicators for evaluating the progress of restoration. In order for a restoring ecosystem to follow along an expected trajectory, formative evaluation must occur throughout the process to ensure that positive outcomes are achieved along the way. The study concludes that evaluating the progress of forest restoration projects at an early stage could greatly improve the long-term success of restoration outcomes by offering opportunities for mid-course correction and to learn from past mistakes.
43
Monika, Papić. "Prognostički faktori za povratak na posao kod bolesnika operisanih zbog lumbalne diskus hernije." Phd thesis, Univerzitet u Novom Sadu, Medicinski fakultet u Novom Sadu, 2016. http://www.cris.uns.ac.rs/record.jsf?recordId=101084&source=NDLTD&language=en.
Full textAbstract:
Povratak na posao nakon operacije lumbalne diskus hernije determinisan je funkcionalnim stanjem, prisustvom i stepenom tegoba od strane lumbosakralne kičme, zahtevima na radnom mestu bolesnika ali i psihosocijalnim faktorima, koji pri oceni radne sposobnosti zaposlnih zahtevaju individualni pristup. Grupa pacijenata koja se neće vratiti na posao može biti identifikovana putem prognostičkog modela. Cilj ove studije je definisanje prognostičkog modela za povratak na posao bolesnika operisanih zbog lumbalne diskus hernije kao i identifikacija najznačajnijih faktora rizika odgovornih za loš ishod operativnog lečenja, posmatrano kroz prizmu povratka na posao. Istraživanje je prospektivna studija koja je obuhvatila ukupno 200 ispitanika, koji su operisani zbog lumbalne diskus hernije na jednom nivou i praćeni su u vremenskom period do 12 meseci nakon operativnog lečenja. U statističku ananlizu je ušlo 153 bolesnika, koji su ispunili kriterijume selekcije ispitanika studije. Nakon određivanja značaja posmatranih bioloških, profesionalnih i psihosocijalnih faktora rizika za povratak na posao, kreirani su i evaluirani prognostički modeli bazirani na svim i na odabranim atributima desetostrukom kros-validacijom: stablo odlučivanja (DT), model višeslojnih perceptrona (MLP) i model potpornih vektora (SVM). Za predviđanje povratka na posao najveću tačnost, specifičnost i senzitivnost za odabrane atribute postiže model potpornih - podržavajućih vektora (SVM). Najbolju intuitivnu i praktičnu vrednost za predviđanje povratka na posao pruža model stabla odluka (DT). Identifikacijom najznačajnijih faktora rizika za nepovoljan ishod povratka na posao omogućeno je preventivno delovanje na iste, u cilju smanjenja broja pacijenata sa umanjenjem radne sposobnosti i invaliditeta.Return to work after lumbar discectomy is determinated by functional status, presence and degree of discomfort in the lumbosacral spine, the requirements in the workplace of patients and psychosocial factors that in the assessment of working capabilities require an individual approach. Groups of patients which don’t return to work after surgery could be identified by predictive model. The aim of this study is to define prognostic model to return to work patients after lumbar discectomy, as well as the identification major risk factors responsible for the poor outcome of operative treatment viewed through the prism of returning to work. This prospective study included a total of 200 patients, who underwent surgery for lumbar disc herniation on one level and were followed up in period of 12 months following surgery. The statistical analysis included 153 patients who fulfilled all selection criteria of the study subjects. After determining significance of the observed biological, professional and psychosocial risk factors for return to work, prognostic models were designed and evaluated based on all and selected attributes by tenfold cross-validation: decision tree (DT) model of multilayer perception (MLP) model and support vector (SVM). For the prediction of return to work best accuracy, specificity and sensitivity for selected attributes, is achieved by supporting vector model (SVM). The decision tree model (DT) provides the best intuitive and practical value for predicting return to work. By identifying the most important risk factors for adverse outcome for return to work it is made possible for preventive actions, to reduce the number of patients with reduced work ability and disability.
44
Kim, Mi-Yeon. "A comparison of recovery outcomes in distressed and nondistressed couples two months after the husband's heart attack." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0003/MQ44196.pdf.
Full text
45
Goddard, Lucie. "How are outcomes and recovery for patients treated in the secure psychiatric hospital system defined and conceptualised?" Thesis, University of Oxford, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.510421.
Full text
46
Moore, Shirley Mason. "Effect of an information intervention on recovery outcomes of patients and spouses following coronary artery bypass surgery." Case Western Reserve University School of Graduate Studies / OhioLINK, 1993. http://rave.ohiolink.edu/etdc/view?acc_num=case1060611382.
Full text
47
Dhiman, Parminder. "The role of psychological and cognitive factors in the psychological and physical recovery from acute stroke : a longitudinal study." Thesis, Brunel University, 2015. http://bura.brunel.ac.uk/handle/2438/14055.
Full textAbstract:
Background: Stroke is the second leading cause of disability and mortality in the U.K., therefore research investigating stroke has been highlighted by the National Stroke Strategy to develop studies which are longitudinal and focus on outcome. A comprehensive systematic review (Study One) was undertaken to investigate the role of psychological factors on stroke recovery. This informed the development of the research study (Study Two). The aim of this study was to investigate the role of psychological and cognitive factors on psychological and physical recovery from acute stroke, in a longitudinal study as directed by the National Stroke Strategy. The current study additionally incorporates cognitive neuropsychological elements along with measures of mood, personality and coping. This is the first study to the authors’ knowledge which has investigated repressive coping and Type D personality with stroke. Method: Longitudinal data collection was conducted in two NHS hospitals, with a clinical sample at Time 1 (0-6 weeks post stroke), followed up at Time 2 (3 months post stroke) and Time 3 (6 months post stroke), in the participants’ homes or in nursing homes. Measures used to test independent variables were: Centre for Epidemiologic Studies Short Depression Scale (CES-D 10), Perceived Stress Scale (PSS), Multidimensional Scale of Perceived Social Support (MPSS), Standard Assessment of Negative Affectivity, Social Inhibition, and Type D Personality (DS 14, Type D personality), Marlowe-Crowne Form B & 6 Item STAI (for repressive coping), 3 item Sense of Coherence (SoC) scale, line bi-section & Bells cancellation task (visual neglect), forward digit span (verbal short term memory), Rivermead Behavioural Memory Test (visual short term memory) and the colour word Stroop test (executive function), along with demographic data, stroke markers and health behaviours. Dependent variables were: Quality of life (measured by the SF-36) and physical recovery (modified Rankin Scale). Results: The main analysis used hierarchical multiple regression analyses and mediation analysis to test a series of hypotheses. Physical recovery outcome was predicted by stroke severity, age, stress, repressive coping, social support and visual neglect at different time points. Depression and visual memory were reported as mediators at Time 2. Quality of life outcome was predicted by stroke severity, age, stress, social support, depression and visual neglect at different time points. Conclusions: The results of this study indicate that psychological factors do have an impact on both physical and psychological outcome from stroke. Stress, repressive coping and visual neglect were the most consistent predictors of outcome. Depression and social support played a smaller role, whereas Type D personality was nonsignificant across analyses.
48
Newman, Daniel. "Surgical recovery in the elderly: systematic review of patient-centered outcomes and prospective study of post-operative delirium." Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=104882.
Full textAbstract:
Objectives: As the number of elderly surgical patients continues to increase at a rapid rate, studies that examine the post-operative period in this population will become increasingly valuable. Surgical recovery, the "return to normal physical well-being, social, and economic usefulness, and psychological habitus", is a process that may best be measured using multidimensional outcomes that are patient-centered. The primary aim of this study was to determine to what extent patient-centered outcomes are being used in scientific literature, in the elderly, following gastrointestinal surgery and to determine, using an innovative model, which domains of the post-operative period are being examined using these outcomes. Our secondary aim was to examine the subset of articles that focused on recovery and post-operative delirium and assess their quality.Methods: The database MEDLINE was searched for articles published between 1988 and 2009, using several keywords to satisfy three general criteria: patient age (elderly), intervention (gastrointestinal surgery), and outcome type (patient-centered). All selected articles were independently reviewed by two researchers. The patient population and study characteristics, as well as all outcomes used, were recorded. A framework derived from the Wilson-Cleary Model for Health Related Quality of Life was developed to categorize patient–centered outcomes into one of three health domains: symptom status, functional status, or general health perceptions. In turn, these health domains encompass 8 patient-centered outcome categories: pain, vitality, patient satisfaction, psychological function, social function, physical function, independence, and cognitive function. A sub-analysis, including a quality assessment, was performed on the studies that explicitly examined recovery and delirium. Results: An initial search yielded 2980 articles. Eighty-eight studies, measuring at least one patient-centered outcome in the elderly following gastrointestinal surgery, were retained. Applying the proposed framework, 27 studies (30.7%) examined symptom status, 61 studies (69.3%) examined functional status and 32 studies (36.4%) examined general health perceptions. Independence was the most commonly measured patient-centered outcome while social function was the least commonly measured. A subset of 24 studies described recovery and a subset of 15 studies examined post-operative delirium. Studies examining recovery and delirium met a varying number of our quality assessment criteria. Conclusions: Using an adapted framework to categorize patient-centered outcomes, this study has uncovered that, to date, few studies use patient-centered outcomes to assess the post-operative period in the elderly following gastrointestinal surgery. Future studies should attempt to determine whether using patient-centered outcomes provides additional information that is useful to clinicians and patients. An assessment of the post-operative period, using patient-centered outcomes, may provide elderly patients with a more complete, picture of what to expect following gastrointestinal surgery and may ultimately help in the decision making and recovery process. Keywords: Systematic Review, Elderly, Patient-Centered Outcomes, Recovery, Gastrointestinal surgeryObjectifs: Compte tenu de la croissance rapide du nombre de personnes âgées qui doivent subir des interventions chirurgicales, les recherches qui portent sur la période postopératoire au sein de cette population vont devenir de plus en plus pertinentes et précieuses. Le rétablissement après une opération, ou le « retour à l'état de bien-être physique antérieur, l'utilité sociale et économique et l'état psychologique habituel » constitue un processus qu'on peut le mieux évaluer à l'aide de résultats multidimensionnels axés sur le patient. L'objectif premier de la présente étude était double : déterminer dans quelle mesure les résultats axés sur le patient, en l'occurence les personnes âgées ayant subi une opération gastro-intestinale, sont utilisés dans les études scientifiques et établir au moyen d'un modèle innovateur les différents aspects de la période postopératoire étudiés à l'aide de ces résultats. Le deuxième objectif consistait à examiner, parmi ces études publiées, celles qui mettent l'accent sur le rétablissement et le delirium postopératoire pour en évaluer la qualité. Méthodologie: La base de données MEDLINE a servi à la recherche des articles publiés de 1988 à 2009 à l'aide de nombreux mots-clés définis à partir de trois critères généraux : l'âge du patient (personne âgée), l'intervention (opération gastro-intestinale) et le type de résultat (axé sur le patient). Tous les articles choisis ont été revus par deux chercheurs. Les caractéristiques de la population à l'étude et des études elles-mêmes, aussi bien que les résultats utilisés, ont été consignés par écrit. Un cadre de référence inspiré du Model for Health Related Quality of Life de Wilson-Cleary a été élaboré pour classer les résultats axés sur le patient dans l'une des trois catégories suivantes : état des symptômes, état fonctionnel et perception de la santé générale. Ces trois catégories ont été divisées à leur tour en huit sous-catégories, ou résultats axés sur le patient : la douleur, la vitalité, la satisfaction du patient, les fonctions psychologiques, les fonctions sociales, les fonctions physiques, l'indépendance et les fonctions cognitives. Une analyse secondaire, y compris l'évaluation de la qualité des études qui se sont penchées sur le rétablissement et le delirium, a également été effectuée. Résultats: Une première recherche a permis de relever 2 980 articles. De ce nombre, 88 études qui mesuraient au moins un résultat axé sur le patient pour une population âgée ayant subi une opération gastro-intestinale ont été retenues. À l'aide du cadre proposé, on a pu cerner 27 études (30,7 %) qui portaient sur l'état des symptômes, 61 études (69,3 %) sur l'état fonctionnel et 32 études (36,4 %) sur la perception de la santé générale. L'indépendance était le résultat axé sur le patient le plus couramment mesuré, alors que la sous-catégorie fonctions sociales l'était le moins. Un sous-ensemble de 24 articles décrivait le rétablissement ; un autre de 15 articles portait sur le delirium postopératoire. Les études qui avaient le rétablissement et le delirium pour objet n'ont pas toutes rempli également les critères de qualité. Conclusion: Au moyen d'un cadre de référence adapté servant à catégoriser les résultats axés sur le patient, notre étude a révélé que, à ce jour, peu d'études utilisent de tels résultats pour évaluer la période de rétablissement chez les personnes âgées ayant subi une opération gastro-intestinale. D'autres études seraient nécessaires pour tenter de déterminer si l'utilisation des résultats axés sur le patient fournit des renseignements additionnels utiles aux cliniciens et aux patients. Évaluer la période postopératoire au moyen des résultats axés sur le patient pourrait donner aux patients âgés une idée plus précise de ce à quoi ils doivent s'attendre après une opération gastro-intestinale et, ultimement, faciliter la prise de décision et le processus de rétablissement.
49
Martin, Aaron. "THE ROLE OF PAIN-RELATED CATASTROPHIZING IN OUTCOMES AND RECOVERY FROM MINIMALLY INVASIVE AND SURGICAL PROCEDURES FOR TREATING TEMPOROMANDIBULAR DISORDERS." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/3203.
Full textAbstract:
The current study examined the ability of pain-related catastrophizing to predict outcomes following non-surgical and surgical intervention for temporomandibular disorders (TMDs). The interpersonal context of pain-related catastrophizing, referred to as the communal coping model, was also examined to determine if patient perceptions of punishing and solicitous responses from significant others would moderate or mediate relations between pain catastrophizing and outcomes. The role of pain duration as a moderator of the relation between pain-related catastrophizing and perceived significant other responding was also examined. A total of 94 patients were identified for which 65 had follow-up outcomes that could be examined. Patient follow-up data were obtained at approximately two to three weeks, two to three months, and six months post-intervention. Results showed that pain-related catastrophizing was predictive of greater pain severity at all three follow-up time points after controlling for baseline levels of pain severity, depressive symptoms, sleep disturbance, and pain duration. Pain-related catastrophizing was predictive of poorer range of motion (ROM) at the initial follow-up after controlling for baseline levels of ROM, gender, and form of intervention. Pain-related catastrophizing was not associated with ROM at the second and third post-intervention follow-ups. There was no interaction between pain-related catastrophizing and perceptions of either solicitous or punishing responses in predicting post-intervention pain severity or ROM and any time point. Perceptions of significant other responses also did not mediate the relation between pain-related catastrophizing and post-intervention outcomes at any time point. Additionally, the interaction between pain duration and pain-related catastrophizing in the prediction of post-intervention pain severity or ROM was not significant at any follow-up time point. The findings indicate that pain related catastrophizing is an important predictor of pain severity following non-surgical and surgical interventions for TMDs both initially and in the long-term. Pain-related catastrophizing is related to ROM outcomes only in the short term. Perceptions of punishing and solicitous responses from significant others do not appear to play a role in these associations. The results suggest that patients with high levels of pre-intervention catastrophizing may benefit from adjunctive cognitive-behavioral intervention to attenuate post-intervention pain severity.
50
Shishehbor, Mehdi H. "Mediating Pathways That Link Contextual Risk Factors to All-Cause Mortality and Clinical Outcomes." Case Western Reserve University School of Graduate Studies / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=case1377537452.
Full text