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Hasfeldt D, Højberg Holm J, Lindberg-Larsen M, Overgaard S. Sense of coherence as a predictor for patients' quality of recovery after total hip or knee arthroplasty - A descriptive cohort study. Int J Orthop Trauma Nurs 2024; 54:101099. [PMID: 38593583 DOI: 10.1016/j.ijotn.2024.101099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 01/29/2024] [Accepted: 03/26/2024] [Indexed: 04/11/2024]
Abstract
BACKGROUND Patients' postoperative quality of recovery (QOR) is an important outcome measurement and predicting and preventing impaired quality of recovery is essential. In this study, we aimed to investigate if patients Sense of Coherence (SOC) could be a potential predictor and screening instrument for impaired quality of recovery. We hypothesized that patients' SOC is positively related to their QOR. MATERIAL AND METHODS The study was performed as a descriptive single-center prospective cohort study. Data was collected using digital questionnaires. Patients undergoing total hip (THA) or knee arthroplasty (TKA) received the SOC13 questionnaire prior to their surgery to establish their SOC and a questionnaire on postoperative day 2 and 7, respectively, establishing their QOR. Multiple linear regression was used to fit a model for the QOR score using SOC, age, sex, and type of surgery as potential explanatory variables. RESULTS 206 patients were included in the study analysis. The results showed a highly significant positive correlation between patients' SOC and their postoperative QOR on both postoperative day 2 and 7 (p < 0.01). Patients with a lower SOC score also presented a significantly lower QOR score, meaning they experienced impaired QOR compared to patients with a higher SOC score. CONCLUSIONS The results indicate that a weak SOC (low SOC score) can be considered a clinically important indicator for risk of impaired QOR (low QOR score) after THA and TKA. The SOC13 questionnaire may be a potential screening instrument identifying patients in risk of impaired postoperative QOR based on a low SOC score.
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Affiliation(s)
- Dorthe Hasfeldt
- Department of Anesthesiology and Intensive Care, Odense University Hospital, J. B. Winsløws Vej 4, 5000, Odense C, Denmark.
| | - Jimmy Højberg Holm
- Department of Anesthesiology and Intensive Care, Odense University Hospital, J. B. Winsløws Vej 4, 5000, Odense C, Denmark.
| | - Martin Lindberg-Larsen
- Department of Orthopedic Surgery and Traumatology, Odense University Hospital, J. B. Winsløws Vej 4, 5000, Odense C, Denmark; Department of Clinical Research, University of Southern Denmark, Winsløwparken 19, 3rd Floor, 5000, Odense, Denmark.
| | - Søren Overgaard
- Department of Orthopedic Surgery and Traumatology, Copenhagen University Hospital, Bispebjerg, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark.
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Bagherzadeh R, Sayad Nik A, Gharibi T, Vahedparast H. The predictive role of intimate partner violence in treatment adherence among women with chronic illness: A cross-sectional study. Chronic Illn 2024; 20:76-85. [PMID: 36843477 DOI: 10.1177/17423953231158731] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
Abstract
OBJECTIVE This study was an attempt to shed light on the predictive role of intimate partner violence in adhering to treatment regimens in women with chronic illnesses. METHOD In a descriptive-analytical study, 400women with chronic illnesses in Bushehr were selected through convenience sampling. The data were collected by distributing a demographic information form and two questionnaires, including the intimate partner violence (IPV) questionnaire and the treatment adherence scale. RESULTS According to the results, the 40 to 59 years age group (P = 0.046, β = 0.104), the 60 to 79 years age group (P = 0.019, β = 0.122), and the group receiving education about chronic illness (P = 0.031, β = 0.106) showed a direct relationship with treatment adherence, while IPV (P < 0.001, β = 0.284) had a significant inverse relationship with treatment adherence. CONCLUSION The results of the study showed that predictors of treatment adherence are IPV in women aged 40 and older with chronic illnesses, and receiving education about chronic illnesses. It is necessary for healthcare providers to consider barriers such as intimate partner violence when providing education in order to increase treatment adherence. To avoid nonadherence, managers and health planners should implement policies to increase the level of awareness of healthcare staff on how to manage care of women with chronic illnesses who are abused by an intimate partner and refer them to counselors and family helpers.
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Affiliation(s)
- Razieh Bagherzadeh
- Department of Midwifery, Nursing and Midwifery Faculty, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Azemat Sayad Nik
- Student Research Committee, Faculty of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Tayebeh Gharibi
- Nursing and Midwifery Faculty, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Hakimeh Vahedparast
- Department of Nursing, Nursing and Midwifery Faculty, Bushehr University of Medical Sciences, Bushehr, Iran
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Piiroinen I, Tuomainen TP, Tolmunen T, Voutilainen A. Meaningfulness and mortality: exploring the sense of coherence in Eastern Finnish men. Scand J Public Health 2024:14034948231220091. [PMID: 38205561 DOI: 10.1177/14034948231220091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2024]
Abstract
AIMS The sense of coherence scale has been shown to have an epidemiological relationship with mortality. This study aimed to investigate how the three components of sense of coherence (meaningfulness, comprehensibility and manageability) and the individual items of these components relate to mortality. METHODS Eastern Finnish men (n=2315) aged 42-60 years at baseline in the 1980s completed a 12-item sense of coherence scale and were followed for 25 years, on average, until death or until the end of 2019. Hazard ratios for mortality were calculated using two models: one adjusted for age and the second for an additional 12 mortality risk factors. RESULTS Of the three sense of coherence components, only meaningfulness was associated with all-cause mortality, and in the fully adjusted model, those in the weakest tertile had a 1.14 (95% confidence interval 1.01-1.29, P=0.042) times higher hazard ratio for mortality than those in the strongest tertile. Of the individual sense of coherence items, only the first question, 'How often do you have the feeling that you really don't care about what is going on around you?', was associated with all-cause mortality, and in the fully adjusted Cox model, the hazard ratio of weak versus strong was 1.18 (95% confidence interval 1.03-1.36, P=0.020). CONCLUSIONS The sense of coherence component related to meaningfulness, including its first item, 'Caring about what goes on around you', plays a significant role in the association with mortality among middle-aged men in Eastern Finland. This item should be considered a noteworthy patient-reported variable when predicting mortality in public health settings.
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Affiliation(s)
- Ilkka Piiroinen
- Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Finland
- School of Social Services and Health Care, Tampere University of Applied Sciences, Finland
| | - Tomi-Pekka Tuomainen
- Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Finland
| | - Tommi Tolmunen
- Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Finland
- Department of Adolescent Psychiatry, Kuopio University Hospital, Finland
| | - Ari Voutilainen
- Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Finland
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Garzón NE, Heredia LPD. SALUTOGENESIS AND CARDIOVASCULAR HEALTH IN ADULTS: A SCOPING REVIEW. TEXTO & CONTEXTO ENFERMAGEM 2020. [DOI: 10.1590/1980-265x-tce-2018-0376] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to identify and synthesize evidence that relates the salutogenic theory proposed by Antonovsky with cardiovascular disease in adults. Methods: we conducted a scoping review as proposed by Arksey and O’Malley. Bibliographic databases were searched for original research articles about salutogenesis and cardiovascular health. The search yielded 29 studies that met the previously defined inclusion criteria. The results were evaluated and summarized in the form of a narrative. Results: the findings of the studies pointed to a correlation among a strong sense of coherence, high quality of life and a greater likelihood of adopting healthy behaviors. Furthermore, the articles showed that social support improves perceived health and well-being of adults with cardiovascular disease. Conclusions: as a central concept of the salutogenic theory, a sense of coherence represents a topic of interest for nursing professionals. Through their interventions, nurses can strengthen and improve people’s skills in the quest for and maintenance of their own health.
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Kirchberger I, Burkhardt K, Heier M, Thilo C, Meisinger C. Resilience is strongly associated with health-related quality of life but does not buffer work-related stress in employed persons 1 year after acute myocardial infarction. Qual Life Res 2019; 29:391-401. [PMID: 31541387 DOI: 10.1007/s11136-019-02306-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2019] [Indexed: 10/26/2022]
Abstract
PURPOSE Resilience may facilitate the adaptation after experiencing a severe disease such as acute myocardial infarction (AMI) and attenuate the negative effects of stress on health-related quality of life (HRQOL). However, it is unclear so far whether resilience moderates a negative association between work-related stress and HRQOL in employed patients after AMI. METHODS Patients with confirmed AMI and regular paid employment admitted to a hospital in the study region of the MONICA/KORA Myocardial Infarction Registry, Germany (04/2014-06/2017) were included and completed questionnaires during their hospital stay and 6 and 12 months after discharge. The Resilience Questionnaire (RS-11) and the Effort-Reward Imbalance (ERI) Questionnaire were used to assess trait resilience and ERI, respectively. HRQOL was measured by the Short Form 36 Health Survey (SF-36) mental and physical component summary scales. Generalized estimating equations (GEE) adjusted for relevant potential confounding variables (demographic, social, stress-related, and clinical) were used to determine the association between resilience and HRQOL in the study course. RESULTS From the 346 patients enrolled in the study, 270 patients (78.0%) had completed all surveys. High baseline trait resilience was significantly and independently associated with high physical HRQOL (ß = 0.15, p < 0.0001) and high mental HRQOL (ß = 0.37, p < 0.0001) 1 year post AMI. No significant interaction effects between trait resilience and ERI were found in the physical HRQOL GEE model (ß = 0.05, p = 0.7241) and in the mental HRQOL model (ß = 0.05, p = 0.3478). CONCLUSIONS The results demonstrated that trait resilience is independently and strongly related with post-AMI HRQOL but does not moderate the association between ERI and HRQOL.
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Affiliation(s)
- Inge Kirchberger
- Chair of Epidemiology, UNIKA-T Augsburg, Ludwig-Maximilians-Universität München, Neusässer Str. 47, 86156, Augsburg, Germany. .,Central Hospital of Augsburg, MONICA/KORA Myocardial Infarction Registry, Augsburg, Germany. .,Centro de Investigación Biomédica en Red, Enfermedades Cardiovasculares (CIBERcv), Madrid, Spain.
| | - Katrin Burkhardt
- Department of Laboratory Medicine and Microbiology, University Hospital of Augsburg, Augsburg, Germany
| | - Margit Heier
- Central Hospital of Augsburg, MONICA/KORA Myocardial Infarction Registry, Augsburg, Germany.,Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Institute of Epidemiology, Neuherberg, Germany
| | - Christian Thilo
- Department of Internal Medicine I - Cardiology, University Hospital of Augsburg, Augsburg, Germany
| | - Christine Meisinger
- Chair of Epidemiology, UNIKA-T Augsburg, Ludwig-Maximilians-Universität München, Neusässer Str. 47, 86156, Augsburg, Germany.,Central Hospital of Augsburg, MONICA/KORA Myocardial Infarction Registry, Augsburg, Germany
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Moons P, Norekval TM. Why some people do well and others don’t. The role of sense of coherence in disease adaptation. Eur J Cardiovasc Nurs 2018; 17:672-674. [DOI: 10.1177/1474515118787416] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- Philip Moons
- KU Leuven Department of Public Health, KU Leuven – University of Leuven, Belgium
- Institute of Health and Care Sciences, University of Gothenburg, Sweden
- Department of Paediatrics and Child Health, University of Cape Town, South Africa
| | - Tone M Norekval
- Department of Heart Disease, Haukeland University Hospital, Bergen, Norway
- Department of Clinical Science, Faculty of Medicine, University of Bergen, Norway
- Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
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Malm D, Fridlund B, Ekblad H, Karlström P, Hag E, Pakpour AH. Effects of brief mindfulness-based cognitive behavioural therapy on health-related quality of life and sense of coherence in atrial fibrillation patients. Eur J Cardiovasc Nurs 2018; 17:589-597. [PMID: 29493266 DOI: 10.1177/1474515118762796] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
BACKGROUND The aim of this study was to evaluate the effects of a brief dyadic cognitive behavioural therapy (CBT) programme on the health-related quality of life (HRQoL), as well as the sense of coherence in atrial fibrillation patients, up to 12 months post atrial fibrillation. METHODS A longitudinal randomised controlled trial with a pre and 12-month post-test recruitment of 163 persons and their spouses, at a county hospital in southern Sweden. In all, 111 persons were randomly assigned to either a CBT ( n=56) or a treatment as usual (TAU) group ( n=55). The primary outcome was changes in the HRQoL (Euroqol questionnaire; EQ-5D), and the secondary outcomes were changes in psychological distress (hospital anxiety and depression scale; HADS) and sense of coherence (sense of coherence scale; SOC-13). RESULTS At the 12-month follow-up, the CBT group experienced a higher HRQoL than the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group -0.015; P=0.02). The sense of coherence improved in the CBT group after the 12-month follow-up, compared to the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group -0.16; P=0.04). The association between the intervention effect and the HRQoL was totally mediated by the sense of coherence ( z=2.07, P=0.04). CONCLUSIONS A dyadic mindfulness-based CBT programme improved HRQoL and reduced psychological distress up to 12 months post atrial fibrillation. The sense of coherence strongly mediated the HRQoL; consequently, the sense of coherence is an important determinant to consider when designing programmes for atrial fibrillation patients.
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Affiliation(s)
- Dan Malm
- 1 School of Health and Welfare, Jönköping University, Jönköping, Sweden.,2 Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden
| | - Bengt Fridlund
- 1 School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Helena Ekblad
- 1 School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Patric Karlström
- 1 School of Health and Welfare, Jönköping University, Jönköping, Sweden.,2 Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden
| | - Emma Hag
- 1 School of Health and Welfare, Jönköping University, Jönköping, Sweden.,2 Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden
| | - Amir H Pakpour
- 1 School of Health and Welfare, Jönköping University, Jönköping, Sweden.,3 Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
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A recovery program to improve quality of life, sense of coherence and psychological health in ICU survivors: a multicenter randomized controlled trial, the RAPIT study. Intensive Care Med 2016; 42:1733-1743. [DOI: 10.1007/s00134-016-4522-1] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2016] [Accepted: 08/23/2016] [Indexed: 10/20/2022]
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Wieslander I, Mårtensson J, Fridlund B, Svedberg P. Women's experiences of how their recovery process is promoted after a first myocardial infarction: Implications for cardiac rehabilitation care. Int J Qual Stud Health Well-being 2016; 11:30633. [PMID: 27172514 PMCID: PMC4864844 DOI: 10.3402/qhw.v11.30633] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/19/2016] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND A rapid improvement in the care of myocardial infarction (MI) in the emergency services has been witnessed in recent years. There is, however, a lack of understanding of the factors involved in a successful recovery process, after the initial stages of emergency care among patients, and in particular those who are women. Both preventive and promotive perspectives should be taken into consideration for facilitating the recovery process of women after a MI. AIM To explore how women's recovery processes are promoted after a first MI. METHODS A qualitative content analysis was used. FINDINGS The women's recovery process is a multidirectional process with a desire to develop and approach a new perspective on life. The women's possibility to approach new perspectives on life incorporates how they handle the three dimensions: behaviour, that is, women's acting and engaging in various activities; social, that is, how women receive and give support in their social environment; and psychological, that is, their way of thinking, reflecting, and appreciating life. CONCLUSIONS The personal recovery of women is a multidirectional process with a desire to develop and approach a new perspective on life. It is important for cardiac rehabilitation nurses to not only focus on lifestyle changes and social support but also on working actively with the women's inner strength in order to promote the recovery of the women.
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Affiliation(s)
- Inger Wieslander
- School of Social and Health Sciences, Halmstad University, Halmstad, Sweden
- School of Health Sciences, Jönköping University, Jönköping, Sweden;
| | - Jan Mårtensson
- School of Health Sciences, Jönköping University, Jönköping, Sweden
| | - Bengt Fridlund
- School of Health Sciences, Jönköping University, Jönköping, Sweden
| | - Petra Svedberg
- School of Social and Health Sciences, Halmstad University, Halmstad, Sweden
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De Smedt D, Clays E, Höfer S, Oldridge N, Kotseva K, Maggioni AP, Pogosova N, Dolzhenko M, De Bacquer D. The use of HeartQoL in patients with coronary heart disease: Association with risk factors and European reference values. The EUROASPIRE IV study of the European Society of Cardiology. Eur J Prev Cardiol 2016; 23:1174-86. [PMID: 26862122 DOI: 10.1177/2047487316631400] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Accepted: 01/19/2016] [Indexed: 01/22/2023]
Abstract
BACKGROUND HeartQoL is a recently developed core health-related quality of life instrument for patients with coronary heart disease. The current study aims to investigate its association with patients' coronary risk profile and to provide reference values for patients with coronary heart disease across Europe. DESIGN Analyses are based on the EUROASPIRE IV (EUROpean Action on Secondary and Primary prevention through Intervention to Reduce Events) cross-sectional survey. METHODS Patients with a diagnosis of coronary heart disease were examined and interviewed six months to three years after their coronary event. The HeartQoL questionnaire was completed by 7261 coronary heart disease patients. Reference values were calculated and the association with the coronary risk profile was assessed. RESULTS Significantly worse outcomes were observed in higher-risk patient groups. Both metabolic and behavioural risk factors were associated with worse HeartQoL outcomes. Further, the HeartQoL scores decreased as the number of risk factors increased. The mean global reference values in males were 2.27 ± 0.65 (<60 years), 2.30 ± 0.61 (between 60 and 69 years) and 2.19 ± 0.64 (≥70 years). Likewise, in females, the respective global HeartQoL reference values were 2.02 ± 0.67, 2.01 ± 0.66 and 1.83 ± 0.70. The ceiling effect in males was 11.4%, 10.4% and 7.4% for the three age classes respectively, whereas in females the ceiling effect was 5.2%, 3.5% and 1.9%, respectively. CONCLUSION HeartQoL scores were associated with patients' coronary risk profile. The reference values may help other researchers to interpret HeartQoL scores. Further research should focus on the minimal important difference needed to evaluate the effect of therapies and lifestyle changes.
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Affiliation(s)
| | - Els Clays
- Department of Public Health, Ghent University, Belgium
| | - Stefan Höfer
- Department of Medical Psychology, Innsbruck Medical University, Austria
| | - Neil Oldridge
- College of Health Sciences, University of Wisconsin-Milwaukee, USA
| | - Kornelia Kotseva
- Department of Public Health, Ghent University, Belgium Department of Cardiovascular Medicine, National Heart and Lung Institute, Imperial College London, UK
| | - Aldo Pietro Maggioni
- EURObservational Research Programme Department, European Society of Cardiology, Sophia Antipolis, France
| | - Nana Pogosova
- National Research Centre for Preventive Medicine, Moscow, Russian Federation
| | - Maryna Dolzhenko
- Shupik's National Medical Academy of Postgraduation Education, Kiev, Ukraine
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Simoes E, Brucker SY, Krämer B, Wallwiener D. University Gynaecology and Obstetrics, quo vadis? A Department of Women's Health-University Women's Hospital of the future? Arch Gynecol Obstet 2014; 291:327-40. [PMID: 25135379 PMCID: PMC4290012 DOI: 10.1007/s00404-014-3401-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2014] [Accepted: 07/22/2014] [Indexed: 12/01/2022]
Abstract
Purpose Numerous changes in society, science and health care challenge gynaecology and obstetrics. These challenges include the maintenance of excellence in research, commercial potential and clinical innovation, as well as the maintenance of adequate human resources, new standards for patient orientation and individualised medicine. Methods Based on a SWOT analysis of the status quo, of local and national quality data, a search regarding national conceptions and of international best practice for women’s health centres, the model of a Department of Women’s Health was developed. Results The Department, consisting of a University Hospital and a Research Institute, should interlink clinical care and science. With the establishment of the department, a pool of expertise is achieved which encompasses gynaecology and obstetrics from basic care to the high-technology segments, as well as all the scientific areas relevant to the medical discipline and women’s health, including health services research. Preservation and attraction of personnel resources are based on the department’s excellence, on reliable perspectives and the flexibility of job profiles, which also result from the close connection between care and research and the expansion of perspectives on women’s health. Conclusions Methodological diversity and inter-professionalism build the appropriate base for the further development of research fields. At the same time, the Department creates space for the consolidation of the core areas and the integration of sub-disciplines (clinical and scientific) to maintain the unity of this discipline. Via the scientific monitoring of the implementation, suitable elements can be highlighted for transfer to other facilities.
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Affiliation(s)
- Elisabeth Simoes
- Centre of Women's Health, University Hospital of Tuebingen, Calwer Str. 7, 72076, Tuebingen, Germany,
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12
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Dahlviken RM, Fridlund B, Mathisen L. Women's experiences of Takotsubo cardiomyopathy in a short-term perspective - a qualitative content analysis. Scand J Caring Sci 2014; 29:258-67. [DOI: 10.1111/scs.12158] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2014] [Accepted: 05/20/2014] [Indexed: 01/08/2023]
Affiliation(s)
- Rønnaug M. Dahlviken
- Institute of Nursing; Bergen University College; Bergen Norway
- Department of Cardiology; Oslo University Hospital; Oslo Norway
| | - Bengt Fridlund
- Institute of Nursing; Bergen University College; Bergen Norway
- School of Health Sciences; Jönköping University; Jönköping Sweden
| | - Lars Mathisen
- Lovisenberg Diaconal University College; Oslo Norway
- Department of Cardiothoracic Surgery; Oslo University Hospital; Oslo Norway
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13
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De Smedt D, Clays E, Annemans L, Pardaens S, Kotseva K, De Bacquer D. Self-reported health status in coronary heart disease patients: a comparison with the general population. Eur J Cardiovasc Nurs 2014; 14:117-25. [PMID: 24434050 DOI: 10.1177/1474515113519930] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND The aim of our study was to compare Euroqol-5D (EQ-5D) outcomes in coronary heart disease (CHD) patients with those from the general population. We aimed to identify those dimensions which were mostly impaired. METHODS EQ-5D results (both the dimensions and the EQ-5D visual analogue scale (EQ-VAS)) from a European sample (11 countries) of coronary patients were compared with published age- and gender-specific normative data. RESULTS EQ-5D outcomes differed across countries and gender. Overall, the age-adjusted EQ-VAS scores were significantly lower in coronary patients compared with the general population, both in males (mean difference (MD)= -5.24(-7.59 to -2.88)) and in females (MD= -8.32 (-11.69 to -4.95)). Coronary patients had a significantly higher risk to report moderate or severe problems related to anxiety/depression (odds ratio (OR) male=1.84 (1.14-2.95); OR female=3.20 (2.32-4.40)). Furthermore, female coronary patients reported more problems on the mobility (OR=2.00 (1.38-2.90)), usual activity (OR= 2.54 (1.81-3.57)) and pain/discomfort dimension (OR=1.73 (1.23-2.43)) whereas in males, a borderline significant OR was found on the mobility (OR=1.43 (0.97-2.11)) and usual activity dimension (OR=1.44 (0.94-2.20)). The difference between the general population and the CHD patients attenuated as age increased. CONCLUSIONS CHD has a negative influence on patient's self-reported health status, both the EQ-VAS as well as the EQ-5D dimensions (with the exception of self-care in both genders and pain/discomfort in males) were impaired. The relative impairment was the greatest in female patients and the differences in the proportion of reported problems diminished with increasing age. The EQ-5D instrument is appropriate in capturing problems related to anxiety/depression, pain/discomfort, mobility and usual activities. Within clinical practice, particular attention should be given to females and younger CHD patients.
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Affiliation(s)
| | - Els Clays
- Department of Public Health, Ghent University, Belgium
| | - Lieven Annemans
- Department of Public Health, Ghent University, Belgium I-CHER (Interuniversity Centre for Health Economics Research), Ghent, Belgium
| | - Sofie Pardaens
- Department of Internal Medicine, Ghent University, Belgium
| | - Kornelia Kotseva
- International Centre for Circulatory Health, Imperial College London, UK
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Affiliation(s)
- Silke Apers
- Department of Public Health and Primary Care, KU Leuven, Belgium
| | - Koen Luyckx
- School Psychology and Child and Adolescent Development, KU Leuven, Belgium
| | - Philip Moons
- Department of Public Health and Primary Care, KU Leuven, Belgium
- Division of Congenital and Structural Cardiology, University Hospitals Leuven, Belgium
- The Heart Centre, Copenhagen University Hospital, Denmark
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Silarova B, Nagyova I, Rosenberger J, Studencan M, Ondusova D, Reijneveld SA, van Dijk JP. Sense of coherence as a predictor of health-related behaviours among patients with coronary heart disease. Eur J Cardiovasc Nurs 2013; 13:345-56. [PMID: 23828020 DOI: 10.1177/1474515113497136] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2013] [Accepted: 06/19/2013] [Indexed: 11/15/2022]
Abstract
AIMS A high sense of coherence (SOC) has been found to be associated with favourable health-related behaviours. However, evidence is for the most part lacking on the influence of SOC on health-related behaviours among coronary heart disease patients. The aim of this study was to explore the association between SOC at baseline and smoking status, nutrition behaviour, physical exercise and alcohol consumption of coronary heart disease patients 12-28 months after they had undergone different cardiac treatments. METHODS A total of 179 coronary heart disease patients (mean age 58.32±6.54 years, 19% female) were interviewed before coronary angiography and 12-28 months after. Self-report data about health-related behaviours were obtained via a structured interview. SOC was measured using the 13-item Orientation to Life Questionnaire. The relationship between SOC and health-related behaviours was examined using regression and cross-lagged path analyses. RESULTS SOC at baseline predicted non-smoking and quitting smoking: odds ratio (OR) (95% confidence interval (CI)) per unit increase (over range 38-91) was 1.11 (1.03-1.19) and 1.09 (1.01-1.17), respectively. Moreover, baseline SOC predicted healthy nutrition behaviour among percutaneous coronary intervention patients: the OR per unit increase was 1.08 (95% CI: 1.01-1.15). Lastly, SOC at baseline predicted improvement in alcohol consumption at follow-up among coronary artery bypass grafting patients (standard score result: -0.15, p<0.05). CONCLUSION Coronary heart disease patients with a low SOC before treatment are less likely to improve health behaviours after cardiac treatment and should thus get additional attention in health promotion.
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Affiliation(s)
- Barbora Silarova
- Graduate School Kosice Institute for Society and Health, Safarik University, Slovak Republic
| | - Iveta Nagyova
- Graduate School Kosice Institute for Society and Health, Safarik University, Slovak Republic Institute of Public Health - Department of Social Medicine, Safarik University, Slovak Republic
| | - Jaroslav Rosenberger
- Graduate School Kosice Institute for Society and Health, Safarik University, Slovak Republic
| | - Martin Studencan
- Cardiology Clinic, East Slovakian Institute for Cardiac and Vascular Diseases, Slovak Republic
| | - Daniela Ondusova
- Cardiology Clinic, East Slovakian Institute for Cardiac and Vascular Diseases, Slovak Republic
| | - Sijmen A Reijneveld
- Department of Community & Occupational Health, University of Groningen, The Netherlands
| | - Jitse P van Dijk
- Graduate School Kosice Institute for Society and Health, Safarik University, Slovak Republic Department of Community & Occupational Health, University of Groningen, The Netherlands
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Apers S, Luyckx K, Moons P. How meaningful is sense of coherence to cardiovascular nursing? Eur J Cardiovasc Nurs 2012; 11:375-7. [DOI: 10.1177/1474515112452354] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Silke Apers
- Department of Public Health, Centre for Health Services and Nursing Research, KU Leuven – University of Leuven, Leuven, Belgium
| | - Koen Luyckx
- Faculty of Psychology and Educational Sciences, School Psychology and Child and Adolescent Development, KU Leuven – University of Leuven, Leuven, Belgium
- Research Foundation Flanders, Belgium
| | - Philip Moons
- Department of Public Health, Centre for Health Services and Nursing Research, KU Leuven – University of Leuven, Leuven, Belgium
- Division of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium
- The Heart Centre, Copenhagen University Hospital, Copenhagen, Denmark
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